Integrated strontium-rubidium radioisotope infusion systems

• US 9,750,870 B2
• Filed: 04/18/2017
• Issued: 09/05/2017
• Est. Priority Date: 06/11/2008
• Status: Active Grant

• Current Assignee: Bracco Diagnostics Incorporated (Bracco SPA)
• Original Assignee: Bracco Diagnostics Incorporated (Bracco SPA)
• Inventors: Hidem, Stephen E., Fontaine, Aaron M., Gelbach, Janet L., McDonald, Patrick M., Hunter, Kathryn M., Swenson, Rolf E., Zodda, Julius P.
• Primary Examiner(s): Marmor, II, Charles A
• Assistant Examiner(s): Dorna, Carrie R
• Application Number:
  US15/490,484
• Publication Number:
  US 20170224908A1
• Time in Patent Office: 140 Days
• CPC Class Codes: A61B 2050/105 Cabinets
• CPC Class Codes: A61B 2090/392 Radioactive markers
• CPC Class Codes: A61B 50/13 Trolleys, e.g. carts
• CPC Class Codes: A61B 6/037 Emission tomography
• CPC Class Codes: A61B 6/107 Protection against radiation, e.g. shielding
• CPC Class Codes: A61B 6/481 involving the use of contrast agents
• CPC Class Codes: A61B 6/507 for determination of haemodynamic parameters, e.g. perfusion CT
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61K 51/00 Preparations containing radioactive substances for use in therapy or testing in vivo
• CPC Class Codes: A61M 2005/1403 Flushing or purging
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/276 preventing unwanted use
• CPC Class Codes: A61M 2205/3375 Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• 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 2205/584 having a color code
• CPC Class Codes: A61M 2205/587 Lighting arrangements
• CPC Class Codes: A61M 2205/6009 for matching patient with his treatment, e.g. to improve transfusion security
• CPC Class Codes: A61M 2205/6054 Magnetic identification systems
• CPC Class Codes: A61M 2205/6072 : Bar codes
• CPC Class Codes: A61M 2205/70 : with testing or calibration facilities
• CPC Class Codes: A61M 2205/75 : with filters
• CPC Class Codes: A61M 2209/084 : Supporting bases, stands for equipment
• CPC Class Codes: A61M 5/007 : for contrast media
• CPC Class Codes: A61M 5/14 : Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
• CPC Class Codes: A61M 5/1409 : in series, e.g. first substance passing through container holding second substance, e.g. reconstitution systems needle sets A61M5/162
• CPC Class Codes: A61M 5/142 : Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/1452 : pressurised by means of pistons
• CPC Class Codes: A61M 5/158 : Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
• CPC Class Codes: A61M 5/16854 : by monitoring line pressure
• CPC Class Codes: A61M 5/16881 : Regulating valves on-off valves, e.g. clamps A61M39/28
• CPC Class Codes: A61M 5/365 : Air detectors A61M5/1684 takes precedence; in extracorporeal blood circuits A61M1/3626
• CPC Class Codes: A61N 2005/1021 : Radioactive fluid
• CPC Class Codes: A61N 2005/1022 : Generators, e.g. X-ray tubes
• CPC Class Codes: A61N 2005/1074 : Details of the control system, e.g. user interfaces
• CPC Class Codes: A61N 2005/1094 : Shielding, protecting against radiation
• CPC Class Codes: A61N 5/1001 : using radiation sources introduced into or applied onto the body; brachytherapy
• CPC Class Codes: A61N 5/1007 : Arrangements or means for the introduction of sources into the body
• CPC Class Codes: A61N 5/1075 : for testing, calibrating, or quality assurance of the radiation treatment apparatus
• CPC Class Codes: B62B 3/005 : Details of storage means, e.g. drawers, bins or racks
• CPC Class Codes: G06F 21/31 : User authentication
• CPC Class Codes: G16H 20/17 : delivered via infusion or injection
• CPC Class Codes: G16Z 99/00 : Subject matter not provided for in other main groups of this subclass
• CPC Class Codes: G21F 3/00 : Shielding characterised by its physical form, e.g. granules, or shape of the material
• CPC Class Codes: G21F 7/00 : Shielded cells or rooms
• CPC Class Codes: G21G 1/0005 : Isotope delivery systems use of radioisotopes as tracers G21H5/02
• CPC Class Codes: G21G 1/001 : Recovery of specific isotopes from irradiated targets
• CPC Class Codes: G21G 2001/0031 : Rubidium
• CPC Class Codes: G21G 4/08 : specially adapted for medical application radiation therapy using radioactive sources A61N5/10

Abstract

Methods for setting up, maintaining and operating a radiopharmaceutical infusion system, that includes a radioisotope generator, are facilitated by a computer of the system. The computer may include pre-programmed instructions and a computer interface, for interaction with a user of the system, for example, in order to track contained volumes of eluant and/or eluate, and/or to track time from completion of an elution performed by the system, and/or to calculate one or more system and/or injection parameters for quality control, and/or to perform purges of the system, and/or to facilitate diagnostic imaging.

Claims

1. A method of using an infusion system on-board a cart to deliver a rubidium radioactive eluate comprising:

installing a saline reservoir on the infusion system, wherein the infusion system comprises a platform and an exterior shell extending upwardly above the platform, and wherein the platform and the exterior shell collectively define an interior space of a cabinet structure;

placing the saline reservoir in fluid communication through a saline tubing line with an inlet tubing port of a strontium-rubidium radioisotope generator located in a first shielding compartment in the interior space of the cabinet structure, wherein the strontium-rubidium radioisotope generator further comprises an outlet tubing port configured to discharge the rubidium radioactive eluate, and wherein the first shielding compartment has a first opening facing vertically upwardly;

inserting a waste bottle into a second shielding compartment on-board the cart, wherein the second shielding compartment on-board the cart has a second opening facing vertically upwardly and being at a higher elevation than the first opening;

placing the waste bottle in fluid communication with the outlet tubing port of the strontium-rubidium radioisotope generator through an eluate tubing line, wherein a computer on-board the cart is configured to control the fluid communication between the waste bottle and the outlet tubing port, and wherein the computer has a touch screen display mounted on a vertical post with a top end extending above the cabinet structure;

inserting an eluate reservoir in a shielded well on-board the cart;

placing the eluate reservoir in fluid communication with the eluate tubing line, wherein the computer is further configured to control the fluid communication between the eluate reservoir and the eluate tubing line;

pumping a sample of the rubidium radioactive eluate into the eluate reservoir in the shielded well on-board the cart;

measuring a radioactivity of the sample of the rubidium radioactive eluate flowing through the eluate tubing line with a radioactivity detector on-board the cart while the sample of the rubidium radioactive eluate is flowing through the eluate tubing line;

measuring a calibration radioactivity of the sample pumped into the eluate reservoir in the shielded well on-board the cart while the eluate reservoir remains in the shielded well on-board the cart;

comparing the radioactivity of the sample of the rubidium radioactive eluate flowing through the eluate tubing line measured by the radioactivity detector on-board the cart while the sample of the rubidium radioactive eluate is flowing through the eluate tubing line with the calibration radioactivity of the sample pumped into the eluate reservoir in the shielded well on-board the cart; and

determining a strontium breakthrough test result on the sample pumped into the eluate reservoir in the shielded well on-board the cart while the eluate reservoir remains in the shielded well on-board the cart, wherein the computer of the infusion system is further configured to not allow a patient infusion if the strontium breakthrough test result is greater than or equal to an allowed limit.

2. The method of claim 1, further comprising:

placing the eluate tubing line in fluid communication with a patient, wherein the computer is further configured to control the fluid communication between the eluate tubing line and the patient;

pumping a dose of the rubidium radioactive eluate to the patient; and

flushing the rubidium radioactive eluate remaining in at least a portion of the eluate tubing line into the patient by pumping saline from the saline reservoir to the eluate tubing line through a by-pass line that by-passes the strontium-rubidium radioisotope generator, wherein the computer is further configured to control fluid communication via the by-pass line.

3. The method of claim 2, further comprising:

logging into the computer by entering a user login credential on the touch screen display,

transferring a patient infusion record via a USB port, and

printing a document concerning the patient infusion or a quality control test result via a printer.

4. The method of claim 2, further comprising:

initiating a purging process through the touch screen display to purge a patient tubing line of air, wherein the patient tubing line is in fluid communication with the eluate tubing line.

5. The method of claim 2, wherein the computer of the infusion system is further configured to present on the touch screen display a screen reminding a user to insert the eluate reservoir in the shielded well on-board the cart.

6. The method of claim 2, wherein the computer of the infusion system is further configured to present on the touch screen display a screen for starting the patient infusion by touching a button on the touch screen display.

7. The method of claim 2, wherein the computer of the infusion system is further configured to present on the touch screen display a screen indicating that the patient infusion is in process, wherein the screen indicating that the patient infusion is in process displays a stop button to abort the patient infusion.

8. The method of claim 2, wherein the computer of the infusion system is further configured to:

present on the touch screen display a screen for starting the patient infusion by touching a button on the touch screen display;

present on the touch screen display a screen reminding a user to insert the eluate reservoir in the shielded well on-board the cart;

present on the touch screen display a screen indicating that the patient infusion is in process, wherein the screen indicating that the patient infusion is in process displays a stop button to abort the patient infusion; and

present on the touch screen display the strontium breakthrough test result.

9. The method of claim 8, further comprising:

logging into the computer by entering a user login credential on the touch screen display,

entering a patient ID on the touch screen display,

entering a patient dose on the touch screen display, and

entering a flow rate on the touch screen display.

10. The method of claim 9, wherein the computer of the infusion system is further configured to:

track a volume of saline remaining in the saline reservoir,

provide an alert via the touch screen display when the volume of saline remaining in the saline reservoir is below a predetermined volume threshold,

and

present on the touch screen display a screen reminding the user to empty the waste bottle.

11. The method of claim 10, further comprising:

initiating a generator column wash through the touch screen display, wherein a predetermined amount of saline is pumped through the strontium-rubidium radioisotope generator and directed to the waste bottle during the generator column wash, and

initiating a purging process through the touch screen display to purge a patient tubing line of air, wherein the patient tubing line is in fluid communication with the eluate tubing line.

12. The method of claim 11, wherein the saline tubing line and the eluate tubing line are routed through two tubing passageways formed in a perimeter surface of the first opening, wherein each of the two tubing passageways has a depth configured to prevent pinching or crushing of a corresponding tubing line routed therethrough when a first door is closed over the first opening.

13. The method of claim 12, wherein the infusion system further comprises:

a handle configured for the user to grasp in order to move the infusion system, and

four wheels mounted to an underside of the platform of the cabinet structure.

14. The method of claim 13, wherein the computer of the infusion system is further configured to:

project a first light signal from a light projector mounted on the top end of the vertical post extending above the cabinet structure to indicate that an elution is taking place, and

project a second light signal from the light projector to indicate that a peak bolus of radioactivity is detected.

15. The method of claim 14, wherein

the cabinet structure has a lowermost portion and the platform has a lower surface,

the first opening is at a first elevation,

the second opening is at a second elevation,

the first elevation is between approximately 1 foot and approximately 2 feet, with respect to the lowermost portion of the cabinet structure, and

the second elevation is between approximately 2 feet and approximately 3 feet, with respect to the lower surface of the platform.

16. The method of claim 13, wherein the infusion system further comprises a dose calibrator in the shielded well on-board the cart and in communication with the computer to determine the strontium breakthrough test result.

17. The method of claim 16, wherein

the cabinet structure has a lowermost portion and the platform has a lower surface,

the first opening is at a first elevation,

the second opening is at a second elevation,

the first elevation is between approximately 1 foot and approximately 2 feet, with respect to the lowermost portion of the cabinet structure, and

the second elevation is between approximately 2 feet and approximately 3 feet, with respect to the lower surface of the platform.

18. The method of claim 1, wherein the computer of the infusion system is further configured to present on the touch screen display the strontium breakthrough test result.

19. The method of claim 1, wherein

the cabinet structure has a lowermost portion and the platform has a lower surface,

the first opening is at a first elevation,

the second opening is at a second elevation,

the first elevation is between approximately 1 foot and approximately 2 feet, with respect to the lowermost portion of the cabinet structure, and

the second elevation is between approximately 2 feet and approximately 3 feet, with respect to the lower surface of the platform.

20. The method of claim 1, wherein the saline tubing line and the eluate tubing line are routed through two tubing passageways formed in a perimeter surface of the first opening, wherein each of the two tubing passageways has a depth configured to prevent pinching or crushing of a corresponding tubing line routed therethrough when a first door is closed over the first opening.

21. The method of claim 1, wherein the infusion system further comprises a dose calibrator in the shielded well on-board the cart, wherein the dose calibrator is in communication with the computer to determine the strontium breakthrough test result.

22. The method of claim 1, wherein the computer of the infusion system is further configured to:

track a volume of saline remaining in the saline reservoir, and

provide an alert via the touch screen display when the volume of saline remaining in the saline reservoir is below a predetermined volume threshold.

23. The method of claim 1, wherein the computer of the infusion system is further configured to:

track a volume of the rubidium radioactive eluate discharged from the strontium-rubidium radioisotope generator to the waste bottle, and

present on the touch screen display a screen reminding a user to empty the waste bottle.

24. The method of claim 1, wherein the computer of the infusion system is further configured to:

project a first light signal from a light projector mounted on the top end of the vertical post extending above the cabinet structure to indicate that an elution is taking place, and

project a second light signal from the light projector to indicate that a peak bolus of radioactivity is detected.

25. The method of claim 1, wherein the computer of the infusion system is further configured to pump saline through the strontium-rubidium radioisotope generator at a rate less than approximately 70 ml/min.

26. The method of claim 1, further comprising:

initiating a generator column wash through the touch screen display, wherein a predetermined amount of saline is pumped through the strontium-rubidium radioisotope generator and directed to the waste bottle during the generator column wash.

27. The method of claim 1, wherein the computer of the infusion system is further configured to track time passed from completion of pumping the sample of the rubidium radioactive eluate into the eluate reservoir to determining the strontium breakthrough test result.

28. The method of claim 1, further comprising:

entering a patient ID on the touch screen display,

entering a patient dose on the touch screen display, and

entering a flow rate on the touch screen display.

29. The method of claim 1, wherein the saline reservoir is located outside of the interior space of the cabinet structure.

30. The method of claim 1, wherein the infusion system further comprises:

a handle configured for a user to grasp in order to move the infusion system, and

four wheels mounted to an underside of the platform of the cabinet structure.