Programmed pulsed infusion methods and devices

• US 20040133186A1
• Filed: 01/06/2003
• Published: 07/08/2004
• Est. Priority Date: 01/06/2003
• Status: Abandoned Application

• Current Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Original Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Inventors: Joshi, Shailendra
• Application Number:
  US10/337,677
• Publication Number:
  US 20040133186A1
• Time in Patent Office: Days
• US Class Current: 604/890.1
• CPC Class Codes: A61M 2205/10 with powered movement mechanisms
• CPC Class Codes: A61M 2205/3355 Controlling downstream pump pressure
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/168 Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body flow control in general G05D7/00
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: G16H 20/17 delivered via infusion or injection

Abstract

This invention disclosed herein provides methods, devices, software products, and systems for infusing a fluid into a blood vessel is provided that includes the step of administering the fluid into the blood vessel in programmed pulses. The programmed pulses generally defined by programmed pulse variables that include a fluid flow rate, a frequency, and a duration. Values of the programmed pulse variables may be determined based at least in part on a fluid property of the fluid to be infused that is relevant to streaming, blood flow in the blood vessel to be infused, a catheter size, or a patient profile.

Claims

1. A method of infusing a fluid into a blood vessel comprising administering the fluid into the blood vessel in programmed pulses defined by programmed pulse variables comprising a fluid flow rate, a frequency, and a duration, values of the programmed pulse variables determined based at least in part on at least one of a fluid property of the fluid to be infused relevant to streaming, blood flow in the blood vessel to be infused, a catheter size, and a patient profile.

2. The method of claim 1, wherein the fluid is administered in programmed pulses independent of diastole.

3. The method of claim 1, comprising administering the fluid in programmed pulses into a carotid artery.

4. The method of claim 3, comprising administering the fluid at a fluid flow rate of about 2% to about 5% of arterial blood flow of the carotid artery.

5. The method of claim 1, wherein the fluid property of the fluid to be infused relevant to streaming comprises one of a static fluid property and a kinetic fluid property.

6. The method of claim 1, wherein the fluid comprises a drug and the fluid property of the fluid to be infused relevant to streaming comprises a pharmacological property of the drug.

7. The method of claim 1, comprising administering the fluid in programmed pulses at the duration of about one to five seconds.

10. The method of claim 1, wherein the fluid comprises a drug, the drug administered in programmed pulses in a carotid artery to treat a condition selected from the group consisting of stroke after thrombosis, cancer, cerebral vasospasm, infection, and localization of brain function.

11. The method of claim 1, wherein the fluid comprises a drug having a drug concentration determined based on a kinetic property of the drug.

12. The method of claim 1, wherein the fluid comprises a drug having a drug concentration determined based on a therapeutic index of the drug.

8. The method of clam 1, wherein the fluid comprises a drug and wherein the drug is administered in programmed pulses at the duration based on a transfer rate of the drug across a blood brain barrier.

9. The method of clam 1, wherein the fluid is a drug and wherein the drug is administered in programmed pulses at the frequency based on a rate of elimination of the drug from a brain.

13. A programmed pulse infusion device comprising:

a pump;

a controller with associated memory interfacing with the pump; and

a fluid reservoir containing a fluid feeding the pump, the controller providing a drive signal for the pump to deliver the fluid for infusion into a blood vessel in programmed pulses defined by programmed pulse variables comprising a fluid flow rate, a frequency, and a duration, values of the programmed pulse variables determined based at least in part on at least one of a fluid property of the fluid to be infused relevant to streaming, blood flow in the blood vessel to be infused, a catheter size, and a patient profile.

14. The programmed pulse infusion device of claim 13, wherein the fluid is delivered in programmed pulses independent of diastole.

15. The programmed pulse infusion device of claim 13, wherein the fluid is delivered for infusion into a carotid artery.

16. The programmed pulse infusion device of claim 13, wherein the fluid property of the fluid to be infused relevant to streaming comprises one of a static fluid property and a kinetic fluid property.

17. The programmed pulse infusion device of claim 13, wherein the fluid comprises a drug and the fluid property of the fluid to be infused relevant to streaming comprises a pharmacological property of the drug.

18. The programmed pulse infusion device of claim 13, wherein the fluid comprises a drug infused in programmed pulses at the duration based on a transfer rate of the drug across a blood brain barrier.

19. The programmed pulse infusion device of claim 13, wherein the fluid comprises a drug infused in programmed pulses at the frequency based on a rate of elimination of the drug from a brain.

20. The programmed pulse infusion device of claim 13, comprising a control solenoid interfacing with the controller providing an actuating signal to the solenoid to deliver the fluid in programmed pulses and wherein the pump comprises a pneumatic actuated pump.

21. The programmed pulse infusion device of claim 20, wherein the fluid reservoir comprises a syringe and the pneumatic actuated pump comprises a plunger extended by an actuating force toward the syringe to deliver the fluid from the syringe in programmed pulses.

22. The programmed pulse infusion device of claim 13, comprising a bubble trap removing air bubbles from the fluid being delivered.

23. The programmed pulse infusion device of claim 13, comprising a pressure sensor interfacing with the controller.

24. A computer readable medium comprising program code that when executed enables a user to determine values of programmed pulse variables for infusing a fluid in a blood vessel in programmed pulses defined by the programmed pulse variables comprising a fluid flow rate, a frequency, and a duration, the values of programmed pulse variables determined at least in part on at least one of a fluid property of the fluid to be infused relevant to streaming, blood flow in the blood vessel to be infused, a catheter size, and a patient profile.

25. The computer readable medium of claim 24, wherein the values of the programmed pulse variables are determined independent of diastole.

26. The computer readable medium of claim 24, wherein the program code enables users to determine values of programmed pulses variables for infusing the fluid into a carotid artery.

27. The computer readable medium of claim 24, wherein the fluid property of the fluid to be infused relevant to streaming comprises one of a static fluid property and a kinetic fluid property.

28. The computer readable medium of claim 24, wherein the fluid comprises a drug and the fluid property of the fluid to be infused relevant to streaming comprises a pharmacological property of the drug.

29. The computer readable medium of claim 24, wherein the fluid comprises a drug infused in programmed pulses in a carotid artery to treat a condition selected from the group consisting of stroke after thrombosis, cancer, cerebral vasospasm, infection, and localization of brain function.

30. A computer system comprising a controller and associated computer memory, and a computer readable medium accessible to the controller, stored on the computer readable medium at least one database comprising at least one of:

data of fluid properties for a fluid that may be infused into a blood vessel relevant to streaming; and

values of programmed pulse variables based on at least one of a patient profile, a blood flow rate in the blood vessel , a fluid property for the fluid relevant to streaming, and a catheter size, the database accessed to enable users to determine the values of programmed pulse variables for infusing the fluid in the blood vessel in programmed pulses defined by the programmed pulse variables comprising a fluid flow rate, a frequency, and a duration.

31. The computer system of claim 30, wherein the values of programmed pulse variables based on a fluid property for the fluid relevant to streaming comprises at least one of a static fluid property and a kinetic fluid property.

32. The computer system of claim 30, wherein the fluid comprises a drug and wherein the values of programmed pulse variables based on a fluid property for the fluid relevant to streaming comprises a pharmacological property of the drug.

33. The computer system of claim 30, wherein the fluid comprises a drug and wherein the duration of a programmed pulse is based on a transfer rate of the drug across a blood brain barrier.

34. The computer system of claim 30, wherein the fluid comprises a drug and wherein the frequency of a programmed pulse is based on a rate of elimination of the drug from a brain.