Briefly summarized, embodiments disclosed herein are directed to systems, methods and apparatuses for determining the tension of a catheter tubing extending from a patient to a drainage bag and automatically adjusting the positioning of the drainage bag when the tension is outside of a preferred range.
One problem that often arises with catheter tubing, especially when coupled to a bed frame, is the existence a dependent loop due to a lack of tension within the catheter tubing. One cause of dependent loops in catheter tubing is the length of tubing utilized. Excess tubing may be utilized by medical professionals to enable a patient to move (e.g., roll side to side, sit up, etc.). Although necessary to provide comfort for and the ability to move to the patient, excess tubing may lead to dependent loops.
A dependent loop in the catheter tubing includes a section of the tubing that is positively sloping, which requires fluid to overcome gravity before the fluid reaches the drainage bag. Multiple problems arise with a dependent loop including that the fluid in the tube is not measured and the fluid often gets caught within the dependent loop. Therefore, a medical professional may not obtain an accurate reading of the fluid passed by the patient and as a result, incorrectly assess the status of the patient's health.
A second problem resulting from a dependent loop is that the fluid passed by the patient is required to overcome gravity in order to reach the drainage bag, thus requiring a higher pressure exerted by the bladder to flow. The exertion of higher pressure may cause damage to the patient and even cause fluid to be held within the bladder thereby increasing the risk of infection. Embodiments of the disclosure provide for systems, methods and apparatuses that measure the amount of tension in the catheter tubing and automatically adjust the positioning of the drainage bag when necessary such that the tension in the catheter tubing once again falls within a preferred range. As a result, the patient maintains comfort and fluid is able to flow to the drainage bag using gravity due to a continuous negative slope along the length of the tubing.
An automated drainage bag actuation system is disclosed that comprises a first railing, a control box coupled to the first railing and configured to receive mounting fasteners that couple a drainage bag to the control box, the control box including a tension load cell sensor, a first motor and circuitry electrically coupled to the first motor and the tension load cell sensor. In some embodiments, the circuitry is configured to receive data from the tension load cell sensor indicating an amount of tension in tubing extending from the drainage bag and transmit one or more electrical signals to activate the first motor causing adjustment of a positioning of the drainage bag.
In some embodiments, the automated drainage bag actuation system further comprises an infrared (IR) sensor coupled to the circuitry, the IR sensor configured to obtain a distance measurement of a distance between the IR sensor and a ground surface or intervening object, wherein the one or more electrical signals activating the first motor are based in part on the distance measurement.
In some embodiments, the automated drainage bag actuation system further comprises a second railing coupled to the first railing. In one embodiment, activation of the first motor causes adjustment of the positioning of the drainage bag in a vertical direction along the second railing. In an alternative embodiment, activation of the first motor causes adjustment of the positioning of the drainage bag rotationally about the second railing.
In some embodiments, the automated drainage bag actuation system further comprises a base including a second motor, wherein the circuitry is configured to receive the data from the tension load cell sensor indicating the amount of tension in the tubing extending from the drainage bag and transmit the one or more electrical signals to activate the second motor causing adjustment of the positioning of the drainage bag.
In yet other embodiments, the automated drainage bag actuation system further comprises one or more tracks, wherein activation of the second motor causes horizontal movement along the one or more tracks. In further embodiments, the second motor causes rotation of the drainage bag about a vertical axis.
In some embodiments, the first railing is a horizontal railing and activation of the first motor causes horizontal movement of the drainage bag along the first railing. The circuitry may be located within the control box.
Additionally, a method of automatically adjusting a positioning of a drainage bag is disclosed. The method comprises operations of providing an automated drainage bag actuation system that includes a first railing, a control box coupled to the first railing and configured to receive mounting fasteners that couple a drainage bag to the control box, the control box including a tension load cell sensor, a first motor, and circuitry electrically coupled to the first motor and the tension load cell sensor.
In some embodiments of the method, the automated drainage bag actuation system further comprises an infrared (IR) sensor coupled to the circuitry, the IR sensor configured to obtain a distance measurement of a distance between the IR sensor and a ground surface or intervening object, wherein the one or more electrical signals activating the first motor are based in part on the distance measurement.
In some embodiments of the method, the automated drainage bag actuation system further comprises a second railing coupled to the first railing. In one embodiment of the method, activation of the first motor causes adjustment of the positioning of the drainage bag in a vertical direction along the second railing. In an alternative embodiment of the method, activation of the first motor causes adjustment of the positioning of the drainage bag rotationally about the second railing.
In some embodiments of the method, the automated drainage bag actuation system further comprises a base including a second motor, wherein the circuitry is configured to receive the data from the tension load cell sensor indicating the amount of tension in the tubing extending from the drainage bag and transmit the one or more electrical signals to activate the second motor causing adjustment of the positioning of the drainage bag.
In yet other embodiments of the method, the automated drainage bag actuation system further comprises one or more tracks, wherein activation of the second motor causes horizontal movement along the one or more tracks. In further embodiments of the method, the second motor causes rotation of the drainage bag about a vertical axis.
In some embodiments of the method, the first railing is a horizontal railing and activation of the first motor causes horizontal movement of the drainage bag along the first railing. The circuitry may be located within the control box.
These and other features of the concepts provided herein will become more apparent to those of skill in the art in view of the accompanying drawings and following description, which disclose particular embodiments of such concepts in greater detail.
Embodiments of the disclosure are illustrated by way of example and not by way of limitation in the figures of the accompanying drawings, in which like references indicate similar elements and in which:
Before some particular embodiments are disclosed in greater detail, it should be understood that the particular embodiments disclosed herein do not limit the scope of the concepts provided herein. It should also be understood that a particular embodiment disclosed herein can have features that can be readily separated from the particular embodiment and optionally combined with or substituted for features of any of a number of other embodiments disclosed herein.
Regarding terms used herein, it should also be understood the terms are for the purpose of describing some particular embodiments, and the terms do not limit the scope of the concepts provided herein. Ordinal numbers (e.g., first, second, third, etc.) are generally used to distinguish or identify different features or steps in a group of features or steps, and do not supply a serial or numerical limitation. For example, “first,” “second,” and “third” features or steps need not necessarily appear in that order, and the particular embodiments including such features or steps need not necessarily be limited to the three features or steps. Labels such as “left,” “right,” “top,” “bottom,” “front,” “back,” and the like are used for convenience and are not intended to imply, for example, any particular fixed location, orientation, or direction. Instead, such labels are used to reflect, for example, relative location, orientation, or directions. Singular forms of “a,” “an,” and “the” include plural references unless the context clearly dictates otherwise.
With respect to “proximal,” a “proximal portion” or a “proximal end portion” of, for example, a probe disclosed herein includes a portion of the probe intended to be near a clinician when the probe is used on a patient. Likewise, a “proximal length” of, for example, the probe includes a length of the probe intended to be near the clinician when the probe is used on the patient. A “proximal end” of, for example, the probe includes an end of the probe intended to be near the clinician when the probe is used on the patient. The proximal portion, the proximal end portion, or the proximal length of the probe can include the proximal end of the probe; however, the proximal portion, the proximal end portion, or the proximal length of the probe need not include the proximal end of the probe. That is, unless context suggests otherwise, the proximal portion, the proximal end portion, or the proximal length of the probe is not a terminal portion or terminal length of the probe.
With respect to “distal,” a “distal portion” or a “distal end portion” of, for example, a probe disclosed herein includes a portion of the probe intended to be near or in a patient when the probe is used on the patient. Likewise, a “distal length” of, for example, the probe includes a length of the probe intended to be near or in the patient when the probe is used on the patient. A “distal end” of, for example, the probe includes an end of the probe intended to be near or in the patient when the probe is used on the patient. The distal portion, the distal end portion, or the distal length of the probe can include the distal end of the probe; however, the distal portion, the distal end portion, or the distal length of the probe need not include the distal end of the probe. That is, unless context suggests otherwise, the distal portion, the distal end portion, or the distal length of the probe is not a terminal portion or terminal length of the probe.
The term “logic” may be representative of hardware, firmware or software that is configured to perform one or more functions. As hardware, the term logic may refer to or include circuitry having data processing and/or storage functionality. Examples of such circuitry may include, but are not limited or restricted to a hardware processor (e.g., microprocessor, one or more processor cores, a digital signal processor, a programmable gate array, a microcontroller, an application specific integrated circuit “ASIC”, etc.), a semiconductor memory, or combinatorial elements.
Additionally, or in the alternative, the term logic may refer to or include software such as one or more processes, one or more instances, Application Programming Interface(s) (API), subroutine(s), function(s), applet(s), servlet(s), routine(s), source code, object code, shared library/dynamic link library (dll), or even one or more instructions. This software may be stored in any type of a suitable non-transitory storage medium, or transitory storage medium (e.g., electrical, optical, acoustical or other form of propagated signals such as carrier waves, infrared signals, or digital signals). Examples of a non-transitory storage medium may include, but are not limited or restricted to a programmable circuit; non-persistent storage such as volatile memory (e.g., any type of random access memory “RAM”); or persistent storage such as non-volatile memory (e.g., read-only memory “ROM”, power-backed RAM, flash memory, phase-change memory, etc.), a solid-state drive, hard disk drive, an optical disc drive, or a portable memory device. As firmware, the logic may be stored in persistent storage.
Referring to
In particular,
As illustrated, the dependent loop in the tubing 104 includes a section of the tubing that is positively sloping, which requires fluid to overcome gravity before the fluid reaches the drainage bag 106. Multiple problems arise with a dependent loop. For example, one problem includes the fact that the fluid in the tube is not measured and fluid often gets caught within the dependent loop. Therefore, a medical professional may not obtain an accurate reading of the fluid passed by the patient 108 and as a result, incorrectly assess the status of the health of the patient 108. A second problem resulting from a dependent loop is that the fluid passed by the patient 108 is required to overcome gravity in order to reach the drainage bag 106, thus requiring a higher pressure exerted by the bladder to flow. The exertion of higher pressure may cause damage to the patient 108 and even cause fluid to be held within the bladder thereby increasing the risk of infection.
Referring to
In contrast to the illustration of
The drainage bag actuation system 210 includes system railing 212, a control box 214, expandable rail components 216A-216B, a vertical displacement motor 218, a horizontal displacement motor 220, movement logic and/circuitry (“movement logic”) 222, a tension load cell sensor 224 and an infrared (IR) sensor 226. The vertical displacement motor 218, the horizontal motor 220 and any other motor described herein may include a rotary actuator, a linear actuator, a closed-loop servomechanism or, more specifically, a servomotor. In some embodiments, a stepper motor may be utilized.
The IR sensor 226 may include an IR light emitter and an IR light detector. The IR sensor 226 emits an IR light beam, detects the reflection off of a surface and calculates the distance through triangulation. In the illustration of
The embodiment of the drainage bag actuation system 210 illustrated in
The drainage bag actuation system 210 includes movement logic 222 within the control box 214 that obtains measurements from the tension load cell sensor 224 and determines whether tension of the catheter tubing 104 is within a predetermined preferred range. Upon determining that the tension of the tubing 104 exceeds an upper threshold of the predetermined preferred range, the movement logic 222 provides an electrical signal to either the vertical displacement motor 218 and/or the horizontal displacement motor 220 thereby activating one or both motors.
Activating the vertical displacement motor 218 causes the expandable rail components 216A-216B to expand moving the drainage bag actuation system 210 from a first (raised) position to a second (lowered) position. Activation of the vertical displacement motor 218 may be dependent on measurements obtained by the IR sensor 226, which indicate a distance between a ground surface (or intervening object, collectively referred to as “ground surface” for purposes of clarity) and a location of the IR sensor 226. For example, a measurement taken by the IR sensor 226 is provided to the movement logic 222 prior to activating the vertical displacement motor 218. Based on known dimensions of the drainage bag 106 (which may be modified via configuration files of the movement logic 222), the movement logic 222 determines the distance between the bottom of the drainage bag 106 and the ground surface based on the distance calculation by the IR sensor 226.
When the distance is greater than a minimum distance threshold, the movement logic 222 may activate the vertical displacement motor 218 to move the system railings 212 in a downward direction (i.e., toward the ground surface). The movement logic 222 may receive measurements from the IR sensor 226 and the tension load cell sensor 224 at regular intervals while the vertical displacement motor 218 is activated. The measurements (received via electrical signals) enable the movement logic 222 to determine (i) when the tension of the catheter tubing 104 is within the predetermined preferred range, and (ii) when the distance between the bottom of the drainage bag 106 and the ground surface is equal to the minimum distance threshold. In the situation in which the tension of the catheter tubing 104 is above an upper threshold of the predetermined preferred range and the distance between the bottom of the drainage bag 106 and the ground surface is equal to the minimum distance threshold, the movement logic 222 may deactivate the vertical displacement motor 218 and activate the horizontal displacement motor 220. However, it should be noted that the horizontal displacement motor 220 may be activated prior to the vertical displacement motor 218. The determination as to an ordering of motor activation may be made on contents of a configuration file that is accessible to the movement logic 222 (e.g., stored with, included as part of or otherwise accessible by the movement logic 222). Similarly, other movement logic of the disclosure may access a configuration file when determining an ordering of activation of motors.
When the distance between the bottom of the drainage bag 106 and the ground surface is equal to (or exceeds) the minimum distance threshold, the movement logic 222 does not activate the vertical displacement motor 218 in order to avoid placing the drainage bag 106 close to or in direct contact with the ground surface. Instead, the movement logic 222 may activate the horizontal displacement motor 220 causing the control box 214 to move horizontally.
During activation of any motor of the drainage bag actuation system 210, the movement logic 222 receives measurements from the tension load cell sensor 224 at regular intervals in order to deactivate the motor(s) when the tension of the tubing 104 is within the predetermined preferred range.
Referring now to
Referring to
The drainage bag actuation system 302 includes a vertical rail 304, a horizontal rail 306, a tension control box 308, a movement control box 310, a slidable platform 312, floor tracks 314, a first motor 316, a second motor 318 and movement logic and/circuitry (“movement logic”) 320. Additionally, the drainage bag actuation system 302 includes components included in the drainage bag actuation system 210 and discussed above such as the tension load cell sensor 224 and the IR sensor 226.
In the illustration of
In particular, the embodiment of the drainage bag actuation system 302 illustrated in
The drainage bag actuation system 302 includes movement logic 320 within the slidable platform 312 that obtains measurements from the tension load cell sensor 224 and determines whether tension of the catheter tubing 104 is within a predetermined preferred range in a similar manner as discussed above with respect to the drainage bag actuation system 210. Upon determining that the tension of the tubing 104 exceeds an upper threshold of the predetermined preferred range, the movement logic 320 provides an electrical signal to either the first motor 316 and/or the second motor 318 thereby activating one or both motors.
Activation of the first motor 316 may be in a vertical direction and/or rotationally about the vertical railing 304. The drainage bag actuation system 302 includes the IR sensor 226 (e.g., at an end of the horizontal railing 306) which determines the distance between the IR sensor 226 and a ground surface. As with the movement logic 222, the movement logic 320 utilizes known dimensions of the drainage bag 106 to determine a distance between the bottom of the drainage bag 106 and the ground surface. The vertical movement of the movement control box 310 is dependent on the distance between the bottom of the drainage bag 106 and the ground surface.
When the distance between the bottom of the drainage bag 106 and the ground surface is greater than a minimum distance threshold, the movement logic 320 may activate the first motor 316 to move the movement control box 310 in a downward direction. The movement logic 320 may receive measurements from the IR sensor 226 and the tension load cell sensor 224 at regular intervals while the first motor 316 is activated. The measurements (received via electrical signals) enable the movement logic 320 to determine (i) when the tension of the catheter tubing 104 is within a predetermined preferred range, and (ii) when the distance between the bottom of the drainage bag 106 and the ground surface is equal to the minimum distance threshold. In the situation in which the tension of the catheter tubing 104 is above an upper threshold of the predetermined preferred range and the distance between the bottom of the drainage bag 106 and the ground surface is equal to the minimum distance threshold, the movement logic 320 may instruct the first motor 316 to stop the downward movement of the movement control box 310 and either activate (i) the first motor 316 to rotate the movement control box 310, and/or (ii) the second motor 318 causing the slidable platform 312 to move horizontally along the floor tracks 314.
When the distance between the bottom of the drainage bag 106 and the ground surface is equal to (or exceeds) the minimum distance threshold, the movement logic 320 does not activate the first motor 316 in order to avoid placing the drainage bag 106 close to or in direct contact with the ground surface. Instead, as discussed above, may either activate (i) the first motor 316 to rotate the movement control box 316, and/or (ii) the second motor 318 causing the slidable platform 312 to move horizontally along the floor tracks 314.
During activation of any motor of the drainage bag actuation system 302, the movement logic 320 receives measurements from the tension load cell sensor 224 at regular intervals in order to deactivate the motor(s) when the tension of the tubing 104 is within the predetermined preferred range.
Referring to
The drainage bag actuation system 402 includes a vertical rail 404, a horizontal rail 406, a tension control box 408, a movement control box 410, a base 412, a first motor 414, an optional second motor 416 and movement logic and/circuitry (“movement logic”) 418. Additionally, the drainage bag actuation system 402 includes components included in the drainage bag actuation systems 210, 302 and discussed above such as the tension load cell sensor 224 and the IR sensor 226.
In the illustration of
In particular, the embodiment of the drainage bag actuation system 402 illustrated in
The drainage bag actuation system 402 includes movement logic 418 within the base 412 that obtains measurements from the tension load cell sensor 224 and determines whether tension of the catheter tubing 104 is within a predetermined preferred range in a similar manner as discussed above with respect to the drainage bag actuation systems 210, 302. Upon determining that the tension of the tubing 104 exceeds an upper threshold of the predetermined preferred range, the movement logic 418 provides an electrical signal to either the first motor 414 and/or the optional second motor 416 thereby activating one or both motors.
Activation of the first motor 414 may be in a vertical direction and/or rotationally about the vertical railing 404. The drainage bag actuation system 402 includes the IR sensor 226 (e.g., at an end of the horizontal railing 406) which determines the distance between the IR sensor 226 and a ground surface. As with the movement logic 222, 320, the movement logic 418 utilizes known dimensions of the drainage bag 106 to determine a distance between the bottom of the drainage bag 106 and the ground surface. The vertical movement of the movement control box 410 is dependent on the distance between the bottom of the drainage bag 106 and the ground surface.
When the distance between the bottom of the drainage bag 106 and the ground surface is greater than a minimum distance threshold, the movement logic 418 may activate the first motor 414 to move the movement control box 410 in a downward direction. The movement logic 418 may receive measurements from the IR sensor 226 and the tension load cell sensor 224 at regular intervals while the first motor 414 is activated. The measurements (received via electrical signals) enable the movement logic 418 to determine (i) when the tension of the catheter tubing 104 is within a predetermined preferred range, and (ii) when the distance between the bottom of the drainage bag 106 and the ground surface is equal to the minimum distance threshold. In the situation in which the tension of the catheter tubing 104 is above an upper threshold of the predetermined preferred range and the distance between the bottom of the drainage bag 106 and the ground surface is equal to the minimum distance threshold, the movement logic 418 may instruct the first motor 414 to stop the downward movement of the movement control box 410 and activate the first motor 316 to rotate the movement control box 410.
When the distance between the bottom of the drainage bag 106 and the ground surface is equal to (or exceeds) the minimum distance threshold, the movement logic 418 does not activate the first motor 414 in order to avoid placing the drainage bag 106 close to or in direct contact with the ground surface. Instead, as discussed above, may activate the first motor 414 to rotate the movement control box 410.
During activation of any motor of the drainage bag actuation system 402, the movement logic 418 receives measurements from the tension load cell sensor 224 at regular intervals in order to deactivate the motor(s) when the tension of the tubing 104 is within the predetermined preferred range.
In some embodiments, such as any of those disclosed herein, the drainage bag systems 210, 302, 402 may include alarm logic that is configured to activate an alarm when a continuous negative slope cannot be created within the tubing 104. For example, when the tension of the tubing 104 is not within the predetermined preferred range and additional movement of the components of the drainage bag system is not possible (e.g., the bottom of the drainage bag 106 is too close to the ground surface and no rotation mechanism has not been implemented in the embodiment), an alarm may be activated that alerts medical professionals to assess the patient and the status of the catheter.
In any of the embodiments discussed above, the movement logic may perform a tension release operations that automatically adjust the positioning of the drainage bag to provide slack (e.g., to reduce the tension in the tubing) when the tension load cell sensor obtains a measurement indicating that the tension in the tubing is above a maximum threshold of the predetermined (e.g., preferred) range. For instance, the patient may have previously rolled toward the drainage bag reducing the amount of tension in the tubing causing a dependent loop. As a result, the drainage bag actuation system may have automatically adjusted the positioning of the drainage bag to increase the amount of tension in the tubing in order to remove the dependent loop. However, as the patient subsequently rolls away from the drainage bag increasing the tension in the tubing, the amount of tension in the may exceed a maximum threshold of the predetermined preferred range. At which time, the drainage bag actuation system may automatically adjust the positioning of the drainage bag to reduce the tension in the tubing.
Referring to
Subsequent to the tension load cell sensor obtaining the amount of tension in the tubing, the drainage bag actuation system determines whether the measurement of the amount of tension is greater than or equal to a predetermined tension threshold (block 504). When the measurement is not greater than or equal to the tension threshold, no action is taken (block 506).
However, when the measurement is greater than or equal to the tension threshold, the drainage bag actuation system determines that the length of the catheter tubing does not have a continuous negative slope (block 506). As discussed above, the lack of a continuous negative slope due to a lack of tension in the tubing may be caused by excess tubing creating a dependent loop. Responsive to determining that the length of the catheter tubing does not have a continuous negative slope, the drainage bag actuation system automatically adjusts the positioning of the drainage bag to alter the positioning of the catheter tubing to create a continuous negative slope along the length of the catheter tubing (block 510). Multiple embodiments of drainage bag actuation systems are discussed above with respect to
While some particular embodiments have been disclosed herein, and while the particular embodiments have been disclosed in some detail, it is not the intention for the particular embodiments to limit the scope of the concepts provided herein. Additional adaptations and/or modifications can appear to those of ordinary skill in the art, and, in broader aspects, these adaptations and/or modifications are encompassed as well. Accordingly, departures may be made from the particular embodiments disclosed herein without departing from the scope of the concepts provided herein.
This application claims the benefit of priority to U.S. Provisional Application No. 62/968,772, filed Jan. 31, 2020, which is incorporated in its entirety into this application.
Filing Document | Filing Date | Country | Kind |
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PCT/US20/66707 | 12/22/2020 | WO |
Number | Date | Country | |
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62968772 | Jan 2020 | US |