CA2224428C - Medical pressure transducer with sliding components - Google Patents
Medical pressure transducer with sliding components Download PDFInfo
- Publication number
- CA2224428C CA2224428C CA002224428A CA2224428A CA2224428C CA 2224428 C CA2224428 C CA 2224428C CA 002224428 A CA002224428 A CA 002224428A CA 2224428 A CA2224428 A CA 2224428A CA 2224428 C CA2224428 C CA 2224428C
- Authority
- CA
- Canada
- Prior art keywords
- diaphragm
- transducer
- reusable
- disposable
- dome
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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Classifications
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
- F16M13/00—Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/1413—Modular systems comprising interconnecting elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M5/16854—Monitoring, detecting, signalling or eliminating infusion flow anomalies by monitoring line pressure
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
- F16M11/00—Stands or trestles as supports for apparatus or articles placed thereon Stands for scientific apparatus such as gravitational force meters
- F16M11/02—Heads
- F16M11/04—Means for attachment of apparatus; Means allowing adjustment of the apparatus relatively to the stand
- F16M11/041—Allowing quick release of the apparatus
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
- F16M11/00—Stands or trestles as supports for apparatus or articles placed thereon Stands for scientific apparatus such as gravitational force meters
- F16M11/02—Heads
- F16M11/16—Details concerning attachment of head-supporting legs, with or without actuation of locking members thereof
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
- F16M11/00—Stands or trestles as supports for apparatus or articles placed thereon Stands for scientific apparatus such as gravitational force meters
- F16M11/20—Undercarriages with or without wheels
- F16M11/22—Undercarriages with or without wheels with approximately constant height, e.g. with constant length of column or of legs
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
- F16M13/00—Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles
- F16M13/02—Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles for supporting on, or attaching to, an object, e.g. tree, gate, window-frame, cycle
- F16M13/022—Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles for supporting on, or attaching to, an object, e.g. tree, gate, window-frame, cycle repositionable
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01L—MEASURING FORCE, STRESS, TORQUE, WORK, MECHANICAL POWER, MECHANICAL EFFICIENCY, OR FLUID PRESSURE
- G01L19/00—Details of, or accessories for, apparatus for measuring steady or quasi-steady pressure of a fluent medium insofar as such details or accessories are not special to particular types of pressure gauges
- G01L19/0007—Fluidic connecting means
- G01L19/0023—Fluidic connecting means for flowthrough systems having a flexible pressure transmitting element
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/12—General characteristics of the apparatus with interchangeable cassettes forming partially or totally the fluid circuit
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
- F16M2200/00—Details of stands or supports
- F16M2200/02—Locking means
Abstract
A medical pressure transducer (10) including reusable component (100) with channels (160 162) to either side of reusable diaphragm (124), and disposable dome (200) with mounting wings (230, 232) to either si de of disposable diaphragm (224). The wings are slidably receivable in the channels to mount dome (200) with the diaphragms (124, 224 ) in confronting relationship. Camming ramps (180, 240) are provided in channels (160, 162) and on wings (230, 232), respectively, by which to drive dome diaphragm (224) into reusable diaphragm (124) as dome (200) is slidably mounted to reusable component (100). In a preferred embodiment, channels (160, 162) are defined behind outer front walls (164, 162), the outer surface (190) of one of which is provided with tab-receiving slot (192) to receive locking tab (274) associated with dome (200) to lock diaphragms (124, 224) into confronting relationship. The dome includes second wings (250, 252) spaced from the mounting wings to receive the outerfront walls. Second wings (250, 252) have finger gripping portions (264, 265) one of which is a locking paddle (270) supporting lock tab (274).
Description
MEDICAL PRESSURE TRANSDUCER WITH SLIDING COMPONENTS
Meld of the Invention This invention relates to medical pressure transducers, and more particularly, to such transducers in which a disposable fluid path component such as a dome is selectively attachable to a reusable sensor component with respective fluid pressure communicating diaphragms of the components in confronting, pressure communicating relationship.
Background of the Invention In hospital environments, for example, many procedures involve monitoring bodily fluid pressures such as blood pressure.
Typically, such pressure is monitored with a medical pressure transducer outside the patient's body and coupled hydraulically to the patient's circulatory system, by way of example, via a catheter introduced into the body. The catheter is coupled via a tube to a fluid path inside the _Z_ transducer and the tube is filled with saline to hydraulically communicate pressure within the patient's body to the transducer.
The transducer includes a sensor in pressure communication with the fluid path by which to convert the pressure therein to electrical signals corresponding to the pressure. The electrical signals are coupled via a cable to a monitor which provides a visual display of the pressure.
One particularly successful fozxn o~ such a transducer is provided by a two-coxnponent system in which one component with the expensive sensor is reusable, and the other component with the patient-contacting fluid path is disposable. Each component is provided with a diaphra~rt closing off access to the sensor or the fluid path, respectively.
To measure pressure in the fluid path, the disposable component is screwed onto the reusable component with the diaphragms in confronting, pressure communicating relationship to thereby eomimunncate pressure from the fluid path to the sensor. After use, the disposable component is unscrewed from the reusable part and discarded, and replaced with a new, sterile unit.
U.S. Patent 4920972, shows an example of. a two-cornpo~nent transducer in which the disposable fltud path component, referred to as a fluid dome, is rotatably coupled to the reusable sensor portion. The components are secured together by threaded interaction to bring the diaphragms into confronting, pressure communication relationship.
Pressure from the fluid path in the dome is thus communicated through the dome diaphragm and reusable diaphragm and through a cured gel to the sensor of the reusable component. The screwed together components may then be mounted to a supporting plate to be attached to a pole as is conventional.
Another exannple of a two-component transducer is shown in International Patent Application WO 95/01 I 95. As showm in that publication and particularly with respect to Fig. 11 thereof, the dome is provided with wings that extend outwardly to opposite sides of the dome diaphz~agm to be slidably received into channels defined on a reusable component containing the sensor and reusable diaphragm. The channels are also to either side of the reusable diaphragrat so that the dome diaphragm nrxay be easily and quickly slid into con~conting relationship with the sensor or reusable diaphragm. In particular, the reusable component may be formed as the supporting plate thus eliminating that extra part and the extra manipulation thereof by tl~e operator. However, in the sliding wing and channel arrangement, improvements are desired to facilitate operator use of the transducer and to enhance the confronting, pressure transmitting relationship of the diaphragms.
A medical pressure transducer, in accordance with one aspect of the invention, compz~ses a disposable dozx~e having a LIuid path adapted to be coupled to a patient, a diaphragm coupled to the fluid path, and at least one mounting wing disposed to one side and extending outwardly of the dome diaphragm, and a reusable component having a support, a sensor permanently associated with the support, a reusable diaphragm in.pressure communication with the sensor, and at least one channel disposed to one side of the reusable diaphragm for slidably receiving the dome wings such that the dome diaphragm is slidingly received into confronting relationship with the reusable diaphragm, characterised by caroming structure associated with at least one of the channel and the dome wing by which to drive the disposable dome diaphragm into the reusable diaphragm as the dome wing is slidingly received into the channel.
Provision of the caroming structure allows the two diaphragms to initially be slightly spaced apart, or loosely contacting, through at least part of the travel of the dome into the reusable component.
In this way, the diaphragms are not significantly damaged or chafed as they slide by one another. Yet, the caroming structure brings the diaphragms into abutting relationship, at least at the end of the travel of the components, such that proper pressure communication is established therebetween. To this end, and in a preferred embodiment, the caroming structure is provided by one or more caroming ramps at the terminal end of the sliding travel of the components. One such ramp may be formed as a step at the bottom end of the channel that is last contacted by the dome wing as it reaches the end of its travel. In the preferred embodiment, the channel is defined behind an outer front wall. In this regard, another such ramp may be formed on the mounting wing at the top end that is last contacted by the outer front wall as the wing reaches the end of its travel.
A medical pressure transducer, in accordance with another aspect of the invention, comprises a disposable dome and a reusable -S-component as above-described, which are alternatively or additionally characterised by a tab-receiving slot formed in the reusable component and a locking tab associated with the disposable dome (or vice versa), the tab and slot engaging together to lock the dome to the reusable component as the dome wings are slidingly received into the channels. In the preferred embodiment, the slot is formed into the outer front wall and the locking tab is elevated above the associated wing on the dome so as to fit into the slot when the diaphragms are in confronting relationship. As a consequence, the dome and reusable components are reliably locked together as if they had been screwed together but without the same dexterity of manipulation required.
A medical pressure transducer, in accordance with yet another aspect of the invention, comprises a disposable dome and a reusable component as above-described with the channel defined behind the outer front wall, and which are further alternatively or additionally characterised by a second wing associated with the dome and spaced above the mounting wing to define a wall-receiving space for the channel-defining outer front wall. In this regard, the medical pressure transducer in accordance with this aspect of the invention comprises a disposable dome for use with a reusable component having a support, a pressure sensor permanently associated with the support, a reusable diaphragm in pressure communication with the sensor and attachment structure, the disposable dome comprising a fluid path adapted to be coupled to a patient, a diaphragm coupled to the fluid path and attachment structure cooperating with the reusable component attachment structure to slidably mount the dome to the reusable component with the diaphragms in confronting relationship, characterised in that the dome attachment structure includes at least first and second parallel wings associated with the dome and defining S a wall-receving channel therebetween and the reusable component attachment structure includes at least one wing-like outer front wall slidably receivable in the wall-receiving channel of the dome. In the preferred embodiment, the second wing overlies and generally conceals the outer wall. As a consequence, the assembled transducer does not have the appearance of being in two parts, but instead appears as a solid unit. The overlying relationship between the outer wall and second wing may also provide protection against contaminants entering and fouling the reusable component channel.
In the preferred embodiment, there are two such channels and two such mounting wings to fit slidingly into the channels with the channels and mounting wings situated to opposite sides of their respective diaphragms. In the preferred embodiment, there are also provided two second wings, the lateral side edges of which are indented and textured (such as by grooving, serrating or knurling) to provide finger-gripping portions by which the operator may manipulate the dome to slide it into and out of the channels. One of the indentations may be simulated with a similarly shaped and textured paddle to carry the locking tab. As a consequence, gripping the second wings serves also to compress the paddle _7_ thereby disengaging the tab from the slot and allowing sliding removal of the dome from the reusable component.
By virtue of the foregoing, there is thus provided a medical - pressure transducer with a disposable fluid dome slidably removable to a reusable sensor component with an enhanced pressure transmitting relationship between the diaphragms and with improvements to facilitate operator use of the transducer.
These and other objects and advantages of the invention shall be made apparent from the accompanying drawings and descriptions thereof.
Brief Description of the Drawing_,s, The several features of the present invention will become more readily apparent from the fully detailed description taken in conjunction with the accompanying drawings in which:
Fig. 1 is a perspective view of a transducer of the invention;
Fig. 2 is a front view of the transducer shown in Fig. 1;
Fig. 3 is a front view of the reusable component of Fig. 1;
Fig. 4 is a cross-sectional view taken along lines 4-4 of Fig.
1;
Fig. 5 is an exploded, cross-sectional view taken along lines 5-5 of Fig. 2;
Fig. 6 is a rear, partially cut-away view of the disposable component of Fig. 1;
_8_ Figs. 7A-7C are diagrammatic side views, taken along lines 7A-7A of Fig. 2, to illustrate interaction of the dome wings and reusable component channels;
Fig. 8 is an exploded diagrammatic view of a pole mount arrangement for a plurality of the transducers of Fig. 1; and Fig. 9 is a front diagrammatic view of a plurality of the transducers of Fig. 1 in pole-mounted position.
Detailed Description of the Drawings With reference to Fig. 1, there is shown a perspective view of a medical pressure transducer 10 of the present invention. Transducer 10 includes two major components, one being a reusable sensor component 100 of the invention and the other being a disposable fluid dome component 200 of the invention, removably and slidably mounted to reusable component 100.
With further reference to Figs. 1-5, reusable component 100 may be seen as having an opaque plastic support 102 in the form of a plate. Plate 102 has generally planar left edge 104, generally planar right edge 106, and generally planar top and bottom edges 108,110 to define a generally rectangular shape to plate 102. Extending between edges 104,106,108,110 is a generally planar front face 112.
Extending from behind face 112 is an integral sensor chamber 114 (Figs. 4 and 5). Permanently attached within sensor chamber 114, such as by adhesive (not shown), is a plastic chimney 116 filled with cured gel 117 at the bottom of which is an integrated circuit sensor chip 118 mounted to printed circuit (PC) board substrate 120. PC board 120 contains appropriate circuitry thereon (not shown) and is affixed with chimney 116 to thus permanently associate sensor 118 with reusable component 100. At the upper end of chamber 114 through face 112 is an aperture 122. Permanently mounted over aperture 122 is an elastomeric reusable diaphragm 124 such as of molded polyurethane. Additional gel 126 is inserted in liquid state into chamber 114 between diaphragm 124 and chimney 116 via fill port 128 to bring diaphragm 124 into pressure communication, via gels 126 and 117, with sensor 118. Port 128 is sealed to thus slightly distend diaphragm 124 and gel 126 is cured.
The edge 130 of diaphragm 124 defines a cylindrical collar that is fitted into annular groove 132 in face 112 about aperture 122 to hold diaphragm 124 to support 102 with the front face or surface 134 of reusable diaphragm 124 exposed in, or bulging just slightly above, the plane of front face 112. A plurality of conductors 140 interconnect calibration test switch 142 and connector 144 to PC board substrate 120 circuitry and sensor 118, all behind face 112 of plate 102. Switch 142 is fitted within open-bottom well 145 formed into face 112 with switch button 146 being accessible at aperture 148 through plate face 112 in the lower left corner thereof as seen from the front (Fig. 3). Conductors 140 could be separate wires or ribbon cable and/or conductive traces (not shown) on a switch-supporting PC board 149. Placed over aperture 148 is a compliant membrane 150 to protect switch 142 and to allow actuation thereof such as by gripping of reusable component 100 between the thumb and forefinger -1Q_ (not shown) in the area of membraxze 150 and compressing same. lvlembrane 150 is adhesively held along its perimeter to the edge of well 145 defined at aperture 148.
Actuation of switch 142 provides a calibration test as generally described in U.S. Patent 4760730, but as a directly integral part of the reusable connponent, rather than as a separate component.
To electrically connect to a monitor (not shown), connector 144 is provided at the bottoxxi right of component 1QO as seen from the front (Figs. 2 and 3).
Connector 144 miay have a cylindrical plastic shell 152 with female pin receiving connectors 154 therein and housed in a bulbously protruded area 156 of component 100.
Connector 144 is accessible through connector port 158 in bottom edge 110, Connector 144 may form part of a two-connector set as shown in ~T_S. Patent 5167522. An opaque plastic back plate 157 raay be secured, such as by adhesive (trot shown), over the back side of plate 102 to enclose the above-mentioned components.
To mount disposable dome component 200 as will be described, plate 102 is provided with a pair of channels 160,162 disposed to opposite left and tight sides of reusable diaphragm. 124 as seem from the front {Fig. 3). Each channel t 60,162 is defined behind a respective outer front wall 164,166 associated with plate 102. To this end, outer front walls 164,166 are generally parallel to, but spaced from, front face 112 and held thereto by interconnecting side walls 170,172, respectively, to thus define channels 160,162 between front face 112 and the underside 174,176 of each respective outer front wall 164,166. The lateral extent of each channel 160,162 is further defined by side walls 170,172, respectively.
The underside 174 or 176 of outer front wall 164 or 166 may be slightly angled with a draft (such as for molding) as it progresses from near the top edge 108 of plate 102 towards the bottom edge 110 thereof (Fig. 5). The draft narrows somewhat the width of the channel 160 or 162 in the direction of insertion travel of the dome 200. For purposes described hereinafter, caroming structure is provided at the terminal or bottom end 178 of the channels 160,162. The ramming structure in the preferred embodiment shown is provided by ramming ramp 180 comprised of a 45' ramp 182 and a trailing step 184 to define a generally precise channel width W~ thereat (see Fig. 7A). The top edge 186 of each wall 164,166 is exposed. The bottom end 178 of each channel 160 or 162 may be closed off (not shown) but is advantageously left open as shown so that debris does not accumulate in the channels.
With particular reference to Figs. 3 and 4, it may be seen that the outer surface 190 of right side channel outer front wall 166 includes a depression such as tab-receiving slot 192 formed therein (over side wall 172). Slot 192 extends into alleyway 194 also formed in outer surface 190 (over channel 162) which in turn ends adjacent chamfer 196 of outer front wall 166 all for purposes to be described hereinafter. Outer surface 190 is otherwise generally planar and parallel to front face 112.
Outer surface 197 of left side, outer front wall 164 is similarly planar and parallel to front face 112.
With particular further reference to Figs. 5 and 6, disposable dome 200 is of clear or translucent plastic and may be seen as having a central body portion 202 defined between left and right edges 204,206 and top and bottom edges 208,210 to define a generally rectangular shape to central body portion 202. Formed centrally through the back of body portion 202 is a fluid path well 212 which communicates through an inlet port 214 extending up out of the front of well 212 and accessible along bottom edge 210 and outlet pipe 216 extending up out of the front of well 212 and beyond top edge 208. Inlet and outlet 214 and 216 cooperate to extend fluid path 212 through disposable dome 200. Fluid path 212 is accessible through a large aperture 218 along the back side 220 of central portion 202. Well 212 and aperture 218 are defined by a cylindrical wall 221 in central portion 202 with cavities 222 defined between wall 221 and edges 204,206,208,210. Alternatively, cavities 222 could be filled with plastic. Either way, back side 220 of dome 200 functions to define a flat or plate-like surface to dome 200 to match up to planar face 112 of plate 102.
Extending across aperture 218 along bottom side 220 is an elastomeric diaphragm 224 permanently affixed to central portion 202 and providing a pressure transmitting, fluid impervious wall to seal the fluid path within dome 200. Diaphragm 224 could be a molded polyurethane, like diaphragm 124 with a collar (not shown) mounted within an annular recess or groove (also not shown) about aperture 218. Alternatively, diaphragm 224 could be a sheet of urethane film material, the peripheral edge of which is either adhesively or thermally bonded to the edge of aperture 218, or is held into a groove (not shown) about aperture 218 such as by a compression ring (also not shown).
Extending outwardly from opposite left and right sides (as viewed in Figs. 2 and 4) of central portion 202 (from edges 204 and 206, respectively) and to either side of diaphragm 224 are left and right mounting wings 230,232 situated to be matingly received within channels 160,162 of reusable plate 102 such as to place disposable diaphragm 224 into confronting relationship with reusable diaphragm 124. Bottom end 234 of each wing 230,232 is chamfered as at 235 (see Fig. 7A) for purposes to be described hereinafter. Bottom end 234 just above chamfer 235 has a generally precise thickness or width, which in combination with diaphragms 224 and 124, is closely equal to channel width W~ so as to hold the diaphragms in proper pressure communicating relationship. Further caroming structure is defined at top or distal end 236 of each wing. In the preferred embodiment shown, the further caroming structure is provided by caroming ramp 240 which, like the caroming ramp 180 within channels 160 and 162, is comprised of a 45' ramp 242 and a trailing step 244 to define a precise width Ww of wing 230 or 232 in the area of trailing step 244. In this regard, the thickness or width of the channels 160,162 at their openings near the top edge 108 of plate 102 cooperate with diaphragms 224 and 124 to closely equal width W~, so as to, in addition or alternatively to the holding ability of bottom end 234 and width W~, hold the diaphragms in proper pressure communicating relationship.
Caroming ramp 180 and caroming ramp 240 are situated on respective ones of the reusable component 100 and disposable dome 200 so S as to engage their respective counterpart structures near the tailing end of the travel of dome 200 as the wings 230,232 are slidably received into the channels 160,162 of the reusable component 100. In this manner, as the dome 200 travels into reusable component 100, there may be a slight space (or just loose, sliding contact) between the diaphragms 124 and 224 so as not to harmfully abrade at least diaphragm 124. As dome 200 nears the end of its longitudinal travel into reusable component 100, wings 230,232 are driven, in a somewhat axial direction, towards face 112 and diaphragm 124 of plate 102 such that disposable diaphragm 224 is driven into abutting relationship with reusable diaphragm 124 to provide a proper pressure communicating relationship therebetween. To limit the extent of travel of dome 200 relative to plate 102, a closing wall 246 may be provided at distal or top end 236 of each wing 230,232 which closing wall 246 will abut into top edge 186 of outer front walls 164 or 166.
To facilitate use of dome 200 with reusable plate 102, a second set of wings 250,252 may be provided. Wings 250,252 also extend from edges 204 and 206 but spaced above respective ones of mounting wings 230,232 to define wall-receiving spaces 254,256 (Figs. 4 and 7). As is thus apparent, spaces 254,256 function as attachment structure channels of the dome to receive respective ones of outer walls 164 and 166 which function as wing-like attachment structure of the reusable component as dome 200 is slidingly received into reusable component 100. Second wings 250,252 extend generally outwardly so as to substantially overlie outer walls 164 and 166 to provide the aesthetic appearance of a single unit S when components 200 and 100 are mounted together as shown in Fig. 1.
Additionally, wings 250,252 may also provide a barrier to debris from entering channels 160,162 when dome 200 is mounted to plate 102.
As seen in Figs. 2 and 6, lateral edges 260,262 of second wings 250,252, respectively, may be indented as at 264 and 265, respectively, to provide finger and thumb gripping areas for the user (not shown) to grip dome 200 to mount and dismount same from reusable component 100. Finger-gripping portions 264, 265 may be textured (such as by grooving, serrating or knurling) to facilitate such manipulation by the user. With particular reference to Fig. 2, it may be seen that indented finger-gripping portion 265 of right side second wing 252 may actually be provided by resilient locking or flexing paddle 270 having an indented shape and a textured surface to simulate indented portion 264 of left side second wing 250. Supported at a terminal end 272 of paddle 270 is a locking tab 274 such that tab 274 is resiliently attached to dome 200 and spaced above and depending towards wing 232. Locking paddle 270 extends from a hinging area 276 nearer to the bottom end 278 of wing 252 such that by flexing action of locking paddle 270 locking tab 274 is movable towards central portion 202 near to the top end 280 of wing 252.
As dome 200 is slidably received into reusable component 100, locking tab 274 may bear against chamfer 196 (Fig. 3) of outer wall 166 to thereby flex paddle 270 leftwardly. As dome 200 moves further in its travel, tab 274 passes onto alleyway 194 and then, at the end of the travel of dome 200, snaps rightwardly back out into slot 192 (with a clicking sound) to lock dome 200 into position on plate 102 with diaphragms 224 and 124 in confronting, pressure transmitting relationship (Fig. 7C). To remove dome 200, the user (not shown) may grip dome 200 with the thumb (not shown) in indented portion 264 and the forefinger (not shown) against locking paddle 270 compressing same so that locking tab 274 comes away from tab-receiving slot 192, and then sliding upwardly towards the top edge 108 of plate 102 to withdraw dome 200 therefrom.
Dome 200 may be provided with a fast-flush device 290 coupled to inlet port 214 (such as the fast flush device shown in U.S.
Patent 5171230) and a stopcock 292 coupled to outlet pipe 216. Flush device 290 may then be connected by tubing 294 to a source of saline (not shown) and stopcock 292 may be connected by further tubing 296 to a catheter 298 (Fig. 2) to be placed within the patient's circulatory system (not shown) to thus monitor the pressure thereof.
With reference to Figs. 7A-7C (in which channel 160 and its associated walls are removed for sake of clarity), there is shown diagrammatically the mounting of dome 200 to reusable component 100 in accordance with the various aspects of the present invention. In Fig. 7A, dome 200 is just about to be mounted to plate 102 with wing 232 just beginning to enter channel 162 in a direction along the downwardly-directed arrow A. Thus, dome wing 232 is coming into channel 162 from the direction of top edge 108 of plate 102. Top end 186 of outer front wall 166 may be impacted by chamfered wall 235 at the proximal end of wing 232 to help force wing 232 into the space or channel 162 defined behind outer front wall 166. In Fig. 7A, second wing 252 is spaced above and away from top surface 190 of front wall 166.
As dome 200 is continued in its downward progression towards bottom wall 110, as in Fig. 7B, most of the length of wing 232 passes into channel 162 and wing 252 passes over front 190 of front wall 166. In this progression of travel, it may be seen that there may be a slight space or at least a loose or sliding contact (indicated by the letter S) between diaphragms 224 and 124 so as to avoid damaging or chafing the diaphragms, and especially diaphragm 124 which is intended to be reusable with several of domes 200. Near the end of the travel, chamfer 235 hits against ramp 182 of caroming ramp 180 to start to drive the proximal end of wing 232 towards face 112 and diaphragm 124. At about the same time, caroming ramp 242 impacts against top edge 186 to also drive the distal end of wing 232 towards face 112 and diaphragm 124 in which event the spacing S between diaphragms 224 and 124 begins to decrease (or the loose contact begins to tighten up). Also, tab 274 impinges wall chamfer 196 (Fig. 3) and flexes paddle 270 inwardly so as to allow tab 274 to travel into alleyway 194.
In the end of the travel of dome 200 into reusable component 100 in Fig. 7C, the proximal end of wing 232 is situated below and against trailing end 184 and the top end 186 of outer wall 166 is situated above and against trailing end 244 of wing caroming ramp 240 such that wing 232 has been driven towards plate face 112 and diaphragms 224 and 124 have been driven into abutting relationship to provide the desired pressure communicating relationship therebetween. Also, in this terminal end of the travel, second wing 252 is positioned so as to substantially completely overlie top surface 190 of front wall 166, and paddle 270 has gone back towards its original position with tab 274 locked into slot 192. The same arrangement of travel as shown in Figs. 7A-7C occurs simultaneously between wing 230 and channel 160.
In use, dome 200 is slidably mounted to reusable component 100 as above described and appropriate tubing 294,296 and catheter 298 are employed to couple fluid path 212 of transducer 10 to a patient and connector 144 utilized to couple signals representing the patient's blood pressure, for example, with a monitor in an otherwise conventional manner. After the use for that patient is completed, or should dome 200 need to be replaced for any reason, dome 200 may be simply removed by depressing locking paddle 270 and sliding dome 200 out of channels 160,162 of reusable component 100 and the dome 200 disposed of (with or without tubing). Either new tubing may be provided, or the old tubing used, with a new dome 200 as appropriate, depending upon the patient's situation, and new dome 200 slidably remounted to reusable component 100 as previously described. In many situations, it may be desirable to monitor more than one pressure. In this event, multiple transducers 10 may be utilized as will now be described with reference to Fig. 8.
Back plate 157 of each reusable component may be provided with a mounting structure 300 to mount component 100 to a support frame 302 which, in turn, is mounted to a pole-mount clamp 304 secured to a pole 306. The mounting frame 302 includes a plurality of receptacles 308 to receive the respective support structure 300 of a plurality of reusable components 100 which are then locked in place by actuation of the locking handle 310 on frame 302. Frame 302 also includes an identical mounting structure 300 receivable in an identical receptacle 308 and held thereto by actuation of handle 310 on the proximal end 312 of pole mount clamp 304.
Clamp 304 is held to pole 306 in conventional manner such as by interaction of yoke 314 and screw 316 about pole 306. Alternatively, or additionally, each plate 102 could be provided as modular interconnecting plates as shown in International Patent Application W095/01195.
Due to the rectangular nature of plate 102, it may be seen that when a plurality of reusable components are mounted as above-described (see Fig. 9), they give the appearance of being a solid set of units, more or less, and may thus be considered as being modular in that any one of the reusable components 100 may be placed in any one of the positions defined by receptacles 308 available on frame 302. Domes 200 may be mounted to their respective reusable components 100 either before or after the related component 100 is connected to frame 302.
Alternatively, one reusable component 100 may be mounted directly to the pole mount clamp 304 and frame 302 dispensed with.
By virtue of the foregoing, there is thus provided a medical pressure transducer with a disposable fluid dome, slidably removable to a S reusable sensor component with an enhanced pressure transmitting relationship between the diaphragms and with improvements to facilitate operator use of the transducer. While the use of two wings and two channels is shown in the preferred embodiment, at least one of each may be employed. Also, the outer front walls may be coplanar with front face 112 with appropriate adjustment in the elevation of either diaphragm 124 or mounting wings 230,232, by way of example. Further, while slot 192 is shown on support 102 and locking tab 274 on dome 200, they could be reversed. The invention in its broader aspects is therefore not limited to the specific details, representative apparatus and method and illustrative examples shown and described.
Meld of the Invention This invention relates to medical pressure transducers, and more particularly, to such transducers in which a disposable fluid path component such as a dome is selectively attachable to a reusable sensor component with respective fluid pressure communicating diaphragms of the components in confronting, pressure communicating relationship.
Background of the Invention In hospital environments, for example, many procedures involve monitoring bodily fluid pressures such as blood pressure.
Typically, such pressure is monitored with a medical pressure transducer outside the patient's body and coupled hydraulically to the patient's circulatory system, by way of example, via a catheter introduced into the body. The catheter is coupled via a tube to a fluid path inside the _Z_ transducer and the tube is filled with saline to hydraulically communicate pressure within the patient's body to the transducer.
The transducer includes a sensor in pressure communication with the fluid path by which to convert the pressure therein to electrical signals corresponding to the pressure. The electrical signals are coupled via a cable to a monitor which provides a visual display of the pressure.
One particularly successful fozxn o~ such a transducer is provided by a two-coxnponent system in which one component with the expensive sensor is reusable, and the other component with the patient-contacting fluid path is disposable. Each component is provided with a diaphra~rt closing off access to the sensor or the fluid path, respectively.
To measure pressure in the fluid path, the disposable component is screwed onto the reusable component with the diaphragms in confronting, pressure communicating relationship to thereby eomimunncate pressure from the fluid path to the sensor. After use, the disposable component is unscrewed from the reusable part and discarded, and replaced with a new, sterile unit.
U.S. Patent 4920972, shows an example of. a two-cornpo~nent transducer in which the disposable fltud path component, referred to as a fluid dome, is rotatably coupled to the reusable sensor portion. The components are secured together by threaded interaction to bring the diaphragms into confronting, pressure communication relationship.
Pressure from the fluid path in the dome is thus communicated through the dome diaphragm and reusable diaphragm and through a cured gel to the sensor of the reusable component. The screwed together components may then be mounted to a supporting plate to be attached to a pole as is conventional.
Another exannple of a two-component transducer is shown in International Patent Application WO 95/01 I 95. As showm in that publication and particularly with respect to Fig. 11 thereof, the dome is provided with wings that extend outwardly to opposite sides of the dome diaphz~agm to be slidably received into channels defined on a reusable component containing the sensor and reusable diaphragm. The channels are also to either side of the reusable diaphragrat so that the dome diaphragm nrxay be easily and quickly slid into con~conting relationship with the sensor or reusable diaphragm. In particular, the reusable component may be formed as the supporting plate thus eliminating that extra part and the extra manipulation thereof by tl~e operator. However, in the sliding wing and channel arrangement, improvements are desired to facilitate operator use of the transducer and to enhance the confronting, pressure transmitting relationship of the diaphragms.
A medical pressure transducer, in accordance with one aspect of the invention, compz~ses a disposable dozx~e having a LIuid path adapted to be coupled to a patient, a diaphragm coupled to the fluid path, and at least one mounting wing disposed to one side and extending outwardly of the dome diaphragm, and a reusable component having a support, a sensor permanently associated with the support, a reusable diaphragm in.pressure communication with the sensor, and at least one channel disposed to one side of the reusable diaphragm for slidably receiving the dome wings such that the dome diaphragm is slidingly received into confronting relationship with the reusable diaphragm, characterised by caroming structure associated with at least one of the channel and the dome wing by which to drive the disposable dome diaphragm into the reusable diaphragm as the dome wing is slidingly received into the channel.
Provision of the caroming structure allows the two diaphragms to initially be slightly spaced apart, or loosely contacting, through at least part of the travel of the dome into the reusable component.
In this way, the diaphragms are not significantly damaged or chafed as they slide by one another. Yet, the caroming structure brings the diaphragms into abutting relationship, at least at the end of the travel of the components, such that proper pressure communication is established therebetween. To this end, and in a preferred embodiment, the caroming structure is provided by one or more caroming ramps at the terminal end of the sliding travel of the components. One such ramp may be formed as a step at the bottom end of the channel that is last contacted by the dome wing as it reaches the end of its travel. In the preferred embodiment, the channel is defined behind an outer front wall. In this regard, another such ramp may be formed on the mounting wing at the top end that is last contacted by the outer front wall as the wing reaches the end of its travel.
A medical pressure transducer, in accordance with another aspect of the invention, comprises a disposable dome and a reusable -S-component as above-described, which are alternatively or additionally characterised by a tab-receiving slot formed in the reusable component and a locking tab associated with the disposable dome (or vice versa), the tab and slot engaging together to lock the dome to the reusable component as the dome wings are slidingly received into the channels. In the preferred embodiment, the slot is formed into the outer front wall and the locking tab is elevated above the associated wing on the dome so as to fit into the slot when the diaphragms are in confronting relationship. As a consequence, the dome and reusable components are reliably locked together as if they had been screwed together but without the same dexterity of manipulation required.
A medical pressure transducer, in accordance with yet another aspect of the invention, comprises a disposable dome and a reusable component as above-described with the channel defined behind the outer front wall, and which are further alternatively or additionally characterised by a second wing associated with the dome and spaced above the mounting wing to define a wall-receiving space for the channel-defining outer front wall. In this regard, the medical pressure transducer in accordance with this aspect of the invention comprises a disposable dome for use with a reusable component having a support, a pressure sensor permanently associated with the support, a reusable diaphragm in pressure communication with the sensor and attachment structure, the disposable dome comprising a fluid path adapted to be coupled to a patient, a diaphragm coupled to the fluid path and attachment structure cooperating with the reusable component attachment structure to slidably mount the dome to the reusable component with the diaphragms in confronting relationship, characterised in that the dome attachment structure includes at least first and second parallel wings associated with the dome and defining S a wall-receving channel therebetween and the reusable component attachment structure includes at least one wing-like outer front wall slidably receivable in the wall-receiving channel of the dome. In the preferred embodiment, the second wing overlies and generally conceals the outer wall. As a consequence, the assembled transducer does not have the appearance of being in two parts, but instead appears as a solid unit. The overlying relationship between the outer wall and second wing may also provide protection against contaminants entering and fouling the reusable component channel.
In the preferred embodiment, there are two such channels and two such mounting wings to fit slidingly into the channels with the channels and mounting wings situated to opposite sides of their respective diaphragms. In the preferred embodiment, there are also provided two second wings, the lateral side edges of which are indented and textured (such as by grooving, serrating or knurling) to provide finger-gripping portions by which the operator may manipulate the dome to slide it into and out of the channels. One of the indentations may be simulated with a similarly shaped and textured paddle to carry the locking tab. As a consequence, gripping the second wings serves also to compress the paddle _7_ thereby disengaging the tab from the slot and allowing sliding removal of the dome from the reusable component.
By virtue of the foregoing, there is thus provided a medical - pressure transducer with a disposable fluid dome slidably removable to a reusable sensor component with an enhanced pressure transmitting relationship between the diaphragms and with improvements to facilitate operator use of the transducer.
These and other objects and advantages of the invention shall be made apparent from the accompanying drawings and descriptions thereof.
Brief Description of the Drawing_,s, The several features of the present invention will become more readily apparent from the fully detailed description taken in conjunction with the accompanying drawings in which:
Fig. 1 is a perspective view of a transducer of the invention;
Fig. 2 is a front view of the transducer shown in Fig. 1;
Fig. 3 is a front view of the reusable component of Fig. 1;
Fig. 4 is a cross-sectional view taken along lines 4-4 of Fig.
1;
Fig. 5 is an exploded, cross-sectional view taken along lines 5-5 of Fig. 2;
Fig. 6 is a rear, partially cut-away view of the disposable component of Fig. 1;
_8_ Figs. 7A-7C are diagrammatic side views, taken along lines 7A-7A of Fig. 2, to illustrate interaction of the dome wings and reusable component channels;
Fig. 8 is an exploded diagrammatic view of a pole mount arrangement for a plurality of the transducers of Fig. 1; and Fig. 9 is a front diagrammatic view of a plurality of the transducers of Fig. 1 in pole-mounted position.
Detailed Description of the Drawings With reference to Fig. 1, there is shown a perspective view of a medical pressure transducer 10 of the present invention. Transducer 10 includes two major components, one being a reusable sensor component 100 of the invention and the other being a disposable fluid dome component 200 of the invention, removably and slidably mounted to reusable component 100.
With further reference to Figs. 1-5, reusable component 100 may be seen as having an opaque plastic support 102 in the form of a plate. Plate 102 has generally planar left edge 104, generally planar right edge 106, and generally planar top and bottom edges 108,110 to define a generally rectangular shape to plate 102. Extending between edges 104,106,108,110 is a generally planar front face 112.
Extending from behind face 112 is an integral sensor chamber 114 (Figs. 4 and 5). Permanently attached within sensor chamber 114, such as by adhesive (not shown), is a plastic chimney 116 filled with cured gel 117 at the bottom of which is an integrated circuit sensor chip 118 mounted to printed circuit (PC) board substrate 120. PC board 120 contains appropriate circuitry thereon (not shown) and is affixed with chimney 116 to thus permanently associate sensor 118 with reusable component 100. At the upper end of chamber 114 through face 112 is an aperture 122. Permanently mounted over aperture 122 is an elastomeric reusable diaphragm 124 such as of molded polyurethane. Additional gel 126 is inserted in liquid state into chamber 114 between diaphragm 124 and chimney 116 via fill port 128 to bring diaphragm 124 into pressure communication, via gels 126 and 117, with sensor 118. Port 128 is sealed to thus slightly distend diaphragm 124 and gel 126 is cured.
The edge 130 of diaphragm 124 defines a cylindrical collar that is fitted into annular groove 132 in face 112 about aperture 122 to hold diaphragm 124 to support 102 with the front face or surface 134 of reusable diaphragm 124 exposed in, or bulging just slightly above, the plane of front face 112. A plurality of conductors 140 interconnect calibration test switch 142 and connector 144 to PC board substrate 120 circuitry and sensor 118, all behind face 112 of plate 102. Switch 142 is fitted within open-bottom well 145 formed into face 112 with switch button 146 being accessible at aperture 148 through plate face 112 in the lower left corner thereof as seen from the front (Fig. 3). Conductors 140 could be separate wires or ribbon cable and/or conductive traces (not shown) on a switch-supporting PC board 149. Placed over aperture 148 is a compliant membrane 150 to protect switch 142 and to allow actuation thereof such as by gripping of reusable component 100 between the thumb and forefinger -1Q_ (not shown) in the area of membraxze 150 and compressing same. lvlembrane 150 is adhesively held along its perimeter to the edge of well 145 defined at aperture 148.
Actuation of switch 142 provides a calibration test as generally described in U.S. Patent 4760730, but as a directly integral part of the reusable connponent, rather than as a separate component.
To electrically connect to a monitor (not shown), connector 144 is provided at the bottoxxi right of component 1QO as seen from the front (Figs. 2 and 3).
Connector 144 miay have a cylindrical plastic shell 152 with female pin receiving connectors 154 therein and housed in a bulbously protruded area 156 of component 100.
Connector 144 is accessible through connector port 158 in bottom edge 110, Connector 144 may form part of a two-connector set as shown in ~T_S. Patent 5167522. An opaque plastic back plate 157 raay be secured, such as by adhesive (trot shown), over the back side of plate 102 to enclose the above-mentioned components.
To mount disposable dome component 200 as will be described, plate 102 is provided with a pair of channels 160,162 disposed to opposite left and tight sides of reusable diaphragm. 124 as seem from the front {Fig. 3). Each channel t 60,162 is defined behind a respective outer front wall 164,166 associated with plate 102. To this end, outer front walls 164,166 are generally parallel to, but spaced from, front face 112 and held thereto by interconnecting side walls 170,172, respectively, to thus define channels 160,162 between front face 112 and the underside 174,176 of each respective outer front wall 164,166. The lateral extent of each channel 160,162 is further defined by side walls 170,172, respectively.
The underside 174 or 176 of outer front wall 164 or 166 may be slightly angled with a draft (such as for molding) as it progresses from near the top edge 108 of plate 102 towards the bottom edge 110 thereof (Fig. 5). The draft narrows somewhat the width of the channel 160 or 162 in the direction of insertion travel of the dome 200. For purposes described hereinafter, caroming structure is provided at the terminal or bottom end 178 of the channels 160,162. The ramming structure in the preferred embodiment shown is provided by ramming ramp 180 comprised of a 45' ramp 182 and a trailing step 184 to define a generally precise channel width W~ thereat (see Fig. 7A). The top edge 186 of each wall 164,166 is exposed. The bottom end 178 of each channel 160 or 162 may be closed off (not shown) but is advantageously left open as shown so that debris does not accumulate in the channels.
With particular reference to Figs. 3 and 4, it may be seen that the outer surface 190 of right side channel outer front wall 166 includes a depression such as tab-receiving slot 192 formed therein (over side wall 172). Slot 192 extends into alleyway 194 also formed in outer surface 190 (over channel 162) which in turn ends adjacent chamfer 196 of outer front wall 166 all for purposes to be described hereinafter. Outer surface 190 is otherwise generally planar and parallel to front face 112.
Outer surface 197 of left side, outer front wall 164 is similarly planar and parallel to front face 112.
With particular further reference to Figs. 5 and 6, disposable dome 200 is of clear or translucent plastic and may be seen as having a central body portion 202 defined between left and right edges 204,206 and top and bottom edges 208,210 to define a generally rectangular shape to central body portion 202. Formed centrally through the back of body portion 202 is a fluid path well 212 which communicates through an inlet port 214 extending up out of the front of well 212 and accessible along bottom edge 210 and outlet pipe 216 extending up out of the front of well 212 and beyond top edge 208. Inlet and outlet 214 and 216 cooperate to extend fluid path 212 through disposable dome 200. Fluid path 212 is accessible through a large aperture 218 along the back side 220 of central portion 202. Well 212 and aperture 218 are defined by a cylindrical wall 221 in central portion 202 with cavities 222 defined between wall 221 and edges 204,206,208,210. Alternatively, cavities 222 could be filled with plastic. Either way, back side 220 of dome 200 functions to define a flat or plate-like surface to dome 200 to match up to planar face 112 of plate 102.
Extending across aperture 218 along bottom side 220 is an elastomeric diaphragm 224 permanently affixed to central portion 202 and providing a pressure transmitting, fluid impervious wall to seal the fluid path within dome 200. Diaphragm 224 could be a molded polyurethane, like diaphragm 124 with a collar (not shown) mounted within an annular recess or groove (also not shown) about aperture 218. Alternatively, diaphragm 224 could be a sheet of urethane film material, the peripheral edge of which is either adhesively or thermally bonded to the edge of aperture 218, or is held into a groove (not shown) about aperture 218 such as by a compression ring (also not shown).
Extending outwardly from opposite left and right sides (as viewed in Figs. 2 and 4) of central portion 202 (from edges 204 and 206, respectively) and to either side of diaphragm 224 are left and right mounting wings 230,232 situated to be matingly received within channels 160,162 of reusable plate 102 such as to place disposable diaphragm 224 into confronting relationship with reusable diaphragm 124. Bottom end 234 of each wing 230,232 is chamfered as at 235 (see Fig. 7A) for purposes to be described hereinafter. Bottom end 234 just above chamfer 235 has a generally precise thickness or width, which in combination with diaphragms 224 and 124, is closely equal to channel width W~ so as to hold the diaphragms in proper pressure communicating relationship. Further caroming structure is defined at top or distal end 236 of each wing. In the preferred embodiment shown, the further caroming structure is provided by caroming ramp 240 which, like the caroming ramp 180 within channels 160 and 162, is comprised of a 45' ramp 242 and a trailing step 244 to define a precise width Ww of wing 230 or 232 in the area of trailing step 244. In this regard, the thickness or width of the channels 160,162 at their openings near the top edge 108 of plate 102 cooperate with diaphragms 224 and 124 to closely equal width W~, so as to, in addition or alternatively to the holding ability of bottom end 234 and width W~, hold the diaphragms in proper pressure communicating relationship.
Caroming ramp 180 and caroming ramp 240 are situated on respective ones of the reusable component 100 and disposable dome 200 so S as to engage their respective counterpart structures near the tailing end of the travel of dome 200 as the wings 230,232 are slidably received into the channels 160,162 of the reusable component 100. In this manner, as the dome 200 travels into reusable component 100, there may be a slight space (or just loose, sliding contact) between the diaphragms 124 and 224 so as not to harmfully abrade at least diaphragm 124. As dome 200 nears the end of its longitudinal travel into reusable component 100, wings 230,232 are driven, in a somewhat axial direction, towards face 112 and diaphragm 124 of plate 102 such that disposable diaphragm 224 is driven into abutting relationship with reusable diaphragm 124 to provide a proper pressure communicating relationship therebetween. To limit the extent of travel of dome 200 relative to plate 102, a closing wall 246 may be provided at distal or top end 236 of each wing 230,232 which closing wall 246 will abut into top edge 186 of outer front walls 164 or 166.
To facilitate use of dome 200 with reusable plate 102, a second set of wings 250,252 may be provided. Wings 250,252 also extend from edges 204 and 206 but spaced above respective ones of mounting wings 230,232 to define wall-receiving spaces 254,256 (Figs. 4 and 7). As is thus apparent, spaces 254,256 function as attachment structure channels of the dome to receive respective ones of outer walls 164 and 166 which function as wing-like attachment structure of the reusable component as dome 200 is slidingly received into reusable component 100. Second wings 250,252 extend generally outwardly so as to substantially overlie outer walls 164 and 166 to provide the aesthetic appearance of a single unit S when components 200 and 100 are mounted together as shown in Fig. 1.
Additionally, wings 250,252 may also provide a barrier to debris from entering channels 160,162 when dome 200 is mounted to plate 102.
As seen in Figs. 2 and 6, lateral edges 260,262 of second wings 250,252, respectively, may be indented as at 264 and 265, respectively, to provide finger and thumb gripping areas for the user (not shown) to grip dome 200 to mount and dismount same from reusable component 100. Finger-gripping portions 264, 265 may be textured (such as by grooving, serrating or knurling) to facilitate such manipulation by the user. With particular reference to Fig. 2, it may be seen that indented finger-gripping portion 265 of right side second wing 252 may actually be provided by resilient locking or flexing paddle 270 having an indented shape and a textured surface to simulate indented portion 264 of left side second wing 250. Supported at a terminal end 272 of paddle 270 is a locking tab 274 such that tab 274 is resiliently attached to dome 200 and spaced above and depending towards wing 232. Locking paddle 270 extends from a hinging area 276 nearer to the bottom end 278 of wing 252 such that by flexing action of locking paddle 270 locking tab 274 is movable towards central portion 202 near to the top end 280 of wing 252.
As dome 200 is slidably received into reusable component 100, locking tab 274 may bear against chamfer 196 (Fig. 3) of outer wall 166 to thereby flex paddle 270 leftwardly. As dome 200 moves further in its travel, tab 274 passes onto alleyway 194 and then, at the end of the travel of dome 200, snaps rightwardly back out into slot 192 (with a clicking sound) to lock dome 200 into position on plate 102 with diaphragms 224 and 124 in confronting, pressure transmitting relationship (Fig. 7C). To remove dome 200, the user (not shown) may grip dome 200 with the thumb (not shown) in indented portion 264 and the forefinger (not shown) against locking paddle 270 compressing same so that locking tab 274 comes away from tab-receiving slot 192, and then sliding upwardly towards the top edge 108 of plate 102 to withdraw dome 200 therefrom.
Dome 200 may be provided with a fast-flush device 290 coupled to inlet port 214 (such as the fast flush device shown in U.S.
Patent 5171230) and a stopcock 292 coupled to outlet pipe 216. Flush device 290 may then be connected by tubing 294 to a source of saline (not shown) and stopcock 292 may be connected by further tubing 296 to a catheter 298 (Fig. 2) to be placed within the patient's circulatory system (not shown) to thus monitor the pressure thereof.
With reference to Figs. 7A-7C (in which channel 160 and its associated walls are removed for sake of clarity), there is shown diagrammatically the mounting of dome 200 to reusable component 100 in accordance with the various aspects of the present invention. In Fig. 7A, dome 200 is just about to be mounted to plate 102 with wing 232 just beginning to enter channel 162 in a direction along the downwardly-directed arrow A. Thus, dome wing 232 is coming into channel 162 from the direction of top edge 108 of plate 102. Top end 186 of outer front wall 166 may be impacted by chamfered wall 235 at the proximal end of wing 232 to help force wing 232 into the space or channel 162 defined behind outer front wall 166. In Fig. 7A, second wing 252 is spaced above and away from top surface 190 of front wall 166.
As dome 200 is continued in its downward progression towards bottom wall 110, as in Fig. 7B, most of the length of wing 232 passes into channel 162 and wing 252 passes over front 190 of front wall 166. In this progression of travel, it may be seen that there may be a slight space or at least a loose or sliding contact (indicated by the letter S) between diaphragms 224 and 124 so as to avoid damaging or chafing the diaphragms, and especially diaphragm 124 which is intended to be reusable with several of domes 200. Near the end of the travel, chamfer 235 hits against ramp 182 of caroming ramp 180 to start to drive the proximal end of wing 232 towards face 112 and diaphragm 124. At about the same time, caroming ramp 242 impacts against top edge 186 to also drive the distal end of wing 232 towards face 112 and diaphragm 124 in which event the spacing S between diaphragms 224 and 124 begins to decrease (or the loose contact begins to tighten up). Also, tab 274 impinges wall chamfer 196 (Fig. 3) and flexes paddle 270 inwardly so as to allow tab 274 to travel into alleyway 194.
In the end of the travel of dome 200 into reusable component 100 in Fig. 7C, the proximal end of wing 232 is situated below and against trailing end 184 and the top end 186 of outer wall 166 is situated above and against trailing end 244 of wing caroming ramp 240 such that wing 232 has been driven towards plate face 112 and diaphragms 224 and 124 have been driven into abutting relationship to provide the desired pressure communicating relationship therebetween. Also, in this terminal end of the travel, second wing 252 is positioned so as to substantially completely overlie top surface 190 of front wall 166, and paddle 270 has gone back towards its original position with tab 274 locked into slot 192. The same arrangement of travel as shown in Figs. 7A-7C occurs simultaneously between wing 230 and channel 160.
In use, dome 200 is slidably mounted to reusable component 100 as above described and appropriate tubing 294,296 and catheter 298 are employed to couple fluid path 212 of transducer 10 to a patient and connector 144 utilized to couple signals representing the patient's blood pressure, for example, with a monitor in an otherwise conventional manner. After the use for that patient is completed, or should dome 200 need to be replaced for any reason, dome 200 may be simply removed by depressing locking paddle 270 and sliding dome 200 out of channels 160,162 of reusable component 100 and the dome 200 disposed of (with or without tubing). Either new tubing may be provided, or the old tubing used, with a new dome 200 as appropriate, depending upon the patient's situation, and new dome 200 slidably remounted to reusable component 100 as previously described. In many situations, it may be desirable to monitor more than one pressure. In this event, multiple transducers 10 may be utilized as will now be described with reference to Fig. 8.
Back plate 157 of each reusable component may be provided with a mounting structure 300 to mount component 100 to a support frame 302 which, in turn, is mounted to a pole-mount clamp 304 secured to a pole 306. The mounting frame 302 includes a plurality of receptacles 308 to receive the respective support structure 300 of a plurality of reusable components 100 which are then locked in place by actuation of the locking handle 310 on frame 302. Frame 302 also includes an identical mounting structure 300 receivable in an identical receptacle 308 and held thereto by actuation of handle 310 on the proximal end 312 of pole mount clamp 304.
Clamp 304 is held to pole 306 in conventional manner such as by interaction of yoke 314 and screw 316 about pole 306. Alternatively, or additionally, each plate 102 could be provided as modular interconnecting plates as shown in International Patent Application W095/01195.
Due to the rectangular nature of plate 102, it may be seen that when a plurality of reusable components are mounted as above-described (see Fig. 9), they give the appearance of being a solid set of units, more or less, and may thus be considered as being modular in that any one of the reusable components 100 may be placed in any one of the positions defined by receptacles 308 available on frame 302. Domes 200 may be mounted to their respective reusable components 100 either before or after the related component 100 is connected to frame 302.
Alternatively, one reusable component 100 may be mounted directly to the pole mount clamp 304 and frame 302 dispensed with.
By virtue of the foregoing, there is thus provided a medical pressure transducer with a disposable fluid dome, slidably removable to a S reusable sensor component with an enhanced pressure transmitting relationship between the diaphragms and with improvements to facilitate operator use of the transducer. While the use of two wings and two channels is shown in the preferred embodiment, at least one of each may be employed. Also, the outer front walls may be coplanar with front face 112 with appropriate adjustment in the elevation of either diaphragm 124 or mounting wings 230,232, by way of example. Further, while slot 192 is shown on support 102 and locking tab 274 on dome 200, they could be reversed. The invention in its broader aspects is therefore not limited to the specific details, representative apparatus and method and illustrative examples shown and described.
Claims (26)
1. ~A medical pressure transducer comprising a disposable dome having a fluid path adapted to be coupled to a patient, a disposable diaphragm coupled to the fluid path, and at least one mounting wing extending to one side of the disposable diaphragm; and a reusable component having a support, a pressure sensor permanently associated with the support, a reusable diaphragm in pressure communication with the sensor and at least one channel disposed to one side of the reusable diaphragm for slidably receiving the mounting wing such that the disposable diaphragm is slidably received into confronting relationship with the reusable diaphragm; characterised by camming structure associated with the at least one channel and the mounting wing by which to drive the disposable diaphragm into the reusable diaphragm as the mounting wing is slidingly received into the channel.
2. ~A medical pressure transducer comprising a reusable component for use with a disposable dome having a fluid path adapted to be coupled to a patient, a disposable diaphragm coupled to said fluid path, and at least one mounting wing extending to one side of said dome diaphragm, the reusable component comprising a support, a pressure sensor permanently associated with the support, a reusable diaphragm in pressure communication with the sensor and at least one channel disposed to one side of the reusable diaphragm for slidably receiving said mounting wing such that said disposable diaphragm is slidably received into confronting relationship with the reusable diaphragm, and characterised by camming structure associated with the at least one channel by which to drive said disposable diaphragm into the reusable diaphragm as said mounting wing is slidingly received into the channel.
3. A medical pressure transducer comprising a disposable dome for use with a reusable component having a support, a pressure sensor permanently associated with said support, a reusable diaphragm in pressure communication with said sensor and at least one channel disposed to one side of said reusable diaphragm, the disposable dome comprising a fluid path adapted to be coupled to a patient, a disposable diaphragm coupled to the fluid path, and at least one mounting wing extending to one side of the disposable diaphragm and slidably receivable in said at least one channel such that the disposable diaphragm is slidably received into confronting relationship with said reusable diaphragm, characterised by camming structure associated with the mounting wing by which to drive the disposable diaphragm into said reusable diaphragm as the mounting wing is slidingly received into said at least one channel.
4. The transducer as claimed in Claim 1 wherein the camming structure is associated with the at least one channel.
5. The transducer as claimed in Claim 4 further characterised by a second camming structure associated with the mounting wing.
6. The transducer as claimed in Claim 1 wherein the camming structure is associated with the mounting wing.
7. The transducer as claimed in any one of Claims 2, 4 and 5 wherein the camming structure is defined at a bottom end of the at least one channel.
8. The transducer as claimed in Claim 3 or Claim 6 wherein the camming structure is defined at a top end of the mounting wing.
9. The transducer as claimed in Claim 5 wherein the second camming structure is defined at top end of the mounting wing.
10. The transducer of any one of Claims 1-9 wherein the camming structure includes a step.
11. The transducer of any one of Claims 1, 2 and 4-10 wherein the camming structure includes a ramp.
12. The transducer as claimed in any one of Claims 1-3 and 4-10 further comprising a tab resiliently attached to the disposable dome whereby to lock the disposable dome to the reusable component as the mounting wing is slidably received into the at least one channel.
13. The transducer as claimed in any one of Claims 1-3 and 4-11 further characterised by a depression and a projection each associated with a respective one of the support and the disposable dome, the depression and the projection being relatively positioned such that the depression receives the projection as the mounting wing is slidably received into the at least one channel to lock the disposable diaphragm into confronting relationship with the reusable diaphragm.
14. The transducer as claimed in Claim 13 wherein the depression is a tab-receiving slot associated with the support and the projection is a locking tab associated with the disposable dome.
15. The transducer as claimed in Claim 14 wherein the at least one channel is defined behind an outer front wall.
16. The transducer as claimed in Claim 15 further characterised by the depression being defined in the outer front wall.
17. The transducer as claimed in any one of Claims 13-16 further characterised by a flexing paddle associated with the disposable dome, the projection or locking tab being supported by the flexing paddle.
18. The transducer a claimed in Claim 17 wherein the projection or locking tab is supported at a terminal end of the flexing paddle.
19. The transducer as claimed in any one of Claims 1-13 wherein the at least one channel is defined behind an outer front wall, further characterised by a second wing spaced above the mounting wing to define a wall-receiving space for the outer front wall.
20. The transducer as claimed in Claim19 further characterised by a finger gripping portion (264,265) defined in the second wing.
21. The transducer as claimed in either Claim 19 or Claim 20 wherein the second wing extends parallel to the mounting wing.
22. The transducer as claimed in either Claim 20 or Claim 21 wherein the finger gripping portion is defined along a lateral edge of the second wing.
23. The transducer as claimed in any one of Claims 1-22 wherein the reusable component includes two said channels and the disposable dome includes two said mounting wings.
24. The transducer as claimed in Claim 23 wherein the channels are disposed to opposite sides of the reusable diaphragm and the mounting wings are disposed to opposite sides of the disposable diaphragm.
25. The transducer as claimed in any one of Claims 1-24 further comprising a calibration test switch associated with the support and electrically connected to the pressure sensor.
26. The transducer as claimed in any one of Claims 1-25 wherein the support includes peripheral side edges that define a generally rectangular shape and a front face whereat the reusable diaphragm is exposed.
Priority Applications (18)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/085,352 US5417395A (en) | 1993-06-30 | 1993-06-30 | Modular interconnecting component support plate |
EP94923203A EP0706404B2 (en) | 1993-06-30 | 1994-06-15 | Modular medical pressure transducers |
PCT/US1994/006797 WO1995001195A1 (en) | 1993-06-30 | 1994-06-15 | Modular interconnecting component support plate |
AU73143/94A AU7314394A (en) | 1993-06-30 | 1994-06-15 | Modular interconnecting component support plate |
DE69421179T DE69421179T3 (en) | 1993-06-30 | 1994-06-15 | MODULAR MEDICAL PRESSURE TRANSDUCERS |
CA002163117A CA2163117C (en) | 1993-06-30 | 1994-06-15 | Modular interconnecting component support plate |
JP50353395A JP3585234B2 (en) | 1993-06-30 | 1994-06-15 | Support plate for interconnecting modular elements |
KR1019970709772A KR100348035B1 (en) | 1995-06-28 | 1995-06-28 | Medical pressure transducer with sliding components |
US08/496,080 US5752918A (en) | 1993-06-30 | 1995-06-28 | Modular medical pressure transducer |
PCT/US1995/008169 WO1997001364A1 (en) | 1993-06-30 | 1995-06-28 | Medical pressure transducer with sliding components |
BR9510612A BR9510612A (en) | 1995-06-28 | 1995-06-28 | Medical pressure transducers with sliding components |
CA002478952A CA2478952C (en) | 1995-06-28 | 1995-06-28 | Medical pressure transducer with sliding components |
EP95925359A EP0835145B1 (en) | 1993-06-30 | 1995-06-28 | Medical pressure transducer with sliding components |
AU29520/95A AU2952095A (en) | 1995-06-28 | 1995-06-28 | Medical pressure transducer with sliding components |
CA002224428A CA2224428C (en) | 1993-06-30 | 1995-06-28 | Medical pressure transducer with sliding components |
EP01201382A EP1136088B8 (en) | 1995-06-28 | 1995-06-28 | Medical pressure transducer with sliding components |
US08/759,303 US5868678A (en) | 1993-06-30 | 1996-12-02 | Two-part medical pressure transducer with diaphragm stand-offs |
US08/837,919 US5848971A (en) | 1993-06-30 | 1997-04-11 | Modular medical pressure transducer |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/085,352 US5417395A (en) | 1993-06-30 | 1993-06-30 | Modular interconnecting component support plate |
US40790395A | 1995-03-21 | 1995-03-21 | |
PCT/US1995/008169 WO1997001364A1 (en) | 1993-06-30 | 1995-06-28 | Medical pressure transducer with sliding components |
CA002224428A CA2224428C (en) | 1993-06-30 | 1995-06-28 | Medical pressure transducer with sliding components |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002478952A Division CA2478952C (en) | 1995-06-28 | 1995-06-28 | Medical pressure transducer with sliding components |
Publications (2)
Publication Number | Publication Date |
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CA2224428A1 CA2224428A1 (en) | 1997-01-16 |
CA2224428C true CA2224428C (en) | 2005-05-24 |
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ID=27170569
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002224428A Expired - Fee Related CA2224428C (en) | 1993-06-30 | 1995-06-28 | Medical pressure transducer with sliding components |
Country Status (4)
Country | Link |
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US (2) | US5752918A (en) |
EP (1) | EP0835145B1 (en) |
CA (1) | CA2224428C (en) |
WO (1) | WO1997001364A1 (en) |
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-
1995
- 1995-06-28 WO PCT/US1995/008169 patent/WO1997001364A1/en active IP Right Grant
- 1995-06-28 US US08/496,080 patent/US5752918A/en not_active Expired - Lifetime
- 1995-06-28 CA CA002224428A patent/CA2224428C/en not_active Expired - Fee Related
- 1995-06-28 EP EP95925359A patent/EP0835145B1/en not_active Expired - Lifetime
-
1997
- 1997-04-11 US US08/837,919 patent/US5848971A/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
US5752918A (en) | 1998-05-19 |
US5848971A (en) | 1998-12-15 |
WO1997001364A1 (en) | 1997-01-16 |
EP0835145B1 (en) | 2001-11-07 |
CA2224428A1 (en) | 1997-01-16 |
EP0835145A1 (en) | 1998-04-15 |
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