Bone dust collection cap and plunger assembly
11383017 · 2022-07-12
Assignee
Inventors
- Charles Edward McCall, Jr. (Fuquay Varina, NC, US)
- Andrew John Corson (Apex, NC, US)
- Jay Colton ZIGNEGO (Bahama, NC, US)
- Theodore Jay Mosler (Raleigh, NC, US)
Cpc classification
A61F2/4601
HUMAN NECESSITIES
A61F2002/2835
HUMAN NECESSITIES
A61M1/815
HUMAN NECESSITIES
A61M1/88
HUMAN NECESSITIES
A61B10/025
HUMAN NECESSITIES
A61B46/23
HUMAN NECESSITIES
A61B10/0283
HUMAN NECESSITIES
A61M1/78
HUMAN NECESSITIES
A61B2046/236
HUMAN NECESSITIES
A61M1/60
HUMAN NECESSITIES
A61F2/4644
HUMAN NECESSITIES
A61M1/784
HUMAN NECESSITIES
A61B10/02
HUMAN NECESSITIES
A61M1/67
HUMAN NECESSITIES
International classification
Abstract
A surgical collection assembly for filtering material from liquid obtained during surgery has a distal plunger plate that is used to compress collected material that is filtered from liquid and entrained materials gathered during surgery. The distal plunger plate needs to be maintained above the collection jar inlet during collection of the liquid and entrained material. This disclosure teaches several ways to reversibly retain the distal plunger plate above the collection jar inlet. Also taught is a drape clamp that can affix the assembly and related tubing to a drape.
Claims
1. A process for disengaging a plunger device from a jar cap assembly and subsequently re-engaging the plunger device with the jar cap assembly, the process comprising: obtaining a surgical collection assembly comprising: a collection jar with a collection basket; a jar cap assembly; and the plunger device with a distal plunger plate; inducing a temporary elastic deformation in order to disengage the plunger device from a reversible retention in a retracted position so that the distal plunger plate does not interfere with a flow path for ingress of liquid through an inlet port to the collection jar; moving the distal plunger plate away from the jar cap assembly; using the distal plunger plate to compress collected material in the collection basket; moving the distal plunger plate in a proximal direction which is away from a bottom of the collection basket and toward the jar cap assembly; and engaging plunger device with the jar cap assembly in the reversible retention with the distal plunger plate in the retracted position that does not interfere with a flow path for an ingress of liquid through the inlet port to the collection jar by elastically deforming at least one component in the surgical collection assembly.
2. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes an elastic deformation of at least one component attached to the distal plunger plate.
3. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes an elastic deformation of at least one component attached to the jar cap assembly.
4. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes an elastic deformation of the collection jar.
5. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes an elastic deformation substantially aligned with a radial line from a longitudinal axis of the plunger device.
6. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes an elastic deformation not substantially aligned with any radial line originating from a longitudinal axis of the plunger device.
7. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes an elastic deformation that is transitory and ceases once the plunger device is in the reversible retention in the retracted position.
8. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes an elastic deformation that continues while the plunger device is in the reversible retention in the retracted position.
9. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes engaging the distal plunger plate with the jar cap assembly.
10. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes engaging components attached to the distal plunger plate with the jar cap assembly.
11. The process of claim 1 wherein engaging the plunger device with the jar cap assembly includes engaging at least one retention feature on a portion of a plunger rod that moves through a bore in the jar cap assembly with a portion of the jar cap assembly.
Description
BRIEF DESCRIPTION OF THE FIGURES
(1) The disclosure can be better understood with reference to the following figures. The components in the figures are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the disclosure. Moreover, in the figures, like reference numerals designate corresponding parts throughout the different views.
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DETAILED DESCRIPTION
(39) The presently disclosed subject matter is described with specificity to meet statutory requirements. However, the description itself is not intended to limit the scope of this patent. Rather, the inventors have contemplated that the claimed subject matter might also be embodied in other ways, to include different steps or elements similar to the ones described in this document, in conjunction with other present or future technologies. Moreover, although the term “step” may be used herein to denote different aspects of methods employed, the term should not be interpreted as implying any particular order among or between various steps herein disclosed unless and except when the order of individual steps is explicitly described.
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(42) In contrast, for the plunger & cap assembly 200 of
(43) The modifications of the surgical collection assembly 600 to allow for operation without spring 260 are a primary focus for this application.
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(45) Plunger device 650 has a proximal end 654 for attachment to plunger rod handle 240 using any conventional attachment method. The connection may be a threaded connection and thus reversible. The connection may be a non-reversible connection made via any of number of techniques known to those of skill in the art including a snap fit. Gluing may be used instead of a snap fit if there is a desire for a secure connection.
(46) A plunger rod 220 connects the proximal end 654 with a distal plunger plate 624 that may be moved to compress the contents of the basket 454 (
(47) Plunger device 650 includes a pair of cap hooks 660. These cap hooks 660 extend from the distal plunger plate 624 towards the proximal end 654 of the plunger device 650. As will be described in more detail below, the pair of cap hooks 660 engage with a feature on the cap 604 so that when the user moves the plunger rod handle 240 away from the cap 604, the cap hooks 660 reversibly engage with the cap 604 to hold the distal plunger plate 624 in an elevated position that does not interfere with the loading of the jar 120 (
(48) A secondary benefit of the pair of cap hooks 660 is to add additional structural support via connections between the distal plunger plate 624 and the plunger rod 220. This can be further augmented through the use of one or more plate braces 658 which add additional connections between the distal plunger plate 624 and the plunger rod 220 but do not engage with the cap 604.
(49) One of skill in the art will appreciate that the teachings of the present disclosure are not limited to having exactly two cap hooks 660 or having exactly two plate braces 658. One could choose to have no plate braces 658 and perhaps additional cap hooks 660. The spacing of cap hooks 660 and plate braces 658 do not need to be on 90-degree intervals. For example, the cap hooks 660 could be on 120-degree intervals. The angular spacing does not need to be uniform although many designers will prefer a uniform spacing between cap hooks 660.
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(51) Thus, some embodiments may not require a specific angular relationship between the plunger assembly and the jar cap. Other embodiments may require a specific angular relationship between the plunger assembly and the jar cap. Those of skill in the art will appreciate that markings on the plunger assembly and jar cap may expedite a process that require a specific angular relationship between the plunger assembly and the jar cap but such markings are not strictly required.
(52) Those of skill in the art will appreciate that there can be advantages to having the protrusion 664 point radially inward or radially outward to engage a circular engagement feature so that there is not a need for alignment markers.
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(55) The two cap hooks 660 are shown reversibly engaged with portions of the cap 604.
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(57) While the cap and plunger shapes discussed above are an efficient way to implement teachings of the present disclosure, this is not the sole manner of using these teachings. One of skill in the art could design the cap to have structures analogous to the cap hooks which elastically deform to reversibly engage an engagement ring that is part of the plunger device. One of skill in the art could choose to have elastic deformation happen during the engagement process for components on both the cap and the plunger device.
(58) One could implement an interaction between the plunger device and features on the proximal end of the jar which would support a reversible engagement of the plunger device and the proximal end of the jar so that the reversible engagement retains the distal end plate in a fixed relationship relative to the jar cap until the user applies force to end the reversible engagement. One of skill in the art will appreciate that this may require the plunger device to be disengaged from the jar when the jar cap is being rotated relative to the jar 120 to engage or disengage the threaded proximal end of the jar 120.
(59) Process of Use.
(60)
(61) 1004—Obtain a surgical collection assembly with ajar containing a collection basket for filtering material obtained from liquid obtained during surgery. The jar having an inlet near the open end of the jar and an outlet near the bottom of the jar. The jar having a cap that is reversibly engaged with the jar to form a capped jar. The cap having a plunger device with a plunger rod and a distal plunger plate for use in compressing material collected in the filter basket. The distal plunger plate in a retracted position so that the distal plunger plate does not interfere with the ingress of liquid and entrained material obtained during surgery which flows through a jar inlet and into the collection basket.
(62) 1008—Use suction to draw liquid and entrained material into the basket within the jar of the surgical collection assembly while the distal plunger plate is retained in a position that does not impede the flow of liquid and entrained material from the jar inlet into the basket.
(63) 1012—Interacting with a portion of the plunger assembly that is external to the cap and jar to urge the distal plunger plate away from the cap and toward the bottom of the collection basket. The user inducing an elastic deformation of at least one component within the capped jar to release the plunger device from a reversible engagement with the capped jar.
(64) 1016—Using the distal plunger plate to compress collected material in the collection basket.
(65) 1020—Moving the distal plunger plate in a proximal direction which is away from the bottom of the collection basket and toward the cap.
(66) 1024—Inducing an elastic deformation of at least one component within the capped jar to allow the plunger device to return to a reversible engagement with the capped jar so that the distal plunger plate is again in the retracted position so that the distal plunger plate does not interfere with the ingress of liquid and entrained material obtained during surgery which flows through ajar inlet and into the collection basket in the event that additional liquid and entrained material is obtained.
(67) As noted above, the elastic deformation may happen to a portion of: the plunger device such as cap hooks 660; the cap such as finger springs 710 or inward protrusions 754; or the jar.
(68) The interacting with a portion of the plunger assembly may happen through interaction with a plunger rod handle at a proximal end of the plunger device or through interaction with a plunger rod.
(69) The distal plunger plate may be placed in the retracted position after use of the distal plunger plate to compress the collected material. This placement in the retracted position may come after removing the first collection basket and inserting a different collection basket for use in collecting additional material.
ALTERNATIVES AND VARIATIONS
(70) Engagement With A Bushing Disc.
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(72) After use of the distal plunger plate 624, the distal plunger plate 624 can be reengaged with the engagement ring 908 on bushing 912 by pulling up on the plunger rod handle 240 until the cap hooks 660 engage again with the engagement ring 908 on bushing 912.
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(74) Elastically Deformed Items not on Plunger Device.
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(76) The engagement of the finger springs 710 with the distal plunger plate 724 is ended when a user moves the plunger rod handle 240 in a distal direction. Free of the engagement with the finger springs 710, the distal plunger plate 724 may be moved to the bottom of the basket to compress the collected material.
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(78) A user moving the distal plunger plate 768 in a proximal direction will cause the set of inward protrusions 754 to flex outward and then reversibly engage the retention ring 764 on plunger device 760 near distal plunger plate 768. In this reversible engagement, the distal plunger plate 768 does not interfere with the ingress of liquid with entrained material obtained during surgery which flows through the inlet 124 into the basket within the jar 120.
(79) A user subsequently moving the distal plunger plate 768 in a distal direction will cause the set of inward protrusions 754 to flex outward and then reversibly disengage the retention ring 764 on plunger device 760 near distal plunger plate 768. Free of the engagement, the distal plunger plate 768 may be moved to the bottom of the basket to compress the collected material.
(80) Transitory and Non-Transitory Elastic Deformation.
(81) Those of skill in the art will appreciate that elastic deformation of at least one component during the state change of the distal plunger plate from retained to not retained or from not retained to retained may be a transitory elastic deformation so that none of the components in the plunger assembly are in a sustained elastic deformation attributable to the retention of the distal plunger plate.
(82) Conversely, at least one component may be maintained in elastic deformation for as long as the distal plunger plate is being retained.
(83) In
(84) Drape Clip.
(85) Surgical collection assemblies of the type discussed in this disclosure are used as part of a surgical procedure. While the surgical collection assemblies provide an essential function in collecting bone dust or other target material, during the surgery that is creating the liquid with entrained material to be filtered, the surgical collection assembly is not the center of attention. It is thus advantageous to be able to position the surgical collection assembly in a manner where you can set it and forget it. As bone dust is precious for use in subsequent activities within certain surgical procedures, it is desirable to reduce the chance that the surgical collection assembly will fall off the operating table and leave the sterile field. Thus, a drape clamp 800 to affix the tubing associated with the surgical collection assembly to a surgical drape or other item within the sterile field would be helpful.
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(88) Upper leg 820 has a set of one or more locking fingers 824. Lower leg 840 has a set of one or more locking fingers 844. The drape clamp 800 is used by crossing the upper leg 820 and the lower leg 840. The elastic deformation of the legs 820 and 840 to make them cross results in both legs being under spring force to move back to their original positions. This causes the set of one or more locking fingers 824 to press against lower leg 840 and the set of one or more locking fingers 844 to press against lower leg 820 (assuming that the fingers are sized so both sets of fingers make contact with the other leg). By positioning these sets of locking fingers on opposite sides of a drape before releasing the upper leg 820 and the lower leg 840, the drape is forced into a serpentine shape to partially conform to the peaks and valleys created by the interleaved locking fingers 824 and 844.
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(93) Use of a Drape Clip to Hold Distal Plunger Plate Up.
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(95) The drape clip 800 may serve as the sole mechanism to hold the distal plunger plate in the elevated position. In other words the surgical collection assembly may not have any other mechanism (such as a spring around plunger rod 220) or an engagement between the plunger assembly and the jar cap assembly that would otherwise hold the distal plunger plate in the elevated position. The drape clip 800 may engage the drape during the collection of fluids and entrained materials if that is deemed useful by the team doing the procedure. If the drape clip 800 is engaged with the drape, the drape clip 800 would do so while still engaged with the plunger rod 220. When the team wishes to compress the collected material, the drape clip 800 would be disengaged from the plunger rod 220 so that the distal plunger plate can compress the collected material. Afterwards, the drape clip 800 can be re-engaged with the plunger rod 220 to hold the distal plunger plate in the elevated position for additional collection of material.
(96) Alternatively, the drape clip 800 may serve as a supplemental mechanism to hold the distal plunger plate in the elevated position. For example, the drape clip 800 may be applied to the plunger rod 220 before shipping the assembled surgical collection assembly. This supplemental retention would avoid an unintended release of an engagement between the plunger assembly and the jar cap assembly from an event such as a drop of the shipping box. Thus, a distal plunger plate would be prevented from being down below the jar inlet 124 from the jolt during shipping.
(97) Note, the use of a drape clip 800 to retain the distal plunger plate is independent of the internal geometries of the plunger assembly and the jap cap assembly and may be used with a plunger assembly/jar cap assembly that differs from any described in this application as long as there is a plunger rod 220 which may be used to elevate the distal plunger plate.
(98) One of skill in the art will appreciate that the number of fingers could be one or more. The number of fingers on each leg could be N and N+1 or each leg could have the same number fingers but offset. For example, upper leg 820 may have a set of two locking fingers 824 and lower leg 840 may also have a set of two locking fingers 844 which are offset so that the combination of the locking fingers forms a serpentine path for a captured portion of a surgical drape.
(99) One of skill in the art will appreciate that making the entire drape clamp 800 from one material will simplify the manufacturing process. However, using just one material is a design choice but not a requirement of this disclosure. One could make a drape clamp 800 with one leg that is much stiffer than the material used for the other leg. In such a drape clamp, the elastic deformation from crossing one leg over the other leg would fall almost entirely on the more flexible leg. Thus, it is possible that the stiff leg would not undergo substantial elastic deformation and not have a substantial spring force to return to an undeformed shape. However, whether coming from one leg or two, there would still be a spring force that causes the drape clamp to engage with a trapped portion of a surgical drape as at least one leg would be forcing the fingers towards the other leg.
(100) A suitable material for use in making a drape clamp 800 would be a polymer such as polypropylene. Other materials including metals could be selected to provide appropriate spring forces.
(101) Process of Use.
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(103) 2004—Connect a drape clamp to the combination of the surgical collection assembly and associated tubing. The connection could be to tubing engaged with the surgical collection assembly on either the inlet 124 or to the outlet 128. While the drape clamp 800 may be placed close to the surgical collection assembly on tubing directly above the inlet 124 or to the outlet 128, the drape clamp may be a bit further out so that drape clamp 800 is not directly over inlet 124 or outlet 128. Alternatively, the drape clamp could be engaged with the plunger rod 220 (
(104) 2008—Hyper-cross the legs of the drape clamp so that there is elastic deformation within the drape clamp and thus a spring force to move the one or both legs back to their original positions and there is a gap between the one or more fingers on one leg and the one or more fingers on the other leg.
(105) 2012—Insert a portion of drape material in a gap between fingers of the drape clamp while the drape clamp legs are hyper-crossed.
(106) 2016—Release the drape clamp so that the fingers on each crossed leg move toward the other leg to form a serpentine path for the captured drape material to form a reversible engagement between the surgical collection assembly and the drape.
(107) Those of skill in the art will appreciate that process 2000 will work if the portion of drape material is an edge of the drape or that process 2000 will work if the surgical drape is folded over and thus two layers of drape are captured by the drape clamp.
(108) Those of skill in the art will appreciate that the connection of the drape clamp to the drape may precede the connection of the drape clamp to the combination of the surgical collection assembly and associated tubing.
(109) It is less likely but possible that a user might connect the drape clamp to tubing before the tubing is connected to the inlet or outlet of the surgical collection assembly. The scope of this disclosure embraces this variation as well as the more likely sequence of attaching the tubing first.
(110) Use of a Split Sleeve to Hold Distal Plunger Plate Up.
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(112) The split sleeve 890 may serve as the sole mechanism to hold the distal plunger plate in the elevated position. In other words the surgical collection assembly may not have any other mechanism (such as a spring around plunger rod 220) or an engagement between the plunger assembly and the jar cap assembly that would otherwise hold the distal plunger plate in the elevated position. The split sleeve 890 may engage the drape during the collection of fluids and entrained materials if that is deemed useful by the team doing the procedure. If the split sleeve 890 is engaged with the drape, the split sleeve 890 would do so while still engaged with the plunger rod 220. When the team wishes to compress the collected material, the split sleeve 890 would be disengaged from the plunger rod 220 so that the distal plunger plate can compress the collected material. Afterwards, the split sleeve 890 can be re-engaged with the plunger rod 220 to hold the distal plunger plate in the elevated position for additional collection of material.
(113) Alternatively, the split sleeve 890 may serve as a supplemental mechanism to hold the distal plunger plate in the elevated position. For example, the split sleeve 890 may be applied to the plunger rod 220 before shipping the assembled surgical collection assembly. This supplemental retention would avoid an unintended release of an engagement between the plunger assembly and the jar cap assembly from an event such as a drop of the shipping box. Thus, a distal plunger plate would be prevented from being down below the jar inlet 124 from the jolt during shipping.
(114) Note, the use of a split sleeve 890 to retain the distal plunger plate is independent of the internal geometries of the plunger assembly and the jap cap assembly and may be used with a plunger assembly/jar cap assembly that differs from any described in this application as long as there is a plunger rod 220 which may be used to elevate the distal plunger plate.
(115) One of skill in the art will recognize that some of the alternative implementations set forth above are not universally mutually exclusive and that in some cases additional implementations can be created that employ aspects of two or more of the variations described above. Likewise, the present disclosure is not limited to the specific examples or particular embodiments provided to promote understanding of the various teachings of the present disclosure. Moreover, the scope of the claims which follow covers the range of variations, modifications, and substitutes for the components described herein as would be known to those of skill in the art.
(116) Where methods and/or events described above indicate certain events and/or procedures occurring in a certain order, the ordering of certain events and/or procedures may be modified. Additionally, certain events and/or procedures may be performed concurrently in a parallel process when possible, as well as performed sequentially as described above.
(117) The legal limitations of the scope of the claimed invention are set forth in the claims that follow and extend to cover their legal equivalents. Those unfamiliar with the legal tests for equivalency should consult a person registered to practice before the patent authority which granted this patent such as the United States Patent and Trademark Office or its counterpart.