APPARATUS FOR COLLECTING FLUID DURING A MEDICAL OR SURGICAL OPERATION AND A MANIFOLD
20190231941 ยท 2019-08-01
Assignee
Inventors
Cpc classification
A61M1/78
HUMAN NECESSITIES
A61M37/00
HUMAN NECESSITIES
A61M1/60
HUMAN NECESSITIES
A61M1/784
HUMAN NECESSITIES
A61M1/882
HUMAN NECESSITIES
A61M1/604
HUMAN NECESSITIES
A61M2209/082
HUMAN NECESSITIES
A61M1/73
HUMAN NECESSITIES
A61M2205/7536
HUMAN NECESSITIES
A61M1/782
HUMAN NECESSITIES
A61M1/00
HUMAN NECESSITIES
International classification
Abstract
An apparatus is disclosed for collecting fluid during a medical or a surgical operation. The apparatus can include positions for collection containers, a pressure sensor and a manifold having a housing, at least one port for connecting to a patient, more than one port for collection container tubes extending from the manifold to a collection container and a by-pass channel for connecting to the pressure sensor.
Claims
1.-6. (canceled)
7. An apparatus for collecting fluid during a medical or a surgical operation, wherein the apparatus comprises: positions for collection containers; collection containers placed on the positions; a manifold having a housing, at least one port for connecting to a patient, more than one port for collection container tubes extending from the manifold to collection containers and a mouth of a by-pass channel in the housing; and a pressure sensor connected to the by-pass channel, the by-pass channel having a choked contact to atmospheric pressure.
8. The apparatus according to claim 7, wherein the mouth of the by-pass channel comprises: a gasket.
9. The apparatus according to claim 7, wherein the mouth of the by-pass channel comprises: a no-return valve.
10. A manifold for collecting fluid during a medical or a surgical operation, in combination with a by-pass channel with a pressure sensor, wherein the manifold comprises: a housing; at least one port for connecting to a patient; and more than one port for collection container tubes extending from the manifold to collection containers and a mouth of the by-pass channel, the by-pass channel being configured to extend from the housing and having a choked contact to atmospheric pressure, the pressure sensor being configured to be connected to the by-pass channel.
11. The manifold according to claim 10, wherein the mouth of the by-pass channel comprises: a gasket.
12. The manifold according to claim any preceding claim 10, wherein the mouth of the by-pass channel comprises: a no-return valve.
13. The apparatus according to claim 8, wherein the mouth of the by-pass channel comprises: a no-return valve.
14. The manifold according to claim any preceding claim 11, wherein the mouth of the by-pass channel comprises: a no-return valve.
15. The manifold according to claim any preceding claim 11, wherein the mouth of the by-pass channel comprises: a no-return valve.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0047] In the following the solution will be described in greater detail by means of preferred embodiments with reference to the attached drawings, in which
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DETAILED DESCRIPTION OF SOME EMBODIMENTS
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[0069] Each port 12 is provided with a valve 15. The valve 15 comprises a cylinder 16 provided with a hole in which is a rotatable bar having a U shaped notch in its head. When the bar is rotated the valve 15 closes or opens depending on the fact whether the hole and the notch are on the same line, i.e. the port 12 opens when the notch is parallel to the hole and the port shuts off when the notch is divergent to the hole. Alternatively, the valve 15 may comprise two cylinders provided with holes within each other. When the holes of the cylinders are on the same line the valve 15 is open.
[0070] The rotatable bar comprises a form 17 to which an axle of an actuator, such as a motor 7, grips. Each valve 15 has an actuator which rotates the valves 15 according to the parameters entered by the user.
[0071] When liquid is collected from the patient a tube is connected to the patient port 11 and the collection container tube is connected to the port 12 by the coupling 13. The fluid enters first to the housing 10 and after that it flows through one port 12 which is open to a collection container.
[0072] After the suction is interrupted there is a possibility that liquid remains in the collection container tube. Further, negative pressure continues to prevail in the tube and in the collection container. In order to remove the fluid in the tube and return the atmospheric pressure in the collection container, the manifold 6 may comprise by-pass channels 18 in the ports 12 for the collection container tubes. The channel 18 is open only when the port 12 is closed by the valve 15.
[0073] The manifold 6 may also comprise a by-pass channel 19 in the housing 10 of the manifold 6. There is a gasket between the housing 10 and the channel 19. The negative pressure prevailing in the manifold 6 can be measured from the channel 19 by connecting the channel 19 to a pressure sensor. The measured negative pressure shows the pressure exerted to the patient and indicates if there is a blockage in the system.
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[0078] Each inlet 24, 25, 26 is provided with a back flow preventing means, i.e. a back flow preventing device. The inlet 24 for vacuum comprises a hydrophobic filter 27 which swells if liquid reaches it, thus closing the flow. The inlet 25 for the collection container tube and the inlet 26 for the solidifying agent are surrounded with a thin plastic tube inside the bag portion 22. The thin plastic tube is fastened to the upper part of the bag portion 22, or it is fastened directly to the inlets. It forms a no-return valve 28. The no-return valve 28 is open only when the pressure inside the thin plastic tube is higher than around it. The thin plastic tube comprises of two parallel films joined together e.g. by welding. This structure confirms that the plastic tube seals properly without openings in the edges.
[0079] There is an ancillary handle 30 at the bottom of the bag portion 22. The ancillary handle 30 may be a slit which is formed under a seam 49 which closes the bag portion 22. There may be another seam 50 which is parallel with the above-mentioned seam 49.
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[0082] The no return valve 28 comprises two thin plastic films 28a, 28b one upon the other. Both films 28a, 28b have the upper edge 44a, the lower edge 44c and the side edges 44b, 44d. The upper edges 44a of the films 28a, 28b are joined together and to the inlet 25 e.g. by welding so that a seam 59a forms. The respective side edges 44b, 44d are also joined together e.g. by welding in such a manner that seams 59b, 59c form. The lower edges 44c are not joined together, i.e. the lower end of the no return valve 28 is open. Thus, liquid is able to flow through the valve 28.
[0083] The seams 59b, 59c enhance the performance of the no return valve 28 because the films 28a, 28b are tightly together unless the pressure inside the thin plastic tube formed of the films 28a, 28b is higher than around it. Therefore, the collection container 21 is secured in such a manner that it cannot leak in any case.
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[0085] The lid 32 comprises a gasket 34 which tightens and seals the lid 32 and the handle 21 against the edge of the canister 9. The gasket 34 may be a separate gasket or it is an integral part of the lid 32 or the canister 9, i.e. the lid 32 or the canister 9 is made of a material which is suitable for sealing, or the lid 32 or the canister 9 and the gasket 34 are formed at the same time of different materials. As the inlet 25 of the collection container tube extends over the edge of the canister 9, the inlet 25 remains outside the canister 9 when the lid 32 is closed. Thus, the collection container tube is not required to be disconnected while the collection liner 21 is removed from the canister 9.
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[0087] The lid 32 comprises curved guides 202 inside the lid 32. The curved guides are preferably concentric as shown in
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[0094] The separation wall 204 is provided with an illumination device 205 at each canister 9. The illumination device 205 may be a LED stripe. Each illumination device may be controlled separately as to the light intensity or switching on/off.
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[0096] The floating connection can be locked in its place when the canister 9 is changed by moving a docking lever 58 to a prescribed locking position. The docking lever 58 may be replaced by another suitable device, such as a latch or like. In this position, the canister 9 can be attached and detached but the collection liner 21 cannot be used. Once the canister 9 is attached, the floating connection can be resumed by moving the docking lever 58 to a prescribed floating position. In this position the collection liner 21 can be attached to the canister 9 but the canister 9 cannot be detached (for further details see
[0097] The channel 51b may comprise a flow meter measuring a flow value and a second pressure sensor measuring a second pressure value. A first pressure sensor measures a first pressure value which corresponds to the pressure value inside the manifold 6. The pressure difference of the first pressure value and the second pressure value is calculated. The flow value has a predetermined range for each pressure difference. If the flow value is under the predetermined range compared to the predetermined range corresponding the pressure difference in question there is a blockage. If the flow value is over the predetermined range compared to the predetermined range corresponding the pressure difference in question there is a leak.
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[0101] In the following step all the valves are open. The portion of the solidifying agent is shot then into the collection container 9, thus solidifying the liquid in the collection container. After the portion is shot, the second valve 215 and the third valve 220 are closed in such a manner that the second valve 215 remains partially open as in the beginning of the process. The first valve 210 is also eventually closed and the cycle to form the portion of the solidifying agent starts all over again.
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[0103] The liner valve 225 and the air valve 230 are open when the solidifying agent is distributed. The solidifying agent pipeline is in contact with ambient air A through the air valve 230 and it is in contact with vacuum through the liner valve 225. The pipe beyond the air valve 230 may be choked at 235 in order to adjust the balance between ambient air and powder flowing in the pipe.
[0104] There may be a flush valve 240 between the reservoir 8b and the liner valve 225. The flush valve 240 is opened at the end of the powder distribution when the air valve 230 has been closed. The aim of the flush valve 240 is that the flush valve 240 opens access to ambient air A and the air flow cleans the pipe from the powder residuals.
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[0107] The graphical user interface 100 for an apparatus for collecting liquid from a patient may comprise at least one first user interface element 101 configured to display on a display unit 4 information related to at least one, preferably at least two, first collection containers 9 connected to a first suction channel XX, at least one second user interface element 102 configured to display on the display unit 4 information related to at least one, preferably at least two, second collection containers 9 connected to a second suction channel, and a third user interface element 103 configured to display on the display unit 4 information regarding liquid collected from the patient to at least one of the collection container 9 such as the amount of liquid collected from the patient to at least one of the collection containers. According to an embodiment, the third user interface element 103 is configured to display on the display unit 4 the total amount of liquid collected from the patient to the collection containers 9. According to an embodiment, the third user interface element 103 is further configured to display on the display unit 4 information regarding the liquid provided to the patient, such as the amount of liquid provided to the patient; and/or the difference between the amount of liquid provided to the patient and the amount of liquid collected from the patient.
[0108] According to an embodiment, the first interface element 101 and the second interface element 102 may be configured to display a graphical representation 104a-104f of each one of the collection containers 9. Thus, one graphical representation of a collection container 104a-104f may in each case represent one of the collection containers 9, respectively.
[0109] According to an embodiment, the graphical interface 100 may be configured to receive input from a user in the form of the user affecting any one of the graphical representations 104a-104f of the collection containers 9. The affecting may comprise pointing a graphical representation 104a-104f, touching a graphical representations 104a-104f, hovering over a graphical representation 104a-104f and/or any other manner of affecting a graphical user interface known as such.
[0110] The graphical interface 100 may be configured to select the collection container 9, the graphical representation 104a-104f of which the user has affected, for collecting fluid from the patient, in response to the input from the user. In other words, the graphical user interface 100 may send a request for the control unit 2 to connect the selected collection container 9 to a corresponding suction channel in response to the user affecting the graphical representation 104a-104f of the collection container 9.
[0111] According to an embodiment, the graphical user interface 100 may be configured to select the appearance of each one of the graphic representations 104a-104f of the collection containers 9 in such a manner that a difference appearance is selected for a collection container currently selected, a collection container selectable for collecting fluid from the patient, and a collection container not ready for collecting liquid from the patient. For example, a different colour, different thickness and/or transparency of lines and filling used for showing a collection container 9 on the display unit 4 may be selected by the graphical user interface 100 and/or the control unit 2 based on whether the collection container 9 is a collection container currently selected, a collection container selectable for collecting fluid from the patient, and a collection container not ready for collecting fluid from the patient.
[0112] According to an embodiment, the graphical user interface 100 may be configured to select the appearance of each one of the graphic representations 104a-104f of the collection containers 9 to visually show the degree of filling of the collection container 9 in question. For example, the graphical representation 104a-104f may display an illustration of a collection container filled to a degree of filling corresponding to the degree of filling of the actual, corresponding collection container 9.
[0113] According to an embodiment, the graphical user interface 100 may further comprise a selection element 105 for starting collection of fluid from the patient to one of said collection containers 9. The graphical user interface 100 may then be configured to receive input from a user in the form of the user affecting the selection element 105 for starting collection of liquid. The graphical user interface 100 may be configured to send a request for starting the collection of liquid from the patient to the selected collection container 9 to a control unit 2 in response to the user affecting the selection element 105 for starting collection of liquid on the graphical user interface 100. The graphical user interface 100 may be configured to only process the input from the user affecting the selection element 105 and to send the request to the control unit 2 if at least one of the collection containers 9 is ready for collecting liquid from the patient. According to an embodiment, the graphical user interface 100 may comprise at least one selection element 105 related to the first user interface element 101 and at least one selection element 105 related to the second user interface element 102, whereby each selection element 105 may be configured to send the request to the control unit 2 to start collecting fluid from the patient through the corresponding suction channel to one of the collection containers 9 that are related to the corresponding user interface element 101, 102.
[0114] According to an aspect, a method in connection with a graphical user interface for an apparatus for collecting liquid from a patient comprises steps needed for executing at least one of the functions described in connection with the graphical user interface 100. Preferably, the method comprises a combination of steps needed for executing at least two of the functions described in connection with the graphical user interface 100.
[0115] The control unit 2 may comprise a computer, a programmable logic or a programmable microprocessor, for example. The control unit 2 may be configured to cause display of at least one graphical user interface 100 as described above.
[0116] The apparatus for collecting liquid from a patient may further comprise at least one memory comprising program code comprising one or more modules, programs or sets of instructions stored in the memory for running operations. In different embodiments, the program code may comprise e.g. a system program, an installable application, an application plugin, an Internet browser or any other piece of computer program code.
[0117] According to an aspect, computer code for carrying out at least some of the above-illustrated features may be provided. According to another aspect, the memory and computer program code may be configured to cause the apparatus for collecting liquid from a patient to carry out at least some of the graphical user interface elements 101, 102, 103, 104 and 105, and related features illustrated in connection with
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[0119] The third user interface element 103 shows in the section 108 the amount of liquid used for irrigation. The section 109 shows the amount of liquid that has been collected from the operation site. The section 110 shows the balance between the readings on the sections 108 and 109.
[0120] The main processing included in the display unit 4a controls the display, audio and touch screen. It communicates with the control unit 2 controller over the USB bus. The cart 3 has its own controller communicating with the control unit 2. The main processor, the control unit controller and the cart controller have their own software, memories and peripherals.