Medical instrument flow stop interface

• US 20020165503A1
• Filed: 05/04/2001
• Published: 11/07/2002
• Est. Priority Date: 05/04/2001
• Status: Active Grant

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: ALARIS Medical Systems, Inc. (Becton, Dickinson & Co)
• Inventors: Hurtado, Victor R., Morris, Matthew G.
• Granted Patent: US 6,629,955 B2
• Time in Patent Office: Days
• US Class Current: 604/250
• CPC Class Codes: A61M 39/281 Automatic tube cut-off devices, e.g. squeezing tube on detection of air
• CPC Class Codes: A61M 39/287 Wedge formed by a slot having varying width, e.g. slide clamps
• CPC Class Codes: A61M 5/14228 with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member

Abstract

A fluid infusion pump includes a platen between an outer door and the pumping mechanism. The platen is located so that as the outer door of the pump is moved to the closed position, it moves the platen to position the fluid flow tube into occlusive contact with the pumping mechanism before the platen engages a flow stop formed integrally with the tube and releases the flow stop to permit fluid flow, thus avoiding a free flow condition. The door also includes a handle having a sear with a hook that engages the flow stop when the door is in the closed position. As the door is opened, the hook moves the flow stop to the occluded position before the platen is moved away from the tube thus preventing a free flow condition. The platen includes a flow stop release portion that is offset from the remainder of the platen that operatively engages a release tab on the flow stop to permit movement of the flow stop to the fluid flow configuration. The platen is mounted to the housing with a floating hinge and datum pins located on the face of the pumping mechanism precisely locate the platen into position with the pumping mechanism and thereby result in precise positioning of the fluid tube.

Claims

1. An apparatus for controlling a flow stop to reside in an occluding configuration at which the flow stop occludes a resilient tube and to reside in a flow configuration at which the flow stop permits flow through the resilient tube, by the position of a door that is mounted with a first hinge to the housing of a medical instrument, the apparatus comprising:

a base on the flow stop for holding the resilient tube;

a slide clamp slidably mounted on said base and engaging the tube, the slide clamp adapted for movement between the occluding configuration and the flow configuration; and

a platen mounted in relation to the housing with a second hinge, the second hinge located at a position different from the position of the first hinge but such that the platen is disposed between the door and the slide clamp of the flow stop wherein moving the door towards the housing engages the platen and engages the slide clamp to move the slide clamp to the flow configuration whereby fluid may flow through the tube.

2. The apparatus of claim 1 wherein the platen comprises a body portion and a flow stop actuator portion disposed as an extension of and offset from the body portion of the platen such that the body portion of the platen engages the tube against the medical instrument while being pivoted into position by the movement of the door and the actuator portion contacts the flow stop before the slide clamp may be moved to the open position.

3. The apparatus of claim 2 wherein:

the flow stop comprises a locking arm engaged with the slide clamp that prevents the slide clamp from being moved to the flow configuration; and

the flow stop comprises a release tab connected to the locking arm that disengages the locking arm from the slide clamp when the release tab is moved to a released position;

wherein the flow stop actuator portion of the platen is disposed so as to contact the release tab of the flow stop and move it to the released position before the slide clamp is moved to the flow configuration.

4. The apparatus of claim 2 wherein:

the medical instrument includes datum pins located at selected positions on the instrument, the pins having a predetermined length selected so that when the platen is engaged with the pins, the platen will have a known location in relation to the medical instrument; and

and wherein the length of the datum pins is selected so that the flow stop actuator portion of the platen will contact the release tab of the flow stop.

5. The apparatus of claim 4 wherein the second hinge of the platen comprises a floating hinge adapted to permit the platen to be located in contact with all the datum pins when the door engages the platen.

6. The apparatus of claim 4 wherein the platen comprises a plurality of contact datum surfaces disposed on the platen at positions selected to engage the datum pins when the door positions the platen in contact with the datum pins.

7. The apparatus of claim 4 wherein:

the platen comprises a load distribution rib located on the platen so as to receive pressure from the door and distribute that pressure along the platen; and

the door comprises a pressure surface located on the inside of the door at a location so as to contact the load distribution rib of the platen to press the platen against the datum pins.

8. The apparatus of claim 7 wherein:

the housing of the medical instrument comprises an anchor yoke that is biased toward the housing;

the door comprises a pivotally mounted handle located to engage and capture the anchor yoke to firmly hold the door in a closed position against the housing; and

wherein the anchor yoke is biased towards the housing by an extent that will assure that the door contacts the load distribution rib of the platen thereby forcing the platen into contact with the datum pins.

9. The apparatus of claim 8 wherein the handle includes a sear with a hook, the sear and hook located so as to engage the slide clamp of the flow stop when the door is in the closed position and to move the slide clamp to the occluding configuration when the door of the medical instrument is opened thereby preventing free flow through the tube.

10. The apparatus of claim 9 further comprising:

a sear detector located in the medical instrument at a position selected so as to detect the presence of the sear in position in relation to the slide clamp, the detector providing a sear detection signal; and

a processor connected to the sear detector to receive the sear detection signal and adapted to provide a sear alert signal in the event that the sear is not detected by the sear detector.

11. The apparatus of claim 10 wherein the sear detector comprises a photo emitter and photo receiver both directed towards a predetermined location for a sear and the sear comprises a photo-reflective surface.

12. The apparatus of claim 9 further comprising:

a flow stop detector located in the medical instrument at a position selected so as to detect the presence of the flow stop in the medical instrument and configured to provide a flow stop detection signal; and

a processor connected to the flow stop detector to receive the flow stop detection signal and adapted to provide a flow stop alert signal in the event that the flow stop is not detected by the flow stop detector.

13. The apparatus of claim 1 wherein the first hinge is located forward on the housing so that the door is separated from the flow stop when the flow stop is mounted in the medical instrument.

15. The apparatus of claim 14 wherein:

the flow stop comprises a locking arm engaged with the slide clamp that prevents the slide clamp from being moved to the flow configuration;

the flow stop comprises a release tab connected to the locking arm that disengages the locking arm from the slide clamp when the release tab is moved to a released position;

wherein the flow stop actuator portion of the platen is disposed so as to contact the release tab of the flow stop and move it to the released position before the slide clamp is moved to the flow configuration.

16. The apparatus of claim 15 wherein:

the pump includes datum pins located at selected positions near the flow mechanism, the pins having a predetermined length selected so that when the platen is engaged with the pins, the platen will have a known position in relation to the flow mechanism; and

and wherein the length of the datum pins is selected so that the flow stop actuator portion of the platen will contact the release tab of the flow stop.

17. The apparatus of claim 16 wherein the second hinge of the platen comprises a floating hinge adapted to permit the platen to be located in contact with all the datum pins when the door engages the platen.

18. The apparatus of claim 16 wherein the platen comprises a plurality of contact datum surfaces disposed on the platen at selected positions to engage the datum pins when the door positions the platen in contact with the datum pins.

19. The apparatus of claim 16 wherein:

the platen comprises a load distribution rib located on the platen so as to receive pressure from the door and distribute that pressure along the platen; and

the door comprises a pressure surface located on the inside of the door at a location so as to contact the load distribution rib of the platen to press the platen against the datum pins.

20. The apparatus of claim 16 wherein:

the housing of the medical instrument comprises an anchor yoke that is biased toward the housing;

the door comprises a pivotally mounted handle located to engage and capture the anchor yoke to firmly hold the door in a closed position against the housing; and

wherein the anchor yoke is biased towards the housing by an extent that will assure that the door contacts the load distribution rib of the platen thereby forcing the platen into contact with the datum pins.

21. The apparatus of claim 20 wherein the handle includes a sear with a hook, the sear with hook located so as to engage the slide clamp of the flow stop when the door is in the closed position and to move the slide clamp to the occluding position when the door of the pump is opened before the platen moves away from the tube to permit the tube thereby preventing free flow through the tube.

22. The apparatus of claim 21 further comprising:

a sear detector located in the pump at a position selected so as to detect the presence of the sear in position in relation to the slide clamp, the detector providing a sear detection signal; and

a processor connected to the sear detector to receive the sear detection signal and adapted to provide a sear alert signal in the event that the sear is not detected by the sear detector.

23. The apparatus of claim 22 wherein the sear detector comprises a photo emitter and photo receiver both directed towards a predetermined location for a sear and the sear comprises a photo-reflective surface.

24. The apparatus of claim 21 further comprising:

a flow stop detector located in the pump at a position selected so as to detect the presence of the flow stop in the infusion pump and configured to provide a flow stop detection signal; and

a processor connected to the flow stop detector to receive the flow stop detection signal and adapted to provide a flow stop alert signal in the event that the flow stop is not detected by the flow stop detector.

25. The apparatus of claim 14 wherein the first hinge is located forward on the housing so that the door is separated from the flow stop when the flow stop is mounted in the medical instrument.

27. The apparatus of claim 26 wherein the platen comprises a body portion and a flow stop actuator portion disposed as an extension of and offset from the body portion of the platen such that the body of the platen engages the tube against the pumping mechanism while being pivoted into position by the movement of the door and the actuator portion contacts the flow stop before the slide clamp may be moved to the open position.

28. The apparatus of claim 27 wherein:

the flow stop comprises a locking arm engaged with the slide clamp that prevents the slide clamp from being moved to the flow configuration;

the flow stop comprises a release tab connected to the locking arm that disengages the locking arm from the slide clamp when the release tab is moved to a released position;

wherein the flow stop actuator portion of the platen is disposed so as to contact the release tab of the flow stop and move it to the released position before the slide clamp is moved to the flow configuration.

29. The apparatus of claim 26 wherein:

the door comprises a pivotally mounted handle located to engage the housing to hold the door in a closed position thereby locking the platen against the tube which is against the pumping mechanism and thereby holding the flow stop in the flow configuration; and

the handle includes a sear with a hook, the sear with hook located so as to engage the slide clamp of the flow stop when the door is in the closed position and to move the slide clamp to the occluding position when the door of the pump is opened before the platen moves away from the tube to permit the tube thereby preventing free flow through the tube.

30. The apparatus of claim 29 further comprising:

a sear detector located in the pump at a position selected so as to detect the presence of the sear in position in relation to the slide clamp, the detector providing a sear detection signal; and

a processor connected to the sear detector to receive the sear detection signal and adapted to provide a sear alert signal in the event that the sear is not detected by the sear detector.

31. The apparatus of claim 30 wherein the sear detector comprises a photo emitter and photo receiver both directed towards a predetermined location for a sear and the sear comprises a photo-reflective surface.

32. The apparatus of claim 29 further comprising:

a flow stop detector located in the pump at a position selected so as to detect the presence of the flow stop in the infusion pump and configured to provide a flow stop detection signal; and

a processor connected to the flow stop detector to receive the flow stop detection signal and adapted to provide a flow stop alert signal in the event that the flow stop is not detected by the flow stop detector.

33. The apparatus of claim 26 wherein:

the pump includes datum pins located at selected positions near the pumping mechanism, the pins having a predetermined length selected so that when the platen is engaged with the pins, the platen will have a known position in relation to the pumping mechanism; and

and wherein the length of the datum pins is selected so that the flow stop actuator portion of the platen will contact the release tab of the flow stop.

34. The apparatus of claim 33 wherein the second hinge of the platen comprises a floating hinge adapted to permit the platen to be located in contact with all the datum pins when the door engages the platen.

35. The apparatus of claim 33 wherein the platen comprises a plurality of contact datum surfaces disposed on the platen at positions selected to engage the datum pins when the door positions the platen in contact with the datum pins.

36. The apparatus of claim 33 wherein:

the platen comprises a load distribution rib located on the platen so as to receive pressure from the door and distribute that pressure along the platen; and

the door comprises a pressure surface located on the inside of the door at a location so as to contact the load distribution rib of the platen to press the platen against the datum pins.

14. An apparatus for controlling the flow of fluid through a tube mounted in a medical instrument, the medical instrument including a flow mechanism that engages the tube to precisely regulate the flow of fluid through the tube to a patient, and a flow stop mounted to the medical instrument, the flow stop having an occluding configuration at which the flow stop occludes the tube and a flow configuration at which the flow stop permits flow through the tube, the medical instrument having a housing to which a door is mounted with a first hinge, the apparatus comprising:

a base on the flow stop for holding the tube;

a slide clamp slidably mounted on said base and engaging the tube, the slide clamp adapted for movement between the occluding configuration and the flow configuration; and

a platen mounted in relation to the housing with a second hinge, the second hinge located at a position different from the position of the first hinge but such that the platen is disposed between the door and the flow mechanism and the flow stop such that when the door is moved towards the flow mechanism, the door engages the platen causing it to engage the tube against the flow mechanism to occlude the tube by the flow mechanism and engages the slide clamp of the flow stop to move the slide clamp to the flow configuration thereby avoiding a free flow condition.

26. An apparatus for controlling the flow of fluid through a tube mounted in a medical fluid infusion pump, the pump including a pumping mechanism that engages the tube to precisely pump the fluid through the tube to a patient, the tube having a flow stop having a base and a slide clamp slidably mounted on the base and engaging the tube, the slide clamp having an occluding configuration at which the slide clamp occludes the tube and a flow configuration at which the slide clamp permits flow through the tube, the pump having a housing to which a door is mounted with a first hinge, the apparatus comprising:

a platen mounted in relation to the housing with a second hinge, the second hinge located at a position different from the position of the first hinge but such that the platen is disposed between the door and the pumping mechanism and the flow stop such that when the door is moved towards the pumping mechanism, the door engages the platen causing it to engage the tube against the pumping mechanism to occlude the tube by the pumping mechanism and engages the slide clamp of the flow stop to move the slide clamp to the flow configuration thereby avoiding a free flow condition.