U.S. patent number 3,720,211 [Application Number 05/172,651] was granted by the patent office on 1973-03-13 for automatic injection system.
Invention is credited to George M. Kyrias.
United States Patent |
3,720,211 |
Kyrias |
March 13, 1973 |
AUTOMATIC INJECTION SYSTEM
Abstract
Apparatus for manipulating a hypodermic syringe to automatically
administer an injection. The apparatus includes a hand held probe
unit within which a loaded hypodermic syringe is placed. Operation
of a control switch on the hand held unit will automatically drive
the syringe in a cycle in which the syringe needle is seated in the
patient's body, the syringe plunger is depressed to expel the
charge from the syringe and the syringe needle is automatically
withdrawn from the patient. The system may be operated to include
an aspirating step between the needle seating and the plunger
depressing steps, one embodiment of the invention providing for
automatic timing of the aspiration step while another embodiment
placing control of the duration of aspiration in the user. The
system, in one form, may further provide for adjusting the rate at
which the plunger is depressed, to thereby control the rate of
injection.
Inventors: |
Kyrias; George M. (Anaheim,
CA) |
Family
ID: |
22628599 |
Appl.
No.: |
05/172,651 |
Filed: |
August 18, 1971 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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869484 |
Oct 27, 1969 |
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Current U.S.
Class: |
604/155;
74/89.23 |
Current CPC
Class: |
A61M
5/20 (20130101); Y10T 74/18576 (20150115); A61M
5/46 (20130101) |
Current International
Class: |
A61M
5/20 (20060101); A61M 5/46 (20060101); A61m
005/00 (); A61m 005/22 () |
Field of
Search: |
;128/218A,218F,218R,DIG.1,215,236 ;222/390 ;74/89.15,503 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Kamm; William E.
Assistant Examiner: McGowan; J. C.
Parent Case Text
This application is a continuation-in-part of my copending
application Ser. No. 869,484, filed Oct. 27, 1969 and now
abandoned.
Claims
I claim:
1. For use in operating a hypodermic syringe having a syringe body
and a syringe plunger reciprocable within said syringe body;
apparatus comprising a casing, a carriage mounted for reciprocating
movement in said casing, syringe body receiving means on said
carriage for releasibly coupling a syringe body to said carriage
for movement therewith, syringe plunger receiving means mounted on
said carriage for reciprocation relative to said carriage, rotary
means on said carriage coupled to said plunger receiving means and
operable when rotated to reciprocate said plunger receiving means
on said carriage, a drive element mounted in said casing for both
reciprocatory and rotary movement relative to said casing, means
coupling said drive element to said rotary means, first reversible
drive means for reciprocating said drive element relative to said
casing to reciprocate said carriage, and second reversible drive
means for rotating said drive element to drive said rotary means in
rotation to reciprocate said plunger receiving means on said
carriage.
2. Apparatus as defined in claim 1 further comprising means
defining an end limit of movement of said plunger receiving means
in one direction of movement, and control means responsive to the
arrival of said plunger receiving means at said one end limit of
movement for reversing said first drive means.
3. Apparatus as defined in claim 1 wherein said first drive means
is operable in a first condition to locate said carriage in a
withdrawn position within said casing and is operable in a second
condition to locate said carriage in a forwardly projected position
relative to said casing, control means operable in a first mode to
set said first drive means in said first condition, and a manually
actuated cycle initiation control coupled to said control means
operable when actuated when said control means is in said first
mode to set said first drive means in said second condition.
4. Apparatus as defined in claim 3 comprising means in said control
means operable when said control means is in said first mode and
said first drive means is in said second condition for actuating
said second drive means to drive in a first direction moving said
plunger receiving means toward said syringe body receiving
means.
5. Apparatus as defined in claim 4 further comprising means in said
control means operable when said control means is in said first
mode for setting said first drive means in said first condition
when said plunger receiving means is driven into abutment with said
body receiving means.
6. Apparatus as defined in claim 3 comprising means in said control
means operable when said control means is in said first mode and
said cycle initiation control is actuated to drive said second
drive means in a direction retracting said plunger receiving means
from said body receivinG means for a Predetermined period of time
and to then reverse the direction of drive of said second drive
means.
7. Apparatus as defined in claim 3 wherein said cycle initiation
control is movable between a first neutral position and second
actuated position, means biasing said control to said neutral
position, first means in said control means operable when said
control means is in said first mode for setting said first drive
means in said second condition upon movement of said control from
said neutral to said actuated position and maintaining said first
drive means in said second condition upon subsequent return of said
control to said neutral position, and second means in said control
means operable when said control means is in said first mode for
operating said second drive means in a direction retracting said
plunger receiving means from said body receiving means while said
control is held in said actuated position and to operate said
second drive means in the opposite direction when said control is
restored to said neutral position.
8. For use in operating a hypodermic syringe having a syringe body
and a syringe plunger reciprocable within said syringe body;
apparatus comprising a casing, a carriage mounted in said casing
for reciprocation between a front and a rear end limit of movement
relative to said casing, syringe body receiving means fixedly
mounted on the forward end of said carriage, syringe plunger
receiving means slidably mounted on said carriage for movement
between a forward and a rearward end limit of movement relative to
said carriage, a threaded drive element mounted on the rearward end
of said carriage for free rotation about an axis parallel to the
direction of movement of said plunger receiving means relative to
said carriage at a fixed axial location relative to said carriage,
a drive member mounted on said plunger receiving means and
threadably engaged with said drive element whereby rotation of said
drive element is operable to drive said plunger receiving means in
movement relative to said carriage, an elongate drive cable fixedly
secured at one end to said drive element in coaxial relationship
therewith, first reversible drive means coupled to said cable for
driving said cable in longitudinal movement to shift said carriage
between said front and rear end limits of movement relative to said
casing, and second reversible drive means coupled to said cable for
driving said cable in rotation about its longitudinal axis to shift
said plunger receiving means between said forward and rearward end
limits of movement relative to said carriage.
9. Apparatus as defined in claim 8 further comprising control means
responsive to movement of said syringe plunger receiving means into
abutment with said syringe body receiving means for disengaging
said second drive means from said cable.
10. Apparatus as defined in claim 8 further comprising means for
disengaging said threaded member from said drive element when said
plunger receiving means is at said rearward end limit of movement
on said carriage.
11. Apparatus as defined in claim 8 wherein said first drive means
comprises a pair of solenoids, lever means pivotally coupled
between said solenoids and said cable operable to locate said cable
at one longitudinal end limit of movement when one of said
solenoids is energized and to locate said cable at an opposite
longitudinal end limit of movement when the other of said solenoids
is energized, and control means for selectively energizing said
solenoids.
12. Apparatus as defined in claim 8 wherein said second drive means
comprises a reversible electric motor, and coupling means coupling
said motor to said cable for maintaining a rotary drive coupling
between said motor and cable while accommodating axial displacement
of said cable relative to said motor.
13. Apparatus as defined in claim 8 further comprising control
means responsive to the arrival of said plunger receiving means at
said forward end limit of movement for actuating said first drive
means to drive said carriage to said rear end limit of
movement.
14. Apparatus as defined in claim 13 wherein said control means
comprises a first member rotatable by said second drive means, a
second member threadably supported on said first member and
rotatively coupled to said cable, coupling means operable to
normally maintain said first and second members against rotation
relative to each other and to accommodate relative rotation of said
first and second members upon an increased resistance to rotation
of said cable by the driving of said plunger receiving means
against said body receiving means, and switch means actuable by a
predetermined axial movement of said first and second elements
relative to each other.
Description
BACKGROUND OF THE INVENTION
The present invention is especially designed for use by persons, as
for example, diabetics, who are required to follow an extensive
program of self administered hypodermic injections. While the
manual dexterity required is not overly great, many persons,
especially small children, for either mental or physical reasons
find it difficult to maintain the steadiness of hand and purpose
necessary to administer the injections with the minimum amount of
discomfort. Discomfort and damage to the flesh can occur upon
movement of the needle while it is seated in the flesh and even
after long experience, many people find it difficult to hold the
syringe body perfectly stationary while at the same time depressing
the syringe plunger at a slow and steady rate. Most persons through
experience will find certain areas of the body which are less
sensitive to the inevitable pain of the needle and will tend to
prefer to make injections in these regions. This results in a
toughening of the flesh in regions where numerous injections are
made, increasing the difficulty of inserting the needle and of
expelling fluid from the seated needle. Ideally, the fluid should
be expelled from the needle at a relatively slow rate so that it
can flow easily into the tissues and so that the temperature of the
fluid during its passage through the needle can more nearly
approach body temperature. A slow rate of injection requires that
the needle be seated in the flesh a longer period of time with the
consequent greater possibility for movement of the needle and
resultant flesh damage.
A primary object of the present invention is to provide apparatus
for efficiently administering hypodermic injections with a minimum
amount of discomfort.
SUMMARY OF THE INVENTION
The present invention includes a hand held probe unit, within which
a syringe body receiving carriage is mounted for reciprocation. A
syringe plunger receiving element is mounted on the carriage for
reciprocation relative to the carriage. An internally threaded
sleeve is mounted on the carriage for free rotation relative to the
carriage at an axially fixed position on the carriage, and the
sleeve is fixedly attached to one end of a Bowden wire. The Bowden
wire leads from the hand held unit to a control box and is coupled
within the box to a reversible motor which is operable to drive the
wire in rotation in either direction. Within the control box, the
wire is also coupled to a drive unit which may take the form of a
pair of alternatively actuated solenoid, which can be operated to
reciprocate the wire between two established limits. Because the
sleeve within the hand held unit is held against axial movement
relative to the carriage, reciprocation of the wire reciprocates
the carriage bodily within the hand held unit. The syringe plunger
receiving element is threadably coupled to the sleeve so that
rotation of the sleeve will reciprocate the plunger element upon
the carriage. Reciprocation of the carriage is employed to seat or
withdraw the syringe needle from the patient, while movement of the
syringe plunger on the carriage, by rotation of the wire, is
employed to operate the syringe plunger.
A control switch is mounted on the hand held unit and connected in
an electric control circuit which controls operation of the motor
and solenoids. In one form of the invention, a momentary actuation
of the control switch will drive the apparatus in an automatic
cycle in which the needle is seated, a timed aspiration step is
performed by a slight withdrawal of the plunger after which the
plunger is depressed at a controlled rate to expel the fluid from
the syringe, and, when the fluid has been completely expelled, the
needle is withdrawn from the patient.
The aspiration step is employed in connection with many types of
injections, as for example, insulin, where it is necessary that the
injection be made into fatty tissue and not into a blood vessel. By
applying a slight withdrawal to the syringe plunger after the
needle is seated, fluid is aspirated from the patient's body into
the needle, and if blood appears in the needle during the
aspiration step, the needle is withdrawn and relocated. The control
circuit includes a provision by which the patient can initate a
powered withdrawal of the needle by manipulation of the control
switch. In one form of control circuit, a timing circuit is
included which can be adjusted to establish a definite time
duration of the aspirating step. In this form of circuit,
depression of the plunger will occur automatically at the
conclusion of the aspirating step unless the patient interrupts the
cycle by manipulation of the control switch. In a second form of
circuit, the aspirating step will continue as long as the patient
holds the control switch in a forward position, depression of the
plunger commencing as soon as the patient releases the control
switch.
Other objects and features of the invention will become apparent by
reference to the following specification and to the drawings.
IN THE DRAWINGS
FIG. 1 is a perspective view of an automatic injection system
embodying the present invention;
FIG. 2 is an exploded perspective view of the probe assembly of
FIG. 1;
FIG. 3 is a top plan view, partially in cross-section, of the probe
assembly of FIG. 1;
FIG. 4 is a perspective view of a portion of the syringe plunger
operating mechanism of the probe assembly;
FIG. 5 is a top plan view of the drive unit of the system of FIG. 1
with the cover removed;
FIG. 6 is an offset cross-sectional view of the drive unit taken
approximately along the offset section line 6--6 of FIG. 5;
FIG. 7 is a schematic diagram of one form of electrical control
circuit for the system of FIG. 1;
FIG. 8 is a perspective view, partially in section, of an
alternative form of carriage and syringe plunger operating
mechanism;
FIG. 9 is a cross-sectional view of the control box taken
approximately on the same line as FIG. 6, but showing an
alternative form of drive mechanism;
FIG. 10 is a detail cross-sectional view taken on line 10--10 of
FIG. 9; and
FIG. 11 is a schematic diagram of an alternative form of electrical
control circuit.
Referring first to FIG. 1, an automatic injection system embodying
the present invention is shown as including a probe assembly
designated generally 20, a separate or remote control and drive
unit designated generally 22 and a flexible control and drive unit
cable interconnecting various elements in the control box 22 to
mechanism within probe 20. A conventional electric power cord 26 is
connected within control box 22 to supply electric power to various
control and drive elements to be described in greater detail
below.
In FIG. 2, probe 20 is shown in an exploded view and is seen to
include a main casing element designated generally 28 and a
secondary casing element or cover 30 which is detachably mounted on
main casing 28 as by half sleeve sections 32 and 34 on cover 30 and
main casing 28 respectively which are conformed to be received
slidably within complimentary portions on the mating casing member.
Preferably, a suitable detent or mechanical latch (not shown) will
be provided to releasably hold the two casing sections 28 and 30 in
their assembled position shown in FIG. 1. The forward end of cover
section 30 is formed with an internally threaded bore 36 which
threadably receives the shank portion 38 of a hollow tube 40 whose
forward end is beveled as at 42.
The internal diameter of tube section 40 is dimensioned to slidably
receive the main body portion or cylinder 44 of a conventional
hypodermic syringe designated generally 46 to locate the needle 48
of syringe 46 coaxially within tube 40. By threading tube 40 in
threads 36, the depth of penetration of the syringe needle can be
adjusted as desired. The body portion 44 of syringe 46 is
conventionally formed with a projecting annular flange 50 through
which the needle plunger 52 projects, plunger 52 being formed with
a projecting flange 54 at its outer end.
Referring now to main casing assembly 28, a syringe body receiving
carriage designated generally 56 is mounted within casing 28 and
carries upon itself a syringe plunger receiving seat 58.
Referring now particularly to FIGS. 2 and 3, carriage 56 includes a
syringe flange receiving block 60 located at the forward end of the
carriage and formed with a recess 62 into which the flange 50 of
syringe 46 may be inserted from above as viewed in FIG. 2. A
U-shaped notch 64 at the rearward end of recess 62 loosely receives
the plunger 52 of the syringe, while a somewhat larger U-shaped
notch 66 at the forward side of recess 62 loosely receives body
portion 44 of the syringe. As best seen in FIG. 2, when the syringe
is located in seating block 60, flange 50 is received within recess
62 and the syringe body is thus restrained against axial movement
relative to carriage 56.
A pair of tubular support rods 68 are fixedly secured to seating
block 60 and extend rearwardly from the block in parallel
relationship. A coupling block 70 is fixedly secured to and
supported between the rearward ends of rods 68. Opposed pairs of
guide blocks 72 and 74 are fixedly mounted on the interior wall of
casing 28 and slidably receive rods 68 to support the entire
carriage 56 for longitudinal reciprocatory movement within the
casing.
Syringe plunger receiving block 58 is shown in detail most clearly
in FIG. 4 and includes a block-like member 76 formed with a
vertically extending T-shaped slot 78 in its forward end adapted to
receive the flange 54 of the syringe in the manner best shown in
FIG. 3 Block 76 is formed with concave notches 80 and 82 on its
opposite side, notches 80 and 82 being dimensioned to slidably
support block 76 upon the inner sides of rods 68 of carriage 56. A
drive rod 84 having an external thread section 86 at its rearward
end is mounted for free rotation at its forward end within a bore
88 in block 76 and is retained against axial movement in either
direction relative to block 76 by a knurled knob 90 fixedly mounted
upon rod 84 at the rearward side of the block and by a snap ring 92
engaged with rod 84 at the forward end of bore 88.
Knob 90 is provided with four or more radially extending notches 94
which cooperate with a sliding latch 96 frictionally retained on
the top of block 76 by a retainer 98. Latch 96 may be disengaged
from a notch 94 to permit rod 84 to be rotatively adjusted relative
to block 76 and then held at the desired position of rotative
adjustment by sliding latch 96 rearwardly into an aligned notch 94.
The purpose of this adjustment will be explained below.
Referring now particularly to FIG. 3, it is seen that an elongate
internally threaded sleeve 98 is supported within a bore 100 in
member 70 for free rotation relative to member 70 as by bushings
102 and locked against axial movement relative to the bore as by
snap rings 104. The internal thread section 106 within sleeve 98 is
threadably engaged with the thread section 86 on drive rod 84 of
plunger seating block 58 so that rotation of sleeve 98 acting
through the threaded connection to rod 84 will drive the rotatively
locked rod 84, and hence block 58 in longitudinal movement relative
to the carriage along rods 68. It will be recalled that rod 84 is
rotatively locked by latch 96. The initial rotative adjustment
afforded by latch 96 and the plurality of notches 94 on knob 90 is
for the purpose of establishing the initial longitudinal spacing
between block 76 of seating block assembly 58 and block 60 of
carriage 56.
Referring particularly to FIG. 3, it is seen that flexible cable 24
takes the form of a Bowden wire which includes an outer sheath 108
within which is freely mounted a flexible wire cable 110 whose
right hand end as viewed in FIG. 3 is fixedly and rigidly secured
to the end of sleeve 98 as at 112. Cable 98 functions in the
disclosed apparatus as a Bowden wire, possessing sufficient
longitudinal stiffness to reciprocate carriage 56 on rods 68 upon
reciprocation of cable 110 and also having sufficient torsional
rigidity to drive sleeve 98 in rotation upon rotation of cable 110.
Reciprocation of cable 110 thus reciprocates carriage 56 and
plunger seating block 58 as a unit, while rotation of cable 110
will drive plunger seating block 58 longitudinally relative to
carriage 56.
Reciprocation and rotation of cable 110 is under the control of
mechanism mounted in control box 22 and best seen in FIGS. 5 and 6.
Referring first to FIG. 6, it is seen that outer sleeve 108 is
fixedly secured to the casing of box 22 by a bushing 114 threadably
clamped to the box wall as by a nut 116. Cable 110 projects through
the interior of bushing 114 and is fixedly clamped or secured to
one end of a rod 118 mounted for both axial and rotary movement
relative to bushing 114. Rod 118 is formed with a centrally located
reduced diameter section 120. Vertically spaced washers 124 are
mounted on the end of a T-shaped drive lever 128 to provide a free
pivotal coupling of rod 118 to the lever. Lever 128 is pivotably
supported on a fixed frame portion of box 22 as at 130 and the
opposite ends of lever 128 are pivotally connected as at 132 and
134 to the armatures 136 and 138 of a pair of solenoids 140 and
142. In FIG. 5, the apparatus is shown with solenoid 140 energized
which has pulled in its armature 136 to swing lever 128 to its
extreme limit in a clockwise direction about pivot 130.
Energization of solenoids 140 and 142 is under the control of a
control circuit to be described below. The circuit is so arranged
that during operation of the device, one of the two solenoids is
energized at all times while the other of the two solenoids is
de-energized. Upon de-energization of solenoid 140 and energization
of solenoid 142, armature 138 is retracted, while armature 136 is
extended to thereby swing lever 128 in a counter clockwise
direction about its pivot 130 to thereby drive rod 118 and cable
110 to the right as viewed in FIG. 5. This shifting movement of rod
118 is transmitted by cable 110 to carriage 56 to drive the
carriage to the right from the position illustrated in FIG. 3.
Carriage 56 can be restored to its original position by
subsequently de-energizing solenoid 142 and re-energizing solenoid
140.
The left hand end of rod 118 as viewed in FIGS. 5 and 6 is
connected to T-shaped drive crank as by a cross pin 146. Reduced
diameter sections at the outer ends of the cross arms of crank 144
are slidably received within elongate U-shaped members 150 which
are fixedly mounted within a block 152 to permit relative axial
movement while maintaining a rotary drive coupling. Block 152 is
rotatably supported upon a threaded stud 154 and locked against
axial movement relative to the stud as by a snap ring 156 and the
threaded section of stud 154. A spring loaded detent designated
generally 158 releasably locks block 152 against rotation relative
to the stud, but may be disengaged to permit the stud to rotate
relative to block 152 under certain circumstances to be described
below.
Stud 154 is supported upon the end of a grooved drive shaft 160
which is received for axial sliding movement within a complementary
shaped bore 162 in stud 154. The grooved surfaces of drive shaft
160 and the complementary grooved surfaces of bore 162 lock stud
154 and drive shaft 160 against rotation relative to each other
while at the same time accomodating axial movement of the stud and
shaft relative to each other. Shaft 160 is driven in rotation by a
reversible variable speed electric motor designated generally 164
operated under the control of an electrical control circuit to be
described below.
The threaded section of stud 154 carries an external nut 166 which
is locked against rotation relative to block 152 by a pin 168
fixedly mounted in block 152 and projecting through a bore 170 in a
flange 172 integrally formed on nut 166.
Upon energization of motor 164, shaft 160 is driven in rotation in
a direction determined by the direction of rotation of reversible
motor 164. Rotation of shaft 160 is transmitted to stud 154, and
with block 152 rotatively latched to stud 154 by detent 158, block
152 and its U-shaped drive elements 150 are likewise driven in
rotation. Rotation of U-shaped elements 150 is transmitted via
T-shaped drive crank 144 to shaft 118 and thence to cable 110.
Rotation of cable 110 in turn, refering to FIG. 3, drives sleeve 98
in rotation. The threaded interconnection 106-86 between sleeve 98
and rod 94 transmits the rotation of sleeve 98 into axial movement
of shaft 84 to thus drive the syringe plunger receiving seat 58
longitudinally on carriage 56 in a direction dependent upon the
original direction of rotation of motor 164.
CONTROL SYSTEM
In FIG. 7 there is disclosed a control system for operation of the
embodiment of FIGS. 1 through 6 described above. The system
includes certain manually operable or adjustable external controls
whose general location is best seen by reference to FIGS. 1 and
3.
The actuator of a three position mode switch 180 projects from the
front panel of control box 22. When in its centered or neutral
position, mode switch 180 is in an "OFF" position in which power is
disconnected from the control circuit. When displaced in one
direction from its centered position, the mode switch connects
power to the control circuit and conditions the circuit for
automatic operation, while when displaced from the "OFF" position
in the opposite direction, mode switch 180 connects power to the
circuit and conditions the circuit for a so called manual
operation, the automatic and manual positions of the switch being
indicated by A and M.
The control circuit also includes two adjustable potentiometers
whose knobs 182 and 184 project from the front panel of control box
22. Potentiometer 182, as will be described below, is a variable
resistance in a RC timing circuit and is employed to adjust the
timing period of an aspiration step in the cycle of the system.
Potentiometer 184 is a variable resistor connected in the power
supply circuit to motor 164 and is employed to adjust the speed of
motor 164.
A three position switch actuator 186 projects from a switch box 188
mounted on probe 20. Actuator 186 is employed to alternatively
operate two switches 190 and 192 mounted within switch box 188.
Referring now to FIG. 7, the control circuit includes a pair of
supply lines L1 and L2 which are connected via power cord 26 to a
conventional 115 volt AC power supply. A transformer 200 is
employed to cut the supply voltage and, in combination with a
rectifier 202 to supply power to the control circuit in the form of
24 volts DC.
As shown in FIG. 7, the circuit finds mode switch 180 set for
"automatic" operation. Among other elements, the circuit includes
two relays designated generally 204 and 206, each of which controls
four sets of contacts. In the stage which the circuit is shown in
FIG. 7, both of the coils of relays 204 and 206 are
de-energized.
For purposes of illustration, it will be assumed that at this time
a filled syringe 46 has been loaded into probe 20 and that the
plunger receiving block 78 has been withdrawn rearwardly from
syringe receiving block 60 the proper distance to receive the
flange 54 of the plunger, which at this time has been withdrawn
from the syringe body by a distance determined by the volume of the
charge of fluid within the syringe. The relative positioning of the
various parts of the mechanism to accomplish this latter purpose
will be described below.
With syringe 46 loaded within probe 20 and the circuit in the
condition shown in FIG. 7, the system is ready to commence the
performance of an automatic cycle. The carriage 56 within probe 20
is, at this time, fully retracted or at its leftward-most limit of
movement as viewed in FIG. 3, because reverse solenoid 140 is
energized at this time from the +12 volts DC side of rectifier 202
via switch leaf 208 of mode switch 180, contacts 1-1A of relay 204
and the 12 volt negative conductor 210 connected to the negative
side of rectifier 202. Relay 140, when energized, positions lever
128 in the position shown in FIG. 5 which retracts cable 110 to its
extreme left-hand limit of movement as viewed in FIG. 3.
With the various switches and mechanical elements in the position
described, the user places probe 20 at the desired location for the
injection by placing beveled end 42 of element 40 in position.
Because the carriage 56 is retracted to its lefthand limit of
movement at this time, the syringe needle 48 is withdrawn well
within the interior of tube 40.
To initiate the automatic cycle, the user pushes the actuating
lever 186 on probe 20 forwardly to thereby close the contacts of
switch 192. Closing of the contacts of switch 192 connects the
positive terminal of rectifier 202 to terminal 4 of relay 204 to
thereby transmit a positive pulse from terminal 4 to terminal 4A of
relay 204 and thence through a 1.5 K resistor 212 and conductor 214
to the gate of a silicon control rectifier 216. The positive pulse
thus supplied to SCR 216 triggers this element to make it
conductive to connect the junction 218 of relay 206 to the negative
side of the line, i.e. conductor 210, the opposite end of relay 206
already being connected to the positive side of the line via
conductor 220 by switch leaf 208 of mode switch 180.
To commence operation of the cycle, only a momentary depression of
switch actuator 186 is required, this temporary displacement of
actuator 186 serving to transmit the triggering pulse to SCR 216,
and to energize the coil of relay 204. The coil of relay 204
becomes energized from the positive pulse supplied to contact 4 of
relay 204 via the relay coil, clutch switch 196 and normally closed
switch 190 to the negative side of the line at conductor 210.
Energization of the coil of relay 204 shifts all of its contacts to
complete a lock in circuit via contacts 4-4B and switch leaf 208 to
the automatic position of mode switch 180 to supply positive
voltage to terminal 4 upon the subsequent opening of switch
192.
The shifting of the contacts of relay 204 open the circuit between
terminal 1 of relay 204 and terminal 1A and simultaneously connects
terminal 1 to terminal 1B thereby energizing relay 142 to drive
carriage 156 to its forward limit of movement to thus seat the
needle of syringe 46 in the patient. At the same time, contacts 2
and 3 of relay 204 are connected to terminals 2B and 3B
respectively which are in turn connected to terminals 3 and 2 of
relay 206. Relay 206 is energized at this time, by the shifting of
SCR 216 to its conductive state, and thus terminals 2 and 3 of
relay 206 are now connected to terminals 3B and 2B of relay 206,
thereby energizing motor 164 to drive in a reverse direction which
rotates cable 110 in a direction tending to pull plunger 52 of the
syringe outwardly to cause the syringe to aspirate fluid from the
patient.
The purpose of the aspiration step in the cycle is to assure that
the location chosen for the injection is such that the syringe
needle is not seated in a vein or artery. Insulin injections, for
example, are intended to be made into fatty tissue and not directly
in the bloodstream, By withdrawing or pulling out of the syringe
plunger after the needle is seated, the patient can observe the
needle to see if the aspiration draws any blood into the syringe.
In the event blood should appear, immediate withdrawal of the
needle may be accomplished by moving switch actuator lever 186 to
the rear, thereby opening switch 190 which de-energizes relay 204
to open the circuit via the number 1 contacts of this relay to the
forward acting solenoid 142 and re-energize the reverse or
withdrawal actuating solenoid 140.
In the circuit shown in FIG. 7, the aspiration step of the cycle is
automatically programmed to continue for a predetermined length of
time by adjustment of potentiometer 182 which is the resistance
element of an RC timing circuit which includes condenser C1. If
switch 190 is not opened within the preset time period, the cycle
will automatically continue. If, however, during the aspiration
period, switch 190 is opened, the needle is withdrawn and the cycle
does not continue.
Timing of the aspiration cycle is commenced when the coil of relay
206 is energized to shift its contacts and thereby connect
terminals 4 and 4B of relay 206 to energize the timing circuit.
Energization of the timing circuit causes a charge to build up on
condenser C1 and when the charge has built up to the desired value,
discharge of the condenser switches a unijunction element 222 to
activate an oscillator circuit 224 which, via a second SCR 226,
transmits negative pulses from conduit 210 to the lower terminal
218 of relay 206 and thus to the anode of SCR 216 to reset SCR 216
in its nonconductive state. This action in turn de-energizes relay
206 to restore its contacts to the full line position shown in FIG.
7. When the timing circuit times out and the contacts of relay 206
return to their original position, the switch leafs associated with
terminals 2 and 3 of relay 206 shift to reverse the polarity of the
connections to motor 164, thereby reversing the direction of drive
of motor 164 to its forward direction so that the motor now drives
the syringe plunger in its forward or charge expelling
direction.
As stated above, the speed of drive of motor 164 is controlled by
potentiometer 184.
The motor continues to drive in the charge expelling direction
until plunger carrying block 76 bottoms out against syringe
receiving block 60. Bottoming of the two blocks in the afore
described manner places a torsional load on cable 110 which backs
up through the cable and unseats detent 158 (FIG. 6) so that the
cable and block 152 remain stationary while motor 164 continues to
drive. Block 152 is coupled, via pin 168 to nut 166 and, as nut 166
is held against rotation, the continued rotation of drive shaft 160
and stud 154 drives nut 166 to the right as viewed in FIG. 6. This
causes flange 172 of nut 166 to shift the contacts of switch 196,
this action referring now to FIG. 7, opening contacts 196 to
thereby de-energize relay 204. De-energization of relay 204 returns
its various switch leafs to their original position, thereby
energizing reverse solenoid 140 which acts to withdraw the syringe
from the patient's body.
At this particular time, the injection cycle has been completed,
carriage 56 which carries the syringe being withdrawn to its
extreme lefthand limit of movement as viewed in FIG. 3, with the
syringe plunger carrying block being bottomed or in contact with
block 60 of carriage 56. The casing is opened and the emptied
syringe is removed.
At this time, plunger block 76 is approximately reset to its
original position by again shifting actuator 186 forward to close
contacts 192 which starts the mechanism in another "aspirating
cycle" in which plunger block 76 is retracted rearwardly from
carriage block 60. When block 76 arrives at the desired spacing,
actuator 186 is shifted rearwardly by the user to stop the cycle by
de-energizing relay 204 by the opening of switch 190. The closing
of contacts 1-1B of relay 206 temporarily bypasses clutch contacts
196 to enable energization of relay 204 until contacts 196 close by
the driving of nut 166 back to its original position.
A fine position adjustment of plunger block 76, if necessary, is
made by manipulation of knob 90.
MODIFIED FORM OF CARRIAGE AND PLUNGER OPERATING MECHANISM
A modified form of carriage and plunger operating mechanism is
shown in FIG. 8, parts of the FIG. 8 mechanism analogous to parts
of the originally described mechanism employing the same reference
numerals with a prime. The assembly of FIG. 8 is adapted for
operation by a modified form of control circuit, shown in FIG. 11
and to be described below.
The embodiment of FIG. 8 includes a carriage receiving block 60' to
which, as in the previously described embodiment, are fixedly
secured a pair of rearwardly extending parallel rods 68' which are
fixedly coupled to a modified form of coupling block which takes
the form of a pair of annular discs 70' and 71'. An elongate sleeve
98' is fixedly secured at its rearward or left-hand end to cable
110' and is formed at its forward end with a relatively short
internal thread section 106', threadably engaged with a relatively
long threaded section 86' on rod 84'. As in the previous
embodiment, rod 84' is rotatively received within the syringe
plunger receiving block 76', but is locked against axial movement
relative to block 76'. As in the previous case, block 76' is
slidably supported upon rods 68'. The axial length of the smooth or
unthreaded section 84' is less than the axial length of the
threaded section 106' in sleeve 98'. A compression spring 250 is
located within sleeve 98'.
In the structure shown in FIG. 8, the possibility of plunger
carrying block 76' bottoming out against the forwardmost portion
71' of the coupling block assembly is forestalled. When cable 110'
is driven in a direction which draws plunger carrying block 76'
away from block 60', block 76' will move toward coupling element
71' until the unthreaded portion 84' of the drive rod passes into
nut section 106', at which time further rotation of sleeve 98'
rotatively uncouples nut 106' from threaded section 86'. Spring 250
resiliently biases the threaded section 86' to the right so that
the threads promptly come back in to mesh with each other upon
reversal of the direction of rotation of cable 110'.
MODIFIED CLUTCH ASSEMBLY
A modified form of clutch assembly is disclosed in FIGS. 9 and 10.
Again parts of the mechanism corresponding to parts previously
described in connection with the embodiment of FIGS. 1-5 employing
the same reference numeral with a prime.
In the arrangement shown in FIGS. 9 and 10, an axially slidable
spline type connection 252 is employed to rotatively couple the
lefthand end of shaft 118' to a hollow shaft 254 rotatively
supported in a bushing 256 mounted in control box 22'. A radially
enlarged disc-shaped flange 258 is fixedly mounted on the lefthand
end of shaft 254 and carries an axially projecting pin 260 to which
is fixedly coupled to one end of a spiral torsion spring 262. The
central portion of flange 258 is internally threaded at 264 and
threadably receives a stud 266 which is fixedly mounted on the end
of drive shaft 160'. A stop pin 268 is fixedly mounted in and
projects radially from stud 266 to provide a positive rotary drive
coupling, via pin 260, when engaged with the pin. A second pin 270
is mounted in stud 266 and projects axially from the stud and is
coupled to the remaining end of torsion spring 262.
Referring now to FIG. 10, upon rotation of drive shaft 160' in a
clockwise direction as viewed in FIG. 10, stop pin 268 will engage
pin 260 to impart clockwise rotation to flange 258 and thence
eventually to cable 110'. Should drive shaft 160' be driven in a
counterclockwise direction as viewed in FIG. 10, rotation in this
direction will tend to wind up or tighten torsion spring 262, and
thus the counterclockwise rotation of drive shaft 162' is
transmitted through a resilient coupling in the form of spring 262
to flange 268 and thence to cable 110'.
Rotation of drive shaft 160' in the counterclockwise direction is
employed to drive, via cable 110', the syringe plunger receiving
block in the forward or fluid expelling direction. As in the
previously described embodiment, the syringe plunger block is
driven in the fluid expelling direction until it bottoms out
against the carriage. Bottoming of the plunger block increases the
torsional resistance to movement of cable 110', and this action
results in a further tightening of spring 262 by relative rotation
of stud 266 and flange 258. This relative rotation is translated
into axial movement of flange 258 by the threaded connection to
stud 266, and the consequent axial movement of flange 258 is
employed to actuate the contacts of the automatic clutch switch
196'.
MODIFIED CONTROL CIRCUIT
In FIG. 11, there is disclosed a modified form of control circuit
which dispenses with the automatic timing of the aspiration step
employed in the circuit of FIG. 7, while enabling the operator to
perform an aspirating step under manual control. The circuit of
FIG. 11 further enables a precise power driven positioning of the
syringe plunger receiving block relative to the carriage under the
control of the operator.
Because the control circuit shown in FIG. 11 operates to control
two forward and reverse solenoids 140 and 142 and a reversible
motor 164 by means of the two switches 190 and 192 actuated by
actuator 186 on the probe, the control circuit of FIG. 11 may be
used with any of the various mechanical embodiments previously
described. The control circuit of FIG. 11 does not include controls
for automatic timing of the aspirating step, nor does it include a
variable speed adjustment for reversible motor 164.
In FIG. 11, the circuit is shown with mode switch 180 positioned
for manual operation. When in the manual mode, the position of
plunger carrying block 76 relative to syringe receiving block 60
may be accomplished by operating reversible motor 164 under the
control of switch actuator 186. To drive plunger receiving block
rearwardly away from the flange receiving block -- that is to
withdraw the syringe plunger from the syringe body, switch actuator
186 is pushed forwardly to cause switch 192 to connect one side of
the power supply line L1 to contact 192A, thereby energizing
solenoid coil 280 whose other side is connected to line L2 of the
power supply. Energization of solenoid 180 shifts its relay
contacts from the illustrated position to connect terminal 1B to
terminal 1C, thereby energizing motor 164 in the reverse
direction.
To shift the syringe plunger receiving block in the opposite
direction, motor 164 is energized to drive in the forward direction
by shifting switch actuator 186 forwardly to close switch 190 with
contacts 190A. This completes a circuit from supply line L1 via
terminals 3N, 2M, 2N of mode switch 180, switch 190 to terminal
190A and thence to terminal 1N of the mode switch and thence via
terminal 1M of the mode switch to the forward direction drive of
motor 164 and thence via automatic clutch switch 196 to the L2 side
of the power supply.
To operate the system in an automatic cycle, mode switch 180 is
shifted to its automatic mode where its contacts are made
respectively from terminals 1N, 2N and 3N to terminals 1A, 2A and
3A. This action immediately energizes the reverse solenoid 140 to
withdraw the carriage to its extreme limit of movement away from
the patient, thereby retracting the needle clear. The energizing
circuit for solenoid 140 from the L1 side of the line is via
terminals 3N, 3A, 4B, 4D, through solenoid 140 and closed clutch
switch 196 to the L2 side of the line.
To commence an automatic cycle, actuator 186 is pushed forwardly to
connect the L1 side of the line to contact 192A at switch 192,
thereby energizing relay 280. Relay 280 shifts its contacts from
the illustrated position and thus energizes the reverse drive motor
via terminals 1B and 1C as described above. Relay 282 is
simultaneously energized from the L1 side of the line via terminals
2B and 2C of relay 280, normal closed switch 190, terminals 2N, 2A
of mode switch 180 and thence via clutch switch 196 to the L2 side
of the line. Energization of relay 282 shifts its contacts, thus
disconnecting the reverse solenoid 140 by opening the circuit at
contact 4D and simultaneously closing a circuit to the forward
relay 142 at contact 4B-4C.
It will be noted that at this instant, the needle is injected, by
actuation of forward solenoid 142, and the plunger is being
withdrawn by the operation of the reverse mode of motor 164.
Aspiration can continue as long as actuator 186 is manually held in
the forward position. Upon release of actuator 186 and the return
of the actuator to its centered or neutral position, contact 192A
is opened and solenoid 280 is de-energized, thereby returning its
contacts to the illustrated position in FIG. 11. This opens the
circuit to the reverse mode of motor 164 both at contacts 190a and
also by virtue of the opening of the contact pair 1B 1C.
Solenoid 282, once energized, is locked in via contacts 3C, 3B, 3A,
3N which complete a circuit to the top of solenoid 282 as viewed in
FIG. 11 from the L1 line, the lower end of solenoid 282 being
connected to L2 via the closed switch 190, contacts 2N, 2A thence
to clutch switch 196. The forward drive mode of motor 164 is
energized when relay 280 is de-energized and relay 282 is
energized, the circuit from the L1 side of the line passing through
contacts 2B, 2D, 5C, 5B and thence to the forward side of motor
164.
At this time, the needle is now seated and the plunger is being
driven forward to expell the charge from the syringe. The action
continues until the plunger block bottoms on the carriage and
consequently opens the clutch switch contacts 196, this action
de-energizing solenoid 282. De-energization of solenoid 282 shifts
its contacts back to the original position, thus energizing reverse
solenoid 140 which thus withdraws the needle.
While various embodiments of the invention have been described, it
will be apparent to those skilled in the art that the disclosed
embodiments may be modified. Therefore, the foregoing description
is to be considered exemplary rather than limiting, and the true
scope of the invention is that defined in the following claims.
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