System and method for multiple injection procedures on heart vessels

• US 8,082,018 B2
• Filed: 02/04/2010
• Issued: 12/20/2011
• Est. Priority Date: 04/20/1995
• Status: Expired due to Fees

• Current Assignee: ACIST Medical Systems Incorporated (Bracco SPA)
• Original Assignee: ACIST Medical Systems Incorporated (Bracco SPA)
• Inventors: Duchon, Douglas J., Smith, James P., Anderson, Katherine H., Wilson, Robert F., Liu, Jiyan
• Primary Examiner(s): Chen, Tse
• Assistant Examiner(s): Roy, Baisakhi
• Application Number:
  US12/700,652
• Publication Number:
  US 20100204574A1
• Time in Patent Office: 684 Days
• Field of Search: 600/407, 600/420, 600/427, 600/431, 600/432, 600/433, 600/434, 600/435, 604/19, 604/131, 604/151, 604/154, 604/181, 604/189, 604/218, 604/30, 604/67
• US Class Current: 600/407
• CPC Class Codes: A61B 6/481 involving the use of contrast agents
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: A61B 6/548 Remote control of the apparatus or devices
• CPC Class Codes: A61M 2005/1403 Flushing or purging
• CPC Class Codes: A61M 2205/3313 used specific wavelengths
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2209/01 Remote controllers for specific apparatus
• CPC Class Codes: A61M 2230/04 Heartbeat characteristics, e.g. ECG, blood pressure modulation
• CPC Class Codes: A61M 5/001 Apparatus specially adapted for cleaning or sterilising syringes or needles
• CPC Class Codes: A61M 5/007 for contrast media
• CPC Class Codes: A61M 5/14216 Reciprocating piston type
• CPC Class Codes: A61M 5/14232 Roller pumps
• 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
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: A61M 5/36 with means for eliminating or preventing injection or infusion of air into body dialysis systems, blood oxygenators A61M1/14; haemofiltration equipment A61M1/34; automatic tube cut-off A61M39/281
• CPC Class Codes: A61M 5/365 Air detectors A61M5/1684 takes precedence; in extracorporeal blood circuits A61M1/3626

Abstract

An angiographic injector system and a method of controllably delivering medical fluid to a patient from an angiographic injector system are disclosed. A multiple processor control system is used to actively control the injection process and to monitor sensed functions of the system. The multiple processors provide dual redundancy safety circuits for critical control functions such as syringe motor drive speed and current. A motor/servo-amplifier nested control function is also disclosed. A unique method and apparatus are disclosed for establishing injection parameter default values just prior to an injection procedure that are based on physiological values of the patient to be treated. The injector system uses an interactive display panel that presents sequenced set-up screens to the user and which enables the user to select injection procedures, parameters and other modes of operation directly through the interactive panel.

Claims

1. A device comprising:

an actuator assembly comprising a motor coupled to an axially movable shaft, the motor adapted to move the shaft along an axis;

a syringe holder axially aligned with and positioned adjacent to the actuator assembly, the syringe holder adapted to receive a syringe; and

a control system operably coupled to the motor for controlling movement of the axially movable shaft, the control system comprising a control console, the control console having a user interface display that allows user interaction with the control console, the user interface display being divided into multiple distinct windows comprising at least a first window, a second window, and a third window,

wherein the first window includes a selector to allow user selection of an injection routine from two or more injection routines that are displayed in the first window, each of the two or more injection routines corresponding to a different anatomically specific injection procedure for injecting fluid into a blood vessel of a patient, the control system also configured to allow user input of at least one numerical patient characteristic value in the second window of the user interface display,

wherein the control system automatically determines default injection parameters based upon the selected injection routine and the at least one numerical patient characteristic value, and

wherein the default injection parameters are displayed in the third window of the user interface display, the default injection parameters including at least one of a flow rate limit, a volume limit, a maximum rise time, and a pressure limit.

2. The device of claim 1,

wherein the control system includes a motor circuit for controlling a speed of the motor according to movement of a remote switch device, the remote switch device being operably coupled to the control system, and

wherein the control system includes a routine enabling operability of the remote switch device during an injection procedure so as to enable changes to the motor speed during the injection procedure according to manipulation of the remote switch device.

3. The device of claim 1, wherein the two or more injection routines include a left coronary artery (LCA) injection routine, a right coronary artery (RCA) injection routine, and a left ventricle/aorta (LV/Ao) injection routine.

4. The device of claim 1, wherein the at least one numerical patient characteristic value is at least one of patient weight, patient age, patient wellness, vascular robustness and catheter size.

5. The device of claim 4, wherein the at least one numerical patient characteristic value comprises a patient weight, and wherein the default injection parameters determined by the control system include a flow rate limit calculated as a function of the patient weight.

6. The device of claim 5, wherein the calculated flow rate limit is proportional to a natural logarithm of the patient weight.

7. The device of claim 1, wherein the at least one numerical patient characteristic value is representative of at least one of the following:

patient weight;

patient age;

wellness of the patient;

vascular robustness of the patient; and

catheter size.

8. The device of claim 1, wherein the control system is further configured to allow user modification of one or more of the default injection parameters in the user interface display upon selection of the one or more of the default injection parameters that are displayed in the third window.

9. The device of claim 1, wherein the multiple windows of the user interface display further includes a fourth window, and wherein the control system is further configured to allow user selection of either a fixed-rate injection mode or a variable-rate injection mode in the fourth window.

10. The device of claim 1, wherein the multiple windows of the user interface display further includes a fourth window that displays real-time information for values of injection parameters during the selected injection routine.

11. A method performed by a motorized fluid injection system, comprising:

providing a user interface display of a control console, wherein the user interface display allows user interaction with the control console, and wherein the user interface display is graphically divided into multiple distinct windows comprising at least a first window, a second window, and a third window;

receiving a user selection of an injection routine from two or more injection routines that are displayed in the first window of the user interface display, wherein each of the two or more injection routines corresponds to a different anatomically specific injection procedure for injecting fluid into a blood vessel of a patient;

receiving a user input of at least one numerical patient characteristic value in the second window of the user interface display;

determining default injection parameters based upon the selected injection routine and the at least one numerical patient characteristic value, wherein the default injection parameters including at least one of a flow rate limit, a volume limit, a maximum rise time, and a pressure limit; and

displaying the default injection parameters in the third window of the user interface display.