Classifications

• • 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
  • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
• • 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
  • A61M5/1407—Infusion of two or more substances
  • A61M5/1408—Infusion of two or more substances in parallel, e.g. manifolds, sequencing valves

Definitions

• Multi-way valve for an arrangement for the production or administration of infusion solutions
• the invention relates to a multi-way valve according to the preamble of claim 1.
• the known multi-way valve has only a single inlet, to which the individually lockable hose connections to the storage containers can be connected.
• the hose connections are combined into a connection piece before the inlet of the multi-way valve.
• the problem with this known arrangement is that the number of storage containers to be connected is relatively limited and the arrangement cannot be used for administering infusions, since there is a risk of uncontrolled mixing of the different solutions from the storage containers before the single valve inlet. In particular, this is about the risk of osmotic mixing in the individual hose connections.
• German utility model 7 814 016 An arrangement is known from German utility model 7 814 016, in which there is also the risk of mixing the solution introduced into a hose section in the connecting line sections.
• the sliding clamps provided there are operated relatively easily, with the result that undesirable overdoses of individual solutions are obtained.
• the present invention is based on the object of developing a multi-way valve of the type mentioned at the outset in such a way that inadmissible mixing of different infusion solutions, including incorrect operation, is reliably prevented.
• the multi-way valve can be used both for the production and for the administration of the infusion solutions or else for a simultaneous production and administration.
• infusion solutions such as. B. a parenteral nutrient solution, an electrolyte, bicarbonate, gamma globoline, fat, blood, lidocaine etc.
• An infusion pump is preferably assigned to some hose connections in order to, for example, B. during surgery in the event of suddenly occurring complications, more or less lidocaine and / or bicarbonate can be administered to the patient via this pump.
• An individual additional administration of individual solutions can also take place by sucking in one or the other solution via the connection of the multi-way valve, which serves both as an inlet and as an outlet, by means of a syringe-type pump device, the administration being carried out via the outlet of the multi-way valve .
• An uncontrolled "back-mixing" of the aspirated portions during administration is not possible due to the setbacks assigned to each individual inlet.
• connection which serves both as an inlet and as an outlet, can also be used for the (conventional) production of parenteral nutrient solutions, in which case the outlet of the multi-way valve is connected to a mixing bag.
• the sterilizability. which must absolutely be given in the area of use present here is improved by the fact that no mechanically operated turning taps are provided. This means that the previously usual difficulties with gas sterilization or gamma sterilization no longer occur, which previously occurred due to the sliding and sealing surfaces (silicone film).
• An injection nozzle for injecting predetermined amounts of a certain medicament preferably also opens into the collecting space of the multi-way valve.
• a very important advantage of the arrangement is that individual solutions cannot be mixed even if it has been accidentally forgotten to shut off the required hose connections by means of hose clamps. An interruption of the hose connection is only necessary in the arrangement shown here if the correspondingly assigned infusion solution is not to be administered or aspirated. This is particularly important for critical operations in the hectic atmosphere of the operating room and has never been seen before.
• the multi-way valve can be made extremely compact if, for. B. arranges the individual inlets very closely in a row. In addition, it is of course also possible to distribute the individual inlets in a star shape, but the arrangement in rows ensures greater clarity.
• FIG. 1 shows, in schematic partial section and schematic partial view, an arrangement for administration or production of medicament and / or nutrient solutions, in particular parenteral nutrient solutions, with a multi-way valve 10 to which several, here four, storage containers, for example for an electrolyte, bicarbonate, gamma globulin and lidocaine, are connected via hose connections 12, 14, 16 , 18 are connected. Only one storage container is shown in the drawing. This is designated by the reference number 20.
• the hose connections 12 ... 18 can each be individually blocked or disconnected by means of hose clamps 12 ', 14', 16 'and 18', preferably roller clamps.
• a separate inlet 22, 24, 26, 28 is assigned to each hose connection 12 ', namely Schnabel ⁇ valve includes.
• the outlet also has a check valve 30 ', namely a beak valve, which can only be opened in the direction of the individual inlets 22... 28 towards the outlet 30. This ensures that there is no infusion reflux from patient P.
• the individual inlets 22... 28 each open into a common collecting space 34 arranged in the valve body 32 in the form of a continuous channel. .
• An injection nozzle 36 of conventional type for injecting a predetermined amount of a medicament by means of a syringe 38 also opens into this collecting space or channel 34.
• the outlet 30 leading to the patient P as well as an inlet and outlet are also more effective at the collecting space or channel 34 Port 40 connected.
• This port 40 has no check valve. It can be closed by means of a cap or a stopcock (not shown). If necessary, is at this
• a suction device for example in the form of a suction syringe or perfusion syringe 42
• a suction device for example in the form of a suction syringe or perfusion syringe 42
• a suction device for example in the form of a suction syringe or perfusion syringe 42
• partial quantities can be sucked out of the storage bags 20 and preferably administered to the patient in a time-controlled manner.
• the outlet 30 is connected to a mixing container (not shown), for example a mixing bag.
• the multi-way valve shown can be used universally.
• Infusion pumps can be assigned to one or more hose connections 12, 14, 16, 18.
• the hose connection or line 18 is assigned an infusion pump 44. This is only shown schematically in the drawing.
• the individual inlets 22..28 each have so-called Luer connections for coupling the hose connections or lines 12..18.
• the individual inlets 22..28 are designed as flexible connecting pieces, which makes it possible to arrange them closely together. If necessary, they can be slightly bent away from one another so as not to impede one another when the hose connections 12. 18 are connected.
• the outlet 30 and connection 40 also each have a so-called Luer coupling.
• the check valves 22 '.. 30' are used in the valve body.
• a check valve 36 ′ is also assigned to the injection nozzle 36 within the valve body 32, which is only evident in the direction from the injection nozzle to the outlet 30.
• the patient line leading from the outlet 30 to the patient P is marked in the attached drawing with the reference number 46.
• the syringe 42 can also be used to produce a special infusion mixture during an operation, which is then administered to the patient in an accelerated manner. This measure is used in particular when complications arise during an operation.
• the multi-way valve can be made extremely compact.
• the number of individual entrances is basically unlimited, but currently a maximum of eight entrances are required.
• two or more multi-way valves of the type shown can also be connected in parallel to one another.
• the outlets are then brought together via a Y-hose connector before the connection to the patient feed line 46 is made.

Landscapes

• Health & Medical Sciences (AREA)
• Heart & Thoracic Surgery (AREA)
• Hematology (AREA)
• Anesthesiology (AREA)
• Biomedical Technology (AREA)
• Engineering & Computer Science (AREA)
• Life Sciences & Earth Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Vascular Medicine (AREA)
• Pulmonology (AREA)
• Infusion, Injection, And Reservoir Apparatuses (AREA)

Applications Claiming Priority (1)

Publications (1)

Family

ID=6272428

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Family Applications After (1)

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Cited By (1)

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• 1985
  • 1985-06-04 DE DE19853520044 patent/DE3520044A1/de active Granted
  • 1985-06-04 DE DE19858516350 patent/DE8516350U1/de not_active Expired
• 1986
  • 1986-11-26 WO PCT/EP1986/000690 patent/WO1988003815A1/de not_active Ceased
  • 1986-11-26 EP EP19870900090 patent/EP0289496A1/de active Pending
  • 1986-11-26 EP EP86116395A patent/EP0268700A1/de not_active Withdrawn

Non-Patent Citations (1)

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