Device for the infusion of fluids into the human or animal body

• US 4,395,259 A
• Filed: 09/14/1981
• Issued: 07/26/1983
• Est. Priority Date: 09/22/1980
• Status: Expired due to Fees

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Franetzki, Manfred, Prestele, Karl, Reif, Erich
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Yanulis, George
• Application Number:
  US06/301,780
• Time in Patent Office: 680 Days
• Field of Search: 128/214 E, 128/214 F, 128/260, 128/DIG. 12, 128/213, 128/903, 128/419 P, 128/DIG. 13, 604/891, 340/502, 340/504, 340/825.69, 340/825.72
• US Class Current: 604/67
• CPC Class Codes: A61M 2205/3523 using telemetric means
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: Y10S 128/13 Infusion monitoring

Abstract

An exemplary embodiment comprises a metering device which can be worn on the body or which is preferably implantable in the body, the metering device exhibiting a delivery unit for the dosed delivery of the fluid from a supply container to a discharge aperture of a catheter and also exhibiting an appertaining operating circuit, and an external control and programming device. The operating circuit in the metering device and the control circuit in the control device can be inductively coupled for operational signal transmission, to which end at least one transmission coil is present in the control device and at least one reception coil is present in the metering device. Given implanted devices, it is the object of the disclosure to guarantee the highest degree of patient security. For function monitoring of operating parameters of the metering device the metering device exhibits a transmitter whose signals can be received in a receiver outside of the patient'"'"'s body and, under certain conditions, can be evaluated. In addition to pure function monitoring, an acknowledgement of signals as well as an answerback of the value of one or more operating parameters is possible.

Claims

1. An infusion system for the infusion of fluids into the human or animal body, said system comprising

(a) a metering device to be implanted within the body, having a delivery unit for the dosed delivery of fluid to the body, said delivery unit having operating circuitry for controlling operation of the delivery unit, and said metering device having coupling means for receiving an operational signal transmission and for effecting an operation in accordance therewith,

(b) an external monitor device having coupling means coupled with said metering device for supplying a monitoring signal in accordance with an operation produced at the metering device by an operational signal transmission, and

(c) evaluation means operatively associated with said external monitor device for receiving a transmission signal in accordance with an operational signal transmission transmitted to the metering device, and connected with the coupling means of the external monitor device for receiving a monitoring signal in accordance with an operation at the metering device produced by an operational signal transmission, and operative for supplying an information signal where a received monitoring signal has a predetermined relationship to a received transmission signal, the information signal thereby being indicative of receipt of the operational signal transmission by the metering device,

(d) the delivery unit comprising a roller pump and a stepping motor drive therefor, said coupling means of said metering device comprising an induction coil associated with the roller pump for coupling with the coupling means of the external monitor device, said induction coil being connected with the stepping motor drive and said stepping motor drive being actuated by an operational signal transmission so as to cause the coupling means of the external control device to supply said monitoring signal in a predetermined relationship to the operational signal transmission, and

(e) said evaluation means comprising time sensitive comparison means for receiving the transmission signal to initiate a timing comparison and receiving the monitoring signal upon actuation of the stepping motor drive by the operational signal transmission, and being operative to compare the timing relationship between said transmission signal and said monitoring signal and supplying said information signal only where a received monitoring signal has a predetermined timing relationship to a received transmission signal, said time sensitive comparison means thereby being operative to monitor for an answer back response resulting directly from an actual test operation of said stepping motor drive, as well as to discriminate such answer back response from incorrectly timed spurious signals.

2. An infusion system according to claim 1, with said coupling means of said metering device comprising a separate induction coil (47) for actuation by an operational signal transmission so as to cause the coupling means of the external monitor device to supply said monitoring signal in a predetermined relationship to the operational signal transmission.

4. An infusion system according to claim 1, with said external monitor device having transmitter means connected with said evaluation means and operable to transmit an operational signal transmission to said metering unit and to send a transmission signal to the evaluation means which has a predetermined time relationship to said operational signal transmission.

5. An infusion system according to claim 4, with said time sensitive comparison means having logic means for generating an information signal only when the transmission signal and the monitoring signal both occur within a predetermined time interval.

6. An infusion system according to claim 1, with said external monitor device having an induction coil for coupling with the coupling means of the metering unit, and having a transmitter circuit connected with said induction coil of the external monitor device for actuating the same to produce transmission of an operational signal transmission, said transmitter circuit being connected to said evaluation means for sending a transmission signal thereto which has a predetermined time relationship to said operational signal transmission.

8. An infusion system according to claim 1, with said monitor device including control circuitry for generating an operational signal transmission representing a control signal for the operating circuitry of said metering device.

9. An infusion system according to claim 8, with said coupling means of the external monitor device comprising transmission means (51) for generating a control signal for the operating circuitry of the metering device, and a monostable circuit (54) connected with said transmission means and operable for supplying said transmission signal for a predetermined time interval, said evaluation means comprising a logical circuit (55) connected with said monostable circuit (54) and operable for generating the information signal in response to the time coincidence of the monitoring signal with said transmission signal.

10. An infusion system according to claim 1, with said monitor device including control cicuitry for generating an operational signal transmission representing a control signal for the operating circuitry of said metering device, said control circuitry comprising an encoder for generating an operational signal transmission in the form of an encoded control signal, said operating circuitry of said metering device including a decoder connected with the coupling means of the metering device and operative in response to said encoded control signal to effect an operation of the metering device which generates an acknowledgement signal and causes the coupling means of the external monitor device to supply said monitoring signal.

11. An infusion system according to claim 10, with said operating circuitry of the metering device having memory means connected with said decoder for storing an infusion program in accordance with an encoded control signal, and said coupling means of said metering device comprising a transmission coil for transmitting an acknowledgement signal and response circuit means connecting said decoder with said transmission coil and bypassing said memory means for producing an acknowledgement signal occurring within a predetermined time interval after decoding of an encoded control signal by said decoder.

12. An infusion system according to claim 10, with said elevation means comprising a logical circuit (55) for generating the information signal in dependence on the time coincidence of the transmission signal and the monitoring signal.

13. An infusion system according to claim 12 with said evaluation means having a display unit (56) connected with said logical circuit (55) and being actuated by the information signal to indicate that the operational signal transmission has been received by the metering unit.

3. An infusion system according to claim 3, with said coupling means of the metering unit comprising carrier frequency generator means for actuation by an operational signal transmission to generate a carrier frequency signal for coupling with the coupling means of the external monitor device.

28. An infusion system according to claim 3, with the delivery unit comprising a roller pump and a stepping motor drive therefor, said response circuit bypassing said operating circuitry and being operative for actuating said stepping motor drive in response to an operational signal transmission, said coupling means of said external monitor device being responsive to actuation of said stepping motor drive to supply said monitoring signal.

7. An infusion system for the infusion of fluids into the human or animal body, said system comprising

(a) a metering device to be implanted within the body, having a delivery unit for the dosed delivery of fluid to the body, said delivery unit having operating circuitry for controlling operation of the delivery unit, and said metering device having coupling means for receiving an operational signal transmission and for effecting an operation in accordance therewith,

(b) an external monitor device having coupling means coupled with said metering device for supplying a monitoring signal in accordance with an operation produced at the metering device by an operational signal transmission, and

(c) evaluation means operatively associated with said external monitor device for receiving a transmission signal in accordance with an operational signal transmission transmitted to the metering device, and connected with the coupling means of the external monitor device for receiving a monitoring signal in accordance with an operation at the metering device produced by an operational signal transmission, and operative for supplying an information signal where a received monitoring signal has a predetermined relationship to a received transmission signal, the information signal thereby being indicative of receipt of the operational signal transmission by the metering device,

(d) said coupling means of said metering device comprising a receiver induction coil connected with the delivery unit for actuating said delivery unit upon receipt of an operational signal transmission, and said coupling means of said external monitor device comprising a receiver induction coil for supplying the monitoring signal in response to actuation of the delivery unit,

(e) said evaluation means being connected to the receiver induction coil of the monitor device so as to supply said information signal only when the operational signal transmission actually causes actuation of the delivery unit and the resultant monitoring signal from the receiver induction coil of the monitor device has the predetermined relationship to the transmission signal.

14. An infusion system for the infusion of fluids into the human or animal body, said system comprising

(a) a metering device to be implanted within the body, having a delivery unit for the dosed delivery of fluid to the body, said delivery unit having operating circuitry for controlling operation of the delivery unit, and said metering device having coupling means for receiving an operational signal transmission and for effecting an operation in accordance therewith,

(b) an external monitor device having coupling means coupled with said metering device for supplying a monitoring signal in accordance with an operation produced at the metering device by an operational signal transmission, and

(c) evaluation means operatively associated with said external monitor device for receiving a transmission signal in accordance with an operational signal transmission transmitted to the metering device, and connected with the coupling means of the external monitor device for receiving a monitoring signal in accordance with an operation at the metering device produced by an operational signal transmission, and operative for supplying an information signal where a received monitoring signal has a predetermined relationship to a received transmission signal, the information signal thereby being indicative of receipt of the operational signal transmission by the metering device,

(d) said metering device having a response circuit connected with said coupling means and providing for operation of the metering device so as to supply an acknowledgement signal occurring within a specific time interval relative to a received operational signal transmission.

15. An infusion system according to claim 14, with said metering device having sensing means for sensing a parameter of the metering device, and said response circuit being controlled by said sensing means for transmitting a response signal upon receipt by the metering device of an operational signal transmission, said response circuit operating to provide a time interval between receipt of the operational signal transmission and transmission of said response signal which is determined by the condition of said parameter.

16. An infusion system according to claim 15, with said sensing means comprising a pressure-resistance transducer for sensing a pressure value of the metering device.

17. An infusion system according to claim 14, with said metering device sensing a plurality of parameters and providing said response circuit for operation in response to an operational signal transmission so as to automatically supply a series of response signals with time intervals between successive response signals being functions of the respective parameters.

18. An infusion system according to claim 17, with said evaluation means of said monitor device comprising a counter for beginning a counting cycle in response to said transmission signal, and storage means responsive to monitoring signals produced by successive response signals from the metering unit to register successive count values in accordance with the respective parameters of the metering unit.

19. An infusion system according to claim 18, with said storage means comprising a register stack having a predetermined sequence of storage positions and responsive to successive monitoring signals to store successive count values attained by said counter at successive ones of said predetermined sequence of storage positions such that the location of each stored count value in said register stack identifies the parameter represented thereby.

20. An infusion system according to claim 14, with said metering device having a measured value generator for sensing a parameter thereof, said response circuit comprising at least one controllable time delay element controlled by said measured value generator, said metering device being responsive to an operational signal transmission to supply successive signals with a time interval therebetween under the control of said time delay element.

21. An infusion system according to claim 20, with said measured value generator comprising a pressure-resistance transducer providing a resistance value in accordance with a pressure of the metering device, and said controllable time delay element comprising a monostable circuit having a delay interval in accordance with the resistance value of said pressure-resistance transducer.

22. An infusion system according to claim 14, with said metering device having a plurality of measured value generators for measuring respective parameters of the metering device, said response circuit comprising respective controllable time delay elements connected in series and controlled by the respective measured value generators, said time delay elements being responsive to an operational signal transmission to supply a succession of response signals having time intervals in accordance with the successive time delay elements.

23. An infusion system according to claim 14, with said response circuit being responsive to an operational signal transmission to supply an acknowledgement signal having a characteristic in accordance with an internal pressure of the metering device, said evaluation means of said monitor device having means for registering the value of such pressure as transmitted thereto by means of the acknowledgement signal.

24. An infusion system according to claim 14, with said response circuit being responsive to an operational signal transmission to supply an acknowledgement signal having a characteristic in accordance with a pressure at which fluid is supplied from the delivery unit, said evaluation means of said monitor device having means for registering the value of such pressure as transmitted thereto by means of the acknowledgement signal.

25. An infusion device according to claim 14, with said metering device having a counter for summing the number of actuations of the delivery unit, and said response circuit being responsive to an operational signal transmission to supply a response signal having a characteristic which is a function of the count condition of said counter, said evaluation means of said monitor device being controlled by said response signal for registering said count condition.

26. An infusion system according to claim 14, with said evaluation means comprising a timer responsive to said transmission signal to begin a timing operation, and responsive to a monitoring signal to stop said timing operation.

27. An infusion system according to claim 26, with said timer comprising a counter and a clock generator for supplying counting pulses to said counter during a counting cycle, said evaluation means starting a counting cycle of the counter in response to said transmission signal and stopping the counting cycle in response to a monitoring signal.