Double action infusion system

1. An infusion system comprising:

a double action infusion pump including:

a cylinder having a cylinder interior,

a reciprocating piston received within the cylinder, the reciprocating piston separating a first pump chamber from a second pump chamber of the cylinder, and

a first fluid outlet and a second fluid outlet in communication with the first and second pump chambers, respectively, the first and second fluid outlets on a side of the cylinder; and

an outlet orientation carriage coupled with the cylinder, the outlet orientation carriage configured to rotate the cylinder around a horizontal axis of the cylinder, wherein the first and second fluid outlets are movable between an operating configuration and a purging configuration with rotation of the cylinder, such that:

in the purging configuration, the first and second fluid outlets are directed in an upward direction relative to the cylinder interior at an apex of the cylinder interior and uniformly spaced from the horizontal axis, and

in the operating configuration, the first and second fluid outlets are directed away from the upward direction and remote from the apex of the cylinder interior.

2. The infusion system of claim 1 , wherein the outlet orientation carriage includes a cradle sized and shaped to receive the cylinder, such that:

in the purging configuration, the cylinder is rotated relative to the cradle with the fluid outlets directed in the upward direction, and

in the operating configuration, the cylinder is rotated relative to the cradle with the fluid outlets directed away from the upward direction.

3. The infusion system of claim 2 , wherein the cradle has an inner shape corresponding to an outer shape of the cylinder, the outer shape received within the inner shape.

4. The infusion system of claim 1 , wherein the cylinder is rotatably coupled to the outlet orientation carriage with cylinder joints interposed between the cylinder and the outlet orientation carriage, such that:

in the purging configuration, the cylinder is rotated relative to the outlet orientation carriage with the fluid outlets directed in the upward direction, and

in the operating configuration, the cylinder is rotated relative to the outlet orientation carriage with the fluid outlets directed away from the upward direction.

5. The infusion system of claim 1 comprising a system base, the outlet orientation carriage rotatably coupled to the system base with carriage joints, such that:

in the purging configuration, the outlet orientation carriage and the cylinder are rotated relative to the system base with the fluid outlets directed in the upward direction, and

in the operating configuration, the outlet orientation carriage and the cylinder are rotated relative to the system base with the fluid outlets directed away from the upward direction.

6. The infusion system of claim 1 comprising:

a drive mechanism coupled with the reciprocating piston, the drive mechanism configured to rotate in at least a first rotational direction; and

a reversing mechanism coupled between the drive mechanism and the reciprocating piston, wherein the reciprocating piston is moved in opposing first and second directions with the reversing mechanism and rotation of the drive mechanism in the first rotational direction, such that:

the reciprocating piston moves in the first direction with rotation of the drive mechanism in the first rotation direction and the reversing mechanism in a first configuration, and

the reciprocating piston moves in the second direction with rotation of the drive mechanism in the first rotation direction and the reversing mechanism in a second configuration.

7. The infusion system of claim 6 , wherein the reversing mechanism includes at least one of a ball reverser actuator having a cage coupled with the reciprocating piston and a cross grooved shaft coupled with the drive mechanism.

8. The infusion system of claim 6 , wherein the reversing mechanism includes a rolling ring drive coupled with a shaft, the shaft coupled with the drive mechanism.

9. The infusion system of claim 1 , wherein

a fluid source is coupled with the first and second pump chambers with first and second fluid inlets, respectively, and

a catheter is coupled with the first and second pump chambers with first and second fluid outlets, respectively.

10. The infusion system of claim 1 , wherein the reciprocating piston is reciprocated along an intermediate segment of the cylinder and through top and bottom zones, wherein:

along the intermediate segment of the cylinder the reciprocating piston moves at a first piston speed, and

within the top and bottom zones the reciprocating piston moves at a second piston speed greater than the first piston speed.

11. The infusion system of claim 10 , wherein a drive mechanism moves the reciprocating piston at least at the first and second piston speeds to provide continuous output of fluid at a catheter.

12. The infusion system of claim 10 , wherein the second piston speed includes a plurality of speeds including an initial piston speed and a terminating piston speed, wherein:

the initial piston speed near an interface of each of the top and bottom zones within the intermediate segment is greater than the first piston speed in the intermediate segment, and

the terminating piston speed near ends of the top and bottom zones is greater than the initial piston speed.

13. The infusion system of claim 1 , wherein the double action infusion pump includes a piston shaft coupled with the reciprocating piston, the piston shaft extends through the first and second pump chambers, the first and second pump chambers having the same flow rate with reciprocation of the reciprocating piston.

14. A method of using an infusion system, the method comprising: coupling first and second inlets of a double action infusion pump with a fluid source, the double action infusion pump including a cylinder and a reciprocating piston received in the cylinder;

purging gas from first and second pump chambers of the cylinder with an outlet orientation carriage coupled with the cylinder, purging including:

orienting first and second outlets of the double action infusion pump in an upward direction at an apex of a cylinder interior in a purging configuration, wherein orienting includes rotating the cylinder around a horizontal axis of the cylinder with the outlet orientation carriage, and the first and second outlets are uniformly spaced from the horizontal axis of the cylinder, and pumping fluid from each of the first and second inlets, through the first and second pump chambers, and through the first and second outlets at the apex of the cylinder interior, pumping carrying gas in the cylinder out through the first and second outlets in the upward direction; and

orienting the first and second outlets of the double action infusion pump away from the upward direction and the apex of the cylinder interior in an operating configuration.

15. The method of claim 14 , wherein orienting with the outlet orientation carriage includes rotating the cylinder at rotatable joints coupling the cylinder with the outlet orientation carriage.

16. The method of claim 14 , wherein orienting with the outlet orientation carriage includes rotating the outlet orientation carriage at carriage joints and correspondingly rotating the cylinder and the first and second outlets.

17. The method of claim 14 comprising injecting a contrast fluid, injecting including:

pumping fluid from each of the first and second inlets, through the first and second pump chambers and through the first and second outlets directed away from the upward direction, and

retaining incidental gas near apexes of the first and second pump chambers according to orienting of the first and second outlets in the direction away from the upward direction.

18. The method of claim 17 , wherein pumping fluid includes varying a speed of the reciprocating piston between an intermediate segment of the cylinder and within top and bottom zones of the cylinder including:

moving the reciprocating piston at a first piston speed along the intermediate segment, and

moving the reciprocating piston at a second piston speed greater than the first piston speed within the top and bottom zones.

19. The method of claim 18 , wherein moving the reciprocating piston at the second piston speed includes:

moving the reciprocating piston near an interface between the intermediate segment and each of the top and bottom zones, and includes moving at an initial piston speed greater than the first piston speed in the intermediate segment, and

moving the reciprocating piston near ends of the top and bottom zones, and includes moving at a terminating piston speed greater than the initial piston speed.