Access disconnection detection system

• US 7,755,488 B2
• Filed: 09/21/2007
• Issued: 07/13/2010
• Est. Priority Date: 09/21/2007
• Status: Expired due to Fees

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: Dvorsky, James E.
• Primary Examiner(s): TRIEU, VAN THANH
• Application Number:
  US11/859,419
• Publication Number:
  US 20090079578A1
• Time in Patent Office: 1,026 Days
• Field of Search: 340/573.1, 340/573.4, 340/573.5, 340/572.1, 340/572.4, 340/539.11, 600/302, 600/485, 600/486, 600/509, 600/513, 705/3
• US Class Current: 340/572.1
• 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

Abstract

An access site disconnection system and method employ RFID sensors that are sensitive to moisture and their presence may not be detected if the sensor is wetted. When a patient receives dialysis treatment, wetness may arise from blood if the access needle becomes disconnected from the access site. At least one RFID sensor is mounted on or near gauze or other absorbent material placed adjacent the access site. After the sensors are placed, the dialysis machine and RFID control circuit may be initialized and dialysis treatment, such as hemodialysis, begun. If blood leaks from the access site, such as if the access needle is dislodged, the RFID sensor is wetted and sends a different or no response to periodic inquiries from an RFID reader. A signal is sent to a controller or to an output device to raise an alert or sound an alarm.

Claims

1. An access disconnect detector, comprising:

at least one RFID sensor; and

a mount suitable for mounting the at least one RFID sensor;

wherein the mount and the at least one RFID sensor are configured for positioning adjacent a dialysis access site for detecting a presence of blood of a patient, and wherein the at least one RFID sensor is configured for communication with an RFID reader so that the RFID reader receives one response from the sensor when the sensor is dry and receives a different response or no response when the sensor is wetted with blood.

2. The access disconnect detector according to claim 1, wherein the mount comprises at least one layer of absorbent material and optionally an adhesive layer.

3. The access disconnect detector according to claim 1, wherein the at least one RFID sensor comprises a plurality of RFID sensors mounted in an array.

4. The access disconnect detector according to claim 1, wherein the at least one RFID sensor comprises an RFID inlay.

5. The access disconnect detector according to claim 1, wherein the at least one RFID sensor comprises a thin strip of metal, the strip comprising a plurality of orifices or spaces.

6. The access disconnect detector according to claim 1, wherein the at least one RFID sensor comprises an elongated strip of ductile magnetostrictive ferromagnetic material adjacent a magnetized ferromagnetic strip.

7. The access disconnect detector according to claim 6, wherein at least one of the strips further comprises a plurality of orifices, plurality of spaces, or a serpentine pattern.

8. The access disconnect detector according to claim 1, further comprising a hemodialysis machine with an RFID control circuit and the RFID reader, the RFID control circuit configured for sending a signal and raising an alert if the at least one sensor is not detected.

9. The access disconnect detector according to claim 1, further comprising the RFID reader, an RFID control circuit in operable communication with the RFID reader, and an output device configured for raising an alert if the RFID reader receives the different response or does not detect the at least one RFID sensor.

10. The access disconnect detector according to claim 1, further comprising an RFID reader mounted on the mount or near the at least one RFID sensor.

11. An access disconnect detector, comprising:

a flexible mount suitable for attaching to a patient;

at least one RFID sensor mounted on the mount; and

a pad of absorbent material on an opposite side of the sensors,

wherein the mount and the at least one RFID sensor are configured for positioning adjacent an access site for detecting a presence of blood of the patient, and wherein the at least one RFID sensor and an RFID reader are configured so that the RFID reader receives one response from the at least one sensor when the sensor is dry or wetted with water or perspiration and receives a different response or no response from the least one sensor when the at least one sensor is wetted with blood.

12. The access disconnect detector according to claim 11, wherein the at least one RFID sensor is a printed inlay, each inlay comprising an integrated circuit and an antenna.

13. The access disconnect detector according to claim 11, wherein the at least one RFID sensor comprises an antenna.

14. The access disconnect detector according to claim 11, wherein the RFID sensors comprise dipole antennae or planar spiral antennae.

15. An access disconnect detector, comprising:

a plurality of RFID sensors placed in an array on a mount for mounting the detector to a person; and

wherein the mount includes a flexible, porous layer adjacent the RFID sensors, wherein the RFID sensors and the layer are configured for rapid detection of blood from the person.

16. The access disconnect detector according to claim 15, wherein the mount includes a pad for mounting the RFID sensors on an opposite side of the RFID sensors.

17. The access disconnect detector according to claim 15, further comprising a second layer of porous material, the second layer between the RFID sensors and the pad.

18. A method for detecting an access site disconnection, the method comprising:

placing an RFID detector comprising at least one RFID sensor on or adjacent the access site;

attempting to absorb blood leaking from the access site;

detecting the at least one RFID sensor with an RFID reader by pulsing and noting a response from the at least one RFID sensor;

periodically repeating the step of detecting; and

sending a signal if the step of detecting receives a different response or no response from the at least one RFID sensor.

19. The method according to claim 18, wherein the at least one RFID sensor comprises a plurality of RFID sensors arrayed adjacent an absorbent layer, and the signal is sent if one or more of the RFID sensors is not detected.

20. The method according to claim 18, further comprising mounting the RFID reader on or adjacent the RFID detector.

21. The method according to claim 18, further comprising raising an alarm with an output device if the at least one RFID sensor sends a different response or no response.

22. The method according to claim 18, further comprising sending the signal after a given number of different or no responses occurs.