The present invention relates to an adapter system for medical infusion pumps and various apparatus and methods thereof. More specifically, this invention relates to a reusable pressure plate adapter system that couples a reusable pressure plate adapter with the pump chassis of an infusion pump and advantageous disposable tube sets.
Infusion pumps and medication delivery devices are well-known and widely used throughout the world today. Intravenous infusion pumps were developed decades ago to pump fluid medicants or nutrients through tubing to a patient in connection with treatment of a medical condition. Infusion pumps include peristaltic pumps, roller pumps, or expulsor pumps, for example. Many of these infusion pumps operate by governing the movement of fluid through a delivery tube by selectively occluding portions of the tube by depressing a valve or mechanism against the tube. For example, in some designs the mechanism of a pump selectively engages the tube against the pressure plate in a peristaltic fashion to force fluid through the tube.
Various infusion pumps deliver medication from either a cassette type of tube arrangement or from an administration type of tube arrangement. Accordingly, some common pumps include a reusable control module detachably coupled to a pressure plate top surface of a disposable fluid reservoir cassette. Fluid is pumped from the cassette by the reusable control module when the cassette is coupled to the control module. Alternatively, other variations of infusion pumps include reusable pump control modules and administration-type tube arrangements that utilize remote fluid reservoirs. In these arrangements, fluid is pumped from the remote fluid reservoir by the reusable control module when the administration tube arrangement is coupled to the control module.
Improvements to these types of infusion pump arrangements are desired. For example, use of cassettes can result in a fair amount of environmental waste and cost as the cassettes are generally disposable and must be frequently replaced. Further, filling sealed disposable cassettes and eliminating air bubbles, etc. from these cassettes can be time consuming and cause some difficulties to persons like pharmacy technicians responsible for filling these components. Ensuring tube retention and alignment is a necessity to the production of effective infusion pumps. Due to the importance of delivery accuracy and precision in both administration-type arrangements and cassette-type arrangements, any improvements in these areas would be appreciated and a design which could better optimize the interaction of the pump and pressure plate type features would be welcome.
Therefore, improved methods and apparatus for the chassis, pressure plate, and fluid delivery arrangement of an infusion pump are desired.
The present invention overcomes the problems of the prior art by providing a method and device for adapting an infusion pump to operate with reduced disposable components in a design providing an enhanced arrangement of improved alignment and retention of tube components with increased accuracy and effectiveness.
One embodiment of the present invention is directed to a medical infusion pump pressure plate adapter system that includes a tube set, a control module and a reusable adapter plate. The tube set includes a fluid tube for supplying fluid, medication, or nutrients, and an interface card component having a generally flat top surface portion fixed to the exterior surface of the fluid tube at an intermediate location of the fluid tube. The control module generally includes a processor and a chassis with a pumping mechanism for pumping fluid through the fluid tube. Further, the reusable adapter plate has a first end pivotally mounted to the chassis of the control module for long-term pivotal retention and a second end selectively mounted to chassis of the control module. The reusable adapter plate contains a recessed feature configured for receipt of the interface card component of the tube set.
Another embodiment of the present invention is directed to a disposable tube set for a medical infusion pump. The disposable tube set includes a fluid tube for supplying fluids, medication, or nutrients, as well as an interface card component with a generally flat top surface portion coupled to the exterior surface of the fluid tube at an intermediate location of the fluid tube. The interface card component is configured to releasably couple to a recessed feature of a reusable adapter plate of an infusion pump.
A further embodiment of the invention is directed to a reusable adapter plate for use with a control module of an infusion pump. The reusable adapter plate includes an elongate body having a first end with a pivotal mounting structure with one or more apertures for long-term pivotal infusion pump attachment to the control module, a second end including a pump securing extension for selective engagement with the control module, and a top portion configured to retain an interface card component that is coupled to a fluid tube between the first end and the second end.
According to an embodiment of the present invention, a method for a medical infusion pump pressure plate adapter system is provided. The method includes providing a disposable tube set adapted for attachment to a reusable adapter plate having a reusable cassette reservoir housing. The tube set includes a fluid tube with a bonded interface card component and a fluid bag. The method further includes providing instructions to fill the bag of fluid, placing the bag of fluid into an interior portion of the cassette reservoir housing of the infusion pump, coupling an interface card component within a recess of the reusable adapter plate and aligning the fluid tube between a pair of positive stop components, and securing the reusable adapter plate and the cassette reservoir housing together.
The invention may be more completely understood in consideration of the following detailed description of various embodiments of the invention in connection with the accompanying drawings, in which:
The invention may be embodied in other specific forms without departing from the essential attributes thereof. The illustrated embodiments should be considered in all respects as illustrative and not restrictive.
In various embodiments of this invention, apparatus and methods are disclosed for a pressure plate adapter system. In various embodiments, this device adapts the chassis of control modules of previous or current infusion pumps for use with primarily reusable components and generally require only basic disposable fluid carrying tube sets with specialized interface card components for operation. Accordingly, components of partially-reusable, partially-disposable systems are provided. The adapter for this type of device can generally be coupled against the chassis of a new or existing pump module and locked into place.
First, in
As illustrated in the prior art designs of
Applicants recognize that a number of advantages may be possible by improving the prior art designs of
Improvements to delivery accuracy and precision in administration-type arrangements and cassette-type arrangements are desired. This is because even small deviations in medications administered can potentially have significant effects on a user making accuracy and reliability of the upmost importance. Further, operation of components on the pressure plate is not always optimal and leaves considerable room for improvement.
In general, the infusion pump control module 110 represents a general infusion pump or other similar type of pump. Infusion pumps are well-known and can provide a wide variety of fluid delivery protocols and capabilities. For example, the control module 110 may include a control system including a processor (not shown) electrically interconnected to a keypad 112, display 114, and pumping mechanism. The bottom of the control module 110 provides a pumping mechanism, among other components, and is responsible for the actual coordinated physical interaction and movement of components against the tubing of the tube set 130 to urge fluid through the fluid tube 134. This bottom region of the pump control module 110 is known as the chassis 140. The components of the chassis 140 can be better seen and described in the bottom view of the pump module shown in
As depicted in
As shown in
The adapter 160 is pivotally attached at one end 163 to the hinge pins 142 of the pump module chassis via a pivot mount 164 that is secured within a recess 166 in the top surface of the adapter 160. Coupling the pivotal mount 164 of the adapter 160 to the hinge pins 142 may be done to modify existing pumps already out in the field or to new pumps when manufactured. Accordingly, the adapter 160 provides the capabilities and advantages of a backwards compatible system. The adapter 160 is made of metal or other durable material that can withstand repeated use.
The second end 165 of the adapter 160, opposite the recess 166 and pivotal mount 164, contains a loop 168. The loop 168 is configured to fit within a recess 145 in the chassis 140 of the pump control module 110 and to be secured to a latching mechanism 144 when the adapter 160 is pivoted into a closed position adjacent the control module 110. Accordingly, the end 165 is configured for selective mounting to the chassis 140. In general, the loop 168 extends its arch shaped structure over a portion of the adapter 160 having an opening 170. This opening 170 provides access through the adapter 160 and is generally the location from which the fluid tube of an assembled pump emerges from a cassette housing 162, below the upper surface 172 of the adapter 160.
At the center of the adapter 160 is a T-shaped recess or opening 174. The T-shaped opening 174 is generally a recessed aperture in the upper surface 172 of the adapter 160 that enables an interface card component 132 associated with a cassette tube set 130 to be inserted and locked into place. The perimeter of the T-shaped opening 174 contains undercut portions 176 or related features which permit an interface card component 132 to be slid into a locked position. Opening 174 should not be understood as being limited to a T-shaped arrangement in various embodiments, but rather to include a variety of other possible shapes or configurations.
Further, one or more channels 178 and 179 may be located in the adapter 160 which permit necessary access and manipulation passageways for the fluid tube 134 when joining a reusable cassette assembly 120 and cassette tube set 130. Examples of such channels 178 and 179 are shown in
Also included on opposite ends of the adapter 160 are positive stop/capture components 180. These positive stop/capture components 180 allow easy alignment of the fluid tube 134 as well as correct fluid tube spacing. Specifically, the components 180 help to align the fluid tube, restrict fluid tube movement and retain portions of the fluid tube 134 so that the desired portion of the fluid tube 134 which is exposed to the expulsor and valves of the control module 110 is appropriately maintained.
The adapter 160 further includes a slide capture feature 182 located about the perimeter of the adapter. This slide capture feature 182 may be present on some or all the side surface of the adapter 160. Specifically the slide capture feature 182 is a groove shaped for slideably receiving and retaining a lip protrusion 184 of the reusable cassette housing 162. The lip protrusion 184 extends along two or more of the interior walls of the reusable cassette housing 162 just below the top perimeter of the housing 162.
In general, the reusable housing 162 is a multi-sided structure having an upwardly facing opening and open interior cavity 183. The housing 162 is used to house a fluid reservoir such as a flexible polymeric bag 136. The housing 162, shown in
The cassette housing 162 further shows a tube notch 199 at the top of the wall opposite the door 192 to aid in the assembly of the cassette assembly 120 and tube set 130. This notch 199 provides an opening through which tubing can pass. A notch 199 of this type may be located in any of the cassette embodiments disclosed or described.
Further, a disposable tube set 130 is shown in
In general, the cassette bag 136 is a polymeric bag designed to house drugs, fluids or other medicants. The bag 136 may be various shapes and sizes and is not limited to the embodiment set forth in
Further, fluid tube 134 is attached to an interface card component 132. This attachment may be accomplished using various processes or techniques. For example, in some embodiments these components are coupled using adhesive boding. In other embodiments, the components are coupled using a solvent bond with ring features on the interface card component 132. The interface card component 132 is generally coupled to an intermediate location of the tube 134, somewhere between the ends of the tube 134.
In certain embodiments, the interface card component 132 is a small, largely flat, stiff, generally T-shaped piece of material. The interface card component 132 may be made of any applicable material or materials, including plastics, metals, carbon-fibers, or reinforced polymers, for example. The interface card component 132 is not limited to a flat design and may be a component of various features protrusions, lips, edges, shapes, ribs, and engagement or locking features. The interface card component 132 is not limited to a T-shaped design and be designed in a variety of shapes of multi-sided, curved and/or linear sides. Circular, rectangular or I-shaped card components may be possible. The interface card component 132 typically has a generally flat top surface portion 193 for coupling to an exterior surface of the fluid tube 134. The interface card component 132 is used to provide a properly aligned interface for the fluid tube 134 to contact and interact with the chassis 140 of the control module 110. The interface card component 132 provides the correct spacing of the tube and cassette under the expulsor 150, which is often important to ensure delivery accuracy of the pump. In some embodiments, the interface card component 132 contains a ring feature that can be used to improve delivery accuracy by preventing tube expansion between the valves and expulsor.
The T-shaped interface card component 132 is configured to fit within the recess provided by the T-shaped opening 174 in the adapter 160. The interface card component 132 may include lower protrusions 196 to allow interlocking of the T-shaped interface card component 132 with the undercut portions 176 surrounding the T-shaped opening 174 in the adapter 160. The lower protrusions 196 may include outwardly extending segments of material of round or straight edges. In some embodiments, no lower protrusions 196 or locking features are present. Accordingly, the interface card component 132 is slightly smaller than the T-shaped opening 174, so that is may be readily aligned and inserted into the T-shaped opening, then slid into a locked configuration where the protrusions 196 of the interface card component 132 meet the undercut portions 176.
The interface card component 132 further includes a protrusion feature 198 on its upwardly facing surface. The protrusion feature 198 is used to interface with one or more of the detection pins 158 on the chassis of the control module 110. The chassis and/or the control module 110 could be altered in some embodiments to contain additional sensor locations, that could be activated by additional corresponding protrusion features 198 or other information conveying structure or component. In some embodiments, the protrusion feature 198 can relay information indicating the type of tube set and disposable being used, the tube size, or other relevant information about the disposable tube set 130. Use of detection pins to interact with such features to receive identifying information is well-known. Examples of patents discussing use of such components include U.S. Pat. Nos. 5,531,697, 5,531,698, and 6,123,686, hereby incorporated by reference in their entireties.
In general, the interface card component 132 is useful in many ways. It provides correct spacing under the expulsor 150 which dictates pump delivery accuracy. Further, the component 132 aligns the tubing 134 under the expulsor 150 to prevent “tube walk” or other undesired tube movement. The component 132 eliminates arch height effects of past designs, can prevent tube expansion between the valves and expulsor, and is able to use features that interface with detection pins 158 to indicate relevant information like the type of disposable being used.
When undergoing assembly, the fluid tube 134 of the cassette tube set 130 can be placed through openings or channels like opening 170 or channel 178 in order to pass through the adapter 160 and extend across the upper adapter surface 172 such that the interface card component is centrally located in the T-shaped opening 174.
Note that various flow stop valves or fluid flow protection devices may be used as part of embodiments of the present invention that may be adapted to conform to the components provided for this assembly.
Assembly of an infusion pump system according to embodiments of the invention will now be described. In an embodiment like the one shown in
When a new cassette of medication is required for administration to a patient, a bag 136 associated with a cassette tube set 130 is filled by a pharmacist or other appropriate source and provided to the individual assembling the infusion pump assembly. The bag 136 is placed in the open interior 183 of the cassette housing 162. The ability to handle the bag 136 outside the confines of the cassette housing 162 is advantageous as the pharmacist or other individual can readily manipulate the bag and eliminate unwanted air bubbles and properly situate the fluid as desired. Next, the adapter 160 is coupled to the cassette housing 162. This may be done in an arrangement like the one shown in
Next, the interface card component 132 is secured into the T-shaped opening 174 in the adapter and is locked into place. Next, the portions of the fluid tube 134 proximate each end of the adapter 160 are secured to positive stop/capture components 180. Finally, the reusable cassette assembly 120, together with the loaded cassette tube set 130, is rotated in a pivotal fashion about the hinge pins 142 that are engaged by the pivotal mount 164 until the upper surface 172 of the adapter 160 is adjacent the chassis 140 of the control module 110. When this occurs, the loop 168 is inserted into the recess 145 of the chassis 140 and is engaged by the latching mechanism 144 to hold the adapter 160 and remainder of the combined assembly in place adjacent the control module 110. A user may then initiate use of the control module 110 to deliver fluids or medicants via the infusion pump system 100.
Various methods for a medical infusion pump pressure plate adapter system are made possible by this disclosure. One method includes providing a disposable tube set 130 adapted for attachment to a reusable adapter plate 160 having a reusable cassette reservoir housing 162. In this method, the tube set includes a fluid tube 134 with a bonded interface card component 132 and a fluid bag 136. The method further includes providing instructions to fill the bag of fluid 136, place the bag of fluid 136 into an interior portion 183 of the cassette reservoir housing 162 of the infusion pump, couple an interface card component 132 within a recess 174 of the reusable adapter plate, align the fluid tube 134 between a pair of positive stop components 180, and secure the reusable adapter plate 160 and the cassette reservoir housing 162 together by slideable engagement, hooks, tabs, or other securing means.
In general, the infusion pump module 310 represents a general infusion pump or similar type of pump. Such pumps are well-known and can provide a wide variety of fluid delivery protocols and capabilities. For example, the control module 310 may include a control system including a processor (not shown) electrically interconnected to a keypad 312, display 314, and pumping mechanism. The bottom of the control module 310 provides a pumping mechanism, among other components, and is responsible for the actual coordinated physical interaction and movement of components against the tubing of the tube set 330 to urge fluid through the fluid tube 334. The bottom of the pump module 310 contains a chassis 140, as set forth in
As shown in
The adapter 360 is generally an elongate body extending between a first end 363 and a second end 365. The adapter 360 is made to remain coupled to the pump module 310, at least on one end, even when no cassette housing or cassette tube set 330 is attached to the control module 130. Accordingly, the first end 363 is pivotally mounted to the chassis of the control module for long-term pivotal retention, in the sense that the adapter is retained during repeated use over a period of time in which multiple administration tube sets of fluid are utilized without the adapter 360 being separated or readily separable from the control module 310. Specifically, the retention arrangement is distinct from arrangements like the hook-based pressure plate arrangements of the prior art which are easily disengaged from hinge pins on the infusion pump chassis. The disclosed long-term retention arrangement has a permanent or semi-permanent pivot that cannot be quickly and easily separated by a user. Typically a user would need proper tools or would need to undertake non-trivial retrofitting efforts to remove the adapter 360 from the module 310.
The adapter 360 is pivotally attached at one end to the hinge pins 142 of the pump module chassis 140 via a pivot mount 364 and may be secured within a recess 366 in the top surface of the adapter 360. Coupling the pivotal mount 364 of the adapter 360 to the hinge pins 142 may be done to modify existing pumps already out in the field or when new pumps when manufactured. Accordingly, the adapter 360 provides the capabilities and advantages of a backwards compatible system. The adapter 360 is made of metal or other durable material that can withstand repeated use.
The second end 365 of the adapter 360, opposite the recess 366 and pivotal mount 364, contains a loop 368. The loop 368 is configured to fit within a recess 145 in the chassis 140 of the pump control module 310 and to be secured to a latching mechanism 144. In general the loop 368 extends its arch shaped structure over a portion of the adapter having an opening 370. This opening 370 provides access through the adapter 360 and is generally the location from which the fluid tube 334 of an assembled pump emerges through to the upper surface 372 of the adapter 360.
At the center of the adapter 360 is a T-shaped opening 374. The T-shaped opening 374 is generally a recessed aperture enable an interface card component 332 associated with a administration tube set 330 to be inserted and locked into place. The perimeter of the T-shaped opening 374 contains undercut portions 376 or related features which permit an interface card component 332 to be slid into a locked position. Opening 174 should not be understood as being limited to a T-shaped arrangement in various embodiments, but rather to include a variety of other possible shapes or configurations
Further, one or more channels, such as the first channel 378 and second channel 379, depicted in
Additionally included on opposite ends of the adapter 360 are positive stop/capture components 380. These positive stop/capture components 380 allow easy alignment of the fluid tube 334 as well as correct fluid tube spacing. Specifically, the components help to align the fluid tube, restrict fluid tube movement and retain portions of the fluid tube 334 so that the portion of the fluid tube exposed to the expulsor and valves of the control module 310 is appropriately maintained.
Although not depicted in
Further, a disposable administration tube set 330 is shown in
In general, the bag spike 336 may be used to pierce and open flow to a remote IV or fluid bag 337 housing drugs, fluids or other medicants. Further, fluid tube 334 is attached to an interface card component 332. In some embodiments, the tube 334 and interface card component 332 are coupled using adhesive bonding and in other embodiments, the components 332 and 334 are coupled using a solvent bond with ring features on the interface card component 332. The interface card component 332 is generally coupled to an intermediate location of the tube 334, somewhere between the ends of the tube 334.
In certain embodiments, the interface card component 332 is a small, largely flat, stiff, generally T-shaped piece of material. The interface card component 332 is not limited to a flat design and may be a component of various features protrusions, lips, edges, shapes, ribs, and engagement or locking features. The interface card component 332 typically has a generally flat top surface portion 393 for coupling to an exterior surface of the fluid tube 334.
Interface card component 332 is used to provide a properly aligned interface for the fluid tube 334 to contact and interact with the chassis 140 of the control module 310. The interface card component 332 provides the correct spacing under the expulsor 150, which is often important to ensure delivery accuracy of the pump. In some embodiments, the interface card component 332 contains a ring feature that can be used to improve delivery accuracy by preventing tube expansion between the valves and expulsor.
The T-shaped interface card component 332 is configured to fit within the recess provided by the T-shaped opening 374 in the adapter 360. The interface card component 332 may include lower protrusions 396 to allow interlocking of the T-shaped interface card component 332 with the undercut portions 376 surrounding the T-shaped opening 374 in the adapter 360. Accordingly, the interface card component 332 is slightly smaller than the T-shaped opening 374, so that it may be readily aligned and inserted into the T-shaped opening, then slid into a locked configuration where the protrusions 396 of the interface card component 332 meet the undercut portions 376.
The interface card component 332 further includes a protrusion feature 398 on its upwardly facing surface. The protrusion feature 398 is used to interface with the detection pins 158 on the chassis 140 of the control module 310. This can relay information indicating the type of disposable being used, tube size, or other relevant information about the disposable tube set 330.
When undergoing assembly, the fluid tube 334 of the administration tube set 330 can be placed through openings or channels like opening 370 or channels 378 or 379 in order to pass through the adapter 360 and extend across the upper adapter surface 372 such that the interface card component is centrally located in the T-shaped opening 374.
Assembly of this infusion pump system 300 will now be described. In an embodiment like the one shown in
When a new administration set is required for administration to a patient, the fluid tube 334 is threaded through the channels 378 and 379 or opening 370 of the adapter 360. Next, the interface card component 332 is secured into the T-shaped opening 374 in the adapter and is locked into place. Next, the portions of the fluid tube 334 proximate each end of the adapter 360 are secured to positive stop/capture components 380. Finally, the reusable assembly 320 is rotated in a pivotal fashion about the hinge pins 142 engaged by the pivotal mount 364 until the upper surface 372 of the adapter 360 is adjacent the chassis 140 of the control module 310. When this occurs, the loop 368 is inserted into the recess 145 of the chassis 140 and is engaged by the latching mechanism 144 to hold the adapter and combined assembly in place adjacent the control module 310. A user may then connect the bag spike 336 to a remote reservoir bag 337 and initiate use of the control module to deliver fluids or medicants via the infusion pump system 300.
It should also be appreciated that the exemplary embodiment or exemplary embodiments are only examples, and are not intended to limit the scope, applicability, or configuration of the invention in any way. Rather, the foregoing detailed description will provide those skilled in the art with an enabling disclosure for implementing the exemplary embodiment or exemplary embodiments. It should be understood that various changes can be made in the function and arrangement of elements without departing from the scope of the invention as set forth in the appended claims and the legal equivalents thereof.
The embodiments above are intended to be illustrative and not limiting. Additional embodiments are within the claims. Although the present invention has been described with reference to particular embodiments, workers skilled in the art will recognize that changes may be made in form and detail without departing from the spirit and scope of the invention.
Various modifications to the invention may be apparent to one of skill in the art upon reading this disclosure. For example, persons of ordinary skill in the relevant art will recognize that the various features described for the different embodiments of the invention can be suitably combined, un-combined, and re-combined with other features, alone, or in different combinations, within the spirit of the invention. Likewise, the various features described above should all be regarded as example embodiments, rather than limitations to the scope or spirit of the invention. Therefore, the above is not contemplated to limit the scope of the present invention.
For purposes of interpreting the claims for the present invention, it is expressly intended that the provisions of Section 112, sixth paragraph of 35 U.S.C. are not to be invoked unless the specific terms “means for” or “step for” are recited in a claim.