Atraumatic blood suction system

• US 6,547,775 B1
• Filed: 10/21/1999
• Issued: 04/15/2003
• Est. Priority Date: 10/22/1998
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Blyakhman, Yakov A.
• Primary Examiner(s): Nguyen, Anhtuan T.
• Application Number:
  US09/425,066
• Time in Patent Office: 1,272 Days
• Field of Search: 604/6.11, 604/6.15, 604/6.16, 604/66, 604/67, 604/247, 604/151-154, 604/902, 604/505
• US Class Current: 604/505
• CPC Class Codes: A61M 1/3621 Extra-corporeal blood circuits single-needle circuits A61M1/30
• CPC Class Codes: A61M 1/3626 Gas bubble detectors
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61

Abstract

An automatic control system and methods of automatic control for reducing the blood/air interface for suction from the left ventricle and/or operating field are provided by the present invention. A system in accord with the present invention will have a pressure sensor or monitor, a pump, and a bubble or air sensor to detect the ratio of air-to-blood in the sucker lines. The system will also have a processing means connected to the pressure sensor, pump, and air sensor for automatically adjusting the pump speed in response to the sensed pressure and/or the sensed air-to-blood ratio, and may have a display and the appropriate manual controls to manually adjust the pump speed also connected to the processing means. A method in accord with the present invention will provide for the sensing of the pressure and the air-to-blood to blood ratio and adjusting the pump speed in accord therewith so as to continuously maintain a suction level that will be adequate to remove the necessary and desired amount of blood without damage to surrounding tissue. In particular, the system will used sensed air-to-blood ratios to adjust the pump speed to desired levels so as to maintain a continuous suction at low pressure levels, varying the pump speed as needed to do so, as opposed to the single speed, high pressure provided by present day blood collection systems.

Claims

1. A method of transporting surgical blood under vacuum, comprising:

providing an suction line having a suction tip for engaging the surgical blood;

providing a pump for supplying a negative pressure to said suction line;

providing a negative pressure on the suction line to suction blood by operating the pump at a first pump speed;

sensing the air-to-blood ratio in the suction line;

sensing a negative pressure level in the suction line; and

operating the pump at a second, different pump speed in response to the sensed air-to-blood ratio and the sensed negative pressure level.

2. The method of claim 1 wherein said second pump speed is provided in response to a predetermined change in the sensed air-to-blood ratio of about ten percent.

3. The method of claim 1 further including continuously monitoring the air-to-blood ratio when the sensed air-to-blood ratio reaches a predetermined maximum air-to-blood ratio.

4. The method of claim 3 wherein said predetermined maximum air-to-blood level is about 98%.

5. The method of claim 1 wherein said pump is operated to provide a second pump speed to provide a predetermined minimum sensed negative pressure level when said predetermined maximum sensed air-to-blood ratio is reached.

6. The method of claim 5 wherein said predetermined minimum sensed negative pressure level is at a flow rate of about 50 milliliters per minute.

7. The method of claim 1 wherein said second pump speed is less than said first pump speed in response to an increase in the sensed air-to-blood ratio.

8. The method of claim 7 wherein said second pump speed is also determined in response to a predetermined minimum sensed negative pressure level.

9. The method of claim 8 wherein said predetermined minimum sensed pressure level is at a flow rate of about 50 milliliters per minute.

10. A method for removing blood during surgery from the surgical field, said method including:

providing a suction line and a pump for supplying a negative pressure to said suction line;

establishing a predetermined desired minimum negative pressure level for the suction line;

providing suction in the surgical field with a suction line;

monitoring the negative pressure in the suction line;

establishing a predetermined desired maximum air-to-blood ratio in the suction line;

monitoring the air-to-blood ratio in the suction line; and

adjusting the speed of the pump in response to the monitored negative pressure and the monitored air-to-blood ratio.

11. The method of claim 10 wherein said negative pressure is provided by a roller pump attached to the surgical line.

12. The method of claim 11 wherein said adjustment is provided by changing the speed of the roller pump.

13. The method of claim 10 wherein the operation of the pump is adjusted by increasing pump speed in response to a decrease in the monitored negative pressure level.

14. The method of claim 10 wherein the operation of the pump is adjusted by decreasing pump speed in response to an increase in the monitored negative pressure level.

15. A method for reducing hemolysis and tissue damage during surgery, said method comprising:

collecting blood with a suction line;

providing a pump for supplying a negative pressure to said suction line;

monitoring the air-to-blood ratio in the suction line;

monitoring the negative pressure in the suction line; and

adjusting the speed of the pump in response to monitored changes in negative pressure and in response to monitored changes in the air-to-blood ratio.

16. The method of claim 15 wherein the operation of the pump is adjusted by decreasing pump speed in response to a monitored increase in the air-to-blood ratio.

17. The method of claim 15 wherein the operation of the pump is adjusted by increasing pump speed in response to a monitored decrease in the air-to-blood ratio.

18. A method of transporting surgical blood under vacuum, comprising:

providing an suction line having a suction tip for engaging the surgical blood;

providing a pump for supplying a negative pressure to said suction line;

providing a negative pressure on the suction line to suction blood by operating the pump at a first, low pump speed;

sensing the air-to-blood ratio in the suction line;

sensing a negative pressure level in the suction line; and

operating the pump at a second, higher pump speed in response to a decrease in sensed air-to-blood ratio and an increase in sensed negative pressure level.

19. The method of claim 18 wherein said second, higher pump speed is provided in response to a predetermined decrease in the sensed air-to-blood ratio of about ten percent.

20. The method of claim 18 further including continuously monitoring the air-to-blood ratio when the sensed air-to-blood ratio reaches a predetermined maximum air-to-blood ratio.

21. The method of claim 20 wherein said predetermined maximum air-to-blood level is about 98%.

22. The method of claim 20 wherein said pump is operated to provide a pump speed to provide a predetermined minimum sensed negative pressure level when said predetermined maximum sensed air-to-blood ratio is reached.

23. The method of claim 22 wherein said predetermined minimum sensed negative pressure level is at a flow rate of about 50 milliliters per minute.

24. The method of claim 18 wherein said pump is operated to provide a third, lower pump speed than said second pump speed after a predetermined period of time.

25. The method of claim 18 wherein an alarm is provided in response to the detection of a predetermined maximum sensed negative pressure level.

26. The method of claim 18 wherein said pump is stopped in response to the detection of a predetermined maximum sensed negative pressure level.

27. A method for removing blood during surgery from the surgical field, said method including:

providing a suction line and a pump for supplying a negative pressure to said suction line;

establishing a predetermined desired minimum negative pressure level for the suction line;

providing suction in the surgical field with a suction line;

monitoring the negative pressure in the suction line;

establishing a predetermined desired maximum air-to-blood ratio in the suction line;

monitoring the air-to-blood ratio in the suction line; and

increasing the speed of the pump in response to an increase in the monitored negative pressure and a decrease in the monitored air-to-blood ratio.

28. The method of claim 27 wherein said negative pressure is provided by a roller pump attached to the surgical line.

29. The method of claim 27 wherein the operation of the pump is adjusted by decreasing pump speed in response to sensing a monitored negative pressure at the level of a predetermined maximum pressure level.

30. The method of claim 27 wherein said predetermined desired minimum negative pressure level is at a flow rate of about 50 milliliters per minute.

31. The method of claim 27 wherein said pump speed is decreased after a predetermined period of time.

32. The method of claim 27 wherein an alarm is provided in response to the detection of a predetermined maximum sensed negative pressure level.

33. The method of claim 27 wherein said pump is stopped in response to the detection of a predetermined maximum sensed negative pressure level.

34. A method for reducing hemolysis and tissue damage during surgery, said method comprising:

collecting blood with a suction line;

providing a pump for supplying a negative pressure to said suction line;

establishing a predetermined desired maximum negative pressure level for the suction line;

monitoring the air-to-blood ratio in the suction line;

monitoring the negative pressure in the suction line; and

adjusting the speed of the pump in response to monitored changes in negative pressure and in response to monitored changes in the air-to-blood ratio such that the negative pressure in the suction line is maintained at a level below the perdetermined desired maximum negative pressure level.

35. The method of claim 34 wherein the operation of the pump is adjusted by decreasing pump speed in response to a monitored increase in the air-to-blood ratio.

36. The method of claim 34 wherein the operation of the pump is adjusted by increasing pump speed in response to a monitored decrease in the air-to-blood ratio.