System and method for blockage detection for medication infusion

• US 7,462,163 B2
• Filed: 07/30/2004
• Issued: 12/09/2008
• Est. Priority Date: 08/12/2002
• Status: Expired due to Fees

• Current Assignee: LMA North America Incorporated (Teleflex Incorporated)
• Original Assignee: LMA North America Incorporated (Teleflex Incorporated)
• Inventors: Yap, Marc, Cahill, Sean B., Hourmand, Byron, Mason, Jeffery T., Paderi, Elizabeth A.
• Primary Examiner(s): Sirmons; Kevin C
• Assistant Examiner(s): MOULTON, ELIZABETH ROSE
• Application Number:
  US10/903,951
• Publication Number:
  US 20070078381A1
• Time in Patent Office: 1,593 Days
• Field of Search: 604 65- 67, 604131-157, 604/187, 604/891.1, 604/892.1, 604/6.11, 737/00, 737/06, 737/15, 737/30, 737/53, 417/44.9
• US Class Current: 604/67
• CPC Class Codes: A61M 1/743 by changing the cross-section of the line, e.g. flow regulating valves A61M1/7413 takes precedence
• CPC Class Codes: A61M 1/75 Intermittent or pulsating suction A61M1/63, A61M1/772 take precedence
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208
• CPC Class Codes: A61M 1/92 with liquid supply means
• CPC Class Codes: A61M 2025/0004 having two or more concentrically arranged tubes for forming a concentric catheter system
• CPC Class Codes: A61M 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 2025/0039 characterized by lumina being arranged coaxially
• CPC Class Codes: A61M 2025/018 Catheters having a lateral opening for guiding elongated means lateral to the catheter
• CPC Class Codes: A61M 25/0021 characterised by the form of the tubing A61M25/0054 takes precedence
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 27/00 Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202
• CPC Class Codes: A61P 23/00 Anaesthetics

Abstract

A medication infusion system may include a controller and a reservoir module including a reservoir containing medication to be delivered to an internal wound site via the controller. The controller may have a peristaltic pump driven by a motor to urge medication to flow toward the internal wound site, through a conduit. A blockage sensor disables the motor and provides an alarm if the tube is blocked. The blockage sensor detects distention of a preferentially distendable portion of the tube, which may be routed about a constraining member. When blockage occurs, the tube distends preferentially along a direction generally parallel to the radius about which the tube bends. The blockage sensor may include a variety of switching elements, such as a pushbutton switch, a metal ring encircling the tube to make contact between conductors, and/or a metal bridge bendable to make contact between conductors.

Claims

1. A system for percutaneous infusion of an internal wound site, the system comprising:

a first reservoir shaped to contain a first fluid;

a tube having a preferentially distendable portion formed of a single material, wherein at the preferentially distendable portion, distention of a diameter of the tube in response to blockage of the tube is amplified, the preferentially distendable portion having a noncircular cross sectional shape in the absence of blockage of the tube;

a motor operable to urge the first fluid toward the internal wound site via the tube; and

a blockage sensor comprising a first conductor in direct contact with the exterior of the tube and a second conductor, wherein at least one of the first and second conductors is configured to be urged into contact with the other to form a switch, the switch configured to be actuated between an open circuit condition and a closed circuit condition in response to direct receipt of mechanical force exerted by distention of the tube;

wherein the switch is operable without the preferentially distendable portion being fully surrounded.

2. The system of claim 1, wherein the blockage sensor and the motor are integrated into a controller configured to automatically control fluid flow from the first reservoir to the internal wound site.

3. The system of claim 2, wherein the distention of the diameter of the preferentially distendable portion is amplified via constraint of the diameter along a direction.

4. The system of claim 3, wherein the controller further comprises a constraining member, wherein the tube is routed about the constraining member to provide the preferentially distendable portion, wherein the direction is generally parallel to a radius about which the tube bends, wherein the blockage sensor measures preferential distention of the preferentially distendable portion along the direction.

5. The system of claim 1, wherein the switch comprises a button displaced from the preferentially distendable portion along the direction such that the preferentially distendable portion presses against the button to move the switch between the open circuit condition and the closed circuit condition in response to distention of the preferentially distendable portion.

6. The system of claim 1, wherein the switch comprises a first conductor attached to the preferentially distendable portion and a second conductor positioned proximate the preferentially distendable portion such that the first conductor is movable into contact with the second conductor to move the switch between the open circuit condition and the closed circuit condition in response to distention of the preferentially distendable portion.

7. The system of claim 1, wherein the switch comprises a conductor and a conductive bridge, wherein the conductive bridge is positioned proximate the preferentially distendable portion such that the conductive bridge is movable between a closed state in which the conductive bridge contacts the conductor to provide the closed circuit condition, and an open state in which the bridge is displaced from the conductor to provide the open circuit condition, in response to distention of the preferentially distendable portion.

8. The system of claim 3, wherein the controller further comprises a peristaltic pump driven by the motor, the peristaltic pump comprising a plurality of rotors that rotate about an axis of rotation of the motor to urge the first fluid to move through the tube.

9. The system of claim 8, wherein the tube is routed tightly about the rotors such that tension in the tube causes opposing sides of the tube to press against each other proximate each of the rotors to impede flow of the first fluid past the rotors.

10. The system of claim 8, wherein the peristaltic pump is configured to deliver a bolus of the first fluid to the internal wound site at a gage pressure of at least ten psi.

11. The system of claim 3, further comprising a second reservoir shaped to contain a second fluid, wherein the controller is further configured to aspirate the internal wound site by urging the second fluid into the second reservoir from the internal wound site.

12. The system of claim 3, wherein the motor has an axis of rotation, and the first reservoir is attachable to the controller along an attachment plane to position the first reservoir alongside the motor, wherein the attachment plane is substantially parallel to at least one of the axis of rotation and an output shaft coupled to the motor to drive a pump.

13. A controller of a system for percutaneous infusion of an internal wound site, the controller comprising:

a motor operable to urge a first fluid from a first reservoir toward the internal wound site via a tube, wherein the motor is further operable to draw a second fluid from the internal wound site; and

a blockage sensor that detects blockage of the tube by measuring distention of the tube at a preferentially distendable portion along a direction perpendicular to an axis of the tube, wherein at the preferentially distendable portion the tube is routed such that the tube bends along a substantially arcuate pathway, wherein the blockage sensor comprises a conductor external to the tube, wherein the conductor moves to actuate a switch between an open circuit condition and a closed circuit condition in response to direct receipt of mechanical force exerted by distention of the tube;

wherein the switch is operable without the preferentially distendable portion of the tube being fully surrounded.

14. The controller of claim 13, further comprising a constraining member about which the tube is routed such that the tube bends about a radius to provide the preferentially distendable portion at which the preferential distention is measured, wherein the direction is generally perpendicular to the radius.

15. The controller of claim 13, wherein the blockage sensor comprises a switch positioned to move between an open circuit condition and a closed circuit condition in response to distention of the preferentially distendable portion.

16. The controller of claim 13, wherein the switch comprises a button displaced from the preferentially distendable portion along the direction such that the preferentially distendable portion presses against the button to move the switch between the open circuit condition and the closed circuit condition in response to distention of the preferentially distendable portion.

17. The controller of claim 13, wherein the switch comprises a first conductor attached to the preferentially distendable portion and a second conductor positioned proximate the preferentially distendable portion such that the first conductor is movable into contact with the second conductor to move the switch between the open circuit condition and the closed circuit condition in response to distention of the preferentially distendable portion.

18. The controller of claim 13, wherein the switch comprises a conductor and a conductive bridge, wherein the conductive bridge is positioned proximate the preferentially distendable portion such that the conductive bridge is movable between a closed state in which the conductive bridge contacts the conductor to provide the closed circuit condition, and an open state in which the bridge is displaced from the conductor to provide the open circuit condition, in response to distention of the preferentially distendable portion.

19. The controller of claim 13, wherein the controller further comprises a peristaltic pump driven by the motor, the peristaltic pump comprising a plurality of rotors that rotate about an axis rotation of the motor to urge the first fluid to move through the tube.

20. The controller of claim 19, wherein the tube is routed tightly about the rotors such that tension in the tube causes opposing sides of the tube to press against each other proximate each of the rotors to impede flow of the first fluid past the rotors.

21. The controller of claim 19, wherein the peristaltic pump is configured to deliver a bolus of the first fluid to the internal wound site at a gage pressure of at least ten psi.

22. The controller of claim 13, wherein the motor has an axis of rotation, the controller further comprising a mating surface shaped to receive the first reservoir along an attachment plane to position the first reservoir alongside the motor, wherein the attachment plane is substantially parallel to at least one of the axis of rotation and an output shaft coupled to the motor to drive a pump.

23. A method for detecting blockage of a tube of a system for percutaneous infusion of an internal wound site, the system comprising a controller having a motor operable to urge a first fluid from a first reservoir toward the internal wound site via the tube, the method comprising:

routing a preferentially distendable portion of the tube such that the preferentially distendable portion bends along a substantially arcuate pathway, wherein the preferentially distendable portion is formed of a single material, the preferentially distendable portion having a noncircular cross sectional shape in the absence of blockage of the tube;

distending the preferentially distendable portion to exert mechanical force; and

directly receiving the mechanical force with a switch comprising a first conductor and a second conductor, wherein the mechanical force urges at least one of the conductors into contact with the other to actuate the switch between an open circuit condition and a closed circuit condition to detect blockage of the tube;

wherein the switch is operable without the preferentially distendable portion being fully surrounded.

24. The method of claim 23, wherein the controller further comprises a constraining member, wherein constraining the portion of the tube comprises routing the tube about the constraining member such that the direction is generally parallel to a radius about which the tube bends, wherein detecting blockage of the tube comprises measuring distention of the preferentially distendable portion along the direction.

25. The method of claim 23, wherein the switch comprises a button displaced from the preferentially distendable portion along the direction, wherein moving the switch between the open circuit condition and the closed circuit condition comprises pressing against the button with the preferentially distendable portion in response to distention of the preferentially distendable portion.

26. The method of claim 23, wherein the switch comprises a first conductor attached to the preferentially distendable portion and a second conductor positioned proximate the preferentially distendable portion, wherein moving the switch between the open circuit condition and the closed circuit condition comprises moving the first conductor into contact with the second conductor in response to distention of the preferentially distendable portion.

27. The method of claim 23, wherein the switch comprises a conductor and a conductive bridge, wherein the conductive bridge is positioned proximate the preferentially distendable portion, wherein moving the switch between the open circuit condition and the closed circuit condition comprises moving the conductive bridge between a closed state in which the conductive bridge contacts the conductor and an open state in which the bridge is displaced from the conductor, in response to distention of the preferentially distendable portion.

28. The method of claim 23, wherein the controller further comprises a peristaltic pump driven by the motor, the peristaltic pump comprising a plurality of rotors, the method further comprising rotating the rotors about an axis of rotation of the motor to urge the first fluid to move through the tube.

29. The method of claim 28, further comprising stretching the tube around the rotors such that tension in the tube causes opposing sides of the tube to press against each other proximate each of the rotors to impede flow of the first fluid past the rotors.

30. The method of claim 28, wherein rotating the rotors about the axis of rotation to urge the first fluid to move through the tube comprises delivering a bolus of the first fluid to the internal wound site at a gage pressure of at least ten psi.

31. A system for percutaneous infusion of an internal wound site, the system comprising:

a reservoir module comprising a first reservoir shaped to contain a first fluid; and

a controller designed to receive the reservoir module, the controller comprising a motor and a peristaltic pump driven by the motor to urge the first fluid toward the internal wound site via a tube, the tube having a preferentially distendable portion at which the tube is routed about a fixed constraining member such that a diameter of the tube is constrained along a direction generally parallel to a radius about which the tube bends along a substantially arcuate pathway, the controller further comprising a blockage sensor that detects blockage of the tube by measuring preferential distention of the preferentially distendable portion along the direction.

32. The system of claim 31, wherein the switch comprises a button displaced from the preferentially distendable portion along the direction such that the preferentially distendable portion presses against the button to move the switch between the open circuit condition and the closed circuit condition in response to distention of the preferentially distendable portion.

33. The system of claim 32, wherein the switch is mechanically operated.

34. The system of claim 31, wherein the peristaltic pump comprises a plurality of rotors that rotate about an axis of rotation of the motor to urge the first fluid to move through the tube, wherein the tube is routed tightly about the rotors such that tension in the tube causes opposing sides of the tube to press against each other proximate each of the rotors to impede flow of the first fluid past the rotors.

35. The system of claim 31, wherein the peristaltic pump is configured to deliver a bolus of the first fluid to the internal wound site at a gage pressure of at least ten psi.

36. The system of claim 31, wherein the reservoir module further comprises a second reservoir shaped to contain a second fluid, wherein the controller is further configured to aspirate the internal wound site by urging the second fluid into the second reservoir from the internal wound site.

37. The system of claim 31, wherein the motor has an axis of rotation, and the first reservoir is attachable to the controller along an attachment direction substantially parallel to the axis of rotation to position the first reservoir alongside the motor.