Pulse-Detecting Tourniquet for Venipuncture Pressure Control

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Solution Overview

Problem

Current tourniquet systems for venipuncture often fail to apply optimal pressure between systolic and diastolic blood pressures, leading to ineffective venous distension and increased vein access failure rates due to the inability to accurately measure and control pressure, particularly in elderly patients and those with weak veins.

Innovation Solution

A pressure-sensitive tourniquet system incorporating a pulse detecting arrangement, air pump, and solenoid valve, which automatically adjusts pressure to maintain optimal levels between arterial systolic and diastolic pressures, ensuring venous distension and facilitating venipuncture by blocking venous flow while allowing arterial flow.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of manufacture

If a tourniquet is made from elastic material (rubber glove or rectangular piece), then it is inexpensive and disposable, but the applied pressure cannot be measured or controlled accurately

Engineering Contradiction:
ImprovecostVSAvoidpressure measurement
Core Design Contradiction:
Ease of manufactureVSMeasurement precision

Solution Approach 1:

The patent combines a disposable elastic tourniquet with a reusable pressure measurement and control system. The elastic material maintains its low-cost, disposable advantage while the integrated pressure sensor, pump, and valve system enables accurate pressure measurement and control, resolving the contradiction between cost and measurement precision.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The patent introduces an intermediary pressure measurement and control system that mediates between the simple elastic tourniquet material and the requirement for precise pressure control. This intermediary layer allows the inexpensive elastic material to function effectively while achieving accurate pressure regulation through sensors and control mechanisms.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Object-affected harmful factors

If pressure is applied above arterial systolic pressure, then arterial flow is occluded, but venous distension does not occur due to complete blood flow blockage

Engineering Contradiction:
Improvearterial flow occlusionVSAvoidvenous distension
Core Design Contradiction:
Object-affected harmful factorsVSReliability

Solution Approach 1:

The patent employs feedback control by continuously monitoring arterial flow using a pulse sensor and adjusting the tourniquet pressure accordingly. The system maintains pressure below the systolic pressure threshold by detecting pulse presence, ensuring arterial flow remains open while achieving adequate venous distension, thus resolving the contradiction between preventing arterial occlusion and achieving reliable venous distension.

Inventive Principle:
Principle #23Feedback

3Object-affected harmful factors

If a pliable strap or latex strip tourniquet is used, then it prevents cross infection and is easy to clean, but it cannot be loosened gradually and requires both hands for positioning

Engineering Contradiction:
Improvecross infection preventionVSAvoidgradual loosening and positioning
Core Design Contradiction:
Object-affected harmful factorsVSEase of operation

Solution Approach 1:

The patent replaces the manual mechanical tightening and loosening mechanism with an automated pneumatic system. The inflatable cuff with pump and valve allows for gradual, controlled pressure adjustment and loosening without requiring manual manipulation, while the disposable nature of the cuff maintains infection prevention benefits, resolving the contradiction between infection control and ease of operation.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

4Adaptability or versatility

If a Velcro closure tourniquet is used, then it allows wider range adjustments and is easier to clean, but it cannot be loosened gradually and requires both hands for positioning

Engineering Contradiction:
Improveadjustment rangeVSAvoidgradual loosening and positioning
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

The patent replaces the Velcro mechanical fastening system with an automated inflatable cuff system. This substitution maintains the adaptability for different arm sizes through adjustable cuff dimensions while enabling gradual pressure control and one-handed operation via automated pump and valve mechanisms, resolving the contradiction between adjustment range and ease of operation.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system significantly reduces vein access failure rates by accurately regulating pressure, ensuring effective venous distension and improving the success rate of venipuncture procedures, particularly in challenging patient groups.

Implementation Method 1

a pulse detecting third arrangement

Methodology Applied
Scientific EffectPulse detection:

Implementation Method 2

The second arrangement can include an air pump(s)

Methodology Applied
Scientific EffectPressure increase: Pressurisation

Implementation Method 3

The second arrangement can include an air pump(s) and a solenoid valve(s)

Methodology Applied
Scientific EffectPressure release: Depressurisation

Data Source

PatentUS10610240B2Pressure sensitive arrangement and method for use thereof
Publication Date: 2020.04.07 MEMORIAL SLOAN KETTERING CANCER CENT
  • US10610240B2 patent drawing
  • US10610240B2 patent drawing
  • US10610240B2 patent drawing

AI summary

Exemplary systems, methods and computer-accessible mediums can be provided that can, for example, receive information related to a detection of a pulse of a patient(s), and increase a pressure using a hardware arrangement to reach a first pressure level corresponding to the pulse no longer being detected. The pressure can be decreased to reach a second pressure level corresponding to the pulse being again detected, and the pressure can be maintained at the second pressure level to facilitate a venipuncture of the patient(s).