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Publication numberUS3623484 A
Publication typeGrant
Publication dateNov 30, 1971
Filing dateJul 22, 1969
Priority dateJul 22, 1969
Publication numberUS 3623484 A, US 3623484A, US-A-3623484, US3623484 A, US3623484A
InventorsSchulte Rudolf R
Original AssigneeSchulte Rudolf R
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Telescoping shunt system for physiological fluid
US 3623484 A
Abstract  available in
Images(1)
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Claims  available in
Description  (OCR text may contain errors)

United States Patent [72] Inventor Rudolf R. Schulte 3328 Calle Fresno, Santa Barbara, Calif. 93105 [21] Appl. No. 843,517 [22] Filed July 22, 1969 [45] Patented Nov. 30, 1971 x [54] TELESCOPING SHUNT SYSTEM FOR PHYSIOLOGICAL FLUID 9 Claims, 3 Drawing Figs. [52] 0.8. CI 128/350 R, 285/302 51 lnt.Cl .4 ....A6lm 27/00 [50] Field oiSearch 128/350, 350 V; 285/302 56] References Cited UNITED STATES PATENTS 330,392 11/1885 Gray 285/302X 358,074 2/1887 Ryan 285/302 1,130,358 3/l9l5 Whitney 285/302 3,456,965 7/1969 Gajewski et aL. 128/334 X 3,492,996 2/1970 Fountain 128/350 Primary Examiner-Dalton L. Truluck Attorney-Angus & Mon

ABSTRACT: This invention relates to an auxiliary device for use with and in physiological shunt circuits for the drainage of unwanted fluids from one part of the body to another. According to this invention a telescopic section is incorporated into a shunt catheter so that when one end of the system is implanted in an area of the body to be drained (such as the ventricles of the brain) and the other end of the system is implanted in a portion of the body into which the fluid must be drained (such as the heart), then, when there is bodily growth which would require elongation of the system, the telescopic portion will elongate and thus prolong the period before the system or some part of it must be replaced to compensate for nonnal growth. The catheter incorporating the telescopic section is made in two segments having flanged ends which contact the inside of a silicone rubber cylinder and are fluidtight, but can move longitudinally under tensile loads applied as a consequence of the growth of the child. The flanged ends may be radiopaque in order that the elongation may be checked by X- ray. These ends are held against withdrawal.

PATENTED 30 3,623,484

INVEN'IUR. IQUDOLF R. SCHUL TE A TTOK/Vf Y5.

TELESCOPING SHUNT SYSTEM FOR PHYSIOLOGICAL FLUID to auxiliary devices for use in Still another object of the invention is to provide means on ic portion and thereby providing elongation.

The above and other features of this invention will be fully appreciated from the following detailed description and the accompanying drawings in which:

FIG. 1 shows the presently preferred embodiment of the invention in the body ofa child;

F IG. 2 is a cross section of a portion of the invention shown in Fig. 1, taken at line 2 2 therein; and

FIG. 3 is a cross section taken at line 3-ofFlG. 2.

A telescopic catheter 10, as shown in FIG. 1, is incoris fixed to the body at a location between the two ends of one arm of the system (the arm sometimes herein called a drainage catheter"), which arm is divided into two adjacent portions in this device.

The portions of the drainage catheter are called the proximal catheter l1 and the distal catheter 12. As seen in FIG. 2, the proximal catheter 1] and the distal catheter 12 have enlarged cylindrical flanges l3 and 14 which act as pistons and make a sliding sealing fit inside of retainer sleeves l and 16. Flanges l3 and 14 may be made radiopaque by applying a coating of, or by impregnation with, radiopaque material such as barium sulfate in order to visualize the flanges to X-ray in the implanted device.

the catheter portions. An outer sleeve 17 encases the retaining sleeves l5 and 16. The three sleeves may be held assembled by an air-curing silicone rubber cement. All sleeves and the catheter tubes 11 and 12 may conveniently be made of silicone rubber.

In use in a shunt system another catheter 18 (sometimes herein called a drainage catheter) is implanted so as to drain a region having unwanted fluids, such as the ventricles of the brain in cases of hydrocephalus. This catheter has a central passage and openings thereinto so as to collect fluid from this region.

pump, which interconnects them.

The proximal catheter portion 11 is sutured to the lozenge 19, which fixes its free end. Retainer sleeve 16 is sutured to the jugular vicinity by attachment of a suture to a groove 19a this suturing being done at the end 20, and these will become encased in fibrous tissue in the superior vena cava, and thereby prevent too-easy withdrawal therefrom.

catheter, while the cylindrical enlarge flanges l3 and 14 of the catheter tubes 11 and 12 are in sliding, fluid-sealing fit with the inside walls of the retaining sleeves l5 and 16. The outer sleeve 17 is then slipped over the retaining sleeves l5 and 16 and cemented into place with an aircuring silicone rubber cement, thus holding the telescopic catheter parts assembled in proper relative position.

In use, with the distal fixed to the clearing pump and to the jugular vein, and with an remains to be allowed before the device must be replaced with longer catheter portions.

The flanges are held against removal by the reduced portions 22 and 23, which are smaller than the flanges, so the device cannot be disassembled by an axial pull.

This telescopic joint markedly improves the function of the for example, in a single-line patent, wherein no pump is used.

The device is easily manufactured, and elegant in concept.

lclaim: l. A catheter for use in a physiological fluid shunt system, said catheter comprising: a first and a second tubular catheter each of said tubular retaining sleeves having a cylindrical inner wall with a reduced end adapted to overhang and retain against removal a respective one of said flanges and to make a close engagement with the outer wall of the respective catheter portion, said flanges making a sliding fluid-sealing fit with respective inner walls of said retaining sleeves; and an outer sleeve, said outer sleeve being bonded to and joining together and fluidly sealing the retaining sleeves, the retaining sleeves projecting beyond the ends of the outer sleeve.

2. A catheter according to claim 1 in which a groove is provided in the outer wall of one of said retainer sleeves to provide a point of attachment for a suture.

3. A catheter according to claim 1 in which one of said catheter portions carries protrusions on its surface near its end away from the sleeves, said protrusions being adapted to engage with fibrous body materials to prevent too-easy withdrawal.

4. A catheter described in claim 1 in which said enlarged shoulders on said tubular catheter segments are radiopaque.

5. A catheter according to claim 1 in which said tubular catheter, said retaining sleeves, and said sleeves are made of silicone rubber.

6. A catheter according to claim 3 in which said enlarged shoulders on said tubular catheter are radiopaque, and in which the catheter and said sleeves are made of silicone rubber.

7. A physiological fluid shunt system which comprises: a

collector catheter; pump means draining fluid from said collector catheter; a drainage catheter having a first portion and a second portion, and a telescopic coupling means connecting said portions for enabling the length of the drainage catheter to increase, said telescopic coupling means comprising: an enlarged cylindrical flange on each of the catheter portions; a pair of tubular retaining sleeves, each of said tubular retaining sleeves having a cylindrical inner wall with a reduced end adapted to overhang and retain against removal a respective one of the said flanges and to make a close engagement with the outer wall of the respective catheter portion, said flanges making a sliding fluid-sealing fit with respective inner walls of said retaining sleeves; and an outer sleeve, said outer sleeve being bonded to and joining together and fluidly sealing the retaining sleeves, the retaining sleeves projecting beyond the ends of the outer sleeve.

8. A system according to claim 7 in which a vided in the outer wall of one of said vide a point of attachment for a suture.

9. A system according to claim 7 in which one of said catheter portions carries protrusions on its surface near its end away from the sleeves, said protrusions being adapted to engage with fibrous body materials to prevent too-easy withdrawal.

groove is proretainer sleeves to pro- Patent No.

Inventofls) UMTED STATES PATENI 0mm:

FHCATE OF CQRl iEC'LLC/N November 30, 1971 3 623 ,484- Dated RUDOLF R. S HULTE it is certified that error appears in the above-identified patent and that said Letters Patent are hereby corrected as shown below:

Cole 1, line 15, 'combines" should read -combined-- Cole 1, line 45, "3--" should read --3-3- Col V 1, line 55, "retainer" should read --retaining- N 1, line 58, "sulfate" should read --sulphate-- Col 1, line 74, "drainage" should read --"collection-- Col. 2, line 23, "enlarge" should read --enlarged-- Col 2, line 60, "surgeons" should read -surgeon's-- Col '4 line 2, (Claim 7, line 3) after "catheter", 2nd

occurrence, there should be inserted --receiving fluid from said pump means, said drainage catheter-- Signed and sealed this 18th day of December 1973.

(SEAL) Attest:

EDWARD M. FLETCHER,JR. Attestine Officer RENE D TEGTMEYER Acting Commissioner of Patents

Patent Citations
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US330392 *Sep 11, 1885Nov 17, 1885 Expansion-joint
US358074 *Feb 22, 1887 Coupliire foe lubricatoks
US1130358 *Feb 19, 1914Mar 2, 1915Elmer E WhitneyTrombone-slide.
US3456965 *Feb 23, 1967Jul 22, 1969Baxter Laboratories IncMeans for coupling a pair of fluid conduits
US3492996 *Feb 9, 1966Feb 3, 1970Dow CorningVentriculo-atrial shunt
BE664424A * Title not available
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3738365 *Nov 1, 1971Jun 12, 1973Schulte RSpring reinforced extensible catheter
US3913587 *Oct 15, 1974Oct 21, 1975Dow CorningImplantable extendable member
US4382445 *Dec 4, 1980May 10, 1983Cosmos Research AssociatesPhysiological fluid shunt system and improvements therefor
US4398910 *Feb 26, 1981Aug 16, 1983Blake L WWound drain catheter
US4548201 *Apr 20, 1982Oct 22, 1985Inbae YoonElastic ligating ring clip
US4583967 *Feb 13, 1984Apr 22, 1986Cordis CorporationTelescoping catheter shunt system
US4632668 *Dec 31, 1984Dec 30, 1986University Of Virginia Alumni Patents FoundationVentricular catheter
US5360414 *Oct 8, 1992Nov 1, 1994Yarger Richard JDevice for removing fluids from the interior of a body
US5468221 *Jun 20, 1994Nov 21, 1995Schoener; WolfgangImplantable catheter made of high cold flow material
US5728061 *Jan 26, 1996Mar 17, 1998Ahmed; Abdul MateenDevice and method for treating hydrocephalus
US6010479 *May 21, 1996Jan 4, 2000Dimitri; MauroSpecific catheter for percutaneous gastrostomy
US6193682Mar 16, 1998Feb 27, 2001Abdul Mateen AhmedLow profile neonatal hydrocephalus device and methods
US6478789Nov 15, 1999Nov 12, 2002Allegiance CorporationWound drain with portals to enable uniform suction
US7658735Jan 12, 2004Feb 9, 2010Spehalski Stephan RSteerable wound drain device
US8333728 *Nov 29, 2006Dec 18, 2012Medtronic, Inc.Implantable cerebrospinal fluid flow device and method of controlling flow of cerebrospinal fluid
US8361057Oct 25, 2005Jan 29, 2013Coloplast A/SMale telescope catheter
US8545481Jan 28, 2010Oct 1, 2013Allegiance CorporationSteerable wound drain device
US8777931Aug 19, 2011Jul 15, 2014Alcon Research, Ltd.Retractable luer lock fittings
US8834453Aug 26, 2013Sep 16, 2014Allegiance CorporationSteerable wound drain device
WO1991004068A1 *Sep 12, 1990Mar 15, 1991Wolfgang SchoenerImplantable catheter made of high cold flown material
WO1992000043A1 *Apr 25, 1991Dec 29, 1991Schneider Usa IncSelf-expanding prosthesis having stable axial length
Classifications
U.S. Classification604/8, 285/302
International ClassificationA61M39/10, A61M27/00, A61M39/00
Cooperative ClassificationA61M27/006, A61M39/10
European ClassificationA61M27/00C2, A61M39/10
Legal Events
DateCodeEventDescription
Jan 30, 1990ASAssignment
Owner name: BAXTER INTERNATIONAL INC.
Free format text: CHANGE OF NAME;ASSIGNOR:BAXTER TRAVENOL LABORATORIES, INC., A CORP. OF DE;REEL/FRAME:005050/0870
Effective date: 19880518
Mar 2, 1987ASAssignment
Owner name: BAXTER TRAVENOL LABORATORIES, INC. A CORP. OF DE
Free format text: MERGER;ASSIGNOR:AMERICAN HOSPITAL SUPPLY CORPORATION INTO;REEL/FRAME:004760/0345
Effective date: 19870126
Apr 16, 1984ASAssignment
Owner name: AMERICAN HEYER-SCHULTE CORPORATION
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:HEYER-SCHULTE CORPORATION;REEL/FRAME:004245/0660
Effective date: 19800623
Apr 16, 1984AS02Assignment of assignor's interest
Owner name: AMERICAN HEYER-SCHULTE CORPORATION
Effective date: 19800623
Owner name: HEYER-SCHULTE CORPORATION
Feb 22, 1983ASAssignment
Owner name: AMERICAN HOSPITAL SUPPLY CORPORATION; ONE AMERICAN
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:AMERICAN HEYER- SCHULTE CORPORATION;REEL/FRAME:004099/0695
Effective date: 19830121