Apparatus and method for controlling the flow of fluid through an administration set

• US 4,718,896 A
• Filed: 01/10/1986
• Issued: 01/12/1988
• Est. Priority Date: 01/10/1986
• Status: Expired due to Term

• Current Assignee: Hospira Incorporated (Pfizer Inc.)
• Original Assignee: Abbott Laboratories
• Inventors: Atkinson, William, Haun, Michael J., D'Souza, Stanley, Arndt, Robert G., Loeb, Phillip, Carr, Travis C.
• Primary Examiner(s): Pellegrino, Stephen C.
• Application Number:
  US06/817,812
• Time in Patent Office: 732 Days
• Field of Search: 604/246, 604/65, 604/67, 604/245, 604/247, 604/251, 604/253, 604/256, 604/250, 73/861.41, 188/DIG. 13
• US Class Current: 604/253
• CPC Class Codes: A61M 2205/6018 providing set-up signals for the apparatus configuration
• CPC Class Codes: A61M 2205/6036 characterised by physical shape, e.g. array of activating switches
• CPC Class Codes: A61M 5/1411 Drip chambers A61M5/162, A61M5/1689, A61M5/40 take precedence
• CPC Class Codes: A61M 5/16813 by controlling the degree of opening of the flow line
• CPC Class Codes: A61M 5/16881 Regulating valves on-off valves, e.g. clamps A61M39/28
• CPC Class Codes: A61M 5/1689 Drip counters

Abstract

A flow controller is provided that detects intervals between successive drops and responds to detection of intervals which are too long by shutting down operation of the administration set if the abnormal flow causing the long interval cannot be corrected. In response to detection of abnormal flow which is not clearly a high flow condition and/or an empty container, the flow controller sequentially opens, closes, re-opens and again closes the clamp of the controller in an attempt to restore normal flow. If normal flow is restarted before the sequence is completed, the controller returns to normal control of the fluid flow. Otherwise, completion of the sequence results in a shutdown of the system and activation of an alarm. In keeping with the invention, indicia are provided in connection with the drop chambers of the administration sets which are sensed by sensing means mounted to the drop detector of the flow controller in order to indicate to the controller the size of the orifice in the drop chamber. In addition, a plurality of drop sensors are provided which cooperate to provide a reliable drop signal for angles approaching 30 degrees from vertical.

Claims

1. A system for controlling the resistance to fluid flow in an administration set which includes a drop chamber, said system comprising in combination:

a drop detector for sensing drops of fluid falling in said chamber;

a controller responsive to said drop detector for determining the actual flow rate of fluid in said administration set and comparing said actual flow rate with a predetermined desired flow rate;

clamping means responsive to said controller for opening or closing a clamp pinching the tubing of said administration set, thereby adjusting the resistance to fluid flow in said administration set; and

said controller including (1) first means for determining if the interval between successive drops is greater than a given percentage of the drop interval associated with said predetermined desired flow rate, (2) second means responsive to said first means to sequentially command said clamping means to open said clamp a predetermined amount, fully close said clamp, reopen said clamp and again close said clamp, and (3) third means for aborting the sequential movement of said clamp initiated by said second means if a drop is detected by said drop detector.

2. A system as set forth in claim 1 wherein said controller includes an alarm responsive to the completion of the sequential movement of said clamp by said second means.

3. A system as set forth in claim 1 including:

a level detector associated with said drop detector for sensing a reservoir of fluid in the bottom of said drop chamber;

fourth means in said controller responsive to an indication from said level detector of a low level of fluid in said reservoir of fluid; and

said clamping means responsive to said fourth means to close said clamp.

4. A system as set forth in claim 1 wherein said controller includes:

a fifth means for determining if the total volume of fluid actually delivered is outside a predetermined range of volumes determined by the expected total volume of fluid at the predetermined rate; and

said clamping means responsive to said fifth means for closing said clamp when the total volume of fluid actually delivered is outside said predetermined range of volumes determined by said expected total volume of fluid.

5. A system as set forth in claim 1 including:

a drop orifice in said drop chamber;

indicia associated with said drop chamber for indicating the size of the orifice in said drop chamber;

sensing means physically associated with said drop detector for sensing said indicia when said drop detector is joined to said drop chamber; and

said controller including a sixth means for determining a parameter of the fluid flow through said administration set.

6. A system as set forth in claim 5 wherein said sixth means increments a total volume value stored in a memory of said controller in response to the detection of a falling drop by said drop detector, wherein the incremental amount is determined by the indicia sensed by said sensing means.

7. A system as set forth in claim 5 wherein said sensing means is a switch mounted to said drop detector and includes a spring-loaded pin biased to protrude from the surface of said drop detector when said switch is in a first state;

and

said drop chamber including a shoulder portion which has (a) a solid area for depressing said pin and placing said switch into a second state if the drop chamber is characterized by drops of a first size or (b) a holed area for receiving said pin such that said switch remains in said first state if said drop chamber is characterized by drops of a second size.

8. A system as set forth in claim 1 wherein said drop detector comprises:

a housing having a bore for receiving said drop detector;

a plurality of pairs of radiation emitters and detectors mounted to a first substrate within said housing and each pair providing an optical link spanning said bore such that all of the optical links are substantially coplanar to a reference plane wherein said reference plane is approximately orthogonal to the longitudinal axis of said drop chamber when said drop chamber is received by said bore of said housing;

a first one of said pairs of emitters and detectors positioned with respect to a second one of said pairs such that the optical links of the first and second pairs intersect in an area of the bore and are approximately perpendicular to one another;

a third one of said pairs of emitters and detectors positioned with respect to said first and second ones of said pairs such that the optical link of said third pair intersects each of the optical links of said first and second pairs at an angle of approximately 45 degrees as measured from the point of intersection; and

whereby drops falling in said drop detector may be detected when the longitudinal axis of said drop chamber is tilted from a vertical reference axis by an angle of inclination approaching 30 degrees.

9. A system as set forth in claim 8 including a level detector in the housing for said drop detector which detects the level of fluid pooled at the bottom of said drop chamber;

fourth means in said controller responsive to an indication from said level detector of a low level of fluid pooled at the bottom of said drop chamber; and

said clamping means responsive to said fourth means to close said clamp.

10. A system as set forth in claim 9 wherein said level detector comprises a radiation emitter and detector mounted to a second substrate within the housing of said drop detector such that the optical link between the emitter and detector is intercepted by the pooled fluid of said drop chamber when the chamber is received by said bore in said housing.

11. A system as set forth in claim 1 wherein said drop detector comprises:

a housing having a bore for receiving said drop detector;

a plurality of pairs of radiation emitters and detectors mounted to a first substrate within said housing and each pair providing an optical link spanning said bore such that falling drops in said drop chamber cut said optical links when said drop chamber is positioned in said bore;

seventh means responsive to said plurality of radiation emitters and detectors for providing a plurality of analog signals; and

eighth means responsive to said seventh means for comparing said plurality of analog signals with one another and thereby providing a single signal indicative of a detected drop.

12. In a system for controlling the resistance to fluid in an administration set by maneuvering a clamp to pinch the tubing of said set, a method for correcting for over or under delivery of fluid caused by abnormal flow comprising the steps of:

sensing a rate of falling drops in said drop chamber which is less than a predetermined rate;

aborting normal adjustment steps;

opening said clamp until a drop is sensed or until the clamp reaches a first predetermined open position;

closing said clamp if said clamp reaches said first predetermined open position without detection of a drop;

reopening said clamp and continuing to look for a falling drop if said clamp reaches a fully closed position wherein fluid flow is completely pinched off without detection of a falling drop;

immediately closing clamp to cut off fluid flow if said clamp reaches a second predetermined open position without detection of a falling drop, and

sounding an alarm.

13. A method as set forth in claim 12, including the steps of:

sensing the presence of a pool of fluid in the bottom of said drop chamber; and

immediately closing said clamp if said pool of fluid falls below a predetermined level.

14. A method as set forth in claim 12 wherein normal adjustment steps are re-instituted after a drop has been detected during opening or closing of said clamp.

15. In a system for (a) delivering fluid to a patient by way of an administraation set having a drop chamber, (b) detecting the falling of drops in said drop chamber and (c) controlling the rate of fluid volume delivered to the patient in response to the rate of falling drops, an apparatus for automatically compensating for changes in the size of the falling drops comprising in combination:

first means for detecting falling drops in said chamber;

a drop orifice in said drop chamber;

indicia associated with said drop chamber for indicating the size of the orifice in said drop chamber;

second means physically associated with said first means for sensing said indicia; and

third means responsive to said first and second means for determining a parameter of the flow of fluid through said administration set.

16. An apparatus as set forth in claim 15 including:

a memory for storing the total volume of fluid delivered by the administration set; and

said third means incrementing the value of the total volume stored in said memory in response to the detection of a falling drop by said first means and by an incremented amount determined by the indicia sensed by said second means.

17. An apparatus as set forth in claim 15 including:

a housing for said first means including a bore for receiving said drop chamber;

said second means including a switch mounted to said housing and having a spring-loaded pin associated therewith which biases the switch in a first state such that the pin protrudes from the surface of said housing in an area which is intended to receive a shoulder of said drop chamber; and

a shoulder portion of said drop chamber having (1) a solid area for depressing said pin and placing said switch into a second state if said drop chamber is characterized by drops of a first size or (2) a holed area for receiving said pin such that said switch remains in said first state if said drop chamber is characterized by drops of a second size.

18. An apparatus as set forth in claim 15 wherein said first means comprises:

a housing having a bore for receiving said drop chamber;

a plurality of pairs of radiation emitters and detectors mounted to a first substrate within said housing and each pair providing an optical link spanning said bore such that all of the optical links are substantially coplanar to a reference plane wherein said reference plane is approximately orthogonal to the longitudinal axis of said drop chamber when said drop chamber is received by said bore of said housing; and

said plurality of pairs of radiation emitters and detectors positioned on said first substrate such that their optical links intersect one another in an area of said bore in a manner which provides for reliable detection of falling drops when the longitudinal axis of said drop chamber is tilted from a vertical reference axis by an angle of inclination approaching 30 degrees.

19. In a system for provided a controlled flow of fluid through an administration set, the combination comprising:

a drop chamber having indicia which is indicative of the size of the drops formed in said chamber;

a drop detector for detecting falling drops in said drop chamber and having a receptacle for receiving the drop chamber;

sensing means associated with said drop detector for sensing said indicia when said drop chamber is received by the receptacle of said drop detector; and

control means responsive to said drop detector and said sensing means for determining a parameter of the flow of fluid through said administration set.

20. The combination as set forth in claim 19 including:

a memory for storing the total volume of fluid delivered by the administration set; and

said control means incrementing the value of the total volume stored in said memory in response to the detection of a falling drop by said drop detector and by an incremented amount determined by the indicia sensed by said sensing means.

21. The combination as set forth in claim 20 wherein said control means is also responsive to said drop detector for determining the actual flow rate of fluid in said administration set and comparing said actual flow rate with a predetermined flow rate stored in said memory;

clamping means responsive to said control means for opening or closing a clamp for variably pinching the tubing of said administration set, thereby adjusting the resistance to fluid flow in said administration set; and

said control means including (a) first means for determining if said actual flow rate is less than a given percentage of said predetermined flow rate, (b) second means responsive to said first means to sequentially command said clamping means to open said clamp, close said clamp, reopen said clamp and again close said clamp, and (c) third means for aborting said sequential movement of said clamp by said second means if a drop is detected by said drop detector during execution of said sequence.

22. A drop detector of a flow controller for detecting drops of fluid falling in a drop chamber of an administration set, said drop detector comprising:

a plurality of pairs of radiation emitters and detectors mounted to a first substrate within said drop detector and each pair providing an optical link spanning a bore in said drop detector such that all the optical links are coplanar to a reference plane wherein said reference plane is approximately orthogonal to the longitudinal axis of said drop chamber when said drop chamber is received by said bore in said drop detector;

a first one of said pairs of radiation emitters and detectors positioned with respect to a second one of said pairs such that the optical links of the first and second pairs intersect in an area of the bore and are approximately perpendicular to one another;

a third one of said pairs of radiation emitters and detectors positioned with respect to said first and second ones of said pairs such that the optical link of said third pair intersects each of the optical links of said first and second pairs at an angle of approximately 45 degrees as measured from the point of intersection; and

whereby drops falling in said drop detector may be detected when the longitudinal axis of said drop chamber is tilted from a vertical reference axis by an angle of inclination approaching 30 degrees.

23. A drop detector as set forth in claim 22 including:

first means responsive to said plurality of radiation emitters and detectors for providing a plurality of analog signals; and

second means responsive to said first means for comparing said plurality of analog signals with one another and thereby providing a single signal indicative of a detected drop.

24. A drop detector of a flow controller for detecting drops of fluid falling in a drop chamber of an administration set, said drop detector comprising:

a housing having a bore for receiving said drop detector;

a plurality of pairs of radiation emitters and detectors mounted to a first substrate within said housing and each pair providing an optical link spanning said bore such that falling drops in said drop chamber cut said optical links when said drop chamber is positioned in said bore;

first means responsive to said plurality of radiation emitters and detectors for providing a plurality of analog signals; and

second means responsive to said first means for comparing said plurality of analog signals with one another and thereby providing a single signal indicative of a detected drop.

25. A drop detector as set forth in claim 24 wherein said optical links are substantially coplanar to a reference plane wherein said reference plane is approximately orthogonal to the longitudinal axis of said drop chamber when said drop chamber is received by said bore of said housing;

a first one of said pairs of emitters and detectors positioned with respect to a second one of said pairs such that the optical links of the first and second pairs intersect in an area of the bore and are approximately perpendicular to one another;

a third one of said pairs of emitters and detectors positioned with respect to said first and second ones of said pairs such that the optical link of said third pair intersects each of the optical links of said first and second pairs at an angle of approximately 45 degrees as measured from the point of intersection; and

whereby drops falling in said drop detector may be detected when the longitudinal axis of said drop chamber is tilted from a vertical reference axis by an angle of inclination approaching 30 degrees.