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Home Obesity Surgery Peritoneal-dialysis-catheter

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 Peritoneal dialysis catheter

Details
Inventors: Twardowski, Zbylut J.; Nolph, Karl D.;
Assignee: Curators of the University of Missouri (Columbia, MO)
Primary Examiner: Pellegrino; Stephen C.
Assistant Examiner:
Attorney, Agent or Firm: Mattenson; Charles R., Flattery; Paul C., Ryan; Daniel D.

A peritoneal catheter comprises a flexible catheter tube carrying porous cuff means to facilitate permanent securance of the catheter to the abdominal wall. The catheter tube defines, in its natural, unstressed condition, a bent segment adjacent the porous cuff means. This permits the catheter to be mounted in a tunnel formed through the abdominal wall in relatively unstressed configuration with both ends pointing downwardly.

DETAILED DESCRIPTION That which is claimed is: 1.
A peritoneal catheter which comprises a flexible catheter tube having a proximal and a distal end portion, said distal end portion defining flow port means for fluid communication between the bore of the catheter tube and the peritoneal cavity, said catheter carrying spaced porous cuff means to facilitate permanent securance of the catheter to the abdominal wall, the improvement comprising, in combination: said catheter tube defining, in its natural, unstressed condition, a bent segment forming an arc in a range of 100.
degree.
to 180.
degree.
between said porous cuff means, said bent segment, in use, extending in a tunnel formed through the abdominal wall in its relatively unstressed configuration to direct the distal end portion toward a caudel direction within the peritoneal cavity of the patient while the proximal end also projects, when viewed by an onlooker, downwardly.
2.
The peritoneal catheter of claim 1 in which said proximal and distal end portions form an angle to each other that is supplementary thereto.
3.
The peritoneal catheter of claim 2 in which said arch is defined in a range of 120.
degree.
to 170.
degree.
.
4.
The peritoneal catheter of claim 1 in which said flexible catheter tube is made of silicone rubber.




Description:
TECHNICAL FIELD The Tenckhoff catheter is commercially available and widely used with patients who must undergo chronic peritoneal dialysis for maintenance in the absence of normal kidney function.
The catheter is made of silicone rubber, and has a pair of porous tissue attachment cuffs in spaced relation to each other, so that after implantation of the catheter into the abdominal wall, tissue grows into pores of the cuffs, for secure and permanent anchoring of the catheter in place.
In the article by Tenckhoff and Schechter entitled A Bacteriologically Safe Peritoneal Access Device, Trans.
Am.
Soc.
Artif.
Intern.
Organs 1968; 14: 181-187, the authors disclosed their new catheter and showed an arcuate subcutaneous catheter tunnel, so that both the external and internal end segments of the catheter were generally directed in a caudal direction (i



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