Systems and methods for detection of wound fluid blood and application of phototherapy in conjunction with reduced pressure wound treatment system

• US 9,326,683 B2
• Filed: 04/18/2011
• Issued: 05/03/2016
• Est. Priority Date: 04/06/1999
• Status: Active Grant

• Current Assignee: 3M Innovative Properties Company (3M Company)
• Original Assignee: KCI Licensing Incorporated (3M Company)
• Inventors: Ganapathy, Premnarayan, Johnson, Royce, Robinson, Tim, Locke, Christopher B.
• Primary Examiner(s): Zalukaeva, Tatyana
• Assistant Examiner(s): TREYGER, ILYA Y
• Application Number:
  US13/089,077
• Publication Number:
  US 20110196284A1
• Time in Patent Office: 1,842 Days
• Field of Search: 604/327, 604/541, 604/543
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/1468 using chemical or electrochemical methods, e.g. by polarographic means A61B5/1486 takes precedence
• CPC Class Codes: A61B 5/445 Evaluating skin irritation or skin trauma, e.g. rash, eczema, wound, bed sore
• CPC Class Codes: A61B 5/6834 using vacuum
• CPC Class Codes: A61M 1/73 comprising sensors or indicators for physical values
• CPC Class Codes: A61M 1/90 Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
• CPC Class Codes: A61M 1/95 with sensors for exudate composition
• CPC Class Codes: A61N 2005/0651 Diodes

Abstract

Wound fluid blood detection systems and methods are described that are operable in conjunction with reduced pressure wound treatment (RPWT) systems, as well as ancillary therapy and monitoring systems applied concurrently with RPWT systems. The blood detection monitor operates by optically characterizing the content of wound fluids to the extent of identifying percentage blood content. This identification relies upon the transmission of select wavelengths of light across a volume of wound fluid to a photo detector (connected to signal processing instrumentation) capable of quantifying the absorption characteristics of the fluid. The detection components may be implemented in conjunction with either a fluid flow conduit (i.e. the reduced pressure tubing directing fluid away from the wound dressing) or more directly in association with the materials that comprise the wound dressing positioned within the wound bed itself. In addition, the present invention is configured to operate in conjunction with blood gas monitoring, systems operating with the RPWT. Finally, the components of the systems that serve to illuminate the wound bed, lend themselves to use in conjunction with illumination in discreet electromagnetic wave wavelengths suitable for the application of phototherapy.

Claims

1. A blood detection system operable with a reduced pressure wound treatment (RPWT) system including a conduit for conducting reduced pressure to a wound dressing and withdrawing wound fluid from a wound, comprising:

an electromagnetic (EM) wave source oriented to at least partially illuminate an interior portion of the conduit, wherein wound fluid is present within the conduit during operation of the RPWT system;

wherein said EM wave source comprises at least one light wave guide integrated into the conduit walls, the light wave guide having a first end oriented to at least partially illuminate the interior portion of the conduit and a second end for receiving EM waves originating adjacent at least one LED remote from the conduit; and

an electromagnetic (EM) wave detector positioned to be receptive of attenuated EM waves originating from said source and attenuated after passing through the interior portion of the conduit, said attenuation resulting from a partial and wavelength-specific absorption measurable and indicative of a level of blood within said wound fluid;

wherein said EM wave detector comprises a light wave guide integrated into the conduit walls, the light wave guide having a first end positioned generally opposite of said EM wave source for receiving attenuated EM waves, and a second end for transmitting the attenuated EM waves and terminating adjacent a solid state photo detector remote from the conduit.

2. The blood detection system of claim 1 further comprising

a microprocessor electrically coupled to the EM wave source and the EM wave detector and operable to sequentially pulse the EM wave source to effect absorption by the wound fluid and attenuation measurements by the EM wave detector configured to provide attenuation measurements to the microprocessor, wherein the microprocessor provides an output signal indicating the level of blood within the wound fluid flowing through the conduit.

3. The blood detection system of claim 2, further comprising an alert indicator device, said microprocessor further in signal communication with said alert indicator device and programmed to trigger said alert indicator device upon said signal data indicating a new level of EM wave absorption outside a predetermined range.

4. The blood detection system of claim 2, further comprising an RPWT control device, said microprocessor further in signal communication with said RPWT control device and programmed to operate said RPWT control device upon said signal data indicating a level of EM wave absorption outside a predetermined range, said RPWT control device connected to said RPWT system and serving to modify the operation of said RPWT system.

5. The blood detection system of claim 1, wherein said EM wave source comprises a plurality of light sources, each light source configured to illuminate the wound fluid in a distinct range of spectral wavelengths.

6. The blood detection system of claim 5, wherein the distinct range of spectral wavelengths is selected from a group of wavelengths of 540 nm, 560 nm, 580 nm, 620 nm, 640 nm, 660 nm, and 800 nm.

7. The blood detection system of claim 1, wherein said at least one LED comprises a first LED structured to emit light at a wavelength selected from the group of wavelengths of 542 nm, 576 nm and 740 nm, and a second LED structured to emit light at a wavelength in a range from 800 nm to 810 nm, and said photo detector is sensitive to light at the wavelengths associated with said first and second LEDs.

8. The fluid detection system of claim 1, wherein said EM wave source and said EM wave detector are positioned opposite each other across a diameter of the conduit of the RPWT system.

9. The blood detection system of claim 1, wherein said EM wave source is alternately operable to provide EM wave illumination suitable for absorption by blood components within the wound fluid and operable to provide EM wave illumination suitable for providing phototherapy to a wound undergoing the RPWT.

10. The blood detection system of claim 9, wherein said EM wave illumination suitable for providing phototherapy comprises ultraviolet light.

11. The blood detection system of claim 9, wherein said EM wave illumination suitable for providing phototherapy comprises infrared light.