Devices and methods for delivering nebulized medicines are disclosed in International Application PCT/US13/39324, filed May 2, 2013, the complete disclosure of which is incorporated herein by reference. The devices disclosed therein include a positionable elongated member and a delivery tube, e.g., a length of flexible plastic tubing, disposed within the elongated member. Nebulized medicine is delivered through the delivery tube, and thus it is important that the delivery tube remain free from kinks or other constrictions regardless of the position of the positionable elongated member.
Generally, this invention relates to devices and methods for delivery of a nebulized medicine to a patient. The devices disclosed herein may be configured for use in environments such as patients' homes, hospitals, doctors' offices, and nursing homes. The invention also relates to joints that may be used in such devices, and in particular to multi-axis joints that include both pivoting and swiveling functionality. In some cases, the joint can be moved to an open position in which it provides a continuous open slot for loading tubing into the joint, eliminating the need to thread tubing through a bore. The invention also features the use of the multi-axis joints described herein in other applications, particularly applications in which it is necessary to provide articulation while avoiding constriction of tubing disposed within the joint.
In one aspect, the invention features an apparatus comprising a multi-segment elongated member configured to support a tube and maintain a distal end of the tube in a desired position, and a multi-axis joint assembly disposed between segments of the elongated member to allow articulated relative movement of the segments.
Some implementations include one or more of the following features.
The multi-axis joint assembly may comprise a pivot joint and a swivel joint. The elongated member may define an open channel configured to receive the tube and the swivel joint may be configured to be moved between an open position, in which the swivel joint defines a channel that is colinear with the channel of the elongated member, and a closed position.
The pivot joint may include a female portion and a male portion having corresponding friction faces. The pivot joint may further comprise an adjustment device configured to allow the frictional force between the friction faces to be adjusted, e.g., a pair of caps that urge the friction faces together, and adjustment screws configured to adjust the pressure exerted by the caps.
The swivel joint may comprise a hub that is fixed relative to the pivot joint, and a collar that is rotatably mounted on the hub. In some cases, the hub and collar have corresponding friction faces. The swivel joint may further comprise an adjustment device configured to allow the frictional force between the friction faces of the hub and collar to be adjusted, e.g., one or more screws that draw the friction faces together. In some cases, one of the segments of the elongated member is mounted on the collar.
In some implementations, the multi-axis joint further comprises a second swivel joint, and the pivot joint is interposed between the two swivel joints. The hub may be joined to the pivot joint by a keyed engagement.
The apparatus may further include the delivery tube, which may be disposable, and the elongated member and the multi-axis joint may define a continuous open channel configured to allow the delivery tube to be removed and replaced. The apparatus may also include a base, on which a proximal end of the elongated member is mounted, and a nozzle at a distal end of the delivery tube.
In some cases, the elongated member includes at least three segments.
The invention also features multi-axis joints having any combination of the features disclosed herein.
Referring to
As indicated by arrow A, the proximal end 17 of the first arm is preferably mounted on the base 14 so that it can rotate (arrow A), and in some cases pivot, with respect to the base to enhance the overall positionability of the device. While rotation is preferred, if desired the first arm can be fixedly mounted to the base. In some implementations, the first arm is mounted on the base as disclosed in U.S. Ser. No. 13/934,565, filed Jul. 3, 2013, the full disclosure of which is incorporated herein by reference.
The articulating joint 20 (shown in
The device 10 also includes a compressor 40 which delivers compressed gas (e.g., air) to a medicine cup 42 which, when the device is in use, contains a supply of medicine. The medicine cup 42 may be connected to the first arm 16 (as shown), or mounted within the arm or base, e.g., as disclosed in U.S. Ser. No. 13/934,565, filed Jul. 3, 2013, so as to hold the medicine cup in a stable, substantially vertical position during delivery of the medicine. This stable positioning of the medicine cup facilitates use of the device and enhances the effectiveness of the nebulizer. The compressor is connected to a power supply (not shown).
Medicine is nebulized in the medicine cup and then delivered to the patient via a delivery tube 44. As shown in detail in
A nozzle 24 is mounted at the distal end 26 of the second arm, or to the distal end of the delivery tube, for delivery of the vaporized medicine to an area adjacent the patient's face. For example, delivery can be directed toward the patient's nose and mouth, so that the patient will receive the medicine regardless of whether she is breathing through her mouth or nose. Mounting of the nozzle may be by a pivotable connection 28, as shown, to provide fluid communication between the nozzle 24 and the delivery tube 44 while allowing the position of the nozzle to be finely adjusted as indicated by arrows C. Preferred types of nozzles are disclosed in International Application PCT/US13/39324, incorporated by reference above.
Referring now to
The components of the pivot joint 50 are shown in more detail in
As can be seen in
The components of swivel joint 52 are shown in detail in
The first function is particularly helpful when the elongated member of the delivery device includes more than one joint 20. If a plurality of joints are provided, then the swiveling function allows each segment of the elongated member to swivel relative to the adjacent segment, greatly increasing the degrees of freedom of the device. The second function allows the delivery tube to be easily inserted and removed from the swivel joint.
Referring to
An elongated member 93 is fixedly attached to the swivel joint collar, e.g., by screws 91 extending through through-holes 99 (
Because of its keyed attachment to the male portion of the pivot joint, the swivel joint hub 90 is fixed relative to the pivot joint. The swivel joint collar 92 is positioned on the swivel joint hub for rotation relative to the swivel joint hub 90, thus allowing the elongated member 93 to swivel relative to the pivot joint. The freedom of rotation is determined by adjusting the normal force between friction face 98 of the swivel joint hub and friction face 100 of the swivel joint collar (best seen in
Referring to
To limit rotation, e.g., to about 135 degrees or less, in some implementations a rotation stop tab 110 is provided on the swivel joint hub 90. This tab interferes with one of a pair of collar stop limit features 112 on the swivel joint collar at the desired limit of rotation in each direction.
To prevent separation of the hub from the collar the cylindrical bore of the hub 101 and the cylindrical shaft 114 have surfaces that comprise more than 180° of contacting surface. This surface acts to retain the collar and hub together in all positions as the joint rotates.
If desired, a second swivel joint (not shown) can be provided for attachment to the female portion of the pivot joint, using the openings 96, in which case a second elongated member would be fixedly attached to the swivel joint hub of the second swivel joint. Alternatively, if swiveling motion is not desired between the female portion of the pivot joint and the attached elongated member, the elongated member can be fixedly attached directly to the female member.
A number of embodiments have been described. Nevertheless, it will be understood that various modifications may be made without departing from the spirit and scope of the disclosure.
For example, while it is generally preferable to combine the pivoting and swiveling features described above in a single multi-axis joint, in some cases these features may be used individually, to provide a pivot joint or a swivel joint.
Moreover, while the multi-axis joint has been discussed above in the context of its use in the delivery of nebulized medicines, the multi-axis joint may be used in a variety of other applications, such as in other medical devices where multi-axis movement would be useful, particularly where it is important to be able to remove and replace tubing that runs through the joint. The multi-axis joint could also be used in other applications in which a precise and flexible positioning and directional control of delivery of a gas or fluid is desired, e.g., in industrial applications such as painting or welding.
Additionally, in some implementations, for example in applications not requiring an open channel for insertion of tubing, the joint could include cylindrical members rather than members that are shaped to define an open channel.
Accordingly, other embodiments are within the scope of the following claims.
Number | Name | Date | Kind |
---|---|---|---|
1571959 | Mulligan | Feb 1926 | A |
2419860 | Urrutia | Apr 1947 | A |
2963247 | Collier | Dec 1960 | A |
3089028 | Klampferer | May 1963 | A |
3221733 | Beasley | Dec 1965 | A |
3931452 | Nilsson | Jan 1976 | A |
3971538 | Marvich | Jul 1976 | A |
4020834 | Bird | May 1977 | A |
4282869 | Zidulka | Aug 1981 | A |
4321917 | Campbell | Mar 1982 | A |
4338924 | Bloom | Jul 1982 | A |
4461292 | Montalbano | Jul 1984 | A |
4554916 | Watt | Nov 1985 | A |
4593688 | Payton | Jun 1986 | A |
4595008 | Guibert | Jun 1986 | A |
4646750 | Williams | Mar 1987 | A |
4679551 | Anthony | Jul 1987 | A |
4732147 | Fuller | Mar 1988 | A |
4863133 | Bonnell | Sep 1989 | A |
5014693 | Sauberli | May 1991 | A |
5092551 | Meier | Mar 1992 | A |
5357945 | Messina | Oct 1994 | A |
5609565 | Nakamura | Mar 1997 | A |
5636627 | Rochester | Jun 1997 | A |
5692494 | Pernetti | Dec 1997 | A |
5941839 | Ishikawa | Aug 1999 | A |
6065473 | McCombs et al. | May 2000 | A |
6095467 | Neuhof | Aug 2000 | A |
6224027 | Johnson et al. | May 2001 | B1 |
6308707 | Lu | Oct 2001 | B1 |
6371115 | Cewers et al. | Apr 2002 | B1 |
6409134 | Oddsen, Jr. | Jun 2002 | B1 |
6450166 | Lavimodiere et al. | Sep 2002 | B1 |
6619288 | Demers et al. | Sep 2003 | B2 |
6837238 | McDonald | Jan 2005 | B2 |
7004437 | Bauer et al. | Feb 2006 | B2 |
7036502 | Manne | May 2006 | B2 |
7040581 | Noelke et al. | May 2006 | B2 |
7063765 | Kudo et al. | Jun 2006 | B2 |
7089941 | Bordewick et al. | Aug 2006 | B2 |
7124755 | Van Hooser | Oct 2006 | B2 |
7267305 | Kreuzer et al. | Sep 2007 | B2 |
7357136 | Andrews et al. | Apr 2008 | B2 |
7453585 | Dodge et al. | Nov 2008 | B2 |
7540457 | Oddsen, Jr. | Jun 2009 | B2 |
7597298 | Papendieck et al. | Oct 2009 | B2 |
7677515 | Oddsen, Jr. | Mar 2010 | B2 |
7694680 | Brichetto | Apr 2010 | B2 |
7744043 | Otinger | Jun 2010 | B2 |
7975693 | Geiselhart et al. | Jul 2011 | B2 |
8011071 | O'Brien | Sep 2011 | B2 |
8181918 | McCloud | May 2012 | B2 |
8282050 | Georgey | Oct 2012 | B2 |
8360058 | Ahearn et al. | Jan 2013 | B2 |
8534618 | Mays | Sep 2013 | B2 |
8540196 | Hodson | Sep 2013 | B1 |
8704960 | Weaver | Apr 2014 | B2 |
8794233 | Ahearn et al. | Aug 2014 | B2 |
9180262 | Cota | Nov 2015 | B2 |
9267537 | Plomteux | Feb 2016 | B2 |
20020074463 | Nakamura | Jun 2002 | A1 |
20030116167 | Van Hooser | Jun 2003 | A1 |
20070045481 | Adams | Mar 2007 | A1 |
20070295869 | Noelke et al. | Dec 2007 | A1 |
20080053437 | Steiner et al. | Mar 2008 | A1 |
20080078397 | Christianson et al. | Apr 2008 | A1 |
20080185359 | Baxter | Aug 2008 | A1 |
20080197256 | Hirschhorn | Aug 2008 | A1 |
20090039210 | Shrivastava et al. | Feb 2009 | A1 |
20090065005 | Ades | Mar 2009 | A1 |
20090179117 | Thomas | Jul 2009 | A1 |
20090230269 | Dallarosa | Sep 2009 | A1 |
20120103326 | Karle et al. | May 2012 | A1 |
20120285452 | Amirav et al. | Nov 2012 | A1 |
20130174838 | Youngblood | Jul 2013 | A1 |
20130306060 | Cota et al. | Nov 2013 | A1 |
20150007812 | Smith | Jan 2015 | A1 |
20160030686 | Cota et al. | Feb 2016 | A1 |
Number | Date | Country |
---|---|---|
0585379 | Sep 1998 | EP |
9927818 | Jun 1999 | WO |
2005112555 | Dec 2005 | WO |
2007021969 | Feb 2007 | WO |
Entry |
---|
Cumulus, Modern Ultrasonic Nebulizer, Heyer Medical AG, Nov. 2006. |
Kid O's Bear, #EO-KBN-4300, Mercury Medical, p. 270, commercially available at least as early as Aug. 2011. |
OxyPhone, The Nebulizer Phone for Children, www.oxyphone.com; commercially available at least as early as May 2008. |
International Search Report, Corresponding PCT Application No. PCT/US2014/043320, dated Oct. 15, 2014, 4 pages. |
Number | Date | Country | |
---|---|---|---|
20150007810 A1 | Jan 2015 | US |