Liquid warming device with basin

• US 20060065276A1
• Filed: 08/23/2005
• Published: 03/30/2006
• Est. Priority Date: 08/24/2004
• Status: Active Grant

• Current Assignee: C Change Surgical LLC
• Original Assignee: C Change Surgical LLC
• Inventors: Kammer, Patrick, Rackers, Kevin Joseph
• Granted Patent: US 7,128,275 B2
• Time in Patent Office: Days
• US Class Current: 128/849
• CPC Class Codes: A61B 2050/0018 Electric heating
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: G05D 23/1909 whose output amplitude can only take two discrete values
• CPC Class Codes: G05D 23/1931 to control the temperature of one space
• CPC Class Codes: G05D 23/20 with sensing elements having variation of electric or magnetic properties with change of temperature G05D23/13 takes precedence
• CPC Class Codes: G05D 23/22 the sensing element being a thermocouple

Abstract

A liquid warming device for heating sterile fluids in a removable basin is described with emphasis on the properties of the basin interaction with the liquid warming device and with a drape that works with the basin to maintain a sterile field above the drape and the top of the basin. The interactions between a temperature sensor and a temperature well integrated in the removable basin are disclosed. Also disclosed are various desirable aspects for a control system for a liquid warming device are provided.

Claims

1. A liquid warming device comprising:

a cavity with a bottom, the cavity adapted to receive a removable basin, the removable basin having a bottom, a set of at least one side wall connected to the bottom of the basin so that the set of at least one side wall forms a walled perimeter around the bottom of the basin to form a container suitable for holding a fluid, the basin having an integrated hollow protrusion positioned on the exterior of the removable basin and extending from the exterior of the removable basin to the space surrounded by the interior of the removable basin;

a heater adapted to provide heat to the at least a portion of the exterior of the removable basin; and

A control system comprising;

a fluid temperature controller;

a fluid temperature sensor placed such that placement of the removable basin in at least one orientation places a distal end of the fluid temperature sensor into the interior of the integrated hollow protrusion for the purpose of measuring the temperature of a fluid placed in the removable basin, the temperature obtained by the fluid temperature sensor provided as input to the fluid temperature controller;

a heater temperature detector positioned in thermal contact with the heater and providing the heater temperature as input to the fluid temperature controller; and

the fluid temperature controller controlling a flow of electric energy provided to the heater so as to regulate the heater temperature based on the temperature obtained by the fluid temperature sensor.

2. The liquid warming device of claim 1 wherein the fluid temperature sensor extends upward from the cavity in the liquid warming device and is adapted to fit within an integrated hollow protrusion located on the bottom of the removable basin.

3. The liquid warming device of claim 1 wherein the fluid temperature sensor extends inward from the cavity in the liquid warming device and is adapted to fit within an integrated hollow protrusion located in a side wall of the removable basin.

4. The liquid warming device of claim 1 wherein the fluid temperature sensor is in an alignment ridge that extends between the bottom and one of at least one side wall in the cavity in the liquid warming device and adapted to fit within a corresponding integrated hollow protrusion located on the removable basin, the alignment ridge and corresponding alignment channel serving to provide tactile guidance for aligning the basin within the cavity of the liquid warming device.

5. The liquid warming device of claim 1 wherein the fluid temperature controller accepts a liquid target temperature input and calculates a temperature underage value based on the liquid target temperature minus the temperature obtained by the fluid temperature sensor and the fluid temperature controller seeks to maintain a heater set point temperature selected based on the temperature underage value.

6. The liquid warming device of claim 1 wherein the fluid temperature controller has a liquid target temperature and calculates a temperature underage value based on the liquid target temperature minus the temperature obtained by the fluid temperature sensor and the fluid temperature controller seeks to maintain a heater set point temperature selected based on the temperature underage value.

7. The liquid warming device of claim 5 wherein the heater set point temperature is fixed at a maximum value for temperature underage values in excess of a first value.

8. The liquid warming device of claim 7 wherein the heater set point temperature is controlled by the fluid temperature controller through the use of a proportional integral derivative control scheme when the temperature underage is less than the first value.

9. The liquid warming device of claim 1 wherein the liquid warming device has an alignment indicator used to align the removable basin in the cavity so as to place the integrated hollow protrusion in the removable basin above the fluid temperature sensor.

10. The liquid warming device of claim 1 further comprising a sensor adapted to detect the presence of a particular radio frequency identification tag on the removable basin so that the liquid warming device can prevent the use of removable basins without the particular radio frequency identification tag.

11. The liquid warming device of claim 1 wherein the control system further comprises a limit switch with a limit switch actuator adapted for contact with the basin such that the absence of a removable basin will cause the limit switch to be open and prevent the application of a flow of current to the heater.

12. The liquid warming device of claim 11 wherein the limit switch interacts with a non-flat portion of the basin bottom such that insertion of basin without the particular non-flat portion of the basin bottom will not close the limit switch.

13. The liquid warming device of claim 12 wherein the non-flat portion of the basin bottom is an indentation zone adjacent to the integrated hollow protrusion such that placement of a basin in the cavity of the liquid warming device to insert the distal end of the fluid temperature sensor into the hollow protrusion and placing the bottom of the basin on the bottom of cavity causes the limit switch actuator to interact with the indentation zone to close the limit switch.

14. The liquid warming device of claim 12 wherein the non-flat portion of the basin bottom is a projection extending downward from the basin bottom near the integrated hollow protrusion such that placement of a basin in the cavity of the liquid warming device to insert the distal end of the fluid temperature sensor into the hollow protrusion and placing the bottom of the basin on the bottom of cavity causes the limit switch actuator to interact with the projection to close the limit switch.

15. The liquid warming device of claim 1 wherein the fluid temperature sensor is connected to a limit switch such that placement of a removable basin without a hollow protrusion above the fluid temperature sensor causes the limit switch to be open and prevent the application of a flow of current to the heater.

16. The liquid warming device of claim 15 wherein the fluid temperature sensor is connected to the limit switch such that:

the absence of a removable basin will cause the limit switch to open and prevent the application of the flow of current to the heater;

the placement of a removable basin without the integrated hollow protrusion above the fluid temperature sensor will cause the limit switch to open and prevent the application of the flow of current to the heater;

but the placement of a removable basin with the integrated hollow protrusion of appropriate depth above the fluid temperature sensor will cause the limit switch to close.

17. The liquid warming device of claim 1 further comprising at least one indicator to indicate whether a liquid in the removable basin is within a prescribed range of the liquid target temperature.

18. The liquid warming device of claim 17 wherein the at least one indicator light is adapted for use below a surgical drape so that the light can be seen through the surgical drape but the surgical drape can be in proximity to a lit indicator light for at least 24 hours without damaging the surgical drape.

19. A liquid warming device comprising:

a cavity adapted to receive a removable basin, the removable basin having a bottom, a set of at least one side wall connected to the bottom of the basin so that the set of at least one side wall forms a walled perimeter around the bottom of the basin to form a container suitable for holding a fluid, the basin having an integrated hollow protrusion positioned on the exterior of the removable basin and extending from the exterior of the removable basin to the space surrounded by the walled perimeter of the removable basin;

a fluid temperature sensor placed such that placement of the removable basin in at least one orientation places the fluid temperature sensor into the interior of the integrated hollow protrusion, for the purpose of measuring the temperature of a fluid placed in the removable basin, the temperature obtained by the fluid temperature sensor provided as input to a fluid temperature controller;

a heater adapted to provide heat to the at least a portion of the exterior of the removable basin; and

the fluid temperature controller controlling a flow of energy provided by the heater so as to regulate the temperature obtained by the fluid temperature sensor.

20. A method of maintaining a liquid near a target temperature using a liquid warming device, comprising the steps of:

placing a surgical drape with an opening over a cavity in a liquid warming device;

placing a sterile removable basin in the cavity and in contact with the perimeter of the opening in the surgical drape such that a temperature well in the exterior surface of the removable basin is placed over a temperature sensing device, the distal end of the temperature sensing device extending into cavity in the liquid warming device;

placing a sterile liquid in the removable basin;

providing an indication of the temperature sensed by the temperature sensing device to a fluid temperature controller;

while desiring to maintain the sterile fluid near a target temperature iteratively performing;

calculating a temperature difference between a target temperature for the sterile liquid in the removable basin and the temperature sensed by the temperature sensing device and;

establishing a heater set point based on the temperature difference; and

varying the amount of energy provided to the heater as needed to move the measured heater temperature to the heater set point.

21. The method of claim 20 wherein the step of placing the sterile drape and the step of placing the basin are accomplished by placing a basin with an associated drape, the associated drape having an opening such that a portion of the basin extends through the opening in the drape to contact a heat transfer surface in the cavity of the liquid warming device.

22. The method of claim 21 wherein the drape is bonded to the exterior of the basin.

23. The method of claim 21 wherein the drape was stretched by the insertion of the basin through the hole in the drape to form an interference fit so that the basin and associated drape can be lifted without the drape falling off the basin.

24. The method of claim 21 wherein the portion of the basin extends through the opening in the drape to receive the distal end of the temperature sensing device into the temperature well.

25. The method of claim 24 wherein the insertion of the distal end of the temperature sensing device into the temperature well expands at least one dimension of the temperature well to create an interference fit between a portion of the temperature sensing device and a portion of the temperature well.

26. The method of claim 24 wherein the insertion of the distal end of the temperature sensing device into the temperature well decreases at least one dimension of the distal end of the temperature sensing device to create an interference fit between a portion of the temperature sensing device and a portion of the temperature well.

27. The method of claim 24 wherein the insertion of the distal end of the temperature sensing device into the temperature well causes the air previously present in the temperature well to vent out of the well in a vent channel.

28. The method of claim 20 wherein the placement of the surgical drape over the liquid warming device covers a set of at least one indicator light that can be seen through the surgical drape to indicate that the sterile fluid is near the target temperature.

29. The method of claim 20 wherein the step of placing a removable basin in the cavity includes the step of obtaining a removable basin with a plastic temperature well in order to decrease the flow of heat from the heater to the temperature sensing device from heat that did not pass through the sterile fluid in the basin.

30. The method of claim 20 wherein the temperature well is made at least in part of a heat conductive material that is different from the material used for the majority of the volume of the removable basin.

31. The method of claim 20 wherein the placing of the sterile removable basin interacts with the control system as the control system prevents the application of heat by the liquid warming device when an appropriate removable basin is not in proper position in the cavity of the liquid warming device.

32. The method of claim 20 wherein sterile removable basin has a radio frequency identification tag and the placing of the sterile removable basin in the cavity engages a radio frequency identification tag reader used to prevent operation of the heater when an appropriate removable basin is not in the cavity of the liquid warming device.

33. The method of claim 20 wherein the temperature well is not in the center of the sterile removable basin such that only a removable basin that is properly aligned in the cavity and has the temperature well the appropriate distance from the center of the bottom of the removable basin will be placed over the temperature sensing device.

34. The method of claim 20 wherein the placement of the sterile liquid in the removable basin is necessary in order to active a limit switch used to prevent operation of the heater when a removable basin is placed in the cavity of the liquid warming device without a minimum weight so as to reduce the risk of applying heat to a dry basin.

35. The method of claim 20 wherein a user can provide the target temperature to the liquid warming device.

36. The method of claim 20 wherein the heater set point is set at a fixed value for temperature differences above a first value.

37. The method of claim 36 wherein the heater set point is set using a proportional integral derivative control scheme when the temperature difference is below the first value.

38. A method of maintaining a liquid near a target temperature using a liquid warming device, comprising the steps of:

placing a surgical drape with an opening over a cavity in a liquid warming device;

placing a sterile removable basin in the cavity and in contact with the perimeter of the opening in the surgical drape such that a temperature well in the exterior surface of the removable basin is placed over a temperature sensing device, the distal end of the temperature sensing device extending into the cavity in the liquid warming device;

placing a sterile liquid in the removable basin; and

controlling the energy provided to the sterile liquid in order to maintain the liquid near the target temperature.

39. The method of claim 38 wherein the step placing the sterile removable basin includes aligning an alignment channel on the basin with an alignment ridge in the cavity of the liquid warming device to place the basin in a particular orientation within the cavity in the liquid warming device.

40. The method of claim 38 wherein the step of placing the sterile removable basin includes aligning a portion of a bottom of the basin with a basin detector that interacts with the control system so that energy is not applied when a basin is not present.

41. The method of claim 38 wherein the step of placing the sterile removable basin includes exerting sufficient downward force to impose an interference fit between the distal end of the temperature sensing device and the temperature well.

42. The method of claim 38 wherein the step of controlling the energy provided to the sterile liquid in order to maintain the liquid near the target temperature is accomplished by controlling the amount of current provided to a set of at least one resistive heater.

43. The method of claim 38 wherein the step of controlling the energy provided to the sterile liquid in order to maintain the liquid near the target temperature is accomplished by controlling an infra-red heat source.

44. The method of claim 38 wherein the step of controlling the energy provided to the sterile liquid in order to maintain the liquid near the target temperature is accomplished by controlling an microwave heat source.

45. The method of claim 38 wherein the step of controlling the energy provided to the sterile liquid in order to maintain the liquid near the target temperature is accomplished by controlling an ultrasonic heat source.

46. The method of claim 38 wherein the step of controlling the energy provided to the sterile liquid in order to maintain the liquid near the target temperature is accomplished by controlling an induction heating heat source.