Syringe pump rapid occlusion detection system

• US 8,900,213 B2
• Filed: 06/07/2012
• Issued: 12/02/2014
• Est. Priority Date: 11/04/2003
• Status: Active Grant

• Current Assignee: Brian Pope, Zhan Liu
• Original Assignee: Brian Pope, Zhan Liu
• Inventors: Pope, Brian, Liu, Zhan
• Primary Examiner(s): GILBERT, ANDREW M
• Application Number:
  US13/490,848
• Publication Number:
  US 20120245525A1
• Time in Patent Office: 908 Days
• Field of Search: 604/890.1, 604 65- 67, 604503-505, 604/131, 604/151, 604/152, 604/154, 604/155
• US Class Current: 604/503
• CPC Class Codes: A61M 2005/16863 Occlusion detection
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: A61M 5/16854 by monitoring line pressure
• CPC Class Codes: A61M 5/16859 Evaluation of pressure response, e.g. to an applied pulse
• CPC Class Codes: A61M 5/5086 for indicating if defective, used, tampered with or unsterile

Abstract

An apparatus and method for detecting an occlusion in a downstream fluid line of a medical pump in relation to increased pressure in the downstream fluid line between the beginning and the end of each interval of a series of intervals of operation of the pump even if one or more intervals between the first and last intervals does not reflect such an increase in pressure in the downstream fluid line.

Claims

1. A method of automatically detecting an occlusion in a downstream fluid line of a medical pumping system, the downstream fluid line being configured to carry fluid under pressure between a fluid source and a patient, the method comprising:

operating the medical pumping system to carry fluid under pressure in the downstream fluid line over a series of intervals having a first interval, a last interval, and a plurality of intervals therebetween;

determining, for each of the first interval, the last interval, and at least one of the plurality of intervals therebetween (“

middle interval”

), a relationship between an instantaneous pressure indicative of force in the downstream fluid line at an end of the interval and an instantaneous pressure indicative of force in the downstream fluid line at a beginning of the interval; and

providing an indication that an occlusion exists if (a) for each of the first interval, the last interval, and the middle interval the determined relationship departs from an expected relationship and (b) for at least a second one of the plurality of intervals (“

intermediate interval”

) either (i) said relationship is not determined or (ii) said relationship is determined, but said determined relationship of the intermediate interval does not depart from the expected relationship.

2. The method of claim 1, wherein the series of intervals comprises consecutive intervals.

3. The method of claim 1, wherein a count value of a counter is incremented if the determined relationship for an interval of the series of intervals departs from the expected relationship.

4. The method of claim 3, wherein the count value of the counter is not incremented if the determined relationship for an interval of the series of intervals does not depart from the expected relationship.

5. The method of claim 4, wherein providing an indication that an occlusion exists further requires that the last interval results in the count value of the counter reaching an expected value.

6. The method of claim 1, wherein the medical pumping system is a syringe pump including a housing adapted to support a syringe containing a plunger moveable inside the syringe by pushing an end of a plunger with a pusher to expel fluid from an outlet of the syringe into a downstream fluid line connected to the outlet and configured to carry the fluid under pressure to a patient, the method further comprising mounting the syringe onto the housing with the plunger end extended, coupling the pusher to the end of the plunger, and operating the syringe pump to cause the pusher to push the end of the plunger whereby to cause fluid under pressure to be carried in the downstream fluid line over the series of intervals.

7. A method of automatically detecting an occlusion in a downstream fluid line of a medical pumping system, the downstream fluid line being configured to carry fluid under pressure between a fluid source and a patient, the method comprising:

operating the medical pumping system to carry fluid under pressure in the downstream fluid line over a series of intervals having a first interval, a last interval, and at least one interval therebetween (“

intermediate interval”

);

determining, for each of the first interval and the last interval, a relationship between an instantaneous pressure indicative of force in the downstream fluid line at an end of the interval and an instantaneous pressure indicative of force in the downstream fluid line at a beginning of the interval; and

providing an indication that an occlusion exists if (a) for each the first interval and the last interval the determined relationship departs from an expected relationship and (b) for the intermediate interval either (i) said relationship is not determined or (ii) said relationship is determined, but said determined relationship of the intermediate interval does not depart from the expected relationship.

8. The method of claim 7, wherein the series of intervals comprises consecutive intervals.

9. The method of claim 7, wherein a count value of a counter is incremented for each of the first and last intervals if the determined relationship for each such interval departs from the expected relationship.

10. The method of claim 9, wherein providing an indication that an occlusion exists further requires that the last interval results in the count value of the counter reaching an expected value.

11. The method of claim 7, wherein the medical pumping system is a syringe pump including a housing adapted to support a syringe containing a plunger moveable inside the syringe by pushing an end of a plunger with a pusher to expel fluid from an outlet of the syringe into a downstream fluid line connected to the outlet and configured to carry the fluid under pressure to a patient, the method further comprising mounting the syringe onto the housing with the plunger end extended, coupling the pusher to the end of the plunger, and operating the syringe pump to cause the pusher to push the end of the plunger whereby to cause fluid under pressure to be carried in the downstream fluid line over the series of intervals.

12. A medical pumping system for pumping fluid under pressure through a downstream fluid line configured to carry fluid under pressure between a fluid source and a patient, the system comprising:

a pump configured to force fluid from a fluid source under pressure into a downstream fluid line;

a sensor for determining force values indicative of force in said downstream fluid line; and

a processor in communication with the pump, the processor being configured to execute program code that operates the pump to force fluid under pressure in said downstream fluid line over a series of intervals having a first interval, a last interval, and a plurality of intervals therebetween;

wherein the processor is further configured to execute program code to;

determine, for each of the first interval, the last interval, and at least one of the plurality of intervals therebetween (“

middle interval”

), a relationship between an instantaneous pressure indicative of force in said downstream fluid line at an end of the interval and an instantaneous pressure indicative of force in said downstream fluid line at a beginning of the interval; and

provide an indication that an occlusion exists if (a) for each of the first interval, the last interval, and the middle interval the determined relationship departs from an expected relationship and (b) for at least a second one of the plurality of intervals (“

intermediate interval”

) either (i) said relationship is not determined or (ii) said relationship is determined, but said determined relationship of the intermediate interval does not depart from the expected relationship.

13. The system of claim 12, wherein the series of intervals comprises consecutive intervals.

14. The system of claim 12 further comprising a counter, wherein the processor is further configured to execute program code to increment a count value of the counter if the determined relationship for an interval of the series of intervals departs from the expected relationship.

15. The system of claim 14, wherein the processor is further configured to execute program code to not increment the count value of the counter if the determined relationship for an interval of the series of intervals does not depart from the expected relationship.

16. The system of claim 15, wherein the processor being configured to execute program code to provide an indication that an occlusion exists further requires that the last interval results in the count value of the counter reaching an expected value.

17. The system of claim 12, wherein the medical pumping system is a syringe pump including a housing adapted to support a syringe and a pusher configured to push a plunger moveable inside said syringe to expel fluid from an outlet of said syringe into a downstream fluid line connected to said outlet and configured to carry fluid under pressure to a patient.

18. A medical pumping system for pumping fluid under pressure through a downstream fluid line configured to carry fluid under pressure between a fluid source and a patient, the system comprising:

a pump configured to force fluid from a fluid source under pressure into a downstream fluid line;

a sensor for determining force values indicative of force in said downstream fluid line;

a processor in communication with the pump, the processor being configured to execute program code that operates the pump to force fluid under pressure in said downstream fluid line over a series of intervals having a first interval, a last interval, and at least one interval therebetween (“

intermediate interval”

);

wherein the processor is further configured to execute program code to;

determine, for each of the first interval and the last interval, a relationship between an instantaneous pressure indicative of force in said downstream fluid line at an end of the interval and an instantaneous pressure indicative of force in said downstream fluid line at a beginning of the interval; and

provide an indication that an occlusion exists if (a) for each of the first interval and the last interval the determined relationship departs from an expected relationship and (b) for the intermediate interval either (i) said relationship is not determined or (ii) said relationship is determined, but said determined relationship of the intermediate interval does not depart from the expected relationship.

19. The system of claim 18, wherein the series of intervals comprises consecutive intervals.

20. The system of claim 18 further comprising a counter, wherein the processor is further configured to execute program code to increment a count value of the counter for each of the first and last intervals if the determined relationship for each such interval departs from the expected relationship.

21. The system of claim 20, wherein the processor being configured to execute program code to provide an indication that an occlusion exists further requires that the last interval results in the count value of the counter reaching an expected value.

22. The system of claim 18, wherein the medical pumping system is a syringe pump including a housing adapted to support a syringe and a pusher configured to push a plunger moveable inside said syringe to expel fluid from an outlet of said syringe into a downstream fluid line connected to said outlet and configured to carry fluid under pressure to a patient.