The invention relates to a device for clamping a flexible tube as well as a system for determining the presence or the absence of a method for detecting a flexible tube using such a clamping device and an apparatus comprising such a clamping device.
It applies to the medical field, and in particular to apparatuses used for the treatment of blood, such as apparatuses for collecting blood.
Blood samples are usually taken using a system with bags comprising at least one collecting bag for the blood of the donor, connected via a flexible tube, to a collection needle. During the collection, the collection needle is inserted into the vein of a donor. The collecting bag comprises an anticoagulant of the acid-citrate-dextrose (ACD) or citrate-phosphate-dextrose (CPD) type in order to prevent the blood from coagulating.
According to the European standards, the volume of blood sampled must be comprised between 485 and 535 ml of blood, according to the sex, height and weight of the donor.
Automated apparatuses for collecting blood exist on the market. These apparatuses typically include an agitator plate on which the collecting bag of the blood rests and a device for clamping the flexible tube connecting the collecting bag and the sampling needle. The apparatus is programmed to clamp the flexible tube when the volume of blood to be sampled is reached to stop the sampling.
For the proper operation of the apparatuses, it is important that the flexible tube to be clamped be present and correctly positioned in the clamping device.
Document WO 2016/084001 describes an example of an automated blood collection apparatus. In this apparatus, the clamping device for closing the flexible tube is configured to define three positions: an open position allowing for the insertion of the flexible tube and the removal thereof, a maintaining position, wherein the flexible tube is maintained in the clamping device without closing it and a closed position, wherein the clamping device is closed and compresses the flexible tube in order to stop the blood flow. On the other hand, this clamping device can further comprise a flexible tube presence detector.
In document WO 2017/216343, a collection apparatus is described that comprises a clamping device provided with a sensor. The sensor makes it possible to detect the degree of opening of the slot wherein the tube is placed and thus detect one of the three positions—open, maintained or closed—of the clamping device.
Other medical apparatuses are also provided with flexible tube clamping devices. For example, document EP 3 290 065 describes an apparatus for extracting the blood components that comprises several clamping devices wherein optical or mechanical tube detectors, are arranged in the slot receiving the tube to be clamped.
In another example, document US 2019/0351138 describes a medical pump wherein pressure sensors placed in the gutter receiving the flexible tube make it possible to ensure that the flexible tube is mounted in the pump.
Also, document EP 3 103 489 describes a flexible tube clamping device for extracorporeal circulator comprising three types of detectors: (i) a cover detector in the form of a photo-switch in order to determine the opening or the closing of a cover, (ii) a tube presence detector in the form of a mechanical pressure sensor arranged in the slot receiving the flexible tube and (iii) a detector for the movement of the piston in the form of an optical sensor at the piston in order to determine an open position wherein the flexible tube is not clamped and a closed position wherein the flexible tube is clamped.
The invention proposes a clamping device making it possible to differentiate a position without a flexible tube and a position with a flexible tube in order to determine the presence or absence of a flexible tube in said device.
To this effect and according to a first aspect, the invention proposes a device for clamping a flexible tube intended for determining the presence of said flexible tube in said clamping device, comprising:
According to a second aspect, the invention relates to a system for determining the presence or the absence of a flexible tube in a clamping device comprising a clamping device according to the first aspect with said flexible tube.
According to a third aspect, the invention relates to a method for determining the presence or the absence of a flexible tube in a clamping device according to the first aspect, said method comprising the following operations:
A fourth aspect of the invention relates to an apparatus comprising a clamping device according to the first aspect of the invention.
Other objects and advantages shall appear in the following description.
The accompanying drawings illustrate the invention:
The
This clamping device comprises:
The expression “open position” corresponds to the position according to which the flexible tube placed between the bearing surface and the clamping surface of the clamping device is not deformed. In this position, shown in
When the distance between the bearing surface 4 and the clamping surface 6 is greater than the outer diameter D of the flexible tube 2 (
When the distance between the bearing surface 4 and the clamping surface 6 is substantially equal to the outer diameter D of the flexible tube 2, the open position will be referred to as “small open position”. In this position, shown in
The expression “obturation position” corresponds to the position according to which the flexible tube 2 placed between the bearing surface 4 and the clamping surface 6 of the clamping device 1 is obstructed. In this obturation position, shown in
The expression “closed position” corresponds to the position according to which the bearing surface 4 and the clamping surface 6 of the clamping device 1 are in contact. In this closed position, shown in
For example, for a flexible tube having an inner diameter d of 3.5 mm and an outer diameter D of 4.1 mm, the distance between the bearing surface 4 and the clamping surface 6 of the clamping device is substantially 6 mm in the large open position, 4 mm in the small open position, 1.2 mm in the obturation position, and 0 mm in the closed position.
The clamping device 1 further comprises a drive member 7 arranged to produce a movement and to transmit it to said clamping element 5. In a particular embodiment, the drive member 7 is configured to linearly displace the clamping element 5. Alternatively, the clamping element is movable in rotation.
For example, the drive member is a linear motor, particularly a linear stepper motor. Alternatively, the drive member is an electro-magnet motor, a DC or AC motor, a brushless motor, or a pneumatic or hydraulic cylinder.
According to a particular embodiment shown in
The first portion 8 of the bearing element 3 further comprises an opening 12 for the displacement of the clamping element described in more detail hereinbelow. This opening 12 is in particular in the form of a slot. The opening 12 is isolated from said housing 9 by one of said lateral walls 11b of the housing 9. Thus, in case of a leak of the fluid contained in the flexible tube 2 at the clamping device 1, the fluid flows in the housing 9 of the bearing element 3 but cannot pass inside the clamping device through the opening 12. The risk of the fluid flowing inside the clamping device 1 through the opening 12 provided for the clamping element 5 is therefore reduced.
Advantageously, the bottom 10 of the housing 9 has a slope, for example between 1 and 5 degrees, in relation to the horizontal, to direct the fluid that can flow from the flexible tube to the outside of the clamping device and/or to the outside of the apparatus comprising said clamping device. For example, in
According to
Indeed, as shown in
According to a particular embodiment and in relation to
The bearing element 3 comprises a second portion 16 engaged with the first portion 8 via two rigid rods 17a, 17b.
In
The clamping element 5 is linearly mobile through the opening 12 of the bearing element 3.
According to
As shown in
The clamping element 5 advantageously comprises a spring 19 arranged in the initial position, to place the clamping element 5 in the closed position. In
The drive member 7 is in particular a stepper motor linear actuator of an anti-rotation system such as described in document U.S. Pat. No. 7,969,048.
As shown in
This position detector 20 is separated from the bearing surface 4 and from the clamping surface 6 of the clamping device 1, i.e. it is not at the flexible tube 2 to be clamped. The position detector 20 indirectly detects the position of the clamping element 5 in relation to a the bearing element 3.
In particular, the position detector 20 is a sensor comprising a transmitter of a signal and a receiver of the signal transmitted. This sensor cooperates with the clamping element 5 to detect the position of said clamping element. This sensor is in particular a contactless sensor of the optical, inductive, capacitive, magnetic or ultrasonic type.
In a particular configuration, the position detector 20 comprises an optical sensor. The sensor is engaged with the bearing element 3. As shown in
According to
For example, the signal is an optical signal of the light beam type. The transmitter and the receiver of the optical sensor are arranged on the same side of the plate 21 of the clamping element 5. In the closed position (
In particular, the opening is arranged to prevent the reception of the signal by the receiver in the large and small open position.
Alternatively, the opening of the clamping element is arranged to partially authorise the reception of the signal by the receiver in the obturation position and to prevent the reception of the signal in the open positions.
According to an alternative embodiment shown in
In this embodiment, the position detector 20 comprises a pair of sensors, that cooperate with at least one pair of openings 22 in the clamping element 5. This pair of sensors and openings make it possible to determine the position of the clamping element using a truth table.
An example of a truth table is as follows, wherein 1 corresponds to the transmission of the light to the receiver of the optical sensor and 0 corresponds to the absence of transmission of the light to the optical sensor.
The clamping device 1 further comprises a control unit that controls the displacement of the clamping element 5.
The control unit has the form of an electronic and computerised system that comprises for example a microprocessor designed to execute a program of commands. The execution of this program allows the control unit to control in particular the clamping device, according for example to the signals received by the position detector.
In this case and advantageously, in order to detect the presence or the absence of a flexible tube 2 in the clamping device 1, the control unit is configured for:
The blocking of the clamping element 5 is produced when the clamping element 5 is stopped in its displacement, either by the presence of the flexible tube 2 crushed between the bearing surface 4 and the clamping surface 6, or by the bearing surface 4 directly.
In particular, the presence of a flexible tube 2 is determined if the position of the clamping element detected is the obturation position (
The control unit is configured to react differently according to the presence or the absence of a flexible tube.
For example, if the flexible tube is absent from the clamping device, the control unit is configured to emit an audible and/or visual alert signal intended for the operator in order to alert them to the absence of a tube. In addition or alternatively, the control unit is configured to stop the apparatus comprising the clamping device.
If the flexible tube is present in the clamping device, the control unit is configured to continue the operation of the apparatus.
According to an advantageous embodiment, the control unit is furthermore configured to verify, prior to the operations for detecting the flexible tube, for example at the starting of the apparatus comprising the clamping device, that the different positions of the clamping element are correctly detected. This control operation makes it possible to ensure that during later detections, the cases of failure do not induce incorrect reactions of the control unit.
For example, prior to the operations for detecting the flexible tube and in the absence of a flexible tube in the clamping device, the control unit is configured, for:
If the position of the clamping element detected is the closed position, the device is operating correctly. If the position of the clamping element detected is not the closed position, the clamping device is defective. An alert signal can be emitted for the attention of the operator.
The clamping device 1 described hereinabove with a flexible tube 2 forms a system for determining the presence or the absence of a flexible tube in a clamping device.
A method for detecting a flexible tube 2 in a clamping device 1 shall now be described, said method comprising the operations of:
The presence of a flexible tube is determined if the position of the clamping element detected is the obturation position; the absence of a flexible tube is determined if the position of the clamping element detected is the closed position.
The clamping device such as described hereinabove is generally comprised in an apparatus.
Such an apparatus is in particular an apparatus for medical use which can be an infusion pump, a flexible tube welding machine, a device for clamping and welding flexible tubes or an apparatus for treating blood. In a particular example, the apparatus is an apparatus for the collection of blood.
Such an apparatus 23 for collecting blood is shown in
The system with bags comprises at least one collecting bag 24 to collect the blood, said collecting bag being connected to a collection needle 25 via a flexible tube 2. The collecting bag 24 advantageously contains an anticoagulant solution. The collection needle is intended for being introduced into the vein of a donor in order to collect their blood in the collecting bag.
A system for the collection of a target volume of blood comprising on the one hand an apparatus for the collection of a target volume of the blood and on the other hand a system with bags comprising a collecting bag 24 and a collection needle 25 connected to said collecting bag via a flexible tube, is described hereinafter in more detail.
The apparatus for the collection of a target volume of blood in a collecting bag of a system with bags further comprising a collection needle 25 connected to said collecting bag via a flexible tube 2, comprises a plate 26 intended for receiving the collecting bag 24.
Advantageously, the apparatus further comprises an agitation device to set the plate in motion in order to agitate the collecting bag. The agitation of the collecting bag contributes to mixing the blood collected and the anticoagulant solution contained in the collecting bag 24.
A particular method for collecting a target volume of blood in a collecting bag 24 of a system with bags further comprising a collection needle 25 connected to said collecting bag via a flexible tube 2, comprises the following steps:
After the step of partial clamping of the flexible tube, the method comprises in particular the step of obturating the flexible tube upon reaching the target volume of blood to be collected to stop the collection of blood.
To in particular implement this method, the apparatus for the collection comprises, in addition to the plate 26 intended for receiving the collecting bag, a clamping device 1 of a flexible tube such as described hereinabove and essentially comprising:
(a) a bearing element 3 having a bearing surface 4 against which said flexible tube 2 is intended for being clamped,
(b) a clamping element 5 having a clamping surface 6 facing the bearing surface 4, said clamping element 5 being able to move with respect to said bearing element 3 between at least one open position according to which the flexible tube placed between the bearing surface 4 and the clamping surface 6 is not deformed and an obturation position according to which the flexible tube placed between the bearing surface 4 and the clamping surface 6 is obstructed, and
(c) a control unit configured for
The displacement of the clamping element until a first intermediate position partially clamps the flexible tube by reducing the section of passage of said flexible tube.
This partial clamping of the flexible tube has for effect to reduce the flow rate of blood collected. This reduction in the flow rate at the end of the blood collection procedure makes it possible to reach the target volume of blood to be collected with more precision, without excessively prolonging the collection time since the reduction in the flow rate is implemented only when approaching the end of the collection procedure.
In particular, the predetermined volume of blood collected from which the flow rate is reduced, is comprised within the range from 90 to 99% of the target volume of blood to be collected, more particularly in the range from 95 to 99% of the target volume of blood to be collected. This predetermination is carried out by the control device before the beginning of the collection of the fluid.
For example, for a target volume of 450 ml of fluid to be collected, the flow rate in the flexible tube is reduced when the volume of fluid collected reaches 440 ml.
The intermediate position is set by the control unit. It can be predetermined before the collection of the blood, for example according to the target volume of blood to be collected or set during the collection of the blood, for example according to the actual flow rate of the blood collected.
For example, the first intermediate position substantially corresponds to the median position between the small open position and the obturation position.
Alternatively, the control unit is configured for, after the displacement of the clamping element 5 to the first intermediate position, displacing the clamping element from the first intermediate position to a second intermediate position between said first intermediate position and the obturation position, when the determined volume of blood collected in the collecting bag reaches another predetermined volume of collected blood.
This operation makes it possible to further reduce the flow rate of the collected blood at the approach of the target volume of blood to be collected.
The displacement of the clamping element in its different positions is implemented by the use of a drive member 7 in the form of a stepper motor, which according to the type of motor, allows for a displacement precision of about 0.013 mm.
In order to determine the volume of blood collected in the collecting bag, the collection apparatus further comprises a device for measuring the volume of blood collected. In particular, this device is a weighing device associated with the plate for measuring the weight of the collecting bag. The volume of blood collected in the collecting bag is then deducted from the weight of the collecting bag containing the collected blood.
When the collection apparatus is turned on, the control unit is configured to place the clamping element 1 in a large open position to allow the operator to place the flexible tube 2 in said clamping device 1. The operator furthermore places the collecting bag 24 and the rest of the system with bags on the plate 26.
The control unit is then configured to displace the clamping element 5 from the large open position to the obturation position. When the flexible tube is obstructed, the operator inserts the needle into a vein of the donor.
Then, the control unit is configured to displace the clamping element from the obturation position to the small open position to allow for the collection of the blood from the donor by maintaining the flexible tube 2 in the clamping device 1.
Advantageously, immediately after the displacement of the clamping element in a large open position, the control unit is configured to implement the operations described hereinabove making it possible to determine the presence or the absence of the flexible tube 2 in the clamping device 1. The displacement of the clamping element 5 in a small open position in order to allow for the collection of blood is then authorised only if the flexible tube is present in the clamping device.
In this case, the clamping device further comprises a position detector 20 configured for detecting the position of the clamping element 5, in particular the obturation position and the closed position.
In case of absence of a flexible tube, the control unit is configured to alert the operator as to the absence of a tube. In case of presence of a flexible tube, the control unit is configured to start the collection procedure of the blood, in particular by displacing the clamping element 5 in the small open position.
When the target volume of blood is collected in the collecting bag 24, the control unit is configured to displace the clamping element 5 from the small open position to the obturation position when the target volume of blood is reached, in order to stop the collection of the blood.
Number | Date | Country | Kind |
---|---|---|---|
FR1903738 | Apr 2019 | FR | national |
The instant application is a U.S. National Stage application of and claims priority to PCT/EP2020/059901, filed on Apr. 7, 2020, which is a PCT application of and claims priority to FR Application No. FR1903738, filed on Apr. 8, 2019, the subject matter of both aforementioned applications are hereby incorporated by reference in their entireties.
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/EP2020/059901 | 4/7/2020 | WO | 00 |