Source: http://www.google.es/patents/US8845605
Timestamp: 2018-01-19 05:29:06
Document Index: 237388117

Matched Legal Cases: ['§120', '§119', '§120', '§119', '§120', '§119']

Patente US8845605 - Collection and filtration via suction of biological material during surgical ... - Google Patentes
A method for collecting and filtering biological material from blood and other fluids during a surgical procedure includes: attaching a first cover including a suction port and an intake port to a collection trap; attaching a suction source to the suction port; attaching an instrument to the intake port,...http://www.google.es/patents/US8845605?utm_source=gb-gplus-sharePatente US8845605 - Collection and filtration via suction of biological material during surgical procedure
Número de publicación US8845605 B2
Número de solicitud US 13/540,585
Fecha de prioridad 8 May 2011
También publicado como US20120330220, US20150090652
Número de publicación 13540585, 540585, US 8845605 B2, US 8845605B2, US-B2-8845605, US8845605 B2, US8845605B2
Inventores Robert Sean Hensler, Thomas James Philpott, Daniel Lee Bizzell, Michael Starkey
Cesionario original H & M Innovations, Llc
Citas de patentes (30), Otras citas (2), Citada por (3), Clasificaciones (9), Eventos legales (1)
US 8845605 B2
A method for collecting and filtering biological material from blood and other fluids during a surgical procedure includes: attaching a first cover including a suction port and an intake port to a collection trap; attaching a suction source to the suction port; attaching an instrument to the intake port, through which blood and tissue are suctioned and received into the collection trap; filing the collection trap with blood and tissue; removing the collection trap from the first cover; attaching a second cover to the collection trap in place of the first cover, the second cover including a suction port and a plunger, the plunger including a press head having a screen portion permitting blood and other fluids to pass; attaching a suction source to the suction port of the second cover; separating the blood from the tissue by deploying the plunger; and drawing off the blood through the suction port.
1. A method for collecting and filtering biological material from blood and other fluids during a surgical procedure, comprising the steps of:
(a) attaching a first cover to a collection trap, the first cover including a suction port and an intake port;
(b) attaching a suction source to the suction port;
(c) attaching an instrument to the intake port, through which instrument blood and tissue are suctioned and received through the intake port into the collection trap;
(d) at least partially filing the collection trap with blood and tissue;
(e) removing the collection trap from the first cover;
(f) attaching a second cover to the collection trap in place of the first cover, with the second cover including a suction port, a plunger including a press head having a screen portion permitting blood and other fluids to pass there through but generally blocking tissue from passing there through, and a vent configured to permit air outside of the collection trap to enter therethrough into the collection trap at an opening located above the press head and proximate a top of the collection trap;
(g) attaching a suction source to the suction port of the second cover and, by applying suction via the suction port, creating an airflow through the vent into the collection trap to and out of the suction port;
(h) separating the blood from the tissue by deploying the plunger; and
(i) utilizing the airflow, drawing off the blood from the collection trap through the suction port.
2. The method of claim 1, further comprising the steps of attaching the first cover to a second collection trap and at least partially filling the second collection trap while performing said steps (f) through (i).
3. The method of claim 1, further comprising securing the first cover to a surgical drape on the side of a patient during the surgical procedure, wherein the first cover remains secured to the surgical drape while performing steps (d) through (i).
4. The method of claim 1, wherein the suction port and the intake port of the first cover project in orthogonal directions, the suction port projecting outwardly on a side of the first cover, and the intake port projecting upwardly on a top of the first cover.
5. The method of claim 1, wherein the intake port and the suction port of the first cover project in orthogonal directions, the intake port projecting outwardly on a side of the first cover, and the suction port projecting upwardly on a top of the first cover.
6. The method of claim 1, wherein the instrument is an ultrasonic device for cutting and removing tissue.
7. The method of claim 1, wherein the instrument is a suctioning device for removing bone.
8. The method of claim 1, further comprising attaching a length of open-ended tubing to the suction port of the first cover.
9. The method of claim 8, further comprising securing the first cover to a surgical drape of the patient along a side of the patient by folding the surgical drape over the tubing attached to the suction port and securing the surgical drape in said folded position.
10. The method of claim 9, wherein said steps (f)-(i) are performed while the first cover remains attached to the surgical drape of the patient during the surgical procedure.
11. The method of claim 9, wherein the first cover is maintained secured to the surgical drape throughout suctioning of the blood and other fluids during the surgical procedure.
12. The method of claim 1, further comprising locking the plunger in a position in which the press head of the plunger is located proximate an underside of the second cover at the top of the collection trap.
13. The method of claim 1, wherein said step (h) comprise moving the plunger, against a spring force, away from a position in which the press head of the plunger is located proximate an underside of the second cover at the top of the collection trap, to a position in which the press head of the plunger is located proximate a bottom of the collection trap.
14. A method for collecting and filtering biological material from blood and other fluids during a surgical procedure, comprising the steps of:
(a) attaching a first lid to a collection container, the first lid including a suction port and an intake port;
(b) attaching a suction source to the suction port of the first lid;
(c) attaching an ultrasonic device for cutting and removing tissue to the intake port of the first lid, through which ultrasonic device blood and tissue are suctioned and received through the intake port of the first lid into the container;
(d) at least partially filing a chamber of the container with blood and tissue;
(e) detaching the container from the first lid;
(f) attaching a second lid to the container in place of the first lid, with the second lid including a suction port, a plunger including a press head located within the chamber and having a screen portion permitting blood and other fluids to pass there through but generally blocking tissue from passing there through, and a vent permitting ambient air to enter from outside of the container into the chamber at an opening located above the press head and proximate a top end of the chamber;
(g) attaching a suction source to the suction port of the second lid and creating a flow of ambient air through the vent into the chamber, and from the chamber through the suction port;
(h) separating the blood from the tissue by deploying the plunger within the chamber; and
(i) drawing off the separated blood from the chamber through the suction port of the second lid utilizing the flow of ambient air through the chamber.
15. The method of claim 14, further comprising securing the first lid to a surgical drape of the patient along a side of the patient, including attaching tubing to the suction port of the first lid, folding the surgical drape over the tubing attached to the suction port, and securing the surgical drape in said folded position.
16. The method of claim 15, wherein said steps (f)-(i) are performed while the first lid remains secured to the surgical drape of the patient during the surgical procedure.
17. The method of claim 14, further comprising locking the plunger in a position in which the press head of the plunger is located proximate an underside of the second lid at the top end of the chamber.
18. The method of claim 14, wherein said step (h) comprise moving the plunger through the chamber, against a spring force, away from a position in which the press head of the plunger is located proximate an underside of the second lid at the top end of the chamber, to a position in which the press head of the plunger is located proximate a bottom end of the chamber opposite to the top end.
19. The method of claim 14, further comprising the steps of attaching the first lid to a second container and at least partially filling a chamber of the second container while performing said steps (f) through (i).
20. A method for collecting and filtering biological material from fluid suctioned from a patient during a surgical procedure, comprising the steps of:
(a) attaching a first lid to a first collection container, the first lid including a suction port and an intake port;
(c) securing the first lid to a surgical drape of the patient along a side of the patient, including attaching tubing to the suction port of the first lid, folding the surgical drape over the tubing attached to the suction port, and securing the surgical drape in said folded position;
(d) attaching a device for suctioning fluid containing biological material from the patient to the intake port of the first lid, through which intake port the fluid containing the biological material is suctioned and received into the first container;
(e) at least partially filing a chamber of the first container with the fluid containing the biological material;
(f) detaching the first container from the first lid, attaching a second container to the first lid, and at least partially filling a chamber of the second container with additional fluid containing biological material suctioned from the patient;
(g) and while at least partially filling the chamber of the second container,
(i) attaching a second lid to the first container, with the second lid including a suction port, a plunger including a press head located within the chamber of the first container and having a screen portion permitting blood and other fluids to pass there through but generally blocking biological material from passing there through, and a vent permitting ambient air to enter from outside of the first container into the chamber of the first container at an opening located above the press head and proximate a top end of the chamber of the first container;
(ii) attaching a suction source to the suction port of the second lid and creating an airflow of ambient air through the vent into the chamber of the first container, and from the chamber of the first container through the suction port;
(iii) separating the blood from the biological material by deploying the plunger within the chamber of the first container; and
(iv) drawing off the blood from the chamber of the first container through the suction port of the second lid utilizing the airflow to transport the blood.
For purposes of the United States, the present application is a continuation-in-part of, and claims priority under 35 U.S.C. §120 to, U.S. patent application Ser. No. 13/429,034, filed Mar. 23, 2012, which '034 application is a nonprovisional of, and claims priority under 35 U.S.C. §119(e) to, U.S. patent application Ser. No. 61/483,728, filed May 8, 2011; and the present application is a continuation-in-part of, and claims priority under §120 to, International patent application serial number PCT/US12/36414, filed May 4, 2012, which international application is a nonprovisional of, and claims priority under §119(e) to, U.S. patent application Ser. No. 61/483,728, filed May 8, 2011, and which international application is a continuation of, and claims priority under §120 to, U.S. patent application Ser. No. 13/429,034, filed Mar. 23, 2012, which '034 application is a nonprovisional of, and claims priority under §119(e) to, U.S. patent application Ser. No. 61/483,728, filed May 8, 2011.
The present invention generally relates to collecting material, such as bone or tissue, during a surgical procedure.
Apparatus and methods for collecting bone material are well known. Representative apparatus and methods are disclosed, for example, in the following references: U.S. Pat. Nos. 5,624,418; 5,766,134; 5,954,961; 6,007,496; 6,299,763; 7,204,810; 7,214,059; 7,758,556; USPA Publ. 2007/0016100; USPA Publ. 2007/0203471; USPA Publ. 2007/0225665; USPA Publ. 2008/0071192; USPA Publ. US2009/0306669; and WO 2003/073945. Each of these references is hereby incorporated herein by reference for at least the purposes of disclosing certain contexts and technologies that are pertinent to the present invention.
The present invention includes many aspects and features. Moreover, while many aspects and features relate to, and are described in, the context of collection of bone during surgical procedures, the present invention is not limited to use only in such context, as will become apparent from the following summaries and detailed descriptions of aspects, features, and one or more embodiments of the present invention. For example, the present invention has utility in the collection of tissue other than bone during medical procedures, such as those medical procedures that use an ultrasonic tool for removing tissue.
In a first aspect of the invention, an apparatus for collecting and filtering bone or other tissue from blood includes: (a) a collection trap; (b) a first cover; and (c) a second cover. The first cover and second cover are interchangeably attachable to the collection trap. Additionally, the first cover includes a suction port and an intake port, and the second cover includes a suction port and a plunger. The plunger is configured to separate blood from bone upon depressing of the plunger.
In a related aspect, the collection trap comprises an open-ended cylindrical container; and the first and second covers comprise interchangeable lids that are removably attachable to the open-end of the container in sealing engagement with the container.
In a feature of this aspect, the plunger includes a press head by which bone or other tissue is separated from blood and other fluids. The press head preferably includes a screen through which the blood and other fluids is filtered, and by which bone or other tissue is restrained from passing. Additionally, the screen preferably is retained to the press head by at least a portion of the press head being formed about the screen. The screen is also preferably disk shaped; and the press head preferably includes support members that support the screen at radially extending, elongate areas. Moreover, the screen may be disk shaped and correspond generally to an oval cross-sectional shape of the interior chamber of the container; and the press head may include support members that support the screen only at radially extending, elongate areas, and along one or more outer circumferential edge portions of the screen.
In another feature, the lids comprise screw-on lids; the container comprises ribs along an exterior surface extending in an axial direction relative to an axis of the container; and each of the first and second covers includes ribs that generally align with the ribs of the container when securely attached to the container, the ribs of the container and the ribs of the lids further providing gripping areas for screwing the lids on and off of the container.
In another feature, the second lid further comprises a vent that is configured to permit air to enter into an interior chamber of the container as a result of the application of suction via the suction port, thereby resulting in a flow for transporting blood and other fluids from the chamber of the container.
In another feature, the lid preferably defines a passageway that extends from an exterior of the lid to an interior chamber of the container when the lid is attached to the container such that air is permitted to enter into an interior chamber of the container as a result of the application of suction via the suction port of the lid of the second cover, thereby resulting in a flow for transporting blood and other fluids from the interior chamber of the container. The passageway preferably is formed by a recessed area that is defined in an axial extent of a wall defining the opening and that forms a vent when the shaft is received though the opening. The passageway may include elongate top and bottom portions that generally extend in an axial direction and that are connected by an intermediate portion and are offset from each other along a circumferential direction about the opening by the intermediate portion.
In another aspect, an apparatus for collecting and filtering tissue from blood and other fluids comprises: first and second collection traps; and first and second covers; wherein the first cover comprises a suction port and an intake port; and wherein the second cover comprises a suction port and a plunger.
In a feature of this aspect, each of the first and second collection traps comprises an open-ended cylindrical container; and the first and second covers comprise interchangeable lids that are removably attachable to the open-end of each of the first and second containers in sealing engagement therewith.
In another feature, the plunger includes a press head by which tissue is filtered from blood and other fluids. The press head preferably includes a screen through which blood and other fluids are filtered and by which tissue is restrained from passing. The screen may be retained to the press head by at least a portion of the press head being formed about the screen. In this scenario, the screen preferably is disk shaped; and the press head preferably includes support members that support the screen at radially extending, elongate areas. The screen may also corresponds generally to an oval cross-sectional shape of the interior chamber of the container; and the press head may include support members that support the screen only (i) at radially extending, elongate areas, and (ii) along one or more outer circumferential edge portions of the screen.
Additionally, the plunger preferably is maintained in a first position where at a press head of the plunger is located proximate an underside of the first cover. The plunger may be lockable in the first position; the plunger may be spring-biased into the first position; or both.
In another feature, the lids comprise screw-on lids; each of the containers comprises ribs along an exterior surface extending in an axial direction relative to an axis of the container; and each of the first and second covers includes ribs that generally align with the ribs of each of the containers when securely attached thereto, the ribs of each of the containers and the ribs of the lids further providing gripping areas for screwing the lids on and off of the containers.
In another aspect, a kit for collecting biological material during a surgical procedure includes a container, such as a sterile bag or a box, in which is contained: a first collection trap; a second collection trap; a first cover; and a second cover. The first cover and the second cover are interchangeably attachable to each of the first and the second collection traps. The first cover comprises a suction port and an intake port. The second cover comprises a suction port and a plunger.
In a feature, the kit also includes tubing configured to attach to the suction port of the first cover and an elbow connector configure to attach to the tubing.
In another aspect, a method for collecting and filtering biological material from blood and other fluids during a surgical procedure includes the steps of: (a) attaching a first cover to a collection trap, the first cover including a suction port and an intake port; (b) attaching a suction source to the suction port; (c) attaching an instrument to the intake port, through which instrument blood and tissue are suctioned and received through the intake port into the collection trap; (d) at least partially filing the collection trap with blood and tissue; (e) removing the collection trap from the first cover; (f) attaching a second cover to the collection trap in place of the first cover, the second cover including a suction port and a plunger, the plunger including a press head having a screen portion permitting blood and other fluids to pass there through but generally blocking tissue from passing there through; (g) attaching a suction source to the suction port of the second cover; (h) separating the blood from the tissue by deploying the plunger; and (i) drawing off the blood from the container through the suction port.
In a feature, the method further includes the steps of attaching the first cover to a second collection trap and at least partially filling the second collection trap while performing said steps (f) through (i).
In another feature, the method further includes the step of securing the first cover to a surgical drape on the side of a patient during the surgical procedure, wherein the first cover remains secured to the surgical drape while performing steps (d) through (i).
In another feature, the suction port of the first cover projects outwardly on a side of the first cover, the intake port projects upwardly and orthogonally to a direction of projection of the suction port, and the biological material comprises tissue removed from a patient's body using an ultrasonic device.
In another feature, the intake port of the first cover projects outwardly on a side of the first cover, and the suction port projects upwardly and orthogonally to a direction of projection of the suction port, and the biological material comprises bone removed from a patient's body using a suctioning device.
FIG. 1 a schematically illustrates the first lid of FIG. 1 attached to the container of FIG. 1.
FIG. 1 b schematically illustrates the second lid of FIG. 1 attached to the container of FIG. 1, wherein a plunger of the second lid is shown in a first position.
FIG. 1 c schematically illustrates the second lid attached to the container, wherein the plunger of the second lid is in a first intermediate position.
FIG. 1 d schematically illustrates the second lid attached to the container, wherein the plunger of the second lid is in a second intermediate position.
FIG. 1 e schematically illustrates the second lid attached to the container, wherein the plunger of the second lid is in a second position.
FIG. 3 a schematically illustrates a press head of the second lid of FIG. 1.
FIGS. 7 a-7 c schematically illustrate a method of trapping bone and blood products using the container of FIG. 1 with the first lid, in accordance with an embodiment of the present invention.
FIG. 8 a-8 e schematically illustrate a method of separating bone from blood products using the container of FIG. 1 with the second lid, in accordance with an embodiment of the present invention.
FIG. 9 schematically illustrates bone remaining in the container following the method illustrated in FIGS. 8 a-8 e.
FIG. 10 schematically illustrates the transfer of bone remaining in the container of FIG. 9 using the bone spoon of FIG. 5, in accordance with an embodiment of the present invention.
FIG. 15 a schematically illustrates another view of the second lid and container of FIG. 15.
FIG. 33 a schematically illustrates a perspective view of the lid of FIGS. 28-32 attached to a container of a bone collection assembly in accordance with a preferred embodiment of the present invention.
FIG. 33 b schematically illustrates a front elevational view of the apparatus of FIG. 33 a.
FIG. 33 c schematically illustrates a side elevational view of the apparatus of FIG. 33 a.
FIG. 33 d schematically illustrates another side elevational view of the apparatus of FIG. 33 a.
FIG. 33 e schematically illustrates a rear elevational view of the apparatus of FIG. 33 a.
FIG. 33 f schematically illustrates a bottom plan view of the apparatus of FIG. 33 a.
FIG. 33 g schematically illustrates a top plan view of the apparatus of FIG. 33 a.
FIG. 34 a is a perspective view of a container and cover with plunger assembly in accordance with another preferred embodiment of the present invention.
FIG. 34 b is another perspective view of the container and cover of FIG. 34 a.
FIG. 35 illustrates an elbow connector that is used in the collection assembly of FIGS. 38 a-38 i.
FIG. 36 illustrates a prototype of the first screw-on top in the collection assembly of FIGS. 38 a-38 i, together with a suction tube that has been attached to the elbow connector.
FIG. 37 illustrates a container and the first screw-on in the collection assembly of FIGS. 35 a-35 i, wherein the screw-on top has been secured on top of the container and the tubing from an ultrasonic device has been attached to the side port of the screw-on top.
FIGS. 38 a-38 i schematically illustrate another use of a collection assembly in accordance with another preferred embodiment of the present invention, wherein tissue is collected in connection with the user of an ultrasonic tool.
The container 302 includes integral bottom wall and sidewalls that define a continuous, uninterrupted smooth surface, and preferable is cylindrical in shape. The sidewall also is preferably transparent or translucent so that the contents of the container 302 can be viewed, especially as the container 302 fills. A rim 306 surrounding the mouth 304 of the container 302 includes threads 308 for mating engagement with respective threads 108,208 of each of the lids 102,202. In this respect, each lid 102,202 may be interchangeably screwed on top of the container 302 for watertight sealing of the container 302 at the threads, as schematically indicated by the arrows 101,201 in FIG. 1. An illustration of the first lid 102 attached to the container 302 for trapping blood products and bone is shown in FIG. 1 a; and an illustration of the second lid 202 attached to the container 302 for separating blood products and bone is shown in FIG. 1 b.
With primary reference to FIG. 2, the first lid 102 includes a suction port 104 and an intake port 106. The suction port 104 is configured to receive a tube for application of suction to an interior chamber 310 of the container 302 for holding liquid. The intake port 106 is configured to receive a six-inch tube 110 by which a Frazier suction instrument (not shown) is attachable to the first lid 102. The suction applied to the container 302 via the suction port 104 results in suction being applied via the second port 106 to the Frazier suction instrument, whereby blood products and bone suctioned using the Frazier suction instrument flow through the second port 106 into the collection chamber 310. Moreover, it will be understood that other suction instruments may be used and that the Frazier suction instrument described is merely for purposes of illustration.
The plunger 210 itself comprises a handle 212, a shaft 214, and a press head 216. The plunger 210 is able to transition (i.e., is transitionable) between a first, extended position (as shown in FIG. lb), in which the press head 216 is located proximate a bottom 203 of the second lid 202, and a second depressed position (as shown in FIG. le) in which the handle 212 is located proximate a top 205 of the second lid 202 and the press head 216 is located proximate the bottom 303 of the container 302 when the second lid 202 is attached to the container 302. First and second intermediate positions of the plunger 210 between these first and second positions are shown, respectively, in FIG. 1 c and FIG. 1 d.
Furthermore, as shown in FIG. 3 a, the press head 216 includes a screen comprising two screen portions 218,220. Each screen portion 218,220 preferably comprises a fine metal screen mesh. The screen is configured to filter bone from the blood products, in that the screen includes openings dimensioned to allow blood products to pass there through, but to generally block autologous, cancellous bone obtained during a surgical procedure from passing therethrough. Consequently, when the second lid 202 is attached to a container 302 that has filled with blood products and bone obtained during a surgical procedure, transitioning of the plunger 210 from the first position to the second position results in the separation of the blood products and the autologous, cancellous bone. The press head 216 also includes a rubber O-ring 222 for sealing engagement with the interior sides of the chamber 310 of the container 302 so that bone does not pass around the press head 216 during transitioning of the plunger 210. The press head 216 attaches to the shaft 214 at 224.
The steps of collecting bone and blood products within the container are illustrated in FIGS. 7 a-7 c.
The second lid then is attached in threading engagement to the filled container. Suction is applied to the suction port on the second lid while keeping the container upright not allowing for any incidental suction of bone products. The user then depresses the plunger until it is fully depressed, thereby compressing the bone and separating the bone from the blood products. The blood then is suctioned away by tilting the container while the bone is maintained under pressure by depression of the plunger. After the blood has been evacuated by the suction, the suction is removed and the plunger is raised and locked—or otherwise maintained—in position. The lid is then removed from the container. The bone within the container is then collected by use of the bone scoop and transferred to the collection cup. Additionally, bone may adhere to the press head. Any bone adhering to the press head also is collected with the bone scoop and transferred to the collection cup. Thereafter, if further bone collecting is desired and a second container is not being used, then the first lid is again reattached to the container and the foregoing steps are repeated for collecting bone and blood.
The separation of bone and blood products within the container are illustrated in FIGS. 8 a-8 d, and the transfer of the bone from the container to the collection cup is represented by FIGS. 9-10.
Upon completion of the surgical procedure, or if the surgeon is in no further need for bone collection, the bone collection assembly can be discarded by hazmat standards per facility given its disposable design. Indeed, the bone collection assembly preferably is disposable, although in other embodiments it is contemplated that one or more components of the bone collection assembly could be reusable, preferably after autoclaving.
Additional Detail with Regard to the First and Second Lids
With respect to additional details regarding the first lid 102 and second lid 202, FIG. 11 schematically illustrates, in part, a plan view of the underside of the first lid with a Frazier suction tip instrument attached to the tubing; FIG. 12 schematically illustrates, in part, a plan view of the underside of the second lid without the press head, and reveals two 4 mm stainless steel screws with wide heads that collectively retain a 3 mm rubber gasket in place; FIG. 13 schematically illustrates, in part, a plan view of the underside of the second lid without the press head, without the 3 mm rubber gasket and screws, without the suction port, and without the intake port, and reveals two tubular projections threaded for receiving the 4 mm screws and over which tubular projections the rubber gasket seats, and reveals threaded portions in the lid for receiving a suction port attachment and a vent attachment in threading engagement therewith; and FIG. 14 schematically illustrates in part a plan view of a top side of the second lid without the suction port and without the intake port, and reveals a profile of the handle of the plunger for receiving a palm of a hand.
Perceived Highlighted Benefits of Bone Collection Assemblies
As will be appreciated from the foregoing, the bone collection assembly is disposable and cost effective; proficiently collects autologous bone during a surgical operation; and is easy to construct and is simple to use.
Moreover, it is believed that the bone collection assembly is less prone to clogging during use compared to many conventional devices used for autologous bone collection. Furthermore, the chamber of the 50 cc container is much larger than the collection capacity of many conventional devices used for autologous bone collection, and therefore can be used to collect larger amounts of blood and bone at a single time. The can be especially advantageous during a lumbar fusion.
Additionally, it is believed that the bone collection assembly need not be held by a surgeon during the operation. Moreover, use of the plunger to compress the bone and separate the bone from the blood products need not be performed during collection of the bone and blood products. Instead, this can be done after detachment of the first cover following completion of the first phase of collecting the bone and blood products. This separation step can be performed by auxiliary personnel to the surgeon and first assist, such as a surgical tech or other staff.
Still further, it is believed that the collection method has little if any loss of bone and can be used in various operations; that the bone collection assembly will adequately separate blood products from bone; and that the collected bone can be easily measured and utilized in procedures, such as spinal fusions. Indeed, it is believed that the bone collection assembly can be readily utilized by surgeons in multiple specialties and sub-specialties who require the use of autologous bone.
A Currently Preferred Bone Collection Assembly
A currently preferred bone collection assembly is now described with reference to FIGS. 15-33. In this respect, FIG. 15 schematically illustrates a second lid 1202 attached to a container 1302 of another bone collection assembly in accordance with another embodiment of the present invention. Additionally, FIG. 15 a schematically illustrates a side elevational view of the second lid and container of FIG. 15.
As shown in FIG. 15, the second lid 1202 includes a screw-on top 1201 and a plunger assembly. Moreover, while a screw-on engagement is preferred, other engagements are contemplated, such as a snap-fit engagement between lids and a container.
The plunger assembly includes a plunger 1210 that is disposed in a first position as shown in FIG. 15. The plunger 1210 comprises a handle 1212, a shaft 1214, and a press head 1216. The plunger assembly further includes a spring 1215 that is generally coaxial with the shaft 1214 and that extends between the handle 1212 and the top 1201. The spring 1215 biases the plunger 1210 into the first position as shown in FIG. 15, and acts against a downward force A that may be manually applied to the handle 1212 in moving the plunger 1210 from the first position to a second position, in which the press head 1216 is located proximate a bottom of the container 1302.
The screw-on top includes a suction port 1204. In contrast to the suction port 204 of the second lid 202, which extends generally in parallel to the shaft 214 of the plunger 210, the suction port 1204 extends to a side, transversely to the shaft 1214 of the plunger 1210. It is believed that this orientation of the suction port 1204 is beneficial in allowing for deflection of the tubing away from the surgical field of view.
The container 1302 is configured to receive the top 1201 in threading engagement, whereby the top 1201 is screwed onto the container 1302 and can be similarly screwed off of the container 1302. The container 1302 also preferably includes elongate protuberances or ribs 1303 that extend between the top and bottom of the container 1302 along the exterior thereof. The ribs 1303 preferably provide a good gripping surface for holding the container 1302 when screwing the top 1201 onto and off of the container 1302.
Moreover, the top 1201 preferably includes ribs 1203 that also provide a good gripping surface. Furthermore, the ribs 1203 on the top 1201 preferably correspond to and align with the ribs 1303 on the container 1302 when the top 1201 is securely screwed onto the container 1302, thereby readily visually indicating that the top 1201 is tightly screwed onto the container 1302.
FIG. 16 schematically illustrates the detachability of the second lid 1202 and the container 1302.
FIG. 17 schematically illustrates a top plan view of the second lid 1202 detached from the container 1302 as shown in FIG. 16; and FIG. 18 schematically illustrates a side plan view of the second lid 1202 and container 1302 of FIG. 17, including a cross-sectional view of the second lid 1202 taken along the line 18-18 in FIG. 17.
FIG. 19 schematically illustrates a plan view of the bottom of the press head 1216 and illustrates a woven metal mesh disc 1218.
The disc 1218 preferably is secured to the press head 1216 in an injection molding process, with a circumferential portion of the press head 1216 being formed about a circumferential outer portion of the disc 1218 to thereby hold the disc 1218 within a recessed area on the underside of the press head 1216. In this respect, in at least one preferred embodiment, the press head 1216 includes a lip of approximately 0.020 inches. In other embodiments, the disc may be glued or otherwise adhered to the press head, or secured using mechanical fasteners.
Furthermore, the disc 1218 preferably includes four openings through which alignment protuberances or pins 1221 of the press head 1216 extend for alignment of the disc 1218 to the press head 1216.
Additionally, the disc 1218 is supported by the press head as the plunger is moved through any contents in the container from the first position to the second position along the radially extending, elongate areas 1223 as indicated in FIG. 19. These areas comprise an alternating sequence of long and short radially extending, elongate areas 1223 spaced at equal intervals circumferentially about the disc 1218, and correspond to elongate, radially extending support members 1225 on the underside of the press head 1216. This support arrangement provides generally equally distributed support of the disc 1218 during filtration of the bone from the blood while also providing a very large filtration area (as will be appreciated, most of the surface of the disc 1218 actively filters the bone from the blood).
With further regard to the press head 1216 and omitting the disc 1218, FIG. 20 schematically illustrates a side plan view of the press head 1216; FIG. 21 schematically illustrates a top plan view of the press head 1216; and FIG. 22 schematically illustrates a perspective view of the press head 1216.
FIG. 23 schematically illustrates a perspective view of the screw-on top 1201.
FIG. 24 schematically illustrates a bottom plan view of the screw-on top 1201; FIG. 25 schematically illustrates a perspective view of a cross-section of the screw-on top 1201 taken along the line 25-25 in FIG. 24; FIG. 26 schematically illustrates a side plan view of the screw-on top 1201; and FIG. 27 schematically illustrates another side plan view of the screw-on top 1201.
It will be seen from these drawings that the screw-on top 1201 defines passageways 1206 formed in the axial extent of the opening 1207 in the top 1201 through which the shaft 1214 of the plunger 1210 is received. These passageways 1206 form vents when the shaft 1214 is received though the opening 1207 and perform the same function as vent 206 in the cover 202 described above.
Furthermore, each passageway 1206 includes a top portion that is generally oriented in parallel to the axis of the opening 1207 and shaft 1214 when received therethrough; a middle portion that is generally circumferentially oriented to the axis of the opening 1207 and shaft 1214 when received therethrough; and a bottom portion that is generally oriented in parallel to the axis of the opening 1207 and shaft 1214 when received therethrough. The top portion and bottom portion of each passageway 1206 are thus offset from each other along the circumferential direction about the opening 1207. This is perhaps best seen in the passageway 1206 called out in FIG. 25.
FIG. 28 schematically illustrates a perspective view of a screw-on top 1101 of a first lid for use with the container 1302 of FIG. 15; FIG. 29 schematically illustrates a bottom plan view of the screw-on top 1101; FIG. 30 schematically illustrates a cross-sectional view of the screw-on top 1101 taken along the line 30-30 in FIG. 29; FIG. 31 schematically illustrates a side plan view of the screw-on top 1101; and FIG. 32 schematically illustrates another side plan view of the screw-on top 1101. As seen in these drawings, the screw-on top 1101 includes a suction port 1104 and an intake port 1106. Ribs 1103 are also provided and function in the same manner as ribs 1203.
As will be appreciated from the foregoing description and drawings, a bone collection assembly in accordance with one or more aspects of the invention is used to efficiently and effectively collect bone particles, bone fragments, blood and other products created during intraoperative bone removal. The bone collection assembly separates the bone from these other materials into a desirable autologous graft for use during bone fusion procedures. The compressed bone obtained from using the bone collection assembly can be contoured into virtually any shape dictated by surgical needs, whether it be on-lay grafting or interbody fusion. It is believed that the compressed bone is viable and can be safely delivered back to the patient, decreasing the surgical team's reliance on expensive synthetics, allograft and remote bone harvesting.
With regard now to FIGS. 33 a-33 g, FIG. 33 a schematically illustrates a perspective view of the screw-on top 1101 of FIGS. 28-32 attached to container 1302. Additionally, FIG. 33 b schematically illustrates a front elevational view of the screw-on top 1101 attached to container 1302; FIG. 33 c schematically illustrates a side elevational view of the screw-on top 1101 attached to container 1302; FIG. 33 d schematically illustrates another side elevational view of the screw-on top 1101 attached to container 1302; FIG. 33 e schematically illustrates a rear elevational view of the screw-on top 1101 attached to container 1302; FIG. 33 f schematically illustrates a bottom plan view of the screw-on top 1101 attached to container 1302; and FIG. 33 g schematically illustrates a top plan view of the screw-on top 1101 attached to container 1302.
FIG. 34 a is a partially exploded perspective illustration of a container 2302 and cover 2202 of a preferred commercial embodiment in accordance with one or more aspects of the present invention. FIG. 34 b is another perspective view of the container and cover of FIG. 34 a, but shown with cover 2202 and container 2302 attached. With reference to FIG. 34 b, it is believed that the top generally indicated at 3402 is ergonomically designed to enhance ease of use; the suction port generally indicated at 3404 is strategically positioned to prevent suction tubing from interfering with surgical field of view; the translucent collection chamber generally indicated at 3406 allows for direct visualization of contents collected in the container; external ribs, one of which is generally indicated at 3408, align with ridges on the top and insure proper assembly of the device; and press head with surgical grade mesh generally indicated at 3410 maximizes separation of autologous bone from blood.
Additional Context of Use
While the description of preferred embodiments of the invention have been in the context of collection of bone during surgical procedures, another context of use comprises use of one or more such collection assemblies, methods, and systems in the collection of tissue during surgical procedures and, in particular, for the collection of tissue as it is removed from the body utilizing ultrasonic tissue evacuation devices. The primary function would be not only to collect all material removed from the body with, for example, an ultrasonic tissue evacuator, but also to separate the target tissue (tumor bone and other tissues) from body fluids and irrigation fluids. Such fluids could include blood; saline; and irrigant—which is delivered through the aspiration site, for example, by ultrasonic tissue evacuators.
For example, one or more embodiments of the invention can be utilized during tumor collection with surgical aspirators such as the CUSA ultrasonic surgical aspirator commercially available from Integra Lifesciences, which is a suction, irrigation and ultrasonic device widely used for removal of abnormal tissue, such as brain and liver tumors. Ultrasonic tissue evacuation devices have been used since the late 1970s. These devices have a multitude of uses, and each generally comprises a hand piece which is used like a wand. It is held in a surgeon's hand and the tip of this apparatus is used not only to break up target tissue with ultrasonic waves, but also to deliver irrigant and suction to the tip allowing removal of the target tissue. The tissue once freed from the body is removed via tubing to a vacuum system. This vacuum system is commonly that of the suction supply present in virtually all operating rooms. Keeping as much as possible of the tissue that is removed is very important. Thus, while in transit through the suction tubing, tissue that is removed is suctioned from the surgical site, with the irrigation fluid and body fluid, away from the sterile field into and through a canister that includes a semi-permeable sock to catch and filter out the tissue from the fluid. Unfortunately, the sock is non-sterile and is ineffective in condensing the tissue and removing the fluids; consequently, a slurry of material captured by the sock—comprising primarily clotted blood—is sent to the pathologist for tissue analysis. The methodology of using the sock for collection contaminates the tissue, too.
In accordance with one or more aspects of the invention, embodiments of the collection system of the present invention are used to capture the removed tissue that is cut and suctioned through the tubing, and the non-sterile cloth sock preferably is not used. It is believed that this enables a surgeon to collect nearly all of the tissue that is removed in a sterile manner free from most of the fluids that are also removed with the tissue. A preferred method and a preferred collection assembly in this context of use will now be described in detail.
An ultrasonic device is attached and set up in its usual fashion. A preferred collection assembly kit in accordance with one or more aspects of the invention is opened at the beginning of the case and placed on the surgical table. The kit preferably comprises any of the kits disclosed herein in the context of bone collection (including two collection containers), and further preferably includes an elbow connector such as, for example, the right-angle elbow connector 350 illustrated in FIG. 35. The elbow connector preferably has a quarter-inch inner diameter, is made from polypropylene, and is sterile. The elbow connector is used to join the silicon tubing extending from the collection top with tubing from the ultrasonic device, helps to maintain a steady flow of suction to the ultrasonic device, and allows suctioned contents from the ultrasonic tool to fall into the container.
The second container top with the plunger and one of the collection containers of the kit are removed from the sterile kit packaging and placed, unattached to each other, on the sterile surgical table. The first container top and the sterile elbow connector provided in the kit are removed, and the elbow connector is attached to the silicon tubing projecting superiorly from the first container top (this arrangement is illustrated in FIG. 36). The other container provided in the kit and the first container top are screwed together and the suction tubing for the suction source provided in the operating room is attached to the elbow connector of the first container top. The surgical tubing provided in the operating room is then run off the patient lengthwise and attached to the operating room provided suction source. The tubing from the ultrasonic device is attached to the side port of the first container top. The container with the first collection top is then ready for use in collecting tissue and fluid removed via the ultrasonic device.
During use, the container with the first collection top is secured to the side of the patient between the assistant and the tech and left there. The surgical drape is folded over the elbow and remains there until the case is complete.
Once the first container is filled with blood and biological tissue, the ultrasonic portion of the case is halted momentarily. Preferably, the first assistant unscrews the filled container and passes it to a tech, who is present in the operating room. The tech accepts the filled container, while handing back to the assistant the second empty container staged on the surgical table. The second empty container is screwed onto the first collection top and the procedure resumes. Preferably, this exchange takes approximately 10-15 seconds.
As the surgery continues, the tech screws the second container top that includes the plunger onto the filled container of blood, irrigation and pathology. Additional suction tubing, provided by the operating room, is attached to the side port of the second container top, and the plunger thereof is manually deployed downward with gentle, steady pressure. Once the press head has reached the bottom of the container, the container is tilted and the fluid is suctioned away. After the fluid contents have been evacuated, the top is brought back up to its resting position, which is assisted by a spring incorporated into the plunger assembly. The container then is unscrewed and the pathology is placed onto a non-absorbable pad, such as a telfa pad. The second container top with plunger, and the empty container, then are placed back onto the surgical table and used again thereafter to repeat this process for collecting as much tissue as possible.
As will be appreciated, once the collection container is attached and staged and the case begins, the collection process principally comprises swapping and pressing thereafter until the case is completed.
Once the case is complete, the collection apparatus is discarded in accordance with HAZMAT disposal procedures of the respective hospital.
Illustrations representative of instructions for use that are preferably included in a kit for collection of tissue in such operations are illustrated in FIGS. 38 a-38 i. In accordance with these illustrations, the following is representative of written instructions that would be provided, which are illustrative of the foregoing description of use:
FIG. 38 a—Step 1: Attach collection top, with silicone tubing extending from top port, to an empty container so that ribs align.
FIG. 38 b—Step 2: Attach the ultrasonic device's evacuation tubing to side port (a). Attach provided elbow connector to silicon tubing (b). Ensure connections are well seated.
FIG. 38 c—Step 3: Attach the operating room provided suction tubing (a) to elbow connector (b). Ensure connection is well seated.
FIG. 38 d—Step 4: Secure the collection container to the patient's sterile drape on the side of the patient by folding the drape over the elbow (a). Secure with operating room provided snap, Kocher or forcep instrument. Attachment of first container top is maintained during the case.
FIG. 38 e—Step 5: Once collection container is almost full, halt operating of ultrasonic device.
FIG. 38 f—Step 6: Unscrew the collection container and replace the collection container with the other, empty collection container. Pass filled collection container to tech. Once empty collection container is securely attached to the first collection top, resume operating of ultrasonic device.
FIG. 38 g—Step 7: Attach press top to filled collection container. Align ribs. Attach suction to side port and manually depress plunger. *Ensure suction is operational *Filled container can be hand-held or placed on the Mayo table.
FIG. 38 h—Step 8: Once fully depressed, tilt collection container to evacuate fluid through side port via suction. Repeat if needed.
FIG. 38 i—Step 9: Unscrew and remove press top from collection container. Remove biologic material and stage on sterile pad, such as telfa pad. Tissue can be sent to pathology or staged to be used as surgeon desires. *Recommend using a Periosteal instrument.* Repeat steps 5-9 until surgery is complete.
The use of a collection assembly kit in accordance with one or more aspects of the invention addresses at least two flaws now recognized with the current “sock” technology used with ultrasonic devices. Specifically, collection now occurs in accordance with preferred embodiments of the invention on the sterile field of surgery and the issue of contamination of the tissue is avoided. This would enable, for example, cultures to be obtained from the tissue. In contrast, if cultures had been attempted utilizing the current sock technology, contamination would be a serious concern.
Secondly, the tissue in accordance with preferred embodiments of the invention is able to be compressed, removing the vast majority of unwanted fluids prior to submitting the tissue for analysis. This is believed to be of significant benefit to pathology, in that the tissue submitted for study would be largely that of the pathology and not diluted by saline irrigant and clotted blood. This could result in a significant cost savings in that time previously wasted attempting to isolate representative tissue would no longer be necessary. The tissue specimen would be much more representative of the pathology.
US4800875 20 Ago 1987 31 Ene 1989 Cedar Surgical, Inc. Surgical funnel and method of using
US5478586 16 Ago 1994 26 Dic 1995 Connor; Linda Coffee, tea or beverage maker
US5624418 4 Oct 1995 29 Abr 1997 Shepard; R. David Collection and separation device
US5954961 29 Oct 1996 21 Sep 1999 Carchidi; Joseph E. Bone particle collection apparatus and method
US6299763 9 Abr 1999 9 Oct 2001 Arthur Ashman Autogenous bone and cell filter trap
US7040218 15 Oct 2003 9 May 2006 Biolchini Jr Robert F Stirring coffee press
US7214059 5 Mar 2002 8 May 2007 Atsushi Takahashi Bone collecting device
US7758556 8 Ago 2006 20 Jul 2010 Perez-Cruet Miguelangelo J Device for collecting bone material during a surgical procedure
US20040167529 27 Mar 2003 26 Ago 2004 Six-O, Ltd. Device and method for collecting surgical material
US20080097390 * 27 Sep 2006 24 Abr 2008 Alcon Manufacturing, Ltd. Spring actuated delivery system
US20090306669 14 Mar 2006 10 Dic 2009 Atsushi Takahashi Autologous bone collection device having enhanced suction efficiency
US20110056385 12 May 2009 10 Mar 2011 Mclean Christopher R Apparatus and method for extracting an infusion
US20120129933 23 Jun 2010 24 May 2012 Hans-Uwe Wolf Ceramide dimers and use thereof as pharmaceutical preparation or cosmetic preparation
US20120330220 2 Jul 2012 27 Dic 2012 Robert Sean Hensler Collection and filtration via suction of biological material during surgical procedure
SU1521464A1 Título no disponible
WO2003073945A1 4 Mar 2003 12 Sep 2003 Sandor George K B Bone chip harvesting trap
WO2012154514A1 4 May 2012 15 Nov 2012 H & M Innovations, Llc Autologous surgical bone collection and filtration
1 Information Disclosure Statement (IDS) Letter Regarding Common Patent Application(s), dated Jan. 21, 2013, 2 pages.
2 International Search Report (ISR) and Written Opinion (WO), received in Hensler et al. International patent application serial No. PCT/US2012/36414, and dated Aug. 23, 2012, 6 pages.
US9671318 2 Dic 2015 6 Jun 2017 Medline Industries, Inc. Specimen collector
US20140261003 * 12 Mar 2014 18 Sep 2014 Thermos K.K. Portion container compression system
USD771832 * 17 Jun 2014 15 Nov 2016 Medline Industries, Inc. Lid and screen assembly of a sample collection container with screen
Clasificación de EE.UU. 604/319, 604/406, 604/403, 604/317
Clasificación cooperativa A61M1/0001, A61B2017/00969, A61M1/0056
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