Tourniquet hazard suppressor

• US 9,138,236 B2
• Filed: 07/04/2011
• Issued: 09/22/2015
• Est. Priority Date: 07/23/2010
• Status: Active Grant

• Current Assignee: Western Clinical Engineering Ltd.
• Original Assignee: Western Clinical Engineering Ltd.
• Inventors: McEwen, James A., Jameson, Michael
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): KNAUSS, CHRISTIAN D
• Application Number:
  US13/811,309
• Publication Number:
  US 20130211445A1
• Time in Patent Office: 1,541 Days
• Field of Search: 606/201, 606/202, 606/203
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1355 Automated control means therefor
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00132 Setting operation time of a device A61B2017/00123 takes precedence
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00212 using remote controls
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves

Abstract

A tourniquet hazard suppressor suppresses an action initiated by a user of a surgical tourniquet system having a touchscreen user interface if implementation of that action by the system may be hazardous to a surgical patient.

Claims

1. A surgical tourniquet system having a hazard suppressor, comprising:

a touchscreen user interface including a graphical display adapted for displaying information visually to a user, wherein the graphical display is further adapted to show a touchscreen key corresponding to a desired action of a tourniquet controller, and wherein the touchscreen user interface detects actuation of the touchscreen key by the user and produces a user input signal upon actuation;

a tourniquet controller communicating with the touchscreen user interface through a hazard suppressor and further communicating with a cuff pressure regulator, wherein the cuff pressure regulator is connected pneumatically to a tourniquet cuff applied to a surgical patient;

a cuff pressure transducer for sensing a level of pressure in the tourniquet cuff and for producing a cuff pressure signal indicative of the level of pressure sensed; and

the hazard suppressor adapted for detecting a malfunction of the touchscreen user interface and responsive to the cuff pressure signal, wherein the hazard suppressor suppresses communication of the user input signal to the tourniquet controller if the malfunction is detected at a time when the level of pressure indicated by the cuff pressure signal differs substantially from a reference level.

2. The apparatus of claim 1 wherein the reference level is zero and wherein the desired action is depressurization of the tourniquet cuff.

3. The apparatus of claim 1 wherein the hazard suppressor is located remotely from the touchscreen user interface.

4. The apparatus of claim 3 wherein the touchscreen user interface communicates by wireless means with the tourniquet controller through the hazard suppressor.

5. The apparatus of claim 1 wherein the cuff pressure regulator is normally operable for maintaining tourniquet cuff pressure near the reference level during a time period of a surgical procedure,

and including a remote apparatus operable independently of the touchscreen user interface for producing a remote input signal indicative of a second reference level, wherein the remote apparatus communicates the remote input signal to the tourniquet controller through the hazard suppressor, and

wherein the hazard suppressor further suppresses communication of the remote input signal to the tourniquet controller if the difference between the reference level and the second reference level is greater than a predetermined difference.

6. The apparatus of claim 1 and including a power supply for supplying electrical power to the touchscreen user interface, the hazard suppressor, the tourniquet controller and the cuff pressure regulator, and wherein the desired action is interruption of supply of electrical power.

7. The apparatus of claim 1 wherein the hazard suppressor further produces a hazard suppression signal when communication is suppressed, and including a hazard suppression alarm operable independently of the touchscreen user interface to produce a hazard suppression alarm perceptible to the user in response to the production of hazard suppression signal.

8. The apparatus of claim 1 wherein the hazard suppressor further produces a hazard signal when the malfunction is detected.

9. The apparatus of claim 1, wherein the touchscreen user interface includes a light sensor for sensing a level of light produced by the graphical display of the touchscreen user interface and for producing a light level signal indicative of the level of light sensed, and wherein the hazard suppressor detects the malfunction when the level of light indicated by the light level signal is less than a predetermined minimum light threshold.

10. The apparatus of claim 9 wherein the hazard suppressor further produces a display hazard alarm if the level of light indicated by the light level signal is greater than the predetermined minimum light threshold and less than a low-light threshold, wherein the low-light threshold is greater than the predetermined minimum light threshold.

11. The apparatus of claim 1 wherein the graphical display of the touchscreen user interface communicates with the tourniquet controller through a graphical display controller, wherein the graphical display controller produces a display controller malfunction signal indicative of a malfunction of the graphical display controller, and wherein the hazard suppressor detects the malfunction of the touchscreen user interface in response to the production of the display controller malfunction signal.

12. The apparatus of claim 1 wherein the touchscreen key displays an icon representing the desired action of the tourniquet controller.

13. A surgical tourniquet system having a hazard suppressor, comprising:

a touchscreen user interface for displaying information visually to a user and including a touchscreen key adapted for actuation by the user to produce a user input signal;

a tourniquet controller communicating with the touchscreen user interface through a hazard suppressor and further communicating with a cuff pressure regulator, wherein the cuff pressure regulator is connected pneumatically to a tourniquet cuff applied to a surgical patient;

a power supply responsive to a power control signal for selectively supplying and interrupting electrical power to each of the touchscreen user interface, the tourniquet controller, the cuff pressure regulator, a hazard suppression alarm and the hazard suppressor, each requiring supply of electrical power for operation;

the hazard suppression alarm responsive to a hazard suppression signal and operable independently of the touchscreen user interface for producing a hazard suppression alarm perceptible to the user if the hazard suppression signal is produced;

a power control key operable independently of operation of the touchscreen user interface and located away from the touchscreen user interface, wherein the power control key detects an actuation by the user and produces the power control signal indicative of the actuation; and

the hazard suppressor adapted for detecting a malfunction of the touchscreen user interface and responsive to the power control signal, wherein the hazard suppressor suppresses communication of the power control signal to the power supply when the malfunction is detected, and wherein the hazard suppressor further produces the hazard suppression signal when communication is suppressed.

14. The apparatus of claim 13 wherein the hazard suppressor includes override means operable if the power control signal indicates actuation of the power control key for a time period greater than a predetermined maximum normal actuation time after the malfunction is detected, wherein the override means is operable for communicating the power control signal to the power supply while the malfunction is detected.

15. The apparatus of claim 13 wherein the hazard suppressor includes override means operable if the power control signal indicates actuation of the power control key for a time period greater than a predetermined maximum normal actuation time after the malfunction is detected, wherein the override means is operable for inhibiting production of the hazard suppression signal.

16. The apparatus of claim 13 wherein the hazard suppressor includes override means operable when the malfunction is detected and if the power control signal indicates a first actuation of the power control key by the user and a second confirming actuation within a predetermined override period after the first actuation, and wherein the override means is operable by communicating the power control signal to the power supply after the malfunction is detected.

17. The apparatus of claim 16 wherein the actuation by the user initiates an interruption of supply of electrical power.

18. The apparatus of claim 13 where the power control key communicates with the hazard suppressor through a keypad controller, wherein the hazard suppressor is further adapted for detecting a malfunction of the keypad controller, and wherein the hazard suppressor further suppresses communication of the power control signal to the power supply when the malfunction of the keypad controller is detected.

19. A surgical tourniquet system having a hazard suppressor, comprising:

a touchscreen user interface including a graphical display adapted for displaying information visually to a user, wherein the graphical display is further adapted to show a touchscreen key corresponding to a desired action of a tourniquet controller, and wherein the touchscreen user interface detects actuation of the touchscreen key by the user and produces a user input signal upon actuation;

a tourniquet controller communicating with the touchscreen user interface through the hazard suppressor and further communicating with a cuff pressure regulator, wherein the cuff pressure regulator is connected pneumatically to a tourniquet cuff applied to a surgical patient;

a cuff pressure transducer for sensing a level of pressure in the tourniquet cuff and for producing a cuff pressure signal indicative of the level of pressure sensed;

a power supply responsive to a power control signal produced by a power control key for selectively supplying and interrupting electrical power to at least the touchscreen user interface, the tourniquet controller, the cuff pressure regulator, the cuff pressure transducer, a hazard suppression alarm and the hazard suppressor, each requiring supply of electrical power for operation;

a power control key detecting an actuation by the user and for producing the power control signal indicative of the actuation; and

the hazard suppressor operable by detecting a malfunction of the touchscreen user interface at a detection time when the level of pressure indicated by the cuff pressure signal is substantially greater than zero, and further operable upon detection of the malfunction at the detection time by

suppressing communication of the user input signal to the tourniquet controller,

suppressing communication of the power control signal to the power supply; and

wherein the hazard suppressor includes override means enabling the user to override only suppression of communication of the power control signal to the power supply after detection of the malfunction at the detection time.

20. The apparatus of claim 19 wherein the hazard suppressor further produces a hazard suppression signal upon detection of the malfunction at the detection time and including a hazard suppression alarm responsive to the hazard suppression signal and operable independently of the touchscreen user interface for producing a hazard suppression alarm perceptible to the user.

21. The apparatus of claim 19 and wherein detection of actuation of the power control key is independent of operation of the touchscreen user interface and wherein the power control key is located away from the touchscreen user interface.

22. The apparatus of claim 21 wherein the override means overrides suppression of communication of the power control signal to the power supply if the power control signal indicates actuation of the power control key by the user for a time period greater than a predetermined maximum normal actuation time.

23. The apparatus of claim 21 wherein the override means overrides suppression of communication of the power control signal to the power supply if the power control signal indicates a first actuation of the power control key by the user after detection of the malfunction at the detection time and a second confirming actuation by the user within a predetermined override period after the first actuation.

24. A surgical tourniquet system having a hazard suppressor, comprising:

a touchscreen user interface including a graphical display adapted for displaying information visually to a user, wherein the graphical display is further adapted to show a touchscreen key, wherein the touchscreen key is shown as an icon representing a desired action of a tourniquet controller within a predetermined touchscreen key perimeter defining a predetermined touchscreen key area at a selected position on the graphical display, and wherein the touchscreen user interface is operable for detecting actuation by sensing a presence of a touch of the user on a region of the graphical display, and wherein the touchscreen user interface is further operable for producing a user input signal indicative of the presence and the region of the touch;

a tourniquet controller communicating with the touchscreen user interface through the hazard suppressor and further communicating with a cuff pressure regulator, wherein the cuff pressure regulator is connected pneumatically to a tourniquet cuff applied to a surgical patient;

a cuff pressure transducer for sensing a level of pressure in the tourniquet cuff and for producing a cuff pressure signal indicative of the level of pressure sensed; and

the hazard suppressor responsive to the user input signal indicative of the presence and region of the touch and adapted for producing a user hazard suppression signal if at least a portion of the region of the touch is located outside the predetermined touchscreen key perimeter, and wherein the hazard suppressor is further adapted for suppressing communication of the user input signal to the tourniquet controller if the user hazard suppression signal is produced at a time when the level of pressure indicated by the cuff pressure signal differs substantially from a reference level.

25. The apparatus of claim 24 wherein the reference level is zero and wherein the desired action is depressurization of the tourniquet cuff.

26. The apparatus of claim 24 wherein the cuff pressure regulator is normally operable for maintaining tourniquet cuff pressure near the reference level during a time period of a surgical procedure,

and including a remote apparatus operable independently of the touchscreen user interface for producing a remote input signal indicative of a remote reference value, wherein the remote apparatus communicates the remote input signal to the tourniquet controller through the hazard suppressor,

wherein the tourniquet controller includes means for changing the reference level to the remote reference value in response to the remote input signal, and

wherein the hazard suppressor further suppresses communication of the remote input signal to the tourniquet controller if a difference between the reference level and the remote reference value is greater than a predetermined difference.

27. The apparatus of claim 24 wherein the graphical display is further adapted to show a second touchscreen key, wherein the second touchscreen key is a second icon representative of a second action of the tourniquet controller within a second predetermined touchscreen key perimeter defining a second predetermined touchscreen key area at a second selected position on the graphical display, and

wherein the touchscreen user interface is further operable for sensing a presence of a second touch of the user on a second region of the graphical display, and wherein the touchscreen user interface is further operable for producing a second user input signal indicative of the presence and the region of the second touch;

and

wherein the hazard suppressor is further adapted for producing a user hazard suppression signal if at least a portion of the region of the second touch is located outside the second predetermined touchscreen key perimeter, and wherein the hazard suppressor is further adapted for suppressing communication of the second user input signal to the tourniquet controller if the user hazard suppression signal is produced at a time when the level of pressure indicated by the cuff pressure signal differs substantially from the reference level.

28. The apparatus of claim 24 and including a hazard suppression alarm responsive to production of the user hazard suppression signal, wherein the hazard suppression alarm is perceptible to the user and operable independently of the of operation of the touchscreen user interface.

29. The apparatus of claim 24, wherein the user hazard suppressor further stops production of the hazard suppression signal upon detecting an interruption of the presence of the touch.

30. A surgical tourniquet system having a hazard suppressor, comprising:

a touchscreen user interface including a graphical display adapted for displaying information visually to a user wherein the graphical display is further adapted to show first and second touchscreen keys,

wherein the first touchscreen key is shown as a first icon within a predetermined touchscreen key perimeter defining a predetermined touchscreen key area at a selected position on the graphical display,

wherein the second touchscreen key is shown as a second icon within a second predetermined touchscreen key perimeter defining a second predetermined touchscreen key area at a second selected position on the graphical display, and

wherein the touchscreen user interface is operable for detecting actuation by sensing a presence of a touch of the user on a plurality of regions of the graphical display, and wherein the touchscreen user interface is further operable for producing a user input signal indicative of the presence and the plurality of regions of the touch;

a tourniquet controller communicating with the touchscreen user interface through the hazard suppressor and further communicating with a cuff pressure regulator, wherein the cuff pressure regulator is connected pneumatically to a tourniquet cuff applied to a surgical patient;

a cuff pressure transducer for sensing a level of pressure in the tourniquet cuff and for producing a cuff pressure signal indicative of the level of pressure sensed; and

the hazard suppressor adapted for communicating the user input signal to the tourniquet controller if the presence of the touch is sensed entirely within the first and second touchscreen key perimeters simultaneously at a time when the level of pressure indicated by the cuff pressure signal differs substantially from zero, wherein the hazard suppressor is further adapted for suppressing communication of the user input signal to the tourniquet controller and for producing a user hazard suppression signal if a region of the touch is sensed outside the first and second touchscreen key perimeters at the time.

31. The apparatus of claim 30 wherein the first and second icons represent one action of the tourniquet controller desired by the user.

32. The apparatus of claim 30 wherein the first and second icons represent an action of the tourniquet controller depressurizing the tourniquet cuff.

33. The apparatus of claim 30 wherein the first icon represents a first action of the tourniquet controller desired by the user and wherein the second icon represents a second action.

34. The apparatus of claim 33 wherein the tourniquet controller is powered electrically to regulate pressure in the tourniquet cuff near a reference pressure level, wherein the first action represents an interruption of electrical power to the tourniquet controller, and wherein the and the second action represents confirmation of the first action by the user.