Physiologic tourniquet

• US 5,607,447 A
• Filed: 08/26/1994
• Issued: 03/04/1997
• Est. Priority Date: 09/28/1993
• Status: Expired due to Term

• Current Assignee: Zimmer Orthopaedic Surgical Products (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Abatis Medical Technologies Limited
• Inventors: McEwen, James A., Jameson, Michael
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/297,255
• Time in Patent Office: 921 Days
• Field of Search: 606/201, 606/202, 128/677-686
• US Class Current: 606/207
• CPC Class Codes: A61B 17/1355 Automated control means therefor
• CPC Class Codes: A61B 2505/05 Surgical care
• CPC Class Codes: A61B 2560/02 Operational features
• CPC Class Codes: A61B 5/1106 to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
• CPC Class Codes: A61B 5/6828 Leg
• CPC Class Codes: A61B 5/6829 Foot or ankle
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface

Abstract

A configuration register is incorporated into an electrically powered tourniquet apparatus for enabling an operator to change the values of parameters initially employed at the time of the next use of the apparatus, such as the initial pressure settings and elapsed time limits. These changed initial values of parameters are stored in memory and remain there despite inadvertent or intentional interruption of electrical power to the apparatus. An event register provides capability for recording the occurrence of events (cuff inflation, cuff deflation, etc.) and for relating the occurrence of the events to hazards and undesirable outcomes such as nerve damage associated with tourniquet usage.

Claims

1. A physiologic tourniquet system, comprising:

a pressurizing cuff for encircling and applying pressure to a limb;

selector means for producing a reference pressure signal indicative of a reference pressure level to be applied to the limb by the cuff to stop blood flow into the limb distal to the cuff, wherein the selector means retrieves a recorded pressure level from an electrically powered configuration register and permits an operator to select either the retrieved pressure level or another pressure level as the reference pressure level;

configure mode means for enabling the operator to produce a configure mode signal that indicates a selected one of a plurality of operating modes;

electrically powered register means responsive to the configure mode signal and the reference pressure signal and operable for selectively recording the pressure level corresponding to the level of the reference pressure signal when the configure mode signal is at the selected mode, and further operable for retaining the recorded pressure level when electrical power is not supplied to the electrically powered configuration register; and

regulator means responsive to the reference pressure signal for regulating the pressure in the cuff near the reference pressure level.

2. The system of claim 1 wherein the regulator means includes recommended cuff pressure means for determining the minimum cuff pressure in the cuff suitable for preventing blood flow past the cuff within the limb to which the cuff is applied, for determining as a function of the minimum cuff pressure a recommended cuff pressure to be applied by the cuff, and for enabling the operator to set the reference pressure level equal to the recommended cuff pressure.

3. The system of claim 1 including:

a cuff pressure transducer for producing a cuff pressure signal having a level indicative of the pressure applied by the cuff;

event means for producing an event signal at an event time; and

event register means responsive to the event signal, the cuff pressure signal and the reference pressure signal for recording the levels of the cuff pressure signal and the reference pressure signal near the event time when the event signal is produced and for enabling an operator to determine at a time subsequent to the event time the cuff pressure and the reference pressure indicated by the levels of the cuff pressure signal and the reference pressure signal recorded near the event time.

4. A physiologic tourniquet system, comprising:

a pressurizing cuff for encircling and applying pressure to a limb;

selector means for producing a reference pressure signal indicative of a reference pressure level and for producing a reference time signal indicative of a reference time period, wherein the selector means retrieves a recorded pressure level from an electrically powered configuration register and permits an operator to select either the retrieved pressure level or another pressure level as the reference pressure level, and wherein the selector means further retrieves a recorded time period from the configuration register and permits the operator to select either the retrieved time period or another time period as the reference time period;

configure mode means for enabling the operator to produce a configure mode signal that indicates a selected one of a plurality of operating modes;

electrically powered register means responsive to the configure mode signal and the reference time signal and operable for selectively recording the time period corresponding to the level of the reference time signal when the configure mode signal is at the selected mode, and further operable for retaining the recorded time period when electrical power is not supplied to the electrically powered configuration register; and

regulator means responsive to the reference pressure signal and the reference time signal for regulating the pressure in the cuff near the reference pressure level during a time interval less than the reference time period.

5. A physiologic tourniquet system, comprising:

an inflatable and deflatable cuff for encircling and applying pressure to a limb;

a cuff pressure transducer for producing a cuff pressure signal having a level indicative of the pressure applied by the cuff;

reference pressure means for producing a reference pressure signal having a level indicative of a reference pressure wherein the reference pressure means retrieves a recorded pressure level and permits an operator to select either the retrieved pressure level or another pressure level as the reference pressure;

pressure regulating means responsive to the cuff pressure signal and the reference pressure signal for regulating the pressure applied by the cuff near the reference pressure;

event means responsive to the cuff pressure signal and the reference pressure signal for producing an event signal at an event time when the difference between the pressure indicated by the level of the cuff pressure signal and the pressure indicated by the level of the reference pressure signal is greater than a predetermined pressure level; and

event register means responsive to the event signal, to the cuff pressure signal and to the reference pressure signal for recording the levels of the cuff pressure signal and the reference pressure signal near the event time when the event signal is produced and for enabling an operator to determine at a time subsequent to the event time the cuff pressure and the reference pressure indicated by the levels of the cuff pressure signal and the reference pressure signal recorded near the event time.

6. A physiologic tourniquet system as described in claim 5 wherein the event register means comprises a memory operable in combination with a printer so as to produce for the operator a printed record of the cuff pressure and the reference pressure indicated by the levels of the cuff pressure signal and the reference pressure signal recorded near the event time.

7. A physiologic tourniquet as described in claim 5 wherein the event register means includes a memory operable in combination with a port configured to transfer signals indicative of the levels of the cuff pressure signal and the reference pressure signal recorded near the event time through the port to apparatus connected to the port.

12. A physiologic tourniquet as described in claim 5 wherein the event means further produces an event time signal having a level indicative of the event time and wherein the event register means is further responsive to the event time signal, further records the level of the event time signal, and further enables the operator to determine the event time near which the levels of the cuff pressure signal and the reference pressure signal were recorded.

8. A method of operating an electrically powered physiologic tourniquet system, that has an inflatable and deflatable cuff, the method comprising the steps of:

selecting a reference pressure level to be applied by the cuff to a limb to stop blood flow into the limb distal to the cuff by first retrieving a recorded pressure level from an electrically powered configuration register means and then permitting an operator to select either the retrieved pressure level or another pressure level as the reference pressure level;

enabling the operator to produce a configure mode signal that indicates a selected one of a plurality of operating modes;

recording in a configuration register the pressure level corresponding to the level of the reference pressure signal when the configure mode signal is at the selected mode;

retaining the recorded pressure level when electrical power is not supplied to the configuration register; and

regulating the pressure in the cuff near the reference pressure level.

9. The method of claim 8 including the steps of:

determining the minimum pressure in the cuff suitable for preventing blood flow past the cuff within a limb to which the cuff is applied;

determining as a function of the minimum cuff pressure a recommended cuff pressure to be applied by the cuff; and

permitting the operator to set the reference pressure level equal to the recommended cuff pressure.

10. A method of operating an electrically powered physiologic tourniquet system that has an inflatable and deflatable cuff, the method comprising the steps of:

selecting a reference time period during which the operator desires the cuff to apply pressure to a limb encircled by the cuff by first retrieving a recorded time period from an electrically powered configuration register and then permitting an operator to select either the retrieved time period or another time period as the reference time period;

enabling the operator to produce a configure mode signal that indicates a selected one of a plurality of operating modes;

recording in the configuration register the time period corresponding to the level of the reference time period when the configure mode signal is at the selected mode;

retaining the recorded time period when electrical power is not supplied to the configuration register; and

maintaining pressure applied by the cuff to the limb above the minimum pressure required to stop blood flow into the limb distal to the cuff during the reference time period.

11. A method of operating an electrically powered physiologic tourniquet system, that has an inflatable and deflatable cuff, comprising the steps of:

producing a cuff pressure signal having a level indicative of the pressure applied by the cuff;

producing a reference pressure signal having a level indicative of a reference pressure by first retrieving a recorded pressure level and then permitting an operator to select either the retrieved pressure level or another pressure level as the reference pressure;

regulating the pressure applied by the cuff near the reference pressure;

producing an event signal at an event time;

recording the levels of the cuff pressure signal and the reference pressure signal near the event time when the event signal is produced; and

enabling an operator to determine at a time subsequent to the event time the cuff pressure and the reference pressure indicated by the levels of the cuff pressure signal and the reference pressure signal recorded near the event time.