Access disconnection systems and methods

• US 7,052,480 B2
• Filed: 04/10/2002
• Issued: 05/30/2006
• Est. Priority Date: 04/10/2002
• Status: Active Grant

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: Han, James, Hartranft, Thomas P., Lasso, Angel, Kelly, Thomas D.
• Primary Examiner(s): Bianco, Patricia
• Application Number:
  US10/120,684
• Publication Number:
  US 20030195453A1
• Time in Patent Office: 1,511 Days
• Field of Search: 604/4.01, 604 501- 504, 604/6.01, 604 605- 606, 604/6.16, 604/246, 604/290, 600/300, 600/309, 600/310, 600/345, 600/352, 600/358, 600/371, 606/32, 606/41, 422/44, 422/82.01, 422/68.1, 422/50, 422/82.05, 422/105, 422/82.09, 422/108, 439/1, 439/5, 439/207, 439/208, 439/909
• US Class Current: 604/4.01
• CPC Class Codes: A61M 1/30 Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3656 Monitoring patency or flow at connection sites; Detecting disconnections
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• CPC Class Codes: A61M 1/3661 for haemodialysis
• CPC Class Codes: A61M 1/3669 Electrical impedance measurement of body fluids; transducers specially adapted therefor
• CPC Class Codes: A61M 2205/13 with means for the detection of operative contact with patient, e.g. lip sensor
• CPC Class Codes: Y10S 439/909 Medical use or attached to human body

Abstract

Apparatuses, devices, systems and methods for detecting access disconnection during medical therapy are provided. The present invention includes an electric circuit coupled to, for example, a blood circuit used during dialysis therapy. The electric circuit can inject an electrical signal into the blood circuit such that changes in an electrical value in response to access disconnection, such as needle drop-out or catheter drop-out, can be effectively detected.

Claims

1. A method of detecting access disconnection during an extracorporeal blood treatment, the method comprising the steps of:

coupling an extracorporeal blood system including a plurality of components to a patient via an extracorporeal blood circuit including a first blood line and a second blood line allowing blood to flow into, through and out of the patient along the extracorporeal blood circuit during treatment;

injecting an electrical signal into the blood circuit through a direct conductive connection between a pair of electrodes in direct contact with blood as it flows through the extracorporeal blood circuit to define a loop; and

measuring a change in an electrical value at a third contact point attached to the extracorporeal blood circuit in response to access disconnection.

2. The method of claim 1 wherein an induction coil is coupled to the extracorporeal blood circuit at the third contact point allowing the change in the electrical value to be measured.

3. The method of claim 1 wherein the third contact point includes an electrical contact attached to the blood circuit in fluid communication with the blood.

4. The method of claim 1 wherein the third contact point includes a capacitive coupler.

5. The method of claim 1 wherein the electrical value is selected from the group consisting of voltage, resistance, impedance, current, rate of changes thereof and combinations thereof.

6. The method of claim 1 wherein the change in electrical value is measured in response to dislodgment of a needle in the patient that is coupled to the extracorporeal blood circuit.

7. An apparatus for detecting dislodgment of an access device from a patient as blood flows through an extracorporeal blood circuit including a first blood line and a second blood line allowing connection of the patient to an extracorporeal blood system including a plurality of components, the apparatus comprising:

a direct conductive connection between a pair of electrodes in direct contact with blood as it flows through the extracorporeal blood circuit and through which an electrical signal can be injected into the blood circuit to define a loop; and

a measuring device coupled to the extracorporeal blood circuit at a third contact point wherein the measuring device can be used to measure a change in an electrical value in response to dislodgment detection.

8. The apparatus of claim 7 wherein an induction coil is coupled to the extracorporeal blood circuit at the third contact point allowing the change in the electrical value to be measured.

9. The apparatus of claim 7 wherein the third contact point includes an electrical contact attached to the blood circuit in fluid communication with the blood.

10. The apparatus of claim 7 wherein the third contact point includes a capacitive coupler attached to the blood circuit.

11. The apparatus of claim 7 wherein the electrical value is selected from the group consisting of voltage, resistance, impedance, current, rate of changes thereof and combinations thereof.

12. The apparatus of claim 7 wherein a change in impedance is detected in response to dislodgment of a needle in the patient that is coupled to the extracorporeal blood circuit.

13. A method of detecting access disconnection during an extracorporeal blood treatment, the method comprising the steps of:

coupling an extracorporeal blood system including a plurality of components to a patient via an extracorporeal blood circuit including a first blood line and a second blood line allowing blood to flow into, through and from the patient along the extracorporeal blood circuit during treatment;

injecting an electrical signal into the blood circuit at a first contact point thereby defining a loop; and

measuring a change in an electrical value using a direct conductive connection made between a pair of electrodes in direct contact with blood as it flows through the extracorporeal blood circuit.

14. The method of claim 13 wherein an induction coil is coupled to the extracorporeal blood circuit at the first contact point allowing the electric signal to be injected.

15. The method of claim 13 wherein the first contact point includes an electrical contact attached to the blood circuit in fluid communication with the blood.

16. The method of claim 13 wherein the first contact point includes a capacitive coupler attached to the blood circuit.

17. The method of claim 13 wherein the electrical value is selected from the group consisting of voltage, resistance, impedance, current, rate of changes thereof and combinations thereof.

18. The method of claim 13 wherein the change in electrical value is measured in response to dislodgment of a needle in the patient that is coupled to the extracorporeal blood circuit allowing blood to flow into, through and out of the patient.

19. An apparatus for detecting dislodgment of an access device from a patient as blood flows through an extracorporeal blood circuit which includes a first blood line and a second blood line allowing connection of the patient to an extracorporeal blood system including a plurality of components, the apparatus comprising:

an electrical signal device coupled to the extracorporeal blood circuit at a first contact point capable of injecting an electrical signal into the blood circuit thereby defining a loop; and

a direct conductive connection includes a pair of electrodes in direct contact with blood as it flows through the extracorporeal blood circuit and within the loop along which a change in an electrical value can be measured in response to dislodgment.

20. The apparatus of claim 19 wherein an induction coil is coupled to the extracorporeal blood circuit at the third contact point.

21. The method of claim 19 wherein the first contact point includes an electrical contact attached to the blood circuit in fluid communication with the blood.

22. The method of claim 19 wherein the first contact point includes a capacitive coupler.

23. The method of claim 19 wherein the electrical value is selected from the group consisting of voltage, resistance, impedance, current, rate of changes thereof and combinations thereof.

24. The apparatus of claim 19 wherein the change in an electrical value is measured in response to dislodgment of a needle in the patient and coupled to the extracorporeal blood circuit.