SMOKE EVACUATION SYSTEM FLUID TRAP
20190160409 ยท 2019-05-30
Inventors
- Shawn K. Horner (Woods Cross, UT, US)
- Benjamin Danziger (Seattle, WA, US)
- Chad S. Frampton (American Fork, UT, US)
- Mark D. Glassett (Sandy, UT, US)
- Darcy W. Greep (Herriman, UT, US)
- Jason Harris (Lebanon, OH, US)
- Frederick Shelton (Hillsboro, OH, US)
- David Yates (West Chester, OH, US)
Cpc classification
B01D2273/26
PERFORMING OPERATIONS; TRANSPORTING
F24F8/10
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61B18/12
HUMAN NECESSITIES
B01D46/0031
PERFORMING OPERATIONS; TRANSPORTING
B01D46/0043
PERFORMING OPERATIONS; TRANSPORTING
International classification
B01D46/00
PERFORMING OPERATIONS; TRANSPORTING
F24F3/16
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
Abstract
A fluid trap for minimizing the escape of contaminated fluids from the fluid trap when an orientation of the fluid trap changes during removal or transport includes a front cover, a rear cover coupled to the front cover, and an interior chamber defined by the front and rear covers. The front cover defines an inlet port extending a first distance into an interior chamber of the fluid trap. The rear cover defines an exhaust port extending a second distance away from the rear cover of the fluid trap and positioned above the inlet port when the fluid trap is in an upright position. The interior chamber has a maximum fluid volume defined as the lesser of a fluid reservoir volume, a front cover volume, and a rear cover volume.
Claims
1. A fluid trap for minimizing the escape of contaminated fluids from the fluid trap when an orientation of the fluid trap changes during removal or transport, the fluid trap comprising: a front cover defining an inlet port that extends a first distance into an interior chamber of the fluid trap; a rear cover coupled to the front cover, the rear cover defining an exhaust port extending a second distance away from the rear cover of the fluid trap and positioned above the inlet port when the fluid trap is in an upright position; and an interior chamber defined by the front and rear covers, the interior chamber comprising a maximum fluid volume, wherein the maximum fluid volume comprises the lesser of a fluid reservoir volume, a front cover volume, and a rear cover volume.
2. The fluid trap of claim 1, wherein the fluid reservoir volume comprises an interior volume of the fluid trap defined by interior sidewalls of the fluid trap below the inlet port.
3. The fluid trap of claim 1, wherein the front cover volume comprises a volume equivalent to a product of the surface area of the front cover and an average depth of the front cover with respect to the first distance of the inlet port.
4. The fluid trap of claim 1, wherein the rear cover volume comprises a volume of the interior chamber defined by interior sidewalls of the fluid trap and bounded by a line tangent to a lowest interior-facing sidewall of the exhaust port that is parallel with a surface upon which the exhaust port lies.
5. The fluid trap of claim 4, wherein the rear cover volume is proportional to the second distance.
6. The fluid trap of claim 1, further comprising a protrusion on one or more of the front cover or the rear cover.
7. The fluid trap of claim 6, wherein the protrusion increases one or more of the fluid reservoir volume or the rear cover volume.
8. The fluid trap of claim 1, wherein the exhaust port additionally extends into the interior chamber, increasing the rear cover volume and reducing a likelihood that splashes or sloshing of fluid inside the fluid trap results in spillage.
9. The fluid trap of claim 1, further comprising a plurality of baffles disposed within the interior chamber for minimizing fluid motion during handling of the fluid trap.
10. A fluid trap for minimizing the escape of contaminated fluids, the fluid trap comprising: an interior chamber defined by sidewalls of the fluid trap; an inlet port extending into the interior chamber, the inlet port comprising a notched cylindrical body that directs smoke in a defined direction; an exhaust port positioned opposite and above the inlet port, the exhaust port defining an open channel between the interior chamber of the fluid trap and an area outside the fluid trap;
11. The fluid trap of claim 10, wherein the notched cylindrical body is defined by an upper sidewall and a lower sidewall, the upper sidewall extending into the interior chamber of the fluid trap a longer distance than the lower sidewall such that: a first cross-sectional slice transecting a longitudinal axis of the inlet port yields an arcuate shape that includes both the upper and the lower sidewall, and a second cross-sectional slice transecting the longitudinal axis of the inlet port yields a semi-arcuate shape that includes a portion of the upper sidewall that extends into the interior chamber beyond the lower sidewall.
12. The fluid trap of claim 11, wherein the defined direction is directionally towards the lower sidewall and directionally away from the exhaust port.
13. The fluid trap of claim 10, further comprising a splash canopy positioned between the inlet port and the exhaust port and extending laterally across a width of the inlet port.
14. The fluid trap of claim 13, further comprising a splash wall spanning opposing sidewalls of the interior chamber and extending vertically from a first point coplanar with at least a portion of the splash canopy to a second point coplanar with at least a portion of the exhaust port.
15. The fluid trap of claim 14, wherein one or more of the splash canopy and the splash wall comprise a fibrous fluid wicking material that enable removal of one or more aerosols or small droplet fluids from smoke.
16. The fluid trap of claim 14, wherein one or more of the splash canopy and the splash wall comprise condensation promoting surfaces.
17. A smoke evacuation system, comprising: a suction pump; a filter connected to the suction pump; and a fluid trap connected to the filter, the fluid trap comprising: an interior chamber; a sensor disposed within the interior chamber, the sensor monitoring a fluid level within the fluid trap; and a visual indicator in electrical communication with the sensor, the visual indicator representing the fluid level within the fluid trap.
18. The smoke evacuation system of claim 17, wherein the sensor comprises one or more of an optical emitter and detector pair, an ultrasonic detector, or a resistive strip.
19. The smoke evacuation system of claim 18, wherein the visual indicator comprises a status light activated by the sensor, the status light indicating the fluid trap has reached a maximum fill state.
20. The smoke evacuation system of claim 19, further comprising one or more additional sensors and one or more additional visual indicators in electrical communication with the one or more additional sensors, wherein the one or more additional sensors correspond to an amount of fluid within the fluid trap, the amount of fluid being less than the maximum fill state.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0013] To further clarify the above and other advantages and features of the present invention, a more particular description of the invention will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings. It is appreciated that these drawings depict only illustrated embodiments of the invention and are therefore not to be considered limiting of its scope. The invention will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
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DETAILED DESCRIPTION
[0031] The present disclosure relates to smoke evacuation systems associated with electrosurgical instruments and other hand-held instruments that produce smoke or cause smoke to be produced during use.
[0032] Generally, electrosurgical instrument 104 includes a hand piece or pencil 114 and an electrode tip 116. Electrosurgical instrument 104 communicates electrical energy to a target tissue of a patient to cut the tissue and/or cauterize blood vessels within and/or near the target tissue. Specifically, an electrical discharge is delivered from electrode tip 116 to the patient in order to cause heating of cellular matter of the patient that is in close contact with electrode tip 116. The heating takes place at an appropriately high temperature to allow electrosurgical instrument 104 to be used to perform electrosurgery. Return electrode 106 is connected to generator 102 by a cable 118 in order to complete the circuit and provide a return electrical path to wave generator 102 for energy that passes into the patient's body.
[0033] As explained in greater detail below, embodiments of electrosurgical instruments according to the present disclosure enable efficient capture of smoke generated during an electrosurgical procedure, such that smoke that is not immediately captured near the site of smoke generation (e.g., at the tissue/electrode tip interface) can still be captured and evacuated away from the operating environment. For example, vacuum suction originating from the smoke evacuation system 120 can draw the smoke into a conduit opening near the electrode tip 116, through the electrosurgical instrument 104, and through the vacuum hose 112 for processing at the smoke evacuation system 120.
[0034] Reference is made herein to the evacuation of smoke and components that facilitate such function. It will be appreciated that references to smoke is merely for simplicity and convenience, and is not intended to limit the disclosed and claimed embodiments to evacuation of only smoke. Rather, the disclosed and claimed embodiments may be used to evacuate substantially any type of fluid, including liquids, gases, vapors, smoke, or combinations thereof. Additionally, rather than simply evacuating fluid, it is contemplated that at least some of the embodiments may be used to deliver fluids to a desired location, such as a surgical site. As used herein, the term fluid includes bulk liquids and/or liquid vapor, which can include liquidsbiologic in origin or otherwiseobtained from or introduced into a surgical site (e.g., water, saline, lymph, blood, exudate, pyogenic discharge, and/or other fluid). A fluid is additionally intended to include cellular matter or debris that is transported through a vacuum hose and into the fluid reservoir of a mechanically coupled fluid trap.
Smoke Evacuation System Fluid Traps
[0035] In some embodiments, a smoke evacuation system includes a fluid trap that directs smoke from a vacuum hose and into a filter and removes and collects at least a portion of the fluid content from the smoke. In some embodiments, the fluid trap includes an inlet port with an inlet body extending into an interior chamber of the fluid trap and oriented to initially direct incoming smoke into a bottom, interior chamber of the fluid trap. The fluid trap additionally includes an exhaust port for directing smoke from the interior chamber of the fluid trap to an area outside the fluid trap (e.g., into a filter associated with the smoke evacuation system). In some embodiments, the exhaust port is sized and shaped to mechanically couple to a smoke filter and can additionally, or alternatively, be sized and shaped to prevent the fluid trap from spilling its contents when, for example, the fluid trap is placed on a surface contacting the exhaust-port-side of the fluid trap.
[0036] In some embodiments, the fluid trap is sized and shaped to prevent spillage of stored fluid when the fluid trap is detached from the smoke evacuation system and positioned on a surface in any of a variety of different orientations. In some embodiments, the fluid trap includes a protrusion in a sidewall that increase the volume of the fluid reservoir of the fluid trap and which may additionally, or alternatively, prevent collected fluid from spilling when the fluid trap is positioned on a surface. Fluid traps disclosed herein can, in some embodiments, include a plurality of baffles or condensation surfaces to promote retention and/or extraction of fluid from smoke.
[0037] One or more embodiments beneficially enable identification of the relative or absolute fluid volume within the fluid trap, and in some embodiments, fluid traps can include visual or auditory indicators of the fluid level within the fluid trap. In some embodiments, the fluid trap can include a drain valve for quickly and/or easily accessing the contents of fluid trap and which can further enable emptying or draining the contents of the fluid trap. Beneficially, the fluid traps disclosed herein reduce the amount of fluid entering the filter or other components of smoke evacuation devices and safely retain such fluids collected by preventing or reducing the likelihood an inadvertent spill can occur. By reducing the total fluid content of the smoke and removing bulk liquid from the smoke, the usable life of mechanically coupled filters can be increased. Additionally, or alternatively, the reduced fluid content within the smoke can protect the electrical components within or associated with the smoke evacuation device.
[0038] Illustrated in
[0039] In some embodiments, the fluid trap 600 is a first smoke processing point that extracts and retains at least a portion of the fluid from the smoke before relaying the partially processed smoke to the smoke evacuation system 120 for further processing and filtration. The smoke evacuation system 120 beneficially enables smoke to be processed, filtered, or otherwise cleaned, reducing or eliminating unpleasant odors or other problems associated with smoke generation in the surgical theater (or other operating environment), and by extracting fluid from the smoke before it is processed by the smoke evacuation system 120, the fluid trap, among other things, increases the efficiency of the smoke evacuation system and increases the life of filters associated therewith.
[0040] Referring now to
[0041] A fluid tight and/or airtight fit between the vacuum hose and the fluid trap 600 can beneficially prevent fluids or other contents within the smoke from leaking at or near the junction of these two components. In some embodiments, the vacuum hose can be associated with the inlet port through an intermediate coupling device (e.g., an O-ring, adaptor, etc.) to further ensure an airtight and/or fluid tight connection between the vacuum hose and the fluid trap.
[0042] As shown in the rear perspective view of the fluid trap 600 illustrated in
[0043] In some embodiments, the exhaust port 604 includes or is spaced apart from the smoke evacuation system by a membrane (not shown). The membrane can act to prevent water or other liquid collected in the fluid trap from passing through the exhaust port and into the smoke evacuation system while permitting air, water vapor and/or evaporate to freely pass. For example, a high flow rate microporous polytetrafluoroethylene (PTFE) can be positioned downstream of the exhaust port and upstream of the smoke evacuation system components (e.g., a vacuum pump inlet) to protect the smoke evacuation system from damage and/or contamination.
[0044] Referring back to
[0045] Referring now to
[0046] As also shown in
[0047] With continued reference to
[0048] As also shown in
[0049] In some embodiments, the relative positioning of the inlet port 602 and the exhaust port 604 promote extraction and retention of fluid from the smoke as it passes into the fluid trap 600. In some embodiments, the notched cylindrical shape of the inlet port 602 can beneficially act to initially direct smoke and the accompanying airflow towards a fluid reservoir of the fluid trap 600 or otherwise directionally away from the exhaust port. Such an exemplary airflow is depicted in
[0050] As shown, smoke enters the fluid trap 600 through inlet port 602 (illustrated by arrow A) and exits the fluid trap through exhaust port 604 (illustrated by arrow E). At least partially due to the geometry of the inlet port (e.g., a longer, upper sidewall 608 and a shorter, lower sidewall 610), the smoke entering the inlet port 602 is initially directed downward into the fluid reservoir of the fluid trap 600 (illustrated by arrows B). As smoke continues to be pulled into the fluid trap 600 along arrows A and B, the smoke that was initially directed downward tumbles and is directed laterally away from its source to travel in an opposite but parallel path towards the upper portion of the fluid trap 600 and out of the exhaust port 604 (illustrated by arrows D and E).
[0051] In some embodiments, the directional flow of air/smoke through the fluid trap 600 (as illustrated in
[0052] For example, in an upright position, fluid 612 that is extracted from smoke is retained within the bottom portion of the fluid trap 600, as shown, for example, in
[0053] It should be appreciated that although the fluid 612 in
[0054] In some embodiments, the fluid trap 600 can be considered full when the volume of fluid 612 contained therein rises as high as the terminal end of the lower sidewall 610 when the fluid trap is positioned on a surface with the inlet side down (i.e., at a maximum front cover volume). In some embodiments, the fluid trap 600 can be considered full when the volume of fluid 612 contained therein rises a particular distance below the terminal end of the lower sidewall 610 when positioned on the surface with the inlet side down. In some embodiments, the foregoing particular distance is about 1/16, , about , about , about , about , about , about , or about 1.
[0055] In some embodiments, the fluid trap 600 is additionally spill resistant owing at least partially to its size and shape when oriented on a surface with the exhaust port side down, as shown in
[0056] In some embodiments, the volume of the rear cover is expanded by a protruding sidewall 618. The protruding sidewall 618 can be sized proportionally with the length 616 of the exhaust port 604, or it can have defined dimensions regardless of the length 616 of the exhaust port 604. For example, in embodiments where the protruding sidewall 618 is sized proportionally with the length 616 of the exhaust port 604, as the length 616 of the exhaust port 604 decreases, the angle of incline experienced by the fluid trap 600 can similarly decrease. A decreased incline causes a decreased rear cover volume. By increasing the width or depth of the protrusion 618, the protrusion 618 effectively increases the rear cover volume. Alternatively, as the length 616 of the exhaust port 604 increases, the angle of incline experienced by the fluid trap 600 can similarly increase. The increased incline causes an increase in the rear cover volume. The protrusion 618 can be proportionally shrunk or removed as the rear cover volume increases to prevent fluid 612 from spilling out of the exhaust port 604.
[0057] It should be appreciated that in some embodiments, the fluid reservoir volume can additionally be increased by the same protrusion 618 shown in at least
[0058] In some embodiments, the fluid trap 600 can be considered full when the volume of fluid 612 contained therein rises as high as but not into the exhaust port 604 when the fluid trap is positioned on a surface with the exhaust port 604 side down (i.e., at a maximum rear cover volume).
[0059] As described above with respect to at least
[0060] Referring now to
[0061] In some embodiments, the exhaust port 604 protrudes into the interior chamber of the fluid trap 620, as illustrated in
[0062] In some embodiments, it may be advantageous to include physical barriers within the fluid trap to reduce the likelihood that splashes or sloshing of the fluid inside the fluid trap results in spillage. Referring now to
[0063] As illustrated by
[0064] In some embodiments, additional measures can be taken to reduce and/or control aerosols and small droplet fluids that are moving at higher velocities by, for example, removing them from the airflow path. Referring now to
[0065] The splash canopy 644 is also illustrated as having a downwardly concave arcuate shape. Additionally, or alternatively, the splash canopy can be planar and/or extend over the width of the inlet port. In some embodiments, the contour and position of the splash canopy 644 can advantageously act to direct incoming airflow (shown by arrow A) and any splashing fluid downward toward the bottom, interior chamber of the fluid trap 640 (shown by arrow B). Similar to the airflow described above with respect to
[0066] In some embodiments, the vertical distance spanned by the splash wall 642 can be different. For example, the splash wall can begin at a point coplanar to the bottom of the inlet port and extend vertically upward, terminating in at a point coplanar with the top of the splash canopy, the bottom of the exhaust port, or the top of the exhaust port. Additionally, as shown in
[0067] In some embodiments, the splash canopy 644 and/or the splash wall 642 can include or be made of a fibrous fluid wicking material (e.g., glass borosilicate or similar) which can enable the splash canopy 644 and/or splash wall 642 to remove aerosols and small droplet fluids from the inbound smoke. In some embodiments, the splash walls 642 and/or the splash canopy 644 can act as condensation promoting surfaces where aerosols and small droplets of fluids can condense and accumulate into droplets 646 that fall into the bottom, interior chamber.
[0068] In some embodiments, the fluid trap contains a plurality of splash walls and/or splash canopies, which can be tiered, stacked, or aligned in series. In some embodiments the splash walls and splash canopies are made of or include heat conductive materials that promote condensation.
[0069] In some embodiments, it may be advantageous to monitor the total volume of fluid collected within the fluid trap. As shown in
[0070] Alternatively, a plurality of horizontal viewing windows can be positioned along the fluid trap (e.g., in tiers) so the volume of fluid within the fluid trap can be progressively monitored and/or observed. Additionally, or alternatively, the vertical viewing window 654 can join with one or more horizontal viewing windows at at least one point and extend to the bottom of the fluid trap 650, as illustrated in
[0071] Although illustrated as being positioned on a side of the fluid trap 650, it should be appreciated that the vertical viewing window 654 may be positioned on a front surface and/or rear surface of the fluid trap 650. In some embodiments, placing the horizontal and/or vertical viewing windows on the front surface can beneficially enable a user to quickly identify the volume level of fluid contained within the fluid trap without disassociating or otherwise removing the fluid trap from the smoke evacuation system. In some embodiments, the viewing windows are made of a transparent and/or translucent material that allow a user to readily view the contents of the fluid trap through the viewing window. For example, the viewing window may include glass or plastic, or in some embodiments, the viewing window may include frosted glass or plastic to better indicate dark blood within the fluid trap.
[0072] In some embodiments, a visual indicator coupled to a sensor can additionally, or alternatively, indicate the amount or volume of fluid within the fluid trap. For example, as shown in
[0073] Additionally, or alternatively, the fluid trap 660 can include an ultrasonic detector 668 that identifies a change in signal and causes an electrical signal to be sent to activate the status light 664, indicating the fluid trap 660 is full. For example, an identified change in signal can include the ultrasonic signal being consistently received at the ultrasonic detector 668 more quickly than previously observed. As an additional example, an identified change in signal can include the ultrasonic signal being received at the ultrasonic detector 668 within a threshold time that is indicative of the ultrasonic waves passing through a liquid medium.
[0074] In some embodiments, the volume of fluid within a fluid trap can be progressively monitored and/or indicated electronically, as shown, for example, in
[0075] Although the embodiment of
[0076] In some embodiments, upon an indication that the fluid trap is full, the fluid trap is discarded. Alternatively, the fluid can be drained from the fluid trap for continued use. For example, as shown in
[0077] Embodiments described herein can provide a number of benefits. For example, during an electrosurgical procedure, a portion of the generated smoke can be captured and transited to a smoke evacuation system for processing and filtration. As the smoke may include fluids, which can reduce the efficiency of particulate filters or negatively impact the pumps or electronics associated with the smoke evacuation system, extraction of fluids from the smoke can advantageously increase the efficiency and life of the smoke evacuation system. As described above, having a fluid trap positioned at a first processing point beneficially enables fluid to be extracted from the smoke and collected within the fluid trap, permitting partially processed smoke having a lower concentration of fluid to be further processed by one or more filters in the smoke evacuation device.
[0078] The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope.