|Veröffentlichungsdatum||19. Juli 1983|
|Eingetragen||13. Nov. 1981|
|Prioritätsdatum||2. Juli 1979|
|Veröffentlichungsnummer||06321192, 321192, US RE31315 E, US RE31315E, US-E-RE31315, USRE31315 E, USRE31315E|
|Erfinder||Jon A. Jenkins, Raymond E. Cannon|
|Ursprünglich Bevollmächtigter||Imed Corporation|
|Zitat exportieren||BiBTeX, EndNote, RefMan|
|Patentzitate (9), Referenziert von (66), Klassifizierungen (14), Juristische Ereignisse (7)|
|Externe Links: USPTO, USPTO-Zuordnung, Espacenet|
This invention relates to apparatus for use with a pump for controlling the pressure introduced from the pump to a receiver such as a patient. More particularly, the invention relates to apparatus for controlling the pressure of the fluid introduced from a pump to a receiver such as a patient to assure that the pressure of the fluid introduced to the patient is within selected limits.
Various instrumentalities have been provided in recent years for introducing fluid to a patient. For example, various pumps have been provided for pumping fluid to a patient at a particular rate on a positive basis. For example, U.S. Pat. No. 3,985,133 issued to me, ORRIS H. FLATTEN and OSCAR E. HYMAN as joint inventors and assigned of record to the assignee of record of this application discloses and claims a volumetric pump which introduces a controlled amount of fluid at a pre-selected rate to a patient.
Although pumps are advantageous in that they introduce fluid to a patient on a positive basis, pumps occasionally offer difficulties in that they may introduce the fluid to the patient at pressures greater than the pressures which would ordinarily be considered desirable. This is particularly true when fluids are introduced to infants or the elderly.
Controllers have also been provided for introducing fluid to a patient on a gravitational basis. Such controllers have been advantageous in that they operate at the relatively low pressures which are indicated for infants and the elderly. However, controllers have been disadvantageous until now in that they have not provided for the flow of controlled amounts of fluid at pre-selected rates to a patient by a positive displacement of fluid.
Until now, no one has provided an instrument with the advantages of both a pump and a controller. Specifically, no one has provided a unit which introduces a controlled amount of fluid to a patient at a low and pre-selected pressure and at a pre-selected rate by a positive displacement of such fluid. No one has specifically provided apparatus which is able to operate with any type of pump to provide such advantages. Considerable efforts have been devoted to providing such a unit but such efforts have not been entirely fruitful.
This invention provides a unit with the advantages of both a pump and a controller. The invention provides the advantages of a pump--actually, any kind of pump--by producing a flow of fluid at a controlled rate by a positive displacement of such fluid. The invention provides the further advantages of a controller by producing the flow of fluid at the low pressures which are indicated even for infants and the elderly.
The invention is also advantageous in providing a disposable cassette which is releasably coupled to a pump to convert the operation of the pump into the operation of a controller. The cassette is advantageous in that all of the fluid flows through the disposable cassette. In this way, each individual cassette can be used for a different patient and can then be removed from the pump and can be replaced by a new cassette when a different patient is treated or a different treatment is applied to the same patient.
In one embodiment of the invention, a disposable cassette is provided with a housing having detent means for a releasable engagement with detent means on a pump. The cassette includes conduit means defining inlet and outlet lines and a chamber between the lines. The inlet line receives fluid from the pump and the outlet line passes the fluid to a patient. Resilient means such as a diaphragm are disposed at a particular position in the chamber and are extendable in accordance with the pressure of the fluid in the chamber. An activating arm is captured in the cassette for movement in accordance with the extension of the diaphragm.
The activating arm may produce the operation of a sensor when the actuating arm has moved through a particular distance. The sensor may be included in a unit forming a part of the pump or it may be provided as a separate unit. When the unit forms a part of the pump, the actuating arm in the cassette may extend a resilient diaphragm on the face of the pump in accordance with the movements of the arm. This resilient diaphragm may in turn actuate a flag in accordance with the extension of the diaphragm. When the flag has been moved through a particular distance, it causes the sensor to be energized. The particular pressure necessary to move the flag through the particular distance may be adjusted by manually adjusting a knob. In this way, the adjustment of the knob controls the fluid pressure at which the sensor becomes energized.
In the drawings:
FIG. 1 is a sectional view, partially schematic, of a pump and of one embodiment of apparatus constituting this invention for operating with the pump to control the pressure of fluid from the pump;
FIG. 2 is a sectional view similar to that shown in FIG. 1 but with the apparatus in position for discontinuing the operation of the pump;
FIG. 3 is an enlarged fragmentary elevational view of sensors included in the apparatus of FIGS. 1 and 2;
FIG. 4 is a sectional view, partially schematic, of another embodiment of apparatus constituting this operation for operating with a pump to control the pressure of fluid from the pump; and
FIG. 5 is a perspective view of the embodiment shown in FIG. 4.
In the embodiment of the invention shown in FIGS. 1 through 3, a pump generally indicated at 10 is provided for pumping fluid at a controlled rate to a patient 14 on a positive basis. The pump 10 may be a volumetric pump such as disclosed and claimed in U.S. Pat. No. 3,985,133. Such a pump is advantageous because it provides a flow of a pre-selected volume of fluid at a precise rate to a patient. However, any other type of pump may also be used.
U.S. Pat. No. 3,985,133 also discloses a disposable cassette for use with the pump. FIG. 1 shows the pump and the disposable cassette in broken lines.
A disposable cassette generally indicated at 12 is coupled to the disposable cassette in the pump 10 to receive fluid from the disposable cassette in the pump and pass the fluid to the receiver such as the patient 14. When the pressure of the fluid in the cassette 12 rises through a particular magnitude dependent upon the setting of a knob 64, sensing apparatus generally indicated at 16 becomes operative to discontinue the operation of the pump. In this way, the pressure of the fluid introduced to the patient is controlled within pre-selected limits.
The cassette 12 is shown in some detail in FIGS. 1 and 2. The cassette 12 includes a housing 20 having detent means such as tongues 22 disposed externally on opposite sides of the housing. The housing 20 is shaped to define conduit means including an inlet line 24, an outlet line 26 and a chamber 28 between the inlet and outlet lines. The chamber 28 communicates with the inlet line 24 and the outlet line 26.
Resilient means such as a diaphragm 30 is stretched across the chamber 28 between opposite sides of the housing 20. An actuatable arm 32 rests on the diaphragm and extends upwardly from the diaphragm through an aperture or opening 34 in the housing. In this way, the arm 32 is captured by the aperture 34. The arm 32 is disposed in cooperative relationship with a reinforcement 33 which extends from the diaphragm. The aperture or opening 34 communicates with a passage 35 which has a dimension converging towards the relatively narrow dimensions of the aperture or opening 34.
When the sensing apparatus 16 is included in the pump, the arm 32 engages resilient means such as a diaphragm 36 on the face of the pump 10. The diaphragm 36 may have a construction similar to that of the diaphragm 30. The diaphragm 36 supports an arm 38 which extends upwardly through a guide aperture 40 in a housing 42 so as to be guided for movement only in a vertical direction. A constrained spring 43 is disposed between the housing 42 and a member 45 seated against the diaphragm 36. A flag 44 is carried at the upper end of the arm 38 and is pivotable at one end on a pin 46 as a fulcrum. The flag 44 carries a light source 48.
A pair of bracket members 50 are supported on the housing 42. Spring members 52 are supported between the housing 42 and the bracket members 50. The spring members 52 are provided with spring arms 54 which include detent means 56 for co-operating with the detent means 22 on the disposable cassette to hold the cassette in releasable relationship.
A lever arm 60 extends through a threaded aperture in one of the bracket members 50. The lever arm 60 receives the knob 64, which is manually rotatable to adjust the vertical positioning of the lever arm 60. At its upper end, the lever arm 60 engages the free end of a spring arm 70, the other end of which is attached to the pump housing 42. A bracket 74 is attached to the housing 42 as by a nut-and-bolt arrangement 76. The bracket 74 carries a photo sensor 78.
When operative, the pump 10 introduces fluid to the inlet line 24. This fluid flows through the chamber 28 and the outlet line 26 to the patient 14. The maximum pressure of this fluid is dependent upon the setting of the knob 64.
It occasionally happens that the outlet line 26 may become occluded. At such times, the fluid in the outlet line 26 rises into the chamber 28. When this back-up of fluid in the outlet line 26 has occurred sufficiently, the fluid in the chamber presses against the diaphragm 30 and forces the diaphragm upwardly. The diaphragm 30 in turn acts upon the arm 32 to force the arm upwardly.
The diaphragm 36 translates the movement of the arm 32 into a corresponding movement of the arm 38. This produces a corresponding pivotal movement of the flag 44 about the pin 46 as a fulcrum. When the flag 44 has moved through a particular distance dependent upon the setting of the knob 64, the light source 48 becomes aligned with the photocell 78. This causes the photocell 78 to become energized and produces a signal for interrupting the operation of the pump 10.
The particular fluid pressure for energizing the photocell 78 can be manually adjusted by rotating the knob 64. This causes the lever arm 60 to be adjusted vertically in position. The adjustment in the vertical position of the lever arm 60 in turn produces adjustments in the pivotal position of the spring arm 70. This in turn produces adjustments in the position at which the light source 48 becomes level with the photocell 78 to energize the photocell.
The apparatus described above has certain important advantages. It provides for a flow of fluid from a pump to a patient at controlled and pre-selected pressures dependent upon the setting of the knob 64. If the pressures of the fluid from the pump should increase above such controlled and pre-selected limits, the apparatus instantaneously senses such increases in the fluid pressure beyond such controlled and safe limits and causes an output signal to be produced for interrupting the operation of the pump.
The apparatus described above also has other important advantages. For example, it provides a cassette which is easily and releasably coupled to the pump. Furthermore, the flow of fluid from the pump to the patient is only through the cassette. In this way, a different cassette can be substituted every time that a different patient is to receive the introduction of fluid or the same patient is to receive a different fluid. By providing such an arrangement, the pump can be easily adapted to provide fluid to a patient at relatively low levels of pressure without requiring that the pump be cleaned or sterilized after each use.
The apparatus constituting this invention also has other advantages. In addition to providing the disposable cassette 12, it provides all of the other elements within the pump housing 42. Furthermore, the diaphragm 36 is disposed at the face of the pump. In this way, the diaphragm 36 helps to seal the pump and also translates the pressure of the fluid on the diaphragm 30 into a corresponding pivotal movement of the flag 44. Although all of the components other than those in the cassette 12 are disposed in the pump housing 42, it will be appreciated that these components can also be disposed in a housing which is separate from the pump.
FIGS. 4 and 5 illustrate another embodiment of the invention. In this embodiment, a cam 100 rotatable on a fulcrum 102 is included. The cam includes a finger 104 for contacting a leaf spring 106, the leaf spring being attached at one end to a housing 108 by a screw or protuberance 110. The cam 100 is shaped to move the finger 104 in a direction towards the screw or protruberance 110 in accordance with rotary movements of the cam in a clockwise direction and to move the finger in a direction away from the screw in accordance with rotary movements of the cam in a counter-clockwise direction. The cam 100 is manually rotatable by a knob 112.
The spring 106 carries a flag 114 at the end opposite the screw 110. The flag 114 may interrupt the light from a light source 116 to a sensor 118 when it has moved upwardly through a particular distance. The force required to move the flag 114 upwardly through this particular distance is dependent upon the setting of the cam 100 since this setting controls the length of the torque arm between the finger 104 and the flag. In this way, the setting of the cam 100 controls the fluid pressure at which the light to the sensor 118 becomes interrupted.
Although this application has been disclosed and illustrated with reference to particular applications, the principles involved are susceptible of numerous other applications which will be apparent to persons skilled in the art. The invention is, therefore, to be limited only as indicated by the scope of the appended claims.
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|US-Klassifikation||417/63, 604/67, 200/83.00S, 604/31, 200/83.00Y|
|Internationale Klassifikation||F04B49/10, A61M5/142, A61M5/168|
|Unternehmensklassifikation||A61M5/16854, F04B49/10, A61M5/14224|
|Europäische Klassifikation||F04B49/10, A61M5/142G4, A61M5/168D4|
|13. Febr. 1987||AS||Assignment|
Owner name: HENLEY INVESTMENTS, INC.
Free format text: MERGER;ASSIGNOR:IMED CORPORATION;REEL/FRAME:004669/0518
Effective date: 19861222
|21. Febr. 1989||AS||Assignment|
Owner name: IMED PATENTS HOLDING COMPANY, INC., NEW HAMPSHIRE
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:NEWCO HENLEY HOLDINGS INC.,;REEL/FRAME:005026/0345
Effective date: 19890130
Owner name: NEWCO HENLEY HOLDINGS INC., A DE CORP.
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:HENLEY MANAGEMENT, INC.,;REEL/FRAME:005026/0384
Effective date: 19890130
|18. Juli 1990||AS||Assignment|
Owner name: GENERAL ELECTRIC CAPITAL CORPORATION, A CORP. OF N
Free format text: LICENSE;ASSIGNOR:IMED CORPORATION;REEL/FRAME:005363/0913
Effective date: 19900402
Owner name: ADVANCED MEDICAL TECHNOLOGIES, INC., A CORP. OF DE
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:IMED PATENTS HOLDING COMPANY, INC.;REEL/FRAME:005363/0891
Effective date: 19900402
|18. Nov. 1996||AS||Assignment|
Owner name: ADVANCED MEDICAL, INC., CALIFORNIA
Free format text: CHANGE OF NAME;ASSIGNOR:ADVANCED MEDICAL TECHNOLOGIES, INC.;REEL/FRAME:008261/0420
Effective date: 19900907
|11. Febr. 1997||AS||Assignment|
Owner name: ADVANCED MEDICAL TECHNOLOGIES, INC., CALIFORNIA
Free format text: SECURITY INTEREST;ASSIGNOR:GENERAL ELECTRIC CAPITAL CORPORATION;REEL/FRAME:008401/0741
Effective date: 19961126
Owner name: IMED CORPORATION, CALIFORNIA
Free format text: SECURITY INTEREST;ASSIGNOR:GENERAL ELECTRIC CAPITAL CORPORATION;REEL/FRAME:008454/0006
Effective date: 19961126
Owner name: IMED CORPORATON, CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:ADVANCED MEDICAL, INC.;REEL/FRAME:008447/0245
Effective date: 19961125
|25. Febr. 1997||AS||Assignment|
Owner name: BANKERS TRUST COMPANY, NEW YORK
Free format text: SECURITY INTEREST;ASSIGNOR:IVAC HOLDINGS, INC.;REEL/FRAME:008568/0540
Effective date: 19961126
|9. Apr. 2001||AS||Assignment|
Owner name: ALARIS MEDICAL SYSTEMS, INC., CALIFORNIA
Free format text: CHANGE OF NAME;ASSIGNOR:IVAC HOLDINGS, INC.;REEL/FRAME:011700/0538
Effective date: 19970425
Owner name: IVAC HOLDINGS, INC., CALIFORNIA
Free format text: MERGER;ASSIGNOR:IMED CORPORATION;REEL/FRAME:011700/0747
Effective date: 19961126