TWI353241B - System and method for locating fluid leaks at a drape of a reduced pressure delivery system - Google Patents

System and method for locating fluid leaks at a drape of a reduced pressure delivery system Download PDF

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TWI353241B
TWI353241B TW096135012A TW96135012A TWI353241B TW I353241 B TWI353241 B TW I353241B TW 096135012 A TW096135012 A TW 096135012A TW 96135012 A TW96135012 A TW 96135012A TW I353241 B TWI353241 B TW I353241B
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Taiwan
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fluid
audible
leak
change
sound
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TW096135012A
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English (en)
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TW200820940A (en
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Christopher Brian Locke
Mark Stephen James Beard
David Robson Blandford
Timothy Mark Robinson
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Kci Licensing Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/73—Suction drainage systems comprising sensors or indicators for physical values
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/005—Pneumatic massage
    • A61H9/0057—Suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/60—Containers for suction drainage, adapted to be used with an external suction source
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/60—Containers for suction drainage, adapted to be used with an external suction source
    • A61M1/604—Bag or liner in a rigid container, with suction applied to both
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/74—Suction control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/96—Suction control thereof
    • A—HUMAN NECESSITIES
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    • A61N1/02—Details
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    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
    • F16M11/00—Stands or trestles as supports for apparatus or articles placed thereon ; Stands for scientific apparatus such as gravitational force meters
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    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
    • F16M11/00—Stands or trestles as supports for apparatus or articles placed thereon ; Stands for scientific apparatus such as gravitational force meters
    • F16M11/02—Heads
    • F16M11/04—Means for attachment of apparatus; Means allowing adjustment of the apparatus relatively to the stand
    • F16M11/043—Allowing translations
    • F16M11/048—Allowing translations adapted to forward-backward translation movement
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
    • F16M13/00—Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles
    • F16M13/02—Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles for supporting on, or attaching to, an object, e.g. tree, gate, window-frame, cycle
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01F—MEASURING VOLUME, VOLUME FLOW, MASS FLOW OR LIQUID LEVEL; METERING BY VOLUME
    • G01F23/00—Indicating or measuring liquid level or level of fluent solid material, e.g. indicating in terms of volume or indicating by means of an alarm
    • G01F23/14—Indicating or measuring liquid level or level of fluent solid material, e.g. indicating in terms of volume or indicating by means of an alarm by measurement of pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5056—Control means thereof pneumatically controlled
    • A—HUMAN NECESSITIES
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    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/15—Detection of leaks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/18—General characteristics of the apparatus with alarm
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    • A61N2005/0658—Radiation therapy using light characterised by the wavelength of light used
    • A61N2005/0661—Radiation therapy using light characterised by the wavelength of light used ultraviolet
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
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    • F16M2200/02—Locking means
    • F16M2200/025—Locking means for translational movement
    • F16M2200/027—Locking means for translational movement by friction

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  • Health & Medical Sciences (AREA)
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  • Epidemiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Otolaryngology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
  • External Artificial Organs (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Percussion Or Vibration Massage (AREA)
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  • Examining Or Testing Airtightness (AREA)

Description

1353241 九、發明說明： 【發明所屬之技術領域】 本發明大體而言係關於促進組織生長之系統及方法，且 更特定言之係關於用於在定位於正由減壓傳遞系統治療之 組織位點處的覆蓋物處偵測及校正流體洩漏之方法。 【先前技術】 已顯示病人之組織生長及創傷復原經由使用向組織位點 施加減壓而得以加速。減壓傳遞系統操作以於病人之組織 位點處形成該減壓。此形式之創傷復原可易於整合至臨床 醫師之創傷復原程序中《減壓組織療法最佳化病人護理且 減少與對具有創傷性及慢性創傷之病人之治療相關聯的費 用。可於醫院、諸如受援生活圈及療養院之社區設施或病 人之家中施以減壓醫療。 向創知或組織位點之減壓傳遞部分地藉由自創傷或組織 位點移除感染性物質及其他流體而促進創傷復原及/或組 織生長。減壓治療藉由向組織外加力，由此引起組織之微 變形（咸信此有助於組織位點處之肉芽組織的發育）來進一 步促進組織生長。藉由傳遞減壓而外加於組織位點上之力 進一步促使在組織位點處之改良之血液流動，此進一步輔 助新組織之生長。 減壓傳遞系統一般使用真空泵來經由減壓管道向組織位 點施加減壓。經常在組織位點處使用歧管以幫助均勻地分 配減壓。通常使用覆蓋物來覆蓋歧管且對減壓所施加至之 组織位點的周圍組織形成密封。為使減壓保持為恆定且準 124285-1000909.doc =，由此提供最佳組織生長及/或醫療，需將覆蓋物與組 :位點之周圍組織介接並维持㈣止諸如空㈣漏之流體 ^漏。在於覆|物之安裝期間或於治療期間產生流體浅漏 之情況下’臨床醫師經常發現難以查出流體浅漏之精確位 置。若流料漏未得到校正，則減㈣遞系統之效能減弱 且全部治療潛力未實現。 【發明内容】
可了克服在覆蓋物與病人之組織之間的界面處定位流體 Λ漏之問題’本發明之原理提供在減壓傳遞系統之覆蓋物 處偵測流體茂漏之位置及校正流體漁漏。藉由能夠在覆蓋 物與組織之界面處定位流體洩漏，可產生最佳醫療結果。
用於執行組織醫療之系統之一實施例包括處理單元及減 壓源 g道可流體連接於減壓源與病人之組織位點之 間。管道可經組態以將減壓源所產生之減壓施加至組織位 點。覆蓋物可組態為定位於組織位點上以維持組織位點處 之減壓。流體感應器可與管道流體連通且與處理單元電連 通。流體感應器可經組態以感應管道内之流體參數且回應 於感應該流體參數而產生流體感應信號。流體參數可為流 體流動速率、流體壓力或其他。流體感應器可回應於感應 到該流體參數改變而改變流體感應信號。電子揚聲器可與 處理單元連通。處理單元可經組態以向揚聲器傳達流體沒 漏定位信號以產生可聞流體洩漏定位聲音。處理單元可進 一步經組態以回應於流體參數改變而改變流體洩漏定位信 號。流體洩漏定位信號可在音高、頻率、音量或其他可聞 124285-1000909.doc 1353241 聲音參數上改變以使得可聞流體洩漏定位聲音改變，由此 向嘗試於覆蓋物處定位流體洩漏之臨床醫師提供其正影響 流體洩漏之指示。 用於執行組織醫療之方法之一實施例可包括向病人之組 織位點施加減壓。可感應與向組織位點施加減壓相關聯之 流體參數。可回應於感應流體參數而產生可聞流體洩漏定 位聲音。可回應於感應到流體參數改變而改變可聞流體洩 漏定位聲音。藉由回應於感應到流體參數之改變而改變可 聞流體洩漏定位聲音，臨床醫師可藉由向覆蓋物施加力而 在覆蓋物處偵測流體洩漏之位置。向覆蓋物施加之力可為 臨床醫師將一手指按壓至覆蓋物之邊緣上。 用於在治療病人之組織位點之同時定位流體洩漏之方法 之一實施例可包括臨床醫師聽取減壓傳遞系統所產生的可 聞聲音。臨床醫師可向組織位點處之覆蓋物施加力，且可 對於可聞改變而聽取可聞聲音。可聞聲音可改變頻率、音 量或任何其他可聞聲音參數。可基於可聞聲音之改變而在 病人之組織與覆蓋物之間的界面處判定流體洩漏之位置。 一旦疋位流體洩漏即可由臨床醫師減少流體洩漏。 用於在治療病人之組織位點之同時判定流體洩漏之另一 方法可包括臨床醫師聽取可聞聲音且向覆蓋物之第一區域 施加力。臨床醫師可聽取可聞聲音回應於向覆蓋物之第一 區域施加力之改變。若可聞聲音改變，則可校正覆蓋物之 第一區域以減少流體洩漏。否則，可向覆蓋物之第二區域 施加力。若可聞聲音回應於向覆蓋物之第二區域施加力而 124285-1000909.doc 1353241 改變’則可校正覆蓋物之第二區域以減少流體洩漏。臨床 醫師可繼續向覆蓋物之不同區域施加力且聽取可聞聲音之 改變以在覆蓋物與病人之組織之界面處判定存在流體洩漏 的特定區域。 【實施方式】 參看圖1，展示用於治療病人102之配置1〇〇。病人正接 又藉由減壓傳遞系統i 〇6於組織位點1 〇4處進行的減壓治 療。減壓傳遞系統1〇6可包括自減壓傳遞系統1〇6延伸至組 織位點104之減壓管道丨〇8。在組織位點丨〇4處，減壓敷件 或分配歧管110可流體連接至減壓管道1〇8。另外，可將覆 二物112置放於組織位點104及分配歧管ho上。覆蓋物112 可為不透氣以防止空氣或其他流體在減壓治療期間進入或 離開組織位點1〇4之可撓性材料。 在用於本文中時，術語"可撓性，，指代能夠彎曲或撓曲之 物件或材#。彈性體材料通常為可撓性的，但在本文中對 可撓性材料之引用未必將材料選擇僅限於彈性體。術語 •I可撓性"結合根據本發明之原理之材料或減壓傳遞裝置的 使用般心代材料之符合或緊密匹配組織位點之形狀之能 力。舉例而言，用以治療骨骼缺陷之減壓傳遞裝置之可撓 性貝可允許„亥裝置圍繞骨骼之具有缺陷的部分包繞或摺 疊。 術扣μ體（fluid)在用於本文中時_般指代氣體或流體 (H_1W旦亦可包括任何其他可流動材料，包括（但不限 於）凝膠、膠體及發泡體。氣體之__例子為空氣。 124285-1000909.doc 1353241 術語"不透性"在用於本文中時—般指代薄膜、蓋罩、薄 片或其他物質阻止或減緩流體或氣體之傳輸的能力。不透 性可用以指代蓋罩、薄片或抵抗流體之傳輸，但允許氣體 傳輸通過薄膜之其他薄膜。雖_透性薄膜可為流體型， 但薄膜可僅僅減小所有流體或僅特定流體之傳輸速率。術 語"不透性"之使用不欲暗示不透性薄膜在關於不透性之任 何特定工業標準量測（諸如水蒸氣轉移速率wmm vapor transfer rate)之特定值）以上或以下。 術語"歧管"在用於本文中時一般指代經提供以辅助向組 織位點施加減壓、傳遞流體或自其移除流體之物質或結 構。歧管通常包括複數個流道或路徑，其互連以改良提供 至歧管周圍之組織之區域的流體之分布及自歧管周圍之組 織之區域移除的流體之分布。歧管之實例可包括（但不限 於）具有經配置以形成流道之結構元件之設備、諸如開放 氣室式發泡體（open-desk cell f〇am)之蜂巢式發泡體多孔 組織集合及包括流道或固化以包括流道的流體、凝膠及發 泡體。 術語"減壓"在用於本文中時一般指代小於正經受治療之 組織位點處之環境壓力的壓力。在多數情況下，此減壓將 小於病人所在處之大氣壓力。或者，減壓可小於组織位點 處之組織的靜水壓力。雖然可使用術語”真空"及"負壓，，來 描述施加至組織位點之壓力’但施加至纟且織位點之實際麼 力可能顯著小於正常情況下與完全真空相關聯之壓力。減 壓可最初在組織位點之區域中之管或管道中產生流體流。 124285-1000909.doc -10- 1353241 、 ㈣組織位點周圍之靜水壓力接近所要減壓，流動可平息 i既而減壓得以維持。除非另行指示，否則本文陳述之壓 力值為表壓。 • 術語"支架"在用於本文中時指代用以增強或促進細胞之 生長及/或組織之形成的物質或結構。支架通常為三維多 孔結構，其為細胞生長提供模板。支架可注入有、塗佈有 或包含細胞、生長因子或其他養分以促進細胞生長❹支架 • 可用作根據本文描述之實施例之歧管以對組織位點施以減 壓組織治療。 術語"組織位點"在用於本文中時指代位於包括（但不限 於）骨骼組織、脂肪組織、肌肉組織、神經組織、真皮組 織血管組織、結締組織、軟骨、腱或韌帶之任何組織上 或組織内之創傷或缺陷。術語"組織位點"可進一步指代未 必文傷或存在缺陷但替代地為需要添加額外組織或促進額 外組織之生長之區域的任何組織區域。舉例而言，可在某 • 些組織區域令使用減壓組織治療以使額外組織生長，可採 集該額外組織且將其移植至另一組織位置。 本文中使用之術居臨床醫師”意謂與減麼傳遞系統互相 作用或介接之任何醫學專業人員、使用者、病人之家庭成 員或病人。 參看圖2，人體202上之組織位點200正自減壓傳遞系統 (未圖示）接受減壓醫療。減壓傳遞系統連接至減壓管道2〇4 且直接或經由配接器206而與分配歧管（未圖示）流體連通。 覆蓋物208可經組態以覆蓋分配歧管，該分配歧管展示為 124285-1000909.doc 11 1353241 壓入覆蓋物208中以形成輪廓210。覆蓋物208覆蓋組織位 點200，由此有助於維持組織位點處之密封以使得諸如空 氣之流體無法進入或離開組織位點。藉由防止流體進入或 離開組織位點200，組織位點200可接受減壓醫療之最大益 處，包括最小化額外感染之機會及改良組織之生長。
在於組織位點200處建立可包括分配歧管及覆蓋物2〇8之 敷件中’臨床醫師可施加敷件且在減壓傳遞系統之操作期 間向覆蓋物208施加力。藉由沿覆蓋物208之外緣施加力， 臨床醫師可建立或以其他方式改變覆蓋物2〇8與圍繞組織 位點200之組織21 4的交點2 12處之密封。在密封未完全形 成或流體洩漏於覆蓋物208處產生之情況下，臨床醫師·j 沿覆蓋物208之外緣212按壓其手指216來改良或重新建j 密封。因為在覆蓋物208處定位流體洩漏在實踐中經常幸 為困難，所以本發明之原理提供如本文參看圖4至圖8進一 步描述的用於判定流體洩漏之位置之系統及方法。
參看圖3，提供紐織位點2〇〇之剪切圖來展示在圍繞組综 位點200之健康組織3〇2上延伸之覆蓋物·。覆蓋物·名 與減壓管it3G㈣料通之歧t3Q4上延伸。減壓管道 進一步與減墨傳遞系統规流體連通。減壓醫療系統3则 包括真空系310及電子顯示器312。電子顯示器可包右 1 由操作減_遞系統则之使用者使用的控制㈣⑽ 得使用二314)。另外或替代地’電子顯示器312可包括使 者能夠與減壓傳遞系統则相互作用且操作減壓傳 遞系統308之觸控式電子顯示器316。 124285-1000909.doc ⑧ -12- 1353241 在健康組織302上延伸之覆蓋物2()8在健康組織3〇2與覆 蓋物208彼此接觸之交點318處形成密封。若流體茂漏在交 點3 1 8處（亦即’在組織位點2〇η考、太ol . • 點200處）產生，則流體洩漏感應 • 11 (未圖示）可產生並傳達流體茂漏信號。流體茂漏信號可 指示流體參數，該流體參數指示或回應越過預定臨限水準 之流體泡漏。處理單元（未圖示）可回應以以可聞及/或視覺 方式產生流體洩漏警報。舉例而言，可產生蜂音、铃聲、 • 料訊息或其他可聞聲音來向臨床醫師告警流體、攻漏已於 覆蓋物208處發生。為了在覆蓋物2〇8處定位流體洩漏，可 在減壓傳遞系統308處自動或手動進入流體洩漏定位模 式。可使用流體洩漏定位模式來使得臨床醫師能夠施加 力，諸如沿覆蓋物208按壓手指，諸如於交點3丨8處按壓。 在臨床醫師施加力時，回應於臨床醫師向流體洩漏之位置 處施加力，減壓傳遞系統3 〇 8可產生改變之可聞聲音。可 聞聲音可（例如）在音高或音量上降低以使得臨床醫師能夠 Φ 識別覆蓋物208處之存在流體洩漏的位置。 參看圖4 ’將減壓傳遞系統4〇2之組態4〇〇展示為操作以 向組織位點404施加減壓。減壓傳遞系統4〇2可包括印刷電 路板406 ’該印刷電路板406包括處理單元408。處理單元 408可包括一或多個處理器、邏輯、類比組件或使得包括 諸如組織位點處之流體壓力的資訊之信號能夠被接收到之 任何其他電子設備。處理單元408可處理信號所提供之資 訊。舉例而言，處理單元408可接收流體洩漏信號且處理 單元408可驅動流體洩漏警報及/或流體洩漏定位處理。 124285-1000909.doc -13- 1353241 減壓傳遞系統402可進一步包括諸如真空泵之泵41〇，其 可由馬達412驅動。馬達412可與PCB 406電連通且回應 PCB 406所產生之控制信號414。泵410可流體連接至減壓 管道416。減壓管道416可包括作為釋壓閥而操作之孔 418 »與孔並聯的為流量傳感器42〇 ,其可經組態以判定流 經減壓官道416之流體的流動速率。流量傳感器42〇流體連 接至減壓管道416且經組態以產生流動速率信號422，該流 動速率k號422包括指示減壓管道416内之流體之流動速率 的資訊。流動速率信號422可為數位或類比信號。 果邀力傳感器424可連接至減壓管道416以轉換減壓管道 416中之壓力且將包括指示減壓管道416中之流體壓力之資 訊的栗壓力信號426傳達至PCB 406。泵壓力信號426可為 數位或類比信號。泵釋放閥428亦可連接至減壓管道4丨6， 且可經組態以在緊急情形或其他情況下自減壓管道416釋 放壓力。 減壓傳遞系統402可進一步包括與減壓管道416流體連通 之一或多個過濾器430a-430n(統稱430)。過濾器430可與用 以自組織位點404收集流體之容器432流體連通。過濾器 430可經組態以防止容器432中所收集之流體進入減壓管道 416。容器432可進一步與減壓管道434流體連通。雖然展 示為單獨管道’但減壓管道416與減壓管道434可為相同或 不同材料’且具有相同或不同尺寸。減壓管道434可連接 至配接器436或與配接器436流體連通，配接器436可連接 至分配歧管438以在組織位點404上均勻地分配減壓。使用 124285-1000909.doc -14- 在組織位點上延伸且延伸至圍繞正由減壓治療之組織位點 404之組織442上的覆蓋物440來形成密封以在組織位點404 處形成並維持減壓。 反饋減壓管道444可穿過容器432。組織釋放閥446可連 接至反饋減壓管道444以使得能夠回應於處理單元408所產 生之命令信號448而在釋放組織位點404處之壓力。命令信 號448可由處理單元408回應於處理單元408接收到越過臨 限水準之感應信號（諸如流動速率信號422)而產生。或者， 可回應於臨床醫師經由使用者介面（未圖示）選擇性地停止 減壓傳遞系統402而產生命令信號448。諸如治療循環完成 之其他事件可使得處理單元產生命令信號448以啟動組織 釋放閥446。在另一實例中，可使用組織壓力傳感器450來 轉換於組織位點404處感應之壓力且向PCB 406上之處理單 元408提供反饋信號452。回應於處理單元408判定組織位 點404處之由組織壓力傳感器450所感應到的壓力高於臨限 值，處理單元408可向組織釋放閥446傳達命令信號448來 釋放組織壓力。 電子揚聲器454可與PCB 406電連通以產生可聞聲音。在 處理單元408判定流體參數（諸如組織位點404處之壓力或 通過減壓管道41 6之流體的流動速率）越過臨限值之情況 下，信號456可由PCB 406產生且經傳達至電子揚聲器454 以產生可聞聲音。舉例而言，處理單元408可藉由增大超 過流動速率臨限水準之流體速率而判定流體洩漏存在於組 織位點404處。回應於判定由諸如流量傳感器420之流量傳 124285-1000909.doc -15· 1353241 感器所感應到之流動速率水準，處理單元4〇8可產生諸如 告警信號之信號456,且將告警信號傳達至電子揚聲器454 以向臨床醫師通知存在問題。在另一實例中，諸如組織壓 力傳感器450之感應器可感應組織位點4〇4處之流體參數， 且處理單元408可判定組織位點4〇4處之壓力減小。又並 非直接感應流體參數，可藉由量測泵41〇之工作週期或功 率而執行間接量測以判定近似流體流量。可選擇性地程式 化或命令處理單元408進入流體洩漏定位模式以使得臨床 醫師能夠藉由在覆蓋物440之邊緣上施加力而在覆蓋物44〇 處毛位流體漏。處理單元408可產生連續或不連續流體 Λ漏疋位k號’且驅動電子揚聲器4 5 4以使得臨床醫師能 夠判定覆蓋物440處流體茂漏之位置。 雖然流體洩漏定位模式有助於在覆蓋物處定位流體洩 漏，但應瞭解，流體洩漏定位模式可使得臨床醫師或技術 人員能夠在減壓傳遞系統處定位流體洩漏。舉例而言，若 洩漏在管道連接處或在密封處發生，則流體洩漏定位可有 助於定位該流體洩漏。在一實施例中，可提供配接器（未 圖示）以使付減壓官道模擬存在完整覆蓋物密封之情況下 之操作’以致此於減壓傳遞系統處或在減壓傳遞系統内定 位流體浅漏。 參看圖5 ’減壓傳遞系統5 0 〇可包括經組態以顯示圖形使 用者介面（GUI, graphical user interface) 504之電子顯示器 502。GUI 504可包括許多可選圖形元件’包括"設定”軟按 鈕506、M創傷類型”軟按鈕508、，，密封檢查"軟按鈕51〇及 124285-1000909.doc •16· 1353241 "歷史"軟按鈕512。使用者可選擇此等功能中之任一者（亦 即，設定、創傷類型、密封檢查或歷史）以使得減壓傳遞 系統500向使用者呈現用於執行選定功能之另一圖形使用 者介面。另外，"退出”軟按鈕514可用於使使用者退出當 前GUI 504。應瞭解，GUI 504為例示性的，且可向使用者 提供其他及/或替代功能及選擇元件。 GUI 504上之資訊區域516可包括可選圖形元件，且可顯 示使用者可能關心之其他資訊。舉例而言，可顯示"幫助" 軟按鈕5 1 8以使得使用者能夠接收關於減壓傳遞系統5〇〇或 當前正顯示於GUI 504上之特定功能的幫助。"開關I,軟按 紐520可使得使用者能夠選擇性地接通及斷開減壓傳遞系 統500，且資訊522可向使用者通知減壓醫療傳遞系統5〇〇 之當前狀態。舉例而言，狀態資訊522可指示減壓醫療傳 遞系統500⑴正於連續醫療模式中操作，（π)正接通，及 (in)正操作以提供2〇〇 mmHg之減壓。"鎖定”軟按鈕524可 使得使用者能夠鎖定GUI 5〇4以防止與GUI 504之無意接觸 而使得減壓醫療傳遞系統5〇〇作出回應。 參看圖6A ’減壓傳遞系統5〇〇可回應於使用者選擇圖$之 GUI 504上之’’密封檢查"軟按鈕510而在電子顯示器5〇2上 顯示GUI 602。GUI 602可顯示圖形指示符604，該圖形指 示符604指示由減壓傳遞系統5〇〇之感應器所感應到的諸如 /”L體壓力或流體流動速率之流體參數。如圖所示，圖形指 示符604為具有包括低、中及高之三個水準的條狀指示 符。圖形指示符6〇4可展示基於由減壓傳遞系統5〇〇之感應 124285-1000909.doc 17 1353241 器（例如’流動速率感應器或壓力感應器）所感應到的流體 參數而增大及減小之動態部分6〇6。動態區域606之高度可 指示當前於組織位點處感應到的流體洩漏之量。雖然圖形 指示符004可有助於臨床醫師視病人病床處之減壓傳遞系 統500的配置而在覆蓋組織位點之覆蓋物處判定流體洩漏 之位置’但臨床醫師可能或可能不能夠在其嘗試於覆蓋物 處定位流體洩漏時檢視圖形指示符6〇4。 為使臨床醫師可較容易地在覆蓋物處定位流體洩漏，減 壓傳遞系統500可產生指示由減壓傳遞系統500之感應器所 感應到的流體參數之水準之可聞聲音。臨床醫師可選擇 "密封音訊”軟按鈕008來對可聞流體洩漏定位聲音進行雙 態觸發或靜音及解除靜音以使其關及開（亦即，靜音及解 除靜音）。可回應於所感應到之流體參數改變而改變可聞 流體洩漏定位聲音。舉例而言，若組織位點處之壓力回應 於臨床醫師在覆蓋物上按壓而增大，則可改變可聞流體洩 漏定位聲音以向臨床醫師指示流體洩漏正被或已被密封且 因此而得以定位。可聞流體洩漏定位聲音可在頻率、音量 或音高上改變。或者，可在密封檢查期間產生"蓋格計數 器（Geiger COUnter)"聲音，其中音調速度視流體參數之改 變而增大或減小。舉例而言，若臨床醫師相對於流體洩漏 之位置"距離尚遠"，則蓋格計數器聲音可緩慢地嘟嘟響。 當臨床醫師按壓於覆蓋物之流體洩漏處或其附近時，既而 蓋格计數器聲音可隨著流體洩漏被密封而隨組織位點處之 壓力而增大，直至在覆蓋物經完全密封且最大壓力或在密 124285-1000909.doc -18 · 1353241 、 編臨限水準以上之麼力得以達成時出現連續音調。在 實施例中，可聞流體浅漏定位聲音可為諸如"距離尚 遠，.、"較接近"及"接近”之錄音訊息。在另一實例中，可產 i"滴水"聲音以表示存在流體茂漏(例如，空氣;曳漏”應 瞭解，可利用幾乎所有聲音來向臨床醫師指示流體茂漏存 在或正被密封以幫助臨床醫師定位流體浅漏。由於人耳比 人眼敏感，因此與圖形指示符相比，使用可聞聲音來指示 • ☆體參數之狀態可使得臨床醫師能夠更容易地判定覆^物 處流體錢之位置。如在此項技術中所瞭解，氣體（例 如’空氣）為在覆蓋物處洩漏之主要流體。 參看圖6B，條狀指示符610a可顯示指示流體茂漏參數 (例如，廢力)之水準之動態區域612a。將動態區域仙展 :為處於"低”流體;髮漏水準内且具有相應圖案（例如，淡陰 影）或色彩（例如，綠色）。臨限水準標誌614可表示可由臨 床醫師或圖仏之減壓傳遞系統5〇〇之製造商預設定的臨限 .水#其中可回應於流體洩漏參數越過臨限水準而產生邀 報或其他回應。如圖6C中之條狀指示符⑽上所示，㈣ 區域6:2b增大至臨限水準標訪614以上，由此(在一實施： 中）使得s報產生且減壓傳遞系統5〇〇進入洩漏定位模式以 使得臨床醫師能夠在覆蓋物處或他處定位茂漏。動態區域 \12b可在圖案（例如，中等陰影）或色彩（例如，黃色）上改 變以表不流體參數當前處於中等範圍。舉例而言，若流體 口 a大以使得動悲區域612進入高範圍，則動態區域612 可在圖案(例如，全面著色)或色彩(例如，紅色)上改變。 124285-1000909.doc -19- 1353241 可使用諸如閃光或其他之其他圖形特徵來向臨床醫師提供 視覺資訊以使得較易於在覆蓋物處定位流體洩漏。 參看圖6D，將時間序列616a屐示為包括在時間τ。與^之 間的時段内之許多圖形條618a_618n。圖形條仙视指 示流體參數穩定且處於低流體㈣水準。^，如圖紐所 不’時間τη+4處之圖形條61811+4增大至臨限水準㈣以上。 參看圖6F及圖6G1字母數字方式分別將流㈣漏逮 率不於顯示域6仏及62213中。如圖所示，流體茂漏速率在 圖6F中處於表示低水準茂漏之”"處，且在圖⑽中處於表 示較高水準'漏之"5"處。在一實施例中，〇與3之間的範 圍可表示低水準洩漏’ 4與6之間的範圍可表示中等水準洩 漏且7與H)之間的範圍可表示高水準汽漏。茂漏之每一水 準可表示相應流動速率或壓力水準，錢字可視流體攻漏 水準而改變色彩(例如’綠色、橙色及紅色)。在替代實施 例中，可顯示諸如”A"至"F”之字母。 參看圖6H及圖61，可分別顯；叙心门 刀別顯不餅狀圖624a及624b，其分 別展示指示在組織治療系統之操作 八 铞]乍期間之流體洩漏的洩漏 水準626a及626b。可展示一赤夕加a J役不或多個臨限水準628且使用其 來識別流體洩漏何時超過臨限，± 隈由此使得起始流體洩漏邀 報。若使用多個臨限水準，則每一 。 言了表不一不同洩漏水 準（例如，低、中或高），且可蚀 了使侍起始不同警報（可聞及y 或視覺）。視流體’/¾漏速率之★ ,·隹 I手之水準，色彩或圖案可改變。 另外’可回應於流體洩漏速率掸 疋千喟大至臨限水準以上或減小 至臨限水準以下而改變可聞聲音。 124285-1000909.doc •20· 1353241 參看圖7,提供用於判定流體茂漏之位置之過程700。過 程700開始於步驟702，其中可向組織位點施加減麼。在步 驟704，可感應與減墨相關聯之流體參數。流體參數可包 括流體流動速率、流體屡力或其他。在一實施例中，於組 織位點處感應流體參數。在另—實施财，在減麼傳遞系 統之減麼官道中感應流體參數。應瞭解，可藉由足夠敏感 以感應對於臨床醫師而言在嘗試定位並密封流體茂漏時有 意義的流體參數之改變之任何類型之感應器來感應流體炎 數。舉例而言，流體流量傳感器可經組態以感應流體流動 速率之在約(M公升每分鐘與約2 〇公升每分鐘之間的改 4，且具有約〇,〇1公升每分鐘之解析度。 j步驟706 ’可回應於感應流體參數而產生可聞流體洩 漏疋位聲音β可聞流體洩漏定位聲音可為多種不同聲音中 之-者。舉例而言’可利用具有變化之頻率、音高或：量 :連續音調。或者，可利用具有變化之長度或頻率之：散 曰調又’可利用錄音訊息、聲音或其他。應瞭解，可利 用任何聲音或聲音之組合作為可聞流體茂漏定位聲音。在 ' 8可回應於感應到流體參數變化而改變可聞流體 :漏定位聲音。改變之可聞流體洩漏定位聲音可在頻率、 音：、音量或其他上經改變。藉由改變可聞流體茂漏定位 聲音’嘗試在覆蓋物處定位流體茂漏之臨床醫師可較容易 地：定流體茂漏之位置’由此使得流體茂漏能夠被密封。 、參看圖8’可執行用於在覆蓋物處判定位置且減少流體 洩漏之過程8〇〇。過程8〇〇可開始於步驟8〇2，其中可判定 124285-10009Q9.doc 1353241 流體浅漏存在於覆：^ &走 _ , , 來動梯士 、覆盖物處。可由減壓傳遞系統回應於流體 曰至臨限水準以上或減小至臨限水準以下 體茂漏警報。在步驟綱，臨床醫師可聽取可聞聲音 聞聲音可為回應於自動判定之流體㈣而開始或藉由臨床 醫師經由®形使用者介面選擇操作密封檢查而開始之可聞 流體洩漏定位聲音。在步驟8〇6，臨床醫師可向覆蓋組織 位點之覆蓋物施加力。可藉由臨床醫師之手指按祕覆蓋 物之周邊位置處之一點上而施加力。在步驟_，臨床醫 師可聽取可聞聲音回應於向覆蓋物施加力之改變。臨床醫 師可繼續向覆蓋物上之不同位置施加力且聽取可聞聲音回 應於在覆蓋物之不同位置施加力之改變，直至可於步驟 81 〇在覆蓋物處判定流體洩漏之位置。在步驟8丨2，可聞聲 音可指示流體茂漏已被密封。 參看圖9，提供用於定位並校正流體洩漏之例示性過 程。該過程開始於步驟9〇2，在步驟9〇2監視流體壓力。可 藉由使用壓力傳感器或其他來監視流體壓力。在步驟 904 ’判疋是否超過壓力臨限水準。若未超過壓力臨限水 準’則過程返回至步驟9〇2。若超過壓力臨限水準，則過 程於步驟906繼續’其中啟動或以其他方式起始可聞及視 覺流體汽漏警報。過程於步驟9〇8繼續，其中由臨床醫師 重設流體洩漏警報。 在步驟910，臨床醫師可選擇組織治療系統之流體洩漏 定位工具或功能。可於步驟912啟動對洩漏量值之可聞及 視覺表示以展示自組織治療系統中所感應到之流動速率或 124285-1000909.doc 1353241 、 壓力得出之流體茂漏水準或其指示。在步驟914，臨床醫 吏用其手或手指來在覆蓋組織位點之覆蓋物處覆蓋可能 ㈣體，漏位置。在此時間期間，可於步驟916執行超時 判疋。若系統未超時’則過程重複步驟914。或者，若判 定系統超時，則過程於步驟918繼續，在步驟918中斷減麼 醫療。過程在步驟914之後於步驟92〇繼續，在步驟92〇至 v 4刀阻塞或以其他方式停止流體$漏。回應於流體浅漏 鲁㈣分阻塞，在步驟922改變流體茂漏之可聞及視覺表示 以私示減；之流體洩漏。在步驟924，由臨床醫師在其已 能夠於覆蓋物處定位流體洩漏時修復流體洩漏。在步驟 926，回應於流體洩漏經修復，改變可聞及視覺表示以指 示流體洩漏降至臨限水準以下.在步驟928，繼續減壓醫 療。 先前描述係關於用於實施本發明之較佳實施例，且本發 明之範疇未必應受此描述之限制。實情為，本發明之範疇 • 由 以下申請專利範圍界定。 【圖式簡單說明】 圖1為對正藉由使用減壓傳遞系統而進行治療之病人的 例示性組態之說明； 圖2為對覆蓋正由減壓傳遞系統施加減壓之組織位點的 例示性覆蓋物之說明； 圖3為對覆蓋正由減壓傳遞系統施加減壓之組織位點的 例示性覆蓋物之說明； 圖4為經組態以向組織位點施加減壓且向臨床醫師通知 124285-1000909.doc -23- 1353241 流體洩漏正發生於覆蓋物處之例示性減壓傳遞系統之方塊 圖； 圖5為使得臨床醫師能夠選擇"密封檢查"功能以定位存 在於覆蓋物處之流體洩漏的例示性圖形使用者介面之螢幕 截圖； 圖6 Α為減壓傳遞系統之另一例示性圖形使用者介面之螢 幕截圖，其展示用於使得臨床醫師能夠選擇一模式以使減 壓傳遞系統判定覆蓋物處是否存在任何流體洩漏之實施 例； 圖6B至圖61為對顯示於圖6A之圖形使用者介面上以使得 臨床醫師能夠在於覆蓋物處定位流體洩漏之同時進行觀察 的例示性指示符之描繪； 圖7為用於產生可聞流體洩漏定位聲音以向使用者通知 /瓜體戌漏存在於覆蓋物處之例示性過程的流程圖； 圖8為用於使使用者在覆蓋物處定位流體洩漏之例示性 過程的流程圖；且 圖9為用於根據本發明之原理定位並校正流體洩漏之例 示性過程的流程圖。 【主要元件符號說明】 100 102 104 106 108 124285-1000909.doc 配置 病人 組織位點 減壓傳遞系統 減壓管道 -24- 1353241
110 分配歧管 112 覆蓋物 200 組織位點 202 人體 204 減壓管道 206 配接器 208 覆蓋物 210 輪廓 212 交點/外緣 214 組織 216 手指 302 健康組織 304 歧管 306 減壓管道 308 減壓傳遞系統/減壓醫療系統 310 真空泵 312 電子顯示器 314a-314n 控制元件 316 觸控式電子顯示器 318 交點 400 組態 402 減壓傳遞系統 404 組織位點 406 印刷電路板 124285-1000909.doc -25- 1353241 408 410 412 414 416 418 420 422 424 426 428 430a-430n 432 434 436 438 440 442 444 446 448 450 452 454 處理單元 泵 馬達 控制信號 減壓管道 孔 流量傳感器 流動速率信號 泵壓力傳感器 果壓力信號 泵釋放閥 過渡器 容器 減壓管道 配接器 分配歧管 覆蓋物 組織 反饋減壓管道 組織釋放閥 命令信號 組織壓力傳感器 反饋信號 電子揚聲器
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456 信號 500 減壓傳遞系統/減壓醫療傳遞系統 502 電子顯示器 504 圖形使用者介面（GUI) 506 ”設定π軟按鈕 508 ”創傷類型"軟按鈕 510 ”密封檢查”軟按鈕 512 "歷史"軟按鈕 514 ”退出"軟按鈕 516 資訊區域 518 ”幫助"軟按鈕 520 "開關"軟按鈕 522 狀態資訊 524 ”鎖定”軟按鈕 602 GUI 604 圖形指示符 606 動態部分/動態區域 608 "密封音訊”軟按鈕 610a 條狀指示符 612a 動態區域 612b 動態區域 614 臨限水準標諸 616a 時間序列 618a-618n 圖形條 124285-1000909.doc -27- 1353241 618n+4 圖形條 620 臨限水準 622a 顯示域 622b 顯示域 624a 餅狀圖 624b 餅狀圖 626a 洩漏水準 626b 洩漏水準 628 臨限水準
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Claims (1)

1353241 十、申請專利範圍： 1. 一種用於執行組織醫療之系統，其包含： 一處理單元； 一減壓源； 一管道’其流體連接於該減壓源與一病人之一組織位 點之間’該管道經組態以向該組織位點施加一由該減壓 源產生之減壓； 一覆蓋物，其經組態以定位於該組織位點上來維持該 組織位點處之該減壓； 一流體感應器’其與該管道流體連通且與該處理單元 電連通’該流體感應器經組態以感應該管道内之一流體 參數且回應於感應該流體參數而產生一流體感應器信 號，該流體感應器回應於感應到該管道内之該流體參數 改變而改變該流體感應信號；及 一揚聲器’其與該處理單元連通，該處理單元經組態 以基於該流體感應器感應該管道中之該流體參數而向該 揚聲器傳達一流體洩漏定位信號來產生一可聞流體洩漏 定位聲音’該處理單元進一步經組態以回應於該流體感 應益k號經改變而改變該流體洩漏定位信號以改變該可 聞流體洩漏定位聲音。 2. 如凊求項1之系統’其中該處理單元經組態以回應於接 收到一改變之流體感應器信號而改變該流體洩漏定位信 號之可聞頻率。 3. 如請求項1之系統’其中該處理單元經組態以回應於接 124285-1000909.doc 1353241 收到一改變之流體感應器信號而改變該流體洩漏定位信 號之持續時間。 4. 如請求項1之系統，其中該處理單元經組態以回應於接 收到一改變之流體感應器信號而改變該流體洩漏定位信 號之振幅。 5. 如請求項1之系統，其中該處理單元進一步經組態以： 判定該流體感應信號越過一臨限值； 回應於判定該流體感應信號越過該臨限值而產生一警 報信號；及 將該警報信號傳達至該揚聲器以產生一可聞警報信 號。 6. 如請求項1之系統，其進一步包含一與該處理單元連通 之電子顯示器，該處理單元經組態以顯示一圖形使用者 介面’該圖形使用者介面包括一用以使得該處理單元進 入一流體洩漏位置偵測模式之可選元件。 7. 如清求項6之系統，其中該處理單元進一步經組態以在 處於該流體洩漏位置偵測模式中時產生一指示該流體參 數及該流體參數之改變的圖形指示符。 8. 如印求項1之系統’其進一步包含一經組態以與該病人 之組織形成一密封以使得真空泵在與該組織位點流體連 通時於該管道中形成一減壓之覆蓋物，該處理單元由一 操作者以可選方式組態以起始該流體洩漏定位信號。 9. 如請求項1之系統，其中該處理單元可以可選方式經組 態以雙態觸發該流體洩漏定位信號接通及斷開。 124285-1000909.doc ⑧ 1353241 10·如請求項1之系統，其中該流體感應器為—氣流感應 器。 11. 如請求項1之系統，其中該流體感應器為—壓力感應 器。 12. —種用於執行垣織醫療之方法，其包含： 將一減壓施加至一病人之一組織位點； 感應一與將該減壓施加至該組織位點相關聯之流體參 數； 回應於感應該流體參數而產生一彳聞流冑浅漏定位聲 立 * ΤΧ 曰》及 回應於感應到該流體參數改變而改變該可聞流體茂漏 定位聲音。 13. 如請求項12之方法，其中改變該可聞流㈣漏定位聲音 包括回應於感應到一改變之流體參數而改變該可聞流體 洩漏定位聲音之一可聞頻率。 14. 如請求項12之方法，其中 支。亥可聞流體洩漏定位聲音 包括回應於感應到一改蠻 ώ 跫机體參數而改變該可聞流體 )¾漏定位聲音之持續時間。 15. 如請求項12之方法，复中补檄吟 八中改爻该可聞流體洩漏定位聲音 包括回應於感應到一改變 ώ ^ 文之洲·體參數而改變該可聞流體 洩漏疋位聲音之振幅。 16. 如請求項12之方法，其進一步包含： 判定該流體參數越過—臨限值丨及 回應於判定該流體參數越過該臨限值而產生-可聞警 124285-1000909.doc 丄丄 丄丄 17. 18. 19. 20. 21. 22. 23. 如請求項12之方法 件之圖形使用者介 一流體洩漏位置偵 如請求項17之方法 置摘測模式中時產 改變的圖形指示符 如請求項12之方法 密封以藉由該組織位點形成一 報信號。 ，其進一步包含顯示一包括一可選元 面’該可選元件在經選擇時使得進入 測模式。 ’其進一步包含在處於該流體洩漏位 生—指示該流體參數及該流體參數之 〇 ’其進一步包含： 對該病人之組織形成一 減壓；及 起始該可聞流體洩漏定位信號。 月长項12之方法，其進_步包含以可選方式雙態觸發 該流體洩漏定位信號接通及斷開。 如叫求項12之方法，其中感應該流體參數包括感應一氣 流。 如。月求項12之方法，其中感應該流體參數包括感應一壓 力0 一種用於判定一減壓傳遞系統在一病人之一組織與該減 壓傳遞系統之一覆蓋物之間的一界面處之—流體汽漏之 方法’該方法包含： 判疋 流體 漏存在於 ~~病人之一組織位點盘一覆蓋 物之間的一界面處； 聽取一可聞聲音； 向該覆蓋物施加力； 124285-1000909.doc -4- 24 基於該可聞聲音之該改變而在該病人之該組織边 蓋物之間的該界面處判定該流體茂漏之一位置；及/ 減少在該病人之該組織與該覆蓋物之間的該界面處所 判定之該位置處的該流體洩漏。 •如請求項23之方法，直中访士 25, 26. 27. 28. 29. 30. 31. 一中該々丨L體洩漏為一氣體洩漏。 .如請求項23之方法，直中釉诉# π ，、中聽取該可聞聲音之一改變包括 聽取該可聞聲音之一 τ聞頻率改變。 如-月求項23之方法’其中聽取該可聞聲音之一改變包括 聽取該可聞聲音之一持續時間改變。 如”月求項23之方法’其中聽取該可聞聲音之一改變包括 聽取該可聞聲音之一振幅改變。 如清求項23之方法’其中判^ —流體茂漏存在於該界面 處包括聽到一可聞警報聲音。 f請求項23之方法，其中在該界面處判定該流體茂漏之 /置I括檢視一指不一回應於向該覆蓋物施加力之流 體㈣文變之圖形影像以判定該流體茂漏之該位置。 如請求項29之方法’其中注視該圖形影像包括注視該圖 形影像改變至少一圖形特纖。 :種用於敎—減壓傳遞系統在-病人之—組織與該減 昼傳遞系統之—覆蓋物之間的—界面處之—流體茂漏之 方法’該方法包含： 、’ 流肢為漏存在於—病人之一組織位點與一覆蓋 124285-1000909.doc 1353241 物之間的一界面處； 聽取一可聞聲音； 向該覆蓋物之一第一區域施加力； 聽取該可聞聲音回應於向該覆蓋物之該第一區域施加 該力之一改變； 若該可聞聲音回應於向該覆蓋物之該第一區域施加該 力而改變，則校正該覆蓋物之該第一區域以減少該流體 洩漏； 否則’向該覆蓋物之一第二區域施加一力； 聽取該可聞聲音回應於向該覆蓋物之該第二區域施加 該力之一改變；及 若該可聞聲音回應於向該覆蓋物之該第二區域施加該 力而改變’則校正該覆蓋物之該第二區域以減少該流體 洩漏》 32. 如請求項31之方法，其中該流體洩漏為一氣體洩漏。 33. 如請求項31之方法，其進一步包含： 判定該可聞聲音未回應於向該覆蓋物之該第二區域施 加該力而改變； 向5亥覆蓋物之至少_一 ι,-ί- 王夕小^區域她加力直至該可聞璧 改變；及 4 之該
:應於聽到該可聞聲音改變’校正該力正施加於 覆盍物之該至少—區域以減少該流體浅漏。 34.如請求項31之方法 甘Λ Α ^ /、中聽取該可聞聲音之一改變肖妊 聽取該可聞聲音之一可聞頻率改變。 4包括 I24285-I000909.doc -6 - 丄川241 .如吻求項31之方法，其中聽取該可聞聲音之一改變包括 聽取該可聞聲音之一持續時間改變。 36. 如凊求項31之方法，其中聽取該可聞聲音之一改變包括 聽取該可聞聲音之-振幅改變。 37. 如凊求項31之方法，其中判定m漏存在於該界面 處包括聽到一可聞警報聲音。 38·如睛求項31之方法’其中在該界面處判定該流體浅漏之 該位置包括檢視一指示一回應於向該覆蓋物施加力的流 體洩漏改變之圖形影像以判定該流體洩漏之該位置。 39.如請求項38之方法，丨中檢視該圖形影像包括檢視該圖 形影像改變至少一圖形特徵。
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