JP6678646B2 - 輸液状態検出システム - Google Patents
輸液状態検出システム Download PDFInfo
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- JP6678646B2 JP6678646B2 JP2017506119A JP2017506119A JP6678646B2 JP 6678646 B2 JP6678646 B2 JP 6678646B2 JP 2017506119 A JP2017506119 A JP 2017506119A JP 2017506119 A JP2017506119 A JP 2017506119A JP 6678646 B2 JP6678646 B2 JP 6678646B2
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- 238000001802 infusion Methods 0.000 title claims description 216
- 238000001514 detection method Methods 0.000 title claims description 96
- 239000007788 liquid Substances 0.000 claims description 154
- 230000008859 change Effects 0.000 claims description 35
- 238000012545 processing Methods 0.000 claims description 27
- 238000003780 insertion Methods 0.000 claims description 5
- 230000037431 insertion Effects 0.000 claims description 5
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- 238000005259 measurement Methods 0.000 description 28
- 239000000243 solution Substances 0.000 description 21
- 238000000034 method Methods 0.000 description 18
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- 229940079593 drug Drugs 0.000 description 17
- 210000004204 blood vessel Anatomy 0.000 description 10
- 230000008569 process Effects 0.000 description 10
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- 230000007423 decrease Effects 0.000 description 5
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- 210000004304 subcutaneous tissue Anatomy 0.000 description 5
- 238000004891 communication Methods 0.000 description 4
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- 230000002159 abnormal effect Effects 0.000 description 3
- 230000036772 blood pressure Effects 0.000 description 3
- 238000010409 ironing Methods 0.000 description 3
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- 239000002246 antineoplastic agent Substances 0.000 description 2
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- 230000003444 anaesthetic effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
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- 238000000071 blow moulding Methods 0.000 description 1
- 229940127089 cytotoxic agent Drugs 0.000 description 1
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- 230000036251 extravasation Effects 0.000 description 1
- 238000001746 injection moulding Methods 0.000 description 1
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- 239000008155 medical solution Substances 0.000 description 1
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- 235000015097 nutrients Nutrition 0.000 description 1
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- 239000011347 resin Substances 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means 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
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M5/16854—Monitoring, detecting, signalling or eliminating infusion flow anomalies by monitoring line pressure
- A61M5/16859—Evaluation of pressure response, e.g. to an applied pulse
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means 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
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M5/16854—Monitoring, detecting, signalling or eliminating infusion flow anomalies by monitoring line pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
- A61J1/05—Containers specially adapted for medical or pharmaceutical purposes for collecting, storing or administering blood, plasma or medical fluids ; Infusion or perfusion containers
- A61J1/10—Bag-type containers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means 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
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M2005/16863—Occlusion detection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means 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
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M2005/16863—Occlusion detection
- A61M2005/16868—Downstream occlusion sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/15—Detection of leaks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/18—General characteristics of the apparatus with alarm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3334—Measuring or controlling the flow rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3344—Measuring or controlling pressure at the body treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/502—User interfaces, e.g. screens or keyboards
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/581—Means for facilitating use, e.g. by people with impaired vision by audible feedback
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/82—Internal energy supply devices
- A61M2205/8206—Internal energy supply devices battery-operated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14212—Pumping with an aspiration and an expulsion action
- A61M5/14232—Roller pumps
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- Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
Claims (6)
- 輸液ライン内の液体を送液するポンプ部と、
前記輸液ラインに配置され、該輸液ライン内の圧力を検出する圧力検出部と、
前記圧力検出部の圧力値が設定圧力以上になった場合に、前記ポンプ部の駆動を停止し、その停止期間中における前記圧力検出部が検出する圧力値に基づき輸液状態を判別する判別処理部と、を備え、
前記判別処理部は、前記停止期間中における前記輸液ライン内の圧力値が、前記設定圧力の所定の割合以下となる時間を計測し、計測した時間が所定の期間閾値以下であった場合に、前記液体の生体管腔外への漏れが発生したと判定する
ことを特徴とする輸液状態検出システム。 - 輸液ライン内の液体を送液するポンプ部と、
前記輸液ラインに配置され、該輸液ライン内の圧力を検出する圧力検出部と、
前記圧力検出部の圧力値が設定圧力以上になった場合に、前記ポンプ部の駆動を停止し、その停止期間中における前記圧力検出部が検出する圧力値に基づき輸液状態を判別する判別処理部と、を備え、
前記判別処理部は、送液停止状態となった時点から所定の期間閾値を経過した時点での前記輸液ライン内の圧力値が所定の圧力判別閾値以下の場合に、前記液体の生体管腔外への漏れが発生したと判定する
ことを特徴とする輸液状態検出システム。 - 輸液ライン内の液体を送液するポンプ部と、
前記輸液ラインに配置され、該輸液ライン内の圧力を検出する圧力検出部と、
前記圧力検出部の圧力値が設定圧力以上になった場合に、前記ポンプ部の駆動を停止し、その停止期間中における前記圧力検出部が検出する圧力値に基づき輸液状態を判別する判別処理部と、を備え、
前記判別処理部は、前記停止期間中における前記輸液ライン内の圧力値の変化率が所定の変化率閾値以上であった場合に、前記液体の生体管腔外への漏れが発生したと判定する
ことを特徴とする輸液状態検出システム。 - 輸液ライン内の液体を送液するポンプ部と、
前記輸液ラインに配置され、該輸液ライン内の圧力を検出する圧力検出部と、
前記圧力検出部の圧力値が設定圧力以上になった場合に、前記ポンプ部の駆動を停止し、その停止期間中における前記圧力検出部が検出する圧力値に基づき輸液状態を判別する判別処理部と、を備え、
前記判別処理部は、前記停止期間の終了後に前記ポンプ部の駆動を再開し、その再開後に前記圧力検出部が検出する圧力値が上昇した場合に、前記輸液ラインの閉塞が発生したと判定する
ことを特徴とする輸液状態検出システム。 - 輸液ライン内の液体を送液するポンプ部と、
前記輸液ラインに配置され、該輸液ライン内の圧力を検出する圧力検出部と、
前記圧力検出部の圧力値が設定圧力以上になった場合に、前記ポンプ部の駆動を停止し、その停止期間中における前記圧力検出部が検出する圧力値に基づき輸液状態を判別する判別処理部と、を備え、
前記判別処理部は、前記設定圧力を、前記ポンプ部の前記液体の送液量に基づき自動的に設定する
ことを特徴とする輸液状態検出システム。 - 請求項1〜5のいずれか1項に記載の輸液状態検出システムにおいて、
前記圧力検出部は、生体の体内に挿入される前記輸液ラインの挿入部の近傍位置に配置される
ことを特徴とする輸液状態検出システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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JP2015053805 | 2015-03-17 | ||
JP2015053805 | 2015-03-17 | ||
PCT/JP2016/052098 WO2016147699A1 (ja) | 2015-03-17 | 2016-01-26 | 輸液状態検出システム |
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JPWO2016147699A1 JPWO2016147699A1 (ja) | 2017-12-28 |
JP6678646B2 true JP6678646B2 (ja) | 2020-04-08 |
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Country Status (4)
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US (1) | US10744259B2 (ja) |
EP (1) | EP3272377B1 (ja) |
JP (1) | JP6678646B2 (ja) |
WO (1) | WO2016147699A1 (ja) |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
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US10485926B2 (en) | 2016-10-07 | 2019-11-26 | Carefusion 303, Inc. | Systems and methods for controlling an infusion pump |
CN111494753B (zh) * | 2019-01-31 | 2024-02-13 | 贝克顿·迪金森公司 | 药物输送装置、药物输送笔和药物输送注射器 |
CN113140284B (zh) * | 2021-04-09 | 2022-09-06 | 阜外华中心血管病医院 | 基于大数据分析的输液外渗现象数据归集与可视化分析 |
CN113456936B (zh) * | 2021-07-05 | 2022-02-08 | 联赢医疗科技有限公司 | 输注泵的控制*** |
CN114534017B (zh) * | 2022-03-01 | 2024-01-16 | 杨上林 | 输液插管与静脉的接触状态监控方法及*** |
Family Cites Families (13)
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JPS551974A (en) | 1978-06-22 | 1980-01-09 | Takiguchi Tekkosho:Kk | Fusion-welding method of filler pipe with flange for mounting |
US6158965A (en) | 1996-07-30 | 2000-12-12 | Alaris Medical Systems, Inc. | Fluid flow resistance monitoring system |
US8182461B2 (en) * | 2003-11-04 | 2012-05-22 | Smiths Medical Asd, Inc. | Syringe pump rapid occlusion detection system |
JP2005278766A (ja) * | 2004-03-29 | 2005-10-13 | Sekio Ninomiya | 点滴状態を監視する方法 |
WO2009114115A1 (en) * | 2008-03-10 | 2009-09-17 | S.E.A. Medical Systems, Inc. | Intravenous fluid monitoring |
EP2158930B1 (en) * | 2008-08-27 | 2017-06-28 | F. Hoffmann-La Roche AG | Flow control valves for leakage detection, free-flow prevention and occlusion detection |
JP2012506279A (ja) * | 2008-10-22 | 2012-03-15 | デビオテック ソシエテ アノニム | ポンプ機能不全検出用の一体型圧力センサを有する微小電気機械流体ポンプ |
US8608699B2 (en) * | 2009-03-31 | 2013-12-17 | Tandem Diabetes Care, Inc. | Systems and methods to address air, leaks and occlusions in an insulin pump system |
WO2012042710A1 (ja) * | 2010-09-29 | 2012-04-05 | テルモ株式会社 | 血管外漏出検出装置及び輸液システム |
JP5629172B2 (ja) * | 2010-03-29 | 2014-11-19 | テルモ株式会社 | 血管外漏出検出装置及び輸液システム |
JP6181050B2 (ja) | 2011-06-23 | 2017-08-16 | デバイオテック・ソシエテ・アノニム | 医療用ポンプ用の通気式リザーバ |
US9867953B2 (en) * | 2013-06-21 | 2018-01-16 | Tandem Diabetes Care, Inc. | System and method for infusion set dislodgement detection |
US9272087B2 (en) * | 2013-06-26 | 2016-03-01 | Carefusion 303, Inc. | Fluid line occlusion detection system and methods |
-
2016
- 2016-01-26 JP JP2017506119A patent/JP6678646B2/ja active Active
- 2016-01-26 EP EP16764530.8A patent/EP3272377B1/en active Active
- 2016-01-26 WO PCT/JP2016/052098 patent/WO2016147699A1/ja active Application Filing
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EP3272377A1 (en) | 2018-01-24 |
EP3272377A4 (en) | 2018-10-17 |
US10744259B2 (en) | 2020-08-18 |
US20180001022A1 (en) | 2018-01-04 |
EP3272377B1 (en) | 2020-12-02 |
WO2016147699A1 (ja) | 2016-09-22 |
JPWO2016147699A1 (ja) | 2017-12-28 |
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