Insufflation system
An aerosol generator is positioned adjacent to a patient as an attachment to a trocar. The trocar has an entry port for insufflation gas. Aerosol generated by a vibrating element is entrained in the insufflation gas and the mixture is delivered through the trocar. The aerosol may contain a medicament. The trocar may be a conventional trocar. Such trocars are typically used for a camera. The delivery of the aerosolized medicament can occur at the start of the procedure and be delivered in bolus. At the start of the procedure, the peritoneum is being inflated by the flow of insufflator gas. This gas flow will help to entrain the aerosolized medicament to the pneumoperitoneum regions. The surgeon can temporarily remove the camera from the trocar port to facilitate insertion and positioning of the aerosolizing unit.
1. An apparatus for use in procedures involving insufflation, comprising:
an aerosol generator for aerosolizing a fluid into an aerosol;
a trocar for delivery of the aerosol, the trocar comprising a housing to which the aerosol generator is mounted, the trocar having a proximal entry port for an insufflation gas and a distal end through which the aerosol is delivered; and
an aerosol delivery tube extending from the aerosol generator into the trocar housing, the aerosol delivery tube having an aerosol outlet located distally with respect to the proximal entry port of the trocar.
2. The apparatus of claim 1 , wherein a proximal end of the aerosol delivery tube is located adjacent to the aerosol generator.
3. The apparatus of claim 2 , wherein the apparatus is adapted to direct the insufflation gas from the proximal entry port of the trocar to the proximal end of the aerosol delivery tube for entraining the aerosol in the insufflation gas and delivery of the insufflation gas and entrained aerosol through the trocar.
4. The apparatus of claim 3 , wherein a gap is provided between the aerosol delivery tube and the aerosol generator for delivery of the insufflation gas into the aerosol delivery tube at the proximal end of the aerosol delivery tube.
5. The apparatus of claim 4 , wherein the gap is defined by an angled cut at the proximal end of the aerosol delivery tube.
6. The apparatus of claim 5 , wherein the angled cut is less than 20°.
7. The apparatus of claim 5 , wherein the angled cut is less than 15°.
8. The apparatus of claim 5 , wherein the angled cut is less than 10°.
9. The apparatus of claim 5 , wherein the angled cut is approximately 5°.
10. The apparatus of claim 3 , further comprising a proximal seal between the trocar and the aerosol delivery tube.
11. The apparatus of claim 3 , wherein the aerosol delivery tube comprises an inner tube radially spaced apart from an outer tube to define an insufflation gas flow path between the inner tube and the outer tube.
12. The apparatus of claim 11 , further comprising a distal seal between the outer tube and the trocar.
13. The apparatus of claim 1 , further comprising a controller configured to control the operation of the aerosol generator.
14. The apparatus of claim 13 , wherein the controller is remote from the trocar.
15. The apparatus of claim 13 , wherein the controller is mounted to the trocar.
16. The apparatus of claim 13 , wherein the controller is mountable to the trocar.
17. The apparatus of claim 13 , wherein the controller is releasably mounted to the trocar.
18. The apparatus of claim 13 , wherein the controller is configured to control a flow rate of the fluid to be aerosolized.
19. The apparatus of claim 13 , wherein the controller is configured to deliver different flow rates of aerosol at different stages of a surgical procedure.
20. The apparatus of claim 13 , wherein the controller is set to deliver a pre-set amount of aerosol into the insufflation gas.
21. The apparatus of claim 13 , wherein the controller is configured to control operation of the aerosol generator responsive to the insufflation gas.
22. The apparatus of claim 1 , further comprising a control system configured to control the operation of the aerosol generator, the control system comprising a first controller local to the trocar and a second controller remote from the trocar.