# US 10,864,106 B2 · Medical device for use with a stoma

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- Number: US 10,864,106 B2
- Document ID: US10864106B2
- Status: Granted
- Kind: B2
- Application number: 13/413,921
- Filed: 2012-03-07
- Published: 2012-09-13
- Granted: 2020-12-15
- Earliest claimed: 2011-03-08
- Assignees: W. L. Gore & Associates, Inc.
- Applicants: Sherif A. Eskaros; David C. Everson; George N. Foutrakis; John M. Herman; Matthew A. Johnson; Peter J. Lutz; Michael L. O'Hara
- Inventors: Sherif A. Eskaros; David C. Everson; George N. Foutrakis; John M. Herman; Matthew A. Johnson; Peter J. Lutz; Michael L. O'Hara
- Web page: https://patentgrep.com/patent/US10864106B2

## CPC

- A61F 5/445: Colostomy, {ileostomy or urethrostomy} devices (A61F5/441, A61F5/442, A61F5/443 take precedence)
- A61M 39/0247: {Transcutaneous or percutaneous access sites to the inside of the body}
- A61F 2/064: {with special features to facilitate anastomotic coupling (anastomosis of natural blood vessels A61B17/11)}
- A61F 2/07: Stent-grafts
- A61F 2002/9511: {the retaining means being filaments or wires}
- A61F 2005/4455: {Implantable}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

An device including a proximal portion adapted for placement intermediately within a hollow body cavity to capture and divert contents; the proximal portion being expandable from an initial state with an initial diameter, into an expanded state with a diameter greater than the initial diameter for engaging the proximal portion with an inner wall of the hollow body cavity; and a distal portion, connected to the proximal portion, adapted to extend through the abdominal wall or into the intestine to conduct the hollow body cavity contents out of the proximal portion.

## Claims

### Claim 1

A device for diverting body contents out of a body, said device comprising:
a. a proximal portion adapted for placement within a hollow body cavity, at least said proximal portion being expandable from a first initial state with a first initial diameter for insertion of said proximal portion into the hollow body cavity into a first expanded state for engaging hollow body cavity tissues with a diameter greater than said first initial diameter;
b. a distal portion having an adjustable longitudinal length and being radially expandable to a second expanded state, the distal portion being adapted to extend through a stoma in a wall of said hollow body cavity to conduct the hollow body cavity contents out of the proximal portion and out of said body, wherein the adjustable longitudinal length of the distal portion can be reversibly shortened and lengthened;
c. a transitional portion connecting said proximal portion and said distal portion, said transitional portion including a bending mechanism including a stent structure along one section of the transitional portion and an opposing section of the transitional portion being stent free, the bending mechanism being configured to preferentially bend in one direction, wherein the transitional portion has a bend when the device is expanded to divert hollow body contents from said hollow body cavity in a first direction to said distal portion in a second direction; and
d. a support structure extending from said proximal portion through and including said distal portion,
wherein said support structure disposed within said proximal portion has an outward force that engages said hollow body cavity and secures said proximal portion therein, and
wherein said device is flexible.

### Claim 2 (depends on 1)

The device of claim 1 wherein said distal portion and said proximal portion comprise at least one layer of a barrier material.

### Claim 3 (depends on 2)

The device of claim 2 wherein said support structure is an expandable frame and has a length and a channel extending therethrough.

### Claim 4 (depends on 3)

The device of claim 3 wherein the expandable support frame has a substantially round cross section.

### Claim 5 (depends on 1)

The device of claim 1 wherein said proximal portion further comprises an anchoring component.

### Claim 6 (depends on 1)

The device of claim 1 wherein the hollow body cavity is selected from an intestine, a stomach, a gall bladder, a bladder, a pseudocyst, a peritoneal cavity, and a thoracic cavity.

### Claim 7 (depends on 1)

The device of claim 1 wherein the distal portion is adapted to be positioned within the gastrointestinal tract.

### Claim 8 (depends on 1)

The device of claim 1 further comprising a valve connected to said device to allow said hollow body contents to be selectively discharged from said distal portion.

### Claim 9 (depends on 1)

The device of claim 1 wherein said distal portion is expandable, from a second initial state with a second initial diameter into the second expanded state with a diameter greater than said second initial diameter.

### Claim 10 (depends on 9)

The device of claim 9 wherein said proximal and distal portions are radially compressible from said first and second expanded states for removal from the hollow body cavity.

### Claim 11 (depends on 3)

The device of claim 3 wherein said expandable support frame is nitinol.

### Claim 12 (depends on 3)

The device of claim 3 wherein said expandable support frame is stainless steel.

### Claim 13 (depends on 3)

The device of claim 3 wherein said expandable support frame is a polymer.

### Claim 14 (depends on 3)

The device of claim 3 wherein said expandable support frame is bioresorbable.

### Claim 15 (depends on 1)

The device of claim 1 wherein said proximal portion comprises expanded polytetrafluoroethylene.

### Claim 16 (depends on 1)

The device of claim 1, wherein said support structure is an asymmetrical support structure.

### Claim 17 (depends on 1)

The device of claim 1, wherein the adjustable longitudinal length of the distal portion can be shortened and lengthened while the distal portion is in the second expanded state.

### Claim 18 (depends on 1)

The device of claim 1, wherein the adjustable longitudinal length of the distal portion includes a telescoping construction.

### Claim 19 (depends on 1)

The device of claim 1, wherein the adjustable longitudinal length of the distal portion includes a corrugated construction.
