IV flow management systems and methods

• US 10,646,648 B2
• Filed: 03/23/2016
• Issued: 05/12/2020
• Est. Priority Date: 04/01/2015
• Status: Active Grant

• Current Assignee: Becton, Dickinson & Co
• Original Assignee: Becton, Dickinson & Co
• Inventors: Isaacson, S. Ray, Harding, Weston F., Sonderegger, Ralph L., McKinnon, Austin Jason, Ivosevic, Milan
• Primary Examiner(s): Mendez, Manuel A
• Application Number:
  US15/078,727
• Publication Number:
  US 20160287785A1
• Time in Patent Office: 1,511 Days
• Field of Search: 604250, 604251
• CPC Class Codes: A61M 2039/205 comprising air venting means
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: A61M 2205/3379 Masses, volumes, levels of fluids in reservoirs, flow rates
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/7536 allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes
• CPC Class Codes: A61M 5/1411 Drip chambers A61M5/162, A61M5/1689, A61M5/40 take precedence
• CPC Class Codes: A61M 5/16813 by controlling the degree of opening of the flow line
• CPC Class Codes: A61M 5/16845 by weight
• CPC Class Codes: A61M 5/16877 Adjusting flow; Devices for setting a flow rate
• CPC Class Codes: A61M 5/16881 Regulating valves on-off valves, e.g. clamps A61M39/28
• CPC Class Codes: A61M 5/1689 Drip counters
• CPC Class Codes: A61M 5/16895 by monitoring weight change, e.g. of infusion container
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: A61M 5/385 using hydrophobic filters

Abstract

An intravenous delivery system may operate by gravity feed, and may have a liquid source containing a liquid, a drip unit that receives the liquid from the liquid source, and tubing that receives the liquid from the drip unit for delivery to a patient. A flow rate sensor may be used to measure a flow rate of liquid through the intravenous delivery system, and may generate a flow rate signal indicative of the flow rate. A controller may receive the signal, and may compare the flow rate with a desired flow rate. If the flow rate is more or less than the desired flow rate, the controller may transmit a control signal to a flow rate regulator. The flow rate regulator may receive the control signal and, in response, modify the flow rate to bring the flow rate closer to the desired flow rate.

Claims

1. A system for controlling flow of a liquid to a patient through use of an intravenous delivery system, the system comprising:

a flow rate sensor that;

measures a flow rate of the liquid through the intravenous delivery system; and

generates a flow rate signal indicative of the flow rate;

a controller that;

receives the flow rate signal;

compares the flow rate with a desired flow rate to determine that the flow rate is different from the desired flow rate; and

in response to determining that the flow rate is different from the desired flow rate, transmits a control signal; and

a flow rate regulator, comprising;

a frame;

an opposing member attached to the frame, the opposing member comprising a curved rim configured to abut tubing of the system that conveys the liquid;

a cam member, comprising a variable radius curved rim configured to abut the tubing, wherein the variable radius curved rim has a maximum diameter portion and a minimum diameter portion;

a motor configured to rotate the cam member with respect to the frame, wherein in response to the motor rotating the cam member to orient the minimum diameter portion proximate the tubing, the cam member and the opposing member cooperate to exert a first amount of pinching on the tubing, wherein in response to the motor rotating the cam member to orient the maximum diameter portion proximate the tubing, the cam member and the opposing member cooperate to exert a second amount of pinching on the tubing, wherein the second amount of pinching is greater than the first amount of pinching;

wherein in response to receipt of the control signal, the motor rotates the cam member to modify the flow rate to bring the flow rate closer to the desired flow rate.

2. The system of claim 1, wherein the flow rate sensor, the controller, and the flow rate regulator all operate iteratively throughout a plurality of time increments such that, in each of the plurality of time increments, the flow rate sensor measures the flow rate and generates the flow rate signal, and the controller receives the flow rate signal and compares the flow rate with the desired flow rate;

wherein the controller determines that the flow rate is different from the desired flow rate by determining that the flow rate is greater than the desired flow rate;

wherein, in response to receipt of the control signal, the flow rate regulator;

modifies the flow rate by moving from an open state that permits the liquid to flow through the intravenous delivery system, to a closed state that substantially prevents the liquid from flowing through the intravenous delivery system; and

remains in the closed state for a predetermined number of the time increments.

3. The system of claim 1, wherein the flow rate sensor, the controller, and the flow rate regulator all operate iteratively throughout a plurality of time increments such that, in each of the plurality of time increments, the flow rate sensor measures the flow rate and generates the flow rate signal, and the controller receives the flow rate signal and compares the flow rate with the desired flow rate;

wherein the controller determines that the flow rate is different from the desired flow rate by determining that the flow rate is less than the desired flow rate;

wherein, in response to receipt of the control signal, the flow rate regulator;

modifies the flow rate by moving from a closed state that substantially prevents the liquid from flowing through the intravenous delivery system, to an open state in that permits the liquid to flow through the intravenous delivery system; and

remains in the open state for a predetermined number of the time increments.

4. The system of claim 1, wherein the controller determines that the flow rate is different from the desired flow rate by determining that the flow rate is greater than the desired flow rate by a differential flow rate;

wherein, in response to receipt of the control signal, the flow rate regulator moves, in proportion to the differential flow rate, to a less open state that permits the liquid to flow through the intravenous delivery system at a modified flow rate smaller than the flow rate.

5. The system of claim 1, wherein the controller determines that the flow rate is different from the desired flow rate by determining that the flow rate is less than the desired flow rate by a differential flow rate;

wherein, in response to receipt of the control signal, the flow rate regulator moves, in proportion to the differential flow rate, to a more open state that permits the liquid to flow through the intravenous delivery system at a modified flow rate greater than the flow rate.

6. The system of claim 1, wherein the controller is incorporated into a computing device comprising a display screen and a user input device, wherein the controller further:

receives the desired flow rate from a user via the user input device; and

initiates display of the flow rate on the display screen.

7. The system of claim 1, wherein the flow rate sensor is secured to a drip unit of the intravenous delivery system, wherein the drip unit comprises a drip chamber and an orifice that delivers drops of the liquid from a liquid source to the drip chamber via gravity feed, wherein the flow rate sensor measures the flow rate by counting drops received by the drip chamber within a predetermined time period.

8. The system of claim 7, further comprising the drip unit;

wherein the drip unit comprises a key feature indicative of an orifice size of the orifice;

wherein the flow rate sensor comprises a key feature receiver that receives the key feature in response to securement of the flow rate sensor to the drip unit;

wherein the flow rate sensor uses the orifice size to determine a volume of the liquid in each of the drops to facilitate measurement of the flow rate.

9. The system of claim 1, wherein the flow rate sensor measures the flow rate of the liquid through the system by:

measuring a first weight of a subset of the intravenous delivery system at a first time; and

measuring a second weight of the subset at a second time separated from the first time by a time increment;

wherein at least one of the flow rate sensor and the controller;

subtracts the second weight from the first weight to obtain a differential weight; and

obtains the flow rate based on the differential weight and the time increment.

10. The system of claim 1, wherein the flow rate sensor measures the flow rate of the liquid through the system by:

measuring a first volume of the liquid in a subset of the intravenous delivery system at a first time; and

measuring a second volume of the liquid in the subset at a second time separated from the first time by a time increment;

wherein at least one of the flow rate sensor and the controller;

subtracts the second volume from the first volume to obtain a differential volume; and

obtains the flow rate based on the differential volume and the time increment.

11. The system of claim 10, wherein the flow rate sensor measures the flow rate of the liquid through the system by:

measuring a first temperature of the liquid at a first location within the intravenous delivery system; and

measuring a second temperature of the liquid at a second location, downstream of the first location, within the intravenous delivery system;

wherein at least one of the flow rate sensor and the controller;

subtracts the second temperature from the first temperature to obtain a differential temperature; and

obtains the flow rate based on the differential temperature.

12. The system of claim 1, wherein the intravenous delivery system comprises tubing that conveys the liquid, wherein the flow rate regulator comprises:

an opposing member positioned adjacent to the tubing;

a cam member positioned on an opposite side of the tubing from the opposing member; and

a motor that rotates the cam member about an axis;

wherein the cam member comprises a variable radius curved rim that, in response to rotation of the cam member about the axis, cooperates with the opposing member to exert a varying degree of compression on the tubing to modify the flow rate.

13. The system of claim 1, further comprising the intravenous delivery system, wherein the intravenous delivery system comprises:

a drip unit that receives the liquid from a liquid source via gravity feed;

tubing comprising;

a first end connectable to the drip unit to receive the liquid from the drip unit via gravity feed; and

a second end; and

an intravenous access unit connectable to the second end of the tubing, wherein the intravenous access unit is configured to receive the liquid from the second end via gravity feed and deliver the liquid intravenously to a patient.

14. A method for controlling flow of a liquid to a patient through use of an intravenous delivery system, the method comprising:

with a flow rate sensor;

measuring a flow rate of the liquid through the intravenous delivery system; and

generating a flow rate signal indicative of the flow rate;

with a controller;

receiving the flow rate signal;

comparing the flow rate with a desired flow rate to determine that the flow rate is different from the desired flow rate; and

in response to determining that the flow rate is different from the desired flow rate, transmitting a control signal; and

with a flow rate regulator;

receiving the control signal; and

in response to receipt of the control signal, modifying the flow rate to bring the flow rate closer to the desired flow rate, wherein the flow rate regulator comprises;

a frame;

an opposing member attached to the frame, the opposing member comprising a curved rim configured to abut tubing of the system that conveys the liquid;

a cam member, comprising a variable radius curved rim configured to abut the tubing, wherein the variable radius curved rim has a maximum diameter portion and a minimum diameter portion;

a motor configured to rotate the cam member with respect to the frame, wherein in response to the motor rotating the cam member to orient the minimum diameter portion proximate the tubing, the cam member and the opposing member cooperate to exert a first amount of pinching on the tubing, wherein in response to the motor rotating the cam member to orient the maximum diameter portion proximate the tubing, the cam member and the opposing member cooperate to exert a second amount of pinching on the tubing, wherein the second amount of pinching is greater than the first amount of pinching.

15. The method of claim 14, wherein measuring the flow rate, generating the flow rate signal, receiving the flow rate signal, and comparing the flow rate with the desired flow rate are all carried out iteratively throughout a plurality of time increments such that, in each of the plurality of time increments, the flow rate is measured, the flow rate signal is generated, the flow rate signal is received, and the flow rate is compared with the desired flow rate;

wherein modifying the flow rate comprises moving the flow rate regulator from one of an open state that permits the liquid to flow through the intravenous delivery system, and a closed state that substantially prevents the liquid from flowing through the intravenous delivery system, to the other of the open state and the closed state;

wherein the method further comprises causing the flow rate regulator to remain in the other of the open state and the closed state for a predetermined number of the time increments.

16. The method of claim 14, wherein determining that the flow rate is different from the desired flow rate comprises determining that the flow rate differs from the desired flow rate by a differential flow rate;

wherein modifying the flow rate comprises moving the flow rate regulator in proportion to the differential flow rate to perform one of increasing the flow rate and decreasing the flow rate.

17. The method of claim 14, wherein the controller is incorporated into a computing device comprising a display screen and a user input device, the method further comprising:

via the user input device, and prior to comparing the flow rate with the desired flow rate, receiving the desired flow rate from a user; and

via the display screen and after generating the flow rate signal, initiating display of the flow rate.

18. A system for controlling flow of a liquid to a patient, the system comprising:

a drip unit comprising a drip chamber and an orifice that delivers drops of the liquid from a liquid source to the drip chamber via gravity feed;

a flow rate sensor configured to be coupled to the drip unit, wherein the flow rate sensor;

measures a flow rate of the liquid through the drip chamber; and

generates a flow rate signal indicative of the flow rate;

a controller that;

receives the flow rate signal;

compares the flow rate with a desired flow rate to determine that the flow rate is different from the desired flow rate; and

in response to determining that the flow rate is different from the desired flow rate, transmits a control signal;

tubing comprising;

a first end connectable to the drip unit to receive the liquid from the drip unit via gravity feed; and

a second end;

a flow rate regulator configured to be coupled to the tubing, wherein the flow rate regulator;

receives the control signal; and

in response to receipt of the control signal, adjusts a level of compression applied to the tubing to modify the flow rate to bring the flow rate closer to the desired flow rate, wherein the flow rate regulator comprises;

a frame;

an opposing member attached to the frame, the opposing member comprising a curved rim configured to abut tubing of the system that conveys the liquid;

a cam member, comprising a variable radius curved rim configured to abut the tubing, wherein the variable radius curved rim has a maximum diameter portion and a minimum diameter portion;

a motor configured to rotate the cam member with respect to the frame, wherein in response to the motor rotating the cam member to orient the minimum diameter portion proximate the tubing, the cam member and the opposing member cooperate to exert a first amount of pinching on the tubing, wherein in response to the motor rotating the cam member to orient the maximum diameter portion proximate the tubing, the cam member and the opposing member cooperate to exert a second amount of pinching on the tubing, wherein the second amount of pinching is greater than the first amount of pinching;

and

an intravenous access unit connectable to the second end of the tubing, wherein the intravenous access unit is configured to receive the liquid from the second end via gravity feed and deliver the liquid intravenously to a patient.

19. The system of claim 18, wherein the controller is incorporated into a computing device comprising a display screen and a user input device, wherein the controller further:

receives the desired flow rate from a user via the user input device; and

initiates display of the flow rate on the display screen.