Utilizing Pressure Measurements to Detect Reuse of Patient Lines
20210170102 · 2021-06-10
Inventors
Cpc classification
A61M5/14212
HUMAN NECESSITIES
A61M5/16827
HUMAN NECESSITIES
A61M2205/52
HUMAN NECESSITIES
A61M2205/505
HUMAN NECESSITIES
International classification
A61B6/00
HUMAN NECESSITIES
A61M5/00
HUMAN NECESSITIES
Abstract
A fluid injector system configured to perform an injection protocol in connection with a diagnostic imaging procedure includes a memory for storing a predetermined pressure profile representative of pressure expected to be generated within an exemplary administration line by a priming fluid, and a control device operatively associated with a drive component to pressurize and inject at least one fluid through a subject administration line. The control device includes a processor configured to perform an operation including: actuating the drive component to prime the subject administration line; determining a distinct pressure profile indicative of a measurement of current pressure generated during the priming of the subject administration line; comparing the distinct pressure profile to the predetermined pressure profile; and determining, based on a result of the comparison, whether the subject administration line, prior to priming, contained at least one of a liquid or a gas as the extant fluid.
Claims
1. A fluid injector system configured to perform an injection protocol in connection with a diagnostic imaging procedure, the fluid injector system comprising: a memory for storing therein a predetermined pressure profile, the predetermined pressure profile being representative of pressure expected to be generated within an exemplary administration line by a priming fluid over a course of a priming operation performed on the exemplary administration line during which the priming fluid completely displaces an extant fluid from the exemplary administration line; a control device operatively associated with at least one drive component configured to pressurize and inject at least one fluid through a subject administration line into a patient, the control device including at least one processor programmed or configured to perform an operation comprising: actuating the at least one drive component to prime the subject administration line with the at least one fluid as the priming fluid; determining a distinct pressure profile indicative of a measurement of current pressure generated during the priming of the subject administration line with the at least one fluid over the course of the priming operation performed therewith; comparing the distinct pressure profile to the predetermined pressure profile; and determining, based on a result of the comparison, whether the subject administration line, prior to the priming thereof, contained therein at least one of a liquid as the extant fluid and a gas as the extant fluid.
2. The fluid injector system of claim 1, wherein the exemplary administration line is one of: (i) an unused administration line and, as a result thereof, the extant fluid therein is the gas and the predetermined pressure profile thereby represents the pressure expected to be generated by the priming fluid during the priming of the unused administration line as the gas therein is completely displaced thereby over the course of the priming operation; and (ii) a previously used administration line and, as a result thereof, the extant fluid therein is at least partially a liquid and the predetermined pressure profile thereby represents the pressure expected to be generated by the priming fluid during the priming of the previously used administration line as the liquid therein is completely displaced thereby over the course of the priming operation.
3. The fluid injector system of claim 2, wherein the exemplary administration line is the unused administration line and upon the comparison resulting in a correlation within a specified tolerance between the distinct pressure profile and the predetermined pressure profile, the at least one processor is configured to determine that the subject administration line contained the gas as the extant fluid.
4. The fluid injector system of claim 3, wherein the operation further comprises: upon the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile, generating an alert indicating that the subject administration line had not been used prior to being primed with the at least one fluid during the priming operation.
5. The fluid injection system of claim 3, wherein the operation further comprises: upon the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile, permitting performance of the injection protocol.
6. The fluid injector system of claim 3, wherein the subject administration line, like the exemplary administration line, comprises at least one check valve precluding fluid flow in a proximal direction; and wherein the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile comprises at least one of: identifying at least one pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the at least one check valve in the subject administration line that correlates to at least one pressure inflection point corresponding thereto in the predetermined pressure profile caused by the priming fluid having passed through the at least one check valve in the exemplary administration line; normalizing the distinct pressure profile about a steady state value thereof, normalizing the predetermined pressure profile about a steady state value thereof, and determining that an area under a curve of the normalized distinct pressure profile correlates to an area under a curve of the predetermined pressure profile; and normalizing the distinct pressure profile about a steady state value thereof, normalizing the predetermined pressure profile about a steady state value thereof, and determining that each point along the distinct pressure profile correlates within a specified tolerance to corresponding points on the predetermined pressure profile.
7. The fluid injector system of claim 2, wherein the exemplary administration line is the previously used administration line and upon the comparison resulting in a correlation within a specified tolerance between the distinct pressure profile and the predetermined pressure profile, the at least one processor is configured to determine that the subject administration line contained the liquid as the extant fluid.
8. The fluid injector system of claim 7, wherein the operation further comprises: upon the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile, generating an alert indicating that the subject administration line had been used prior to being primed with the at least one fluid during the priming operation.
9. The fluid injector system of claim 7, wherein the subject administration line, like the exemplary administration line, comprises at least one check valve precluding fluid flow in a proximal direction; and wherein the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile comprises at least one of: identifying at least one pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the at least one check valve in the subject administration line that correlates to at least one pressure inflection point corresponding thereto in the predetermined pressure profile caused by the priming fluid having passed through the at least one check valve in the exemplary administration line; normalizing the distinct pressure profile about a steady state value thereof, normalizing the predetermined pressure profile about a steady state value thereof, and determining that an area under a curve of the normalized distinct pressure profile correlates to an area under a curve of the predetermined pressure profile; and normalizing the distinct pressure profile about a steady state value thereof, normalizing the predetermined pressure profile about a steady state value thereof, and determining that each point along the distinct pressure profile correlates within a specified tolerance to corresponding points on the predetermined pressure profile.
10. The fluid injector system of claim 1, wherein the at least one fluid used in the priming of the subject administration line comprises at least one of (i) a diluent, (ii) a contrast medium and (iii) a mixture of the contrast medium and the diluent.
11. The fluid injector system of claim 1, wherein the determining the distinct pressure profile comprises measuring a motor current of the at least one drive component.
12. The fluid injector system of claim 3, wherein the subject administration line, like the exemplary administration line, comprises a first check valve precluding fluid flow in a proximal direction and a second check valve precluding flow in the proximal direction, the second check valve located distally of the first check valve; and wherein, during the priming of the subject administration line, the operation further comprises: identifying a first pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the first check valve in the subject administration line; and identifying at least one of: a second pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the second check valve in the subject administration line; and a steady state portion of the distinct pressure profile over which the pressure generated within the subject administration line remains substantially constant; whereupon the subject administration line is determined to be fully primed.
13. The fluid injector system of claim 1, wherein the subject administration line, like the exemplary administration line, comprises a single check valve located in a distal end of the subject administration line, the single check valve precluding fluid flow in a proximal direction; and wherein, during the priming of the subject administration line, the operation further comprises identifying at least one of: a pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the single check valve in the subject administration line; and a steady state portion of the distinct pressure profile over which the pressure generated within the subject administration line remains substantially constant; whereupon the subject administration line at a distal end thereof is determined to have a fluid path set component connected thereto.
14. A computer program product for detecting multiple uses of an administration line using a fluid injector system configured to perform an injection protocol in connection with a diagnostic imaging procedure, the computer program product comprising: non-transitory computer readable media comprising a memory for storing therein a predetermined pressure profile, the predetermined pressure profile being representative of pressure expected to be generated within an exemplary administration line by a priming fluid over a course of a priming operation performed on the exemplary administration line during which the priming fluid completely displaces an extant fluid from the exemplary administration line; the non-transitory computer readable media further comprising one or more instructions that, when executed by at least one processor, cause the at least one processor to perform an operation comprising: actuating at least one drive component of the fluid injector system to prime a subject administration line with the priming fluid; determining a distinct pressure profile indicative of a measurement of current pressure generated during the priming of the subject administration line with the at least one fluid over the course of the priming operation performed therewith; comparing the distinct pressure profile to the predetermined pressure profile; and determining, based on a result of the comparison, whether the subject administration line, prior to the priming thereof, contained therein at least one of a liquid as the extant fluid and a gas as the extant fluid.
15. The computer program product of claim 14, wherein the exemplary administration line is one of: (i) an unused administration line and, as a result thereof, the extant fluid therein is the gas and the predetermined pressure profile thereby represents the pressure expected to be generated by the priming fluid during the priming of the unused administration line as the gas therein is completely displaced thereby over the course of the priming operation; and (ii) a previously used administration line and, as a result thereof, the extant fluid therein is at least partially a liquid and the predetermined pressure profile thereby represents the pressure expected to be generated by the priming fluid during the priming of the previously used administration line as the liquid therein is completely displaced thereby over the course of the priming operation.
16. The computer program product of claim 15, wherein the exemplary administration line is the unused administration line and upon the comparison resulting in a correlation within a specified tolerance between the distinct pressure profile and the predetermined pressure profile, the one or more instructions, when executed by the at least one processor, cause the at least one processor to determine that the subject administration line contained the gas as the extant fluid.
17. The computer program product of claim 16, wherein the one or more instructions, when executed by the at least one processor, cause the at least one processor to perform a further operation comprising: upon the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile, generating an alert indicating that the subject administration line had not been used prior to being primed with the at least one fluid during the priming operation.
18. The computer program product of claim 16, wherein the one or more instructions, when executed by the at least one processor, cause the at least one processor to perform a further operation comprising: upon the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile, permitting performance of the injection protocol.
19. The computer program product of claim 16, wherein the subject administration line, like the exemplary administration line, comprises at least one check valve precluding fluid flow in a proximal direction; and wherein the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile comprises at least one of: identifying, with the at least one processor, at least one pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the at least one check valve in the subject administration line that correlates to at least one pressure inflection point corresponding thereto in the predetermined pressure profile caused by the priming fluid having passed through the at least one check valve in the exemplary administration line; normalizing, with the at least one processor, the distinct pressure profile about a steady state value thereof; normalizing, with the at least one processor, the predetermined pressure profile about a steady state value thereof; and determining, with the at least one processor, that an area under a curve of the normalized distinct pressure profile correlates to an area under a curve of the predetermined pressure profile; and normalizing the distinct pressure profile about a steady state value thereof, normalizing the predetermined pressure profile about a steady state value thereof, and determining that each point along the distinct pressure profile correlates within a specified tolerance to corresponding points on the predetermined pressure profile.
20. The computer program product of claim 15, wherein the exemplary administration line is the previously used administration line and upon the comparison resulting in a correlation within a specified tolerance between the distinct pressure profile and the predetermined pressure profile, the one or more instructions, when executed by the at least one processor, cause the at least one processor to determine that the subject administration line contained the liquid as the extant fluid.
21. The computer program product of claim 20, wherein the one or more instructions, when executed by the at least one processor, cause the at least one processor to perform a further operation comprising: upon the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile, generating an alert indicating that the subject administration line had been used prior to being primed with the at least one fluid during the priming operation.
22. The computer program product of claim 20, wherein the subject administration line, like the exemplary administration line, comprises at least one check valve precluding fluid flow in a proximal direction; and wherein the comparison resulting in the correlation within the specified tolerance between the distinct pressure profile and the predetermined pressure profile comprises at least one of: identifying, with the at least one processor, at least one pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the at least one check valve in the subject administration line that correlates to at least one pressure inflection point corresponding thereto in the predetermined pressure profile caused by the priming fluid having passed through the at least one check valve in the exemplary administration line; normalizing, with the at least one processor, the distinct pressure profile about a steady state value thereof; normalizing, with the at least one processor, the predetermined pressure profile about a steady state value thereof; and determining, with the at least one processor, that an area under a curve of the normalized distinct pressure profile correlates to an area under a curve of the predetermined pressure profile; and normalizing, with the at least one processor, the distinct pressure profile about a steady state value thereof, normalizing, with the at least one processor, the predetermined pressure profile about a steady state value thereof, and determining, with the at least one processor, that each point along the distinct pressure profile correlates within a specified tolerance to corresponding points on the predetermined pressure profile.
23. The computer program product of claim 14, wherein the at least one fluid used in the priming of the subject administration line comprises at least one of (i) a diluent, (ii) a contrast medium and (iii) a mixture of the contrast medium and the diluent.
24. The computer program product of claim 14, wherein determining the distinct pressure profile comprises measuring, with the at least one processor, a motor current of the at least one drive component.
25. The computer program product of claim 16, wherein the subject administration line, like the exemplary administration line, comprises a first check valve precluding fluid flow in a proximal direction and a second check valve precluding flow in the proximal direction, the second check valve located distally of the first check valve; and wherein, during priming of the subject administration line, the operation further comprises: identifying a first pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the first check valve in the subject administration line; and identifying at least one of: a second pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the second check valve in the subject administration line; and a steady state portion of the distinct pressure profile over which the pressure generated within the subject administration line remains substantially constant; whereupon the subject administration line is determined to be fully primed.
26. The computer program product of claim 14, wherein the subject administration line, like the exemplary administration line, comprises a single check valve located in a distal end of the subject administration line, the single check valve precluding fluid flow in a proximal direction; and wherein, during the priming of the subject administration line, the operation further comprises identifying at least one of: a pressure inflection point in the distinct pressure profile caused by the at least one fluid having passed through the single check valve in the subject administration line; and a steady state portion of the distinct pressure profile over which the pressure generated within the subject administration line remains substantially constant; whereupon the subject administration line at a distal end thereof is determined to have a fluid path set component connected thereto.
27. A method for detecting multiple uses of an administration line using a fluid injector system configured to perform an injection protocol in connection with a diagnostic imaging procedure, the method comprising: providing a memory for storing therein a predetermined pressure profile, the predetermined pressure profile being representative of pressure expected to be generated within an exemplary administration line by a priming fluid over a course of a priming operation performed on the exemplary administration line during which the priming fluid completely displaces an extant fluid from the exemplary administration line; actuating at least one drive component of the fluid injector system to prime a subject administration line with the priming fluid; determining a distinct pressure profile indicative of a measurement of current pressure generated during the priming of the subject administration line with the at least one fluid over the course of the priming operation performed therewith; comparing the distinct pressure profile to the predetermined pressure profile; and determining, based on a result of the comparison, whether the subject administration line, prior to the priming thereof, contained therein at least one of a liquid as the extant fluid and a gas as the extant fluid.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
[0071] For purposes of the description hereinafter, the terms “upper”, “lower”, “right”, “left”, “vertical”, “horizontal”, “top”, “bottom”, “lateral”, “longitudinal”, and derivatives thereof shall relate to the disclosure as it is oriented in the drawing figures. When used in relation to a syringe, a single-use disposable set connector, and/or a fluid path set component, the term “proximal” refers to a portion of the syringe, the single-use disposable set connector, and/or the fluid path set component nearest to an injector when the syringe, the single-use disposable set connector, and/or the fluid path set component is oriented for connecting to the injector. The term “distal” refers to a portion of the syringe, the single-use disposable set connector, and/or the fluid path set component farthest away from the injector when the syringe, the single-use disposable set connector, and/or the fluid path set component is oriented for connecting to the injector.
[0072] As used herein, the term “correlation” and derivatives thereof refers to an observed and/or calculated association(s) between data. Correlation may include, for example, a relative difference between two or more data points, a statistical relationship between two or more data sets, and combinations thereof. As used herein, the term “specified tolerance” refers to a predetermined percentage difference, a predetermined standard deviation, a predetermined statistical correlation coefficient, and/or the like. For example, a first value may exhibit correlation within a specified tolerance of a second value if the first value is within a predetermined percentage difference (e.g., within 10%) of the second value. Similarly, a data point may exhibit correlation within a specified tolerance of a data set if the data point falls within a predetermined standard deviation (e.g., within one standard deviation) of the data set. Similarly, a first curve may exhibit correlation within a specified tolerance of a second curve if the first curve includes specific features (e.g. inflection points) within a predetermined range (e.g., within 10 sampling time intervals) of like features of the second curve. Similarly, a first curve may exhibit correlation within a specified tolerance of a second curve if an area under the first curve is within a predetermined percentage difference (e.g., within 10%) of an area under the second curve.
[0073] As used herein, the term “normalize” and derivatives thereof refers to adjusting individual values of a data set to a common scale. For example, normalizing may refer to dividing all values of a data set by a value corresponding to a steady state condition, such that each value of the normalized data set is referenced to the steady state condition.
[0074] As used herein, the term “and/or” refers to both or either of two stated possibilities. For example, when used with reference to “first and/or second predetermined pressure profile”, this phrase refers to a combination of both of the first and the second predetermined pressure profile, or one of the first predetermined pressure profile and the second predetermined pressure profile.
[0075] All numbers used in the specification and claims are to be understood as being modified in all instances by the term “about”. The terms “about”, “approximately”, and “substantially” means a range of plus or minus ten percent of the stated value.
[0076] As used herein, the term “at least one of” is synonymous with “one or more of”. For example, the phrase “at least one of A, B, and C” means any one of A, B, and C, or any combination of any two or more of A, B, and C. For example, “at least one of A, B, and C” includes one or more of A alone; or one or more B alone; or one or more of C alone; or one or more of A and one or more of B; or one or more of A and one or more of C; or one or more of B and one or more of C; or one or more of all of A, B, and C. Similarly, as used herein, the term “at least two of” is synonymous with “two or more of”. For example, the phrase “at least two of D, E, and F” means any combination of any two or more of D, E, and F. For example, “at least two of D, E, and F” includes one or more of D and one or more of E; or one or more of D and one or more of F; or one or more of E and one or more of F; or one or more of all of D, E, and F.
[0077] It is also to be understood that the specific devices and processes illustrated in the attached drawings, and described in the following specification, are simply exemplary examples of the disclosure. Hence, specific dimensions and other physical characteristics related to the examples disclosed herein are not to be considered as limiting.
[0078] Although the present disclosure is described primarily in the context of the MEDRAD® Centargo CT Injection System, it will be apparent to persons of ordinary skill in the art that the present disclosure can be applied to a variety of injection systems inclusive of their associated disposables (e.g., syringes, tubing, etc.). Examples of such injection systems include the MEDRAD® Stellant CT Injection System, the MEDRAD® Stellant FLEX CT Injection System, the MEDRAD® MRXperion MR Injection System and the MEDRAD® Mark 7 Arterion Injection System offered by Bayer HealthCare LLC.
[0079] Referring now to the drawings in which like reference characters refer to like parts throughout the several views thereof, the present disclosure in some aspects and examples thereof is generally directed to a multi-fluid medical injector/injection system 100 (hereinafter “fluid injector system 100”) having a multi-patient disposable set (MUDS) 130 configured for delivering fluid to a patient using a single-use disposable set (SUDS) 190 connector. The fluid injector system 100 includes multiple components as individually described herein. Generally, the fluid injector system 100 has a powered injector or other administration device and a fluid delivery set intended to be associated with the injector to deliver one or more fluids from one or more multi-dose containers under pressure into a patient, as described herein. The various devices, components, and features of the fluid injector system 100 and the fluid delivery set associated therewith are likewise described in detail herein.
[0080] With reference to
[0081] With continued reference to
[0082] The fluid injector system 100 further includes at least one bulk fluid connector 118 for connection with at least one bulk fluid source 120. In some examples, a plurality of bulk fluid connectors 118 may be provided. For example, as shown in
[0083] With continued reference to
[0084] With reference to
[0085] With further reference to
[0086] With specific reference to
[0087] With continued reference to
[0088] Having generally described the components of the fluid injector system 100 and the MUDS 130, the structure and method of use of a single-use disposable set (SUDS) 190 and its interaction with MUDS 130 will now be described. Hereinafter, the SUDS 190 may be referred to as the administration line.
[0089] With reference to
[0090] With continued reference to
[0091] With reference to
[0092] The SUDS 190 desirably has an asymmetrical structure, so that the user can only attach the SUDS 190 to the MUDS 130 in one orientation. In this manner, the user is prevented from attaching the fluid inlet port 202 to the waste inlet port 196. In some examples, a fin 207 may be provided on at least a portion of the SUDS 190 to prevent erroneous insertion of the SUDS 190 in the connection port 192. In certain examples, the fin 207 may be formed on the spacer 206 proximate to the waste outlet port 204. In this manner, the fin 207 may interfere with the incorrect insertion of the SUDS 190 into the connection port 192. Structures and shapes other than the fin 207 may be used to prevent erroneous insertion of the SUDS 190 into the connection port 192.
[0093] In some examples, tubing 208, may be connected at its proximal end 210 to the fluid inlet port 202. The tubing 208 is configured to deliver fluid received from the fluid inlet port 202. The distal end 212 of the tubing 208 may have a connector 214, which may include a one-way check valve, that is configured for connection with the waste outlet port 204 or a fluid path connected to the patient (not shown). The tubing 208 may be made from a flexible material, such as a medical grade plastic material, that allows the tubing 208 to be coiled. The connector 214 may be a luer-lock connector (either a male luer-lock connector or a female luer-lock connector depending on the desired application) or other medical connector configuration. In some examples, the connector 214 may include a one-way check valve 280 therein, as shown in
[0094] With continued reference to
[0095] With reference to
[0096] With continued reference to
[0097] With reference to
[0098] With reference to
[0099] In some examples, the SUDS 190 may further include reuse prevention features. For example, the SUDS 190 may include one or more breakable sensor elements, tabs, or structures that fold or break when the SUDS 190 is removed from the MUDS 130. Absence of these features may prevent reinsertion and reuse of the SUDS 190 after removal. In this manner, it can be assured that the SUDS 190 is only used for one fluid delivery procedure.
[0100] Other examples and features of the SUDS 190 are described in U.S. Patent Application Publication No. 2016/0331951, filed Jul. 7, 2016 and entitled “Single-Use Disposable Set Connector”, the disclosure of which is incorporated herein by reference in its entirety.
[0101] Having generally described the components of the fluid injector system 100, the MUDS 130, and the SUDS 190, a method of operation of using the SUDS 190 will now be described in detail. In use, a medical technician or user removes the disposable SUDS 190 from its packaging (not shown) and inserts the fluid inlet port 202 into the connection port 192 on the MUDS 130. As described above, the SUDS 190 must be inserted in the correct orientation such that the fluid inlet port 202 is aligned for connection with the connection port 192 and the waste outlet port 204 is aligned for connection with the waste inlet port 196. The SUDS 190 may be secured to the MUDS 130 by inserting the locking tab 216 into the receiving slot 217 on the MUDS 130. Once the SUDS 190 is securely connected to the MUDS 130, for example as sensed by the sensor 242, the fluid injector system 100 (shown in
[0102] With reference to
[0103] The electronic control device 900 further includes a system memory 908 with computer storage media in the form of volatile and non-volatile memory, such as ROM and RAM. A basic input/output system (BIOS) with appropriate computer-based routines assists in transferring information between components within the electronic control device 900 and is normally stored in ROM. The RAM portion of the system memory 908 typically contains data and program modules that are immediately accessible to or presently being operated on by a processor 904, e.g., an operating system, application programming interfaces, application programs, program modules, program data, and other instruction-based computer-readable codes.
[0104] With continued reference to
[0105] A user may enter commands, information, and data into the electronic control device 900 through certain attachable or operable input devices, such as the user interface 124 shown in
[0106] The electronic control device 900 may operate in a network environment 938 through the use of a communications device 940, which is integral to the electronic control device 900 or remote therefrom. This communications device 940 is operable by and in communication with the other components of the electronic control device 900 through a communications interface 942. Using such an arrangement, the electronic control device 900 may connect with or otherwise communicate with one or more remote computers, such as a remote computer 944, which may be a personal computer, a server, a router, a network personal computer, a peer device, or other common network nodes, and typically includes many or all of the components described above in connection with the electronic control device 900. Using appropriate communication devices 940, e.g., a modem, a network interface or adapter, etc., the computer 944 may operate within and communicate through a local area network (LAN) and a wide area network (WAN), but may also include other networks such as a virtual private network (VPN), an office network, an enterprise network, an intranet, the Internet, etc.
[0107] As used herein, the electronic control device 900 includes or is operable to execute appropriate custom-designed or conventional software to perform and implement the processing steps of the method and system of the present disclosure, thereby forming a specialized and particular computing system. Accordingly, the method and system may include one or more electronic control devices 900 or similar computing devices having a computer-readable storage medium capable of storing computer-readable program code or instructions that cause the processor 904 to execute, configure, or otherwise implement the methods, processes, and transformational data manipulations discussed hereinafter in connection with the present disclosure. Still further, the electronic control device 900 may be in the form of a personal computer, a personal digital assistant, a portable computer, a laptop, a palmtop, a mobile device, a mobile telephone, a server, or any other type of computing device having the necessary processing hardware to appropriately process data to effectively implement the fluid injector system, the computer program product and the computer-implemented method of the present disclosure.
[0108] It will be apparent to one skilled in the relevant arts that the system may utilize databases physically located on one or more computers which may or may not be the same as their respective servers. For example, programming software on the electronic control device 900 can control a database physically stored on a separate processor of the network or otherwise.
[0109] In some examples, the electronic control device 900 may be programmed so that automatic refill occurs based upon a preprogrammed trigger minimum volume in the respective syringes 132. For example, when the volume of fluid remaining in at least one of the syringes 132 is less than a programmed volume, a syringe refill procedure is automatically initiated by the electronic control device 900. The electronic control device 900 associated with the fluid injector system 100 may determine that the preprogrammed trigger minimum volume has been reached by tracking the fluid volume dispensed from the respective syringes 132 during operation of the fluid injector system 100. Alternatively, fluid level sensors may be incorporated into the fluid injector system 100 and inputs from these fluid level sensors may be provided to the electronic control device 900 so that the electronic control device 900 may determine when the preprogrammed trigger minimum volume has been reached in at least one of the syringes 132. The fill volume and rate of refill can be preprogrammed in the electronic control device 900. The automatic refill procedure can be stopped either automatically by the electronic control device 900 or may be manually interrupted. In addition, an automatic refill procedure may be initiated when, at the completion of a fluid injection procedure, there is not enough fluid in at least one of the syringes 132 to perform the next programmed fluid injection procedure.
[0110] During a refill procedure it is possible that one or more of the bulk fluid sources 120 associated with the respective syringes 132 may become empty (e.g., initially lack sufficient fluid to complete a full refill of the one or more syringes 132). A replacement bulk fluid source 120 is, therefore, necessary and replacement of such bulk fluid source 120 is desirably made quickly. The fluid injector system 100 may have an indicator, such as an audible and/or visual indicator, to indicate to the operator that a change of the bulk fluid source 120 is necessary before the fluid injector system 100 may be used.
[0111] As described above, the fluid injector system 100 may automatically or manually prime the MUDS 130 and the SUDS 190 once the SUDS 190 is securely connected to the MUDS 130, for example, as sensed by the sensor 242. During such a priming operation, saline, or another suitable diluent, is injected from the MUDS 130 through the connection port 192, into the tubing 208 of the SUDS 190, and into the waste reservoir 156. Flow of the priming fluid toward the waste reservoir 156 purges extant fluid from the fluid injector system 100 by forcing any extant fluid in SUDS 190 and/or in the manifold 148 of the MUDS 130 out the distal end 212 of the tubing 208. The priming fluid thus replaces any extant fluid in the SUDS 190 with the priming fluid. During the priming operation, various components of the fluid injector system 100 may communicate with the electronic control device 900 to continuously or intermittently monitor a pressure generated during delivery of the priming fluid from the MUDS 130 through the SUDS 190. By monitoring this pressure, the electronic control device 900 can determine various characteristics of the SUDS 190 and associated components. In various aspects or examples of the present disclosure, the electronic control device 900 may be utilized to determine whether the SUDS 190 has been previously used, whether the SUDS 190 has been fully primed, the presence of an additional fluid path set component connected to the connector 214 of the SUDS 190, the length of the SUDS 190, and/or the age of the SUDS 190. These and other aspects and examples of the present disclosure will be discussed in detail herein.
[0112] In some aspects or examples, the electronic control device 900 may be utilized to determine whether the SUDS 190 has been previously used based on an extant fluid displaced from the SUDS 190 during the priming thereof. If unused, the SUDS 190 may be initially filled with a gas, such as air or another gas injected into the SUDS 190 during manufacture and/or packaging, whereas a used SUDS 190 may be filled with a liquid, such as a residual medical liquid from a previously performed injection protocol. The electronic control device 900 may determine whether the extant fluid displaced from the SUDS 190 during priming was a gas, indicating that the SUDS 190 is unused, or a liquid, indicating that the SUDS 190 was previously used. The determination of whether the extant, displaced fluid is a gas or liquid may be based on a pressure profile generated during priming of the SUDS 190. The pressure profile may be obtained by measuring the pressure generated as a result of displacing extant fluid from the SUDS 190 at predetermined time intervals as the priming fluid is injected through the SUDS 190 during the priming operation of the SUDS 190. Hereinafter, this pressure profile, which represents actual measured pressure of the priming operation over time, will be referred to as the “distinct pressure profile”.
[0113] To determine whether the extant fluid displaced from the SUDS 190 during priming was a gas or a liquid, the electronic control device 900 may compare the distinct pressure profile to a predetermined pressure profile. The predetermined pressure profile is representative of pressure expected to be generated within an exemplary SUDS by the priming fluid over a course of a priming operation performed on the exemplary SUDS. In particular, the predetermined pressure profile may be representative of the pressure expected to be generated in an unused SUDS during an identical priming operation to that performed on the actual subject SUDS 190. The predetermined pressure profile may be obtained through pressure measurement of an exemplary SUDS known to be unused.
[0114] Correlation between the distinct pressure profile and the predetermined pressure profile is indicative of whether the SUDS 190, prior to the priming operation, contained gas as the extant fluid or liquid as the extant fluid. Predetermined pressure profiles for various exemplary SUDS may be presented graphically to facilitate interpretation and comparison of a predetermined pressure profile and a distinct pressure profile.
[0115] Various events over the course of the priming operation may be appreciated from the graph 700 of
[0116] With continued reference to
[0117] With continued reference to
[0118] In
[0119] Having generally described the characteristics of the pressure profiles in general, a method 800 of detecting reuse of the SUDS 190 in accordance with some aspects and examples of the present disclosure will be described with reference to
[0120] With continued reference to
[0121] With continued reference to
[0122] With continued reference to
[0123] In some aspects or examples, step 808 may include normalizing, with the electronic control device 900, one or both of the first and/or second predetermined pressure profiles 710, 720 and the distinct pressure profile 730 to facilitate comparison of the first and/or second predetermined pressure profile(s) 710, 720 and the distinct pressure profile 730. In particular, the distinct pressure profile 730 may be normalized about the steady state portion 736 such that the pressure values within the steady state portion 736 are normalized to a value of one (1). The normalization may be performed by dividing each individual pressure measurement of the distinct pressure profile 730 by the steady state pressure value (e.g., an average of the values within the steady state portion 736). The first and/or second predetermined pressure profile(s) 710, 720 may be normalized about the steady state portion 716 thereof in the same manner.
[0124] In some aspects or examples, step 808 may include comparing linear trendlines of the first and/or second predetermined pressure profile(s) 710, 720 and the distinct pressure profile 730 over a predefined duration. A portion of the predetermined pressure profile 730 between two predetermined time indices may be fitted with a best-fit straight line. A portion of the distinct pressure profile 730 between the same two time indices may similarly be fitted with a best-fit straight line. The best-fit straight lines of the first and/or second predetermined pressure profile(s) 710, 720 and the distinct pressure profile 730 may then be compared to determine characteristics of the SUDS 190 during the priming operation.
[0125] In other aspects or examples, step 808 may include a plurality of the comparison methods discussed above. Each of the comparison methods may be weighted as part of an overall comparison score from which conclusions regarding the first and/or second predetermined pressure profile(s) 710, 720 and the distinct pressure profile 730 may be drawn.
[0126] With continued reference to
[0127] In some aspects or examples, the electronic control device 900 may determine that the SUDS 190 contained a liquid or a gas as the extant fluid based on a correlation within a specified tolerance of the first inflection points 712, 722, 732 the second inflection points 714, 724, 734 and/or the steady state portions 716, 726, 736 of the first and/or second predetermined pressure profile 710, 720 and the distinct pressure profile 730. In the example shown in
[0128] In some aspects or examples, step 810 may include determining that the SUDS 190 contained a liquid or a gas as the extant fluid based on a correlation of the normalized first and/or second predetermined pressure profile(s) 710′, 720′ and the normalized distinct pressure profile 730′. In particular, the electronic control device 900 may determine whether the correlation between the area under the curve of the normalized distinct pressure profile 730′ is within a specified tolerance to the area under the curve of the first and/or second predetermined pressure profile(s) 710′, 720′. If the electronic control device 900 makes a determination in the affirmative, the extant fluid contained in the SUDS 190 prior to priming was in the same phase as the extant fluid in the exemplary SUDS. If the electronic control device 900 makes a determination in the negative, the extant fluid contained in the SUDS 190 prior to priming was in a different phase than the extant fluid in the exemplary SUDS. Based on this determination, the electronic control unit 900 may determine whether the SUDS 190 has been used in a previously performed injection protocol.
[0129] In some aspects or examples, step 810 may include determining that the SUDS 190 contained a liquid or a gas as the extant fluid based on a correlation of best-fit lines of the first and second predetermined pressure profiles 710, 720 and the distinct pressure profile 730. As with the above-described aspects, the electronic control unit 900 may determine that the SUDS 190 contained extant fluid in the same phase, prior to the priming operation, as the exemplary SUDS if the correlation falls within a specified tolerance. Conversely, the electronic control unit 900 may determine that the SUDS 190 contained extant fluid in a different phase, prior to the priming operation, than the exemplary SUDS if the correlation falls outside the specified tolerance. Based on this determination, the electronic control unit 900 may determine whether the SUDS 190 has been used in a previously performed injection protocol.
[0130] In other aspects or examples, step 810 may include a plurality of the above-described methods for determining whether the extant fluid contained in the SUDS 190, prior to being primed, was a liquid or a gas. Each of these determinations may be weighted as part of an overall score from which conclusions regarding previous usage of the SUDS 190 may be drawn.
[0131] In some aspects or examples, the determination made at step 810 may be used to generate an alert indicating whether the SUDS 190 had been previously used. In particular, the electronic control unit 900 may generate the alert in response to determining that the SUDS 190, prior to being primed, contained at least part liquid as the extant fluid and, therefore, was used in a previously performed injection protocol. The alert may be generated by the electronic control unit 900 in the form a visual, audio, tactile, or other sensory output configured to prompt the attention of a physician or other care provider. In some aspects or examples, the alert may be a graphic displayed on one or more user interfaces 124 of the fluid injector system 100, a noise emitted from the speaker 934 of the fluid injector system 100, or a combination thereof.
[0132] In some aspects or examples, the determination made at step 810 may be input into a compliance report generated by the electronic control unit 900. The compliance report may be displayed on one or more user interfaces 124 of the fluid injector system 100 to provide visual feedback about compliance with hygienic practices, e.g., routine replacement of the SUDS 190. The compliance report may also be stored in a compliance database for future analysis of hygienic practices. Further details of generating, displaying, and analyzing a compliance report utilizing the fluid injector system 100 are provided in International Patent Application No. PCT/US2019/026659, filed on Apr. 9, 2019 and entitled “System and Methods for Monitoring Hygiene Practices Associated with Use of Power Fluid Injector Systems”, the disclosure of which is hereby incorporated by reference in its entirety.
[0133] In some aspects or examples, the determination made at step 810 may prevent commencement of the injection protocol if the electronic control unit 900 determines that the SUDS 190 had been previously used. In particular, the electronic control unit 900 may prohibit commencement of an enabled injection protocol in response to determining that the SUDS 190, prior to being primed, contained at least part liquid as the extant fluid and, therefore, was used in a previously performed injection protocol. Conversely, the electronic control unit 900 may permit commencement of the enabled injection protocol in response to determining that the SUDS 190, prior to being primed, contained gas as the extant fluid and, therefore, is unused.
[0134] As noted above, monitoring the pressure generated during the priming operation may also be utilized to determine characteristics of the SUDS 190 other than the extant fluid contained therein. In some aspects or examples, the electronic control unit 900 may determine whether the SUDS 190 has been fully primed based on the distinct pressure profile 730.
[0135] With continued reference to
[0136] With continued reference to
[0137] In some aspects or examples of the method 850, only one of steps 854 and 856 may be performed. It is also noted that the method 850 as described above presumes that the SUDS 190 includes both one-way check valves 236 and 280. However, in some aspects or examples, the one-way check valve 236 may be omitted, and the method 850 may be performed without step 852 since the first inflection point 732 would not be exhibited in the absence of the one-way check valve 236.
[0138] In some aspects or examples, the electronic control unit 900 may determine a length of the SUDS 190 based on the distinct pressure profile 730. The electronic control unit 900 may determine the elapsed time between the first inflection point 732 and the second inflection point 734 of the distinct pressure profile 730, indicative of the time between the openings of the one-way check valves 236, 280. The electronic control unit 900 may further determine the volume of fluid injected into the SUDS 190, based on, for example, displacement of the piston elements 103 during this elapsed time, to determine an internal volume of the SUDS 190. The internal volume of the SUDS 190 can be converted to length by dividing the internal volume by a known cross-sectional area of the tubing 208.
[0139] In some aspects or examples, the electronic control unit 900 may determine a presence or absence of an additional fluid path set component connected to the connector 214 of the SUDS 190 based on the distinct pressure profile 730. The presence of the additional fluid path set component, such as an extension line, may introduce additional characteristics to the distinct pressure profile 730, such as a third inflection point or an increased steady state pressure. In particular, the additional fluid path set component may introduce an additional restriction to the fluid path, such as an additional one-way check valve or a narrower lumen, that causes a pressure inflection or increased steady state pressure as the priming fluid passes therethrough.
[0140] In some aspects or examples, the electronic control unit 900 may account for any differences in pressure profiles depending on an age of the SUDS 190.
[0141] In some aspects or examples, the electronic control unit 900 may account for any differences in pressure profiles depending on what fluid is in the manifold 148 at the start of the priming operation.
[0142] In some aspects or examples of the present disclosure, the methods 800, 850, as well as the other methods and processes described herein, may be implemented in the fluid injector system 100 by a computer program product. The computer program product may include at least one non-transitory computer-readable medium having one or more instructions executable by at least one processor to cause the at least one processor to execute all or part of the method 800. In some examples or aspects, the at least one non-transitory computer-readable medium and the at least one processor may include or correspond to the memory 908 and processor 904, respectively, as described above with reference to
[0143] While several examples of fluid injector systems, computer program products, and associated methods are shown in the accompanying drawings and described hereinabove in detail, other examples will be apparent to, and readily made by, those skilled in the art without departing from the scope and spirit of the disclosure. For example, it is to be understood that this disclosure contemplates that, to the extent possible, one or more features of any example can be combined with one or more features of any other example. Accordingly, the foregoing description is intended to be illustrative rather than restrictive.