U.S. patent number 3,702,114 [Application Number 05/067,046] was granted by the patent office on 1972-11-07 for liquid refrigerant spray device.
This patent grant is currently assigned to Frigitronics of Conn., Inc.. Invention is credited to Setrag A. Zacarian.
United States Patent |
3,702,114 |
Zacarian |
November 7, 1972 |
LIQUID REFRIGERANT SPRAY DEVICE
Abstract
There is disclosed medical apparatus for spraying a low boiling
point liquid refrigerant directly onto a site to be treated. It
comprises a container which is vented but has a valve for
selectively closing the vent, normal boiling of the liquid thereby
resulting in self pressurization. A discharge orifice at the bottom
of the container leads through an evaporating coil to an
applicator, to which may be connected interchangeable needles. The
evaporating coil permits partial vaporization of the refrigerant so
that the spray is a liquid-gas mixture with little propensity to
drip or run from the point of contact.
Inventors: |
Zacarian; Setrag A.
(Springfield, MA) |
Assignee: |
Frigitronics of Conn., Inc.
(Shelton, CT)
|
Family
ID: |
22073372 |
Appl.
No.: |
05/067,046 |
Filed: |
August 26, 1970 |
Current U.S.
Class: |
128/200.23;
239/337; 62/293 |
Current CPC
Class: |
A61B
18/0218 (20130101); A61B 2017/00092 (20130101) |
Current International
Class: |
A61B
18/00 (20060101); A61B 18/02 (20060101); A61B
17/00 (20060101); A61b 017/36 (); A61m
011/00 () |
Field of
Search: |
;128/173R,303.1,225,184,400,2.1R ;222/396,397,399 ;62/293,52,514
;239/337,573,577,579 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
Cutt, R. A., "Proportional Control Steadies Cryosurgical Probe
Temp," Control Engineering V. 12, no. 3, p. 103 March 1965.
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Mitchell; J. B.
Claims
I claim:
1. Medical apparatus for spraying liquid refrigerant which
comprises: a thermally insulated container for a refrigerant
adapted to be held by one hand of a user, said container having a
top and a bottom and defining at its bottom a discharge orifice; a
partially coiled heat exchange conduit attached to said discharge
orifice; an applicator means fixed to and in flow communication
with said heat exchange conduit; a removable cap closing the top of
said container and defining a vent to atmosphere; normally-open
valve means controlling the flow of gas through said vent; and
valve actuation means attached to said cap whereby the user can
direct and control the flow of refrigerant spray from said
applicator means.
2. The apparatus of claim 1 wherein said container is plastic.
3. The apparatus of claim 1 wherein said valve means comprises a
spring loaded valve and said valve actuation means comprises
manually operated trigger means for closing said valve.
4. The apparatus of claim 1 wherein said heat exchange conduit
comprises a metallic evaporating coil substantially exposed to
ambient temperature.
5. The apparatus of claim 1 wherein said cap includes a safety
exhaust valve.
6. The apparatus of claim 1 wherein said applicator means
comprises: a luer connector and a hollow needle connectable
thereto.
Description
BACKGROUND OF THE INVENTION
In recent years there has been an upsurge of interest in the use of
cryogenic techniques for medical and surgical applications. This
has resulted in the development of a number of sophisticated
instruments for producing localized cooling for various reasons,
such as cryoadhesion and cell necrosis. However, the use of
cryogenics for medical and surgical purposes is not new and may be
traced, for example, as far back as Hippocrates who recommended the
use of ice to check hemorrhage and to relieve pain and swelling. As
more effective refrigerants became available, they were quickly
utilized in the field of dermatology. A. Campbell White, for
example, successfully treated moles and warts with cotton swabs
dipped in liquid air in 1899.
Several liquid agents are now available for use by dermatologists.
Some of the more effective are liquid oxygen, liquid air, and
liquid nitrogen with respective boiling points of -182.5.degree. C,
-190.0.degree. C, -195.6.degree. C. Solid carbon dioxide may also
be employed which has a sublimation temperature of -78.5.degree. C.
The ultimate object, of course, is to lower the temperature of the
affected site. This may be effected in several ways. For example, a
probe or block of heat conductive material, such as copper, may be
pre-cooled in the refrigerant and applied to the skin. Hollow
probes may be utilized in which the refrigerant is circulated
within the probe, or solid carbon dioxide sticks may be applied
directly to the site. However, direct application of refrigerant
liquid to the site remains the favored technique under certain
circumstances, and particularly in dermatology. The use of a dipped
swab, for example, continues even though it is a relatively
inefficient method, as several dippings and applications may be
required.
A more recent innovation has been a commercial device constructed
on the principle of the well known laboratory wash bottle. These
bottles have a stopper through which a short tube extends into the
free space above the liquid and through which a longer tube extends
to the bottom of the bottle. If such a bottle is filled with a
refrigerant such as liquid nitrogen, the liquid nitrogen will boil
and its vapors will escape through the short tube. If, however, the
end of the short tube is closed, vapor pressure will build and
liquid nitrogen will be ejected forcibly from the end of the longer
tube. A commercial instrument which operates on this principle
employs a trigger valve for closing the vent.
Although the commercial instrument described above has certain
advantages, it also has certain disadvantages which it would be
desirable to overcome. One such disadvantage is the fact that the
nitrogen which emerges is almost entirely liquid, thus it has a
tendency to run or drip from the site of application. Another
disadvantage is that the container is not insulated, requiring a
separate handle which is positioned on the side of the container
opposite the nozzle. This results in the surgeon's hand being
spaced a considerable distance from the point of application with
consequently less accurate control. Another disadvantage resides
from the uninsulated feature of the container. This results in the
vaporization rate of the contained liquid being relatively high,
thereby reducing the amount of usable liquid refrigerant. A second
problem resulting from the same feature is that condensation tends
to gather on the insulated container and drop therefrom.
Accordingly, it is a primary object of the present invention to
provide improved medical apparatus for spraying liquid refrigerant.
Other objects are to provide such an apparatus wherein: the liquid
refrigerant spray has a substantially reduced tendency to drop or
run; the surgeon's hand may be positioned closer to the site to be
treated; the container is insulated; control is simpler; and
utilization of liquid refrigerant is more efficient.
The manner in which the foregoing objects are obtained will be more
apparent from the following description and appended claims.
SUMMARY OF THE INVENTION
In accordance with this invention there is provided a medical
apparatus for spraying liquid refrigerants comprising a thermally
insulated, hand-held container for liquid refrigerant. The
container, at its bottom, defines a discharge orifice and its top
is closed by a removable cap which defines a vent to atmosphere.
The apparatus includes a valve for selectively closing the vent,
and an applicator for spraying the refrigerant on the site to be
treated. A heat exchange conduit interconnects the discharge
orifice and the applicator for simultaneously heating and
transporting the refrigerant therebetween.
BRIEF DESCRIPTION OF THE DRAWING
The invention may be best understood by reference to the attached
drawing wherein:
FIG. 1 is an elevational view of apparatus constructed in
accordance with this invention, the upper and lower portions
thereof being in cross section to illustrate its internal
construction;
FIG. 2 is a cross section taken substantially along the line 2--2
of FIG. 1;
FIG. 3 is a partial view similar to the upper portion of FIG. 1,
illustrating the operation of the control valve; and
FIG. 4 illustrates the operation of a modified version of the
apparatus in the treatment of a dermatological condition.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
With particular reference to FIG. 1, there is illustrated a
cylindrical container 10 comprising an inner tank 12 formed of a
relatively rigid plastic tapering at its bottom to an internally
threaded neck 14. Closing neck 14 is a threaded plug 16 which
defines a bore 18 communicating with the interior of tank 12 and a
lateral discharge orifice 20. Container 10 further comprises a
cylindrical outer shell 22, the space between it and tank 12 being
filled with foamed plastic thermal insulation 24. The top of shell
22 defines an inwardly extending annular rim 26 secured to the
upper edge of tank 12 by means of cooperating threads 28. An
inwardly extending annular flange 30 also extends around the top of
tank 12.
The top of the assembly is closed by a substantially disc-shaped
cap 32. Extending downwardly from cap 32 is a flange 34. Flange 34
and flange 30 are interconnected by means of cooperating threads
36. Extending upwardly into cap 32 from its lower surface is a
central bore 38, which communicates with a lateral passage 40,
which is enlarged to form a recess 42 which extends outwardly from
the side of cap 32, the outer portion being internally threaded as
at 44. A second bore 46 also extends upwardly from the bottom of
cap 32 and an enlarged portion 48 thereof extends upwardly through
the top of the cap, this enlarged portion being internally
threaded. A vent 50 extends from atmosphere at the top of cap 32
downwardly into recess 42. The cap 32 further includes a pair of
spaced, parallel, upwardly extending projections 52a, b.
Threadedly mounted in the enlarged portion 48 of bore 46 is the
threaded end 54 of a cylindrical safety valve body 56. Body 56
defines an upper recess 58 which is internally threaded and of
relatively large diameter. It communicates with a central bore 60,
which in turn communicates with a reduced diameter passage 62 at a
tapered valve seat 64. The top of safety valve body 56 is closed by
a threaded plug 66 which defines an exhaust outlet 68 communicating
with bore 60 and forming an annular shoulder 70 therewith. A ball
72 is retained against the valve seat 64 by means of a coil spring
74 having its upper end against the shoulder 70.
The control valve of the illustrated apparatus comprises a threaded
plug 76 mounted in threaded recess 42. The plug defines an inner
bore 78 and an outer bore 80, which join at an annular shoulder 82.
Slidably mounted in inner bore 78 is a bolt 84 having a round head
86 positioned in the enlarged recess 42. Mounted directly behind
the head is an O-ring 88. The threaded shank 90 of bolt 84 carries
a nut 92. Positioned within the outer bore 80 and between shoulder
82 and nut 92 is a coil compression spring 94. The spring 94 tends
to retain the bolt in its illustrated retracted position. Mounted
on a hinge pin 96 extending between the projections 52a, 52b is an
L-shaped lever 98 positioned to selectively engage nut 92 and
terminating in a trigger portion 100.
At the bottom of the shell 22 there is mounted a nipple 102 and a
bushing 104 engaging and retaining a standard hypodermic needle
luer connector 106. Communicating between needle connector 106 and
orifice 20 is a copper evaporating coil 108. The illustrated
apparatus is constructed almost entirely of plastic, with the
exception of a few obviously metallic parts such as the springs and
the evaporating coil 108.
The cap 32 is unscrewed and the tank filled with a suitable
refrigerant R such as liquid nitrogen. The cap is then replaced.
The insulating qualities of the plastic construction allows the
device to be hand-held, substantially eliminates surface water
condensation, and greatly reduces the evaporation of the liquid
refrigerant. Boiling, however, will occur and serves a useful
purpose, both for self-pressurizing and for controlling the
character of the spray, as will be later described. However, in the
inoperative position of the control valve illustrated in FIG. 1, it
will be noted that the retracted position of bolt head 86 provides
an open passageway from tank 12 to atmosphere via bore 38, passage
40, recess 42, and vent 50. Thus, the pressure on the surface of
refrigerant R will be substantially atmospheric.
It will be noted that the bottom of tank 12 is open to atmosphere
through the evaporating coil 108. Although it might appear that the
refrigerant R would escape, this does not, in fact, occur. The
evaporating coil 108 is positioned away from tank 12 and is exposed
to ambient air. The evaporating coil in one embodiment is a 10 1/2
inch length of copper tubing having an outside diameter of
one-eight inch and an internal diameter of 0.068 inch. The liquid
refrigerant which enters this coil evaporates and passes out the
connector 106 as a gas. It is believed that gas pressure resulting
from such evaporation also assists in retaining the liquid within
the container.
The functioning of the safety valve is relatively conventional. The
ball 72 will normally remain seated in the valve seat 64, as
illustrated in FIG. 1. If, for any reason, the vapor pressure
within tank 12 should build to an undesirable level, it will lift
the ball 72 from its seat and permit the escape of vapor through
exhaust outlet 68.
In order to employ the apparatus of FIG. 1, the surgeon attaches a
conventional hypodermic needle in the usual manner to connector
106. The needle is selected to provide the desired spray size. The
unit is then held by the surgeon with the needle pointed at, and in
close proximity to, the site to be treated and trigger 100 is
pressed. This presses bolt 84 inwardly against the pressure of
spring 94 as illustrated in FIG. 3. The head 86 seats as
illustrated to close passage 40 and thereby prevent vapor from
escaping through vent 50. Pressure within the tank 12 immediately
builds, forcing the liquid refrigerant out of orifice 20 through
evaporating coil 108 and through the attached needle. As the liquid
flows through the evaporating coil, a portion of it vaporizes so
that there is ejected from the tip of the needle a fine spray,
rather than a liquid stream. This prevents the liquid from running
or dripping from the treated site. To stop the spray, it is
necessary for the surgeon merely to release the trigger 100,
whereupon the control valve returns to the position illustrated in
FIG. 1.
It is important for the surgeon to monitor the depth of tissue
freezing. This is best accomplished by the insertion beneath the
treated site of a needle having in its point a small thermocouple.
Leads from the needle pass to a temperature gauge which may be
monitored by the surgeon. Accordingly, there is illustrated in FIG.
4 a modification of this invention wherein there is secured to the
instrument a temperature gauge 110 connected by means of leads 112
to a thermocouple needle 114. In the illustration, the needle 114
is shown inserted beneath a tumor T on a section of human skin S.
The spray is ejected from hypodermic needle 116, secured to
connector 106. The illustrated combination thus provides a useful
apparatus for controlled manipulation by the surgeon.
In one actual embodiment of the apparatus, the overall length of
the unit is approximately 7 inches and has a diameter of 1 1/2
inches. Such a device holds approximately 100 cc of liquid nitrogen
and, with a number 20 gauge needle attached, is capable of
delivering liquid nitrogen for several minutes. The average
operating time may vary from 30 to 120 seconds. If multiple tumors
are to be frozen, the instrument is simply directed to each and
every tumor in succession. The unit is sufficiently well insulated
to permit the operator to grasp the vessel within his hand and
comfortably operate the control trigger. The efficiency of the
described apparatus is approximately 5 times as great as that of
existing devices. For example, 100 cc of liquid nitrogen will
deliver a spray of approximately 6 minutes duration, whereas a 6
minute spray in conventional instruments requires a liquid nitrogen
volume of approximately 500 cc.
It will be apparent to those skilled in the art that many
variations and modifications may be made in this invention without
departing from its spirit and scope. For example, the refrigerant
discharge connector 106, which is shown near the bottom of the
container may, in fact, be positioned at any desired location, such
as midway or at the top. Also, the hypodermic needle nozzle may be
replaced with a hollow probe. The refrigerant would enter the
probe, cooling it, and be ejected from the rear end of the probe.
Such a construction would be particularly valuable in treating oral
or internal lesions where spraying of the liquid would not be
applicable. Accordingly, the foregoing description is to be
construed as illustrative only, rather than limiting. This
invention is limited only by the scope of the following claims.
* * * * *