Reciprocating procedure syringes

Surgery – Means for introducing or removing material from body for... – Treating material introduced into or removed from body...

Reexamination Certificate

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Reexamination Certificate

active

07967793

ABSTRACT:
A reciprocating syringe that can be used in connection with existing syringe barrels and fittings. Some embodiments comprise a frame, adapted to retain two existing syringe barrels. The frame can accommodate fittings on one or both barrels. The invention also provides a plunger complex, comprising two plungers, each adapted for use with one of the syringe barrels. The two plungers are coupled such that pushing of each plunger into its barrel causes the other plunger to pull outwards relative to its barrel. The two plungers can be coupled by a flexible line attached to one plunger, routed from the plunger out of the corresponding barrel into the other barrel, and attached to the other plunger. The invention contemplates various frame configurations to accommodate desired line and pulley performance characteristics. Other embodiments comprise a frame adapted to retain an existing syringe barrel, and an auxiliary actuator mounted with the frame. Such an actuator can provide a syringe-like plunger operation, or can comprise other manipulable structures. The auxiliary actuator can be coupled to a plunger adapted for use with the syringe barrel, such that pushing the plunger into the barrel causes the actuator to move in a reversible manner, and moving the actuator in the reverse manner causes the plunger to pull outwards relative to its barrel. The invention also comprises various materials, methods of making, geometries and arrangements of parts, and accommodation of various specific existing syringe designs and applications.

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Hopper KD, Abendroth CS, Sturtz KW, Matthews YL, Shirk SJ: Fine-needle aspiration biopsy for cytopathologic analysis: utility of syringe handles, automated guns, and the nonsuction method. Radiology 1992;185:819-824.
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Sibbitt RR, Sibbitt WL Jr, Nunez SE, Kettwich LG, Kettwich SC, Bankhurst AD. Control and performance characteristics of eight different suction biopsy devices. J Vasc Intery Radiol. 2006;17:1657-69.
Nunez SE, Draeger HT, Rivero DP, Kettwich LG, Sibbitt WL, Jr, Bankhurst AD. Reduced pain of intraarticular hyaluronate injection with the reciprocating procedure device J Clin Rheumatol. 2007;13:16-9.
Bankhurst AD, Nunez SE, Draeger HT, Kettwich SC, Kettwich LG, Sibbitt, WL Jr. A randomized controlled trial of the reciprocating procedure device for intraarticular injection of corticosteroid. J Rheum 2007;34:187-92.
Sibbitt WL Jr, Sibbitt RR, Michael AA, Fu Di, Draeger HT, Twining JM, Bankhurst AD: Physician control of needle and syringe during traditional aspiration-injection procedures with the new reciprocating syringe. J Rheumatol. 2006;33:771-8.
Draeger HT, Twining JM, Johnson CR, Kettwich SC, Kettwich LG, Bankhurst AD. A randomized, controlled trial of the reciprocating syringe in arthrocentesis. Ann Rheum Dis. 2006;65:1084-7.
Nunez SE, Draeger HT, Kettwich SC, Kettwich LG, Bankhurst AD, Sibbitt WL: A randomized, controlled trial of the reciprocating syringe in local anesthesia. Journal of Emergency Medicine 2008 Available online Feb. 20, 2008.
Moorjani GR, Michael, AA, Peisjovich A, Park KS, Sibbitt WL Jr, Bankhurst AD: Patient pain and tissue trauma during syringe procedures: A randomized controlled trial. J Rheumatology 2008;35:1124-9.
Moorjani GR, Bedrick EJ, Michael, AA, Peisjovich A, Sibbitt WL Jr, Bankhurst AD: Integration of safety technologies into rheumatology and orthopedic practice: A randomized controlled trial. Arthritis Rheum 2008 (in Press).
Sander O. Intra-articular corticosteroid injections with the reciprocating procedure device reduced procedural pain and duration more than the conventional syringe. Evid Based Med. 2007;12:106.
Sibbitt RR, Palmer DJ, Sibbitt WL Jr. Introduction of Safety Technologies into Sclerotherapy of Varicose Veins. Vascular Endovascular Surgery (in Press 2008).
Michael AA et al. Syringe size: Does it matter in physician performed procedures?. Journal of Clinical Rheumatology 2008 (in Press).
Sibbitt RR, Palmer DJ, Sibbitt WL Jr., Bankhurst AD: Integration of new safety technologies into needle aspiration of breast cysts. Archives of Obstestics Gyn 2008 (in Press).

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