Not Applicable
Not Applicable
Not Applicable
1. Field of the Invention
The present invention relates generally to non-electric fluid heating and cooling devices. More particularly, the invention concerns a novel, non-electric fluid heating and cooling device for use in connection with medicament dispensers for dispensing medicinal fluids to ambulatory patients.
2. Description of Related Art Including Information Disclosed Under 37 CFR 1.97 and 1.98
Many people die annually from hemorrhages. Treatment for severe hemorrhage usually requires the immediate and rapid infusion of critical fluids to prevent shock by replacing lost blood volume. To conduct this fluid resuscitation efficaciously in an austere environment, the medical professional must be able to easily transport the delivery system and fluid, and then initiate its use under significant logistical constraints. Furthermore, multi-step and time consuming methods for beginning fluid resuscitation can reduce a medical professional's ability to save lives in triage situations where a large number of patients are injured and in need of immediate medical attention.
In order to maximize the chance of survival, fluid resuscitation is often necessary where the casualty must replace the blood volume lost from the wound. Similarly, the use of IV fluids to restore intravascular volume is considered the best way to manage a severe burn casualty and replenish fluids lost in the first 24 hours. Furthermore, fluid warming is often needed to prevent the onset of hypothermia in trauma patients suffering from catastrophic hemorrhage, where military studies suggest the practice of warming IV fluids prior to administration has significantly decreased the rate of preventable deaths. Accidental or uncontrolled hypothermia is also a well-recognized problem among trauma patients, requiring immediate clinical intervention. Moreover, up to 60% of patients admitted to regional trauma centers can be hypothermic.
Although electronic portable fluid warming devices are currently available, they are not optimal for austere environments where weight and cube are of great concern. Current technologies typically rely on extremely heavy and bulky proprietary batteries, or electricity, that the medical professional must carry in addition to IV fluid bags, thereby eliminating space for other necessary medical supplies. Additionally, current technologies are not designed for direct integration to the IV fluid solution or delivery system modality. In other words, in addition to carrying the IV fluid bags, the medic must carry a separate fluid warming device and a separate battery; altogether which occupy more space and weight than the medic can afford. The invention described herein is a chemically driven fluid warming component/apparatus which would integrate in the dispenser or downstream of the dispenser on the administration line, without adding substantial weight or cube to the overall system. Because the technology relies on chemically generated heat, the need for electricity or proprietary batteries is eliminated, making it possible to heat fluids in austere environments, where previously warming IV fluids was very cumbersome.
Separate to electronic fluid warmers, other fluid warming “sleeves” or “hot packs” exist that can generate enough heat for an IV bag. Contrary to the fluid warming apparatus described herein, however, the sleeves and heat packs require several minutes to an hour to generate enough heat to warm the fluids to the necessary temperature. The length of time it takes to heat fluids with these warmers is insufficient in environments where the rapid delivery of fluids is required to prevent the casualty from hemorrhaging. Therefore, warming sleeves and hot packs also do not serve as ideal solutions in a trauma environment.
By way of additional background, administering intravenous fluids is a complex task that is even more difficult when intravenous volume IV replacement must be accomplished in the field. Very specific guidelines exist regarding appropriate physiological parameters that caregivers should use to identify which casualties actually require intravenous volume IV replacement in the field. Once intravenous or intra-osseous access is obtained and secured, current technology requires the caregiver to assemble the components of the IV solution prior to administration. A drip chamber must be connected to the fluid bag, the connecting line must be flushed, and then the line must be connected to the infusion site. When utilizing an intra-osseous site, the fluid bag then must be used in conjunction with a pressure infusing device to ensure appropriate flow rates. The complex logistical requirements for ordering, obtaining and storing appropriate medical supplies make the current technology most difficult. Further, the complexity of the process significantly jeopardizes safe and effective patient care within this environment.
As previously mentioned, in order to maximize the chance of survival, fluid resuscitation is often necessary where the casualty must replace the blood volume lost from the wound. Similarly, the use of IV fluids to restore intravascular volume is considered the best way to replenish fluids lost in the first 24 hours. In certain instances, fluid cooling, rather than fluid heating is needed to prevent IV fluids from reaching dangerously hot temperatures. Extremely hot IV fluids can cause tissue damage and hemolysis, a condition that is characterized by the breakdown of the red blood cell's membrane. Hot fluids can also be a disadvantage in treating heat-stroke casualties in the desert, or other high temperature environments. For example, the average daily temperatures in Iraq and Afghanistan can be in excess of 54° C. (130° F.) and temperatures exceeding 52.2° C. (126° F.) have been shown to damage tissue and blood cells. Although fluids can be stored at safe temperatures at higher level echelons of care, the medic in the austere environment (echelon 1) is at the mercy of the ambient temperature of the environment.
Although portable fluid cooling systems are currently available, they are not optimal for austere environments where weight, cube, and time required to cool are of great concern. Current electronic technologies are bulky, complex, and not suitable for austere environments due to weight and cube concerns. Alternatively, non-electric cooling pouches require the time consuming step of placing the IV fluid bag in the cooler and waiting 15 or more minutes; a step that is both time consuming and logistically complex as it requires the medic to carry both the IV fluid bag and the cooling pouch. The length of time it takes to cool fluids with these cooling systems is insufficient in environments where the rapid delivery of fluids is required to prevent the casualty from hemorrhaging.
The invention described herein is a chemically driven fluid cooling component/apparatus which would integrate in the dispenser or downstream of the dispenser on the administration line, without adding substantial weight or cube to the overall system. Because the technology relies on chemically generated cooling, the need for electricity or proprietary batteries is eliminated, making it possible to cool fluids in austere environments where, previously, cooling IV fluids was very cumbersome. This invention, with IV fluid dispenser and the integrated fluid cooling component as a self-contained unit, would have significant logistical benefits over the currently used and disparate flexible solution bag, fluid coolers, and heavy batteries.
By way of brief summary, one form of the apparatus of the present invention comprises a non-electric heating and cooling means for interconnection with fluid dispensing devices of the character used to dispense medicaments to a patient. The apparatus of the invention includes a temperature altering chamber housing having an outer wall, a rear wall connected to the outer wall and a front cover connected to the outer wall, the front wall having a fluid inlet port to receive the medicinal fluids to be dispensed to a patient. The outer wall, the rear wall, and front cover cooperate to define an internal chamber having a fluid inlet. A fluid delivery member, which is contained within the internal chamber, has an outlet and an inlet in communication with the fluid inlet port of the front cover of the temperature altering chamber housing. A chemical component is contained within the internal chamber of the temperature altering chamber and an internally threaded container housing is connected to the temperature altering chamber housing. A collapsible container, which contains a solution or solvent that is to be intermixed with the chemical component, is carried within the internally threaded container housing and has an outlet in communication with the internal chamber of the temperature altering chamber housing. An externally threaded control member which has a pusher wall in engagement with the collapsible container is threadably connected to the internally threaded container housing for rotational movement relative thereto, to collapse the collapsible container and expel the solution therefrom.
With the forgoing in mind, it is an object of the present invention to provide a novel non-electric heating and cooling apparatus for controllably heating and cooling fluid medicaments flowing through the fluid delivery member of the apparatus by adding a suitable solution to a chemical component to create either an exothermic or endothermic process that can be used to selectively heat or cool the fluid delivery member and the fluid flowing there through.
Another object of the invention is to provide a novel dispensing apparatus as described in the preceding paragraphs in which the fluid delivery member comprises an inner length of helix shaped tubing and an outer length of helix shaped tubing that circumscribes the inner length of helix shaped tubing.
Another object of the invention is to provide an apparatus of the class described which is compact and lightweight, is easy to use and is extremely reliable in operation.
Another object of the invention is to provide an apparatus that is easy and inexpensive to manufacture in large quantities.
Definitions—As used herein the following terms mean:
Collapsible
To cause to fold, break down, or fall down or inward or as in bent-over or doubled-up so that one part lies on another.
Collapsible Container
A dispensing apparatus in which one or more walls of the container are made of a material which will deform (collapse) when pressure is applied thereto; or a dispensing apparatus having a collapsible or telescoping wall structure.
Exothermic/Endothermic
Exothermic is characterized by, or formed with, evolution of heat, as, an exothermic reaction; as opposed to endothermic which is characterized by or formed with absorption of heat.
Referring to the drawings and particularly to
Extending forwardly of the rear wall 37a of the insulation barrier 37 is an elongated dispersing tube 43, the purpose of which will presently be described. Contained within internal chamber 42 of chamber housing 32 is the previously mentioned insulation barrier 37 which, in addition to rear wall 37a, comprises a sidewall 37b and a front wall 37c (
Also housed within internal chamber 42 is the important fluid delivery member of the apparatus, which here comprises a generally helically shaped tube 45 that circumscribes the elongated dispersing tube 43 in the manner shown in
For a purpose presently to be described, a chemical component, generally designated in
With respect to the endothermic process for cooling the fluid to be delivered to the patient, while the cooling of fluid may, in principle, be achieved through any endothermic process, examples of suitable endothermic chemical processes include the following:
Referring once again to
Contained within the reservoir 58a of the collapsible container 58 is a solution or solvent generally designated as “S”. In a manner presently to be described, the chemical component “C” that is contained within the internal chamber 42 of chamber housing 32 is controllably intermixed with the solution or solvent “S” to cause either an exothermic or an endothermic reaction that provides the source for heating or cooling the fluid received from the fluid delivery source “FDS” (
MgCl2(s)+6H2O(l)→MgCl2.6H2O(s)ΔH=−150 kJ/mol.
In another form of the invention, the solution “S” comprises aqueous phosphoric acid that is controllably inter-mixed with the chemical component strontium oxide to create the following exothermic reaction:
2H3PO4(aq)+3SrO(s)→Sr3(PO4)2(s)+3H2O(l) ΔH=−704 kJ/mol.
However, it is to be understood that in creating the exothermic process, the solution or solvent “S” can be selected from the group consisting of water, styrene, epichlorohydrin, vinegar, ascorbic acids, oxalic acid, aqueous solutions of strong acids, aqueous sodium hydroxide and other metal hydroxides, and solutions or blends of polymerization initiator in the polymerization processes.
Other desirable exothermic processes created by mixing the chemical component “C” that is contained within the internal chamber 42 of the heat chamber housing 32, with the solution or solvent “S” contained within the collapsible container 58, include the following:
Ba(OH)2(s)+8H20(l)→Ba(OH)2.8H2O(s) ΔH=−126 kJ/mol
SrO2(s)+8H2O(l)→SrO2.8H2O(s) ΔH=−117 kJ/mol
3Sr(OH)2(aq)+2H3PO4(s)→Sr3PO4)2(aq)+6H2O ΔH=−223 kJ/mol
Ca(s)+2H2O(l)→Ca(OH)2(aq)+H2 ΔH=−432 kJ/mol
With regard to the forgoing reactions, the hydration reactions are attractive because both products and reactants are environmentally friendly. The acid base reactions are desirable because of the amount of energy and the end products produced. The Ca/water reaction produces a significant amount of energy and is desirable where a substantial amount of energy is required.
With respect to the endothermic process for cooling the fluid to be delivered to the patient, while the cooling of fluid may, in principle, be achieved through any endothermic process, examples of suitable endothermic chemical processes include the following:
Carried within the neck portion 64 of the collapsible container 58 is a seal plug housing 68 that includes reduced diameter portion 68a and an enlarged diameter portion 68b. Disposed within the reduced diameter portion of the seal plug housing is a seal plug 72. Seal plug 72 is movable within the seal plug housing between a first retracted position shown in
Forming an important feature of the apparatus of the present invention is an externally threaded pusher member 74 that includes a pusher wall 74a that is in engagement with end wall 62 of the collapsible container (see
In order to prevent inadvertent rotational movement between the externally threaded control member and the internally threaded container housing, locking means are provided. In this regard, as best seen in
In using the apparatus of the invention, the first step is to inter-connect the fluid delivery system FDS with inlet 40 of the cover 38 via line 87 (
Referring to
As the control knob is advanced to the position shown in
The exothermic or endothermic solution formed within chamber 42 functions to controllably heat or cool the helical tube 45 as well as the fluid to be delivered to the patient which, upon heating or cooling of the helical tube 45, can be delivered to the helical tube from the fluid delivery system FDS that is interconnected with a helical tube in the manner shown in
As illustrated in
After the fluid flowing through the helix tube 45 is either heated or cooled, it will flow through outlet 48 of the helix tube and into the inlet of the administration for delivery to the patient in a conventional manner.
Referring now to
As before, apparatus 110 comprises a temperature altering chamber housing 32 that includes an outer wall 34 and a front cover 38 connected to outer wall 34. Like the earlier described embodiment, an insulation barrier 37 which is of substantially identical construction to that previously described, is disposed within chamber housing 32. Front cover 38 has a fluid inlet port 40 for receiving the medicinal fluids to be dispensed to a patient. As best seen in
Disposed within internal chamber 42 of the temperature altering chamber housing 32 is a chemical component, generally designated in
Connected to chamber housing 32 in the manner shown in
The apparatus of this latest form of the invention includes an externally threaded pusher member 74 that is also substantially identical in construction and operation to that previously described (see
Threadably connected to externally threaded pusher member 74 is an internally threaded control member 76 that is adapted for rotational movement relative to the pusher member so as to move the pusher member from the first retracted position shown in
In order to prevent inadvertent rotational movement between the externally threaded control member and the internally threaded container, housing locking means of the character previously described are provided (see
In using the apparatus of the invention, the first step is to inter-connect the fluid delivery system FDS with inlet 40 of the cover 38 via line 87 (
As the control knob is advanced to the advanced position, the collapsible container 58 will be collapsed and the solution or solvent “S” contained there within will be forced through the fluid passageways, or grooves 94, formed in the enlarged diameter portion 68b of the seal plug housing 68 (
The solution formed within chamber 42 functions to controllably heat or cool the double helical tube 112, as well as the fluid to be delivered to the patient, which upon heating or cooling of the double helical tube 112, can be delivered to the helical tube from the fluid delivery system FDS that is interconnected with a helical tube in the manner shown in
As before, a conventional administration set 100 is interconnected with the double helical tube 112, in the manner illustrated in the drawings. After the fluid flowing through the double helix tube 112 is either heated or cooled, it will flow through outlet 123 of the outer helix tube 116 and into the inlet of the administration set for delivery to the patient in a conventional manner.
Having now described the invention in detail in accordance with the requirements of the patent statutes, those skilled in this art will have no difficulty in making changes and modifications in the individual parts or their relative assembly in order to meet specific requirements or conditions. Such changes and modifications may be made without departing from the scope and spirit of the invention, as set forth in the following claims.
Number | Name | Date | Kind |
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20110082422 | Joshi et al. | Apr 2011 | A1 |
Number | Date | Country | |
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20110082423 A1 | Apr 2011 | US |