Removable cassette for articular injection system

• US 9,398,894 B2
• Filed: 08/22/2011
• Issued: 07/26/2016
• 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): Bosworth, Kami A
• Assistant Examiner(s): WILSON, LARRY ROSS
• Application Number:
  US13/214,868
• Publication Number:
  US 20110306932A1
• Time in Patent Office: 1,800 Days
• Field of Search: 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
• US Class Current: 1/1
• 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 removable cassette for use in an injection system, comprising:

a housing defining an interior space;

a first loading area configured to be placed in fluid communication with a first container;

a second loading area configured to be placed in fluid communication with a second container;

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

wherein the first and second reservoirs are at least partially positioned within the interior space of the cassette;

a first movable member slidably disposed within the first reservoir;

a second movable member slidably disposed within the second reservoir;

wherein the cassette is configured to be removably secured to a fluid delivery module of the injection system;

wherein the first movable member is configured to be moved into or out of at least a portion of an interior of the first reservoir using at least one motor of the fluid delivery module;

wherein the second movable member is configured to be moved into or out of at least a portion of an interior of the second reservoir using the at least one motor;

at least one fluid outlet in fluid communication with the first and second reservoirs;

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

wherein at least a portion of the fluid contained within the first reservoir is configured to be transferred to the at least one fluid outlet when the first movable member is moved in a second direction, wherein said second direction is generally opposite of said first direction; and

wherein the first and second movable members are configured to be moved by a single motor.

2. The cassette of claim 1, wherein the first and second movable members are configured to be moved independently by the at least one motor.

3. The cassette of claim 1, wherein the at least one fluid outlet comprises at least one fluid conduit, said fluid conduit being configured to be placed in fluid communication with a handpiece assembly.

4. The cassette of claim 1, wherein the cassette is configured to be removably secured to a recess of the fluid delivery module of the injection system.

5. The cassette of claim 1, further comprising a third loading area, a third reservoir and a third movable member slidably disposed within the third reservoir,

wherein the third loading area is configured to be placed in fluid communication with a third container;

and

wherein the third reservoir is configured to be placed in fluid communication with an interior of the third container.

6. The cassette of claim 1, wherein the cassette comprises one or more of the following:

plastic, other polymeric material and metal.

7. The cassette of claim 1, wherein the housing of the cassette comprises one or more finger wells that facilitate securing the cassette to or removing the cassette from a corresponding area of a fluid delivery module.

8. The cassette of claim 1, wherein the cassette is disposable.

9. A removable cassette for use in an injection system, comprising:

a first loading area and a second loading area, each of said first and second loading areas being configured to be placed in fluid communication with a container;

a first reservoir and a first plunger, said first plunger being configured to slidably move, at least partially, within an interior of the first reservoir;

a second reservoir and a second plunger, said second plunger being configured to slidably move, at least partially, within an interior of the second reservoir;

wherein the cassette is configured to be coupled to at least one mechanical motor when secured to an injection system;

wherein the first plunger is configured to be selectively moved in one of a first direction and at least a second direction relative to the first reservoir by the at least one mechanical motor, wherein said second direction is generally opposite of said first direction;

wherein the second plunger is configured to be selectively moved in one of a first direction and at least a second direction relative to the second reservoir by the at least one mechanical motor, wherein said second direction is generally opposite of said first direction;

at least one fluid outlet in fluid communication with the first reservoir and with the second reservoir;

wherein fluids are transferred into the first reservoir from the container in fluid communication with the first loading area when the first plunger is moved in the first direction;

wherein fluids are transferred to the at least one fluid outlet from the first reservoir when the first plunger is moved in the second direction;

wherein fluids are transferred into the second reservoir from the container in fluid communication with the second loading area when the second plunger is moved in the first direction;

wherein fluids are transferred to the at least one fluid outlet from the second reservoir when the second plunger is moved in the second direction; and

wherein the first and second plungers are configured to be moved independently of each other.

10. The cassette of claim 9, wherein the first and second reservoirs are at least partially positioned within an interior of the cassette.

11. The cassette of claim 9, wherein the first and second movable members are configured to be moved by a single motor.

12. The cassette of claim 9, further comprising a third loading area, a third reservoir and a third plunger slidably positioned within the third reservoir.

13. The cassette of claim 9, wherein the cassette comprises one or more of the following:

plastic, other polymeric material and metal.

14. A removable cassette for use in an injection system, comprising:

a first reservoir and a first plunger, said first plunger being configured to slidably move, at least partially, within an interior of the first reservoir;

a second reservoir and a second plunger, said second plunger being configured to slidably move, at least partially, within an interior of the first reservoir;

wherein at least a portion of the cassette is adapted to detachably couple to at least one motor when secured to an injection system;

at least one fluid outlet in fluid communication with the first and second reservoirs;

wherein the first plunger is configured to be selectively moved relative to an interior of the first reservoir, and wherein the second plunger is configured to be selectively moved relative to an interior of the second reservoir, said first and second plungers being moved mechanically by the at least one motor;

wherein fluids are transferred to the at least one fluid outlet from the first reservoir when the first plunger is moved in a first direction;

wherein fluids are transferred to the at least one fluid outlet from the second reservoir when the second plunger is moved in the first direction;

wherein the first and second plungers are configured to be moved independently of one another; and

wherein at least one of the first reservoir and the second reservoir comprises a syringe.

15. The cassette of claim 14, wherein at least one of the first reservoir and the second reservoir is at least partially positioned within an interior of the cassette.

16. A removable cassette for use in an injection system, comprising:

a housing defining an interior space;

a first reservoir;

wherein the first reservoir is at least partially positioned within the interior space of the cassette;

a first movable member slidably disposed within the first reservoir;

wherein the cassette is configured to be removably secured to a fluid delivery module of the injection system;

wherein the first movable member is configured to be moved into or out of at least a portion of an interior of the first reservoir using at least one motor of the fluid delivery module;

at least one fluid outlet in fluid communication with the first reservoir and a second reservoir of the cassette, wherein a second movable member is slidably disposed within the second reservoir;

wherein a fluid is configured to be transferred to an interior of the first reservoir when the first movable member is moved in a first direction;

wherein a fluid is configured to be transferred to an interior of the second reservoir when the second movable member is moved in a first direction;

wherein at least a portion of the fluid contained within the first reservoir is configured to be transferred to the at least one fluid outlet when the first movable member is moved in a second direction, wherein at least a portion of the fluid contained within the second reservoir is configured to be transferred to the at least one fluid outlet when the second movable member is moved in a second direction, wherein said second direction is generally opposite of said first direction; and

wherein the cassette is disposable.

17. A removable cassette for use in an injection system, comprising:

a housing defining an interior space;

a first reservoir;

a second reservoir;

wherein the first and second reservoirs are at least partially positioned within the interior space of the cassette;

a first movable member slidably disposed within the first reservoir;

a second movable member slidably disposed within the second reservoir;

wherein the cassette is configured to be removably secured to a fluid delivery module of the injection system;

wherein the first movable member is configured to be moved into or out of at least a portion of an interior of the first reservoir using at least one motor of the fluid delivery module;

wherein the second movable member is configured to be moved into or out of at least a portion of an interior of the second reservoir using the at least one motor of the fluid delivery module;

at least one fluid outlet in fluid communication with the first reservoir and the second reservoir;

wherein a fluid is configured to be transferred to an interior of the first reservoir when the first movable member is moved in a first direction;

wherein a fluid is configured to be transferred to an interior of the second reservoir when the second movable member is moved in a first direction

wherein at least a portion of the fluid contained within the first reservoir is configured to be transferred to the at least one fluid outlet when the first movable member is moved in a second direction, wherein at least a portion of the fluid contained within the second reservoir is configured to be transferred to the at least one fluid outlet when the second movable member is moved in a second direction, wherein said second direction is generally opposite of said first direction; and

wherein the cassette comprises one or more of the following;

plastic, other polymeric material and metal.

18. A removable cassette for use in an injection system, comprising:

a housing defining an interior space;

a first reservoir;

a second reservoir;

wherein each of the first reservoir and the second reservoir is at least partially positioned within the interior space of the cassette;

a first movable member slidably disposed within the first reservoir;

a second movable member slidably disposed within the second reservoir;

wherein the cassette is configured to be removably secured to a fluid delivery module of the injection system;

wherein the first movable member is configured to be moved into or out of at least a portion of an interior of the first reservoir using at least one motor of the fluid delivery module;

wherein the second movable member is configured to be moved into or out of at least a portion of an interior of the second reservoir using at least one motor of the fluid delivery module;

at least one fluid outlet in fluid communication with the first reservoir;

wherein a fluid is configured to be transferred to an interior of the first reservoir when the first movable member is moved in a first direction;

wherein a fluid is configured to be transferred to an interior of the second reservoir when the second movable member is moved in a first direction;

wherein at least a portion of the fluid contained within the first reservoir is configured to be transferred to the at least one fluid outlet when the first movable member is moved in a second direction, wherein said second direction is generally opposite of said first direction;

wherein at least a portion of the fluid contained within the second reservoir is configured to be transferred to the at least one fluid outlet when the second movable member is moved in a second direction; and

wherein the cassette is configured to be removably secured to a recess of the fluid delivery module of the injection system.