CATHETER OR CANNULA ARRANGEMENT WITH FLOW SENSOR AND RELATED DEVICES, SYSTEMS, USES AND METHODS
20170113000 ยท 2017-04-27
Inventors
Cpc classification
A61M5/16886
HUMAN NECESSITIES
A61M25/0017
HUMAN NECESSITIES
A61B5/208
HUMAN NECESSITIES
International classification
A61M5/168
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
A61B5/20
HUMAN NECESSITIES
Abstract
The catheter or cannula arrangement includes a catheter or cannula; a sensing unit including a sensing element for sensing a flow of a fluid; and an output unit operationally connectable to the sensing unit. The output unit is provided for receiving from the sensing unit signals related to the sensed flow of the fluid referred to as sensed signals, for obtaining, by processing the sensed signals, signals referred to as processed signals, and for outputting the processed signals, e.g., via a visual display. The output unit may include fixing structures attachment to tubing of the catheter or cannula. The sensing unit may be provided by a tube extension. The catheter or cannula may be a urinary catheter.
Claims
1-72. (canceled)
73. A catheter or cannula arrangement, comprising a catheter or cannula; a sensing unit comprising a sensing element for sensing a flow of a fluid; an output unit operationally connectable to the sensing unit, for receiving from the sensing unit signals related to the sensed flow of the fluid referred to as sensed signals, and for outputting signals referred to as outputted signals, wherein the outputted signals are sensing results.
74. The catheter or cannula arrangement according to claim 73, wherein the outputted signals are sensed signals.
75. The catheter or cannula arrangement according to claim 73, wherein the outputted signals are signals referred to as processed signals which are obtained by the output unit by processing the sensed signals.
76. The catheter or cannula arrangement according to claim 73, wherein the output unit comprises one or more fixing structures for attaching the output unit to another part of the catheter or cannula arrangement.
77. The catheter or cannula arrangement according to claim 73, wherein the output unit comprises one or more fixing structures for attaching the output unit to tubing of the catheter or cannula.
78. The catheter or cannula arrangement according to claim 73, comprising an energy storage unit for supply of at least one of the sensing unit and the output unit with electrical energ, and wherein the energy storage unit is comprised in the output unit.
79. The catheter or cannula arrangement according to claim 73, wherein the output unit comprises a data storage unit, and wherein at least one of in the data storage unit, a sequence of data is stored, wherein each of the data of the sequence is representative of signals related to the sensed flow of the fluid at a different time; the output unit comprises a control unit structured and arranged for creating in the storage unit a sequence of data representative of a time development of signals related to the sensed flow of the fluid and for creating the sequence of data by subsequently storing in the storage unit data representative of signals related to the sensed flow of the fluid at subsequent times.
80. The catheter or cannula arrangement according to claim 73, wherein the output unit and the sensing unit have separate housings.
81. The catheter or cannula arrangement according to claim 73, wherein the output unit is devoid of any visual display capable of graphically or alphanumerically displaying information; and devoid of any visual display structured and arranged for graphically or alphanumerically displaying a representation of sensed signals or of data derived from sensed signals.
82. The catheter or cannula arrangement according to claim 73, comprising a display unit which is separate from and operationally connectable to the output unit, wherein the output unit is structured and arranged for transmitting the outputted data to the display unit, and wherein the display unit is structured and arranged for receiving from the output unit the outputted signals and for visually displaying a representation of sensing results.
83. The catheter or cannula arrangement according to claim 82, wherein the display unit comprises at least one of a smart phone; a handheld computer; a tablet computer; a laptop computer; an intensive care monitoring device; a wearable display device.
84. The catheter or cannula arrangement according to claim 82, comprising, in addition, a temperature sensing element for sensing a temperature inside a body of a person wearing the catheter or cannula, which is operationally connectable to the output unit, wherein the output unit is structured and arranged for receiving from the temperature sensing element signals related to a temperature sensed by the temperature sensing element referred to as temperature signals, and for outputting signals referred to as temperature output signals, wherein the temperature output signals are temperature signals or signals derived from temperature signals.
85. The catheter or cannula arrangement according to claim 82, comprising an energy storage unit for supply of at least one of the sensing unit and the output unit with electrical energy, and wherein the output unit comprises a data storage unit, wherein at least one of in the data storage unit, a sequence of data is stored, wherein each of the data of the sequence is representative of signals related to the sensed flow of the fluid at a different time; the output unit comprises a control unit structured and arranged for creating in the storage unit a sequence of data representative of a time development of signals related to the sensed flow of the fluid; wherein the sensing element is a thermal flow sensor.
86. The catheter or cannula arrangement according to claim 73, wherein the sensing unit is devoid of an energy storage unit for supply of the sensing unit with electrical energy.
87. The catheter or cannula arrangement according to claim 73, wherein the sensing unit comprises a valve for blocking a flow of the fluid through the sensing unit.
88. A device for use with a catheter or cannula, the device comprising an output unit comprising a first interface for receiving, in a wireless or in a wirebound fashion, signals related to a sensed flow of a fluid through the catheter or cannula referred to as sensed signals; a second interface, for transmitting the sensed signals or signals derived from the sensed signals in a wireless or in a wirebound fashion; an energy storage unit for supply of at least the output unit with electrical energy; a data storage unit, wherein at least one of in the storage unit, a sequence of data is stored, wherein each of the data of the sequence is representative of sensed signals sensed at a different time; the output unit comprises a control unit structured and arranged for creating in the storage unit a sequence of data representative of a time development of sensed signals and for creating the sequence of data by subsequently storing in the storage unit data representative of sensed signals sensed at subsequent times.
89. The device according to claim 88, wherein the energy storage unit is present inside a housing of the output unit.
90. The device according to claim 88, wherein the output unit comprises one or more fixing structures for attaching the output unit to tubing of the catheter or cannula.
91. The device according to claim 88, wherein the output unit is devoid of at least one of any visual display capable of graphically or alphanumerically displaying information; any visual display structured and arranged for graphically or alphanumerically displaying a representation of sensed signals or of data derived from sensed signals.
92. An arrangement for use in sensing a flow of a fluid flowing through a catheter or cannula, the system comprising a sensing unit comprising a sensing element for sensing a flow of a fluid; and an output unit operationally connectable to the sensing unit, for receiving from the sensing unit signals related to the sensed flow of the fluid referred to as sensed signals, and for outputting signals referred to as outputted signals, wherein the outputted signals are sensed signals or are signals referred to as processed signals which are obtained by the output unit by processing the sensed signals; wherein at least one of the output unit comprises one or more fixing structures for attaching the output unit to another part of the catheter or cannula arrangement; the output unit comprises an energy storage unit for supply of at least one of the sensing unit and the output unit with electrical energy, wherein the energy storage unit is present in a housing of the output unit; the output unit comprises a data storage unit, wherein at least one of in the storage unit, a sequence of data is stored, wherein each of the data of the sequence is representative of sensed signals sensed at a different time; the output unit comprises a control unit structured and arranged for creating in the storage unit a sequence of data representative of a time development of sensed signals.
93. The arrangement according to claim 92, wherein the fixing structures are structured and arranged for attaching the output unit to tubing of the catheter or cannula
94. The arrangement according to claim 92, wherein the control unit is structured and arranged for creating the sequence of data by subsequently storing in the storage unit data representative of sensed signals sensed at subsequent times.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0120] Below, the invention is described in more detail by means of examples and the included drawings. The figures show:
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DETAILED DESCRIPTION OF THE INVENTION
[0138] The described embodiments are meant as examples and shall not limit the invention.
[0139]
[0140] Sensing unit 3 together with output unit 4 embodies a system 6 for flow sensing.
[0141] Sensing unit 3 includes a sensing element for sensing a flow of a fluid, such as a flow of a fluid flowing through channel c1 of catheter or cannula 2. Output unit 4 is operationally connected to sensing unit 3 and creates an output related to the sensed flow. For example, as illustrated in
[0142] Sensing unit 3 is attached to or rather integrated in catheter or cannula 2 and more particularly attached to or rather integrated in channel c1. However, as indicated by the dashed rectangle in
[0143] System 6 or the common housingand thus also output unit 4is attached to catheter or cannula 2, e.g., forming a snap fit between the housing and the tubing.
[0144] The small size of system 6 makes possible that the whole catheter or cannula arrangement 1 can easily be carried or worn by a patient to whom the catheter or cannula 2 is applied. And also in case of an application of the catheter or cannula to a body of an animal, mobility of the respective animal is not substantially restricted.
[0145] Furthermore, information about the flow is readily obtained using solely the catheter or cannula arrangement 1, no external device being needed.
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[0147] This way, output unit 4 may readily be reused, even if catheter or cannula 2 and/or sensing unit 3 have to be discarded.
[0148] As illustrated in
[0149] The operational connection between sensing unit 3 and output unit 4 is illustrated by an arrow. Via this connection, signals (digital and/or analog) referred to as sensed signals S are transmitted.
[0150] Visual display 5 may, e.g., display a graphic representation G of data, such as, e.g., a time development of the flow of the sensed fluid.
[0151] In output unit 4, sensed signals S are processed, so as to obtain data referred to as processed data, which are, e.g., data suitable for displaying in visual display 5. However, the processing may also include integrating sensed signals and performing various calculations and the like.
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[0153] The operational connection between sensing unit 3 and output unit 4 is embodied in
[0154] Output unit 4 optionally has a user interface U, e.g., including a button. User interface U is provided, e.g., for selecting which data shall be outputted by output unit 4, or for selecting the length of a time interval during which sensed fluid amounts shall be integrated.
[0155] Channel c2 is provided for guiding a fluid (typically water) into the balloon at end 2e of catheter 2. Channel c2 is provided with a valve unit 70 for opening and closing channel c2.
[0156] Channel c3 is provided for temperature sensing. At or near end 2e, a temperature sensing element is present (not illustrated), and corresponding signals are fed to output unit 4. For example, a cable 61 running through channel c3 is provided with a plug 60 plugged into output unit 4.
[0157] User interface U might furthermore make possible to select whether temperature-related data or flow-related data shall be displayed. The displayed information may, of course be related to real time information, as herein described.
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[0159] In general, it can, for catheters or cannulas with more than one channel, be advantageous to fix output unit 4 to a catheter or cannula 2 in a region where at least two of the channels have separate tubing, e.g., as illustrated in
[0160] Fixing structures 45 illustrated in
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[0162] Sensing unit 3 is included in a tube extension 30 or can be considered to be embodied as a tube extension 30. And accordingly, tube extension 30 can also be considered a flow sensing device.
[0163] Tube extension 30 is connected to, more particularly plugged to, catheter or cannula 2, more particularly to the outer end of channel c1. For this purpose, tube extension 30 has a first tubing connector 31. At its opposite end, tube extension 30 has a second tubing connector 32 to which further tubing may be connected. It would also be possible to provide that tube extension 30 has, at one or both ends, tubing ends, and to provide a (separate) tubing connector for establising tubing connections.
[0164] It is possible to provide that output unit 4 is attached to the tube extension 30, in particular to tubing thereof. This can, in general (i.e. in other embodiments, too), be an alternative to having output unit 4 attached to catheter or cannula 2. Fixing structures can be embodied as described above or below.
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[0167] The catheter or cannula arrangement 1 of
[0168] At its tube connector 32, tube extension 30 is connected to further tubing 15. At the end of tubing 15, a container like the before-mentioned one or the one of
[0169] The output unit 4 illustrated in
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[0171] Such a tube extension or flow sensing device 30 can be very compact and may be used with known catheters or cannulas.
[0172] In
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[0174] The catheter or cannula arrangement 1 of
[0175] Tube extension 30 may be considered a flow sensing device. It may otherwise be embodied as described above, cf., e.g.,
[0176] Flow sensing may thus be accomplished based on a known catheter or cannula 2 merely by providing the tube extension 30, with no further additions of modifications to the catheter or cannula 2 necessary.
[0177] There are various possibilities for the sensing technique for flow sensing, some of them have been mentioned above. Of particular interest is, however the thermal flow sensing technique. The degree of miniaturization achievable in this technique is very high, making possible to manufacture very small sensors.
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[0179] The temperature sensing elements T1, T2 may be, and usually are, located outside the volume V, such that contamination can effectively be prevented and long-term stability be achieved. A cover such as tubing may be present between volume V (and thus the fluid to be sensed) and the temperature sensing elements T1, T2.
[0180] Temperature sensing elements T1, T2 and the heating device may be embodied in a single semiconductor chip.
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[0182] Output unit 4 includes an interface R for receiving sensed signals S from a sensing unit 3. In case of a wireless connection between sensing unit 3 and output unit 4, this may be a wireless receiver or transceiver, in case of wire-bound connection, interface R may be realized in a simpler fashion.
[0183] Interface R feeds signals S or signals derived therefrom to a control unit C, which may also be considered a processing unit. Control unit C may store those signals and/or signals derived therefrom (by processing in control unit C) in a data storage unit M of output unit 4. In particular, control unit C may, e.g., integrate signals, e.g., in order to obtain time-averaged flow-related values, and/or produce signals displayable in a display unit such as visual display 5 of output unit. For example, numerical output and/or graphical output may be computed and displayed. However, visual display 5 is generally optional. In one embodiment, output unit 4 includes no such display unit. In this case, a display unit 5, in particular a visual display, may be, e.g., provided in another component of the catheter or cannula arrangement or in an external device 90 (cf. below).
[0184] Data storage unit M makes possible to store in output unit 4 data representative of sensed signals, of sensing results, of processed data or in general data related to the sensed flow, in particular such that such data taken at some time can be outputted, e.g., transmitted, by output unit 4 at a later time. For example, data can be gathered in output unit 4 and transmitted elsewhere, e.g., to an external display unit, upon request only. This can make the flow measurement safer and can contribute to an increased mobility of a person wearing the catheter or cannula and the output unit 4.
[0185] Output unit 4 also includes a clock 44, in particular wherein clock 44 provides real-time information, such as at least the hour of the day, usually also, in addition, the day of the week and/or the full date. This way, sensed flow-related data can be linked to the time of sensing. Thus, it is possible to obtain (and store) information such as today, between 11 a.m. and 12 a.m., 89 ml urine were collected or yesterday, between 11 a.m. and 12 a.m., 48 ml urine were collected.
[0186] Output unit 4 has the functionality of a data logger. Flow-related data are logged in output unit 4, possibly in addition to temperature-related data. Of course, one or (rather) both of the sensed flow-related data and sensed temperature data can be linked to the time of the respective sensing.
[0187] Output unit 4 includes an interface T for outputting processed flow-related data, as obtained by processing in control unit C. In case of a wireless connection between output unit 4 and an external device 90 such as a computer, e.g., a tablet computer, this may be wireless transmitter or transceiver; in case of wire-bound connection, interface T may be realized in a simpler fashion, wherein it is in particular possible to provide a digital interface, e.g., according to the widely used USB standard.
[0188] Output unit 4 includes its own power supply, usually in form of an energy storage unit 7 such as a battery, e.g., a button cell. Thus, output unit 4 and therefore typically also the corresponding system 6 and the catheter or cannula arrangement 1 does not require a connection to a mains socket. This provides mobility to the person or animal wearing the catheter or cannula. And output unit 4 may have very small outer dimensions.
[0189] Optionally, a user interface U is provided, e.g., by one or more buttons, e.g., for selecting data to be displayed and/or outputted by output unit 4, or for setting a length of a time interval during which integration of sensed signals shall be accomplished.
[0190] As has been mentioned already, it can, in general, also be envisaged to dispense with a visual display 5. Then, it is not possible anymore to be readily visually informed about the sensed flow by output unit 4, however, corresponding information may be displayed using a unit connectable (via interface T) to output unit 4, e.g., to a smart phone or to a tablet computer or to an intensive care monitoring device wirelessly connected to output unit 4. More particularly, it is possible to provide that in output unit 4, more particularly by means of control unit C, files are generated which contain graphics data, such as data representative of a graphic visualization of flow-related data.
[0191] Further details concerning processing have been described above and therefore need not be repeated here.
[0192] However, a catheter or cannula arrangement may include a display unit 5 that is separate from output unit 4. Then, a display unit 4 is not integrated in output unit 4. In particular, output unit 4 and display unit 5 may each have their own housing.
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[0194] Urine is guided by further tubing 15 to bag 8.
[0195] In
[0196] In the embodiment of
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[0198] For both cases, wireless (
[0199] Output unit 4 may furthermore receive temperature data from a temperature sensor, cf. the description of
[0200] Display unit 5 may include a visual display such as an LCD panel. By means of the visual display, flow-related data as well as temperature-related data may be displayed, e.g., in relation to the respective time of sensing.
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[0205] In the embodiments of
[0206] Aspects of the embodiments have been described in terms of functional units, in particular in case of
[0207] The invention has the potential to strongly influence the way flow sensing is accomplished in conjunction with catheters or cannulas and more particularly how sensing of a quantity related to a flow of a fluid emitted from a body is accomplished. It can become possible to readily monitor a flow of such a fluid over a long time. And the respective flow sensing may become simpler and more cost-effective.
[0208] Catheter or cannula arrangements described in the present patent application may be worn by the respective person or animal providing increased comfort and mobility in comparison with current arrangements.