Method and device for detection of tissue infiltration

• US 4,877,034 A
• Filed: 06/18/1987
• Issued: 10/31/1989
• Est. Priority Date: 06/18/1987
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Sigma, Inc.
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Comfort, Benjamin J., Atkins, Judy M., Liebelt, Ralph A.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US07/065,015
• Time in Patent Office: 866 Days
• Field of Search: 128/664, 128/665, 128/633, 128/634, 128/635, 128/640, 356/41, 340/540, 340/573, 340/603
• US Class Current: 600/475
• CPC Class Codes: A61M 5/16836 by sensing tissue properties at the infusion site, e.g. for detecting infiltration detecting tissue temperature for diagnostic purposes A61M39/0247

Abstract

The invention comprises a noninvasive method and device that allows detection of tissue infiltration during the administration of fluids. In the invention, the tissue surrounding the site of intravenous injection is exposed to a plurality of wavelengths of electromagnetic radiation when no infiltration is occurring to determine a baseline reading. Changes in the relative levels of detected radiation at each wavelength as compared to the baseline reading indicate tissue infiltration.

Claims

1. A device for the detection of infiltration of intravenously delivered fluids into tissue surrounding an intravenous insertion site comprising radiation monitoring means for measuring changes in the relationship between a plurality of wavelengths of electromagnetic radiation traveling in said tissue upon the occurrence of tissue infiltration by said fluids in order to prevent tissue damage, said radiation monitoring means including:

(a) a patch placed over said intravenous insertion site;

(b) a plurality of electromagnetic radiation sources incorporated in said patch, said radiation sources directing electromagnetic radiation at said tissue;

(c) radiation detection means additionally incorporated in said patch, said radiation detection means being capable of detecting said wavelengths of electromagnetic radiation and converting them to electrical signals; and

(d) timing synchronization means electrically connected to said electromagnetic radiation sources, said timing synchronization means being capable of regulating the activation of said electromagnetic radiation sources.

2. The device of claim 1, wherein said radiation detection means is electrically connected to signal measuring and separation means, said signal measuring and separation means being capable of receiving said electrical signals from said radiation detection means and of quantifying said electrical signals.

3. A device for the detection of infiltration of intravenously delivered fluids into tissue surrounding an intravenous insertion site comprising radiation monitoring means for measuring changes in the relationship between a plurality of wavelengths of electromagnetic radiation traveling in said tissue upon the occurrence of tissue infiltration by said fluids in order to prevent tissue damage, said radiation monitoring means including:

(a) a patch placed over said intravenous insertion site;

(b) a plurality of electromagnetic radiation sources incorporated in said patch, said radiation sources directing electromagnetic radiation at said tissue;

(c) radiation detection means additionally incorporated in said patch, said radiation detection means being capable of detecting said wavelengths of electromagnetic radiation and converting them to electrical signals;

(d) timing synchronization means electrically connected to said electromagnetic radiation sources, said timing synchronization means being capable of regulating the activation of said electromagnetic radiation sources;

(e) signal measuring and separation means electrically connected to said radiation detection means, said signal measuring and separation means being capable of receiving said electrical signals from said radiation detection means and of quantifying said electrical signals; and

(f) signal processing means electrically connected to said signal measuring and separation means, said signal processing means being capable of comparing the quantified electrical signal measurements from said electromagnetic radiation sources and thereby detecting tissue infiltration.

4. The device of claim 3, further including an action component electrically connected to said signal processing means, said action component comprising an alarm means for generating an electrical signal, said alarm means being electrically activated upon the occurrence of tissue infiltration by said fluids.

5. The device of claim 4, wherein the electromagnetic radiation sources comprise infrared and red-light emitting diodes.

6. The device of claim 4, wherein said alarm means is electronically connected to a fluid control means, said fluid control means curtailing said intravenous fluid delivery upon receiving said electrical signal from said alarm means.

7. The device of claim 3, wherein said radiation monitoring means comprises fiber optic means for transmitting said electromagnetic radiation to said radiation detection means.

8. A method for detecting an area of tissue infiltration by intravenously delivered fluids comprising the steps of:

(a) alternately exposing said area to a plurality of wavelengths of electromagnetic radiation and then to no electromagnetic radiation other than ambient light; and

(b) monitoring the changes in the relationship between the amounts of detectable electromagnetic radiation of each wavelength over time as compared to the relationship between the amounts of detectable electromagnetic radiation of each wavelength in the absence of tissue infiltration at the time when the intravenous fluid delivery is commenced.

9. The method of claim 8, further comprising the step of generating an alarm signal when the relationship between the amounts of detectable electromagnetic radiation at each wavelength differs from the relationship between said amounts in the absence of tissue infiltration.

10. The method of claim 9, further comprising the step of activating an intravenous fluid control device to curtail said intravenous fluid delivery in response to said alarm signal.