Upstream occlusion detection system

• US 6,358,225 B1
• Filed: 10/26/1998
• Issued: 03/19/2002
• Est. Priority Date: 08/31/1995
• Status: Expired due to Term

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: ALARIS Medical Systems, Inc. (Becton, Dickinson & Co)
• Inventors: Butterfield, Robert D.
• Primary Examiner(s): Dawson, Glenn K.
• Assistant Examiner(s): MAYNARD, JENNIFER J
• Application Number:
  US09/178,714
• Time in Patent Office: 1,240 Days
• Field of Search: 604/65-67, 604/51-53, 604/122-125, 604/153, 604/151, 604/131, 604/500, 604/503, 604/505, 604/506, 604/507, 128/DIG.13, 417/474
• US Class Current: 604/65
• CPC Class Codes: A61M 2005/16872 Upstream occlusion sensors
• CPC Class Codes: A61M 5/16859 Evaluation of pressure response, e.g. to an applied pulse

Abstract

A pumping segment of a fluid line alternately in fluid communication with the upstream and downstream portions of the fluid line connects a fluid supply to a fluid receiver. A pressure sensor located downstream of the segment monitors the pressure during the segment'"'"'s communication with the upstream and downstream ends. The pressure difference is used to establish a pressure threshold against which the average pressure is compared to determine if an upstream occlusion exists. Should the average pressure fall within a cautionary zone, the pump is reversed to examine the pressure difference once again. Based on the pressure difference during the reversal, a pressure threshold line may be adjusted thereby adapting to fluid administration conditions.

Claims

1. A fluid line condition detection apparatus for detecting a condition in an upstream portion of a fluid line coupled between a fluid supply at its upstream end and a fluid receiver at its downstream end, the apparatus comprising:

a flow control device adapted to be coupled to a fluid line segment of the fluid line between the upstream and downstream ends that alternately opens the fluid line segment to fluid communication with the upstream end and the downstream end of the fluid line during a cycle of the flow control device;

a pressure sensor adapted to be coupled to the fluid line and sensing pressure in the fluid line and providing a pressure signal in response to said pressure sensing; and

a processor that is configured to monitor the pressure signal and determine the average pressure over the cycle of the flow control device and the pressure difference occurring when the fluid line segment is exposed to the pressure from one end of the fluid line after having been exposed to the pressure at the other end of the fluid line; and

based on the pressure difference and the pressure average, the processor is configured to provide a condition signal indicating a fluid line condition in said upstream portion of the fluid line.

2. The apparatus of claim 1 wherein:

the pressure sensor is located downstream of the flow control device; and

the processor monitors the pressure signal to determine the pressure difference occurring when the fluid line segment at upstream pressure is exposed to downstream pressure.

3. The apparatus of claim 1 wherein:

the processor provides the condition signal indicating a fluid line condition in said upstream portion of the fluid line based on comparing the pressure average to the pressure difference.

4. The apparatus of claim 1 wherein the processor determines a first threshold pressure based on either the pressure difference or the pressure average and compares the other of the pressure difference or the pressure average to said threshold in determining the condition signal indicating a fluid line condition in said upstream portion of the fluid line.

5. The apparatus of claim 4 wherein:

the processor compares the pressure average to the first threshold; and

the processor provides an upstream occlusion alarm if the pressure average is less than the first threshold.

6. The apparatus of claim 5 wherein the processor provides an alarm signal only if the average pressure is less than the first threshold for a predetermined number of pump cycles.

7. The apparatus of claim 4 wherein the processor initiates a predetermined flow sequence in response to either the pressure difference or the pressure average exceeding the first threshold, said predetermined flow sequence comprises temporarily operating the flow control device in a reverse direction followed by resumed operation in a forward direction.

8. The apparatus of claim 7 wherein:

the processor determines a second pressure threshold; and

the processor modifies the second threshold where the predetermined flow sequence results in the processor determining that an upstream occlusion exists.

9. The apparatus of claim 7 wherein:

the processor determines a second pressure threshold; and

the processor modifies the second threshold where the predetermined flow sequence results in the processor determining that an upstream occlusion does not exist.

10. The apparatus of claim 4 wherein:

the processor determines a second pressure threshold;

based on the first threshold pressure, the second threshold pressure, the pressure difference, and the pressure average, the processor provides a condition signal indicating a fluid line condition in said upstream portion of the fluid line.

11. The apparatus of claim 10 wherein:

the processor compares the pressure average to the first and second thresholds; and

the processor provides an upstream occlusion alarm if the pressure average is less than the first threshold and does not provide an upstream occlusion alarm if the pressure average is greater than the second threshold.

12. The apparatus of claim 10 wherein:

the processor initiates a predetermined flow sequence in response to the pressure average exceeding the first threshold but being less than the second threshold, said predetermined flow sequence comprises temporarily operating the flow control device in a reverse direction followed by resumed operation in a forward direction; and

the processor modifies the second threshold where the predetermined flow sequence results in the processor determining that an upstream occlusion does not exist.

13. The apparatus of claim 10 wherein:

the processor initiates a predetermined flow sequence in response to the pressure average exceeding the first threshold but being less than the second threshold, said predetermined flow sequence comprises temporarily operating the flow control device in a reverse direction followed by resumed operation in a forward direction; and

the processor modifies the second threshold where the predetermined flow sequence results in the processor determining that an upstream occlusion exists.

14. The apparatus of claim 10 wherein the processor controls the flow control device to perform a predetermined flow sequence in response to the pressure average being greater than the first threshold but less than the second threshold.

15. The apparatus of claim 14 wherein the second threshold is modified where the predetermined flow sequence results in the processor determining that an upstream occlusion exists.

16. The apparatus of claim 14 wherein the second threshold is modified in the case where the predetermined flow sequence results in the processor determining that an upstream occlusion does not exist.

17. The apparatus of claim 10 wherein:

the processor compares the pressure difference signal to a cutoff pressure and determines that a predetermined upstream fluid condition exists if the pressure difference signal is less than the cutoff pressure; and

the processor compares the pressure average to the first and second thresholds only where the pressure difference exceeds the cutoff pressure.

18. The apparatus of claim 1 wherein:

the processor compares the pressure difference to a cutoff pressure and determines that a predetermined upstream fluid condition exists if the pressure difference signal is less than the cutoff pressure.

19. The apparatus of claim 1 wherein the processor monitors the pressure difference signal for clipping;

and

the processor provides an upstream occlusion alarm signal if clipping of the pressure difference signal is detected.

20. A fluid line condition detection apparatus for detecting an occlusion in an upstream portion of a fluid line coupled between a fluid supply at its upstream end and a fluid receiver at its downstream end, the apparatus comprising:

a flow control device adapted to be coupled to a pumping segment of the fluid line between the upstream and downstream ends for alternately opening the pumping segment to fluid communication with the upstream end and the downstream end of the fluid line during a cycle of the flow control device;

a pressure sensor adapted to be coupled to the fluid line downstream of the flow control device and sensing fluid pressure in the fluid line and providing a pressure signal in response to said pressure sensing;

a processor that is configured to monitor the pressure signal to determine the pressure difference occurring when the pumping segment is exposed to the pressure from the downstream end of the fluid line after having been exposed to the pressure at the upstream end of the fluid line and based on the difference, is configured to determine a primary threshold pressure and a cautionary threshold pressure;

the processor also is configured to determine the pressure average for the cycle of the flow control device;

the processor also is configured to compare the pressure average to said primary threshold pressure and to said cautionary threshold pressure;

the processor is configured to provide an occlusion signal indicating an occlusion in said upstream portion of the fluid line when said pressure average is less than the primary threshold during a predetermined number of cycles of the flow control device; and

the processor is configured to provide a cautionary signal indicating an occlusion in said upstream portion of the fluid line when said pressure average is less than said cautionary threshold pressure but greater than said primary threshold during said predetermined number cycles of the flow control device.

21. The apparatus of claim 20 wherein said flow control device has a direction of operational movement, wherein the processor is configured, responsive to said cautionary signal, to reverse said operational movement of said flow control device.

22. The apparatus of claim 21 wherein said processor is configured to, after reversing said operational movement of the flow control device, resume forward operation of said flow control device, determine a post-reversal downstream pressure difference occurring downstream of the pumping segment, compare said post-reversal downstream pressure difference to a post-reversal cut-off pressure, and generate a signal indicating an occlusion of the fluid line upstream of said flow control device when said post-reversal downstream pressure difference exceeds a post-reversal cutoff pressure.

23. A fluid line condition detection apparatus for detecting a condition in an upstream portion of a medical fluid administration line coupled between a medical fluid supply at its upstream end and a medical fluid receiver at its downstream end, an infusion pump coupled to a fluid line segment of the fluid line between the upstream and downstream ends that alternately opens the fluid line segment to fluid communication with the upstream end and the downstream end of the fluid line, the apparatus comprising:

a pressure sensor adapted to be coupled to the fluid line at a position downstream from the pump and sensing pressure in the fluid line and providing a pressure signal in response to said pressure sensing; and

a processor that monitors the pressure signal and determines the average pressure over the pump cycle and the pressure difference occurring when the fluid line segment is exposed to the pressure from one end of the fluid line after having been exposed to the pressure at the other end of the fluid line; and

based on the pressure difference and the pressure average, the processor provides a condition signal indicating a fluid line condition in said upstream portion of the fluid line.

24. The apparatus of claim 23 wherein the processor monitors the pressure signal to determine the pressure difference occurring when the fluid line segment at upstream pressure is exposed to downstream pressure.

25. The apparatus of claim 24 wherein the processor provides the condition signal indicating a fluid line condition in said upstream portion of the fluid line based on comparing the pressure average to the pressure difference.

26. The apparatus of claim 23 wherein the processor determines a first threshold pressure based on either the pressure difference or the pressure average and compares the other of the pressure difference or the pressure average to said threshold in determining the condition signal indicating a fluid line condition in said upstream portion of the fluid line.

27. The apparatus of claim 26 wherein:

the processor compares the pressure average to the first threshold; and

the processor provides an upstream occlusion alarm if the pressure average is less than the first threshold.

28. The apparatus of claim 27 wherein the processor provides an alarm signal only if the average pressure is less than the first threshold for a predetermined number of pump cycles.

29. The apparatus of claim 26 wherein the processor initiates a predetermined flow sequence in response to either the pressure difference or the pressure average exceeding the first threshold, said predetermined flow sequence comprises operating the pump in a reverse direction followed by resumed operation in a forward direction.

30. The apparatus of claim 29 wherein:

the processor determines a second pressure threshold; and

the processor modifies the second threshold where the predetermined flow sequence results in the processor determining that an upstream occlusion exists.

31. The apparatus of claim 29 wherein:

the processor determines a second pressure threshold; and

the processor modifies the second threshold where the predetermined flow sequence results in the processor determining that an upstream occlusion does not exist.

32. The apparatus of claim 26 wherein:

the processor determines a second pressure threshold;

based on the first threshold pressure, the second threshold pressure, the pressure difference, and the pressure average, the processor provides a condition signal indicating a fluid line condition in said upstream portion of the fluid line.

33. The apparatus of claim 32 wherein:

the processor compares the pressure average to the first and second thresholds; and

the processor provides an upstream occlusion alarm if the pressure average is less than the first threshold and does not provide an upstream occlusion alarm if the pressure average is greater than the second threshold.

34. The apparatus of claim 32 wherein:

the processor initiates a predetermined flow sequence in response to the pressure average exceeding the first threshold but being less than the second threshold, said predetermined flow sequence comprises temporarily operating the pump in a reverse direction followed by resumed operation in a forward direction; and

the processor modifies the second threshold where the predetermined flow sequence results in the processor determining that an upstream occlusion does not exist.

35. The apparatus of claim 32 wherein:

the processor initiates a predetermined flow sequence in response to the pressure average exceeding the first threshold but being less than the second threshold, said predetermined flow sequence comprises temporarily operating the pump in a reverse direction followed by resumed operation in a forward direction; and

the processor modifies the second threshold where the predetermined flow sequence results in the processor determining that an upstream occlusion exists.

36. The apparatus of claim 32 wherein the processor controls the pump to perform a predetermined flow sequence in response to the pressure average being greater than the first threshold but less than the second threshold.

37. The apparatus of claim 36 wherein the second threshold is modified where the predetermined flow sequence results in the processor determining that an upstream occlusion exists.

38. The apparatus of claim 36 wherein the second threshold is modified in the case where the predetermined flow sequence results in the processor determining that an upstream occlusion does not exist.

39. The apparatus of claim 32 wherein:

the processor compares the pressure difference signal to a cutoff pressure and determines that a predetermined upstream fluid condition exists if the pressure difference signal is less than the cutoff pressure; and

the processor compares the pressure average to the first and second thresholds only where the pressure difference exceeds the cutoff pressure.

40. The apparatus of claim 23 wherein the processor monitors the pressure difference signal for clipping;

and

the processor provides an upstream occlusion alarm signal if clipping of the pressure difference signal is detected.