Surgical tourniquet cuff system

• US 8,721,678 B2
• Filed: 03/10/2009
• Issued: 05/13/2014
• Est. Priority Date: 08/05/2005
• Status: Active Grant

• Current Assignee: Western Clinical Engineering Ltd.
• Original Assignee: Western Clinical Engineering Ltd.
• Inventors: McEwen, James A., Jameson, Michael
• Primary Examiner(s): MASHACK, MARK F
• Application Number:
  US12/401,206
• Publication Number:
  US 20090171223A1
• Time in Patent Office: 1,890 Days
• Field of Search: 606202-203, 604/163, 604/171, 604/263, 340/539.12, 73/40, 73/492, 73/46, 737/00, 737/56, 12820418-20422, 600485-486, 600/494, 600/561
• US Class Current: 606/203
• CPC Class Codes: A61B 17/1322 comprising a flexible encircling member A61B17/135 takes precedence
• CPC Class Codes: A61B 17/1355 Automated control means therefor
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used

Abstract

A surgical tourniquet cuff system includes a tourniquet cuff with a cuff connector for communicating pneumatically with the cuff and for releasably connecting to a tourniquet instrument connector to establish a pneumatic passageway between the cuff connector and the tourniquet instrument connector. A tourniquet instrument supplies pressurized gas through the pneumatic passageway to the cuff. The tourniquet instrument connector includes a cuff pressure transducer for producing a cuff pressure signal indicative of the pressure of gas within the gas passageway near the connection. The cuff may include a cuff usage register for containing a cuff usage record and the tourniquet instrument connector may include a cuff usage register interface for reading the record. The tourniquet cuff may further include a cuff sheath forming a flexible conduit containing the cuff connector and sized to allow the connection of the cuff connector to the tourniquet instrument connector within the sheath.

Claims

1. A tourniquet cuff apparatus comprising:

a cuff having an inflatable portion and a length sufficient to encircle a limb of a patient;

the cuff including a port communicating pneumatically with the inflatable portion of the cuff, the port having a cuff connector;

a tourniquet instrument connector mating with the cuff connector to define a connection passageway between the two connectors that communicates pneumatically with the inflatable portion of the cuff;

a connection transducer mounted external to a remote tourniquet instrument and adjacent to the connection passageway and configured to sense the pressure in the connection passageway and to generate and wirelessly transmit a connection pressure signal representing the pressure within the inflatable portion of the cuff, wherein the connection transducer is mounted to the tourniquet instrument connector and movable therewith into and out of mating connection with the cuff connector;

an interface for receiving the wirelessly transmitted connection pressure signal, wherein the interface is mounted to the tourniquet instrument connector;

a continuous flexible tube extending from the tourniquet instrument connector to the tourniquet instrument to define therebetween a tube pneumatic passageway communicating pneumatically with the connection passageway;

an internal transducer mounted internal to the tourniquet instrument and arranged for detecting the pressure in the tube pneumatic passageway and providing a second pressure signal representing the pressure in the connection passageway;

a signal conducting member for conveying the connection pressure signal received by the interface to the remote tourniquet instrument, the signal conducting member is located outside of the flexible tube and has one end connected to the interface and an opposing end connected to the instrument; and

a controller connected to the tourniquet instrument for receiving and comparing the connection pressure signal and the second pressure signal and for initiating a fault alert in instances when those two signals vary by more than a predetermined minimum.

2. The apparatus of claim 1 wherein the cuff connector is carried on the cuff, and further comprising a shroud mounted on the cuff in a retracted position to enclose the cuff connector and to be extendable therefrom to enable the mating of the cuff connector and tourniquet instrument connector inside the shroud and enclosing a portion of the signal conducting member.

3. The apparatus of claim 1 wherein the signal conducting member is a signal-carrying wire extending from the connection transducer to the tourniquet instrument.

4. The apparatus of claim 3 wherein the connection transducer is located between the tube and the cuff and adjacent to the connection passageway and wherein the signal carrying wire and tube are enclosable within a shroud that is mounted to the cuff and to be extendable therefrom.

5. The apparatus of claim 1 wherein the connection transducer is a pressure transducer having a portion thereof exposed to the connection passageway.

6. The apparatus of claim 1 wherein the cuff connector is arranged so that the connection passageway is adjacent to the cuff.

7. The apparatus of claim 1 further comprising:

a register attached to the cuff and having recorded thereon information relating to the cuff; and

the interface and configured to read from the register the information relating to the cuff when the interface and register are within a predetermined, limited communication range.

8. The apparatus of claim 7 wherein the interface is connected for transmitting the read information to the remote tourniquet instrument.

9. The apparatus of claim 7 wherein the interface is mounted to the cuff connector and configured to write to the register information relating to the cuff when the interface and register are within a predetermined, limited communication range.

10. A tourniquet cuff apparatus comprising:

a cuff having an inflatable portion and a length sufficient to encircle a limb of a patient;

the cuff including a port communicating pneumatically with the inflatable portion of the cuff, the port having a cuff connector;

a tourniquet instrument connector mating with the cuff connector to define a connection passageway between the two connectors that communicates pneumatically with the inflatable portion of the cuff;

a connection transducer mounted external to a remote tourniquet instrument and adjacent to the connection passageway and configured to sense the pressure in the connection passageway and to generate a connection pressure signal representing the pressure within the inflatable portion of the cuff;

a flexible tube extending from the tourniquet instrument connector to the tourniquet instrument to define therebetween a continuous pneumatic passageway communicating pneumatically with the connection passageway;

an internal transducer mounted internal to the tourniquet instrument and arranged for detecting the pressure in the continuous pneumatic passageway and wirelessly transmitting a second pressure signal representing the pressure in the continuous pneumatic passageway;

an interface mounted to the tourniquet instrument connector and configured for receiving the wirelessly transmitted second pressure signal;

a signal conducting member having one end connected to the interface and extending outside of the flexible tube and outside of the pneumatic passageway to the tourniquet instrument; and

a controller connected to the tourniquet instrument and to a second end of the signal conducting member for receiving and comparing the connection pressure signal and the second pressure signal and for initiating a fault alert in instances when those two signals vary by more than a predetermined minimum.

11. The apparatus of claim 10 further comprising:

a register attached to the cuff and having recorded thereon information relating to the cuff; and

the interface being configured to read from the register the information relating to the cuff when the interface and register are within a predetermined, limited communication range.

12. A method of operating a tourniquet cuff having an inflatable portion and a length sufficient to encircle a limb of a patient and a port communicating pneumatically with the inflatable portion of the cuff, comprising the steps of:

providing the port with a cuff connector;

mating the cuff connector with a tourniquet instrument connector to define a connection passageway between the two connectors that communicates pneumatically with the inflatable portion of the cuff;

sensing the pressure in the connection passageway with a connection transducer mounted external to a remote tourniquet instrument and adjacent to the connection passageway, and generating a connection pressure signal representing the pressure within the inflatable portion of the cuff;

wirelessly transmitting the connection pressure signal from the connection transducer to an interface that is mounted to the tourniquet instrument connector;

providing a flexible tube extending from the tourniquet instrument connector to the tourniquet instrument for defining therebetween a continuous pneumatic passageway communicating pneumatically with the connection passageway;

conducting the connection pressure signal from the interface along a signal conducting member that is external to the flexible tube;

mounting an internal transducer to the tourniquet instrument and detecting the pressure in the continuous pneumatic passageway, and providing a second pressure signal representing the pressure in the continuous pneumatic passageway; and

receiving and comparing the connection pressure signal and the second pressure signal and initiating a fault alert in instances when those two signals vary by more than a predetermined minimum.

13. The method of claim 12 further comprising the steps of:

attaching to the cuff a register and recording thereon information relating to the cuff; and

configuring the interface to read from the register the information relating to the cuff when the interface and register are within a predetermined, limited communication range.