Multichannel coordinated infusion system

• US 20060064053A1
• Filed: 09/17/2004
• Published: 03/23/2006
• Est. Priority Date: 09/17/2004
• Status: Abandoned Application

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Inventors: Vanderveen, Timothy W., Bollish, Stephen J.
• Application Number:
  US10/943,761
• Publication Number:
  US 20060064053A1
• Time in Patent Office: Days
• US Class Current: 604/31
• CPC Class Codes: A61M 1/14 Dialysis systems; Artificial kidneys; Blood oxygenators semi-permeable membranes characterised by the material, manufacturing processes therefor B01D71/00 ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/3451 the difference in weight between both ultra-filtrate and substitution reservoir being used as control signal
• CPC Class Codes: A61M 1/3687 Chemical treatment A61M1/3675 takes precedence
• CPC Class Codes: A61M 5/14232 Roller pumps
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: A61M 5/16886 for measuring fluid flow rate, i.e. flowmeters
• 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: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

An infusion system comprises a first pump device that delivers a first infusate, preferably a medication, to an IV infusion line and a second pump device that delivers a second infusate, preferably a neutral carrying solution, to the IV line. The infusion system also includes a measurement device that determines an amount of undelivered first infusate remaining in a receptacle. Furthermore, the infusion system includes a control system that communicates with the first and second delivery devices and the measurement device to determine an optimum first infusate infusion flow rate based on the determined amount of undelivered first infusate remaining in the system, a predetermined volume of fluid to be infused, and a predetermined infusion time period, and for controlling the first delivery unit accordingly. The present invention also provides methods for infusing a medication into a patient.

Claims

1. An infusion system, comprising:

a first delivery unit that delivers a first infusate to an infusion circuit;

a second delivery unit that delivers a second infusate to the infusion circuit;

a measurement device that determines an amount of undelivered first infusate remaining to be infused; and

a control system that;

controls delivery of the first infusate from the first delivery unit and delivery of the second infusate from the second delivery unit;

enables input of a predetermined volume of the first infusate to be delivered and input of a predetermined time period for infusion of the predetermined first insufate volume;

determines a time remaining in the predetermined infusion time period;

communicates with the first delivery unit, the second delivery unit, and the measurement device to determine an optimum first infusate infusion flow rate based on the predetermined first infusate volume, the predetermined infusion time period, the determined amount of undelivered first infusate remaining in the system and the determined time remaining in the predetermined infusion time period; and

controls the first delivery unit to deliver the first infusate at the determined optimum first infusate infusion flow rate.

2. An infusion system as recited in claim 1 wherein the first infusate is a medication and the second infusate is a neutral carrying solution.

3. An infusion system as recited in claim 1 wherein the control system stops and restarts both of the first and second delivery units simultaneously.

4. An infusion system as recited in claim 1 further comprising a programming unit for providing an interface between the infusion system and a user of the infusion system.

5. An infusion system as recited in claim 1 wherein the control system automatically recalculates the optimum flow rate after any interruptions of either the first or the second pump units.

6. An infusion system as recited in claim 1 wherein the first delivery unit comprises a syringe pump.

7. An infusion system as recited in claim 1 wherein the first delivery unit comprises an infusion pump.

8. An infusion system as recited in claim 1 wherein the first delivery unit comprises a receptacle containing the first infusate, and the measurement device comprises a weight cell for ascertaining the weight of the first infusate containing receptacle.

9. An infusion system as recited in claim 5 wherein the control system is located within the programming unit.

10. An infusion system as recited in claim 6 wherein the syringe pump includes a syringe, and the infusion system further comprises a syringe size detection system for detecting the total volume of the syringe.

11. An infusion system as recited in claim 6 wherein the syringe pump includes a syringe that includes a plunger and the measurement device comprises a position sensor for sensing a position of the plunger of the syringe in the syringe pump.

12. An infusion system as recited in claim 8 wherein the amount of first infusate remaining in the system is a weight of first infusate remaining in the infusion system and is calculated from the weight of the first infusate containing receptacle less a tare weight of the receptacle.

13. An infusion system as recited in claim 11 wherein the amount of first infusate remaining in the system is a volume of first infusate remaining in the infusion system and is calculated from the position of the plunger and a total volume of the syringe.

14. An infusion system as recited in claim 12 wherein the optimum infusion flow rate is calculated from the weight of the first infusate remaining in the infusion system, and the first infusate'"'"'s specific gravity, and the time remaining in the predetermined infusion time period.

15. An infusion system as recited in claim 14 wherein the infusion system further comprises a receptacle detection system for detecting the type and tare weight of the receptacle.

16. An infusion system comprising:

a first delivery unit that delivers an infusion ultrafiltrate to a hemofilter;

a first measurement device that determines an amount of infusion ultrafiltrate in the infusion system;

a receiver unit that receives a patient'"'"'s removed ultrafiltrate from the hemofilter;

a second measurement device that determines an amount of removed ultrafiltrate in the infusion system;

a control system communicating with the delivery and receiver units and the first and second measurement units to determine optimum flow rates to and from the hemofilter, based upon the determined amounts of infusion ultrafiltrate and removed ultrafiltrate in the infusion system, and a predetermined desired pressure differential between the infusion and removed ultrafiltrates, and for controlling the delivery and receiver units accordingly.

17. An infusion system as recited in claim 16 wherein the delivery and receiver units comprise infusion pumps.

18. An infusion system as recited in claim 16 wherein the control system stops and restarts both of the delivery and receiver units simultaneously.

19. An infusion system as recited in claim 16 further comprising a programming unit for providing an interface between the infusion system and a user of the infusion system.

20. An infusion system as recited in claim 16 wherein the control system automatically recalculates the optimum flow rates after any interruptions of either the delivery or the receiver units.

21. An infusion system as recited in claim 17 wherein the delivery unit includes an infusion receptacle for containing the infusion ultrafiltrate, the receiver unit includes a removal receptacle for containing the removed ultrafiltrate, and the first and second measurement devices comprise weight cells for ascertaining the weight of the infusion ultrafiltrate contained in the infusion receptacle and the removed ultrafiltrate contained in the removal receptacle.

22. An infusion system as recited in claim 19 wherein the control system is located within the programming unit.

23. An infusion system as recited in claim 21 wherein the weight of the infusion and removed ultrafiltrates in the infusion system is calculated from the weight of each of the infusion and removal receptacles less a tare weight of each of the infusion and removal receptacles.

24. An infusion system as recited in claim 21 wherein the infusion system further comprises a receptacle detection system for detecting the type and tare weight of each of the infusion and removal receptacles.

25. A method of infusing a second infusate into a patient, comprising the steps of:

determining a total volume of first infusate is to be infused;

ascertaining a period over which the total volume of first infusate is to be infused;

detecting a remaining amount of first infusate to be infused;

calculating time remaining in the period;

delivering a second infusate into an infusion circuit;

infusing the first infusate into the infusion circuit; and

automatically adjusting the infusion based on the remaining amount of first infusate to be infused and the time remaining in the period.

26. A method as recited in claim 25 wherein the method further comprises the step of repeating the detecting, calculating, delivering, infusing and automatically adjusting steps until the total volume of first infusate is infused.

27. A method as recited in claim 25 wherein the determining step comprises the step of receiving an input from a user of the total volume of first infusate to be infused.

28. A method as recited in claim 25 wherein the determining step comprises the steps of recognizing characteristics of a receptacle in which the first infusate is contained, and calculating the total volume of first infusate to be infused from the receptacle characteristics.

29. A method as recited in claim 25 wherein the ascertaining step comprises the step of receiving an input from a user of the period over which the total volume of first infusate is to be infused.

30. A method as recited in claim 25 wherein the detecting step comprises the steps of establishing the position of a plunger of a syringe placed in a syringe pump, and calculating the remaining amount of first infusate to be infused from the plunger position and a total volume of the syringe.

31. A method as recited in claim 25 wherein the detecting step comprises the steps of ascertaining the weight of a first infusate containing receptacle, and calculating the remaining amount of first infusate to be infused from the weight of the first infusate containing receptacle.

32. A method as recited in claim 25 wherein the delivering step comprises pumping the second infusate via an infusion pump.

33. A method as recited in claim 25 wherein the infusing step comprises pumping the second infusate via an infusion pump.

34. A method as recited in claim 25 wherein the infusing step comprises pumping the first infusate via a syringe pump.

35. A method as recited in claim 25 wherein the automatically adjusting step further comprises stopping and restarting both the delivering and infusing steps simultaneously after any interruptions.

36. A method as recited in claim 25 wherein the automatically adjusting step further comprises automatically recalculating the infusion after any interruptions.

37. A method of infusing an ultrafiltrate into a patient, comprising the steps of:

delivering an infusion ultrafiltrate to a hemofilter;

measuring the amount of infusion ultrafiltrate in the infusion system;

receiving a patient'"'"'s removed ultrafiltrate from the hemofilter;

measuring the amount of removed ultrafiltrate in the infusion system; and

adjusting flow rates of the delivering and the receiving steps based upon the measured amounts of infusion and removed ultrafiltrate in the infusion system and a predetermined desired pressure differential between the infusion and removed ultrafiltrates.

38. A method as recited in claim 37 wherein the measuring step comprises weighing receptacles containing the ultrafiltrate.

39. A method as recited in claim 37 wherein the method further comprises the step of repeating the method until a desired ultrafiltrate is delivered or removed from a patient.