CA2097848C - Front-loading medical injector and syringe for use therewith - Google Patents

Front-loading medical injector and syringe for use therewith

Info

Publication number
CA2097848C
CA2097848C CA002097848A CA2097848A CA2097848C CA 2097848 C CA2097848 C CA 2097848C CA 002097848 A CA002097848 A CA 002097848A CA 2097848 A CA2097848 A CA 2097848A CA 2097848 C CA2097848 C CA 2097848C
Authority
CA
Canada
Prior art keywords
syringe
main body
cylindrical main
housing
front wall
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CA002097848A
Other languages
French (fr)
Other versions
CA2097848A1 (en
Inventor
David M. Reilly
Joseph B. Havrilla
Eugene A. Gelblum
Daniel Kazousky
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bayer Medical Care Inc
Original Assignee
Medrad Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medrad Inc filed Critical Medrad Inc
Publication of CA2097848A1 publication Critical patent/CA2097848A1/en
Application granted granted Critical
Publication of CA2097848C publication Critical patent/CA2097848C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/1452Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
    • A61M5/14546Front-loading type injectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/1452Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
    • A61M5/14546Front-loading type injectors
    • A61M2005/14553Front-loading type injectors comprising a pressure jacket
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/58Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/581Means for facilitating use, e.g. by people with impaired vision by audible feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/58Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/582Means for facilitating use, e.g. by people with impaired vision by tactile feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/58Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/583Means for facilitating use, e.g. by people with impaired vision by visual feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/1452Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
    • A61M5/14566Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons with a replaceable reservoir for receiving a piston rod of the pump
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00Surgery
    • Y10S128/01Motorized syringe

Abstract

A front-loading syringe which comprises a movable plunger for injecting liquid contrast media, is rotatably mountable on a front wall of an injector housing with an interference fit and in sealed relationship with respect thereto, with or without a pressure jacket, by a first-quick release mechanism. At the same time, the plunger is connected to an injector drive mechanism by a second readily releasable mechanism. During the mounting operation, a sensor reads injection information from an indicator device on the syringe and feeds it to an injector control. An audible-and-tactile indicating mechanism also is activated when the syringe is essentially in the desired mounted position. The syringe may include reinforcing ribs which also function as volumetric gradations, and liquid media presence-or-absence indicating dots which appear circular against a liquid media background and oval-shaped against an air background. An injection end of the syringe comprises an injector portion of reduced diameter inside a screw-threaded attachment portion of larger diameter, and may include loop-shaped reinforcing handle portions.

Description

~'~'~~~'~~~
.orrm-a~o~az~~ M~~acxix,, aaaJ~~T~R ~~rRarrG~ ~~~ ~~~ T~cE~~~ax~
This invention relates to a front-loading medical injector and a syringe for use therewith, and more particularly to a front-loading medical injector apparatus wherein a syxinge of special construction is mountable upon and removable froia a front wall of an injector housing by a first readily releasable mechanism, while a plunger in the syringe is simultaneously i connected to or dissembled from an injector drive member by a second readily releasable mechanism.
U.S. Patent No. 4,006,736, issued to R.J. Kranys et al.
on February 8, 1977, and entitled, "Angiographic Tnjector", which is assigned to the same Assignee as the subject application, discloses an angiographic injector apparatus for injecting contrast media into the vascular system of an animal, in which angiographic syringes are rear-loaded into a pressure jacket of the injector. More specifically, the apparatus comprises a rotatable turret which carries a pair of the pressure jackets and which is ratatable so that when one of the pressure jackets, into which an angiographic syringe has been rear-loaded, is in an injection position, the other pressure jacket is in a position in which an associated angiographic syringe can be rear-loaded. Subsequently, wh~_. injection of contrast media from the first syringe is completed, the turret is rotated to move the first syringe to an unloading-loading position, with the second pressure jacket and the angiographic syringe then being moved in~:o the injection position.
xn this apparatus, when each of the pressure jackets and its associated syringe has been located in 'the injection position, a drive member of the injector is moved forward to become drivingly.
engaged with a plunger in the syringe; however, the manner of engagement between the drive member and plunger is such that the drive member cannot be retracted without also retracting the plunger, which can cause body fluids of the animal to be retracted into the syringe unless the syringe is first disconnected fr~m the animal.
An improved apparatus over the apparatus as disclosed in the Kranys et a1. patent, is disclosed in U.S. Patent Ido.
4,677,980, issued to D.M. Reilly et al. on July 7, 1987, and entitled "Angiographic Injector and Angiographic Syringe for Use Therewith", which also is assigned to the same ~Assigraee as the subject application. In this apparatus, a drive member of the angiographic injector can be drivingly connected to, or disconnected fram, a plunger of an angiographic syringe at any point along the path of travel of the plunger by a readily releasable mechanism. Thus, the apparatus of the Reilly et al.
patent represented certain improvements over the Kranys et al.
patent. However, the apparatus of the Reilly et al. patent, like that of the ICranys et al. patent, is of a rear-loading type _2_ coi,.~rising a pair of pressure jackets mounted upon a rotatable turret for moving the pressure jackets and syringes therein between injection and loading positions.
Accordingly, a need exists foa: a front-loading medical injector and a syringe of special construction so that the syringe can be readily and securely front-loaded directly and accurately in a desired position on the injector, thereby facilitating the loading-unloading operation, and a primary purpose of this invention is to provide such an arrangeanent with its various attendant advantages. Further, in certain instances, it is desirable that the syringe not be enclosed in a pressure jacket, in order that an operator be able to view the status of the s~ringe visually during an injection operation. By allowing the operator to see the syringe, the operator can, e.g>, determine whether the syringe is empty or full, determine of it is being filled too fast and/or introducing too many air bubbles, when the syringe is filled, and the amount of contrast that has been delivered or remains in the syringe during a procedure. Another purpose of this invention is, in one embodiment, to provide an injector apparatus of such construction.
In general, in accordance with the invention, a readily releasable mechanism is provided for supporting a syringe on a front wall of an inject~r housing for an injection operation. For this purpose, the readily releasable mechanism includes at least ~~);~1';~~
one retaining portion on the mounting mechanism releasably engageable with a mating retaining portion on the syringe.
Further, an actuating mechanism of the injector includes a drive member which is connectable to a plunger in the syringe for controlling the movement of the plunger in the syringe.
More specifically, the readily releasable mechanism is an interlocking mechanism which is activated and released upon rotation of a rearward portion of the syringe relative to the front wall of the injector housing. At the same time, a second readily releasable interlocking mechanism for connecting the injector drive member to the syringe plunger, and which also is activated and released upon rotation of the syringe relative to the front w~ll of the housing, interconnects the drive member and the plunger. The first readily releasable mechanism may comprise a mounting mechanism on the front wall of the housing having at least a pair of slots for receiving retaining flanges on the rearward end of the syringe therethrough, with the syringe then being rotated to engage the flanges behind associated retaining flanges of the mounting mechanism. The second readily releasable mechanism comprises respective radially projecting parts on the drive member and the plunger which become drivingly engaged in a similar manner upon rotation of the syringe and the plunger.
The first readily releasable mechanism may be further defined by the mounting mechanism on the injector housing front wall having an annular sealing member against which a resilient annular sealing member on the syringe- becomes seated as the syringe is c aitioned on the mounting mechanism, with the resilient annular sealing member and the retaining flanges on the syringe receiving the retaining flanges on the mounting mechanism therebetween with an interference fit. An audible-and-tactile indicator mechanism, alignment arrows, and/or alignanent dots alsa may be provided to detect when the syringe has been essentially rotated into its desired mounted position against suitable stops, with this mechanism then further functioning to di:acourage reverse rotation of the syringe on the injector housing. An indicator mechanism for providing liquid media injection information to an injector controller, and a sensor for reading the indicating mechanism, also may be provided on the syringe and the injector hosing, respectively. The syringe also may include a mechanism which provides a visual indication of whether the syringe still includes injection liquid, may have an injector nozzle of reduced diameter surrounded by a screw-threaded cylindrical attachment portion at its injection end (the reduced diameter nozzle serving to minimize the amount of contrast that remains in the syringe after the plunger has been fully extended), may be provided with reinforcing ribs which are longitudinally spaced so as to also function as volumetric gradations, and/or may be formed of relatively strong clear plastic.
In another embodiment of tine invention, which utilizes a pressure jacket, the pressure jacket is in the form of an elongated tube having one end mounted on the front wall of the injector housing, and having an opposite open outer end. In a syringe C~~~''~~~3~3 mo,.nting operation, a syringe is inserted into the open end of the tubular jacket until an inner end of the syringe engages against a seat mechanism on the injector housing front wall. During this insertion operation, retaining flanges adjacent the forward end of the syringe pass through slots in the open end of the tubular pressure jacket, whereupon the syringe is rotated to engage the flanges behind corresponding mating retaining flanges at the open end of the jacket. As the syringe is rotated, a plunger in the syringe also rotates into driving engagement with a drive member of the injector. An cuter injection end of the syringe also may be provided with reinforcing-handle members.
Embodiments of the present invention will now be described more fully with reference to the accompanying drawings in whichs Fig. 1 is a partial, isometric view of an injector apparatus in accordance with the invention, showing an injector housing and a syringe in disassembled relationship;
Fig. 2 is an enlarged isometric view of portions of the apparatus shown in Fig. 1, more specifically illustrating certain features of the invention;
Fig. 3 is a partial, cross-sectional view, taken essentially along the line 3-3 in Fig. 1, illustrating the injector housing and the syringe in assembled relationshipg Fig. 4 is an end view, as seen essentially along the line 4-4 in Fig. 1, illustrating features of the syringe;
Fig. 5 is an isometric view of a modified form of the syringe shown in Fig. 1.;
_6_ Fig. 6 is an enlarged isometric view of the syringe shown in Fig. 1, illustrating another feature of the invention;
Fig. 7 is an isometric view of portions of the apparatus shown in Fig. 1 in a different orientation, illustrating a further feature of the invention;
Fig. 8 is a cross-sectional view taken essentially along the line 8-8 in Fig. 1, illustrating another feature of the invention;
Fig. 9 is an isometric vises similar to Fig. 1, illustrating an embodiment of the invention utilizing a pressure jacket, with an injector drive member and a syringe plunger in a retracted loading position; and Fig. 10 is an isometric view similar to Fig. 9, illustrating the apparatus of the pressure jacket embodiment with the injector drive member and the syringe plunger in an advanced laading position.
Fig. 1 discloses a injector apparatus 20 of the general type disclosed in the U.S. Patents Nos. 4,006,736 to R.J. ICranys et al. and 4, 677, 980 to' l3.M. Reilly et al. , for injecting a lityuid contrast media into a vascular system of an animal, but of front-loading construction, rather than rear-loading construction, as disclosed in those patents. Thus, the apparatus of Fig. 1 utilizes a syringe 22 capable of being front--loaded into a mounting assembly 23 on a front wall 24 of a housing 26 of an _7_ injector 27 by a first readily releasable mechanis~xi 28, and also capable of functioning in a injection operation without the use of a pressure jacket, whereas each apparatus of those patents is of a type in which angiographic syringes are rear-loaded into respective pressure jackets supported on a rotatable turret for moving the jackets between injection and loading positions.
With reference to Figs. 1-3 and the first readily releasable mechanism 28, the mounting assembly 23 on the from wall 24 of the injector housing 26 is provided with an essentially cylindrical opening 29 for receiving a rearward end of the syringe 22. The opening 29 includes a pair of upper and lower slots 29s (best shown in Fig. 2) through which respective upper and lower retaining flanges 22f of the syringe 22, having reinforcing ribs 22fr, may pass as the rearward end of the syringe is inserted in the opening. The mounting assembly 23 further includes opposed retaining flanges 23f on opposite sides thereof so that, after the rearward end of the syringe 22 has been inserted into the opening 29, and the syringe is rotated clockwise, as viewed in Fig. 1, the retaining flanges 22f on the syringe become engaged behind the retaining flanges 23f to secure the syringe to the housing front wall 24. During this mounting of the syringe 22 on the housing front wall 24, the rotation of the syringe preferably is limited by _8_ su~.~able rearwardly projecting stops 30 at adjacent ends of the housing front wall retaining flanges 23f. The mounting assembly 23 also includes an inner annular ring 31 a.n spaced relationship to the retaining flanges 23f, to provide support for the rearward end of the syringe 22 and also define semi-annular guide slots 23s (best shown in fig. 2) for receiving the syringe flanges 22f.
As is disclosed in the aforementioned D.M. Reilly et al U.S. Patent Plc. 4,677,980, and referring again to Fig. 1, the syringe 22 comprises an elongated main tubular body or barrel 32 and a coaxial discharge injection section 34, interconnected by an intermediate conical portion 36. ,~ plunger 38 is slidably positioned within the tubular body 32 and is connectable tto an actuating mechanism 40 in the injector housing 26 by a second readily releasable mechanism 42. The second readily releasable mechanism 42 is formed in part by the plunger 38 comprising a base member 43 having hook or lug members 44 (Figs. 1, 3 and 4) extending rearwardly therefrom, with portions 46 of these members extending radially inward in opposed relationship. The plunger 38 serves to control the ejection of fluid contained within the syringe 22 in a desired quantity and at a desired rate, and the hook members 44 are designed to facilitate axial movement of the plunger in either direction when connected to the actuating mechanism 40 by the second readily releasable mechanism 42.
Further in this connection, as is best shown in Figs. 2 and 3, the actuating mechanism 40, which reciprocates the plunger 38 in the syringe tubular body 32, comprises a reciprocable drive ~~)~'~a~"$
member 48 which includes a base portion 50, a stem 52 (Fig. 3) and an integral rectangular head 54 extending radially outward from the stem, all of which form additional parts of the second readily releasable mechanism 42) The drive member 48, however, while reciprocable, is not rotatable, as disclosed in the above-mentioned Reilly et al patent. Rather, as the syringe 22 is inserted into the opening 29 in the mounting assembly 23, the hook members 44 (Fig. 3) on the plunger 38 initially move past the rectangular head 54 on the drive member 48 on opposite sides thereof into alignment with the stem 52 and slots 56 defined by the rectangular head and the base portion 50. Then, when the syringe 22 is rotated clockwise to engage the syringe retaining flanges 22f behind the retaining flanges 23f of the mounting assembly 23, the radially extending portions 46 of the hook members simultaneously move into the slots 56 to effect a driving engagement between the plunger 38 and the drive member 48 in either a forward or reverse direction, as is best shown in Fig. 3.
with further reference to Figs. 1-3, the mounting assembly 23 further includes a forwardly projecting annular ring or collar 58 which functions to remove extra slack in the mounting slots and assure perpendicular engagement between the plunger 38 and the drive member 48, as well as for sealing. The retaining flanges 23f are mounted within the annular ring 58. As is illustrated in Fig. 2, the tubular body 32 of the syringe 22 also includes a resilient annular sealing ring 60 surrounding the tubular body and disposed forward of the syringe retaining flanges ~~D~'~1~~
2~1 a preselected distance D1 essentially equal to a thickness D2 of the mounting assembly retaining flanges 23f. Thus, when the syringe 22 is inserted into the opening 29 in the mounting assembly 23 until the syringe sealing ring 60 engages the annular ring 58, and is then rotated to engage the syringe retaining flanges 22f behind the retaining flanges 23f, the latter flanges are received between the syringe retaining flanges and the resilient syringe sealing ring with an interference fit.. For this purpose, the retaining flanges 23f may be provided with a slight lead-in taper (not shown) to facilitate initial movement thereof between the syringe retaining flanges 22f and the resilient sealing ring 60.
The foregoing mounting arrangement possesses a number of advantages, including minimizing wobble and rotation of the syringe 22 during an injection operation, preventing unwanted rotational disengagement of the syringe from the injector housing 26, by creating a cowtrolled sliding friction interference fit, preventing contrast media spilled from the injecting end of the syringe, from flowing into the injector housing 26, as illustrated in Fig. 7, and eliminating the need for constructing the respective parts to excessively tight tolerances. This tight-fitting mounting of the syringe 22 on the housing front wall 24 is further facilitated by providing the syringe retaining flanges 22f with the reinforcing ribs 22fr (Figs. 1, 2 and 4) to enhance their structural rigidity.
To enhance the sealing capability of the annular rings 58 and 60, a suitable O-ring (not shown) also may be provided therebetween.

~t~~'~Jt'~~~
Referring again to Fig. 2, in the disclosed embodiment of the invention, the resilient annular sealing ring 60 on the syringe 22 and at least one of the retaining flanges 23f of the mounting assembly 23 include respective parts which form an audible-and-tactile indicating mechanism 64 for det~!ct.ing and indicating when the syringe and its plunger 38 have esselntially been rotated into a desired mounted position against the stops 30. More specifically, the retaining flange 23f includes an arcuate slot 23fs formed in a front surface thereof for receiving a projection 65 on the syringe sealing flange 60 as the syringe is rotated relative to the injector housing front wall 24. The slot 22fs further includes a protuberance 66 spaced slightly from one end of the slot so that this protuberance is engaged by the projection 65 on the syringe sealing ring 60 during rotation of the syringe toward its mounted position, with this engagement providing an audible and tactile feedback indicating that the syringe is essentially in the mounted position. Then, as the syringe 22 continues to be rotated into its mounted position, the projection 65 on the syringe annular sealing ring 60 rides over the protuberance 66 in the slot 22fs and into a s~dall space between the protuberance and the end of the slot, just before the retaining flanges 22f on the syringe engage their respective stops 30. The protuberance 66 in the slot 22fs then cooperates with the projection 65 to prevent undesired reverse rotation of the syringe 22 out of its mounted position. In the alternative, this arrangement may be reversed, with a slot-protuberance arrangement _12_ i~~~~~'~~~"~~~
being provided on the syringe annular sealing ring 60, and a projection being provided on the one retaining flange 23f of the injector housing front wall mounting assembly 23. Moreover, although this embodiment describes they use of a projection and slot, one should recognize that other means may also accomplish the desired tactile/audible effect. Thus, for example, ~ne may instead use a ~~dimple~~ located on the flange 60 which may snap into a receiving hole on the retaining flange 23f.
With further reference to Fig. 2, a system 67 for transmitting syringe information from the syringe 22 to an injector controller 68, illustrated in phantom lines in Fig. Z, while attaching the syringe to the injector housing from wall mounting assembly 23, also is provided. sn this instance, the system 67 comprises an encoding device 70, such as a bar code having spaced bars 70b and located on the syringe 22, and a sensor 72 located on the injector 27, as for example, in a second one of the connector assembly retaining flanges 23f. Then, as the syringe 22 is rotated into its mounted position, the sensor 72 reads the encoding device 70 and forwards associated signals to the injector controller t8, which then interprets the signals and modifies the function of the injector apparatus 20 accordingly. Examples of the information which could be encoded on the encoding device 70 include dimensions of the syringe 22, content of the syringe in the case of a pre-filled syringe, manufacturing inforanation such as lot numbers, dates and tool cavity number, recommended contrast media flow rates and pressures, and loading/injection sequences. As an al,.arnative to the encoding device 70 being a bar code with spaced bars 70b, the encoding device also could include raised surfaces 7os corresponding to the spaced bars, which then would be read by a suitable injector sensor 72 in a simi7.ar manner, as the syringe 22 is mounted on the injector housing front wall 24. In addition to the encoding device 70, one may also use mechanically readable devices, e.g. a slot, hole, or projectian on the syringe 22 or plunger 38 to register against a switch on the maunting assembly 23, or alternatively an optically readable device, e.g. characters, dots and other geometric shapes, that will send information concerning tre type of syringe used to the intelligent circuits of the injector.
Referring to Fig. 5, since the syringe 22 is being used in this embodiment without a pressure jacket, for strength and visibility of the syringe contents, the syringe wall may be formed of a clear PET polyester material. In the alternative, the wall of the syringe 22 may be formed of polypropylene reinforced by providing a series of annular ribs 74 on the tubular body 32 of the syringe in longitudinally spaced relationship. Further, by suitably spacing the ribs 74 along the length of the tubular body 32, ,such as in equal increments, the ribs also can perform the dual function of serving as volumetric gradations fmr the purpose of indicating the amount of contrast media in the syringe.22.
With reference to Fig. 6, the tubular body 32 of the syringe 22 also may be provided with an indicating mechanism 7f for readily detecting the presence or absence of a liquid contrast s~d r~ ;f m~,.ia in the syringe. In this ~stance~~he detecting mechanism 76 includes a plurality of integrally molded, textured dots 78 on the syringe 22, which provide a visual indication of whether the syringe contains lir~uid or air. t4ore specifically, as illustrated in Figs. 6 and 7, when viewed against an air background (Fig. 7), the dots 78 appear oval-shaped, but when viewed against a liquid contrast media background (Fig. 6), which has a different index of refraction than air, the dots 78 appear circular.
Fig. 8 illustrates the internal construction of the syringe discharge injection section 34. Specifically, while a rearward portion 80 of the injection section 34 is of tapered conical construction, a forward connector portion 82 is of generally cylindrical construction and formed with internal screw threads 84 for attaching a catheter (not shown) to the injection section. Further, an injection nozzle 86 of reduced diameter is disposed within the screw-threaded cylindrical connector portion 82 and is integrally molded with the tapered rearward portion 80 of the injection section adjacent the point at which the tapered and cylindrical portions merge together.
Figs. 9 and ~.0 disclose an alternate embodiment of the invention in which a front-loading syringe 22' is mounted on a front wall 24° of a housing 26~ of an injector 27~ in conjunction with a pressure jacket 88, preferably formed of a strong clear plastic, such as polycarbonate. The pressure jacket 88 is in the form of an elongated tubular member which is suitably mounted at its rearward end in a mounting assembly 23° on the housing front o~:(~~:~'~~~'ni~
wall 24°, by fitting the flange of pressure jacket 88 into the collar on the mounting assembly 23'. The pressure jacket 88 also has a forward open end 90 for receiving the syringe 22'.
Thus, in this embodiment, a pair of opposed inwardly projecting retaining flanges 88f, separated by opposed slots 88s, are provided adjacent the forward open ,end of the pressure jacket 88, rather than in the mounting assembly 23° on the injector.
housing front wall 24° as in the embodiment of Figs. 1-8.
Similarly, a tubular body 32° of the syringe 22° also includes a pair of outwardly projecting retaining flanges 22f° (only one shown) on opposite sides thereof, but in this instance located adjacent the forward end of the tubular body, rather than ad~acent its rearward end, as in the embodiment of Figs. 1-8. In addition, at the forward end of the syringe 22°, on opposite sides of a discharge injection section 34°, a pair of reinforcing, loop-shaped handle portions 92, for facilitating handling of the syringe, including rotation thereof, are integrally molded with the injection section and a tapered conical intermediate portion 36°.
In other respects, while not specifically disclosed and described, it is to be understood that various other features of the embodiment of the invention disclosed in Figs. 1-8, may be incorporated into the embodiment of Figs. 9 and 1~, as desired.
In use, the syringe 22' of Fags. 9 and l0 may be mounted in the pressure jacket 88 with a drive member 48° of the injector 27' either in a retracted position, as shown in Fig. 9, or in an advanced position, as shown in Fig. 10. For example, with the drove member 48' in the retracted position, as shown in Fig. 9, a plunger 38' is disposed at the rearward end of the syringe 22'.
The syringe 22' then is inserted into the open end 90 in the forward end of the pressure jacket 88 until the rearward face of the retaining flanges 22f' have engaged against suitable seat members in the pressure jacket 88, with hook members 44'.of the syringe plunger 38' having moved beyond a rectangular head 54' of the drive member 48' and into alignment with associated slots 56' in the drive member. At the same time, the retaining flanges 22f' on the syringe 22' have moved through the slots 88s at the forward end of the pressure jacket 88 into positions rearward of the retaining flanges 88f adjacent the opening 90 in the pressure jacket. The syringe 22' then is rotated clockwise in Fig. 9, using the handles 92, to move radially projecting portions 46' of the hook members 44' on the syringe plunger 38' into the slots 56' of the drive member 48', and to simultaneously move the retaining flanges 22f' on the syringe into engagement behind their respective retaining flanges 88f on the pressure jacket 88.
In Fig, 10, in which the injector drive member 48' is in a forward position, the mounting of the syringe 22' into the pressure jacket 88 is the same as shown in Fig. 9, except that the plunger 38° also is in its forward position in the syringe. Tn other respects, the mounting of the syringe 22' on the pressure jacket 88 is essentially the same as previously described for Fig.
9. However, having the syringe plunger 38' and the drive member 48' in their forward positions, as shown in Fig. 10, has several a~x~antages over the .rearward position arrangement of Fig. 9, from a time standpoint. For example, since the syringe plunger 38~ and the drive member 48~ are already in their forward positions, it is not necessary to move them forward in preparation for a syringe-filling operation; rather, the plunger and the drive member can immediately be retracted for this purpose. Similarly, after an injection operation has been completed, additional time is saved by not having to retract the plunger 38' and the drive member 48' in preparation for a next injection operation. Further, this embodiment prevents the drive member 48~ from touching or contaminating the inner wall of syringe 220.
In summary, a new and improved system by whi~h an injection syringe, such as the syringe 22 in the embodiment of Figs. 1-8, readily can be mounted upon and/or removed from the front wall 24 of the injector housing 26, has been disclosed. For this purpose, the first readily releasable mechanism 28, by which the syringe 22 is attached to or removed from the injector housing front wall 26, and the second readily releasable mechanism 42, by which the plunger 38 of the syringe is drivingly connected to or released from the drive member 48 of the injector 27 cooperate to produce their respective connections and disconnections simultaneously. Another advantage is that the plunger 38 is capable of being placed in a driven or undriven state at any point along its path, whereby the syringe 22 may be disengaged from the injector 27 without having to retract the drive member, or having _18-t. first disconnect the syringe from an animal being injected before retracting the drive member.
Other desirable features of the invention include the construction of the first readily releasable mechanism 28, in which the syringe 22 is mounted upon the front wall 24 of the injector housing 26 with an interference friction fit, which is advantageous from the standpoint of minimizing syringe wobble and reverse rotation (disengagement) during an injection operation, and eliminating the need for excessively tight manufacturing tolerances. Proper mounting of the syringe 22 and prevention of disengagement also is facilitated by the audible-and-tactile detecting mechanism 54. The encoding device 70 on the syringe 22, in cooperation with the sensor 72 on the injector 27, also is advantageous from the standpoint of providing °°custom programming"
of the injector as the syringe is mounted thereon. elimination of a pressure jacket also is desirable from the standpoint of better visibility of the contents of the syringe 22, better heat transfer to the syringe contents and decreased cleaning and maintenance otherwise needed due to, e.g., scratching or contamination with contrast media of the pressure jacket.
In order to eliminate the need for a pressure jacket, the syringe 22 also may be made of a relatively strong clear plastic, or may be provided with the annular reinforcing ribs 74, which also are spaced to function as volumetric gradations, as disclosed in Fig. 5. Further, the detection of the presence of liguid in the syringe 22 is facilitated by the indicating mechanism 76 in Fig. s, _lg_ ~( 3;t~'~'~~,~~~
in the form of the dots 78 molded into the syringe tubular body ~2, with the dots appearing visually as eithear oval-shaped or circular, depending upon whether the tubular body contains air or liquid, respectively. In addition to functioning as a part of the first readily releasable mechanism 28 for the syringe 22, the syringe resilient annular flange 60 also cooperates with the annular ring 58 to create a seal to prevent contra:at media spilled from the injection end of the syringe, from flowing into the injector housing 26, as shown in Fig. 7. The embodiment of tine invention shown in Figs. 9 and 10 also provides a system by which various other advantages, including time savings in syringe-filling and syringe-changing operations, can be achieved utilizing a pressure jacket, such as the pressure jacket 88 mounted in the connector assembly 23° on the injector housing front wall 24°.
While the injector apparatus of the present invention is especially designed for injection, it may be applicable to other systems, angiographic and otherwise. 3t is therefore understood that the foregoing description and accompanying drawings set forth the preferred embodiments of the invention at the present time.
Various modifications, additions and alternative designs will, of course, become apparent to those skilled in the art in light of the foregoing teachings without departing from the spirit and scope of the disclosed invention. Thus, it should be appreciated that the invention is not limited to the disclosed embodiments but may be practiced within the full scope of the appended claims.

Claims (44)

1. An injector for injecting a liquid from a syringe, said syringe having a plunger, said injector comprising:
a housing having a front wall;
readily releasable mounting means on said housing front wall for supporting the syringe for an injection operation, said readily releasable mounting means including retaining means for releasably engaging a retaining portion on the syringe, slot means of said readily releasable mounting means for receiving therethrough the retaining portion on the syringe, inner surface means of said readily releasable mounting means for engaging the retaining portion on the syringe when the syringe is inserted into and rotated in said readily releasable mounting means;
drive means in said housing movable through said housing front wall for controlling the movement of the plunger in the syringe; and annular sealing means on the front wall of said housing for engaging annular sealing means on the syringe, for perpendicularly aligning the plunger and the drive means and for minimizing slack between the syringe and the slot means.
2. The injector as recited in claim 1, wherein said retaining portion on the syringe is a flange having reinforcing ribs.
3. An injector for injecting a liquid from a syringe, the syringe having a plunger, said injector comprising:
a housing having a front wall;
readily releasable mounting means on said housing front wall for supporting the syringe for an injection operation, said readily releasable mounting means including retaining means for releasably engaging a retaining portion of the syringe;
annular sealing means on the front wall of said housing for engaging annular sealing means on the syringe for preventing spilled liquid from a discharge end of the syringe from flowing rearward along the syringe into said injector housing, said retaining means of said readily releasable means being received between the annular sealing means and the retaining portion on the syringe with an interference fit; and drive means in said housing movable through said housing front wall for controlling the movement of the plunger in the syringe.
4. The injector as recited in claim 3, wherein the annular sealing means on the syringe is of resilient construction to facilitate said interference fit.
5. An injector for injecting a liquid from a syringe, said syringe having a plunger, said injector comprising:
a housing having a front wall;
readily releasable mounting means on said housing front wall for supporting the syringe for an injection operation, said readily releasable mounting means including retaining means for releasably engaging a retaining portion on the syringe, said readily releasable mounting means being an interlocking mechanism which is activated and released upon rotation of the syringe relative to the front wall of said housing;
annular sealing means on the front wall of said housing for engaging a resilient annular sealing portion of the syringe when the syringe is mounted on said housing; said retaining means of said readily releasable mounting means being received between said annular sealing portion and said retaining portion on said syringe with an interference fit when said syringe is mounted on the front wall of said housing;
audible-and-tactile indicating means for detecting when the syringe has been rotated into a desired mounted position relative to said housing front wall;
sensor means for reading liquid media injection information from an indicator device on the syringe as the syringe is mounted on said housing front wall, and feeding the information to an injector control system; and drive means in said housing movable through said housing front wall for controlling the movement of the plunger in the syringe.
6. A front-loading syringe for injecting a liquid media, which comprises:
an elongated cylindrical main body of relatively large uniform diameter;
readily releasable mounting means on said cylindrical main body for mounting the syringe in a desired position relative to a front wall of an injector housing, said readily releasable mounting means including at least one radially projecting flange, including reinforcing ribs, on said cylindrical main body; an elongated injection section of relatively small diameter connected to a forward end of said cylindrical main body; and a plunger movably mounted in said cylindrical main body for forcing the liquid media from the syringe through said injection section.
7. The front-loading syringe as recited in claim 6, wherein said at least one radially projecting retaining flange extends only partially around the periphery of said cylindrical main body.
8. A front-loading syringe for injecting a liquid media, which comprises: an elongated cylindrical main body of relatively large uniform diameter; readily releasable mounting means on said cylindrical main body for mounting the syringe in a desired position relative to a front wall of an injector housing, said readily releasable mounting means including at least two radially projecting retaining flanges in spaced relationship on said cylindrical main body;
an elongated injection section of relatively small diameter connected to a forward end of said cylindrical main body; and a plunger movably mounted in said cylindrical main body for forcing the liquid media from the syringe through said injection section and wherein said radially projecting retaining flanges include reinforcing ribs.
9. A front-loading syringe for injecting a liquid media, which comprises:
a) an elongated cylindrical main body of relatively large uniform diameter;
b) readily releasable mounting means on said cylindrical main body for mounting the syringe in a desired position relative to a front wall of an injector housing;
c) said readily releasable mounting means including at least two radially projecting flanges, said flanges being circumferentially spaced from each other;
d) an elongated injection section of relatively small diameter connected to a forward end of said cylindrical main body; and, e) a plunger movably mounted in said cylindrical main body for forcing the liquid medial from the syringe through said injection section;
wherein, said radially projecting flanges are located at a rear end of the cylindrical main body.
10. The front-loading syringe as recited in claim 6, wherein said at least one radially projecting retaining flange is located adjacent a rearward end of said cylindrical main body.
11. A front-loading syringe for injecting a liquid media, which comprises an elongated cylindrical main body of relatively large uniform diameter;
readily releasable mounting means on said cylindrical main body for mounting the syringe in a desired position relative to a front wall of an injector housing, at least one radially projecting retaining flange being located spaced from a forward end of said cylindrical main body; an elongated injection section of relatively small diameter connected to a forward end of said cylindrical main body; and a plunger movably mounted in said cylindrical main body for forcing the liquid media from the syringe through said injection section.
12. The front-loading syringe as recited in claim 6, wherein said plunger also includes readily releasable means for connecting said plunger to a plunger drive member in the injector housing.
13. The front-loading syringe as recited in claim 6, which further comprises a circumferentially extending and radially projecting sealing flange on said cylindrical main body.
14. A front-loading syringe for injecting a liquid media, which comprises an elongated cylindrical main body of relatively large uniform diameter;
readily releasable mounting means on said cylindrical main body for mounting the syringe in a desired position relative to a front wall of an injector housing, said readily releasable mounting means including at least one radially projecting flange on said cylindrical main body; an elongated injection section of relatively small diameter connected to a forward end of said cylindrical main body; a plunger movably mounted in said cylindrical main body for forcing the liquid media from the syringe through said injection section; and a circumferentially extending and radially projecting sealing flange on said cylindrical main body in a preselected spaced relationship from said at least one radially projecting retaining flange and cooperable therewith for mounting the syringe on the injector housing with an interference fit.
15. The front-loading syringe as recited in claim 14, wherein said sealing flange is of resilient construction to facilitate said interference fit.
16. The front-loading syringe as recited in claim 6, wherein said syringe is formed of clear plastic.
17. A front-loading syringe for injecting a liquid media, which comprises an elongated cylindrical main body of relatively large uniform diameter, which includes a plurality of spaced reinforcing ribs; readily releasable mounting means on said cylindrical main body for mounting the syringe in a desired position relative to a front wall of an injector housing; an elongated injection section of relatively small diameter connected to a forward end of said cylindrical main body;
and a plunger movably mounted in said cylindrical main body for forcing the liquid media from the syringe through said injection section.
18. The front-loading syringe as recited in claim 17, wherein said reinforcing ribs encircle said cylindrical main body and are longitudinally spaced so as to also function as volumetric gradations.
19. The front-loading syringe as recited in claim 6, which further comprises audible-and-tactile indicating means on said cylindrical main body for detecting when said syringe has been essentially located in a desired position relative to said injector housing front wall.
20. The front-loading syringe as recited in claim 19, wherein said audible-and-tactile indicating means includes a projection or slot adapted to cooperate with a slot or a projection, respectively, on the injector housing, said slot also including another projection engageable by said first-mentioned projection to provide an audible-and-tactile indication.
21. The front-loading syringe as recited in claim 6, which further comprises indicator means for providing liquid media injection information to a control system for an injector.
22. The front-loading syringe as recited in claim 21, wherein said indicator means is a bar code.
23. The front-loading syringe as recited in claim 21, wherein said indicator means is a preselected pattern of raised and depressed surface portions.
24. The front-loading syringe as recited in claim 6, which further comprises indicator means formed in said syringe for indicating the presence or absence of liquid media in said syringe, said indicator means providing a different visual shape when the liquid media is present than when the liquid media is absent.
25. The front-loading syringe as recited in claim 24, wherein said indicator means is in the form of dots which appear circular when the liquid media is present and which appear oval shaped when the liquid media is absent.
26. The front-loading syringe as recited in claim 6, wherein the injection section includes a screw-threaded cylindrical attachment portion surrounding an injector portion of reduced diameter.
27. The front-loading syringe as recited in claim 6, which further comprises at least one reinforcing-handle portion extending along one side of said injection section.
28. A front-loading syringe for injecting a liquid media, which comprises:
an elongated cylindrical main body of relatively large uniform diameter;
readily releasable mounting means on said cylindrical main body for mounting the syringe in a desired position relative to a front wall of an injector housing, said readily releasable mounting means including at least one radially projecting flange on said cylindrical main body; an elongated injection section of relatively small diameter connected to a forward end of said cylindrical main body; a plunger movably mounted in said cylindrical main body for forcing the liquid media from the syringe through said injection section; second readily releasable means on said plunger for connecting said plunger to a plunger drive member in said injector housing; a circumferentially extending and radially projecting sealing flange of resilient construction on said cylindrical main body in a preselected spaced relationship from said at least one radially projecting retaining flange and cooperable therewith for mounting the syringe on said injector housing with an interference fit; audible-and-tactile indicating means on said cylindrical main body for detecting when said syringe has been located in a desired mounted position; and indicator means on said cylindrical main body for providing liquid media injection information to said injector as said syringe is mounted on said injector.
29. Apparatus for injecting a liquid medium, comprising:
a front-loading syringe for holding the liquid medium and having a plunger;
an injector housing having a front wall;
readily releasable mounting means for supporting said front-loading syringe on said housing front wall for an injection operation;
annular sealing means on the front wall of said housing for engaging annular sealing means on said syringe adjacent a rearward end thereof, for preventing spilled liquid media from a discharge end of said syringe from flowing rearward along said syringe into said injector housing;

a retaining flange of said readily releasable mounting means which is received between said annular sealing means on said syringe and a retaining flange on said syringe with an interference fit; and drive means movable through said housing front wall for controlling the movement of said plunger in said syringe.
30. Apparatus as recited in claim 29, wherein said retaining flange has reinforcing ribs.
31. Apparatus as recited in claim 29, wherein said annular sealing means on said syringe is a flange of resilient construction to facilitate said interference fit.
32. Apparatus as recited in claim 29, wherein said syringe is formed of clear plastic.
33. Apparatus for injecting a liquid medium, comprising:
a front loading syringe for holding the liquid medium, said syringe including longitudinally spaced reinforcing ribs formed thereon which encircle said syringe so as to also function as volumetric gradations;
an injector housing having a front wall;
readily releasable mounting means for supporting said front loading syringe on said housing front wall for an injection operation; and drive means movable through said housing front wall for controlling the movement of a plunger in said syringe.
34. Apparatus for injecting a liquid medium, comprising:
a front-loading syringe for holding the liquid medium, said syringe including an elongated injection section, at least one reinforcing-handle portion of said syringe extending along one side of said injection section;
an injector housing having a front wall;

readily releasable mounting means for supporting said front-loading syringe on said housing front wall for an injection operation; and drive means movable through said housing front wall for controlling the movement of said plunger in said syringe.
35. Apparatus for injecting a liquid medium, comprising:
a front-loading syringe for holding the liquid medium and having a plunger;
an injector housing having a front wall;
readily releasable mounting means for supporting said front-loading syringe on said housing front wall for an injection operation;
drive means movable through said housing front wall for controlling the movement of said plunger in said syringe;
annular sealing means on the front wall of said housing for engaging a resilient annular sealing member on said syringe;
said readily releasable mounting means including a syringe retaining flange on said housing front wall received between a retaining flange on said syringe and said resilient annular sealing member on said syringe with an interference fit;
audible-and-tactile indicating means for detecting when said syringe has been rotated into a desired position on said housing front wall;
means for controlling the operation of the apparatus;
indicator means on said syringe for providing liquid media injection information for the operation of said control means; and sensor means on said housing front wall for reading said indicator means as said syringe is mounted on said housing front wall, and for feeding the information to said control means.
36. The syringe of claim 9 wherein said radially projecting flanges include reinforcing ribs.
37. The syringe of claim 9 further including a circumferentially extending and radially projecting sealing flange on said cylindrical main body.
38. A front-loading syringe for injecting a liquid media, which comprises:
a) an elongated cylindrical main body of relatively large uniform diameter;
b) readily releasable mounting means on said cylindrical main body for mounting the syringe in a pressure jacket, said jacket being attached to a front wall of an injector housing;
c) said readily releasable mounting means including at least two radially projecting flanges, said flanges being circumferentially spaced from each other;
d) an elongated injection section of relatively small diameter connected to a forward end of said cylindrical main body; and, e) a plunger movably mounted in said cylindrical main body for forcing the liquid medial from the syringe through said injection section;
wherein, said radially projecting flanges are located spaced from a forward end of the cylindrical main body.
39. An apparatus for injecting a liquid medium, comprising:
a) a front loading syringe for holding the liquid medium, said syringe including a cylindrical main body having front and rear ends, an injection tip on the front end of said cylindrical main body and readily releasable mounting means at the rear end of said cylindrical main body;
b) an injector housing having a front wall, said front wall including a retaining means cooperable with said mounting means of the syringe for mounting said syringe on said housing front wall; and c) drive means movable through said housing front wall for controlling the movement of a plunger in said syringe.
40. The apparatus of claim 39 wherein said cylindrical main body includes an annular sealing means adjacent the rear end thereof for engaging a second annular sealing means on the front wall of said injector housing whereby spillage of liquid media is prevented.
41. The apparatus of claim 39 wherein said releasable mounting means of said syringe comprises a plurality of first retaining flanges and said retaining means of said housing comprises a plurality of second retaining flanges, whereby said first and second retaining flanges cooperate to result in an interference fit between the syringe and the housing.
42. The apparatus of claim 41 wherein said first retaining flanges include reinforcing ribs.
43. An apparatus for injecting a liquid medium, comprising:
a) a front loading syringe for holding the liquid medium, said syringe including a cylindrical main body having front and rear ends, an injection tip on the front end of said cylindrical main body and a readily releasable mounting means spaced from the front end of said cylindrical main body;
b) an injector housing having a front wall;
c) a pressure jacket mounted on the front wall of said injector housing, said pressure jacket including a retaining means cooperable with said mounting means of the syringe for mounting said syringe in said pressure jacket; and d) drive means movable through said injector housing front wall for controlling the movement of a plunger in said syringe.
44. The apparatus of claim 43 wherein said releasable mounting means of said syringe comprises a plurality of first retaining flanges and said retaining means of said pressure jacket comprises a plurality of second retaining flanges, whereby said first and second retaining flanges cooperate to result in an interference fit between the syringe and the pressure jacket.
CA002097848A 1992-08-17 1993-06-07 Front-loading medical injector and syringe for use therewith Expired - Fee Related CA2097848C (en)

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EP0900573A3 (en) 1999-04-14
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US5741232A (en) 1998-04-21
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EP0584531B1 (en) 1999-06-30
ATE226458T1 (en) 2002-11-15
US6475192B1 (en) 2002-11-05
DK0584531T3 (en) 1999-11-22
US6402717B1 (en) 2002-06-11
DE69325482D1 (en) 1999-08-05
EP0584531A2 (en) 1994-03-02
CA2097848A1 (en) 1994-02-18
ATE181676T1 (en) 1999-07-15
US20030060754A1 (en) 2003-03-27
US5795333A (en) 1998-08-18
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US5997502A (en) 1999-12-07
US5383858A (en) 1995-01-24
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EP0900573A2 (en) 1999-03-10
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JP2544571B2 (en) 1996-10-16
US6090064A (en) 2000-07-18
US6562008B1 (en) 2003-05-13
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US5383858B1 (en) 1996-10-29
US6733478B2 (en) 2004-05-11

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