Fluid management system for coronary intervention

• US 7,267,667 B2
• Filed: 07/11/2002
• Issued: 09/11/2007
• Est. Priority Date: 07/11/2002
• Status: Active Grant

• Current Assignee: Medline Industries Incorporated (Medline Holdings Incorporated)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Hart, Colin P., Houde, Eric, Albert, Kathryn M., VanDiver, Mark, Castora, Valerie M.
• Primary Examiner(s): WILLIAMS, CATHERINE SERKE
• Application Number:
  US10/193,376
• Publication Number:
  US 20040010229A1
• Time in Patent Office: 1,888 Days
• Field of Search: 600431-433, 604/191, 604151-155
• US Class Current: 604/154
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/3362 with minimised length of fluid lines; Taking into account the elastic expansion of fluid lines to increase accuracy
• CPC Class Codes: A61M 39/10 Tube connectors; Tube couplings A61M39/02 takes precedence; connecting needles to syringes or hubs A61M5/34; connecting catheter tubes to hubs A61M25/0014
• CPC Class Codes: A61M 39/22 Valves or arrangement of valves A61M39/02, A61M39/0247, A61M39/16 take precedence; regulating valves in infusion systems A61M5/16881; in devices worn by the patient for the reception of urine, faeces, catamenial or other discharge, or in colostomy devices A61F5/4405
• CPC Class Codes: A61M 5/007 for contrast media
• CPC Class Codes: A61M 5/16827 controlling delivery of multiple fluids, e.g. sequencing, mixing or via separate flow-paths infusion of multiple fluids without using a controller A61M5/1407

Abstract

A fluid injection system is disclosed The system is adapted to employ first and second injectors which may sequentially, or simultaneously, inject first and second fluids into a patient via a catheter. The first and second injectors may be power actuated. The actuation of the injectors may be controlled via a controller of the system. The user may be provided with an operator interface module to enable the control of the system to be affected during operation. A separate waste line may be provided to drain the system effectively and efficiently. A pressure sensor may be provided proximate the catheter to reduce pressure signal wave dampening and fluid waste.

Claims

1. An injection system, comprising:

a first power-actuated injector adapted to inject a first fluid through a first fluid line having a distal end;

a second power-actuated injector adapted to inject a second fluid through a second fluid line having a distal end;

a fitting having first and second inputs and an output, the distal ends of the first and second fluid lines being connected to the first and second inputs of the fitting, respectively;

a medical device connected to the fitting output through a third fluid line; and

a pressure sensor connected to the third fluid line at downstream of the fitting and adapted to generate a signal representative of fluid pressure within the medical device.

2. The injection system of claim 1, wherein the medical device is a catheter.

3. The injection system of claim 1, wherein the first fluid is contrast and the second fluid is saline.

4. The injector system of claim 1, wherein the fining is Y-shaped.

5. The injection system of claim 1, further including a waste line having a proximal end and a distal end, the distal end being connected to the third fluid line downstream of the fitting.

6. The injection system of claim 5, further including a waste receptacle connected to the distal end of the waste line and a pump operatively associated with the waste line.

7. The injection system of claim 6, further including a valve downstream of the distal end of the waste line.

8. The injection system of claim 1, wherein the pressure sensor is connected to the third fluid line upstream of the medical device.

9. The injection system of claim 7, further including a medication in communication with the valve.

10. A method of injecting fluid into a patient, comprising:

providing a first power-actuated injector adapted to transport a first fluid from a first receptacle through a first fluid line;

providing a second power actuated injector adapted to transport a second fluid from a second receptacle through a second fluid line;

connecting the first and second fluid lines to a single catheter;

providing a pump adapted to transport fluid from the catheter, first fluid line, and second fluid line to a waste receptacle actuating one of the first and second power-actuated injectors; and

monitoring pressure using a transducer mounted proximate the catheter.

11. The method of claim 10, wherein the first fluid is contrast and the second fluid is saline.

12. The method of claim 10, wherein the first and second fluid lines are connected using a Y-fitting.

13. The method of claim 10, further including actuating the first and second injectors simultaneously.

14. An injection system, comprising:

a first power-actuated injector;

a second power-actuated injector;

a catheter;

a fitting having an output and first and second inputs, the output being connected to the catheter;

the first and second inputs being connected to the first and second injectors;

a waste line and a pump operatively associated with the waste line, the waste line having an input in fluid communication with the fitting

a pressure transducer positioned proximate the catheter and adapted to generate a signal representative of fluid pressure within the catheter; and

a controller adapted to receive signals and generate control signals for actuation of the first and second power actuated injectors.

15. The injection system of claim 14, further including a source of medication in fluid communication with the catheter.

16. The injection system of claim 14, further including a source of contrast in fluid communication with the first power-actuated injector;

and a source of saline in fluid communication with the second power-actuated injector.

17. An injection system, comprising:

an injector;

a medical device;

a fluid line connecting the medical device and the injector;

a waste line and a pump operatively associated with the waste line, the waste line being connected to the fluid line;

a pressure sensor connected to the fluid line downstream of the waste line and adapted to generate a signal representative of fluid pressure within the medical device; and

a controller adapted to receive a signal and generate a control signal for controlling the flow of fluid from the injector.

18. The injection system of claim 17, wherein the medical device is a catheter.

19. The injection system of claim 17, further including a power driven actuator connected to a plunger of the injector and wherein the control signal determines movement of the plunger.

20. The injection system of claim 17, further including a valve operatively associated with an output of the injector;

and wherein the control signal determines movement of the valve.

21. The injection system of claim 17, further including a second injector and a second fluid line, the second fluid line connecting the second injector to the catheter.

22. The injection system of claim 21, wherein the first injector is fluidically connected to a source of contrast, and wherein the second injector is fluidically connected to a source of saline.

23. An injection system, comprising:

a power-actuated injector;

a medical device;

a fluid line connecting the medical device and the injector;

a waste line connected to the fluid line;

a pressure sensor connected to the fluid line downstream of the waste line and adapted to generate a signal representative of fluid pressure within the medical device;

a pump operatively associated with the waste line and adapted to draw fluid from the medical device fluid line and injector;

a second power actuated injector and a second fluid line, the second fluid line connecting the second power actuated injector to the medical device;

and a third fluid line connected to a medication.

24. The injection system of claim 23, wherein the medical device is a catheter.

25. The injection system of claim 23, further including a controller adapted to generate signals for operation of the power-actuated injector and pump.