Fluid handling method and system and fluid interface apparatus usable therewith

• US 5,041,096 A
• Filed: 10/27/1989
• Issued: 08/20/1991
• Est. Priority Date: 10/27/1989
• Status: Expired due to Term

• Current Assignee: NESTLE, S.A., ALCON LABORATORIES, INC. A CORP. OF SWITZERLAND
• Original Assignee: Nestle SA
• Inventors: Beuchat, Charles E., Walbrink, Harold J.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Rafa, Michael
• Application Number:
  US07/427,511
• Time in Patent Office: 662 Days
• Field of Search: 604/118-120, 604/131, 604/151, 604/153, 604/51, 604/297, 417/476, 417/475, 417/477
• US Class Current: 604/118
• CPC Class Codes: A61M 1/72 Cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 1/7411 by changing the size of a vent in combination with changing the cross-section of the line A61M1/7413
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463
• CPC Class Codes: A61M 1/80 Suction pumps A61M1/64, A61M1/71, A61M60/00 take precedence
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 3/0201 Cassettes therefor

Abstract

A fluid handling system is disclosed for use with a surgical handpiece in microsurgery. Included is a fluid interface block apparatus which is structurally adapted to be removably and firmly secured to a control unit of the type which controls the fluidics of a microsurgery system. The system includes a plurality of peristaltic pumps arranged with respect to each other so as to minimize the effects of fluid pressure pulsations produced by each one.

Claims

1. A fluid handling system for use in controlling aspiration of tissue and fluid from a surgical site through a surgical handpiece having an aspiration passage, said system comprising:

control means including a peristaltic pumping means being operable for aspirating body tissue and fluid from the site through the handpiece passage;

fluid interface means fluidly coupled to and between said handpiece and said pumping means, said interface means defining passage means for allowing aspiration of fluid from the handpiece to said pumping means; and

,

said pumping means including at least a pair of rotatable head assemblies wherein each one of said head assemblies includes at least one roller, each of said head assemblies being mounted for rotational movement, and fluid conduits each being coupled to a respective one of said head assemblies and fluidly coupled to said passage means for allowing aspiration through the handpiece passage, said passage means and said conduits in response to operation of said head assemblies, said head assemblies being operably arranged with respect to each other wherein said rollers of said one head assembly is offset angularly with respect to said roller of the other head assembly so that during rotational movement thereof that the combined pumping pulsations produced by them and experienced at the surgical site are diminished relative to the individual pulsations generated by each of said head assemblies pumping alone.

2. The system of claim 1 wherein said head assemblies are arranged to rotate about a common rotational axis.

3. The system of claim 1 wherein each of said head assemblies is provided with a plurality of rollers and wherein said rollers of one of said head assemblies are angularly displaced relative to said rollers of the other of said head assemblies.

4. The system of claim 3 wherein said angular displacement can range from between 0 to 90 degrees.

5. The system of claim 4 wherein said rollers are angularly displaced by about 45 degrees.

6. The system of claim of claim 1 wherein said interface means is removably secured to said control means.

7. The system of claim 6 wherein each of said conduit is an elastomeric tubing releasably mounted on each of said rotatable head assemblies by releasable tensioning thereof so as to removable secure said interface means against a mounting surface on said control means.

8. The system of claim 4 wherein said head assemblies are arranged to reduce pulsations by about up to 45%.

9. The system of claim 8 further including a collection vessel removably mountable on said fluid interface means for receiving material through a discharge port defined by a discharge passage in said passage means.

10. The system of claim 9 wherein said interface means includes a supporting portion extending therefrom and through which said discharge passage extends.

11. The system of claim 9 wherein said collection vessel is a drainage bag constructed to be removably mounted on said supporting portion and having an opening communicable with said discharge port.

12. The system of claim 11 wherein said collection vessel is sized and shaped to serve as part of a package prior to use as a collection vessel wherein said vessel can store said interface means.

13. The system of claim 1 wherein said interface means includes vacuum transducer port means fluidly communicating with said passage means and removably cooperable with a vacuum transducer opening of said control means.

14. The system of claim 1 wherein said interface means includes infusion passage means for allowing infusion fluid to flow from a fluid source to the handpiece.

15. The system of claim 14 wherein said interface means includes occluding means mountable in an opening in said apparatus and being operable between occluding and non-occluding positions.

16. A fluid handling system for use in controlling fluid flow relative to a surgical handpiece used in microsurgery, said system comprising:

a control mechanism including a pumping assembly;

a fluid interface apparatus mountable on said control mechanism and having fluid passage means;

conduit means fluidly coupled to said fluid passage means and being operably connected to said pumping assembly for allowing control of fluid through said passage means from the handpiece in response to operation of said pumping assembly; and

,

said pumping assembly including a peristaltic pump having a rotatable head assembly, and said conduit means including elastomeric tubing releasably mounted on said rotatable head assembly by releasable tensioning thereof so as to removably secure said interface apparatus against a mounting surface on said control mechanism.

17. The system of claim 16 wherein said passage means defines a discharge passage with a discharge port.

18. The system of claim 17 further including a collection vessel removably mountable on said fluid interface apparatus for receiving material through said discharge port.

19. The system of claim 18 wherein said interface apparatus includes a supporting portion extending therefrom and through which said discharge passage extends.

20. The system of claim 18 wherein said collection vessel is a drainage bag removably mounted on said supporting portion and having an opening therein communicable with said discharge port.

21. The system of claim 20 wherein said collection vessel is sized and shaped to serve as part of a package prior to use as a collection vessel.

22. The system of claim 21 wherein said interface apparatus includes vacuum transducer port means for fluidly communicating with said passage means wherein said passage means defines a transducer passage, said transducer port means communicating with a vacuum transducer opening of said control mechanism.

23. The system of claim 16 wherein said interface apparatus includes infusion passage means for allowing infusion fluid to flow from a fluid source to the handpiece.

24. The system of claim 23 wherein said interface apparatus includes occluding means cooperating with said infusion passage means and is movable between occluding and non-occluding positions.

25. The system of claim 24 wherein said occluding means includes a diaphragm member secured to an opening in said interface apparatus and being movable between said occluding and non-occluding conditions.

26. A fluid handling system for use in controlling fluid flow from a surgical handpiece having an aspiration passage, said system comprising:

control means including positive displacement pumping means being operable for aspirating body tissue and fluid from the site through the handpiece passages;

fluid passage means for allowing aspiration of fluid from the handpiece to said pumping means; and

,

said pumping means being coupled to said passage means for allowing aspiration therethrough in response to operation of said displacement pumping means, said pumping means inclining at least two positive pumping arrangements each one of which produces pumping pulsations and each being operably arranged with respect to each other so that during operation thereof the combined pumping pulsations produced by each of said arrangements and experienced at the surgical site are diminished relative to the individual pulsations generated by each of said arrangements pumping alone.

27. The system of claim 26 wherein said pumping arrangements are peristaltic pumping arrangements.

28. A method for use in controlling aspiration of tissue and fluid from a surgical site through a surgical handpiece having an aspiration passage, said method comprising the steps of:

providing peristaltic pumping means being operable for aspirating body tissue and fluid from the site through the handpiece passage;

providing fluid interface means fluidly coupled to and between the handpiece and the pumping means;

providing the interface means with passage means for allowing aspiration of fluid from the handpiece to the pumping means;

providing the pumping means with at least a pair of rotatable head assemblies;

coupling a fluid conduit to a respective one of the head assemblies for allowing aspiration through the conduit in response to operation of the head assemblies; and

,

arranging the head assemblies with respect to each other so that when operating the combined pumping pulsations produced by them and experienced at the surgical site are diminished relative to the individual pulsations generated by each of the head assemblies alone.

29. The method of claim 28 wherein said arranging of the pump head assemblies is done so that they rotate about a common rotational axis.

30. The method of claim 29 wherein said step of providing the head assemblies includes providing each with a plurality of rollers and wherein said arranging of the head assemblies includes arranging the rollers of one of the head assemblies to be angularly displaced relative to the rollers of the other of the head assemblies so as to diminish pumping pulsations.

31. The method of claim 30 wherein said step of angularly displacing the rollers is done in a range from between 0 to 90 degrees.

32. The method of claim 31 wherein said step of angularly displacing the rollers is done so that they are about 45 degrees displaced relative to each other.

33. An apparatus for use with a fluid handling system including a control mechanism including a peristaltic pumping assembly having a rotatable head assembly used for controlling fluid flow relative to a surgical handpiece used in microsurgery, said apparatus comprising:

a fluid interface apparatus mountable on said control mechanism and having fluid passage means;

conduit means fluidly coupled to said fluid passage means and being operably connected to the pumping assembly for allowing control of fluid through said passage means from the handpiece in response to operation of the pumping assembly; and

,

said conduit means including elastomeric tubing releasably mountable on the rotatable head assembly by releasable tensioning thereof so as to facilitate removably securing said interface apparatus against a mounting surface on the control mechanism.

34. The apparatus of claim 33 wherein said passage means defines a discharge passage with a discharge port.

35. The apparatus of claim 34 further including a collection vessel removably mountable on said fluid interface apparatus for receiving material through said discharge port.

36. The apparatus of claim 35 wherein said interface apparatus includes a supporting portion extending therefrom and through which said discharge passage extends.

37. The apparatus of claim 36 wherein said collection vessel is a drainage bag removably mounted on said supporting portion and having an opening therein communicable with said discharge port.

38. The apparatus of claim 37 wherein said collection vessel is sized and shaped to serve as part of a package prior to use as a collection vessel.

39. The apparatus of claim 33 wherein said interface apparatus includes infusion passage means for allowing infusion fluid to flow from a fluid source to the handpiece.

40. The apparatus of claim 39 wherein said interface apparatus includes occluding means cooperating with said infusion passage means and is movable between occluding and non-occluding positions.

41. The apparatus of claim 40 wherein said occluding means includes a diaphragm member secured to an opening in said interface apparatus and being movable between said occluding and non-occluding conditions.

42. The apparatus of claim 33 wherein said passage means connects fluidly a plurality of conduits of said conduit means from a plurality of pumps to at least a single handpiece passage.

43. The apparatus of claim 42 wherein said interface apparatus includes a block member made of a moldable plastic material.

44. A fluid handling assembly for use in controlling fluid flow between a control mechanism having a mounting surface and a surgical handpiece used in microsurgery, said assembly comprising:

a fluid interface apparatus mountable on the mounting surface of the control mechanism and having fluid passage means for allowing passage of fluid; and

conduit means fluidly couplable to said fluid passage means and being operably connectable to the control mechanism for allowing control of fluid through said passage means and said conduit means including elastomeric tubing releasable mountable on the control mechanism by releasable tensioning thereof so as to removably secure said interface apparatus against the mounting surface on the control mechanism.

45. The system of claim 44 wherein said passage means defines a discharge passage with a discharge port, and a collection vessel removably mountable on said fluid interface apparatus for receiving material through said discharge port.

46. The assembly of claim 45 wherein said interface apparatus includes a supporting portion extending therefrom and through which said discharge passage extends.

47. The assembly of claim 46 wherein said collection vessel is a drainage bag removably mounted on said supporting portion and having an opening therein communicable with said discharge port.

48. The apparatus of claim 47 wherein said collection vessel is sized and shaped to serve as part of a package prior to use as a collection vessel.

49. The apparatus of claim 44 wherein said interface apparatus is disposable.

50. The system of claim 44 wherein said interface apparatus includes vacuum transducer port means for fluidly communicating with said passage means wherein said passage means defines a transducer passage, said transducer port means communicating with a vacuum transducer opening of the control mechanism.

51. The system of claim 44 wherein said interface apparatus includes infusion passage means for allowing infusion fluid to flow from a fluid source to the handpiece.

52. The system of claim 51 wherein said interface apparatus includes occluding means cooperating with said infusion passage means and is movable between occluding and non-occluding positions.

53. The system of claim 52 wherein said occluding means includes a diaphragm member secured to an opening in said interface apparatus and being movable between said occluding and non-occluding conditions.