BREAST PUMP DEVICE AND CONTROLLER FOR THE DEVICE, AND A CONTROL METHOD
20230355850 · 2023-11-09
Inventors
- Yannyk Parulian Julian BOURQUIN (EINDHOVEN, NL)
- Lili-Marjan Brockhuis (Geldrop, NL)
- Lucja Elzbieta SEGAAR (OIRSCHOT, NL)
Cpc classification
A61M1/0693
HUMAN NECESSITIES
A61M2205/8212
HUMAN NECESSITIES
International classification
Abstract
A breast pump device is provided and a controller for operating a pressure source of the breast pump device. A milk flow is monitored during a breast pumping session. The pressure source is controlled in dependence on the flow, thereby to switch, the breast pumping, between a first pressure profile of the pressure source for a low energy mode and a second pressure profile of the pressure source for an expression mode. The breast pumping session comprises a plurality of time periods with the low energy mode and a plurality of time periods with the expression mode, in order to reduce electrical power consumption.
Claims
1. A controller for a breast pump device, wherein the controller is for controlling operation of a pressure source of the breast pump device to apply an under-pressure, the controller comprising: an input for receiving an input signal relating to a milk flow during a breast pumping session using the breast pump device; and an output for controlling operation of the pressure source in dependence on the input signal, thereby to switch, during the breast pumping, between three modes: a low energy mode with a first pressure profile of the pressure source; an expression mode with a second pressure profile of the pressure source; and a stimulation mode with a third, pressure profile of the pressure source, wherein the first to third pressure profiles are all different, wherein the output is for controlling operation of the pressure source to follow a sequence comprising the stimulation mode followed by alternating expression modes and low energy modes.
2. The controller of claim 1, wherein the breast pumping session comprises a continuous sequence of said time periods of the low energy mode and the expression mode after the stimulation mode.
3. The controller of claim 1, wherein the low energy mode has a lower electrical power consumption than each of the expression mode and the stimulation mode.
4. The controller of claim 1, wherein the low energy mode has a lower maximum under-pressure level and/or a longer dwell in time and/or a longer dwell out time than the expression mode.
5. The controller of claim 1, wherein the expression mode has a maximum under-pressure above 20 kPa and the low energy mode has a maximum under-pressure below 20 kPa.
6. The controller of claim 1, wherein the input signal indicates at least one of: the detection of milk drops; a cumulative milk flow; a milk flow gradient; and a trend in the milk flow gradient.
7. The controller of claim 6, adapted to derive a relationship between the cumulative milk flow and time for a particular user, and to derive a program of operation of the pressure source for the particular user from the relationship.
8. A breast pump device, comprising at least one breast receiving portion configured to receive a breast of a user; a pressure source coupled to the at least one breast receiving portion and being configured to generate at least an under-pressure; a sensor for generating said input signal relating to the milk flow during a breast pumping session; and the controller of claim 1.
9. The device of claim 8, wherein the sensor comprises an optical sensor.
10. The device of claim 9, wherein the sensor comprises: an optical emitter arrangement (Led0-Led2); an optical detector arrangement (PD0-PD2); and an output for providing a signal indicating the presence milk expressed.
11. The device of claim 8, comprising a battery-operated device.
12. A computer-implemented non-therapeutic method of controlling a breast pump device, the breast pump device comprising at least one breast receiving portion configured to receive a breast of a user and a pressure source coupled to the at least one breast receiving portion and being configured to generate at least an under-pressure, the method comprising: receiving an input signal relating to a milk flow during a breast pumping session using the breast pump device; and controlling operation of the pressure source in dependence on the input signal, thereby to switch, during the breast pumping, between: a low energy mode with a first pressure profile of the pressure source; an expression mode with a second pressure profile of the pressure source; and a stimulation mode with a third, pressure profile of the pressure source, wherein the first to third pressure profiles are all different, wherein the method comprises controlling operation of the pressure source to follow a sequence comprising the stimulation mode followed by alternating expression modes and low energy modes.
13. The method of claim 12, wherein compared to the expression mode, the low energy mode has: a lower electrical power consumption; and a lower maximum under-pressure level and/or a longer dwell in time and/or a longer dwell out time and/or a longer rising time.
14. The method of claim 12, wherein the input signal indicates the detection of milk drops or a milk flow level or a milk flow gradient.
15. A computer program comprising computer program code which is adapted to be run on a controller of a breast pump device, the breast pump device comprising: at least one breast receiving portion configured to receive a breast of a user; a pressure source coupled to the at least one breast receiving portion and being configured to generate at least an under-pressure; and a sensor for generating an input signal relating to the milk flow during a breast pumping session, wherein the computer program is adapted to implement the method of claim 12.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0051] For a better understanding of the invention, and to show more clearly how it may be carried into effect, reference will now be made, by way of example only, to the accompanying drawings, in which:
[0052]
[0053]
[0054]
[0055]
[0056]
[0057]
[0058]
DETAILED DESCRIPTION OF THE EMBODIMENTS
[0059] The invention will be described with reference to the Figures.
[0060] It should be understood that the detailed description and specific examples, while indicating exemplary embodiments of the apparatus, systems and methods, are intended for purposes of illustration only and are not intended to limit the scope of the invention. These and other features, aspects, and advantages of the apparatus, systems and methods of the present invention will become better understood from the following description, appended claims, and accompanying drawings. It should be understood that the Figures are merely schematic and are not drawn to scale. It should also be understood that the same reference numerals are used throughout the Figures to indicate the same or similar parts.
[0061] The invention provides a breast pump device and a controller for operating a pressure source of the breast pump device. A milk flow is monitored during a breast pumping session. The pressure source is controlled in dependence on the flow, thereby to switch, during the breast pumping, between a first pressure profile of the pressure source for a low energy mode and a second pressure profile of the pressure source for an expression mode. The breast pumping session may then for example comprise a plurality of time periods with the low energy mode and a plurality of time periods with the expression mode, in order to reduce electrical power consumption.
[0062]
[0063] The basic known parts will first be described. The breast pump system 1 comprises a breast pump 2, also known as an expression unit, and an operating unit 3. The operating unit is basically a pump unit (vacuum pump), associated hardware, and a pump controller 3′.
[0064] The breast pump 2 and the operating unit 3 are connected by a hose 4. The hose 4 provides a fluid communication between the breast pump 2 and the operating unit 3. The hose 4 may also be used to provide an electrical connection between the breast pump 2 and the operating unit 3. For example, the hose 4 may supply an operating signal or electrical power between the breast pump and the operating unit. In an alternative embodiment, the operating unit 3 is directly mounted and connected to the breast pump 2.
[0065] The breast pump 2 has a main body 5, a funnel 6 and a collection vessel 7. The collection vessel 7 collects milk expressed from a user's breast and may take the form of a feeding bottle or bag or any suitable container. The collection vessel 7 is attached to the main body 5 by a screw fitting, although it will be understood that alternative releasable attachment means may be used, such as clips (not shown).
[0066] The breast-receiving funnel 6 extends from the main body 5. The funnel 6 is configured to receive the breast of a user. The funnel 6 has a mouth 8 and a throat 9. The mouth 8 is open at an outer end of the funnel 6 to receive a user's breast, and the funnel 6 converges from the outer end towards the throat 9 to form a hollow recess in which a breast is received.
[0067] The main body 5 fluidly connects the funnel 6 to the collection vessel 7. A fluid passageway 10 (shown in
[0068] In addition to the standard parts as described above,
[0069] Referring now to
[0070] A membrane 14 is received in the chamber 12. The membrane 14, also known as a diaphragm, is flexible. An outer rim of the membrane 14 is mounted to the chamber 12. The membrane 14 separates the chamber 12 into a first space 15 and a second space 16. The first space 15 communicates with the vacuum port 13. The first space 15 forms part of a first section of the vacuum path. The second space 16 communicates with the fluid passageway 10 between the breast receiving space of the funnel 6 and the collection vessel 7. The second space 16 forms part of a first section of the vacuum path.
[0071] A one-way valve 17 is disposed in the fluid passageway 10. The one-way valve 17 prevents a pressure reduction being formed in the collection vessel 7. The one-way valve is for example a duckbill valve.
[0072] The membrane 14 is for example formed from silicone. However, it will be understood that the membrane 14 may be formed from another suitable material.
[0073] The flexible membrane 14 has a predefined shape. In the present arrangement, the membrane 14 has a substantially cup-shaped arrangement in a neutral condition. That is, when the membrane 14 is received in the chamber 12, but has not been deformed. However, it will be understood that the membrane 14 may have an alternative shape.
[0074] The operating unit 3 comprises a pump controller 3′, a power source, a motor and a pump unit actuated by the motor. The pump unit is configured to generate and release a pressure reduction (i.e. vacuum) in the vacuum path, for example using a pressure relief valve separate to the pump unit, although these may be combined into a single unit. The controller 3′ controls operation of these components of the operating unit 3.
[0075] The controller 3′ operates the pump unit with sequence of strokes, each stroke comprising the vacuum generation phase and the vacuum release phase. During vacuum generation, the breast is stimulated to express milk. This milk flows to the fluid passageway 10. During the vacuum release phase, the milk passes through the one-way valve 17 into the collection vessel. A small opening is for example provided to allow air to escape from the bottle. This may be located at the screw connection.
[0076] This is only one example of breast pump design. The invention relates to the pressure profile applied during a breast pump session, and may be applied to any known breast pump design.
[0077]
[0078] The control signal to the pump unit, and hence the pressure, cycles between a baseline vacuum “Baseline_Vac” and a maximum vacuum (i.e. a maximum under-pressure) “Max_Vac”.
[0079] There is first a time to (maximum) vacuum, TTV, then a dwell-in time DI, then a time to atmosphere (or to the baseline vacuum), TTA, and finally a dwell-out time, DO. The vacuum rate is defined as Max_Vac/TTV and the atmospheric rate is defined as Max_Vac/TTA.
[0080] By way of example: [0081] Baseline_Vac=atmospheric pressure [0082] Max_Vac=300 mbar (30 kPa) below atmospheric pressure [0083] TTV=0.85 s [0084] DI 32 0.3 s [0085] TTA=0.05 s [0086] DO=0.35 s
[0087] This gives a total cycle time T cycle of 1.55 s.
[0088] These values are simply by way of example. The maximum under-pressure may be higher, for example 350 mbar (35 kPa) and the the durations may differ. The cycle time is generally of the order of 1 to 2 seconds.
[0089]
[0090] During a breast pumping session, the milk flow pattern evolves mainly due to the occurrence of milk ejection reflex (MER). Thus, within one session, several MERs can occur.
[0091] A typical pattern is shown in
[0092] Plot 52 shows the cumulative mass of milk collected over time (using the left y-axis scale, grams). Plot 54 shows the milk flow rate (using the right y-axis scale, g/s) hence the first derivative of plot 52. The derivative of the flow rate signal 52 (not shown) has positive periods when the flow rate is increasing and negative periods when the flow rate is decreasing.
[0093] The invention provides a system for controlling the pressure source to switch between the expression pressure profile and and a low energy pressure profile (in both directions) and typically multiple times during a breast pumping session. The different pressure profiles are chosen in dependence on the milk flow, captured by means of the sensor 30.
[0094]
[0095] The switching to the low energy mode may be based on analysis of the cumulative milk volume (curve 52) or milk flow rate (curve 54) or trends in the milk flow rate (derivative of curve 54).
[0096] One example involves switching to the low energy mode when a drop in milk flow rate (plot 54) from a local peak has been detected, e.g. a 30% drop. This triggers a switch in the vacuum profile setting. Similarly, an increase of milk flow rate by a certain amount from a local minimum may be used to switch back to the expression mode.
[0097] Another example is to detect the slope of the milk flow rate profile 54, and switch to the low energy mode when the slope has a transition from positive to negative. The system can switch to the expression mode when the slope has a transition from negative to positive. A waiting time may be implemented before the switch, e.g. 10 seconds, after the transition to a negative slope to allow completion of that local period of milk expression.
[0098] It can be seen that various measures may be used to detect when to implement the mode transitions.
[0099] Thus, there is a plurality of time periods with the low energy mode (3 in this example plus the initial stimulation mode) and a plurality of time periods (4 in this example) with the expression mode. They alternate as shown and define overall a continuous time sequence (i.e. they are part of the same breast pumping session).
[0100] There may for example be 1 to 10 low energy mode periods (in addition to the initial stimulation mode) and 2 to 10 expression mode periods, depending on the feeding characteristics of the mother. The number will depend on the number of MERs, which is typically from 1 to about 10.
[0101] The time periods of the low energy mode for example have a lower under-pressure than the expression mode, for example with the 15 kPa under-pressure of the stimulation mode instead of the 30 kPa under-pressure of the expression mode. They may instead have an even lower under-pressure than the stimulation mode.
[0102] The low energy mode may comprise a long duration cycle, thereby reducing the switching energy. The low energy mode cycles may for example have the same period as time periods of the expression mode, i.e. the longer duration (e.g. 1.5 s) cycles explained above.
[0103] The low energy mode may have different time profile and pressure levels to both the stimulation mode and the expression mode.
[0104] The low energy mode may for example have the same rise and fall times (TTV, TTA) of the expression mode, but with increased dwell in time DI and/or and dwell out time DO thereby extending the cycle to be longer than the cycle time of the expression mode.
[0105] The low energy mode may for example have a longer (i.e. lower gradient i.e. slower) rising time (TTV). Again, this will extend the cycle period.
[0106] In all cases, the low energy mode is designed to reduce power consumption while still enabling expression to be restarted.
[0107] The breast pump thus switches both from the stimulation mode to the expression mode (as is known) and also switches from the expression mode to the low energy mode when it is detected that a short term localized (in time) period of expression is coming to an end or has come to an end. The breast pump then toggles between the low energy mode and the expression mode.
[0108] The sensing to determine when to switch between modes may be performed in various ways.
[0109]
[0110] The detection may be based on detecting the interruption of a light beam, or it may be based on measurement of a change in reflection or scattering of light back from a layer of milk on the inner wall of the expression kit.
[0111] In this example, the optical sensor may comprise a snap-on holder, which can snap onto the neck portion of the expression kit.
[0112] The emitter or emitters and detector or detectors may be mounted externally of the expression kit. The design may make use of the diffuse properties of the material used for making the expression kit, such as silicone. As emitter, a LED having a large divergence angle (approximately 120 degrees) may be used as the illumination source and the light that exits internally after passage through the material exhibits a near diffuse illumination pattern illuminating the whole head of the bottle. This enables to detect any small changes in the intensity on a detector due to the changes in the absorption and scattering induced by the flowing milk. Thus, it may suffice to have a single emitter and a single detector.
[0113] The example of
[0114] Other sensor designs are possible, for example based on acoustic sensing (sensing the sound of a falling droplet). Indeed, any known sensor design may be used for detecting or measuring a flow of liquid.
[0115] In the example above, the presence of milk drops is sensed and used to switch between settings. For example, the low energy mode is switched on when no milk is detected and the expression mode is switched on when a drop is detected. Alternatively, the switching may be based on a threshold level of the milk flow volume, i.e. when a certain additional amount of flow has taken place (rather than just droplet). Alternatively, the switching may be based on the slope of the milk flow volume, i.e. the gradient of the milk flow volume curve and hence the flow rate.
[0116] The switching may be based on the trend of the milk flow rate i.e. the second derivative of the milk flow volume curve. Typically, when the flow rate is reducing (negative second derivative), the pump can be switched to the low energy mode, and when the milk flow rate is increasing (positive second derivative), the pump can be switched to the expression setting.
[0117] Thus, the sensing may be for droplet detection, for detection of a flow amount, for detection of a flow rate, or for detection of a trend in the flow rate. Any or all of these measures may be used to determine times when expression is taking place and times when it is ending or has ended.
[0118] In a simplest implementation, the breast pump has only the stimulation mode, which functions as the low energy mode, and the expression mode. However, there may be other modes, such as a massage mode and the low energy mode may be different to the initial stimulation mode.
[0119] When the user switches on the pump, an initial stimulation mode is active. When milk starts flowing, the sensor detects the milk and switches the pump setting to the expression mode. When the milk flow rate is reduced to a certain level, the pump is then switched back to the low energy mode (e.g. the stimulation mode) to save energy.
[0120] When the milk flow increases again, the pump is again switched to the expression mode.
[0121] The effect of the power saving approach of the invention on the collection of milk has been assessed based on a volunteer study with two types of vacuum profile settings applied to multiple volunteers.
[0122] The first type was the standard expression setting with a maximum under pressure of 350 mbar (35 kPa) and the second type was the alternation between the standard expression setting (again with a maximum under-pressure level of 350 mbar (35 kPa)) and a low energy setting (with a maximum under-pressure level of 150 mbar (15 kPa), when the milk flow is low or non-existent.
[0123] The results showed the same average time for the session and the same average collection mass, showing that the high power expression profile is only needed during the times of milk flow, and switching to the low energy mode at other times does not detract from the overall milk expression efficiency.
[0124] The milk flow pattern of any individual mother has been shown to be similar, after first start of the milk flow. Therefore, after first determining the milk flow pattern, a program switching between the pump settings can be derived which is optimal for the pattern of that particular user. Thus, instead of continuous adaption of the pump profile, a personalized fixed program may be devised for the mother.
[0125] The method above may then become part of a calibration routine. This calibration routine may be applied once only, or periodically. For example, the calibration may be performed when there is mains power, and the fixed program may be used when operating from a battery, to save power.
[0126] The method is a non-therapeutic method in that it is only used to enable a mother to express milk for feeding to an infant at a later time.
[0127] Variations to the disclosed embodiments can be understood and effected by those skilled in the art in practicing the claimed invention, from a study of the drawings, the disclosure and the appended claims. In the claims, the word “comprising” does not exclude other elements or steps, and the indefinite article “a” or “an” does not exclude a plurality.
[0128] The mere fact that certain measures are recited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage.
[0129] If the term “adapted to” is used in the claims or description, it is noted the term “adapted to” is intended to be equivalent to the term “configured to”.
[0130] Any reference signs in the claims should not be construed as limiting the scope.