U.S. patent number 3,846,518 [Application Number 05/264,315] was granted by the patent office on 1974-11-05 for port system for medical humidifier container.
This patent grant is currently assigned to American Hospital Supply Corporation. Invention is credited to Charles J. McPhee.
United States Patent |
3,846,518 |
McPhee |
November 5, 1974 |
PORT SYSTEM FOR MEDICAL HUMIDIFIER CONTAINER
Abstract
A dual passage adapter for providing an inlet-outlet port system
that couples a medical liquid bottle to a medical gas source. The
adapter has a snap lock feature which permanently connects it to
the medical liquid bottle so the adapter can be used with only one
bottle to reduce risk of cross-contamination among patients. Gas
and liquid are mixed in the bottle and exit through the adapter as
humidified gas which a patient breathes during inhalation
therapy.
Inventors: |
McPhee; Charles J. (Sylmar,
CA) |
Assignee: |
American Hospital Supply
Corporation (Evanston, IL)
|
Family
ID: |
23005497 |
Appl.
No.: |
05/264,315 |
Filed: |
June 19, 1972 |
Current U.S.
Class: |
261/123;
128/200.13; 222/400.7; 261/DIG.65; 285/921 |
Current CPC
Class: |
F16L
41/02 (20130101); A61M 16/16 (20130101); Y10S
285/921 (20130101); Y10S 261/65 (20130101); A61M
2209/06 (20130101) |
Current International
Class: |
A61M
16/16 (20060101); A61M 16/10 (20060101); F16L
41/02 (20060101); B01f 003/04 (); A61m
015/00 () |
Field of
Search: |
;222/400.7,153,3,5
;128/186-188,194 ;285/DIG.22 ;215/42 ;261/123,78A,DIG.65 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Miles; Tim R.
Assistant Examiner: Chiesa; Richard L.
Attorney, Agent or Firm: Barger; Larry N. Merrick; Robert
T.
Claims
I claim:
1. In a system for administering a humidified medical gas to a
patient during inhalation therapy and substantially deterring
cross-contamination between patients comprising, for use in
combination with a source of dry medical gas to be administered to
a patient after humidification and means for connection to said
source of medical gas for dispensing the gas;
a disposable dry medical gas humidifying assembly including means
for connection to said means for dispensing the dry medical gas
from the source; and means for administering humidified medical gas
to a patient, said gas humidifying assembly comprising a disposable
container for a medical liquid, said container including
connection-and-retention means; and an adapter for connecting the
dry medical gas source with the medical liquid container comprising
a body member having a dry gas passage extending from an inlet
adjacent a top portion of the body member to an outlet adjacent a
lower portion of the body member, and a humidified gas passage
extending from an inlet adjacent a lower portion of the body member
upwardly to an exit portion on the body member; first connecting
means on the body member at the dry gas passage inlet for
connecting the adapter to the medical gas source; second connecting
means at the dry gas passage outlet and humidified gas passage
inlet for connecting the adapter with the medical liquid container,
said second connecting means of the adapter and the
connection-and-retention means of said container having
interfitting structure including portions that permit the adapter
to be manually connected to the container and integrate it as a
permanent non-separable part thereof and deter subsequent manual
separation therebetween whereby the adapter and medical container
are discarded as a unit after inhalation therapy with the unit is
completed and reuse of the humidifier assembly is deterred so that
cross-contamination between patients is obviated.
2. The combination as set forth in claim 1 wherein the first
connection means of the adapter includes a rotatable screw cap
including means adapted for removable securement to a threaded
nipple of the medical gas source.
3. The combination as set forth in claim 1 wherein the adapter's
first and second connecting means include portions integral with
the body member and means to physically suspend the medical liquid
container from the medical gas source.
4. The combination as set forth in claim 1 wherein the lower
connecting means includes an annular flange about said body member
which annular flange has a top retention shoulder surface and a
lower wedge surface extending downwardly from said shoulder
surface.
5. The combination as set forth in claim 4 wherein the container
comprises a portable bottle with a mouth and a cap member sealing
off said bottle mouth, which cap member has an entrance passage
defined by a deformable inner wall surface, said inner wall surface
including a lower inwardly-projecting retention shoulder surface
and a wedge surface above said shoulder surface, which wedge
surface of the cap member is adapted to telescopically receive said
wedge surface of the adapter when the inner wall is deformed upon
insertion of the lower portion of the body member into the cap
member passage so that the two shoulder surfaces can snap together
permanently locking the adapter to the cap member of the medical
liquid bottle.
6. The combination as set forth in claim 5 wherein the adapter
includes means providing a rotatable coupled engagement with the
bottle closure and abutting shoulder surfaces on the adapter and
closure engage each other whereby the adapter's exit port can be
rotationally oriented relative to said bottle.
7. The combination as set forth in claim 6 wherein the adapter and
bottle includes means forming a non-separable 360.degree. rotatable
connection without separation from the closure.
8. The combination as set forth in claim 5 the cap member includes
means permanently bonding it to the mouth of the medical liquid
bottle.
9. The combination as set forth in claim 5 wherein the medical
liquid bottle includes a gas tube with an upper end having a
passage that aligns with and connects to the inlet passage of the
adapter upon coupling of the adapter to the bottle closure.
10. The combination as set forth in claim 9 wherein the gas tube in
said container is concentrically disposed inwardly of the wedge
surface and shoulder structure of the cap member.
11. The combination as set forth in claim 9 wherein the adapter
includes an outer tubular member defining the passage that
communicates with the exit port of the adapter, and a
concentrically inwardly disposed gas tube that defines the inlet
passage through the adapter, said gas tube of the adapter having a
lower end with coupling structure to connect with the upper end of
a gas tube within the container.
12. The combination as set forth in claim 9 wherein the exit port
communicates with the interior of the bottle through a concentric
passage surrounding the gas tubes of the adapter and bottle.
13. The combination as set forth in claim 1 wherein the upper end
of the body member includes a tapered external flange with a
retention shoulder; and a rotatable screw threaded cap fitting over
said flange and rotatably slidable against said shoulder.
14. The combination as set forth in claim 13 wherein the rotatable
screw cap includes an internal wall surface and an annular skirt
section spaced from an internal wall of the cap, said skirt being
annularly expandable over said flange for permanently and
rotationally connecting of the screw cap to said body member.
15. The combination as set forth in claim 13, wherein the screw cap
has a mouth portion, and the combination includes a removable
closure for this mouth for maintaining sterile integrity of the
adapter.
16. The combination as set forth in claim 15 wherein the screw cap
has a lip surface around this mouth and a removable protector cap
fits over said rotatable screw cap lip surface protecting it until
ready for connection to a medical gas supply source.
17. For use in medical inhalation therapy the combination of: a
liquid-containing bottle having a mouth; a cap sealed to said
mouth, and including an entrance port through the cap; a manually
removable sealing member closing off said entrance port; a
gas-liquid mixing system communicating with the entrance port and
adapted to humidify gas with liquid inside said bottle; an outer
sterility cap secured to said bottle and enclosing said manually
removable sealing member and at least a portion of said bottle
closure, said outer sterility cap defining a hollow cavity therein
adjacent the bottle closure; and adapter fitting within said cavity
of the outer sterility cap, said adapter including a dry gas
passage and a humidified gas passage; a medical gas source
connecting means on said adapter for securement of the adapter's
dry gas passage to a medical gas supply source; bottle connecting
means on said adapter for connecting both dry gas and humidified
gas passages with the bottle's interior upon removal of the
manually removable sealing member and insertion of said closure's
bottle means in coupling relationship with said closure port.
18. The combination as set forth in claim 17 wherein the outer
sterility cap is permanently secured to said bottle and closure
combination and has a frangible rip-off portion for gaining access
to said adapter.
19. The combination as set forth in claim 17 wherein there is a
protective sheath enclosing said adapter and both adapter and
sheath are confined within the cavity of said outer sterility
cap.
20. The combination as set forth in claim 17 wherein the bottle
connecting means on the adapter and the closure of the bottle
include cooperating structures, whereby the adapter can be manually
coupled with the closure but cannot thereafter be uncoupled to
prevent use of the adapter with more than one bottle.
21. The combination as set forth in claim 17 wherein the sealing
member includes a metal-thermoplastic laminated film sealed to said
closure across said entrance port, said foil maintaining sterile
integrity of the inner portions of the closure and being manually
peelable from said closure after the bottle closure and foil have
been sterilized by steam or water immersion at 240.degree. -
260.degree. F.
22. A locking port system for an inhalation therapy liquid supply
bottle having a closure cap thereon, comprising the improvement of:
an expandable and deformable sleeve connected to said closure cap
and defining a coupling passage, the internal surface of said
sleeve including a retention shoulder and a sloping wedge surface
thereabove; a gas tube member within said bottle having an upper
end disposed within said deformable sleeve and spaced inwardly from
its wall's inner surface; a removable sterility barrier secured to
said closure cap and closing off the passage through said sleeve;
said barrier being manually removable for coupling the port
structure of the supply bottle with a plural passage adapter that
has an external shoulder surface for snap engagement with the
shoulder of the closure sleeve so that the adapter and closure cap
cannot thereafter be separated, thereby avoiding use of the bottle
with more than one adapter in its coupling passage.
23. The combination as set forth in claim 22 wherein the shoulder
of the expandable sleeve is in a plane perpendicular to a
longitudinal axis of a passage through this sleeve so that a mating
shoulder surface of a coupled adapter can rotate 360.degree.
through any angle relative to the closure system without becoming
disengaged from the sleeve.
24. For use in medical inhalation therapy the combination of: a
sterile, disposable bottle containing a sterile medical humidifying
liquid and having a mouth thereon; a closure cap fitting across
said mouth and permanently and integrally secured to said bottle; a
deformable sleeve member connected to said closure and defining an
entrance port passage into said bottle; a dry gas tube disposed
within said bottle and having an upper end concentrically disposed
within said sleeve a spaced distance from its inner wall; an
adapter having inner and outer concentrically disposed tubes
connected together and telescopically received within said sleeve
of the closure cap so that the adapter's inner tube mates with the
bottle's dry gas tube and the outer tube of the adapter mates with
and connects to the sleeve of the closure cap, said coupled adapter
and closure system providing means for suspending the bottle and a
dry gas conduit through the inner tube of the adapter and the dry
gas tube of the bottle, and an outlet humidified gas passage
between the inner and outer tubes.
Description
BACKGROUND
Inhalation therapy has been used very extensively in recent years
for treatment of emphysema and other lung and respiratory diseases
as well as post operative treatment and cardiac patient care. One
form of inhalation therapy involves mixing a breathable gas such as
air or oxygen with a liquid. This humidified gas is supplied to a
mask, nasal cannula, or tent, where it is breathed by the patient
and absorbed by his lungs. A conventional medical humidifier system
includes a dry gas source such as a portable oxygen tank or central
oxygen supply system of a hospital, coupled with a container of the
humidifying liquid. Humidification is accomplished by atomizing the
liquid into the gas or bubbling the gas through the liquid.
There has been a problem in previous medical humidifier
arrangements with the apparatus for connecting and disconnecting
the gas and liquid supply sources. It was often a cumbersome
procedure to change liquid supply bottles when their liquid
contents had been consumed. Elaborate procedures, some with special
tools, were proposed to reduce chance of cross-contamination
between patients. The coupling structure between the liquid and gas
sources carried a higher risk of contamination than other portions
of the humidifier because this was the area most handled during
connection and disconnection of a liquid supply bottle.
One previous suggestion of coupling the liquid and gas supply
sources included a cap at the bottle inlet which cap had an
integral thin plastic nipple. This nipple had to be snipped off
with a pair of scissors to open the bottle. A separate outlet of
the same bottle also had an integral thin plastic nipple that had
to be snipped with scissors. The problem with this proposal was
that scissors are not always sterile and could pick up considerable
contamination when used to cut bandages, etc., in general hospital
use. Also there would be a problem with this proposal if a nurse or
physician misplaced his scissors because there would be no way of
opening the system.
I have overcome the problems of previous connecting arrangements of
liquid and gas in medical humidifiers by providing a simple,
easy-to-use connection arrangement that requires no tools and
reduces the risk of cross-contamination between patients.
SUMMARY OF THE INVENTION
In my invention I have provided a special adapter with a dry gas
inlet passage and a humidified gas outlet passage which adapter
snap locks into permanent connection with a bottle cap to provide
an inlet-outlet port system for the bottle. The special adapter is
supplied to the hospital encased in a sterile chamber of an outer
cap of the bottle. Immediately before use a nurse tears off the
outer cap, removes a barrier closing off the bottle outlet and then
pushes the special adapter into the bottle closure where it locks
into permanent connection with the bottle. The adapter is then
connected to an oxygen or other dry gas source where the adapter
suspendingly supports the bottle while its liquid contents are
consumed in the humidifying process.
THE DRAWINGS
FIG. 1 is a front elevational view partially in section showing the
bottle adapter and outer cap combination as supplied to hospitals
ready to use;
FIG. 2 is an enlarged fragmentary front elevational view of the
adapter after it has been connected to the bottle and to a gas
supply source;
FIG. 3 is an exploded enlarged sectional view showing the various
parts of the special adapter;
FIG. 4 is a front elevational view showing the adapter supporting
the medical liquid bottle from a flow meter connected to an oxygen
tank; and
FIG. 5 is a front elevational view showing the medical liquid
bottle after the outer cap has been removed but before the adapter
has been inserted into the closure system.
DETAILED DESCRIPTION
With reference to the attached drawings, FIG. 1 shows the liquid
supply unit for a medical humidifier as the unit is supplied to
hospitals by the manufacturer. The unit includes a bottle 1
containing a liquid 2 to be consumed in the humidifying process. At
the top of bottle 1 is a neck portion 3 that defines an outlet of
the bottle. Permanently bonded to the neck surrounding the outlet
is an inner cap 4. This inner cap 4 has a central passage 5 defined
by a sleeve 6 which is integrally formed with a top wall 7 of the
inner cap. A tear off barrier film 8 of thermoplastic and metal
foil seals off passage 5 and is bonded to sleeve 6. The bond
between barrier film 8 and sleeve 6 is sufficiently strong to
withstand steam or water immersion sterilization at 240.degree. -
260.degree. F. and maintain a bacteria-tight seal. However, after
sterilization the film 8 can be peeled off to open passage 5. Thus
the cap 4 and barrier 8 completely close the bottle so that no
liquid can escape before, during, and after sterilization until a
nurse or physician peels off the barrier film 8.
Fitting over the inner cap 4 and the neck portion of the bottle is
an outer cap 10 with a large interior hollow chamber 11. This outer
cap 10 is permanently bonded to the bottle and has a rip apart tear
strap 17 for gaining access to the inner cap. Prior to peeling off
tear strip 17 the outer cap forms a protective package for the
inner closure 4. Fitting inside hollow chamber 11 is a special
adapter 12 which is encased in a flexible protector bag 13.
Directly below the outer cap 10 and inner cap 4 is a multistage
sieve column 15 submerged in the liquid 2 of bottle 1. Dry gas,
such as oxygen, is supplied through a dry gas supply tube 16 and is
humidified in the column. This mixing column is of modular snap
together construction and is explained in more detail in my
co-pending patent application entitled "Mixing Column for Medical
Humidifier and Method of Humidifying Inhalable Gases," filed June
19, 1972, Ser. No. 264,314.
As shown in FIG. 1, the unit supplied to the hospital is ready for
use. When an inhalation therapy procedure is ready to be performed
the nurse or physician removes outer cap 10 by ripping off a peel
tab 17. This leaves the bottle as shown in FIG. 5. The special
adapter 12 is then removed from the outer cap 10 and its protector
bag 13 opened to expose only the adapter's lower end 20.
Preferably, a weakened rip open structure is provided on the
flexible protector bag 13. Next the barrier 8 is peeled off of the
inner cap 4 to open up the entrance passage 5 of the inner cap. The
adapter's lower end 20 is then forced down into passage 5. The bag
may be kept on an upper portion of the special adapter to protect
it from contamination by the nurse's hands as it is shoved into the
inner cap passage 5.
After the adapter 12 has been snap-locked into the bottle closure
as shown in FIG. 2, a screw cap 26 at an upper end of the adapter
is then threadingly secured to an oxygen or other dry gas source
21. This dry gas source is shown schematically as a nipple outlet
in FIG. 2. The term "dry gas" is used to distinguish the input gas,
such as oxygen, from the humidified gas delivered to a patient. A
supply tube 22 is then connected to a tubular side arm 23 of the
adapter. With this connection as shown in FIG. 2, gas from dry gas
source 21 is fed through the adapter 12 and into the bottle 1. Here
it is humidified by mixing with the bottle's liquid content and is
thereafter fed out through tube 22 to a patient. This tube could
lead to nasal cannula, oxygen mask, an oxygen tent, etc. The
purpose here is to supply humidified gases directly into the lungs
of the patient when it can be absorbed by his body.
The complete inhalation therapy humidified system as connected
together is best shown in FIG. 4. Here an oxygen tank 30 has a
dispensing valve 31 which is connected to a regulator 32 and a
pressure gauge 33. The regulator is in turn connected to a flow
meter 34. The bottom of the flow meter 34 has a nipple 35 which
corresponds to the schematic gas supply line 21 in FIG. 2. The
special adapter 12 is connected to the nipple 35 and supports the
bottle 1 therebelow. The supply tube 22 here is shown connected to
a breathing mask 36.
This is the inhalation therapy system as it is connected ready for
use and the invention of this application has to do with the port
system at the top of bottle 1 and the special adapter 12 that
connects the bottle to the dry gas supply source. The special
adapter that is shown in FIG. 1 encased in the outer cap 10 is
illustrated in much more detail in FIG. 3. In FIG. 3, the adapter
12 has a body member 40 with a first passage 41 that extends from
an upper end 42 to a lower end 43. This passage carries the dry gas
from the dry gas source into the liquid supply bottle. Body member
40 also has a second passage 44 that extends upwardly from a bottom
end 43 to a mid-portion of the body and there communicates with a
passage 45 of a tubular side arm 23. The second passage 44 is
annularly disposed between an outer tubular wall 47 and an inner
tubular wall 48 which are concentrically located on a common
longitudinal vertical axis as shown in FIG. 3. Thus, the passage
structure of the body member 40 includes an inlet passage 41 for
dry gas and an outlet passage 44 for humidified gas.
The body member 40 also includes a flexible pressure relief valve
system 49 which is described in more detail in my co-pending
application entitled "Audible Pressure Relief Valve for Medical
Humidifier," filed June 19, 1972, Ser. No. 264,349.
At an upper portion of the adapter 12 is a top connecting structure
connecting the adapter and attached bottle to a dry gas supply
source. This structure includes an upper portion of body member 40
that has an annular flange 50 with a sloping lead-in surface 51 and
a retention shoulder 52. A separate element of the connecting
structure of adapter 12 is a threaded nut or screw cap 26 with an
internal lock flange 54 adjacent one end. This lock flange is
separated from an internal wall surface of the lock nut by a space
57 and has a sloping surface 55 that joins with retention surface
56. To assembly the lock nut to the body member 40 the nut is
pushed down upon flange 50. The retention surface 56 abuts and
slidingly engages shoulder 52 to permanently lock the nut to the
body member 40. The lock nut 26, thus, is free to rotate on body
member 40. Fitting over an upper end or mouth of lock nut 26 is a
protector cover 60 that includes a series of internal locking ribs
61. These ribs snap over an outer flange 62 surrounding a lip of
the locking nut to connect the cover and nut together until removed
by a nurse or physician immediately prior to use.
At a lower end of the adapter is a bottom connecting structure of
external flange 70 with tapered lead-in surface 71 and an abutting
shoulder 72. This bottom connecting structure mates telescopically
with the sleeve 6 of inner cap 4 in a snap fit that temporarily
expands sleeve 6. The internal mating structure of sleeve 6 of the
cap is shown in the lower portion of FIG. 3. Here a wedge surface
73 of the inner cap extends between to a tapered lead-in funnel
portion adjacent a lip 77 and a retention shoulder 74. This
shoulder 74 is perpendicular to a longitudinal axis of sleeve 6 so
the adapter can be rotated in sleeve 6 without unscrewing
therefrom. As shown in this drawing the cap 4 has a skirt 75 that
is permanently bonded to the bottle neck 76. Thus, the only
entrance to the bottle is through passage 5 of sleeve 6.
After the removable barrier film 8 has been peeled off from an
adhesive or heat-sealed bond with a lip 77 of the inner cap 4, the
adapter body 40 is shoved into passage 5. This does two things.
First, it intermeshes and permanently locks the abutting shoulder
surfaces 72 and 74 together, while allowing the bottle to be
rotated through 360.degree. relative to the adapter to orient the
bottle's volume indicator for clear viewing. Since the outer cap 4
is permanently connected to the bottle, the adapter 12 is now
permanently locked to the bottle and cannot be used for
administering a different bottle of liquid.
The second thing to occur when the adapter is shoved into passage 5
is a guided telescopic fitment between the dry gas tube 48 of the
adapter and a dry gas tube 78 within the bottle. Dry gas tube 78
has an upper lead-in surface 79 that engages with a thinned wall
portion 80 of the adapter's dry gas tube 48. In this manner the
tubes 48 and 78 can be axially aligned, and telescopically joined
at their ends to create a hollow supply line through the adapter 40
and into a lower portion of the bottle where humidification of the
gas begins.
Once the adapter is snap locked into the bottle and cannot
thereafter be removed, the adapter is connected to an oxygen tank
or an oxygen wall line for suspending the bottle as shown in FIG.
4. The liquid contents of the bottle are then consumed to a
recommended level of the bottle. Then the screw nut or cap 26 is
loosened from flow meter 34 and the bottle discarded. If a patient
needs therapy from more than one bottle, a replacement bottle of
liquid is connected as shown in FIG. 4 in the same manner as
described above.
An important feature of this structure of the applicant's invention
is that the nurse is required to use a new sterile adapter with
each bottle that is opened. This keeps down risk of
cross-contamination between patients, and mixing of different
medicaments from bottles that proceed through a common adapter.
After a single treatment on a single patient the entire bottle and
adapter are discarded.
In the above description I have used a specific example to
described the improved port system of a liquid supply bottle for a
medical humidifier. It is understood by those skilled in the art
that certain modifications can be made to this example without
departing from the spirit and scope of the invention.
* * * * *