Liquid seal assembly for a rotating torque tube

• US 8,475,484 B2
• Filed: 03/10/2004
• Issued: 07/02/2013
• Est. Priority Date: 04/05/2000
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Limited (Boston Scientific Corporation)
• Original Assignee: Medrad Incorporated (Bayer AG)
• Inventors: Wulfman, Edward I., Torrance, Casey
• Primary Examiner(s): Holwerda, Kathleen
• Assistant Examiner(s): ALEMAN, SARAH WEBB
• Application Number:
  US10/798,623
• Publication Number:
  US 20040230213A1
• Time in Patent Office: 3,401 Days
• Field of Search: 606/159, 606/167, 606/170, 606/180, 604/19, 604/22, 604/264, 604/265
• US Class Current: 606/180
• CPC Class Codes: A61B 1/00137 End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
• CPC Class Codes: A61B 1/01 Guiding arrangements therefore
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/22049 Means for locking the guide wire in the catheter
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/320032 Details of the rotating or oscillating shaft, e.g. using a flexible shaft
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/415 the glands, e.g. tonsils, adenoids or thymus
• CPC Class Codes: A61B 5/418 lymph vessels, ducts or nodes
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4209 by using holders, e.g. positioning frames
• 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 1/84 Drainage tubes; Aspiration tips for negative pressure wound therapy A61M1/90; for surgical cutting instruments A61B17/32
• 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 39/06 : Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
• CPC Class Codes: A61M 39/0606 : without means for adjusting the seal opening or pressure A61M39/0693 takes precedence

Abstract

A sealing assembly hinders or prevents air or other fluid from seeping between various components of a medical device by use of a liquid seal. An infusion port is for introducing a sealing liquid to immerse a flood space between a liner that surrounds a torque tube and/or within the torque tube, thereby creating a liquid seal around the torque tube and lubricating the torque tube. The length of the liner and the cross sectional space of the flood space are adjusted to control flow rate. An aspiration port may force suction pressure into a lumen extending along the length of the medical device in a distal direction. The liquid seal also prevents diluting of the suction pressure by stopping ingress of air.

Claims

1. A medical device comprising:

(a) a torque tube operably connected at a proximal end to a drive system for rotation and at a distal end to a working head;

(b) a sealing assembly comprising;

(i) a housing enclosing at least a proximal portion of the torque tube and a sealing site;

(ii) a stationary liner surrounding and spaced apart from the torque tube extending longitudinally from the sealing site along a portion of the torque tube and terminating at an intersect area located proximal to the distal end of the torque tube;

(iii) a liquid flood space located between the liner and the torque tube;

(iv) an infusion port providing application of liquid to the liquid flood space at the sealing site during operation of the device; and

(c) a catheter terminating at a proximal end at a fixed joint at an aspiration site within the housing and being in a fixed relationship to the stationary liner, the catheter extending distally beyond the intersect area to enclose the liner and form an aspiration lumen extending between the aspiration site and the working head whereby, during operation of the medical device, liquid enters the liquid flood space formed by the liner at the sealing site and creates a liquid seal around the torque tube to prevent ingress of air, and the liquid exits the liquid flood space at the intersect area, where it directly enters the aspiration lumen.

2. The device of claim 1, wherein the sealing assembly comprises an overflow port for exit of excess liquid and wherein the torque tube extends through the overflow port.

4. The device of any one of claims 3 and 1, wherein the liquid flood space includes a clearance area between the liner and torque tube.

5. The device of any one of claims 3 and 1, wherein the torque tube is a coiled drive shaft and the liquid flood space includes gaps between the coils.

6. The device of any one of claims 3 and 1, wherein the torque tube includes a lumen for a guide wire and the liquid flood space includes the lumen.

7. The device of claims 3 and 1, further comprising a suction port for aspirating fluid from the aspiration lumen and wherein the pressure in the liquid flood space is lower than the pressure outside or proximal to the flood space during operation of the device.

8. The device of any one of claims 3 and 1, wherein proximal portions of the torque tube and liner are positioned in a hand held unit.

9. The device of any one of claims 3 and 1, wherein the inner diameter of the liner is from about 0.030 to about 0.040 inch.

10. The device of any one of claims 3 and 1, wherein the length of the liner is more than about 6 inches.

11. The device of any one of claims 3 and 1, wherein the liner comprises a thin, tough, flexible polymer-based tubing material.

12. The device of claim 11, wherein the liner comprises polyimide tubing and has a lubricious coating.

13. The device of any one of claims 3 and 1, wherein proximal portions of the torque tube and liner are positioned in the housing in a manner that permits free rotation and axial translation of the torque tube.

14. The device of any one of claims 3 and 1, wherein the length and diameter of the liner are selected to reduce the rate of flow in the proximal to distal direction in the liquid flood space and reduce the requirement for precise diametrical tolerances during operation of the device.

15. The device of any one of claims 3 and 1, wherein the working head is a cutting head.

3. An aspirating catheter device having a liquid seal assembly that uses liquid as a sealing medium to prevent air or other fluids from contacting moveable catheter components in the area of a proximal end of a torque tube, the aspirating catheter device comprising:

a housing providing at least one sealing site;

a catheter having a proximal end terminating at a fixed joint within the housing at an aspiration site and a distal end terminating at an operating head and forming an aspiration lumen;

a torque tube operably connected at a proximal end to a drive system for rotation and at a distal end to the working head, at least a portion of the torque tube being positioned in the housing;

a stationary liner surrounding the torque tube and positioned within the catheter in a stationary relationship to the catheter, the liner extending from the at least one sealing site in the housing longitudinally less than the axial length of the torque tube and terminating distally at an intersect area located proximal to the distal end of the torque tube and within the aspiration lumen;

a liquid flood space located between the liner and the torque tube; and

an infusion port provided in the housing and supplying liquid to the liquid flood space;

whereby liquid infused into the liquid flood space during operation of the aspirating catheter device forms a seal around the proximal end of the torque tube and exits the liquid flood space at the intersect area within the aspiration lumen.