AUTOMATIC INFUSION VALVE
20220193323 · 2022-06-23
Inventors
Cpc classification
A61M1/774
HUMAN NECESSITIES
A61F9/00736
HUMAN NECESSITIES
A61M2205/7536
HUMAN NECESSITIES
A61F9/00754
HUMAN NECESSITIES
A61M3/0233
HUMAN NECESSITIES
A61M3/0283
HUMAN NECESSITIES
A61M1/85
HUMAN NECESSITIES
A61M1/743
HUMAN NECESSITIES
International classification
Abstract
The present disclosure generally relates to fluid control valves for delivering and/or aspirating fluid during ophthalmic surgeries and procedures. In one embodiment, a valve assembly includes a first portion configured to fluidly couple with a gas supply line and a second portion configured to fluidly couple with a liquid supply line and an infusion line. The first portion and the second portion are partitioned or separated from each other by a filter having a hydrophobic membrane configured to prevent the flow of liquids therethrough while allowing the free flow of gas. Accordingly, an infusion liquid may be flown through the second portion while gases may be simultaneously aspirated through the first portion, without any liquids travelling into the gas supply line. The gas supply line may thus be utilized to vent or purge gases from the infusion line before or during performance of surgical procedures.
Claims
1. A valve assembly for fluid infusion during ophthalmic procedures, comprising: a first portion, comprising: a first conduit having a first port; and a first cavity having a first end and a second end opposite the first end, the first end fluidly coupled to the first port via the first conduit, the second end having a cross-sectional area greater than a cross-sectional area of the first conduit; a second portion, comprising: a second conduit having a second port; a third conduit having a third port; and a second cavity in fluid communication with the second port and the third port, the second cavity adjacent to the first cavity; and a filter partitioning the first cavity from the second cavity, the filter comprising a hydrophobic membrane partially defining the second cavity.
2. The valve assembly of claim 1, wherein the hydrophobic membrane is configured to prevent a flow of liquid from the second cavity into the first cavity while allowing bi-directional flow of gas therebetween.
3. The valve assembly of claim 1, wherein the hydrophobic membrane comprises at least one of polytetrafluoroethylene (PTFE), expanded PTFE (ePTFE), polycarbonate track etch (PCTE), polyester, nylon, cellulose, cellulose nitrate (CN), cellulose acetate (CA), polyethersulfone (PES), glass fiber, and acrylic copolymer.
4. The valve assembly of claim 3, wherein the filter further comprises a backing coupled to the hydrophobic membrane, the backing comprising at least one of polyester, polyethylene, polypropylene, and nylon.
5. The valve assembly of claim 1, wherein the hydrophobic membrane has a pore size ranging between about 0.1 μm to about 10.0 μm and a thickness between about 150 μm and about 300 μm.
6. The valve assembly of claim 1, wherein the first cavity further comprises one or more semi-annular or annular ridges disposed therein, the one or more ridges defining one or more channels.
7. The valve assembly of claim 6, wherein the second cavity further comprises one or more semi-annular or annular ridges disposed therein, the one or more ridges defining one or more channels.
8. The valve assembly of claim 1, wherein at least a portion of the second cavity has a cross-sectional area substantially the same or greater than the cross-sectional area of the second end of the first cavity.
9. A fluid infusion system for ophthalmic procedures, comprising: a surgical console, comprising: a first fluid line coupled to a gas fluid source; and a second fluid line coupled to a liquid fluid source; and a valve assembly fluidly coupled to the first fluid line and the second fluid line, the valve assembly comprising: a first conduit having a first port directly coupled to the first fluid line; a second conduit having a second port directly coupled to the second fluid line; a third conduit having a third port coupled to a third fluid line, wherein the first conduit, the second conduit, and the third conduit are coupled to an intermediary cavity and are in fluid communication with each other, and wherein the surgical console controls flow rates of fluids through the first fluid line, the second fluid line, the third fluid line, and the valve assembly; and a filter disposed within the intermediary cavity, the filter partitioning the first conduit from the second conduit and the third conduit, the filter comprising a hydrophobic membrane disposed on a side thereof opposite the first conduit and configured to prevent a flow of liquids from the second and third conduits into the first conduit while allowing bi-directional flow of gases therebetween.
10. The fluid infusion system of claim 9, wherein the hydrophobic membrane comprises polytetrafluoroethylene (PTFE).
11. The fluid infusion system of claim 10, wherein the hydrophobic membrane comprises expanded PTFE (ePTFE).
12. The fluid infusion system of claim 9, wherein the hydrophobic membrane comprises at least one of polycarbonate track etch (PCTE), polyester, nylon, cellulose, cellulose nitrate (CN), cellulose acetate (CA), polyethersulfone (PES), glass fiber, and acrylic copolymer.
13. The fluid infusion system of claim 9, wherein at least one control mode of the surgical console comprises flowing a liquid from the liquid fluid source in a first direction toward the valve assembly while aspirating a gas in a second direction away from the valve assembly to prevent the gas from escaping into the flowing liquid, the filter preventing the liquid from being aspirated with the gas in the second direction.
14. The fluid infusion system of claim 9, wherein at least one control mode of the surgical console comprises flowing the gas from the gas fluid source in a direction toward the valve assembly while stopping a flow of liquid from the liquid fluid source to prevent the liquid from escaping into the flowing gas.
15. The fluid infusion system of claim 9, wherein at least one control mode of the surgical console comprises aspirating gas and flowing liquid in a direction away from the valve assembly, the filter preventing the liquid from being aspirated with the gas in the direction.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0009] So that the manner in which the above-recited features of the present disclosure can be understood in detail, a more particular description of the disclosure, briefly summarized above, may be had by reference to embodiments, some of which are illustrated in the appended drawings. It is to be noted, however, that the appended drawings illustrate only exemplary embodiments and are therefore not to be considered limiting of its scope, and may admit to other equally effective embodiments.
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[0020] To facilitate understanding, identical reference numerals have been used, where possible, to designate identical elements that are common to the figures. It is contemplated that elements and features of one embodiment may be beneficially incorporated in other embodiments without further recitation.
DETAILED DESCRIPTION
[0021] The present disclosure generally relates to fluid control valves for delivering and/or aspirating fluid during ophthalmic surgeries and procedures. For example, the fluid control valves described herein may be used during vitrectomies, such as pars plana vitrectomies for the treatment of posterior segment diseases. Vitrectomies typically require cutting and removal of portions of the vitreous humor. In order to maintain intraocular pressure and prevent collapse of the eye during such surgical procedures, liquid is infused into the intraocular space and thereafter aspirated. In certain procedures, the liquid is then exchanged with air or other gases during a process known as fluid-air exchange. During such processes, it is typically beneficial to purge or vent any undesired gases in the infusion line and/or the intraocular space to maintain intraocular pressure. The fluid control valves and methods described herein provide improved structures and mechanisms for infusion fluid flow regulation that enable upstream purging and/or venting of gases from infusion lines while also preventing liquids from the infusion lines to leak into the gas supply lines.
[0022] In certain embodiments, a valve assembly includes a first portion configured to fluidly couple with a gas supply line and a second portion configured to fluidly couple with a liquid supply line and an infusion line. The first portion and the second portion are partitioned or separated from each other by a filter having a hydrophobic membrane configured to prevent the flow of liquids therethrough while allowing the free flow of gas. Accordingly, an infusion liquid may be flowed through the second portion while gases may be simultaneously aspirated into the first portion, without any liquids travelling into the gas supply line. The gas supply line may thus be utilized to vent or purge gases from the infusion line before or during performance of surgical procedures.
[0023]
[0024] In operation, the user may control an aspect or mechanism of the surgical tool 104 and/or the fluid infusion system 110 via actuation of the foot controller 102, which may include a foot pedal. For example, the user may press down on (e.g., depress) the foot controller 102 to initiate and increase a flow rate of an infusion fluid from a fluid source through the fluid infusion system 110 and into the eye of the patient. Alternatively, reducing depression of the foot controller 102 (e.g., lifting the user's foot) may decrease and ultimately stop the flow of fluid through the fluid infusion system 110. Accordingly, in certain embodiments, the flow rate of infusion fluids through the fluid infusion system 110 corresponds to the amount of depression of the foot controller 102. In certain embodiments, the surgical console 100 further includes a display 120 for displaying information to the user (the display may also incorporate a touchscreen for receiving user input). Thus, the display 120 may display information about infusion fluid parameters, such as infusion fluid flow rates and intraocular pressure, to the user during operation thereof.
[0025]
[0026]
[0027] As noted above, the valve assembly 200 generally includes an upper body 232 configured to interface (e.g., couple) with a lower body 202. In certain embodiments, the upper body 232 and lower body 202 are formed of any suitable plastic materials, such as acrylonitrile butadiene styrene (ABS), polycarbonate (PC), nylon, and acrylic, which may be transparent or opaque in color. The upper body 232 has a base 238 from which an arm 234 extends in a proximal direction (e.g., toward a surgical console or gas source) for coupling with gas supply line 114. Note that, as described herein, a distal end or portion of a component refers to the end or portion that is closer in line to a patient's body during use thereof. On the other hand, a proximal end or portion of the component refers to the end or the portion that is distanced further away in line from the patient's body (e.g., closer to the surgical console).
[0028] The gas supply line 114 couples with a port 237 at a proximal end of the arm 234, which provides fluid connection with a conduit 236 extending through a length of the arm 234. In certain embodiments, a diameter of the port 237 is substantially the same or slightly larger than an outer diameter of the gas supply line 114 to allow a distal end of the gas supply line 114 to be securely fit within the port 237. In certain embodiments, the outer diameter of the proximal end of the arm 234 is substantially the same or slightly smaller than an inner diameter of the gas supply line 114 to allow the distal end of the gas supply line 114 to secure fit over the proximal end of the arm 234.
[0029] The conduit 236 extends from the proximal end of the arm 234 to a distal end of the arm 234 and opens into a cavity 240 within the base 238 of the upper body 232. In certain embodiments, the arm 234 and thus the conduit 236 have one or more curved portions to create an angled flow path for gases between the gas supply line 114 and the cavity 240. For example, the arm 234 and the conduit 236 may have a bend disposed at about a 90-degree angle between the proximal and distal ends thereof, thus creating an elbow-like gas flow path. The bending of the gas flow path enables a three-way connection of the valve assembly 200 between the gas supply line 114, the liquid supply line 116, and an infusion line 108.
[0030] The cavity 240 is disposed at the distal end of conduit 236 and generally has one or more dimensions greater than a width or diameter of the conduit 236. In certain embodiments, the cavity 240 has a cross-sectional area that gradually increases from an end of the cavity 240 nearest the arm 234 to an end of the cavity 240 furthest from the arm 234 (e.g., nearest the lower body 202). For example, the end of the cavity 240 nearest the arm 234 may have substantially the same cross-sectional area as the distal end of the conduit 236 while the end of the cavity 240 furthest from the arm 234 may have a cross-sectional area greater than a cross-sectional area of the distal end of the conduit 236. In certain embodiments, the cavity 240 has a frustoconical-like shape. The increased cross-sectional area of the cavity 240 at the distal end thereof enables utilization of a larger-area filter 222 between the upper body 232 and the lower body 202 and provides more surface area through which gases may be vented or purged from liquids flowing between the liquid supply line 116 and the infusion line 108.
[0031] Generally, a lower surface of the upper body 232 and an upper surface of the lower body 202 are configured to interface with or engage each other and secure the filter 222 therebetween. In certain embodiments, the lower body 202 couples to the upper body 232 at a lower surface of the base 238 such that the cavity 240 faces a chamber 204 (e.g., a second cavity or reservoir) located at a central position of the lower body 202. The chamber 204 may have a cross-sectional area substantially the same or greater than the cross-sectional area of the end of the cavity 240 nearest the chamber 204 so as not to constrict air flow between the upper body 232 and the lower body 202 and vice versa. The lower body 202 further includes extensions 206 and 210 on opposing sides of the chamber 204, where each extension 206 and 210 has a conduit 208 or 212 formed therethrough, respectively. The conduits 208 and 212 extend from the chamber 204 in opposing directions toward ports 209 and 211 located at the proximal and distal ends of the extensions 206 and 210, respectively. In certain embodiments, the port 209 is configured to fluidly couple with a liquid supply line 116, while the port 211 is configured to couple to infusion line 108.
[0032] Similar to the port 237, the port 209 may have a diameter substantially the same or slightly larger than an outer diameter of the liquid supply line 116 to allow a distal end of the liquid supply line 116 to be securely fit within the port 209. Alternatively, an outer diameter of the proximal end of the extension 206 may be substantially the same or slightly smaller than an inner diameter of the liquid supply line 116 to allow the distal end of the liquid supply line 116 to securely fit over the proximal end of the extension 206. The extension 212, however, is generally sized to have an outer diameter substantially the same or slightly smaller than an inner diameter of the proximal end of the infusion line 108. Accordingly, the infusion line 108 is configured to securely fit around the extension 212. In certain embodiments, the extension 212 may include a locking mechanism, such as a Luer lock 250, which is configured to couple with the infusion line 108 and provide additional mechanical holding force for a leak-free seal between the valve assembly 200 and the infusion line 108. For example, the Luer lock 250 may comprise a threaded interior surface 252 through which the proximal end of the infusion line 108 may be secured within.
[0033] The filter 222 is disposed between the cavity 240 of the upper body 232 and the chamber 204 of the lower body 202, thus partially defining both the cavity 240 and the chamber 204. The filter 222 includes any suitable type of membrane filter having a hydrophobic membrane 224 permeable to gas. The hydrophobic membrane 224 may also be capable of capturing individual viruses and bacteria, thus acting as a sterile barrier to prevent viruses and bacteria from entering the eye from the low pressure gas source.
[0034] In some examples, the filter 222 includes a membrane 224 formed of polytetrafluoroethylene (PTFE), expanded PTFE (ePTFE), polycarbonate track etch (PCTE), polyesters (e.g., polyethylene terephthalate (PET)), nylon, cellulose (e.g., surfactant free cellulose acetate (SCFA), cellulose nitrate (CN), cellulose acetate (CA), polyethersulfone (PES), glass fibers, or acrylic copolymers. The membrane 224 may further be unsupported or supported by a backing 226 formed of materials including but not limited to polyester, polyethylene, polypropylene, or nylon. For example, in certain embodiments, the filter 222 includes an ePTFE membrane 224 having a polyester backing 226. Generally, the hydrophobic membrane 224 of the filter 222 is oriented to face the chamber 204 so as to prevent liquids from flowing from the chamber 204 through the filter 222 and into the cavity 240. The membrane 224 has a pore size ranging between about 0.1 μm to about 10.0 μm, such as between about 0.2 μm to about 5 μm, such as between about 0.5 μm to about 3.0 μm, such as a between about 0.8 μm to about 1.2 μm. Furthermore, the membrane 224 may have a thickness ranging between about 150 μm to about 300 μm, such as between about 200 μm to about 250 μm.
[0035] During operation, infusion liquid from the liquid source, such as silicone oil or balanced salt solution (BSS), may flow through the liquid supply line 116, into the lower body 202 of the valve assembly 200, and through the infusion line 108 toward the patient's eye and vice-versa. Alternatively, infusion gases from the gas source, such as air, may flow through the gas supply line 114, into the upper body 232, past the filter 222 into the lower body 202, and then into the infusion line 108 toward the patient's eye and vice-versa. The placement of the hydrophobic filter 222 between the upper body 232 and the lower body 202 passively prevents liquid from flowing up into the upper body 232 and the gas supply line 116, while allowing gases to pass therethrough. Accordingly, the valve assembly 200 enables the venting, purging, and/or back-flow of gases during fluid infusion procedures while preventing the escape of liquid into the gas supply line 116, which is described in further detail below.
[0036] Please note that although a single filter 222 is depicted in
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[0038] As shown, the upper body 232 of the valve assembly 300 includes a base 338, which generally has a plate-like shape and further includes one or more ridges (e.g., ribs or grooves) 342 extending from a lower surface thereof that form one or more channels within a cavity 340 (shown in
[0039] Similar to the cavity 240 of the valve assembly 200, the cavity 340 fluidly couples with the conduit 236 and has one or more cross-sectional dimensions greater than a width or diameter of the conduit 236. However, unlike the cavity 240, the cavity 340 has a cross-sectional area that steeply or abruptly increases from an end of the cavity 340 nearest the arm 234 to an end of the cavity 340 furthest from the arm 234. As described above, the increased cross-sectional area of the cavity 340 enables utilization of a larger-area filter 222, which provides more surface area through which gases may be vented or purged from liquids flowing between the liquid supply line 116 and the infusion line 108.
[0040] The lower body 202 of the valve assembly 300 includes a basin 350 coupled to a flow-through member 358. The basin 350 is configured to interface and engage with the base 338 of the upper body 232 and secure the filter 222 therebetween. In certain embodiments, the basin 350 couples to the upper body 232 at a lower surface of the base 338 such that the cavity 340 of the base 338 faces a cavity 354 of the basin 350. At least a portion of the cavity 354 may have a cross-sectional area substantially the same or greater than the cross-sectional area of the end of the cavity 340 nearest the basin 350 so as not to constrict air flow between the upper body 232 and the lower body 202 and vice versa. For example, an end of the cavity 354 opposite the flow-through member 358 may have a cross-sectional area substantially the same or greater than the cross-sectional area of the end of the cavity 340 nearest the basin 350.
[0041] Similar to the base 338, the basin 304 includes one or more ridges 352 extending from an upper surface thereof into a cavity 354. The ridges 352 are configured to provide support to the filter 222 when the valve assembly 300 is in an assembled state and may be annular or semi-annular in shape, defining one or more channels therein. In certain embodiments, the ridges 352 circumscribe a proximal end of a channel 356 that fluidly couples the cavity 354 with an intermediate conduit 360 of the flow-through member 358. The intermediate conduit 360, in turn, extends and fluidly connects the extensions 206 and 210 of the lower body 202, which are configured to couple with the liquid supply line 116 and the infusion line 108 at ports 209 and 211, respectively.
[0042] During operation of the valve assembly, infusion liquid from the liquid source may flow through the liquid supply line 116, into the flow-through member 358 of the lower body 202, and through the infusion line 108 toward the patient's eye and vice versa. Alternatively, infusion gases from the gas source may flow through the gas supply line 114, into the upper body 232, past the filter 222 into the lower body 202, and through the infusion line 108 toward the patient's eye and vice-versa. Similar to the valve assembly 200, the disposition of the hydrophobic filter 222 between the upper body 232 and the lower body 202 passively prevents the flow of liquids into the upper body 232 and the gas supply line 116, while allowing gases to pass therethrough. Thus, like the valve assembly 200, the valve assembly 300 facilitates venting, purging, and/or back-flow of gases during fluid infusion procedures while preventing the escape of liquid into the gas supply line 116.
[0043] Please note that, as discussed above with reference to the valve assembly 200, although a single filter 222 is depicted in
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[0047] Since conventional flow control valves cannot prevent the leakage of liquid 410 into the gas supply line 114, venting of the gas supply line 114 with a conventional valve is extraordinarily difficult. In comparison, as a result of the hydrophobic filter 222, the valve assembly 200 facilitates active venting of the gas supply line 114 during infusion of liquid 410 into the eye 402, thus reducing or eliminating the possibility of unwanted gases being flowed into eye 402 and disrupting the intraocular pressure therein.
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[0050] In summary, embodiments of the present disclosure include structures and mechanisms for improved intraocular pressure maintenance during ophthalmic procedures, and in particular, improved fluid control valves for intraocular fluid infusion. The valve assemblies described above include embodiments wherein a hydrophobic filter is disposed between a gas supply line and a liquid supply line and/or infusion line. The utilization of the hydrophobic filter enables bi-directional flow of gases between a gas supply line and the patient's eye, while also passively preventing the leakage of liquids into the gas supply line. Accordingly, the aforementioned valve assemblies are particularly beneficial during fluid infusion of the intraocular space, as gas may be vented from infusion liquids during infusion or black-flowed from the eye during injection of other treatments, thus allowing better control of the intraocular pressure within the eye.
[0051] While the foregoing is directed to embodiments of the present disclosure, other and further embodiments of the disclosure may be devised without departing from the basic scope thereof, and the scope thereof is determined by the claims that follow.