Source: https://patents.google.com/patent/ES2235902T3/en
Timestamp: 2019-12-12 18:51:43
Document Index: 374655450

Matched Legal Cases: ['art 14', 'art 14', 'art 332', 'art 332', 'art 334', 'art 336', 'art 334', 'art 332', 'art 336', 'art 332', 'art 332', 'art 332', 'art 332', 'art 366', 'art 366', 'art 16']

ES2235902T3 - Suction pressure regulator with member of displacable obturation, appliance and system to drain a body cavity. - Google Patents
Suction pressure regulator with member of displacable obturation, appliance and system to drain a body cavity.
ES2235902T3
ES2235902T3 ES00942878T ES00942878T ES2235902T3 ES 2235902 T3 ES2235902 T3 ES 2235902T3 ES 00942878 T ES00942878 T ES 00942878T ES 00942878 T ES00942878 T ES 00942878T ES 2235902 T3 ES2235902 T3 ES 2235902T3
ES00942878T
1999-06-18 Priority to US336471 priority
2000-06-16 Application filed by Teleflex CT Devices Inc filed Critical Teleflex CT Devices Inc
2005-07-16 Publication of ES2235902T3 publication Critical patent/ES2235902T3/en
A suction pressure regulator system for use in combination with a drainage device (10), the combination of which comprises: a collecting chamber (50) for collecting fluids from a body cavity, whose collecting chamber includes an inlet (26) for communication for fluid passage with the body cavity; a pressure regulation chamber (46) having a suction pressure regulator (300) that regulates without measure the degree of vacuum imposed on the collecting chamber, whose suction pressure regulator (300) includes a housing (320, 350 ) which has at least one inlet port (322) and at least one outlet port (324), in which each of the at least one of the inlet holes is in communication for fluid passage with a gas source , and each of the at least one of the outlet orifices is in communication for fluid passage with a suction source; a sealing member (340) disposed in a movable manner within the housing; a flexible member (330) extending between the sealing member and the housing, wherein the flexible member forms a pressure limit therebetween such that it divides an interior of the housing into first and second compartments (312, 314); and a spring loading mechanism (66, 370) that responds to the pressure within the second compartment of the housing and acts on the sealing member such that the sealing member is in one of some open positions, when the pressure within the second compartment of the housing is greater than a predetermined value of suction pressure, or in a closed position, when the pressure in it is equal to or less than the predetermined value of suction pressure.
Suction pressure regulator with member of movable shutter, apparatus and system to drain a cavity bodily.
The present invention relates to devices and drainage systems, and more particularly to systems and devices suction drain to extract gases and liquids from patients doctors, such as the pleural cavity, by means of a Pressure diferencial.
For many years, the standard device for performing evacuation of the pleural cavity has been a system of drainage known as the "3-bottle equipment" that includes a collecting bottle, a hydraulic closure bottle and a bottle of suction control. A catheter is lying from the pleural cavity from the patient to the collecting bottle, and the suction bottle It is connected by a tube to a suction source. The three bottles are connected in series by several tubes to apply suction to the pleural cavity in order to extract fluid and air and after that discharge these to the collecting bottle. The gases entering the collecting bottle bubble through water in the hydraulic closure bottle. The water contained in the bottle Hydraulic closing also usually prevents return flow of air to the thoracic cavity.
Suction pressure (vacuum) and differentials pressure must be accurately maintained with the "team of 3 bottles "due to dangerous conditions that could result if undue pressure differentials occur high or low Complications such as a pneumothorax due to the loss of the hydraulic seal in the bottle of hydraulic seal if the suction is temporarily disconnected, and the undue accumulations of positive pressure could cause a tension pneumothorax and possibly a mediastinal change. Without However, carrying out this precise control results in an increase of maintenance and monitoring. For example, the evaporation in the chamber or suction control bottle results in variations of suction pressure that must be corrected by adding more water by a nurse, a doctor or other authorized medical staff.
The 3-bottle team lost importance with the Introduction of a drainage system with underwater closure sold with the name of "PLEUR-EVAC" in 1966 by Deknatel Inc. Patents with numbers 3,363,626; 3,363,627; 3,559,647; 3,683,913; 3,781,497; 4,258,824; and the document of Reissue 29,877 address various aspects of the system PLEUR-EVAC® that over the years has contributed improvements that eliminated the various drawbacks of the equipment of the 3 bottles. These refinements have included the elimination of variations in the team of 3 bottles that existed between different manufacturers, hospitals and hospital laboratories. In the publication of the Deknatel Inc. PLEUR-EVAC® entitled "Physiology of chest and chest catheters; Chest drainage systems No. 1 of a series of Deknatel "a more detailed description is presented for the use of thoracic drainage systems and their need. Among the features of the PLEUR-EVAC® system that provide their perfected performance is a single, preformed and autonomous unit that performs the techniques of 3 bottles Sometimes these PLEUR-EVAC® systems refers to wet thoracic drainage systems or wet-wet, because they use a fluid such as water for both suction control (i.e. a pressure gauge of water) to set the patient's shutter.
Despite the advantages of the drainage system PLEUR-EVAC® on the equipment of the 3 bottles and of the general acceptance of this device in the medical community, the comfort and possibilities of the performance of thoracic drainage systems. One of sayings improvements involved replacing the manometer filled with water used for suction control, by a dry regulator or without water for suction control, such as those described in the patents from the USA Numbers 5,026,358; 5,300,050; 4,784,642 and 5,807,358. In these systems, the dry suction control regulator includes a mechanism, such as a spring loaded valve, to control the suction pressure, and between the suction source and the chamber collector interposes a chamber full of water, forming that Patient shutter mode.
However, in these devices or systems drainage, the suction pressure that really applies could cause a rapid modulation of the spring loaded valve as consequence of the differences or changes in pressure that are produced during normal operation. For example, such pressure differences may result from cyclic variations of pressure that occurred at the source of suction (for example, a suction pump). Said rapid modulation of the valve can be the cause of a humming sound from the device or system or other noise that would make the device or system inappropriate from the practical point of view for the intended use (for example, in a hospital). In order to reduce or mitigate this modulation, and of that mode also reduce or attenuate superfluous sound, devices or drainage systems are configured with means or a mechanism to dampen the rapid modulation of the valve.
In an exemplary case, such as described in the US patents Numbers 5,026,358 and 4,784,642, the attenuation of the rapid modulation of the valve in the control regulator of Suction is done by means of a shock absorber. Shock absorber includes a shutter that is interconnected to the valve member of plate and that runs inside a well. In the realization described, the shutter is graphite and the well is formed of a glass ring, which together provide some non-binding surfaces in order to avoid adhesion of the component parts.
For the shock to work the way provided, it is necessary that the shutter and the well be manufactured with a high tolerance of perpendicularity. From the point of view practical, this means that the shutter and the member that includes the well must be manufactured with rather precise tolerances, of the order of millionths of a centimeter. In addition, it is not uncommon that the shutter and the member that includes the well be classified additionally and separate in order to establish pairs of parts that can be used to constitute an acceptable buffer, minimizing waste in a way. Therefore, the shock absorber and its components require a lot of hand of work and are expensive manufacturing.
Other type of drainage device, such as the described in US Pat. Numbers 4,738,671; 4,715,856; 4,544,370; and 4,747,844, includes a modulation valve for control the suction flow, and correspondingly the pressure of suction to develop, and a unidirectional valve that forms the shutter between the suction source and the collecting chamber (for example, patient shutter). These units are complex and They involve a lot of pieces.
Therefore, it would be convenient to provide a dry suction pressure regulator that includes a suction pressure control that controls or regulates the pressure of suction that is being applied to the dry suction regulator. In In particular, it would be convenient to provide a regulatory device for suction pressure that attenuates or controls changes in pressure suction that could lead to rapid modulation, allowing at the same time that the suction pressure regulator responds to induced physiological changes of suction pressure as well as to Long-term changes in the pressure of the suction source. Such suction pressure regulating device, and the devices and drainage systems using said regulating device of pressure, preferably they would be of simple construction and more economical than prior art devices, and related methods would not require users of much experience to use the device.
The present invention is characterized by a new device, a suction pressure regulator to control the suction pressure that develops within the devices used to drain gases and / or liquids from the body cavity, according to has been defined in the set of claims that are included as an appendix The drainage of liquids, blood, and / or gases from the body cavity is made by establishing a difference of pressure between the device and the body cavity that is going to drain, and maintain or control this pressure difference in a desired value by means of the suction pressure regulator. Too It is characterized by a pressure control regulator for use in Combination with a medical device. Additionally provided methods related to said pressure control device differential and / or with devices, devices or systems that use said differential pressure control device. The various aspects or characteristics of the suction pressure regulator of the present invention as well as the drainage devices that use said suction pressure regulator, provide a series of benefits compared to the devices of the technique previous.
In a first aspect, the pressure regulator of suction according to the present invention included a housing that had at least one entry hole and at least one hole of exit, a flexible member, a shutter member arranged with the housing and a loading mechanism with spring. Each of the at least one of the input holes is in communication to passage of fluid with a source of pressurized gas such as air atmospheric, and each of the at least one exit hole is in communication for fluid flow with a source of suction.
The flexible member extends between a outer surface of the sealing member and a surface inside the housing, so that it forms a pressure limit between the shutter member and the housing, and thereby divide the interior of the accommodation in a first and a second compartment
The loading member with spring acts on the shutter member to selectively bind a part of the sealing member to rest against the inner surface of the proximal housing and near the at least one of the holes of input to form a shutter between the at least one of the inlet holes and the at least one of the holes in output, when the pressure in the second compartment of the housing is equal to or less than a pressure value predetermined. Also, when the pressure in the second compartment is greater than a predetermined pressure value, the loading member with spring is configured such that allows the shutter member to move away from the interior surface of the housing in order to place each of the at least one of the communication entry holes of fluid passage with each of the at least one of the holes output, whereby the source of pressurized gas is put into communication for fluid flow with the suction source.
Additionally, a part of the accommodation that is in communication for fluid flow with the second compartment and with the suction source includes a mechanism flow regulator that restricts or controls fluid circulation that enters and leaves the second compartment, in order to control in an effective way the pressure changes that occur within of the second compartment. Thus, only the circulation of fluid entering or leaving the second compartment and produce for more than a certain period of time can cause a change in pressure within the second compartment, while a fluid circulation entering or leaving the second compartment and occur for less than the period given time does not effectively change the pressure within the second compartment.
In particular embodiments, the mechanism flow regulator includes a porous shutter, a hole, a winding flow path or other means to restrict the flow that they are known to those skilled in the art, one of which is so that it is in communication for fluid flow with the second compartment, and the other end of which position so that it communicates with the source of suction pressure. In a more specific embodiment, the housing includes a hole intern located so that it is in communication for passage of fluid with the second compartment, and the regulating mechanism of flow comprises a porous shutter that is disposed within the through hole The porosity of the shutter is established or adjust in such a way that it controls the flow of fluid that enters to -o leave the second compartment.
In a second aspect, the loading mechanism with suction pressure regulator spring comprises means for keep the shutter member closed under tension when the pressure developed in the second compartment of the housing is at a value equal to or less than the pressure value default, and otherwise open the member of sealing in such a way that they fit the source for fluid flow of pressurized gas (for example, ambient air or atmosphere) With the source of suction. Preferably, the means of creating tension comprise a medium subjected to tension and coupled in a end to the shutter member and at its other end to a member support, to keep the shutter member in a relationship shutter closed with the at least one of the holes in input according to the predetermined pressure value.
Means have also been provided to adjust the spring tension in discrete stages of preset preset in order to provide one of one of the values of default pressure. Preferably, the adjustment means comprise a worm gear and worm wheel arranged in at least a part of the support member, the pinion supported to rotation and engaging in cooperative relationship with worm gear and worm wheel; a dial coupled to the differential pinion and having a plurality of predetermined preset grooves along its periphery; a surety member elastically disposed against the periphery and configured and sized to seat within one of the grooves and such that, after the rotation of the dial, the member of guarantor runs along the periphery to settle within one of the following grooves.
The spring loading mechanism, according to a second aspect of the present invention further comprises means to variably calibrate the spring tension while the surety member is seated within one of the grooves of preset dial preset, so that it can be varied selectively spring tension without exerting any rotation of the dial. In a preferred embodiment, the calibration means of tension comprise a rotating collar, the other being fixed end of the support member to the collar for rotation with the same in such a way that, after the rotation of the collar together with the support member, the tension of the spring while the dial is stationary. At least part of the dial is arranged so that a user can spin it externally. The dial has some graduations on it to indicate the suction pressure imposed on the collecting chamber while the surety member is seated in one of the grooves
Alternatively, the loading mechanism with spring comprises a spring that is arranged so that it lies between a lower surface of the sealing member and a lower inner surface of the housing. In this way, the spring forces the sealing member against the inner surface of the housing when the pressure in the second compartment of the accommodation has a value equal to or less than the desired value of Pressure. When the pressure inside the second compartment of the accommodation has a value greater than the desired value, the strength of the spring expires, causing the spring to compress and allowing that way the shutter member moves away from the interior surface of the housing. Preferably, the spring is precompress to a value corresponding to the pressure value predetermined.
In a third aspect, a regulator is provided pressure control that includes a housing, a member of obturation disposed displaceably inside the housing, a flexible member and a spring loading mechanism. Accommodation includes at least one inlet hole and at least one inlet hole exit, where each of the at least one of the holes in input is in communication for fluid flow with a first pressure source and each of the at least one of the holes output is in communication for fluid passage with a second pressure source, the first pressure source being at a pressure different from that of the second pressure source.
The flexible member extends between a outer surface of the sealing member and a surface inside the housing so that it forms a pressure limit between them and that divides the interior of the accommodation into First and second compartments. The spring loading mechanism responds to the pressure within the second compartment of the housing and acts on the sealing member so that the member is in one of an open positions when the pressure within the second compartment of the accommodation is greater than one preset pressure value, or in a closed position, when the pressure within it is equal to or less than the value of default pressure. In other words, the loading mechanism with spring responds to the pressure difference between first and second housing compartments.
In particular embodiments, the mechanism of spring loaded is arranged so that, in the position closed, a sealing part of the sealing member is seen forced to lean against the inside surface of the housing in order to form a shutter between each of the at least one of the entrance holes and each of the at least one of the exit holes. In addition, the spring loading mechanism is arranged so that in the open position the sealing member be displaced separating from the inner surface of the chamber so each of the at least one of the inlet holes it communicates for fluid flow with each of the al minus one of the exit holes.
Also, a part of the accommodation that is in communication for fluid flow with the second pressure source, includes a mechanism to restrict fluid circulation that Enter the -o exit the second compartment of the accommodation. This circulation restrictive mechanism restricts the circulation of fluid such that the pressure inside the second compartment of housing varies when fluid circulation in any of the two senses take place for a time greater than one predetermined period of time, and remain unchanged in a way effective or essential when the circulation of fluid in any of both senses take place for a time less than a period Default time. Thus, the shutter member does not responds to fluid circulation variations that occur for no more than a predetermined period of time.
Reference should also be made to the description above for the suction pressure regulator in relation to other aspects, provisions or configurations of previously identified characteristics of the control regulator pressure corresponding to them.
In a fourth aspect, a drainage device according to the present invention for drain gases or liquids from a body cavity that includes at least two chambers, a suction pressure regulation chamber and a collecting chamber that are interconnected for fluid flow. The collecting chamber includes a hole that is in communication for passage of fluid with the area or region to be drained.
The pressure regulation chamber is coupled for passage of fluid to a source of pressurized gas, such as the atmosphere, and coupled for passage of fluid to a source of suction. The pressure regulating chamber also includes a device suction pressure regulator as described previously that selectively adjusts the negative pressure or grade vacuum developed inside the collecting chamber and maintains the negative pressure or degree of vacuum that is being applied in or around a selected valve.
More specifically, the at least one of the inlet holes of the suction pressure regulator is coupled for fluid passage to the source of pressurized gas, and the al minus one of the exit holes, along with the part of communication housing for fluid flow with the second compartment, is coupled for fluid passage to the source of suction. The spring loading mechanism forces a part of the sealing member to be pressed against the inner surface of the proximal housing and near the at least one of the holes of input to form a shutter between the at least one of the entry holes and the at least one of the exit holes, when the pressure in the second compartment of the housing has a value equal to or less than a predetermined pressure value of suction. Also, when the pressure prevailing in the second accommodation compartment has a value greater than the value default suction pressure (i.e., more negative), the spring loading mechanism is configured to allow that the sealing member moves away from the surface inside the housing in order to place each of the minus one of the communication entry holes for passage of fluid with each of the at least one of the outlet holes. Therefore, the source of pressurized gas communicates with the source of suction in order to maintain the expected value of the negative pressure that is developing inside the chamber collector
In a fifth aspect, the drainage device according to the present invention includes a patient shutter, which is interposed between the pressure regulating chamber and the collecting chamber, and a ventilation or path arrangement of flow that stands between the collecting chamber and the shutter of patient. The flow path has been designed to prevent the fluids that accumulate in the collecting chamber communicate waters above with other parts of the drainage device in the event that the device falls on its front side or its back side.
In particular embodiments, the provision of ventilation includes an intermediate chamber located in one place next to the back side of the drainage device and at least two flow passage ducts. A flow passage duct couples for fluid passage the intermediate chamber and the collecting chamber, and other flow passage duct coupling for fluid passage the chamber intermediate to the flow path that goes to the patient shutter. In a preferred embodiment, two spaced passageways of flow fit the intermediate chambers and the fluid passage collecting chamber These flow passage ducts are arranged also in such a way that each one is in a party relationship front to back or that are essentially perpendicular to The front surface of the device.
In a sixth aspect, the patient shutter of the drainage device of the present invention is configured such so that it is a dry or wet patient shutter. When is configured as a wet patient shutter, the device drainage includes a third chamber, one of whose ends is coupled for fluid passage to the pressure regulating chamber, and another one of whose ends is coupled for passage of fluid to the chamber collector The third camera is configured to include a sufficient amount of fluid and that provides a level adequate fluid for a fluid plug to form and to hold at least when the suction pressure that is being developing in the collection chamber has an equal or lesser value Than the expected value.
When configured as a dry shutter of patiently, the drainage device also includes a valve unidirectional such as a high precision check valve of the fin type. This type of valve is preferably set to open at relatively differential pressures low, and run independently of any fluid collected in The collecting chamber. In a particular embodiment, the valve retention opens at a pressure differential of approximately 0.5 cm. of H2O.
Other aspects are described below and embodiments of the invention.
For a better understanding of nature and intended objects of the present invention, reference is made to the following detailed description, taken in conjunction with the figures of the attached drawings, in which the similar characters of reference designate corresponding parts throughout the various views, and in which:
Figure 1 is an axonometric schematic view. of a drainage device according to the present invention;
Figure 2 is a front view in section cross section of the drainage device of Figure 1, which shows a suction pressure regulator with sealing member movable according to the present invention with the front panel removed for clarity;
Figure 3 A is a partial front view in cross section of the drainage device of Figure 2 in the that major parts of it have been removed for greater clarity;
Figure 3B is a partial sectional view. cross section of the drainage device of Figure 2 with the suction pressure regulator with sealing member movable shown in cross section;
Figure 4 A is a cross-sectional view. of the suction pressure regulator with sealing member scrollable when in the open position;
Figure 5 is an exploded view of the suction pressure regulator with sealing member scrollable from Figures 2 to 4;
Figure 6 is a partial front view in cross section of a drainage device with the parts main of the same withdrawals that shows in cross section a suction pressure regulator with sealing member movable in accordance with an alternative embodiment of the present invention;
Figure 7 is a front view in section cross section of another drainage device according to the present invention with the front panel thereof removed for greater clarity;
Figure 8 is an elevation view taken as along line 8-8 of Figure 2 with the panel frontal in the body part;
Figure 9 is an elevation view of the part back of the device with the intermediate chamber cover withdrawal for clarity; Y
Figure 10 is a cross-sectional view of the intermediate chamber, taken along the line 10-10 of Figure 9, with the camera cover placed, but in which the angular members have been excluded for more clarity
Referring now to the various figures in the that the analogous reference characters refer to parts analogously, in Figures 1 and 2 a device 10 of drainage that can be used to drain gases and liquids from the cavity body of a medical patient (not shown). In a provision, the drainage device is suspended from a support, such as the side rail 2 of a hospital bed, by means of two hooks 200 rotatably fixed to the sides 18 of the housing 12 of the device. The housing 12 of the drainage device is also formed in such a way that the device 10 can be self-supporting or autonomous; however, it is within the scope of present invention that the device housing be configured with a floor base (for example, see Figure 7) to improve additionally the moment of overturning of the device.
In use, the drain pipe 6 from the patient is connected to patient hole 26 of housing 12 of device and thoracic catheter of the patient. Also the pipe 4 suction is interconnected to the source of negative pressure, to the suction source, and to suction hole 24. The holes 24, 26 suction and patient are located in the housing 12 of the device such that the suction hole is in communication for fluid passage with the regulation chamber 46 suction pressure of the device 10, and that the hole 26 of patient is in communication for fluid flow with the camera collector 50.
The housing 12 of the device is a unit housing consisting of two parts, one part 14 to later or body and a front panel 14b. The body part 14 a preferably molded using an opaque plastic material Slightly colored and built with a number of walls, pillars and other analogous structures that generally extend up to the front panel 14b in order to define a plurality of chambers, nerves, compartments and support elements. The panel front 14b is formed of a transparent sheet of material plastic that has a substantially uniform thickness.
As illustrated more clearly in the Figure 1, on the front panel 14b typically a graphic cover and includes a plurality of windows, indicators status, and calibration or measurement indices, as well as other information provided by the user. Alternatively, you can apply a label or cover using any of a series of techniques known to those skilled in the art. Between the called windows defined by the cover, are a suction status window 38, a leak meter window 40 of air and a negative pressure indicator window 42 that are aligned on the corresponding chamber or compartment of the device 10. A plurality of windows have also been provided 44 a-c, where a window is aligned with each compartment 116 a-c of the collecting chamber 50.
In addition to defining windows, the cover includes also opaque regions that cover large areas of the front panel. Preferably, the selected areas of the opaque regions include the indices provided for calibration activities or measure. For example, representative pressure indices desired suction to be applied are provided in one place next to control 36 of suction control.
The walls, nerves, and internal divisions to device housing 12, as indicated above, they are arranged so that they define three internal cameras: one suction pressure regulating chamber 46, a chamber 48 of air leakage meter, and a 50 collection chamber. As shown in Figure 2 and also in Figures 3 A and 3B, the chamber of suction pressure regulation includes a number of walls and divisions that define a first compartment 56 and a second compartment 58. The upper end of the first compartment 56 It has a hole 22 that communicates with the atmosphere, and the second compartment 58 is coupled for fluid passage to hole 24 of suction.
Referring now also to Figures 4 A, 4B and 5, they show cross-sectional views and a exploded view respectively of a regulator 300 of suction pressure with moveable sealing member according with a first aspect of the present invention. The regulator 300 of suction pressure with movable seal member is configured or arranged to control or modulate the pressure of suction that is being applied inside the pressure regulator of suction with movable sealing member and the pressure of suction or degree of vacuum that is developing within the drain device 10. Figure 4A illustrates a regulator 300 of suction pressure with movable sealing member in the closed position, and Figure 4B illustrates a pressure regulator of suction with sliding member in position open
The suction pressure regulator 300 with movable sealing member includes an upper cap 320, a flexible member 330, a rod 340, a bottom cap 350 and a 360 shutter. When assembled, the upper plug 320, the flexible member 330, stem 340 and lower cap 350 can cooperate in order to subdivide the internal volume of the regulator suction pressure with movable sealing member in a first inner chamber 312 or upper chamber and in a second inner chamber 14 or lower chamber.
In an exemplary embodiment, the upper cap 320 and the lower cap 350 are generally shaped members cylindrical; however, it is within the scope of the present invention that the upper and lower caps have any shape geometric
Pressure regulator 300 with member of movable shutter is arranged in the second compartment 58 of the drain device 10 and is interconnected for passage of fluid with the first compartment 56. The pressure regulator 300 Suction with movable shutter member is fixed also within the second compartment 58 such that the stem or valve 340 located within the pressure regulator 300 of suction with scrollable shutter member is loaded in a closed position by means of a coil spring 66 fixed to a 344 end (eg, hooked end) of the rod. The dock helical 66 is also attached to one end of a rod 68 whose other end is located inside an annular collar 70 or rotary joint coupling that is attached to the top 16 of the accommodation. Ring ring 70 also includes a shoulder internal keyway that is housed inside a groove at length of the upper end of the rod 68. Thus, the rod 68 can be rotated together with collar 70 and simultaneously advance up or down in order to vary the tension in the coil spring 66 that provides the intensity of the force to seat or tightly couple the ends 342 of stem rod seat 340 against interior seat surface 328 of the upper cap 320.
This tension also corresponds to the quantity of suction to be imposed on the collecting chamber 50 of the drainage device 10 and analogously in the pleural cavity of the patient. As described in more detail in US Pat. Numbers 4,784,462 and 5,707,734, selective tension regulation of the coil spring provides a mechanism by which you can configure the drain device 10 in such a way that the user can select a plurality of preset values of suction pressure More particularly, by turning the knob 36 dry suction control up to one of the indexes representative of a desired suction pressure, it results in that helical spring tension 66 and seat forces developed by it fit in such a way that in the camera manifold are imposed suction pressure or vacuum degree desired
When the suction pressure or vacuum degree that exist within the drainage device exceed the value selected or desired suction pressure, forces expire of seat developed by the helical spring 66 and the rod 340 moves in such a way that the pressure regulator 300 of Suction with movable seal member is placed in the position or configuration open. For specific details additional regarding the construction and operation of spring loading means described above herein memory, reference should be made to US patents. Numbers 4,715,855; 4,889,531; 4,784,462; 5,707,734; 5,026,358; 5,300,050; Y 5,507,734.
The upper plug 320 is configured so having an entrance hole 322, a plurality of holes 324 output, an end connector 326, and an inner surface 328 seat The entrance hole 322 is arranged in a end of the upper cap 320 and communicates with a part of the chamber upper interior 312 and the first compartment 56. Although it has been illustrated a single hole, is within the scope of the present invention that the upper cap 320 is configured or arranged to provide a plurality, more specifically a multiplicity, of input holes, whose number and size is set or fixed so that they provide a predetermined and planned area of flow. As the entrance hole (or holes) 322 is (or is) in fluid flow communication with the first compartment 56, the Inlet hole (or holes) is (or are) attached (or coupled) for fluid passage through hole 22 with the atmosphere.
The plurality of exit holes 324 is arranged around the circumference of the side of the cap upper 320 near the end of the upper cap, and therefore each exit hole communicates with another part of the chamber upper interior 312. Each of the plurality of holes 324 of outlet is also coupled for fluid passage with the second compartment 58, and therefore to the source of suction. The number and output hole size 324 is adjusted or set of so that they provide another predetermined flow area and planned.
The lower cap 350 includes a connector 352 of end and an entrance hole 354 in which it is arranged with a seal the shutter 360. The end connector 352 is generally configured so that it has a shape or layout that complement the end plug 326 of the upper plug. In an illustrative embodiment, the plug end connector 352 lower includes a notched end in which the connector 326 end of the upper cap. However, it is inside of the scope of the present invention, that connectors 326, 352 of end for upper and lower plugs are configured with Any end connection detail known to experts in the technique whereby the upper and lower caps 320, 350 can be held together in combination with part 332 of distal end of the flexible member in order to form a integral structure and a pressure limit.
Flexible member 330 includes a part 332 of distal end, a skirt part 334 and a flexible part 336 which interconnects the end part and the skirt part. The flexible member skirt part 334 is configured so that in general is complementary to the form of a part of the outer surface of the stem 340. Additionally, the diameter inside or the cross section of the skirt portion 334 of the flexible member are generally established so that the part of skirt remains in mechanical coupling and sealing with the outer surface of the stem during normal movement of the stem, as described later herein, in response to variations in suction pressure in the chamber lower interior 314. In a more specific example, a snap fit between this part of the outer surface of the stem 340 and the skirt portion 334. It is also within scope of the present invention that the skirt portion 334 is mechanically fixed to the outer surface of the stem 340 using any of the techniques known to those skilled in the art such as adhesive fixation, vibration welding or RF welding.
The distal end part 332 of the member flexible is configured and has enough flexibility to that adapts to the shape and configuration of connectors 326, 352 end cap and bottom cap once assembled Preferably, the distal end portion 332 is also configured so that the distal end portion, in combination with flexible part 336, allow stem 340 to move freely with respect to the upper and lower caps 320, 350 and without imposing a force that acts on the mobile rod.
In an illustrative embodiment, part 332 of distal end is in the form of a cylindrical member that is folded around the upper plug end connector 326 with in order to hermetically and mechanically trap part 332 of distal end of flexible member 330 between them. This also within the scope of the present invention that that part of the distal end part 332 that is bent back over the outer surface of the upper cap 320 is relocated so that bend over the outer surface of the lower cap 350, so that the distal end portion 332 has an "S" shape.
Preferably, the diameter of the part of distal end of cylindrical shape fits or sets in such so that it is smaller than the outer diameter of any of the two upper 320 or lower 350 plugs. Thus, the flexibility of the mechanical fixed distal end part 332 and elastically the distal end part around the surface outside of the upper and lower caps 320, 352 as has illustrated in Figures 4 A and 4B.
Thus, the flexible member 330, by means of its hermetic coupling with the stem 340 and the plugs upper and lower 320, 350 subdivides the interior volume of the suction pressure regulator 300 with sealing member movable in such a way that it defines the upper inner chamber 312 and the lower inner chamber 314. As shown in Figures 4 A and 4B, the upper inner chamber 312 can be divided additionally by means of the stem 340 depending on the position operable of the suction pressure regulator 300 with member of movable seal in order to effectively isolate the hole (or holes) 322 top plug inlet of the exit holes 324 of the upper cap.
When the suction pressure regulator 300 with movable shutter member is in the closed position, as illustrated in Figure 4A, the rod seat ends 342 340 are placed in sealing coupling with the surface interior 328 of upper cap seat 320. This in general corresponds to the case where the suction pressure applied within the collecting chamber 50 has an equal or lesser value (i.e. less negative) than that of the desired suction pressure. In this arrangement, the upper inner chamber 312 is subdivided additionally by the stem 340, such that the hole (or holes) top plug inlet is insulated (or are insulated) of the fluid passage of each of the holes 324 of top plug outlet.
Reciprocally, when regulator 300 of suction pressure with movable sealing member is placed in the open position, as illustrated in Figure 4B, the rod ends 342 of rod 340 have moved away from the inner seat surface 328 of the upper cap 320. This in general it corresponds to the case in which the suction pressure that is imposing is greater than the desired suction pressure (it is say, the pressure is more negative). Concurrently, the part flexible 336 automatically reconfigures (that is, scrolls) in response to this movement of the stem 340 to maintain the pressure limit between the upper and lower inner chambers 312, 314.
The flexible part 366 moves or is reconfigures itself without imposing a force or drag on the shank movement 340 while maintaining the limit of pressure described above. More particularly, the part flexible 366 wheel or reconfigures itself essentially without impose a force that changes, that is, without imposing a force that would change depending on the position and / or direction of movement of the stem 340 when the rod moves relative to the surface seat interior 328. In other words, flexible part 366 allows the rod to move relative to surface 328 of upper cap seat without friction losses or without imposing a spring rate. Thus, the movement of the stem 340 does not it is cushioned by flexible member 340.
When the suction pressure regulator 300 with movable shutter member is placed in the open position, the upper inner chamber 312 is no longer subdivided, and the Inlet hole 322 of the upper plug is coupled for passage of fluid with each of the outlet holes 324 of the plug higher. Thus, atmospheric air is admitted in the second compartment 58 through inlet holes 322, 324 and top plug outlet coupled for fluid passage, in order to reduce the suction pressure or the degree of vacuum that is being developing inside the drain device 10, and more specifically in the collection chamber 50 thereof. As has indicated above, the prestressed coil spring 66 selectively provides a means by which the stem 340 it is placed in sealing coupling with the inner surface 328 seat of the upper cap or moves away from it when the actual suction pressure exceeds the suction pressure selected or desired.
The shutter 360 is arranged with closure airtight in the inlet hole 354 of the lower cap of such so that a first end 362 of the shutter is in communication of fluid passage with the lower inner chamber 314, and a second end 364 of the plug is coupled for fluid passage to the suction hole 24 and collecting chamber 50 for device 10 drainage In an illustrative embodiment, the second end 364 The shutter is configured with a protrusion that engages and rests against an end surface of hole 354 of bottom plug inlet. In this way, a user can easily determine that the shutter has been introduced properly, and such configuration also provides guarantees additional that the shutter 360 has not been dragged into the lower inner chamber 314.
In a preferred embodiment, the shutter 360 is it is made of a porous material whose porosity is established so that module or control the suction pressure changes that are being developing in the lower inner chamber 314, as well as for prevent the entry or exit circulation of the inner chamber lower, in response to changes in suction pressure developed within the drainage device 10. Plus particularly, the shutter material has such porosity that certain types of changes in suction pressure (from here hereinafter referred to as "first type of pressure changes suction ") that occur within the drainage device do not result in a change in the suction pressure in the chamber lower interior 314, while other types of changes of the suction pressure (hereinafter referred to as "second type of suction pressure changes") cause a change in suction pressure developed inside the chamber lower interior.
Thus, only the second type of Suction pressure changes is the one that opposes the forces of seat developed by the pre-tensioned coil spring 66. If he second type of changes in suction pressure exceeds seating forces developed by the coil spring, then the stem 340 is opened in such a way that air can be admitted to through pressure regulator 300 with sealing member movable to the second compartment, as illustrated schematically in Figures 2 and 4B and described above.
However, the first type of changes of the suction pressure does not impose a force that can oppose seating forces, because they do not cause a change in the pressure of suction in the lower inner chamber 314. As a result, the suction pressure regulator 300 with sealing member scrollable does not change your work position in response to the first type of suction pressure changes. In other words, if the suction pressure regulator 300 is in the closed position remains in the closed position, and if it is in the open position then the stem 340 remains in the open position, but the stem is not modulated or moved by pressure changes from suction.
Therefore, the material comprising the shutter 360 isolates or filters and eliminates certain types of pressure changes from suction of the drainage device, namely the first type of suction pressure changes, while allowing changes of suction pressure of the second type act on the rod 340. As mentioned before, if the suction pressure changes of the second type exceed a desired value, then the stem 340 is moves in response to this change, bringing atmospheric air to communicates to the second compartment 58 in order to reduce the suction pressure that is developing inside the device and in the same chamber.
In a more specific embodiment, the porosity of the material comprising the shutter 360 is established so that prevents the entry or exit of flow of the inner chamber lower 314, and thereby prevent changes in suction pressure that would result from high suction pressure changes frequency inside the drain device 10 (i.e., the second type of suction pressure changes). In the present invention, it will be understood that the term "high frequency" means the suction pressure changes that would occur with a frequency greater than physiological and environmental changes naturally produced. In an exemplary exemplary embodiment, high frequency changes include those that have a frequency of approximately 60 Hz or more, and more specific, a frequency of approximately 40 Hz or more. Without However, the characteristics of the shutter material are such that the low frequency suction pressure changes within of the drainage device (i.e. the first type of changes in suction pressure), including those resulting from changes physiological of the patient, can cause circulation inwards or out of the lower inner chamber 314 and therefore lead to the development in it of a pressure change of suction.
The features of the 360 shutter are such that make it act as a low pass mechanical filter in order of cutting the suction pressure changes that if not they would cause an unfiltered stem 340 to move quickly or vibrate, for example to move quickly between positions open and closed. That way, this setting attenuates advantageously the high frequency vibratory motion that would lead to a parasitic noise from the drainage device while which at the same time would provide a drainage device that can compensate or accommodate a response to pressure changes of suction to normal clinical events. Therefore, the material of shutter allows advantageously to maintain a suction pressure or practically constant degree of vacuum on the suction side of the drainage device while avoiding cyclic movements spindles of the rod 340. Additionally, they can be attenuated or eliminate rapid cyclic movements of the stem or member of valve 340 of the suction pressure regulator with member scrollable shutter without the need for a device attenuation such as a shock absorber that directly attenuates the valve member movement as required in the prior art suction pressure regulators to those Reference has been made above.
In an exemplary embodiment, the shutter 360 is of a thermoplastic such as polyethylene, more particularly, of a high density polyethylene porous plastic material manufactured by Porex Technologies Corp. In more embodiments specific, the average pore diameters of a 360 shutter made of said high density polyethylene porous plastic material they are in the range between approximately 40 microns and around 80 microns, and in a more particular embodiment, it has an average pore diameter of approximately 60 microns. Is within from the scope of this invention that the shutter 360 is constructed of any of a number of porous materials known to those skilled in the art such as metals or materials ceramic For said other materials, the porosity is such that achieve the effect of impeding circulation as it has been mentioned herein.
It is also within the scope of the present invention that shutter 360 comprises other means to prevent the incoming or outgoing flow of the lower inner chamber 314. In a case, a shutter according to an alternative embodiment It comprises a solid material such as plastic, metal, materials ceramic or precious stones that are produced artificially or naturally through which a hole has been drilled a predetermined diameter for example by means of a laser. By For example, a sapphire that has been drilled with a laser sometimes It refers to it as a jeweled hole. In such cases, a end of the through hole is in communication for fluid passage with the second compartment 58, and the other end of the hole intern communicates with the lower inner chamber 314. The diameter of the through hole is adjusted or set in such a way as to effect an impediment to circulation as described previously.
Alternatively, the mechanism to prevent the circulation can comprise a winding path of flow such as, for example, a spiral tubular member of a length and determined inner diameter, one of whose ends communicates with the second compartment 58 and the other end communicates with the camera lower inside 314. In this case, the length and diameter interior are fixed or established in such a way that they effect the impediment of circulation as described herein memory. The foregoing does not constitute a relationship or exhaustive description of all known means to prevent circulation, and therefore is within the scope of the present invention adapt the suction pressure regulator with member of sliding shutter described above to use any of said other means to effect the impediment of circulation and therefore the control and regulation on the pressure developed in the lower inner chamber 314. This includes, for example, configure or arrange a part of the lower cap 350 that is in communication for fluid passage with the lower inner chamber 314 in order to include means or mechanism to prevent the Incoming or outgoing circulation of the lower inner chamber.
Figure 6 shows a partial view of front in cross section of a drainage device similar to shown in Figure 2 in which main parts have been removed for clarity, and that includes a pressure regulator 300 to suction with movable sealing member according to a alternative embodiment For this embodiment, the stem 340 is loaded in the closed position by means of a spring 370 which is installed inside the lower inner chamber 314 and between a lower surface of the stem 340 and a part of the surface inside the lower cap 350. Preferably, the spring 370 is has pre-compressed to a value corresponding to default pressure value. That way, when the pressure of suction that develops inside the lower inner chamber 314 is equal to or less (i.e. less negative suction pressure) than the desired suction pressure, the spring 370 makes the ends 342 stem seat apply tightly to the interior surfaces 328 of upper cap seat.
Reciprocally, when the suction pressure developed inside the lower inner chamber 314 is larger (it is say, more negative) than the desired suction pressure, the forces of the spring they expire, and the spring 370 is compressed, thus allowing that the rod seat ends 342 move away from the inner surface 328 of the seat. As a result, the regulator 300 a suction pressure with movable sealing member se placed in the open position or condition. As for the others components comprising the suction pressure regulator 300 a with movable sealing member of the alternative embodiment, reference should be made to the previous statement in relation to Figures 4 and 5 for the corresponding components.
In the above a regulator 300 has been described, 300 a suction pressure with movable seal member according to the present invention, used in connection with a drainage device that has dry means for regulating suction pressure and a dry or waterless patient shutter such as the S-1100 PLEUR-EVAC series Sahara manufactured by Genzyeme Surgical Products and including systems and / or devices described and set forth in the patents of USA Numbers 4,738,671; 4,715,856; 4,554,370; and 4,747,844. This within the scope of the present invention, that either embodiments of regulator 300, 300 a suction pressure with movable seal member of the present invention, be used in relationship with any one of a number of systems or devices known to those skilled in the art who employ means Dry regulating suction pressure. They are included in them a device and system such as the PLEUR-EVAC A-6000 series of autotransfusion systems and Pediatric and adult thoracic drainage manufactured by Genzyeme Surgical Products and including systems and / or devices described and disclosed in US Pat. Numbers 4,695,060; 4,105,031; 4,784,642; 4,756,501; 4,443,220; 4,955,873; 4,955,374; Y 4,889,531.
Referring now to Figure 7, it is shown in she a cross-sectional front view of another device 10c drainage according to the present invention that includes a collecting camera 50c, a shutter camera 48c, and a camera 46 of suction pressure regulation that includes a regulator 300 of suction pressure with movable sealing member. Should reference is made to the above description for Figures 1 to 5 in terms of details and operational characteristics of regulator 300 suction pressure with moveable sealing member, to the chamber 46 regulating suction and chamber pressure 50c collector The drain device 10c also includes more particularly a floor base 380 that is fixed to rotation at main body of the device such that the device is self-supporting when placed on a flat surface such as a ground.
The shutter camera 48c, the same as in the case of the drainage device 10 described above, includes a flow and air leakage meter 88. The flowmeter 88 and air leakage is located in a widened cavity in the lower end of the shutter chamber 48c to measure the amount of gas or air that passes through the collection chamber 50c to the suction source, as well as to provide a indication of air leaks between the body cavity and the meter. The shutter camera 48c is also configured in such a way that includes a sufficient amount of fluid and that provides a adequate fluid level, so that the shutter chamber 48c It also constitutes a patient shutter. For more details on said shutter chamber, specific reference should be made to the U.S. Patent No. 4,784,642. As such, with this device 10c drainage, the shutter chamber 48c serves to prevent the passage of atmospheric air to the collection chamber 50c.
In the description above, the regulator of pressure of either of the two embodiments has been described with the preferred use of controlling the suction pressure that develops inside a drainage device. However, it is within scope of the present invention that said pressure regulator be use to control the pressure of a gas that is being developing within an apparatus, device or system (for example, a piping system) including positive pressures as well as negative In said application, the at least one of the inlet holes 322 is coupled for fluid passage to a first source of gas at a first pressure, and the at least one of exit holes 324 and shutter 360 are coupled for passage of fluid to a second gas source to a second Pressure. The same as in the case of regulator realizations previously described, when the pressure developed within the lower inner chamber 314 is in the range desired values, for example it is less negative, then the shutter member remains in the closed position, and if the developed pressure is not within the desired range of values (for example, it is more negative) then the shutter member will shifts to the open position so that the sources first and second gas are coupled for fluid passage in order to keep the pressure at the desired value or approximately at this value.
In addition to regulator 300, 300 a pressure of suction with movable sealing member, any of the two devices 10, 10c described herein can be set up to include a unique path arrangement of ventilation according to another aspect of the present invention. Bliss Ventilation path arrangement is advantageous in the sense of which is particularly configured to provide a protection against cross contamination of the device when the drainage device accidentally overturns and lies on its front or rear surface.
By way of illustration, this unique provision of ventilation path will be described with reference to the device drainage as shown in Figure 2 and also with reference to Figures 8 to 10. The drain device 10 includes preferably a vent path arrangement that couples for fluid passage the air leakage meter chamber 48 and correspondingly the pressure regulating chamber 46 of suction to the collecting chamber 50 in a manner that provides protection against cross contamination when the device drainage is laid, either on its rear surface 17, or on the front panel 4b. Preferably, the road layout ventilation includes an intermediate chamber 100 and three ducts 102, 103, 104 that are coupled for fluid passage thereto. As shown in Figure 10, intermediate chamber 100 is sealed with a cover member 101 to prevent circulation air intake to the collection chamber 50.
A conduit, in particular the first conduit 102, coupling the leakage meter chamber 48 for fluid passage air with intermediate chamber 100, and the second and third ducts 103, 104 connect the intermediate chamber and the fluid passage collecting chamber 50. These three ducts 102, 103, 104 are arranged in such a way that the ducts extend in a relationship from front to back and, in one more example specifically, they are arranged so that they are essentially perpendicular to the surface or plane of the front panel 14b.
As shown in Figure 2 and Figure 9, the three sides for each of these three ducts 102, 103, 104 they extend and are sealed with respect to the front panel 14b, and the fourth side 110 a, 110b, 110c respectively of the ducts first, second and third are spaced staggered walls of the front panel 14b, in order to form a through opening 112 a, 112b, 112c for each duct. The openings 112b, 112c of the second and third ducts 103, 104 create a flow path for the gases that leave the collecting chamber to the suction source a through intermediate chamber 100. The primary path of ventilation of the collecting chamber is the third duct 104, and the secondary ventilation path is the second conduit 103.
During normal conditions of operation, the fluid level in the collecting chamber 50 is It is well below the openings 112b, 112c made in the second and third ducts 103, 104. However, if the drainage device 10 unintentionally tip over lying on its rear surface 17, then the level of Liquid contained in the collecting chamber will be reset. As such, the four sides 110b, 110c of the second and third ducts 103, 104 are also separated by a predetermined distance from the panel front 14b, bringing the level of liquid contained in the chamber manifold 50 should be below openings 112b, 112c when the device is lying on its surface rear
If the drain device 10 turns over involuntarily on the front panel 14b, the liquid level content in the collection chamber will also be reset, but the openings 112b, 112c of the second and third ducts 103, 104 They could submerge below the liquid level. As such, a liquid level will rise inside the second and third ducts 103, 104 when the level is reset within the collecting chamber 50. The level of liquid within the second and third ducts 103, 104 will continue to rise until the liquid from the ducts spill over intermediate chamber 100 or until the level stabilize in the collection chamber 50. As has been illustrated in Figures 9 and 10, intermediate chamber 100 includes a stepped opening 106 so that a condition of excess of flow does not immediately result in cross contamination with the first duct 102 and with the chamber 48 connected thereto for passage of fluid
Although Figures 8 to 10 illustrate the two flat surfaces on either side of the divisions 107 as if they were spaced at different distances from the cover member 101, this is not a limitation. In one embodiment alternatively, the two flat surfaces are equidistant from the member of lid 101 and a stepped wall or partition has been provided for set the stepped opening 106 of the intermediate chamber, by example, see stepped division 114 of the collecting chamber 50. It is also within the scope of the present invention that the two flat surfaces equidistant from the cover member 101 and which do not there is a staggered opening between them, but rather just an opening. In this case, the lengths of the second conduit 103 and the third conduit 104 are selected in such a manner that the rise of fluid in these ducts when the device 10 is lying on its front panel do not spill it on the inside the intermediate chamber 100.
When the drain device 10 returns to stand up, any liquid contained in the third conduit 104, flows to intermediate chamber 100 and then this liquid, any other liquid contained in intermediate chamber 100 and any liquid contained in the second conduit 103 flow back to the collecting chamber 50 through the second conduit. The camera intermediate 100 also includes two angled members 108 a, 108b which direct the liquid circulating in the intermediate chamber 100 to second conduit 103 and away from the first conduit 102. For example, one of the angled members, member 108 a, forms such an angle that the liquid leaving the third duct 104 collides with the member at an angle and is directed outward from the first duct 102
As indicated above, three sides of the first conduit 102 extends and is sealed with respect to the front panel 14b and the fourth side 110 a is separated from it to create an opening 112 a or flow path for the gases that pass through the collecting chamber 50. The fourth side 110 a of the first duct is also spaced from the front panel in such a way that the fluid, if any, contained in chamber 48 of the leakage meter of air does not communicate with the collection chamber 50 if the device 10 drain drains involuntarily on its surface rear 17. In addition, the small arm of the meter chamber 48 air leaks is set in such a way that it retains volume of fluid contained therein. The same as in the case of second and third ducts 103, 104, aperture 112 a practiced at the end of the first duct could submerge below the fluid level if the device falls on its front panel 14b. However, the volume of the small arm, together with the volume of the first duct 102, are set so that the volume of fluid used for leak detection and monitoring Do not spill or mix with the fluids contained in the chamber collector 50.
The drainage device also includes a relief valve 30 of high negativity, an automatic valve 34 High negativity pressure relief, a protective ring resealable 32. a positive pressure relief valve 28, a float member 76, a negative pressure indicator 80 and a air flow meter 88. Relief valve 30 high negativity is installed in the upper part 16 of the housing and It is in communication for fluid flow with the collecting chamber 50. The high negativity relief valve 30 includes a valve push-button operated which, when pressed, allows it to enter filtered air to the collection chamber 50. The automatic valve relief 34 is located in the air leakage meter chamber 48 and is arranged so that it is in fluid flow communication with the atmosphere through the back 17 of the housing 12. Automatic relief valve 34 is also configured to limit the negative pressure to a predetermined value and to allow filtered air to enter the leakage chamber 48 of air when activated.
The resealable protective ring 32 is installed at the top 16 of the housing and has been provided so that a user can inject the required volume of a liquid into the chamber 32 of the air leakage meter. Relief valve positive pressure 28 is also installed on top 16 of the housing and opens when the positive pressure in the suction pressure regulation chamber 46. Chamber 46 of suction pressure regulation also includes an indication visual to confirm the setting of a pressure condition suction in the collecting chamber. Preferably, the indication visual is supplied by the float member 76 which is slidably arranged in a part of the second compartment 58.
The negative pressure indicator 80 is located in another compartment provided in the drain device 10 and it is coupled for fluid passage to the intermediate chamber through of an opening 79. Thus, the negative pressure indicator 80 responds to the pressure conditions that exist in the chamber manifold 50. In this way, indicator 80 can provide a indication that there is a negative pressure condition within the collecting chamber, which the user can see in window 42 of the negative pressure indicator.
Shown in Figure 2, a plate member which has an opening made in it to receive a end of a unidirectional valve 84, which extends between two plate members. The plate member, together with the valve unidirectional 84, define a pressure limit between chamber 46 pressure regulator and chamber 48 of the leakage meter air, and correspondingly with the collecting chamber 50. Agree with this, and in an alternative embodiment, a drainage device 10 with only one regulating chamber 46 of the suction pressure and a collecting chamber 50.
The air leakage meter or flowmeter of air 88 is located in a widened cavity provided in the lower end of the air leakage meter chamber 48. He air flow meter 48 measures the amount of gas or air that pass through the collection chamber 50 to the vacuum pump or source of emptiness. Under normal operating conditions, the meter 88 Airflow provides an indication of the amount of gas or of air being evacuated from the body cavity, for example, the pleural cavity of the patient. The air flow meter 88 also provides an indication of the presence of a leakage of air somewhere between the body cavity and the meter of flow that could be dangerous for a patient's condition if It is left uncorrected.
The collection chamber 50 includes two divisions 114, 115 defining three compartments 116 to 116c. The first compartment 116 a communicates with hole 26 of line drainage, and receives the discharges of gases and liquids from line 6 drainage Each division 114, 115 includes a hole 118, of such so that gaseous discharges are communicated through first, second and third ducts 102, 103, 104 with the source of suction. Each hole 118 also provides a mechanism for direct the liquids over the next compartment once it It has come to fill the upstream compartment. Every hole 118 is also staggered or spaced at a distance front panel preset 14b as a mechanism to limit the liquid flow rate between compartments 116 a, 116b, 116c when the drainage device 10 is lying on its back surface.
Although a preferred embodiment has been described of the invention using specific terms, said description has been made for illustrative purposes only, and it will be understood that they can be introduce changes and variations without departing from the scope of following claims.
1. A suction pressure regulator system for use in combination with a drainage device (10), whose combination includes:
a collecting chamber (50) to collect fluids from a body cavity, whose collecting chamber includes an entrance (26) for communication for fluid passage with the body cavity;
a pressure regulation chamber (46) that it has a suction pressure regulator (300) that regulates without meter the degree of vacuum imposed on the collecting chamber, whose suction pressure regulator (300) includes a housing (320, 350) which has at least one inlet hole (322) and at least one exit hole (324), in which each of the at least one of the inlet holes are in communication for fluid passage with a gas source, and each of the at least one of the outlet holes is in communication for fluid passage with a suction source;
a sealing member (340) disposed of a scrollable mode inside the housing;
a flexible member (330) extending between the sealing member and the housing, in which the member flexible forms a pressure limit between them in such a way that divides an interior of the accommodation into compartments first and second (312, 314); Y
a spring loading mechanism (66, 370) that responds to the pressure inside the second compartment of the housing and acts on the sealing member in such a way that the shutter member is in one of some positions open, when the pressure inside the second compartment of the housing is greater than a predetermined pressure value of suction, or in a closed position, when the pressure in it is equal to or less than the default value of suction pressure.
2. The combination according to the claim 1, wherein the housing further includes a member upper (320) and a lower member (350), being arranged a part of each of the upper and lower members to form a union between them.
3. The combination according to the claim 2, wherein a distal end portion (332) of the flexible member is fixedly and tightly arranged in the joint between the upper and lower members of the accommodation.
4. The combination according to the claim 1, wherein the flexible member (330) does not impose a significant force on the sealing member (340) when the shutter member moves in response to the loading mechanism with spring (66, 370).
5. The combination according to the claim 1, wherein the movement of the sealing member (340) in response to the movement of the spring loading mechanism (66, 370) is substantially free of friction.
6. The combination according to the claim 1, wherein the spring loading mechanism is a spring (370) that pushes against the movable member (340) in order to force the movable member to the sealing coupling with the inner surface (328) of the chamber.
7. The combination according to the claim 6, wherein the spring (370) is precompressed to a value that corresponds to the default pressure value of suction.
8. The combination according to the claim 1, wherein the spring loading mechanism is a spring (66) connected to the sealing member (340) and has prestressed to a value that corresponds to the desired pressure value of suction.
9. The combination according to the claim 1, wherein the spring loading mechanism includes also a spring (66) and a tension adjustment mechanism (36, 70) which tensiones the spring to a desired tension value and at which the desired voltage value corresponds to one of a plurality of suction pressure values imposed on the collection chamber (fifty).
10. The combination according to the claim 1, wherein the spring loading mechanism (66, 370) is arranged so that, in the closed position, a part shutter (342) of the shutter member (340) is forced to lean against the inner surface (328) of the housing with the in order to form a seal between each of the at least one of the entrance holes (322) and each of the at least one of the exit holes (324).
11. The combination according to the claim 1, wherein the spring loading mechanism is arranged so that, in the open position, the part of seal (342) moves away from the inner surface (328) of the camera, whereby each of the at least one of the input holes (322) is put in communication for passage of fluid with each of the at least one of the outlet holes (324).
12. The combination according to the claim 1, wherein:
the pressure regulating chamber (46) of suction is integral with a drainage device (10) that has a collecting chamber (50) interconnected to a body cavity, and in the that the suction source develops a degree of vacuum within the drainage device;
at least part of the accommodation (320, 350) of the suction pressure regulator (300) is in communication for passage of fluid with the suction source and includes a mechanism for restrict fluid circulation through the second compartment (314) of the housing, such that the pressure inside the second compartment of the accommodation is changed when the fluid circulation in either direction occurs for a time longer than a predetermined period of time, and remains effectively unchanged when fluid circulation in either direction it happens for a shorter time than the predetermined period of time; Y
the flow restriction mechanism (360) is set in such a way that the pressure in the second compartment (314) of accommodation vary in response to physiological changes induced with respect to the degree of vacuum within the device sewer system.
13. The combination according to the claim 1, wherein
the suction pressure regulator (300) is intended for use in combination with a drainage device (10) which has a collecting chamber (50) interconnected to a cavity body and in which the source of suction develops a degree of vacuum inside the drainage device;
a part of the accommodation (320, 350) of suction pressure regulator (300) that is in communication for fluid passage with the suction source, includes a member of seal that is arranged in the pressure regulator (300) of suction, in which the sealing member (360) restricts the circulation in the pressure regulating chamber (46) in such a way that the pressure inside the pressure regulating chamber (46) is changes when the fluid circulation in either of the two directions occur for a time longer than a period predetermined time, and remains effectively unchanged when the circulation of fluid in either direction occurs for a time less than the predetermined period of weather.
14. The combination according to the claim 13, wherein the sealing member (360) It comprises one of a porous material, a hole and a path tortuous circulation.
15. The combination according to the claim 1, wherein the pressure regulating chamber regulates the degree of vacuum imposed on the collecting chamber, and the pressure regulating chamber (46) includes a first compartment (56) that has an inlet (22) to communicate with ambient air and a second compartment (58) that is in communication for passage of fluid with the collecting chamber and having an inlet (24) to Attach to a suction source.
16. The combination according to the claim 1, further comprising a shutter chamber (48c) that includes a liquid in it to prevent the passage of ambient air to the collecting chamber, and which is arranged between the pressure regulating chamber (46) and the collecting chamber, (50) of such that the pressure regulating chamber (46) is coupled for fluid flow to the shutter chamber and the collection chamber It is coupled for fluid flow to the sealing chamber.
17. The combination according to the claim 1, further comprising a meter chamber (48) of air leaks that includes a liquid in it to provide a visual indication of the passage of fluid from the collection chamber and which is arranged between the pressure regulating chamber (46) and the collecting chamber (50).
18. The combination according to the claim 1, further comprising a unidirectional valve (84) disposed within the drainage device (10), of such so that the pressure regulating chamber (46) and the chamber collector (50) are in selective communication with each other to pass fluid through the unidirectional valve, in which, in a position, the unidirectional valve isolates the chamber from each other pressure regulation and to the collecting chamber in such a way that the gas does not circulate to the collecting chamber and in which, in another position, the unidirectional valve places the regulating chamber of pressure and to the collection chamber in fluid flow communication each other, so that the suction pressure of the chamber of pressure regulation is applied to the collection chamber and thereby It causes fluid drainage from a body cavity.
19. The combination according to the claim 1, further comprising a ventilation path that coupling for pressure flow the pressure regulating chamber and the collecting chamber;
in which the ventilation path includes a intermediate chamber (100) and at least one first and second ducts (102, 103, 104), each of whose conduits is in communication for fluid passage with the inside of the intermediate chamber;
in which an opening has been made in the first duct (102), distal of the intermediate chamber, for coupling for fluid passage the first conduit and the regulation chamber of Pressure;
in which an opening has been made in the second conduit (103), distal of the intermediate chamber, for coupling for fluid passage the second conduit and the collecting chamber; Y
in which the first conduit and the second duct are arranged so that the ducts first and second pass between the respective conduit opening and the intermediate chamber in one direction usually from the part front to the back.
20. The combination according to the claim 19, wherein the first duct and the second duct duct are arranged in such a way that an axis of the first duct and an axis of the second duct each form an angle with with respect to a front surface of the apparatus.
ES00942878T 1999-06-18 2000-06-16 Suction pressure regulator with member of displacable obturation, appliance and system to drain a body cavity. Active ES2235902T3 (en)
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ES00942878T Active ES2235902T3 (en) 1999-06-18 2000-06-16 Suction pressure regulator with member of displacable obturation, appliance and system to drain a body cavity.
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JP3585148B2 (en) * 1996-12-16 2004-11-04 Ｎｏｋ株式会社 For a variable displacement compressor control valve
1999-06-18 US US09/336,471 patent/US6447491B1/en not_active Expired - Lifetime
2002-08-05 US US10/213,141 patent/US6749592B2/en not_active Expired - Lifetime
US6447491B1 (en) 2002-09-10