System for detecting the status of a vent associated with a fluid supply upstream of an infusion pump

• US 7,255,683 B2
• Filed: 12/31/2003
• Issued: 08/14/2007
• Est. Priority Date: 12/31/2003
• Status: Active Grant

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Cardinal Health 303 Incorporated (Cardinal Health, Inc.)
• Inventors: Vanderveen, Timothy W., Butterfield, Robert D.
• Primary Examiner(s): Stashick; Anthony D.
• Assistant Examiner(s): BERTHEAUD, PETER JOHN
• Application Number:
  US10/749,367
• Publication Number:
  US 20050145008A1
• Time in Patent Office: 1,322 Days
• Field of Search: 417/1, 417/4, 417/9, 417/53, 417/63, 73/15.7, 604/65, 604/67, 604/118, 604/120, 604/500
• US Class Current: 604/118
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3351 Controlling upstream pump pressure
• CPC Class Codes: A61M 5/14228 with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member
• CPC Class Codes: A61M 5/16854 by monitoring line pressure

Abstract

A system and method for determining whether the pressure in a fluid line upstream of an infusion pump is becoming lower as pumping draws fluid from the fluid line and fluid container due to a lack of proper venting. An initial pressure is sensed by an upstream pressure sensor at the start of an infusion. After a period of time, which may be determined either by monitoring infusion time or the number of pump cycles completed, a second pressure is sampled and compared to the initial pressure. Various analytical methods may be applied to the sensed pressures to determine upstream pressures or trends. Where an upstream pressure reading indicates a lack of proper venting, an alert signal is provided. Continuous monitoring may occur in which succeeding samples are compared to preceding samples to determine upstream pressures or trends.

Claims

1. A system for detecting the status of a vent associated with a fluid container upstream of an infusion pump configured to draw fluid out of the fluid container through a fluid line by means of a pump mechanism in engagement with the fluid line, the vent having an open status at which the vent allows air to vent into the fluid container as fluid is drawn out of the fluid container resulting in pressure in the fluid line reducing at a rate expected under normal venting conditions, the vent having a blocked status at which venting of air into the container is blocked as fluid is drawn out of the fluid container resulting in pressure in the fluid line progressively reducing at a rate in excess of the rate expected under normal venting conditions, the system comprising:

a pressure sensor located upstream of the pump mechanism, the pressure sensor configured to provide pressure signals representative of the pressure within the fluid line upstream of the pump mechanism;

a processor in communication with the pressure sensor, the processor configured to sample the pressure signals received from the pressure sensor over a plurality of selected pump cycles, to compute for each of the plurality of selected pump cycles an average pressure value from the pressure signals received, to determine a progressive reduction in pressure in the fluid line based at least on the computed average pressure values, and to generate a blocked vent alert when the progressive reduction in pressure in the fluid line is determined to be at a rate in excess of the rate expected under normal venting conditions.

2. The system of claim 1 wherein the processor samples over a selected pump cycle when a predetermined number of pump cycles has occurred after a previously selected pump cycle.

3. The system of claim 1 wherein the processor periodically samples the signals received from the pressure sensor after a predetermined number of pump cycles have occurred.

4. The system of claim 3 wherein the predetermined number of pump cycles is three.

8. The system of claim 1 further comprising a data base located remotely from the infusion pump, wherein the processor communicates with the data base to provide information regarding the progress of infusion to the data base, the information including any alerts generated.

9. The system of claim 1 wherein the processor is configured to compute a first average value from the pressure signals sampled over a first pump cycle, compute a second average value from the pressure signals sampled over a second pump cycle subsequent to the first pump cycle, determine whether the second average value is less than the first average value by more than a predetermined value, and provide the blocked vent alert when the second average value is determined to be less than the first average value by more than the predetermined value.

10. The system of claim 9 wherein the second pump cycle is a predetermined number of pump cycles subsequent to the first pump cycle.

11. The system of claim 9 wherein the fluid container has a size and type, and the predetermined value is associated with the size and type of the fluid container.

12. The system of claim 1 wherein the alert includes a notification indicating that the vent should be opened.

13. The system of claim 1 wherein the plurality of pump cycles comprises more than two pump cycles.

14. The system of claim 13 wherein the processor is configured to compute a slope from the average values computed from pressure signals received from the plurality of more than two pump cycles in determining the progressive reduction in pressure in the fluid line;

whereby determining the progressive reduction in pressure is resistant to effects of movement and environmental artifact.

15. The system of claim 14 wherein the processor is configured to use a weighting algorithm to compute the slope.

5. A method of determining the status of a vent in a fluid line located upstream of a peristaltic infusion pump, the infusion pump configured to draw fluid out of a fluid container in a cyclical manner, the vent having an open status at which the vent allows air to vent into the fluid container as fluid is drawn out of the fluid container resulting in pressure in the fluid line reducing at a rate expected under normal venting conditions, the vent having a blocked status at which venting of air into the container is blocked as fluid is drawn out of the fluid container resulting in pressure in the fluid line progressively reducing at a rate in excess of the rate expected under normal venting conditions, the method comprising:

sampling signals provided by a pressure sensor over a plurality of pump cycles, the pressure sensor configured to sense the pressure in the fluid line upstream of a pump mechanism of the infusion pump;

processing the sampled signals to determine an average value for the pressure in the upstream fluid line for each of the plurality of pump cycles;

determining a rate of change of the average values; and

providing an alert when the rate of change exceeds a limit for normal venting conditions.

6. The method of claim 5 wherein sampling the signals provided by the sensor comprises sampling signals over a first selected pump cycle and sampling signals over a second selected pump cycle subseciuent to completing a predetermined number of unselected pump cycles after the first selected pump cycle.

16. The method of claim 5 further comprising providing information to a data base including any alerts generated.

17. The method of claim 5 wherein providing the alert comprises providing a notification to open the vent.

18. The method of claim 5 wherein determining the rate of change of the average values comprises computing a slope from the average values;

whereby determining the rate of change of the average values is resistant to effects of movement and environmental artifact.

19. The method of claim 18 wherein computing a slope comprises using a weighting algorithm.

20. The method of claim 6 wherein:

processing the signals comprises processing the signals to determine a first average value for the pressure in the upstream fluid line for the first pump cycle and a second average value for the pressure in the upstream fluid line for the second pump cycle;

determining the rate of change of the average values comprises comparing the second average value to the first average value; and

providing the alert when the rate of change exceeds the limit for normal venting conditions comprises providing the alert when the second average value is less than the first average value my more than a predetermined value.

7. A system for detecting the status of a vent associated with a fluid container upstream of an infusion pump configured to draw fluid out of the fluid container through a fluid line by means of a pump mechanism in engagement with the fluid line, the vent having an open status at which the vent allows air to vent into the fluid container as fluid is drawn out of the fluid container resulting in pressure in the fluid line to reduce at a rate expected under normal venting conditions, the vent having a blocked status at which venting of air into the container is blocked as fluid is drawn out of the fluid container resulting in pressure in the fluid line to progressively reduce at a rate in excess of the rate expected under normal venting conditions, the system comprising:

a pressure sensor located upstream of the pump mechanism and adjacent the fluid line, the pressure sensor configured to provide pressure signals representative of the pressure within the fluid line upstream of the pump mechanism;

a data base located remotely from the infusion pump;

a memory disposed at the infusion pump; and

a processor in communication with the pressure sensor, the data base, and the memory, the processor programmed to sample pressure signals received from the pressure sensor over a plurality of selected pump cycles comprising more than two pump cycles, to compute for each of the plurality of selected pump cycles an average value from the pressure signals received, to store the computed average values in the memory, to determine a rate of change of the stored average values, to generate a blocked vent alert when the determined rate of change exceeds a limit for normal venting conditions, and to provide the data base with information including any alert generated;

wherein the blocked vent alert includes a notification indicating that the vent should be opened.