A high pressure jet of saline can be used to debride traumatic wounds, chronic wounds, and other soft tissue lesions while sparing healthy tissue and promoting the healing process. A wound debridement system includes a console that powers a disposable handset. The handset includes a pump assembly having a fluid feed line, a piston assembly for pressurizing the fluid, and a high pressure outlet hose that delivers the high pressure fluid to a handpiece of the handset. The pump assembly is powered by a reciprocating linear stroke. The console produces up to 600 W of power (0.8 HP) and 2000 lbs. of force, and the pump pressurizes the fluid up to 17,300 psi.
In one aspect, a coupling system of, for example, a disposable pumping system, for receiving a push rod of, for example, a drive console, includes a housing defining an internal channel having a sloped wall, and a piston received within the internal channel. The piston includes at least one flexible member arranged within the channel to be acted upon by the sloped wall to engage the push rod.
This, and other aspects, may include one or more of the following features. The flexible member is outwardly biased. Multiple flexible members are arranged within the channel. Each of the multiple flexible members is arranged within the channel to be acted upon by the sloped wall to collectively engage the push rod. Each of the multiple flexible members are outwardly biased. The internal channel includes a region within which the piston reciprocates to pump fluid. The internal channel is funnel shaped, having a sloped-wall region and a constant diameter region. Protruding into the internal channel is a restraining member that maintains the piston within the internal channel.
In another aspect, a coupling system for receiving a push rod includes a housing defining an internal channel, and a piston received within the internal channel.
This, and other aspects, may include one or more of the following features. The piston includes at least one member configured to couple and de-couple the push rod. The only external force required to couple the push rod is an axial force on the piston in a first direction. The only external force required to de-couple the push rod is an axial force on the piston in a second direction opposite the first direction.
In another aspect, a method includes axially advancing a coupling system such that a piston of the coupling system contacts a push rod. The piston is received within a channel of the coupling system.
This, and other aspects, may include one or more of the following features. The channel has a sloped wall. The method includes further axially advancing the coupling system such that the sloped wall acts on the at least one flexible member of the piston to deflect the flexible member into engagement with the push rod.
In another aspect, a method includes coupling a piston and a push rod. The only external force required for the coupling is an axial force applied to the piston by the push rod such that the piston moves into engagement with the push rod.
This, and other aspects, may include one or more of the following features. The method includes decoupling the piston and the push rod. The only external force required for the de-coupling is an axial force applied to the piston by the push rod such that the piston disengages the push rod.
In another aspect, a fluid pump includes a housing having an inflow section defining an inflow chamber and an outflow section defining an outflow chamber, an inflow ball valve including a ball located in the inflow chamber, and outflow ball valve including a ball located in the outflow chamber, the housing defining an internal channel in fluid communication with the inflow section and the outflow section, and a piston located within the internal channel. The piston is configured to pump fluid from the inflow section into the channel and from the channel into the outflow section.
This, and other aspects, may include one or more of the following features. A ratio of a diameter of the ball included in the inflow ball valve to a diameter of the inflow chamber is 1:1.088. A ratio of the diameter of the ball included in the inflow ball valve to a piston stroke is 1:2.160. A ratio of a diameter of the internal channel to the ball included in the inflow ball valve is 1:1.786. A ratio of the diameter of the inflow chamber to a diameter of the housing defining the internal channel is equal to or about 1:3.857.
This, and other aspects, may include one or more of the following features. The inflow ball valve and the outflow ball valve have a stroke of about 0.015 inches.
In another aspect, a fluid pump includes a housing defining an internal channel having a sloped wall, first and second fluid flow chambers in the housing in fluid communication with the internal channel, a first ball valve including a ball located in the first fluid chamber, a second ball valve including a ball located in the second fluid chamber, and a piston received in the housing. The piston is configured to be acted upon by the sloped wall to couple to a push rod for movement therewith. Reciprocal movement of the piston causes fluid inflow through the first fluid chamber and fluid outflow through the second fluid chamber.
This, and other aspects, may include one or more of the following features. The piston includes multiple outwardly biased members that are acted upon by the sloped wall. The internal channel is funnel shaped.
In another aspect, a pumping system includes a console having an interface for receiving a fluid pump. The console including a reciprocally driven push rod and the fluid pump has a piston configured to be driven by the push rod. The interface includes a rotatable sleeve and the fluid pump has a mating feature configured to rotate the rotatable sleeve upon the application of a rotary force to the mating feature to lock and unlock the fluid pump to and from the console.
This, and other aspects, may include the console having a magnet for holding the rotatable sleeve in the locked position.
The details of one or more implementations of the specification are set forth in the accompanying drawings and the description below. Other features and aspects of the specification will become apparent from the description, the drawings, and the claims.
Referring to
Referring to
The pump 20 has a pump housing 40 with a cylindrical insert section 42, a central coupling section 44, and a handle 46. The insert section 42 is received within the bore 36 of the housing 23, and the coupling section 44 is received within the bores 32, 35, and 37 to lock the pump 20 to the console 12. The coupling section 44 includes a cylindrical portion 48 of greater diameter, D1, than diameter D2 of coupling insert section 42. Extending outward from portion 48 is a mating feature, for example, an oval flange 50, dimensioned to be received within oval bore 35 of the console interface 22 in a close fit.
To securely attach the pump 20 to the drive console 12, the operator inserts the cylindrical insert section 42 through the oval bore 32 into the bore 36 with the oval flange 50 of the pump 20 aligned to be received through the oval bore 32 of the housing 23 and into the oval bore 35 of the sleeve 115. When the pump is inserted to where the pump flange 50 abuts the console interface shelf 38, the operator rotates the pump handle 46 90 degrees such that the flange 50 is locked between the shelves 33 and 38 (
Referring to
The central coupling section 44 defines bores 60, 62 that receive members 66, 68, respectively, and the cylindrical insert section 42 defines bores 60a, 62a that receive members 66, 68, respectively. The cylindrical insert section 42 is received within a counterbore 77 in central coupling section 44 and secured thereto with pins 84. The pump handle 46 defines a bore 56 in fluid communication with inlet passage 67, and a bore 58 in fluid communication with outlet passage 75. The inlet line 24 and outlet line 26 are received within the bores 56, 58, respectively.
The cylindrical insert section 42 further defines inflow and outflow passages 85, 87 and a fluid chamber 89. At the intersection of the outflow passage 87 and the outlet valve chamber 73, a valve seat 72 is formed. As described further below, in operation, fluid is pumped through the inlet line 24 into the inlet passage 67 and valve chamber 69, through inflow passage 85 and into fluid chamber 89; and the fluid is pumped out through outflow passage 87, into valve chamber 73 and outlet passage 75 into outlet line 26.
Referring also to
As illustrated in
To de-couple the push rod 18 and the piston 86, the pump 20 is withdrawn from the drive console, as described above. The axial withdrawal of the pump 20 in the direction of arrow B results in the piston 86 traveling in the direction of arrow A toward the sloped wall section 96. When the flexible members 88 enter the sloped wall section 96, the flexible members 88 flex outward due to their outward bias, releasing the push rod 18 such that the pump 20 can be fully removed. Thus, the only external force required to de-couple the push rod 18 and the piston 86 is an axial force on the piston 86 in the direction of arrow A applied by the push rod 18.
In operation, when the push rod 18 and the piston 86 are coupled, moving the piston from the position shown in
Referring to
The pressure of the fluid entering in the pump 20 can be, for example, atmospheric pressure to 2 psi above atmosphere, depending on the height of a fluid supply bag relative to the console. Depending on user controlled settings, the fluid pressure produced by the pump and delivered through the nozzle of an attached handpiece, is the range of, for example, 1,882 to 15,214 psi.
The components of the ball valve assembly 52 are selected to obtain precise flow rates and fluid pressures. For example, the diameter of each of the inflow chamber and outflow chamber balls 80 is 0.125″±0.0011″. Each of the balls 80 is a wear-resistant stainless steel ball weighing 0.0046 oz. The inflow chamber 66 and the outflow chamber 68, each have a cylindrical cross-section of diameter 0.063″±0.003″. The inflow valve stroke and the outflow valve stroke are each 0.015″. The inflow valve seat angle and the outflow valve seat angle are each 118°±2°. A ratio of the ball diameter to chamber diameter is 1:1.088. A ratio of the ball diameter to piston stroke is 1:2.160. A ratio of the inflow chamber diameter and the cavity in the internal channel 94 is 1:2.19. A ratio of the channel diameter to ball diameter is 1:1.1786, and a ratio of the inflow chamber diameter to bore diameter is 1:3.857. The cylindrical insert 42 in which the internal channel 94 is defined is 1.2″ long, of which the region having the sloped wall 96 is 0.45″ long. The angle of the slope is 8°. The end of the cylindrical insert 42 that is attached to the inflow section 74 and the outflow section 76 has a 90° taper in the internal channel 806, that has a larger diameter of 0.312″. The outer diameter of the housing 804 is 0.358″±0.002″. A fluid pump of these dimensions operates in a pressure range between 0-18,000 psi and pumps fluids in a flow rate range of 0-400 ml/min.
Other embodiments are within the scope of the following claims. For example, rather than the cross-sectional shapes of the pump 20 and the drive console 12 being cylindrical and oval, the cross-sectional shapes can be square, rectangle, or combinations of all of these shapes. Rather than the piston 86 including four flexible members 88, the piston can have one, two, three or more flexible members.