IV Delivery controller

• US 4,553,958 A
• Filed: 02/04/1983
• Issued: 11/19/1985
• Est. Priority Date: 02/04/1983
• Status: Expired due to Fees

• Current Assignee: General Electric Capital Corporation (General Electric Company)
• Original Assignee: Quest Medical Incorporated (Atrion Corporation)
• Inventors: LeCocq, Andrew D.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Falk, Steven
• Application Number:
  US06/463,976
• Time in Patent Office: 1,019 Days
• Field of Search: 128/DIG. 13, 604/50, 604/49, 604/65-67, 604/80, 604/81, 604/245, 604/246, 73/861.41, 364/147, 364/710, 364/706, 222/25-29, 222/41, 222/42
• US Class Current: 604/67
• CPC Class Codes: A61M 5/16827 controlling delivery of multiple fluids, e.g. sequencing, mixing or via separate flow-paths infusion of multiple fluids without using a controller A61M5/1407
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: Y10S 128/13 Infusion monitoring

Abstract

A controller (34) is disclosed for use with a dual delivery system including a primary fluid container (12) and a secondary fluid container (14). The display (48) on the controller (34) presents a representation of the primary and secondary containers and prompts the operator to input the desired primary and secondary fluid flow rates and primary and secondary fluid volumes to be infused. During operation of the controller, a series of flow lines displays (118, 126, 144) represent motion of fluid from the container being drained to indicate to the operator which fluid is being infused. An alarm will be sounded upon the detection of an occlusion within the flow lines, the presence of air within the flow lines or an open door on the controller. During the flow from a particular container, the displays associated with the other container are deactivated to prevent confusion to the operator.

Claims

1. An apparatus for use in the infusion into a patient of a primary fluid from a primary container and a secondary fluid from a secondary container, the secondary fluid being infused at a first predetermined rate, such rate continuing until a predetermined volume of fluid is infused and the primary fluid sequentially being infused at a second predetermined rate, said apparatus comprising:

container display means providing a visible representation of the primary and secondary containers;

infusion data display means for displaying a first display, in association with the visible representation of the secondary container, of the first predetermined rate and instantaneous infusion data for fluid infused at the first predetermined rate, and for displaying a second display, in association with the visible representation of the primary container, of the second predetermined rate and instantaneous infusion data for fluid infused at the second predetermined rate, said infusion data display means displaying only the first display while fluid is being infused at the first predetermined rate, and only the second display while fluid is being infused at the second predetermined rate; and

flow activation display means for generating a visible indication of the activation of fluid flow from the primary and secondary containers to the patient.

2. The apparatus of claim 1 further comprising prompting display means for sequentially prompting an operator to select the predetermined rate for the primary and secondary fluids and the predetermined volume of secondary fluid to be infused.

3. The apparatus of claim 2 further comprising means for entry by the operator of data representing the predetermined rates for the primary and secondary fluids and the predetermined volume of secondary fluid to be infused subsequent to prompting by said prompting display means.

4. The apparatus of claim 1 wherein said infusion data display means displays the flow rate and instantaneous infusion data of a fluid within the representation of the fluid container generated by said container display means.

5. The apparatus of claim 1 wherein said flow path activation display means further includes a primary flow line display representing fluid flow from the primary container and a secondary fluid flow line display representing fluid flow from the secondary container, each fluid flow line display having a plurality of discrete displays activable in a sequence to represent fluid flow.

6. The apparatus of claim 1 wherein said infusion data display means further permits an operator to select simultaneous display of the predetermined flow rates for the primary and secondary fluids and the predetermined volume to be infused for the secondary fluid during infusion of the fluids.

7. The apparatus of claim 1 further including an occlusion alarm display, sensor means for sensing an occlusion of the fluid flow path to the patient, an alarm and control means for activating the occlusion alarm display and the alarm upon sensing of an occlusion by said sensor means.

8. The apparatus of claim 1 further including an air-in-line alarm display, sensor means for sensing the presence of air in the fluid flow path to the patient, an alarm and control means for stopping infusion and activating the air-in-line alarm display and the alarm upon sensing of air by said sensor means.

9. An apparatus for controlling the infusion of a the primary fluid from a primary container and a secondary fluid from a secondary container to a patient, the secondary fluid being metered through the apparatus at a predetermined secondary flow rate until a predetermined volume of fluid is metered, fluid subsequently being metered through the apparatus at a predetermined primary fluid rate to deliver the primary fluid from the primary container to the patient, the primary fluid from the primary container flowing through a primary fluid flow line and the secondary fluid from the secondary container flowing through a secondary fluid flow line, said apparatus comprising:

display means for generating visible representations of the primary and secondary containers and said display means further for representing the flow rate and volume to be infused for the primary and secondary fluids in association with the representation of said primary and secondary containers, respectively;

means for entry of data representing the predetermined flow rate and volume to be infused for both the primary and secondary fluids;

prompting display means for displaying prompting instructions to prompt the operator to enter the predetermined primary and secondary flow rates and volumes to be infused;

flow line activation display means for representing activation of fluid flow through the primary and secondary flow lines;

control means for controlling said prompting display means to sequentially display selected prompting instructions to prompt the operator to enter the flow rate and volume to be infused for each of the primary and secondary fluids through said means for entry of data, said control means further for controlling the flow line activation display means to represent activation of the secondary fluid flow line during metering at the predetermined secondary flow rate and subsequently to represent activation of the primary fluid flow line to indicate the fluid being infused to the patient, said control means further for displaying the secondary flow rate and fluid volume metered through the apparatus at the secondary flow rate on said display means in association with the representation of the secondary container while fluid is metered therethrough at the secondary fluid rate and subsequently displaying on said display means in association with the representation of the primary container, the primary fluid rate and volume metered through the apparatus at the primary flow rate during metering of fluid at the primary fluid rate.

10. The apparatus of claim 9 wherein said display means displays the flow rate and volume of fluid metered through the apparatus within the representation of the fluid container generated by said display means.

11. The apparatus of claim 9 wherein said flow line activation display means further includes a primary fluid flow line display for representing fluid flow from the primary container to the patient and a secondary fluid flow line display for representing fluid flow from the secondary container to the patient, each fluid flow line display having a plurality of discrete displays activatable in a sequence to represent fluid flow.

12. The apparatus of claim 9 wherein said display means represents the flow rate and volume metered through the apparatus for only the fluid flow rate being utilized at the time.

13. The apparatus of claim 9 wherein said display means further provides for an operator to elect simultaneous display of the predetermined flow rates for the primary and secondary fluids and the primary and secondary fluid volumes to be infused during infusion of the fluids.

14. The apparatus of claim 9 further including an occlusion alarm display and sensor means for sensing occlusion of the fluid flow path between the first and second fluid containers and the patient, said apparatus further comprising an alarm, said control means activating the alarm and the occlusion alarm display upon sensing by the sensor means of an occlusion after a predetermined time interval delay to prevent an alarm for a short time occlusion.

15. The apparatus of claim 9 further comprising an air-in-line alarm display and sensor means for sensing the presence of air in the fluid flow between the first and second fluid containers and the patient, said apparatus further comprising an alarm, said control means for stopping infusion and activating the air-in-line alarm display and the alarm upon sensing of air by said sensor means.

16. A method for use in association with an apparatus for controlling the infusion to a patient of a primary fluid from a primary container and a secondary fluid from a secondary container, the secondary fluid being infused at a predetermined secondary fluid flow rate until a predetermined volume of fluid is infused and the primary fluid subsequently being infused at a predetermined primary fluid flow rate, said method comprising the steps of:

displaying a visual representation of the primary container on a display;

displaying a visual representation of the secondary container on the display;

displaying the flow rate and instantaneous volume of fluid infused at the secondary flow rate on the display in association with the representation of the secondary container;

displaying the flow rate and instantaneous volume of fluid infused at the primary flow rate on the display in association with the representation of the primary container; and

displaying a visual representation of flow from the container from which fluid is being infused to the patient.

17. The method of claim 16 further comprising the step of displaying on the display prompting messages to direct an operator to input the predetermined flow rates and predetermined volume to be infused into a keyboard.

18. The method of claim 16 wherein said step of displaying on a display a flow rate and instantaneous volume of fluid metered further comprising displaying the flow rate and instantaneous volume metered of only the fluid being metered at the instant of display;

and

said step of displaying a visible representation of a flow including the steps of displaying on the display visible representations of a primary fluid flow line extending from the primary container, a secondary fluid flow line extending from the secondary container and displaying a visible representation of fluid flowing through the fluid flow line representation representing the flow line in which fluid is flowing to the patient.

19. The method of claim 16 further comprising the steps of sensing an occlusion of the fluid flow path between the fluid containers and the patient, and activating an occlusion alarm display and generating an alarm to inform the operator upon sensing an occlusion.

20. The method of claim 16 further comprising the steps of sensing the presence of air in the fluid flow between the fluid container and the patient, and activating an air-in-line alarm display, stopping infusion, and generating an alarm upon sensing of air.

21. The method of claim 16 wherein said steps of displaying the rate and volume of fluid infused further comprise the steps of displaying the rate and volume of fluid infused within the visual representation of the container containing the fluid.

22. The method of claim 16 further comprising the step of momentarily displaying the predetermined rates and volumes to be infused for both fluids upon request by the operator.

23. A method for use in association with an apparatus for controlling the infusion to a patient of a primary fluid from a primary fluid container and a secondary fluid from a secondary fluid container, the apparatus metering the secondary fluid to the patient at a predetermined first flow rate until a volume is infused equal to a predetermined first fluid volume to be infused and subsequently metering fluid to the patient at a predetermined second flow rate until a volume is infused equal to a second predetermined fluid volume to be infused, comprising the steps of:

displaying on a display visible representations of the primary and secondary fluid containers;

displaying prompting messages on the display to direct an operator to input the predetermined first flow rate, the predetermined first volume to be infused, the predetermined second flow rate and the predetermined second volume to be infused into a keyboard, the input information for the first flow rate and first fluid volume to be infused being displayed in association with the representation of the secondary fluid container during input of the information and the input information for the second flow rate and second fluid volume to be infused being displayed in association with the representation of the primary fluid container during input of the information;

displaying on the display in association with the representation of the secondary container the first flow rate and the instantaneous volume of fluid metered through said apparatus while fluid is metered through said apparatus at the first flow rate;

displaying on the display in association with the representation of the primary container the second flow rate and instantaneous volume of fluid metered through said apparatus at the second flow rate; and

displaying on the display a representation of a primay fluid flow line extending from the primary container for fluid delivery to the patient and a secondary fluid flow line extending from the secondary container for fluid delivery to the patient and visually representing flow through the representation of the secondary fluid flow line during metering at the first flow rate to represent the flow of fluid from the secondary container and visually representing flow through the representation of the primary fluid flow line during metering at the second flow rate to represent flow from the primary container to provide a visual indication of the fluid being infused.

24. The method of claim 23 further comprising the steps of sensing an occlusion of the fluid flow path between the primary and secondary containers and the patient and activating an occlusion alarm display and producing an alarm to inform the operator of the occlusion upon sensing of an occlusion.

25. The method of claim 23 further comprising the steps of sensing the presence of air in the fluid flow path from the primary and secondary containers to the patient and activating an air-in-line alarm display, producing an alarm and stopping the metering of fluid upon sensing of air.

26. The method of claim 23 wherein the steps of displaying on the display the fluid flow rates and instantaneous volume of fluid metered through the apparatus further comprise the step of displaying the flow rate and instantaneous volume of fluid metered through the apparatus within the visible representations of the containers containing the fluids.

27. The method of claim 23 further comprising the step of momentarily displaying the predetermined flow rates and volumes to be infused for each fluid during infusion upon request by the operator.

28. The method of claim 23 wherein said steps of displaying the flow rates and instantaneous volume of fluid metered through the apparatus further comprise the step of displaying the flow rate and instantaneous volume of fluid metered through the apparatus for only the fluid being infused.

29. The method of claim 23 wherein said step of displaying a representation of a primary fluid flow line and secondary fluid flow line further comprises the step of displaying on the display a representation of a combined fluid flow line extending from an intersection of the primary and secondary fluid flow lines to the patient and visually representing flow through the representation of the combined fluid flow line during metering of fluid to the patient.

30. An apparatus for use in the infusion into a patient of a primary fluid from a primary container and a secondary fluid from a secondary container, the secondary fluid being infused at a first predetermined rate, such rate continuing until a predetermined volume of fluid is infused and the primary fluid subsequently being infused at a second predetermined rate, said apparatus comprising:

container display means providing a visible representation of the primary and secondary containers;

secondary fluid numerical display means closely associated with the representation of the secondary container;

a primary fluid numerical display means closely associated with the representation of the primary container; and

means for inputing and displaying on each of said secondary fluid numerical display means and said primary fluid numerical display means at least two of the following data for each of said fluids;

selected flow rate, selected volume to be infused, selected time of infusion.

31. An apparatus for use in the infusion into a patient of a primary fluid from a primary container and a secondary fluid from a secondary container, the secondary fluid being infused at a first predetermined rate, such rate continuing until a predetermined volume of fluid is infused and the primary fluid subsequently being infused at a second predetermined rate, said apparatus comprising:

container display means providing visible, distinguishable representations of the primary and secondary containers;

secondary fluid flow condition display means for generating a visible display closely associated with the visible representation of the secondary container for displaying the first predetermined rate and instantaneous data indicating the status of infusion at that rate;

primary fluid flow condition display means for generating a visible display closely associated with the visible representation of the primary container for displaying the second predetermined rate and instantaneous data indicating the status of infusion at that rate;

means for displaying only the secondary fluid flow condition display means while fluid is being infused at the first predetermined rate and for displaying only the primary fluid flow condition display means while fluid is being infused at the second predetermined rate; and

control means for disabling the primary fluid flow condition display means and enabling the secondary fluid flow condition display means while infusion is occurring at the first rate; and

for disabling the secondary fluid flow condition display means and enabling the primary fluid flow condition display means while infusion is occurring at the second rate.