Patent Grant
9333332
This application claims priority of German Patent Application No. 10 2004 045 586.4 filed on Sep. 17, 2004.
The invention relates to a valve for a medical instrument, in particular an endoscopic instrument, for insulating against a distal-side fluid comprising: a canal configured in the medical instrument and serving for the intake of at least one additional medical instrument. The valve has a valve housing that can be inserted at least partially into the canal, so that in the valve housing at least one fluid opening is configured, and the valve has at least one insulating body situated in the valve housing and consisting of an elastic material.
Valves of this type serve to insulate the canal serving for the intake of at least one additional medical instrument in an endoscopic instrument, in particular when no instrument has been inserted into the canal. The canal is insulated in this case against a fluid arising on the distal side, such as in laparoscopy, for instance, a gas serving to shape the pneumo-peritoneum or else, if used with a uretero-renoscope, a liquid.
For the configuration of valves of this type it is a familiar practice, for instance, to configure the insulating body positioned in the valve housing as a so-called Duckbill insulation, in which two insulating lips directed toward the distal end of the valve housing are in contact with one another. These valves configured with insulating bodies of this kind have the disadvantage in practice, among others, that an instrument can be guided through the insulating lips only from one side, namely the proximal side.
A valve of this generic type for medical instruments is known, for instance, from DE 101 48 572. To increase the insulating power of the insulating body consisting of elastic material, it is possible with this known construction to impact the insulating bodies that are in contact with one another by way of the fluid opening from outside with a pressure medium, in particular air. The insulating bodies of this known valve construction ensure good insulation, but the imposition of an external pressure medium involves intense technological and space-intensive effort, which can rarely be achieved, especially in the use of endoscopic instruments.
Patent DE 693 13 504 T2 describes an additional valve arrangement in which the insulating body to be secured in the housing is configured in such a way that the insulating body can be pretensioned by a device, such as a clamping clip, working on the insulating body from outside, in such a way that the insulating body insulates the canal serving for the input of the medical instrument that is to be inserted, when the instrument is not inserted. In addition to the complex structure of this known valve arrangement with steering elements configured on the inside of the insulating body, the use of the pre-tensioning device working from outside on the insulating body is disadvantageous because, for one thing, this device further complicates the structure of this valve and, for another thing, the insulating effect of the valve is exclusively dependent on the tension effect of this device which in its use is subject to wear. Consequently, the object of the invention is to create a valve for medical instruments of the aforementioned type, which is simple in construction and guarantees a reliable automatic insulating effect.
This task is fulfilled by the invention in that the fluid opening is configured so that the distal-side fluid can be guided to the outside of the insulating body in such a way that the distal-side fluid reshapes the insulating body toward the inside while insulating, essentially perpendicular to the longitudinal direction of the insulating body.
As a result of the inventive arrangement, it is possible for the first time to create a self-closing valve that works in the manner of a return valve. The fluid which is to be prevented from exiting by the action of the inventive valve ensures, in turn, by the pressure acting on the insulating body from outside, that the valve is at least closed when no medical instrument is positioned in the canal.
According to a practical embodiment of the invention, it is proposed that the at least one fluid opening is configured as a slit running in the axial direction of the valve housing. To ensure quick and even fluid distribution and thus pressure distribution as well, in the valve housing there are advantageously several, preferably three, slits as fluid openings evenly distributed around the circumference of the valve housing and extending as far as the distal-send end of the valve housing.
So that the insulating effect of the insulating body cannot be weakened or indeed cancelled by the fluid pressure bearing on the insulating body on the distal side, it is proposed with a preferred embodiment of the invention that the surface of the outside of the insulating body standing in contact with the fluid is greater than the distal-side inner surface of the insulating body that is impacted by the fluid.
To configure the insulating body, it is proposed according to a practical embodiment of the invention that on the inside of the insulating body that is to be secured in the valve housing, two insulating lips are configured, arranged opposite to one another, which in the closed position are in contact with one another at least in linear arrangement insulating the canal.
The insulating lips that perform the actual insulation of the insulating body are advantageously of one-piece construction and formed with the material of the insulating body and consist of the same material as the insulating body.
According to a form of the insulating lips that is especially easy to manufacture, they are configured essentially pointing to the middle of the valve housing and convex in cross-section, and on both sides have run-up slopes in order to permit enclosing of a medical instrument from both sides of the insulating body. In addition to this convex-symmetrical arrangement of the insulating lips, other configures, even non-symmetrical ones, are of course possible.
To secure the insulating body in the valve housing, it is proposed with the invention that the insulating body can be secured by at least one configured flange so that it is immovable in the valve housing, and this at least one flange, preferably positioned on the end side for instance, can be inserted into a groove in the housing interior or else forms an end protrusion that secures the position.
In particular, to ensure the insulating effect of the valve with a medical instrument inserted in the canal, it is further proposed with the invention that on the proximal side before the insulating body at least one additional insulating element can be secured in the valve housing. Of course it is also possible to connect the additional insulating element as a one-piece construction with the insulating body or for instance by cementing, to connect it securely with the insulating body.
According to a practical embodiment for configuring this additional insulating element, the element is configured as a disc insulation provided with an opening situated basically centrally, so that the diameter of the opening configured in the disc insulation is smaller than the outer diameter of a medical instrument that is to be inserted through this opening in order to guarantee a fluid-insulating positioning of the insulating disc on the instrument shaft.
To ensure a fluid-insulating and securely positioned insertion of the valve housing into the canal of the endoscopic instrument, it is further proposed with the invention that on the outside of the valve housing at least one insulating element is configured. This insulating element arranged on the outside of the valve housing is advantageously configured as an insulating ring that can be secured in a circular groove configured in the valve housing, in particular as an O-ring made of silicon.
It is finally proposed with the invention that on the valve housing, at least on its proximal side, there should be run-up slopes, which facilitate the introduction of a medical instrument into the canal or the valve.
Additional characteristics and advantages of the invention can be seen from the related illustration, in which an embodiment of an inventive valve for medical instruments is depicted merely schematically.
The illustrations in
The valve that is insertable in a canal 5 of a medical instrument 6, which is only suggestively indicated in
The insulating body 4 positioned in the valve housing 1, manufactured in an elastic material, has, as can be seen in particular from
The actual insulating function of the insulating body 4 is assumed by two insulating lips 8 arranged opposite to one another and configured on the inside of the insulating body 4, and which are contiguous to one another in at least linear shape in the closed position of the valve shown in
In the illustrated embodiment, the insulating lips 8 are configured as pointing to the middle of the valve housing and essentially convex in cross-section. For the insulating effect of the insulating lips 8 of the insulating body 4, it makes no different whether the insulating lips 8 are configured symmetrically to an axis of symmetry 9 or not. To make possible the insertion of the medical instrument that is to be inserted into the canal 5, the insulating lips 8 include run-up slopes 10 on both sides. Because of the bilateral arrangement of the run-up slopes 10, it is possible to insert the medical instrument that is to be inserted or a guide wire, either from the proximal or from the distal side, into the valve.
Because the mutually contiguous insulating lips 8 of the insulating body 4 are pressed outward and thus in the direction of the open position of the valve, by the fluid pressure on the distal side against the inner surface 11 of the insulating body 4, in the valve housing 1 fluid openings 12 are configured, by which the distal-side fluid can flow into an intermediate space 13 between the outside 14 of the insulating body 4 and the inside of the valve housing 1. This fluid that has flowed into the intermediate space 13 exerts a pressure that is essentially perpendicular to the longitudinal axis of the insulating body 4 and works inward against the insulating body 4, and through this pressure the insulating lips 8 are pressed into their closed position.
The fluid openings 12, which advantageously are configured as slits running as far as the distal-side end of the valve housing 1, can be seen in particular in the perspectival drawing of the valve in
To ensure that pressure brought to bear from outside onto the insulating lips 8 constantly provides sufficient insulating effect, the surface of the outside 14 of the insulating body 4 standing in contact with the fluid is arranged so that it at least equal in size to the distal-side inner surface 11 of the insulating body 4 that is impacted with the fluid. Advantageously, however, the surface of the outside 14 of the insulating body 4 standing in contact with the fluid is greater than the distal-side inner surface 11 of the insulating body 4 that is impacted with the fluid.
As can further be seen from the sectional view in
On the outside of the valve housing 1, an additional insulating element 17 is positioned, which serves to provide anti-fluid insulation with respect to the medical instrument 6 in whose canal 5 the valve can be inserted. To prevent any slippage of the insulating element 17 that is preferably configured as a ring insulation, a circular groove 18 is configured in the valve housing 1 and in this groove the insulating ring can be secured at an exact position. The insulating ring is advantageously configured as an O-ring of silicon. In addition to the insulating function, the insulating element 17 positioned on the outside of the valve housing 1 can also be used as a protrusion that limits the depth of insertion of the valve into the canal 5 of the medical instrument 6 and also it can exert a staying function because of its elasticity.
The valve housing 1 finally includes at least two run-up slopes 19 on the proximal side, which clearly facilitate insertion of the medical instrument that is to be introduced into the canal 5, because a centering of the instrument on the center of the canal is achieved by the run-up slopes 19.
The illustrated valve, along with the uncomplicated structure, is distinguished in that it includes almost the function of a return valve, since the insulating effect of the valve is produced by the same fluid whose exit into the instrument canal 5 is opposed by means of the valve. Contrary to a return valve, the illustrated and described valve can be used on both sides, however.
| Number | Date | Country | Kind |
|---|---|---|---|
| 10 2004 045 586 | Sep 2004 | DE | national |
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| Number | Date | Country | |
|---|---|---|---|
| 20060069352 A1 | Mar 2006 | US |
