U.S. patent number 3,830,225 [Application Number 05/328,350] was granted by the patent office on 1974-08-20 for multiple purpose stopcock arrangement for suctioning, injection, oxygen cessory equipment.
Invention is credited to James P. Shinnick, D.O..
United States Patent |
3,830,225 |
Shinnick, D.O. |
August 20, 1974 |
MULTIPLE PURPOSE STOPCOCK ARRANGEMENT FOR SUCTIONING, INJECTION,
OXYGEN CESSORY EQUIPMENT
Abstract
A bronchoscope is provided with means permitting the
introduction or removal of fluids into or from a patient's lungs
while at the same time performing a biopsy or obtaining specimens
by means of a brush or otherwise. Moreover, the operations being
performed may be continually observed by one or more persons who
can manipulate the equipment readily and without interrupting the
procedure to carry out the various different operative steps.
Inventors: |
Shinnick, D.O.; James P. (Maple
Shade, NJ) |
Family
ID: |
23280625 |
Appl.
No.: |
05/328,350 |
Filed: |
January 31, 1973 |
Current U.S.
Class: |
600/581;
600/569 |
Current CPC
Class: |
A61B
1/12 (20130101); A61M 16/0463 (20130101); A61B
1/2676 (20130101); A61B 1/00165 (20130101); A61M
1/7413 (20210501); A61B 1/015 (20130101) |
Current International
Class: |
A61B
1/267 (20060101); A61B 1/12 (20060101); A61M
16/04 (20060101); A61B 1/00 (20060101); A61M
1/00 (20060101); A61b 001/26 () |
Field of
Search: |
;128/2B,2R,4,6 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Attorney, Agent or Firm: Sperry and Zoda
Claims
I claim:
1. In combination with a bronchoscope embodying a flexible tube for
insertion into a patient's lung; a detachable unit adapted to be
connected to said bronchoscope and formed with a passage
therethrough to permit insertion and removal of instruments through
said unit and into said tube; a conduit connected to said unit and
control means connected to said conduit through which fluids may be
passed to and from said conduit, unit, and tube.
2. A bronchoscope as defined in claim 1, wherein said control means
is movable to alternative positions to permit either the
introduction or the removal of fluids through said tube.
3. A bronchoscope as defined in claim 1, wherein said passage has
an opening therein through which fluids may be passed to or from
said passage, and valve means for selectively opening and closing
said passage and opening.
4. A bronchoscope as defined in claim 1, wherein said control means
includes a spring pressed valve manually operable to selectively
permit flow of fluid in opposite directions therethrough.
5. A bronchoscope as defined in claim 1, wherein said passage has a
closure adjacent one end thereof movable to permit the insertion
and removal of an instrument through said passage, the opposite end
of said passage having an internal cross section sufficient to
permit the flow of fluids into and out of said passage past an
instrument extending through said passage, and an opening
communicating with said passage between said ends thereof through
which fluids may flow into and out of said tube and passage.
6. A bronchoscope as defined in claim 5, wherein said passage has
an enlarged portion between the opposite ends thereof and a member
is located in said enlarged portion movable into and out of a
position to permit the movement of an instrument through said
passage.
7. A bronchoscope as defined in claim 5, wherein said member is
movable into and out of a position to close said opening in said
passage.
8. In combination with a bronchoscope having a body, a tube
connected to said body for insertion into a patient's lung, a unit,
adapted to be attached to said body and having a passage
therethrough communicating with said tube through which instruments
may be passed into and out of said tube, and a conduit
communicating with said passage through which fluids may flow into
and out of said passage and tube.
9. The combination as defined in claim 8, wherein said conduit has
valve means therein movable to alternative positions to permit the
flow of fluid either into or out of said passage and tube.
10. The combination as defined in claim 8, wherein said passage has
means therein for blocking said passage to prevent insertion of an
instrument into said tube while permitting the flow of fluid into
or out of said tube and conduit.
Description
FIELD OF INVENTION
Bronchoscopes known as fiberoptic bronchoscopes, have been
developed which are characterized by their increased flexibility
and range of visualization while affording greater comfort or
tolerance to the patient. However, in performing many examinations
and treatments of a patient, it is desirable to perform two or more
operations simultaneously, as when it becomes necessary to aspirate
or inject fluids through the bronchoscope while leaving biopsy
forceps or other instruments in place.
Such procedures have not been possible heretofore due to the
necessity of removing the forceps, suction or aspirating equipment,
or the like, in order to carry out another operative step of the
examination or procedure.
In accordance with the present invention, means are provided in the
nature of valves or control means which can be readily manipulated
by the operator during examinations to allow the introduction or
removal of fluids or instruments or both without withdrawing other
equipment from the bronchoscope. In particular, the present
invention may be in the form of an accessory device adapted for
attachment to fiberoptic bronchoscopes to increase the utility and
capabilities thereof.
THE DRAWINGS
FIG. 1 is a diagrammatic illustration of a fiberoptic bronchoscope
having a typical embodiment of the present invention applied
thereto as an accessory.
FIG. 2 is an enlarged sectional view of the elements of the
accessory shown in FIG. 1 in one position thereof; and FIGS. 3, 4,
and 5 are views similar to FIG. 2 illustrating alternative
positions of the elements of the device .
PREFERRED EMBODIMENT
In that form of the invention chosen for purposes of illustration
in the drawings, the bronchoscope is preferably of the type known
as a fiberoptic bronchoscope and is provided with a body 2 having
an eyepiece 4 on one end thereof and a tube 6 connected to the
opposite end thereof for insertion into a patient's lung. A light
tube 8 is also connected at one end to the body 2 and has an
electrical connector 10 on the opposite end thereof for providing
illumination in carrying out an examination or performing an
operation. If desired, a secondary eyepiece 12 may be connected to
the eyepiece 4 to permit an assistant or student to observe the
operations being performed by the doctor using the
bronchoscope.
In accordance with the present invention, a unit 14 is connected to
the body 2 of the bronchoscope and has a passage 16 therethrough
for the insertion and removal of an instrument 18 such as biopsy
forceps, curettes, brushes, or the like, which may be passed into
and out of the tube 6 for obtaining cytological specimens or
performing operative or other procedures. The outer end of the unit
14 and passage 16 are normally closed by a membrane or closure
element 20 (FIG. 4) which is movable to permit the insertion and
removal of instruments 18, whereas the opposite or inner end of the
unit 14 is provided with threads or other attaching means 22 by
which the unit 14 may be secured to the body 2 of the
bronchoscope.
The passage 16 between the closure element 20 and the outlet end 23
thereof is enlarged in cross section so as to provide a space 25
about the instrument 18 for the flow of fluids into and out of the
tube 6 of the bronchoscope while the instrument remains in place
within the passage 16.
The unit 14 is provided at about the mid-point thereof with a
lateral extension 24 for connection with a tube or conduit 26 by
which fluids may be passed into or out of the passage 16 of the
unit through an opening 28 in the enlarged portion of the passage.
A member 30 in the general form of a stop cock is located in the
enlarged portion of the passage 16, adjacent the opening 28. The
member 30 has three ports therein arranged with the ports 32 and 34
on opposite sides of the member 30 and of such size as to permit
the instrument represented at 18 to be passed freely through the
ports. The third port 36 is positioned at right angles to the ports
32 and 34 and designed to cooperate with the opening 28 in passage
16 of the unit 14 to permit the flow of fluids through the unit to
and from the conduit 26 and the tube 6 of the bronchoscope. A
handle 38 connected to the member 30 projects outward at the end of
the unit 14 to permit the member 30 to be moved to the position of
FIG. 2 wherein the ports 32 and 34 are located so as to allow the
passage of an instrument 18 through the unit. At the same time, the
port 36 is brought into registry with the opening 28 in the unit 14
to provide communication of the conduit 26 with the tube of the
bronchoscope. However, when no instrument is being used, the member
30 may be moved to the position of FIG. 5 to provide only for fluid
flow through the unit 14 and conduit 26 under control of a valve
40.
The conduit 26 may be of any suitable or convenient length, say
about 20 centimeters, and is connected to control means such as the
valve 40. The valve is designed to control the flow of fluids to
and from the unit 14 and tube 6 to permit oxygen, fluid medication,
or the like, to be administered to the patient and to permit body
fluids, mucous, blood, or the like, to be withdrawn from the
patient's lungs.
The valve 40 is preferably constructed to be operated manually by
one hand so that the doctor or assistant will have the other hand
free to handle instruments or the like. For this purpose the valve
is preferably provided with a tubular body 42 within which a
plunger 44 is axially movable. A spring 46 located in the base of
the tubular body 42 bears against the lower end of the plunger 44
to urge it outward in the valve body, whereas the plunger may be
depressed against the action of the spring 46 by pressure applied
to the plunger by a finger piece 48 or an aspirator, or the like,
inserted into a cavity 50 within the plunger. The plunger is guided
in its axial movement by means of a projection 52 extending
inwardly from the tubular body 42 of the valve and into a
longitudinally extending groove 54 in the outer wall of the valve
plunger 44. The lower end of the groove 54 is closed so as to limit
the outward movement of the plunger with respect to the valve body
42 under the action of the spring 46.
The lower end of the cavity 50 in plunger 44 is provided with a
laterally directed opening 56 for communication with a cylindrical
connector 58 secured to the body 42 of the valve to which the
tubular conduit 26 is attached. Further, the plunger 44 is provided
with a through passage 60 by which the conduit 26 may be brought
into communication with a connector 62 carried by the body 42 of
the valve for the application of suction to remove fluids from the
patient's lung through tube 6, unit 14 and conduit 26 under control
of the valve 40.
The construction thus provided is capable of varied uses permitting
the application or removal of fluids to or from a patient's lung at
all times while the tube 6 of the bronchoscope is in place and
further, renders it possible to apply or remove such fluids while
employing instruments or carrying out and observing the operations
being performed. Moreover, it is not necessary to remove the
instruments from the unit and bronchoscope in order to introduce or
remove fluids to or from the area being observed or upon which
operations are being performed.
Accordingly, in using the equipment as shown in FIG. 2, the member
30 of unit 14 is moved by handle 38 to a position in which the
ports 32 and 34 are aligned with the passage 16 whereby the
instrument 18 may be passed through the closure element 20 at the
upper end of the unit and into the tube 6 of the bronchoscope for
performing the desired operations. At the same time, the port 36 of
the member 30 is brought into registry with the opening 28 in the
unit 14 for communication with the conduit 26. Thereafter, if it is
desired to introduce oxygen or other fluids into the patient's
lung, the plunger 44 of valve 40 may be depressed against the
action of spring 46 to bring the lateral opening 56 in cavity 50 of
the plunger into communication with the conduit 26, as shown in
FIG. 3. Fluid may then flow from the cavity 50 through conduit 26
to the passage 16 in unit 14, and, thence through the space 25
about the instrument 18 and into the tube 6 of the bronchoscope, as
indicated by the arrows 64 of FIG. 2.
In the alternative, if fluid is to be removed from the patient's
lung through tube 6 of the bronchoscope, the plunger 44 of the
valve 40 may be moved to a position of FIG. 4 in which the plunger
provides communication between conduit 26 and connector 62 for the
application of suction to the unit 16 and tube 6 of the
bronchoscope. Fluid will then flow through the tube and unit past
the instrument 18, as indicated by the arrow 66 of FIG. 4, to
conduit 26 and valve 40 for discharge through connector 62.
The flow of fluid into or out of the patient's lung can thus be
effected without removal of the instrument 18 and without
obstruction to the view of the operator using the bronchoscope.
Further, in using the equipment of the present invention when no
instruments are being employed, the handle 38 of the unit 14 may be
moved to rotate the member 30 within the unit to position shown in
FIG. 5, wherein the port 36 in member 30 communicates with the tube
6 of the branchoscope and port 32 communicates with the conduit 26
controlled by the valve 40. The operator may then depress the
plunger 44 of the valve against the action of spring 46 to either
the position as shown in FIG. 3, wherein the laterally directed
opening 56 will be brought into communication with the conduit 26
or to the position of FIG. 4, wherein the through passage 60
therein serves to bring the conduit 26 into communication with
connector 62 for the application of suction to bronchoscope tube 6
to remove fluids from the patient's lung.
The movement of the plunger 44 of valve 40 can be effected by a
finger of one hand grasping the valve and if desired, the amount of
suction or pressure applied in supplying or removing fluids to or
from the conduit 26 and tube 6 may be varied by th operator by
depressing the plunger in a controlled manner to bring the opening
or through passage in the valve into limited or full registry with
the connector 58 to which the conduit 26 is attached.
In the alternative and if more convenient, oxygen or the like or
suction may be applied directly to the unit 14 through the membrane
or movable closure element 20 at the outer end of the unit 14. In
that event, the valve 40 need not be employed and the plunger 44
will remain in its uppermost position, as shown in full lines in
FIG. 2.
While one preferred embodiment of the invention and methods of
using the equipment have been shown and described above, it will be
apparent that numerous changes may be made in the form,
construction and arrangement of the various elements of the
combination. In view thereof, it should be understood that the
particular embodiment of the invention illustrated in the drawings
is intended to be illustrative only and is not intended to limit
the scope of the following claims.
* * * * *