GB2416837A - A fluid detector having lateral offset along its emitter to receiver radiation paths - Google Patents

A fluid detector having lateral offset along its emitter to receiver radiation paths Download PDF

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Publication number
GB2416837A
GB2416837A GB0503769A GB0503769A GB2416837A GB 2416837 A GB2416837 A GB 2416837A GB 0503769 A GB0503769 A GB 0503769A GB 0503769 A GB0503769 A GB 0503769A GB 2416837 A GB2416837 A GB 2416837A
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Prior art keywords
radiation
fluid
tubular conduit
detector
emitter
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GB0503769A
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GB0503769D0 (en
Inventor
Andrew Chung-Ming Chu
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University College London Hospitals NHS Foundation Trust (UCLH)
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University College London Hospitals NHS Foundation Trust (UCLH)
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Publication of GB0503769D0 publication Critical patent/GB0503769D0/en
Priority to PCT/GB2005/002074 priority Critical patent/WO2006013312A1/en
Publication of GB2416837A publication Critical patent/GB2416837A/en
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/16831Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/36Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests with means for eliminating or preventing injection or infusion of air into body
    • A61M5/365Air detectors
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/31Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry
    • G01N21/35Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light
    • G01N21/3577Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light for analysing liquids, e.g. polluted water
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/41Refractivity; Phase-affecting properties, e.g. optical path length
    • G01N21/43Refractivity; Phase-affecting properties, e.g. optical path length by measuring critical angle
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/84Systems specially adapted for particular applications
    • G01N21/85Investigating moving fluids or granular solids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/18General characteristics of the apparatus with alarm
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/35Communication
    • A61M2205/3546Range
    • A61M2205/3561Range local, e.g. within room or hospital
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/01Arrangements or apparatus for facilitating the optical investigation
    • G01N21/03Cuvette constructions
    • G01N2021/0364Cuvette constructions flexible, compressible
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/31Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry
    • G01N21/35Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/41Refractivity; Phase-affecting properties, e.g. optical path length

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pathology (AREA)
  • Analytical Chemistry (AREA)
  • Biochemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • General Physics & Mathematics (AREA)
  • Immunology (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

A fluid detector comprising: a support (102, Fig. 5); an emitter 4, such as an IR LED, mounted on the support, and adapted to emit radiation along a first axis; a radiation receiver 12 mounted on the support and adapted to receive radiation along a second axis. The first axis and second axis to are substantially parallel, but are laterally offset with respect to each other. A detection zone (46, fig. 1) is located between the emitter and receiver. A tubular conduit 48 that contains fluid e.g. a liquid 56 is located in the detection zone. In use, the radiation from the emitter along the first axis may be received by the receiver along the second axis as a result of a refraction of the radiation by the tubular conduit and the fluid contained in it. Emitter and receiver may have their own respective housing 58, 62. The housings may have transparent end faces 60, 44, which are parallel with each other, and are in contact with the longitudinal sides of conduit. The emitter and receiver, each may be movably mounted on the support. The tubular conduit may comprise a part of an intravenous infusion set. The receiver may activate an alarm (20, 28 fig. 1) when gas bubbles 72 are detected in the liquid flow 56.

Description

24 1 6837 A Fl,UID DETECTOR AND ALARM SYSTEM This invention relates to a
fluid detector, and in particular to such a system for detecting the presence of a first fluid phase within an administrative system for a second fluid phase. Most particularly, the invention relates to such a system for detecting the presence of air in a liquid administrative system such as those used in the intravenous infusion of fluid in critically ill patients, or to such a system for detecting the presence of liquid within an air-filled system, and for triggering an alarm if air or liquid is inadvertently present in the system.
In clinical intervention, it is often necessary to infuse fluid such as saline, etc. into a patient intravenously. Care must be taken to exclude air bubbles within the fluid filled system otherwise adverse conditions may arise. For example, a small air bubble may accidentally enter into the bloodstream (e.g. via a vein) and eventually becoming lodged in the fine blood vessels in the lungs (e.g. pulmonary embolism). In most critical care equipment, special air bubble detectors are already incorporated. In other situations whereby air bubble detection is required as an additional safeguard, an independent stand-alone' bubble detector system would be very useful. Currently, third party systems are available that use ultrasonic waves to detect the presence of air bubbles, but these are expensive and hence prohibitive for wider applications.
Infra-red light offers a cheaper alternative to ultrasound, and has been used to detect air bubbles within a fluid administrative set in the past, both by using transmission and by reflective method. The detection ability of these systems was very often limited, due to the poor differentiation between air and fluid media. For example, US-A-4366384 discloses an air bubble detector which has a pair of detector heads serially disposed along a transparent conduit through which fluid is passed in use. Each detector head comprises an infra-red radiation source, a first infra-red detector adapted to receive direct infra-red radiation and a second infra-red detector adapted to receive reflected infra-red radiation. A logic circuit compares the signals from the two detectors and when one detects a high level of radiation and the other detects a low level of radiation a signal is emitted to indicate that an air bubble is in the conduit. As well as having poor detection ability, this detector requires plural detectors and complicated electronic circuitry, which increases the cost and complexity of the unit.
The present invention aims to provide a fluid detector that at least partially overcomes the detection problem of known fluid detectors, in particular known air-bubble detectors.
The present invention also aims to provide a fluid detector that is simple in construction and operation, and has a lower cost and complexity than known fluid detectors, in particular known air-bubble detectors, and is portable.
The present invention accordingly provides a fluid detector comprising a support, a radiation emitter device mounted on the support and adapted to emit radiation along a first axis, a radiation receiver device mounted on the support and adapted to receive radiation, emitted from the radiation emitter device, along a second axis, the first and second axes being substantially parallel but mutually laterally offset and a detection zone located between the radiation emitter device and the radiation receiver device, the detection zone being arranged to receive therein a tubular conduit containing fluid to be detected whereby, in use, radiation emitted from the radiation emitter device along the first axis may be received by the radiation receiver device along the second axis as a result of a particular degree of refraction of the radiation by the tubular conduit and fluid contained therein.
Preferably, the radiation emitter device comprises an infra-red emitter and a first collimator for emitting collimated infra-red radiation along the first axis and the radiation receiver device comprises an infra-red receiver and a second collimator for receiving collimated infra-red radiation along the second axis.
More preferably, the radiation emitter device and the radiation receiver device are each contained in a respective housing on the support.
Preferably, each housing has an end face transparent to the radiation from the emitter device, the two end faces are mutually parallel, and between the end faces the tubular conduit may be in use disposed, with the end faces contacting opposed longitudinal sides of the tubular conduit.
Preferably, the detection zone has a longitudinal axis along which the tubular conduit is disposed when in the detection zone and the first and second axes are each at an angle of from 15 to 45 degrees to the longitudinal axis.
Preferably, at least one of the radiation emitter device and the radiation receiver device is movably mounted on the support whereby a spacing between the radiation emitter device and the radiation receiver device can be selectively varied.
More preferably, one of the radiation emitter device and the radiation receiver device is fixedly mounted on the support.
Preferably, the at least one of the radiation emitter device and the radiation receiver device which is movably mounted on the support is movable in a predetermined direction, the predetermined direction corresponding to a particular angle of refraction through a tubular conduit containing fluid whereby tubular conduits of different diameter may be selectively disposed in the detection zone between the radiation emitter device and the radiation receiver device.
The fluid detector may further comprise a holder for holding the tubular conduit in the detection zone, the holder being mounted on the support and comprising first and second holder parts which are mutually relatively movable towards and away from each other, the first holder part containing the radiation emitter device and the second holder part containing the radiation receiver device.
Preferably, one of the first and second holder parts is movable towards and away from the other of the first and second holder parts which is fixed on the support, and further comprising a biasing device for biasing the movable holder part towards the fixed holder part.
The fluid detector may also further comprise a manual actuator for moving the movable holder part away from the fixed holder part against the bias of the biasing device.
Preferably, each of the first and second holder parts has a respective part-cylindrical elongate cavity therein and the two part-cylindrical elongate cavities are mutually opposed so as to define a generally cylindrical cavity for receiving a tubular conduit.
The fluid detector may further comprise an alarm connected to the radiation detection device.
The fluid detector may further comprise a transmitter connected to the radiation detection device for transmitting an alarm signal to a remote receiver.
The fluid detector may further comprise a tube clamp for clamping a tubular conduit so as to prevent fluid flow therethrough, the tube clamp being directly or indirectly operable in response to a signal, or absence of a signal, from the radiation detection device.
Preferably, the tube clamp comprises a pair of clamping elements between which the tubular conduit is, in use, located.
The fluid detector may be in combination with a tubular conduit capable of being received in the detection zone, the tubular conduit comprising at least a part of an intravenous infusion set.
The present invention also provides a method of detecting fluid in a tubular conduit, the method comprising disposing a tubular conduit containing fluid to be detected into the detection zone of the fluid detector according to any foregoing claim, emitting radiation from the radiation emitter device along the first axis so as to be incident on the tubular conduit containing fluid, and determining whether or not the radiation receiver device receives the radiation along the second axis following refraction of the radiation by the tubular conduit containing fluid, the radiation emitter device and the radiation receiver device being mutually disposed so that the radiation receiver device receives radiation from the radiation emitter device when fluid of a first phase within the tubular conduit is located therebetween and so that the radiation receiver device fails to receive radiation from the radiation emitter device when fluid of a second phase within the tubular conduit is located therebetween.
One preferred method is for detecting gas bubbles in a liquid, wherein the first phase is a liquid and the second phase is a gas. Another preferred method is for detecting liquid drops in a gas, wherein the first phase is a gas and the second phase is a liquid.
In either preferred method, preferably an alarm signal is generated when the radiation receiver device does not receive radiation from the radiation emitter device.
The present invention further provides a sensor comprising of an infrared emitter and a detector, accurately positioned on either side of a clear/translucent tube, such that the collimated incident light from the emitter is transmitted into the tube at an angle less than degrees from the nonnal (i.e. perpendicular), the detector is positioned on the other side of the tube, such that the emerging light beam is in parallel with the incident beam, but slightly offset from the original axis, and the exact geometry and positioning of the emitter and detector pair is such that the detector receives the transmitted beam after it has been refracted by the fluid medium inside the tube.
Preferably, the detector is positioned to detect the light beam only if no refraction takes place inside the tube.
Preferably, either the emitter or the detector is mounted on a springloaded actuator, which is mounted at an angle to the tube and maintains correct beam geometry for light detection when different tube sizes are used.
Preferably, the sensor is used together with accompanying signal processing electronics to form an 'air' or 'air-bubble' detection system in a fluid-administrative setup.
Preferably, the sensor is used together with accompanying signal processing electronics to form a 'fluid' detection system.
Preferably, the sensor utilizes the property of the refraction of light within a medium to detect the presence or absence of this medium in a clear or translucent tube or any other
suitable vessel. s
Preferably, the sensor is used together with accompanying electronic circuits to provide visual and audible warnings when 'alarm' conditions are detected.
Preferably, the sensor sends a warning signal to a remote station during 'alarm' condition by means of electrical wires or wirelessly using optical or radio-frequency signals.
Preferably, the sensor is powered by battery and allows portability and ambulatory use.
Preferably, the sensor is self-contained and can be operated independently of other equipment.
In accordance with the invention, an infrared emitter and receiver pair is used to transmit and receive a collimated light beam through an administrative set, except that the light path is arranged so that it is not perpendicular to the tube, as in known configurations, but at an angle away from the normal. Due to the refraction property of light in different media, the light beam within the fluid medium will become refracted and emerges on the other side of the tube into air at an angle similar to the incident beam but with the light path shifted from the incident beam.
By positioning the detector to accept the refracted light beam in a fluid medium, the detection and discrimination of air bubbles in a liquid medium, or liquid drops in a gas such as air, can be much enhanced.
The present invention has particular application for detecting the presence of air bubbles in a liquid administrative system, for example used for the intravenous infusion of fluid to patients. Similarly, the detector system of the invention can be used to detect the presence of liquid within an air-filled tubing in other applications. As an example, one such application is the detection of urine flow in urodynamics/ ambulatory urodynamics, for a male patient wearing a sheath.
An accompanying processing unit senses the air/liquid signal and sets up an alarm condition as necessary, both visually and audibly, to warn users of the condition, or to write the data in recording media for flow synchronization etc. The advantage of detector system of the invention is that it is simple but reliable, and low cost. Due to the simplicity in design, the complete system can be packaged into a small portable unit. With low component count and the use of low power devices, the unit can also be made to be battery operated, allowing monitoring to be carried out in most situations.
Embodiments of the invention will now be described, by way of example only, with reference to the accompanying drawings, in which: Figure 1 is a schematic drawing of to an infra-red fluid detector and alarm system in accordance with a first embodiment of the present invention; Figures 2a and 2b illustrate schematically the principle of operation of the infrared fluid detector and alarm system of Figure 1; Figure 3 is a schematic drawing which shows the scientific principles on light refraction on which the present invention is predicated; Figure 4 is a schematic drawing of a tube-clamping device for an infra-red fluid detector and alarm system in accordance with the present invention; Figure 5 is a schematic side view, partly in phantom, of a further embodiment of an infra-red fluid detector and alarm system in accordance with the present invention which comprises a tube holder, with the tube holder being disposed in a closed position; Figure 6 is a schematic top view of the infra-red fluid detector and alarm system of Figure 5; Figure 7 is a schematic side view of the infra-red fluid detector and alarm system of Figure 5 with the tube holder being disposed in an open position; and Figure 8 is a schematic side view of the infra-red fluid detector and alarm system of Figure 5 with the tube holder being disposed in a position holding a tube.
Referring to Figure l, there is shown a schematic block diagram of an infra-red fluid detector and alarm system, generally designated as 2, in accordance with a first embodiment of the present invention. An infra-red (JR) radiation emitter 4, comprising a light emitting diode (LED) is connected between ground (0 volts) and a resistor 6, and the resistor 6 is in turn connected to a first terminal 10 of a microcontroller 8. An infrared (JR) radiation receiver 12, comprising an IR sensitive photocell, is connected between ground (O volts) and a resistor 14, and the resistor 14 is in turn connected to a source 16 of positive voltage (+ volts). A second terminal l 8 of the microcontroller 8 is connected between the receiver 12 and the resistor 14. A local alarm 20, capable of generating an audible and/or visual alarm signal to alert the user, is connected to a further terminal 22 of the microcontroller 8. The microcontroller 8 is connected via respective terminals 24, 26 to a remote alarm 28 and to a radio frequency (RF) transmitter 30. The transmitter 30 can transmit a warning signal wirelessly using modern radio frequency techniques to a remote receiver 32. In a modification of the embodiment, either or both of the remote alarm 28 and the transmitter 30 may be omitted. The local alarm 20 may be omitted if at least one of the remote alarm 28 and the transmitter 30 is provided. The detector and alarm system 2 is powered from a battery 34, via an on/off switch 36. A switched regulator 38, connected between the on/off switch 36 and another terminal 40 of the microcontroller 8, is used to provide the necessary power for normal functioning of the detector and alarm system 2.
A first slit collimator 42 is disposed adjacent the infra-red (JR) radiation emitter 4 and is configured to collimate IR radiation therethrough. A housing (not shown) may be provided to prevent IR radiation emission from other than through the first collimator 42.
Correspondingly, a second slit collimator 44 is disposed adjacent the infra-red (JR) radiation receiver 12 and is configured to receive collimated IR radiation therethrough emitted from the first slit collimator 42. A housing (not shown) may be provided to prevent IR radiation reception from other than through the first collimator 42 The two collimators 42, 44 are juxtaposed so as to define therebetween a detection zone 46. The detection zone 46 is arranged to receive and support a portion of a tubular conduit 48, the fluid contents 50 of which are periodically inspected using the IR radiation. The collimators 42, 44 are parallel to each other, but their axes 52, 54 are offset.
The principle of operation of the detector will now be described with reference to Figures 2a and 2b and Figure 3.
Referring to Figures 2a and 2b, a liquid medium 56 is carried along a clear, IR transparent, tubular conduit 48 which may be flexible and may form part of a standard clinical fluid administrative set or a collecting tube. The slit collimators 42, 44 are located in front of the infrared emitter 4 and the infrared receiver 12 respectively. The infrared emitter 4 and first slit collimator 42 are disposed in an emitter housing 58 having an end face 60 which permits transmission of IR radiation therethrough. The end face 60 is inclined at an acute angle x degrees to the direction of radiation emission from the collimator 42. The infrared receiver 12 and second slit collimator 44 are disposed in a detector housing 62 having an end face 64 which permits transmission of IR radiation therethrough. The end face 64 is inclined at the same acute angle x degrees to the direction of radiation reception by collimator 42. The two end faces 60, 64 are therefore parallel. In this embodiment, the end faces 60, 64 are configured to squeeze a portion 66 of the tubular conduit 48 therebetween, so as to ensure a high degree of radiation coupling between the end faces 60, 64 and the wall 70 of the tubular conduit 48.
The angle x degrees between the optical axis of each collimator 42, 44 and the axis of the tubular conduit 48 is selected so that it is less than the angle which would otherwise cause total internal reflection of the infra-red radiation in the wall of the tubular conduit 48. Typically, the angle is from 15 to 45 degrees, most typically from 30 to 40 degree.
The slit of each collimator 42,44 typically has a width of from 0.5 to 1 mm. Typically, the emitter housing 58 and the detector housing 62 are mutually spaced so as to be able to receive therebetween a tubular conduit 48 having an external diameter of from 4 to 8 mm, most typically 6 mm, with a corresponding internal diameter of from 3 to 7 mm, and a wall thickness of about 0.5 mm. These dimensions may be varied. The emitter housing 58 and the detector housing 62 may be configured so as to be relatively movable so as to be able to accommodate different diameter tubular conduits.
Figure 1 a shows the IR radiation beam 68 from the infrared emitter 4, collimated by the collimator 42, then refracted by the liquid medium 56 in, and flowing through, the administration set, and then falling onto the infrared receiver 12. Accordingly, the exiting light beam 74 passes through the second collimator 42 and consequently is detected by the infrared receiver 12. This generates a radiation detection signal. Therefore the presence of liquid in the tubular conduit 48 between the two end faces 60, 64 results in a positive detection signal.
However, in contrast when air, in the form of a bubble 72 for example, is present between the two end faces 60, 64 as shown in Figure lb, refraction of the IR radiation beam 68 by the air bubble 72 within the tubular conduit 48 is much reduced as compared to refraction by the liquid medium 52. Accordingly, the exiting light beam 76 misses the second collimator 42 and consequently is not detected by the infrared receiver 12. A detection signal is therefore not generated by the infrared receiver 12.
The theory of operation of the present invention is described below.
The refractive index for a given pair of materials ('A' and 'B') is a constant, and is defined as the ratio: Speed of light in 'A' Speed of light in 'B' In vacuum, the refractive index is by definition to be 1. In air, the refractive index is very close to 1, and in other materials such as water, the refractive index is 1.33, and in glass, 1.5, etc. Referring to Figure 3, when a beam of light enters from air into a second medium, such as water, there is a significant change in the speed of light (refraction). Depending on the angle of incidence (i) of the light beam entering the water, the angle of the refracted light beam (r) within the water will be different. Similarly, refraction of light occurs when the light beam emerges from water into air, and the angle of the emerging beam into air will be the same as the incident beam before entering into the water, but the path of the light beam will become shifted (s).
For a beam of light in air entering a medium at an angle of incidence (i), the direction of the beacon will become refracted according to the equation: sin i = n x sin r where n = refractive index of the medium i = angle of incidence r = angle of the refracted beam At an incidence angle of 40 degrees in air, the retracted beam angle will be just under 29 degrees for water. On exit from water to air, the emerging beam will be similarly refracted, with the angle of refraction (in air) equal to 40 degrees, parallel to the beam before entering water, but shifted by a distance (s). Similarly, in accordance with the present invention, refraction also occurs at the interface between air and the plastic material of the tubular conduit of an infusion set, but due to the thin wall thickness, the overall change is negligible.
The overall optical path shift increases with the increase in the thickness T of the liquid medium, which depends on the diameter of the tubular conduit. In the absence of liquid inside the tubular conduit, the shift will be reduced to the effect of the wall thickness of the tubular conduit of the infusion set only, and the optical path shift will be very small.
By using a collimated beam and arranging the geometry of the IR emitter 4 and the IR receiver 12 in the way described hereinabove, a radiation signal is positively obtained whenever there is liquid 52 present in the tubular conduit 48, and no signal when liquid is absent in the portion 66 of the tubular conduit 48 between the IR emitter 4 and the IR receiver 12.
In contrast, if the IR receiver 12 is configured to detect the undesired presence of liquid, for example in the form of drops, in a tubular conduit 48 containing air, then the IR emitter 4 and IR receiver 12 and their respective collimators 42, 44 would be configured to provide a positive radiation signal when air is present, and no signal when liquid is present. This would be achieved by modifying the relative orientation of the IR emitter 4 and IR receiver 12 and their respective collimators 42, 44 as compared to the arrangement in Figures 1 and 2.
The emitter and detector would be mutually oriented in either case so as to provide a failsafe warning signal should the emitter and/or the detector fail, thereby providing a "no" signal.
Referring back to Figure 1, in operation, the infra-red (JR) radiation emitter 4 is periodically powered to emit IR radiation in a succession of detection cycles. The infra- red (JR) radiation emitter 4 is powered on by the microcontroller 8 just before a measurement sample is taken. The signal from the receiver 12 is processed and fed into the microcontroller 8, which monitors for the presence or absence of the radiation signal, and determines whether air or liquid is present inside the tubular conduit 48. In air bubble detection, the presence of air in the tubular conduit 48 represents an 'alarm' condition, and the microcontroller 8 then correspondingly generates an audible and/or visual alarm by local alarm 20 to alert the user, i.e. the patient to whom the infusion set is connected. As well as providing the alarm locally by local alarm 20, the microcontroller 8 may also transmit the 'alarm' signal as a warning signal to a remote alarm 28 at a nurses' station either via a cable, or wirelessly using modern radio frequency techniques, i.e. using a RF transmitter 30 and complementary receiver 32.
Discrimination between the presence of air or liquid within the tube is by the presence or absence of the radiation signal. Therefore, this is a much more positive and reliable way of detection compared to other previous methods using infra-red components.
A tube-clamping device may also be incorporated, either locally together with the detector and alarm system, or remotely positioned but receives the warning signal from the transmitter and clamps the fluid administrative tube whenever the 'alarm' condition is triggered. Such a tube-clamping device is illustrated in Figure 4.
In the embodiment illustrated, the receiver 32 is connected to a microcontroller 80. The microcontroller 80 is driven by a power supply 82 and is connected to an audio and/or visual local alarm 84. The microcontroller 80 is also connected to a further alarm 86 at a nurses or control station. The microcontroller 80 is further connected to a tubeclamping device 88 comprising two mutually spaced clamping elements 90, 92, at least one of which is reciprocably movable towards the other. The two clamping elements 90, 92 have the tubular conduit 48 disposed therebetween.
When the receiver 32 receives a signal from the transmitter 30 that air is inadvertently present in the liquid-containing tubular conduit 48 (or conversely that liquid is inadvertently present in the air-containing tubular conduit 48), the microcontroller 80 actuates the tube-clamping device 88 so that the tubular conduit 48 is squeezed between the two clamping elements 90, 92. This clamps the tubular conduit 48 so as to prevent any further fluid flow therethrough.
The tube-clamping device 88 is configured so that the two clamping elements 90, 92 are urged automatically to a closed clamping position when the tube-clamping device 88 is turned off. This provides a failsafe clamping action in the event that the tube-clamping device 88 fails. The two clamping elements 90, 92 may also be urged automatically to a closed clamping position when the tube-clamping device 88 fails to receive a signal from the infra-red fluid detector and alarm system 2. When the tube-clamping device 88 is turned on, the two clamping elements 90, 92 mutually separate to a preset separation distance, which is larger than the diameter of a desired tubular conduit 48, by movement of one or both of them so that the tubular conduit 48, if not already present, may be disposed between two clamping elements 90, 92.
The infra-red fluid detector of Figures I and 2 may be incorporated into a tube holder for holding the tubular conduit. An embodiment of such a tube holder is illustrated in Figures S. 6, 7 and 8.
Figure 5 is a schematic side view, partly in phantom, of the tube holder disposed in a closed position and Figure 6 is a top view of the tube holder of Figure S. The tube holder comprises a casing 102 on which is mounted a fixed tube holding element 104 and a movable tube holding element 106. The two tube holding elements 104, 106 are adjacent and face each other with respective tube holding faces 108, 110. Each tube holding face 108, 110 has an elongate part-cylindrical cavity 112 extending therealong.
The two elongate part-cylindrical cavities 112 are aligned and together define a generally cylindrical cavity 114 between the two tube holding elements 104, 106. As shown in phantom, the infra-red emitter 4 and collimator 42 are mounted in the fixed tube holding element 104 and the infra-red receiver 12 and collimator 44 are mounted in the movable tubeholding element 106. Each tube holding face 108, 110 is either infra-red transparent or has a window (not shown) through which infra-red radiation can pass from the infra- red emitter 4 to the infra-red receiver 12. A sliding push button 116 extends out of a side of the casing 102. The sliding push button 116 is connected to the movable tube holding element 106, and is biased towards an outward orientation (as shown by arrow A) by means of a biasing element such as a helical tension spring 118, also shown in phantom, which is disposed within the casing 102. in this way, the movable tube holding element 106 is biased towards the fixed tube holding element 104, so that the bias acts to minimise the cross-section of the generally cylindrical cavity 114. The other electronic component of the infra-red fluid detector, such as the microcontroller, the power source (such as a battery), an alarm, a transmitter, etc. are received within the casing 102. This makes the device small in dimensions and light in weight, and consequently very portable. The casing may be provided with a clip 120 for clipping to a support.
The angle y degrees of the direction of movement of the movable tube holding element 106 relative to the longitudinal axis z of the tube holding cavity is selected so as substantially to correspond to the angle of refraction of the radiation at the interface of the tubular conduit and the fluid therein. For example, for water the angle is 29 degrees.
In contrast, the angle, relative to the longitudinal axis z, of the radiation emitted by and received by the emitter 4 and receiver 12 respectively may be different. For example, in a preferred embodiment the angle of the axes of the infra-red emitter 4 and the infra-red receiver 12 relative to the longitudinal axis z is 40 degrees whereas the angle of the direction of movement of the movable tube holding element 106 relative to the longitudinal axis z is 29 degrees. By providing that at least one of the radiation emitter 4 and the radiation receiver 12 which is movably mounted on the casing 102, constituting a support, is movable in a predetermined direction corresponding to a particular angle of refraction through a tubular conduit 48 containing fluid, this provides the advantage that tubular conduits 48 of different diameter may be selectively disposed in the detection zone between the radiation emitter 4 and the radiation receiver 12.
Referring to Figure 7, the push button 116 can be pushed manually by medical personnel against the action of the biasing element 118 (as shown by arrow B) so as to open up the generally cylindrical cavity 114 and permit a tubular conduit to be received therein. As shown in Figure 8, when the push button 116 is released, the biasing element 118 urges the movable tube holding element 106 towards the fixed tube holding element 104 so as securely to hold the tubular conduit 48 between the tube holding faces 108, 110 within the generally cylindrical cavity 114. The tubular conduit 48 is securely received in the tube holder 100 so that the infra-red emitter 4 and the infra-red receiver 12, and their respective associated collimators 42, 44, are correctly disposed in the required position and orientation on opposed sides of the tubular conduit 48.
The tube holder can readily be used by medical personnel and reliably ensures correct positioning and optical coupling between the infra-red emitter 4, the infra-red receiver 12, their respective associated collimators 42, 44, and the tubular conduit 48. The tube holder 100 can easily be secured to a tubular conduit 48 and removed therefrom using simple manual operation of the push button 116. The bias applied by the helical spring 118 is sufficient to ensure secure holding of the tube holder 100 on the tubular conduit 48, for example so that the tubular conduit 48 can support the weight of the tube holder if necessary, yet without being so large as to deform the tubular conduit 48 or require a large manual pressure to move the push button 116 to open up the generally cylindrical cavity 114 to receive the tubular conduit 48. The tube holder 100 can readily accommodate a range of different tube diameters in the generally cylindrical cavity 114, providing secure holding of the tube holder 100, containing the infra-red fluid detector, onto the tubular conduit 48, and also effective optical coupling between the infra-red emitter and detector and the tubular conduit 48.
Although the use of infrared light to detect the presence of fluid is not new, the inventor believes that the exploitation of the refraction property of light through a fluid medium in a bubble/liquid drop detector is not known in the art. By critical geometrical positioning of the emitter and detector, distinction between air and fluid within a clear tube can be made both reliably and with high sensitivity. For the given circuit simplicity and low component count, a low cost and low power consumption system can be realised.
Portability and ambulatory use of the device is also made possible.
In accordance with the preferred embodiments of the invention, a simple detector/alarm system using infra-red emitter and detector has been developed which detects and discriminates the presence of air or fluid within a clear or translucent tube system, such as those used for intravenous fluid administration in critical patient care. The described system utilizes the refraction property of light in the medium and provides a much improved detection and discrimination between air and the fluid medium.
Due to the simplicity of design and low component cost, the system can be made to be small and portable. The equipment can also be made to be low power, i.e. can be powered by battery for ambulatory use. Signals from the detector unit may be sent to remote monitoring stations using a 'wired' or a 'wireless' system such as optical or radio-frequency waves.
The detector system can be used to detect the presence of air in a normally fluid-filled system, and conversely, to detect the presence of clear or translucent fluid in a normally dry environment.
In the air-bubble detection, an optional 'tube-clamp' system can be added to clamp the administrative set and stop the flow of fluid whenever an alarm condition is detected.
The complete detection and alarm system can operate as a 'stand-alone' unit and can be used in any applications, simultaneously and independently from other equipment, providing new information as well as safeguarding against adverse infusion incidents.

Claims (31)

1. A fluid detector comprising a support, a radiation emitter device mounted on the support and adapted to emit radiation along a first axis, a radiation receiver device mounted on the support and adapted to receive radiation, emitted from the radiation emitter device, along a second axis, the first and second axes being substantially parallel but mutually laterally offset and a detection zone located between the radiation emitter device and the radiation receiver device, the detection zone being arranged to receive therein a tubular conduit containing fluid to be detected whereby, in use, radiation emitted from the radiation emitter device along the first axis may be received by the radiation receiver device along the second axis as a result of a particular degree of refraction of the radiation by the tubular conduit and fluid contained therein.
2. A fluid detector as claimed in Claim 1, wherein the radiation emitter device comprises an infra-red emitter and a first collimator for emitting collimated infra red radiation along the first axis and the radiation receiver device comprises an infra-red receiver and a second collimator for receiving collimated infra-red radiation along the second axis.
3. A fluid detector as claimed in Claim 2, wherein the radiation emitter device and the radiation receiver device are each contained in a respective housing on the support.
4. A fluid detector as claimed in any one of Claims 1 to 3, wherein each housing has an end face transparent to the radiation from the emitter device, the two end faces are mutually parallel, and between the end faces the tubular conduit may be in use disposed, with the end faces contacting opposed longitudinal sides of the tubular conduit.
5. A fluid detector as claimed in any foregoing Claim, wherein the detection zone has a longitudinal axis along which the tubular conduit is disposed when in the detection zone and the first and second axes are each at an angle of from 15 to 45 degrees to the longitudinal axis.
6. A fluid detector as claimed in any foregoing Claim, wherein at least one of the radiation emitter device and the radiation receiver device is movably mounted on the support whereby a spacing between the radiation emitter device and the radiation receiver device can be selectively varied.
7. A fluid detector as claimed in Claim 6, wherein one of the radiation emitter device and the radiation receiver device is fixedly mounted on the support.
8. A fluid detector as claimed in Claim 6 or Claim 7, wherein the at least one of the radiation emitter device and the radiation receiver device which is movably mounted on the support is movable in a predetermined direction, the predetermined direction corresponding to a particular angle of refraction through a tubular conduit containing fluid whereby tubular conduits of different diameter may be selectively disposed in the detection zone between the radiation emitter device and the radiation receiver device.
9. A fluid detector as claimed in any one of Claims 6 to 8, further comprising a holder for holding the tubular conduit in the detection zone, the holder being mounted on the support and comprising first and second holder parts which are mutually relatively movable towards and away from each other, the first holder part containing the radiation emitter device and the second holder part containing the radiation receiver device.
10. A fluid detector as claimed in Claim 9, wherein one of the first and second holder parts is movable towards and away from the other of the first and second holder parts which is fixed on the support, and further comprising a biasing device for biasing the movable holder part towards the fixed holder part.
11. A fluid detector as claimed in Claim 10, further comprising a manual actuator for moving the movable holder part away from the fixed holder part against the bias of the biasing device.
12. A fluid detector as claimed in any one of Claims 9 to 11, wherein each of the first and second holder parts has a respective partcylindrical elongate cavity therein and the two part-cylindrical elongate cavities are mutually opposed so as to define a generally cylindrical cavity for receiving a tubular conduit.
13. A fluid detector as claimed in any foregoing Claim, further comprising an alarm connected to the radiation detection device.
4. A fluid detector as claimed in any foregoing Claim, further comprising a transmitter connected to the radiation detection device for transmitting an alarm signal to a remote receiver.
15. A fluid detector as claimed in any foregoing Claim, further comprising a tube clamp for clamping a tubular conduit so as to prevent fluid flow therethrough, the tube clamp being directly or indirectly operable in response to a signal, or absence of a signal, from the radiation detection device.
16. A fluid detector as claimed in Claim 15, wherein the tube clamp comprises a pair of clamping elements between which the tubular conduit is, in use, located.
17. A fluid detector as claimed in any foregoing Claim, in combination with a tubular conduit capable of being received in the detection zone, the tubular conduit comprising at least a part of an intravenous infusion set.
18. A method of detecting fluid in a tubular conduit, the method comprising disposing a tubular conduit containing fluid to be detected into the detection zone of the fluid detector according to any foregoing claim, emitting radiation from the radiation emitter device along the first axis so as to be incident on the tubular conduit containing fluid, and determining whether or not the radiation receiver device receives the radiation along the second axis following refraction of the radiation by the tubular conduit containing fluid, the radiation emitter device and the radiation receiver device being mutually disposed so that the radiation receiver device receives radiation from the radiation emitter device when fluid of a first phase within the tubular conduit is located therebetween and so that the radiation receiver device fails to receive radiation from the radiation emitter device when fluid of a second phase within the tubular conduit is located therebetween.
19. A method as claimed in Claim 18, which is for detecting gas bubbles in a liquid, wherein the first phase is a liquid and the second phase is a gas.
20. A method as claimed in Claim 18, which is for detecting liquid drops in a gas, wherein the first phase is a gas and the second phase is a liquid.
21. A method as claimed in any one of Claims 18 to 20, wherein an alarm signal is generated when the radiation receiver device does not receive radiation from the radiation emitter device.
22. A sensor comprising of an infrared emitter and a detector, accurately positioned on either side of a clear/translucent tube, such that the collimated incident light from the emitter is transmitted into the tube at an angle less than 45 degrees from the normal (i.e. perpendicular), the detector is positioned on the other side of the tube, such that the emerging light beam is in parallel with the incident beam, but slightly offset from the original axis, and the exact geometry and positioning of the emitter and detector pair is such that the detector receives the transmitted beam after it has been refracted by the fluid medium inside the tube.
23. A sensor as claimed in Claim 22, but with the positioning of the detector to detect the light beam only if no refraction takes place inside the tube.
24. A sensor as claimed in Claims 22 or 23, but with either the emitter or the detector mounted on a spring-loaded actuator, which is mounted at an angle to the tube and maintains correct beam geometry for light detection when different tube sizes are used.
25. A sensor as claimed in any of Claims 22 to 24, used together with accompanying signal processing electronics to form an 'air' or 'airbubble' detection system in a fluid-administrative setup.
26. A sensor as claimed in any one of Claims 22 to 24, used together with accompanying signal processing electronics to form a 'fluid' detection system.
27. A sensor as claimed in any one of Claims 22 to 26, that utilizes the property of the refraction of light within a medium to detect the presence or absence of this medium in a clear or translucent tube or any other suitable vessel.
28. A sensor as claimed in any one of Claims 22 to 27, used together with accompanying electronic circuits to provide visual and audible warnings when alarm' conditions are detected.
29. A sensor as claimed in any one of Claims 22 to 24, which sends a warning signal to a remote station during 'alarm' condition by means of electrical wires or wirelessly using optical or radio-frequency signals.
30. A sensor as claimed in any one of Claims 22 to 29, which is powered by battery and allows portability and ambulatory use.
31. A sensor as claimed in any one of Claims 22 to SO, which is selfcontained and can be operated independently of other equipment.
GB0503769A 2004-08-04 2005-02-23 A fluid detector having lateral offset along its emitter to receiver radiation paths Withdrawn GB2416837A (en)

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GBGB0417337.3A GB0417337D0 (en) 2004-08-04 2004-08-04 Low cost air bubble detector and alarm system for fluid administrative applications

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WO2006013312A1 (en) 2006-02-09
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