Autotransfusion unit with vacuum regulation and cardiotomy reservoir

• US 5,087,250 A
• Filed: 02/16/1990
• Issued: 02/11/1992
• Est. Priority Date: 07/26/1988
• Status: Expired due to Term

• Current Assignee: Gish Biomedical, Inc. (LivaNova Plc)
• Original Assignee: Gish Biomedical, Inc. (LivaNova Plc)
• Inventors: Brown, Jack W., Lichte, Leo J.
• Primary Examiner(s): Green, Randall L.
• Assistant Examiner(s): Willse, David H.
• Application Number:
  US07/481,861
• Time in Patent Office: 725 Days
• Field of Search: 604/319-321, 604/4-6
• US Class Current: 604/321
• CPC Class Codes: A61M 1/3627 Degassing devices; Buffer reservoirs; Drip chambers; Blood filters
• CPC Class Codes: A61M 1/61 Two- or three-bottle systems for underwater drainage, e.g. for chest cavity drainage

Abstract

The disclosure herein sets forth a pleural drainage/autotransfusion unit in combination with a cardiotomy reservoir having a vacuum regulating chamber in connected relationship to the pleural drainage/autotransfusion unit. The vacuum regulating chamber is formed of a portion of said cardiotomy reservoir unit and extends along the axial direction of the reservoir of the autotransfusion unit and can be connected to a source of vacuum. A water seal is interposed between the vacuum regulating chamber and the interior of the reservoir in order to provide for water sealed negative pressure within the reservoir. The function of the cardiotomy reservoir and the pleural drainage/autotransfusion unit can be changed by means of connections that have spring loaded tangs that engage a flange of a barbed inlet port. The connection is sealed by means of a resilient plastic material engaging the barbed inlet ports and can be readily removed therefrom and sealed without the requirement of sealing a tube which has been shrunken over the barbs of the inlet port.

Claims

1. A cardiotomy and body drainage-autotransfusion unit comprising a non-collapsible top and bottom joined by non-collapsible side walls which define at least one reservoir which receives body fluids directly within the walls comprising:

a plurality of ports within said unit including at least one drainage inlet port connected to said at least one body fluid reservoir to which a tube can be connected for receipt of draining fluids from the body of a patient, or for receipt of fluids for cardiotomy functions;

at least one outlet port connected to said unit which is in communication with said at least one body fluid reservoir for connection to a pump for the withdrawal of fluids from said at least one body fluid reservoir and delivery back to a patient in order to provide autotransfusion, or to a drain;

a vacuum regulating system within said non-collapsible unit occupying at least one of said at least one reservoir and including a vacuum regulating chamber and a liquid seal chamber;

at least one inlet port in communication with said liquid seal chamber and said vacuum regulating chamber for connection to a vacuum wherein said liquid seal chamber and said vacuum regulating chamber can be filled with liquid to a given level and, upon application of a vacuum, provide a controlled vacuum within said at least one body fluid reservoir for removal of body fluids from a patient under a controlled vacuum;

filtration means interposed between said inlet to said at least one body fluid reservoir and said outlet from said unit for filtration of body fluids received within said at least one body fluid reservoir;

an elongated conduit within said liquid seal chamber;

connection means connected to said elongated conduit;

a through port with connection means in communication with said body fluid reservoir adapted for connection to said connection means on said elongated conduit within said liquid seal chamber;

connection means in communication with said liquid seal chamber and said vacuum regulation chamber for applying a vacuum thereto; and

,

a baffle between said vacuum regulating chamber and said liquid seal chamber having an opening to allow a vacuum to be applied simultaneously to said vacuum regulating chamber and said liquid seal chamber.

2. A combination cardiotomy reservoir and body drainage-autotransfusion unit having a body fluid reservoir integrally formed within said unit with a vacuum regulating system therein comprising:

a non-collapsible canister having an outer shell with a body fluid reservoir therein;

a bottom portion to said outer shell;

a cap overlying said outer shell;

at least one inlet port means for introducing body fluid drainage into said body fluid reservoir to provide for autotransfusion and to provide cardiotomy functions;

at least one outlet port means disposed within the bottom of said reservoir for the removal of fluids;

filtration means interposed within said reservoir between said body drainage inlet port means and said outlet port means for said body fluid reservoir;

an elongated vacuum regulating chamber within said canister in adjacent relationship to said body fluid reservoir but separated therefrom by a wall from internal portions of said reservoir;

a conduit within said elongated vacuum regulating chamber extending toward the bottom of said chamber having an atmospheric vent connected thereto;

a vacuum connection to said elongated vacuum regulating chamber;

a means for connecting said elongated vacuum regulating chamber to the interior of said reservoir to maintain a vacuum in said chamber during body fluid drainage/autotransfusion usage, said vacuum being equivalent to a column of liquid within the elongated chamber; and

,

a liquid seal chamber within said canister in adjacent relationship to said body fluid reservoir but separated therefrom by a wall from the internal portions of said reservoir and which interconnects said vacuum regulating chamber with said reservoir.

3. The combination unit as claimed in claim 2 wherein said liquid seal chamber further comprises;

an elongated liquid seal chamber;

a conduit within said elongated liquid seal chamber connected at one end to said means for connecting said elongated vacuum regulating chamber to said body fluid reservoir; and

,

means for providing a common vacuum between said vacuum regulating chamber and said liquid seal chamber.

4. The combination unit as claimed in claim 3 wherein said liquid seal chamber and said vacuum regulating chamber utilize water as the liquid.

5. The combination as claimed in claim 3 wherein said liquid seal chamber interconnects said vacuum regulating chamber with the interior of said reservoir by means of a tubular member having two ends, one end being connected to one of said port means of said body fluid reservoir and the other end being connected to said conduit within said liquid seal chamber.

6. The combination unit as claimed in claim 5 further comprising:

markings on said vacuum regulating chamber to show the liquid column within said vacuum regulation chamber.

7. The combination unit as claimed in claim 2 wherein:

said cap has a plurality of ports for cardiotomy usage and to provide functions during operative procedures including the addition of drugs and other fluids into said reservoir.

8. The combination unit as claimed in claim 7 wherein:

said inlet and outlet ports have connection means which are adapted for quick connect and disconnect fittings.

9. The combination unit as claimed in claim 2 further comprising:

foam blood defoaming means interposed between said body drainage inlet port means and said outlet port means for said body fluid reservoir.

10. The combination unit as claimed in claim 9 wherein said filtration means comprise:

a support grid work;

said foam supported on said grid work; and

,

a pleated filter overlying said foam.

12. A combination unit as claimed in claim 10 further comprising:

a quick prime port connected to said body fluid reservoir.

13. A combination unit as claimed in claim 2 wherein said bottom portion of said outer shell comprises the bottom portion of said body fluid reservoir and is angled downwardly toward said outlet port disposed within the bottom of said reservoir.

11. The combination unit as claimed in claimed 10 further comprising:

a baffle between said elongated vacuum regulating chamber and said liquid seal chamber that allows fluid pressure to extend there between for providing vacuum through a common vacuum port to each one respectively.

14. A combination cardiotomy reservoir and body drainage-autotransfusion unit having a body fluid reservoir integrally formed within said unit with a vacuum regulating system therein comprising:

a non-collapsible canister having an outer shell with a body fluid reservoir therein;

a bottom portion to said outer shell;

a cap overlying said outer shell;

at least one inlet port means for introducing body fluid drainage into said body fluid reservoir to provide for autotransfusion;

at least one outlet port means disposed within the bottom of said reservoir for the removal of fluids;

at least one second inlet port means connected to said body fluid reservoir to provide a cardiotomy function;

filtration means interposed within said reservoir between said body drainage inlet port means and said outlet port means for said body fluid reservoir which comprises a support means, foam blood defoaming means supported on said support means, and a pleated filter;

a flow director extending into said body fluid reservoir within said filter;

means for connecting said body drainage inlet port and said cardiotomy ports with said flow director;

an elongated vacuum regulating chamber within said canister in adjacent relationship to said body fluid reservoir but separated therefrom by a wall from internal portions of said reservoir;

a conduit within said elongated vacuum regulating chamber extending toward the bottom of said chamber having an atmospheric vent connected thereto;

a vacuum connection to said elongated vacuum regulating chamber;

a means for connecting said elongated vacuum regulating chamber to the interior of said reservoir to maintain a vacuum in said chamber during body fluid drainage/autotransfusion usage, said vacuum being equivalent to a column of liquid within the elongated chamber; and

,

a liquid seal chamber within said canister in adjacent relationship to said body fluid reservoir but separated therefrom by a wall from the internal portions of said reservoir and which interconnects said vacuum regulating chamber with said reservoir.

15. The combination unit as claimed in claim 14 further comprising:

cardiotomy ports having connection means fittings adapted for quick connect and disconnect.

16. A method of providing cardiotomy and autotransfusion functions respectively during and after an operating procedure comprising:

providing a single vessel formed of a non-collapsible material which has a body fluid reservoir, a filter, and vacuum regulating means therein;

withdrawing body fluid from a patient during an operating procedure;

delivering said body fluid to said body fluid reservoir through the filter in said reservoir;

withdrawing said body fluid from said reservoir;

delivering said body fluid back to a patient during said operating procedure;

after said operating procedure, discontinuing withdrawing fluid from a patient and discontinuing delivering fluid to a patient;

connecting said reservoir to a vacuum source through said vacuum regulating means;

withdrawing fluid from a patient during an autotransfusion procedure by said regulated vacuum drawing body fluid into said body fluid reservoir;

withdrawing said body fluid from said body fluid reservoir by a positive displacement pump; and

,

pumping said body fluid from said positive displacement pump to a patient to provide autotransfusion after cardiotomy functions wherein said cardiotomy function and autotransfusion are performed through the same unit.