Integrated infusion and aspiration system and method

• US 7,163,521 B2
• Filed: 07/22/2004
• Issued: 01/16/2007
• Est. Priority Date: 08/12/2002
• Status: Expired due to Fees

• Current Assignee: LMA North America Incorporated (Teleflex Incorporated)
• Original Assignee: Breg Incorporated (Breg Acquisition Corp.)
• Inventors: Mason, Jeffrey T., Howard, Mark E., Fallin, T. Wade, Goble, E. Marlowe
• Primary Examiner(s): KENNEDY, SHARON E
• Application Number:
  US10/896,515
• Publication Number:
  US 20040260231A1
• Time in Patent Office: 908 Days
• Field of Search: 604/118, 604/119, 604/120, 604/19, 604 27- 30, 604/48, 604/50, 604/500
• US Class Current: 604/28
• CPC Class Codes: A61M 1/743 by changing the cross-section of the line, e.g. flow regulating valves A61M1/7413 takes precedence
• CPC Class Codes: A61M 1/75 Intermittent or pulsating suction A61M1/63, A61M1/772 take precedence
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208
• CPC Class Codes: A61M 1/92 with liquid supply means
• CPC Class Codes: A61M 2025/0004 having two or more concentrically arranged tubes for forming a concentric catheter system
• CPC Class Codes: A61M 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 2025/0039 characterized by lumina being arranged coaxially
• CPC Class Codes: A61M 2025/018 Catheters having a lateral opening for guiding elongated means lateral to the catheter
• CPC Class Codes: A61M 25/0021 characterised by the form of the tubing A61M25/0054 takes precedence
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 27/00 Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202
• CPC Class Codes: A61P 23/00 Anaesthetics

Abstract

An integrated infusion and aspiration system includes a flow control system and a catheter assembly. The catheter assembly includes an infusion catheter and an aspiration catheter, each having ports located at the distal end of thereof. The distal ends of the catheters are separated so that the aspiration catheter ports can be positioned on an opposing side of a surgical wound site from the infusion catheter ports. Methods of operation of the integrated infusion and aspiration system provide for uninterrupted aspiration with concurrent controlled delivery of an infusion solution such that the infusion solution is substantially evenly dispersed of over the wound site.

Claims

1. A method for percutaneous infusion and aspiration of an internal wound site, the method comprising:

infusing a wound site with a dose of a solution at a periodic interval, the act of infusing being controlled by an electronic controller

aspirating the wound site at a first flow rate during the infusion of the solution and for a first time period thereafter, the act of aspirating at the first flow rate being controlled by the electronic controller; and

aspirating the wound site at a second flow rate and for a second time period after expiration of the first time period but prior to the next infusing of the solution, the second flow rate being greater than the first flow rate, the act of aspirating at the second flow rate being controlled by the electronic controller,

wherein the acts of infusing, aspirating at the first flow rate, and aspirating at the second flow rate are all controlled by the same common electronic controller.

2. The method of claim 1 wherein the periodic interval between infusions is greater than the sum total of the duration of the infusion and the first time period and the second time period.

3. The method of claim 1 wherein the aspirating is continuous.

4. The method of claim 1 wherein the solution comprises an analgesic, anesthetic, antibiotic, antiseptic, anticoagulant, anti-inflammatory, or combinations thereof.

5. The method of claim 1, wherein the act of infusing comprises infusing an anesthetic solution at a rate of between 0.5 cc/hr and about 4.0 cc/hr.

6. A method for percutaneous infusion and aspiration of an internal wound site, the method comprising:

infusing the wound site with a dose of a solution, the act of infusing being controlled by an electronic controller;

aspirating the wound site at a first flow rate during the infusion of the solution, the act of aspirating at the first flow rate being controlled by the electronic controller; and

aspirating the wound site at a second flow rate either immediately upon completion of infusing the solution or at a time period after completion of infusing the solution, the act of aspirating at the second flow rate being controlled by the electronic controller,

wherein the acts of infusing, aspirating at the first flow rate, and aspirating at the second flow rate are all controlled by the same common electronic controller.

7. The method of claim 6 further comprising repeating at periodic intervals the act of infusing the wound site with a dose of a solution.

8. The method of claim 7 wherein the aspirating is continuous.

9. The method of claim 6 wherein the solution comprises an analgesic, anesthetic, antibiotic, antiseptic, anticoagulant, anti-inflammatory, or combinations thereof.

10. The method of claim 6, wherein the act of infusing comprises infusing an anesthetic solution at a rate of between 0.5 cc/hr and about 4.0 cc/hr.

11. A method for percutaneous infusion and aspiration of an internal wound site, the method comprising:

infusing a wound site at an articulating joint in the body with a solution at a substantially constant rate, the act of infusing being controlled by an electronic controller; and

aspirating the wound site at alternating flow rates, at least a portion of the aspirating being performed during the infusion, the act of aspirating being controlled by the electronic controller,

wherein the acts of infusing and aspirating are both controlled by the same common electronic controller.

12. The method of claim 11 wherein the aspiration is continuous.

13. The method of claim 11 wherein the solution comprises an analgesic, anesthetic, antibiotic, antiseptic, anticoagulant, anti-inflammatory, or combinations thereof.

14. The method of claim 11, wherein the act of infusing comprises infusing an anesthetic solution at a rate of between 0.5 cc/hr and about 4.0 cc/hr.

15. A method for percutaneous infusion and aspiration of an internal wound site, the method comprising:

passing a catheter assembly through a single incision, the catheter assembly comprising;

an aspiration catheter having a proximal section and an opposing distal section, the aspiration catheter bounding a first lumen extending along the length thereof, at least one port being formed on the distal section of the aspiration catheter so as to communicate with the first lumen; and

an infusion catheter having a proximal section and an opposing distal section, the infusion catheter bounding a second lumen extending along the length thereof, at least one port being formed on the distal section of the infusion catheter so as to communicate with the second lumen, at least a portion of the aspiration catheter or infusion catheter being disposed within the lumen of the other of the aspiration catheter or infusion catheter;

positioning the at least one port of the aspiration catheter on one side of the internal wound site and the at least one port of the infusion catheter on a substantially opposing side of the internal wound site;

periodically infusing the wound site with a dose of a solution through the infusion catheter; and

aspirating the wound site through the aspiration catheter at alternating flow rates.

16. The method of claim 15 wherein the aspirating is continuous.

17. The method of claim 15 wherein the at least one port of the aspiration catheter and the at least one port of the infusion catheter are each disposed outside of a blood vessel.

18. The method of claim 15, wherein the act of periodically infusing comprises periodically infusing an anesthetic solution at a rate of between 0.5 cc/hr and about 4.0 cc/hr.