Device and method for fixing a segment of tubing, for an arrangement for monitoring an access to a patient

• US 9,561,319 B2
• Filed: 08/03/2012
• Issued: 02/07/2017
• Est. Priority Date: 08/04/2011
• Status: Active Grant

• Current Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Original Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Inventors: Bongers, Alexander
• Primary Examiner(s): Zalukaeva, Tatyana
• Assistant Examiner(s): Mensh, Andrew J
• Application Number:
  US13/565,942
• Publication Number:
  US 20130035627A1
• Time in Patent Office: 1,649 Days
• Field of Search: 604/6.16, 604/322, 241/30, 245/18
• US Class Current: 1/1
• CPC Class Codes: A61M 1/36 Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3656 Monitoring patency or flow at connection sites; Detecting disconnections
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body
• CPC Class Codes: A61M 39/281 Automatic tube cut-off devices, e.g. squeezing tube on detection of air
• CPC Class Codes: A61M 5/1418 Clips, separators or the like for supporting tubes or leads
• CPC Class Codes: F16G 11/00 Means for fastening cables or ropes to one another or to other objects; Caps or sleeves for fixing on cables or ropes attaching ropes or cables to lift cars or cages B66B7/08, to winch drums or barrels B66D1/34; ground anchors E02D5/00; anchoring devices for prestressed members E04C5/00; rope clamps in earth drilling E21B19/12
• CPC Class Codes: F16L 3/01 for supporting or guiding the pipes, cables or protective tubing, between relatively movable points, e.g. movable channels

Abstract

A device for fixing a segment of tubing in the form of a loop, for an apparatus by which a fluid is fed to or out from a patient via tubing, in particular for monitoring vascular access in extra-corporeal blood treatment, and a tubing and an arrangement for monitoring, each having the device for fixing the segment, are also described. The fixing of the segment includes a guiding piece and a securing piece. The guiding piece fixes intersecting portions of the segment which forms an eye, thereby forming a loop which contracts under a tractive stress. The securing piece fixes a portion of the segment forming the eye such that when the loop tightens, that portion of the segment does not slip through the guiding piece. Alternatively, intersecting portions of the segment are fixed in a loop only by a guiding piece formed as an annular body.

Claims

1. An arrangement for monitoring at least one of an infeed of a fluid via tubing to a patient or an outfeed of the fluid from the patient, the monitoring arrangement comprising:

a device configured to monitor a pressure in the tubing such that if there is a change in pressure that exceeds a preset limiting value due to a tractive stress on the tubing, it is concluded that a cannula on the tubing is slipping out;

a guiding piece taking a form of an annular body configured to loosely fix intersecting portions of a segment of the tubing which forms an eye, which intersecting portions pass through a same opening of the guiding piece, the eye forming a loop which contracts under the tractive stress; and

a securing piece configured to fix a portion of the segment of tubing forming the eye which is situated between the intersecting portions, such that the portion of the segment of tubing forming the eye which is situated between the intersecting portions is kinked and does not slip through the guiding piece when the loop tightens.

5. The arrangement according to claim 1, wherein:

the fluid is a patient'"'"'s blood;

the tubing comprises venous tubing and arterial tubing; and

the arrangement monitors a vascular access in an extra-corporeal blood treatment in which the patient'"'"'s blood is fed to the patient via the venous tubing which has a venous puncturing cannula and is fed out from the patient via the arterial tubing which has an arterial puncturing cannula.

6. The arrangement according to claim 1, wherein the securing piece is an annular body.

7. The arrangement according to claim 1, wherein the securing piece is an elongated body whose two ends are fastened to the guiding piece such that the ends of the elongated body are displaceable along the guiding piece.

2. A method of monitoring an access to a patient for at least one of an infeed of a fluid to or an outfeed of a fluid from a patient via tubing, the method comprising:

monitoring a pressure in the tubing;

fixing in a loop, by a guiding piece taking a form of an annular body, a segment of the tubing which forms an eye, the guiding piece enclosing intersecting portions of the segment of tubing which forms the eye;

drawing a kinked segment of the tubing through the guiding piece, the eye being fixed by the guiding piece; and

fixing, by a securing piece, a portion of the segment of tubing forming the eye which is situated between the intersecting portions such that when the loop tightens, the portion of the segment of tubing forming the eye which is situated between the intersecting portions does not slip through the guiding piece.

3. The method according to claim 2, wherein the portion of the segment of tubing forming the eye which is situated between the intersecting portions is secured against slipping out of the guiding piece by the securing piece taking a form of an annular body which is placed around the portion of the segment of tubing forming the eye which is situated between the intersecting portions.

4. The method according to claim 2, wherein the portion of the segment of tubing forming the eye which is situated between the intersecting portions is secured against slipping out of the guiding piece by the securing piece taking a form of an elongated body whose two ends are fastened to the guiding piece such that the ends of the elongated body are displaceable along the guiding piece.