Infusion/aspiration apparatus with removable cassette

• US 5,810,766 A
• Filed: 02/28/1995
• Issued: 09/22/1998
• Est. Priority Date: 02/28/1995
• Status: Expired due to Fees

• Current Assignee: Chiron Vision Corp. (Novartis Ag)
• Original Assignee: Chiron Vision Corp. (Novartis Ag)
• Inventors: Sepielli, Perry, Barnitz, James C., Downey, David C.
• Primary Examiner(s): Brown, Michael A.
• Application Number:
  US08/395,571
• Time in Patent Office: 1,302 Days
• Field of Search: 604/317, 604/319, 604/31, 604/34, 604/35
• US Class Current: 604/34
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: A61M 1/72 Cassettes forming partially or totally the fluid circuit
• 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 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 3/0201 Cassettes therefor

Abstract

An infusion/aspiration apparatus including a base member and first and second cassettes including a base member and first and second cassettes releasably connected to a base member. The first cassette forms an aspiration passageway and a collection area, and the second cassette includes a body and an infusion tube. Preferably, the base member and the second cassette form a vacuum passageway in fluid communication with the aspiration passageway. In operation, an aspiration tube is connected to an inlet of the aspiration passageway, and an outlet of the vacuum passageway is connected to a source of vacuum pressure. An infusion fluid is conducted through the infusion tube and to a surgical site, and that site is aspirated via the aspiration tube. The aspirated materials are drawn into the aspiration passageway and thence into the collection area.

Claims

1. An infusion/aspiration apparatus comprising:

a base member;

a first cassette forming

i) an aspiration passageway for receiving liquids and materials from a surgical site,

ii) a collection area in fluid communication with the aspiration passageway for receiving and collecting said liquids and materials, and

iii) a conduit in fluid communication with the aspiration passageway and the collection area for conducting said liquids and material from the aspiration passageway and into the collection area;

means to selectively occlude said conduit to inhibit fluid flow therethrough;

means releasably holding the first cassette on the base member;

a second cassette including

i) a body, and

ii) an infusion tube connected to and supported by the body for conducting an infusion fluid; and

means releasably holding the second cassette on the base member.

2. Apparatus according to claim 1, wherein:

the base member and the second cassette form a vacuum passageway in fluid communication with the aspiration passageway to develop a vacuum pressure in the aspiration passageway; and

the first cassettes includes a check valve disposed in the aspiration passageway to inhibit fluid flow through the aspiration passageway and into the vacuum passageway.

3. Apparatus according to claim 1, wherein:

the first cassette includes

i) a body forming the collection area and also forming front and back openings,

ii) a T-tube having an upper, horizontal section and a vertical section;

the upper section of the T-tube extends between the front and back openings of the cassette body and forms the aspiration passageway;

the vertical section of the T-tube is connected to and is in fluid communication with said upper section, and forms said conduit.

4. Apparatus according to claim 1, wherein the occlusion means includes:

a pincher block located adjacent said conduit, on a first side thereof;

a pincher located adjacent said conduit, on a second side thereof, and supported for reciprocating movement; and

means to reciprocate the pincher into engagement with the conduit to pinch the conduit between the pincher and the pincher block.

5. Apparatus according to claim 1, wherein the first cassette includes a check valve disposed in the aspiration passage to inhibit fluid flow through the aspiration passage and into the vacuum passageway.

6. Apparatus according to claim 1, wherein

the means releasably holding the first cassette on the base member includes

i) a pivot subassembly pivotally connecting the first cassette to the base member, and

ii) a latch subassembly having a closed position and an open position;

when the latch subassembly is in the closed position, the latch subassembly and the pivot subassembly hold the first cassette in a tight pressure engagement with the base member; and

when the latch subassembly is in the open position, the latch subassembly allows the first cassette to pivot relative to the base member.

7. Apparatus according to claim 6, wherein:

the latch subassembly includes

i) an opening formed by the first cassette, and

ii) a lever pivotally mounted on the base member; and

when the latch subassembly is in the closed position, the lever extends through said opening and engages the first cassette to hold the main unit and the first cassette tightly together.

8. Apparatus according to claim 7, wherein the latch subassembly further includes a spring mounted on the base member and engaging the lever and urging the lever into engagement with the first cassette.

9. Apparatus according to claim 8, wherein:

the lever includes a upper leg, and a lower leg connected to the upper leg;

the lower leg includes a front, upwardly extending lip;

when the latch subassembly is in the closed position, said lip extends through said opening and extends forward of, and, is in pressure engagement with, a back side of the first cassette.

10. Apparatus according to claim 6, wherein:

the pivot subassembly includes

i) a pair of pins mounted on the base member, and

ii) a pair of hooks connected to the first cassette and extending outward therefrom; and

each of the hooks is pivotally mounted on a respective one of the pins.

11. Apparatus according to claim 1, wherein:

the first cassette includes a body forming the liquid collection area and also a drain opening in fluid communication with the liquid collection area to drain liquids therefrom.

12. Apparatus according to claim 11, further comprising:

a drainage tube connected to the body of the first cassette, in fluid communication with the drain opening for conducting liquid therefrom; and

means connected to the base member to selectively occlude the drainage tube to inhibit liquid flow therethrough.

13. Apparatus according to claim 12, wherein the means to selectively occlude the drainage tube includes:

a guide member mounted on the body of the first cassette and extending outward therefrom, wherein the drainage tube extends from the drainage opening, adjacent the guide member;

a pincher bar supported by the base member for reciprocating movement toward and away from the guide channel; and

means connected to the pincher bar to move the pincher bar toward the guide member to pinch the drainage tube between the pincher bar and the guide member to inhibit liquid flow through the drainage tube.

14. An infusion/aspiration apparatus comprising:

a base member;

a first cassette releasably mounted to the base member, forming

i) an aspiration passageway for receiving liquids and materials from a surgical site, and

ii) a collection area in fluid communication with the aspiration passageway for receiving and collecting said liquids and materials;

a second cassette releasably mounted to the base member, wherein the second cassette and first cassette are separately releasably mounted to the base member, including

i) a body, and

ii) an infusion tube connected to and supported by the body for conducting an infusion fluid.

15. Apparatus according to claim 14, wherein the base member includes a vacuum passageway and wherein the vacuum passageway is in fluid communication with the aspiration passageway of the first cassette to develop a vacuum pressure in the aspiration passageway when the first cassette is releasably mounted to the base member.

16. Apparatus according to claim 15, wherein:

the base member forms a cassette receiving slot extending through the base member vacuum passageway, wherein the slot separates the vacuum passageway, forming first and second sections of the vacuum passageway;

the second cassette further includes a vacuum passageway, wherein the vacuum passageway of the cassette body forms a third section of the vacuum passageway which is located in series between, and in fluid communication with, the first and second sections of the vacuum passageway, when the second cassette is releasably mounted in the cassette receiving slot.

17. Apparatus according to claim 16, wherein:

the second cassette has first and second sides, wherein the second cassette is releasably mounted to the base member by;

i) a first flexible member mounted on the base member on the first side of the second cassette;

ii) a second flexible member mounted on the base member, on the second side of the second cassette, and supported for reciprocating movement, and

iii) means mounted on the base member to reciprocate the second flexible member into engagement with the second cassette and to force the second cassette into pressure engagement with and between the first and second flexible members.

18. Apparatus according to claim 17, wherein:

the first flexible member extends around the first section of the vacuum passageway and forms a seal between said first section and the second cassette; and

the second flexible member extends around the second section of the vacuum passageway and forms a seal between said second passageway and the second cassette.

19. Apparatus according to claim 15, wherein the body of the second cassette includes:

first and second sections held together; and

a filter captured between said first and second sections and extending across the vacuum passageway to inhibit the flow of liquid therethrough.

20. Apparatus according to claim 14, wherein:

the body of the second cassette has first and second opposite sections;

the first section of the second cassette forms a first recess providing access to the infusion tube;

the second section of the first cassette forms a second recess providing access to the infusion tube; and

the means to selectively occlude the infusion tube includes;

i) a pincher block mounted on the base member and aligned with the first recess,

ii) a pincher supported by the base member for reciprocating movement into the second recess, and for reciprocating movement into the second recess; and

iii) means to reciprocate the pincher into engagement with the infusion tube to pinch the infusion tube between the pincher block and the pincher.

21. Apparatus according to claim 14, wherein:

the body of the second cassette includes first and second sections held together;

the first section forms a first groove extending across the said first section;

the second section forms a second groove extending across the said second section;

the first and second grooves are aligned with each other and form a channel extending through the second cassette; and

the infusion tube extends through said channel and is captured therein between the first and second sections of the body of the cassette.

22. Apparatus according to claim 14, wherein the base member defines a cassette receiving slot and the second cassette is disposed in the cassette receiving slot.

23. Apparatus according to claim 22, wherein the base member includes a base, and a top section having a C-shape and forming the cassette receiving slot.

24. Apparatus according to claim 14, further including means connected to the base member to selectively occlude the infusion tube to inhibit flow therethrough.

25. Apparatus according to claim 14, further including a means connected to the base member to selectively occlude the infusion tube to inhibit infusion therethrough.

26. An infusion/aspiration apparatus comprising:

a base member including a vacuum passageway;

a first cassette releasably mounted to the base member, forming;

i) an aspiration passageway for receiving liquids and materials from a surgical site; and

ii) a collection area in fluid communication with the aspiration passageway for receiving and collecting said liquids and materials;

a second cassette releasably mounted to the base member, wherein the second cassette and first cassette are separately releasably mounted to the base member, including;

i) a body having first and second sections held together, and

ii) an infusion tube captured between said first and second sections for conducting an infusion fluid;

wherein the vacuum passageway of the base member is in fluid communication with the aspiration passageway of the first cassette to develop a vacuum pressure in the aspiration passageway when the first cassette is releasably mounted to the base member.

27. Apparatus according to claim 26, wherein:

the body further includes a filter captured between the first and second sections and extending across the vacuum passageway to inhibit the flow of liquid therethrough;

the first section of the body includes a first groove;

the first and second grooves are aligned with each other and form a channel extending through the body of the second cassette; and

the infusion tube extends through and is captured in said channel, between the first and second sections of said body.

28. Apparatus according the claim 27, wherein:

the means releasably holding the second cassette on the base member includes;

i) a first flexible member mounted on the base member on a first side of the second cassette;

ii) a second flexible member mounted on the base member mounted on the base member on a second side of the second cassette; and

iii) means mounted on the base member to reciprocate the second flexible member into pressure engagement with the second cassette to hold the second cassette in pressure engagement between the first and second flexible members;

the first section of the second cassette forms a first recess providing access to the infusion tube;

the second section of the second cassette forms a second recess providing access to the infusion tube; and

the means to selectively occlude the infusion tube includes;

i) a pincher block mounted on the base member and aligned with the first recess,

ii) a pincher supported by the base member for reciprocating movement into the second recess, and

iii) means to reciprocate the pincher into engagement with the infusion tube to pinch the infusion tube between the pincher block and the pincher.

29. Apparatus according to claim 28, wherein the first flexible member extends around the vacuum passageway and forms a seal between the vacuum passageway and the first section of the second cassette;

and

the second flexible member extends around the vacuum passageway and forms a seal between the vacuum passageway and the second section of the second cassette.

30. An infusion/aspiration apparatus comprising:

a base member including a vacuum passageway and a slot extending through the vacuum passageway, wherein the slot separates the vacuum passageway in the base member, forming a first and second sections of the vacuum passageway;

a first cassette releasably mounted to the base member, forming

i) an aspiration passageway for receiving liquids and materials from a surgical site, and

ii) a collection area in fluid communication with the aspiration passageway for receiving and collecting said liquids and materials;

a second cassette releasably mounted to the base member, wherein the second cassette and first cassette are separately releasably mounted to the base member, including

i) a body having a vacuum passageway therethrough, wherein the vacuum passageway of the cassette body forms a third section of the vacuum passageway located in series between, and in fluid communication with, the first and second sections of the vacuum passageway, when the second cassette is positioned in the cassette receiving slot;

ii) an infusion tube connected to and supported by the body for conducting an infusion liquid;

wherein when the second cassette is releasably mounted in the receiving slot, the first, second, and third sections of the vacuum passageway are in fluid communication with the aspiration passageway of the first cassette to develop a vacuum pressure in the aspiration passageway when the first cassette is releasably mounted to the base member.