Cooling system for indwelling heat exchange catheter

• US 6,146,411 A
• Filed: 12/24/1998
• Issued: 11/14/2000
• Est. Priority Date: 12/24/1998
• Status: Expired due to Term

• Current Assignee: Zoll Circulation Incorporated (Asahi Kasei Corporation)
• Original Assignee: Alsius Corporation
• Inventors: Worthen, William J., Noda, Wayne A.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US09/220,897
• Time in Patent Office: 691 Days
• Field of Search: 607/96, 607/104, 607/105, 607/113
• US Class Current: 607/105
• CPC Class Codes: A61F 2007/0054 with a closed fluid circuit, e.g. hot water
• CPC Class Codes: A61F 2007/126 for invasive application, e.g. for introducing into blood vessels
• CPC Class Codes: A61F 7/0085 Devices for generating hot or cold treatment fluids
• CPC Class Codes: A61F 7/12 Devices for heating or cooling internal body cavities

Abstract

A system for exchanging heat with the body of a patient for cooling or warming the patient provides for automatic temperature control in accordance with the monitored temperature of the patient. The system comprises at least one fluid circuit in communication with an indwelling catheter, and a temperature control module, wherein body temperature measurements are used to control the temperature of fluid circulating within the fluid circuit.

Claims

1. An apparatus for changing and maintaining the temperature of at least a portion of the body of a patient, the apparatus comprising:

an indwelling catheter adapted for heat exchange within the body;

a self-contained primary fluid circuit in fluid flow communication with the indwelling catheter, the primary circuit adapted to contain a first circulating fluid therein;

a self-contained secondary fluid circuit which is in heat exchange relationship with the primary fluid circuit and adapted to contain a second circulating fluid therein, the first and second fluids being in fluid-flow isolation from each other; and

a temperature control module for changing the temperature of the second fluid,

wherein the primary circuit is provided with a detector for sensing fluid loss, the detector comprising;

a fluid volume reservoir in fluid communication with the primary circuit, the fluid volume reservoir assuming a first configuration when the first fluid level is at an acceptable level and assuming a second configuration when the first fluid level is at an unacceptable level; and

a switch adapted to toggle between first and second states depending on the configuration of the fluid volume reservoir.

2. The apparatus of claim 1, where in the switch initiates corrective action when at one of the first and second states.

3. The apparatus of claim 2, wherein the fluid volume reservoir is in an inflated configuration when the first fluid level is at an acceptable level and is in a deflated configuration when the first fluid level is at an unacceptable level, and wherein the switch is provided with a movable actuating lever biased against the fluid volume reservoir such that the lever causes the switch to toggle between the first and second states depending on the configuration of the fluid volume reservoir.

4. A system for changing the body temperature of a patient, the system comprising:

an indwelling catheter adapted for heat exchange with the body of the patient;

a self-contained primary fluid circuit in fluid communication with the indwelling catheter, the primary fluid circuit adapted to contain a first circulating fluid therein; and

a temperature control module for automatically changing the temperature of the first fluid in accordance with a sensed temperature of the body of the patient such that a desired body temperature is approached,

wherein the primary circuit is provided with a detector for sensing fluid loss, the detector comprising;

a fluid volume reservoir in fluid communication with the primary circuit, the fluid volume reservoir assuming a first configuration when the first fluid level is at an acceptable level and assuming a second configuration when the first fluid level is at an unacceptable level; and

a switch adapted to toggle between first and second states depending on the configuration of the fluid volume reservoir.

5. The system of claim 4, wherein the switch initiates corrective action when at one of the first and second states.

6. The system of claim 5, wherein the fluid volume reservoir is in an inflated configuration when the first fluid level is at an acceptable level and is in a deflated configuration when the first fluid level is at an unacceptable level, and wherein the switch is provided with a movable actuating lever biased against the fluid volume reservoir such that the lever causes the switch to toggle between the first and second states depending on the configuration of the fluid volume reservoir.

7. An apparatus for changing or maintaining the temperature of at least a portion of a body of a patient, the apparatus comprising:

means for exchanging heat with the portion of the body;

a self-contained primary fluid circuit in fluid communication with the means for exchanging heat, the primary circuit adapted to contain a first circulating fluid therein;

a self-contained secondary fluid circuit in heat exchange relationship with the primary fluid circuit and adapted to contain a second circulating fluid therein, the first and second fluids being in isolation from each other; and

means for changing the temperature of the second fluid,

wherein the primary circuit is provided with a detector for sensing fluid loss, the detector comprising;

a fluid volume reservoir in fluid communication with the primary circuit, the fluid volume reservoir assuming a first configuration when the first fluid level is at an acceptable level and assuming a second configuration when the first fluid level is at an unacceptable level; and

a switch adapted to toggle between first and second states depending on the configuration of the fluid volume reservoir.

8. The apparatus of claim 7, wherein the switch initiates corrective action when at one of the first and second states.

9. The apparatus of claim 8, wherein the fluid volume reservoir is in an inflated configuration when the first fluid level is at an acceptable level and is in a deflated configuration when the first fluid level is at an unacceptable level, and wherein the switch is provided with a movable actuating lever biased against the fluid volume reservoir such t hat the lever causes the switch to toggle between the first and second states depending on the configuration of the fluid volume reservoir.

10. A system for changing the body temperature of a patient, the system comprising:

means for exchanging heat with the body of the patient;

a self-contained primary fluid circuit in fluid communication with the means for exchanging heat, the primary circuit adapted to contain a first circulating fluid therein;

means for automatically changing the temperature of the first fluid in accordance with a sensed temperature of the body of the patient such that a desired body temperature is approached,

wherein the primary circuit is provided with a detector for sensing fluid loss, the detector comprising;

a fluid volume reservoir in fluid communication with the primary circuit, the fluid volume reservoir assuming a first configuration when the first fluid level is at an acceptable level and assuming a second configuration when the first fluid level is at an unacceptable level; and

a switch adapted to toggle between first and second states depending on the configuration of the fluid volume reservoir.

11. The system of claim 10, wherein the switch initiates corrective action when at one of the first and second states.

12. The system of claim 11, wherein the fluid volume reservoir is in an inflated configuration when the first fluid level is at an acceptable level and is in a deflated configuration when the first fluid level is at an unacceptable level, and wherein the switch is provided with a movable actuating lever biased against the fluid volume reservoir such that the lever causes the switch to toggle between the first and second states depending on the configuration of the fluid volume reservoir.

13. A detector for sensing fluid level in fluid circuit comprising:

a frame for retaining a fluid volume reservoir in fluid communication with the fluid circuit, the fluid volume reservoir assuming a first configuration when the first fluid level is at an acceptable level and assuming a second configuration when the first fluid level is at an unacceptable level;

a switch adapted to toggle between first and second states depending on the configuration of the fluid volume reservoir,

wherein the fluid volume reservoir is in an inflated configuration when the first fluid level is at the acceptable level and is in a deflated configuration when the first fluid level is at an unacceptable level, and wherein the switch is provided with a movable actuating lever biased against the fluid volume reservoir such that the lever causes the switch to toggle between the first and second states depending on the configuration of the fluid volume reservoir.

14. The detector of claim 13, wherein the fluid volume reservoir is adapted for suspension in the frame.

15. The detector of claim 13, the frame further comprising a capture arm on which the switch is mounted.

16. A system for changing the body temperature of a patient, the system comprising:

an indwelling catheter adapted for heat exchange with the body of the patient;

a primary fluid circuit in fluid communication with the indwelling catheter, the primary fluid circuit adapted to contain a first fluid therein;

means for circulating the first fluid in the primary fluid circuit; and

means for sensing fluid loss from the primary fluid circuit comprising;

a fluid volume reservoir in fluid communication with the primary fluid circuit, the fluid volume reservoir assuming a first configuration when the first fluid level is at an acceptable level and assuming a second configuration when the first fluid level is at an unacceptable level; and

a switch adapted to toggle between first and second states depending on the configuration of the fluid volume reservoir,

wherein the fluid volume reservoir is in an inflated configuration when the first fluid level is at the acceptable level and is in a deflated configuration when the first fluid level is at an unacceptable level, and wherein the switch is provided with a movable actuating lever biased against the fluid volume reservoir such that the lever causes the switch to toggle between the first and second states depending on the configuration of the fluid volume reservoir.

17. The system of claim 16, further comprising a frame, the fluid volume reservoir being adapted for suspension in the frame.

18. The system of claim 17, the frame further comprising a capture arm for retaining the fluid volume reservoir therein, the switch being mounted on the capture arm.

19. An apparatus for changing or maintaining the temperature of at least a portion of a body of a patient, the apparatus comprising:

means for exchanging heat with the portion of the body;

a self-contained primary fluid circuit in fluid communication with the means for exchanging heat, the primary circuit adapted to contain a first circulating fluid therein;

a self-contained secondary fluid circuit in heat exchange relationship with the primary fluid circuit and adapted to contain a second circulating fluid therein, the first and second fluids being in isolation from each other;

means for changing the temperature of the second fluid; and

a status indicator for providing an indication of the operation of the apparatus.