Patent Application
20080119784
The present invention relates generally to the delivery of therapeutic fluids as part of a healthcare treatment. More specifically, the present invention relates to a needleless system for delivering a pressurized fluid from an automated pressure source to an internal treatment site within a patient undergoing medical treatment.
A wide variety of medical treatments are at least partially performed through the delivery and introduction of therapeutic compositions to a treatment location. In home or outpatient settings, typical delivery methods can comprise oral delivery, via liquid or solid forms, as well as a variety of inhalant style devices. In clinical or hospital settings, therapeutic fluids are commonly injected using needle based systems. In some instances, the therapeutic fluid is delivered directly into a treatment location with a shot based injection while in other instances, a needle and drip line can be used to intravenously introduce the therapeutic to the vascular system whereby the therapeutic fluid is carried and dispersed throughout the body. While needle based systems are the unquestionably preferred delivery mechanism for certain treatment methods, there remain a variety of treatment applications wherein treatment sites within the body can be accessed without the cutting or piercing access provided by a needle. As such, it would be advantageous to have a system capable of precisely delivering a therapeutic fluid to treatment sites within the body absent the cutting and/or piercing access associated with needles.
The present invention comprises a fluid delivery system and related methods for delivering therapeutic fluids to treatment sites within a patient. The fluid delivery system can comprise an automated injector source and a needleless access device. In some embodiments, the access device can comprise a delivery scope and a treatment specific applicator. In some embodiments, the automated injector source, delivery scope and applicator can be operably coupled with quick-connect style fittings so as to allow for quick replacement and maintenance of used or damaged components. In some embodiments, the automated injector source can comprise an input mechanism such as, for example, a foot pedal allowing a medical professional to provide a hands free input to the automated injector source when an injection of therapeutic fluid is desired. The delivery scope can comprise a length of flexible tube providing the medical professional an ability to easily maneuver the applicator. In some embodiments, the applicator can comprise a rigid, steerable applicator capable of being individually maneuvered directly to a treatment delivery site without the assistance of the delivery scope while in still other embodiments, the applicator can comprise a flexible tube that is passively steered by the delivery scope or in conjunction with another introduction device such as, for example, a catheter. In yet another embodiment, the fluid delivery system can comprise an imaging system allowing the medical professional to precisely position the applicator with respect to a desired treatment location.
In one aspect of the present disclosure, a needleless fluid delivery system can be used to deliver therapeutic fluids to treatment locations within a patient's body. The needleless fluid delivery system can comprise an automated injector source and an access device. In some embodiments, the access device can comprise a delivery scope and a needleless applicator. In some presently preferred embodiments, the various components of the needleless fluid delivery system can be operably, fluidly connected using quick-connect fittings allowing for quick replacement and maintenance of used or damaged components as well as providing flexibility to the needleless fluid delivery system by allowing the use of treatment specific components such as, for example, applicators that are specific to a particular type of body access or treatment location. In one representative embodiment, the automated injector source can comprise a hand-free input mechanism such as, for example, a foot pedal so as to provide a medical professional the opportunity to use both hands in properly manipulating the delivery scope and needleless applicator. Depending upon treatment location and the particular body access, the needleless applicator can be individually steerable to a treatment delivery site or the needleless applicator can be passively steered using the delivery scope or introduced with a separate introduction device such as a catheter. In yet another embodiment, the fluid delivery system can either include or be used in conjunction with an imaging system allowing the medical professional to precisely position the needleless applicator with respect, which may be especially advantageous when the automated injector source includes the hands-free input mechanism.
In another aspect of the present disclosure, a variety of applicators can be used in conjunction with a needleless fluid delivery system to deliver a therapeutic fluid to a treatment location within a patient's body. In one representative embodiment, a plurality of therapy-specific applicators can each comprise a common attachment coupling so as to be selectively, individually attachable to an automated injector source capable of operable interconnection with the attachment coupling. In some embodiments, the variety of applicators can be individually tailored to have desirable characteristics including, for example, flexibility or rigidity, steerable or non-steerable as well as a variety of treatment interfaces. Applicators can be tailored for specific treatment locations including, for example, a rectal treatment location, a gastrointestinal treatment location, a nasal treatment location, a bronchial treatment location or an esophageal treatment location. The applicator can be attachable to a delivery scope and can be configured either for placement over the delivery scope or within the delivery scope. Each applicator can comprise one or more applicator lumens for performing treatment at the treatment location. In some embodiments, a representative applicator can have an injection lumen such as, for example, an end-fire injection lumen for an end delivery of the therapeutic fluid or the applicator can have a side-fire injection lumen for a side delivery of the therapeutic fluid to the treatment location. In some embodiments, the applicator can further comprise a vacuum lumen to position and retain issue with respect to the injection lumen.
In another aspect, the present disclosure is directed to a method for delivering a therapeutic fluid to a treatment location within the body using a pressurized fluid source so as to avoid the use of a needle in accessing the treatment location. One representative method for delivering the therapeutic fluid can first comprise accessing the treatment location with an access device that includes a treatment specific applicator. In some embodiments, accessing the treatment location can include imaging the treatment location with a medical imaging system so as to verify the position of the treatment specific applicator with respect to the treatment location. Depending upon the treatment location, the treatment specific applicator can be rigid or flexible, individually steerable or carriable with an introducer, straight, curved or otherwise shaped. Presently contemplated treatments can include rectal and/or gastro intestinal, nasal, bronchial and esophageal treatments. At the treatment location, tissue to be treated can be captured and retained utilizing a vacuum introduced through the treatment specific applicator. After the treatment location has been accessed and the tissue positioned using the treatment specific applicator, the therapeutic fluid can be delivered to the treatment site under the direction of a high pressure injector. As the therapeutic fluid reaches the treatment site, the therapeutic fluid can be applied to the treatment location through an injector lumen in the treatment specific applicator.
The above summary of the various representative embodiments of the invention is not intended to describe each illustrated embodiment or every implementation of the invention. Rather, the embodiments are chosen and described so that others skilled in the art may appreciate and understand the principles and practices of the invention. The figures in the detailed description that follows more particularly exemplify these embodiments.
The invention may be more completely understood in consideration of the following detailed description of various embodiments of the invention in connection with the accompanying drawings, in which:
While the invention is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and will be described in detail. It should be understood, however, that the intention is not to limit the invention to the particular embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives.
In the following detailed description of the present invention, numerous specific details are set forth in order to provide a thorough understanding of the present invention. However, it will be obvious to one skilled in the art that the present invention may be practiced without these specific details. In other instances, well-known methods, procedures, and components have not been described in detail so as to not unnecessarily obscure aspects of the present invention.
A needleless fluid delivery system 100 is illustrated generally in
As seen in
In some presently contemplated embodiments, applicator 104 and connector member 108 or controller 107 can include a mechanical or electrical communication means for automatically communicating the applicator type to the controller 107. In some embodiments, applicator 104 can comprise a microchip or a RFID tag 118 communicating with a receiving element 120 on controller 107. When applicator 104 is attached to connector member 108, RFID tag 118 can communicate and applicator type to the automated injector receiving element 120. Once the applicator type has been communicated to the receiving element 120, the controller 107 can preconfigure the automated injector 102 for standard operating conditions associated with the injector type. For example, attachment of prostate applicator 104b to connector member 108 instructs the controller 107 to prepare the automated injector 102 to prepare for standard operating conditions relative to a prostate treatment procedure.
Another representative embodiment of a needleless fluid delivery system 200 is illustrated generally in
Treatment access device 204 generally comprises an extension tube 212 and an applicator 214. Generally, a fluid delivery lumen is operably, continually defined from an access device coupling member 216 to a delivery end 218 of the treatment access device 204. Applicator 214 generally comprises a grasping portion 220 and a delivery portion 222. Extension tube 212 can preferably comprise a flexible extension tube 224 allowing a medical professional to manipulate the grasping portion 220 such that the delivery portion 222, and more specifically, an applicator head 226 to the desired treatment location within the body. Depending upon the treatment location, applicator 214 can also include configurations such as, for example, male urethra applicator 104a, prostate applicator 104b, bladder applicator 104c, female bladder/urethra applicator 104d or ureter/kidney applicator 104e.
A representative embodiment of an access device 300 is illustrated in
As illustrated in
Referring to
With respect to the various needle free therapeutic fluid delivery systems, access devices and applicators described herein, it will be understood that a medical professional preferably utilizes the systems, devices, methods and applicators as described along with a medical imaging system such as, for example, computer axial tomography (CAT), magnetic resonance imaging (MRI), or in the case of treatment of a prostate gland, the preferred imaging means is transrectal ultrasound (TRUS). Through the use of a medical imaging system, a medical professional can verify that the applicator, and more specifically, the applicator head is properly inserted and positioned with respect to the desired treatment location.
Once the applicator head is positioned with respect to the treatment location, the medical professional can initiate a vacuum using either over-scope applicator 400 or through-scope applicator 500 to position the tissue proximate the appropriate delivery lumen. After verifying that the treatment location has been positioned with respect to the delivery lumen with the medical imaging system, a user can initiate delivery of a therapeutic fluid from the automated injector. In one presently preferred embodiment, the medical professional can use both hands to properly position the applicator and initiate delivery of the therapeutic fluid with the hands-free input device 206.
While the invention is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and will be described in detail. It should be understood, however, that the intention is not to limit the invention to the particular embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives.
The present application claims priority to U.S. Provisional Application Ser. No. 60/866,308 filed Nov. 17, 2006 and entitled, “SYSTEMS, APPARATUS, AND ASSOCIATED METHODS FOR NEEDLELESS DELIVERY OF THERAPEUTIC FLUIDS”, which is herein incorporated by reference in its entirety.
| Number | Date | Country | |
|---|---|---|---|
| 60866308 | Nov 2006 | US |
