Access disconnection systems using conductive contacts

• US 8,708,946 B2
• Filed: 03/05/2012
• Issued: 04/29/2014
• 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., Kelly, Thomas D., Lasso, Angel
• Primary Examiner(s): DEAK, LESLIE R
• Application Number:
  US13/412,249
• Publication Number:
  US 20120215151A1
• Time in Patent Office: 785 Days
• Field of Search: 604/5.04, 604/4.01, 604/6.06, 604/6.08, 604/6.09, 604/6.16, 604/5.01, 210/645, 210/646, 210/103, 210/85, 210/87, 210/746, 422/44, 738/610.8
• US Class Current: 604/6.09
• 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

An extracorporeal blood machine includes a blood circuit; an access device enabling the blood circuit to be connected to a patient; first and second coupling devices for connecting to first and second tubes of the circuit; first and second electrodes held by the first and second coupling devices to contact blood flowing through the blood circuit, the electrodes enabling an electrical signal to be injected into the circuit; first and second contact members contacting the first and second electrodes, wherein at least one of the coupling devices includes a stem portion enabling at least one of the first and second contact members to contact at least one of the first and second electrodes, respectively, on an outer portion of the at least one electrode without disturbing blood flowing through the coupling device; and electronics coupled operably to the first and second contact members for applying the electrical signal.

Claims

1. An extracorporeal blood system comprising:

an extracorporeal blood machine including an extracorporeal blood circuit;

an access device enabling the extracorporeal blood circuit to be connected to a patient;

first and second coupling devices for connecting respectively to first and second tubes of the extracorporeal circuit;

first and second electrodes held, at least in part, by the first and second coupling devices so as to contact blood flowing through the extracorporeal blood circuit, the first and second electrodes enabling an electrical signal to be injected into the extracorporeal blood circuit;

first and second contact members contacting the first and second electrodes respectively, wherein at least one of the first and second coupling devices includes a stem portion enabling at least one of the first and second contact members to contact at least one of the first and second electrodes, respectively, on an outer portion of the at least one electrode and without disturbing blood flowing through the at least one coupling device; and

electronics coupled operably to the first and second contact members for applying the electrical signal, the signal used to monitor the access device.

2. The extracorporeal blood system of claim 1, wherein the first and second electrodes are located within the first and second coupling devices, respectively.

3. The extracorporeal blood system of claim 1, wherein at least one of the first and second electrodes is located approximately at the middle of the at least one of the first and second coupling devices, respectively.

4. The extracorporeal blood system of claim 1, wherein at least one of the first and second coupling devices is configured to fit between two sections of tubing.

5. The extracorporeal blood system of claim 1, wherein the first and second contact members extend into the first and second coupling devices respectively.

6. The extracorporeal blood system of claim 1, wherein the access device includes first and second needles connected to the extracorporeal circuit.

7. The extracorporeal blood system of claim 1, wherein the first and second tubes are arterial and venous lines, respectively.

8. The extracorporeal blood system of claim 7, wherein the first coupling device, connected to the arterial line, is located upstream of a blood pump operational area of the arterial line.

9. The extracorporeal blood system of claim 7, wherein the second coupling device, connected to the venous line, is located downstream of an air trap located in the arterial line.

10. The extracorporeal blood system of claim 1, wherein the electronics includes a current generation source.

11. An extracorporeal blood system comprising:

an extracorporeal blood machine including an extracorporeal blood circuit that defines a lumen through which blood of a patient can flow;

an access device enabling the extracorporeal blood circuit to be connected to the patient;

first and second electrodes contacting blood flowing within the lumen, the first and second electrodes enabling an electrical signal to be injected into the extracorporeal blood circuit;

first and second coupling devices holding the first and second electrodes, respectively;

first and second contact members, the first and second coupling devices branching off of the lumen so that the first and second contact members contact the first and second electrodes in a manner such that blood flow within the lumen is undisturbed by the contacting; and

electronics coupled operably to the first and second contact members outside the lumen, the electronics configured to apply a signal to the blood for monitoring the access device.

12. The extracorporeal blood system of claim 11, wherein the first and second coupling devices are used for connecting respectively to first and second tubes of the extracorporeal circuit.

13. The extracorporeal blood system of claim 11, the electronics being a first electronics, and which includes a third electrode located in the lumen, the third electrode placed in operable communication with second electronics configured to sense the signal applied to the blood for monitoring the access device.

14. The extracorporeal blood system of claim 11, wherein the first and second electrodes are placed in the lumen so as to form an electrical bypass between the patient and at least one of:

an air trap, a dialyzer and a portion of the extracorporeal blood circuit operating with a blood pump.

15. The extracorporeal blood system of claim 11, wherein the extracorporeal circuit defining the lumen includes arterial and venous lines, and wherein the access device includes first and second needles connected to the arterial and venous lines.

16. An extracorporeal blood system comprising:

an extracorporeal blood machine including an extracorporeal blood circuit;

an access device enabling the extracorporeal blood circuit to be connected to a patient;

first and second coupling devices for connecting respectively to first and second tubes of the extracorporeal circuit, the first and second coupling devices each including an opening branching off of a fluid flow portion of the coupling device;

first and second electrodes held by the first and second coupling devices so as to contact blood flowing through the extracorporeal blood circuit, the first and second electrodes enabling an electrical signal to be injected into the extracorporeal blood circuit;

first and second contact members contacting outer portions of the first and second electrodes via the respective branched openings of the first and second coupling devices in a manner such that blood flow within the extracorporeal circuit is undisturbed by the contacting; and

electronics coupled operably to the first and second contact members for applying the electrical signal, the signal used to monitor the access device.

17. The extracorporeal blood system of claim 16, wherein at least one of the first and second openings extends at least substantially perpendicularly from at least of the first and second contact members, respectively.

18. The extracorporeal blood system of claim 16, wherein at least one of the electrodes and the contact members is sealed within the respective first and second coupling devices.