US3533400A - Continuous reading venous manometer for injecting parenteral fluids - Google Patents

Continuous reading venous manometer for injecting parenteral fluids Download PDF

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US3533400A
US3533400A US628638A US3533400DA US3533400A US 3533400 A US3533400 A US 3533400A US 628638 A US628638 A US 628638A US 3533400D A US3533400D A US 3533400DA US 3533400 A US3533400 A US 3533400A
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tube
venous
manometer
patient
liquid
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US628638A
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William E Palich
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WILLIAM E PALICH
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WILLIAM E PALICH
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    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01L—MEASURING FORCE, STRESS, TORQUE, WORK, MECHANICAL POWER, MECHANICAL EFFICIENCY, OR FLUID PRESSURE
    • G01L7/00—Measuring the steady or quasi-steady pressure of a fluid or a fluent solid material by mechanical or fluid pressure-sensitive elements
    • G01L7/18—Measuring the steady or quasi-steady pressure of a fluid or a fluent solid material by mechanical or fluid pressure-sensitive elements using liquid as the pressure-sensitive medium, e.g. liquid-column gauges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02152—Measuring pressure in heart or blood vessels by means inserted into the body specially adapted for venous pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • A61M5/16854—Monitoring, detecting, signalling or eliminating infusion flow anomalies by monitoring line pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3331—Pressure; Flow
    • A61M2205/3348—Pressure measurement using a water column

Definitions

  • An intravenous injection set for parenteral liquids which includes a drip tube approximately 40 centimeters in length and has one centimeter graduations thereon. is connected at its upper end by a flexible tubing. provided with a pinch clamp to a solution bottle, and at its lower end by a flexible tubing, provided with a pinch clamp to a catheter. The pinch clamps are adjusted to provide a slow drip and the catheter is inserted into a vein ofa patient.
  • the height of the drip tube is adjusted so that a zero graduation on the drip tube is at the level of the patients atriumv
  • the liquid in the drip tube will then seek a level corresponding to the patients venous pressure, which may be determined by reference to the scale on the drip tube.
  • the venous pressuremeasurement is continuous and the continuous drip of fluid through the system prevents clotting, blockage, and subsequent inaccurate readings and malfunction.
  • the present invention relates to an injection set for parenteral fluids and more particularly to an injection set so constructed that while administering such a parenteral fluid to a patient, it also serves as a manometer for measuring a patients venous pressure.
  • the invention also relates to a method of using an intravenous injection set for continuously measuring a patient's venous pressure.
  • Injection sets for the administration of parenteral fluids, such as blood or other intravenous liquids, to patients have been conventionally employed by the medical profession for many years.
  • manometers for measuring the venous pressure of patients have also been employed with regularity by doctors.
  • a different piece of equipment has been required, however, for each of these separate operations. The need for different pieces of equipment involves an additional initial cost and results in there being more instruments that require transportation and storage.
  • one of the primary objects of the present invention is to provide an injection set for the administration of parenteral liquids to patients.
  • Another object of the invention is to provide a device for continuously measuring the venous pressure of a patient.
  • Still another object of the invention is to provide a device that is useful for administering parenteral liquid to a patient and also useful for measuring the venous pressure of a patient.
  • Yet another object of the invention is to provide a device that may remain inserted in a patient and can function to continuously measure a patients venous pressure without clotting of the intravenous catheter.
  • An additional object of the invention is to provide a device which serves to feed intravenous liquids to a patient and at the same time functions as a manometer to continuously measure a patients venous pressure.
  • a further additional object of the invention is to provide a combined injection set and manometer which is packaged sterile and ready for immediate use.
  • a still further additional object of the invention is to provide a combined injection set and manometer in which a float ball check valve in the drip chamber enables the unit to be converted into an intravenous pumping unit.
  • FIG. 1 is a front elevational viewof a device constructed in accordance with the present invention
  • I FIG. 2 is an enlarged sectional view of the vent means which forms a part of the present invention.
  • the device shown therein includes an elongated container or tube 10 formed of any well-known transparent material such as plastic, and may be circular, square or rectangular in cross section.
  • Container or tube 10 should be at least 40 centimeters in length and is provided with a series of graduations spaced 1 centimeter apart. Preferably, these graduations have applied thereto a scale beginning with -5 at the lower end of the tube and increasing through zero to 35.
  • a flexible tubing 12 of'any well-known material, such as polyethylene, polypropylene, or Teflon" is attached at one end to, and communicates with, the upper end ofthe tube 10.
  • the adapter is secured to the terminal end of tubing 12.
  • the adapter is of the bayonet type and adaptedto be inserted through the stopper of a liquid storage bottle (not shown) containing an intravenous liquid, such as, blood, glucose solution, saline solution, and the like.
  • the tubing 12 is also provided with apinch clamp 18 of any conventional construction. Pinch clamp 18 makes it possible to minutely control the flow from the liquid storage bottle to the tube ,or container 10 or to completely shut off flow from the bottle to the tube.
  • a flexible tubing 20 of any well-known material, such as polyethylene, polypropylene, or Teflon is attached at the lower end oftube l0 and is in communication with the interior thereof.
  • Tubing 20 is provided with a pinch clamp 22, the same as, or similar to, pinch clamp 18.
  • the terminal end of tubing 20 is secured to one'end of a latex bulb 24 that at its other end is provided with an adapter 26 having a standard Luer taper to which an intravenous catheter (not illustrated) may be connected.
  • Bulb 24 serves as a means to inject medicaments into a patients veins.
  • a vent device indicated generally by the numeral 28 is connected to and communicates with the upper end of the container or tube 10.
  • This vent device 28 is illustrated on an enlarged scale in FIG. 2 and comprises a nipple 30 secured to and extending into the upper end of the container or tube 10. It also includes a chamber 32 secured to the'upper end of nipple 30. Chamber 32 is provided with an opening 34 at its upper end in communication with the surrounding atmosphere.
  • a ball shaped float valve generally indicated by the numeral 36 is located within chamber 32. The ball float valve 32 coacts with the wall of the chamber 32 surrounding opening 34 to seal off the opening to the flow of liquid therethrough as liquid rises in chamber 32 and air is expelled therefrom.
  • Ball float valve 36 may be formed of any suitable lightweight material that will float in the parenteral liquids intended to be used in the device. However, a ball valve 36 having its body portion 38 formed of a foamed plastic coated with a layer 40 of silicone rubber or a soft plastic material has been found to be commercially satisfactory and desirable.
  • venting may be achieved by terminating tube 30 without vent device 28 if the injection set is to be used as a passive drip set and not to actively pump fluids into the recipient.
  • a cotton plug 31 in inserted through the bottle closure (not shown).
  • Pinch clamp 18 is then opened to admit liquid into the tube 10 until it reaches the level of the 10 centimeter graduation.
  • Pinch clamp 18 is then closed and pinch clamp 22 slightly opened to slowly fill tubing 20 and free it of the air contained therein.
  • Adapter26 is then inserted into the female end of the catheter (not shown) that has previously'been inserted into the patients venous system, and pinch clamp 22 fully opened. Pinch clamp 18 is now adjusted to provide a slow drip.
  • zerov marking on the tube 10 is then adjusted to the level of the patient's atrium. Liquid will then slowly rise in the tube 10 and will become stabilized at a height where the liquid head marking corresponds to the venous pressure of the patient. As the patient's venous pressure varies, the height of the column of liquid in tube will likewise vary. Thus, while parenteral liquid is being administered to a patient. an observation of the level of the liquid in tube 10 will provide a continuous indication of the patient's venous pressure.
  • An injection set for parenteral liquids such'as blood, glucose solutions, saline solutions. and the like. comprising an elongated drip tube having a zero marking thereon and graduations thereon spaced 1 centimeter apart and extending in opposite directions from said zero marking, a first flexible tubing, having a shutoff means associated therewith.
  • said shutoff means comprises pinch clamps, said drip tube constitutes a cylinder of clear plastic material at least 40 centimeters in length, a filter of nylon mesh is included in one of said tubings.
  • the one end of said drip tube is provided with a liquid discriminating vent means having a ball of foam plastic coated with silicone and said second tubing is provided with a latex bulb.

Description

United States Patent [72} Inventor William E. Palich 12321 Collier Court NE, Albuquerque. New Mexico 87112 [21] Appl. 3.0. 628,638 [22] Filed April 5, 1967 [45] Patented Oct. 13, 1970 4] CONTINUOUS READING VENOL'S MANOMETER FOR lNJECTlNG PARENTERAL FLLIDS 1 Claim, 2 Drawing Figs.
[51] Int.C| A6lb5/02 [50] Field of Search 128/2. 2.05. 213,214,214.2;141/95;137/551.559;73/388. 402: 222/(lnquired) [56] References Cited LNlTED STATES PATENTS 2.586513 2/1952 Butler 128/214X 3.035.575 5/1962 Broman..... 128/214 3,124,133 3/1964 Marbach 128/214 3,216.419 11/1965 Scislowicz 128/214 3,242.920 3/1966 Andersen 128 2.05 3.435.819 4/1969 Reynolds et a1. 128 2.0.
Primary Examiner-Dalton L. Truluck Almrney-Jacobi. Davidson and Kleeman ABSTRACT: An intravenous injection set for parenteral liquids, which includes a drip tube approximately 40 centimeters in length and has one centimeter graduations thereon. is connected at its upper end by a flexible tubing. provided with a pinch clamp to a solution bottle, and at its lower end by a flexible tubing, provided with a pinch clamp to a catheter. The pinch clamps are adjusted to provide a slow drip and the catheter is inserted into a vein ofa patient. The height of the drip tube is adjusted so that a zero graduation on the drip tube is at the level of the patients atriumv The liquid in the drip tube will then seek a level corresponding to the patients venous pressure, which may be determined by reference to the scale on the drip tube. Thus. the venous pressuremeasurement is continuous and the continuous drip of fluid through the system prevents clotting, blockage, and subsequent inaccurate readings and malfunction.
Patented Oct. 13, 1970 a 4rraz/va s BACKGROUND OF THE INVENTION The present invention relates to an injection set for parenteral fluids and more particularly to an injection set so constructed that while administering such a parenteral fluid to a patient, it also serves as a manometer for measuring a patients venous pressure.
The invention also relates to a method of using an intravenous injection set for continuously measuring a patient's venous pressure.
Injection sets for the administration of parenteral fluids, such as blood or other intravenous liquids, to patients have been conventionally employed by the medical profession for many years. Likewise, manometers for measuring the venous pressure of patients have also been employed with regularity by doctors. However, these did not. measure continuously, were complex to operate, and prone to clotting of the venous catheter. A different piece of equipment has been required, however, for each of these separate operations. The need for different pieces of equipment involves an additional initial cost and results in there being more instruments that require transportation and storage.
SUMMARY OF THE INVENTION More specifically, one of the primary objects of the present invention is to provide an injection set for the administration of parenteral liquids to patients.
Another object of the invention is to provide a device for continuously measuring the venous pressure of a patient.
Still another object of the invention is to provide a device that is useful for administering parenteral liquid to a patient and also useful for measuring the venous pressure of a patient.
Yet another object of the invention is to provide a device that may remain inserted in a patient and can function to continuously measure a patients venous pressure without clotting of the intravenous catheter.
An additional object of the invention is to provide a device which serves to feed intravenous liquids to a patient and at the same time functions as a manometer to continuously measure a patients venous pressure.
A further additional object of the invention is to provide a combined injection set and manometer which is packaged sterile and ready for immediate use.
A still further additional object of the invention is to provide a combined injection set and manometer in which a float ball check valve in the drip chamber enables the unit to be converted into an intravenous pumping unit.
BRIEF DESCRIPTION OF THE DRAWING The invention will be better understood, and objects other than those set forth above, will become apparent after reading the following detailed description thereof. Such description refers to the annexed drawings as presenting a preferred and illustrative embodiment of the invention.
FIG. 1 is a front elevational viewof a device constructed in accordance with the present invention; and I FIG. 2 is an enlarged sectional view of the vent means which forms a part of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS Referring now to the drawings, it is to be noted that the device shown therein includes an elongated container or tube 10 formed of any well-known transparent material such as plastic, and may be circular, square or rectangular in cross section. Container or tube 10 should be at least 40 centimeters in length and is provided with a series of graduations spaced 1 centimeter apart. Preferably, these graduations have applied thereto a scale beginning with -5 at the lower end of the tube and increasing through zero to 35.
A flexible tubing 12 of'any well-known material, such as polyethylene, polypropylene, or Teflon" is attached at one end to, and communicates with, the upper end ofthe tube 10.
An adapter is secured to the terminal end of tubing 12. The adapter is of the bayonet type and adaptedto be inserted through the stopper of a liquid storage bottle (not shown) containing an intravenous liquid, such as, blood, glucose solution, saline solution, and the like.
A filter device 16 containing. any well-known filtering material, such as Nylon' mesh, is inserted within tubing 12. The tubing 12 is also provided with apinch clamp 18 of any conventional construction. Pinch clamp 18 makes it possible to minutely control the flow from the liquid storage bottle to the tube ,or container 10 or to completely shut off flow from the bottle to the tube.
A flexible tubing 20 of any well-known material, such as polyethylene, polypropylene, or Teflon is attached at the lower end oftube l0 and is in communication with the interior thereof. Tubing 20 is provided with a pinch clamp 22, the same as, or similar to, pinch clamp 18. The terminal end of tubing 20 is secured to one'end of a latex bulb 24 that at its other end is provided with an adapter 26 having a standard Luer taper to which an intravenous catheter (not illustrated) may be connected. Bulb 24 serves as a means to inject medicaments into a patients veins.
A vent device indicated generally by the numeral 28 is connected to and communicates with the upper end of the container or tube 10. This vent device 28 is illustrated on an enlarged scale in FIG. 2 and comprises a nipple 30 secured to and extending into the upper end of the container or tube 10. It also includes a chamber 32 secured to the'upper end of nipple 30. Chamber 32 is provided with an opening 34 at its upper end in communication with the surrounding atmosphere. A ball shaped float valve generally indicated by the numeral 36 is located within chamber 32. The ball float valve 32 coacts with the wall of the chamber 32 surrounding opening 34 to seal off the opening to the flow of liquid therethrough as liquid rises in chamber 32 and air is expelled therefrom.
Ball float valve 36 may be formed of any suitable lightweight material that will float in the parenteral liquids intended to be used in the device. However, a ball valve 36 having its body portion 38 formed of a foamed plastic coated with a layer 40 of silicone rubber or a soft plastic material has been found to be commercially satisfactory and desirable.
Although a specific vent device has been illustrated, venting may be achieved by terminating tube 30 without vent device 28 if the injection set is to be used as a passive drip set and not to actively pump fluids into the recipient. A cotton plug 31 in inserted through the bottle closure (not shown). Pinch clamp 18 is then opened to admit liquid into the tube 10 until it reaches the level of the 10 centimeter graduation.
Pinch clamp 18 is then closed and pinch clamp 22 slightly opened to slowly fill tubing 20 and free it of the air contained therein. Adapter26 is then inserted into the female end of the catheter (not shown) that has previously'been inserted into the patients venous system, and pinch clamp 22 fully opened. Pinch clamp 18 is now adjusted to provide a slow drip. The
, zerov marking on the tube 10 is then adjusted to the level of the patient's atrium. Liquid will then slowly rise in the tube 10 and will become stabilized at a height where the liquid head marking corresponds to the venous pressure of the patient. As the patient's venous pressure varies, the height of the column of liquid in tube will likewise vary. Thus, while parenteral liquid is being administered to a patient. an observation of the level of the liquid in tube 10 will provide a continuous indication of the patient's venous pressure.
After reading the foregoing detailed description it will be apparent that the objects set forth initially have been successfully achieved.
I claim:
1. An injection set for parenteral liquids, such'as blood, glucose solutions, saline solutions. and the like. comprising an elongated drip tube having a zero marking thereon and graduations thereon spaced 1 centimeter apart and extending in opposite directions from said zero marking, a first flexible tubing, having a shutoff means associated therewith. attached and communicating at one of its ends with one end of said drip tube and at its other end with a bayonet adapter adapted for insertion through the stopper ofa gravity bottle; a second flextached and communicating at one of its ends with the other end of said drip tube and at its other end with a Luer taper adapter for connection with a catheter; whereby when said bayonet adapter is placed in communication with a gravity bottle, said catheter is inserted in a patients vein and the zero graduation of the drip tube is placed at the level of said patients atrium the height of the parenteral liquid in said drip tube will constitute a measure of the patient's venous pressure: and wherein said shutoff means comprises pinch clamps, said drip tube constitutes a cylinder of clear plastic material at least 40 centimeters in length, a filter of nylon mesh is included in one of said tubings. the one end of said drip tube is provided with a liquid discriminating vent means having a ball of foam plastic coated with silicone and said second tubing is provided with a latex bulb.
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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3693612A (en) * 1970-04-21 1972-09-26 Abbott Lab Manometer with sliding adjustable scale and meniscus indicator
US4282881A (en) * 1979-05-10 1981-08-11 Sorenson Research Co., Inc. Manometer for infusion apparatus
US4291693A (en) * 1979-11-13 1981-09-29 Sorenson Research Company, Inc. Fluid metering device
US4976685A (en) * 1988-06-15 1990-12-11 Block Jr Frank E Method of blood-gas interface control in surgical gas traps
US5409477A (en) * 1993-09-23 1995-04-25 Abbott Laboratories Solution administration apparatus with orifice flow control device
US5423751A (en) * 1993-02-18 1995-06-13 Harrison; Samuel W. Contrast media dispensing apparatus
US5593385A (en) * 1993-02-18 1997-01-14 Harrison; Samuel W. Contrast media dispensing apparatus
US5830185A (en) * 1995-10-12 1998-11-03 Instrumentarium Corp. Position-independent fluid trap
US6336916B1 (en) 1996-05-01 2002-01-08 Pall Corporation Priming system
US6520937B2 (en) 2000-12-18 2003-02-18 Scimed Life Systems, Inc. Fluid injection device
US8632624B2 (en) 2011-10-13 2014-01-21 General Electric Company Fluid trap and method of separating fluids

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3693612A (en) * 1970-04-21 1972-09-26 Abbott Lab Manometer with sliding adjustable scale and meniscus indicator
US4282881A (en) * 1979-05-10 1981-08-11 Sorenson Research Co., Inc. Manometer for infusion apparatus
US4291693A (en) * 1979-11-13 1981-09-29 Sorenson Research Company, Inc. Fluid metering device
US4976685A (en) * 1988-06-15 1990-12-11 Block Jr Frank E Method of blood-gas interface control in surgical gas traps
US5423751A (en) * 1993-02-18 1995-06-13 Harrison; Samuel W. Contrast media dispensing apparatus
US5593385A (en) * 1993-02-18 1997-01-14 Harrison; Samuel W. Contrast media dispensing apparatus
US5409477A (en) * 1993-09-23 1995-04-25 Abbott Laboratories Solution administration apparatus with orifice flow control device
US5830185A (en) * 1995-10-12 1998-11-03 Instrumentarium Corp. Position-independent fluid trap
US6336916B1 (en) 1996-05-01 2002-01-08 Pall Corporation Priming system
US6520937B2 (en) 2000-12-18 2003-02-18 Scimed Life Systems, Inc. Fluid injection device
US8632624B2 (en) 2011-10-13 2014-01-21 General Electric Company Fluid trap and method of separating fluids
US9233198B2 (en) 2011-10-13 2016-01-12 Carefusion Corporation Fluid trap and method of separating fluids

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