Infusion pumps, including large volume pumps (“LVP's”) are designed to move fluid through an intravenous (“IV”) line from a fluid supply to a patient. The infusion pumps move the fluid through the IV line with one or more actuator that applies a force to a portion of the line. The rate at which a fluid is moved is based on a frequency at which the force is applied to the IV line. It is common for infusion pumps to use a door or similar mechanism to secure a portion of the IV line in contact with the actuators. Other known pumps require the use of specialized IV line sets that are integrated with tube-carrying cassettes or over-molds that are mated with pump actuators.
An issue with known infusion pumps is the seepage of containments (e.g., dust, moisture, fluid container leaks, etc.) into the actuator area of the infusion pump behind the door. In many instances, a small gap exists between an edge of the door and the infusion pump casing, enabling the contaminants to enter the actuation area. Gaps are also present around the IV line where it passes either through the door or the pump casing adjacent to the door to reach an infusion container. The gaps may be intentional and designed into the infusion pumps to reduce stress placed on the IV lines or to prevent the IV lines from occluding. Unfortunately, contaminants may affect actuator operation, resulting in more frequent maintenance and/or cleaning.
The present disclosure involves an infusion pump that delivers intravenous (“IV”) fluids to a desired source, such as a human being or animal (e.g., patient). The infusion pump includes an improved door seal. The example door seals of the present disclosure are configured to enclose or protect an actuation area of an infusion pump from contaminants. The positioning of the seals with respect to the door isolates an actuation area independent of manufacturing tolerance variations of the overall door and/or pump casing. In an embodiment, a seal is formed inside of a door's edges, which relaxes the tolerance ranges of the pump housing and door, thereby reducing manufacturing costs. Accordingly, the example seal configurations disclosed herein are agnostic of a door position and tolerance stack-up. Further, the example configurations disclosed herein are operable with conventional IV tubes, so that specialized IV tubes, receptacles, cartridges, or additional parts are not needed. Materials for the different components of the infusion pumps discussed below may include metal, plastic, rubber and combinations thereof.
Aspects of the subject matter described herein may be useful alone or in combination with one or more other aspect described herein. Without limiting the foregoing description, in a first aspect of the present disclosure, an infusion pump for delivering an intravenous (“IV”) fluid includes a housing including an actuation area configured to engage a portion of an IV tube, the actuation area including a first end to receive the IV tube from a fluid container and a second end to provide the IV tube to a patient and a seal section located along a perimeter of at least a portion of the actuation area. The example seal section includes a gasket rib positioned along the seal section and a tube channel configured to cradle the IV tube. The infusion pump also includes a door connected to the housing and configured to engage the gasket rib to enclose the actuation area of the housing. The door includes at least one of a recess section configured to align with the tube channel when the door is closed, the recess section configured to cradle the IV tube such that the recess section and tube channel together enclose the IV tube, or a channel relief lip configured to engage the IV tube entering the door.
In accordance with a second aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the seal section includes a tube guidance section located between the tube channel and the actuation area, the tube guidance section configured to cradle the IV tube, causing the IV tube to bend for a desired orientation in the actuation area.
In accordance with a third aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the tube channel includes a surface that is at least one of (i) smooth, (ii) course ribbed, or (iii) fine ribbed.
In accordance with a fourth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the gasket rib includes at least one of (i) a single rib, or (ii) at least two ribs in parallel.
In accordance with a fifth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the gasket rib includes an elastomeric material.
In accordance with a sixth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the gasket rib is molded with the housing.
In accordance with a seventh aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the cradling of the IV tube by the recess section and the tube channel causes the IV tube to bend for a desired orientation under a roof of the door.
In accordance with an eighth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the roof further includes a rib located on a side of the roof that is configured to engage a channel of the housing that is adjacent to the actuation area, the engagement of the rib with the channel preventing the roof from bowing.
In accordance with a ninth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the channel relief lip includes at least one rib configured to cause at least one region in the IV tube to remain un-collapsed at the location where the IV tube is bent.
In accordance with a tenth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the first end is a top end of the actuation area and the second end is a bottom end of the actuation area.
In accordance with an eleventh aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the gasket rib includes a tube window positioned adjacent to the first end of the actuation area configured to receive the IV tube.
In accordance with a twelfth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the tube channel is located at the tube window.
In accordance with a thirteenth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the door includes a roof configured to extend over the housing at the first end of the actuation area, the roof including the at least one of the recess section or the channel relief lip.
In accordance with a fourteenth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the door is hingedly connected to the housing.
In accordance with a fifteenth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, an infusion pump for delivering an intravenous (“IV”) fluid includes a housing including an actuation area configured to engage a portion of an IV tube, the actuation area including a first end to receive the IV tube from a fluid container and a second end to provide the IV tube to a patient, and a seal section located along a perimeter of at least a portion of the actuation area. The example seal section includes a gasket rib positioned along the seal section, and a tube channel configured to cradle the IV tube. The infusion pump also includes a door connected to the housing and configured to engage the gasket rib to enclose the actuation area of the housing.
In accordance with a sixteenth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the door includes a roof configured to extend over the housing at the first end of the actuation area, the roof including the at least one of a recess section or a channel relief lip.
In accordance with a seventeenth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the cradling of the IV tube by the tube channel causes the IV tube to bend for a desired orientation under the roof.
In accordance with an eighteenth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the roof further includes a rib located on a side of the roof that is configured to engage a channel of the housing that is adjacent to the actuation area, the engagement of the rib with the channel preventing the roof from moving upwards.
In accordance with a nineteenth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the door includes at least one of a recess section configured to align with the tube channel when the door is closed, the recess section configured to cradle the IV tube such that the recess section and tube channel together enclose the IV tube, or a channel relief lip configured to engage the IV tube entering the door.
In accordance with a twentieth aspect of the present disclosure, which may be used in combination with any other aspect listed herein unless stated otherwise, the channel relief lip includes at least one rib configured to cause at least one region in the IV tube to remain un-collapsed at the location where the IV tube is bent.
In accordance with a twenty-first aspect of the present disclosure, any of the structure and functionality illustrated and described in connection with
In light of the aspects above and the disclosure herein, it is accordingly an advantage of the present disclosure to provide an infusion pump that has relaxed component mating tolerances.
It is another advantage of the present disclosure to provide an infusion pump that effectively prevents fluid and other contaminants from entering a housing of the pump.
It is a further another advantage of the present disclosure to provide an infusion pump that may operate with standard, non-specialized pump sets and tubing.
The advantages discussed herein may be found in one, or some, and perhaps not all of the embodiments disclosed herein. Additional features and advantages are described herein, and will be apparent from the following Detailed Description and the figures.
The present disclosure relates in general to an infusion pump apparatus that includes a door roof and gasket seal configured to prevent entrance of environmental contaminants into an intravenous (“IV”) tube actuation area. As described in more detail below, an infusion pump door in an embodiment includes a roof with a recess section configured to cradle or otherwise accept an IV tube. In addition, the infusion pump may include a gasket seal configured to contact at least the door roof when the door is in a closed position. The gasket seal includes a tube channel and window that are positioned opposite from the recess in the roof. The tube channel and window are configured to cradle or otherwise contact an IV tube. The cradling of the IV tube by the tube channel, window, and roof recess substantially encloses the IV tube underneath the roof. When combined with the gasket seal, the enclosure of the IV tube creates a substantially impenetrable barrier against environmental contaminants entering an IV tube actuation area of the infusion pump.
Reference is made throughout to infusion pumps that are configured to receive IV tubes in a vertical orientation. In other words, the infusion pumps receive an IV tube in a top section. However, it should be appreciated that in other embodiments, the infusion pump seal disclosed herein may be provided to receive horizontally (or other desired angle) orientated IV tubes. In the other embodiments, the IV tube enters a side of the infusion pump. In an embodiment, the infusion pump may be oriented in different positions for operation, such that the tube may be disposed differently for different procedures.
Likewise, the infusion pumps disclosed herein have general vertically orientated actuators for pumping fluid through the IV tubes. However, in other embodiments, the actuators may be positioned in a horizontal (or other desired angle) orientation. It should be appreciated that the orientation of the actuators may not necessarily correspond to the orientation of an IV tube entering the infusion pump. For example, an infusion pump may receive an IV tube in a horizontal orientation but have the actuators be aligned in a vertical orientation. Again, the actuators may be oriented differently for different procedures.
The example infusion pump seal disclosed herein overcomes limits of known systems (discussed briefly below) that permit environmental contaminants to enter an actuation area. In addition, the example infusion pump seal disclosed herein is configured to meet the IEC 60601 IPX2 requirement regarding fluid ingress. This standard requires that a home-based medical device be protected against the ingress of water drops falling vertically when the medical device is tilted at a 15° angle in different orientations. This includes tilting a medical device forward, backward, and sideways by 15°.
Referring now to the drawings,
The known infusion pump 102 is configured such that the IV tube 108 is orientated vertically though the actuation area 104. The IV tube 108 at its top end of the actuation area 104 is connected to a fluid container. The IV tube 108 at its bottom end of the actuation area 104 is connected to a patient. The infusion pump 102 includes a clip 112 or slide clamp configured to connect to IV tube 108 at the top of infusion pump 102. Insertion of clip 112 into slot 200 (shown in
The example gaps 202 may exist as a result of manufacturing tolerance allowances. For instance, the door 106 and housing of the infusion pump 102 may be injection molded separately. Allowance for large tolerance variability reduces manufacturing costs, but results in the gaps 202. In addition, the door 106 may have a wide positioning tolerance to ensure enclosure of the actuation area 104 through extended use while reducing manufacturing costs. Moreover, the aggressive environment in which the infusion pump 102 is operated prevents the use of some materials that may provide lower tolerance variability.
In addition, gap 204 is provided to enable the IV tube 108 to enter the actuation area 104 without pinching or occluding the IV tube 108. As shown in
The gaps 202 and 204, while relatively small, enable environmental contaminants to enter the actuation area 104. Over time, contaminants may accumulate in the actuation area 104 and affect operation of the actuators 110, including the positionability of the IV tube 108 in the actuation area 104. To prevent adverse operation, the actuation area 104 may have to be cleared or serviced regularly.
The gaps 202 and 204 also enable fluid from a fluid container to reach the actuation area 104 outside of the IV tube 108. For example, a fluid container may leak fluid when being connected to an IV tube. Leaked fluid from the container may spill onto the infusion pump 102, which is usually positioned directly under the container. The fluid may seep into the actuation area 104 through the gaps 202 and 204 and degrade or otherwise affect operation of the actuators 110.
An issue with the known infusion pumps 402 and 502 of
Other known infusion pumps seal an actuation area using an elastomeric foil. For instance, an area around actuators may include the elastomeric foil. An opposite section on a door is configured to engage and press against the foil around the actuators, creating a tight enclosure, while leaving a slight opening for an IV tube. Unfortunately, the elastomeric foil degrades over time, leading to frequent maintenance and costly replacement.
Still other known infusion pumps have a tube opening along a side section. These known pumps have vertically orientated finger-shaped actuators. As one can appreciate, installation of the IV tube is complex since an operator has to bend the tube inside the actuation area along a defined channel. In addition, the use of the channel and horizontal orientation of the IV tube prevents a seal from being used at an entrance of the actuation area. Otherwise, an IV tube may bend at the seal, potentially restricting fluid flow.
Further known infusion pumps include a foam band along a circumference of a door. The foam, however, degrades over time and requires frequent replacement, resulting in high maintenance costs. Further, some foams may become contaminated over time, resulting in contaminants reaching an actuation area.
The example door seals of the present disclosure are configured to enclose or protect an actuation area of an infusion pump from contaminants. The positioning of the seals with respect to the door isolates an actuation area independent of manufacturing tolerance variations of the overall door and/or pump casing. In an embodiment, a seal is located inward from a door's edges, which relaxes the tolerance ranges of the pump housing and door, thereby reducing manufacturing costs. Accordingly, the example seal configurations disclosed herein are agnostic of a door position and tolerance stack-up. Further, the example configurations disclosed herein are operable with conventional IV tubes, so that specialized IV tubes, receptacles, cartridges, or additional parts are not needed. Materials for the different components of the infusion pumps discussed below may include metal, plastic, rubber and combinations thereof.
The example infusion pump 600 includes a display interface 602 to display pump information. The display interface 602 may also facilitate the programming of the pump 600 via a touch screen, membrane switch, combinations thereof, or other type of user interface. The infusion pump 600 in an embodiment also includes a housing 604 configured to enclose electronics and actuators, which are located within actuation area 606. The infusion pump 600 further includes a door 608, which is shown in
The example door 608, in the illustrated embodiment, is connected to the housing 604 of the infusion pump 600 via one or more hinge 612. In the illustrated example, the hinges 612 are positioned on a side of the infusion pump 600, which causes the door 608 to swing away from the display interface 602. Such a configuration enables a clinician to install the IV tube 610 while still being able to view the interface 602. Otherwise, locating hinges between the door 608 and display interface 602 would cause the door 608 to open in the opposite direction, thereby obstructing the view of the interface 602.
As illustrated in
Cutaways 620 and 622 show enlarged views of in an embodiment of the top end 614 of the actuation area, and of the infusion pump 600 in general. The cutaways 620 and 622 illustrate that the door 608 includes a roof 624, which is configured to cover an adjacent portion of the housing 604 in addition to the top end 614 of the actuation area 606. The roof 624 includes a channel relief lip 626 that aligns and/or secures the IV tube 610 at the entrance to the roof 624. The roof 624 and channel relief lip 626 are described in more detail below.
The seal section 800 is positioned along a perimeter of the actuation area 606 at the top end 614. In an embodiment, the seal section 800 may also be positioned along a perimeter of the actuation area 606, including extending along the internal side vertically within the infusion pump 600. Additionally or alternatively, the seal section 800 may also be positioned along a perimeter of the actuation area 606 at its bottom end 616.
The seal section 800 in an embodiment includes ridges 804a and 804b configured to sandwich and/or support a gasket rib 806. The illustrated ridges 804a and 804b extend vertically from the housing 604 and may be made of the same material and/or be integrated with the housing 604. In some instances, the ridges 804a and 804b have the same heights and/or widths. In other instances, the ridges 804a and 804b have varying heights and/or widths. For example, the ridge 804a may include a lip or edge that extends further vertically than the other ridges.
The example gasket rib 806 is positioned to run along the seal section between the ridges 804a and 804b. In some instances, an end of the gasket rib 806 may extend from the ridges 804, as shown in
The gasket rib 806 may also include a tube channel 810 located at the tube window 808 and be configured to cradle, connect, or otherwise accept the IV tube 610. Similar to the tube window 808, the tube channel 810 may also be molded or made from the same material as the gasket rib 806. The tube channel 810 is configured to be placed on at least a portion of the ridges 804a and 804b. In some instances, the ridges 804a and/or 804b may include recesses or channels to accept the tube channel 810. In other examples, the ridges 804a and 804b are substantially flat, such that the IV tube 610 may be placed on top of the ridges 804 within the tube channel 810.
As shown in
Also shown in
The roof 624 in an embodiment also includes recess section 1204, which is configured to align with the tube channel 810 when the door 608 is in the closed position. The recess section 1204 is configured to cradle, contact, or otherwise accept a portion of an external circumference of the IV tube 610. Together, the recess section 1204, the tube window 808, and the tube channel 810 enclose and/or encircle an entire external circumference of an IV tube 610 at the seal section 800.
It should be appreciated that the ridge 804a, or at least the edge or lip of the ridge 804a does not include a cutout for the tube channel 810. Instead, the tube channel 810 extends into the valley of the ridge 804a and ends at the raised edge.
In contrast to
The example channel rib 2302 is configured to prevent an IV tube from compressing and causing a fluid occlusion. Specifically, the channel rib 2302 causes a bent IV tube to form two or more internal channels in relief lip valleys 2304 adjacent to the rib 2302. In other words the channel rib 2302 is a compression point on an IV tube, whereas the relief lip valleys 2304 provide areas of stress release, thereby preventing a bent IV tube from completely closing.
In the example of
It should be understood that various changes and modifications to the example embodiments described herein will be apparent to those skilled in the art. Such changes and modifications can be made without departing from the spirit and scope of the present subject matter and without diminishing its intended advantages. It is therefore intended that such changes and modifications be covered by the appended claims. Moreover, consistent with current U.S. law, it should be appreciated that 35 U.S.C. 112(f) or pre-AIA 35 U.S.C. 112, paragraph 6 is not intended to be invoked unless the terms “means” or “step” are explicitly recited in the claims. Accordingly, the claims are not meant to be limited to the corresponding structure, material, or actions described in the specification or equivalents thereof.
The present application claims priority to and the benefit of U.S. Provisional Patent Application No. 62/440,755, filed on Dec. 30, 2016, the entirety of which is incorporated herein by reference and relied upon.
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