U.S. patent number 3,776,229 [Application Number 05/202,505] was granted by the patent office on 1973-12-04 for medical liquid administration set for rate or volume delivery.
This patent grant is currently assigned to American Hospital Corporation. Invention is credited to Charles J. McPhee.
United States Patent |
3,776,229 |
McPhee |
December 4, 1973 |
MEDICAL LIQUID ADMINISTRATION SET FOR RATE OR VOLUME DELIVERY
Abstract
A parenteral liquid administration set which is readily
changeable between delivering liquid at measured "rate" through a
drip chamber that has a constant liquid level, and delivering
liquid from the chamber in a measured "volume" with a progressively
lowering liquid level. A valve system on a top of an enlarged
semi-rigid measuring chamber functions to selectively change
between "rate" and "volume" delivery. In one version there is also
a secondary drip chamber below the enlarged semi-rigid measuring
chamber so the set can simultaneously indicate "rate" and "volume"
delivery.
Inventors: |
McPhee; Charles J. (Sylmar,
CA) |
Assignee: |
American Hospital Corporation
(Evanston, IL)
|
Family
ID: |
22750165 |
Appl.
No.: |
05/202,505 |
Filed: |
November 26, 1971 |
Current U.S.
Class: |
604/127; 222/159;
604/248; 215/313; 222/442; 604/254 |
Current CPC
Class: |
A61M
5/1411 (20130101); A61M 5/1412 (20130101); B29K
2027/18 (20130101); B29L 2031/14 (20130101); B29C
66/73182 (20130101); B29C 66/112 (20130101); B29L
2031/753 (20130101); B29C 65/08 (20130101); B29C
66/73187 (20130101); B29C 65/4895 (20130101); B29C
66/71 (20130101); B29C 66/5346 (20130101); B29C
66/71 (20130101); B29C 66/114 (20130101) |
Current International
Class: |
A61M
5/14 (20060101); A61m 005/16 () |
Field of
Search: |
;128/214R,214C,214.2,227
;137/588 ;251/352,125 ;222/158,159,442 ;215/56,76,79 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
I claim:
1. A system comprising an administration set for optionally
dispensing medical liquid by a continuous rate in drops or as a
measured volume without disconnecting the administration set from a
liquid supply source, comprising in combination:
a liquid supply container having a lower outlet through which
liquid descends;
a supply of medical liquid in said container;
a calibrated-volume housing including a transparent tubular wall
having top and bottom end closures;
said top end closure having an inlet opening and
said bottom end closure having an outlet opening; a filling conduit
connected in series between the outlet opening of said liquid
container and the inlet opening of said top end closure,
said filling conduit being substantially smaller in cross section
than either the liquid supply container or the calibrated volume
housing,
said top end closure including a drip tube connected to said fluid
conduit and depending into said housing and including a terminal
discharge end substantially immediately below said top end closure
and being of a size for forming countable drops of the medical
liquid as it drops onto a level of liquid in said housing;
a first two-position valve having "open" "closed" settings and
being interposed in said filling conduit for controlling the flow
of liquid into said housing from said liquid supply container;
said top end closure having an air vent means for connecting the
housing to atmospheric pressure;
a second two-position valve having "open"-"closed" settings and
being connected to said air vent for sealing off the interior of
the housing from atmospheric pressure or opening the interior of
the housing to atmospheric pressure thereto; and
a dispensing conduit substantially smaller in cross section than
said housing and connected to the bottom end closure outlet
opening, said set providing means for administering liquid as a
continuous rate directly from the liquid supply container or as a
measured volume from the housing when one of said valves is in an
"open" setting and the other is in an "closed" setting.
2. The combination as set forth in claim 1 wherein the chamber has
an upstanding rigid tube around its vent opening with a passage
through the tube into the chamber, and a filter member spans this
passage.
3. The combination as set forth in claim 2 wherein the manually
openable closure forms an airtight fit with the upstanding tube and
is rotatable relative thereto, and said upstanding tube and closure
having alignable groove systems.
4. The combination as set forth in claim 3 wherein the cap has a
laterally extending handle to provide a visual indication of its
angular position showing whether the vent passage is open or
closed.
5. The combination as set forth in claim 3 wherein the upstanding
rigid tube has a groove system on its outer surface and said
closure system is a cap fitting over said upstanding tube, said cap
having a groove system on its inner surface.
6. The combination as set forth in claim 5 wherein the cap has a
vertical groove along a lower portion of its inner surface; the
upstanding rigid tube has a vertical groove along its upper
portion; and said two vertical grooves overlapping when they are
rotationally aligned with each other, so that air can enter and
exit through the aligned interconnecting grooves.
7. The combination as set forth in claim 5 wherein the system has
rotational limit stop means to confine the closure rotation of the
cap on the upstanding tube to less than 360.degree..
8. The combination as set forth in claim 7 wherein the rotational
stop means is a protruding lug at a base of the upstanding tube,
and the cap has a generally cylindrical wall with an internal
radial slot that receives this lug, said cap having abutting
shoulders at opposite ends of said slot for contacting the lug.
9. The combination as set forth in claim 8 wherein one shoulder
abuts the stop means when the grooves are rotationally aligned for
air passage, and the other shoulder abuts the lug when the grooves
are sufficiently misaligned so as to fully shut off air passage
through the vent opening.
10. The combination as set forth in claim 5 wherein the cap and
upstanding tube have interfitting circumferential groove and rib
structure to maintain the cap and upstanding tube together as the
cap rotates on the upstanding tube.
11. The combination as set forth in claim 1 wherein the liquid
outlet opening has an upwardly facing valve seat therearound, and
the chamber has a floating valve member that seals against the
valve seat when the vent passage is open and the liquid level
within the chamber has dropped to approximately the level of the
valve seat.
12. The combination as set forth in claim 1 wherein the set has a
secondary drip housing connected to a lower portion of the
volumetrically calibrated chamber about the liquid outlet opening,
and there is a drip forming tube surrounding the liquid outlet
passage and extending into the secondary drip chamber, said
secondary drip chamber having a drain port at a lower portion
thereof.
13. The combination as set forth in claim 12 wherein the set has
conduit means connected to the inlet of the volumetrically
calibrated chamber and also has conduit means connected to the
drain port of the secondary drip chamber, both of said conduits
having liquid flow control valves thereon.
14. A parenteral liquid administration set for selectively
dispensing medical liquid by either "continuous drip" or "measured
volume," said set including: an enlarged chamber that includes a
cylindrical transparent wall with volumetrically calibrated indicia
thereon; a top cap fitted to an upper end of the cylindrical wall,
said top cap including a liquid inlet opening with an external
tubular connector and an internal drip tube about the liquid inlet
opening; a filling conduit substantially smaller in diameter than
the cylindrical wall, which filling conduit is connected to the
liquid opening of the top end; a first valve connected with the
filling conduit for opening or closing a passage through the
filling conduit; partially along its vertical length, said groove
stopping short of the base of the upstanding tube; a
circumferential rib on the upstanding tube; an air pervious, liquid
impervious filter closing off the passage through said upstanding
tube; a cap fitting over and rotationally mounted on the rigid
upstanding tube; an internal vertical groove within the cap which
vertical groove interconnects with the upstanding tube's external
groove at one particular rotational position of the cap, whereby
air is admitted into said chamber, said cap rotatable about the
upstanding tube to close said vent's air passage; said cap having a
circumferential internal groove which receives the rib of the
upstanding tube; lateral rotational stop means on the cap and
upstanding tube; a bottom cap connected to the transparent
cylindrical wall and having an outlet port therein; a float valve
means within the calibrated chamber for closing off its outlet as
liquid drops to approximately the level of the outlet; a secondary
drip chamber connected to the liquid outlet of the calibrated
chamber; said parenteral liquid administration set adapted to
deliver parenteral liquid at a "continuous drip" or a "measured
volume" when only one, but not both, of the two valves is in an
open position.
Description
BACKGROUND
Parenteral liquids such as intravenous solution or blood are
generally dispensed to a patient through an "administration set."
The adminstration set includes a long flexible tube connected at
its upper end to an inverted liquid supply bottle and connected at
its bottom end to a patient. An enlarged drip chamber is joined in
series with the tubing between its ends. A nurse or physician can
determine how fast the parenteral liquid is being administered by
counting the drops falling into the drip chamber over a given
period of time. The rate of liquid administration in ml/hr. is then
calculated from the drip rate by a known conversion factor.
The problem with drip chambers of this type is that they do not
provide an easy manner of measuring both "rate" and "volume"
delivery. First the nurse or physician has to count the number of
drops per minute and convert them into ml/hr. for the "rate." Then
if a specific "volume" is to be administered at this rate a further
calculation is needed to determine how long the administration
should be continued to deliver this volume. For instance, if a
physician told a nurse to administer 40 ml. of liquid at 25 ml/hr.
this becomes quite a tedious mathematical problem. This is
particularly burdensome where a nurse might monitor several
different parenteral liquid administrations simultaneously.
Calibrations on the large liquid supply bottle, one or two liter
capacity, are not accurate enough for measuring volumes of less
than 100 ml.
SUMMARY OF THE INVENTION
I have overcome the above problems with the parenteral liquid
administration set by providing an administration set which can be
conveniently changed by a nurse or physician to indicate a "rate"
or "volume" delivered. The rate is measured by a constant liquid
level drip chamber and the volume is measured by a descending
liquid level within an enlarged semi-rigid chamber. This chamber
has approximately 100 ml. capacity and is volumetrically
calibrated.
An important feature of my invention is a unique valving structure
at a top portion of the enlarged chamber. When the valving
structure is closed the chamber forms an airtight drip housing
where liquid is received and dispensed while liquid in the chamber
remains at an approximately constant level. When the valving
structure is opened to the atmosphere, the chamber is filled to a
given volumetric level and liquid dispensed from the chamber in a
progressively lowering liquid level gives an instant reading of
volume dispensed. As this level reaches a lower portion of the
chamber an automatic float valve closes the chamber's outlet
passage to prevent air from being administered to the patient.
In one version of my invention a secondary drip chamber is attached
to an outlet of the enlarged chamber. Thus, as liquid drains from
the enlarged chamber in a volumetrically measured administration
the secondary drip chamber will give a simultaneous rate reading in
the number of drops falling into the secondary chamber.
With my invention a nurse or physician can get a quick and easy
reading of the "rate" liquid is being administered, and also obtain
a convenient accurate reading of how much "volume" has been
dispensed.
THE DRAWINGS
FIG. 1 is a side elevational view showing the administration set
measuring the "rate" of liquid dispensed;
FIG. 2 is a side elevational view similar to FIG. 1, but showing
the "volume" dispensed;
FIG. 3 is an enlarged sectional view of a top cap of the enlarged
chamber, showing an upstanding rigid tube portion of the valve
structure;
FIG. 4 is an enlarged sectional view of a rotatable cap member
fitting over the rigid tube of the cap and combining with it to
form the valve;
FIG. 5 is a bottom view of the cap of FIG. 4;
FIG. 6 is a sectional view taken along 6--6 of FIG. 4;
FIG. 7 is a fragmentary top view taken along line 7--7 of FIG. 3;
and
FIG. 8 is an exploded perspective view of the top portion of the
enlarged housing with its rigid upstanding tube, and the valve
cap.
DETAILED DESCRIPTION
The parenteral liquid administration set of my invention includes a
conduit 1 that has a spike 2 at its upper end connected to a liquid
supply bottle 3. This bottle may contain blood, intravenous
solution, etc. A lower end of the conduit 1 is attached to a
conventional intravenous needle (not shown).
Joined in series with this conduit 1 is an enlarged chamber 4 shown
in the drawings as being of approximately 100 ml. capacity. This
could also be of 150 ml. capacity if desired. The enlarged chamber
is comprised of a cylindrical transparent wall 5 with
volumetrically calibrated indicia 6. Connected to this cylindrical
wall are a top cap 7 and a bottom cap 8 which have an inlet passage
9 and an outlet passage 10 respectively. To control liquid flow
rates to and from the enlarged chamber are conventional roller
clamps 11 and 12 on the conduit 1.
In FIG. 1 there is shown a secondary smaller drip chamber 13
connected to bottom cap 8. This secondary drip chamber will be
explained in more detail later and how it is used with the enlarged
chamber 4 to simultaneously measure "rate" and "volume" delivery.
However, the enlarged chamber 4 can be used to measure both "rate"
and "volume" delivery by manually changing a valve on top cap 7. In
this later instance there is no secondar drip chamber and conduit 1
connects directly to outlet 10 of the enlarged chamber 4.
Having discussed the basic components of the administration set,
the details of the enlarged chamber 4 and particularly its top cap
7 will be described. As shown in FIG. 1 the administration set is
delivering a constant measurable rate of liquid. This rate is
determined by counting the number of drops 14 falling across an air
pocket 15 directly above a liquid level 16. In FIG. 1, where the
"rate" delivery is shown, the roller clamp 11 is open so liquid can
drain from bottle 3 into chamber 4. A valve means on the top cap
shown generally as 17, is in an airtight closed position. This
creates an airtight enlarged chamber 4 which functions as a drip
housing and a liquid level 16 remains at a generally constant
height within the chamber.
When it is desired to administer a precise quantity of parenteral
liquid, the administration set is changed to that shown in FIG. 2.
In FIG. 2 roller clamp 11 closes off conduit 1 and valve member 17
is opened to the atmosphere. This causes the liquid level 16 shown
in FIG. 2 as initially being at 65 ml. to drop to the level shown
in solid line, i.e., 45 ml. Any amount of liquid up to the enlarged
chamber's capacity can be supplied to it merely by opening roller
clamp 11. In both the FIG. 1 and FIG. 2 showing settings the flow
rate to the patient is controlled by roller clamp 12.
In practice, a nurse or physician can begin a liquid administration
as shown in FIG. 1 at perhaps 300 ml/hr. If the physician gives an
instruction to administer 65 more ml. at this rate and then stop
the administration the nurse needs merely to open valve 17 and fill
the enlarged chamber 4 to 65 ml. Next, roller clamp 11 is closed
off. As the liquid within the chamber 4 is dispensed at the
constant 300 ml/hr. (controlled by roller clamp 12) the liquid
level 16 will gradually descend within the enlarged chamber 4. This
liquid level descent continues until a floating disc valve 20
within cage 21 contacts valve seat 22 to close off further passage
of liquid or air through outlet 9 of the bottom cap. As can be
seen, this is a very simple procedure and the nurse does not need
to calculate how many minutes a 300 ml/hr. rate of liquid delivery
would have to be run to deliver 65 ml. of liquid to the
patient.
If, after delivering the 65 ml., the physician decides that he
wants to resume the parenteral liquid delivery at a constant rate
until bottle 3 is empty the nurse simply closes off valve 17 and
partially refills enlarged chamber 4 while valve 11 remains open.
Next, valve 17 is closed and administration of liquid at the drip
rate desired is controlled by roller clamp 12. Alternatively, the
enlarged semi-rigid chamber 4 can be partially filled with liquid
after valve 17 is closed. This is done by slightly squeezing the
transparent wall 5 and releasing it to suck liquid back into the
enlarged chamber. Such squeezing and filling procedure is
conventional.
Having described the method by which the administration set of my
invention can be changed to indicate a "rate" or a "volume"
delivery. The details of the specific top cap 8 and valve system
which accomplishes this will be explained. As shown in FIG. 3, the
top cap 7 includes top wall 23 and a pair of downwardly extending
skirts 24 and 25 which are cemented or otherwise bonded to tubular
wall 5 of the enlarged chamber. The top wall has an inlet opening
surrounded by a drip tube structure 26. Fitting within this drip
tube structure is flexible conduit 1. Thus as liquid drains from
bottle 3 through conduit 1 it forms a drip on the drip tube 26
within the enlarged chamber.
Top wall 23 has an upstanding tube 27 closed by a puncture pad 28
for injecting additional medication into the enlarged chamber.
Injections into the chamber can be made through this puncture pad
whether the system delivering is in FIG. 1, or as in FIG. 2.
The valve 17 on the top wall 23, of top cap 8, includes a large
upstanding rigid tube 29 in FIG. 3 surrounding a vent port 30'
through the top wall 23. FItting over this upstanding tube 29 is a
rotatable cap 31 with a laterally protruding handle 32. This cap
and upstanding tube 29 form an airtight fit with siliconized
surfaces. The closure has a circumference rib 34 of the upstanding
tube 29. Extending upwardly from a lower end 34 of the cap is a
vertical groove 35. This groove 35 stops short of top wall 36 of
the cap. The upstanding tube 29 also has a vertical groove 37 which
extends from its top wall 38 downwardly but stops short of top wall
23 of cap 8. The two vertical grooves 37 and 35 overlap at a center
portion of the valve when the cap is fitted to the upstanding tube
29. How this overlapping relationship works is probably best
illustrated in the exploded perspective view of FIG. 8.
To limit its rotational movement to less than 360.degree. cap 31
has an internal radial groove 39 extending partially around its
periphery. At each end of groove 39 are shoulders 40 and 41. These
shoulders abut a stop lug 42 at a base of the upstanding tube 29.
When shoulder 41 abuts lug 42 the grooves 35 and 37 are aligned for
passage of air through vent passage tube 29. When shoulder 40 abuts
lug 42 the grooves 35 and 37 are sufficiently misaligned that air
is prevented from passing through vent passage 30.
Vent passage 30 of upstanding tube 29 has a filter member 43 there
across which is solvent or sonic welded to the tube 29. This filter
member is of porous polymeric sheet material such as Teflon that is
pervious to air but impervious to liquid. The purpose of filter 43
is to keep any splashing liquid from the enlarged chamber 4 from
contaminating the inner connecting air passages 35 and 37.
As shown in FIG. 8 the cap has been exploded away from the
upstanding tube 29. This is merely for purposes of illustration and
the cap and upstanding tube as actually used would be snapped
together. Preferably lettering 44 is included on the cap to
indicate which direction to turn of opening and closing the
valve.
In the above description and drawings I have described an enlarged
chamber 4 which can give an indication of "rate" or "volume"
parenteral liquid delivery, depending on how the valve 17 is
turned. It is also possible to get simultaneous readings of these
two measurements. This is done by including a secondary drip 13.
Referring to FIG. 2 the secondary drip chamber 13 can indicate a
flow rate simultaneously with the volume measuring liquid level
lowering operation of enlarged chamber 4. If desired, the drip
forming tube 45 within secondary drip member 13 can be of a much
smaller diameter than drip tube 26. This can be a small drip
formerly known as a "pediatric" drip for administering at very slow
rates to infants.
In the above specification and drawings I have used specific
examples to illustrate my invention. However, it is obvious to
those skilled in the art that certain modifications and changes can
be made to these embodiments without departing from the spirit and
scope of the invention.
* * * * *