Tube clamp for extracorporeal circulator and extracorporeal circulation system

• US 10,183,107 B2
• Filed: 05/24/2016
• Issued: 01/22/2019
• Est. Priority Date: 02/07/2014
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha
• Original Assignee: Terumo Kabushiki Kaisha
• Inventors: Utsugida, Tomoki
• Primary Examiner(s): Wiest, Philip R
• Application Number:
  US15/162,773
• Publication Number:
  US 20160361484A1
• Time in Patent Office: 973 Days
• CPC Class Codes: A61M 1/1698 Blood oxygenators with or without heat-exchangers intracorporal A61M1/1678; manufacturing of membranes therefor B01D67/00; semi-permeable membranes for separation processes characterised by their properties B01D69/00; semi-permeable membranes characterised by their material B01D71/00
• CPC Class Codes: A61M 1/3626 Gas bubble detectors
• CPC Class Codes: A61M 1/367 Circuit parts not covered by the preceding subgroups of group A61M1/3621
• CPC Class Codes: A61M 2205/14 Detection of the presence or absence of a tube, a connector or a container in an apparatus
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3306 Optical measuring means
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 39/28 Clamping means for squeezing flexible tubes, e.g. roller clamps tube strippers A61M1/83
• CPC Class Codes: A61M 39/281 Automatic tube cut-off devices, e.g. squeezing tube on detection of air

Abstract

A tube clamp for an extracorporeal circulator recognizes various abnormal situations of the tube clamp and notifies a user. The tube clamp has a lid sensor, a tube sensor, and a plunger sensor. In a case where any one of detection of the closure of a lid portion via the lid sensor, detection of the mounting of a tube via the tube sensor, and detection of the movement of a plunger via the plunger sensor is not obtained despite the fact that there is an instruction for blocking the tube, it is determined that the blocking is abnormal. In a case where the three states including the closed state, the mounting state, and the movement state are detected despite the fact that there is no instruction for blocking the tube, it is determined that the tube is erroneously blocked. Such abnormal situations are notified to a user via an alarm.

Claims

1. An extracorporeal circulator that transfers blood out of a body of a patient and recirculates the blood, comprising:

a tube carrying a flow of the blood outside the body of the patient;

a tube clamp that selectably blocks the tube in response to a blocking instruction, wherein the tube clamp includes;

a body portion including a passageway in which the tube is mounted;

a lid portion that encloses the passageway;

a movable plunger that selectably presses the tube to block the blood flow; and

a sensor assembly that detects a mounting state in which the tube is mounted in the passageway, a closed state in which the passageway is enclosed by the lid portion, and a movement state in which the plunger is moved;

a flow rate sensor that detects a blood flow rate in the tube; and

a controller coupled to the plunger to provide the blocking instruction to selectably move the plunger, and coupled to the sensor assembly to detect the mounting, closed, and movement states and to generate respective alarms for abnormal states including a notification to a user in the event that the tube is not blocked at a time when the blocking instruction is being provided and the controller fails to detect any one of the closed state, the mounting state, or the movement state;

wherein the controller generates a respective notification to the user indicating that the tube clamp correctly blocks the tube when i) the blocking instruction is being provided, ii) the closed state, the mounting state, and the movement state are all detected, and iii) the flow rate sensor detects a blood flow rate below a threshold.

2. The extracorporeal circulator of claim 1 wherein the respective alarms for abnormal states further includes a notification to the user in the event that the tube is blocked at a time when the blocking instruction is not being provided and the controller detects the closed state, the mounting state, and the movement state.

3. The extracorporeal circulator of claim 1 wherein the controller generates a respective notification to the user in the event that preparation for use of the tube clamp has not been completed at a time when there is no blocking instruction and the controller does not detect either the closed state or the mounting state.

4. The extracorporeal circulator of claim 1 wherein the controller generates a respective notification to the user in the event that preparation for blocking the tube has been completed if the movement state is not detected and the closed state and the mounting state are detected.

5. An extracorporeal circulator that transfers blood out of a body of a patient and recirculates the blood, comprising:

a tube carrying a flow of the blood outside the body of the patient;

a tube clamp that selectably blocks the tube in response to a blocking instruction, wherein the tube clamp includes;

a body portion including a passageway in which the tube is mounted;

a lid portion that encloses the passageway;

a movable plunger that selectably presses the tube to block the blood flow; and

a sensor assembly that detects a mounting state in which the tube is mounted in the passageway, a closed state in which the passageway is enclosed by the lid portion, and a movement state in which the plunger is moved;

a flow rate sensor that detects a blood flow rate in the tube; and

a controller coupled to the plunger to provide the blocking instruction to selectably move the plunger, and coupled to the sensor assembly to detect the mounting, closed, and movement states and to generate respective alarms for abnormal states including a notification to a user in the event that the tube is blocked at a time when the blocking instruction is not being provided and the controller detects the closed state, the mounting state, and the movement state;

wherein the controller generates a respective notification to the user indicating that the tube clamp correctly blocks the tube when i) the blocking instruction is being provided, ii) the closed state, the mounting state, and the movement state are all detected, and iii) the flow rate sensor detects a blood flow rate below a threshold.

6. The extracorporeal circulator of claim 5 wherein the controller generates a respective notification to the user in the event that preparation for use of the tube clamp has not been completed at a time when there is no blocking instruction and the controller does not detect either the closed state or the mounting state.

7. The extracorporeal circulator of claim 5 wherein the controller generates a respective notification to the user in the event that preparation for blocking the tube has been completed if the movement state is not detected and the closed state and the mounting state are detected.

8. An extracorporeal circulator that transfers blood out of a body of a patient and recirculates the blood, comprising:

a tube carrying a flow of the blood outside the body of the patient;

a tube clamp that selectably blocks the tube in response to a blocking instruction, wherein the tube clamp includes;

a body portion including a passageway in which the tube is mounted;

a lid portion that encloses the passageway;

a movable plunger that selectably presses the tube to block the blood flow; and

a sensor assembly that detects a mounting state in which the tube is mounted in the passageway, a closed state in which the passageway is enclosed by the lid portion, and a movement state in which the plunger is moved;

a flow rate sensor that detects a blood flow rate in the tube; and

a controller coupled to the plunger to provide the blocking instruction to selectably move the plunger, and coupled to the sensor assembly to detect the mounting, closed, and movement states and to generate respective alarms for abnormal states including a notification to a user in the event that preparation for use of the tube clamp has not been completed at a time when there is no blocking instruction and the controller does not detect either the closed state or the mounting state;

wherein the controller generates a respective notification to the user indicating that the tube clamp correctly blocks the tube when i) the blocking instruction is being provided, ii) the closed state, the mounting state, and the movement state are all detected, and iii) the flow rate sensor detects a blood flow rate below a threshold.