Occlusion detection method

• US 9,101,712 B2
• Filed: 03/09/2012
• Issued: 08/11/2015
• Est. Priority Date: 03/09/2012
• Status: Active Grant

• Current Assignee: Zevex (Moog Incorporated)
• Original Assignee: Zevex (Moog Incorporated)
• Inventors: Denis, Scott A., Williams, Silke
• Primary Examiner(s): Tsai, Carol S
• Application Number:
  US13/416,302
• Publication Number:
  US 20130238261A1
• Time in Patent Office: 1,250 Days
• Field of Search: 702/50, 604/65, 604/151, 604/153, 604/300, 604/500, 128/DIG.13
• US Class Current: 1/1
• CPC Class Codes: A61M 2005/16863 Occlusion detection
• CPC Class Codes: A61M 2005/16868 Downstream occlusion sensors
• CPC Class Codes: A61M 2005/16872 Upstream occlusion sensors
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 5/16831 Monitoring, detecting, signalling or eliminating infusion flow anomalies low-level float-valves causing cut-off A61M5/40; indicating or recording presence, absence or direction of flow in general G01P13/0066
• CPC Class Codes: A61M 5/16854 by monitoring line pressure
• CPC Class Codes: G16H 20/17 delivered via infusion or injection

Abstract

Methods for improving the accuracy of occlusion sensor baselines in an infusion pump are described. An infusion pump includes logic for making an antiratchet decision for determining whether a new administration set was installed after there has been access to the administration set. If so, then new occlusion sensor baselines are established. If not, then the current baselines are maintained. The antiratchet decision logic may depend upon the value of a baseline delta equal to a difference between the upstream sensor signal and the downstream sensor signal. In another aspect, an upstream occlusion sensor baseline is shifted in correspondence with decreases in the upstream sensor signal occurring while a pumping mechanism of the infusion pump is not operating to compensate for sensor signal drift.

Claims

1. A method of detecting an occlusion in tubing connected to an infusion pump by a cassette removably received by the infusion pump, the infusion pump having a pumping mechanism operable to cause fluid flow through the tubing in an intended flow direction, a cassette access sensor providing a signal indicative of whether there is access to the cassette to allow removal of the cassette and installation of a new cassette, an upstream sensor at a location along the tubing upstream from the pumping mechanism in the flow direction, and a downstream sensor at a location along the tubing downstream from the pumping mechanism in the flow direction, wherein the upstream sensor and downstream sensor each provide a respective sensor signal indicative of a respective local fluid pressure in the tubing, the method comprising the steps of:

establishing an upstream sensor signal baseline corresponding to fluid pressure equilibrium at the upstream sensor location and a downstream sensor signal baseline corresponding to fluid pressure equilibrium at the downstream sensor location;

making an antiratchet decision in response to a signal from the cassette access sensor, the antiratchet decision determining whether or not occluded tubing was replaced;

keeping the established upstream sensor signal baseline and the downstream sensor signal baseline when the antiratchet decision determines that occluded tubing was not replaced;

establishing a new upstream sensor signal baseline and a new downstream sensor signal baseline when the antiratchet decision determines that occluded tubing was replaced;

monitoring a difference between the upstream sensor signal and the upstream sensor baseline signal to detect an occlusion in the tubing upstream from the pumping mechanism; and

monitoring a difference between the downstream sensor signal and the downstream sensor baseline signal to detect an occlusion in the tubing downstream from the pumping mechanism.

2. The method according to claim 1, wherein the step of making the antiratchet decision includes the substeps of calculating a baseline delta equal to a difference between the upstream sensor signal and the downstream sensor signal and comparing the baseline delta to a predetermined minimum baseline delta, wherein the antiratchet decision determines that occluded tubing was not replaced if the baseline delta is less than the minimum baseline delta.

3. The method of claim 1, wherein the step of making the antiratchet decision includes the substep of comparing the downstream sensor signal to a predetermined downstream signal limit, wherein the antiratchet decision determines that occluded tubing was not replaced if the downstream sensor signal is greater than the downstream signal limit.

4. The method according to claim 2, wherein the step of making the antiratchet decision further includes the substep of comparing the downstream sensor signal to a predetermined downstream signal limit, wherein the antiratchet decision determines that occluded tubing was not replaced if the downstream sensor signal is greater than the downstream signal limit.

5. The method according to claim 2, wherein the minimum baseline delta is determined based on historical baseline delta values stored by the infusion pump.

6. The method according to claim 1, further comprising the step of shifting the upstream sensor signal baseline in correspondence with decreases in the upstream sensor signal occurring while the pumping mechanism is not operating.

7. A method of making an antiratchet decision with respect to an infusion pump operatively connected to replaceable tubing by a replaceable cassette, the infusion pump having a pumping mechanism operable to cause fluid flow through the tubing in an intended flow direction, a cassette access sensor providing a signal indicative of whether there is access to the cassette to allow removal of the cassette and installation of a new cassette, an upstream sensor at a location along the tubing upstream from the pumping mechanism in the flow direction, and a downstream sensor at a location along the tubing downstream from the pumping mechanism in the flow direction, wherein the upstream sensor and downstream sensor each provide a respective sensor signal indicative of a respective local fluid pressure in the tubing, wherein the antiratchet decision determines whether or not occluded tubing was replaced, the method comprising the steps of:

calculating a baseline delta equal to a difference between the upstream sensor signal corresponding to a condition of fluid pressure equilibrium at the upstream sensor location and the downstream sensor signal corresponding to a condition of fluid pressure equilibrium at the downstream sensor location and comparing the baseline delta to a predetermined minimum baseline delta, wherein the antiratchet decision determines that occluded tubing was not replaced if the baseline delta is less than the minimum baseline delta.

8. The method of claim 7, wherein the method of making the antiratchet decision further comprises the step of comparing the downstream sensor signal to a predetermined downstream signal limit, wherein the antiratchet decision determines that occluded tubing was not replaced if the downstream sensor signal is greater than the downstream signal limit.

9. The method according to claim 7, wherein the minimum baseline delta is determined based on historical baseline delta values stored by the infusion pump.

10. An infusion pump comprising:

a housing including a cassette receptacle arranged to removably receive a cassette for connecting tubing to the pump;

a pumping mechanism operable to cause fluid flow through the tubing in an intended flow direction;

a cassette access sensor providing a signal indicative of whether there is access to the cassette to allow removal of the cassette and installation of a new cassette;

an upstream sensor at a location along the tubing upstream from the pumping mechanism in the flow direction, and a downstream sensor at a location along the tubing downstream from the pumping mechanism in the flow direction, wherein the upstream sensor and downstream sensor each provide a respective sensor signal indicative of a respective local fluid pressure in the tubing;

one or more memory modules configured to store an upstream sensor signal baseline corresponding to fluid pressure equilibrium at the upstream sensor location and a downstream sensor signal baseline corresponding to fluid pressure equilibrium at the downstream sensor location; and

a microprocessor connected to the one or more memory modules, the pumping mechanism, the cassette access sensor, the upstream sensor and the downstream sensor;

wherein the one or more memory modules is further configured to store instructions causing the microprocessor to make an antiratchet decision in response to a signal from the cassette access sensor, the antiratchet decision determining whether or not occluded tubing was replaced.

11. The infusion pump according to claim 10, wherein the one or more memory modules is further configured to store instructions causing the microprocessor to establish a new upstream sensor signal baseline and a new downstream sensor signal baseline when the antiratchet decision determines that occluded tubing was replaced.

12. A method of detecting an occlusion in tubing connected to an infusion pump, the infusion pump having a pumping mechanism operable to cause fluid flow through the tubing in an intended flow direction and an upstream sensor at a location along the tubing upstream from the pumping mechanism in the flow direction, wherein the upstream sensor provides a sensor signal indicative of a local fluid pressure in the tubing, the method comprising the steps of:

establishing an upstream sensor signal baseline corresponding to fluid pressure equilibrium at the upstream sensor location;

shifting the upstream sensor signal baseline in correspondence with decreases in the upstream sensor signal occurring while the pumping mechanism is not operating; and

monitoring a difference between the upstream sensor signal and the upstream sensor baseline signal to detect an occlusion in the tubing upstream from the pumping mechanism.

13. An infusion pump comprising:

a pumping mechanism operable to cause fluid flow through tubing in an intended flow direction;

an upstream sensor at a location along the tubing upstream from the pumping mechanism in the flow direction, wherein the upstream sensor provides a sensor signal indicative of a local fluid pressure in the tubing;

one or more memory modules configured to store an upstream sensor signal baseline corresponding to fluid pressure equilibrium at the upstream sensor location; and

a microprocessor connected to the one or more memory modules, the pumping mechanism, and the upstream sensor;

wherein the one or more memory modules is further configured to store instructions causing the microprocessor to shift the upstream sensor signal baseline in correspondence with decreases in the upstream sensor signal occurring while the pumping mechanism is not operating.