Abstract
An improved device for simple and reliable control of flow through a medical infusion line, one end of the medical infusion line having a fluid conveying pump provided on it and the other end assigned to a patient, the infusion line forming a main flow path from the fluid conveying pump to the patient-side end. Fluid is conveyed along the main flow path through the infusion line by means of the fluid conveying pump. At least a part of the fluid is introduced, along a measurement flow path branching off from the main flow path at a branching point, from the infusion line into a measurement reservoir connected to the infusion line. The infusion line includes a fluid restrictor between the fluid conveying pump and the branching point, and the main flow path as viewed in direction of the flow is interrupted after the branching point of the measurement flow path for filling the measurement reservoir by the pressure of the fluid conveying pump. The fluid in the measurement reservoir is detected.
Claims
1-11. (canceled)
12. A device for controlling flow through a medical infusion line, one end of said medical infusion line having a fluid conveying pump provided on it and the other end thereof being assigned to a patient, the infusion line forming a main flow path from the fluid conveying pump to the patient-side end, wherein: a) fluid is conveyed along the main flow path through the infusion line the fluid conveying pump; b) at least a part of the fluid is introduced, along a measurement flow path branching off from the main flow path at a branching point, from the infusion line into a measurement reservoir connected to the infusion line; c) the infusion line comprises a fluid restrictor between the fluid conveying pump and the branching point, and the main flow path as viewed in direction of the flow is interrupted after the branching point of the measurement flow path for filling the measurement reservoir by the pressure of the fluid conveying pump; d) the fluid in the measurement reservoir is detected.
13. The device of claim 12, wherein the fluid detection in the measurement reservoir is performed on the basis of a visible displacement of a piston which, against the force of a spring, is displaced by fluid flowing into the measurement reservoir.
14. The device of claim 12, wherein the fluid detection in the measurement reservoir is performed on the basis of a visible change of shape of the measurement reservoir under the effect of the pressure of the fluid flowing into the measurement reservoir.
15. The device of claim 12, wherein the fluid detection in the measurement reservoir is performed by monitoring a prism, particularly a rectangular prism, accommodated in the measurement reservoir and wettable by the fluid, said prism, when wetted by fluid, refracting light in a different manner than in a non-wetted state.
16. The device of claim 12, wherein the main flow path is interrupted, as viewed in flow direction, before the branching point of the measurement flow path for evacuating the previously filled measurement reservoir toward the patient-side end.
17. The device of claim 12, wherein the interruption of the main flow path is automatically discontinued behind the branching point as soon as a predefined quantity of fluid has flown into the measurement reservoir or has flown out from it.
18. The device of claim 12, wherein the interruption of the flow path is performed during the fluid measurement by active application of an external force, wherein, upon removal of said force, the interruption is then automatically discontinued.
19. A device for control of flow through a medical infusion line, one end of said medical infusion line having a fluid conveying pump provided on it and the other end thereof being assigned to a patient, the infusion line forming a main flow path from the fluid conveying pump to the patient-side end, said device comprising a measurement reservoir connectible to the infusion line via a measurement flow path, said measurement flow path branching off from the main flow path at a branching point and the measurement reservoir being not contained in the main flow path, and the infusion line comprising a fluid restrictor between the fluid conveying pump and the branching point.
20. The device according to claim 19, wherein the measurement reservoir comprises a spring and a piston displaceable against the force of the spring by fluid flowing into the measurement reservoir.
21. The device of claim 19, wherein, in the measurement reservoir, a prism is provided, said prism being wettable by fluid flowing into the measurement reservoir and, when wetted by fluid, refracting light in a different manner than in a dry environment.
22. An infusion line assembly comprising a fluid conveying pump, an infusion line, one end of said infusion line being provided with the fluid conveying pump and the other end thereof being assigned to a patient, said infusion line forming a main flow path from the fluid conveying pump to the patient-side end, and comprising the control device of claim 19.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0018] The invention is best understood from the following detailed description when read in connection with the accompanying drawings. Included in the drawings are the following figures:
[0019] FIG. 1 is a view of an embodiment in a first operating state in accordance with the prior art,
[0020] FIG. 2 is a view of the embodiment of FIG. 1 in a second operating state in accordance with the prior art,
[0021] FIG. 3 is a view of an exemplary embodiment of the invention in a first operating state,
[0022] FIG. 4 is a view of the exemplary embodiment of FIG. 3 in a second operating state,
[0023] FIG. 5 is a view of a further exemplary embodiment which is not part of the invention, in a first operating state in accordance with the prior art,
[0024] FIG. 6 is a view of the embodiment of FIG. 5 in a second operating state in accordance with the prior art,
[0025] FIG. 7 is a view of another exemplary embodiment of the invention in a first operating state,
[0026] FIG. 8 is a view of the exemplary embodiment of FIG. 7 in a second operating state,
[0027] FIG. 9 is a view of a detail of a further exemplary embodiment,
[0028] FIG. 10 is a view of the exemplary embodiment according to FIG. 9 in a different operating state,
[0029] FIG. 11 is a view of a detail of a further exemplary embodiment,
[0030] FIG. 12 is a view of a detail of a further exemplary embodiment,
[0031] FIG. 13 is a view of a detail of a further exemplary embodiment,
[0032] FIG. 14 is a view of a detail of a further exemplary embodiment,
[0033] FIG. 15 is a view of the exemplary embodiment according to FIG. 14 in a different operating state,
[0034] FIG. 16 is a view of a detail of a further exemplary embodiment,
[0035] FIG. 17 is a view of the exemplary embodiment according to FIG. 16 in a different operating state,
[0036] FIG. 18 is a view of a detail of a further exemplary embodiment, and
[0037] FIG. 19 is a view of the exemplary embodiment according to FIG. 18 in a different operating state.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0038] All exemplary embodiments are related to the principle of an infusion line assembly consisting of an infusion line 12, a fluid conveying pump 14 and a device 16 for controlling the throughflow through said infusion line 12. The infusion line 12 has two ends 18, 20, the first end 18 among them being connected to said fluid conveying pump 14 and the second end 20 being assigned to a patient. The second end 20 is assigned to a patient in the sense that it comprises a connector 22 which is connectible to the patient or to a catheter inserted into the patient.
[0039] Infusion line 12 comprises a main flow path 24 extending through the infusion line from said one end 18 thereof to said other end 20 so that fluid can be conveyed along said path from pump 14 to connector 22.
[0040] Infusion line 12 is provided with a branching point 26 connected to a measurement reservoir 28. Said branching point 26 and said measurement reservoir 28 form said device 16 for throughflow control. In this arrangement, the branching point 26 can be realized as an integral part of infusion line 12 or be provided as a component connectible to infusion line 12 at a later time.
[0041] Branching point 26 forms a measurement flow path 30 branching off from said main flow path 24 and entering into the measurement reservoir 28.
[0042] In the embodiment according to FIG. 1, the measurement reservoir 28 includes, in its interior, a piston 34 which is displaceable against the force of a spring 32 in such a manner that the fluid flowing along said measurement flow path 30 will displace the piston 34 within the measurement reservoir 28 against the spring force. The displacement of piston 34 is indicated on a scale 36. Between the fluid pump 14 and branching point 26, infusion line 12 can be clamped shut with a clamp 41 so as to interrupt the main flow path 24. Between branching point 26 and patient connector 22, infusion line 12 comprises a flow restrictor 40.
[0043] In the operating state according to FIG. 1, the clamp 41 is opened and the main flow path 24 is not interrupted. The fluid pump 14 will convey the fluid, represented by dots, along the main flow path 24 via infusion line 12 to the patient-side end 20 of the latter and via branching point 26 along the measurement flow path 30 into the measurement reservoir 28. In the process, the fluid pump 14 will build up, in measurement reservoir 28, a pressure acting on piston 34, which pressure will act against the spring force of spring 32 and will displace the piston 34. The displacement of piston 34 as visible on scale 36 can serve as an indicator of the operation or the functional operability of the fluid pump 14.
[0044] For examining whether the infusion line 12, the fluid restrictor 40, the patient connector 22 and possible additional components farther downstream, such as e.g. filters, catheters etc. are unobstructed and functional, said clamp 41 will be briefly closed. For this purpose, clamp 41 should not be a locking clamp but should automatically open when released. Alternatively, the infusion line 12 can also be briefly pressed together or kinked by hand for interrupting the fluid flow. During the clamped state of infusion line 12, operation of fluid pump 14 will be continued. However, no further fluid will be conveyed into the measurement reservoir 28, and the fluid pressure generated by fluid pump 14 will not act on the piston 34 anymore. The spring force will displace the piston, and the fluid will be conveyed from the measurement reservoir 28 and into the infusion line 12 in the direction of patient-side end 20 when the infusion line 12 and all following components are open to flow. The term open to flow is meant in the sense that the fluid is being conveyed and that the fluid flow is not blocked or reduced by damage, kinking or obstruction. In this regard, the displacement of piston 34 serves as a measure of the openness to flow of infusion line 12 along main flow path 24 in the direction of the patient. If the infusion line 12 or one of the components connected to it is damaged and blocks the fluid flow, the piston 34 will press out less or no fluid from measurement reservoir 28. The displacement of piston 34 will then be different from the one in case of an infusion line 12 that is open to flow.
[0045] The embodiment according to FIGS. 3 and 4 is different from the embodiment according to FIGS. 1 and 2 only by the arrangement of clamp 41 and flow restrictor 40. In the second exemplary embodiment, flow restrictor 40 is arranged between fluid pump 14 and branching point 26. Clamp 41 serves for interrupting the main flow path 24 in the area between branching point 26 and patient end 20. In the non-clamped state according to FIG. 3, the operating state will then correspond to that according to FIG. 1. The clamp serves, and can be considered as, a control unit on the one hand and as a simulation of a blockade on the other hand.
[0046] The second operating state according to FIG. 4, however, is different from the second operating state of the first embodiment according to FIG. 2. In FIG. 4, when infusion line 12 is in its clamped-shut condition, fluid pump 14 will continue to be operated, and fluid will continue to be conveyed into measurement reservoir 28. Since no fluid can flow anymore in the direction of patient-side end 20, fluid pump 14 will build up an ever more increasing fluid pressure within measurement reservoir 28. The resulting displacement of piston 34 will then serve as an indicator of the operability of fluid pump 14 and the openness to flow of infusion line 12 in the area between fluid pump 14 and measurement reservoir 28. Also in FIG. 4, clamp 41 (as a control unit) will be closed only briefly so that the interruption of the infusion will be short and the overall quantity of the fluid administered to the patient will not decrease. In case of a blockade (on the patient), this unit will function automatically (the liquid column would rise).
[0047] The third embodiment according to FIGS. 5 and 6 corresponds to the first exemplary embodiment according to FIGS. 1 and 2 except for the device 16 for control of the throughflow. Correspondingly, the fourth exemplary embodiment according to FIGS. 7 and 8 is different from the second exemplary embodiment according to FIGS. 3 and 4 only by the device 16. In the exemplary embodiment according to FIGS. 3 and 4, the devices 16 for controlling the throughflow are identical. The difference from the exemplary embodiment according to FIGS. 1 and 2 resides in that the measurement reservoir does not comprise a piston 34 displaceable against the force of a spring 32 but instead comprises a prism 50 on whose bottom a colored layer 52 e.g. in red color is provided. Said prism is light-transmissive and is designed to the effect that, in the state illustrated in FIG. 6, it will reflect light completely when in a dry environment so that the colored layer 52 will not be visible. In the states shown in FIGS. 5 and 8, the prism 52 is wetted by the fluid while no total reflection will occur anymore and the colored layer 52 will be visible. This has the consequence that, in case of a functioning, sufficient throughflow, the device 16due to the special refraction conditions of prism 50will present the colored layer 52 as an indicator confirming a correct throughflow. If, however, the measurement reservoir 28, as e.g. in FIG. 6 or in case of a defect fluid conveying pump, does not contain fluid and the prism 50 is surrounded by a dry environment, the colored layer 52 will not be presented.
[0048] FIGS. 9-15 illustrate various exemplary embodiments of such a prism 50. FIGS. 9-13 herein show two-part prisms 50 comprising an upper part 50a and a lower part 50b. In FIGS. 9, 11 and 12 the bottom of the lower part 50b of the prism is provided with a colored layer 52. In FIG. 13, there does not exist a separate colored layer but, instead, the lower part 50b of the prism is colored. FIGS. 9, 11, 12 and 13 illustrate the path of rays of the light through the prism 50 when the prism has been wetted with fluid, i.e. in the operating states shown to FIGS. 5 to 8. FIG. 10 illustrates the upper part 50a of the prism according to the exemplary embodiments shown in FIG. 9 in a dry environment in which the light is reflected totally and the colored layer 52 is not visible. This is the case in the operating state according to FIG. 6.
[0049] FIGS. 14 and 15 show an exemplary embodiment of a two-part prism 50 whose two parts together with the colored bottom 52 together enclose a throughflow channel 51 for the fluid. Herein, the prism is arranged in the measurement reservoir 28 in a manner causing the fluid contained in measurement reservoir 28 to flow into the channel 51. FIG. 14 shows the path of rays in the operating state according to FIGS. 6 and 7, i.e. in a dry environment. In this situation, prism 50 will reflect the incident light onto a lateral colored layer 53 e.g. in red color. Thus, in a dry environment according to FIG. 6, the red color is visible. FIG. 15 shows the path of rays in the operating states according to FIGS. 5 and 8 in which the channel 51 has fluid streaming through it. This will result in the path of rays shown in FIG. 15 wherein light is reflected on the colored bottom 52. In this situation, the colored layer 52 is kept in green color so that the prism in FIG. 15 will present the green color.
[0050] FIGS. 16 and 17 show an exemplary embodiment of a two-part prism 50 comprising two part-prisms 50a and 50b. All part-prisms 50a, 50b are rectangular, i.e. they are provided with a rectangular tip 54. Between the two prisms 50a, 50b, a channel 51 is provided for throughflow of the fluid. At the lateral edges, a colored layer 53 in a first color (e.g. red) is provided which, in the dry state shown in FIG. 16, will reflect the light. Thus, in a dry environment, the red colored layer is visible. FIG. 17 shows the path of rays when fluid is present in channel 51. In this case, the incident light is reflected onto a lower colored layer 52 having a second color differing from the first color (green). Thus, when fluid is present in channel 51, the green colored layer is visible.
[0051] The exemplary embodiment according to FIGS. 18 and 19 is different from the exemplary embodiment according to FIGS. 16 and 17 only in that no lower colored layer 52 is provided under the second part-prism 50b but, instead, the second prism 50b is colored in said second color differing from the first color (green). In the dry state without fluid in channel 51 as depicted in FIG. 18, the light will be reflected by the red colored layer 53 as shown in FIG. 16. In the state shown in FIG. 19, with channel 51 having a flow passing through it, the light will be reflected by the green part-prism 50, and the green coloring of prism 50b will be visible.
