Occlusion detection method and system for ambulatory drug infusion pump

• US 6,648,861 B2
• Filed: 12/09/2002
• Issued: 11/18/2003
• Est. Priority Date: 11/07/2000
• Status: Expired due to Fees

• Current Assignee: Baxter International Inc.
• Original Assignee: Baxter International Inc.
• Inventors: LaBedz, Ralph, Platt, Michael, Hovis, Patrick, Spang, Ronald P.
• Primary Examiner(s): ROBINSON, DANIEL LEON
• Application Number:
  US10/314,681
• Publication Number:
  US 20030069559A1
• Time in Patent Office: 344 Days
• Field of Search: 604/500, 604/34, 604/67, 604/250, 604/481, 604/300, 604/501, 600/407
• US Class Current: 604/300
• CPC Class Codes: A61M 5/14228 with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member
• CPC Class Codes: A61M 5/16854 by monitoring line pressure

Abstract

A method of detecting an occlusion within a flexible infusion tube by measuring samples indicative of pressures relative to instances in time. Difference values for the samples are created. The difference values are compared to percentages of other difference values. When appropriate, an occlusion signal is generated in response to a comparison of a difference value to a percentage of another difference value.

Claims

1. A method of detecting an occlusion within a flexible infusion tube, comprising the steps of:

measuring a first sample indicating a pressure in the tube relative to a first instance in time;

measuring a second sample indicating a pressure in the tube relative to a second instance in time;

measuring a third sample indicating a pressure in the tube relative to a third instance in time;

creating a first difference value of the first sample to the second sample;

creating a second difference value of the second sample to the third sample;

comparing the first difference value to a percentage of the second difference value; and

generating an occlusion signal in response to the step of comparing the first difference value to the second difference value.

2. The method of claim 1 wherein the occlusion signal is generated when the first difference value is greater than the percentage of the second difference value.

3. The method of claim 2 wherein the first sample is a first voltage level, wherein the second sample is a second voltage level, and wherein the third sample is a third voltage level.

4. The method of claim 3 wherein the measuring further comprises:

measuring a start sample for a pumping cycle;

measuring a high sample for the pumping cycle; and

measuring a low sample for the pumping cycle.

5. The method of claim 4 wherein each measured sample is recorded.

6. The method of claim 5 wherein the start sample is a start voltage level, wherein the high sample is a high voltage level, and wherein the low sample is a low voltage level.

7. The method of claim 6 wherein the occlusion value is selected from a group consisting of a high voltage difference value equation, a low voltage difference value equation, a median voltage difference value equation, a steady state difference value equation, an end of bag difference value equation, and a restart difference value equation.

8. The method of claim 7 wherein the high voltage difference value equation determines occlusion presence where a high voltage value of a subsequent pumping cycle subtracted from the initial high voltage value of a first pumping cycle is greater than about 40 percent of the initial high voltage value of a first pumping cycle minus the initial low voltage value of a first pumping cycle.

9. The method of claim 8 wherein the low voltage difference value equation determines occlusion presence where a high voltage value of a subsequent pumping cycle subtracted from the initial high voltage value of a first pumping cycle is greater than about 20 percent of the initial high voltage value of a first pumping cycle minus the initial low voltage value of a first pumping cycle.

10. The method of claim 9 wherein the median voltage difference value equation determines occlusion presence where a high voltage value of a subsequent pumping cycle subtracted from the initial high voltage value of a first pumping cycle is greater than about 30 percent of the initial high voltage value of a first pumping cycle minus the initial low voltage value of a first pumping cycle.

11. The method of claim 10 wherein the steady state difference value equation determines occlusion presence where the difference of the initial high voltage value of a first pumping cycle and a high voltage value of a subsequent pumping cycle is greater than about 25 percent of the initial high voltage value of a first pumping cycle minus the initial low voltage value of a first pumping cycle.

12. The method of claim 11 wherein the steady state difference value equation determines occlusion presence may be used to determine occlusion for multiple pumping cycles after:

a high voltage difference value equation;

a low voltage difference value equation;

or

a median voltage difference value equation.

13. The method of claim 12 wherein the end of bag difference value equation determines occlusion presence where the difference of the initial high voltage value of a first pumping cycle and the high voltage values of at least about every eighth pumping cycle is greater than about 15 percent of the initial high voltage value of a first pumping cycle minus the initial low voltage value of a first pumping cycle.

14. The method of claim 13 wherein the restart difference value equation determines occlusion presence where the difference of the initial high voltage value prior to occlusion minus the initial high voltage value of the first pumping cycle after occlusion is greater than a percentage of the initial high voltage value of a first pumping cycle prior to occlusion minus the initial low voltage value of a first pumping cycle prior to occlusion.

15. The method of claim 14 wherein the percentage of the initial high voltage value of a first pumping cycle prior to occlusion minus the initial low voltage value of a first pumping cycle prior to occlusion is from at least about 15 percent to about 40 percent.

16. The method of claim 15 wherein the percentage of the initial high voltage value of a first pumping cycle prior to occlusion minus the initial low voltage value of a first pumping cycle prior to occlusion is the percentage of the initial high voltage value of a first pumping cycle minus the initial low voltage value of a first pumping cycle for the equation that determined occlusion.

17. The method of claim 16 wherein the equations to determine an occlusion comprise a high voltage difference value equation, a low voltage difference value equation, a median voltage difference value equation, a steady state difference value equation, an end of bag difference value equation, and a restart difference value equation.

18. The method of claim 17 wherein the pumping cycle may be reset.

19. The method of claim 18 wherein the restart equation is used after the pumping cycle is reset.

20. The method of claim 19 wherein the data is stored in electronically readable memory.

21. The method of claim 20 wherein the signal indicating an occlusion is sent over a network.

22. An occlusion detection system for detecting occlusions inhibiting a fluid flowing in a tube adapted for connection to a fluid pump, the occlusion detection system comprising:

a pressure sensor for releasable attachment to the tube upstream of the fluid pump for monitoring a negative pressure condition;

a transducer operably attached to the pressure sensor, the transducer converting the monitored negative pressure condition in a fluid tube into a usable signal; and

an alarm module for signaling that the occlusion has occurred in response to the alarm module receiving the useable signal from the transducer, the signal indicating that the negative pressure condition is outside an acceptable range.

23. The system according to claim 22 wherein the transducer is a force sensing resistor, a piezoresistive sensor, a piezoelectric sensor, a diaphragm piston gauge, a bending beam gauge, a strain gauge, a hall-effect sensor, a ¼

bridge strain gauge, a ½

bridge strain gauge, or a full bridge strain gauge.

24. The system according to claim 23 wherein the fluid pump is selected from the group consisting of a peristaltic pump, a roller pump, an expulsor pump, a finger pump and a piston cassette pump.

25. The system according to claim 24 wherein the pressure sensor can be calibrated with a calibration gauge.

26. The system according to 25 wherein the signaling of an upstream occlusion may be over a network.