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Claims  |
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We claim:
1. A disposable metering unit for use in controlling the intravenous
administration of a fluid to a patient, comprising:
inlet conduit means for delivering fluid at a hydrostatic pressure from a
source of fluid; metering means for receiving a predetermined increment of
fluid from the conduit means and for emptying the predetermined increment
of fluid by the suction of gravity flow without adding substantial
pressure to the hydrostatic pressure, said metering means defining a
metering chamber having opposed inner walls, and movable diaphragm means
positioned in the metering chamber, said diaphragm means being capable of
being moved at the hydrostatic pressure between a first position in which
said diaphragm means is positioned against one of the opposed inner walls
of the metering chamber with substantially all of the volume of the
chamber being on one side of the diaphragm means, and a second position in
which the diaphragm is in contact with the other of said opposed inner
walls of the metering chamber with substantially all of the volume of said
metering chamber being on the other side of said diaphragm means, whereby
said metering means may be repeatedly filled with fluid to impel the
diaphragm means into its second position and then to drain said fluid from
the metering means with the diaphragm means moving to the first position,
whereby said predetermined increments of fluid may be of constant volume
and may be passed through said metering means; and
outlet conduit means communicating with the metering means for receiving
said increments wherein gravity suction flow takes place to empty the
metering means when the outlet means is opened, both said inlet and outlet
conduit means communicating with the metering chamber at the same side of
said diaphragm means, said metering means defining exterior vent means
communicating into said metering chamber adjacent the opposed inner wall
of said metering chamber with which the diaphragm is in contact in its
second position, to facilitate free flow of air into and out of said
metering chamber as said diaphragm means moves between its first and
second positions;
and means for permitting the alternative and sequential valving of fluid
through said inlet conduit means and outlet conduit means.
2. The disposable metering unit of claim 1 in which a projection is
positioned on the inner wall of each inlet and outlet conduit means in
opposed relation to apertures in said walls to serve as part of said valve
means.
3. The metering unit of claim 1 in which the unit includes a rigid body
portion and a cover portion with a cavity formed in the unit to provide
the metering chamber, the size of the cavity determining the capacity for
the predetermined increments of fluid.
4. The metering unit of claim 1 in which the movable diaphragm means is
resilient to conform to the shape of the cavity.
5. The metering unit of claim 1 in which the unit includes a rigid body
portion and a cover portion with an arcuate-shaped cavity formed in the
body portion and a communicating arcuate-shaped cavity formed in the cover
portion to provide the metering chamber.
6. The metering unit of claim 5 in which said diaphragm has an
arcuate-shaped portion which conforms to the arcuate-shaped cavity of one
of the body and cover portions.
7. The metering unit of claim 1 in which the metering chamber has a
volumetric capacity of less than one cubic centimeter.
8. The metering unit of claim 7 in which the valve means is actuated to
provide the predetermined rate of administration of fluid in the range of
two tenths milliliter per minute to ten milliliters per minute.
9. The metering unit of claim 1 further including hydraulic means with a
fluid chamber receiving fluid from the metering chamber for having fluid
in the fluid chamber moved into the metering chamber to cause air in the
metering chamber to be expelled through the inlet conduit means when the
metering unit is in operative relationship.
10. The metering unit of claim 1 further including a reservoir chamber
adapted to receive a portion of the increments of fluid from the source at
a first hydrostatic pressure and to hold the fluid at a second hydrostatic
pressure, the metering chamber receiving the predetermined increment of
fluid from the reservoir chamber and emptying the predetermined increment
of fluid without adding substantial pressure to the second hydrostatic
pressure.
11. The metering unit of claim 10 in which means is provided for supporting
the reservoir chamber with respect to the metering chamber so that when
the source of fluid has been drained below a predetermined level, the
second hydrostatic pressure of the fluid in the reservoir chamber is only
sufficient to have the metering chamber receive a portion of a
predetermined increment of fluid from the reservoir chamber to be emptied
from the metering chamber.
12. A disposable metering unit for use in controlling the intravenous
administration of a fluid to a patient, comprising:
inlet conduit means for delivering fluid at a hydrostatic pressure from a
source of fluid;
metering means for receiving a predetermined increment of fluid from the
conduit means and for emptying the predetermined increment of fluid by the
suction of gravity flow without adding substantial pressure to the
hydrostatic pressure, said metering means defining a metering chamber
having opposed inner walls, and movable diaphragm means positioned in the
metering chamber, said diaphragm means being capable of being moved at
said hydrostatic pressure between a first position in which said diaphragm
means is positioned against one of the opposed inner walls of the metering
chamber with substantially all of the volume of the chamber being on one
side of the diaphragm means, and a second position in which the diaphragm
is in contact with the other of said opposed inner walls of the metering
chamber with substantially all of the volume of said metering chamber
being on the other side of said diaphragm means, whereby said metering
means may be repeatedly filled with fluid to impel the diaphragm means
into its second position and then to drain said fluid from the metering
means with the diaphragm means moving to the first position, whereby said
predetermined increments of fluid may be of constant volume and may be
passed through said metering means;
outlet conduit means communicating with the metering means for receiving
said increments wherein gravity suction flow takes place to empty the
metering means when the outlet means is opened, the transverse dimensions
of said inlet and outlet conduit means being substantially less than the
transverse dimension of said metering means, said diaphragm means defining
extensions residing in said inlet and outlet conduit means; both said
inlet and outlet conduit means communicating with the metering chamber at
the same side of said diaphragm means, said metering means defining
exterior vent means communicating into said metering chamber adjacent the
opposed inner wall of said metering chamber with which the diaphragm is in
contact in its second position, to facilitate free flow of air into and
out of said metering chamber as said diaphragm means moves between its
first and second positions; and
apertures positioned in said inlet conduit means and outlet conduit means
adapted to permit passage of plunger means respectively into said inlet
and outlet conduit means to respectively press said diaphgram extensions
into sealing relationship with walls of the inlet and outlet conduit
means, to selectively block liquid flow through said inlet and outlet
conduit means.
13. The disposable metering unit of claim 12 in which a projection is
positioned on the inner wall of each inlet and outlet conduit means in
opposed relation to said apertures, to define a valve face against which
said diaphragm extensions are pressed by said plunger means.
14. A disposable metering unit for use in controlling the intravenous
administration of fluid to a patient, comprising:
(a) a reservoir chamber adapted to receive a portion of the increments of
fluid from a source of fluid at a first hydrostatic pressure, and to hold
the fluid at a second hydrostatic pressure;
(b) a metering chamber for receiving a predetermined increment of fluid
from said reservoir chamber and for emptying the predetermined increment
of fluid without adding substantial pressure to the second hydrostatic
pressure, said metering chamber having a movable diaphragm means therein
to meter a predetermined quantity of fluid therethrough;
(c) conduit means for delivering fluid at the source of fluid having a
supply of predetermined increments of fluid to the metering chamber; and
(d) valve means actuatable for regulating the receiving and emptying of
each of the predetermined increments of fluid by the metering chamber to
be administered to the patient at a predetermined rate of administration.
15. The metering unit of claim 14 in which means is provided for supporting
the reservoir chamber with respect to the metering chamber so that when
the source of fluid has been drained below a predetermined level, the
second hydrostatic pressure of the fluid in the reservoir chamber is only
sufficient to have the metering chamber receive a portion of a
predetermined increment of fluid from the reservoir chamber to be emptied
from the metering chamber.
16. Apparatus for controlling the intravenous administration of fluid to a
patient which comprises:
inlet conduit means for delivering fluid at a hydrostatic pressure from a
source of fluid;
metering means for receiving a predetermined increment of fluid from the
conduit means and for emptying the predetermined increment of fluid by the
suction of gravity flow without adding substantial pressure to the
hydrostatic pressure, said metering means defining a metering chamber
having opposed inner walls, and movable diaphragm means positioned in the
metering chamber, said diaphragm means capable of being moved at the
hydrostatic pressure between a first position in which said diaphragm
means is positioned against one of the opposed inner walls of the metering
chamber with substantially all of the volume of the chamber being on one
side of the diaphragm and a second position in which the diaphragm is in
contact with the other of said opposed inner walls of the metering chamber
with substantially all of the volume of said metering chamber being on the
other side of said diaphragm means, whereby said metering chamber may be
repeatedly filled with fluid to impel the diaphragm means into its second
position and then to drain said fluid from the metering means with the
diaphragm means moving to the first position, whereby said predetermined
increments of fluid may be of constant volume and may be passed through
said metering means, both said inlet and outlet conduit means
communicating with the metering chamber at the same side of said diaphragm
means, said metering means defining exterior vent means communicating into
said metering chamber adjacent the opposed inner wall of said metering
chamber with which the diaphragm is in contact in its second position, to
facilitate free flow of air into and out of said metering chamber as said
diaphragm means moves between its first and second positions; and
outlet conduit means communicating with the metering means for receiving
said increments and conveying them to a patient wherein gravity suction
flow takes place to empty the metering means when the outlet means is
opened, and valve means in said inlet and outlet conduit means for the
alternative and sequential valving of fluid through said inlet conduit
means and outlet conduit means.
17. The apparatus of claim 16 in which the transverse dimensions of said
inlet and outlet conduit means are substantially less than the transverse
dimension of said metering means, said diaphragm means defining extensions
residing in said inlet and outlet conduit means, apertures positioned in
said inlet conduit means and outlet conduit means, and plunger means
adapted to pass respectively into said inlet and outlet conduit means
through said apertures to respectively press said diaphragm extensions
into sealing relationship with walls of the inlet and outlet conduit
means, to selectively block liquid flow through said inlet and outlet
conduit means.
18. The apparatus of claim 17 in which a projection is positioned on the
inner wall of each inlet and outlet conduit means in opposed relationship
to said apertures, to define a valve face against which said diaphragm
extensions are pressed by said plunger means. |
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Claims  |
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Description  |
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BACKGROUND OF THE INVENTION
This invention relates to a method and apparatus for controlling the
dispensing of fluid, and more particularly, to a means for controlling the
intravenous administration of a desired dose of fluid into a body.
The present invention is concerned with controlling the dispensing of fluid
and is primarily concerned with the intravenous administration of a
desired dose of fluid into the body of a patient. In the prior art,
apparatus used for the intravenous administration of fluid have been
generally of two basic varieties. The most common intravenous
administration device is of the gravity flow type in which the rate of
delivery of fluid is adjusted by means of a variable restriction. In such
gravity flow systems, the variable restriction is usually provided by a
clamping device that deforms a resilient fluid delivery tube connected to
the hypodermic needle through which the fluid is introduced into the
vascular system of the patient. The gravity flow types of devices may vary
widely in cost and in the manner and complexity for controlling the flow
rate of the fluid delivered to the patient.
It has been found that such gravity flow devices employing a variable
restriction are incapable of reliable and uniform operation due to a
number of factors, such as, the tendency of the plastic delivery tube to
be subject to delayed plastic flow under stress, the variations in the
hydrostatic pressure from the volume of fluid to be administered,
variations in fluid viscosity, and changes in physical position and
vascular pressure of the patient that may occur during administration of a
quantity of fluid. In the gravity flow types of devices, the adjustment of
the variable restriction governing the flow rate may be required to be
performed manually, which is time consuming and subject to erroneous
adjustment. Also, it is desirable for a doctor or nurse to frequently
check the flow rate in administration of fluid in such devices to make
sure that it is properly regulated. Moreover, a possible serious problem
may occur in use of these types of devices when a complete stoppage of
flow of fluid takes place, if the device is unattended at the time of
exhaustion of the fluid. The unattended stoppage of flow of fluid at the
needle in the patient may result in a blood clot which may cause a
dangerous condition for the patient.
The other common variety of intravenous administration device is of the
pump type which was designed to overcome various disadvantages of the
gravity flow types of intravenous administration devices. Many different
and complicated arrangements have been developed for regulating the
pumping action and the quantity of fluid discharged. In the prior art,
much design effort has been exerted to overcome the inherent capacity of
the pump to force air into the patient with possible fatal consequences.
The pump type of intravenous administration device has tended to be
expensive, cumbersome, and complicated in structure. Further, these
devices have been dependent upon a source of power greater than can be
reliably and economically supplied by a battery. Various clinical reasons
exist for avoiding the use of alternating current sources of power with
intravenous administration devices, such as, electro-magnetic interference
created by the power supply interfering with sensitive clinical devices
and electrical impulses from the electrical systems for the pump devices
being transmitted through intravenous fluid, which may be electrically
conductive, to patients having sensitive heart conditions.
Accordingly, it is an objective of the present invention to provide an
intravenous administration apparatus which is inexpensive and simple to
operate while administering a desired dose of fluid in an accurately
controlled manner. In order to accomplish this objective, it is desirable
to provide a method and associated apparatus for intravenous
administration of fluid at an accurately controlled rate irrespective of
variables, such as, the level of fluid in the source, the venous pressure
of the patient, and the viscosity of the fluid. Furthermore, it is
desirable to provide an intravenous administration apparatus which enables
automatic and progressive reduction of the rate of administration of the
fluid at or near the time the desired dose has been administered and
before complete exhaustion of the fluid in the administration apparatus so
that air is not injected into the patient and blood clotting at the point
of administration is prevented.
It is desirable to provide an intravenous administration apparatus which is
small in size, light in weight, easily portable, and rugged in design. It
is also desirable to provide such apparatus which includes a reusable
timer capable of a long expectancy of use and a small, portable,
replaceable power supply capable of supplying power to the apparatus. It
is further highly desirable to provide an intravenous administration
apparatus in which the parts of the apparatus through which the fluid
passes is provided by a disposable unit, which is replaced after each use
for easily maintaining the apparatus in a sterile condition. Moreover, it
is desirable to provide an intravenous administration apparatus in which
the parts of the apparatus are adapted to cooperate together in operative
relationship only when the apparatus is properly assembled and conditioned
for safe administration of fluid and provide such an apparatus which
minimizes the likelihood of error by the person responsible for performing
the intravenous administration of fluid to the patient.
SUMMARY OF THE INVENTION
In accordance with the present invention, a new and improved method and
apparatus has been provided with novel features which cooperate to enable
an economical, accurately controlled and reliable arrangement for
intravenous administration of a volume of fluid. Accordingly, these and
other objects are achieved by providing a novel method for controlling the
dispensing of a fluid from a source at a hydrostatic pressure, which
comprises the procedure of measuring the fluid from the source into
predetermined volumetric increments for dispensing the fluid, providing
time intervals for measuring and dispensing of the predetermined
volumetric increments of fluid, and then sequentially metering each of the
predetermined volumetric increments of fluid during different ones of the
time intervals. In accordance with the preferred process of dispensing the
fluid, the predetermined volumetric increments are released from the
source of fluid by providing a receptacle having a size of the
predetermined volumetric increment and the receptacle is filled with fluid
by gravity flow from the source of fluid and then the fluid is emptied
from the receptacle for administration during each of the time intervals.
The preferred apparatus employed in accordance with the present invention
for controlling the dispensing of fluid at a hydrostatic pressure includes
metering means for receiving a predetermined increment of fluid and for
emptying the predetermined increment of fluid. In addition, the apparatus
has conduit means for delivering fluid to the metering means from a source
of fluid having a supply of predetermined increments of fluid, and control
means for actuating the metering means between a condition for receiving a
predetermined increment of fluid and a condition for emptying the
predetermined increment of fluid.
The fluid from the source is dispensed through the metering means by the
metering means sequentially receiving and emptying each of the
predetermined increments of fluid. For this purpose, the metering means
has a metering chamber and the apparatus further includes valve means for
regulating the receiving and emptying of fluid by the metering chamber.
The valve means is preferably provided by an inlet valve connected with
one part of the metering chamber and an outlet valve connected with
another part of the metering chamber, the inlet and outlet valves being
operable in response to actuation from the control means to permit the
metering chamber to receive and empty the predetermined increments of
fluid. The control means includes timer means for sequentially providing a
time interval in which the inlet valve permits passage of fluid into the
metering chamber and the outlet valve prevents passage of fluid, and the
timer means provides another time interval in which the inlet valve
prevents passage of fluid into the metering chamber and the outlet valve
permits passage of the predetermined increment of fluid from the metering
chamber.
In one form of the invention, the control means or unit includes releasable
fastening means, which may be provided by retaining and positioning means,
cooperating with the metering means or unit to hold the metering unit in
fixed operative relationship with the control unit for having the valve
means responsive to the control unit. Also, preferably, the metering unit
includes hydraulic means with a fluid chamber receiving fluid from the
metering chamber for having fluid in the fluid chamber move into the
metering chamber to cause air in the metering chamber to be expelled
through the conduit means, when the retaining and positioning means moves
the metering unit into the fixed operative relationship. In this
arrangement, the control unit includes actuating means cooperable with the
hydraulic means to actuate the hydraulic means to move fluid in the fluid
chamber into the metering chamber when the retaining means couples the
components together in operative relationship. In order to assure that air
has been expelled from the metering chamber when the apparatus is to be
operated, the control unit further includes interlock sensor means for
sensing fluid in the fluid chamber and preventing the retaining and
positioning means from moving the metering unit into the fixed operative
relationship with the control unit, when a predetermined volume of fluid
is not present in the fluid chamber for being moved into the metering
chamber to purge air from the metering chamber.
In still a further arrangement of the present invention, the apparatus
includes a reservoir chamber adapted to receive a portion of the
increments of fluid from the source of fluid and to hold the fluid at a
second hydrostatic pressure, and inlet means connects the reservoir
chamber with the metering chamber. When the source of fluid has been
emptied in this arrangement, the second hydrostatic pressure of the fluid
in the reservoir chamber is only sufficient to have the metering chamber
receive a portion of a predetermined increment of fluid from the reservoir
chamber in the time interval provided, so that continued metering of fluid
to the patient is provided at a reduced rate to prevent blood clotting at
the hypodermic needle in the patient. In this manner, a longer time is
allowed for the person responsible for administering the intravenous dose
to return to the patient and remove the apparatus at or after the time
that the desired dose has been administered to the patient.
The arrangement of the metering unit and control unit in accordance with
the present invention is such that, in dispensing the fluid, the fluid
passes through the metering unit without contacting the control unit.
Hence, the control unit does not have to be maintained in a sterile or
uncontaminated condition. The control unit will be reused and only the
metering unit, which is made as a disposable item, will be discarded after
having been used once. Thereafter, upon the next desired use of the
apparatus, a new metering unit is used in cooperation with the control
unit. It should be appreciated that the intravenous administration
apparatus of the present invention can be used for many intravenous
administrations of fluid and only requires replacement of the inexpensive
metering unit between uses. Further, the features of the present invention
minimize the likelihood or error in administration of fluid by the person
responsible for using the apparatus and has many safety features to
prevent the occurrence of dangerous conditions to the patient during the
intravenous administration of the fluid.
For a better understanding of these and other features and advantages of
the present invention, reference is made to the following drawings, in
which:
FIG. 1 is an elevational view showing an apparatus for controlling the
dispensing of fluid embodying the present invention connected with a
container of fluid;
FIG. 2 is a perspective view of the control unit and metering unit of FIG.
1 and showing the units prior to being fastened together;
FIG. 3 is a perspective view of the control unit and metering unit of FIG.
2 but showing the units fastened together in operative relationship;
FIG. 4 is an enlarged fragmentary sectional view taken along line 4--4 of
FIG. 2;
FIG. 5 is a fragmentary side elevational view of the metering unit of FIG.
4 but showing the cover panel of the metering unit and the metering unit
diaphragm removed;
FIG. 6 is a fragmentary perspective view of the metering unit diaphragm of
FIG. 4;
FIG. 7 is a sectional view taken along line 7--7 of FIG. 5;
FIG. 8 is a sectional view taken along line 8--8 of FIG. 1;
FIG. 9 is a fragmentary sectional view taken along line 9--9 of FIG. 8;
FIG. 10 is a sectional view taken along line 10--10 of FIG. 9;
FIG. 11 is a fragmentary sectional view taken along line 11--11 of FIG. 9;
FIG. 12 is a fragmentary sectional view taken along line 12--12 of FIG. 9;
FIG. 13 is a reduced-dimension perspective view of one of the valve
actuator pins of FIG. 9;
FIG. 14 is a sectional view taken along line 14--14 of FIG. 8 and showing
the control unit in the condition in which the metering unit (shown in
dot-and-dashed lines) is coupled to the control unit;
FIG. 15 is a sectional view similar to FIG. 14 but showing the retaining
and positioning means of the control unit in a condition in which the
metering unit (shown in dot-and-dashed lines) is released from, or
received by, the control unit;
FIG. 16 is a fragmentary sectional view of a portion of the metering unit
and a portion of the control unit and showing the interlock sensor
mechanism of the control unit in a condition for preventing the retaining
and positioning means from moving the metering unit into fixed operative
relationship with the control unit;
FIG. 17 is a fragmentary sectional view of a portion of the metering unit
and a portion of the control unit of FIG. 16 but showing the interlock
sensor mechanism of the control unit in a condition for permitting the
retaining and positioning means to move the metering unit into fixed
operative relationship with the control unit;
FIG. 18 is a fragmentary sectional view of an alternative embodiment of a
metering unit which may be employed in accordance with the present
invention;
FIG. 19 is a plan view of the metering unit of FIG. 18; and
FIG. 20 is an electrical schematic diagram, partly in block form,
illustrating the timer control circuit for providing time intervals during
which the control unit actuates the metering unit to receive and empty
fluid.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The apparatus of the present invention may be used in many different
applications for controlling the rate of flow of fluid from a source of
fluid. The use of the present apparatus is not limited to administration
of fluid from a fixed volume or quantity of fluid. The apparatus can be
used, for example, in proportioning the mixture of two or more ingredients
in a mixing or processing operation where one or more apparatus in
accordance with the present invention is employed. While the apparatus for
controlling the dispensing of fluid at a hydrostatic pressure in
accordance with the present invention may be used for dispensing fluid in
a wide variety of applications, the apparatus will be described in use in
intravenous administration of a volume of fluid as a dose injected in a
host, which may be an animal or human and will be referred to hereinafter
as a patient. The apparatus of the present invention is particularly
useful in this latter application where an accurately controlled rate of
administration of a fluid is required and safety in operation of the
apparatus is important.
Referring now to the embodiment of the invention illustrated in FIG. 1, the
invention is shown in use for intravenous administration of fluid to a
patient (not shown). The intravenous administration apparatus generally
designated 10 for controlling the dispensing of fluid at a hydrostatic
pressure to a patient is connected to a source of fluid 12, which is shown
as a fluid storage bottle or container adapted to be supported above the
apparatus 10, which in turn is preferably positioned a distance above the
point of application of the fluid into the patient. The fluid may be
administered into the patient by a hypodermic needle (not shown) inserted
into the vascular system of the patient and connected to the output of the
apparatus 10 by suitable, flexible tubing 14. It is preferred for the
apparatus 10 to be suspended at a height of at least thirty inches above
the point of application to the patient to cause fluid to flow from the
container through the apparatus to the patient by gravity flow. The
hydrostatic pressure of the fluid as referred to herein indicates the
force or pressure that the fluid exerts as it flows into the apparatus 10,
and in the application of the apparatus in FIG. 1, the hydrostatic
pressure corresponds to the force or pressure of gravity. Of course, in
intravenous administration, the term fluid is used to indicate a liquid.
There is shown in FIGS. 1-3 the apparatus 10 comprising a metering means or
unit generally designated 16 and a control means or unit generally
designated 18. The metering unit 16 and control unit 18, which are shown
separated in FIG. 2, are adapted to interfit together, as indicated in
FIGS. 1 and 3, with the control unit having releasable fastening means
cooperating with the metering unit for holding the metering unit in fixed
operative relationship to the control unit 18. The metering unit and
control unit are adapted to cooperate together in operative relationship
such that in dispensing the fluid by the apparatus, fluid passes through
the metering unit 16 without contacting the control unit 18. More
particularly, the metering unit 16 is provided for receiving predetermined
increments of fluid from fluid supply bottle or container 12 through inlet
tube or conduit means 20 and for emptying the predetermined increments of
fluid through outlet tube or conduit means 14 to the patient. Control unit
18 is provided for actuating the metering unit between a condition for
receiving a predetermined increment of fluid and a condition for emptying
the predetermined increment of fluid in a sequential manner.
According to the preferred process of use of the invention, the fluid from
the supply container is measured into predetermined volumetric increments
in the metering unit and time intervals are set for measuring and
dispensing of the predetermined volumetric increments of fluid through the
metering unit. In this procedure, the invention provides sequential
measuring and dispensing of each of the predetermined volumetric
increments of fluid during different ones of the time intervals. The
measuring and dispensing of the volumetric increments of fluid is referred
to herein as metering of fluid. In this arrangement, the metering unit 16
is provided with a receptacle or metering chamber having a size of the
predetermined volumetric increment and the receptacle is filled with fluid
by gravity flow from the fluid supply container and then the receptacle is
emptied of fluid for intravenous administration into the body during each
of the time intervals, as will be explained more fully hereinafter.
The metering unit 16 for receiving the fluid from the container 12 and
emptying the fluid in predetermined volumetric increments to the patient
is shown most clearly in FIGS. 4, 5, and 9. Metering unit 16 includes a
reservoir or drip chamber 22, metering chamber 24, inlet means or conduit
26 connected between drip chamber 22 and metering chamber 24, and outlet
means or conduit 28 extending from the metering chamber to an enlarged
fluid chamber 30. The fluid from fluid chamber 30 passes through outlet
passage 32 into tube 14, which is received in an increased diameter
recessed encircling passage 32. The outlet conduit 28 also communicates
directly with outlet passage 32 by means of a channel or groove 32a formed
in body portion 34 and extending through fluid chamber 30, as shown in
FIGS. 4, 5, and 9. Metering unit 16 is preferably made of a rigid plastic
material, such as polystyrene, and includes a main body member or portion
34 and a cover portion or panel 36, which divides the metering unit into
two parts in forming a portion of inlet conduit 26, metering chamber 24,
outlet conduit 28, and fluid chamber 30, as shown most clearly in FIGS. 4
and 9. Further, a resilient metering diaphragm 38 of resilient plastic
material, such as polyurethane, is captured between the metering unit body
portion 34 and the metering unit cover panel 36. The metering unit body
portion 34 and metering unit cover panel 36 with diaphragm 38 captured
therebetween are preferably joined together by ultrasonic or
high-frequency induction bonding, or may be joined together by any
suitable epoxy or bonding compound or by screws.
As shown most clearly in FIGS. 4, 5, and 9, the inlet conduit 26 has inlet
valve means generally designated 40 therein and is a serpentine-shaped
passage around raised portion or projection 42, which closes inlet conduit
26 in body portion 34 and forms a valve face. Cavity 44 formed as a recess
in cover panel 36 provides a valve cavity and facilitates flow of fluid
around projection 42 in inlet conduit 26. Similarly, outlet conduit 28 has
outlet valve means generally designated 46 therein and is a
serpentine-shaped passage around raised portion or projection 48, which
closes outlet conduit 28 in body portion 34 and forms a valve face. Cavity
50 formed as a recess in cover panel 36 provides a valve cavity and
facilitates flow of fluid around projection 48 in outlet conduit 28. In
this arrangement, the diaphragm 38, as shown in FIG. 6, has a protrusion
52, which provides a resilient valve element received in valve cavity 44
and a second protrusion 54, which provides a resilient valve element
received in valve cavity 50. The resilient valve elements 52 and 54 are
normally in the position shown in FIG. 4 which have the inlet conduit 26
and outlet conduit 28, respectively, in a condition to permit fluid to
flow therethrough. The resilient valve elements 52 and 54 are actuated
from positions in which the inlet and outlet conduits are open and to
positions in which the inlet and outlet conduits are alternately closed by
valve actuator means of the control unit, as will be explained more fully
hereinafter.
The metering chamber 24 of the metering unit 16 is formed by two opposed
arcuate-shaped domes or cavities 24a and 24b in body portion 34 and cover
panel 36, respectively. There is provided in arcuate-shaped dome 24a of
metering chamber 24 a series of arcuate-shaped recesses 56 communicating
with drain passage 58, which in turn communicates with outlet conduit 28.
The recesses 56 and passage 58 are provided to facilitate complete
emptying of fluid from the metering chamber when it is desired to empty
the fluid from the metering chamber. In this arrangement, the diaphragm 38
extends through the metering chamber 24 and is provided with an
arcuate-shaped dome 60, which generally conforms to the shape of
arcuate-shaped dome 24a of the metering chamber in its normal condition,
as shown in FIGS. 4 and 6. The arcuate-shaped dome 60 of the diaphragm
provides a movable wall and also conforms to the shape of arcuate-shaped
dome 24b of the metering chamber. The diaphragm wall 60 is moved by the
force of fluid flowing into the metering chamber to be adjacent dome
surface 24b, when the metering chamber is filled with fluid as shown in
FIG. 9. A cylindrical air passage 62 is provided through cover panel 36
communicating with dome portion 24b of the metering chamber to permit the
movement of air from and into the metering chamber behind movable
diaphragm wall 60 as the diaphragm wall 60 moves between a position in
which the metering chamber is emptied, as shown in FIG. 4, and a position
in which the metering chamber is filled with fluid as shown in FIG. 9.
It will be appreciated that, as the diaphragm wall 60 moves back and forth
for fluid to be received and emptied from the metering chamber 24, fluid
only contacts one side of the diaphragm wall 60 and the area between
metering chamber dome 24a and diaphragm wall 60 defines the active fluid
receiving and dispensing portion, generally designated 24c in FIG. 4, of
the metering chamber. Although the size of the active fluid portion 24c of
the metering chamber 24 varies in size as fluid fills and is emptied from
the metering chamber, for convenience in describing the apparatus and its
operation, the active fluid portion 24c of the metering chamber 24 will
merely be referred to as the metering chamber 24 for receiving and
emptying fluid. In this arrangement, the diaphragm wall 60 provides
movable means in the metering chamber for varying the size of the metering
chamber so that the metering unit is operable in receiving and draining
the increments of fluid without air passing through the metering chamber.
In the embodiment of the diaphragm 38 illustrated in the drawings, the
pressure to move the diaphragm wall 60 from the position shown in FIG. 4
to the position shown in FIG. 9 is as little as one half inch or less of
water head. Therefore, there is always more than adequate hydrostatic
pressure to cause movement of the diaphragm wall 60 until the fluid supply
above inlet valve 42 is nearly completely exhausted. It is also noted that
preferably the diaphragm wall 60 moves between its position in which the
metering chamber is empty and its position in which the metering chamber
is filled with fluid without substantial resistance or without adding
substantial pressure to the hydrostatic pressure of the fluid filling the
metering chamber. Accordingly, the diaphragm is preferably made of a thin
resilient material.
Although the volumetric capacity of metering chamber 24 may be made to vary
widely depending on the quantity of fluid desired to be delivered by the
apparatus in each volumetric increment and the particular application of
the apparatus involved, in intravenous administration of fluid it is
preferable that the metering chamber be less than one cubic centimeter.
Particularly, in intravenous administration of fluids to humans, it is
preferable that the volumetric capacity of the metering chamber for fluid
be on the order of two tenths of a milliliter, which is received and
emptied from the metering chamber as the resilient diaphragm wall 60 moves
back and forth. Hence, the predetermined volumetric increment of fluid
received and emptied by the metering unit during each time interval will
be two tenths of a milliliter of fluid for this capacity of the apparatus.
In this arrangement of the metering chamber, it is preferable to have
inlet conduit 26 and outlet conduit 28 of sufficient internal
cross-sectional area to permit a flow of two tenths of a milliliter of
water through the conduits in five tenths of a second at a four inch
hydrostatic pressure of the water flowing into the metering unit.
The metering unit diaphragm 38 is also provided with a resilient cup-shaped
portion 64 arranged to normally extend into fluid chamber 30, as shown in
FIG. 4. The cup-shaped portion 64 of diaphragm 38 is movable from its
normal position to a position where the cup-shaped portion extends into
cylindrical opening 66 through cover panel 36 in response to fluid filling
fluid chamber 30, as when fluid is prevented from flowing through tube 14
(by a closure, not shown, at the lower end of tube 14) as shown in FIG.
17. For example, fluid is prevented from flowing through tube 14 when the
apparatus is assembled and readied for operation. The cup-shaped portion
64 of the diaphragm 38 is employed with the fluid chamber 30 to provide
hydraulic means cooperable with actuating means in the control unit to
move fluid from the fluid chamber into the metering chamber to cause air
in the metering chamber to be expelled through the inlet conduit 26. The
fluid is forced from the fluid chamber when the metering unit is fastened
to the control unit, as will be explained hereinafter in connection with
assembling the metering unit with the control unit. A rigid plastic disc
68 is preferably bonded to the bottom surface of the cup-shaped portion 64
of diaphragm 38, as shown in FIG. 4, in order to strengthen the bottom
surface of the cup-shaped portion 64.
The outlet conduit 28, which communicates between the metering chamber 24
and the fluid chamber 30, has an increased dimension portion 28a adjacent
the opening to the fluid chamber. The increased dimension portion 28a, as
shown clearly in FIG. 5, provides an air trap to assure that air in the
fluid chamber 30 passes into the outlet conduit and hence through the
metering chamber to the drip chamber 22, as fluid is forced from the fluid
chamber 30 through the metering chamber, when the metering unit is being
coupled into operative relationship with the control unit.
Referring to control unit 18 of FIGS. 1-3, the control unit 18 has an outer
case 80 which has removable side panels 82 and 84 secured to the case as
by screws 86. Case 80 of control unit 18 includes a battery compartment
88, which may contain battery 90 to provide a source of power for
electrical circuitry in the control unit. Access to the battery
compartment is provided through removable side panel 82. The opposite side
of case 80 houses control compartment 92, which receives electro-magnetic
valve actuating means or mechanism generally designated 94, shown in
dot-and-dashed lines in FIG. 1, and the electronic timer means generally
designated 96, which is also shown in dot-and-dashed lines in FIG. 1 as
including components on a circuit board fixed | | |