Intravenous fluid flow monitor

• US 4,898,576 A
• Filed: 08/22/1988
• Issued: 02/06/1990
• Est. Priority Date: 06/06/1986
• Status: Expired due to Term

• Current Assignee: Cardinal Health 303 Incorporated (Cardinal Health, Inc.)
• Original Assignee: James H. Philip
• Inventors: Philip, James H.
• Primary Examiner(s): NOT, DEFINED
• Application Number:
  US07/236,341
• Time in Patent Office: 533 Days
• Field of Search: 604/50-53, 604/65-67, 604/93, 604/118, 604/245-246, 604/31, 604/149, 128/DIG. 13, 73/861, 73/861.42, 73/861.47, 73/861.52
• US Class Current: 604/505
• CPC Class Codes: A61M 5/16859 Evaluation of pressure response, e.g. to an applied pulse

Abstract

An improved system for monitoring the fluid flow through a fluid delvery system to a patient wherein the fluid flow rate is varied in a predetermined sequential manner. Corresponding changes in pressure in the line connecting the vein of a patient and the pump are detected and are used to derive signals indicative of the resistance or impedance in the line, which in turn can be used to determine whether the vein is normal, whether it is phlebitic, whether it is occluded, whether infiltration of the canula into the patient'"'"'s soft tissue has occurred, or whether the continuity of tubing to the vein has been interrupted.

Claims

1. A system for monitoring the flow of fluid through a fluid delivery system to a patient comprising:

(a) means for monitoring fluid pressure in the fluid delivery system supplying fluid to a patient;

(b) means for controlling the fluid flow through the fluid delivery system at sequentially different flow rates in a predetermined manner;

(c) means responsive to the sensed pressures and the sequentially different fluid flow rates, for determining resistance to fluid flow in the fluid delivery system; and

(d) means for comparing the determined resistance with predetermined limits and for generating output signals responsive thereto.

2. The system of claim 1, wherein the means for determining the resistance to fluid flow in the fluid delivery system and the means for comparing the determined resistance to predetermined limits is a microprocessor.

3. The system of claim 2, wherein the microprocessor further comprises means for monitoring the time rate of change of pressure in the fluid delivery system which is responsive to sequential differences in the flow rate of the fluid.

4. They system of claim 3 wherein the microprocessor includes means to calculate from the time rate change of pressure in the fluid delivery system the mean transit time of sequential differences in the flow rate of the fluid.

5. The system of the claim 3 wherein the microprocessor includes means to calculate from the time rate of change of pressure in the fluid delivery system a time constant which is responsive to sequential differences in the fluid flow rate in the fluid delivery system.

6. The system of claim 2, wherein the means for monitoring the pressure in the fluid delivery system is a pressure transducer outputting an analog signal, and the system further comprises analog-to-digital converter means for conversion of the analog signal to a digital signal for supply to the microprocessor.

7. The system of claim 2, wherein the microprocessor includes means to calculate resistance from the changes in pressure with respect to the sequential differences in flow rate, to provide a resistance value.

8. The monitor of claim 7, wherein the microprocessor further comprises means for determining the rate of change of pressure with respect to time.

9. The system of claim 1, wherein the fluid flow control means includes means to generate variations in fluid flow rates having a predetermined frequency spectrum.

10. The system of claim 9, wherein the microprocessor comprises means for taking the Fourier transform of variations in the pressure which are responsive to the variations in the flow rate.

11. The system of claim 9, wherein said microprocessor further comprises means for calculating the time derivative of changes in the pressure.

12. The system of claim 1, wherein the means for supplying fluid at controllable flow rates comprises means for causing the flow rates to be varied in a manner having a defined frequency component, and wherein the means for determining resistance to flow comprises means for analyzing the variations in pressure which are responsive to the variations in flow rates.

13. A method for monitoring the flow of fluid through a fluid delivery system to a patient comprising:

(a) monitoring fluid pressure in the fluid delivery system supplying fluid to a patient;

(b) controlling the fluid flow through the fluid delivery system at sequentially different flow rates in a predetermined manner;

(c) determining resistance to fluid flow in the fluid delivery system in response to the sensed pressure and to the sequentially different fluid flow rates; and

(d) comparing the determined resistance to predetermined limits and generating output signals responsive thereto.

14. The method of claim 13 including calculating the rate of change of pressure in the fluid delivery system with respect to time which is responsive to the sequential differences in flow rate of the fluid.

15. The method of claim 14 wherein the changes in pressure with respect to the sequential variations in flow rate are determined in order to determine a resistance to fluid flow.

16. The method of claim 15, wherein the time rate of change of pressure is calculated.

17. The method of claim 13 including calculating the mean transit time of the sequential differences in the flow rate of the fluid.

18. The method of claim 13 including calculating a time constant for changes in the pressure which is responsive to the sequential differences in the flow rate in the fluid delivery system.

19. The method of claim 14 including generating an analog signal representing the monitored pressure and converting the analog signal to a digital signal.

20. The method of claim 13, wherein the sequential variations in flow rates have a predetermined frequency spectrum.

21. The method of claim 20, including determining the Fourier transforms of variations in the pressure which are responsive to sequential variations in the flow rate.

22. The method of claim 21, wherein the time derivative of changes in the pressure is calculated.

23. The method of claim 20, wherein the fluid is supplied at controllable flow rates which are sequentially varied in a manner having a defined frequency content, and resistance to flow is determined by analyzing the sequential variations in pressure which are responsive to the sequential variations in flow rates.