Procedure for the perfusion of cavities in objects and device for executing the procedure

• US 4,998,914 A
• Filed: 02/06/1989
• Issued: 03/12/1991
• Est. Priority Date: 02/17/1988
• Status: Expired due to Fees

• Current Assignee: Peter P. Wiest
• Original Assignee: Peter P. Wiest
• Inventors: Wiest, Peter P., Fuchs, Hubert
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US07/307,675
• Time in Patent Office: 764 Days
• Field of Search: 604/67, 604/65, 604/66, 604/153, 604/49, 604/50, 604/59, 604/118, 604/246, 604/245, 128/DIG. 12, 128/DIG. 13
• US Class Current: 604/67
• CPC Class Codes: A61M 2205/3317 Electromagnetic, inductive or dielectric measuring means
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/3365 Rotational speed
• CPC Class Codes: A61M 2205/3393 by weighing the reservoir
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 3/0202 with electronic control means or interfaces
• CPC Class Codes: A61M 3/0208 before use
• CPC Class Codes: A61M 3/0216 Pressure
• CPC Class Codes: A61M 3/022 Volume; Flow rate
• CPC Class Codes: A61M 3/0258 by means of electric pumps
• CPC Class Codes: A61M 5/16854 by monitoring line pressure
• CPC Class Codes: G05D 16/2066 using controlling means acting on the pressure source
• CPC Class Codes: Y10S 128/13 Infusion monitoring

Abstract

The invention relates to a procedure for the perfusion of body cavities with a fluid led from a dispenser reservoir 3 via a perfusion line 10 and a medical instrument 6. Pump 4 is connected with the perfusion line 10, a pressure sensor 5 is connected between pump 4 and medical instrument 6 to perfusion line 10, and an adjustment and measurement electronic system 12 is connected to pressure sensor 5 and pump 4.

To build up, maintain, and measure as precisely as possible a preselected and precisely determined pressure in the body cavity, according to the invention the adjustment and measurement electronic system 12 determines the actual pressure in body cavity 1 by evaluating the pressure P_IST measured by pressure sensor 5, the volume flow V supplied by pump 4, and the conductance G of the perfusion line 9 between pressure sensor 5 and instrument 6 and conductance G of instrument 6, and the pressure P_SOLL in body cavity 1 is maintained constant at preset level P_SOLL by continuous adjustment of the output of pump 4 with due consideration for conductance G.

Claims

1. A method for the perfusion of body cavities with fluid supplied from a dispenser reservoir via a perfusion line and a medical instrument by a pump including a pressure sensor connected between the pump and the medical instrument and a control unit connected to the pressure sensor and connected to the pump, comprising the steps of:

determining the conductance of the fluid line between the pressure sensor and the medical instrument and determining the conductance of the medical instrument to provide the overall conductance G;

connecting the medical instrument to the body cavity of a patient;

initiating perfusion of fluid via the perfusion line and medical instrument;

determining the pressure P_GEM sensed by the pressure sensor;

determining the volumetric rate of flow V;

determining the actual fluid pressure in the body cavity P_IST based on the pressure PGEM sensed, the volumetric rate of flow V and the overall conductance G; and

attaining and maintaining the actual pressure P_IST equal to a preset value of the volumetric rate of flow V through continuous adjustment of the volumetric rate of flow V based on the overall conductance G.

2. A method according to claim 1, further comprising the steps of:

determining the overall conductance G of the perfusion line between the sensor and the medical instrument and the overall conductance G of the medical instrument by initiating a test conveyance of fluid by the pump through the perfusion line and medical instrument against atmospheric pressure for a plurality of values of volumetric rate of flow V and storing the determined overall conductance G in a memory associated with said control unit.

3. A method according to claim 1, wherein the conductance G of various medical instruments are stored in advance in a memory associated with the control unit.

4. An apparatus for the perfusion of body cavities with a fluid, comprising:

a dispenser reservoir;

a perfusion line connected to said reservoir;

a medical instrument connected to said perfusion line at an opposite end from said dispenser reservoir;

pump means connected to said perfusion line;

a pressure sensor connected to said perfusion line between said pump means and said medical instrument; and

control means, connected to said pump means and connected to said pressure sensor for determining the pressure P_GEM sensed by the pressure sensor, for determining the volumetric flow of the fluid V, or determining the conductance of the fluid line between the pressure sensor and the medical instrument and determining the conductance of the medical instrument to determine an overall conductance value G, for determining the actual fluid pressure in the body cavity P_IST based on the pressure sensed P_GEM, the volumetric rate of flow V and the overall conductance G and for maintaining the pressure P_IST equal to a present value P_SOLL through continuous adjustment of the volumetric rate of flow V of the pump based on the conductance G.

5. A device according to claim 4, further comprising a weight sensor connected to said dispenser reservoir providing information of the amount of fluid in the dispenser reservoir to said control unit.

6. A device according to claim 4, further comprising a revolution per minute (rpm) counter connected to said pump means and connected to said control means for the determination of the volumetric rate of flow V.

7. A device according to claim 4, further comprising a flow sensor positioned on the perfusion line and connected to said control means for determining the volumetric rate of flow V=0.

8. A device according to claim 4, wherein said control means shuts down the pump means for a period of time subsequent to the perfusion of fluid to determine the static pressure P_IST corresponding to the actual cavity pressure, said control means comparing said static pressure P_IST to the determined actual fluid pressure in the body cavity P_IST.

9. A device according to claim 4, wherein said control means includes LED indicators indicating the body cavity pressure P_IST and an apparatus pressure P_APP.

10. A device according to claim 4, wherein said pump means is a pressure collar controlling gravitational flow of fluid from said dispenser reservoir.

11. A device according to claim 4, wherein said pump means is a fluid flow valve controlling gravitational flow of fluid from said dispenser reservoir.

12. A device according to claim 4, wherein said pump means is a peristaltic pump engaging the exterior of said perfusion line.