The present invention relates generally to a device for infant feeding and, more particularly, to artificial teats or nipples for feeding infants that are designed to mimic natural teats.
Newborns and infants experience many benefits from breast-milk feeding that are well documented. These benefits include providing protection against many illnesses caused by allergies, bacteria and viruses, such as stomach viruses, respiratory illness, ear infections, meningitis and the like. (See Fallot M E, Boyd J L, Oski F A. Breast-feeding reduces incidence of hospital admissions for infection in infants; Pediatrics. 1980, 65:1121-1124). Breast milk feeding also may increase intelligence and fight obesity.
There are also benefits for mothers, as twenty-four cumulative months of breast-feeding are reputed to halve the risks of breast cancer and osteoporosis.
Breast milk can be extracted using any of a number of commercially available breast pumps and fed to the infant using a bottle fitted with an artificial teat. Artificial teats of conventional design (see for example,
Additionally, obstruction of the infant's airways is an ever-present danger for feeding infants with an artificial teat. Specifically, any part liberated from the artificial teat, if sufficiently small, can create a choking hazard.
Therefore, it is desirous to provide an improved approach to artificial teats free of choking hazards.
During nursing, a mother's nipple elasticity elongates until it seats into the downward curve of the hard palate near the back of the baby's mouth. (See McClellan, H. L., Sakalidis, V. S., Hepworth, A. R., Hartmann, P. E. and Geddes, D. T. Validation of Teat Diameter and Tongue Movement Measurements with B-Mode Ultrasound During Breastfeeding. Ultrasound in Medicine & Biology; 2010 36 (11): 1797-1807). The total elongation depends on the geometry of a particular infant's mouth and geometry of the mother's relaxed nipple. This elongation has been reported to be as much as two times the relaxed nipple length. (See Smith, W. L., Erenberg, A. and Nowak, A. J. Imaging Evaluation of the Human Nipple During Breastfeeding; Am J Diseases in Children; 1988 142: 76-78). However, thirty to fifty percent is probably more typical.
During nursing, an infant executes a complex sequence of coordinated vacuum and mechanical tongue motions called the “suck-swallow-breathe” rhythm. During this sequence, the nipple portion of a natural teat functions in a very specific way. (See McClellan, H. L., Sakalidis, V. S., Hepworth, A. R., Hartmann, P. E. and Geddes, D. T. Validation of Teat Diameter and Tongue Movement Measurements with B-Mode Ultrasound During Breastfeeding. Ultrasound in Medicine & Biology; 2010 36 (11): 1797-1807). The steps of the suck-swallow-breathe rhythm are outlined below:
Repeated compression of the nursing mother's nipple against the infant's hard palate will cause, over time, a controlled deformation of the hard palate and thereby development of a properly-formed oral cavity with straight teeth and unrestricted sinuses. The mother's nipple enables this controlled deformation broadening of the hard palate because it is solid but deformable and allows the tongue's forces to be transmitted to the hard palate irrespective of the hard palate's shape and thereby beneficially deforming it over time. (See Palmer, B The Influence of Breastfeeding on the Development of the Oral Cavity: A Commentary: J Human Lactation: 1998: 14 (2): 93-98).
Thus, a bite-safe artificial teat having a nipple portion, formed of an elastomer, and more preferably a substantially solid elastomer, having a hardness of about Shore A 1 to about Shore A 20, and having at least one duct extending generally longitudinally from a distal end of said nipple portion to a proximal end of said nipple portion, a base portion attached at the distal end of the nipple portion and having an open interior volume contiguous with the distal end of the at least one duct, and a fiber mesh tube consisting of fibers that extend from near the proximal end of the nipple portion through the distal end of the nipple portion for attaching the nipple portion to the base portion without providing tension or compression to the nipple portion during elongation, is provided.
Further, the present invention discloses a method of modifying a cylindrical article that is constructed from a highly elastic material by adding a strong fibrous minor phase in the shape of a braided fiber mesh tube of very specific geometry, which supports any application that requires high deformability of the article, particularly radial compressibility and/or axial elongation. More particularly, in another aspect of the present invention, a method of modifying a substantially solid cylindrical article is disclosed whereby providing an elastic matrix major phase and adding a fibrous minor phase in the shape of a braided fiber mesh tube to the matrix major phase, wherein the fibrous minor phase has a higher tensile strength and elastic modulus than the matrix major phase, wherein the matrix major phase has the ability to elongate by about 5% to about 70% and has a first elasticity, wherein the fibrous minor phase has a second elasticity, the second elasticity being greater than the first elasticity, and wherein under a given applied stress, elongation of the major phase with minor phase composite is not degraded by more than about 10%.
In another aspect of the present invention a bite-safe artificial teat is disclosed, having a composite nipple portion composed of two portions wherein a first portion comprises a contiguous elastic substance, wherein a second portion comprises and helically wound fibers disposed within the elastic substance, wherein the helically wound fibers do not stretch, and wherein both portions may obtain the within 3% of the maximum stretch of the elastic substance during elongation of said composite nipple portion.
These and other objects, features and advantages of the present invention will become apparent in light of the following description of non-limiting embodiments, with references to the accompanying drawings.
The following descriptions of the figures will convey details of construction and operation of a bite safe, artificial teat in accordance with the present invention.
Referring to
In accordance with the present invention, the nipple portion 12, or small parts of it liberated by bite-through, will remain attached to the base portion 24 by a helically wound fiber mesh tube 30, typically made of high strength polymer fiber—e.g., polyethylene, polypropylene or polyester and having a significantly higher tensile strength and stiffness than the soft matrix phase. Thus, no part of the nipple portion 12 can become separated by bite-through due to the fiber mesh tube 30. The base portion 24 may also be resistant to bite-through because the safety mesh tube 30 from the nipple portion may extend somewhat into the base portion 24 through distal braided mesh fibers 32. Additionally, the base portion 24 may also be resistant to bite-through because its dome-shape is difficult for the teeth to grip and damage by biting. Moreover, the base portion 24 may be constructed of the same higher hardness silicone rubber material used to construct conventional artificial teats, which have known bite resistance.
As seen in
The nipple portion 12 is further described in detail with reference to
Nipple Portion Exterior Shape.
Referring to
The extreme proximal (terminal) end 17 of the teat portion 10 has smooth contours, shaped to present no sharp-edged features that would irritate the infant. The proximal end 17 may be configured in any number of ways, for example, it might be a section of a sphere, a hemisphere, and it may also contain flat areas on the very end where the duct(s) 16 exits the structure.
Referring to
Nipple Portion Internal Structure.
Referring to
Multiple openings 18 corresponding to multiple ducts 16 may also be used without departing from the spirit and principles of the present invention.
The duct(s) 16 may be round in cross section, with a diameter about 2 mm, but can be larger or smaller, or have other cross-sectional shapes, for example, an oval cross section or the like. The infant may position these oval ducts 16 in its mouth so that the long axis of the oval cross-section is sideways in the mouth and so compression occurs across the short axis of the ducts 16 is facilitated. Additionally, the outer cross section of the nipple portion 12 may also not be round, but oval, keyed rotationally to oval internal duct(s) 16.
Referring to
Nipple Proximal End Configurations.
Referring to
The terminal configuration of each duct 16 may be an open orifice with a diameter consistent with that of the duct 16. With such an end configuration, milk is free to flow from a feeding bottle through the duct 16 whenever the infant applies a vacuum and the nipple portion 12 is not compressed such that the duct 16 is squeezed shut. This configuration would act as a primary rather than a secondary shut off valve.
Still referring to
As discussed above, the secondary shutoff is positioned at the extreme proximal tip 17 of the nipple 12, position 20. However, such a shut-off could be positioned anywhere along the duct 16 without departing from the spirit and principles of the present invention.
At the extreme distal end of the nipple portion 12, the substantially solid matrix elastomer portion 14 ends and the duct 16 has an opening 18 into the hollow interior 22 of the base portion 24.
Nipple Portion—Safety Mesh.
Referring to
When positioned near the outer surface 15 of the matrix elastomer portion 14, the mesh tube 30 acts also as a “safety fence” or “bite fence” to resist biting forces from an infant's teeth, which could tear the nipple portion without the presence of the mesh tube 30. In the case of biting damage sufficient to sever the soft matrix elastomer inside the fiber mesh tube 30, a bitten nipple piece would remain attached to the teat base 24 by way of the mesh tube 30, thereby eliminating any danger of the bitten piece becoming a choking hazard. Thus, the mesh tube 30 mechanically maintains connection between the otherwise separated choking hazard nipple portion 12 and the base portion 24.
Referring to
The crossover points 34, best illustrated in
The mesh tube 30 extends axially along substantially the whole nipple portion 12. It may also extend somewhat into the base portion (as illustrated by distal fibers 32 shown in
Nipple Portion—Calculation of Safety Mesh Geometry.
Generally, a helically braided fiber tube imbedded in the near surface of a solid right cylinder or tube of polymeric material would be expected to strengthen the structure and as a consequence increase its stiffness and limit its ability to deform (in elongation, radial compression or radial expansion). See, for example, U.S. Pat. No. 5,630,802 to Inagaki et al., which utilizes a wrapped fiber layer to reinforce medical tubing. However, as noted in connection with the “suck-swallow-breathe” rhythm, it is desirous for optimal operation of an artificial teat to have the nipple portion of the teat easily compress and elongate within an infant's oral cavity in response to the infant's sucking/swallowing as well as the mechanical movement of the infant's tongue.
The mechanical behavior of the present invention does not have such stiffening which would restrict compression and/or elongation of the nipple. In use, axial or radial mechanical deformations of 50% or more are expected and desired. Therefore, the braided fiber mesh tube 30 must be added in such a way that deformability of the nipple is preserved, i.e., desirable matrix softness and elasticity must not be degraded. This is accomplished by providing the fiber mesh tube 30 in such a configuration so that, as the nipple freely deforms by action of the suckling infant, the fibers track the deformation without developing significant tension or compression during elongation of the nipple portion, and so do not exert a deleterious stiffening effect. Thus, the desired matrix properties are preserved and the desired performance of the nipple is also preserved so that it can mimic properties and function of a natural teat during feeding. As a result, the braided fiber mesh tube 30 of the present invention provides safety, but safety without mechanical reinforcement.
Referring to
Referring to
Referring to
Referring to
Referring to
Dr=Relaxed diameter=diameter of the mesh tube when the teat is relaxed, not elongated.
De=Elongated diameter=diameter of the mesh tube when the teat is elongated, generally up to a fractional elongation of 1.5 times the relaxed length. De will always be less than Dr.
Pr=pitch of the fiber when the core is relaxed=the distance along the (relaxed) length needed for each fiber to make one complete wrap.
Pe=(calculated) pitch of the fiber when the core is elongated by a factor of X, Pe=the distance along the (elongated) length needed for each fiber to make one complete wrap. Pe=XPr.
X=the fractional length elongation. For example if Pr=1.0 and Pe=1.5, then X=1.5.
Hr=relaxed hypotenuse length=length of an individual fiber having made one complete wrap when the “core” is relaxed.
He=elongated hypotenuse length=(calculated) length of an individual fiber having made one complete wrap when the “core” is elongated.
Calculations for Mesh Tube Geometry.
It is assumed that volume of the soft, elastic polymeric material occupying the entire volume of the “core” (a right cylinder) inside the mesh tube 30 is the same when it is relaxed and when it is extended (conservation of volume principle). Therefore, if the nipple portion 12 of the artificial teat 10 is modeled as a solid right cylinder and if the length of that cylinder is extended by 50% (i.e. X=1.5) and assuming no change in volume of the elastomer 14, then the diameter will decrease to about 82% of its original value.
The individual fibers 31 could be thin, for example about 0.004 to about 0.01 inches in diameter, more preferably about 0.006 inches in diameter to be flexible, but also strong, for example between about 5-25 lb. breaking strength, more preferably about 15 lb. breaking strength.
The individual fibers 31 will trace helical paths around the right cylinder of the “core”. Referring to
From the Pythagorean theorem, (Hr)2=(πDr)2+(Pr)2.
When the “core” is extended by a factor, X, the new pitch of the fiber will be Pe=XPr and the diameter will reduce from Dr to De. Assuming conservation of volume, De=Dr/√X. Now, the individual fibers will trace a different helical path around the right cylinder of the extended “core”. If the surface of this extended “core” is “unrolled”, an individual fiber will lie on the hypotenuse of a triangle where one side is the circumference of the (smaller) right cylinder of the “core” (=πDe=πDr/√X) and the other leg is the new pitch of the fiber=Pe=XPr.
From the Pythagorean theorem (He)2=(πDr/√X)2+(XPr)2. (See
In order for the fiber 31 not to change the desired properties of the soft, matrix elastomer portion 14 the fiber 31 must not appreciably change its length i.e., experience significant tension or compression when the nipple portion 12 is elongated. Mathematically, this means the hypotenuse of the fiber 31 when imbedded in the relaxed core (described above) and the hypotenuse of the fiber 31 when imbedded in the core elongated by X (described above) must have the same length.
Having the same length means the relaxed hypotenuse must equal the elongated hypotenuse:
(Hr)2=(He)2 and so: (πDr)2+(Pr)2=(πDr/√X)2+(XPr)2
So: Pr=√(((πDr)2−(πDr/√X)2)/(X2−1))
Or: Pr=πDr√((1−1/X)/((X2−1))
For every nipple diameter there will be an effective diameter of the (relaxed) mesh tube (Dr). Assuming an elongation of 50% (i.e. X=1.5) there will be an ideal pitch length (Pr) for the fibers that allows them to experience neither tension nor compression when the teat is elongated by 50% (i.e. X=1.5). For the case of X=1.5; Pr=1.62 Dr.
For X=1.5 and various Dr values, the Pr values that meet this requirement are provided in
Nipple Portion—Definition of the Preferred Range of Safety Mesh Geometry.
Referring to
A first sample cylinder was prepared of silicone rubber having Shore A 10 hardness and no fiber mesh tube. Its elongation was measured under increasing applied stress. A second sample cylinder was prepared of silicone having Shore A 10 hardness with fiber mesh tube imbedded having 108% of the “correct” pitch for the diameter of the sample cylinder.
As shown in
The results above and data presented in
Based on the extensive testing and notation of acceptable and unacceptable results, the preferred range is ±15% of “correct” fiber pitch Pr where Pr=πDr√((1−1/X)/((X2−1)).
Nipple Portion—Materials of Construction.
The “substantially solid” portion of the nipple 12 is constructed of a soft elastomer with properties that mimic properties of a mother's nipple. For example, it may have a Shore A hardness of about 1 to about 20. The nipple portion 12 may be made of any suitably soft and elastic food-grade material, for example silicone rubber, although other soft polymeric materials such as thermoplastic elastomer (TPE) or latex are also possible. Addition of minor phases to the “substantially solid” portion of the nipple may be included to beneficially modify properties of the bulk material, for example closed voids might be added to increase softness and elasticity.
Nipple Portion—Operation.
The soft, elastic nipple portion 12 of the artificial teat 10 has properties and function that mimic the nursing mother's nipple, namely it is:
1. Highly elastic—to allow elongation until the nipple tip with duct openings 20 is properly positioned at the downward curve of the hard palate at the rear of the infant's mouth.
2. Soft and compressible—to allow the upward force of the infant's tongue to compress and deform the nipple 12 against the (hard palate) roof of the mouth squeezing closed the duct(s) 16 and thereby shutting off fluid flow during swallowing. The duct(s) 16 may also include secondary shut-off valves, located at the nipple tip position 20, which restrict or prevent milk flow below a minimum vacuum level. The secondary valves may act with duct clamping to shut off, or restrict, fluid flow during swallowing when the tongue is compressing the nipple and/or vacuum is at its lowest.
3. Material and structure which is solid but deformable—allowing the tongue's forces to be transmitted to the hard palate irrespective of the hard palate's shape and thereby beneficially deforming the hard palate over time, facilitating development of a properly-formed hard palate and oral cavity with straight teeth and unrestricted sinuses.
To make this substantially solid soft, elastic nipple portion 12 safe against bite-through and the potential of a resulting choking hazard, the fiber mesh tube 30 is incorporated as taught by the present invention. Referring to
Base Portion—Exterior Shape and Internal Structure.
Referring to
The base portion 24 has a hollow interior 22 so that during feeding, breast milk or artificial “formula” from the feeding container can flow into the opening(s) 18 at the distal end of the nipple portion 12. The base portion 24 typically has a wall thickness similar to that of a conventional artificial teat namely about 0.04 inch (1.0 mm), although it can be thicker. From the inflection point of the outer surface 15 at the distal end of the nipple portion 12, the base portion 24 flares out, mimicking the dome of the mother's breast. The base portion 24 terminates at a distal flange 28, used for sealing the teat to a feeding container 42, such as a bottle via a threaded connection collar 40 such as illustrated in
Referring to
Still referring to
A vent 48 may also be provided, for example at the compression seal 44, for air to enter the bottle as fluid is removed by the infant, thereby preventing vacuum buildup inside the bottle. Such a vent 48 may be a groove cut radially across the distal surface of the compression seal 44, which with tightening, remains sufficiently open to allow air to enter through the threads of the collar 40, through the vent, then into the container 42, without being such a large opening that fluid leaks out.
The vent 48 may also be a small duck bill valve molded into the base portion 24 of the teat 10, configured so that air can enter the bottle through the valve, but fluid cannot leak out.
Another type of seal pictured in
Base Portion—Materials of Construction.
Referring to
In another embodiment shown in
Base Portion—Attachment to Nipple Portion.
As noted above, the base portion 24 may be constructed of the same material as the nipple portion 12. In such a situation, the two portions can be molded as one single unit and there will be no attachment between the two portions.
In another embodiment, however, the nipple portion 12 may be molded from soft, elastic material with Shore A hardness between about 1 and about 20 and the base portion 24 may be molded from harder material with a Shore A hardness between, for example, 50 and 70. Then the two parts must be joined to provide firm attachment between the two sub portions and designed so there is no loss of bite-through resistance afforded by the mesh tube 30 from the nipple tip fibers 33 through the reinforced nipple portion 12 and into the base portion 24 with distal fibers 32. In this case both sub-parts may be joined permanently with a half lap splice joint 26, also referred to as a scarf joint 26 as illustrated in
Artificial Teat—Operation.
As described herein, the two sub portions nipple portion 12 and base portion 24 of the teat 10 are both designed to be resistant to bite-through and thus safe against possible choking hazard. The nipple portion 12 achieves this result because of the braided fiber mesh attachment scheme. The base portion 24 achieves this result because its large, hollow dome shape makes it hard to grip and inflict biting damage. Moreover, the safety mesh tube 30 may extend from the extreme proximal end of the nipple portion 12 partially into the base portion 24. Alternatively and in addition, the base portion 24 may be constructed of higher hardness elastomers as typically used in conventional artificial teats, which is naturally resistant to bite-through and is thus safe against possible choking hazard.
In operation, the cross-sectional size and shape of the duct 16 in conjunction with the soft elastomer of which the substantially solid nipple portion is constructed, act under the compressive forces exerted by the infant's tongue when it is in the “full up” position, the ducts 16 can be squeezed shut, thereby preventing continued, unwanted, fluid flow. This shut-off facilitates swallowing by the infant without being flooded. Compressive shut-off of the duct 16 is an advantage over other artificial nipples which are both too hard and have too large an interior volume to be closed off by compression.
In operation, an advantageous aspect of the present invention is to enable the design and construction of a safe, extremely soft and flexible artificial teat, which more closely replicates function and performance of the mother's breast and teat in the mouth of a suckling infant. This will allow the infant's suck-swallow-breathe rhythm used with the artificial teat to be the same as that used with breast-feeding.
Bringing the two rhythms into concurrence avoids a major problem of most artificial teats, namely to cope with the different functioning of conventional artificial teats, the infant must develop a different suck-swallow-breathe rhythm than that used in breast-feeding.
A difference between breast feeding and conventional breast milk bottle-feeding with an artificial teat is that it is easier to extract milk from an artificial teat and infants can become “lazy nursers”. These differences cause a condition termed “nipple confusion”. Because of these differences, an infant that uses a conventional artificial teat may be unable or unwilling to return to breast-feeding after bottle-feeding and so the infant may reject the breast. Any prolonged absence from nursing may result a mother's milk supply drying up. This is a highly undesirable outcome for a mother alternating between breast-feeding and breast-milk bottle-feeding and intent on continuing to feed breast milk to her infant.
While the present invention addresses feeding breast milk to an infant, the artificial teat described in the present invention may also be used to feed “formula” either as a supplement to the mother's own breast milk or as the infant's exclusive food source.
Although described for feeding of human infants, the present invention could be used also for feeding of other animals. Teachings of this invention may also be used for non-feeding devices such as infant pacifiers, which benefit from soft, elastic polymeric materials that are subject to biting damage and so need to be safe from choking hazards.
An advantageous aspect of the present invention is that the braided fibrous mesh tube 30, introduced in a very specific configuration, experiences neither significant tension nor compression as the teat is compressed and/or elongated in use, and so does not act to “reinforce” the soft, elastic matrix phase, which would inhibit desired operation of the nipple portion 12. Thus, the specific configuration of the braided fibrous mesh tube avoids creating a classic load-transfer composite, which would degrade the soft, elastic properties of the matrix phase that are needed for the desired functioning of the artificial teat.
Additionally, teachings of this invention may also be used for Continuous Positive Airway Pressure (“CPAP”) machines. Specifically, the above described “bite fence” may prevent choking hazards and separation of the breathing apparatus used to treat infants or adults who have respiratory distress syndrome, bronchopulmonary dysplasia, sleep apnea and the like.
Although this invention has been shown and described with respect to the detailed embodiments thereof, it will be understood by those skilled in the art that various changes in form and detail thereof may be made without departing from the spirit and scope of the invention.
Additionally, it is also to be understood that the terminology used is for the purpose of describing particular embodiments only, and is not intended to limit the scope of the claims of the present invention.
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