U.S. patent number 3,807,401 [Application Number 05/264,844] was granted by the patent office on 1974-04-30 for anticoagulating blood suction device.
This patent grant is currently assigned to The United States of America as represented by the Secretary of the. Invention is credited to Stephen H. Bennett, Robert C. Hoye, Grant C. Riggle.
United States Patent |
3,807,401 |
Riggle , et al. |
April 30, 1974 |
ANTICOAGULATING BLOOD SUCTION DEVICE
Abstract
An anticoagulating blood suction device for use in
intra-operative autotransfusion operations which removes pools of
blood and simultaneously draws a controlled amount of anticoagulant
into the stream of blood by means of a metering orifice designed on
the Venturi principle. The prescribed amount of anticoagulant is
mixed with the volume of blood removed from the wound regardless of
blood volume variations per unit of time.
Inventors: |
Riggle; Grant C. (Bethesda,
MD), Hoye; Robert C. (Laytonsville, MD), Bennett; Stephen
H. (Wheaton, MD) |
Assignee: |
The United States of America as
represented by the Secretary of the (Washington, DC)
|
Family
ID: |
23007856 |
Appl.
No.: |
05/264,844 |
Filed: |
June 21, 1972 |
Current U.S.
Class: |
604/269; 604/902;
433/91 |
Current CPC
Class: |
A61M
1/3672 (20130101); A61M 1/85 (20210501); A61M
1/7411 (20210501); A61M 2202/0413 (20130101); Y10S
604/902 (20130101) |
Current International
Class: |
A61M
1/00 (20060101); A61M 1/36 (20060101); A61m
001/100 (); A61m 027/00 () |
Field of
Search: |
;127/214R,276,277,278,350 ;27/24R,24A ;32/33 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
What is claimed is:
1. An anticoagulating blood suction device comprising:
a tube;
a suction tip at one end of said tube;
vacuum means for creating a partial vacuum in said tube connected
thereto at the end remote from said suction tip; and
metering means within said tube for drawing anticoagulant into said
tube at a rate proportionate to the flow rate of blood passing said
metering means, wherein said metering means comprises
a venturi element with a passageway therein narrowing to a neck and
then widening again to the inner diameter of said tube; and
a chamber connected to said tube in the area of said venturi
element for maintaining anticoagulant therein;
said venturi having an orifice therethrough in the area of said
neck communicating with said chamber whereby the pressure decrease
caused by the passage of blood past said neck in said venturi
element will draw anticoagulant through said orifice in an amount
proportionate to the flow rate of the bood.
2. An anticoagulating blood suction device in accordance with claim
1, further including:
a second tube surrounding said first mentioned tube and coaxial
therewith, said chamber for anticoagulant being defined by the
annular space between said first mentioned tube and said second
tube; and
a metering hole in said tube in the area of said orifice for
permitting the flow of anticoagulant from said chamber to said
venturi element.
3. An anticoagulating blood suction device in accordance with claim
1 further including:
a housing means connected to said suction tip for preventing pieces
of solid material from entering said tube.
4. An anticoagulating blood suction device in accordance with claim
3 wherein:
said housing means includes a screen of perforated metal.
5. An anticoagulating blood suction device in accordance with claim
1 wherein:
all of the surfaces of the device which come in contact with blood
are silicon resin coated.
6. An anticoagulating blood suction device in accordance with claim
1, further including:
air vent means comprising a vent through said tube located between
said metering means and said suction tip for preventing aspiration
from said suction tip when open and permitting aspiration when
closed.
Description
FIELD OF THE INVENTION
The present invention relates to the field of autologous blood
reinfusion and, more particularly, to a blood suction device for
use in intra-operative autotransfusion which feeds a controlled
amount of anticoagulant into the blood stream which amount is
dependent upon the flow rate of blood being drawn.
BACKGROUND OF THE INVENTION
Autotransfusion, defined as the return of a patient's blood to his
own circulation during an active bleeding episode, has been used
sporadically since 1886 for a wide variety of surgical problems.
While autotransfusion has been shown to be a safe and effective
means of blood replacement in selected surgical cases, its routine
use has not been established. One reason for this is the previous
lack of practical and efficient methods of processing blood
recovered at surgery for reinfusion.
When autotransfusion was initially used, open collection techniques
including sponging, ladling and bulb suction were employed.
Anticoagulation was achieved with citrate or hemodilution, and
blood was filtered through multilayered gauze to remove
contaminants. The return of blood was accomplished subcutaneously,
intramuscularly, intravenously or even per rectum when grossly
contaminated. Later, a closed system using a vacuum suction and
tonsil tip suction device was developed. Wall vacuum suction was
later replaced by a roller pump device to minimize hemolysis. Many
improvements in filtration devices have also been described in the
prior art.
While collection and filtration devices for autotransfusion have
been modernized, methods of anticoagulation of the blood to be
reinfused have changed little in the past 80 years and leave much
to be desired. U.S. Pat. No. 3,492,991, to Dyer, Jr. recommends
anticoagulation of blood in a collection reservoir or chamber using
either citrate or aqueous heparin introduced by "in-line" drip.
This method of "chamber anticoagulation" demands constant
surveillance and monitoring by an assistant for proper
anticoagulation and may allow clot formation to occur in the vacuum
line between the suction tip and the collection chamber.
A second method of anticoagulation is systemic heparinization.
While this method is satisfactory for peripheral vascular surgery,
its use would not be readily acceptable in patients where a
significant amount of soft tissue dissection is anticipated or in
patients suffering from multiple trauma.
SUMMARY OF THE INVENTION
The present invention eliminates the problems of the prior art by
anticoagulating the blood as it is removed from the surgical field.
A metering orifice near the vacuum tip, operating on a Venturi
principle, draws a controlled amount of anticoagulant into the
blood stream immediately after the blood leaves the surgical field.
The orifice is designed to permit a predetermined
anticoagulant-blood ratio to be achieved regardless of the volume
or rate of flow of blood aspirated.
It is therefore an object of the present invention to overcome the
above described problems in the prior art.
It is another object of the present invention to provide improved
autologous blood reinfusion.
It is another object of the present invention to provide a novel
means for anticoagulating blood in an autotransfusion process.
It is still another object of the present invention to provide an
autotransfusion device which avoids the need for systemic
anticoagulation.
It is yet another object of the present invention to provide an
anticoagulating blood suction device with which a controlled ratio
of anticoagulant to blood may be maintained regardless of the blood
flow rate.
It is another object of the present invention to provide an
autotransfusion device in which anticoagulant is introduced within
the suction device thus preventing blood clot formation during
extra-corporeal flow.
These and other objects will become more clear with reference to
the following description and the attached drawings.
DESCRIPTION OF THE DRAWINGS
FIG. 1 is a cross-sectional view of an anticoagulating suction
device *(*See "Intraoperative Autotransfusion -- Preliminary Report
of a New Blood Suction Device for Anticoagulation of Autologous
Blood" by Bennett, Hoye and Riggle, Am. J. of Surg., Vol. 123,
hereby incorporated by reference.) of the present invention.
FIG. 2 is an enlarged cross-sectional view showing the venturi
assembly of FIG. 1.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring to FIG. 1, a suction device 5 in accordance with the
present invention connected to a suitable vacuum creating device
such as a roller-type pump (not shown) via a connector 11 at one
end. A suction tip 12 is attached to the other end of the
device.
Forming a central portion of the device 5 is a tube 14, soldered at
one end 7 to a blood receiving nozzle 10. The nozzle 10 has a
gently rounded tip 6 for receiving the entering blood without
injuring the blood cells. A filtering housing 9, threaded at its
base, is screwed to the nozzle 10. The housing 9 has a perforated
or screened portion 13 around its periphery for receiving the blood
but keeping out any pieces of tissue or contaminants which may be
in the blood. The screen portion 13 of the housing 9 may be made of
either screening or perforated metal but the latter is preferred in
order to minmize hemolysis. The nozzle 10 and the filtering housing
9 make up the suction tip 12.
From the suction tip 12, the tube 14 leads to a venturi section 15,
comprising a venturi element 16 having a flanged portion 27. A
sleeve 17 is attached to the end of the tube 14 and the flanged
portion 27 of venturi element 16 is compressed against the end of
the tube 14 with the tube 14 being press-fitted within the sleeve
17. A tube 22 fits over the venturi element 16 and an externally
threaded sleeve 24 fits over the tube 22 and is preferably soldered
thereto. The sleeve 24 threads into the sleeve 17 up to the flanged
portion 27 of venturi 16. An internally threaded and externally
knurled collar 20 threads over the sleeve 24 and is separated from
the sleeve 17 by an o-ring 28 which acts as a seal between sleeve
24 and sleeve 17. A tube 21, concentric about the tube 22, is
fitted over the end of element 24 and is sealed by an o-ring 29. An
o-ring 32 acts as a seal between the venturi element 16 and the
tube 22.
A thumb plate 18 is attached to the sleeve 17 and an air vent
orifice 19 passes through thumb-plate 18, sleeve 17 and tube 14.
The interior of the venturi element 16 narrows to a small-diameter
neck or throat 31 and a siphon orifice 30 is located at the neck
31. At least one metering hole 23 is provided in the tube 22 around
the location of the siphon orifice 30.
A plug 26 is located at the end of tube 21 and seals the annular
space between tube 22 and the end of tube 21. An anticoagulant flow
line 25 passes through the plug 26 to communicate with the annular
chamber which is formed between tubes 21 and 22. The flow line 25
is connected to a source of anticoagulant (not shown).
In operation, pooled blood is drawn into the tube 14 through the
suction tip 12 and passes throuh the venturi throat 31 when the air
vent 19 is sealed by the thumb of the operation. Anticoagulant is
drawn into the suction device by the Venturi principle. Thus, by
narrowing a section of the suction tube, an increase in the
velocity of blood flow occurs with a decrease in pressure. This
creates a relative vacuum opposite the point of conveyance causing
the anticoagulant to be drawn into the suction line at that point.
The anticoagulant solution enters the chamber formed between tubes
21 and 22 and is drawn into the stream of blood through the holes
23 in tube 22 and metering orifice 30 in venturi element 16.
The thumb control air vent 19 allows the operator to interrupt
suction if the negative pressure at the suction tip 12 has drawn
soft tissue or fat around the tip to occlude the openings. This
feature prevents the sudden inflow of anticoagulant solution into
the system if the tip should become occluded.
It is preferable that a suitable check valve assembly (not shown)
be incorporated in the anticoagulant inflow line to prevent the
anticoagulant from flowing retrograde from the suction device at
the conclusion of each aspiration.
The anticoagulant infusion system of the present invention has been
shown to cause minimal hemolysis while introducing controlled
amounts of anticoagulant proportionate to the blood flow rate. The
ratio of anticoagulant to blood has been shown to remain within
satisfactory limits and relatively consant regardless of whether
the suction tip is totally immersed in the pool of blood allowing
no air to be introduced or whether the suction tip is placed at the
air-liquid interface, thereby permitting both fluid and air to
enter the system.
In the above-described embodiment of the present invention it is
seen that the venturi element 16 is removable and replaceable. The
ratio of anticoagulant to blood can be varied by varying the size
of the venturi throat 31 and/or the metering holes 23. If the inner
diameter of tubing 14 is about 3.4 mm. it has been found that a
venturi throat diameter of 1.8 mm. and a single metering hole
diameter of 0.4 mm. will draw approximately 30 ml. of heparin per
1,000 ml. of blood.
It is of course necessary that all materials used in the
manufacture of the device 5 be compatible with blood and stainless
steel is preferred. Furthermore, it is recommended that all
surfaces which come in contact with blood be silicone resin
coated.
While a full and complete description of the invention has been set
forth in accordance with the dictates of the patent statutes, it is
to be understood that the invention is not limited to the basic
embodiment herein shown. Accordingly, modifications may be made
without departing from the invention.
* * * * *