WITH RESHAPING FINGERS INTERDIGITATED

WITH PUMPING ELEMENTS

TECHNICAL FIELD OF THE INVENTION

The present invention relates to a linear peristaltic pump for providing adjustable volumetric flow through a flexible fluid-filled tubing, such as with infusion, of intravenous solutions through a flexible IV tubing. Particularly, the invention relates to a pump having plurality of pumping elements or plungers which operate sequentially and repeatedly along a portion of the flexible fluid carrying tubing to squeeze the fluid therealong with a "milking" type of action. Fluid is forced through the tubing from the entry end to the output end in the direction of the sequential actuation of the pumping elements. The volumetric flow rate is adjusted by changing the rate of sequential and repeated squeezing.

BACKGROUND OF THE INVENTION Traditionally intravenous infusion has been accomplished using gravity flo systems or drip regulated systems. Modern advances for regulating intravenous infusio have included various types of volumetric pumping systems. In situations where a patien is already established with a gravity-fed or drip-type IV, it often becomes helpful t convert the same system into one with a pump-controlled volumetric flow. For example an emergency IV can be established in the field by paramedics, and upon arrival at hospital, a doctor may need to administer medication at a precisely controlled flow rate The same IV tubing system can then be conveniently adapted for controlled volumetri flow pumping through the use of various types of peristaltic pumps which engage th exterior of the established IV tubing. The typical IV tubing is made of a medical grad polyvinyl chloride (PVC) which has thin walls and is both flexible and resilient. Othe more expensive tubing has been proposed to reduce collapsing, but at a cost of about te times as much as PVC tubing. Alternatively, a combination of types of tubing has bee proposed, such as silicon tubing spliced along a length which will be subjected t peristaltic pumping action. Such combination systems can also have a cost significantl greater than PVC (about five to eight times as much), because of the materials, splicin and additional sterilization required. Pumps which act upon the outside of the tubin walls to pump fluid within the tubing at a controlled rate permit the medical practitioner to avoid disturbing existing catheters or needles already established into the patient.

Thus, various types of modern pumps have been used for pumping fluid throug an IV tubing, including pumps with a rotating arm, with rollers affixed at both ends of the arm. The rollers are positioned adjacent a curved IV holding channel to engage and roll along a section of tubing placed into the holding channel, thereby advancing a column o liquid therethrough. As the arm rotates, the rollers alternately engage the tubing, one behind the other, and successive columns of liquid are moved through the tubing. Rotation of the arm continues and repeats the pumping action.

Another type of pump is one which is referred to as a single-plunger peristaltic pump. This type of pump has an entry valve which compresses the tubing shut at an upstream point. A single elongated plunger then squeezes a predetermined length of the

tubing along a linear section ahead of the closed entry valve. An outlet valve then compresses the tubing downstream from the elongated plunger after the liquid in the linear section is squeezed out and moved toward the patient. With the outlet valve closed, the entry valve is opened and the elongated plunger is retracted to allow fluid to move back into the linear section between the entry valve and the outlet valve. The entry valve is then closed, and the outlet valve is opened so that compression of the single elongated plunger can pump more fluid through the tubing.

Another type of pump, which is referred to here as a linear peristaltic pump, uses a series of pumping elements which each engage and sequentially compress a plurality of small segments along an engaged portion of the IV tubing. Each pumping element in sequence at its maximum stroke acts as a seal valve to prevent unwanted reverse flow. Separate inlet and outlet valves are not required in such a linear peristaltic pump. The sequence repeats, and the pumping element reciprocating strokes are typically timed to repeat the milking cycle without interruption. The rate of flow is controlled by changing the rate of reciprocation while the magnitude of the stroke is constant.

With each of the various types of peristaltic pumps described above, the IV tubing is repeatedly collapsed to force the fluid out of the tubing in one direction and then released to allow fluid to reenter from the other direction. After a period of use, the PVC tubing material becomes progressively flattened and permanently deformed such that the walls become creased and the interior volume of the tubing changes over the normal time period of operation. Tubing subject to permanent deformation reduces the pumping efficiency and reduces the accuracy of the pump. To the extent that attempts at reshaping may cause additional crease lines, the risk of premature cracking, tearing or rupture may also be increased, particularly at crease lines. Thus, the tubing must be changed frequently and must be carefully monitored to avoid lost efficiency, inadequate flow, inaccurate and improper volumetric flow or other failure of the system.

SUMMARY OF THE INVENTION The present invention provides advantages of a linear peristaltic pump an overcomes many of the difficulties which arrive with other types of peristaltic pumps. The use of a linear peristaltic pump with a plurality of sequentially actuated elements doe not require separate entry and outlet valves as with the single plunger type of peristaltic pump. The present invention further provides reshaping fingers, which engage a flexible fluid-filled tubing, such as an IV tubing, adjacent to each pumping element contact point, thereby continuously returning the tubing to a constant internal volume and thus maintaining a constant flow rate during operation at a given speed. The time of operation before the tubing becomes permanently deformed is increased. A plurality of pairs o interdigitated reshaping fingers are used and are sequentially actuated transverse to the actuation direction of the pumping elements along the engaged length of the tubing. The interdigitated positioning of the reshaping fingers with the pumping elements advantageously facilitates reshaping of the tubing immediately adjacent each of the compression elements so that reshaping of the tubing is effectively accomplished. Further, the present invention provides pairs of opposed reshaping fingers, each having concave jaws which the shape of a cylindrical arc matching the outside diameter of the flexible tubing. The unique arc shape of the jaws, and particularly a substantial arc of more than about 90°, is made possible by the interdigitation of the fingers with the pumping elements so that reshaping does not interfere with the pumping elements. The result is to round the tubing to its original dimensions without adding additional stress or fatigue and without causing additional potential rupture corners.

BRIEF DESCRIPTION OF THE DRAWINGS The foregoing objects, advantages, and features, as well as other objects and advantages, will become more apparent with reference to the description and drawings below, in which like numerals represent like elements and in which: FIG. 1 is a schematic perspective view of one example of an operational control box for a linear peristaltic pump, depicting an example of the inventive pumping and reshaping mechanism, shown mounted in the control box at a position for engagement with an IV tubing according to the present invention;

FIG. 2 is a schematic perspective, partial cutaway view of an example of the inventive pumping and reshaping mechanism, including a plurality of pumping elements, which, in this embodiment, are in the form of pumping element plates and with interdigitated reshaping fingers and variable-speed drive motor according to the present invention;

FIG. 3 is a top schematic plan view of a portion of the pumping and reshaping mechanism of FIG. 2 showing a plurality of pumping element plates and interdigitated reshaping fingers according to the present invention;

FIG. 4 is a schematic perspective view of a plurality of pumping element plates and a plurality of interdigitated reshaping fingers as in FIG. 3;

FIG. 5 is a partial schematic cross-sectional view taken along section lines 5-5 of FIG. 3 showing a plurality of sequentially actuated elements and reshaping fingers in which middle ones of the pumping elements are shown actuated to compress a flexible tubing and in which end ones of the interdigitated reshaping fingers are shown actuated to reshape the flexible tubing at points adjacent to retracted end pumping elements;

FIG. 6 is a schematic end view showing one pumping element plate in a retracted position so that the flexible tubing is opened at that point and showing the position of an adjacent pair of reshaping fingers (partially shown with hidden lines) engaged with the flexible tubing when it is released by the pumping element to reshape it to a circular cross- section, corresponding to an opened position in a pumping sequence;

FIG. 7 is a schematic end view of the pumping element plate and adjacent pair of reshaping fingers of FIG. 6 shown in a subsequent partially compressed position in the

-> -

pumping sequence;

FIG. 8 is an end view of the pumping element plate and adjacent pair of reshapin fingers of FIGS. 6 and 7, shown with the pumping element in a fully compressed positio during the pumping sequence so that the tubing is closed and the adjacent pair reshaping fingers are completely retracted from the tubing according to one embodime of the present invention;

FIG. 9 is an end view of the pumping element plate and reshaping fingers of FIG 6, 7 and 8 shown with the pumping element in a partially retracted position and with th reshaping fingers shown partially actuated to engage with the tubing for reshaping; FIG. 10 is an end view of an alternative embodiment of a pumping element plat and reshaping fingers shown in a position in which said pumping element is retracted an said reshaping fingers are fully actuated into reshaping engagement with a flexible tubin

FIG. 11 is a end view of the pumping element and reshaping fingers of FIG. 1 shown in another sequential pumping position; FIG. 12 is an end view of the pumping plate and reshaping fingers of FIGS. 10 an

11 shown in yet another pumping position; and,

FIG. 13 is a end view of the pumping element plates of FIGS. 10, 11, and 12 show in yet another sequential pumping position according to the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1 depicts a schematic perspective view of an example of one preferred embodiment of a linear peristaltic pump control box 10, having a control panel 11 with control buttons 12, control display 13 and 14 and indicator lights 15. The nature and arrangement of the control panel display buttons and indicators can be as shown in FIG. 1 or in other configurations as may become desirable. The linear peristaltic pump control box is constructed to releasably engage a flexible tubing 16 along an engagement pathway 18, which is conveniently located along one exterior surface 19 of the linear peristaltic pump control box 10. Also, schematically depicted is one preferred embodiment of a pumping element and reshaping finger assembly 20, attached to control box 10 and positioned along the engagement pathway 18 in exterior surface 19 of the control box 10. The pumping element and reshaping arm assembly 20 may advantageously include a housing 22, which housing 22 is preferably constructed for attachment within the pump control box 10 or may be integrally formed as part of the control box 10. The housing typically takes the shape of a box having sidewalls, ends and a bottom, as will be discussed more fully below.

In the preferred embodiment depicted in FIGS. 1 and 2, the pumping element and reshaping finger assembly 20 includes a plurality of pumping elements 24 and a plurality of reshaping fingers 26 which are interdigitated between each of the plurality of pumping elements 24. The pumping elements 24 and the interdigitated reshaping fingers 26 are preferably constructed as flat, pumping plates 24 and flat reshaping fingers 26, respectively. In the embodiment shown, each of the plurality of the pumping element plates 24 has an upper element cutout 30, which allows the flexible tubing 16 to fit thereinto. The cutouts 30 of the pumping elements are aligned to define an engagement channel 28 aligned with engagement pathway 18. Also, the plurality of interdigitated reshaping fingers 26 include pairs of opposed fingers 26i and 26ii, which are aligned in planes between each of the pumping element plates 24. The pairs of opposed interdigitated reshaping fingers 26i and 26ii each have corresponding opposed jaws 32i and 32ii. Each pair of opposed jaws preferably defines a substantially cylindrical opening having a diameter corresponding to the diameter of the flexible tubing 16.

In the preferred embodiment, there is a plurality of pairs of fingers along th engagement length of tubing, and in a particularly preferred embodiment, the number o pairs of fingers corresponds to the number of pumping elements, plus one. The pairs o jaws of the plurality of reshaping finger pairs are pivotably attached so that a plurality o cylindrical shaped openings are defined by the fully actuated jaws which are coaxiall aligned with the plurality of pumping element cutouts 30 so that engagement channel 2 results. In the embodiment depicted, there is a backing support bar 34, having a pluralit of backing blocks 36 projecting therefrom, with a plurality of gaps 38 between the backin blocks. The backing support bar 34 is attached to provide resistive surfaces against whic each pumping element can compress the flexible tubing 16. In the embodiment shown, engagement of the flexible tubing 16, once inserted in channel 28, is accomplished using a backing support bar 34 which pivots from an open or receiving position to a closed resistive support position. Support bar 34 in this embodiment is attached to pivot arms 44, which are pivotably engaged with pivot bosses 42 so that the plurality of backing blocks 36 are attached along support bar 34 so that all of the backing blocks 36 can be pivoted into an adjacent resistive support relationship to each of the pumping element plates 24. The backing blocks 36, according to this embodiment, are thus aligned for partial insertion into the cutouts 30 of the pumping element plates 24. Engagement edges 46 on the engagement bosses 40 can be moved under a locking ledge 48 on a movable locking handle 50 which thereby holds the support bar 34 and backing blocks 36 in position. The plurality of backing blocks 36 securely hold the flexible tubing 16 within the engagement channel 28. The pumping element plates 24 can then be sequentially actuated to compress the flexible tubing against the plurality of backing blocks 36 in a sequential fashion. The gaps 38 allow the reshaping fingers to contact the flexible tubing around an arc without interference from the backing blocks 36 or the support bar 34. With consistent size tubing, the backing blocks can be held rigidly in place. In the preferred embodiment depicted, a small amount of flexibility is provided on the pumping element side to accommodate small variations of tubing size and/or tubing thickness. It will be understood based upon the disclosure herein that flexibility might also be provided as with a spring-loaded support bar or spring-loaded backing blocks (not

shown).

Upon reading this disclosure, others may understand that other forms of engagement pathways 18 may be formed without cutouts 30 in the pumping elements. The backing blocks may be rigid or spring-loaded, for example. However, advantageously in such embodiments, gaps or spaces between the backing blocks will facilitate movement of interdigitated reshaping fingers against the tubing, particularly where the fingers have concave jaws.

FIG. 2 is a schematic perspective view with a partial cutaway section of the inventive pumping plate and reshaping finger assembly 20. The locking handle 50 is attached to a pair of latch arms 52, which coaxially pivot about latch pivot axis 54. The latch pivot 54 may conveniently be formed using a rod, a screw, a bolt or other fastener which is attached to the housing. Another fastener rod extends through the plurality of reshaping fingers 26i along one side of the housing. This provides a pivot axis 56i for each of the reshaping fingers 26i on one side of the assembly 20. Another pivot rod 56ii along the other side of the mechanism assembly 20 may also be a rod, screw, bolt or other similar fastener which extends through reshaping fingers 26ii toward the opposed side of the assembly 20 to provide a pivot axis for the opposed fingers 26ii of the pairs of interdigitated reshaping fingers 26.

Each of the plurality of pumping element plates 24 is preferably formed with a cam follower opening 58, and each is driven with corresponding pumping element drive cams 60. Upon reading this disclosure, others may become aware of other mechanisms and ways to get cam actuation motion, according to this disclosure. However, in the preferred embodiment shown, each of the drive cams 60 is advantageously a rotary cam 60, and each is secured to a drive shaft 62 so that a rotary camshaft results with a plurality of offset cam lobes. Each drive cam has a maximum eccentricity to drive each pumping element plate an equal distance as each other {i.e., with the same stroke). Thus, each pumping element reciprocates the same distance as each other pumping element. Preferably, all of the cams 60 are mounted to a single drive shaft 62, and all have the same amount of eccentricity; however, the maximum eccentricity of each cam is angularly offset from each adjacent cam a predetermined amount.

The drive shaft 62 extends through housing 22 for rotation as at bearing 64. Th drive shaft may be driven in rotation by a motor 70, which is preferably a variable-spee motor. The driving force to the drive shaft 62 may be provided directly from a motor o may be provided through appropriate transmission mechanisms. In the embodimen depicted, a first pulley or gear 68 on drive shaft 62 and a second pulley or sprocket 72 o motor 70 are interconnected as with belt or chain 74. Preferably, the belt or chain 74 an the pulleys or sprocket 70 and 72 are of a type which prevents slippage, such as a chain o a belt and pulley of the type having mating teeth. The variable-speed motor is controlle by a signal 78 responsive to input from control panel 11 as may be input with contro buttons 12, which signal is provided to select the speed of motor 70 as through electrica connectors 76. This effectively controls the pumping rate of mechanism 20.

Advantageously, at least one pumping element of the sequence will be in a full compressed position at all times, so that reverse flow is prevented. In a preferre embodiment, the angular amount of offset, to ensure that at least one pumping elemen is closing the tubing, can be calculated by dividing 360° by the number of pumpin elements, minus one, as in the following equation: ____ = angular offset for each cam

(no. of pumping elements- 1)

This amount of angular offset between each cam in a sequence of an predetermined number of pumping elements will ensure that at least one pumpin element is in the fully compressed position at any given point in the cam drive shaf rotation. If, for example, the first pumping element 24a, of a series of eight pumpin elements 24a, 24b, 24c, 24d, 24e, 24f, 24g and 24h, is in a fully compressed position (i.e., with the tubing in a fully closed condition), then the last pumping element plate 24h o the series will also be in a fully compressed position when the angular spacing is calculate by the above formula, as follows:

360° = _____ - 51.4°

(8-1) 7

At any other cam rotation position, one of the other pumping elements will be fully compressed. In the embodiment depicted, there are eight pumping cams, and each cam

-

is offset angularly around shaft 62 by approximately 51.4° from each next adjacent cam 60a to 60b, 60b to 60c, etc., so that the first and the eighth cams 60h have their maximum eccentricity in the same angular direction with respect to shaft 62. The first cam 60a actuates the pumping element 24a to a fully compressed position, and the eighth cam 60h simultaneously actuates plate 24h to a compressed position and then it moves toward a released or opened position. Each cam, in sequence, actuates a corresponding pumping element so that a column of fluid within the IV tubing 16 is moved from the first pumping element plate 24a, to the next adjacent pumping plate 24b and in sequence along the engaged portion of the IV tubing and out past the eighth pumping element plate 24h. FIG. 3 shows a top plan view of pumping elements 24a, 24b, 24c, 24d, 24e, 24f and

24h and interdigitated reshaping fingers 26a through 26h. FIG. 5 shows a schematic cross- section taken in a side direction along a center line or a plane cut through the center of the pumping mechanism 20 with reshaping fingers, as shown in FIG. 3, along section line 5-5. In FIG. 5, it can be seen that the plurality of cams 60a through 60h each have an equal maximum eccentricity, which is shown in FIG. 5, with first cam 60a and last cam 60h both being offset in a maximum downward position in substantially equal amounts. The centrally located cam 60d is offset with its maximum eccentricity upward, completely compressing the IV tubing 16 against backing support bar 34, and in particular, against corresponding backing block 36d. As drive shaft 62 is rotated, each cam will be rotated against a corresponding pumping plate so that its maximum eccentricity completely closes the tubing 16. As the rotation continues, a wave-like action will pump fluid through IV tubing 16, as depicted with the flow direction arrow 84.

Also, as depicted in FIG. 3, when compression plate 24d is fully actuated to compress T tubing 16, then IV tubing 16 will be flattened in a vertical direction so that it spreads outward in a horizontal direction. The cutout opening 30d is sufficiently wide to accommodate the horizontal spreading. It will also be seen that as compression plates 24a and 24h are both retracted downward in a vertical direction, IV tubing 16 tends to resiliently return to its original horizontal dimension. In order to facilitate the return of the tubing to its original shape, reshaping fingers 26a (which is cOrrespondingly adjacent to pumping plate 24a) and reshaping fingers 26h (which is correspondingly

adjacent to pumping plate 24h) are actuated inward as the pumping plate elements 24a a 24h retract.

In the preferred embodiment, as shown in FIG. 2, there is at least one pair reshaping fingers adjacent to each pumping plate. Most preferably, each end pumpi element has two pairs of reshaping fingers, as shown in FIG. 4. In the embodiment FIG. 4, additional reshaping fingers 26j are actuated simultaneously with fingers 26h b pumping element 24h. In this embodiment, the tubing on either side of each pumpi element is reshaped. Each finger has a jaw 32 such that a pair of jaws 32i and 32ii a positioned in an opposed relationship. Jaws 32i and 32ii are automatically moved inwar against the exterior walls of IV tubing 16. Jaws 32i and 32ii act in opposite for directio for opposed reshaping contact. Thus, the IV tubing 16 which had previously bee completely compressed (as shown at pumping plate 24d) becomes fully reshaped b adjacent reshaping pairs of reshaping jaws 32i and 32ii when the pumping plate 24 actuated in a retracted or non-compression direction. With reference to FIGS. 6, 7, 8 and 9, which depict a sequential series of pumpin plate actuations and corresponding reshaping finger actuations. The pumping eleme compressions and releases, as well as the corresponding action of the reshaping fingers ar depicted at four steps throughout an entire 360° rotation of cam drive shaft 62 for a singl pumping element plate 24a and a corresponding pair of reshaping fingers 26ai and 26ai With reference first to FIG. 6, the peristaltic pumping and reshaping mechanism 2 is shown encased within housing 22, which includes sidewalls 90 and 92. Pumpin plate 24 is actuated in compression and release (or up and down, as shown in FIGS. 6-9 Edges 23 and 25 of each pumping plate 24 slide against the interior of walls 90 and 9 respectively. The lower portion of pumping plate 24 is guided in the preferre embodiment with a guide boss 86 which projects from a bottom 93 of housing 22, an which boss 86 is aligned with a groove 87 formed in pumping plate 24. Drive shaft 6 rotates the cams 60 (which rotation is schematically depicted with an arrow at a positio indicated by a dot 88). Each cam 60 is positioned between a spring-loaded projection 9 and a cam following surface 94 of pumping plate 24, so that the pumping plate i reciprocated by the rotating eccentricity of cam 60. Pumping plates 24 are preferabl

constructed of a hard plastic material, such as nylon, and projections 96 are preferably formed integrally with the pumping plates 24. The resiliency of the nylon material causes each projection 96 to act as a spring-loaded cantilever. This preferred arrangement advantageously provides a direct drive between the cam 60 and the follower surface 94 when moving in a retracted pumping element direction. This is shown as a downward direction in FIGS. 6-9. Advantageously, when the cam 60 actuates the pumping plate 24 in a direction causing compression of tubing 16 against the backing block 36, there is a small amount of spring action available in projection 96 to prevent damage to the mechanism in the event of blockage. This spring action can accommodate manufacturing tolerances in the pump, as well as small differences in total tube wall thickness from one manufacturer to the next or in different manufacturing runs by the same tubing manufacturer.

In the preferred embodiment, the materials for manufacturing the pumping plates and the reshaping fingers are chosen for strength for lack of friction against each other and for chemical resistance. Advantageously, Delrin has been used for fingers, and nylon has been used for pumping elements. Other considerations of manufacturing may dictate the particulars of whether the fingers are Delrin and the pumping plates are nylon, or vice versa (i.e., nylon fingers and Delrin pumping plates). The object of reducing friction between the adjacent moving elements might also be accomplished by utilizing other materials according to this aspect of the disclosed invention.

Turning to FIG. 7, the cam 60 is shown to be moved to a position approximately 90° from the position depicted in FIG. 6. This is schematically indicated by the direction arrow and position indicator dot 88 move to the position, as shown in FIG. 7. Also, it can be seen that pumping element 24 is now moved upward with respect to the housing 22, as schematically indicated with vertical movement arrow 98. It will also be noted that in this position, tubing 16 becomes partially compressed because of the partial upward actuation and movement of pumping plate 24. Also, finger driving cam surfaces 80i and 80ii, which are formed in this embodiment as slots 80i and 80ii, are moved with pumping plate 24 in an upward direction with respect to reshaping fingers 26i and 26ii. Cam followers 82i and 82ii are fastened to the fingers 26i and 26ii, respectively. The finger

driving cam surfaces 80i and 80ii are formed at an angle such that veπical moveme between the cam surfaces 80i and 80ii and the followers 82i and 82ii results in a horizont component of movement to cam followers 82i and 82ii. The cam followers 82i and 8 may be projections integrally formed on the reshaping fingers, or they may be pi projeαing through the reshaping fingers. The reshaping fingers 26i and 26ii are pivotab mounted at axes 54 and 56, respectively, which provide pivot points located above t finger driving cam surfaces 80 and follower 82. Thus, reshaping fingers 26i and 26ii piv in opposite direction about pivot points 54 and 56, respectively, causing jaws 32i and 3 on fingers 26i and 26ii to move outwardly, thereby accommodating the addition horizontal width of tubing 16 due to its partial compression by pumping plate 24.

Referring now to FIG. 8, which is a depiction of the pumping and reshapi mechanism assembly 20 with shaft 62 and cam 60, shown rotated another 90°, as indicat with the arrow and position dot 88. Rotation of cam 60 will cause an additional amou of upward movement of element plate 24, as indicated with vertical movement arrow 10 As cam slots 80i and 80ii are moved upward, cam followers 82i and 82ii will be pivot inward about pivot rods 54 and 56 so that reshaping jaws 32i and 32ii at the top will moved outward and will provide ample clearance for complete compression of IV tubi 16 to a closed and completely flattened condition.

In FIG. 9, the peristaltic pumping mechanism 20 is shown with camshaft 62 havi rotated cam 60 an additional 90°, as indicated by direction arrow and position dot 8 This will move pumping plate 24 downward, as indicated by motion arrow 102, so th tubing 16 again becomes partially opened. The relative motion between cam slots 80i an 80ii and cam followers 82i and 82ii will act to pivot the reshaping fingers 26i and 26 outward at the bottom and inward at the top, so that the reshaping jaws 32i and 32 contact the previously compressed IV tubing 16 in opposed horizontal directions, thereb returning tubing 16 toward its original shape and an opened condition. Where th reshaping jaws 32i and 32ii are in the shape of concave arcs of a cylinder, with the sam radius as the tubing 16, the tubing 16 will be reshaped to its original circular cros sectional shape. Reference again to FIG. 6 shows cam 60. The rotation direction arrow an

position dot 88 indicate that cam 60 has been moved another 90°, thereby completing 360° of rotation, which moves pumping plate 24 to a full retracted position. This fully releases vertical compression from tubing 16. The relative motion between slots 80i and 80ii with respect to followers 82i and 82ii acts to pivot reshaping fingers 26i and 26ii so that jaws 32i and 32ii fully engaged in opposed horizontal directions, thereby reshaping tubing 16 to its full circular cross-sectional condition.

Thus, it can be seen that due to the configuration and construction of the depicted embodiment of the invention, in which a plurality of reshaping finger pairs are interdigitated with the plurality of peristaltic pumping plates, the reshaping jaws 32i and 32ii can each be advantageously formed in the shape of an arcuate, concave surface which reshapes the tubing 16 to a substantially circular cross-section, thereby consistently returning it to its full volume at the point of reshaping jaw contact. Each jaw preferably contacts tubing 16 with an arc which is greater than about 90° so that more than about 180° of a circular shape results at total actuation of both reshaping jaws 32 against tubing 16. The reshaping contact occurs sequentially and alternately with the compression of the tubing. Throughout the operation of the peristaltic pumping mechanism 20, the tubing 16 is reshaped so that the interior volume of tubing 16, and thus the volumetric pumping rate for any given rotation speed of cam drive shaft 62, remains substantially constant throughout the operation of the peristaltic pumping and reshaping mechanism 20. Also, advantageously reshaping of the tubing 16 to its previous natural circular cross-sectional shape, without introducing new bends, reduces the introduction of new stresses and therefore reduces the fatigue to which tubing 16 is subjected, compared with reshaping as might be attempted without concave jaws. The useful life of a given portion of IV tubing is advantageously extended. In the case of an tubing 16, for example, this not only reduces costly monitoring and time-consuming replacement, but also it reduces potential for trauma to a patient due to or during IV replacement. Moreover, reshaping to a rounded shape facilitates accuracy by maintaining substantially the same return shape volume as with new tubing. The unique and unobvious interdigitated relationship between pumping plates 24 and reshaping fingers 26 advantageously allows the reshaping fingers 26 to be formed, having a concave, arcuate jaw shape, without

interfering with the pumping elements themselves. Each jaw may be nearly semicircul so that complete reshaping is facilitated.

Turning now to FIGS. 10 through 13, an alternate embodiment of the inventio is depicted, in which an alternative peristaltic pumping and reshaping mechanism 12 includes a housing 122 and sidewalls 190 and 192. There is a plurality of pumpin plates 124 positioned therein along with a plurality of pairs of reshaping fingers 126. Eac finger 126i and 126ii of the pair 126 has a corresponding reshaping jaws 1321 and 132i respectively. The pumping element 124 is shown in the form of a pumping plate 12 which has angled finger driving cam surfaces 180i and 180ii formed thereon. Ca followers 182i and 182ii are attached to or formed on reshaping fingers 126i and 126ii an are slidingly held against the cam surfaces 180i and 180ii, respectively. The reshapin fingers 126 of this alternative embodiment are preferably constructed of a resilient plasti material, such as nylon, and are preferably formed to have arms 104i and 104ii, which ar biased outward against sidewalls 190 and 192. The material of which the reshapin fingers 126i and 126ii are constructed is preferably resilient so that arms 104i and 104ii ca be integrally formed with the reshaping fingers using cutout areas 106i and 106ii. Thi construction results in a spring-like action, when constructed of resilient material o which could be supplied by inserting a spring, such as a metallic coiled spring. This i schematically represented by depictions of springs at 108i and 108ii. Thus, cantileve projections or arms 104i and 104ii are "spring-loaded" against the inside walls 190 and 192 The spring tension, schematically depicted as 108i and 108ii, keeps the cam followers 182 and 182ϋ in constant contact with the respective finger driving cam surfaces 180i and 180i of pumping element place 124.

FIG. 11 depicts the peristaltic pump and reshaping assembly 120 of FIG. 10 in position at which cam 160 is rotated 90° from the position shown in FIG. 10. In thi position, tubing 16 is partially compressed, and cam followers 1821 and 182ii are move inwardly along angled cam surfaces 180i and 180ii due to the upward motion of pumpin plate 124. The cutout openings 1061 and 106ii are shown expanded slightly due to th resiliency of the material from which the reshaping fingers 126i and 126ii and arms 104 and 10411 are constructed, thereby providing the spring tension which is schematicall

depicted as 108i and 108ii. The motion of the cam followers inward at the bottom results in outward motion of concave reshaping jaws 132i and 132ii at the top. The operation is similar to that in the alternative embodiment previously depicted in FIGS. 6-9, except that the pumping plate 124 and the reshaping fingers 126i and 126ii are constructed differently, particularly in the area of the angled finger driving cam surfaces 180i and 180ii and the corresponding cam followers 182i and 182ii which are now provided with "spring loading" to maintain cam and follower contact.

Referring to FIG. 12, the maximum upward motion of pumping element 124 is achieved with the cam 160 having its maximum eccentricity rotated to an upward position. Cam followers 182i and 182ii move along angled cam surfaces 1801 and 18011 to their maximum inward position, thereby moving j ws 132i and 132ii to their maximum outward position so that any horizontal expansion of tubing 16 due to its compression to a completed closed condition is accommodated.

FIG. 13 depicts pumping element plate 124, partially retracted. The cam followers 182i and 182ii move along the cam surfaces 1801 and 180ii, thereby causing the reshaping jaws 132i and 132ii to move inwardly, partially reshaping tubing 16. As with the embodiment depicted in FIGS. 6-10, reshaping is accomplished automatically as pumping plate 124 is withdrawn. The cycle is completed as shown in FIG. 10 in which tubing 16 is completely reshaped to its round, cross-sectional shape when the reshaping jaws 132i and 132ii move to their maximum inward position. The corresponding opposed jaws 132i and 132ii preferably define a substantially circular cross-section or cylindrical shape therebetween when pivoted fully inward. Reshaping of the flexible tubing 16 is completed immediately adjacent to each pumping contact point.

Other alterations and modifications and equivalents of the invention and its elements will likewise become apparent to those of ordinary skill in the aπ upon reading the present disclosure, and it is intended that the scope of the invention disclosed herein be limited only by the broadest interpretation of the appended claims to which the inventors are legally entitled.