The present invention relates to medical devices. More specifically, this invention relates to luer lock connectors for use in insufflation systems.
Surgeons have used laparoscopic surgery to perform a variety of procedures. By manipulating laparoscopes and video telescopes, surgeons gain a visualization of the abdominal cavity while minimizing tissue and muscle injury that normally accompanies conventional invasive procedures.
To create a sufficient area for the introduction of a laparoscope and other instruments, the abdominal wall is first raised from the organs enclosed in the abdominal cavity. Separation is conventionally attained by pressurizing the abdominal cavity with an insufflation gas. The presence of artificial gas in the peritoneal cavity to achieve exposure during laparoscopy is referred to as pneumoperitoneum.
When maintaining pneumoperitoneum, it is desirable on occasion to infuse the insufflation gas into the cavity at a rate typically above 20 liters per minute. However, achieving this rate is often difficult. One of the primary limitations in providing higher insufflation gas flow rates are the constraints placed upon the insufflation equipment by common industry practice, efficacy requirements, and guidance documents issued by the United States Food and Drug Administration concerning issues such as push pressures, pressure duration, overshoot, and pressure relief. Insufflators normally are limited to a push pressure of about 45 to 55 millimeters of mercury. This limitation makes it difficult to infuse insufflation gas at the desired higher flow rates. Furthermore, the equipment associated with laparoscopic procedures such as luers, often restrict the infusion rate of insufflation gas.
Standardized luer lock connectors form secure, leak-free connections for the transfer of fluids or gasses between two devices or objects such as veress needles, trocars, syringes, or gas/fluid delivery systems. Although there are many luer lock connector sizes available, luer lock connections typically operate in the same way, and conform to International Organization of Standard (“ISO”) standards 594-1 or 594-2.
A luer lock connection typically includes two luer lock connectors, known as a male luer lock connector and a female luer lock connector. As shown in
As seen in
Securing the first and second luer lock connectors 102, 120 together provides a basic leak-free connection for a substance such as insufflation gas to flow through the luer lock connector. However, the leak-free connection comes at the cost of a reduction in the flow speed of the substance flowing through the luer lock connector and a buildup of pressure before the luer lock connection due to the taper of the male and female components. Therefore, it would be desirable to have a luer lock connection that provides a basic leak-free connection with less reduction in flow speed or a buildup of pressure.
Accordingly, the present invention is directed to a high-flow luer lock connector for use within an insufflation system. In a first aspect, a high-flow luer lock connector comprises a connector body defining an interior region, a lumen, and an extended passageway. The interior region is bounded by a cylindrical side wall and a base wall. The lumen is defined at the base wall of the interior region and extends no more than 0.274 of an inch into the interior region. The extended passageway comprises a first and second end and passes through the connector body and the lumen. The extended passageway is in communication with the interior region to allow insufflation gas to flow through the interior region and extended passageway.
In a second aspect, a high-flow luer lock connector comprises a connector body defining an interior region and an extended passageway. The interior region is bounded by a cylindrical side wall and a base wall. The extended passageway comprises a first end and a second end and passes through the connector body at the base wall such that the first end of the extended passageway is flush with the base wall. The extended passageway way is in communication with the interior region to allow insufflation gas to flow through the interior region and extended passageway. Additionally, an o-ring is positioned in the interior region on the base wall surrounding at least the first end of the extended passageway.
In a third aspect, a luer lock connector comprises a connector body defining an interior region, a lumen rim, and an extended passageway. The interior region is bounded by a cylindrical side wall and a base wall. The lumen rim is defined at the base wall and extends no more than 0.125 of an inch into the interior region. The extended passageway comprises a first end and a second end and passes through the connector body and lumen rim such that the first end is flush with the lumen rim. The extended passageway is in communication with the interior region to allow insufflation gas to flow through the interior region and extended passageway.
In a fourth aspect, a luer lock connector comprises a connector body comprising elastomeric material defining an interior region and an extended passageway. The interior region is bounded by a conic side wall and a base wall. The extended passageway comprises a first end and a second end and passes through the connector body at the base wall such that the first end of the extended passageway is flush with the base wall. The extended passageway is in communication with the interior region to allow insufflation gas to flow through the interior region and extended passageway.
The insufflator 302 may be any type of insufflator such as the OMNIFLATOR Model 6620 available from Northgate Technologies, Inc. in Elgin, Ill. or a mixed-gas insufflator as disclosed in U.S. patent application Ser. No. 10/829,485, filed Apr. 22, 2004, the entirety of which is incorporated herein by reference. The insufflator 302 is typically in communication with a pressurized source of insufflation gas such as carbon dioxide, nitrous oxide, argon, or helium. During operation, the insufflator 302 typically reduces the pressure of the insufflation gas and delivers the insufflation gas to the tubing set 304, which serves as a delivery path for the insufflation gas.
The tubing set 304 may be any type of tubing set for use with an insufflation system such as a dual-capacity insufflation tube disclosed in U.S. patent Ser. No. 10/696,675, filed Oct. 28, 2003, the entirety of which is incorporated herein by reference. Additionally, the veress needle or trocar 308 may be any type of veress needle or trocar for use with an insufflation system such as an Ethicon Endo-Surgery's XCEL trocar or a laparoscopic insertion device disclosed in U.S. patent application Ser. No. 09/841,125, filed Dec. 5, 2002, the entirety of which is incorporated herein by reference.
Traditional luer lock connectors are comprised of male and female luer lock connectors such as a Qosina Model 71629 male luer. As described above, a traditional male luer lock connector in a luer lock connection 306 comprises an extended lumen that reduces the cross-sectional area through which a substance such as insufflation gas flows due to the tapering and wall thickness of the extended lumen. The reduction in cross-sectional area causes a decrease in flow rate through the luer lock connection and the buildup of pressure before the luer lock connector. In order to sustain flow rate and prevent the buildup of pressure, the high-flow luer lock connectors disclosed herein remove, or substantially reduce, the extended lumen in the design of a male luer lock connector. Additionally, the high-flow luer lock connectors disclosed herein decrease the wall thickness of the lumen to sustain a greater cross-section area for a substance to flow through. Typically, the high-flow luer lock connectors described herein can sustain a flow rate of greater than 26 liters per minute.
Typically, the lumen 412 extends no more than 0.274 of an inch into the interior region 406 in contrast to standard male luers which comprise a lumen extending approximately 0.2953 of an inch into the interior region of the luer. Further, the lumen 412 typically has a wall thickness of 0.008 of an inch in contrast to standard male luers which comprise a lumen having a wall thickness of approximately 0.016 of an inch. However like standard male luers, the lumen 412 of the high-flow luer connector 402 tapers approximately 6 degrees to conform to ISO standards 594-1 and 594-2.
The connector body 404 additionally defines a rigid or semi-rigid extended passageway 414 comprising a first end 416 and a second end 420. The extended passageway 414 passes through the lumen 412 and the connector body 404 such that the first end 416 of the extended passageway 414 is positioned at the end of the lumen 412. Typically, the first end 416 has an inner diameter of approximately 0.131. Additionally, the second end 420 typically has an inner diameter of approximately 0.259 of an inch and may comprise a taper, chamfer, or any other type of shape to reduce resistance created by a substance flowing into or out of the second end 420.
Typically, the extended passageway 412 is operative to allow a substance to flow in either of two directions. In a first direction, a substance flows into the extended passageway 414 at the first end 416, flows through the lumen 412 and connector body 404 via the extended passageway 414, and flows out of the extended passageway 414 at the second end 420. In a second direction, a substance flows into the extended passageway 414 at the second end 420, flows through the connector body 404 and lumen 412 via the extended passageway 414, and flows out of the extended passageway 414 at the first end 416. These directions will generally correspond to introducing insufflation gas into an abdominal cavity of a patient or venting insufflation gas from the abdominal cavity of the patient.
The connector body 404 additionally defines a plurality of threads 422 on the cylindrical wall 408 operative to receive lugs or a plurality of threads defined on a corresponding female luer connector and place the corresponding female luer connector in position within the high-flow connector 402.
As shown in
Typically, the female luer lock connector 424 comprises a tapered open end 428 through which a substance may flow into or out of the female luer lock connector 424. The engagement of the plurality of threads 422, 426 draws the female luer lock connector 424 into the interior region 406 of the high-flow luer lock connector 402 and draws the lumen 412 into the open end 428 of the female luer lock connector 424 until the tapers of the lumen 412 and the open end 428 of the female luer lock connector 424 engage. When the tapers of the lumen 412 and the open end 428 of the female luer lock connector 424 engage, the lumen 412 seals against an interior of the female luer connector 424, thereby placing the open end 428 of the female luer lock connector 424 in communication with the extended passageway 414.
Due to the shortened lumen 412 as compared to standard male luers, the lumen 412 of the high-flow luer lock connector 402 may engage and seal against the interior of the female luer connector 424 more quickly than standard male luers. Thus, the lumen may sustain a wider cross-sectional area through which the substance flows through the luer lock connection 423, thereby preventing a substantial reduction in flow speed and a build up pressure.
The connector body 1004 further defines a rigid or semi-rigid extended passageway 1012 fixed relative to the connector body 1004 such that the portion of the connector body 1004 defining the extended passageway 1012 does not rotate independent of the remaining connector body 1004. An exterior of the connector body defining the extended passageway 1013 may be smooth, barbed, tapered, threaded, or have any other surface topography to assist the extended passageway 1012 in securing a conduit to it. The extended passageway 1012 comprises a first end 1014 and a second end 1018. The first end 1014 is flush with the base wall 1010 such that the extended passageway 1012 does not extend into the interior region 1006. Additionally, the second end 1018 may comprise a taper, chamfer, or any other type of shape to reduce resistance created by a substance flowing into or out of the second end 1018.
Typically, the extended passageway 1012 is operative to allow a substance to flow in either of two directions. In a first direction, a substance flows into the first end 1014 of the extended passageway 1012, passes through the connector body 1004 via the extended passageway 1012 and out of the extended passageway 1012 at the second end 1018. In a second direction, a substance flows into the second end 1018 of the extended passageway 1012, passes through the connector body 1004 via the extended passageway 1012 and out of the extended passageway 1012 at the first end 1014. These directions will generally correspond to introducing insufflation gas into an abdominal cavity of a patient or venting insufflation gas from the abdominal cavity of the patient.
An o-ring or compliant washer 1020 is positioned in the interior region 1006 at the base wall 1010 that surrounds at least the first end 1014 of the extended passageway 1012. Typically, the o-ring or washer 1020 will extend at least 0.0156 of an inch into the interior region 406, but no more than 0.09375 of an inch. The o-ring or washer 1020 may comprise rubber, silicone, PVC, or any other material operative to provide a seal to the surface of the mating female luer connector to prevent fluids or gasses from leaking around the o-ring 1020 or passing through the o-ring 1020 itself.
The connector body 1004 additionally defines a plurality of threads 1022 on the cylindrical wall 1010 operative to receive lugs or a plurality of threads defined on a corresponding female luer connector and place the corresponding female luer connector in position within the high-flow connector 1002.
As shown in
Typically, the female luer lock connector 1024 comprises an open end 1028 through which a substance such as insufflation gas may flow into or out of the female luer lock connector 1024. When the female luer lock connector 1024 engages the o-ring 1020, the o-ring 1020 seals against the open end 1028 of the female luer lock connector 1024 by surrounding and/or abutting the open end 1028, thereby creating a substantially airtight seal between the open end 1028 of the female luer connector 1024 and the first end 1014 of the extended passageway 1012 and placing the open end 1028 of the female luer connector 1024 in communication with the extended passageway 1012.
Typically, the diameter of the open end 1028 of the female luer lock connector 1024 and the diameter of the first end 1014 of the extended passageway 1012 are substantially equal. Due to the consistency in cross-section between the open end 1028 of the female luer lock connector 1024 and the first end 1014 of the extended passageway 1012, the substantially airtight seal and communication between the open end 1028 of the female luer connection 1024 and the extended passageway 412 of the high-flow luer connector 1002 may be accomplished without reducing the cross-sectional area through which the substance flows through the luer lock connection 1023, thereby preventing a substantial reduction in flow speed and a build up of pressure.
The connector body 1604 additionally defines a rigid or semi-rigid extended passageway 1614 comprising a first end 1616 and a second end 1620. The extended passageway 1614 passes through the lumen rim 1612 and the connector body 1604 such that the first end 1616 of the extended passageway 1614 is positioned at the end of the lumen rim 1612. Additionally, the second end 1620 may comprise a taper, chamfer, or any other type of shape to reduce resistance created by a substance flowing into or out of the second end 1620
Typically, the extended passageway 1612 is operative to allow a substance to flow in either of two directions. In a first direction, a substance flows into the extended passageway 1614 at the first end 1616, flows through the lumen rim 1612 and connector body 1604 via the extended passageway 1614, and flows out of the extended passageway 1614 at the second end 1620. In a second direction, a substance flows into the extended passageway 1614 at the second end 1620, flows through the connector body 1604 and lumen rim 1612 via the extended passageway 1614, and flows out of the extended passageway 1614 at the first end 1616. These directions will generally correspond to introducing insufflation gas into an abdominal cavity of a patient or venting insufflation gas from the abdominal cavity of the patient.
The connector body 1604 additionally defines a plurality of threads 1622 on the cylindrical side wall 1608 operative to receive lugs or a plurality of threads defined on a corresponding female luer connector and place the corresponding female luer connector in position within the high-flow connector 1602.
As shown in
Typically, the female luer lock connector 1624 comprises an open end 1628 through which a substance may flow into or out of the female luer lock connector 1624. When the female luer lock connector 1624 engages the lumen rim 1612 defined by the connector body 1604, the lumen rim 1612 seals against the female luer connector 1624 by surrounding and/or abutting the open end 1628, thereby creating a substantially airtight seal between the open end 1628 of the female luer lock connector 1624 and the first end 1616 of the extended passageway 1014 and placing the open end 1028 of the female luer lock connector 1024 in communication with the extended passageway 1614.
Typically, the diameter of the open end 1628 of the female luer lock connector 1624 and the diameter of the first end 1616 of the rigid channel 1614 are substantially equal. Due to the consistency in cross-section between the open end 1628 of the female luer lock connector 1624 and the first end 1616 of the extended passageway 1614, the substantially airtight seal and communication between the open end 1628 of the female luer connection 1624 and the extended passageway 1614 of the high-flow luer connector 1602 may be accomplished without reducing the cross-sectional area through which the substance flows through the luer lock connection 1623, thereby preventing a reduction in flow speed and a build up pressure.
The connector body 2204 further defines a rigid or semi-rigid extended passageway 2214 comprising a first end 2216 and a second end 2220. The first end 2216 is flush with the base wall 2210 such that the extended passageway 2214 does not extend into the interior region 2206. Additionally, the second end 2220 may comprise a taper, chamfer, or any other type of shape to reduce resistance created by a substance flowing into or out of the second end 2220.
Typically, the extended passageway 2214 is operative to allow a substance to flow in either of two directions. In a first direction, a substance flows into the first end 2216 of the extended passageway 2214, through the connector body 2204 via the extended passageway 2214, and out of the second end 2220 of the extended passageway 2214. In a second direction, a substance flows into the second end 2220 of the extended passageway 2214, through the connector body 2204 via the extended passageway 2214, and out of the first end 2216 of the extended passageway 2214. These directions will generally correspond to introducing insufflation gas into an abdominal cavity of a patient or venting insufflation gas from the abdominal cavity of the patient.
In one embodiment, the connector body 2204 additionally defines a plurality of threads 2222 on the conic side wall 2208 operative to receive lugs or a plurality of threads defined on a corresponding female luer connector and place the corresponding female luer connector in position within the high-flow connector 2202. However in other embodiments, the high-flow connector 2202 may utilize internal ribs defined on the conic side wall 2208 to conform around the female luer to secure the high-flow luer connector 2202 and corresponding female luer connector.
As shown in
Typically, the female luer lock connector 2224 comprises an open end 2228 through which a substance may flow into or out of the female luer lock connector 2224. When the female luer lock connector 2224 engages the layer of elastomeric material 2212 of the base wall 2210, the layer of elastomeric material 2212 seals against the female luer connector 2224 by surrounding and/or abutting the open end 2228, thereby creating a substantially airtight seal between the open end 2228 of the female luer connector 2224 and first end 2216 of the extended passageway 2214 and placing the open end 2228 of the female luer lock connector 2224 in communication with the extended passageway 2214.
Typically, the diameter of the open end 2228 of the female luer lock connector 2224 and the diameter of the first end 2216 of the extended passageway 2214 are substantially equal. Due to the consistency in cross-section between the open end 2228 of the female luer lock connector 2224 and the first end 2216 of the extended passageway 2214, the substantially airtight seal and communication between the open end 2228 of the female luer connection 2224 and the extended passageway 2214 of the high-flow luer connector 2202 may be accomplished without reducing the cross-sectional area through which the substance flows through the luer lock connection 2223, thereby preventing a reduction in flow speed and a build up pressure.
It is therefore intended that the foregoing detailed description be regarded as illustrative rather than limiting, and that it be understood that it is the following claims, including all equivalents, that are intended to define the spirit and scope of this invention.
The present application is a continuation of U.S. patent application Ser. No. 12/776,647 (still pending), filed May 10, 2010, which is a continuation of U.S. patent application Ser. No. 11/418,838 (now U.S. Pat. No. 7,740,288), filed May 5, 2006, which claims the benefit of the filing date under 35 U.S.C. §119(e) of Provisional U.S. Patent Application Ser. No. 60/679,452, filed May 9, 2005, the entirety of each of which are hereby incorporated herein by reference.
Number | Date | Country | |
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60679452 | May 2005 | US |
Number | Date | Country | |
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Parent | 12776647 | May 2010 | US |
Child | 14076842 | US | |
Parent | 11418838 | May 2006 | US |
Child | 12776647 | US |