Access disconnect detection system

• US 8,708,908 B2
• Filed: 06/19/2012
• Issued: 04/29/2014
• 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: Bouton, Chad E.
• Primary Examiner(s): Mallari, Patricia
• Assistant Examiner(s): JANG, CHRISTIAN YONGKYUN
• Application Number:
  US13/527,170
• Publication Number:
  US 20120259284A1
• Time in Patent Office: 679 Days
• Field of Search: 600/371, 604 401- 616
• US Class Current: 600/371
• 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 1/3661 for haemodialysis
• CPC Class Codes: A61M 2205/13 with means for the detection of operative contact with patient, e.g. lip sensor
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2205/3317 Electromagnetic, inductive or dielectric measuring means
• CPC Class Codes: A61M 5/16836 by sensing tissue properties at the infusion site, e.g. for detecting infiltration detecting tissue temperature for diagnostic purposes A61M39/0247

Abstract

An access site disconnection system and method are disclosed. Radio frequency transmitters and receivers are placed near an access site. When a patient receives dialysis treatment, wetness may arise from blood if the access needle becomes disconnected from the access site. Radio-frequency transmitters are mounted on or near gauze or other absorbent material placed adjacent the access site, as are radio-frequency receivers. After the sensors are placed, the dialysis machine and radio-frequency control circuit may be initialized or baselined, and dialysis treatment, such as hemodialysis, begun. If blood leaks from the access site, such as if the access needle is dislodged, the blood attenuates the radio frequency transmissions, which are detected by the receivers. A signal is sent to a controller or to an output device to raise an alert or sound an alarm.

Claims

1. An access site disconnection detection method comprising:

sending a radio-frequency transmission;

receiving the radio-frequency transmission when the access site is dry to establish a baseline level;

repeating the sending of the radio-frequency transmission at least once;

receiving the at least one repeated radio-frequency transmission at a level that has fallen below the baseline level if the access site is wet; and

sending a blood leakage detection signal in response to the at least one repeated radio-frequency transmission having fallen below the baseline level.

2. The access site disconnection detection method of claim 1, which includes sending the radio frequency transmissions at a frequency of about .5 Hz to about 2 Hz.

3. The access site disconnection detection method of claim 1, which includes sending the radio frequency transmissions at a frequency of about 1 Hz to about 10 Hz.

4. The access site disconnection detection method of claim 1, which includes generating the sent radio-frequency transmissions via a controller of a blood treatment machine.

5. The access disconnection detection method of claim 1, which includes sending the signal in response to the at least one repeated radio-frequency transmission having fallen below the baseline level as sensed by any one of a plurality of radio-frequency receivers.

6. The access site disconnection detection method of claim 1, which includes issuing an alarm and/or stopping a pump in response to the sending of the blood leakage detection signal.

7. The access site disconnection detection method of claim 1, which includes sending the blood leakage detection signal if the at least one repeated radio-frequency transmission falls below half of the baseline level.

8. The access site disconnection detection method of claim 1, which includes mounting at least one radio-frequency transmitter and at least one radio frequency receiver on at least one electrical circuit.

9. The access site disconnection detection method of claim 8, wherein the at least one electrical circuit is flexible.

10. The access site disconnection detection method of claim 1, which includes absorbing blood leaking from an access site disconnection with an absorbent layer.

11. An access site disconnection detection method comprising:

sending a radio-frequency transmission;

receiving the radio-frequency transmission when the access site is dry to establish a baseline level;

repeating the sending of the radio frequency transmission a plurality of times;

receiving the repeated radio-frequency transmission a plurality of times at a level that has fallen below the baseline level if the access site is wet; and

sending a blood leakage detection signal in response to the repeated radio-frequency transmission having fallen below the baseline level a plurality of times.

12. The access site disconnection detection method of claim 11, which includes sending the radio frequency transmissions at a frequency of about .5 Hz to about 2 Hz.

13. The access site disconnection detection method of claim 11, which includes sending the radio-frequency transmissions from a first circuit board to a second circuit board.

14. The access site disconnection detection method of claim 11, which includes sending the radio-frequency transmissions via antennae of at least one radio-frequency transmitter and receiving the radio-frequency transmissions via antennae of at least one radio-frequency receiver.

15. The access site disconnection detection method of claim 14, wherein the antennae is selected from the group consisting of (i) spiral antennae, (ii) single dipole antennae, (ii) double dipole antennae, or (iv) a Yagi-type antennae.

16. The access site disconnection detection method of claim 11, which includes sending the radio-frequency transmissions at an angle relative to the access site.

17. The access site disconnecting detection method of claim 11, which includes receiving the repeated radio-frequency transmission a plurality of times at the baseline level when no blood leakage has occurred at the access site.

18. An access site disconnection detection method comprising:

setting a baseline level for a radio-frequency transmission received by at least one radio-frequency receiver when the access site is dry;

sending a radio-frequency transmission from at least one radio-frequency transmitter;

receiving the radio-frequency transmission by the at least one radio-frequency receiver at a lower level than the baseline level if the access site is wet; and

sending a blood leakage detection signal in response to the radio-frequency transmission being received at the lower level.

19. The access site disconnection detection method of claim 18, which includes setting the baseline level prior to a blood treatment therapy.

20. The access site disconnection detection method of claim 18, which includes sending the blood leakage detection signal in response to the radio-frequency transmission being received at the lower level a plurality of consecutive times.