# US 2014/0194810 A1 · Deployable joint infection treatment system

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- Number: US 2014/0194810 A1
- Document ID: US20140194810A1
- Status: Published application
- Kind: A1
- Application number: 14/151,025
- Filed: 2014-01-09
- Published: 2014-07-10
- Earliest claimed: 2013-01-10
- Assignees: The Cleveland Clinic Foundation
- Applicants: The Cleveland Clinic Foundation
- Inventors: Wael K. Barsoum; Viktor E. Krebs; Bret E. Hartzell
- Web page: https://patentgrep.com/patent/US20140194810A1

## CPC

- A61M 1/76: {Handpieces (specially for suction-irrigation A61M1/774, aspiration tips A61M1/84)}
- A61B 17/3421: {Cannulas}
- A61M 1/85: {with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants (for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208)}
- A61M 5/172: electrical or electronic
- A61B 2017/3484: {Anchoring means, e.g. spreading-out umbrella-like structure}
- A61B 2217/005: with suction drainage system
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A deployable infection treatment system includes a cannula device comprising a cannula body having a proximal end, a flared distal end, and a lumen extending therebetween. The lumen has a longitudinal x-axis extending therethrough. A sponge or drain is provided, the sponge having a distal end and a proximal end, wherein in a non-deployed configuration, the sponge is compressed within the cannula body's lumen and in a deployed configuration the distal end of the sponge expands out of the cannula body's lumen. An integrated pump and vacuum device is provided, wherein when the sponge is in a deployed configuration, the device is in fluid communication with a therapeutic fluid source. The pump controls the delivery of the therapeutic fluid to the proximal end of the sponge. The vacuum controls the extraction of the therapeutic fluid and infectious material from the proximal end of the sponge.

## Claims

### Claim 1

A deployable infection treatment system comprising:
a cannula device comprising:
a cannula body having a proximal end, a flared distal end, and a lumen extending therebetween, the lumen having a longitudinal x-axis extending therethrough; and
a sponge or drain, the sponge having a distal end and a proximal end, wherein in a non-deployed configuration, the sponge is compressed within the cannula body's lumen and in a deployed configuration the distal end of the sponge expands out of the cannula body's lumen; and
an integrated pump and vacuum device, wherein when the sponge is in a deployed configuration, the device is in fluid communication with a therapeutic fluid source, the pump controlling the delivery of the therapeutic fluid to the proximal end of the sponge, the vacuum controlling the extraction of the therapeutic fluid and infectious material from the proximal end of the sponge.

### Claim 2 (depends on 1)

The deployable infection treatment system of claim 1, wherein the distal end of the sponge has a diameter greater than the flared distal end of the cannula body in a deployed configuration of the sponge.

### Claim 3 (depends on 1)

The deployable infection treatment system of claim 1, wherein the integrated pump and vacuum device comprises:
a first tube having a distal end in fluid communication with the proximal end of the sponge and a proximal end in fluid communication with a pump, the pump in fluid communication with the therapeutic fluid source; and
a second tube having a distal end in fluid communication with the proximal end of the sponge and a proximal end in fluid communication with a vacuum.

### Claim 4 (depends on 1)

The deployable infection treatment system of claim 1, further comprising a retrieval cable extending through the sponge and attached to a fastener at the distal end of the sponge.

### Claim 5 (depends on 1)

The deployable infection treatment system of claim 1, wherein the fastener is a cap.

### Claim 6 (depends on 5)

The deployable infection treatment system of claim 5, wherein the cap is on an exterior face of the distal end of the sponge.

### Claim 7 (depends on 1)

The deployable infection treatment system of claim 1, further comprising a rollable sheath disposed on the distal end of the sponge, the rollable sheath comprising a sleeve and axially extending retrieval cords attached to the sleeve.

### Claim 8 (depends on 1)

The deployable infection treatment system of claim 1, further comprising a plurality of elastic bands disposed about the flared distal end of the cannula body.

### Claim 9 (depends on 1)

The deployable infection treatment system of claim 1, wherein the plurality of elastic bands comprise nitinol.

### Claim 10 (depends on 8)

The deployable infection treatment system of claim 8, further comprising a plurality of axially extending retrieval cables, each one of the plurality of retrieval cables attached to a respective one of the plurality of elastic bands.

### Claim 11

A deployable infection treatment system comprising:
a cannula device comprising:
a cannula body having a proximal end, a flared distal end, and a lumen extending therebetween, the lumen having a longitudinal x-axis extending therethrough;
a sponge having a distal end and a proximal end, wherein in a non-deployed configuration, the sponge is compressed within the cannula body's lumen and in a deployed configuration the distal end of the sponge expands out of the cannula body's lumen; and
a retrieval cable extending longitudinally through the sponge and attached to a fastener at the distal end of the sponge.

### Claim 12 (depends on 11)

The deployable infection treatment system of claim 11, further comprising an integrated pump and vacuum device, wherein when the sponge is in a deployed configuration, the integrated device is in fluid communication with a therapeutic fluid source, the pump controlling the delivery of the therapeutic fluid to the proximal end of the sponge, the vacuum controlling the extraction of the therapeutic fluid and infectious material from the proximal end of the sponge.

### Claim 13 (depends on 11)

The deployable infection treatment system of claim 11, wherein the fastener comprises a cap on the exterior face of the distal end of the sponge.

### Claim 14

A deployable infection treatment system comprising:
a cannula device comprising:
a cannula body having a proximal end, a flared distal end, and a lumen extending therebetween, the lumen having a longitudinal x-axis extending therethrough;
a sponge having a distal end and a proximal end, wherein in a non-deployed configuration, the sponge is compressed within the cannula body's lumen and in a deployed configuration the distal end of the sponge expands out of the cannula body's lumen; and
a rollable sheath disposed on the distal end of the sponge, the rollable sheath comprising a sleeve and axially extending retrieval cords attached to the sleeve and axially extending through the cannula body.

### Claim 15 (depends on 14)

The deployable infection treatment system of claim 14, further comprising a plurality of elastic strips axially disposed about the flared distal end of the cannula body.

### Claim 16 (depends on 15)

The deployable infection treatment system of claim 15, wherein the plurality of elastic strips comprise nitinol.

### Claim 17 (depends on 14)

The deployable infection treatment system of claim 14, further comprising a plurality of axially extending retrieval cables, each one of the plurality of retrieval cables attached to a respective one of the plurality of elastic strips.

### Claim 18

A deployable infection treatment system comprising:
a cannula device comprising:
a cannula body having a proximal end, a flared distal end, and a lumen extending therebetween, the lumen having a longitudinal x-axis extending therethrough, the flared distal end comprising a plurality of elastic strips disposed longitudinally about the flared distal end;
a sponge having a distal end and a proximal end, wherein in a non-deployed configuration, the sponge is compressed within the cannula body's lumen and in a deployed configuration the distal end of the sponge expands out of the cannula body's lumen; and
a plurality of axially extending retrieval cables, each one of the retrieval cables attached to a respective one of the elastic strips.

### Claim 19

A deployable infection treatment system comprising:
a cannula comprising:
an outflow section comprising a proximal portion having a proximal open end, a distal portion having a closed distal end, and an outflow channel extending between the proximal end and distal end, the distal portion comprising a plurality of outlets in fluid communication with the outflow channel; and
an inflow section comprising a proximal portion having a proximal open end, a distal portion having a closed distal end, and an outflow channel extending between the proximal end and the distal end, the distal portion comprising a plurality of inlets in fluid communication with the inflow channel, wherein in a deployed configuration the distal portions of the outflow and inflow sections mutually form a loop-like shape; and
an integrated pump and vacuum device, wherein when the cannula is in a deployed configuration, the device is in fluid communication with a therapeutic fluid source, the pump controlling the delivery of the therapeutic fluid to the outflow channel, the vacuum controlling the extraction of the therapeutic fluid and infectious materials from the inflow channel.

### Claim 20 (depends on 19)

The deployable infection treatment system of claim 19, further comprising a sheath comprising a sheath body having a distal end, a proximal end, and a lumen extending therebetween, wherein when the cannula is in a non-deployed configuration, the distal portions of the outflow and inflow lumen are compressed within the sheath's lumen and in a deployed configuration, the distal portions mutually assume the loop-like shape.

### Claim 21 (depends on 19)

The deployable infection treatment system of claim 19, further comprising a solid midsection between the inflow section and the outflow section.

### Claim 22

A deployable infection treatment system comprising:
a cannula comprising:
an outflow section comprising a proximal portion having an open proximal end, a distal portion having an open distal end, and an outflow channel extending between the proximal end and the distal end, the distal portion comprising a plurality of outlets in fluid communication with the outflow channel; and
an inflow section comprising a proximal portion having an open proximal end, a distal portion having an open distal end, and an inflow channel extending between the proximal end and the distal end, the distal portion comprising a plurality of inlets in fluid communication with the inflow channel, wherein each of the distal portions of the outflow section and the inflow section have a substantially rectangular cross-sectional shape; and
an integrated pump and vacuum device, wherein when the cannula is in a deployed configuration, the device is in fluid communication with a therapeutic fluid source, the pump controlling the delivery of the therapeutic fluid to the outflow channel, the vacuum controlling the extraction of the therapeutic fluid and infectious materials from the inflow channel.

### Claim 23

A deployable infection treatment system comprising:
a cannula comprising a proximal portion with an open proximal end, a helically shaped distal portion with a closed distal end, and a channel extending between the proximal end and the distal end, the distal portion comprising a plurality of ports that are in fluid communication with the channel.

### Claim 24 (depends on 23)

The deployable infection treatment system of claim 23, further comprising a sheath comprising a sheath body having a proximal end, a distal end, and a lumen extending therebetween, wherein when the cannula is in a non-deployed configuration, the distal portion is collapsed within the lumen and in a deployed configuration, the distal portion expands out from the distal end of the sheath body.
