Abstract:
An automatic manifold for a catheter assembly. Valve means automatically open and close flow between a liquid supply port for connection to injection means and a liquid delivery port for communication with the catheter assembly. A pressure sensor is integrated into the manifold. The manifold also includes a quick-disconnect coupling mechanism for a liquid supply port.

Description:
FIELD OF THE INVENTION  
         [0001]    This invention relates generally to devices used with vascular catheters, and more particularly to manifolds for delivering liquids to the patient through the catheter.  
         BACKGROUND OF THE INVENTION  
         [0002]    Manifolds for delivering liquids, such as contrast media, saline and drugs, through a catheter are known in the art. The manifold has a number of ports through which different liquids are supplied and an outlet port through which liquid is delivered. A device, such as a power injector or syringe, connected to another port, draws liquid from a selected supply port and then forces the liquid into the catheter via the delivery port. The manifold thus acts as a traffic-keeping device of sorts which is manipulated by the operator to deliver different liquids to the patient as needed.  
           [0003]    One of the problems associated with the manifolds in use today is that the valves employed to direct liquids are fully manual. For example, the MORSEL® MANIFOLD most commonly used employs manual stopcock valves to control flow from the various liquid supply ports, to and from the injector, and to the liquid delivery port. Each time it is desired to deliver a particular liquid to a patient, one or more of these stopcocks first must be manually moved to draw liquid into the injector, and then again must be manually moved to inject the liquid into the catheter. This wastes time, which is particularly valuable when performing diagnostic, therapeutic or interventional vascular procedures, is a distraction during such procedures, and requires the use of an extra hand. There is also the possibility that the stopcocks could accidentally be moved to the wrong positions such that the wrong fluid is delivered, an air bubble is created, or some other risk to the patient occurs. These risks are of particular concern as nonphysicians become more involved with procedures.  
           [0004]    What has been needed is a manifold for a catheter assembly which automatically controls flow between the liquid supply ports and the liquid delivery port when injecting liquid into the patient.  
         SUMMARY OF THE INVENTION  
         [0005]    According to the present invention, an automatic manifold for a catheter assembly is provided. The automatic manifold could be employed in a variety of venous medical device assemblies, including cardiac, neurological and arterial applications.  
           [0006]    In one aspect of the invention, the automatic manifold comprises a housing having a liquid delivery port for communication with the catheter assembly, and a liquid supply port for connection to an injector. A chamber defined in the housing is in fluid communication with the liquid delivery and supply ports. A one-way valve controls flow between the supply and delivery ports and through the chamber. The valve is biased toward a closed position and is constructed and arranged to move to an open position when liquid is forced into the supply port under pressure.  
           [0007]    In another aspect of the invention, the automatic manifold comprises a liquid delivery port for communication with a catheter assembly, and a liquid supply port for connection to an injector. A valve mechanism automatically opens flow between the supply and delivery ports when liquid is forced into the supply port under pressure, and automatically closes flow between the supply and delivery ports when liquid no longer is forced into the supply port.  
           [0008]    These and other advantages and features of novelty which characterize the invention are pointed out with particularity in the claims annexed hereto. However, for a better understanding of the invention and its advantages, reference should be made to the drawing which forms a further part hereof, and to the accompanying descriptive matter in which there is illustrated and described a preferred embodiment of the invention. 
       
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS  
       [0009]    [0009]FIG. 1 is a cross-sectional view of an automatic manifold according to the present invention. 
     
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT  
       [0010]    Referring now to the drawings, an embodiment of the automatic manifold of the present invention is shown in FIG. 1.  
         [0011]    Manifold  10  comprises housing  11  including liquid supply  20  and delivery  12  ports connected by first  14  and second  16  chambers. Check valve  18  between chambers  14 ,  16  controls flow between supply  20  and delivery  12  ports. Valve  18  is a one-way valve known (see U.S. Pat. No. 4,535,820) and available (from Burron Medical Inc. of Bethlehem, Pa.) for medical applications. Valve  18  is made of elastomeric material supported by conical member  17  against seating surface  19  to a closed position (shown). When liquid is forced under pressure into supply port  20  by syringe  22 , valve  18  automatically opens (by lifting from surface  19 ) to allow the liquid to pass into chamber  14 , out delivery port  12  and into the catheter (not shown). After liquid is no longer being forced through valve  18  by syringe  22 , valve  18  automatically closes (against surface  19 ) so as to isolate supply port  20  (and second chamber) from first chamber  14 .  
         [0012]    First liquid supply port  30  communicates with second chamber  16  via passage  35 , flow being controlled by another one-way valve  32  including a conical member  34  and seating surface  33 . When syringe  22  draws liquid from second chamber  16 , valve  18  automatically stays closed and valve  32  automatically opens so that liquid is drawn into first supply port  30 , through second chamber, and into syringe  22 . When syringe  22  is depressed, valve  32  automatically stays closed and valve  18  automatically opens as discussed above.  
         [0013]    Employing one or more automatic one-way valves in this way permits supplying liquids to the patient without having to manually manipulate various valves. The necessary opening and closing between ports, chambers and/or passages is automatically done simply by operating an injector to draw in and then force out liquid.  
         [0014]    It will be understood that the makeup of, and arrangement of, the various components could be varied to achieve similar results. For example, first supply port  30  (or additional supply ports) need not necessarily have a one-way valve, but could use a manual or another valve control means. A power injector, or other pressure-generating device, could be employed instead of a syringe. Various automatic one-way valve designs could be employed.  
         [0015]    In the preferred embodiment, there are four liquid supply ports  20 ,  30 ,  40 ,  50  (not including the syringe port  20 ), only one ( 30 ) of which has a one-way valve  32 . The latter three ( 30 ,  40 ,  50 ) act as inlets for different liquids, specifically contrast media, saline, and drugs, respectively, in the preferred embodiment. It will be understood that these ports could be rearranged, some taken away, or others added, within the principles of the invention. Further one-way valves associated with particular ports, in various arrangements, could also be employed.  
         [0016]    Second supply port  40  communicates with first chamber  14  via passage  42 . This port is intended for saline flushing liquid, such as a slow continuous flush, a fast periodic flush, or both.  
         [0017]    Third supply port  50  is intended for drug delivery and includes a novel coupling mechanism  52 . When a standard threaded male Luer (such as  12 , threads not shown) is threaded onto female Luer  51 , the central protrusion of the male Luer (see  12  again) abutts against head  55  and compresses spring  57  on stem  54  of plunger  53 , thereby moving O-ring  56  away from seat  59 . Liquid then flows into and around head  55  and around the rest of plunger  53 , through chamber  70  and passage  58 , and into first chamber  14 . When the male Luer is unthreaded, spring  57  automatically returns coupling mechanism  52  to a closed position (shown). In this way, a reliable and simple seal is created where, as when introducing drugs, it is desired to have the capability to quickly connect different liquid sources to, and disconnect them from, the manifold. It will be understood that the components of coupling  52 , and their arrangement, could be varied within the principles of the invention.  
         [0018]    When liquid is injected into either second  40  or third  50  supply ports, valve  18  automatically stays closed.  
         [0019]    Manifolds known today are connected to a pressure sensor/monitor via another port and a line communicating liquid from the manifold to the sensor/monitor. This is undesirable because readings can sometimes be inaccurate (due to the liquid in the line limiting frequency response, or due to a bubble in the line) and the additional line can be cumbersome. The novel design herein accordingly incorporates a pressure sensor  60  directly into the manifold. Sensor  60  employs a pressure transducer (such as the Motorola MPX2300D) which senses pressure directly from chamber  14  and transmits an electronic signal to a monitor (not shown) via electrical leads  61 .  
         [0020]    It will be understood that the last three components discussed ( 40 ,  50 ,  60 ) could be arranged in different locations. For example,  40  or  50  could be located on an upstream side of valve  18  in communication with second chamber  16 . Various other arrangements could also be imagined.  
         [0021]    It should be understood that the present invention is not limited to the preferred embodiment discussed above, which is illustrative only. Changes may be made in detail, especially in matters of the type, arrangement, shape and size of components within the principles of the invention, to the full extent indicated by the broad general meanings of the terms in which the appended claims are expressed.