Digital memory with power outage and memory overload logic in a dialysis system

• US 4,098,274 A
• Filed: 10/18/1976
• Issued: 07/04/1978
• Est. Priority Date: 10/18/1976
• Status: Expired due to Term

• Current Assignee: Baxter Travenol Laboratories Incorporated
• Original Assignee: Baxter Travenol Laboratories Incorporated
• Inventors: Soderstrom, Jan, Witsoe, David Allan, Ebling, Wendell victor
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US05/733,584
• Time in Patent Office: 624 Days
• Field of Search: 128/DIG. 1, 128/DIG. 3, 128/DIG. 12, 128/DIG. 13, 128/214 E, 128/214 B, 128/214 F, 128/214 R, 128/2.05 A, 128/2.05 R, 210/85, 210/90, 210/321 A, 210/321 B, 210/22 A, 210/22 C, 210/22 D, 23/258.5 R
• US Class Current: 604/5.01
• CPC Class Codes: A61M 1/3639 Blood pressure control, pressure transducers specially adapted therefor
• CPC Class Codes: A61M 2205/17 with redundant control systems
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/3351 Controlling upstream pump pressure
• CPC Class Codes: A61M 2205/3355 Controlling downstream pump pressure
• CPC Class Codes: Y10S 128/13 Infusion monitoring

Abstract

There is disclosed herein a blood pressure alarm system for use in a dialysis machine whereby alarms may be activated, and a blood pump deactivated if the actual blood pressure increases above or decreases below predetermined levels. The levels are determined by setting a particular blood pressure point and setting the amount by which the pressure can vary above and below the set point. A memory is provided for storing the set point and preventing variation of the set point with time. The dialysis machine and alarm system can malfunction under certain conditions and protection circuitry operates the alarms if a malfunction occurs.

Claims

1. In a dialysis machine capable of at least one type of malfunction an alarm means operative in response to particular blood pressure changes to operate, said alarm means including in combination:

blood pressure sensing means operative to develop a pressure signal which varies in accordance with blood pressure;

memory means operative to receive said pressure signal, said memory means including storage means for storing said received pressure signal and means for developing a memory signal in response to said storage signal, said memory means storage means only storing received pressure signals below a particular value;

control circuit means coupled to said blood pressure sensing means and said memory means and operative in response to at least a first particular difference between said memory signal and said pressure signal to operate for providing an alarm; and

protection circuit means including gating circuit means coupled to said memory means and operative in response to a pressure signal received therein in excess of said particular value to operate for providing said alarm.

2. The dialysis machine of claim 1, wherein power from a source of power is applied thereto, and said received pressure signal stored in said memory means storage means is released therefrom upon a particular reduction of power for a first time period, said protection circuit means gating circuit means being coupled to said source of power and responsive to said particular reduction of power for first said time period and return thereof to operate for providing said alarm.

3. The dialysis machine of claim 2, wherein said gating circuit means includes a first gate operative in response to said power reduction for said first time period and restitution thereof to develop a first gate signal, bistable means coupled to said first gate and operative in response to said first gate signal to develop a first bistable signal for providing said alarm.

4. The dialysis machine of claim 3, wherein said gating circuit means includes second bistable means coupled to said first bistable means and selectively operative to reset said first bistable means, terminating said first bistable signal.

5. The dialysis machine of claim 4, wherein said second bistable means includes switch means having at least a first and second position, a toggle circuit coupled to said switch means and operative in response to said switch means movement to said first position to develop a first toggle signal and said switch means movement to said second position to develop a second toggle signal, said first bistable means operative in response to said second toggle signal to reset and terminate said first bistable signal.

6. The dialysis machine of claim 3, wherein said first gate is operative in response to a pressure signal in said memory in excess of said particular value to develop said first gate signal, said bistable means operative in response to said first gate signal to develop said first bistable signal for providing said alarm.

7. The dialysis machine of claim 1, wherein said blood pressure sensing means develops a blood pressure signal having a first value, said protection circuit means including comparison means coupled to said blood pressure sensing means and operative in response to a blood pressure signal of first value to operate for providing an alarm.

8. The dialysis machine of claim 7, wherein said blood pressure sensing means includes a pressure transducer operative to sense blood pressure below a first level, said pressure sensing means developing said pressure signal having a first value substantially in response to a blood pressure of said first level.

9. The dialysis machine of claim 7, wherein said blood pressure sensing means includes a pressure transducer for developing a pressure signal which varies in accordance with blood pressure, level adjustment means coupled to said pressure transducer for adjusting a maximum pressure signal, meter means coupled to said level adjustment means and operative in response to said blood pressure signal to provide a visual indication of said blood pressure, said meter means having a maximum pressure limit thereon corresponding to a blood pressure signal having a second value less than said first value whereby said comparison means operates to provide said alarm in response to a blood pressure in excess of said meter means maximum pressure limit.

10. In a dialysis machine wherein power from a source of power is applied thereto, an alarm means operative in response to blood pressure changes to operate, said alarm means including in combination:

blood pressure sensing means operative to develop a pressure signal which varies in accordance with blood pressure;

said blood pressure sensing means operative to develop a blood pressure signal having a first value, memory means operative to receive said pressure signal, said memory means including storage means for storing said received pressure signal in digital form as a digital signal and means coupled to said storage means and operative in response to said stored digital signal to develop a memory signal;

said received pressure signal stored in said storage means being released therefrom upon a particular reduction in power for a first time period and said storage means only storing received pressure signals below a particular value;

pressure variation selection means operative to develop a variation signal representing blood pressure variation limits;

comparison means coupled to said sensing means, memory means and pressure variation selection means and operative in response to said pressure signal greater than said memory signal plus said variation signal to develop a first comparison signal and operative in response to said pressure signal less than said memory signal minus said variation signal to develop said first comparison signal;

control circuit means coupled to said comparison means and operative in response to said first comparison signal to operate for providing an alarm;

gating circuit means coupled to said source of power and operative in response to said reduction of power for said first time period and restoration thereof to operate for providing said alarm;

said gating circuit means responsive to a pressure signal received at said memory storage means in excess of said particular value to operate for providing said alarm; and

second comparison means coupled to said blood pressure sensing means and responsive to a blood pressure signal of said first value to operate for providing an alarm.

11. In a dialysis machine capable of at least one type of malfunction an alarm means operative in response to particular blood pressure changes to operate, said alarm means including in combination:

blood pressure sensing means operative to develop a pressure signal which varies in accordance with blood pressure;

memory means operative to receive said pressure signal, said memory means including storage means for storing said received pressure signal and means for developing a memory signal in response to said storage signal, said memory means storage means only storing received pressure signals below a particular value;

control circuit means coupled to said blood pressure sensing means and said memory means and operative in response to at least a first particular difference between said memory signal and said pressure signal to operate for providing an alarm; and

protection circuit means including a first gate, coupled to said memory means and operative in response to a pressure signal received therein in excess of said particular value to develop a first gate signal, bistable means coupled to said first gate and operative in response to said first gate signal to develop a first bistable signal for providing said alarm.

12. The dialysis machine of claim 11, wherein said gating circuit means includes second bistable means coupled to said first bistable means and selectively operative to reset said first bistable means terminating said first bistable signal.

13. The dialysis machine of claim 12, wherein said second bistable means includes switch means having at least a first and second position, a toggle circuit coupled to said switch means and operative in response to said switch means movement to said first position to develop a first toggle signal and switch means movement to said second position to develop a second toggle signal, said first bistable means operative in response to said second toggle signal to reset and terminate said first bistable signal.

14. The dialysis machine of claim 12, wherein power from a source of power is applied thereto and said received pressure signal stored in said memory means storage means is released therefrom upon a particular reduction of said power for the first time period, said protection circuit means including a second gate coupled to said source of power and to said first gate and operative in response to removal of said power for a particular time period and restitution thereof to develop a second gate signal, said first gate operative in response to said second gate signal to develop said first gate signal for providing said alarm.

15. In a dialysis machine capable of at least one type of malfunction an alarm means operative in response to particular blood pressure changes to operate, said alarm means including in combination:

16. blood pressure sensing means operative to develop a pressure signal which varies in accordance with blood pressure;

Memory means operative to receive said pressure signal, said memory means including storage means for storing said received pressure signal and means for developing a memory signal in response to said storage signal, said memory means having power from a source of power applied thereto and said received pressure signal stored in said memory means storage means being released therefrom upon a particular reduction of power for a first time period, said memory means storage means being operative to store only said received pressure signals below a particular value;

control circuit means coupled to said blood pressure sensing means and said memory means and operative in response to at least a first particular difference said memory signal and said pressure signal to operate for providing an alarm; and

protection circuit means including gating circuit means having a first gate coupled to said source of power and operative in response to said particular reduction of power for said first period of time and restitution thereof to develop a first gate signal, bistable means coupled to said first gate and operative in response to said first gate signal to develop a first bistable signal for providing said alarm, said first gate being further operative in response to a pressure signal in said memory in excess of said particular value to develop said first gate signal, said bistable means operative in response to said first gate signal to develop said first bistable signal for providing said alarm.