# US 9,517,184 B2 · Feeding tube with insufflation device and related methods therefor

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- Number: US 9,517,184 B2
- Document ID: US9517184B2
- Status: Granted
- Kind: B2
- Application number: 13/606,179
- Filed: 2012-09-07
- Published: 2014-03-13
- Granted: 2016-12-13
- Earliest claimed: 2012-09-07
- Assignees: Covidien LP
- Applicants: Glen Branconier; Michael C. Dorsey; Kelly M. Davis; David Rork Swisher; John P. Moran
- Inventors: Glen Branconier; Michael C. Dorsey; Kelly M. Davis; David Rork Swisher; John P. Moran
- Web page: https://patentgrep.com/patent/US9517184B2

## CPC

- A61J 15/0026: {Parts, details or accessories for feeding-tubes (external tubes from medical containers to a connector outside of the body A61M39/08)}
- A61J 15/0003: {Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth}
- A61M 13/003: {Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing}
- A61B 1/00068: {Valve switch arrangements}
- A61J: CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- 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)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A feeding tube assembly for insertion and delivery of nutrients into an alimentary canal is disclosed. A method of facilitating the use of the feeding tube with an insufflation device is also disclosed. The feeding tube assembly has a feeding tube with opposite proximal and distal ends, a feeding passage extending between the proximal and distal ends, an outlet proximate the distal end and in fluid communication with the feeding passage, a port at the proximal end and in fluid communication with the outlet; and an air insufflation device fluidly connectable to the port comprising a compressible air bulb having a bulb inlet and a bulb outlet; an inlet check valve at the bulb inlet, an outlet check valve at the bulb outlet, and a relief valve fluidly connected to the bulb outlet.

## Claims

### Claim 1

A feeding tube assembly for insertion and delivery of nutrients into an alimentary canal of a subject, comprising:
a feeding tube having opposite proximal and distal ends, an inlet at the proximal end for connection to a source of liquid nutrients, a feeding passage defined therein and extending between the proximal and distal ends and in fluid communication with the inlet, an outlet proximate the distal end and in fluid communication with the feeding passage and the inlet, and a port separate from the inlet and disposed at the proximal end and in fluid communication with the outlet through the feeding passage;
an air insufflation device fluidly connectable to the port, comprising a compressible air bulb having a bulb inlet and a bulb outlet; an inlet check valve disposed at the bulb inlet to unidirectionally allow air to flow into the bulb, and a relief valve fluidly connected to the bulb outlet, actuation of the air insufflation device causing air to flow through the feeding passage and exit the outlet of the feeding tube; and
an imaging assembly configured to acquire images of the alimentary canal secured to the feeding tube proximate the distal end thereof, the air insufflation device being configured to insufflate the alimentary canal to at least partially expand the alimentary canal and aid the imaging assembly in acquiring images of the at least partially expanded alimentary canal.

### Claim 2 (depends on 1)

The feeding tube assembly of claim 1, further comprising:
an outlet check valve disposed at the bulb outlet to unidirectionally allow air to flow from the bulb;
a conduit comprising opposite first and second conduit ends, and a conduit lumen defined therein, the conduit lumen fluidly connecting the first and second conduit ends; and
a connector connected to the second conduit end and configured to fluidly connect to the feeding tube at the port thereof, the connector comprising a plurality of ribs each extending longitudinally about an outer surface of the connector.

### Claim 3 (depends on 2)

The feeding tube assembly of claim 2, wherein the relief valve has a valve member actuatable by a user for fluidly connecting the outlet to atmosphere.

### Claim 4 (depends on 3)

The feeding tube assembly of claim 3, wherein the relief valve comprises a cap securable to the valve member, and wherein the relief valve is fluidly connected to the outlet through the feeding passage and the conduit.

### Claim 5 (depends on 3)

The feeding tube assembly of claim 3, wherein the relief valve comprises a valve passage fluidly connectable to the conduit lumen, and wherein the valve member comprises a protrusion in the valve passage.

### Claim 6 (depends on 2)

The feeding tube assembly of claim 2, further comprising an inlet adaptor at the proximal end of the feeding tube in fluid communication with the feeding passage, wherein the connector is an oral connector configured for sealed attachment to the inlet adaptor.

### Claim 7

A method of facilitating use of a feeding tube assembly for insertion into an alimentary canal of a subject, the method comprising providing a feeding tube assembly comprising a feeding tube having opposite proximal and distal ends, an inlet at the proximal end for connection to a source of liquid nutrients, a feeding passage extending between the proximal and distal ends and in fluid communication with the inlet, an outlet proximate the distal end and in fluid communication with the feeding passage and the inlet, and a port separate from the inlet and disposed at the proximal end and in fluid communication with the outlet through the feeding passage, the method further comprising providing an air insufflation device comprising a compressible air bulb having a bulb inlet and a bulb outlet, an inlet check valve disposed at the bulb inlet to unidirectionally allow air to flow into the bulb, an outlet check valve disposed at the bulb outlet to unidirectionally allow air to flow from the bulb into the port of the feeding tube assembly, and a relief valve fluidly connectable to the outlet through the feeding passage, actuation of the air insufflation device causing air to flow through the feeding passage and exit the outlet of the feeding tube, an imaging assembly configured to acquire images of the alimentary canal is secured to the feeding tube proximate the distal end thereof, the air insufflation device being configured to expand the alimentary canal to aid the imaging assembly in acquiring images of the expanded alimentary canal.

### Claim 8 (depends on 7)

The method of claim 7, further comprising:
providing a conduit having a conduit lumen defined therein, a first conduit end and an opposite, second conduit end fluidly connected to the first conduit end through the conduit lumen; and
providing a connector comprising a plurality of ribs, each of the plurality of ribs disposed equidistantly about an outer surface of the connector, the connector configured to removably connect to the feeding tube at the port, the connector further configured to connect to the conduit.

### Claim 9 (depends on 8)

The method of claim 8, further comprising connecting the connector to the conduit at the second conduit end.

### Claim 10 (depends on 9)

The method of claim 9, further comprising connecting the relief valve to the conduit, wherein the relief valve comprises a valve member actuatable by a user for fluidly connecting the outlet to atmosphere.

### Claim 11 (depends on 7)

The method of claim 7, further comprising providing written instructions directing disposal of the insufflation device after a single use.

### Claim 12 (depends on 1)

The feeding tube assembly of claim 1, wherein the imaging assembly is configured to transmit the acquired images of the alimentary canal.

### Claim 13

A method of inserting a feeding tube into an alimentary canal comprising partially inserting a feeding tube into an alimentary canal such that a distal end of the feeding tube is within the alimentary canal, insufflating the alimentary canal using an insufflation device connected to a proximal end of the feeding tube to force air down a feeding passage of the feeding tube and out a feeding outlet of the feeding tube into the alimentary canal so that the air impinges on an interior wall of the alimentary canal causing the alimentary canal to expand distally of a distal end of the feeding tube as a result of direct contact with the expelled air, acquiring an image of the alimentary canal after the alimentary canal is insufflated using an imaging assembly secured to the feeding tube proximate the distal end thereof, and further inserting the feeding tube into the alimentary canal after the canal is insufflated by the air forced by the insufflation device out of the feeding outlet into the alimentary canal and against the interior wall of the alimentary canal, and delivering liquid nutrients through the feeding passage.
