The present disclosure is directed generally to pressure sensing assemblies for non-invasive blood pressure cuffs, and more specifically, to methods of manufacturing such pressure sensing assemblies.
In order to detect and record a patient's arterial blood pressure, a pressure sensing mechanism that is applied either invasively or non-invasively to the patient is needed. In one method of manufacturing non-invasive hard-shell blood pressure cuffs, a hard shell is formed into a cone shape and a sensor pad assembly is positioned inside the hard shell by rolling the sensor pad assembly and feeding it through a hole in the hard shell. Then, the sensor pad assembly can be filled with a pressure sensing fluid and glued into position onto the inside surface of the hard shell. However, these methods of manufacturing are complicated and introduce multiple points of potential failure for the end-device that may not be readily apparent or easily repaired.
The invention is defined by the independent claims. The dependent claims define advantageous embodiments.
According to an aspect of the present disclosure, a pressure sensing assembly is provided. The pressuring sensing assembly comprises: a semi-rigid sheet having a first cavity, a second cavity, and a channel connecting the first cavity and second cavity formed on a first surface of the semi-rigid sheet; an interfacial connector disposed within an aperture of the second cavity of the semi-rigid sheet; a tube assembly connected to the interfacial connector at a second surface of the semi-rigid sheet; and an impermeable film attached to at least a portion of the first surface of the semi-rigid sheet, wherein the impermeable film forms a fluid-tight seal over at least the first cavity, the second cavity, and the channel of the semi-rigid sheet.
Advantages of certain embodiments of the disclosed invention include that they provide a pressure sensing assembly having a reduced number of components compared to a known pressure sensing assembly, the cost is also reduced due to having fewer components, and they are more robust as a result of having fewer components which may potentially fail. Embodiments also reduce the errors that can occur with current manufacturing methods. Furthermore, embodiments resolve the challenge resulting from forming a hole in the semi rigid shell, which creates an unsupportive nature in the shell, and thus it needs to be filled.
In an embodiment, the tube assembly may comprise a tube and a first adapter, the interfacial connector being connected at a first end of the tube and the first adapter being connected to a second end of the tube.
In an embodiment, the pressure sensing assembly may form a continuous leak-free fluid path between the first cavity, the channel, the second cavity, and the tube assembly.
In an embodiment, the pressure sensing assembly may further comprise a first fluid contained within the continuous leak-free fluid path.
In an embodiment, the first fluid is a silicone oil.
In an embodiment, the pressure sensing assembly may further comprise at least one of a plurality of projections and/or a spacing device disposed within the first cavity of the semi-rigid sheet.
According to another aspect of the present disclosure, a non-invasive blood pressure cuff comprising the above pressure sensing assembly is provided.
In an embodiment, the non-invasive blood pressure cuff may further comprise a pressure transducing assembly having a second adapter connected to a pressure transducer, wherein the first adapter of the tube assembly is connected to the second adapter of the pressure transducing assembly.
According to still another aspect of the present disclosure, a method of manufacturing a pressure sensing assembly for a non-invasive blood pressure cuff is provided. The method comprises: (1) forming, on a first surface of a semi-rigid sheet, a first cavity, a second cavity, and a channel connecting the first cavity and the second cavity, wherein the second cavity comprises an aperture extending through the semi-rigid sheet to a second surface of the semi-rigid sheet; (2) securing an interfacial connector within the aperture of the second cavity; (3) connecting a tube assembly to the interfacial connector, wherein the tube assembly is adjacent to the second surface of the semi-rigid sheet; (4) attaching an impermeable film to at least a portion of the first surface of the semi-rigid sheet, wherein the impermeable film forms a fluid-tight seal over at least the first cavity, the second cavity, and the channel of the semi-rigid sheet; and (5) filling the first cavity, the second cavity, and the channel of the semi-rigid sheet and the tube of the tube assembly with a first fluid to form the pressure sensing assembly.
In an embodiment, the method may further comprise installing a spacing device within at least the first cavity of the semi-rigid sheet prior to attaching the impermeable film to the first surface of the semi-rigid sheet.
In an embodiment, the method may further comprise forming a plurality of projections within at least the first cavity of the semi-rigid sheet prior to attaching the impermeable film to the first surface of the semi-rigid sheet.
In an embodiment, one or more of the first cavity, the second cavity, and the channel may be formed using injection molding and/or thermoforming.
In an embodiment, connecting the tube assembly to the interfacial connector may form a fluid path between the tube assembly, the second cavity, the channel, and the first cavity.
In an embodiment, the tube assembly may comprise a tube and a first adapter, the interfacial connector being connected at a first end of the tube and the first adapter being connected to a second end of the tube. The method may then further comprise connecting the first adapter of the tube assembly to a second adapter of a pressure transducing assembly, wherein the pressure transducing assembly comprises the second adapter and a pressure transducer filled with a second fluid, the first and second adapters forming a leak-free boundary between the first fluid of the tube assembly and the second fluid of the pressure transducing assembly.
In an embodiment, the pressure transducing assembly may be disposable, and the first adapter of the tube assembly may be connected to a second adapter of the pressure transducing assembly.
These and other aspects and embodiments will be apparent from and elucidated with reference to the embodiment(s) described hereinafter.
In the drawings, like reference characters generally refer to the same parts throughout the different views. Also, the drawings are not necessarily to scale, emphasis instead generally being placed upon illustrating the principles of the various embodiments.
The present disclosure relates to non-invasive blood pressure cuffs, pressure sensing assemblies for use in non-invasive blood pressure cuffs, and methods of manufacturing such devices. When a blood pressure cuff of the present disclosure is non-invasively applied to a patient, a pressure sensing assembly of the blood pressure cuff hydraulically translates arterial pressure changes generated by an arterial pulse. Further, as described herein, the pressure sensing assembly can be reversibly connected to a pressure transducer to measure and record the patient's blood pressure.
Turning to
In embodiments, the first surface 104 of the sheet 102 can be placed against a patient's body (e.g., around a patient's upper arm) when used part of the pressure sensing assembly 100 of a non-invasive blood pressure cuff 200. As such, when used as part of a pressure sensing assembly 100 of a non-invasive blood pressure cuff 200, the sheet 102 provides a rigid structure against which an arterial pulse can be hydraulically translated to the pressure sensing assembly 100.
According to aspects of the present disclosure, the first surface 104 of the sheet 102 has one or more cavities and channels formed thereon. For example, the first surface 104 may have at least a first cavity 108, a second cavity 110, and a channel 112 connecting the first and second cavities 108, 110. In embodiments, each of the cavities 108, 110 and/or channel(s) 112 can be formed along with the sheet 102 using injection molding and/or thermoforming. In further embodiments, the cavities 108, 110 and channel 112 can have a depth less than the total thickness of the sheet 102. In other embodiments, the cavities 108, 110 and channel 112 may form projections extending from the second surface of the sheet 102. Although illustrated as having rectangular shapes, the cavities 108, 110 and channel 112 can have other shapes and is not limited to any particular geometry except as otherwise discussed herein. For example, and without limitation, the cavities 108, 110 can be circular and/or have rounded or curved edges to facilitate pressure sensing features when the sheet 102 is rolled into a circular configuration.
In embodiments, at least one of the cavities 108, 110 include an aperture 116 extending through the entire thickness of the sheet 102 (i.e., through to the second surface 106 from the first surface 104). In specific embodiments, the second cavity 110 may include the aperture 116, as shown in
For example, with reference to
Turning to
The film 130 may be attached to the first surface 104 of the sheet 102 in a variety of ways. For example, as shown in
In particular, however, the film 130 forms a fluid-tight seal over one or more of the cavities 108, 110 and channel 112. With the film 130 attached to the surface 104 of the sheet 102, the pressure sensing assembly 100 forms a continuous, leak-free fluid path between the one or more cavities and/or channels, such as the first cavity 108, the channel 112, and the second cavity 110. Thus, the film 130 is an impermeable membrane, with the notion “impermeable” meaning that the film prevents at least a first fluid from escaping the fluid path. In particular embodiments, this fluid path can further include the tube assembly 118 (e.g., the tube 122 and/or the first adapter 124).
In accordance with various aspects of the present disclosure, the fluid path enclosed by the sheet 102 and the film 130 can be filled with at least a first fluid, which can be a pressure sensing fluid. In other words, the pressure sensing assembly 100 can include at least a first pressure sensing fluid that fills one or more cavities and/or channels (e.g., the cavities 108, 110 and channel 112). As such, the film 130 may be impermeable to at least the first fluid, including at least the first pressure sensing fluid. In embodiments, at least the first pressure sensing fluid comprises a liquid or aqueous solution capable of translating a pressure differential generated by the flow of blood in an adjacent blood vessel along the fluid path. In specific embodiments, the first pressure sensing fluid can include a silicone oil.
Turning now to
As shown in
According to further aspects of the present disclosure, a non-invasive blood pressure cuff 200 comprising a pressure sensing assembly 100 is provided. With reference to
As discussed below, the pressure sensing assembly 100 may be heated and curled, rolled, or otherwise bent into a circular configuration during manufacturing (i.e., prior to applying the cuff 200 to the patient's body 202). In embodiments, the one or more cavities and channels (e.g., cavities 108, 110 and the channel 112) may be formed while the sheet 102 of the pressure sensing assembly 100 is curled or uncurled. Similarly, the film 130 may be attached and the fluid path may be filled while the sheet 102 of the pressure sensing assembly 100 is curled or uncurled. When curled, however, the sheet 102 and/or the non-invasive blood pressure cuff 200 can have a rounded and/or a substantially circular cross-section. Once the pressure sensing assembly 100 is curled, the sheet 102 is flexible enough to allow placement on the patient's body 202 but rigid enough that pressure differentials generated by the flow of blood through a blood vessel 204 adjacent to the pressure sensing assembly 100 can be hydraulically translated to the pressure sensing fluid of the pressure sensing assembly 100.
As shown in
As also shown in
In other embodiments, the tube assembly 118 may not include a first adapter 124, and the tube 122 of the tube assembly 118 is directly connected to the pressure transducing assembly 206. For example, the second end 128 of the tube 122 may be directly connected to the pressure transducer 210 of the pressure transducing assembly 206. In some embodiments, the tube assembly 118 may be irreversibly connected and/or secured to the pressure transducing assembly 206.
In embodiments, the pressure transducing assembly 206 may contain or otherwise comprise at least a second fluid. For example, the pressure transducer 210 of the pressure transducing assembly 206 can be filled with an amount of at least the second fluid. In some embodiments, the second fluid of the pressure transducing assembly 206 can be at least a second pressure sensing fluid. In embodiments, at least the second pressure sensing fluid comprises a liquid or aqueous solution capable of translating a pressure differential generated by the flow of at least the first fluid along the fluid path of the pressure sensing assembly 100. In specific embodiments, the second pressure sensing fluid can include glycerin.
In embodiments, the first and second adapters 124, 208 may form a leak-free boundary between at least the first fluid of the tube assembly 118 and at least the second fluid of the pressure transducing assembly 206. Thus, when the first and second adapters 124, 208 are connected, the different fluids (e.g., at least the first and second fluids) will not mix. In embodiments where the tube assembly 118 does not include a first adapter 124 and is irreversibly connected to the pressure transducing assembly 206, the irreversible connection may form the leak-free boundary between at least the first fluid of the tube assembly 118 and at least the second fluid of the pressure transducing assembly 206.
However, in certain embodiments, the first and second adapters 124, 208 may be reversibly connectable such that the pressure transducing assembly 206 can be disconnected from the pressure sensing assembly 100. In specific embodiments, the pressure transducing assembly 206 or one or more parts of the pressure transducing assembly 206 can be disposable. For example, in some embodiments, the cable 212, the pressure transducer 210 and/or the second adapter 208 may be disposable.
Turning now to
More particularly, in a first step, the method 300 includes forming 310 one or more cavities and/or channels (e.g., cavities 108, 110, channel 112, etc.) on a first surface 104 of a semi-rigid sheet 102. The one or more channels and cavities may be interconnected such that when fully assembled, these cavities and channels (e.g., cavities 108, 110, channel 112, etc.) define a fluid flow path for at least a first pressure sensing fluid. In embodiments, one or more of the cavities 108, 110 and/or channels 112 may include an aperture 116 extending through the sheet 102.
In embodiments, each of the one or more cavities and channels (e.g., cavities 108, 110, channel 112, etc.) may be formed 310 either using injection molding, thermoforming, three-dimensional printing, or another similar production technique. For example, in an injection molding process, a composition is heated to become a molten composition that is then injected through a nozzle under a certain pressure into a prefabricated mold. Once the molten composition is cured, the molded part can be removed from the mold for further processing. In a thermoforming process, a sheet formed from a composition is heated to a forming temperature and applied to a mold using pressure forming, vacuum forming, mechanical forming, or the like. The sheet material is then cooled down and trimmed to result in the finished part. Alternatively, in a three-dimensional printing process, a digital model is used to deposit, join, and/or solidify a material composition (e.g., in the form of a solid, liquid, powder, or the like) in a plurality of layers or operations.
In particular embodiments, the compositions used in the forming step 310 can comprise a polymer composition, including but not limited to, an acrylate, a polyethylene, a polystyrene, Lexan, a polycarbonate, a polypropylene, polyethylene terephthalate glycol, acrylonitrile butadiene styrene, polymethyl methacrylate, polyvinyl chloride, and the like. In certain embodiments, the compositions used in the forming step 310 can include a combination of two or more polymers, or can include one or more additives such as pigments, fillers, and/or strengtheners.
In embodiments, the cavities 108, 110 and/or channels 112 may be formed after the sheet 102 is formed or at the same time as the sheet 102. Further, the cavities 108, 110 and/or channels 112 may be formed while the sheet 102 is unrolled (i.e., flat) or while the sheet 102 is curled (i.e., rolled into a circular configuration).
In further embodiments, at least one of the cavities and/or channels (e.g., cavities 108, 110, channel 112, etc.) can comprise an aperture 116 extending through the semi-rigid sheet 102 to a second surface 106 of the semi-rigid sheet 102.
In a second step, the method 300 includes securing 320 at least one interfacial connector 114 within an aperture 116 of the pressure sensing assembly 100. In embodiments, the interfacial connector may be a tube fitting such as connector 114 shown in
Next, the method 300 includes connecting 330 a tube assembly (e.g., tube assembly 118) to the interfacial connector 114. In embodiments, the tube assembly 118 can include at least a first adapter 128 as well as a tube 122 having a first end 126 and a second end 128. The tube assembly 118 may be connected to the interfacial connector 114 such that the tube assembly 118 is adjacent to the second surface 106 of the sheet 102. In other words, when the pressure sensing assembly 100 is curled into a circular configuration and applied to a patient's body part 202, the first surface 104 faces the patient's body part 202, the second surface 106 faces away from the patient's body part 202, and the tube assembly 118 is outside of the second surface 106 of the sheet 102.
The method 300 then includes attaching 340 a film (e.g., film 130) to at least a portion of the first surface 104 of the sheet 102 such that the film 130 forms a fluid-tight seal over at least one the more cavities 108, 110 and/or channels 112. The film 130 may be attached to the sheet 102 via an adhesive, as discussed above, although other methods are contemplated.
After being attached, the film 130 forms a fluid path between the one or more cavities 108, 110 and channels 112 and the tube assembly 118. Thus, in a step 350, the method 300 includes filling the formed fluid path with at least a first fluid to form the pressure sensing assembly 100. In embodiments, the film 130 may be a flexible thin film capable of imparting pressure differentials generated by an adjacent blood vessel 204 to the fluid, which may be translated through the one or more cavities 108, 110 and channels 112 and through the tube assembly 118.
In particular embodiments, the method 300 can further include steps 325 and/or 326, wherein a spacing device 136 is placed and/or a plurality of projections 134 are formed with one or more of the cavities 108, 110 and/or channels 112 of the sheet 102. In particular embodiments, a spacing device 136 can be placed only within the first cavity 108 of the sheet 102. In other embodiments, a plurality of projections 134 are formed only within the first cavity 108. In still further embodiments, the cavities 108, 110 and/or channels 112 may include a combination of spacing devices 136 and/or projections 134. As shown in
Next, in a step 360, the method 300 can include connecting the pressure sensing assembly 100 to a pressure transducing assembly 206. In embodiments, the pressure transducing assembly 206 can comprise at least a second adapter 208 and a pressure transducer 210 comprising at least a second fluid as discussed above, such that the step 360 includes connecting the second adapter 208 to the first adapter 124. The second fluid may be a pressuring sensing fluid like the first fluid, may be the same fluid as the first fluid, or may be a different fluid than the first fluid. By connecting the pressure sensing assembly 100 to the pressure transducing assembly 206, the adapters 124, 208 can form a leak-free boundary between the first fluid of the tube assembly 118 and the second fluid of the pressure transducing assembly 206. In some embodiments, the pressure transducing assembly 206 or a component thereof may be disposable and the first adapter 124 of the tube assembly 118 may be reversibly connected to the second adapter 208 of the pressure transducing assembly 206. In specific embodiments, the first adapter 124 can be a female luer lock adapter and the second adapter 208 can be a male luer lock adapter.
Finally, in certain embodiments, the method 300 may include a step 370 wherein the pressure sensing assembly 100 is curled, rolled, or otherwise formed into a circular configuration that can be worn on a body part 202 of a patient as illustrated in
As discussed herein, the pressure sensing assembly 100 may form part of a non-invasive blood pressure cuff 200 that can be placed around a patient's body part 202 such that a blood pressure of the patient can be measured. More specifically, the first surface 104 of the pressure sensing assembly 100 of the blood pressure cuff 200 may be placed around the patient's body part 202 adjacent to a blood vessel 204, such as an artery. When the arterial pressure changes, such as due to the flow of blood through the vessel 204, the pressure is hydraulically translated through the pressure sensing fluids of the pressure sensing assembly 100 and the pressure transducing assembly 206.
It should be appreciated that the pressure sensing assemblies of the present disclosure are not limited the particular shapes, dimensions, and/or geometrics shown in the figures. As such, other combinations and configurations are expressly contemplated. It should also be appreciated that all combinations of the foregoing concepts and additional concepts discussed herein (provided such concepts are not mutually inconsistent) are contemplated as being part of the inventive subject matter disclosed herein. In particular, all combinations of claimed subject matter appearing at the end of this disclosure are contemplated as being part of the inventive subject matter disclosed herein. It should also be appreciated that terminology explicitly employed herein that also may appear in any disclosure incorporated by reference should be accorded a meaning most consistent with the particular concepts disclosed herein.
All definitions, as defined and used herein, should be understood to control over dictionary definitions, definitions in documents incorporated by reference, and/or ordinary meanings of the defined terms.
The indefinite articles “a” and “an,” as used herein in the specification and in the claims, unless clearly indicated to the contrary, should be understood to mean “at least one.”
The phrase “and/or,” as used herein in the specification and in the claims, should be understood to mean “either or both” of the elements so conjoined, i.e., elements that are conjunctively present in some cases and disjunctively present in other cases. Multiple elements listed with “and/or” should be construed in the same fashion, i.e., “one or more” of the elements so conjoined. Other elements may optionally be present other than the elements specifically identified by the “and/or” clause, whether related or unrelated to those elements specifically identified.
As used herein in the specification and in the claims, “or” should be understood to have the same meaning as “and/or” as defined above. For example, when separating items in a list, “or” or “and/or” shall be interpreted as being inclusive, i.e., the inclusion of at least one, but also including more than one, of a number or list of elements, and, optionally, additional unlisted items. Only terms clearly indicated to the contrary will refer to the inclusion of exactly one element of a number or list of elements. In general, the term “or” as used herein shall only be interpreted as indicating exclusive alternatives (i.e. “one or the other but not both”) when preceded by terms of exclusivity, such as “either,” “one of.”
As used herein in the specification and in the claims, the phrase “at least one,” in reference to a list of one or more elements, should be understood to mean at least one element selected from any one or more of the elements in the list of elements, but not necessarily including at least one of each and every element specifically listed within the list of elements and not excluding any combinations of elements in the list of elements. This definition also allows that elements may optionally be present other than the elements specifically identified within the list of elements to which the phrase “at least one” refers, whether related or unrelated to those elements specifically identified.
In the claims, as well as in the specification above, all transitional phrases such as “comprising,” “including,” “having,” “containing,” and the like are to be understood to be open-ended, i.e., to mean including but not limited to.
It should also be understood that, unless clearly indicated to the contrary, in any methods claimed herein that include more than one step or act, the order of the steps or acts of the method is not necessarily limited to the order in which the steps or acts of the method are recited.
While several inventive embodiments have been described and illustrated herein, those of ordinary skill in the art will readily envision a variety of other means and/or structures for performing the function and/or obtaining the results and/or one or more of the advantages described herein, and each of such variations and/or modifications is deemed to be within the scope of the inventive embodiments described herein. More generally, those skilled in the art will readily appreciate that all parameters, dimensions, materials, and configurations described herein are meant to be exemplary and that the actual parameters, dimensions, materials, and/or configurations will depend upon the specific application or applications for which the inventive teachings is/are used. Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific inventive embodiments described herein. It is, therefore, to be understood that the foregoing embodiments are presented by way of example only and that, within the scope of the appended claims and equivalents thereto, inventive embodiments may be practiced otherwise than as specifically described and claimed. Inventive embodiments of the present disclosure are directed to each individual feature, system, article, material, kit, and/or method described herein. In addition, any combination of two or more such features, systems, articles, materials, kits, and/or methods, if such features, systems, articles, materials, kits, and/or methods are not mutually inconsistent, is included within the inventive scope of the present disclosure.
In the claims, any reference signs placed between parentheses shall not be construed as limiting the claim. Measures recited in mutually different dependent claims may advantageously be used in combination.
Number | Date | Country | Kind |
---|---|---|---|
22199754.7 | Oct 2022 | EP | regional |
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/EP2023/062249 | 5/9/2023 | WO |
Number | Date | Country | |
---|---|---|---|
63343611 | May 2022 | US |