Method and apparatus for controlling the dispensing of fluid

• US 4,121,584 A
• Filed: 10/15/1976
• Issued: 10/24/1978
• Est. Priority Date: 10/15/1976
• Status: Expired due to Term

• Current Assignee: Turner R. Scott
• Original Assignee: Turner R. Scott
• Inventors: Turner, Charles Roger, Turner, Roger Scott
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US05/732,946
• Time in Patent Office: 739 Days
• Field of Search: 128/214 R, 128/214 E, 128/214 C, 128/214.2, 128/227, 128/DIG. 13, 222/207, 222/445, 222/450-452, 251/4-9
• US Class Current: 604/246
• CPC Class Codes: A61M 5/1414 Hanging-up devices
• CPC Class Codes: A61M 5/16809 by repeated filling and emptying of an intermediate volume pressure infusion using positive displacement pumps A61M5/142
• CPC Class Codes: Y10S 128/13 Infusion monitoring

Abstract

A method is disclosed for controlling the dispensing of fluid from a source at a hydrostatic pressure involving the sequential measuring and dispensing of predetermined volumetric increments of fluid from the source of fluid during different ones of a series of time intervals. Apparatus is also provided for controlling the dispensing of fluid, including metering means for receiving a predetermined increment of fluid and for emptying the predetermined increment of fluid, conduit means for delivering fluid from a source of fluid to the metering means, and control means for actuating the metering means between a condition for receiving one predetermined increment of fluid and a condition for emptying the predetermined increment of fluid.

Claims

1. Apparatus for controlling the intravenous adimistration of fluid to a patient, comprising:

(a) conduit means for delivering fluid at a hydrostatic pressure from a source of fluid, the source of fluid having a supply of predetermined increments of fluid;

(b) metering means for receiving a predetermined increment of fluid from the conduit means and for emptying the predetermined increment of fluid without adding substantial pressure to the hydrostatic pressure, the metering means having a metering chamber with movable means in the metering chamber for varying the size of the metering chamber so that the metering means is operable in receiving and emptying the increments of fluid without air passing through the metering chamber; and

(c) control means for actuating the metering means between a first condition for receiving one predetermined increment of fluid and a second condition for emptying the one predetermined increment of fluid, said control means being separate from the metering means and operating without contacting the fluid, said control means providing a first time interval for the metering means in its first condition receiving fluid at the hydrostatic pressure to fill the metering means with the predetermined increment of fluid and providing a second time interval for the metering means in its second condition to allow administration of the predetermined increment of fluid from the metering means for having a desired dose of fluid administered to the patient at a predetermined rate.

3. The apparatus of claim 1 further including valve means for regulating the receiving and emptying of fluid by the metering chamber.

4. The apparatus of claim 3 in which the valve means includes an inlet valve connected with one part of the metering chamber and an outlet valve connected with another part of the metering chamber operable in response to actuation from the control means to permit the metering chamber to receive and empty the predetermined increments of fluid.

5. The apparatus of claim 4 in which the control means includes electro-magnetic means for actuating the inlet valve and the outlet valve to cause the metering chamber to receive and empty the increments of fluid.

6. The apparatus of claim 5 wherein the electro-magnetic means includes means for providing two stable conditions, one in which the inlet valve is open and the outlet valve is closed and another in which the inlet valve is closed and the outlet valve is open.

7. The apparatus of claim 5 wherein the control means further includes timer means for sequentially providing a time interval in which the inlet valve permits passage of fluid into the metering chamber and the electro-magnetic means is responsive to the timer means to actuate the outlet valve to prevent passage of fluid and providing a time interval in which the electro-magnetic means is responsive to the timer means to actuate the inlet valve to prevent passage of fluid and the outlet valve permits emptying of the predetermined increment of fluid from the metering chamber.

8. The apparatus of claim 4 wherein the control means includes timer means for sequentially providing a time interval in which the inlet valve permits passage of fluid into the metering chamber for filling the metering chamber and the outlet valve prevents the passage of fluid and providing a time interval in which the inlet valve prevents passage of fluid into the metering chamber and the outlet valve permits emptying of the predetermined increment of fluid from the metering chamber.

9. The apparatus of claim 8 in which the timer means further includes adjustable means for permitting changes in the length of the time intervals.

10. The apparatus of claim 3 in which one of the metering means and the control means includes releasable fastening means cooperating with the other of the metering means and the control means for coupling the metering means and control means together in fixed operative relationship for having the valve means responsive to the control means.

11. The apparatus of claim 10 in which the metering means and the control means cooperate together in operative relationship for dispensing the fluid with the movable means including a resilient member forming a wall providing a fluid barrier to prevent fluid passing through the metering means from contacting the control means.

12. The apparatus of claim 10 in which the control unit includes the fastening means and the fastening means is provided by manually releasable retaining and positioning means for holding the metering means in fixed operative position with the control means.

13. The apparatus of claim 12 wherein the control means has a portion adapted to interfit with the metering means in a first position in which the retaining and positioning means receives the metering means and a second position in which the retaining and positioning means is actuated to hold the metering means fixed in operative position with the control means.

14. The apparatus of claim 13 wherein the control means has alignment means and the metering means has mating guide means for aligning and positioning the control means and metering means so that the units interfit together in only one operable orientation with the retaining and positioning means holding the metering means in the second position with the control means.

15. The apparatus of claim 3 wherein the metering means includes hydraulic means with a fluid chamber receiving fluid from the metering chamber for having fluid in the fluid chamber moved into the metering chamber to cause air in the metering chamber to be expelled through the conduit means when the metering means is positioned in operative relationship with the control means.

16. The apparatus of claim 15 wherein the control means includes actuating means cooperable with the hydraulic means to actuate the hydraulic means to move fluid in the fluid chamber into the metering chamber when the metering means is positioned in operative relationship with the control means.

17. The apparatus of claim 16 in which one of the metering means and the control means includes releasable fastening means cooperating with the other of the metering means and the control means for coupling the metering means and the control means together in fixed operative relationship for having the valve means responsive to the control means, and wherein the control means further includes interlock sensor means for sensing fluid in the fluid chamber and preventing the fastening means from having the metering means in the fixed operative relationship with the control means when a predetermined volume of fluid is not present in the fluid chamber for being moved into the metering chamber by the actuating means cooperating with the hydraulic means.

18. The apparatus of claim 1 in which the movable means includes a resilient diaphragm in the metering chamber providing a movable wall for varying the size of the fluid capacity of the metering chamber, the metering chamber with the diaphragm providing the active fluid capacity for receiving the predetermined increment of fluid at the hydrostatic pressure.

19. The apparatus of claim 1 in which the movable means includes a resilient diaphragm in the metering chamber providing a movable wall for varying the size of the fluid capacity of the metering chamber, the metering chamber with the diaphragm providing the active fluid capacity for receiving the predetermined increments of fluid, and the metering chamber being shaped to limit the fluid capacity with the diaphragm to the predetermined increment of fluid.

20. The apparatus of claim 1 in which one of the metering means and control means has releasable fastening means fixed thereto for coupling to the other of the metering means and control means to hold the metering means and control means together in fixed operative relationship.

21. The apparatus of claim 20 in which the metering means and the control means cooperate together in operative relationship for dispensing the fluid with the movable means including a resilient member forming a wall providing a fluid barrier to prevent fluid passing through the metering means from contacting the control means.

22. The apparatus of claim 1 in which the metering means includes an inlet conduit connected with the metering chamber for receiving fluid and an outlet conduit for emptying fluid from the metering chamber, a first valve means associated with the inlet conduit and a second valve means associated with the outlet conduit.

23. The apparatus of claim 22 wherein the first valve means has a resilient element in the inlet conduit movable between a position in which the inlet conduit is open and a position in which the inlet conduit is closed in response to operation of the control means.

24. The apparatus of claim 23 wherein the resilient element is formed to be normally biased in a position in which the inlet conduit is open and is actuated to close the inlet conduit.

25. The apparatus of claim 22 wherein the second valve means has a resilient element in the outlet conduit movable between a position in which the outlet conduit is open and a position in which the outlet conduit is closed in response to operation of the control means.

26. The apparatus of claim 25 wherein the resilient element is formed to be normally biased in a position in which the outlet conduit is open and is actuated to close the outlet conduit.

27. The apparatus of claim 22 wherein an integral resilient member forms part of the first valve means, the second valve means and the movable means in the metering chamber;

the resilient member being in the inlet conduit and comprising part of the first valve means and movable between a position in which the inlet conduit is open and a position in which the inlet conduit is closed;

the resilient member being in the outlet conduit and comprising part of the second valve means and movable between a position in which the outlet conduit is open and a position in which the outlet conduit is closed;

the resilient member in the metering chamber providing a movable wall for varying the size of the metering chamber in response to fluid being received by the metering chamber and emptied from the metering chamber.

28. The apparatus of claim 22 in which the control means has first valve actuator means cooperable with the first valve means and second valve actuator means cooperable with the second valve means for regulating the receiving and emptying of fluid by the metering chamber;

and wherein an integral resilient member forms part of the first valve means, the second valve means and the movable means in the metering chamber;

the resilient member being in the inlet conduit and comprising part of the first valve means and movable between a position in which the inlet conduit is open and a position in which the inlet conduit is closed in response to operation of the first valve actuator means;

the resilient member being in the outlet conduit and comprising part of the second valve means and movable between a position in which the outlet conduit is open and a position in which the outlet conduit is closed in response to operation of the second valve actuator means;

the resilient member in the metering chamber providing a movable wall for varying the size of the metering chamber in response to fluid being received by the metering chamber and emptied from the metering chamber.

29. The apparatus of claim 1 further comprising means for purging air from the metering chamber when the metering means and control means are positioned in operative relationship.

30. The apparatus of claim 23 in which the means for purging air from the metering chamber includes hydraulic means for moving fluid into the metering chamber to cause air to be expelled through the conduit means.

31. The apparatus of claim 1 in which the movable means includes a resilient diaphragm in the metering chamber providing a movable wall for varying the size of the metering chamber in response to fluid being received by the metering chamber and emptied from the metering chamber.

32. The apparatus of claim 1 in which the metering means and the control means cooperate together in operative relationship for dispensing the fluid with the movable means including a resilient member forming a wall providing a fluid barrier to prevent fluid passing through the metering means from contacting the control means.

2. Apparatus for controlling the intravenous administration of fluid to a patient, comprising:

(a) conduit means for delivering fluid at a hydrostatic pressure from a source of fluid, the source of fluid having a supply of predetermined increments of fluid;

(b) metering means for receiving a predetermined increment of fluid from the conduit means and for emptying the predetermined increment of fluid without adding substantial pressure to the hydrostatic pressure, the metering means having a metering chamber with movable means in the metering chamber for varying the size of the metering chamber so that the metering means is operable in receiving and emptying the increments of fluid without air passing through the metering chamber; and

(c) control means for actuating the metering means between a first condition for receiving one predetermined increment of fluid and a second condition for emptying the one predetermined increment of fluid, said control means being separate from the metering means and operating without contacting the fluid, said control means repetitively activating the metering means between the first and second conditions for having a dose of fluid from the source of fluid administered to the patient at a predetermined rate of administration.

33. Apparatus for controlling the intravenous administration of fluid to a patient from a source of fluid having a supply of predetermined increments of fluid comprising:

a reservoir chamber adapted to receive a portion of fluid from the source at a first hydrostatic pressure and to hold the fluid at a second hydrostatic pressure;

a metering unit having a metering chamber for receiving a predetermined increment of fluid from the reservoir chamber and for emptying the predetermined increment of fluid without adding substantial pressure to the second hydrostatic pressure, the metering unit having movable means in the metering chamber for varying the size of the metering chamber so that the metering means is operative in receiving and emptying the increments of fluid without air passing through the metering chamber;

inlet means connected between the reservoir chamber and the metering chamber;

outlet means connected to the metering chamber for emptying fluid; and

a control unit for actuating the metering unit between a condition for the metering chamber to receive one predetermined increment of fluid and a condition for the metering chamber to empty the one predetermined increment of fluid;

the metering unit being operable such that, when the first hydrostatic pressure of fluid in the source decreases below a predetermined level as fluid is drained from the source, the second hydrostatic pressure of the fluid in the reservoir chamber is only sufficient to have the metering chamber receive a portion of a predetermined increment of fluid from the reservoir chamber.

34. The apparatus of claim 33 in which means is provided for supporting the reservoir chamber with respect to the metering chamber so that when the source of fluid has been drained sufficiently to have the first hydrostatic pressure below a predetermined level, the second hydrostatic pressure of the fluid in the reservoir chamber is only sufficient to have the metering chamber receive a portion of a predetermined increment of fluid from the reservoir chamber to be emptied from the metering chamber.

35. The apparatus of claim 34 in which the reservoir chamber is provided by a drip chamber in which drops of fluid are fed into the reservoir chamber from the source to maintain fluid in the reservoir chamber.

36. The apparatus of claim 33 further including valve means for regulating the receiving and emptying of fluid by the metering chamber.

37. The apparatus of claim 36 in which the valve means includes an inlet valve at the inlet means and an outlet valve at the outlet means, the inlet valve and outlet valve being operable in response to actuation from the control means to permit the metering chamber to receive and empty the predetermined increments of fluid.

38. The apparatus of claim 37 wherein the control unit includes timer means for sequentially providing a first time interval in which the inlet valve permits passage of fluid into the metering chamber for filling the metering chamber and the outlet valve prevents the passage of fluid and providing a second time interval in which the inlet valve prevents passage of fluid into the metering chamber and the outlet valve permits emptying of the predetermined increment of fluid from the metering chamber.

39. The apparatus of claim 38 in which the timer means further includes adjustable means for permitting changes in the length of time of the second time intervals.

40. The apparatus of claim 37 wherein an integral resilient member forms part of the first valve means, the second valve means and the movable means in the metering chamber;

the resilient member being in the inlet means and comprising part of the first valve means and movable between a position in which the inlet means is open and a position in which the inlet means is closed;

the resilient member being in the outlet means and comprising part of the second valve means and movable between a position in which the outlet means is open and a position in which the outlet means is closed;

the resilient member in the metering chamber providing a movable wall for varying the size of the metering chamber in response to fluid being received and emptied in the metering chamber.

41. The apparatus of claim 33 wherein the metering unit includes hydraulic means with a fluid chamber receiving fluid from the metering chamber for having fluid in the fluid chamber moved into the metering chamber to cause air in the metering chamber to be expelled through the inlet means when the metering unit is positioned in operative relationship with the control unit.

42. The apparatus of claim 41 wherein the control unit includes actuating means cooperative with the hydraulic means to actuate the hydraulic means to move fluid in the fluid chamber into the metering chamber when the metering unit is positioned in operative relationship with the control unit.

43. The apparatus of claim 42 in which one of the metering unit and control unit has releasable fastening means cooperable with the other of the metering unit and control unit for coupling the metering unit and control unit together in fixed operative relationship, and wherein the control unit further includes interlock sensor means for sensing fluid in the fluid chamber and preventing the fastening means from having the metering unit in the fixed operative relationship with the control unit when a predetermined volume of fluid is not present in the fluid chamber for being moved into the metering chamber by the actuating means cooperating with the hydraulic means.

44. The apparatus of claim 33 further including a resilient element in the inlet means movable between a position in which the inlet means is open and a position in which the inlet means is closed in response to operation of the control unit.

45. The apparatus of claim 44 wherein the resilient element is formed to be normally biased in a position in which the inlet means is open and is actuated to close the inlet means.

46. The apparatus of claim 33 further including a resilient element in the outlet means movable between a position in which the outlet means is open and a position in which the outlet means is closed in response to operation of the control unit.

47. The apparatus of claim 46 wherein the resilient element is formed to be normally biased in a position in which the outlet means is open and is actuated to close the outlet means.

48. The apparatus of claim 33 in which the movable means includes a resilient diaphragm in the metering chamber providing a movable wall for varying the size of the metering chamber in response to fluid being received and emptied in the metering chamber.

49. A method of controlling the dispensing of a desired dose of fluid from a source of fluid providing a hydrostatic pressure for intravenous administration during a determined time period, which comprises the steps of:

(a) determining the size of each of a number of predetermined volumetric increments of fluid to be dispensed;

(b) determining desired time intervals for dispensing of each predetermined volumetric increment so that the number of volumetric increments required to comprise the desired dosage can be dispensed in the determined time period;

(c) sequentially filling and draining a metering chamber having movable means in the metering chamber for varying the fluid capacity of the metering chamber in response to fluid being received and drained from the metering chamber without air passing through the metering chamber, the metering chamber being filled and drained with each one of the predetermined volumetric increments of fluid without adding substantial pressure to the hydrostatic pressure during different ones of the time intervals until the desired dosage has been dispensed; and

(d) controlling the filling and draining of the metering chamber by a control unit separate from the metering chamber and out of contact with the fluid passing through the metering chamber.

50. A method of controlling the rate of dispensing of a desired dose of a fluid from a source of fluid providing a hydrostatic pressure for intravenous administration during a predetermined time period, which comprises the steps of:

(a) providing a receptacle of predetermined volume having movable means in the receptacle for varying fluid capacity of the receptacle in response to fluid received from the source of fluid in a predetermined increment determined by the receptacle corresponding to the predetermined volume, the fluid being filled and drained from the receptacle without adding substantial pressure to the hydrostatic pressure and without air passing through the receptacle;

(b) providing desired time intervals for dispensing of each of the predetermined volumetric increments from the receptacle;

(c) sequentially filling and draining the receptable with each one of the predetermined volumetric increments from the source of fluid during different ones of the time intervals; and

(d) controlling the filling and draining of the receptacle by a control unit separate from the receptacle and out of contact with the fluid passing through the receptacle.

51. The method of claim 50 in which the filling of the receptacle with fluid in step (c) is by gravity flow from the source.

52. The method of claim 51 in which the filling of the receptacle and the draining of the receptacle during each of the time intervals is performed by filling the receptacle during a time period within each of the time intervals which is less than a time period within each of the time intervals provided for draining the receptacle of fluid.

53. The method of claim 51 in which the filling and draining of the predetermined volumetric increments in step (c) is performed by supplying a predetermined number of volumetric increments, which form a desired dose of fluid from the source of fluid, at above a predetermined hydrostatic pressure that is sufficient to charge the receptacle to the predetermined volumetric increment and supplying the remainder of fluid from the source of fluid at below the predetermined hydrostatic pressure so that the receptacle is charged with fluid to a reduced volumetric increment during each of the time intervals, whereby a reduction of the rate of administration of the fluid is provided after the desired dose has been administered from the source of fluid.

54. A method of controlling the dispensing of a desired dose of a fluid from a source of fluid providing a hydrostatic pressure for intravenous administration during a determined time period, which comprises the steps of:

(a) measuring the fluid from the source into predetermined volumetric increments for dispensing the fluid;

(b) providing sequentially first time intervals for measuring and second time intervals for dispensing of each one of the predetermined volumetric increments of fluid;

(c) repetitively filling and draining a metering chamber having a fluid capacity of predetermined volumetric increments and having movable means in the metering chamber for varying the fluid capacity of the metering chamber in response to fluid being received and drained from the metering chamber without air passing through the metering chamber, the metering chamber being filled and drained with each of the ones of the predetermined volumetric increments of fluid without adding substantial pressure to the hydrostatic pressure during different ones of the first and second time intervals to administer the desired dose of fluid; and

(d) controlling the filling and draining of the metering chamber by a control unit separate from the metering chamber and out of contact with the fluid passing through the metering chamber.

55. The method of claim 54 in which the second time intervals is variable in length to change the rate of administration of the desired dose.

56. Apparatus for controlling the intravenous administration of fluid to a patient, comprising:

(a) conduit means for delivering fluid at a hydrostatic pressure from a source of fluid, the source of fluid having a supply of predetermined increments of fluid;

(b) metering means for receiving a predetermined increment of fluid from the conduit means and for emptying the predetermined increment of fluid without adding substantial pressure to the hydrostatic pressure, the metering means having a metering chamber with movable means in the metering chamber for varying the size of the metering chamber so that the metering means is operable in receiving and emptying the increments of fluid without air passing through the metering chamber; and

(c) control means for actuating the metering means between a first condition for receiving one predetermined increment of fluid and a second condition for emptying the one predetermined increment of fluid, said control means being separate from the metering means and operating without contacting the fluid, said control means repetitively activating the metering means between the first and second conditions for having a dose of fluid from the source of fluid administered to the patient at a predetermined rate of administration, the hydrostatic pressure of the fluid in the conduit means supplied to the metering means being sufficient to fill the metering means with the predetermined increment of fluid while the metering means is in the first condition.

57. The apparatus of claim 56 in which means is provided to support the metering means so that the fluid is supplied to the metering means by gravity flow through the conduit means.

58. The apparatus of claim 56 in which the metering chamber has means for receiving each predetermined increment of fluid for defining a volume of less than 1 cubic centimeter for each predetermined increment of fluid.

59. The apparatus of claim 56 in which the control means has adjustable means to vary the actuation of the metering means to provide the predetermined rate of administration of fluid in the range of two tenths milliliters per minute to 10 milliliters per minute.

60. Apparatus for controlling the intravenous administration of fluid to a patient, comprising:

(a) conduit means for delivering fluid at a hydrostatic pressure from a source of fluid by gravity, the source of fluid having a supply of predetermined increments of fluid to provide a desired dose; and

(b) metering means having a metering chamber for receiving a predetermined increment of fluid from the conduit means and for emptying the predetermined increment of fluid without adding substantial pressure to the hydrostatic pressure, the metering means having movable means in the metering chamber for varying the size of the metering chamber so that the metering means is operable in receiving and emptying the increments of fluid without air passing through the metering chamber, the metering means being adapted to be positioned with respect to the source of fluid so that the metering chamber receives fluid at a sufficient pressure to fill the metering chamber during each receiving interval while the desired dose is being administered; and

(c) control means for actuating the metering means between a first condition for receiving one predetermined increment of fluid and a second condition for emptying the one predetermined increment of fluid, said control means repetitively activating the metering means between the first and second conditions for having a dose of fluid from the source of fluid administered to the patient at a predetermined rate of administration.

61. Apparatus for controlling the intravenous administration of fluid to a patient, comprising:

(a) conduit means for delivering fluid at a hydrostatic pressure from a source of fluid, the source of fluid having a supply of predetermined increments of fluid;

(b) metering means for receiving a predetermined increment of fluid from the conduit means and for emptying the predetermined increment of fluid without adding substantial pressure to the hydrostatic pressure, the metering means having a metering chamber with movable means in the metering chamber for varying the size of the metering chamber so that the metering means is operable in receiving and emptying the increments of fluid without air passing through the metering chamber; and

(c) control means for actuating the metering means between a first condition for receiving one predetermined increment of fluid and a second condition for emptying the one predetermined increment of fluid, said control means being separate from the metering means and operating without contacting the fluid, said control means repetitively activating the metering means between the first and second conditions for having a dose of fluid from the source of fluid administered to the patient at a predetermined rate of administration, the metering means operating with the control means to empty the predetermined increment of fluid while the metering means is in the second condition.

62. The apparatus of claim 61 in which support means is provided having the metering means is adapted to empty the predetermined increment of fluid to be drained from the metering chamber while the metering means is in the second condition.