1988 results about "Fluid administration" patented technology

A method and apparatus for carrying our thermal ablation of target tissue is disclosed. The apparatus includes an RF ablation device having a multi-electrode electrode assembly designed to be deployed in target tissue, defining a selected-volume tissue region to be ablated, and having infusion channels for infusing a liquid into the target tissue during the ablation process. A control unit in the apparatus is operably connected to an RF energy source, for controlling the RF power level supplied to the electrodes, and to an infusion device, for controlling the rate of infusion of a liquid through the device into the tissue. During both electrode deployment and tissue ablation, impedance and or temperature measurements made within the tissue are used to control the RF source and infusion device, for optimizing the time and extent of tissue ablation.

Embodiments of the invention are directed to systems, methods and devices for sustained medical infusion with controlled rate injection of a liquid into a body. Such a system may include a first separate reusable unit, a second separate depletable unit a third separate disposable unit having a cannula, and may include a fourth separate remote control unit. Emission of appropriate instructions from the fourth unit, when the first unit, the second unit, and the third unit are coupled together in associative operation and disposed on the skin, power is supplied to an engine for generating motion to a fluid transfer system, and when the cannula is inserted in the well and in the body, liquid is transferred from the reservoir to the body, via the tube and the cannula, under control of the controller and transceiver.

Some embodiments disclosed herein related to a device for transferring precise amounts of fluid from at least one source container to a at least one target container. In some embodiments, the fluid is first transferred from the source container (e.g., a vial) through a connector to an intermediate measuring container (e.g., a syringe). In some embodiments air can pass through an air inlet and enter the vial to compensate for the volume of fluid withdrawn from the vial. An air check valve or a bag or a filter can prevent the fluid from escaping through the air inlet. The precisely measured amount of fluid can then be transferred from the intermediate measuring container to the target container (e.g., an IV bag). In some embodiments the connector can include a source check valve and a target check valve to direct fluid first from the source container to the intermediate measuring container and then from the intermediate measuring container to the target container. Some embodiments of the device can include a motor and a controller for automatically actuating a plunger of the syringe to transfer the desired amount of fluid.

A system and method for opening a lumen in an occluded blood vessel, e.g., a coronary bypass graft, of a living being. The system comprises an atherectomy catheter having a working head, e.g., a rotary impacting impeller, and a debris extraction sub-system. The atherectomy catheter is located within a guide catheter. The working head is arranged to operate on, e.g., impact, the occlusive material in the occluded vessel to open a lumen therein, whereupon some debris may be produced. The debris extraction sub-system introduces an infusate liquid at a first flow rate adjacent the working head and withdraws that liquid and some blood at a second and higher flow rate, through the guide catheter to create a differential flow adjacent the working head, whereupon the debris is withdrawn in the infusate liquid and blood for collection outside the being's body. The introduction of the infusate liquid may also be used to establish an unbalanced flow adjacent the working head to enable the atherectomy catheter to be steered hydrodynamically. A guide wire having an inflatable balloon on its distal end may be used with the atherectomy catheter to block the flow of debris distally, while enabling distal tissues to be perfused with an oxygenating liquid. At least one flow control port may be provided in the guide catheter to prevent collapse of the vessel being revascularized. A cradle is provided to fix the guide catheter and guide wire in position within the body of the being while enabling the atherectomy catheter to be advanced along the guide wire and through the guide catheter. The guide catheter includes a wear resistant coating and is constructed so that its distal end includes plural sections of different outside diameters, with the distal most section being of the smallest outside diameter. A control console is provided to establish various modes of operation of the system based on manual inputs via switches or voice commands via voice recognition circuitry. A video panel displays the various modes of operation and instructions to the operator.

The invention relates to: A portable medication delivery device (1) comprising a medication cartridge (11) having an outlet (111) and a movable piston (112), and a housing (12) for holding said cartridge, and a flexible piston rod (13) being operable to engage and displace said piston along an axis (113) of said cartridge, and guiding means (14) for bending said piston rod away from said axis, and actuating means (15), and driving means (16, 17) for transferring movement from said actuating means to said piston rod, said driving means including a driving wheel (17) for displacing the piston rod (13), said flexible piston rod comprising regularly spaced first members (330; 331; 332) adapted to mechanically cooperate with corresponding second members (171) on said driving wheel. The object of the present invention is to provide a medication delivery system that combines compactness with an improved accuracy. The problem is solved in that said flexible piston rod (13) exhibits a linear or approximately linear path between said driving wheel (17) and said piston (112). This has the advantage of yielding a compact, low-weight device with an improved dose accuracy. The invention may e.g. be used in injection or infusion devices for a person's self-treatment of a disease such as diabetes.

Provided is an extended use self-contained, wearable medical device. The device is preferably configured with an infusion deployment mechanism for variably inserting and retracting an infusion needle to different depths, or completely retracting the infusion needle from the infusion site and then re-inserting the infusion needle after a predetermined period of time, throughout an infusion cycle for extending the viability of the infusion site. Another embodiment comprises dual needle deployment mechanisms which may also variably insert and retract the infusion needles. A flow sensor is preferably provided for detecting the stoppage of flow through the infusion cannula and signaling the needle deployment mechanism to attempt infusion at a different depth or to deploy a second infusion needle. A re-fillable reservoir assembly is preferably provided for supplying a drug over the extended use of the device. Another embodiment comprises a partially reusable and partially disposable medical device implementing the above features.

An infusion medium delivery system, device and method for delivering an infusion medium to a patient-user, includes a needle inserter device and method for inserting a needle and / or cannula into a patient-user to convey the infusion medium to the patient-user. The needle inserter device and method operate to insert a needle and cannula into a patient-user's skin and automatically withdraw the needle from the patient-user, leaving the cannula in place and in fluid flow communication with a reservoir. The delivery device may include a base portion and a durable portion connectable to the base portion, and wherein the base portion can be separated from the durable portion and disposed of after one or more specified number of uses. The base portion supports the reservoir and the needle inserter device, while the durable portion supports a drive device for selectively driving the infusion medium out of the reservoir and into the needle and / or cannula.

A pharmacodynamic (PD), pharmacokinetic (PK), or both and PK guided infusion device, system and method optimizes the safety and efficacy of various forms of treatment or therapy (e.g., drug and / or fluid) in a variety of health-care and other settings.

An interventional catheter assembly comprising a catheter for insertion and guidance to a target site in a body lumen or a cavity and an operating head mounted in proximity to a distal end of the catheter and comprising a system for removing obstructive material from the target site is provided. In certain embodiments, the catheter assembly includes at least one aspiration port located proximal to the operating head that communicates with a first sealed lumen for withdrawing fluids and obstructive material from the target site, together with at least one liquid infusion port penetrating the catheter and located proximal to the at least one aspiration port that communicates with a second sealed lumen for supplying fluid to a location in proximity to the target site.

An apparatus for accurately infusing fluids into a patient at specific rates over an extended period of time. The apparatus is of a low profile, laminate construction having a stored energy source in the form of a distendable membrane, which in cooperation with the base of the apparatus defines one or more fluid reservoirs each having a fluid inlet and a fluid outlet. The apparatus further includes a novel, conformable ullage made of formable materials. The conformable ullage uniquely conforms to the shape of elastomeric membrane as the membrane returns to its less distend configuration and in so doing can move between a central chamber and a toroidal chamber formed in the cover of the apparatus. This arrangement will satisfy even the most stringent medicament delivery tolerance requirements and will elegantly overcome the limitations of materials selection encountered in devices embodying solely rigid ullage construction. Additionally, the infusion cannula of the apparatus is connected to the base in a novel manner which permits expeditious subdermal delivery to the patient via a cannula which extends generally perpendicularly relative to the base.

An infusion set having an infusion part for insertion into a patient and a connector for connecting the infusion part with a medical device through a tube is provided. The connector is axially displaceable relative to the infusion part. The infusion part includes an adhesive support, a base part with a first set of guiding means and at least two retention devices for locking the connector to the infusion part, a cannula extending from the base part and being in fluid communication with a cavity. The cavity is further adapted to receive a second cannula extending from the connector where the second cannula is in fluid communication with the tube. The infusion set further includes a second set of guiding means that are adapted to fit with the first set of guiding means and at least two arms. The retention devices extend from an upper surface of a main surface of the base part and the arms include means corresponding to the retention members.

A system and user interface according to invention principles supports concurrently managing and maintaining multiple medical devices (e.g., infusion pumps) and processing and displaying the data produced by the medical devices within a Healthcare enterprise. An information system supports a plurality of network connected infusion pumps. The system includes an acquisition processor for acquiring fluid infusion related data from a plurality of concurrently operating infusion pumps. A data processor processes the acquired fluid infusion related data to provide data suitable for presentation in a single display image identifying the plurality of concurrently operating infusion pumps together with status information identifying status of individual pumps of the plurality of concurrently operating infusion pumps.

A needleless additive control valve for use with a fluid container containing an infusion liquid and having an intravenous (IV) port for administrating the infusion liquid, and an additive transfer device containing a liquid additive and having a male connector for administrating the liquid additive. The needleless additive control valve includes a trifurcated connector body having an IV spike for sealing insertion into the IV port, an outlet port, and a needleless additive port with a female connector for sealingly receiving the additive transfer device's male connector wherein the IV spike, the outlet port and the needleless additive port are in 3 way direct and continuous fluid communication thereby enabling the additive transfer device's liquid additive to be either mixed with the infusion liquid or directly administered to a patient.

A portable infusion monitoring system displays the liquid level and flow rate data during infusion process, as well as gives an alarm for patents and nurses in hospital as the medical liquid in an IV bottle drops to a predetermined low level. This system comprises a set of liquid level sensor, a microprocessor, and a monitor terminal. The liquid level sensor generates an electric signal related to the liquid level inside the IV bottle. The microprocessor analyzes the electric parameters detected from the electric signal, and obtains the liquid level data. The liquid level data are sent to the monitor terminal for display, and an alarm is activated when the medical liquid inside the IV bottle drops to a predetermined low lever. Further functions of the monitor terminal includes an automatic switch to cut off the IV feeding process and send the alarm signal to a nurse station through signal network by wire or wirelessly. Several interference filtering methods are applied to increase signal / noise ratio, and therefore warrant the operation reliability.

A device for delivering fluid to a user includes a housing, a drive motor assembly in the housing, a force sensor, and an electronics module. The drive motor assembly regulates delivery of fluid by actuating a piston of a fluid reservoir, and the force sensor generates output levels in response to force imparted thereto during, for example, fluid delivery operations. The electronics module processes the output levels of the force sensor to assess the operating health of the force sensor, to check for occlusions in the fluid delivery path, and to monitor the seating status of the fluid reservoir.

Tilting of a drip chamber from its vertical axis during fluid administration can have negative effects upon the accuracy of systems configured for drop counting and / or for volumetric measurement of individual drops passing through the drip chamber. To address these negative effects, in accordance with one embodiment of the present disclosure, a fluid delivery system engages in a fluid control process that comprises determining an error parameter, based at least in part on a tilt signal, generating an error condition, and either holding the fluid flow at the present rate or stopping the flow.

A method and apparatus for controlling blood withdrawal and infusion flow rate with the use of a pressure controller. The pressure controller uses pressure targets based upon occlusion limits that are calculated as a function of flow. The controller has the ability to switch from controlling withdrawal pressure to controlling infusion pressure based upon the detection of an occlusion. The controller distinguishes between partial and total occlusions of the withdrawal vein providing blood access. Depending on the nature of occlusion, the controller limits or temporarily reverses blood flow and, thus, prevents withdrawal vessel collapse or reverses blood flow to quickly infuse blood into the vessel without participation from operator.

Tilting of a drip chamber from its vertical axis during fluid administration can have negative effects upon the accuracy of systems configured for drop counting and / or for volumetric measurement of individual drops passing through the drip chamber. To address these negative effects, in accordance with one embodiment of the present disclosure, a fluid delivery system that measures the flow volume of a fluid delivery system is disclosed, which includes an imaging apparatus that captures a first image of a drip chamber while a drop is falling therein and a second image of the drip chamber with no drop. Portions of each image that are in substantially the same position in each image are subtracted.

An apparatus for visually indicating fluid flow through a fluid system or apparatus such as a medical infusion device. The apparatus comprises a pair of thin, indicia bearing films disposed in an overlaying relationship. These films are shifted relative to each other by movement of mechanical actuators which are deflected solely by the pressure of the fluid within the fluid conduits of the system of the apparatus. The two films are stacked in closed proximity and are preferably constructed from a substantially transparent flexible material such as mylar. One surface of the inferior film is printed with a plurality of integrated symbols depicting various fluid flow conditions. The superior film functions as a mask over the inferior film and is printed with a pattern of diagonally extending, alternating clear and opaque stripes. The print ratio of the superior film permits viewing at any one time of only one of the symbols printed on the inferior film.

A valve connector for medical infusion lines including an external tubular body with an inlet end and an outlet end, an internal hollow spike and an intermediate sealing member including a head with pre-slit and an elastic hollow element formed with fluid-tight members in contact with the hollow spike and with an elastic thrust means, which tends to maintain the elastic head in a closed condition. The elastic thrust means comprises a base part joined to the elastic hollow element of the sealing member through a generally transverse annular wall, which, during axial displacement of the elastic head from the closed condition to the open condition, bends within an annular chamber defined between the base part and a portion with conical surface of the hollow spike.

The present invention concerns a housing for supporting the proximal inlet ports of at least two isolated lumens, for use in a patient fluid administration system, wherein each of the lumens further comprises a distal outlet for connecting to at least one patient fluid administration member, and wherein the housing further comprises an integral unit, wherein the unit comprises a distal frame layer, a female connector layer, for connecting to at least one of the fluid peripheral elements and at least one intermediate gasket layer for providing sealing between each of the isolated lumens.

Ambulatory membrane pump intended for medical use e.g. for infusion purposes, consisting of two main parts: 1) the basic device with motor drive and computer, and 2) the administration set, which is disposable. The arrangement with check valves in both ends of the administration system safeguards that no leakage happens when gravitational forces are acting, due to height differences between fluid bag and needle.

Blood treatment system and method for high rate hemofiltration ensures against pyrogenic patient reaction by providing various mechanisms for filtering replacement fluid to remove endotoxins and other safety features including detecting incorrect fluid administration.

A handpiece assembly is provided that is adapted for use with a medication infusion system that applies pressure to the handpiece assembly for delivering medication to a body. The handpiece assembly includes a cartridge holder that is configured for disposal of a medication cartridge. A tubing is provided having a first end, which is sealed with the cartridge holder such that the cartridge holder facilitates communication between the tubing and the medication cartridge. A handpiece is sealed with a needle and the second end of the tubing so that the tubing and the needle are in communication. One of the cartridge holder, the tubing, the needle or the handpiece is configured for a selective structural failure at a predetermined pressure threshold applied to the handpiece assembly from the medication infusion system. The cartridge holder may be designed to facilitate aspiration.

Tilting of a drip chamber from its vertical axis during fluid administration can have negative effects upon the accuracy of systems configured for drop counting and / or for volumetric measurement of individual drops passing through the drip chamber. To address these negative effects, in accordance with one embodiment of the present disclosure, a fluid delivery system that measures the flow volume of a fluid delivery system is disclosed, which includes an imaging apparatus that captures a first image of a drip chamber while a drop is falling therein and a second image of the drip chamber with no drop. Portions of each image that are in substantially the same position in each image are subtracted.

Tilting of a drip chamber from its vertical axis during fluid administration can have negative effects upon the accuracy of systems configured for drop counting and / or for volumetric measurement of individual drops passing through the drip chamber. To address these negative effects, in accordance with one embodiment of the present disclosure, a fluid delivery system engages in a fluid control process that comprises determining an error parameter, based at least in part on a tilt signal, generating an error condition, and either holding the fluid flow at the present rate or stopping the flow.

A patient hydration system with a patient urine output measurement device, a hydration fluid administration subsystem, and a controller, responsive to the patient urine output measurement device. The controller is configured to control the hydration fluid administration subsystem to administer hydration fluid to the patient to prevent dehydration of the patient. A hydration sensor is also included to detect at least one patient parameter indicative of the patient's hydration state.