Articular injection system

• US 8,079,976 B2
• Filed: 12/22/2008
• Issued: 12/20/2011
• Est. Priority Date: 12/21/2007
• Status: Expired due to Fees

• Current Assignee: Carticept Medical, Inc.
• Original Assignee: Carticept Medical, Inc.
• Inventors: Patrick, Timothy, Knostman, Richard, Axelrod, Michael, Ramey, Carribeth
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): Wilson, Larry R
• Application Number:
  US12/341,965
• Publication Number:
  US 20090171191A1
• Time in Patent Office: 1,093 Days
• Field of Search: 604 65- 67, 604/82, 604/83, 604/85, 604/87, 604/89, 604/131, 604/151, 604/152, 604/154, 604/155, 604257-259, 604/500, 604/506, 604/507, 604/511, 604518-520, 604/191, 366208-218
• US Class Current: 604/82
• CPC Class Codes: A61B 2017/3413 guided by ultrasound
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61B 8/00 Diagnosis using ultrasonic, sonic or infrasonic waves imaging of objects using sonar G01S15/00
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61M 19/00 Local anaesthesia syringes therefor A61M5/00; Hypothermia A61M5/42 takes precedence; cooling blood in a bypass of the arterial system A61M1/36
• CPC Class Codes: A61M 2005/3128 Incorporating one-way valves, e.g. pressure-relief or non-return valves
• CPC Class Codes: A61M 2039/242 designed to open when a predetermined pressure or flow rate has been reached, e.g. check valve actuated by fluid
• CPC Class Codes: A61M 2039/246 being fixed along all or a part of its periphery
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 5/14216 Reciprocating piston type
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: A61M 5/162 Needle sets, i.e. connections by puncture between reservoir and tube ; Connections between reservoir and tube in jet-action syringes A61M5/30; connectors for tubes having sealed ends and a needle for piercing them A61M39/14
• CPC Class Codes: A61M 5/16827 controlling delivery of multiple fluids, e.g. sequencing, mixing or via separate flow-paths infusion of multiple fluids without using a controller A61M5/1407
• CPC Class Codes: A61M 5/20 Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically A61M5/142 , A61M5/46 take precedence; hypodermic projectiles F42B12/54
• CPC Class Codes: G16H 20/17 delivered via infusion or injection

Abstract

Systems for injecting fluids and/or other materials into a targeted anatomical location, in particular, an intra-articular space, include a handpiece assembly having a proximal end and a distal end, a needle extending from the distal end of the handpiece assembly, a fluid delivery module comprising a cassette and a fluid transfer device. A conduit is generally configured to place the fluid delivery module in fluid communication with the handpiece assembly. Medications, formulations and/or other fluids or materials contained within vials that are secured to the fluid delivery module can be selectively delivered into an anatomy through a needle located at the distal end of the handpiece assembly. In some embodiments, ultrasound or other imaging technologies can be used to locate a joint or other targeted anatomical location.

Claims

1. A system for injecting at least two different medicaments into a patient through a single needle penetration using nonspecific fluid containers, comprising:

a fluid delivery module and a handpiece, wherein the fluid delivery module comprises a first loading area configured to secure a first fluid container and a second loading area configured to secure a second fluid container;

wherein the first fluid container comprises a first medicament;

wherein the second fluid container comprises a second medicament;

wherein the first loading area and the second loading area are configured to securely receive containers of various sizes and shapes;

wherein a needle is positioned along a distal end of said handpiece, said needle being configured to be positioned within an anatomy of the patient;

wherein said fluid delivery module is configured to receive instructions for delivering the first and second medicaments to the needle through an interior portion of the handpiece;

first and second reservoirs positioned within an interior of the fluid delivery module;

wherein the fluid delivery module is configured to transfer at least a portion of the first medicament from the first fluid container to the first reservoir;

wherein the fluid delivery module is configured to transfer at least a portion of the second medicament from the second fluid container to the second reservoir;

at least one fluid passage positioned within the handpiece, said at least one fluid passage being in fluid communication with each of the first and second reservoirs;

wherein said fluid delivery module is configured to combine the first and second medicaments prior to delivery to the patient or configured to administer the first and second medicaments sequentially, depending on the instructions received by at least one of the fluid delivery module and the handpiece; and

at least one movable member slidably positioned within each of the first and second reservoirs;

wherein the at least one movable member is configured to be mechanically moved into or out of the first or second reservoir; and

wherein the first medicament is transferred from the first fluid container to the first reservoir of the fluid delivery module when the movable member is moved in a first direction.

2. The system of claim 1, further comprising at least one controller, said controller being configured to receive at least one instruction related to an injection procedure.

3. The system of claim 2, wherein the at least one controller comprises at least one button, dial, knob, switch, rollerball or rollerwheel.

4. The system of claim 2, wherein the at least one controller is permanently or removably attached to the handpiece.

5. The system of claim 2, wherein the at least one controller comprises a foot pedal.

6. The system of claim 1, wherein the fluid delivery module comprises at least one motor to facilitate delivery of the first and second medicaments from said reservoirs to said at least one fluid passage and said needle.

7. The system of claim 1, wherein the first and second medicaments are delivered simultaneously to a joint of the patient.

8. The system of claim 1, wherein the first and second medicaments are delivered sequentially to a joint of the patient.

9. The system of claim 1, wherein the fluid delivery module comprises a display configured to provide status information of an injection procedure.

10. The system of claim 9, wherein said status information comprises a volume of the first or second medicaments delivered through the handpiece assembly or a volume remaining in the first and second reservoirs of the fluid delivery module.

11. The system of claim 1, wherein at least one of the first fluid container and the second fluid container is a nonspecific fluid container.

12. The system of claim 1, wherein at least one of the first fluid container and the second fluid container is an original manufacturer'"'"'s vial.

13. The system of claim 1, wherein the fluid delivery module is in data communication with an imaging device configured to locate a targeted joint location within the patient.

14. The system of claim 13, wherein the imaging device comprises an ultrasound device.

15. A system for injecting two or more different fluids into a patient using single needle penetration, comprising:

a fluid delivery module having a base and a removable portion, the removable portion comprising;

at least a first loading area and a second loading area, each of said loading areas configured to securely receive a container;

a first reservoir configured to be placed in fluid communication with an interior of a first container securely positioned within the first loading area, and a second reservoir configured to be placed in fluid communication with an interior of a second container securely positioned with the second loading area;

wherein the first reservoir comprises a first outlet, and the second reservoir comprises a second outlet;

wherein the base of the fluid delivery module comprises a fluid transfer device adapted to selectively transfer fluids from the first reservoir to the first outlet and from the second reservoir to the second outlet; and

wherein the removable portion is configured to be removably positioned within a recess of the base;

a first movable member positioned within the first reservoir;

wherein the movable member is configured to mechanically move within an interior of the first reservoir;

wherein fluid contained within a container secured to the first loading area is configured to be transferred to an interior of the first reservoir when the first movable member is moved in a first direction;

a handpiece assembly comprising a handle portion and a tip extending from a distal end of said handle portion;

wherein the needle is configured to be positioned within an anatomy of the patient; and

at least one fluid conduit placing the first outlet and the second outlet in fluid communication with the chamber of said handpiece assembly; and

at least one controller, said controller being configured to control the delivery of fluids from at least one of the first and second reservoirs to the needle.

16. The system of claim 15, wherein said loading areas are configured to receive a nonspecific container.

17. The system of claim 16, wherein the nonspecific container comprises a vial as originally supplied by a drug manufacturer.

18. The system of claim 15, wherein the at least one controller comprises at least one button, wherein the at least one controller is removably or permanently attached to the handpiece assembly.

19. The system of claim 15, wherein the injection system is operatively connected to an imaging device configured to assist a user in advancing the needle to a desired anatomical position within the patient.

20. The system of claim 15, wherein at least one of said loading areas is configured to continuously or intermittently rotate or otherwise move a fluid container positioned therein in order to maintain a fluid contained within said loading area mixed.

21. The system of claim 15, wherein the at least one controller comprises a foot pedal.