U.S. patent number 3,823,718 [Application Number 05/289,753] was granted by the patent office on 1974-07-16 for portable cryosurgical apparatus.
Invention is credited to Theodore A. Tromovitch.
United States Patent |
3,823,718 |
Tromovitch |
July 16, 1974 |
PORTABLE CRYOSURGICAL APPARATUS
Abstract
This invention relates to cryosurgery, and more particularly to
the delivery and application of liquified gas coolant to living
tissue in order to necrotize the same.
Inventors: |
Tromovitch; Theodore A.
(Burlingame, CA) |
Family
ID: |
23112930 |
Appl.
No.: |
05/289,753 |
Filed: |
September 15, 1972 |
Current U.S.
Class: |
606/22; 222/382;
222/401; 222/397; 222/538; 222/209 |
Current CPC
Class: |
A61B
18/0218 (20130101) |
Current International
Class: |
A61B
18/00 (20060101); A61B 18/02 (20060101); A61b
017/36 (); B67d 005/40 () |
Field of
Search: |
;67D/554 ;128/303.1
;222/397,398,382,383,538 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Other References
Marshall, Principles and Practice of Operative Dentistry, pp.
578-580. J. B. Lippincott Co., Philadelphia and London,
1901..
|
Primary Examiner: Pace; Channing L.
Attorney, Agent or Firm: Hill; Robert Charles
Claims
What is claimed is:
1. A portable cryosurgical instrument comprising:
insulated container means having an upper end and a lower end; `a
quantity of cryogenic liquid within said container means having an
upper level;
removable closure means sealably engaging the upper end of said
container means;
first tubular means extending through said closure means and having
one end thereof communicating with said cryogenic liquid below the
upper level thereof for selectively transferring said liquid from
said container to a spray nozzle means located at the other end of
said first tubular means;
means for selectively administering pressure through said closure
means to the upper level of said cryogenic liquid to force said
liquid through said first tubular means;
direct response safety valve means on said closure means for
venting said container to atmosphere when the pressure therein
exceeds a predetermined level; and
insulated handle means on said other end of said first tubular
means near said nozzle means;
whereby effective use is made of said cryogenic liquid so that
numerous patients may be treated at different locations on one fill
of cryogenic liquid.
2. The portable cryosurgical instrument of claim 1 additionally
comprising spray nozzle storage means on said container closure
means.
Description
BACKGROUND OF THE INVENTION
It has long been known in the prior art to use liquified gas (such
as helium, nitrogen, oxygen, air, freon, zenon, carbon dioxide,
etc.) to freeze healthy or diseased tissue, and thereby necrotize
the tissue. For instance, one well-known use of liquified gas in
cryosurgery is the removal of lesions, both on the skin and
internally. Usually, the object is to remove the lesion by
destroying the tissue; in other cases, the object is the
destruction of the tissue while maintaining adjacent portions of
the tissue structure in place, such as in the walls of vital
organs. As used herein, "lesion" means diseased tissue which is to
be frozen; the destruction of lesions includes removal of tissue
for cosmetic purposes, and killing of tissues as a complimentary
modality to surgical procedures.
However, prior art devices have been very inefficient due to very
poor or lack of insulation in the containers holding the cryogenic
liquid with the result that ambient heat prematurely gasifies the
cryogenic liquid and same is vented to atmosphere through safety
exhaust means, etc. A further drawback of prior art devices resides
in their awkward construction whereby the container holding the
cryogenic liquid is oftentimes integrally associated with the
discharge nozzle for the cryogenic fluid. In many cases such a
construction leads to severe operator fatigue and also hampers the
use of the apparatus since only one hand is free to operate the
surgical device while the operator's other hand is occupied with
the holding of the container or the operation of levers, etc. A
still further disadvantage of some prior art devices is that they
include 17 liter or 30 liter tanks which contain the coolant, thus
making the structure heavy and cumbersome and almost impossible to
transport for house calls and/or visits to nursing homes and
hospitals.
Accordingly, it is the primary object of the present invention to
provide improved cryosurgical apparatus in which the cryogenic
liquid is contained in a completely insulated container and which
is normally not vented to atmosphere.
A further object of the invention is to provide apparatus which
does not require the use of a finger or foot-operated lever, etc.,
during actual surgical use of the device.
A further object of the invention is the provision of a simple
manually operated fluid pressure producing device for selectively
applying pressure to the cryogenic fluid in the container for
delivery of same to the outlet nozzle.
A still further object is to provide a small self-contained hand
carryable apparatus which is readily portable.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a partially sectioned, broken away side elevation view of
the preferred embodiment of the present invention;
FIG. 2 is a partially sectioned, broken away side view of the
device shown in FIG. 1 when rotated 90.degree. to illustrate
additional features of the invention; and
FIG. 3 is a top plan view of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring now to FIG. 1, there is illustrated a cryogenic system
including a supply container 10 having a suitable cryogenic liquid
12 contained therein. The container 10 comprises a base member 14
into which is seated an insulated bottle 16 which is preferably a
double walled vacuum bottle.
The cryogenic liquid 12 may be any nonexplodable, nontoxic, low
molecular weight substance. Of those substances meeting the
aforementioned requirements, the choice of liquid will depend upon
the temperature at which the surgeon or dermatologist chooses to
perform the operation. For most applications the preferred
substance is liquid nitrogen.
The top of the insulated bottle 16 is provided with a removable
closure 18 which engages the bottle in fluid tight relation as
shown in the drawing. As best shown in FIG. 2, the closure 18 is
provided with three tubular orifices 20, 22 and 24 extending
therethrough for communication with a chamber 26 defined by the
insulated bottle 16.
Extending through the orifice 20 is a tubing 28, preferably of
nylon, having a first end 30 submerged below the level of the
cryogenic liquid 12. Near the second or remote end 32 of tubing 28
there is provided insulated handle means 34. A desirable material
for the thermally insulative handle 34 comprises plastic layers,
such as polystyrene, superimposed upon one another and then heated
and joined in a vacuum chamber. Such materials exhibit very poor
thermal conductivity and also have great tensile strength. In
addition, insulative materials as shown at 36 may be placed between
the handle 34 and tube end 32 as desired.
At the remote end 32 of the tubing 28 there is provided a nozzle
means 38 which is removably connected to a shank 40 formed in the
outer end of handle 34 and into which the end 32 of tubing 28
terminates. The shank 40 may receive any one of several nozzles,
such as by a threaded connection, and as shown in FIGS. 1 and 3 an
auxiliary nozzle 42 may be stored on a shank formed on the top of
closure 18. All such nozzles may be regulated in a known fashion,
such as by rotating same, from a completely closed position to a
fine mist-like spray or a small diameter highly localized
stream.
A desirable feature of the invention resides in the provision of
the relatively long and flexible tubing 28, which in conjunction
with the insulated container 10 allows the operator maximum
mobility and flexibility without having to move the container 10
during operation. Some operative functions of subject cryogenic
devices require the use of both of the operator's hands for
considerable periods of time and it is obvious that excessive
weight or awkwardness caused by having to move the liquid container
during operation is not desirable.
Referring back to FIG. 2, it may be observed that a second flexible
tubing 46 communicates through closure orifice 22 with the space
located in chamber 26 above the level of cryogenic liquid 12. The
outer end 48 of tube 46 is suitably attached to a conventional air
bulb 50. The air bulb is used to selectively apply pressure to the
space in chamber 26 located above the level of cryogenic liquid 12.
A suitable valve means 52, such as a screw valve, may be employed
to close off the air bulb 50 when same is not in use.
As also shown in FIG. 2, there is provided safety valve means 54
formed on the closure 18 and in communication with closure orifice
24 which orifice is in communication with the space in chamber 26
located above the level of cryogenic liquid 12. The safety valve 54
is set to open at any given pressure above the normal pressure
maintained in chamber 26 of container 10. For example, the valve
may be set to open at any time the pressure in chamber 26 rises
three pounds above normal pressure in said chamber, such for
example as when pressure is being applied to said chamber from the
air bulb 50 and exceeds the desired level. FIG. 3 illustrates the
relative positions on the enclosure 18 of tubing 28, tubing 46,
auxiliary nozzle 42, and safety valve means 54.
During operation of the device of the present invention, the
container 10 is filled with liquified gas coolant, such as liquid
nitrogen, to a suitable level. The operator then directs the nozzle
38 toward the tissue and, after opening valve 52, administers
pressure to the chamber 26 above the level of cryogenic liquid 12
by squeezing air bulb 50. This pressure forces the liquid nitrogen
12 into delivery tube 28 and through nozzle 38. The length of
delivery tube 28 can be selected such that by the time the
cryogenic fluid reaches the outlet orifice of nozzle 38, it
comprises a desired gas-liquid ratio, such as, for example, 90
percent gas and 10 percent liquid. It should also be understood
that the duration of use also influences the gas-liquid ratio.
Thus, the longer the continuous use, the greater the percentage of
liquid flowing through nozzle 38. Typical usages vary from five
seconds up to and including several minutes. If at any time during
operation of the device the pressure in chamber 26 exceeds the
desired level, the pressure safety valve 54 will open and vent the
chamber to atmosphere until such time as conditions have
stabilized.
It can therefore be seen that the new and improved cryosurgical
apparatus of the present invention provides a portable
self-contained unit which is easy to operate in a manner that
maximizes the effective use of the coolant.
* * * * *