External blood parameter diagnostic system

• US 4,608,996 A
• Filed: 08/10/1984
• Issued: 09/02/1986
• Est. Priority Date: 08/10/1984
• Status: Expired due to Term

• Current Assignee: Cordis Corporation (Cardinal Health, Inc.)
• Original Assignee: Cordis Corporation (Cardinal Health, Inc.)
• Inventors: Brown, David C.
• Primary Examiner(s): Niebling, John F.
• Assistant Examiner(s): Nguyen, Nam X.
• Application Number:
  US06/639,574
• Time in Patent Office: 753 Days
• Field of Search: 128/748, 128/765, 128/637, 128/760, 128/692, 604/7, 604/27, 604/30, 604/32, 604/34, 604/35, 604/36, 604/38, 604/118, 604/121, 604/169, 604/181, 604/183, 604/248, 604/250
• US Class Current: 600/579
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/15003 for venous or arterial blood
• CPC Class Codes: A61B 5/150221 Valves
• CPC Class Codes: A61B 5/150992 Blood sampling from a fluid line external to a patient, such as a catheter line, combined with an infusion line; blood sampling from indwelling needle sets, e.g. sealable ports, luer couplings, valves tubing connectors and couplings A61M39/00

Abstract

An externally located blood monitoring system has a single access to a patient'"'"'s blood vessel for monitoring blood associated parameters. A three-position valve permits three modes of operation including flushing, blood pressure monitoring while maintaining patency of the access, and blood sampling while also permitting monitoring of other blood related parameters, such as blood temperature.

Claims

1. Apparatus for use in externally monitoring parameters of blood and for obtaining blood samples from a single communication access to a patient'"'"'s blood vessel, comprising:

a housing having a sample port for fluid communication with blood sampling means, a patient port for fluid communication with a patient'"'"'s blood vessel by way of said single communication access, a parenteral port for fluid communication with a pressurized source of parenteral fluid and a flow through pressure chamber having first and second inlet-outlet passageways permitting fluid flow through said chamber and having a pressure sensor therein positioned relative to said passageways to be responsive to the pressure of fluid flowing through said chamber;

flow control means for selectively controlling the fluid flow between said ports and said pressure chamber, said control means having a first condition completing a fluid flow path from said parenteral port through said pressure chamber to said patient port while blocking said sample port so that the parenteral fluid will be in fluid communication with the patient'"'"'s blood for monitoring blood pressure transmitted by said parenteral fluid and maintaining patency of said access, a second condition completing a fluid flow path from said parenteral port through said pressure chamber to said sample port while blocking said patient port for flushing the flow path and minimizing production of air bubbles, and a third condition completing a fluid flow path from said patient port to said sample port while blocking said parenteral port for sampling blood.

2. Apparatus as set forth in claim 1 wherein said flow control means includes a valve body movably mounted within said housing for movement therein and a valve actuator drivingly connected to said valve body for selectively displacing said valve body to first, second and third positions within said housing wherein said positions respectively correspond with said first, second and third conditions of said flow control means.

3. Apparatus as set forth in claim 2 wherein said valve body is mounted for rotation within said housing about an axis of rotation and wherein said valve actuator operates to rotatably drive said valve body about said axis of rotation.

4. Apparatus as set forth in claim 3 wherein said valve body is an elongated member coaxially surrounding said axis of rotation and having a plurality of fluid flow passageways extending radially therethrough, said housing having an interior wall defining said opening for receiving said valve body for rotation therein, said wall having apertures extending radially therethrough with a first aperture extending to said patient port, a second aperture extending to said parenteral port, and a third aperture extending to said sampling port, said plurality of passageways through said valve body adapted to be in registry with various of said apertures depending upon the rotational position of said valve body within said housing.

5. Apparatus as set forth in claim 4 wherein said housing has fourth and fifth apertures respectively communicating with said first and second inlet-outlet passageways leading to said pressure chamber for completing a path for fluid flow past said pressure sensor.

6. Apparatus as set forth in claim 5 wherein said plurality of passageways in said valve body include a first and second passageway for completing fluid flow paths through said valve body between said apertures in said housing depending upon the rotational position of said valve body.

7. Apparatus as set forth in claim 5 including a capillary flow tube carried by said valve body and adapted to complete a fluid flow path from said parenteral port to said pressure chamber when said valve body is in said first position.

8. Apparatus for use in externally monitoring parameters of blood and for obtaining blood samples from a single communication access to a patient'"'"'s blood vessel. comprising:

a housing having a sample port for fluid communication with blood sampling means, a patient port for fluid communication with a patient'"'"'s blood vessel by way of said single communicatin access, a parenteral port for fluid communication with a pressurized source of parenteral fluid and a pressure chamber having a pressure sensor therein responsive to the pressure of fluid flowing through said chamber;

flow control means for selectively controlling the fluid flow between said ports and said pressure chamber, said control means having a first condition completing a fluid flow path from said parenteral port through said pressure chamber to said patient port while blocking said sample port for monitoring blood pressure and maintaining patency of said access, a second condition completing a fluid flow path from said parenteral port to said sample port while blocking said patient port for flushing the flow path and minimizing production of air bubbles, and a third condition completing a fluid flow path from said patient port to said sample port while blocking said parenteral port for sampling blood;

said flow control means includes a valve body movably mounted within said housing for movement therein and a valve actuator drivingly connected to said velve body for selectively displacing said valve body to first, second and third positions within said housing wherein said positions respectively correspond with said first, second and third conditions of said flow control means;

said valve body is mounted for rotation within said housing about an axis of rotation and wherein said valve actuator operates to rotatably drive said valve body about said axis of rotation;

said valve body is an elongated member coaxially surrounding said axis of rotation and having a plurality of fluid flow passageways extending radially therethrough, said housing having an interior wall defining said opening for receiving said valve body for rotation therein, said wall having apertures extending radially therethrough with a first aperture extending to said patient port, a second aperture extending to said parenteral port, and a third aperture extending to said sampling port, said plurality of passageways through said valve body adapted to be in registry with various of said apertures depending upon the rotational position of said valve body within said housing;

said housing has fourth and fifth apertures leading to said pressure chamber for completing a path for fluid flow past said pressure sensor;

a capillary flow tube carried by said valve body and adapted to complete a fluid flow path from said parenteral port to said pressure chamber when said valve body is in said first position; and

capillary flow adjusting means associated with said capillary tue for varying the rate of flow of fluid therethrough.

9. Apparatus as set forth in claim 8 wherein said capillary tube is resilient and said adjusting means includes means for engaging and deflecting said tube to restrict fluid flow therethrough.

10. Apparatus as set forth in claim 9 wherein said adjusting means includes a turn screw carried by said rotary valve actuator and cam means associated with said turn screw for engaging and deflecting said tube to restrict fluid flow therethrough.

11. Apparatus as set forth in claim 10 including capillary adjusting bypass means for disengaging said cam means from said tube to permit unrestricted fluid flow through said capillary tube.

12. Apparatus as set forth in claim 11 wherein said bypass means includes a push button carried by said turn screw and operatively associated with said cam means for, when said button is depressed, causing said cam means to become disengaged from said tube.

13. Apparatus as set forth in claim 8 wherein said patient port includes a sensing chamber containing an inlet passageway for fluid flow therethrough, at least one blood parameter sensor carried by said chamber and positioned for sensing a blood related parameter when blood flows through said inlet passageway from a said patient into said patient port during blood sampling operation.

14. Apparatus as set forth in claim 13 including a plurality of blood parameter sensors for sensing a plurality of blood related parameters as blood flows from said patient into said patient port.

15. Apparatus as set forth in claim 13 wherein said fluid control means includes means movably mounted in said housing for selectively completing said flow paths when positioned in first, second and third positions therein and wherein said positions respectively correspond with said first, second and third conditions of said fluid control means, and a single valve actuator drivingly coupled to said valve means for selectively positioning said valve means to one of said positions.

16. Apparatus as set forth in claim 15 including capillary flow means carried by said valve means for movement therewith and adapted, when said valve means is in its first position, to be in the fluid flow path from said parenteral port to said patient port.

17. Apparatus as set forth in claim 16 wherein said capillary means is adjustable to control the capillary flow rate of parenteral fluid therethrough for maintaining patency of said access.