CA1206050A - Lavage handpiece - Google Patents
Lavage handpieceInfo
- Publication number
- CA1206050A CA1206050A CA000440366A CA440366A CA1206050A CA 1206050 A CA1206050 A CA 1206050A CA 000440366 A CA000440366 A CA 000440366A CA 440366 A CA440366 A CA 440366A CA 1206050 A CA1206050 A CA 1206050A
- Authority
- CA
- Canada
- Prior art keywords
- tube
- housing
- handpiece
- suction
- irrigation
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/74—Suction control
- A61M1/741—Suction control with means for varying suction manually
- A61M1/7413—Suction control with means for varying suction manually by changing the cross-section of the line
- A61M1/7415—Suction control with means for varying suction manually by changing the cross-section of the line by deformation of the fluid passage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/77—Suction-irrigation systems
- A61M1/774—Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
- A61M1/85—Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0204—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
- A61M3/0208—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity before use
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0204—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
- A61M3/022—Volume; Flow rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0279—Cannula; Nozzles; Tips; their connection means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/74—Suction control
- A61M1/741—Suction control with means for varying suction manually
- A61M1/7413—Suction control with means for varying suction manually by changing the cross-section of the line
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S604/00—Surgery
- Y10S604/902—Suction wands
Abstract
ABSTRACT
A hand-held instrument which provides for directing irrigating fluid to a surgical site through an irrigation passage, and which may also provide for auction of fluid and debris away from the surgical site through an alternate passage. The passages are typically tubing channel which may be attached to various types of tips which are introduced at the surgical site. The handpiece instrument, including the tubing channels, may be totally disposable, or the handpiece may be adapted to allow the external housing to be reusable with only the tubing channels being disposable. Both the suction and irrigation tubing channels may be assembled internally in the hsndpiece housing, with both suction and irrigation being conveniently controlled with one hand by pinch valves. In an alternate embodiment, the handpiece has external mounts for attaching the suction tube, providing the operator of the handpiece the option of having the suction function attached or detached during the surgical procedure.
A hand-held instrument which provides for directing irrigating fluid to a surgical site through an irrigation passage, and which may also provide for auction of fluid and debris away from the surgical site through an alternate passage. The passages are typically tubing channel which may be attached to various types of tips which are introduced at the surgical site. The handpiece instrument, including the tubing channels, may be totally disposable, or the handpiece may be adapted to allow the external housing to be reusable with only the tubing channels being disposable. Both the suction and irrigation tubing channels may be assembled internally in the hsndpiece housing, with both suction and irrigation being conveniently controlled with one hand by pinch valves. In an alternate embodiment, the handpiece has external mounts for attaching the suction tube, providing the operator of the handpiece the option of having the suction function attached or detached during the surgical procedure.
Description
LAVAGE ~ANDPIECE
BACKGROUND OF THE INVENTION
The pri~sent invention gane~a:Lly relate6 to an irrlgatLon-suction I handpiece for 8elec~1vely applying an irrigaeing fluld ~o, ~nd wiithdrawing by¦
S I suction, unwanted fluid and debris from a surgical operatlng site.
I ~and-held irrigaeion ~uction dev~ces have long bee~ usied in surgLca~
¦l and dental procedures for variouP purposes at ~he operatLng siite or wound, to , facll~ate the cleaning and lavage of wounds.
~I Conventionally~ the irrigating and Bu~tion devices have been combinId 1~ a sLngle piece of isurgical equipment for convenlent hand use by the operatorO One such prior art device is descrlbed in U. S. Patent No. 4,299,221 to Earl Phlllips and Robert Insalaco. This prior art handpiece provides an lrrigation-sucti?o~ handpiece incl~ding a hand~?e containing lDngitudlnally j extendi~g, iside-by-s?de suc?tion and irrlgant passageways respectLv21y lS connectible to a source of subatmospherLc pressure and sn lrrigant fluid source.
An irrigan~ valve is actuable for alterllately openlng and blocki~g flow o~
! irrigant fluid from the i~ource thereof through the irrigant paSs~gewayo An i. , air pressure condult includes a ~hird passageway in the n3ndle and connectible ' to an air pressure 80urse whii~h iiSi not at a~mospheric pressure end not influenced by pressure changes in the sllctlon passageway. The third passag _l way has a portlo~ i~ the handle selectilvely operable by the hand of the I operator for effecting a change in the pressure wlthin the thlrd passageway.
The lrrigant valve has a control input coupled wleh ehe alr pressure conduit i and third passage~ay and responsive to fiuch change in alr pressure therein ' for shi~ing between i~s open and blocking 6~ates, to thereby control the flow i of irrigant fluid to the opera~ing site.
The ehird passage~ay eontains a control hole 38. Ano~her con~rol ' opening 45 is provided which vents ehe 8uction passageway to the atmospherP.
1 Tip suction and irrlgant flow rom the irrlgan~ tlp ean be provided ind:lvidually or slmultaneously. More particularly, wlth ~he handle held in , ~
ehe hand of the operator, the operator ~ay conveniently cover ~he hole 45 ~lth ! his thumb or finger. This eliminates the bleed of air through h~le 45 into suction pa~sageway such that the full suction9 generated ~e ehe handpiece by l~ a rem~te vacuum source, appears at the open forward e~d of suction tlp, fo~ ¦1 removing fluent materlals fro~ the operating s~te.
Alternatively, the operator's th~mb or flnger c~n be used to close 1l hole 38 (instead of or simultaneously wiLh its covering of hvle 45~. When ope~, ¦¦ the hole 38 ~cts 2S d relief for the thlrd passa~eway, t~e gas pressure condui~
1~ and the ~alve control inlet, tending ~o keep same at near a~mospheric pressuret ~' On the other hand, closing of hole 3~ causes the third passageway, the gas pressure co~dui~ and th~ valve control inlet to change pres~ure~ to the press~re 9f ~n air pressure source. This change in presBure ~e ~he control ! ~nlet opens the lrrigation valve producing a flow of irrlgant liquid from a sourc~ through the irrigant passageway and out the front end of ~he irrigant ~ tip to the operating si~e.
As long as the operator of this prior art device deslres irriga~ion and/or suctlon to be provided a~ ~he operative site, the opera~r's finger must keep the resp~ctive hole(s) covered. This restricts the hand position ' of the operator. ~ven with the suction hole ~ncovered, a little suction may , be present at the forward end of the suction tip. Also, the irrlgation valve ~dds unnece8~ary complesity to the device.
Another prlor art device is described in U. 5. Patent No. 3,993,054 to Gordo~ Newma~. This device relat~s to only a lavage or irrigating device.
The flow of liquld is either allowed or reRtricted by the manual control of a pi~ch val~e.
. . .
6i~
! O~JECTS OF THE INVENTION
A prln~iple ob~ect of this i.nventlon is to proylde an irrigation-6uction handpiece for surgical ~nd dental use capable of selectively providlng ,, both suction and/or irrigation, and which provides ~or positive opening or 1 ~hllttlng of the irrigation and suctlon channeis.
¦l Another ob~ect of the invention is to provlde ~n irrl~ation-suction ¦I handpiece which permits one-l~Mded support and convenient aod comfortable one-handed coutrol of the hsndpiece.
A further vb~ect of the invention is So provide a slmple, easy ~o ~ manuf~cture handpiece which may be disposable in whole or in part.
A stlll further object of the invention is to provide a lavage handpiece which ~ay permit the suction channel $o be detachably fl~ed to the outside of the handpiece so that the operator may selectively attach or detach the SUCtioD channel irom the handpiece.
~ SUN~ARY OF THE INYENTION
The present i~vention sccompli~hes all of the above obJects of inventi~n. The present lnvention provtde~ ~ conYenient h~nd-held assembly hæving a conYenient and comfortable "pis~ol-grip" configuration. The housing provides 2 cham~er or channel for receiving irri~tion tublng. The houslng mag a1so provide 8 second chamber or channel for receiving æuction tubing or ~leernativ21y, the suct~on tubing may be ~exeernally mounted on the handpiece housing ~o tha~ the ~uction tubing ~ay be controlled ln con~unction with the I handpiece, ~r m3y be ~eparated and used ~eparately or not at all.
.i A ~lot extends frcm the channel which houses the irrigation tublng.
1 The slot ~uppolts a plnch vAlYe for eh~ tube. The pinch valve pre:Eerably c~mprises a trig~er whirh hss a portion e~tending so as to frlctionally ell~age the ~ube~ thereby enabling a ~low cont~ol setting to be ma~ntain~d until finger-applied force is used to change the set~lng. ~he suctlon tube , is al~o pxoYlded ~ith a hand-activated pinch Yal~e Dr clamp or con~roll~ng I the flow thxough the ~uction tublng. The handplece is arranged so that ll l c~ntrol ~f fluid ls achieved without portions of ~he handpiece dlrectly Il communicating wieh the fluld.
l~ The ha~dpiece may be designed to provide a to~a:lly dlsposable i handplece or to pr~vide a handpiece ln whlch the housing :Is reuseable, but 1 I the ~uc~lo~ a~d lrrigatiDn t~bing i8 disposable.
¦ 8RIEF DESCRIPTION OF THE DRAWINGS
These features and ob~ects of the inventio~, as well a~ others, will become apparent to those skilled in the art by referring ~o the Il acco~panyi~g drawings ln which:
i. Fi~. 1 is a side view of the lavage handpiece ln accordance with .~ the preseDt i~vention;
Fig. 2 is ~ front view of the lavage h~ndpiece of Flg. l;
F~g. 3 is a ~ectional view of the la~age handpiere, ~ake~ along lines 3-3 of ~,ig. 2;
~ig. 4 is a side yiew of an alternate ~mbGdiment of a lavage hand-piece acoord~n~ ~o the presene lnven~ion;
Flg. 5 is a front vlew of the lavage ha~dpiece of Fig. 4;
Fig. 6 ls ~ 6ectional Yiew t~ken along llnes 6-6 of Fig. 4, ~howing ~ a rear view of the slotted sleeve of Fig. 4;
Fig. 7 is a sectional view, taken along llne3 7-7 of Flg. 4, ~howln~ a re~ v$ew of ~he slotted bracket of Fig. 6;
Fig. 8 is a ~ectional vlew of the lavage handplece ~aken along llne6 ~-8 oP Pig. 55 ~ Fig. 9 l~ a Yiew of the lavage handpiece body of Figo 4 in an open li position.
i Figs. 1~3 illustrate a particularly advantageou6 e~bod~ment of ~he j lavage handpieee accordin~ to this lnvention. This handplece lll comprises a ~
I housing vr body 113 ~hroueh which lrrlgation and suction tubes 115 and 11~ pass.
, 4_ ,, I
5~D I
I The bouslng 113 has a "pisto:L" conflguration ln which the housing 11 ¦ is formed with an angle sO that one portlon of the housing 113 is a p~stol gri~
portlon 119 which is connected with a for~ard facing portlon 121, analogou~ to I¦ a pistol's ~uz~le. This arrangement enables an operator of the handpiece 111 ¦ to easily grip ~nd direct the handpiece 111 ~hile e~erclsing convenient control ¦ ~f fluid flswing through the handpiece ~ith pinch valveh to be described later.
A pair of channels 122, 124 may be provided, channel 122 being an irrigatlon tube-receiving channel and channel 124 being a ~uctlon tube-receivi4gchannel. The sppropriate tubes pass through these channels. A slot 147 ln ¦¦ communlcates between the irrigation tube-receivlng channel 122 and the outslde !
¦ of the ho~sing 113 7 A trigger 151 h~ving tube-engaging end 153 and a finger grip 155 ls pivotably mounted ln slot 14~. The finBer grip 155 remains outside o~ the housing 113 60 that a person holding the handpi ce 111 at the ¦I pistol grip portion 119 with one hand may use a finger o~ that hand ~o use the !
,I flnger grip ~55 to nperate the trigger 1~1. The tube-engaging end 153 ls a ¦ cam-like pro;jectlon ~nd 1~ located within ~he housing 113. The ~rigger 151 ~s¦ pi~vtable ~o ~hat the tube~engaging end 153 may extend into and out of the ¦I channel 122. Thus, the finger grip 155 may be used to pivot the tube engagingI¦ end 153 into and ~ut of en8age~ent wlth an i~rigation tube 115 h~used by thP
¦1 irrigation channel 122.
i ! The housln~ 113 includes a fixed internal ridge ~o tha~ end 153 has I
¦ a rigid surf~ce for the trigger 151 eo slqueeze or wedge eh~ tube 115 agains~ tq ¦, close off the tubing 115. When separate elo6e fi ting channels 122 and 124 I¦ are provided for t~bl~g 115 and 117t respec~fully, this po~tion of the housing ¦ ~eparating the chan~els conveniently functions as an in~ernal rldge 195 for th~
~ubing ~o be held in pl2ce agalnst.
. When the tube-engagin~ end 153 i8 moved i~o engagement with ~he ~Irigatlon tube 115, the end 153 wedges the tube 115 agai~s~ ~he internal ridgq ! 153 call61n~ th~ inner dlameter ~o compress and elo6e ~ff~ Therefore, ~han ¦ the trigger 151 16 operated to extend lnto engagement with irrigation ~ube 115 thi6 causes the flow to be ~topped through the irrig~tion tube 115. The wedging action holds the end 153 in engage~ent against the tube llS without the ~id of externally spplied pressure. When the trigger 151 ls operated to pivot out of engag~nent ~ith the irrigation tube 115, the appropriate irrigatian flow iB free eo flow through the irrigatlon tube 1.15. The end of tube lli exeending fro~ the p1stol-~rip portion 119 ls co~neeted to an external irrigant liquid source, and the other end of the tube 115 provldes an outlet ~neans fvr the irrigant flu-Ld. Arrow l9S ~hows the dlrection of the fluid flow.
In Fig. 3, the tube-engaging end 153 is shown out of eng~gement wlth the irrlgatlon tube 115. The tube-engaging end 153 ~ay be positioned on the trlgger 151 as shown in Fig. 3 so th~ when the finger-grip 155 is pulled toward the pistql-grip portion 119, She tube-engaglng end 153 moves into engag~nent wlth the lrrigation tub~ 115 and sh~t6 off the flow of irrigaeion 1 through tube 115. The pi~tol-~rip pDrtlon 119 acts as g 6top ~eans for ! preventing f~Fther rotation of the triggler 151.
¦ Alternat~vely, the tube-engagimg end 153 may be positioned on the trigger 151 ~this position not ~hown~, 60 that when ~he ~inger-grip 155 is pulled toward the pistol-grip port~on 119, the tube~en~aging end 153 disengage~
li from the irrigation tube llS ~nd opens the irrigation tube 115 for flow. The ¦ fir6t mentioned optlon nay be referred to as the "pull-off" version, and the lat~e opeiOn ,as the ~pull~on" version. With the pull-on verAion9 ~not shown) l the tube-~ngaging end 153 would he located fureher clockw~se around the pivot Il of the trigger 151 (6ee Fig. 3 to establlsh the reference of the direceion i clockwise) ~o that when the finger-grlp portion 155 is positioned ~s shown in ll Fig. 3, the tube-engaging end 153 would be eng~ging and shuttl~g off the ¦! irrigaeion ~ube 115. To di3engage ~r open the irrigation tube l15, the "pull-~
Il onl' ~rigger would be pulled toward the piseol gr~p port~on 119. Slot 147 ¦I would néed t~ be widened in order tn allow the tube-eng~ging end 153 of the ! ¦ "pull-on" trl~ger to rot~te out o~ engagemene. Elther type of trigger 151 1¦ ~pull-off or p~ on) may be provided. SomP operator~ m~y prefer one type of I trl~ger ~ceion over ~he ~ther.
1, 1 1~ I
I, -6- 1 With regard to the control of ~he suctlon function of the handpiece, ¦
~ pinch valve 157 is m~unted wlthln a pinch valve opening 159, wlth the pinch !
valve opening extendlng from the outside 3f the housing 113 aDd interrupting . the suction tube-receiving channel 124. Plnch valve 157 take6 the ~orm of a S biased cllp which is bias~d in the opened position. The pinch valve 157includes a serrRted arm 161 and a means for engaging the serrations. In order to close ehe suction tube 117, the means for engaging th ~erratlons i8 depressed to c2use a protrusion means on the valve 157 to co~press or clamp off the opening ln the tube 117. The ~ixed i~ternal ~idge 195 may also act to support the pinch valYe 157 as ehe ~eans for engaging the serrations is depressed. The aerrated a~ 161 holds the pl~ch val~e 157 in a closed or par~ially closed position, as set by ~he operator un~ he ~errated arm 161 i~
deflected, the~eby releasing a~d opening pinch valve 157. When the suction tube 117 1~ open or o~ly partially closed~ suctlon may be provided through the ¦ ~uction tube 11~ from a ~uct~on source ~hich is remote f~om ~he h~ndpiece. Th~end of ehe 6uction tube 117 extending from the pistol-grip portion 119 is con-~ected to the external suction sour e~ a~d the other end of the e~be 117 pro~
des an inlet means for the flow of suction. Arrow 198 ~hows the di.re~tion o~
1 ehe suction flow.
~ Pinch valve 157 is located so that an oper~tor may control both j, plnch valve 1~7 and ~rigger 151 slmultaneously, probably usi~g the thumb to - ,~ oontrol pl~ch ~alve 157 ~nd the forefinger of the hand grlpping the pistol il grlp portion 119 to control the trigger 151.
~', Ya~ous nozzle tips, such as lrrigation suction no7zle tip 193 may 1I be selecelvely attached to the handpiece. A nozzle adapeor 191 may be provided WhiCh a~t~ches on ~e sld2 to the s~ction and irsig~ion ~ubing 117 . ¦ ~nd 115, re~pectively. The other side of the adaptor~ attach to the ~arious nozzle ~ip8. The nozzle ~ip6 may be fric~ion fit to the adapeor 191. O~her li ~echanlcal ~eans may be u~illzed if a more secure attach~ent ~3 desired. The i 1 adaptor 191 may be flxedly secllred to ~he houslng 113, lf deslrable. The i , , 7 j separat~ly attachable nozzles perQlt the operator of the hPndp{ece to select ¦ the type of nozzles to be used. This e1~ables the selection of dlfferellt ¦ nozzle tips ~d permits the changing of nozzle tips durl~g a surgical l procedure without re~uiring th~t the entire handpiece be changed. The provlsion o ~everal eips provides a large aelection of outputs, ~hile ellmi~aeing a requirement that different types of l~ndpiece~, be seored for different nozzle functions. The nozzles al,~,o may be disposeble.
Combination lrrigation a~d suction tips, ,~,uch as irrigation noz~le Il tip 193 m~y be used. These combl~ation tlps provide a fixed relationship ¦I between ~he posltiGns of the irrigatlon and suction nozzles. Separately Il attachable lrrigaelon and suctlon tips ~ay also be provided.
,I The hou61ng 113 of the handplece may be manufactured ln two halves.
The halves may be mechanically fi~ed together by screws or securing clips or othe~ c~n~enient means. The handpiece is readlly assembled with both the 'I suction and i~Figation tubes i~te~,ally fitted ineo ~he housing so ~hat irrigatio~ and suctlon ~re conveniently controlled by pi~ch valves. The separate halve~ c~nvenien~ly allo~ the tubing 115 ~nd 117 ~d tri8ger 151 and pinch valve 157 ~o be easlly inserted ln the housing 113 before securing the ''! halves together. This feature also enables the handpiece to be reopened to 1 replace the ~ubing or ~he trigger 151, if necessary. This enable~ hP tubing , to be disposa~leO It al~o enables the trigger 151 to be ~witched fr~m pull-off to ~ pull on seyle or Yice vers , lf desirable. Alternatlvely, ~he total ha~dpiece, i~cluding the tubing may be d~sposable. This configuration ,1 al~o min~mlzes a~s~mbly costs.
¦' For the totally disposable handpiece~ the housing 113 may be easily ~olded from a~y sui sble plastic material. Th~ trigger 151, the pinch valve 157, the adap~or 1~1, and the ~arious nozzles may also be made ~f a suitable plastic ~aterial. Other ~aterials ~han plastlc may be u~ed, if desired. If I! the handpiece hounlng 113 is to be reuseable, i~ may be morP sui~ably 1l manufactured from a metal ~aeerial~ The ~ubing 115 ~nd 117 also may be any l~ suitable ~aterial capable of belng clamped off, such a5 PVC or 6ilicone tubing.
il !
5~ l ll Ref~rring to FigP. 4-9, a~ alternete embodiment of a lavage ¦¦ handpiece 1~ shown. The handpiece 11 comprises a housing 13 throu~sh wh~ch ¦' an irrigation tube 15 passes. A ~ctlon tube 17 1R mounted e~t rnally of Ij the housing 13. The housing 13 has a pistol conflguratio~ such as the 1l previou~ly described housing 113. The housing 13 i8 formed wlth ~n angle j 80 that one portion of the houslng is a pistol grip portio~ 19 which is ¦¦ connected with a forwa~d facing portlon 21. Again, this arrangement enables ¦ an oper~tor of the handpiece 11 to easily grlp and d~rect the handpiece 11 ~ whlle exeroising control of fluid flowing through the handp~ece ~ith pin~h ¦¦ valv~s.
The housing may be manufactured in two half 6ections, Ehe left half sectlon 23 a~d the right half sectlon 25 as seen iLn Fig. 9. The half sections 23, 25 ~ay be llnked by a flexible strip 27 cr hin~e portion. In the~
li e~bodiment ~hown, the flexible strip 27 is; lntegrally ~olded ~ith ~he left and !I riLght half se~tions 23, 25. The hlnge pcrtion 27 enables the half sections to pivot about a hinge line 35 as shown iLn Fig. 9.
WhiLle an integral fl~$ble hin~se 27 i~ shown, it is anticipated that other ~eparably attached hinge ~eans: would be suitable, lf a hlnge , portion 27 i~ deslrable between the half section~ 23, 25. Referring to ll Fig 8 and 9~ the half sections 23, 25 fall together about the hinge llne 35 so tha~ the half ~ectio~s 23, 25 mate at an interface surface 37.
Fi~s. 4-6 and 8 illustrste a suitable means for holdlng the half ~ections 23, 25 together. A slo~ted sleeve 61 -ls slidably ~ounted to thP righ~
¦I half section 25 on the forward facing portion 21. If the sleevP is slid forward jl alonK its mount, the left half sect~on may he closed against ~he rlght half ¦ eection by p~s~ing ~hrough a side opening 63 ln ehe slotted Rleeva 61. By sll~-¦¦ ing the ~lotted ~leev~ toward the rear portion of ~he half sec~lDns, the sleevq 6l completely encircles a por~lon of both half sections 23, ?5 ~h~s cooperatin~
I with the fle~ible hlnge 27 to lock the half sectlons 23~ ~5 ln the closed posi 1l tion. Oeher ~ult~ble me~ns for holding the half sections together may be used.
!
l~ The grooves 43, 45 may be provlded ~ieh ~nl~rged ends 65, 67. One o~
¦I the enlarged ~nds 65 is located Rt ~he forward facing portlon 21 and the other enlarged end 67 is located at the pistol grip pnrtlon 19. The enlarged ends I 65, 67 rooperate wlth enlarged portions 69, 71 on the irrlgatlsn tubing 15 to S ll prevent the irrlgation tube 15 from sliding along the grovvesi 43, 45. Enlarge~
¦I portlon 69 i5 a tubular flange attached to the tubing 15. ~he flange 69 is il locsted at enlarged end 65 and has a eip-~ounting extenslon 73 located thereon ¦¦ The tip mountlng extension 73 extends out of the molded b~dy 13 and fo~ms a l~ suRport for mounting interchangeable tips, such as the irrigaelon tip 75, to 1 com~un~cate with irrigation tube 15.
As sihown ln Fig. 8, the irrigation tube 15 ls s~p~raeed into a handpiece portion 79 (of the irrigation t~be 15) and a main portion 81 Sof the irrigation tube 15). The main portion 81 leads to the remcte irrigation 1 ~ource. The sieparate main por~ion 81 enables thls main portion to be detachedfrom ~he hsndpiece. Typically, the complete tublng assembly, including the "
~ain portion Bl lead~ng back to the irrigat$Dn source, would be disposable.
, The ~ain portion 81 has a larger diameter than the handpiece poreion 79. The ; larger main portlDn 81 fits lnto the enlarged end 67. ~n extension 77 is ' provided on the handplece portion 79 to aid in ateachment of the main portion ~ 81 to the handpiece portion 79.
The left half section 23 has an lrrigation tube-receiv~ng groove ~3 located at ehe interface 37 and extending alon~ the length of the pistol grip po~tion 19 and coneinuing along the length o the for~ard facing portiDn 21as shown. The right half section 25 li~ewise has an 7rrigation tube-recelving 2S ~roove ~f5 locflted at ~he l~ter~ace 37. The groove 45 on the rlgh~ half sectlon 25 iR aligned to ~ate with the groove 43 on the left half ~ec~ion, so that the grooves 43~ 45 for~ a slngle channel whan the half sections are i~ closed (~s showu in Figs. 4 and 5~ so that tile irrigation ~ube 15 may be h~used in the channel.
l l , . .
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'I Each half ~ection 23s 25 ha~i 8 Bl~t 47, 49 re~pectl~ely therein.
The ~loe~ 47, 4~ each extend from the ~roo~e 43 or 45 on their respectlve ! hal ~ection 23 or 2~ to the ex~erior uf the housing 13. The slots 47, 49 Il m~te when the half sectlons are elosed. The 810t8 receive a ~rigger 51 which, , ~hen the half 6ecelo~s 23~ 25 sre closed, ifi pivotablyi~ounted ln the ¦ slots 47, 49. The trigger 51 has a tube-enga~ing end 53 snd a 1~ger grip 55.
The fi~ger grip 55 remain6 outs~de of the molded b~dy ~o that ~ person holding i the ha~dpiece 11 at the pi~tol grip portlon 19 with one hand may use a finger i' ~n that hai~d to usP the finger grip 55 to operate the trigeer 51~ The tube-li eDgagi~g end 53 i8 located withi~ the housing 13 (when the half sec~lons 239 25 are ln th~ closed position). The trigger 51 ls pl~otable ~o that the ! tube-engagling end 53 ~ay ~tend i~to a~d out oiE the chan~el formed by the grooves 43, 45. Thus, the finger grip 55 may be used to pivot the trigger 51 ; lnto a~d out of en8a~emeut with an irrigation tube lS hou~ed by ~he lrrigation ~5 ~ube-receivlng grooves 43, 4j to control the flow of the lrrigation fluid through ~he ~ubing 15.
Ref~rrlng to Figs. 4, 5 and 7, a pair of slotted brackets 83 are ~ounted to the rlght half section 25 iDI order to support the suction tube 17 ! on the houslng 13. The suction tube 17 may be manually sl~pped into position on the slotted bracket~ through slots 85 ~o that the ~uction eube 17 ~ay be I selecti~ely ~ttached to or detached from ehe handpiece 11 during 3 surgery.
I, Other 6ult~ble attachmen~ mea~s may be utilized to externally 6uppor~ the ~uction tube 17.
1 As showm in Flg. 4, ehe 6uction tube 17 terminate6 in an enlarged ¦, portivn 87 which L~y be ~ither flexlble or rlgld. I~ the enlarged portLon B7 is rigid~ then the slotted bracket 83 must be ~ufficiently fle~lble in order ! j to permle entry of the s~ction tube through 810t 85 .
While the la~age handpiece invention has been described ln terms of I
~ 8 preferred emboAi~ents, those skilled ln the art can appreci~e that 3~ 1, modi~lcaeions can he made without departlng rom the spirit and ~cop , of thl6 invention.
I ! .
BACKGROUND OF THE INVENTION
The pri~sent invention gane~a:Lly relate6 to an irrlgatLon-suction I handpiece for 8elec~1vely applying an irrigaeing fluld ~o, ~nd wiithdrawing by¦
S I suction, unwanted fluid and debris from a surgical operatlng site.
I ~and-held irrigaeion ~uction dev~ces have long bee~ usied in surgLca~
¦l and dental procedures for variouP purposes at ~he operatLng siite or wound, to , facll~ate the cleaning and lavage of wounds.
~I Conventionally~ the irrigating and Bu~tion devices have been combinId 1~ a sLngle piece of isurgical equipment for convenlent hand use by the operatorO One such prior art device is descrlbed in U. S. Patent No. 4,299,221 to Earl Phlllips and Robert Insalaco. This prior art handpiece provides an lrrigation-sucti?o~ handpiece incl~ding a hand~?e containing lDngitudlnally j extendi~g, iside-by-s?de suc?tion and irrlgant passageways respectLv21y lS connectible to a source of subatmospherLc pressure and sn lrrigant fluid source.
An irrigan~ valve is actuable for alterllately openlng and blocki~g flow o~
! irrigant fluid from the i~ource thereof through the irrigant paSs~gewayo An i. , air pressure condult includes a ~hird passageway in the n3ndle and connectible ' to an air pressure 80urse whii~h iiSi not at a~mospheric pressure end not influenced by pressure changes in the sllctlon passageway. The third passag _l way has a portlo~ i~ the handle selectilvely operable by the hand of the I operator for effecting a change in the pressure wlthin the thlrd passageway.
The lrrigant valve has a control input coupled wleh ehe alr pressure conduit i and third passage~ay and responsive to fiuch change in alr pressure therein ' for shi~ing between i~s open and blocking 6~ates, to thereby control the flow i of irrigant fluid to the opera~ing site.
The ehird passage~ay eontains a control hole 38. Ano~her con~rol ' opening 45 is provided which vents ehe 8uction passageway to the atmospherP.
1 Tip suction and irrlgant flow rom the irrlgan~ tlp ean be provided ind:lvidually or slmultaneously. More particularly, wlth ~he handle held in , ~
ehe hand of the operator, the operator ~ay conveniently cover ~he hole 45 ~lth ! his thumb or finger. This eliminates the bleed of air through h~le 45 into suction pa~sageway such that the full suction9 generated ~e ehe handpiece by l~ a rem~te vacuum source, appears at the open forward e~d of suction tlp, fo~ ¦1 removing fluent materlals fro~ the operating s~te.
Alternatively, the operator's th~mb or flnger c~n be used to close 1l hole 38 (instead of or simultaneously wiLh its covering of hvle 45~. When ope~, ¦¦ the hole 38 ~cts 2S d relief for the thlrd passa~eway, t~e gas pressure condui~
1~ and the ~alve control inlet, tending ~o keep same at near a~mospheric pressuret ~' On the other hand, closing of hole 3~ causes the third passageway, the gas pressure co~dui~ and th~ valve control inlet to change pres~ure~ to the press~re 9f ~n air pressure source. This change in presBure ~e ~he control ! ~nlet opens the lrrigation valve producing a flow of irrlgant liquid from a sourc~ through the irrigant passageway and out the front end of ~he irrigant ~ tip to the operating si~e.
As long as the operator of this prior art device deslres irriga~ion and/or suctlon to be provided a~ ~he operative site, the opera~r's finger must keep the resp~ctive hole(s) covered. This restricts the hand position ' of the operator. ~ven with the suction hole ~ncovered, a little suction may , be present at the forward end of the suction tip. Also, the irrlgation valve ~dds unnece8~ary complesity to the device.
Another prlor art device is described in U. 5. Patent No. 3,993,054 to Gordo~ Newma~. This device relat~s to only a lavage or irrigating device.
The flow of liquld is either allowed or reRtricted by the manual control of a pi~ch val~e.
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! O~JECTS OF THE INVENTION
A prln~iple ob~ect of this i.nventlon is to proylde an irrigation-6uction handpiece for surgical ~nd dental use capable of selectively providlng ,, both suction and/or irrigation, and which provides ~or positive opening or 1 ~hllttlng of the irrigation and suctlon channeis.
¦l Another ob~ect of the invention is to provlde ~n irrl~ation-suction ¦I handpiece which permits one-l~Mded support and convenient aod comfortable one-handed coutrol of the hsndpiece.
A further vb~ect of the invention is So provide a slmple, easy ~o ~ manuf~cture handpiece which may be disposable in whole or in part.
A stlll further object of the invention is to provide a lavage handpiece which ~ay permit the suction channel $o be detachably fl~ed to the outside of the handpiece so that the operator may selectively attach or detach the SUCtioD channel irom the handpiece.
~ SUN~ARY OF THE INYENTION
The present i~vention sccompli~hes all of the above obJects of inventi~n. The present lnvention provtde~ ~ conYenient h~nd-held assembly hæving a conYenient and comfortable "pis~ol-grip" configuration. The housing provides 2 cham~er or channel for receiving irri~tion tublng. The houslng mag a1so provide 8 second chamber or channel for receiving æuction tubing or ~leernativ21y, the suct~on tubing may be ~exeernally mounted on the handpiece housing ~o tha~ the ~uction tubing ~ay be controlled ln con~unction with the I handpiece, ~r m3y be ~eparated and used ~eparately or not at all.
.i A ~lot extends frcm the channel which houses the irrigation tublng.
1 The slot ~uppolts a plnch vAlYe for eh~ tube. The pinch valve pre:Eerably c~mprises a trig~er whirh hss a portion e~tending so as to frlctionally ell~age the ~ube~ thereby enabling a ~low cont~ol setting to be ma~ntain~d until finger-applied force is used to change the set~lng. ~he suctlon tube , is al~o pxoYlded ~ith a hand-activated pinch Yal~e Dr clamp or con~roll~ng I the flow thxough the ~uction tublng. The handplece is arranged so that ll l c~ntrol ~f fluid ls achieved without portions of ~he handpiece dlrectly Il communicating wieh the fluld.
l~ The ha~dpiece may be designed to provide a to~a:lly dlsposable i handplece or to pr~vide a handpiece ln whlch the housing :Is reuseable, but 1 I the ~uc~lo~ a~d lrrigatiDn t~bing i8 disposable.
¦ 8RIEF DESCRIPTION OF THE DRAWINGS
These features and ob~ects of the inventio~, as well a~ others, will become apparent to those skilled in the art by referring ~o the Il acco~panyi~g drawings ln which:
i. Fi~. 1 is a side view of the lavage handpiece ln accordance with .~ the preseDt i~vention;
Fig. 2 is ~ front view of the lavage h~ndpiece of Flg. l;
F~g. 3 is a ~ectional view of the la~age handpiere, ~ake~ along lines 3-3 of ~,ig. 2;
~ig. 4 is a side yiew of an alternate ~mbGdiment of a lavage hand-piece acoord~n~ ~o the presene lnven~ion;
Flg. 5 is a front vlew of the lavage ha~dpiece of Fig. 4;
Fig. 6 ls ~ 6ectional Yiew t~ken along llnes 6-6 of Fig. 4, ~howing ~ a rear view of the slotted sleeve of Fig. 4;
Fig. 7 is a sectional view, taken along llne3 7-7 of Flg. 4, ~howln~ a re~ v$ew of ~he slotted bracket of Fig. 6;
Fig. 8 is a ~ectional vlew of the lavage handplece ~aken along llne6 ~-8 oP Pig. 55 ~ Fig. 9 l~ a Yiew of the lavage handpiece body of Figo 4 in an open li position.
i Figs. 1~3 illustrate a particularly advantageou6 e~bod~ment of ~he j lavage handpieee accordin~ to this lnvention. This handplece lll comprises a ~
I housing vr body 113 ~hroueh which lrrlgation and suction tubes 115 and 11~ pass.
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5~D I
I The bouslng 113 has a "pisto:L" conflguration ln which the housing 11 ¦ is formed with an angle sO that one portlon of the housing 113 is a p~stol gri~
portlon 119 which is connected with a for~ard facing portlon 121, analogou~ to I¦ a pistol's ~uz~le. This arrangement enables an operator of the handpiece 111 ¦ to easily grip ~nd direct the handpiece 111 ~hile e~erclsing convenient control ¦ ~f fluid flswing through the handpiece ~ith pinch valveh to be described later.
A pair of channels 122, 124 may be provided, channel 122 being an irrigatlon tube-receiving channel and channel 124 being a ~uctlon tube-receivi4gchannel. The sppropriate tubes pass through these channels. A slot 147 ln ¦¦ communlcates between the irrigation tube-receivlng channel 122 and the outslde !
¦ of the ho~sing 113 7 A trigger 151 h~ving tube-engaging end 153 and a finger grip 155 ls pivotably mounted ln slot 14~. The finBer grip 155 remains outside o~ the housing 113 60 that a person holding the handpi ce 111 at the ¦I pistol grip portion 119 with one hand may use a finger o~ that hand ~o use the !
,I flnger grip ~55 to nperate the trigger 1~1. The tube-engaging end 153 ls a ¦ cam-like pro;jectlon ~nd 1~ located within ~he housing 113. The ~rigger 151 ~s¦ pi~vtable ~o ~hat the tube~engaging end 153 may extend into and out of the ¦I channel 122. Thus, the finger grip 155 may be used to pivot the tube engagingI¦ end 153 into and ~ut of en8age~ent wlth an i~rigation tube 115 h~used by thP
¦1 irrigation channel 122.
i ! The housln~ 113 includes a fixed internal ridge ~o tha~ end 153 has I
¦ a rigid surf~ce for the trigger 151 eo slqueeze or wedge eh~ tube 115 agains~ tq ¦, close off the tubing 115. When separate elo6e fi ting channels 122 and 124 I¦ are provided for t~bl~g 115 and 117t respec~fully, this po~tion of the housing ¦ ~eparating the chan~els conveniently functions as an in~ernal rldge 195 for th~
~ubing ~o be held in pl2ce agalnst.
. When the tube-engagin~ end 153 i8 moved i~o engagement with ~he ~Irigatlon tube 115, the end 153 wedges the tube 115 agai~s~ ~he internal ridgq ! 153 call61n~ th~ inner dlameter ~o compress and elo6e ~ff~ Therefore, ~han ¦ the trigger 151 16 operated to extend lnto engagement with irrigation ~ube 115 thi6 causes the flow to be ~topped through the irrig~tion tube 115. The wedging action holds the end 153 in engage~ent against the tube llS without the ~id of externally spplied pressure. When the trigger 151 ls operated to pivot out of engag~nent ~ith the irrigation tube 115, the appropriate irrigatian flow iB free eo flow through the irrigatlon tube 1.15. The end of tube lli exeending fro~ the p1stol-~rip portion 119 ls co~neeted to an external irrigant liquid source, and the other end of the tube 115 provldes an outlet ~neans fvr the irrigant flu-Ld. Arrow l9S ~hows the dlrection of the fluid flow.
In Fig. 3, the tube-engaging end 153 is shown out of eng~gement wlth the irrlgatlon tube 115. The tube-engaging end 153 ~ay be positioned on the trlgger 151 as shown in Fig. 3 so th~ when the finger-grip 155 is pulled toward the pistql-grip portion 119, She tube-engaglng end 153 moves into engag~nent wlth the lrrigation tub~ 115 and sh~t6 off the flow of irrigaeion 1 through tube 115. The pi~tol-~rip pDrtlon 119 acts as g 6top ~eans for ! preventing f~Fther rotation of the triggler 151.
¦ Alternat~vely, the tube-engagimg end 153 may be positioned on the trigger 151 ~this position not ~hown~, 60 that when ~he ~inger-grip 155 is pulled toward the pistol-grip port~on 119, the tube~en~aging end 153 disengage~
li from the irrigation tube llS ~nd opens the irrigation tube 115 for flow. The ¦ fir6t mentioned optlon nay be referred to as the "pull-off" version, and the lat~e opeiOn ,as the ~pull~on" version. With the pull-on verAion9 ~not shown) l the tube-~ngaging end 153 would he located fureher clockw~se around the pivot Il of the trigger 151 (6ee Fig. 3 to establlsh the reference of the direceion i clockwise) ~o that when the finger-grlp portion 155 is positioned ~s shown in ll Fig. 3, the tube-engaging end 153 would be eng~ging and shuttl~g off the ¦! irrigaeion ~ube 115. To di3engage ~r open the irrigation tube l15, the "pull-~
Il onl' ~rigger would be pulled toward the piseol gr~p port~on 119. Slot 147 ¦I would néed t~ be widened in order tn allow the tube-eng~ging end 153 of the ! ¦ "pull-on" trl~ger to rot~te out o~ engagemene. Elther type of trigger 151 1¦ ~pull-off or p~ on) may be provided. SomP operator~ m~y prefer one type of I trl~ger ~ceion over ~he ~ther.
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I, -6- 1 With regard to the control of ~he suctlon function of the handpiece, ¦
~ pinch valve 157 is m~unted wlthln a pinch valve opening 159, wlth the pinch !
valve opening extendlng from the outside 3f the housing 113 aDd interrupting . the suction tube-receiving channel 124. Plnch valve 157 take6 the ~orm of a S biased cllp which is bias~d in the opened position. The pinch valve 157includes a serrRted arm 161 and a means for engaging the serrations. In order to close ehe suction tube 117, the means for engaging th ~erratlons i8 depressed to c2use a protrusion means on the valve 157 to co~press or clamp off the opening ln the tube 117. The ~ixed i~ternal ~idge 195 may also act to support the pinch valYe 157 as ehe ~eans for engaging the serrations is depressed. The aerrated a~ 161 holds the pl~ch val~e 157 in a closed or par~ially closed position, as set by ~he operator un~ he ~errated arm 161 i~
deflected, the~eby releasing a~d opening pinch valve 157. When the suction tube 117 1~ open or o~ly partially closed~ suctlon may be provided through the ¦ ~uction tube 11~ from a ~uct~on source ~hich is remote f~om ~he h~ndpiece. Th~end of ehe 6uction tube 117 extending from the pistol-grip portion 119 is con-~ected to the external suction sour e~ a~d the other end of the e~be 117 pro~
des an inlet means for the flow of suction. Arrow 198 ~hows the di.re~tion o~
1 ehe suction flow.
~ Pinch valve 157 is located so that an oper~tor may control both j, plnch valve 1~7 and ~rigger 151 slmultaneously, probably usi~g the thumb to - ,~ oontrol pl~ch ~alve 157 ~nd the forefinger of the hand grlpping the pistol il grlp portion 119 to control the trigger 151.
~', Ya~ous nozzle tips, such as lrrigation suction no7zle tip 193 may 1I be selecelvely attached to the handpiece. A nozzle adapeor 191 may be provided WhiCh a~t~ches on ~e sld2 to the s~ction and irsig~ion ~ubing 117 . ¦ ~nd 115, re~pectively. The other side of the adaptor~ attach to the ~arious nozzle ~ip8. The nozzle ~ip6 may be fric~ion fit to the adapeor 191. O~her li ~echanlcal ~eans may be u~illzed if a more secure attach~ent ~3 desired. The i 1 adaptor 191 may be flxedly secllred to ~he houslng 113, lf deslrable. The i , , 7 j separat~ly attachable nozzles perQlt the operator of the hPndp{ece to select ¦ the type of nozzles to be used. This e1~ables the selection of dlfferellt ¦ nozzle tips ~d permits the changing of nozzle tips durl~g a surgical l procedure without re~uiring th~t the entire handpiece be changed. The provlsion o ~everal eips provides a large aelection of outputs, ~hile ellmi~aeing a requirement that different types of l~ndpiece~, be seored for different nozzle functions. The nozzles al,~,o may be disposeble.
Combination lrrigation a~d suction tips, ,~,uch as irrigation noz~le Il tip 193 m~y be used. These combl~ation tlps provide a fixed relationship ¦I between ~he posltiGns of the irrigatlon and suction nozzles. Separately Il attachable lrrigaelon and suctlon tips ~ay also be provided.
,I The hou61ng 113 of the handplece may be manufactured ln two halves.
The halves may be mechanically fi~ed together by screws or securing clips or othe~ c~n~enient means. The handpiece is readlly assembled with both the 'I suction and i~Figation tubes i~te~,ally fitted ineo ~he housing so ~hat irrigatio~ and suctlon ~re conveniently controlled by pi~ch valves. The separate halve~ c~nvenien~ly allo~ the tubing 115 ~nd 117 ~d tri8ger 151 and pinch valve 157 ~o be easlly inserted ln the housing 113 before securing the ''! halves together. This feature also enables the handpiece to be reopened to 1 replace the ~ubing or ~he trigger 151, if necessary. This enable~ hP tubing , to be disposa~leO It al~o enables the trigger 151 to be ~witched fr~m pull-off to ~ pull on seyle or Yice vers , lf desirable. Alternatlvely, ~he total ha~dpiece, i~cluding the tubing may be d~sposable. This configuration ,1 al~o min~mlzes a~s~mbly costs.
¦' For the totally disposable handpiece~ the housing 113 may be easily ~olded from a~y sui sble plastic material. Th~ trigger 151, the pinch valve 157, the adap~or 1~1, and the ~arious nozzles may also be made ~f a suitable plastic ~aterial. Other ~aterials ~han plastlc may be u~ed, if desired. If I! the handpiece hounlng 113 is to be reuseable, i~ may be morP sui~ably 1l manufactured from a metal ~aeerial~ The ~ubing 115 ~nd 117 also may be any l~ suitable ~aterial capable of belng clamped off, such a5 PVC or 6ilicone tubing.
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5~ l ll Ref~rring to FigP. 4-9, a~ alternete embodiment of a lavage ¦¦ handpiece 1~ shown. The handpiece 11 comprises a housing 13 throu~sh wh~ch ¦' an irrigation tube 15 passes. A ~ctlon tube 17 1R mounted e~t rnally of Ij the housing 13. The housing 13 has a pistol conflguratio~ such as the 1l previou~ly described housing 113. The housing 13 i8 formed wlth ~n angle j 80 that one portion of the houslng is a pistol grip portio~ 19 which is ¦¦ connected with a forwa~d facing portlon 21. Again, this arrangement enables ¦ an oper~tor of the handpiece 11 to easily grlp and d~rect the handpiece 11 ~ whlle exeroising control of fluid flowing through the handp~ece ~ith pin~h ¦¦ valv~s.
The housing may be manufactured in two half 6ections, Ehe left half sectlon 23 a~d the right half sectlon 25 as seen iLn Fig. 9. The half sections 23, 25 ~ay be llnked by a flexible strip 27 cr hin~e portion. In the~
li e~bodiment ~hown, the flexible strip 27 is; lntegrally ~olded ~ith ~he left and !I riLght half se~tions 23, 25. The hlnge pcrtion 27 enables the half sections to pivot about a hinge line 35 as shown iLn Fig. 9.
WhiLle an integral fl~$ble hin~se 27 i~ shown, it is anticipated that other ~eparably attached hinge ~eans: would be suitable, lf a hlnge , portion 27 i~ deslrable between the half section~ 23, 25. Referring to ll Fig 8 and 9~ the half sections 23, 25 fall together about the hinge llne 35 so tha~ the half ~ectio~s 23, 25 mate at an interface surface 37.
Fi~s. 4-6 and 8 illustrste a suitable means for holdlng the half ~ections 23, 25 together. A slo~ted sleeve 61 -ls slidably ~ounted to thP righ~
¦I half section 25 on the forward facing portion 21. If the sleevP is slid forward jl alonK its mount, the left half sect~on may he closed against ~he rlght half ¦ eection by p~s~ing ~hrough a side opening 63 ln ehe slotted Rleeva 61. By sll~-¦¦ ing the ~lotted ~leev~ toward the rear portion of ~he half sec~lDns, the sleevq 6l completely encircles a por~lon of both half sections 23, ?5 ~h~s cooperatin~
I with the fle~ible hlnge 27 to lock the half sectlons 23~ ~5 ln the closed posi 1l tion. Oeher ~ult~ble me~ns for holding the half sections together may be used.
!
l~ The grooves 43, 45 may be provlded ~ieh ~nl~rged ends 65, 67. One o~
¦I the enlarged ~nds 65 is located Rt ~he forward facing portlon 21 and the other enlarged end 67 is located at the pistol grip pnrtlon 19. The enlarged ends I 65, 67 rooperate wlth enlarged portions 69, 71 on the irrlgatlsn tubing 15 to S ll prevent the irrlgation tube 15 from sliding along the grovvesi 43, 45. Enlarge~
¦I portlon 69 i5 a tubular flange attached to the tubing 15. ~he flange 69 is il locsted at enlarged end 65 and has a eip-~ounting extenslon 73 located thereon ¦¦ The tip mountlng extension 73 extends out of the molded b~dy 13 and fo~ms a l~ suRport for mounting interchangeable tips, such as the irrigaelon tip 75, to 1 com~un~cate with irrigation tube 15.
As sihown ln Fig. 8, the irrigation tube 15 ls s~p~raeed into a handpiece portion 79 (of the irrigation t~be 15) and a main portion 81 Sof the irrigation tube 15). The main portion 81 leads to the remcte irrigation 1 ~ource. The sieparate main por~ion 81 enables thls main portion to be detachedfrom ~he hsndpiece. Typically, the complete tublng assembly, including the "
~ain portion Bl lead~ng back to the irrigat$Dn source, would be disposable.
, The ~ain portion 81 has a larger diameter than the handpiece poreion 79. The ; larger main portlDn 81 fits lnto the enlarged end 67. ~n extension 77 is ' provided on the handplece portion 79 to aid in ateachment of the main portion ~ 81 to the handpiece portion 79.
The left half section 23 has an lrrigation tube-receiv~ng groove ~3 located at ehe interface 37 and extending alon~ the length of the pistol grip po~tion 19 and coneinuing along the length o the for~ard facing portiDn 21as shown. The right half section 25 li~ewise has an 7rrigation tube-recelving 2S ~roove ~f5 locflted at ~he l~ter~ace 37. The groove 45 on the rlgh~ half sectlon 25 iR aligned to ~ate with the groove 43 on the left half ~ec~ion, so that the grooves 43~ 45 for~ a slngle channel whan the half sections are i~ closed (~s showu in Figs. 4 and 5~ so that tile irrigation ~ube 15 may be h~used in the channel.
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'I Each half ~ection 23s 25 ha~i 8 Bl~t 47, 49 re~pectl~ely therein.
The ~loe~ 47, 4~ each extend from the ~roo~e 43 or 45 on their respectlve ! hal ~ection 23 or 2~ to the ex~erior uf the housing 13. The slots 47, 49 Il m~te when the half sectlons are elosed. The 810t8 receive a ~rigger 51 which, , ~hen the half 6ecelo~s 23~ 25 sre closed, ifi pivotablyi~ounted ln the ¦ slots 47, 49. The trigger 51 has a tube-enga~ing end 53 snd a 1~ger grip 55.
The fi~ger grip 55 remain6 outs~de of the molded b~dy ~o that ~ person holding i the ha~dpiece 11 at the pi~tol grip portlon 19 with one hand may use a finger i' ~n that hai~d to usP the finger grip 55 to operate the trigeer 51~ The tube-li eDgagi~g end 53 i8 located withi~ the housing 13 (when the half sec~lons 239 25 are ln th~ closed position). The trigger 51 ls pl~otable ~o that the ! tube-engagling end 53 ~ay ~tend i~to a~d out oiE the chan~el formed by the grooves 43, 45. Thus, the finger grip 55 may be used to pivot the trigger 51 ; lnto a~d out of en8a~emeut with an irrigation tube lS hou~ed by ~he lrrigation ~5 ~ube-receivlng grooves 43, 4j to control the flow of the lrrigation fluid through ~he ~ubing 15.
Ref~rrlng to Figs. 4, 5 and 7, a pair of slotted brackets 83 are ~ounted to the rlght half section 25 iDI order to support the suction tube 17 ! on the houslng 13. The suction tube 17 may be manually sl~pped into position on the slotted bracket~ through slots 85 ~o that the ~uction eube 17 ~ay be I selecti~ely ~ttached to or detached from ehe handpiece 11 during 3 surgery.
I, Other 6ult~ble attachmen~ mea~s may be utilized to externally 6uppor~ the ~uction tube 17.
1 As showm in Flg. 4, ehe 6uction tube 17 terminate6 in an enlarged ¦, portivn 87 which L~y be ~ither flexlble or rlgld. I~ the enlarged portLon B7 is rigid~ then the slotted bracket 83 must be ~ufficiently fle~lble in order ! j to permle entry of the s~ction tube through 810t 85 .
While the la~age handpiece invention has been described ln terms of I
~ 8 preferred emboAi~ents, those skilled ln the art can appreci~e that 3~ 1, modi~lcaeions can he made without departlng rom the spirit and ~cop , of thl6 invention.
I ! .
Claims (21)
1. A lavage handpiece comprising:
(a) a housing having a depending grip portion and an extending forward facing portion;
(b) an irrigation tube having a first end for connecting to an external irrigant liquid source and a second end for providing an outlet means for the irrigant liquid;
(c) a chamber means within the housing for receiving the irrigation tube;
(d) a slot in the housing extending from an outer surface of the housing and communicating with said chamber; and (e) a manually operable trigger means for pivoting in said slot and for engaging said tube for controlling the flow of fluid in said irrigation tube, wherein said handpiece further includes a suction tube having a first end for connecting to an outside suction source, and a second end for providing an inlet means for the flow of suction, said suction tube including a clamping means for controlling the suction flow through the suction tube, and wherein the irrigation control trigger includes a finger-gripping portion, said handpiece being operable by an operator holding the grip portion with one hand, said irrigation control trigger being operable with a finger of the one hand and said clamping means for the suction tube being operable with the thumb of the one hand, said trigger and clamping means being positioned on the handpiece to facilitate operation of both simultaneously or independently with one hand, and wherein said housing includes an external means for selectively attaching and detaching the suction tube to the outside of the housing, comprising at least one support member attached externally to said housing, the support member having a slot therein to receive the suction tube.
(a) a housing having a depending grip portion and an extending forward facing portion;
(b) an irrigation tube having a first end for connecting to an external irrigant liquid source and a second end for providing an outlet means for the irrigant liquid;
(c) a chamber means within the housing for receiving the irrigation tube;
(d) a slot in the housing extending from an outer surface of the housing and communicating with said chamber; and (e) a manually operable trigger means for pivoting in said slot and for engaging said tube for controlling the flow of fluid in said irrigation tube, wherein said handpiece further includes a suction tube having a first end for connecting to an outside suction source, and a second end for providing an inlet means for the flow of suction, said suction tube including a clamping means for controlling the suction flow through the suction tube, and wherein the irrigation control trigger includes a finger-gripping portion, said handpiece being operable by an operator holding the grip portion with one hand, said irrigation control trigger being operable with a finger of the one hand and said clamping means for the suction tube being operable with the thumb of the one hand, said trigger and clamping means being positioned on the handpiece to facilitate operation of both simultaneously or independently with one hand, and wherein said housing includes an external means for selectively attaching and detaching the suction tube to the outside of the housing, comprising at least one support member attached externally to said housing, the support member having a slot therein to receive the suction tube.
2. A lavage handpiece as described in claim 1, wherein said trigger includes a protruding tube-engaging means for pivoting into and out of engagement with said irrigation tube for con-trolling the flow of fluid in said tube.
3. A handpiece as described in claim 1, wherein the trigger means further includes a means for wedging against the irrigation tube sufficient to hold the tube engaging means in engagement with the tube without the aid of externally applied pressure.
4. A handpiece as described in claim 2, wherein the housing further includes a fixed internal ridge for the tube-engaging means to wedge the irrigation tube against.
5. A handpiece as described in claim 4, wherein the wedging is sufficient to hold the tube-engaging means in engagement with tube without the aid of externally applied pressure.
6. A handpiece as described in claim 1, wherein said handpiece further includes a stop means for limiting the pivotal rotation of the trigger means.
7. A handpiece as described in claim 1, wherein the clamping means for the suction tube comprises a pinch valve having a serrated arm and a means for engaging the serrations wherein the pinch valve may be manually closed and the serrations on the serrated arm retain the engaging means to maintain the pinch valve closed until the serrated arm is manually deflected to release the engaging means.
8. A handpiece as described in claim 1, wherein said handpiece further includes a means for the attachment of various nozzles to at least the irrigation tube at the second end of the tube.
9. A handpiece as described in claim 1, wherein handpiece further includes a means for the attachment of various nozzles to be attached to both the irrigation tube and the suction tube.
10. A handpiece as described in claim 1, wherein said housing includes a first half and a second half, said havles enabling the housing to be in an open position exposing the interior of the housing or in a closed position providing the functional position for operation of the handpiece, said housing including a suitable closure means for releasably securing the two halves together in the closed operable position.
11. A lavage handpiece comprising.
(a) a housing having a grip portion and a forward facing portion;
(b) an irrigation tube having a first end for connecting to an external irrigant liquid source and a second end for providing an outlet means for the irrigant liquid;
(c) a chamber means within the housing for receiving the irrigation tube;
(d) a slot in the housing extending from an outer surface of the housing and communicating with said chamber;
(e) a manually operable trigger means for pivoting in said slot and for engaging said tube for controlling the flow of fluid in said tube.
wherein said housing includes a first half and a second half, said halves enabling the housing to be in an open position exposing the interior of the housing or in a closed position providing the functional position for operation of the handpiece, said housing including a suitable closure means for releasably securing the two halves together in the closed operable position, and wherein said closure means includes a hinge means connecting the first and second halves of the housing, said hinge enabling the first and second housing halves to be manually opened or closed about the hinge.
(a) a housing having a grip portion and a forward facing portion;
(b) an irrigation tube having a first end for connecting to an external irrigant liquid source and a second end for providing an outlet means for the irrigant liquid;
(c) a chamber means within the housing for receiving the irrigation tube;
(d) a slot in the housing extending from an outer surface of the housing and communicating with said chamber;
(e) a manually operable trigger means for pivoting in said slot and for engaging said tube for controlling the flow of fluid in said tube.
wherein said housing includes a first half and a second half, said halves enabling the housing to be in an open position exposing the interior of the housing or in a closed position providing the functional position for operation of the handpiece, said housing including a suitable closure means for releasably securing the two halves together in the closed operable position, and wherein said closure means includes a hinge means connecting the first and second halves of the housing, said hinge enabling the first and second housing halves to be manually opened or closed about the hinge.
12. A handpiece as described in claim 11, wherein said first and second halves of the housing are molded in one piece and said hinge is an integrally molded hinge.
13. A handpiece as described in claim 11, wherein the closure means further includes a mechanical fixation means for releasably securing the two halves together in the closed position.
14. A handpiece as described in claim 11, wherein the closure means further includes a slotted ring member being slidably mounted on one of the housing halves so that it is possible to slide the ring enabling one position of the ring to permit the housing halves to open against the hinge and enabling another position of the ring to lock the housing halves together in the closed position.
15. A handpiece as described in claim 2, wherein the tube engaging portion of the irrigation control trigger is positioned to provide engagement and closure of the irrigation tube by pulling the trigger toward the grip portion, and to provide disengagement and opening of the irrigation tube to enable fluid flow by moving the trigger away from the grip portion.
16. A handpiece as described in claim 2, wherein the tube engaging portion of the irrigation control trigger is positioned to provide disengagement and opening of the irrigation tube to enable fluid flow by pulling the trigger toward the grip portion, and to provide engagement and closure of the irrigation tube by moving the trigger away from the grip portion.
17. A lavage handpiece as described in claim 11, wherein said housing further includes a suction tube having a first end for connecting to an outside suction source, and a second end for providing an inlet means for the flow of suction, said suction tube including a clamping means for controlling the suction flow through the suction tube.
18. A lavage handpiece as described in claim 17, wherein said housing further includes a chamber means within the housing for receiving the suction tube.
19. A lavage handpiece as described in claim 17, wherein said housing includes an external means for selectively attaching and detaching the suction tube to the outside of the handpiece.
20. A handpiece as described in claim 19, wherein the means for attaching the suction tube comprises at least one support member attached externally to the housing, the support member having a slot therein to receive the suction tube.
21. A lavage handpiece comprising:
(a) a housing having a depending grip portion and an extending forward facing portion;
(b) an irrigation tube having a first end for connecting to an external irrigant liquid source and a second end for providing an outlet means for the irrigant liquid;
(c) a chamber means within the housing for receiving the irrigation tube;
(d) a slot in the housing extending from an outer surface of the housing and communicating with said chamber, (e) a manually operable trigger means for pivoting in said slot and for engaging said tube for controlling the flow of fluid in said irrigation tube;
(f) a suction tube having a first end for connecting to an outside suction source, and a second end for providing an inlet means for the flow of suction;
(g) a clamping means for controlling the suction flow through the suction tube, and (h) means for selectively attaching and detaching the suction tube to the outside of the housing comprising at least one support member attached externally to said housing, said support member adapted for receiving said suction tube.
(a) a housing having a depending grip portion and an extending forward facing portion;
(b) an irrigation tube having a first end for connecting to an external irrigant liquid source and a second end for providing an outlet means for the irrigant liquid;
(c) a chamber means within the housing for receiving the irrigation tube;
(d) a slot in the housing extending from an outer surface of the housing and communicating with said chamber, (e) a manually operable trigger means for pivoting in said slot and for engaging said tube for controlling the flow of fluid in said irrigation tube;
(f) a suction tube having a first end for connecting to an outside suction source, and a second end for providing an inlet means for the flow of suction;
(g) a clamping means for controlling the suction flow through the suction tube, and (h) means for selectively attaching and detaching the suction tube to the outside of the housing comprising at least one support member attached externally to said housing, said support member adapted for receiving said suction tube.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US06/445,807 US4519385A (en) | 1982-12-01 | 1982-12-01 | Lavage handpiece |
US445,807 | 1982-12-01 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA1206050A true CA1206050A (en) | 1986-06-17 |
Family
ID=23770272
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA000440366A Expired CA1206050A (en) | 1982-12-01 | 1983-11-03 | Lavage handpiece |
Country Status (2)
Country | Link |
---|---|
US (1) | US4519385A (en) |
CA (1) | CA1206050A (en) |
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Also Published As
Publication number | Publication date |
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US4519385A (en) | 1985-05-28 |
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