CA1129035A - Overpressure device - Google Patents

Overpressure device

Info

Publication number
CA1129035A
CA1129035A CA348,337A CA348337A CA1129035A CA 1129035 A CA1129035 A CA 1129035A CA 348337 A CA348337 A CA 348337A CA 1129035 A CA1129035 A CA 1129035A
Authority
CA
Canada
Prior art keywords
liquid
pressure chamber
tubular member
overpressure
optical sensor
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
CA348,337A
Other languages
French (fr)
Inventor
Susan J. Watkins
Lee E. Mcgill
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bayer Corp
Original Assignee
Cutter Laboratories Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cutter Laboratories Inc filed Critical Cutter Laboratories Inc
Application granted granted Critical
Publication of CA1129035A publication Critical patent/CA1129035A/en
Expired legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/16831Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • A61M5/16854Monitoring, detecting, signalling or eliminating infusion flow anomalies by monitoring line pressure

Abstract

Abstract of the Disclosure An overpressure device is disclosed for use in a liquid infusion set for the purpose of detecting excessive pressures which may occur during infusion. The device comprises a tubular member with an inlet and an outlet, a closed pressure chamber and a bridging portion containing a small bore passage which connects the pressure chamber with the tubular member. In a preferred form, the interconnecting passage takes a tortuous path. An optical sensor positioned on the pressure chamber will detect the presence of liquid at a predetermined position in the chamber, when the liquid rises as a result of excessive pressure in the set, and respond by stopping the flow of liquid in the set.

Description

-~ 1129035 This invention relates to an overpTessure device for use in a liquid infusion system to detect an overpressure condition in the system.
There are a number of intravenous solution pumps of various kinds which have been disclosed or are in use currently whose function is to deliver discrete volumes of fluids at precise rates to a patient. The use of such pumps greatly reduces the time and attention of nurses who are responsible for administration of parenteral solutions to patients as compared to the standard gravity feed system of administration where the nurse has to check constantly to see that a preadjusted flow rate is being maintained.
As sometimes happens during the administration, the tubing becomes occluded if the patient inadvertently lies on the tubing of the administration set, or the tubing may become pinched by a bed rail; or the infusion needle may become lodged into a muscle instead of the vein of the patient. If a pump were to continue forcing fluid through the tubing under such circumstances, it could result in harm to the patient.
This overpressure condition can be noted by means of auditory or ~isual signals built into a pump which provide a warning of the condition.
There are also various means associated with I.V. pumps which sense an over-pressure condition and by appropriate electrical circuitry result in stopping `~ 20 or greatly reducing the pumping action until the condition is corrected. Qne - such means is disclosed in Uhited States Patent No. 3,985,133 wherein an ,, .
occlusion or overpressure in a set causes a slowing down or stalling of the shaft on the pump motor. This reduction in shaft rotation is detected by a pair of light detectors which triggers the occlusion alarm. Another means for occlusion detection is disclosed in United States Patent No. 3,731,679 where-in a syringe pump is associated with a device having four channels, one being .
connected to the pump, another to a supply of fluid, a third connected to tubing leading to the patient and the fourth being closed at its outer end.

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If the solution being administered becomes overpressured, it backs up into the fourth channel ~which is normally filled with air) until contact is made with an electrode positioned within the channel. This activates a circuit which results in stopping the motoT to the pump.
An apparatus is disclosed in Uhited States Patent No. 3,456,648 which is designed to monitor predetermined critically high levels of venous pressure during infusion of solutions. The apparatus includes a manometer connected to the tubing of the infusion set and an optical sensor slidingly supported on the manometer at any predetermined point. If the venous pressure should reach a critical pressure, the solution will rise up the manometer tube and when light from the optical sensor is reflected by the presence of the solution, a valve is actuated to stop the flow of solution into the pat-ient. The aforementioned devices of patents 3,731,679 and 3,456,648 have de-ficiencies which prevent them from being entirely acceptable in overpressure detectors for intravenous infusion sets. They are susceptible to air being bled into the infusion line which could result in an air embolism in the pa-tient and the sensors could be triggered if drops of solution were to come in . contact with them as a result of inadvertent jarring of the devices even though no overpressure condition exists.
-~, 20 Formaly, an I.V. pump available from Sigmamotor included the cap-:~.
ability for detecting overpressures in an administration set. The set con-; tained a translucent vertical connector in the tubing with a horizontal closed '~ ended tubular branch of the same bore size extending horizontally from the middle of the connector. An optical sensor positioned intermediately on the branch detected the presence of liquid forced into this branch as a result of overpressure in the set. The major drawback with this design is again the possibility for inadvertently setting off the alarm indicating an overpressure ~' condition should droplets be flicked into the area of the branch monitored by ., - 2 -~J

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the sensor as a result of the unit being jarred.
These and other deficiencies are essentially eliminated by employ-ing an improved overpressure device in an infusion set as detailed in the disclosure and claims which follow.
According to the present invention there is provided in an infusion system having pumping means for transmitting liquid through tubing in the system and an optical sensor located distally to the pumping means and which is responsive to the presence of liquid in the path of a beam of light emitted by the sensor, an overpressure device comprising a tubular member having an inlet at its upper portion and an outlet at its lower portion with the inlet and the outlet adapted for connection with the tubing, the overpressure de-vice further including a pressure chamber generally vertically inclined, clos-ed at its upper end and joined at its lower end to an intermediate position on the tubular member by a transverse bridging portion which contains an inter-connecting passage whose bore is substantially smaller than bores of either the pressure chamber or the tubular member, the pressure c~amber being adapt-ed for communication with the optical sensor and for permitting the beam of light to be transmitted therethrough. The bore of the passage in the bridg-ing portion is preferably tortuous and a most preferred form is one in which the bridging portion contains a cavity communicating with the passage.
When the infusion set is connected to a supply of intravenous sol-ution and attached to an infusion pump and the set cleared of air by priming 1 ~ith the solution, the overpressure device portion of the set is then normally .~ secured to the pump unit so that the pressure chamber portion of the device ls poaitioned in an optical sensor associated with the pump. The solution ,, fills the tubular member portion of the device and, because there is normally a s~all head pressure resulting from the extension of the set above the level of the pump, the pressure will force a small amount of the solution into the ~i ;i ,~, - 3 -:, , r~

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' , 3s passage of the bridging portion but not into the pressure chamber which is full of air. When the pump is in operation, should a condition arise where pressure in the infusion set rises to a point which could be detrimental to the patient, as for example, a pressure of 10 to 15 p.s.i. above atmospheric pressure, the solution will compress the air and rise up into the pressure chamber. When the meniscus of the solution reaches the point where the light beam from the optical sensor is deflected away from the photodetector of the sensor, the circuitry of the sensor is altered and responds by shutting off the pump and turning on a visual or audio alarm.
The bore of the passage in the bridging portion is preferably of a size such that the surface tension of the solution being infused will inhibit flow into the pressure chamber portion under normal pressures. During prim-ing operations, the deYice normally is tapped to help clear it of air along its flow path. This small bore passage inhibits a liquid from accumulating at I the bottom of the pressure chamber, which if it were present could cause drop-; lets of the liquid being splashed upwardly into the path of the optical sen-sor to trigger the overpressure alarm. Inadvertent jarring of the pump while it is in operation could produce the same effect and shut down the pump if there were a small amount of liquid at the bottom of the pressure chamber. A
tortuous path for the passage is superior to one which is straight since it would be essentially impossible for a liquid to be spashed inadvertently into the pressure chamber. Preferably, a small reservoir or cavity communicates with the passage and allows bore si~e to remain small while taking up the small amount of liquid forced into the passage by the slight head pressure of 1 the liquid in the inusion set, thus keeping the pressure chamber free of the `'I~ listuia.
j ~he inYention can be better understood and the advantages will be-;~ come apparent ~ro~ the following description of some preferred embodiments - 4 _ , ....................................................................... .
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and as illustrated by the accompanying drawings, in which:
Figure 1 is a view in perspective of an overpressure device and with an optical sensor positioned on the device;
Figure 2 is side view in partial cross section of an embodiment of the overpressure device of this invention, the lower portion shown in section taken along the line 2-2 of Figure 4;
Figure 3 is a top view of the device of Figure 2;
Figure 4 is a view taken along the line 4-4 of Figure 2;
Figure 5 is cross sectional view of a portion of another embodiment of the overpressure device;
Figure 6 is a cross sectional view of a portion of still another embodiment of the overpressure device;
; Figure 7 is a side view of an intermediate portion of the pressure chamber in the overpressure device illustrating an uninterrupted beam of light passing through the chamber; and -~
Figure 8 is a ~iew similar to that of Figure 7 but with the beam of light reflecting off the surface of liquid in the chamber.
Referring to the drawings, Figure 1 shows an overpressure device 10 as part of an infusion set which is connected by tubing 12 at its upper end 14 to a source of supply of an infusion solution (not shown) and at its lower end 16 to an infusion needle or catheter Cnot shown~. As more clearly seen in i Flgure 2 device 10 has an elongated tubular portion 18 with inlet 20 and out-let 22 adapted for connection to tubing 12.
A pressure chamber 24 formed by walls 26 and closed at the top is 1 suppolted by ,~ ridge 28 connecting it to an upper portion 30 of the tubular member 18. The pressure chamber walls should be made of either transparent :j or translucent material so that light can pass through the chamber. The, de~ice 10 may ha~e a handle 32 with ribs 34 for convenience in grasping the _ 5 _ . ., - . ~ , ~ , . -~, ' , .' ~ .

L2~35 device when locking it into an I.Y. pump. A positioning rib 36 extending along chamber 24 may be included to assist in aligning an optical sensor 38 at an appropriate point as will be described in greater detail subsequently.
Lower portion 40 of tubular member 18 is joined to the upper port-ion 30 by a bridging portion 42 formed by sealing shoulder 44 of the upper portion to a ledge 46 on the lower portion. The upper surface 48 of the lo-wer portion 40 has a channel 50 of a size subdtantially smaller in cross sec-tion than the bores in the tubular member 18 and the pressure chamber 24.
Channel 50 connects chamber 24 with the interior of tubular member 18 by a tortuous passage shown in Figure 4 as a preferred form of this embodiment for the overpressure device. An alternate form of a tortuous passage 60 is ill- -ustrated in Figure 6. This narrow bore passage can also be straight like passage 62 as in Figure 5 but tortuous passages are generally preferred for the reason stated above. As shown in Figures 2 and 4, channel 50 preferably includes a small reservoir or cavity 52 intermediate between the ends of channel 50 ~hich in this instance is provided by a deeper cut into channel 50.
An optical sensor 38 normally is secured at an appropriate position on an I.V. pump so that the overpressure device 10 can be positioned with the pressure chamber 24 aligned with the optical sensor at a fixed location so ,! 20 that the sensor will react to an overpressure condition of a predetermined magnitude. The shelving of the intermediate bridging portion 42 can function as engagement means to secure the device to the I.V. pump as by corresponding l slots or clamps associated with the pump. The optical sensor 38 has a light ;l emitting diode 70 and a photodetector 72 opposite each other in the side walls 74 and 76. A typical optical sensor is that available from HEI Products, Chaflca, Minnesota. The light beam from the emitter 70 normally passes through .! the walls of chamber 24 in a straight path to be received by the detector 72 since ehamber 24 contains only air during the normal operation of the pump, . ~ , , ~2~3~

In the event pressure in the infusion set increases to a magnitude which forces solution S into chamber 24 until the liquid level reaches the point shown in Figure 8, the light beam is deflected away from the detector 72.
The circuitry of the optical sensor is designed to interact with the circuit-ry of the pump motor and shut it off in this situation as well as actuate an audio or visual alarm. Such circuitry and alarm features are well known in the art and therefore are not detailed here.
Several examples of the overpressure device of the present invent-ion having been disclosed; these should be construed as illustrative only and 10 the scope of the invention is intended to be limited only by the following claims.

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Claims (5)

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE
PROPERTY OR PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. In an infusion system having pumping means for transmitting liquid through tubing in the system and an optical sensor located distally to the pumping means and which is responsive to the presence of liquid in the path of a beam of light emitted by the sensor, an overpressure device comprising a tubular member having an inlet at its upper portion and an outlet at its lower portion with the inlet and the outlet adapted for connection with the tubing, the overpressure device further including a pressure chamber generally vertically inclined, closed at its upper end and joined at its lower end to an intermediate position on the tubular member by a transverse bridging portion which contains an interconnecting passage whose bore is substantially smaller than bores of either the pressure chamber or the tubular member, the pressure chamber being adapted for communication with the optical sensor and for permitting the beam of light to be transmitted therethrough.
2. The device of claim 1 wherein the bore of the interconnecting passage is of a size such that surface tension of the liquid in the system inhibits flow of the liquid into the pressure chamber when the system is at approximately atmospheric pressure.
3. The device of claim 1 wherein the bore of the interconnecting passage takes a tortuous path.
4. The device of claim 3 wherein the bridging portion further contains a small reservoir which communicates with the interconnecting passage.
5. The device of claim 1 further including engagement means for posit-ioning the device to device retaining means associated with the pumping means.
CA348,337A 1979-03-26 1980-03-25 Overpressure device Expired CA1129035A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US23,927 1979-03-26
US06/023,927 US4244365A (en) 1979-03-26 1979-03-26 Device for use in detecting occlusion in an infusion system

Publications (1)

Publication Number Publication Date
CA1129035A true CA1129035A (en) 1982-08-03

Family

ID=21817976

Family Applications (1)

Application Number Title Priority Date Filing Date
CA348,337A Expired CA1129035A (en) 1979-03-26 1980-03-25 Overpressure device

Country Status (2)

Country Link
US (1) US4244365A (en)
CA (1) CA1129035A (en)

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US4596552A (en) * 1983-06-10 1986-06-24 Dlp Inc. Cardioplegia cannula
US4703314A (en) * 1986-02-27 1987-10-27 Fisher Scientific Group, Inc. Empty container detector with drop sensor
US4665391A (en) * 1986-02-27 1987-05-12 Warner-Lambert Company Empty container detector
US4747828A (en) * 1986-12-09 1988-05-31 Fisher Scientific Group IV fluid line occlusion detector
US4836752A (en) * 1987-11-02 1989-06-06 Fisher Scientific Company Partial restriction detector
US5000664A (en) * 1989-06-07 1991-03-19 Abbott Laboratories Apparatus and method to test for valve leakage in a pump assembly
US5290238A (en) * 1992-06-10 1994-03-01 Imed Corporation Self priming tubing set for an infusion device
US5480063A (en) * 1993-03-05 1996-01-02 Keyes; Denis E. Volumetric fluid dispensing apparatus
US5489265A (en) * 1994-06-15 1996-02-06 Ivac Corporation Restrictor fitting for an infusion pump
US5868710A (en) * 1996-11-22 1999-02-09 Liebel Flarsheim Company Medical fluid injector
US6423029B1 (en) * 1999-04-29 2002-07-23 Medtronic, Inc. System and method for detecting abnormal medicament pump fluid pressure
US6659976B2 (en) * 2001-04-16 2003-12-09 Zevek, Inc. Feeding set adaptor
US6523414B1 (en) 2001-04-16 2003-02-25 Zevex, Inc. Optical pressure monitoring system
US7527608B2 (en) * 2002-08-12 2009-05-05 Lma North America, Inc. Medication infusion and aspiration system and method
US6893414B2 (en) * 2002-08-12 2005-05-17 Breg, Inc. Integrated infusion and aspiration system and method
US9026370B2 (en) 2007-12-18 2015-05-05 Hospira, Inc. User interface improvements for medical devices
US8523797B2 (en) * 2008-05-08 2013-09-03 Hospira, Inc. Automated point-of-care fluid testing device and method of using the same
US8486020B2 (en) 2010-08-11 2013-07-16 Zevex, Inc. Pressure sensor and method of use
AU2011308700B2 (en) 2010-10-01 2015-04-02 Zevex, Inc. Pressure sensor seal and method of use
JP2013538650A (en) 2010-10-01 2013-10-17 ゼヴェクス・インコーポレーテッド Pressure monitoring system for infusion pumps
AU2012299169B2 (en) 2011-08-19 2017-08-24 Icu Medical, Inc. Systems and methods for a graphical interface including a graphical representation of medical data
WO2013090709A1 (en) 2011-12-16 2013-06-20 Hospira, Inc. System for monitoring and delivering medication to a patient and method of using the same to minimize the risks associated with automated therapy
ES2741725T3 (en) 2012-03-30 2020-02-12 Icu Medical Inc Air detection system and method to detect air in a pump of an infusion system
US10463788B2 (en) 2012-07-31 2019-11-05 Icu Medical, Inc. Patient care system for critical medications
WO2014190264A1 (en) 2013-05-24 2014-11-27 Hospira, Inc. Multi-sensor infusion system for detecting air or an occlusion in the infusion system
CA2913915C (en) 2013-05-29 2022-03-29 Hospira, Inc. Infusion system which utilizes one or more sensors and additional information to make an air determination regarding the infusion system
EP3003442B1 (en) 2013-05-29 2020-12-30 ICU Medical, Inc. Infusion system and method of use which prevents over-saturation of an analog-to-digital converter
US20150133861A1 (en) 2013-11-11 2015-05-14 Kevin P. McLennan Thermal management system and method for medical devices
EP3110474B1 (en) 2014-02-28 2019-12-18 ICU Medical, Inc. Infusion system and method which utilizes dual wavelength optical air-in-line detection
JP2017517302A (en) 2014-05-29 2017-06-29 ホスピーラ インコーポレイテッド Infusion system and pump with configurable closed loop delivery rate catchup
US10143795B2 (en) 2014-08-18 2018-12-04 Icu Medical, Inc. Intravenous pole integrated power, control, and communication system and method for an infusion pump
US11344668B2 (en) 2014-12-19 2022-05-31 Icu Medical, Inc. Infusion system with concurrent TPN/insulin infusion
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ES2809505T3 (en) 2015-05-26 2021-03-04 Icu Medical Inc Disposable infusion fluid delivery device for programmable delivery of high volume drugs
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CA3027176A1 (en) 2016-06-10 2017-12-14 Icu Medical, Inc. Acoustic flow sensor for continuous medication flow measurements and feedback control of infusion
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