CA2208554A1

CA2208554A1 - Device for applying one or several fluids

Info

Publication number: CA2208554A1
Application number: CA002208554A
Authority: CA
Inventors: Freddy Zinger
Original assignee: Individual
Current assignee: Omrix Biopharmaceuticals SA
Priority date: 1994-12-28
Filing date: 1995-12-23
Publication date: 1996-07-04
Also published as: US5810885A

Abstract

The device for applying one or several fluids, particularly a multi-component fluid, such as medical tissue or dental adhesives, comprises a head piece (9) having channels (25 to 28) for each fluid extending from an inlet side of the head piece (9) to a connection site of the head piece (9). The tubular body (10) comprises an inlet end facing the connection site of the head piece (9) and an outlet end facing away from the inlet end. The tubular body (10) comprises an outer wall, which, at least sectionally, is configured such that the tubular body (10) is plastically deformable, particularly plastically bendable.

Description

CA 02208~4 1997-06-23 WO 96/19940 PCrlEPs5/05120 Device for applYinq one or several fluids The invention relates to a device for applying one or several fluids, particularly a multi-component fluid which is, for exam-ple, a tissue adhesive or dental adhesive. Such tissue adhesives are used for the seamless or suture-supporting connection of human or Anlm~l tissue or organ parts, closing a wound and/or hemostasis. These tissue adhesives comprise several components and are suitably formed by bringing together human or animal proteins and coagulation factors promoting hemocoagulation in situ. To be able to apply the adhesives' components more easily, they are sprayed onto the application site together with a medi-cal gas (ox-ygen).

Application devices of the kind mentioned above are known, for example, from EP 0 037 393 B1, BP 0 210 160 B2, US-PS 4 874 368, DE-OS 42 23 356, and EP 0 315 222 B1. In these known application devices, the individual components are fed from syringe bodies through channels to the discharge site of the device. In some of the known application devices, these channels extend through a head piece at whose side facing away from the syringe bodies a multiple lumen tube is connected. This tube is arranged at a connection site of the head piece towards which (closely adja-cent) the channels lead, which, in turn, start from the inlet side of the head piece facing away from the connection site. The connection devices (cones) for connecting the syringe bodies are also located on this inlet side.

In the case of the application device according to 13P o 315 222 B1, a four-lumen catheter is connected to the head piece. Two of the lumina of the catheter are used for transporting the compo-nents of the tissue adhesive, whereas a medical gas is fed through the third lumen. In the remaining fourth lumen, there is a metal wire which is plastically deformable (shaping wire). By manually bending the multiple lumen tube, the purposeful appli-cation of the adhesive at certain sites, particularly those CA 02208~4 1997-06-23 WO96/19940 PCT~P95/05120 difficult to access, is simplified. Naturally, the metal wire has a relatively high resistance force when it is subject to forces in axial direction. Hence, there is the danger that the multiple lumen tube does not immediately yield if it hits an obstacle in axial extension of the shaping wire. Further, there is the danger of blocking one or several of the lumina of the catheter, if the metal wire is bent excessively or with a too small bending radius.

In the device according to US-PS 4 874 368, the channels feeding the components are made of metal cannulas led through a common sleeve in parallel and closely adjacent. By manually bending this sleeve, the application of the adhesive at sites difficult to access can be simplified. There is a certain drawback, howev-er, that the ch~nnels extending through the tubular body (metal cannulas with enclosing sleeve) are only conditionally flexible when the tubular body hits an obstacle.

It is the object of the present invention to provide an applica-tion device for multi-component products, particularly for medi-cal tissue adhesives or dental adhesives, wherein the above-described drawbacks do not occur and which is sufficiently flex-ible when hitting obstacles, particularly when creating a tubu-lar body which can easily be plastically deformed or bent.

In order to solve this object, the invention provides a device for applying one or several fluids, particularly a multi-compo-nent fluid such as medical tissue adhesive or dental adhesive, which is provided with a head piece comprising channels for each fluid, which extend from an inlet side of the head piece to a connection site of the head piece, and a tubular body comprising an inlet end facing the connection site of the head piece and an outlet end facing away from the inlet end, there being further provided in the device of the invention an outer wall being configured, at least sectionally, such that the tub~lar body is plastically deformable, particularly plastically bendable.

CA 02208~4 1997-06-23 WO96/19940 PCT/~1$~l~5120 In the device of the invention, the outer wall of the tubular body through which, starting from the head piece up to the dis-charge end of the tubular body, the individual components are, if necessary, transported by an additional medical gas, is con-figured to be at least sectionally plastically deformable, par-ticularly plastically bendable. The tubular body, which pref-erably is made of a plastic material, accordingly does not have such a deflection resistant configuration and gives way when hitting obstacles, as may occur, e.g., when leading the applica-tion device to a site to be conglutinated. This characteristic of the application device of the invention is further supported when, for the purpose of separate transportation of the individ-ual components to the discharge end of the tubular body, a flex-ible multiple lumen tube is led through this body. Then, the multipie iumen body is connected to the head piece at the con-nection site thereof and the tubular body encloses or surrounds the multiple lumen tube more or less tightly or with a certain radial clearance. The plastic deformability or bendability of the tubular body is chosen such that the elasticity of the mul-tiple lumen tube does not result in an automatic resetting of the tubular body at its sections deformed by hand, for example.

The device of the invention comprises an at least sectionally plastically deformable, particularly plastically bendable tubu-lar body. It is advantageous when plastically deformable por-tions of the tubular body and other non-deformable portions of the tubular body are arranged axially in succession. The tubular body which is suitably made of a plastic material and has only a very minor wall thickness (some few l/lO mm), is particularly deformable (kinkable) in the plastically non-deformable or non-bendable portions, but under the condition that this deformation need not absolutely be plastic, but may also be of elastic na-ture. By means of appropriate bending, the tubular body can be deformed into any shape and, particularly, it can also be re-turned into its original shape.

Advantageously, the outer wall of the tubular body is configured so as to be at least sectionally circumferentially folded in CA 02208~4 1997-06-23 WO96119940 PCT~5/05120 zigzag form, each such folded section comprising first radially inwardly directed and second radially outwardly directed wall sections. Seen in cross section through the outer wall of the tubular body, a first wall section and its neighbouring second wall section form a V, so that the entire folded section is configured in the manner of a bellows. The folded section de-scribed herein, however, differs from a conventional bellows in that the first and second wall sections have different axial lengths. Further, the first and second wall sections are con-nected to each other along circumferentially extending folding or kinking lines. In this manner, a flexible articulated section is formed in the tubular body, the articulacy of the tubular body being achieved by individual toggle or over-center joints each of which is formed by a first wall section and the one second wall section connected thereto. In the axially upset and unbent state of the tubular body, the first and second wall sections extend in a saw-toothed manner (seen in cross section through the outer wall of the tubular body). If the tubular body is now bent in the folded section area, the abutting wall sec-tions are moved away from each other over a part of the periph-ery of the tubular body. The neighbouring first and second fold-ed sections automatically move into their opened V-shaped posi-tions, if they are moved beyond the "dead center" during bend-ing. This automaticity of movement and also the resistance of this joint against a return movement is achieved by the high deflection resistance of the circumferentially extending wall sections within the folded sections in particular. The manner of functioning ànd operating of the above-described folded section of the tubular body is principally known from drinking and suc-tion tubules. For the first time, this invention proposes to employ such tubular bodies with articulated configuration for the transmission of the components of a medical tissue adhesive or dental adhesive and for the transmission of medical gases and/or generally for the transmission of fluids for the purpose of employing them with a multi-component product application device .

CA 02208~4 1997-06-23 WO96/19940 PCT~5/05120 The feature of the plastic deformability of a tubular body dis-pensing a single-component or multi-component fluid provided according to the invention can be applied wherever the locally directed application of fluids is concerned. In particular, the use of the tubular body for receiving an elastic single-lumen or multiple lumen catheter is not intended to be restricted to the above-described tissue adhesive applicator which will be de-scribed in detail hereinafter, but it can be used wherever an elastic deformability of the catheter is desired.

Alternatively, the tubular body of the device according to the invention can consist of separate deflection-resistant rigid tube sections which are articulately interconnected. The fric-tion of the separate tube sections articulately interconnected is chosen such that there is no automatic restoration of neighbouring tube sections after a pivotal movement. Advanta-geously, each tube section has one end thereof provided with a partially spherical projection clampingly received in the re-spective other end of the neighbouring tube section, which, for this purpose, has a corresponding configuration at this end and at least partially encloses the spherical projection. The spher-ical projection comprises a through hole arranged in axial pro-longation of the passage of a tube section. In case that tube sections of the afore-mentioned kind are employed, it can also be thought of forming only a portion or portions of the tubular body of these tube sections and to configure the rest of the tubular body rigid or flexible in a way different from that above.

The following is a detailed description of an embodiment of the invention with reference to the drawings, in which:

Fig. l is a top plan view of an application device, Fig. 2 is an inside view of the head piece with longitudinal-ly cut conduits and connections, Figs. ~ and 4 CA 02208~S4 1997-06-23 W 096/19940 PCT~EP95/OS120 are illustrations of a sectionally flexible and plastically deformable tubular body in straight and in sectionally bent states, respectively, ~igs. 5 and 6 are illustrations of a tubular body being flexible and plastically deformable over its entire axial length in straight and bent states, respectively, and ~ig. 7 is an alternative configuration for the flexible (pla-stically bendable) tubular body.

The device for applying two-component products, such as medical tissue adhesives or dental adhesives, consists of a flat head piece 9 of plastics material at whose front end a tubular body 10 is arranged, which receives a multiple lumen tube 11. The tubular body 10 is sticked either to the head piece 9 or to the multiple lumen tube 11. The multiple lumen tube 11 is partially included in the head piece 9 (see inner portion lla) and com-prises an (outer) portion llb protruding therefrom and being surrounded by the tubular body 10. From the rear end of the head piece 9, portions of two cannula hubs 12, 13 protrude. In top plan view, the head piece 9 is a triangular shape with the edges rounded. The multiple lumen tube 11 protrudes through an outer cone 14 of the head piece body and its inner portion lla extends into the area of the front half of the head piece. The multiple lumen tube 11 has three lumina 15, 16 and 17 which extend in parallel from the inner end of the tube to the discharge end 18.
The walls between the lumina 15, 16, 17 are extremely thin so that the lumina 15, 16, 17 lie very close together. The multiple lumen tube may be straight or bent according to a predetermined particular use. The length of the tubular body 10 and the por-tion llb may be shortened by the user as desired. Two components a and b are contained in syringes 20, 21, the barrels of which are held together in a rack structure 22. The plunger rods of the syringes 20, 21 are coupled by a bridging member 23 such that both are operated simultaneously so that the components a and b enter the cannula hubs 12 and 13 at the same time.

CA 02208~4 1997-06-23 W096/19940 PCT/~l$~5120 The cannula hubs 12 and 13, partially included in the head piece 9, are connected to rigid cannulas 25, 26, preferably made of metal. Each metal cannula 25, 26 is cranked so that two legs 25a, 26a and 25b, 26b are obtained, the axes of which are paral-lel and which are connected by a longer inclined portion. The two metal cannulas 25, 26 are orientated in the head piece 9 such that they extend in V-shape. Firmly connected to the rear legs 25a, 26a are the cannula hubs 12, 13 that project beyond the edge of the head piece 9 by a part of their length. The shorter front legs 25b, 26b are respectively set into an associ-ated lumen 15, 16 of the multiple lumen tube 11 which are pro-vided for separately conducting the two components a, b. Firmly set into the third lumen 17 is an end of a connecting tubule 27, onto the other end of which a soft flexible air tube 30 is set.
The connecting tubule 27 may be of metal or plastics material.
The air tube 30 extends from the tip of the V formed by the two metal cannulas 25~ 26 straight to the rear end of the head piece 9 and has a portion 3Ob leaving the same freely. The length of the portion 30b of the air tube 30 is at least about 10 cm. Its outer diameter may be about 2.5 mm. At the free outer end of the rear portion 30b, a connecting member 31 is provided in the form of a hub member for connection to an air conduit of an air ag-gregate. The coupling member 31 may be a female Luer lock cone to which an air filter set of the air aggregate may be coupled.

The metal cannulas 25, 26, the inner portion lla of the multiple lumen tube 11 and the front portion 30a of the air tube 30, as well as the cannula hubs 12, 13 are moulded or injected into the head piece 9 of plastics material.

The air tube 30 is in direct communication with the lumen 17 of the multiple lumen tube 11 through the connecting tubule 27. The precise flows of the components a and b and the air flow emerge close together as a thin jet from the discharge end 18 of the multiple lumen tube 11. The components a and b are sprayed in an optimal mixture by the air flow so that the site to be treated is supplied with a sufficient quantity of dispersed tissue or dental adhesive of high quality. Due to the separate conduction CA 02208~4 1997-06-23 WO96/19940 PCT~5/05120 of the components a and b and the air, the material is mixed only past the discharge end 18 of the multiple lumen tube 11.
All channels, from the syringes 20, 21 to the discharge end 18, stay clear and maintain their original passage diameters, and no obstructions that could degrade the product quality at the dis-charge end will occur. Accordingly, the portions of the compo-nents a and b are dosed exactly and the composition of the adhe-sive is always correct.

As mentioned at the beginning of the description of the Figures, the multiple lumen tube llb is surrounded by the sectionally flexible tubular body 10 consisting of extruded plastic materi-al. According to ~ig. 3, the tubular body 10 comprises folded sections 32 and straight sections 34, which are alternately ar-ranged successively in axial extension of the tubular body 10.
In the folded sections 32, the tubular body 10 is configured in the manner of a bellows and consists of zigzag-like arranged successive first and second circumferentially extending wall sections 36,38. The wall sections 36,38 are alternately arranged in succession and neighbouring first and second wall sections 36,38 are articulately interconnected along circumferentially extending kinking or folding lines or regions 40. The first wall sections 36 have a greater axial length than the second wall sections 38. In other words, the distance between two kinking regions 40 limiting a first wall section 36 is greater than in the case of a second wall section 38. In Fig. 3, the tubular body 10 is shown in its upset straight state, in which the first and second wall sections 36,38 extend in mutual contact in saw-toothed manner, which is only shown conditionally in Fig. 3. By bending the tubular body 10 in the region of a folded section 32, the wall sections 36,38 in that region o~ the outer wall of the tubular body 10, in which an axial extension of the outer wall occurs, are moved apart. The wall sections 36,38 are moved away from each other, whereby a radial upsetting of the tubular body 10 occurs in the kinking regions 40 (when the neighbouring wall sections 36,38 start to move apart). When the neighbouring wall sections 36,38 move further apart, the tubular body 10 in turn relaxes in the kinking regions 40, so that the curvature CA 02208~4 1997-06-23 W096/19940 PCT~P95/OS120 shown in Fig. 4 for the two folded sections 32 is automatically maintained (plastic deformability). For without any action of force, the neighbouring wall sections 36,38 cannot return to their state of abutting all around according to Fig. 3, since this, in turn, is associated with an upsetting of the tubular body in the kinking regions 40 of the folded sections 32. The principle of kinkability of a tubular body by forming a plurali-ty of closely successive snap joints in this manner is known, as described above and shown in the Figures, from drinking and suction tubules ("straw").

Figs. 5 and 6 show an alternative of the tubular body lO. The tubular body lO' according to Figs. 5 and 6 differs from the tubular body lO in that its folded section 32' extends over the entire axial length. Fig. 6 shows the tubular body lO' kinked at three locations. Partially, the kinking directions are opposite to each other.

In the case of the application device for tissue adhesive, it is possible, as is shown in Figs. 3 to 6, to give the multiple lumen tube ll the desired course in order to be able to apply the tissue adhesive also to sites difficult to access. As a whole, the tubular body lO or lO' rem~'n~ sufficiently flexible to be able to yield when hitting an obstacle.

Fig. 7 shows - partially in side view and broken and in section, respectively - a modification of a tubular body lO" consisting of separate rigid tube sections 42 comprising passages 44 in mutual alignment through which the three-lumen catheter ll"
extends. Neighbouring tube sections 42 are coupled to each other by means of ball-and-socket joint-like connections. At one of its axial ends, each tube section 42 comprises a spherical for-mation 46 being clampingly embraced (in a snap connection-like manner) by the other end 48 of the respective neighbouring tube section 42.

The clamping is selected such that the frictional force between neighbouring tubular sections 42 being pivoted relative to each WO9~/19940 PCT~P95/05120 other prevents restoration of the tubular body 10" into the linearly extending state due to the elasticity of the catheter 11 ~ r

Claims

1. A device for applying one or several fluids, particularly a multi-component fluid, such as tissue adhesive or dental adhesive, comprising:
- a head piece (9) having channels (25 to 28) for each fluid and extending from an inlet side of the head piece (9) to a connection site of the head piece (9), and - a flexible multiple lumen tube (11) arranged at the connection side of the head piece (9) said flexible multiple lumen tube (11) having lumen being in alignment with the channels (25 to 27) of the head piece (9), c h a r a c t e r i z e d i n t h a t - a tubular body (10;10';10") is provided, said tubular body (10;10';10") having an inlet end facing the connection site of the head piece (9) and an outlet end facing away from the inlet end, wherein - said tubular body (10;10';10") comprises an outer wall, which, at least sectionally, is configured such that the tubular body (10;10';
10") is plastically deformable, particularly plastically bendable, and - said flexible multiple lumen tube (11) is received by the plastically deformable or bendable tubular body (10;10';10").

2. The device according to claim 1, characterized in that the outer wall of the tubular body (10; 10') is at least sectionally configured so as to be circumferentially folded in a zigzag-like manner, and that each of said folded sections (32) comprises first radially inwardly directed and second radially outwardly directed wall sections (36,38), which are alternately arranged in succession, the first and the second wall sections (36,38) having different axial lengths, and the outer wall comprising circumferentially extending folding or kinking regions (40) along the connections between the first and second wall sections (26,38).

3. The device according to claim 2, characterized in that folded sections (32) and smooth sections (34) of the outer wall of the tubular body (10) alternately succeed each other.

4. The device according to claim 2, characterized in that the outer wall of the tubular body (10') is configured as a folded section (32') over the entire axial length of the tubular body.

5. The device according to claim 1, characterized in that the tubular body (10") comprises several tube sections (42) being clampingly and articulately interconnected.

6. The device according to claim 5, characterized in that ball-and-socket joints (46,48) are provided for the connection of the tube sections (42).

7. The device according to one of claims 1 to 6, characterized in that the tubular body (10;10';10") consists of a polymer material.