Infusion device with disposable elements

• US 5,853,386 A
• Filed: 07/25/1996
• Issued: 12/29/1998
• Est. Priority Date: 07/25/1996
• Status: Expired due to Term

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: ALARIS Medical Systems, Inc. (Becton, Dickinson & Co)
• Inventors: Davis, David L., Hatch, Richard F., Brasier, Robert E.
• Primary Examiner(s): McDermott, Corrine M.
• Assistant Examiner(s): Mehta, Bhisma
• Application Number:
  US08/686,757
• Time in Patent Office: 887 Days
• Field of Search: 604/151, 604/153, 604/154, 604/65, 604/67, 604/131, 128/DIG. 12, 128/DIG. 13
• US Class Current: 604/65
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 2205/3306 Optical measuring means
• CPC Class Codes: A61M 5/16854 by monitoring line pressure
• CPC Class Codes: A61M 5/365 Air detectors A61M5/1684 takes precedence; in extracorporeal blood circuits A61M1/3626
• CPC Class Codes: Y10S 128/13 Infusion monitoring

Abstract

An infusion device with a disposable administration set which is inexpensive to manufacture. In the preferred embodiment of the present invention the disposable administration set has a plurality of elongated cam followers connected to a plate assembly, wherein the cam followers are displaced in a predetermined sequence and forced against a delivery tube by cam means driven by rotary drive means. The device also includes an optical occlusion sensor which is synchronized to operate in phase with the movement of the cam followers to measure pressure within the delivery tube at one pump phase, thereby sensing downstream occlusions, and to measure vacuum within the delivery tube at a second pump phase, thereby sensing upstream occlusions. The occlusion sensor is optical, and measures the degree of total internal reflection at the interface of the tube and the plate assembly. occlusion in the tubing.

Claims

1. A device for pumping fluid from a fluid source to a patient, comprising:

a fluid delivery conduit disposed between said fluid source and said patient;

a pump which draws fluid from said fluid source, through said delivery conduit, and to said patient; and

a single optical occlusion sensor responsive to dimensional changes in said fluid delivery conduit and optically sensing occlusions both upstream and downstream from said pump.

2. A device for pumping fluid as defined in claim 1 wherein said occlusion sensor is cooperative with a single location of said fluid delivery conduit.

3. A device for pumping fluid as defined in claim 1 wherein said pump is a peristaltic pump.

4. A device for pumping fluid as defined in claim 1 wherein said occlusion sensor senses pressure in said fluid delivery conduit.

5. A device for pumping fluid as defined in claim 4 wherein said occlusion sensor senses upstream occlusions by sensing low pressure within said fluid delivery conduit.

6. A device for pumping fluid as defined in claim 5 wherein said occlusion sensor senses downstream occlusions by sensing high pressure within said fluid delivery conduit.

7. A device for pumping fluid as defined in claim 1 wherein said occlusion sensor comprises:

a plate against which said fluid delivery conduit rests;

a light source for illuminating, at an angle, the interface of said plate and said fluid delivery conduit; and

a photodetector for sensing the degree of total internal reflection at said interface.

8. A device for pumping fluid as defined in claim 7 wherein said plate is transparent, and said light source illuminates said interface through said plate.

9. A device for pumping fluid as defined in claim 8 wherein said pump includes a first pump stage and a second pump stage, and wherein said occlusion sensing device is located between said first and second pump stages.

10. A device for pumping fluid from a fluid source to a patient, comprising:

a fluid delivery conduit disposed between said fluid source and said patient;

a pump which draws fluid from said fluid source, through said delivery conduit, and to said patient; and

an upstream optical occlusion sensor which periodically senses dimensional changes of said fluid delivery conduit to optically measure vacuum in said fluid delivery conduit.

11. A device for pumping fluid as defined in claim 10, wherein said upstream occlusion sensor measures said vacuum by sensing a reduced diameter of said fluid delivery conduit.

12. A device for pumping fluid as defined in claim 10 wherein said occlusion sensor is mounted downstream from at least a portion of said pump.

13. A device for pumping fluid as defined in claim 10 wherein said upstream occlusion sensor also measures downstream occlusions.

14. A device for pumping fluid as defined in claim 13 wherein said upstream occlusion sensor measures downstream occlusions by sensing high pressure in said fluid delivery conduit.

15. A device for pumping fluid from a fluid source to a patient, comprising:

a fluid delivery conduit disposed between said fluid source and said patient;

a pump which draws fluid from said fluid source through said fluid delivery conduit, said pump pinching the fluid delivery conduit closed at at least two pinching location, an upstream location and a downstream location; and

an optical occlusion sensor located between said upstream and downstream locations defining a sensor location, said optical occlusion sensor responsive to a dimension of said fluid delivery conduit at said sensor location.

16. A device for pumping fluid as defined in claim 15 wherein said pump comprises a peristaltic pump.

17. A device for pumping fluid as defined in claim 16 wherein said pump comprises:

a support plate;

plural actuators positioned against said fluid delivery conduit to selectively squeeze said fluid delivery conduit against said support plate;

wherein said sensor location is between two of said actuators.

18. A device for pumping fluid as defined in claim 17 wherein said actuators are cam followers, said pump additionally comprising:

a cam for actuating said cam followers.

19. A device for pumping fluid as defined in claim 17 wherein a first pair of said plural actuators are positioned to alternatively squeeze said fluid delivery conduit against said support plate to pump fluid through said fluid delivery conduit.

20. A device for pumping fluid as defined in claim 19 wherein said sensor location is between said first pair of plural actuators.

21. A device for pumping fluid as defined in claim 19 wherein the operation of said occlusion sensor is synchronized with movement of said first pair of plural actuators.

22. A device for pumping fluid as defined in claim 18 wherein a first pair of said plural actuators are positioned to alternately pinch said fluid delivery conduit closed against said support plate to thereby act as valves for said pump.

23. A device for pumping fluid as defined in claim 22 wherein said sensor location is between said first pair of plural actuators.

24. A device for pumping fluid as defined in claim 23 wherein the operation of said occlusion sensor is synchronized with movement of said first pair of plural actuators.

25. A device for pumping fluid from a fluid source to a patient, comprising:

a fluid delivery conduit disposed between said fluid source and said patient;

a pump which draws fluid from said fluid source, through said delivery conduit, and to said patient; and

means for sensing bubbles in said fluid and occlusions in said fluid delivery conduit which comprises a single sensor.

26. A device for pumping fluid as defined in claim 25 wherein said single sensor is an optical sensor.

27. A device for pumping fluid as defined in claim 26 wherein said optical sensor senses total internal light reflection.

28. A device for pumping fluid from a fluid source to a patient, comprising:

a fluid delivery conduit disposed between said fluid source and said patient;

a pump which draws fluid from said fluid source, through said delivery conduit and to said patient; and

a single optical sensor which senses total internal light reflection at a first location for sensing occlusions in said fluid delivery conduit, and total internal light reflection at a second location for sensing bubbles in said fluid.

29. A device for pumping fluid from a fluid source to a patient, comprising:

a fluid delivery conduit disposed between said fluid source and said patient;

a pump which draws fluid from said fluid source, through said delivery conduit, and to said patient; and

an optical occlusion sensor synchronized to operate at two distinct phases of operation of said pump.

30. A device for pumping fluid as defined in claim 29 wherein said occlusion sensor measures different occlusions at said two distinct phases of operation of said pump.

31. A method of pumping fluid from a fluid source to a patient using a pump, comprising:

connecting a fluid delivery conduit between said fluid source and said patient;

pumping fluid from said fluid source, through said delivery conduit, and to said patient;

connecting a single location on said fluid delivery conduit into fluid communication with the portion of said fluid delivery conduit between said fluid source and said pump, which defines a first phase of operation of said pump and into fluid communication with the portion of said fluid delivery conduit between said pump and said patient, which defines a second phase of operation of said pump, and

optically sensing occlusions by monitoring a dimension of said fluid delivery conduit at said single location.

32. An infusion pump for delivering fluid from a fluid source to a patient, comprising:

a fluid delivery conduit disposed between said fluid source and said patient;

a pump which draws fluid from said fluid source, through said delivery conduit, to said patient; and

a three state optical sensor for measuring three different pump conditions by monitoring said fluid delivery conduit optically.

33. An infusion pump as defined in claim 32 wherein said pump conditions comprise upstream occlusion of said conduit, downstream occlusion of said conduit, and a bubble within said conduit.

34. An infusion pump as defined in claim 33 wherein said optical sensor measures said three different pump conditions by measuring the degree of reflection of light from the surface of said conduit.

35. An infusion pump as defined in claim 32 wherein said pump includes a mechanism for squeezing a portion of said conduit against a plate.

36. An infusion pump as defined in claim 35 wherein said portion of said conduit is suspended in tension adjacent a location on said plate, and wherein said optical sensor is adjacent said location on said plate.

37. An infusion pump as defined in claim 36 wherein said plate is transparent and wherein said optical sensor is positioned on the opposite side of said plate from said conduit.

38. An infusion pump as defined in claim 37 wherein said opposite side of said plate comprises a surface for collimating light from said optical detector.

39. An infusion pump as defined in claim 38 wherein said optical sensor measures the degree of light reflection from the interface of said conduit and said plate.

40. An infusion pump as defined in claim 39 wherein said optical sensor additionally measures the degree of light reflection from the inside surface of said conduit to sense the presence of bubbles in said conduit.