Tourniquet effector

• US 8,758,390 B2
• Filed: 04/08/2011
• Issued: 06/24/2014
• Est. Priority Date: 04/13/2010
• Status: Active Grant

• Current Assignee: Western Clinical Engineering Ltd.
• Original Assignee: Western Clinical Engineering Ltd.
• Inventors: McEwen, James A., Jameson, Michael, Gebert, Michael A.
• Primary Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US13/083,153
• Publication Number:
  US 20110251636A1
• Time in Patent Office: 1,173 Days
• Field of Search: 606201-203
• US Class Current: 606/203
• CPC Class Codes: A61B 17/132 Tourniquets sphygmomanometer A61B5/022
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 5/489 Blood vessels
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence
• CPC Class Codes: A61B 8/4455 Features of the external shape of the probe, e.g. ergonomic aspects
• CPC Class Codes: A61B 8/4483 characterised by features of the ultrasound transducer

Abstract

Tourniquet effector system estimates and indicates the pressure gradients produced on the surface of the body by an effector, thereby allowing the pressure gradients to be minimized. The system also detects and monitors blood flow beneath the effector, thereby allowing the pressure applied by the effector to be regulated near the minimum necessary to stop blood flow past the effector.

Claims

1. A tourniquet effector for applying pressure to a body through which arterial blood flows, comprising:

an effector having a back face and a front face that includes at least two pressure sensors;

a fixture structure for supporting the effector adjacent to a surface on the body;

an actuator attached between effector back face and the fixture structure, the actuator being movable and controllable for advancing the effector to press the effector front face against a contact area on the body surface at a particular orientation of the front face relative to the contact area;

wherein the pressure sensors produce a pressure signal indicative of the pressure applied by the front face to the contact area; and

a controller for controlling the actuator, the controller being in communication with the pressure sensors for receiving the pressure signal, the controller operable for estimating and indicating a pressure gradient in the body that is produced by the front face of the effector when pressed against the contact area of the body surface, whereby the pressure gradient is a rate of change of pressure across a distance in the body.

2. The tourniquet effector of claim 1 wherein the front face has a perimeter that defines the contact area on the body surface against which the front face is pressed, the front face being configured so that no pressure is applied by the effector outside of the perimeter of the front face and so that the front face does not surround the body.

3. The tourniquet effector of claim 1 wherein the front face is generally convex shaped to thus reduce the pressure gradient.

4. The tourniquet effector of claim 1 wherein the front face shape is changeable, thereby to change the pressure gradient when the front face is pressed against the contact area of the body surface.

5. The tourniquet effector of claim 1 wherein the actuator is a linear actuator.

6. The tourniquet effector of claim 1 wherein the actuator is movable in more than one degree of freedom, thereby enabling the actuator to advance the effector to press the effector front face against a contact area on the body surface at any one of a plurality of particular orientations of the front face relative to the contact area

7. The tourniquet effector of claim 1 wherein the at least two pressure sensors are spaced apart from each other at locations on the front face and producing pressure signals indicative of the pressure applied by the front face to the contact area at the locations of the sensors, and wherein the controller is in communication with the sensors for receiving the pressure signals, and for estimating and indicating the pressure gradient produced by the front face of the effector when pressed against the contact area of the body surface.

8. The tourniquet effector of claim 7 wherein the controller employs data relating to the shape of the front face for estimating and indicating the pressure gradient.

9. The tourniquet effector of claim 7 wherein the controller employs data relating to the particular orientation of the front face for estimating and indicating the pressure gradient.

10. The tourniquet effector of claim 1, further comprising a transducer communicating with the controller and arranged for determining a distance of penetration of blood flow in an artery that underlies the front face.

11. The tourniquet effector of claim 10 wherein the controller controls the actuator for advancing the front face based upon the distance of penetration of blood flow in an artery underlying the front face as determined by the transducer.

12. The tourniquet effector of claim 11 wherein the transducer comprises a two-dimensional ultrasonic array.

13. A tourniquet effector for stopping arterial blood flow in a body, comprising:

an effector having a front face sized to overlie an artery in a region of the body and having a predetermined area, the effector also having a back face;

actuation means for applying force to the back face to position the effector front face at a surface of the body to overlie the artery and for applying the effector front face to the body surface with a level of pressure sufficient to stop blood flow in the artery;

pressure sensors mounted at the front face for estimating at least two levels of pressure applied by the effector front face to at least two locations between which is defined a distance across the body surface; and

means for communicating with the sensors and for producing a user-perceptible indication of a pressure gradient, wherein the pressure gradient is a rate of change of pressure across a distance in the body.

14. The tourniquet effector of claim 13 wherein the shape of the tourniquet effector front face is changeable, thereby to enable changes in the pressure gradient.

15. The tourniquet effector of claim 13 further comprising:

transducer means for detecting a distance of penetration of blood flow in the artery;

control means communicating with the transducer means for controlling the actuation means for pressing the effector front face against the surface with a pressure sufficient to maintain the distance of penetration of blood in the artery near a selected distance of penetration.