Patent Application
20080007045
The present invention generally pertains to microsurgery and more particularly to tubing fittings for use during ophthalmic surgery.
A variety of surgical systems are used in ophthalmic surgery. For example, such systems may include a surgical console, accessories (e.g. footswitch, reusable handpieces), and various consumables. The consumables typically include tubing sets that connect to the console and provide a pathway from the console in the non-sterile field to a surgical handpiece or other device that is used in and remains in the sterile field. A tubing fitting is typically used to fluidly couple one end of a piece of tubing to the console, and a second tubing fitting is typically used to fluidly couple another end of the piece of tubing to a surgical device.
Luer fittings are used extensively on medical devices such as syringes, needles, catheters, and tubing sets. Two types are common: luer slip fittings (EN 20594-1, Conical Fittings with a 6% (Luer) Taper for Syringes, Needles and Certain Other Medical Equipment Part 1: General Requirements—Including A1, 1993) and luer lock fittings (EN 1707, Conical Fittings with a 6% (Luer) Taper for Syringes, Needles and Certain Other Medical Equipment—Lock Fittings, 1996). Both types consist of a male fitting and a female fitting. Luer slip fittings are sealably engaged by a friction fit between the male and female luer surfaces. Both the male and female luer slip fittings are colored blue to facilitate identification. Luer lock fittings are sealably engaged with an additional lock feature on the male and female luer surfaces. More specifically, the external female surface includes a pair of opposed flanges proximate its opening. The male fitting includes a collar that receives the female fitting and has a single internal spiral thread that rotationally engages the opposed flanges. Luer lock fittings are typically used in high-pressure applications. Both the male and female luer lock fittings are colored white to facilitate identification.
It should be noted that these fittings are not mutually exclusive. For example, a male luer slip fitting can be engaged with a female luer lock fitting. Similarly, a male luer lock fitting can be engaged with a female luer slip fitting.
Very early in the development of ophthalmic surgery, particularly phacoemulsification, a need arose where it was desirable to prevent the engagement of one type of tubing set used for one purpose (e.g. irrigation) with another type of tubing set used for a second purpose (e.g. aspiration). Therefore, “oversized” luer slip fittings that retained the luer taper but were increased in size were developed. This solution prevented the accidental connection of either a standard luer slip fitting or a standard luer lock fitting and thus promoted patient safety. The male oversized luer slip fitting is colored red and the female oversized luer slip fitting is colored white to facilitate identification.
As time passed and ophthalmic surgical instrumentation grew in sophistication and complexity, the need arose for new fittings that would be physically impossible to connect to standard and/or “oversized” luer fittings. Male and female connectors manufactured by Colder Products Corporation (so-called “CPC connectors”) met this need. CPC connectors have a female fitting with a pair of opposing flanges on its external surface proximate its opening, and a male fitting having a collar with a pair of opposing slots for receiving the opposing flanges. The CPC connector is locked or unlocked via a slight rotation of female fitting relative to the male fitting, which frictionally engages the opposing flanges in a pair of opposing notches in the opposing slots. The male CPC fitting is colored white and transparent blue, and the female CPC fitting is colored transparent blue, to facilitate identification.
As ophthalmic surgery continues to increase in sophistication and complexity, the need remains for new tubing fittings that will prevent the accidental misconnection of a standard luer slip fitting, a standard luer lock fitting, an “oversized” luer slip fitting, or a CPC connector.
One aspect of the present invention is a tubing fitting for use in microsurgery including a female tubing fitting and a male tubing fitting. The female tubing fitting has an external surface with a pair of opposing projections disposed thereon and an internal bore. The male tubing fitting has a second internal bore and a collar at least partially surrounding the second internal bore. The collar has an internal surface with two pairs of opposing sloping ramps disposed thereon. The pairs of opposing sloping ramps are arranged so as to create a pair of opposing spaces for removably receiving the pair of opposing projections. When the pair of opposing projections are disposed in the pair of opposing spaces, the male tubing fitting may be sealingly locked into the female tubing fitting by rotating the collar. The pairs of opposing sloping ramps and the pair of opposing spaces create a geometry that prevent engagement with conventional luer and CPC fittings.
For a more complete understanding of the present invention, and for further objects and advantages thereof, reference is made to the following description taken in conjunction with the accompanying drawings in which:
The preferred embodiments of the present invention and their advantages are best understood by referring to
As shown in
Although not shown in the Figures, female tubing fitting 12 may be formed in a different configuration than a T-connector. For example, threaded fitting 14, male plug 16, and junction 36 may be eliminated and female tubing fitting 12 may terminate in a male plug similar to male plug 16 opposite opening 22 for insertion into the open end of conventional plastic tubing or a standard female luer slip fitting.
As shown in
The following describes an exemplary, preferred procedure in which medical personnel may use female tubing fitting 12 and male tubing fitting 50 to fluidly couple a surgical handpiece to a surgical console. Female tubing fitting 12 is fluidly coupled to a connector on a surgical console via threads 29. Female tubing fitting 12 is also fluidly coupled to the first end of a first piece of conventional plastic tubing by inserting male plug 16 into the open end thereof. Male tubing fitting 50 is fluidly coupled to a first end of a second piece of conventional plastic tubing by inserting male plug 60 into the open end thereof. The opposite end of the second piece of plastic tubing is fluidly coupled to a surgical handpiece. The surgical handpiece is then fluidly coupled to the surgical console by inserting projections 24 of female tubing fitting 12 into either spaces 68 or 70 of male tubing fitting 50 and rotating collar 58 clockwise. Such rotation sealingly locks male tubing fitting 50 and female tubing fitting 12. Male tubing fitting 50 and female tubing fitting 12 may be unlocked by rotating collar 58 counterclockwise. The identification of male tubing fitting 50 and female tubing fitting 12 is facilitated by coloring both fittings gray.
From the above, it may be appreciated that the present invention provides improved apparatus and methods for managing and handling the increasingly complex tubing set/surgical device/surgical console connections in ophthalmic surgery. The present invention is illustrated herein by example, and various modifications may be made by a person of ordinary skill in the art. For example, although the tubing fitting of the present invention is described hereinabove in connection with ophthalmic surgery, it may also be used in other microsurgeries, such as, by way of example, otic surgeries or nasal surgeries. In addition, the present invention may be designed so that the male tubing fitting may be locked into the female tubing fitting by rotating the collar in a counterclockwise direction, if desired. Furthermore, the tubing fitting of the present invention may be used to perform other tubing set/surgical device/surgical console connections other than those described above.
It is believed that the operation and construction of the present invention will be apparent from the foregoing description. While the apparatus and methods shown or described above have been characterized as being preferred, various changes and modifications may be made therein without departing from the spirit and scope of the invention as defined in the following claims.
This application claims the priority of U.S. Provisional Application No. 60/635,599 filed Dec. 13, 2004.
| Number | Date | Country | |
|---|---|---|---|
| 60635599 | Dec 2004 | US |
