Fluid detection in an enteral feeding set

• US 8,795,225 B2
• Filed: 09/29/2008
• Issued: 08/05/2014
• Est. Priority Date: 09/29/2008
• Status: Active Grant

• Current Assignee: Kpr U.S., LLC (Cardinal Health, Inc.)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Lewis, Thomas G., Byrd, William J., Hudson, Joseph A.
• Primary Examiner(s): Vu, Quynh-Nhu H
• Assistant Examiner(s): WILSON, LARRY ROSS
• Application Number:
  US12/240,654
• Publication Number:
  US 20100082011A1
• Time in Patent Office: 2,136 Days
• Field of Search: 604 65- 67, 604/503, 604/122, 604/253, 356/28, 356/422, 356/436, 250/343
• US Class Current: 604/67
• CPC Class Codes: A61J 15/0026 Parts, details or accessories for feeding-tubes external tubes from medical containers to a connector outside of the body A61M39/08
• CPC Class Codes: A61J 15/0076 Feeding pumps A61M1/00, A61M5/142, A61M25/1018 take precedence
• CPC Class Codes: A61J 15/0088 for sensing parameters related to the device
• CPC Class Codes: A61J 2200/76 for fluid level
• CPC Class Codes: A61M 2005/1402 Priming
• CPC Class Codes: A61M 2205/331 used as turbidity change detectors, e.g. for priming-blood or plasma-hemoglubine-interface detection
• CPC Class Codes: A61M 2205/3313 used specific wavelengths
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 5/14232 Roller pumps
• CPC Class Codes: A61M 5/16886 for measuring fluid flow rate, i.e. flowmeters
• CPC Class Codes: G01N 2021/0168 for the measurement cycle
• CPC Class Codes: G01N 21/3577 for analysing liquids, e.g. polluted water
• CPC Class Codes: G01N 21/59 Transmissivity G01N21/25 takes precedence

Abstract

Detection of fluid conditions in an administration set. A light source is positioned to transmit an infrared light through administration set tubing and any fluid therein. A light sensor senses the infrared light transmitted through the tubing and generates an output signal. A frequency of the output signal is a function of an intensity of the light transmitted through the tubing. A processor receives and determines the frequency of the output signal, and compares the determined frequency to threshold frequency values to determine whether fluid is in the tubing. The processor also monitors the generated output signal to determine if the frequency of the output signal changes over time, and determines whether fluid is flowing in the tubing as a function of the determined change in frequency.

Claims

1. A system for detecting fluid in a feeding tube, said system comprising:

a light source transmitting an infrared light through the feeding tube and any fluid therein;

an infrared intensity sensor sensing an intensity of the infrared light transmitted through the feeding tube and through any fluid therein and generating an output signal having a variable frequency, wherein the frequency of the output signal is a function of the sensed intensity of the infrared light transmitted through the feeding tube; and

a processor receiving the generated output signal and determining the frequency of the generated output signal, wherein the processor is configured to determine whether fluid is in the feeding tube by comparing the determined frequency of the generated output signal to one or more threshold frequency ranges stored in a memory, and wherein said processor is configured to determine whether the feeding tube has no fluid, a clear fluid, or a non-clear fluid as a function of the determined frequency as compared to the threshold frequency ranges.

2. The system of claim 1, wherein the processor determines no fluid is in the feeding tube when the determined frequency is within a first threshold frequency range.

3. The system of claim 1, wherein the light source is an infrared light emitting diode, and wherein the threshold frequency ranges are 125-135kilohertz indicating no fluid, 180-195 kilohertz indicating a clear fluid, and 20-30 kilohertz indicating a non-clear fluid.

4. The system of claim 2 further including an alarm for alerting a user when the determined frequency is within the first threshold frequency range for at least a predetermined period of time.

5. The system of claim 1, wherein the processor determines a type of fluid in the feeding tube by comparing the determined frequency of the output signal to the stored one or more threshold frequency ranges.

6. The system of claim 5, wherein the feeding tube is a feeding tube supplying a fluid to a patient, and wherein the processor determines the type of fluid in the feeding tube is a clear fluid when the determined frequency is within a second threshold frequency range, and wherein the processor determines the type of fluid in the feeding tube is a feeding formula when the determined frequency is within a third threshold frequency range.

7. The system of claim 6 further comprising:

a pump having a motor for pumping fluid through the feeding tube;

a controller for controlling the motor to start or stop pumping of the fluid, said controller having an user interface for receiving input from a user to start pumping the fluid to fill the feeding tube with fluid to a particular point along the feeding tube;

wherein the light source and infrared sensor are positioned adjacent to the feeding tube at the particular point along the feeding tube;

wherein the processor provides a primed signal to a controller of the pump when the determined frequency is within the second or third threshold frequency ranges; and

wherein the controller is responsive to the primed signal to stop the pumping of the fluid in the feeding tube.

8. The system of claim 1, wherein the infrared sensor is a light-to-frequency converter.

9. The system of claim 1, wherein the processor further determines whether fluid is flowing in the feeding tube as a function of a change in frequency of the generated output signal over a predetermined period of time.

10. The system of claim 9, wherein the processor determines that fluid is flowing in the feeding tube when the frequency of the output signal changes by 30 to 60 hertz over the predetermined period of time.

11. A system for detecting fluid flow in a section of tubing of an administration set, said system comprising:

a pump having a motor for pumping the fluid through the tubing;

a light source positioned adjacent the tubing for transmitting an infrared light through the tubing and any fluid therein;

an infrared sensor positioned adjacent to the tubing for sensing an intensity of the transmitted infrared light and for generating an output signal having a variable frequency, wherein said frequency of the output signal is a function of the sensed intensity of the infrared light transmitted through the tubing; and

a processor receiving the generated output signal and determining a change in the frequency of the generated output signal over a predetermined period of time, and wherein said processor is configured to determine whether fluid is flowing in the tubing as a function of the determined change in frequency, wherein the processor determines whether the tubing has no fluid, a clear fluid, or a non-clear fluid by comparing the determined change in frequency of the output signal to a predefined frequency range stored in a memory.

12. The system of claim 11, wherein the processor determines that fluid is flowing in the tubing when the determined change in frequency of the output signal is between 30 and 60 hertz.

13. A method for detecting fluid in a feeding tube, said method comprising:

transmitting an infrared light through the feeding tube and any fluid therein;

sensing an intensity of the infrared light transmitted through the feeding tube and through any fluid therein;

generating an output signal having a variable frequency, wherein said frequency of the output signal is a function of the sensed intensity of the infrared light transmitted through the feeding tube;

determining the frequency of the generated output signal;

determining whether fluid is in the feeding tube by comparing the determined frequency of the generated output signal to one or more threshold frequency ranges stored in a memory; and

when fluid is determined to be in the feeding tube, determining whether the fluid in the feeding tube is a clear fluid or a non-clear fluid by comparing the determined frequency of the output signal to the stored one or more threshold frequency ranges.

14. The method of claim 13, wherein the threshold frequency ranges are 125-135 kilohertz indicating no fluid, 180-195 kilohertz indicating a clear fluid, and 20-30kilohertz indicating a non-clear fluid.

15. The method of claim 14 further including generating an alarm when the determined frequency is between 125 and 135 kilohertz for at least a minimum period of time.

16. The method of claim 13 further including determining whether fluid is flowing in the feeding tube as a function of a shift in the frequency of the generated output signal over a different predetermined period of time.

17. The method of claim 16, wherein fluid is determined to be flowing in the feeding tube when the frequency of the output signal shifts between 30 to 60 hertz over the different predetermined period of time.

18. A pumping apparatus for administering a fluid to a patient via a pump set loaded in the pumping apparatus, said pump set comprising tubing in fluid connection with a fluid source, said pumping apparatus comprising:

a pump for controlling fluid flow in the pump set, said pump being adapted for delivering fluid from the fluid source to the patient via the tubing of the pump set;

a light source for transmitting an infrared light through a portion of the tubing and any fluid therein when the pump set is loaded in the pumping apparatus;

an infrared intensity sensor responsive to the infrared light transmitted through the tubing and through any fluid therein for generating a variable frequency output signal, said frequency of the output signal being a function of an intensity of the sensed infrared light transmitted through the feeding tube and any fluid therein; and

a processor, receiving and responsive to the output signal, is configured for comparing the frequency of the output signal to one or more threshold frequency ranges stored in a memory and for determining a fluid condition in the tubing as a function of the comparison, wherein the determined fluid condition is one of the following;

no fluid, a clear fluid, and a non-clear fluid.

19. The pumping apparatus of claim 18, wherein the light source is an infrared light emitting diode (LED), and wherein the threshold frequency ranges comprise at least one of the following:

125-135 kilohertz indicating no fluid, 180-195kilohertz indicating a clear fluid, and 20-30 kilohertz indicating a non-clear fluid.

20. The pumping apparatus of claim 18 further comprising an alarm for alerting a user when the determined fluid condition indicates an absence of fluid in the tubing for at least a predetermined period of time.

21. The pumping apparatus of claim 18, wherein the fluid condition comprises at least one of the following:

an absence of fluid in the tubing, a presence of fluid in the tubing, and a type of fluid in the tubing.

22. The pumping apparatus of claim 21, wherein the type of fluid in the tubing comprises at least one of the following:

an opaque fluid, a semi-opaque fluid, and a clear fluid.

23. The pumping apparatus of claim 21 further comprising:

a motor for driving the pump;

a controller for controlling the motor;

said controller having a user interface for receiving input from a user to start pumping the fluid to fill the tubing with fluid to a predetermined position along the tubing;

wherein the light source and the infrared intensity sensor are positioned adjacent to the tubing at the predetermined position;

wherein the processor is configured for providing a prime signal to the controller in response to the frequency of the output signal indicating the presence of fluid in the tubing at the predetermined position; and

wherein the controller is responsive to the prime signal to stop the pumping of the fluid in the tubing and await further input from the user.

24. The pumping apparatus of claim 18, wherein the processor is configured to determine whether fluid is flowing in the tubing as a function of a change in the frequency of the output signal over a predetermined period of time.

25. The pumping apparatus of claim 24, wherein the change in the frequency of the output signal for determining whether fluid is flowing in the tubing comprises a frequency shift of about 30 to 60 hertz over the predetermined period of time.