US2982112A - Refrigeration apparatus for contact cooling of small areas - Google Patents

Refrigeration apparatus for contact cooling of small areas Download PDF

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Publication number
US2982112A
US2982112A US642886A US64288657A US2982112A US 2982112 A US2982112 A US 2982112A US 642886 A US642886 A US 642886A US 64288657 A US64288657 A US 64288657A US 2982112 A US2982112 A US 2982112A
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refrigerant
exchanger
valve
head
passage
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US642886A
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Frederick G Keyes
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FREDERICK G KEYES Inc
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FREDERICK G KEYES Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/42Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for desensitising skin, for protruding skin to facilitate piercing, or for locating point where body is to be pierced
    • A61M5/422Desensitising skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M19/00Local anaesthesia; Hypothermia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150053Details for enhanced collection of blood or interstitial fluid at the sample site, e.g. by applying compression, heat, vibration, ultrasound, suction or vacuum to tissue; for reduction of pain or discomfort; Skin piercing elements, e.g. blades, needles, lancets or canulas, with adjustable piercing speed
    • A61B5/150106Means for reducing pain or discomfort applied before puncturing; desensitising the skin at the location where body is to be pierced
    • A61B5/150129Means for reducing pain or discomfort applied before puncturing; desensitising the skin at the location where body is to be pierced by cooling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/36General characteristics of the apparatus related to heating or cooling
    • A61M2205/3606General characteristics of the apparatus related to heating or cooling cooled

Definitions

  • the present invention relates to a miniature refrigeration unit and more particularly to a manually-actuated refrigeration unit especially adapted for use in desensitizing skin regions in preparation for a hypodermic injection or the like.
  • hypodermic injections may be made substantially painless by localized chilling of V'the skin in the region of injection and that such chilling may readily be accomplished by placingin contact with the skin for a brief interval, generally 45 to 6() seconds, a metal disk having a temperature between freezing and 40 F. A small area is chilled but not frozen, thus deadening the nerves temporarily in that region. This results in the elimination of all sensation both during and immedia'tely after injection.
  • Aan object of this invention to provide an improved heat exchanger for a miniature selfcontained refrigeration unit for desensitizing localized areas of skin without freezing.
  • a still further object is to provide a miniature refrigeration device adapted for use in conjunction with a container of compressed refrigerant.
  • Fig. 1 is a longitudinal sectional view of a self-contained refrigeration unit embodying the novel features of the invention. y
  • Fig. 2 is an enlarged longitudinal sectional view of the cooling head or heat exchanger forming a part of the invention.
  • Fig. 3 is a sectional elevation ofl a modified cooling device in accordance with this invention.
  • Fig.- 4 is a sectional detail of an alternative construction of refrigerant container.
  • Fig. 1 there is illustrated a preferred embodiment of a ⁇ self-contained portable refrigeration unit.
  • the unit is designed to be hand-held and provides an apparatuswhich is convenient, economical and effective as a ⁇ meansto desensitize a region of skin prior to injection with ahypodermic needle ⁇ orthe like;
  • the apparatus to be ⁇ described' resembles that shown inthe prior Keyes Patent No. 2,746,264.
  • the apparatus which is of a length and diameter to be held conveniently in the hand, comprises an upper or refrigerant-containing section 12, s hort intermediate sections 14 and 16, and a lower section 18 having an exposed tip 20 constituting the heat exchanger. It is thisV tip portion 20 which is placed in contact with the skin to provide, when the device is actuated, the chilled region of approximately tive-eighths of an inch in diameterto receive the hypodermic needle.
  • top section 12 that which normally constitutes the handle portion of the unit, contains the refrigerant either in a capsule 2'2 as illustrated in Fig. 1 or directly within the walls of the body as in Fig. 4.
  • the preferred refrigerant to use in this unit is dichlorodiuoromethane, commonly known as Freon 12.
  • Freon 12 dichlorodiuoromethane
  • the top section 12 is screwed onto the intermediate tapping section 14 with the capsule in place, thereby causing the hollow needle 2 4 to pierce the seal of the capsule.
  • a resilient gasket 26 surrounds the neck portion ofthe capsule to provide an effective seal.
  • a gland nut 28 serves to retain the gasket in place.
  • the body section 16 carries the novel metering structure of the invention, whereby upon pressing the tip of the device inwardly a predetermined charge of refrigerant is admitted to the heat exchanger to chill the tip.
  • This metering structure extends from the section 16 into proximity tothe exchanger 20, with the lower body section 18 of the device forming a protective enclosure as well as the support for the heat exchanger.
  • the body section 16 is provided wit-h an axial passage 38 that is normally closed by a valve 40 which may be similar to the conventional automobile, tire valve.
  • the valve is provided with a stem 42 by which the valve may be opened against the pressure of the refrigerant above the valve, thereby allowing refrigerant to pass through the valve into the region below.
  • the valve is adapted to be opened upon upward movement of an actuator 44 which is guided for sliding movement in a cylindrical tube 46 secured to the body member 16.
  • Flow communication between the passage 38 and an axial .passage 4.8 in the actuator is provided by a section of tubing 50 of resilient. material.
  • One end of the tube is secured to the neck portion of body 16, while the other end of the tube is secured to a corresponding neck portion of the actuator 44.
  • An off-center passage 52 affords communication between the axial passage 48 and the interior of the tube, -while permitting a central abutment at the end of the actuation for engagement with the valve stem 42.
  • the resilient tubing 50 not only provides gas-tight ow communication to the movable actuator 44 but in addition it serves to meter the charge released from the valve 40.
  • the resilient tubing Upon opening the valve following upward movement of the actuator 44, the resilient tubing distends -under the influx of the gas undery pressure.
  • Outward movement of the tube walls is limited to a predetermined amount by a confining jacket formed by a cylindrical sleeve 54.
  • the sleeve consists of two semicylindrical shells confined by and capable of limited sliding movement within the tube 46.v
  • the sleeve 54 likewise ⁇ serves as a stop to limit upward movement of the movable actuator and prevent possible damage to the valve.
  • the resilient tubing 50 formed of rubber or rubber-like material,- may be secured at its ends by wrapping with suitable binding means, the neck portions of body 16 and actuator 44 preferably being formedy with regions of reduced diameter;
  • the actuator 44 is arranged to make suitable: connection tothe heat exchange 20.
  • the exchanger hereinafter to be described in detail, is provided with small-diameter inlet and discharge tubes 60 and 62, respectively, best illustrated in Fig. 2.
  • the exhaust tube 62 surrounds the inlet-tube with slight clearance, this telescoping-arrangement being advantageous to provide appreciable pre-cooling of the entering refrigerant by the counter-flow exhaust from the exchanger.
  • the inlet tube 60 is received within a plug 64 which cooperates with packing nut 66 and resilient ball 68 to provide a gas-tight seal when the packing nut 66 is tightened into the threaded recess in actuator ⁇ 44.
  • a lter screen is preferably included in the assembly above the plug 64.
  • the lower stem portion of packing nut 66 is adapted to receive the exhaust tube 62, the latter having a vent 68 through the wall thereof closely adjacent the anged end of the nut. This ange provides a seat for coil spring 70 by which the actuator 44 is normally positioned in spaced relation to the valve.
  • a shroud 72 serves to direct the discharged gas downwardly onto the top of the exchanger for additional cooling.
  • the heat exchanger is guided for limited sliding movement within the lower end of body portion 18 by means of a liner 74 of non-metallic material.
  • the inner portion of the liner which contacts the exchanger is preferably serrated to minimize the contact area between exchanger and liner and thereby reduce heat transfer to the exchanger.
  • the outer shell of the heat exchanger is closed by a cap 76 to which the exhaust tube 62 is sealed.
  • the inlet tube 60 extends into the interior of the exchanger into communication with an expansion unit for the entering refrigerant.
  • This comprises a tube 80 and cap 82.
  • a plug 84 secured within the tube is a plug 84 provided with helical grooving around its periphery.
  • lthe grooving consists of a multiple-start thread, for example a four-start thread, to provide independent multiple small passages for the refrigerant through the tube 80 from top to bottom.
  • the plug may conveniently make a press fit within the tube.
  • the tube 80 and plug 84 terminate at and are supported by an inner bottom plate 86 spaced from the outer end wall 88 of the exchanger by a spirally-wound strip 90 of metal of good thermal transfer properties.
  • the cold refrigerant discharging from the helical passages between plug 84 and tube 80 are directed into contact'with the inner face of the tip 88, flowing in a spiral path toward the outer side wall.
  • the gas is directed upwardly in effective contact with the outer walls of the exchanger through the provision of a hollow plug 94 secured at its lower end to the inner bottom plate 86 and provided around its periphery with multiple helical passages of somewhat larger cross-section than those of the inlet expansion unit 80, 84.
  • the still-cold gas is utilized to chill the body of the heat exchanger after serving the primary function of cooling the outer tip surface 88.
  • Still further useful cooling is derived from the ow of the gas upwardly through the exhaust conduit 62 surrounding the inlet passage, with the gas discharging through vent 68 and being guided by shroud 72 onto the top of the exchanger, finally escaping to the exterior of the apparatus between exchanger 20 and the insulating liner 74.
  • the refrigerant is admitted to the inlet expansion section '80, 84 where it ows through the multiple extended passages of the helical grooves into the end chamber.
  • the controlled expansion of the metered charge of refrigerant is such as to chill the exchanger tip surface 88 to a temperature just above the freezing point. The cooling action takes place in a matter of seconds, so that the device is now ready to be used.
  • the operation of the device is entirely automatic, with the metering of the refrigerant charge and its supply to the heat exchanger taking place when the'tip of the device is pressed, preparatory to placing the apparatus in contact with the skin.
  • the device is capable of repeated operation as long as the supply of refrigerant in the capsule is adequate. If the apparatus is to be used after an interval of non-use, so that the exchanger has warmed up to the temperature of the environment, then it may be desirable to actuate the device more than once, with a pause between actuations, to chill the exchanger to the desired low temperature before using the apparatus on a patient.
  • Fig. 3 is shown the use of the improved heat exchanger of the apparatus with a dispensing container of refrigerant. Such embodiment permits a relatively simple assembly which does not require the metering features heretofore described.
  • the exchanger is received within the end portion of a body shell 102 of non-metallic material.
  • the inlet and -exhaust conduits 104, 106 for the exchanger are received within a supporting and sealing assembly composed of plug 108, nut 110, and packing ball 112, the plug being supported .within shell 102 by pins 114 to minimize thermal conduction.
  • the nut is adapted to receive the tip 116 of a can 118 charged with refrigerant, the can and tip being of conventional construction wherein the sealing valve for the container is releasable upon bending or otherwise displacing the tip 116 from normal position in the cap 120.
  • Such displacement of the tip in the illustrative embodiment permits refrigerant to flow into the heat exchanger as in the first-described embodiment and with similar effective cooling of the exposed tip.
  • the metering of the charge is dependent on the judgment of the user.
  • a further alternative in respect to the mode of storing and supplying of the refrigerant is to fill the hollow handle portion 12 of the embodiment of Fig. l, without using the capsule 22. While this does not permit as simple a refill procedure as with the capsules, a somewhat greater amount of refrigerant may be stored.
  • valve is mounted in body portion 132 to retain the refrigerant iill in the hollow handle.
  • the valve of conventional construction, is opened by axial pressure on the tip as in the embodiment of Fig. 1.
  • the actuator 44 is provided with an extension 134 which is aligned with the valve tip within passage 136 in body portion 138.
  • pressure on the heat exchanger tip is transmitted via the actuator to open the valve and release a charge of refrigerant to the resilient metering tube 50.
  • the handle portion When the handle portion is to be refilled, the device is separated at the screw-threaded connection between portions 132 and 138 having a gasket 140. The handle portion may then be coupled to the refrigerant source, the
  • a refrigerating head having a cylindrical side wall portion and a fiat end wall, the outer face of the end wall providing an exposed surface for contact cooling, ⁇ a refrigerant supply passage coaxially disposed at the opposite end of the head from the end wall and having connections to receive refrigerant from the supply, means within the head to conduct refrigerant from the supply passage through the interior of the head out of contact with the cylindrical wall portion thereof into contactrwith the inside of the end wall at its central region, and means within the head in contacting concentric relation with the cylindrical wall portion thereof, said means and the cylindrical wall portion forming inner and outer members, and an extended refrigerant discharge passage between the said members from the end wall region of the head, said passage being a spiral groove in the surface of one of said members.
  • Apparatus according to claim 1 wherein the means in contacting concentric relation within the cylindrical wall portion of the head is spirally grooved around its periphery and wherein the portions of the inner member between the grooves and in contact with the cylindrical wall portion of the head have a width approximating the groove width.
  • Apparatus according to claim 1 wherein the means for conducting refrigerant from the supply passage through the-head to the end wall includes a spiral passage independent of and inwardly spaced from the spiral discharge passage around the cylindrical Wall portion of the head.
  • a hand-type refrigerating unit for contact cooling having a case and adapted to have a supply of refrigerant under pressure associated therewith, a refrgerating head having a cylindrical side wall portion and a flat end wall,
  • a refrigerant supply passage coaxially disposed at the opposite end of the head from the end wall and having connections to receive refrigerant from the supply
  • means within the head to conduct refrigerant from the supply passage through the interior of the head out of contact with the cylindrical wall portion thereof into contact with the inside of the end wall at its Ycentral region
  • said means having a refrigerant passage terminating adjacent the inner surface of said vend wall in the central region thereof, means defining a spiral passage outwardly along the inner surface of the end wall from the central region toward the cylindrical wall portion of the head, an inner cylindrical member in contacting concentric relation to the cylindrical wall portion of the head, and an extended refrigerant discharge passage around the head between the cylindrical wall portion thereof and the inner member, said passage comprising a shallow groove in the surface of one of said contacting members.
  • Apparatus according to claim 5 wherein the means for conducting refrigerant from the supply passage through the head to the end wall includes a spiral passage independent of and inwardly spaced from the spiral discharge passage around the cylindrical wall portion of the head.
  • Apparatus according to claim 5 having a refrigerant discharge passage from the head for refrigerant from the extended refrigerant passage around the cylindrical Wall portion, said discharge passage from the head being disposed in coaxial relation to the refrigerant supply passage at the end opposite the contact-cooling end wall.

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Description

May 2, 1961 F. G` KEYE REFRIGERATION APPARATUS COOLING OF SMALL 2,982,112 FOR CONTACT AREAS Filed Feb. 27. 1957 Il /7777 }}e0 e2 U L 84 Y VZ ,941 IBO?l E 86 g ,90
|06l '08:11AM
l |04 A ,if F|g.3 ,I ,Zig-|12 u -no ne BY xENwAY,1ENNEY.wmER A annum ATTORNEYS Frederick G. Keyes, Cambridge, Mass., assignor 'to Fredi erick G. Keyes, Inc., a corporation of Massachusetts Filed Feb. 27, '1957, Ser. No. 642,886 7 claims. (c1. i2- 293) The present invention relates to a miniature refrigeration unit and more particularly to a manually-actuated refrigeration unit especially adapted for use in desensitizing skin regions in preparation for a hypodermic injection or the like.
It is well known that hypodermic injections may be made substantially painless by localized chilling of V'the skin in the region of injection and that such chilling may readily be accomplished by placingin contact with the skin for a brief interval, generally 45 to 6() seconds, a metal disk having a temperature between freezing and 40 F. A small area is chilled but not frozen, thus deadening the nerves temporarily in that region. This results in the elimination of all sensation both during and immedia'tely after injection.
Apparatus of compact construction and arrangement for this purpose is disclosed in U.S. Letters Patent No. 2,746,264, issued May 24, 1956, to the present inventor. Such apparatus, while successfully utilized, has been found to `be capable of improvement in respect to ease and cost of manufacture.
Accordingly, it is the object of this invention to provide an improved miniature refrigeration device which can be used rapidly and eiciently to desensitize localized areas of skin without freezing.
More specifically, it is Aan object of this invention to provide an improved heat exchanger for a miniature selfcontained refrigeration unit for desensitizing localized areas of skin without freezing.
it is a further object to provide an improved system for delivering an accurately metered charge of refrigerant to the coolingy surface of a miniature refrigeration' unit for temporarily desensitizing localized areas of skin.
A still further object is to provide a miniature refrigeration device adapted for use in conjunction with a container of compressed refrigerant.
Other objects and features of the invention will appear inthe following description. In the drawings illustrating the invention:
Fig. 1 is a longitudinal sectional view of a self-contained refrigeration unit embodying the novel features of the invention. y
Fig. 2 is an enlarged longitudinal sectional view of the cooling head or heat exchanger forming a part of the invention.
Fig. 3 is a sectional elevation ofl a modified cooling device in accordance with this invention.
Fig.- 4 is a sectional detail of an alternative construction of refrigerant container.
In Fig. 1 there is illustrated a preferred embodiment of a` self-contained portable refrigeration unit. The unit is designed to be hand-held and provides an apparatuswhich is convenient, economical and effective as a` meansto desensitize a region of skin prior to injection with ahypodermic needle `orthe like;
In its general configuration and mode of utilization, the apparatus to be` described' resembles that shown inthe prior Keyes Patent No. 2,746,264. The apparatus, which is of a length and diameter to be held conveniently in the hand, comprises an upper or refrigerant-containing section 12, s hort intermediate sections 14 and 16, and a lower section 18 having an exposed tip 20 constituting the heat exchanger. It is thisV tip portion 20 which is placed in contact with the skin to provide, when the device is actuated, the chilled region of approximately tive-eighths of an inch in diameterto receive the hypodermic needle.
'I'he top section 12, that which normally constitutes the handle portion of the unit, contains the refrigerant either in a capsule 2'2 as illustrated in Fig. 1 or directly within the walls of the body as in Fig. 4. The preferred refrigerant to use in this unit is dichlorodiuoromethane, commonly known as Freon 12. When the capsule is employed, the top section 12 is screwed onto the intermediate tapping section 14 with the capsule in place, thereby causing the hollow needle 2 4 to pierce the seal of the capsule. A resilient gasket 26 surrounds the neck portion ofthe capsule to provide an effective seal. A gland nut 28 serves to retain the gasket in place. The use of two intermediate body sections 14 and 16 permits assembly with a lter screen 32 between sealing rings 34.
The body section 16 carries the novel metering structure of the invention, whereby upon pressing the tip of the device inwardly a predetermined charge of refrigerant is admitted to the heat exchanger to chill the tip. This metering structure extends from the section 16 into proximity tothe exchanger 20, with the lower body section 18 of the device forming a protective enclosure as well as the support for the heat exchanger.
The body section 16 is provided wit-h an axial passage 38 that is normally closed by a valve 40 which may be similar to the conventional automobile, tire valve. The valve is provided with a stem 42 by which the valve may be opened against the pressure of the refrigerant above the valve, thereby allowing refrigerant to pass through the valve into the region below.
The valve is adapted to be opened upon upward movement of an actuator 44 which is guided for sliding movement in a cylindrical tube 46 secured to the body member 16. Flow communication between the passage 38 and an axial .passage 4.8 in the actuator is provided by a section of tubing 50 of resilient. material. One end of the tube is secured to the neck portion of body 16, while the other end of the tube is secured to a corresponding neck portion of the actuator 44. An off-center passage 52 affords communication between the axial passage 48 and the interior of the tube, -while permitting a central abutment at the end of the actuation for engagement with the valve stem 42.
The resilient tubing 50 not only provides gas-tight ow communication to the movable actuator 44 but in addition it serves to meter the charge released from the valve 40. Upon opening the valve following upward movement of the actuator 44, the resilient tubing distends -under the influx of the gas undery pressure. Outward movement of the tube walls is limited to a predetermined amount by a confining jacket formed by a cylindrical sleeve 54. For convenience the sleeve consists of two semicylindrical shells confined by and capable of limited sliding movement within the tube 46.v The sleeve 54 likewise `serves as a stop to limit upward movement of the movable actuator and prevent possible damage to the valve. The resilient tubing 50, formed of rubber or rubber-like material,- may be secured at its ends by wrapping with suitable binding means, the neck portions of body 16 and actuator 44 preferably being formedy with regions of reduced diameter;
At its lower end the actuator 44 is arranged to make suitable: connection tothe heat exchange 20. The exchanger, hereinafter to be described in detail, is provided with small-diameter inlet and discharge tubes 60 and 62, respectively, best illustrated in Fig. 2. The exhaust tube 62 surrounds the inlet-tube with slight clearance, this telescoping-arrangement being advantageous to provide appreciable pre-cooling of the entering refrigerant by the counter-flow exhaust from the exchanger.
The inlet tube 60 is received within a plug 64 which cooperates with packing nut 66 and resilient ball 68 to provide a gas-tight seal when the packing nut 66 is tightened into the threaded recess in actuator \44. A lter screen is preferably included in the assembly above the plug 64. The lower stem portion of packing nut 66 is adapted to receive the exhaust tube 62, the latter having a vent 68 through the wall thereof closely adjacent the anged end of the nut. This ange provides a seat for coil spring 70 by which the actuator 44 is normally positioned in spaced relation to the valve. A shroud 72 serves to direct the discharged gas downwardly onto the top of the exchanger for additional cooling.
The heat exchanger is guided for limited sliding movement within the lower end of body portion 18 by means of a liner 74 of non-metallic material. The inner portion of the liner which contacts the exchanger is preferably serrated to minimize the contact area between exchanger and liner and thereby reduce heat transfer to the exchanger.
Referring to the sectional showing of Fig. 2, the outer shell of the heat exchanger is closed by a cap 76 to which the exhaust tube 62 is sealed. The inlet tube 60 extends into the interior of the exchanger into communication with an expansion unit for the entering refrigerant. This comprises a tube 80 and cap 82. Secured within the tube is a plug 84 provided with helical grooving around its periphery. Preferably lthe grooving consists of a multiple-start thread, for example a four-start thread, to provide independent multiple small passages for the refrigerant through the tube 80 from top to bottom. The plug may conveniently make a press fit within the tube.
At its bottom end the tube 80 and plug 84 terminate at and are supported by an inner bottom plate 86 spaced from the outer end wall 88 of the exchanger by a spirally-wound strip 90 of metal of good thermal transfer properties. Thus the cold refrigerant discharging from the helical passages between plug 84 and tube 80 are directed into contact'with the inner face of the tip 88, flowing in a spiral path toward the outer side wall. Here the gas is directed upwardly in effective contact with the outer walls of the exchanger through the provision of a hollow plug 94 secured at its lower end to the inner bottom plate 86 and provided around its periphery with multiple helical passages of somewhat larger cross-section than those of the inlet expansion unit 80, 84. Thus the still-cold gas is utilized to chill the body of the heat exchanger after serving the primary function of cooling the outer tip surface 88. Still further useful cooling is derived from the ow of the gas upwardly through the exhaust conduit 62 surrounding the inlet passage, with the gas discharging through vent 68 and being guided by shroud 72 onto the top of the exchanger, finally escaping to the exterior of the apparatus between exchanger 20 and the insulating liner 74.
In describing the operation of the device to chill a selected skin area, it will be assumed that the device has been loaded with a capsule charged with the refrigerant and that the hollow needle 24 has penetrated the end of the capsule so that the valve is retaining the charge under pressure. The operator now places the tip of the heat exchanger against a firm object, or against his hand, and applies sufficient pressure to move the exchanger inwardly against the force of spring 70. Motion of the exchanger serves also to move the actuator up against the valve stem. Upon opening the valve, refrigerant is discharged into the resilienttube 50 which thereupon expands until confined by the jacket54. .The pressure of the expanding refrigerant urges the actuator downwardly, away from the valve, to limit the discharge to that adequate for a cooling application.
The refrigerant is admitted to the inlet expansion section '80, 84 where it ows through the multiple extended passages of the helical grooves into the end chamber. The controlled expansion of the metered charge of refrigerant is such as to chill the exchanger tip surface 88 to a temperature just above the freezing point. The cooling action takes place in a matter of seconds, so that the device is now ready to be used. By placing the cold surface 88 of the tip against the skin of the patient in the region where the injection is Yto be made, the skin is temporarily and effectively desensitized.
It is thus apparent that the operation of the device is entirely automatic, with the metering of the refrigerant charge and its supply to the heat exchanger taking place when the'tip of the device is pressed, preparatory to placing the apparatus in contact with the skin. The device is capable of repeated operation as long as the supply of refrigerant in the capsule is adequate. If the apparatus is to be used after an interval of non-use, so that the exchanger has warmed up to the temperature of the environment, then it may be desirable to actuate the device more than once, with a pause between actuations, to chill the exchanger to the desired low temperature before using the apparatus on a patient. Y
While the device has been illustrated and described as applicable to a self-contained unit employing charged capsules as the source of refrigerant, other modes of refrigerant supply may be utilized. Thus, in Fig. 3 is shown the use of the improved heat exchanger of the apparatus with a dispensing container of refrigerant. Such embodiment permits a relatively simple assembly which does not require the metering features heretofore described. y
In this embodiment the exchanger is received within the end portion of a body shell 102 of non-metallic material. The inlet and -exhaust conduits 104, 106 for the exchanger are received within a supporting and sealing assembly composed of plug 108, nut 110, and packing ball 112, the plug being supported .within shell 102 by pins 114 to minimize thermal conduction.
The nut is adapted to receive the tip 116 of a can 118 charged with refrigerant, the can and tip being of conventional construction wherein the sealing valve for the container is releasable upon bending or otherwise displacing the tip 116 from normal position in the cap 120. Such displacement of the tip in the illustrative embodiment permits refrigerant to flow into the heat exchanger as in the first-described embodiment and with similar effective cooling of the exposed tip. The metering of the charge is dependent on the judgment of the user.
A further alternative in respect to the mode of storing and supplying of the refrigerant is to fill the hollow handle portion 12 of the embodiment of Fig. l, without using the capsule 22. While this does not permit as simple a refill procedure as with the capsules, a somewhat greater amount of refrigerant may be stored.
Such form of construction is illustrated in Fig. 4, wherein valve is mounted in body portion 132 to retain the refrigerant iill in the hollow handle. The valve, of conventional construction, is opened by axial pressure on the tip as in the embodiment of Fig. 1.
To operate the valve, the actuator 44 is provided with an extension 134 which is aligned with the valve tip within passage 136 in body portion 138. Thus, in the same fashion as in the Fig. 1 embodiment, pressure on the heat exchanger tip is transmitted via the actuator to open the valve and release a charge of refrigerant to the resilient metering tube 50.
When the handle portion is to be refilled, the device is separated at the screw-threaded connection between portions 132 and 138 having a gasket 140. The handle portion may then be coupled to the refrigerant source, the
It is apparent `that the miniature cooling unit of the present invention, while operating in the same general manner as the device of the prior patent, presents new and useful features of construction andV effectiveness of operation. It will further be understood that such features as the metering mechanism and the heat exchanger are not limited to use in the particular forms and embodiments shown, but may be utilized in other apparatus and for other purposes.
Having thus described my invention, I claim:
1. In a hand-type refrigerating unit for contact cooling, having a case and adapted to have a supply of refrigerant under pressure associated therewith, a refrigerating head having a cylindrical side wall portion and a fiat end wall, the outer face of the end wall providing an exposed surface for contact cooling, `a refrigerant supply passage coaxially disposed at the opposite end of the head from the end wall and having connections to receive refrigerant from the supply, means within the head to conduct refrigerant from the supply passage through the interior of the head out of contact with the cylindrical wall portion thereof into contactrwith the inside of the end wall at its central region, and means within the head in contacting concentric relation with the cylindrical wall portion thereof, said means and the cylindrical wall portion forming inner and outer members, and an extended refrigerant discharge passage between the said members from the end wall region of the head, said passage being a spiral groove in the surface of one of said members.
2. Apparatus according to claim 1 wherein the refrigerant discharge passage is relatively shallow in proportion to its Width.
3. Apparatus according to claim 1 wherein the means in contacting concentric relation within the cylindrical wall portion of the head is spirally grooved around its periphery and wherein the portions of the inner member between the grooves and in contact with the cylindrical wall portion of the head have a width approximating the groove width.
4. Apparatus according to claim 1 wherein the means for conducting refrigerant from the supply passage through the-head to the end wall includes a spiral passage independent of and inwardly spaced from the spiral discharge passage around the cylindrical Wall portion of the head.
5. In a hand-type refrigerating unit for contact cooling, having a case and adapted to have a supply of refrigerant under pressure associated therewith, a refrgerating head having a cylindrical side wall portion and a flat end wall,
the outer face of the end wall providing an exposed surface for contact cooling, a refrigerant supply passage coaxially disposed at the opposite end of the head from the end wall and having connections to receive refrigerant from the supply, means within the head to conduct refrigerant from the supply passage through the interior of the head out of contact with the cylindrical wall portion thereof into contact with the inside of the end wall at its Ycentral region, said means having a refrigerant passage terminating adjacent the inner surface of said vend wall in the central region thereof, means defining a spiral passage outwardly along the inner surface of the end wall from the central region toward the cylindrical wall portion of the head, an inner cylindrical member in contacting concentric relation to the cylindrical wall portion of the head, and an extended refrigerant discharge passage around the head between the cylindrical wall portion thereof and the inner member, said passage comprising a shallow groove in the surface of one of said contacting members.
6. Apparatus according to claim 5 wherein the means for conducting refrigerant from the supply passage through the head to the end wall includes a spiral passage independent of and inwardly spaced from the spiral discharge passage around the cylindrical wall portion of the head.
7. Apparatus according to claim 5, having a refrigerant discharge passage from the head for refrigerant from the extended refrigerant passage around the cylindrical Wall portion, said discharge passage from the head being disposed in coaxial relation to the refrigerant supply passage at the end opposite the contact-cooling end wall.
References Cited in the le of this patent UNITED STATES PATENTS
US642886A 1957-02-27 1957-02-27 Refrigeration apparatus for contact cooling of small areas Expired - Lifetime US2982112A (en)

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US3259131A (en) * 1964-04-13 1966-07-05 Schrader S Son A Cryogenic probes for surgical use
US3358648A (en) * 1967-05-26 1967-12-19 Linus I Berens Method and apparatus for cryogenic branding
US3362381A (en) * 1967-03-24 1968-01-09 Research Corp Cryogenic branding of animals
US3391690A (en) * 1965-04-05 1968-07-09 Armao Thomas Anthony Biopsy instrument including tissue heating or cooling means and method of use
US3411483A (en) * 1966-12-19 1968-11-19 Albert G. Canoy Method and apparatus for low temperature branding of animals
US3425417A (en) * 1965-02-24 1969-02-04 Maurice S Kanbar Refillable cryogenic probe for surgical use
FR2486799A1 (en) * 1980-07-15 1982-01-22 Vyzk Ustav Silnoproude Elekt DIRECT COOLING TERMINAL PIECE FOR CRYOTHERAPY INSTRUMENT
FR2590799A1 (en) * 1985-12-02 1987-06-05 Sairenji Trading Co Ltd SYRINGE
WO2008081444A2 (en) 2007-01-01 2008-07-10 Sindolor Medical Ltd A device and method for piercing a patient's skin with an injector whilst eliminating pain caused by the piercing
WO2009001347A1 (en) 2007-06-25 2008-12-31 Medingo Ltd. Portable infusion pump with cannula inserter and pain reduction mechanism
BE1022760B1 (en) * 2015-05-04 2016-08-30 Oystershell N.V. PEN FOR THE TREATMENT OF DERMATOLOGICAL DISORDERS AND METHOD FOR OPERATING THEM
WO2016178161A1 (en) * 2015-05-04 2016-11-10 Oystershell Nv Pen for the treatment of dermatological disorders and method for use thereof
EP4183378A4 (en) * 2020-07-14 2023-12-06 Recensmedical, Inc. Medical cooling system and medical cooling device using same
USD1015533S1 (en) 2019-11-07 2024-02-20 623 Medical, Llc Vapocoolant device

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US735403A (en) * 1899-07-26 1903-08-04 Eugene F Osborne Refrigerator for bottled goods.
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DE351706C (en) * 1922-04-11 Franz Zabinski Device for cooling and making ice
US735403A (en) * 1899-07-26 1903-08-04 Eugene F Osborne Refrigerator for bottled goods.
US939021A (en) * 1909-04-01 1909-11-02 John D Hendrix Liquid-cooler.
FR436246A (en) * 1911-10-21 1912-03-21 Charles Donders Process for using the properties of a gas derived from its liquid, such as carbon dioxide, for example, for drying electrical cables, pipes, tubes, rooms, goods, etc., and for all other uses
GB191322540A (en) * 1912-11-20 Escher Wyss Maschf Ag Improvements in or relating to Evaporators for Refrigerating or like Machines.
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US1693249A (en) * 1925-10-09 1928-11-27 Pauly Charles Vat
US1702066A (en) * 1927-05-07 1929-02-12 Bagley And Sewall Company Expansion joint
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US2049708A (en) * 1932-12-14 1936-08-04 Bosch Robert Refrigerator
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Cited By (21)

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US3259131A (en) * 1964-04-13 1966-07-05 Schrader S Son A Cryogenic probes for surgical use
US3425417A (en) * 1965-02-24 1969-02-04 Maurice S Kanbar Refillable cryogenic probe for surgical use
US3391690A (en) * 1965-04-05 1968-07-09 Armao Thomas Anthony Biopsy instrument including tissue heating or cooling means and method of use
US3411483A (en) * 1966-12-19 1968-11-19 Albert G. Canoy Method and apparatus for low temperature branding of animals
US3362381A (en) * 1967-03-24 1968-01-09 Research Corp Cryogenic branding of animals
US3358648A (en) * 1967-05-26 1967-12-19 Linus I Berens Method and apparatus for cryogenic branding
FR2486799A1 (en) * 1980-07-15 1982-01-22 Vyzk Ustav Silnoproude Elekt DIRECT COOLING TERMINAL PIECE FOR CRYOTHERAPY INSTRUMENT
FR2590799A1 (en) * 1985-12-02 1987-06-05 Sairenji Trading Co Ltd SYRINGE
US20100049126A1 (en) * 2007-01-01 2010-02-25 Sindolor Medical Ltd. Device and method for piercing a patient's skin with an injector whilst reducing pain caused by the piercing
WO2008081444A2 (en) 2007-01-01 2008-07-10 Sindolor Medical Ltd A device and method for piercing a patient's skin with an injector whilst eliminating pain caused by the piercing
WO2009001347A1 (en) 2007-06-25 2008-12-31 Medingo Ltd. Portable infusion pump with cannula inserter and pain reduction mechanism
US20100106088A1 (en) * 2007-06-25 2010-04-29 Ofer Yodfat Portable infusion pump with cannula inserter and pain reduction mechanism
US8715232B2 (en) 2007-06-25 2014-05-06 Roche Diagnostics Operations Inc. Portable infusion pump with cannula inserter and pain reduction mechanism
BE1022760B1 (en) * 2015-05-04 2016-08-30 Oystershell N.V. PEN FOR THE TREATMENT OF DERMATOLOGICAL DISORDERS AND METHOD FOR OPERATING THEM
WO2016178161A1 (en) * 2015-05-04 2016-11-10 Oystershell Nv Pen for the treatment of dermatological disorders and method for use thereof
EP3291776A1 (en) * 2015-05-04 2018-03-14 Oystershell NV Pen for the treatment of dermatological disorders and method for use thereof
CN107809978A (en) * 2015-05-04 2018-03-16 牡蛎壳公司 For treating dermopathic pen and its application method
EA033212B1 (en) * 2015-05-04 2019-09-30 Ойстершелл Нв Pen for the treatment of dermatological disorders and method for use thereof
US11376056B2 (en) 2015-05-04 2022-07-05 Oystershell Nv Pen for the treatment of dermatological disorders and method for use thereof
USD1015533S1 (en) 2019-11-07 2024-02-20 623 Medical, Llc Vapocoolant device
EP4183378A4 (en) * 2020-07-14 2023-12-06 Recensmedical, Inc. Medical cooling system and medical cooling device using same

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