Cardioplegia three-way double stopcock

• US 5,084,031 A
• Filed: 09/12/1989
• Issued: 01/28/1992
• Est. Priority Date: 09/12/1989
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Research Medical, Inc. (Baxter International Inc.)
• Inventors: Smith, Douglas L., Kelly, Michael N., Todd, Robert J.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US07/406,382
• Time in Patent Office: 868 Days
• Field of Search: 604/32, 604/246, 604/248, 251/309, 137/595, 137/625.19, 137/625.23, 137/625.47, 137/626, 137/862
• US Class Current: 604/248
• CPC Class Codes: A61B 5/02158 provided with two or more sensor elements
• CPC Class Codes: A61M 1/3664 for preparing cardioplegia solutions
• CPC Class Codes: A61M 2202/047 cardioplegic
• CPC Class Codes: A61M 39/223 Multiway valves
• CPC Class Codes: Y10T 137/86566 Rotary plug
• CPC Class Codes: Y10T 137/86871 Plug
• CPC Class Codes: Y10T 137/87161 With common valve operator

Abstract

A three-way double stopcock and associated tubing is disclosed with which to connect both a cardioplegia solution source and a pressure monitor for the solution selectively and alternatively to either an antegrade cardioplegia catheter or a retrograde cardioplegia catheter. The stopcock includes a hollow valve body with three solution infusion ports communicating to the interior thereof in a coplanar arrangement at a first longitudinal point on the valve body. Three cardioplegia pressure monitoring ports also communicate through the valve body to the interior thereof at a second longitudinal position distinct from the first. Mounted in the valve body is a cylindrical valve core selectively rotatable about the longitudinal axis thereof between a first position in which the cardioplegia solution source and the pressure monitor are coupled to the antegrade cannula and a second position in which the cardioplegia solution source and the pressure monitor are coupled to the retrograde catheter. Formed in the valve core are a set of valving passageways for communicating with selective of the infusion ports and a set of valving passageways for communicating with selective of the pressure monitoring ports.

Claims

1. A three-way double stopcock comprising:

(a) a hollow valve body comprising;

(i) a first cylindrical shell;

(ii) a second cylindrical shell disposed coaxially with said first cylindrical shell at a first end thereof; and

(iii) a sleeve encircling said first end of said first cylindrical shell and the end of said second cylindrical shell opposed thereto to maintain a fixed spacial relationship between said first and said second cylindrical shells;

(b) a first set of three fluid ports formed through the walls of said first cylindrical shell communicating with the interior thereof;

(c) a second set of three fluid ports formed through the walls of said second cylindrical shell communicating with the interior thereof; and

(d) fluid communication control means for simultaneously regulating fluid communication among said first set of fluid ports and among said second set of fluid ports.

2. A three-way double stopcock as recited in claim 1, wherein said fluid communication control means simultaneously limits fluid communication among said fluid ports to fluid communication between either of two predetermined pairs of fluid ports within each of said first and second sets thereof.

3. A three-way double stopcock as recited in claim 1, wherein said fluid communication control means is selectively operable between a first condition in which a first and a second fluid port are placed in fluid communication in each of said first and second sets of fluid ports, and a second condition in which said second and a third fluid port are placed in fluid communication in each of said first and second sets of fluid ports.

4. A three-way double stopcock as recited in claim 3, further comprising an actuation means for operating said fluid communication control means between said first and second positions thereof.

5. A three-way double stopcock as recited in claim 3, wherein said fluid communication control means comprises a cylindrical valve core mounted in said valve body for rotation about the longitudinal axis of said value core between a first position and a second position thereof corresponding respectively to said first and second conditions of said fluid communication control means.

6. A three-way double stopcock as recited in claim 5, wherein one end of said cylindrical core extends axially actuation lever for rotating said cylindrical core.

7. A three-way double stopcock as recited in claim 5, wherein formed in said cylindrical core is a first set of valving passageways for communicating with selective of said first set of fluid ports.

8. A three-way double stopcock as recited in claim 7, wherein said first set of valving passageways comprises:

(a) a first bore diametrically disposed through said cylindrical core; and

(b) a second bore radially disposed normal to and communicating with said first bore.

9. A three-way double stopcock as recited in claim 5, wherein formed in said cylindrical core is a second set of valving passageways for communicating with selective of said second set of fluid ports.

10. A three-way double stopcock as recited in claim 9, wherein said second set of valving passageways comprises:

(a) a first bore diametrically disposed through said cylindrical core; and

(b) a second bore radially disposed normal to and communicating with said first bore.

11. A three-way double stopcock as recited in claim 1, wherein said fluid communication control means comprises:

(a) a first cylindrical core mounted in said first cylindrical shell for rotation about the longitudinal axis thereof, said first cylindrical core having formed therein a first set of valving passageways for communicating with selective of said first set of fluid ports;

(b) a second cylindrical core mounted in said second cylindrical shell coaxially with said first cylindrical core at a first end thereof for rotation about the longitudinal axis of said valve body, said second cylindrical core having formed therein a second set of valving passageways for communicating with selective of said second set of fluid ports; and

(c) a tie bar rigidly secured to a first end of said first cylindrical core and to the end of said second cylindrical core opposite thereto to cause said first and said second cylindrical cores to rotate together.

12. A three-way double stopcock as recited in claim 1, wherein said first set of fluid ports is radially disposed in a coplanar configuration on said first cylindrical shell, and wherein said second set of fluid ports is radially disposed in a coplanar configuration on said second cylindrical shell.

13. A three-way double stopcock as recited in claim 1, wherein the diameter of said second set of fluid ports is substantially smaller than the diameter of said first set of fluid ports.

14. A cardioplegia stopcock for use alternately and selectively in an antegrade cardioplegia procedure and in a retrograde cardioplegia procedure to infuse and to pressure monitor in those procedures, the stopcock comprising:

(a) a hollow valve body comprising;

(i) a first cylindrical shell;

(ii) a second cylindrical shell disposed coaxially with said first cylindrical shell at a first end thereof; and

(iii) a sleeve encircling said first end of said first cylindrical shell and the end of said second cylindrical shell opposed thereto to maintain a fixed spacial relationship between said first and second shells;

(b) three cardioplegia solution infusion ports communicating through the walls of said first cylindrical shell to the interior thereof;

(c) three cardioplegia pressure monitoring ports communicating through the walls of said second cylindrical shell to the interior thereof; and

(d) fluid communication control means for simultaneously regulating fluid communication among said infusion ports and among said pressure monitoring ports.

15. A three-way double stopcock comprising:

(a) a hollow valve body comprising;

(i) a first cylindrical shell;

(ii) a second cylindrical shell disposed coaxially with said first cylindrical shell at a first end thereof; and

(iii) a sleeve encircling said first end of said first cylindrical shell and the end of said second cylindrical shell opposed thereto to maintain a fixed spacial relationship between said first and said second cylindrical shells;

(b) a first set of three fluid ports communicating through the walls of said first cylindrical shell to the interior thereof;

(c) a second set of three fluid ports communicating through the walls of said second cylindrical shell to the interior thereof, the diameter of said second set of fluid ports being substantially smaller than the diameter of said first set of fluid ports; and

(d) a cylindrical valve core mounted in said valve body for selective rotation about the longitudinal axis thereof between a first position in which a first and a second fluid port are placed in fluid communication in each of said first and second sets of fluid ports and a second position in which said second and a third fluid port are placed in fluid communication in each of said first and second sets of fluid ports.

16. A three-way double stopcock as recited in claim 15, wherein formed in said cylindrical core is a first set of valving passageways for communicating with selective of said first set of fluid ports.

17. A three-way double stopcock as recited in claim 16, wherein said first set of valving passageways comprises:

(a) a first bore diametrically disposed through said cylindrical core; and

(b) a second bore radially disposed normal to and communicating with said first bore.

18. A three-way double stopcock as recited in claim 15, wherein formed in said cylindrical core is a second set of valving passageways for communicating with selective of said second set of fluid ports.

19. A three-way double stopcock as recited in claim 18, wherein said second set of valving passageways comprises:

(a) a first bore diametrically disposed through said cylindrical core; and

(b) a second bore radially disposed normal to and communicating with said first bore.

20. A three-way double stopcock as recited in claim 15, wherein said first set of fluid ports is radially disposed in a coplanar configuration on said first cylindrical shell, and wherein said second set of fluid ports is radially disposed in a coplanar configuration on said second cylindrical shell.

21. A three-way double stopcock as recited in claim 20, wherein said first, second, and third fluid ports in said first set of fluid ports communicate with the exterior of said valve body through radially extending first, second, and third connection stems, respectively

22. A three-way double stopcock as recited in claim 21, wherein said first, second, and third fluid ports in said second set of fluid ports communicate with the exterior of said valve body through radially extending first, second, and third connection stems, respectively.

23. A three-way double stopcock as recited in claim 22, wherein said first and third connection stems are located on diametrically opposite sides of said valve body, and said second connection stem is spaced at right angles about said valve body from said first and said third connection stems.

24. A three-way double stopcock as recited in claim 23, wherein said first and third connection stems are located on diametrically opposite sides of said valve body, and said second connection stem is spaced at right angles about said valve body from said first and said third connection stems.

25. A three-way double stopcock as recited in claim 24, wherein said first, second, and third connection stems are longitudinally aligned respectively on the sides of said valve body.

26. A three-way double stopcock as recited in claim 25, wherein said cylindrical valve core comprises:

(a) a first valve core subassembly mounted in said valve body for rotation about the longitudinal axis thereof, said first valve core subassembly having formed therein a first set of valving passageways for communicating with selective of said first set of fluid ports;

(b) a second valve core subassembly mounted coaxially with said valve body at a first end thereof for rotation about the longitudinal axis of said valve body, said second valve core subassembly having formed therein a second set of valving passageways for communicating with selective of said second set of fluid ports; and

(c) a tie bar rigidly secured to said first end of said first cylindrical core and to the end of said second cylindrical core opposite thereto to cause said first and said second cylindrical cores to rotate together.

27. A three-way double stopcock as recited in claim 15, wherein one end of said cylindrical core extends axially beyond said valve body, and said one end is provided with an actuation lever for rotating said cylindrical core.

28. A cardioplegia stopcock for use alternately and selectively in an antegrade cardioplegia procedure and in a retrograde cardioplegia procedure to infuse and to pressure monitor in those procedures, the stopcock comprising:

(a) a hollow valve body comprising;

(i) a first cylindrical shell;

(ii) a second cylindrical shell disposed coaxially with said first cylindrical shell at a first end thereof; and

(iii) a sleeve encircling said first end of said first cylindrical shell and the end of said second cylindrical shell opposed thereto to maintain a fixed spacial relationship between said first and second shells;

(b) three cardioplegia solution infusion ports communicating through the walls of said first cylindrical shell to the interior thereof;

(c) three cardioplegia pressure monitoring ports communicating through the walls of said second cylindrical shell to the interior thereof; and

(d) a cylindrical valve core mounted in said valve body for selective rotation about the longitudinal axis thereof between a first position in which a first and a second of said infusion ports and a first and a second of said pressure monitoring ports are placed in fluid communication, and a second position in which said second and a third of said infusion ports and said second and a third of said pressure monitoring ports are placed in fluid communication.

29. A system for interconnecting both a source of cardioplegia solution and a pressure monitor for cardioplegia procedures selectively and alternately to an antegrade cardioplegia cannula having a pressure sensing feed line and to a retrograde cardioplegia catheter having a pressure sensing feed line, the system comprising:

(a) a stopcock comprising;

(i) a hollow valve body comprising;

(A) a first cylindrical shell;

(B) a second cylindrical shell disposed coaxially with said first cylindrical shell at a first end thereof; and

(C) a sleeve encircling said first end of said first cylindrical shell and the end of said second cylindrical shell opposed thereto to maintain a fixed spacial relationship between said first and said second cylindrical shells;

(ii) first, second, and third cardioplegia solution infusion ports communicating through the walls of said first cylindrical shell to the interior thereof;

(iii) first, second, and third cardioplegia pressure monitoring ports communicating through the walls of said second cylindrical shell to the interior thereof; and

(iv) a cylindrical valve core mounted in said valve body for selective rotation about the longitudinal axis thereof between a first position in which a first and a second of said infusion ports and a first and a second of said pressure monitoring ports are placed in fluid communication, and a second position in which said second and a third of said infusion ports and said second and a third of said pressure monitoring ports are placed in fluid communication;

(b) first pressure tubing secured to said first pressure monitoring port for placing said first pressure monitoring port in communication with the pressure sensing feed line of the antegrade cardioplegia catheter;

(c) second pressure tubing secured to said second pressure monitoring port for placing said second pressure monitoring port in communication with the pressure monitor;

(d) third pressure tubing secured to said third pressure monitoring port for placing said third pressure monitoring port in communication with the pressure sensing feed line of the retrograde cardioplegia cannula;

(e) first infusion tubing secured to said first infusion port for placing said first infusion port in fluid communication with said antegrade cardioplegia catheter;

(f) second infusion tubing secured to said second infusion port for placing said second infusion port in fluid communication with the source of cardioplegia solution;

(g) third infusion tubing secured to said third solution infusion port for placing said third infusion port in fluid communication with said retrograde cardioplegia cannula; and

(h) actuation means for selectively moving said cylindrical valve core between said first and said second positions thereof to alternately perform antegrade and retrograde cardioplegia procedures using the pressure monitor the and source of cardioplegia solution.

30. A system as recited in claim 29, wherein formed in said cylindrical core are:

(a) a first set of valving passageways for communicating with selective of said infusion ports; and

(b) a second set of valving passageways for communicating with selective of said pressure monitoring ports.

31. A system as recited in claim 29, wherein said infusion ports are radially disposed in a coplanar configuration at a first longitudinal position on said valve body;

and wherein said pressure monitoring ports are radially disposed in a coplanar configuration at a second longitudinal position on said valve body distinct from said first longitudinal position.

32. A system as recited in claim 31, wherein said first, second, and third infusion ports communicate with the exterior of said valve body through radially extending first, second, and third infusion connection stems, respectively;

and wherein said first, second, and third pressure monitoring ports communicate with the exterior of said valve body through radially extending first, second, and third pressure monitoring connection stems, respectively.

33. A system as recited in claim 32, wherein said first, second, and third infusion connection stems are longitudinally aligned on the sides of said valve body with said first, second, and third pressure monitoring stems, respectively;

and wherein said first infusion and pressure monitoring connection stems are located on diametrically opposite sides of said valve body from said third fluid and pressure monitoring connection stems and said second infusion and pressure monitoring connection stems are spaced at right angles about said valve body from said first and said third infusion and pressure monitoring connection stems.

34. A system as recited in claim 29, wherein the ends of said pressure tubing and said infusion tubing remote from said stopcock are provided with a fitting for effecting a fluid-tight coupling.

35. A system as defined in claim 29, wherein said pressure monitoring tubing and said infusion tubing are permanently secured to said stopcock.

36. A system as recited in claim 29, wherein the length of said first pressure monitoring tubing and said first infusion tubing is in the range of about 10.0 to about 15.0 inches.

37. A system as recited in claim 29, wherein the length of said first pressure monitoring tubing and said first infusion tubing is in the range of about 70.0 inches to about 95.0 inches.

38. A system as recited in claim 29, wherein the length of said third pressure monitoring tubing and said third infusion tubing is in the range of about 4.0 inches to about 10.0 inches.

39. A system as recited in claim 29, wherein the length of said third pressure monitoring tubing and said third infusion tubing is in the range of about 64.0 inches to about 90.0 inches.

40. A system as recited in claim 29, wherein the length of said second pressure monitoring tubing is in the range of about 60.0 inches to about 80.0 inches.

41. A system as recited in claim 29, wherein the length of said second infusion tubing is the range of about 3.0 inches to about 8.0 inches.

42. A method for conducting a cardioplegia procedure comprising the steps of:

(a) installing in a patient an antigrade cardioplegia cannula having a pressure sensing feed line;

(b) installing in a patient a retrograde cardioplegia catheter having a pressure sensing feed line;

(c) providing a three-way double stopcock, said stopcock comprising;

(i) a hollow valve body;

(ii) first, second, and third cardioplegia solution infusion ports communicating through the walls of said valve body to the interior thereof;

(iii) first, second, and third cardioplegia pressure monitoring ports communicating through the walls of said valve body to the interior thereof;

(iv) a cylindrical valve core mounted in said valve body for selective rotation about the longitudinal axis thereof between a first position in which a first and a second of said infusion ports and a first and a second of said pressure monitoring ports are placed in fluid communication, and a second position in which said second and a third of said infusion ports and said second and a third of said pressure monitoring ports are placed in fluid communication; and

(v) actuation means for selectively moving said cylindrical valve core between said first and second positions thereof to alternatively perform antigrade and retrograde cardioplegia procedures using the pressure monitor and the source of cardioplegia solution;

(d) placing said first pressure monitoring port in communication with the pressure sensing feed line of the antigrade cardioplegia catheter;

(e) placing said second pressure monitoring port in communication with a pressure monitor;

(f) placing said third pressure monitoring port in communication with the pressure sensing feed line of the retrograde cardioplegia cannula;

(g) placing said first infusion port in fluid communication with said antigrade cardioplegia catheter;

(h) placing said second infusion port in fluid communication with a source of cardioplegia solution;

(i) placing said third infusion port in fluid communication with said retrograde cardioplegia cannula; and

(j) alternately operating said actuation means to move said cylindrical valve core between said first and second positions thereof.