U.S. patent number 3,896,810 [Application Number 05/427,070] was granted by the patent office on 1975-07-29 for aspirator for removal of the contents of cystic tumors.
Invention is credited to Hiroshi Akiyama.
United States Patent |
3,896,810 |
Akiyama |
July 29, 1975 |
Aspirator for removal of the contents of cystic tumors
Abstract
An aspirator including an open-bottom suction structure defining
a vacuum chamber therein which can be evacuated to a desired degree
of vacuum to permit the structure to be securely attached to a
tumorous part of the body suction. A guide sleeve is fixedly
supported along the vertical axis of the suction structure to
slidably receive a puncture tube having its lower end cut biaswise
to form a sharp edge, and a drainage tube communicated with a
source of negative pressure is further slidably accommodated within
the puncture tube. A puncture is first performed in the cystic
tumor by the bias-cut lower end of the puncture tube, and its fluid
contents are removed by suction exerted through the drainage tube.
Stable attachment of the suction structure to the tumor may be
assured by the provision of an annular air chamber around the guide
sleeve or by the provision of a wire netting at the bottom end of
the vacuum chamber.
Inventors: |
Akiyama; Hiroshi (Tokyo,
JA) |
Family
ID: |
15026959 |
Appl.
No.: |
05/427,070 |
Filed: |
December 21, 1973 |
Foreign Application Priority Data
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Dec 27, 1972 [JA] |
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48-130142 |
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Current U.S.
Class: |
604/117; 600/573;
604/176; 604/316; 604/158; 604/272 |
Current CPC
Class: |
H04R
5/02 (20130101); A61M 5/32 (20130101) |
Current International
Class: |
A61M
5/32 (20060101); H04R 5/02 (20060101); A61m
001/00 () |
Field of
Search: |
;128/276,302,297,303.1,303.19,2F |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Layton; Henry S.
Attorney, Agent or Firm: Hill, Gross, Simpson, Van Santen,
Steadman, Chiara & Simpson
Claims
I claim:
1. An aspirator for particular use in removing the contents of a
cystic tumor comprising in combination:
a. a hollow suction structure having a closed top and an open
bottom for engaging the tumor for defining therewith a vacuum
chamber therein for attachment of the structure to the tumor;
b. a first source of negative pressure connectable to said vacuum
chamber, said first source of negative pressure being of the type
adapted to create a selectable degree of vacuum in said vacuum
chamber;
c. a guide sleeve fixedly supported by and within said suction
structure along the vertical axis thereof, said guide sleeve
including a portion extending through said closed top of said
suction structure;
d. a reciprocably movable puncture tube open at both ends and
slidable in said guide sleeve and having a length greater than said
guide sleeve, the lower end of said puncture tube being cut
biaswise to define a cutting edge for making a puncture in the
cystic tumor;
e. stop means acting between said puncture tube and said suction
structure for supporting said puncture tube within said guide
sleeve in such a position that said lower end of said puncture tube
projects beyond said guide sleeve; and
f. a drainage tube slidable in said puncture tube for extending
through said puncture tube and having a lower open end sized
smaller than said puncture forming edge for being inserted into the
cystic tumor through the puncture formed by said puncture tube, the
other end thereof being connectable to a second source of negative
pressure for draining the cystic tumor of its fluid contents,
whereby the puncture tube may be retracted from the tumor during
such drainage.
2. The aspirator as recited in claim 1, including an open-bottom
partition structure fixedly supported within said suction
structure, said partition structure being adapted to define an
annular air chamber between said vacuum chamber and said guide
sleeve whereby the interior of said guide sleeve is substantially
isolated from said vacuum chamber.
3. The aspirator as recited in claim 1, including a netting fixedly
provided at the bottom end of said vacuum chamber.
4. The aspirator as recited in claim 1, including means for
defining a reservoir upon said closed top of said suction
structure, said reservoir being adapted to collect any fluid
removed from within the cystic tumor by capillary action through
the intervening spaces between said guide sleeve and said puncture
tube and between said puncture tube and said drainage tube.
5. The aspirator as recited in claim 4, wherein said means for
defining said reservoir is in the form of an open-top hollow
cylinder.
6. The aspirator as recited in claim 5, wherein said cylinder is
formed with a first pair of diametrically opposed guide slots each
extending vertically from the top of said cylinder down to a point
intermediate both ends thereof and with a second pair of guide
slots extending horizontally from intermediate points of said first
pair of guide slots respectively in a radially symmetrical manner
with respect to the axis of said cylinder, and wherein said
puncture tube is provided with a pair of diametrically opposed
support rods extending horizontally outwardly therefrom so as to be
loosely received in said first or second pair of guide slots
respectively, whereby when said support rods are received fully in
said first pair of guide slots, said lower end of said puncture
tube projects downwardly from said guide sleeve, whereas when said
support rods are received in said second pair of guide slots, said
lower end of said puncture tube is retracted into said guide
sleeve.
Description
BACKGROUND OF THE INVENTION
This invention relates generally to aspirators for medical
purposes, and more specifically to an aspirator for particular use
for removal of the fluid contents of cystic tumors. The aspirator
according to the invention is intended for use with any tumors
containing fluid, including abscesses, cysts, hematomas and so
forth, whether they are inflammatory or noninflammatory, malignant
or benign.
The surgical treatment of, for instance, a malignant giant ovarian
cyst requires the removal of its fluid contents. To this end there
has been used heretofore an aspirator comprising a trocar fitted
with a small tube or cannula, such that the trocar is used to make
a puncture in the cystic wall and hence to permit its fluid
contents to be drained by suction exerted through the tube.
With this method, however, it is necessary that the tube be
manually held in position throughout the processes of puncturing
and drainage. Worse yet, the internal pressure of the cyst is
usually such that the fluid gushes out when it is punctured and
tends to spread over the operating field thereby giving rise to
undesired contamination, to secondary infection such as
peritonitis, to metastasis of the tumor to the other parts of the
body, or to unfavorable prognosis.
SUMMARY OF THE INVENTION
In view of the noted deficiencies of the prior art it is an object
of this invention to provide a novel and improved aspirator best
adapted for removal of the contents of cystic tumors in particular,
such that the tumors can be drained of their fluid contents without
any leakage.
Another object of the invention is to provide an aspirator
including a puncture tube and a drainage tube which are supported
coaxially by a suction structure adapted to be easily and securely
attached to a tumor of the body by suction so that the fluid
contents of cystic tumors can be removed in a highly efficient
manner.
A further object of the invention is to provide an aspirator
wherein only the puncture tube can be caused to retract into a
guide sleeve within the suction structure upon making a puncture in
the tumor so that the possibility of unnecessarily injuring the
neighboring structures or organs during the process of drainage is
minimized.
A further object of the invention is to provide an aspirator
including means adapted to prevent the suction exerted by the
suction structure from affecting the operations of the puncture
tube and drainage tube.
A further object of the invention is to provide an aspirator
including a reservoir formed upon the suction structure to collect
any fluid drained by capillary action through the intervening
spaces between the drainage tube and the puncture tube and between
the puncture tube and the guide sleeve.
A still further object of the invention is to provide an aspirator
of such construction that even in case an affected area is deeply
seated within the body, a minimum degree of incision is required
for the apparatus to reach the area.
Stated by way of a brief summary of the invention, the aspirator
according to the inventive concepts includes a hollow suction
structure defining an open-bottom vacuum chamber therein to be
placed directly upon a tumor. A first source of negative pressure
is communicable with the vacuum chamber to create a desired degree
of vacuum therein. A guide sleeve fixedly supported within the
suction structure along the vertical axis thereof is adapted
principally to slidably support a puncture tube having a sharp
bevel to make a puncture in the tumor, and an elongate drainage
tube further slidably extends through the puncture tube. A second
source of negative pressure is coupled to the drainage tube, so
that the punctured tumor can immediately be drained of its fluid
contents by suction exerted through the drainage tube.
The features which are believed to be novel and characteristic of
this invention are set forth with particularity in the appended
claims. The invention itself, however, both as to its organization
and mode of operation, together with the further objects and
advantages thereof, will become more apparent from the following
description of preferred embodiments taken in connection with the
accompanying drawings wherein like reference characters denote
corresponding parts of the several views.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 illustrates, partly in perspective and partly in side
elevation, an aspirator constructed in accordance with the
principles of this invention;
FIG. 2 is an axial sectional view of a suction structure and
associated parts in the aspirator of FIG. 1;
FIG. 3 is a perspective view explanatory of the manner of use of
the aspirator of FIG. 1; and
FIG. 4 illustrates, partly in side elevation and partly in axial
section, a suction structure and associated parts by way of another
preferred embodiment of the invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The aspirator according to this invention will now be described in
terms of a first preferred embodiment thereof illustrated in FIGS.
1 to 3. Referring first to FIGS. 1 and 2, the reference numeral 10
denotes a typically metal-made, hollow suction structure which may
be substantially in the shape of a cylinder or truncated cone. The
suction structure 10 is closed at its top and open at its bottom,
and the external diameter of its open bottom may be in the range of
from about 25 to 35 millimeters for all practical purposes.
Fixedly supported within the suction structure 10 in coaxial
relationship thereto is a partition structure 11 similar in shape
with the suction structure but of appropriately reduced diameter,
and a guide sleeve 12 is further fixedly supported within the
partition structure along its vertical axis. It will be seen from
FIG. 2 that the upper end portion of the guide sleeve 12 extends
through the closed top 13 of the partition structure 11 and further
through the closed top 14 of the suction structure 10, the guide
sleeve being thus adapted to receive with some clearance a puncture
tube designated by the numeral 15 in FIG. 1, as hereinafter
explained in more detail.
Hence, as best shown in FIG. 2, a vacuum chamber 16 of
substantially annular shape is defined between the suction
structure 10 and the partition structure 11, and an air chamber 17
of similar shape between the partition structure 11 and the guide
sleeve 12. It is to be noted, however, that the provision of this
air chamber 17 and therefore of the partition structure 11 is not
of absolute necessity, although it has been confirmed from actual
practice that the air chamber 17 helps facilitate the entire
process of removal of the fluid contents of tumors, for reasons
hereinafter made apparent. The bottom edges of the partition
structure 11 and the guide sleeve 12 would preferably be located
slightly above the plane of the bottom edge of the suction
structure 10, in order to conform to the swollen surfaces of the
tumors to be treated.
Also as best shown in FIG. 2, a reservoir 18 may be defined upon
the suction structure 10 as by means of a hollow, open-top cylinder
19 screw-threadedly or otherwise detachably mounted on the closed
top 14 of the suction structure. A pair of vertical guide slots 20
are formed in the upper end portion of the cylinder 19 in a
diametrically opposed manner. Each of these vertical guide slots 20
extends from the upper end of the cylinder 19 down to a point
intermediate both ends thereof. Furthermore, as seen in part in
FIG. 1, a pair of horizontal guide slots 21 extend horizontally
from intermediate points of the respective vertical guide slots 20
in a radially symmetrical manner with respect to the axis of the
cylinder 19.
WIth particular reference to FIG. 1, the aforesaid puncture tube 15
is formed of suitably rigid material and has its lower end cut
biaswise to define a sharp edge 22 adapted to make a puncture in
the tumor wall in the use of this aspirator. A collar 23 is
somewhat loosely but fixedly fitted over the upper end of the
puncture tube 15. This collar is adapted to serve principally as a
stop when the puncture tube 15 is fully inserted into the guide
sleeve 12 as indicated by the dot-and-dash lines in FIG. 2, with
the collar or stop 23 resting upon the closed top 14 of the suction
structure 10. It will also be noted from FIG. 2 that the puncture
tube 15 has such length that when thus fully inserted into the
guide sleeve 12, it has its bias-cut lower edge 22 projecting
sufficiently downwardly out of the lower end of the guide sleeve. A
pair of support rods 24 extend horizontally outwardly from the
collar 23 in diametrically opposed relationship to each other so as
to be loosely received in the aforesaid vertical guide slots 20 or
in the horizontal guide slots 21, as set forth in more detail in
the ensuing description of operation.
A conventional pneumatic fitting 25 passes through the suction
structure 10 to communicate the vacuum chamber 16 with a suitable
source of negative pressure through a pressure conduit 26 of
flexible type and a cock 27 as shown in FIG. 1. While the vacuum
chamber 16 within the suction structure 10 may be communicated with
any known or suitable means capable of exhausting the vacuum
chamber to a desired degree of vacuum, it has been confirmed that
the objects of this invention can be accomplished by use of a
syringe 28 of conventional construction which as used in this
embodiment of the invention, consists of a closed-bottom barrel 29
and a plunger 30 slidably but pressure-tightly fitted therein.
Also as illustrated in FIG. 1, an elongate drainage tube 31 is
inserted into the puncture tube 15 with appropriate clearance and
is communicated with a second source 32 of negative pressure which
also can be of any known or suitable construction. The drainage
tube 31 may be formed of silicone or natural rubbers.
In another preferred embodiment of the invention illustrated in
FIG. 4, the partition structure 11 within the suction structure 10
is dispensed with. Instead, the correspondingly enlarged vacuum
chamber 16a defined between the suction structure 10 and the guide
sleeve 12 is fixedly provided at its bottom end with a netting 33
of annular shape such for example as that made of wires with a mesh
size of, say, from about 3 to 4 millimeters. Other details of
construction of this second embodiment are exactly as set forth
above with reference to FIGS. 1 and 2.
For removal of the contents of a cystic tumor that has developed,
for instance, within the abdomen by use of the aspirator described
hereinbefore with relation to FIGS. 1, 2 and 4, the suction
structure 10 together with the parts coupled directly thereto
should first be held lightly against the tumor wall through a
proper incision made in the adbominal wall. The syringe 28 or its
equivalent means is then manipulated to create the desired degree
of negative pressure within the vacuum chamber 16, and the cock 27
is succeedingly operated to close the pressure conduit 26. In this
manner the suction structure 10 as well as the guide sleeve 12, the
cylinder 19 and so forth can be substantially immovably attached to
the tumor wall by suction exerted from the vacuum chamber 16.
It will be appreciated that if the annular air chamber 17 is formed
within the suction structure 10 as best shown in FIG. 2, the
interior of the guide sleeve 12 can be substantially isolated from
the vacuum chamber 16 so that the suction structure can be caused
to duly adhere to the tumor wall. It is also possible in this
manner to prevent the leakage of the fluid drained from within the
tumor and further to prevent the spread of a puncture formed by the
puncture tube 15. These favorable results can likewise be
substantially gained by means of the wire netting 33, FIG. 4, which
is provided at the bottom end of the vacuum chamber 16a as an
alternative measure to the air chamber 17. That is because the wire
netting 33 makes possible the closer adhesion of the suction
structure 10 to the affected area.
As the suction structure 10 with its associated parts are securely
mounted in position as above stated, the puncture tube 15 together
with the drainage tube 31 fitted therein is inserted into the guide
sleeve 12, with the support rods 24 of the puncture tube received
in the respective vertical guide slots 20 of the cylinder 19 as
illustrated in FIG. 3. Upon full insertion of the puncture tube 15
into the guide sleeve 12, the bias-cut lower end 22 of the former
forms a puncture in the surface of the affected area. Although in
this instance the fluid contents of the cystic tumor may violently
flow out due to its high internal pressure, all such fluid will be
drained without leakage if the drainage tube 31 is then
sufficiently depressed into the puncture tube 15. Since it is
assumed that the second source 32 of negative pressure coupled to
the drainage tube 31 is already set in operation, complete drainage
of the fluid from within the tumor can be accomplished by virtue of
the suction exerted through the drainage tube, and the fluid
removed in this manner may be collected in a suitable receptacle
not shown in the drawings.
It will be further noted from FIG. 2 in particular that any fluid
drained by capillary action through the intervening spaces between
the drainage tube 31 and the puncture tube 15 and between the
puncture tube 15 and the guide sleeve 12 can all be collected
without leakage in the reservoir 18 formed on the closed top 14 of
the suction structure 10 by the cylinder 19. As the tumor is
gradually drained of its fluid contents, its surface might become
wrinkled. However, since the surface is held tensed by suction
exerted from the vacuum chamber 16 according to this invention, the
contents of the tumor can be thoroughly removed within a very short
period of time.
When the puncture has been formed by the bias-cut lower end 22 of
the puncture tube 15 by dropping its support rods 24 into the
respective vertical guide slots 20 of the cylinder 19 as previously
mentioned, the support rods may be manually lifted again and
directed into the respective horizontal guide slots 21 thereby
causing the bias-cut lower end 22 of the puncture tube to retract
into the guide sleeve 12 while leaving the lower end of the
drainage tube 31 within the tumor. In this manner, even though the
drainage tube 31 may inevitably oscillate to some extent as it
drains the tumor, there is practically no possibility of injuring
the neighboring parts or organs of the body by the puncture tube
15. The drainage tube 31 itself can also be protected from possible
damage by the puncture tube 15.
It will be unnecessary to give any further details with regard to
the use of the aspirator according to the invention as they will
belong to the expertise of skilled physicians and surgeons. It may
well be added, however, that the aspirator is adaptable for a
variety of purposes other than those explained herein, such as for
making insertion into body cavities or joints. The suction
structure 10 in particular may be employed as a support for a
fiberscope or, if desired, as a fixture for a thermograph to be
attached at the tip of the fiberscope.
Thus, while it will be apparent from the preferred embodiments of
the invention herein disclosed are well calculated to fulfill the
objects above stated, it will be appreciated that the invention
itself is susceptible to modifications, substitutions or changes
within the usual knowledge of the specialties, and in some
instances some features of the invention may be employed without
the corresponding use of other features. It is therefore
appropriate that the invention be construed broadly and in a manner
consistent with the fair meaning or proper scope of the subjoined
claims.
Terms such as "vertical", "downwardly", "top", "bottom" and the
like are used as terms of reference without regard to the direction
of gravity.
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