MEDICAL IMPLEMENT FOR PROVIDING SUCTION AND IRRIGATION
20230277750 ยท 2023-09-07
Inventors
- Timothy J Reis (Jacksonville, FL, US)
- John Douglas Barrow (Tampa, FL, US)
- Michael J Ontiveros (Largo, FL, US)
Cpc classification
A61M1/774
HUMAN NECESSITIES
A61M1/86
HUMAN NECESSITIES
A61M3/0283
HUMAN NECESSITIES
International classification
Abstract
A suction and irrigation implement includes a handpiece, a pair of aligned adjacent valve assemblies, a rocker and a hub. The body may be transparent to allow visualization of aspirated substances. The valve assemblies include a plunger with a conical core that increases the area of the valve opening with increased depression. The rocker, a pivoting actuator, opens one valve assembly at a time, thereby preventing simultaneous irrigation and suction. A suction and irrigation tube connects to the hub, which may be rotated to adjust the orientation of the tube, while the implement is in use. Detents define specific orientations.
Claims
1. A handheld medical suction and irrigation implement comprising: a handpiece comprising a body and a lumen, the lumen extending to an open end of the body; and a first valve mechanism in fluid communication with the lumen, the first valve mechanism including a first port for fluidly coupling to a suction line, the first valve mechanism providing a fluid flow path between the first port and the lumen when the first valve mechanism is actuated; a second valve mechanism in fluid communication with the lumen, the second valve mechanism including a second port for fluidly coupling to a liquid supply line, the second valve mechanism providing a fluid flow path between the second port and the lumen when the first valve mechanism is actuated, the second valve mechanism being aligned with, spaced apart from and adjacent to the first valve mechanism; an actuator, the actuator including a first portion that reaches the first valve mechanism and a second portion that reaches the second valve mechanism, and a pivot structure between the first portion of the actuator and the second portion of the actuator, and the actuator being finger manipulable and pivotable from a neutral position to a first actuation range, and from a neutral position to a second actuation range; and wherein the first valve mechanism and the second valve mechanism are not actuated when the actuator is in the neutral position, and the first valve mechanism is actuated and the second valve mechanism is not actuated when the actuator is in the first actuation range, and the second valve mechanism is actuated and the first valve mechanism is not actuated when the actuator is in the second actuation range.
2. The handheld medical suction and irrigation implement of claim 1, wherein the first actuation range comprises a continuum of positions from a first actuation minimum to a first actuation maximum, and the volume of the fluid flow path between the first port and the lumen increasing as the actuator pivots from the first actuation minimum towards the first actuation maximum; and the second actuation range comprises a continuum of positions from a second actuation minimum to a second actuation maximum, and the volume of the fluid flow path between the second port and the lumen increasing as the actuator pivots from the second actuation minimum towards the second actuation maximum.
3. The handheld medical suction and irrigation implement of claim 1, wherein the handpiece includes a hollow handle with an end cap, and the end cap includes a first line aperture and a second line aperture, the first line aperture being configured to receive one of the suction line and the liquid supply line, and the second line aperture being configured to receive the other of the suction line and the liquid supply line.
4. The handheld medical suction and irrigation implement of claim 1, the actuator comprising a rocker assembly, the pivot structure of the rocker assembly including a shaft, the handpiece including a bearing fixed between the first valve mechanism and the second valve mechanism, and the shaft being at least partially received in the bearing.
5. The handheld medical suction and irrigation implement of claim 4, the bearing comprising a hollow cylinder.
6. The handheld medical suction and irrigation implement of claim 4, the bearing being a first standing boss.
7. The handheld medical suction and irrigation implement of claim 4, the shaft comprising a hollow cylinder.
8. The handheld medical suction and irrigation implement of claim 4, the rocker assembly comprising a removable panel and a rocker body, the shaft being attached to the rocker body.
9. The handheld medical suction and irrigation implement of claim 8, the shaft being a second standing boss.
10. The handheld medical suction and irrigation implement of claim 1, the actuator comprising a rocker assembly, the pivot structure of the rocker assembly including a bearing, the handpiece including a shaft fixed between the first valve mechanism and the second valve mechanism, and the shaft being at least partially received in the bearing.
11. The handheld medical suction and irrigation implement of claim 10, the bearing comprising a hollow cylinder.
12. The handheld medical suction and irrigation implement of claim 10, the bearing being a first standing boss.
13. The handheld medical suction and irrigation implement of claim 10, the shaft comprising a hollow cylinder.
14. The handheld medical suction and irrigation implement of claim 10, the rocker assembly comprising a removable panel and a rocker body, the bearing being attached to the rocker body.
15. The handheld medical suction and irrigation implement of claim 14, the shaft being a second standing boss.
16. The handheld medical suction and irrigation implement of claim 1, wherein the first valve mechanism comprising a first valve body with a first valve body channel extending through the first valve body, a first spring and a first plunger, the first plunger being movable linearly within the first valve body channel, the first spring biasing the first plunger to a position that blocks fluid flow between the first port and the lumen; and the second valve mechanism comprising a second valve body with a second valve body channel extending through the second valve body, a second spring and a second plunger, the second plunger being movable linearly within the second valve body channel, the second spring biasing the second plunger to a position that blocks fluid flow between the second port and the lumen.
17. The handheld medical suction and irrigation implement of claim 16, further comprising a first plurality of O-rings, including a first pair of spaced apart O-rings with each O-ring of the first pair being installed on the first plunger, movable with the first plunger and providing a fluid tight seal between the first valve body and the first plunger, and a second plurality of O-rings, including a second pair of spaced apart O-rings with each O-ring of the second pair being installed on the second plunger, movable with the second plunger and providing a fluid tight seal between the second valve body and the second plunger.
18. The handheld medical suction and irrigation implement of claim 16, wherein the first valve body and second valve body are integrally formed parts of the handpiece.
19. The handheld medical suction and irrigation implement of claim 16, wherein the first valve body and second valve body are components attachable to the handpiece.
20. The handheld medical suction and irrigation implement of claim 1, further comprising a hub removably and rotatably attached at the open end of the body, the hub including a central channel aligned with the lumen of the body; and a tube attached to the hub, wherein the hub is rotatable to adjust the orientation of the tube relative to the body.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0017] The foregoing and other aspects, objects, features and advantages of the invention will become better understood with reference to the following description, appended claims, and accompanying drawings, where:
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[0048] Those skilled in the art will appreciate that the figures are not intended to be drawn to any particular scale; nor are the figures intended to illustrate every embodiment of the invention. The invention is not limited to the exemplary embodiments depicted in the figures or the specific components, configurations, shapes, relative sizes, ornamental aspects or proportions as shown in the figures. For convenience of reference, location terms such as top, bottom, up and down, upper and lower, and the like, may be used in this application to refer to a relative position and/or arrangement shown in one or more of the various drawings, and are not intended to restrict positioning or orientation of a product according to principles of the invention, or of any component thereof, during manufacture or in actual use.
DETAILED DESCRIPTION
[0049] A medical implement for irrigating and aspirating according to principles of the invention includes a handpiece, a pair of aligned adjacent valve assemblies, a rocker and a hub. The handpiece includes a hollow handle and a body. An irrigation line and a suction line extend through the hollow handle to the valve assemblies. The body includes a lumen in fluid communication with each of the valve assemblies and the hub. The body may be transparent to allow visualization of aspirated substances. The valve assemblies include a plunger with a conical core that increases the area of the valve opening with increased depression of the plunger. The rocker, a pivoting actuator, opens one valve assembly at a time, thereby preventing simultaneous irrigation and suction. The hub includes a central channel aligned with the lumen of the body. A suction and irrigation tube connects to the hub. The hub may be rotated to adjust the orientation of the tube, while the implement is in use. Detents define specific orientations.
[0050]
[0051] The handpiece 105 includes a hollow handle 145, with a cavity 146, a hollow tubular body 120, with a lumen 107, a pair of valve ports 130, 135 and a neck 140. The neck 140 connects the handle 145 to the body 120. The end cap 600 covers the end of the handle 145 opposite the neck 140. The end cap 600 includes a concave body 605 with a pair of spaced apart apertures 610, 615 for receiving supply lines. The end of the handle 145 includes a counterbore 147 that receives a collar 605 of the end cap 600. The collar 605 also includes a pair of locator ribs 606 that slide into locator slots 148, 149 in the counterbore 147 to orient the apertures 615, 620 in alignment with apertures 616, 621.
[0052] The body 120 is a manifold with two inlets (i.e., valve ports 130, 135) and one outlet at the open end 102. A lumen 107 (
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[0054] Fluid flow may proceed in either direction through each supply lines 705, 710. The direction of flow is determined by the source. For example, a pressurized liquid source may supply water to a valve inlet, while a suction source may draw (aspirate) fluid from the valve inlet.
[0055] The exploded view of
[0056] The implement includes two valve assemblies 300, 315. Each valve assembly 300, 315 includes a plunger 500, 540; compression spring 590, 595; and valve body 305, 320. The spring 590, 595 is disposed between an upper flange 510, 545 of the plunger 500, 540 and the bottom of a spring fairing 302, 317. The spring fairing 302, 317 is a hollow cylinder integrally formed with and extending from the valve body 305, 320, with a slightly greater inner diameter than the inner diameter of the valve body 305, 320. A fillet, chamfer or step 318 provides a transition between the bottom of the fairing 302, 317 and the body 305, 320.
[0057] Referring to
[0058] Each valve body 305, 320 mates with a valve port 130, 135. The mating end of each valve body includes a skirt 326 sized and shaped to mate with the valve port 130, 135. The valve port 130, 135 receives the skirt 326 up to an exterior annular flange 323. Fluid flows to and from the valve body through channel 327 to and from the channel 132, 137 of the valve port 130, 135.
[0059] The exemplary implement includes two identical valve assemblies 300, 315. With reference to
[0060] Each valve assembly 300, 315 includes a compression spring 590, 595. The spring 590, 595 urges the plunger 500, 515 into a closed position, with the bottom O-ring 560, 562 providing a fluid tight seal against the interior wall of the transition between the bottom skirt 312, 326 and the valve body 305, 320, and the intermediate O-ring 555, 557 providing a fluid tight seal against the interior wall of the valve body 305, 320 above the inlet 310, 325. The top of the spring 590, 595 abuts the underside of the upper flange 510. The bottom of the spring 590, 595, abuts the bottom of the spring fairing 302, 317, at the top of the valve body 305, 320.
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[0062] In one exemplary embodiment, the open end of the handpiece and the hub are configured to achieve various orientations of the hub relative to the open end, by rotating the hub relative to the free end. A user may select a convenient orientation for a procedure, without extreme wrist rotation. The free end 103 of the handpiece in
[0063] The instrument mounting end 205 of the hub 200 includes a socket 206 that receives the end of a tube 220 (
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[0065] In this embodiment, the valve bodies 305, 320 are integrally formed with the handpiece 105. An elbow 312 and annular flange 313 provide a fluid coupling to valve body 305. A hose (e.g., fluid supply line) may extend through an aperture 620 in end cap 600, along furrow 149, through aperture 622, through cavity 146, and connect to elbow 312, which connects to annular flange 313, which is coupled to the valve body 305, thus providing a fluid flow path between a hose and valve body 305.
[0066] The handpiece 105 includes a hollow handle 145. The end cap 600 includes an aperture 615 through which another hose may extend. The hose may extend to coupling 329. Thus, a fluid flow path is provided through the hose, the channel 328 of the coupling 329, and the channel 327 of an inlet 326 coupled to valve body 320. In this embodiment, the inlet 326 and coupling 329 are integral parts of the handpiece 105.
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[0068] A rocker fulcrum includes a panel 113 and a bearing 111. The panel 113 extends from the body 105, between the valve bodies 305, 320. The panel 113 supports the bearing 111 at a determined distance from the surface of the body 105. The distance allows contact surfaces 425, 430 (
[0069] A stop 526, 531 is provided for each valve body 305, 320. Each stop has a shank extending from a head. The shank extends through a hole 528, 532 in the valve body 305, 320, until the head abuts the valve body 305, 320. The shank of each stop 526, 531, prevents ejection of the spring-biased valve assembly 500, 540 from each valve body 305, 320.
[0070] A device according to principles of the invention thus provide a medical practitioner, such as an otolaryngologist or a neurosurgeon, a tool for aspirating fluid and/or debris and/or irrigating fluid and/or medicants during surgical procedures. The rocker allows convenient selection of either suction or irrigation, one at a time, but not both suction and irrigation simultaneously. The rocker and valve assemblies also allow variable flow control. The degree to which a valve assembly is depressed in a valve body and the geometry of the core of the valve assembly determines the volume of the open flow path through the valve body. A conical core of each valve member facilitates variable flow control.
[0071] While an exemplary embodiment of the invention has been described, it should be apparent that modifications and variations thereto are possible, all of which fall within the true spirit and scope of the invention. With respect to the above description then, it is to be realized that the optimum relationships for the components and steps of the invention, including variations in order, form, content, function and manner of operation, are deemed readily apparent and obvious to one skilled in the art, and all equivalent relationships to those illustrated in the drawings and described in the specification are intended to be encompassed by the present invention. The above description and drawings are illustrative of modifications that can be made without departing from the present invention, the scope of which is to be limited only by the following claims. Therefore, the foregoing is considered as illustrative only of the principles of the invention. Further, since numerous modifications and changes will readily occur to those skilled in the art, it is not desired to limit the invention to the exact construction and operation shown and described, and accordingly, all suitable modifications and equivalents are intended to fall within the scope of the invention as claimed.