U.S. patent number 3,830,239 [Application Number 05/288,363] was granted by the patent office on 1974-08-20 for cryosurgical device.
This patent grant is currently assigned to Frigitronics of Conn., Inc.. Invention is credited to Joseph F. Andera, Joseph G. Stumpf.
United States Patent |
3,830,239 |
Stumpf , et al. |
August 20, 1974 |
CRYOSURGICAL DEVICE
Abstract
A cryosurgical instrument having a thermally insulating housing
containing a cartridge partially filled with a low boiling
temperature liquefied refrigerant, such as "Freon" (a mark of
DuPont). The cartridge includes a heat conductive tip in contact
with the refrigerant and extending from the housing. The housing
carries means for selectively venting the unfilled portion of the
cartridge to atmosphere. This permits the refrigerant to boil at a
reduced temperature, thereby abstracting heat from, and cooling,
the tip. The foregoing abstract is not to be taken either as a
complete exposition or as a limitation of the present invention. In
order to understand the full nature and extent of the technical
disclosure of this application, reference must be had to the
following detailed description and the accompanying drawings as
well as to the claims.
Inventors: |
Stumpf; Joseph G. (Fairfield,
CT), Andera; Joseph F. (Trumbull, CT) |
Assignee: |
Frigitronics of Conn., Inc.
(Shelton, CT)
|
Family
ID: |
23106778 |
Appl.
No.: |
05/288,363 |
Filed: |
September 12, 1972 |
Current U.S.
Class: |
606/25; 62/294;
62/293 |
Current CPC
Class: |
A61B
18/02 (20130101) |
Current International
Class: |
A61B
18/00 (20060101); A61B 18/02 (20060101); A61b
017/36 () |
Field of
Search: |
;62/293,294 ;128/303.1
;222/81 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Pace; Channing L.
Attorney, Agent or Firm: Buckles and Bramblett
Claims
We claim:
1. A self-contained, disposable cryosurgical device which
comprises: an elongated, sealed container having a first end
terminating in an integral heat conductive applicator tip, and a
second end; a liquefied refrigerant partially filling said
container to define a vapor space therein and normally maintained
at super atmospheric pressure, said liquid being in direct physical
contact with said tip; an insulating housing substantially
enclosing said container but exposing at least a portion of said
tip; and means at said second end for selectively venting the vapor
space of said container to atmosphere to boil said refrigerant and
cool said container and tip.
2. The device of claim 1 wherein said venting means comprises a
porous member for passage of refrigerant therethrough.
3. The device of claim 1 wherein said venting means comprises a
needle actuatable to puncture the second end of said container.
4. The device of claim 3 wherein said needle is secured to an
actuating plunger supported in said housing.
5. The device of claim 4 wherein said venting means comprises a
porous member surrounding said needle.
6. The device of claim 1 wherein the second end of said container
comprises an elastomeric diaphragm.
7. The device of claim 6 wherein said venting means comprises a
needle actuatable to puncture said diaphragm.
8. The device of claim 7 wherein said needle is secured to an
actuating plunger supported in said housing.
9. The device of claim 1 wherein the second end of said container
comprises a valve and said venting means comprises a valve
actuator.
10. The device of claim 9 wherein said valve actuator comprises a
plunger supported in said housing.
11. The device of claim 10 wherein said valve comprises an
elastomeric diaphragm normally sealing said second end but movable
to an open position by said plunger.
12. The device of claim 11 wherein said plunger includes means for
retaining said diaphragm in its open position.
Description
BACKGROUND OF THE INVENTION
This invention pertains to a cryosurgical device employing a low
boiling temperature liquid refrigerant. More particularly, it
relates to such a device which is self-contained, disposable, and
of small size -- rendering it particularly useful for the
cryoextraction of cataracts.
A number of cryosurgical devices have been known to the prior art
which are self-contained units and which customarily employ a low
boiling refrigerant, such as "Freon." Examples of such devices will
be found in the following U.S. Pat. Nos.:
2,645,097 Posch
3,343,544 Dunn et al.
3,524,446 Crump et al.
3,529,131 Kanbar et al.
3,575,176 Crump et al.
All of the foregoing are characterized by being self-contained
units which enclose a container of pressurized, low boiling
temperature, liquid refrigerant. The refrigerant is selectively
released from the container into a separate boiler tip. Boiling of
the refrigerant reduces the temperature of the tip which is
thereupon used for the surgical procedure. One such surgical
procedure is adhesion to a cataractous lens for its removal in
cataract surgery. Another type of prior art device is disclosed in
U.S. Pat. No. 3,270,744 of Katz et al. That device, however, is not
normally in a ready condition. It is always vented and accordingly
must be separately filled with liquid nitrogen for each use.
It is an object of the present invention to provide a cryosurgical
device which is disposable and of small size. Other objects are to
provide such a device which is maintained ready for use over long
periods of time; which may be simply and quickly actuated when
desired; and which does not require transport of liquid refrigerant
from its normal container to a separate boiling chamber.
The manner in which the foregoing objects are achieved will be
apparent from the following description and appended claims.
SUMMARY OF THE INVENTION
In accordance with the present invention there is provided a
self-contained, disposable, cryosurgical device incorporating an
elongated, sealed container having a first end terminating in a
heat conductive tip, and a second end. A liquefied refrigerant
partially fills the container and is normally maintained therein at
superatmospheric pressure. An insulating housing substantially
encloses the container and exposes at least a portion of the tip.
Means are provided for selectively venting the container to
atmosphere to boil the refrigerant and cool the tip.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a perspective view of a cryosurgical apparatus in
accordance with this invention;
FIG. 2 is an enlarged vertical cross section of the apparatus of
FIG. 1;
FIG. 3 is a further enlarged cross section of the operating
mechanism of the device of FIG. 2; and
FIG. 4 is a view similar to FIG. 3 illustrating an alternative
operating mechanism.
DESCRIPTION OF THE PREFERRED EMBODIMENT
With particular reference to FIGS. 1 and 2, there is illustrated a
cryosurgical device in accordance with this invention which has the
same size and shape as a conventional ballpoint pen. It comprises a
housing 10 comprising an upper housing 10a, a central barrel 10b,
and a tip housing 10c. The housing is preferably formed of a
material having poor heat conductance, such as nylon,
polypropylene, an acrylic, or other suitable material. Upper
housing 10a is closed at its upper end but defines a crylindrical
guideway 12 and small vents 13. The inside of barrel 10b has a
substantially cylindrical surface 14. The tip housing 10c has an
internal tapering surface 16 terminating in a cylindrical passage
18.
Mounted within the housing 10 is a refrigerant container 20. As
will be seen from FIG. 3, the upper end of container 20 defines a
circular shoulder 22 defining a central opening 24. A cup shaped
cap 26 is crimped over the shoulder 22 and defines a central
opening 28. Sealed between the upper end of the container 20 and
the cap 26 is a rubber diaphragm 30. The tapered lower end of
container 20 terminates at a solid, rod-like tip 32 at a matching
conical portion 34 of the tip. The tip portions 32, 34 are
fabricated from a suitable heat conductive material. It is
important to note that container 20 is secured within the housing
10 by contact made only at the cap 26 and at the tip portion 34.
The remainder of the container is displaced from the housing 10 to
provide a dead air insulating space 36.
Mounted in the guideway 12 of upper housing 10a is an actuating
plunger 38 upon which is mounted a hollow needle 44 aligned with
the opening 28 in cap 26. A small vent hole 46 is drilled in the
side of the hollow needle 44. Contained within upper housing is a
plug 47 of felt or other porous, fibrous, or blotter-like material.
The plug 47 defines a passage 49 for needle 44.
The device of this invention is supplied to the surgeon with the
container 28 partially filled with a suitable liquid refrigerant
51, such as "Freon 12" or "Freon 500." For cataract surgery the
apparatus is normally used in an upright position, such as
illustrated in FIG. 2. In this position there is a vapor space in
the upper region of the container 20. The sealing action of
diaphragm 30 causes the vapor and liquid refrigerant to be
maintained under pressure at room temperature. When employing
"Freon 12," this pressure is approximately 70 psig while, when
employing "Freon 500," the pressure is approximately 85 psig.
When the surgeon wishes to activate the device, he simply depresses
the actuating plunger 38. This causes the needle 44 to pierce the
diaphragm 30. The vaporized refrigerant then passes into needle 44
and through vent hole 46, plug 47, and vents 13 to atmosphere.
Reduction of the pressure within container 20 to atmosphere causes
the remaining liquid refrigerant to immediately begin boiling and
the entire volume of liquid refrigerant drops to its boiling
temperature. For "Freon 12" this is -21.degree.F, for "Freon 500"
it is -28.degree.F. This causes heat to be rapidly extracted from
the tip 32, reducing its temperature and permitting it to be
employed for the preferred surgical operation. For a device of the
described size, the tip temperature remains at this lower value for
approximately 4 minutes, a time amply sufficient to perform the
usual cryoextraction. After use, the instrument is simply
discarded.
The function of the plug 47 is to soak up any liquid refrigerant
while allowing gaseous refrigerant to pass. Several conditions may
cause liquid to be present in the upper housing including: the
container 20 being too full; violent boiling of the liquid;
sloshing of the liquid due to motion of the surgeon's hand; or
activation while in other than a vertical position.
An alternative embodiment of the invention is illustrated in FIG.
4. In this embodiment, the needle and diaphragm are replaced by a
conventional valve. In the illustration of FIG. 4, parts similar to
those previously described have been given identical numerals but
with a prime attached. In this embodiment, the puncturable
diaphragm is replaced by a valving diaphragm 50 which has an outer
annular flange 52 which is engaged by the crimped cap 54 to retain
it in place. The valve diaphragm has an enlarged central portion 56
which seals the container by contacting the central opening 58 in
the cap. A sidewardly positioned vent 60 in the diaphragm is
normally closed by engagement with the cap. The hollow needle is
replaced by a reduced diameter stem 62 on the end of a plunger 64.
Downward movement of the plunger depresses the central portion 56
of the diaphragm permitting the vapor to exhaust through vent 60
and opening 58 to atmosphere. In the version illustrated in FIG. 4,
the plunger 64 is retained in the open valve position by means of a
detent 66 which overrides an internal shoulder 68 in the housing.
This construction could be modified by making plunger 64
retractable, such as the button on a ballpoint pen. The valve could
then be closed to permit defrosting during a surgical
procedure.
It is believed that the many advantages of this invention will now
be apparent to those skilled in the art. It will be particularly
apparent that no transfer of the refrigerant is required in order
to effectuate the desired cooling. As a result, the device is much
smaller and of simpler construction than devices known to the prior
art. It will also be apparent that a number of variations and
modifications may be made in this invention without departing from
its spirit and scope. 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.
* * * * *