FEEDING SET WITH CASSETTE AND RELATED METHODS THEREFOR
20190240400 ยท 2019-08-08
Assignee
Inventors
- Kenneth M. Breitweiser (Brighton, IL, US)
- James M. Harr (Wentzville, MO, US)
- Joel D. Wiesner (O'Fallon, MO, US)
Cpc classification
F04B43/1253
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61M5/16831
HUMAN NECESSITIES
F04B43/0072
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61M2205/12
HUMAN NECESSITIES
A61M2205/3317
HUMAN NECESSITIES
F04B43/12
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04B43/1223
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04B43/082
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
International classification
A61M5/168
HUMAN NECESSITIES
F04B43/12
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04B43/00
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04B43/08
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
Abstract
A pump set for use with a pumping apparatus having a rotor with a plurality of rollers mounted on the rotor rotatable about an axis of rotation is disclosed. The pump set comprises a cassette body comprising a stator member with a fixed portion secured to the cassette body, a second portion opposite the fixed portion, a reaction surface and a second surface opposite the reaction surface, the reaction surface defined between the fixed portion and the second portion, and a tube secured to the cassette body, at least a portion of the tube is disposed against the reaction surface.
Claims
1-22. (canceled)
23. A pump set for use with a pumping apparatus having a rotor with a plurality of rollers mounted on the rotor rotatable about an axis of rotation, the pump set comprising: a cassette body having a top, a bottom, sides, and a center defined by a point midway between the top and the bottom and midway between the sides, the cassette body comprising a flexible stator with a fixed end secured to the cassette body at a connection, a second end opposite the fixed end, a middle portion including a reaction surface and a second surface opposite the reaction surface, the middle portion defined between the fixed end and the second end, the second end being free from any structure of the cassette body aside from the middle portion, the flexible stator having an arcuate shape curving inwards relative to the center of the cassette body; and a deformable tube secured to the cassette body, at least a portion of the deformable tube configured to be disposed against the reaction surface, the flexible stator being arranged in the cassette body to permit the flexible stator to float in the cassette body as the plurality of rollers traverse the deformable tube over a length of the reaction surface of the flexible stator, the flexible stator being constructed to pivot about the connection to the cassette body and flatten out upon engagement of the deformable tube by the plurality of rollers of the rotor during rotation of the rotor to deliver fluid through the deformable tube, wherein a section of the flexible stator extends along a length of the flexible stator, a width of the section extending partially across the flexible stator, and a thickness of the section extending from the reaction surface to the second surface, the thickness being constant along an entire length of the section.
24. The pump set as set forth in claim 23, wherein at least a portion of the reaction surface defines an arcuate surface with the center of curvature being coincident with the axis of rotation.
25. The pump set as set forth in claim 23, wherein the flexible stator is cantilevered at the fixed end and unfixed at the second end and the reaction surface has a deflection displacement.
26. The pump set as set forth in claim 25, further comprising an arcuate stop member constructed and arranged to limit the deflection displacement.
27. The pump set as set forth in claim 23, wherein the deformable tube is contained within the cassette body.
28. The pump set as set forth in claim 23, wherein the flexible stator further comprises a flange on the second surface, the flange extending along at least a portion of the second surface between the fixed end and the second end.
29. The pump set as set forth in claim 23, wherein the resiliently deformable tube is disposed in the cassette in a U-shape and the flexible stator opposes an outer arcuate portion of the U-shape.
30. The pump set as set forth in claim 23, wherein the resiliently deformable tube is disposed in the cassette in a U-shape and the flexible stator opposes the tube at a base of the U-shape.
31. A pump set for use with a pumping apparatus having a rotor with at least one roller mounted on the rotor rotatable about an axis of rotation, the pump set comprising: a cassette body including a flexible stator with a fixed end secured to the cassette body at a connection, a second end opposite the fixed end, a middle portion including a reaction surface and a second surface opposite the reaction surface, the middle portion defined between the fixed end and the second end, the second end being free from any structure of the cassette body aside from the middle portion, the flexible stator having an arcuate shape curving relative to a center of the cassette body; and a deformable tube secured to the cassette body, at least a portion of the deformable tube configured to be disposed against the reaction surface, the flexible stator being arranged in the cassette body to permit the flexible stator to float in the cassette body as the at least one roller traverses the deformable tube over a length of the reaction surface of the flexible stator, the flexible stator constructed to pivot about the connection to the cassette body and flatten out upon engagement of the deformable tube by the at least one roller during rotation of the rotor to deliver fluid through the deformable tube, wherein the cassette body includes a wall opposing the reaction surface of the flexible stator such that the arcuate wall and the reaction surface form a cavity to receive the rotor therein, the resiliently deformable tube passing through the cavity between the arcuate wall and the flexible stator.
32. A pump set for use with a pumping apparatus, the pump set comprising: a cassette including a flexible stator with a fixed end cantilevered to the cassette, a second end opposite the fixed end, and an arcuate portion along a length of the stator between the fixed end and the second end; and a resiliently deformable tube coupled to the cassette, at least a portion of the deformable tube configured to contact the arcuate portion; wherein the flexible stator is configured to pivot about the fixed end and the arcuate portion is configured to displace upon engagement by a rotor of the pumping apparatus; and wherein the flexible stator includes a constant thickness between the fixed end and the second end.
33. The pump set as set forth in claim 32, wherein the flexible stator flattens upon engagement of the resiliently deformable tube by a roller of the rotor during rotation of the rotor to deliver fluid through the deformable tube.
34. The pump set as set forth in claim 32, wherein the flexible stator is arranged in the cassette to permit the flexible stator to float in the cassette as the roller traverses the resiliently deformable tube over a reaction surface of the flexible stator.
35. The pump set as set forth in claim 33, wherein the arcuate portion opposes the roller.
36. The pump set as set forth in claim 32, wherein the resiliently deformable tube is disposed in the cassette in a U-shape and the flexible stator opposes an outer arcuate portion of the U-shape.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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[0030] Corresponding reference characters indicate corresponding parts throughout the drawings.
DETAILED DESCRIPTION
[0031] One or more aspects of the present invention pertain to peristaltic pumps such as rotary peristaltic pumps and particularly to rotary peristaltic pumps utilizing a flexible stator. Any one or more advantageous features or structures that provide or facilitate any one or more of such feature may be implemented in a peristaltic pumps employed in various commercial and industrial applications. Thus, although the detailed discussion is directed to an enteral feed pump with a cassette, any one or more features of the invention may be embodied or implemented in other peristaltic pumps, with or without a cassette assembly. For example, although the exemplarily discussed pump is a rotary peristaltic enteral feeding pump, the present invention has application to other types of peristaltic pumps (not shown), including medical infusion pumps. The general construction and operation of the enteral feeding pump, except as set forth hereinafter, may be generally the same as disclosed in co-assigned U.S. Pat. No. 7,608,059 filed May 24, 2004, entitled FLOW CONTROL APPARATUS; U.S. Pat. No. 7,092,797 filed May 25, 2004, entitled FLOW MONITORING SYSTEM FOR A FLOW CONTROL APPARATUS; and U.S. Pat. No. 7,534,099 filed Sep. 30, 2005, entitled ALIQUOT CORRECTION FOR FEEDING SET DEGRADATION, each of which is incorporated herein by reference. One or more of the various features and aspects of the invention may be implemented in peristaltic pumps that use mechanisms other than rollers without departing from the scope of the present invention such as linear peristaltic pumps. Moreover, although an exemplary feeding set 7 is shown, other types of pump sets (not shown) can be used without departing from the scope of the present invention.
[0032] Referring now to the drawings, and in particular
[0033] The display screen 9 may be part of a front panel (generally indicated at 19) of the housing 3 and may be removably attached to the housing. The enteral feeding pump may further include a pumping unit indicated generally at 23 comprising a pump motor (not shown) connected to a rotor shaft (not shown). A battery (not shown) may be received in the housing 3 for powering the pump motor. A power source other than or in addition to the battery could be used to energize the pump including one or more prime movers which drives the pumping unit through the rotor shaft.
[0034] The pumping unit 23 can have a rotor (generally indicated at 37) which can be coupled to the rotor shaft. The rotor 37 may include an inner disk 39, an outer disk 41, and four rollers 43 (only one of which is shown) mounted between the inner and outer disks for rotation relative to the disks about their longitudinal axes (
[0035] Referring to
[0036] The fitting may be a tube holder and can comprise a base 67, an inlet port 69, and an outlet port 71 (
[0037] The tube 45, inlet tubing 77, and outlet tubing 83 may comprise the pump set 7. It is also envisioned that the cassette 5 may be considered to be part of the pump set. In a preferred embodiment, the cassette 5 is made from a polymeric material such as polycarbonate.
[0038] As exemplarily illustrated, tabs 84 can extend from lateral sides of the base 67 and can be configured to be received in respective openings 86 in the sidewalls 61 and front 53 of the cassette 5 to releasably attach the fitting 65 to the cassette. A pair of guide ramps 91 in the side walls 61 may funnel toward the openings 86. The tabs 84 on the fitting 65 can ride along the ramps 91 and be received in the openings 86 to retain the fitting to the cassette body 51. Alternatively, the fitting 65 may be formed integrally with the cassette body 51, or omitted.
[0039] Referring to
[0040] An arcuate wall 95 may be disposed generally at a middle of the cassette body 51 to define a rotor recess 97 for receiving at least a portion of the rotor 37 of the pump 1 when the cassette 5 is attached to the housing 3. The rotor recess 97 may form a bump-out 99 on the front 53 of the cassette body 51 (
[0041] An insert 105 may be received in the cassette recess 6 in the housing 3 to aid in securing the cassette 5 and tube 45 in the cassette recess 6 (
[0042] Referring to
[0043] The flexible stator member 113 can have a flange on a second surface, opposite the arcuate surface of the reaction segment. For example, a width W (
[0044] A stop member or stop 117 may be disposed at a bottom of the stator opening 115 to limit the floating movement of the flexible stator member 113 to a maximum displacement. The stop 117 may be spaced relative to the underside of the flexible stator member 113 to prevent flexing of the stator member that would result in plastic deformation of the stator member. For example, the stop member may be positioned to limit the magnitude of the deflection displacement distance of the unfixed end 122 to the maximum displacement. In the illustrated embodiment, the stop 117 is formed as part of the cassette body 51. However, the stop 117 could be formed separately from the cassette body 51 and attached to the cassette body in a suitable fashion. In other cases, stop 117 may be formed on the housing 3 and configured to limit the displacement of the flexible stator member 113 to the maximum displacement. The stop 117 may have a width W2 that is greater than the width W of the flexible stator member 113 so that the stop provides an adequate surface area to limit movement of the stator member. The stop 117 can serve to shield the flexible stator member 113 and is typically sized to prevent or reduce the likelihood of snagging or catching the member 113.
[0045] Prior to attaching the cassette 5 to the pump housing 3, the inlet and outlet tubing 77, 83 may be attached to the inlet and outlet ports 69, 71, respectively, of the cassette. To attach the cassette 5 the pump housing 3, one or more pins or raised projections 119 at the bottom 59 of the cassette body 51 may be inserted in slots 124 at the bottom of the recess 6 in the housing 3. The engagement between the raised projections 119 and slots 124 generally locates the cassette 5 on the housing 3. The cassette body 51 can then be rotated up until ledges 123 on a tab 125 at the top 57 of the cassette body are captured by a catch 127 at the top of the recess 6. In the illustrated embodiment, the raised projections 119 and ledges 123 are formed integrally with the cassette body 51. However, the raised projections 119 and ledges 123 can be formed separately from the cassette body 51 and attached to the cassette body in a suitable fashion. To detach the cassette 5 from the pump housing 3, the tab 125 can be depressed to disengage the ledges 123 from the catch 127.
[0046] In general, the volume of fluid in an aliquot can be determined by a calculation based on the size of the tube (i.e., inner diameter) and a length of a pinched off or isolated section of the tube between the rollers. In conventional pumps, adjacent rollers pinch and stretch the portion of the tube between the rollers. For instance, a portion of the tube on an inlet side of a roller may be placed in tension, and a portion of the tube on an outlet side of the roller may be placed in compression. This stretching and compressing changes the dimensions of the tube which alters the amount of fluid produced in each aliquot. Thus, the calculated amount of fluid in the aliquot will differ from the actual amount of fluid in the aliquot.
[0047] The pump 1 can produce an actual fluid flow consistent with the calculated fluid flow. Once the cassette 5 is attached to the pump housing 3, the tube 45 of the feeding set 7 is positioned for engagement by the rollers 43 of the pump 1. The rollers 43 engage the tube 45 at portions of the tube supported by the flexible stator member 113. Engagement of the tube 45 by a roller 43 causes the flexible stator member 113 to flex or move away from the roller. In contrast to conventional peristaltic pumps which achieves an aliquot by severely stretching the elastomeric tube, it is believed that the present invention advantageously facilitates creating aliquots by utilizing the flexible stator member in compressing the tube with the rollers which can accommodate the use of tubes with thicker wall dimensions which in turn can improve tube resiliency and accommodate greater applied forces with consequent tube longevity because of greater degradation resistance associated with thicker tube walls. In particular, the movement allows the tube 45 to at least partially straighten out into a more linear configuration permitting the rollers 43 to occlude the tube in a semi linear fashion. Therefore, instead of pulling and stretching the tube 45 as can be the case with rollers in conventional pumps, the rollers 43 slide along the tube and occlude the tube in a reduced tension state. As a result, the rollers 43 produce aliquots consistent with the actual linear dimensions of the tube 45. Accordingly, the calculated aliquot volume of the pump 1 more closely matches the actual aliquot volume produced by the pump resulting in more accurate feeding.
[0048] It will be understood that occlusion of the tube 45 caused by the roller 43 pinching off the lumen 45 against the flexible stator member 113 will result in a nominal amount of local tension and compression on the tube at the point of occlusion. However, the nominal tension and compression produced by occlusion does not meaningfully alter the volume in the tube from which the pump 1 calculates the amount of fluid or aliquot being delivered to the subject.
[0049] Because the flexible stator member 113 may be formed from plastic and free to flex in response to engagement by the rollers 43, the stator member could be susceptible to plastic deformation. To reduce any chance of a free flow condition, the stop 117 is positioned below the flexible stator member 113 to limit the distance the stator member can flex so that the stator member cannot be plastically deformed such that the free flow condition is created. Therefore, the stop 117 can ensure that the flexible stator member 113 moves a distance to compensate for tolerance differences between the rotor rollers and the reaction surface but sufficiently so that the rollers cannot occlude the tube to form aliquots of fluid to be pumped through the feeding set 7. The stop can further prevent the stator member from being undesirably caught or impinged.
[0050] The pump 1 may also be provided with a detection system for detecting the position of the stator member, the tube 45 or the cassette 5. The detection feature can be used to ensure the flexible stator member 113 is properly positioned against the rotor preventing free flow while the cassette 5 is being loaded on the pump housing 3. Thus, the detection feature may function as a failsafe to ensure the tube 45 is properly occluded by the rollers 43 and flexible stator member 113 before pumping is initiated. A preferred detection method may use visible and infrared light emitters on the pump 1 to shine light against a reflective surface (not shown) on the cassette 5 for detection by detectors on the pump. This can be used to prevent against false positives that could occur with other detection methods that use only IR or visible light sensors. A keyed configuration (not shown) on the flexible stator member 113 can also be used in addition to the visible light and infrared emitters/detectors as a backup up to verify the reading from the emitters/detectors. The guide walls 91, 101, 103 may also position the tube 45 in place between the emitters/detectors for detection to ensure the tube is properly received in the cassette 5. In accordance with further embodiments, positive acknowledging engagement of the cassette in the pump can be effected by detecting a magnetic field of a magnetic material disposed in the flexible stator member. In some cases, the pump can have an interlock circuit coupled to a sensor that measures Hall Effect phenomena associated with current generated by a magnetic field created by oscillating the magnetic material in the flexible stator member when the tube is periodically pinched by the rollers of the rotating rotors. For example, the magnetic material can be disposed at or proximate the end 122 of the flexible stator member. During operation, the flexible stator member will typically have an oscillating displacement as the rollers, during revolution around the axis of rotation, traverse on and pinch the tube against the reaction surface which manifests into the oscillating displacement. The magnetic material at the oscillating end 122 creates a variable magnetic field which creates induces a change in current in a Hall Effect sensor, which is typically disposed on the housing 3. Any deviation from an expected current from the Hall Effect sensor can be an indication of failure of the pump or components thereof. Thus, monitoring oscillating magnetic field can be used to terminate the pump and can trigger an alarm.
[0051] Referring to
[0052] The pump 201 may further include a pumping unit indicated generally at 223 comprising a pump motor (not shown) connected to a rotor shaft (not shown). A rotor (generally indicated at 237) may be mounted on the rotor shaft of the pumping unit 223. The rotor 237 may include a disk 239 and rollers 243 mounted on the disk for rotation relative to the disk about their longitudinal axes. In the illustrated embodiment, four rollers 243 are shown. It will be understood that a different number of rollers 243 may be mounted on the disk 239. The motor rotates the rotor 237 about a rotor axis A.sub.R. The rollers 243 may be mounted on a face of the rotor 237 by pins 244 such that each roller rotates on the pins about a roller axis A.sub.RL that extends generally perpendicular to the rotor axis A.sub.R. This is contrary to conventional pumps where the rollers are mounted on the rotor such that the rollers rotate about an axis that is parallel to the rotor axis. As will be explained in greater detail below, this configuration allows the feeding set 207 to be mounted in the housing 203 in a non-stretched configuration such that the feeding set is not placed in tension by the rollers 243 upon loading of the feeding set on the pump. The rollers 243 are configured to engage a tube 245 of the feeding set 207 to deliver fluid through the feeding set to a subject when the feeding set is received in cassette 205 and the cassette is attached to the pump housing 203.
[0053] The cassette 205 may comprise a cassette body 251 having a front 253, a back 255, a top 257 and a bottom 259. Side walls 261 and top wall 263 may extend from the back 255 of the cassette body 251 forming a back cavity configured for receiving a fitting 265. The back 255 of the cassette 205 may define a stator surface 256. The stator surface may extend generally parallel to the rotor disk 239 and generally perpendicular to rotor axis A.sub.R when the cassette 205 is attached to the housing 203. In a preferred embodiment, the stator surface 256 is planar providing a flat surface for occluding the tube 245.
[0054] The bottom of the back cavity of the cassette 205 defines a rotor recess 297. Inlet and outlet outer curved guide walls 301 and respective inlet and outlet inner curved guide walls 303 may extend generally parallel to each other forming inlet and outlet openings for receiving respective inlet and outlet portions of the tube 245. A bottom curved guide wall 304 may be disposed at a bottom of the rotor recess 297. Additional guide walls may be utilized to facilitate the alignment of the tube on the corresponding orbital path of the rollers 243 about the axis A.sub.R. The guide walls 301, 303, 304 may form a tube channel for receiving a lower portion of the tube 245 in a looped configuration to properly position the tube relative to the rotor 237 when the cassette 205 is attached to the housing 203. The curved guide walls 301, 303, 304 receive the tube in close relation around the sides of the rotor recess 297.
[0055] The feeding set 207 can thus be mounted on the pump 201 in a non-stretched configuration so that the actual flow of fluid through the feeding set is more consistent with the calculated fluid flow over the life of the feeding set. Once the cassette 205 is attached to the pump housing 203, the tube 245 of the feeding set 207 is positioned for engagement by the rollers 243 of the pump 201 (
[0056] Having described the invention in detail, it will be apparent that modifications and variations are possible without departing from the scope of the invention defined in the appended claims. For example, the cassette 205 can have a cantilevered stator surface as a stator member by having an affixed edge portion thereof proximate the guide walls 303 and an unfixed edge portion, opposite the affixed portion, proximate the guide wall 304 and proximate along or around an orbital path of the rollers. The unfixed edge portion can be disposed at a separation distance from the rollers, or the rotor, that is less than a spacing between the fixed edge portion and the rotor. Thus, for example, the cantilevered surface can be canted or inclined relative to a plane defined by the rotor or the orbital path of the rollers. In other modifications, the peristaltic pump can have an integrally formed cantilevered reaction member disposed to provide support a flexible tubing during deformation thereof by rollers.
[0057] When introducing elements of the present invention or the preferred embodiments(s) thereof, the articles a, an, the and said are intended to mean that there are one or more of the elements. The terms comprising, including and having are intended to be inclusive and mean that there may be additional elements other than the listed elements.
[0058] In view of the above, it will be seen that the several objects of the invention are achieved and other advantageous results attained.
[0059] As various changes could be made in the above constructions without departing from the scope of the invention, it is intended that all matter contained in the above description and shown in the accompanying drawings shall be interpreted as illustrative and not in a limiting sense.