Patient temperature control system

• US 6,692,518 B2
• Filed: 02/27/2002
• Issued: 02/17/2004
• Est. Priority Date: 02/27/2002
• Status: Expired due to Term

• Current Assignee: Medivance Incorporated (Becton, Dickinson & Co)
• Original Assignee: Medivance Incorporated (Becton, Dickinson & Co)
• Inventors: Carson, Gary
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US10/087,630
• Publication Number:
  US 20030163183A1
• Time in Patent Office: 720 Days
• Field of Search: 607/96, 607/104, 607/108-112, 621/75, 622/593, 236/51, 165/206, 219/400, 219/428, 219/477, 219/480, 219/483, 219/486, 219/487
• US Class Current: 607/104
• CPC Class Codes: A61F 2007/0054 with a closed fluid circuit, e.g. hot water
• CPC Class Codes: A61F 2007/0288 during operations
• CPC Class Codes: A61F 7/0085 Devices for generating hot or cold treatment fluids
• CPC Class Codes: A61F 7/02 Compresses or poultices for effecting heating or cooling
• CPC Class Codes: A61M 1/3623 Means for actively controlling temperature of blood
• CPC Class Codes: A61M 1/369 Temperature treatment
• CPC Class Codes: A61M 2205/3372 Temperature compensation

Abstract

A temperature control system provides for the optimal management of patient temperature during a surgical procedure, such as those which require the patient to on bypass. The system employs a plurality of controllers as well as a plurality of temperature control means in order to provide optimal temperature control. In one configuration of the invention, controllers for each of the heat exchange devices may be interconnected using a data link. The connection may provide for a master/slave relationship wherein temperature sensors included in each system are employable as temperature feedback for initiating temperature changes. This device may be configured such that it operates in conjunction with another device or provides stand alone temperature control.

Claims

1. A system for providing optimized patient temperature control, comprising:

a plurality of patient temperature control systems, where each patient temperature control system in the plurality of patient temperature control systems is connectable to at least one heat exchange device and is configured to control heat exchange in a different region of a patient;

a central controller configured to receive signals for measured temperatures relating to patient condition from a plurality of patient temperature sensors, said controller further configured to generate and transmit control signals to the plurality of patient temperature control systems so as to simultaneously control the plurality of patient temperature control systems based on at least one of;

the received signal for measured temperature relating to patient condition, programming provided for controlling operation of the plurality of patient temperature control systems, and manually inputted commands from a system operator; and

said plurality of temperature control systems each further configured to receive the control signals and in response control the at least one heat exchange device connectable thereto.

2. The system of claim 1 wherein the plurality of measured temperatures comprise at least one of:

a core body temperature, a blood temperature, and a temperature for a heat exchange medium employed in the heat exchange device.

3. The system of claim 1 wherein the controller is further configured to generate control signals for controlling the heat transfer according to a preprogrammed sequence.

4. The system of claim 3 wherein the central controller comprises a controller for one of the plurality of temperature control systems.

5. The system of claim 4 wherein each of the plurality of temperature control systems are connectable to the central controller via a data link.

6. The system of claim 5 wherein the data link comprises at least one of:

a cable between RS232 port incorporated in each of the plurality of temperature control systems and a wireless communications link.

7. The system of claim 5 wherein the plurality of temperature control systems are configured to operate independently when the data link is terminated.

8. The system of claim 1 wherein the at least one heat exchange device comprise at least one of:

a water/blood heat exchanger system and at least one temperature control pad transfer positionable on the patient'"'"'s periphery.

9. The system of claim 8 wherein the controller is further configured to control the heat transfer by at least one of:

employing a water temperature sensor in the water circulation system for both the water/blood heat exchanger system and the energy transfer pad system, and a predictive algorithm which predicts water temperature for the water in the water circulation system for both the water/blood heat exchanger system and the energy transfer pad system.

10. The system of claim 1 further including a user interface connectable to the central controller which provides for at least one of:

monitoring of the measured temperatures and manual entry of commands for controlling the heat exchange devices.

11. The system of claim 1 wherein the plurality of temperature control systems are configurable in a single stand alone unit also including the central controller.

12. A method of controlling patient body temperature comprising the steps of:

configuring a plurality of temperature control systems each with at least one heat exchange devices to provide heat exchange to a designated region of the patient;

monitoring at least one selected temperature relating to patient condition and transmitting a temperature signal relating to the at least one temperature to a central controller in electrical communication with the plurality of temperature control systems;

identifying a first mode of operation from a plurality of modes of operation for providing patient temperature control wherein the at least one mode includes at least one target temperature; and

simultaneously controlling the plurality of temperature control systems so as to provide the heat exchange according to the identified mode of operation until the at least one selected temperature is substantially equal to the target temperature.

13. The method of claim 12 wherein the selected temperatures comprise at least one of:

a core body temperature, a blood temperature, and a temperature for a heat exchange medium employed in the heat exchange devices.

14. The method of claim 13 wherein the heat transfer is controlled through use of a predictive algorithm which predicts blood temperature based on water temperature in the blood/water heat exchanger.

15. The method of claim 12 wherein the plurality of heat exchange devices comprise at least one of:

a water/blood heat exchanger and at least one temperature control pad positionable on the patient'"'"'s periphery.

16. The method of claim 12 wherein the central controller is configured in one of the plurality of temperature control systems.

17. The method of claim 16 further comprising the steps of:

establishing a data link between the temperature control system with the central controller and one other of the temperature control systems; and

establishing a master/slave relationship between the temperature control system with the central controller and the one other temperature control system.

18. The method of claim 17 wherein the plurality of modes of operation include at least one of:

employing the temperature control pad to lower the patient core body temperature;

employing the temperature control pad to warm the patient periphery while maintaining the desired temperature for the core temperature through use of the water/blood heat exchanger;

employing both the temperature control pad and the blood/water heat exchanger simultaneously to affect the body core temperature.

19. The method of claim 12 wherein the target temperature is identified through receipt of a value manually inputted through a user interface.

20. The method of claim 12 further comprising the step of manually initiating the mode of operation through manual input received through a user interface.

21. The method of claim 12 further comprising the step of presenting on the user interface at least one of:

the at least one selected temperature and the mode of operation.

22. A system for controlling patient temperature comprising:

a first temperature control system including a first controller, wherein the first temperature control system is connectable to at least one first heat exchange device for providing heat exchange in a first designated region of the patient and at least one first patient temperature sensor which provides temperature signals relating to patient condition;

a second temperature control system including a second controller, wherein the second temperature control system is connectable to at least one second heat exchange device for providing heat exchange in a second designated region of the patient and at least one second patient temperature sensor which provides temperature signals relating to the patient condition; and

at least one data link establishable between the first and second controller wherein the data link provides for the transfer of control signals between the first and second controller so as to provide for the heat exchange in at least one of the first and second regions in response to signals for measured temperatures received by the first and second controllers from at least one of the first and second sensors.

23. The system of claim 22 wherein the first heat exchange device comprises a water/blood heat exchanger system and the second heat exchange device comprises at least one temperature control pad positionable on the patient'"'"'s periphery.

24. The system of claim 22 wherein at least one of:

the first controller is further configured as a central controller for the first and second temperature control systems when the data link is established, and wherein the central controller is configured to receive and process signals from the at least one second sensor and to transmit control signals over the data link to control the heat transfer of the second heat transfer device.

25. The system of claim 22 wherein the first and second temperature sensors are configured to measure at least one of:

core body temperature, a blood temperature, and a temperature for a heat exchange medium employed in either the first or second heat exchange device.

26. The system of claim 22 further including a user interface connectable to at least one of:

the first and second controller, which provides for at least one of;

monitoring of the measured temperatures and manual entry of commands for controlling the first and second heat exchange devices.

27. The system of claim 22 wherein the data-link is further configured to be disconnectable so that the first and second temperature control systems may operate independently.

28. The system of claim 22 wherein the first and second temperature control systems are combinable in a stand alone device.

29. The system of claim 22 wherein the at least one first heat exchange device and the at least one second heat exchange device are configured for simultaneous heat exchange in the first and second designated regions so as to provide for optimized patient temperature control.