1. Field of the Invention
The present disclosure generally relates to warming systems.
More particularly, the disclosure relates to heating pads that may be used in clinical settings.
2. Description of the Related Art
Current patient warming systems primarily utilize forced heated air, which is circulated through a disposable patient covering on top of the patient. These over-body systems provide limited application for many surgical procedures and release heated air into the operating room. They are also noisy and thus interfere with the communication of the surgical team. Additionally, such systems have a limitation in that they require connection to an AC power outlet and thus they are not portable.
The present disclosure relates to warming systems and methods of using the same. In one embodiment, a warming system is disclosed comprising a heating pad and a controller, the heating pad comprising a substrate comprising a heating element disposed under a covering. The heating element comprises conductive ink and one or more thermocouples, wherein the one or more thermocouples have diameters less than about 0.13 mm. The warming system also comprises an electric cord in communication with the heating element and the controller, the controller comprising a battery and being configured to increase or decrease an amount of an electric current being supplied to the heating element. The substrate additionally comprises one or more discrete lines of the conductive ink forming a pattern and each line of conductive ink has a thickness of less than about 12 μm.
In another embodiment, the disclosure relates to a method of warming a body part of a patient. The method comprises the steps of providing a warming system, wherein the warming system comprises a heating pad and a controller, the heating pad comprising a substrate comprising a heating element disposed under a covering, wherein the heating element comprises one or more thermocouples. The warming system further comprises an electric cord in communication with the heating element and the controller, the controller comprising a battery and being configured to increase or decrease an amount of an electric current being supplied to the heating element. The substrate comprises one or more pressure sensors connected via a conduit to one or more transducers, the transducers being in electronic communication with the controller. The method also includes the step of contacting a portion of the heating pad with the body part of the patient, the body part of the patient applying pressure to one or more of the pressure sensors causing a pressure change wherein air from within the one or more pressure sensors flows through the conduit and into the one or more transducers. Additionally, the method comprises the steps of sending a communication from the one or more transducers to the controller to alert the controller of the pressure change and then supplying electric current only to a portion of the heating element where the pressure change was detected and not to any other portion of the heating element.
The disclosure further provides a warming system comprising a heating pad and a controller, wherein the heating pad comprises a substrate comprising a heating element disposed under a covering and the heating element comprises one or more thermocouples, wherein the one or more thermocouples have diameters less than about 0.13 mm. The system also comprises an electric cord in communication with the heating element and the controller, the controller comprising a battery and being configured to increase or decrease an amount of an electric current being supplied to the heating element. The substrate additionally comprises one or more pressure sensors connected via a conduit to one or more transducers, the transducers being in electronic communication with the controller.
Additional features and advantages of the disclosure will be described hereinafter that form the subject of the claims of this application. It should be appreciated by those skilled in the art that the concepts and the specific embodiments disclosed may be readily utilized as a basis for modifying or designing other embodiments for carrying out the same or similar purposes of the present invention. It should also be realized by those skilled in the art that such equivalent embodiments do not depart from the spirit and scope of the invention as set forth in the appended claims.
A detailed description of embodiments of the invention is hereafter described with specific reference being made to the drawings in which:
Various embodiments are described below with reference to the drawings in which like elements generally are referred to by like numerals. The relationship and functioning of the various elements of the embodiments may be better understood by reference to the following detailed description.
However, embodiments of the invention are not limited to those illustrated in the drawings. It should be understood that the drawings are not necessarily to scale, and in certain instances details may have been omitted that are not necessary for an understanding of embodiments disclosed herein, such as conventional fabrication and assembly.
The present application generally relates to warming systems and various different aspects thereof. In some embodiments, such as shown in
In some embodiments, the heating pad is radio translucent, meaning that it does not appear on an X-ray image which may be taken of a patient in contact with the heating pad. While the heating pad may appear in an X-ray image in certain embodiments if the image was solely taken of the heating pad, when a patient is in contact with the heating pad and an X-ray image is taken of the patient, the heating pad does not appear in the X-ray image. In some embodiments, the heating system is portable.
As shown in
Instead of having the power source (115) directly connected to the controller (105) as in
In some embodiments, the warming system may be used to warm a patient in a hospital and/or surgical center including, but not limited to, operating, recovery and emergency rooms, as well as on medical/surgical floors. The presently disclosed warming system may be used in products that extend beyond the clinical setting as well. Further, it is contemplated that the warming system may be used with patients being transported in an EMS (Emergency Medical System) ground or air vehicle.
The warming system (or any component thereof) may be powered by any known power source. In some embodiments, the warming system may be powered by an alternating current (AC) and/or a direct current (DC). In some embodiments, the power source is a battery, such as a lithium ion battery, and in other embodiments, the warming system may be plugged into an AC electrical outlet to receive power. In certain embodiments, the warming system may comprise both a battery and a power cord that may be plugged into an electrical outlet. In such an embodiment, a battery may power the heating element to warm a patient and at the same time, the power supplied from the electrical outlet may charge the battery. In some embodiments, a controller associated with the warming system may comprise an integral AC battery charger. In certain embodiments, the warming system, or a component thereof, such as the controller, may comprise a low battery power alert system, whereby a signal may be sent, such as a digital signal or an audible signal, to alert an operator that the battery of the system is low on power.
In some embodiments, such as shown in
Also, a covering (200), pouch, blanket, or the like may be placed over the heating element to provide a barrier between the heating element and a patient. In some embodiments, an additional layer may be provided between the heating element and the cover or pouch. For example, the heating element may be disposed on a mylar substrate and an additional mylar layer, foam layer, gel layer, or layer comprising foam sandwiched between nylon, may be disposed on top of the heating element. In some embodiments, the layer between the cover and the heating element comprises about 0.04 inches of foam laminated between a looped nylon covering. In certain embodiments, the layer between the heating element and the cover may be referred to as a heat dissipating layer. Finally, as will be further described below, the heating pad may comprise a radio-frequency welded flange (260).
In some embodiments, the substrate may be rigid or somewhat inflexible such that conformance with a patient or patient's body part in contact therewith is not readily accomplished. However, as is shown in
The conductive ink printed onto the substrate is not limited and any known inks may be used. In some embodiments, the ink printed onto the substrate may be selected from carbon, silver, graphite, copper, and the like, and any combination thereof. The conductive ink may be fixedly disposed on the substrate using any suitable methods, such as a conventional printing press, a screen printing press, or an ink-jet printer. After the ink is printed onto the substrate, it may be cured and set using commonly known methods in the art, such as application of heat or UV light.
The conductive ink may be printed onto the substrate in any desired pattern. For example, the ink may be printed onto the substrate in a series of lines, circular patterns, rectangular patterns, square patterns, or any combination thereof. In some embodiments, such as shown in
The size of the printed squares (or circles, rectangles, lines, or whatever pattern is used) may be selected by one of ordinary skill in the art.
In some embodiments, the size of the squares (or other selected pattern) is chosen to achieve even heat distribution. In one embodiment, the squares of carbon ink may have a length and width of about 0.25 inches and a thickness between about 8 μm and about 12 μm. In certain embodiments, the substrate may comprise squares having a larger area near the extremities and squares having smaller areas near the mid-section of the substrate. By printing the outer squares (or other shapes) with larger areas, this compensates for any increased heat loss along the edges of the heating pad.
The heating pad may also comprise features that allow for a zonal-type heating arrangement and/or detection of a patient or person coming into contact with the heating pad. For example, if the substrate of the heating pad was square-shaped and the square was divided into four quadrants, each quadrant may comprise one or more pressure sensors and/or temperature change sensors, which, in some embodiments, can be the thermocouples described below. If a body part of a patient contacted a particular quadrant of the heating pad, or any portion of the heating pad comprising a pressure (or temperature change) sensor, the sensor would detect the pressure (or temperature) change and communicate this change to the controller, for example. The controller may then cause an electric current to be supplied to the heating element near the section of the heating pad experiencing the pressure (or temperature) change, thereby raising the temperature of this section of the heating pad and warming the patient. In turn, any portion of the heating pad not experiencing the pressure (or temperature) change may not have an electric current supplied thereto, thereby conserving energy.
Any known pressure sensor may be used in connection with the warming system. In some embodiments, as depicted in
Just as one or more portions or sections of the heating pad may comprise a pressure sensor, one or more portions or sections (790) of the heating pad (700) may comprise a temperature change sensor, which, in some embodiments, can be the thermocouple (795) described below. When a part of a body contacts a portion of the heating pad, there will be a temperature change at that portion of the heating pad. A temperature change sensor (795) can sense this temperature change and communicate the same to a controller (705), for example, either wirelessly or through a wired connection (730) between the temperature change sensor and the controller. The controller may then cause an electric current to be supplied to the heating element near the section of the heating pad experiencing the temperature change, thereby raising the temperature of this section of the heating pad and warming the patient. In turn, any portion of the heating pad not experiencing the temperature change caused by patient contact may not have an electric current supplied thereto, thereby conserving energy.
It can thus be seen that by incorporating one or more pressure sensors and/or one or more temperature change sensors into the heating pad, the heating pad can have a zonal heating configuration and it can detect the presence of a patient or body part of a patient. In some embodiments, since an electric current is only sent to the portion of the heating pad contacting the patient, energy may be conserved since electric current is not supplied to portions of the heating pad not contacting the patient. Each zone of the heating pad may comprise one or more pressure sensors and/or temperature change sensors and each sensor can be independently in communication with the controller such that if one or more sensor were to fail or break down, the remaining sensors would continue to operate, thereby allowing the patient to continue to be heated. The warming system may comprise redundant temperature sensors and/or pressure sensors, which eliminates the possibility of automatic system shutdown due to the failure of a single sensor.
As shown in
In some embodiments, the heating pad, or any component thereof, is radio translucent. In such embodiments, if the heating pad is placed near a body part of a patient and an X-ray is taken of that body part, no components of the heating pad (such as heating element, pressure sensor, temperature change sensor, etc.) will be visible in the X-ray image. If the heating element comprises printed ink, for example, carbon and silver ink, the X-rays may actually travel around the ink such that the ink is not visible in an X-ray image. Each line of printed ink of the heating element may comprise small ink particles adjacent one another and the X-rays may travel around the particles. Moreover, the printed ink may comprise extremely thin thicknesses to allow for radio translucency. For example, the thickness of a printed line of ink may be from about 1 μm to about 12 μm. In some embodiments, the thickness may be from about 5 μm to about 10 μm or from about 8 μm to about 12 μm. If a line of printed ink was thicker than 12 μm, for example, the line may not be radio translucent and may therefore interfere with an X-ray image.
The heating pad, substrate, and/or heating element may comprise a thermocouple for sensing temperature. In some embodiments, the thermocouple may have an extremely small diameter, such as from about 0.02 mm to about 0.13 mm. In one embodiment, the diameter is less than about 0.05 mm or less than about 0.03 mm. Such a small diameter will allow the thermocouple to be radio translucent. In some embodiments, the thermocouple may be weaved through the substrate. In some embodiments, the thermocouple may be disposed on the heating element. In any embodiment, the heating pad may comprise one or more thermocouples and each thermocouple may independently be in communication with the controller, either via a wired connection or a wireless connection. As noted above, the thermocouples can be temperature change sensors used for a zonal heating method where electronic current is only supplied to a portion of the heating element near one or more thermocouples sensing a temperature change, such as an increase in temperature. In some embodiments, the temperature change sensor (e.g. the thermocouple) is an analog sensor, which helps reduce sensitivity to interference with other equipment that may be in the operating room, for example.
Instead of comprising conductive ink, in some embodiments, such as shown in
In other embodiments, the flexible polymer sheet of
Regardless of the heating element being used, openings (685) or windows may be cut through the entire heating pad, to allow for greater flexibility and air flow, as shown in
In some embodiments, as shown in
In some embodiments, the heat dissipating layer comprises a laminate of a nylon/spandex fabric on one side, polyurethane foam in the middle, and nylon/spandex loop fabric on the other side. An example of such a material is the AirFlex 2 from Eastex Products, Inc. This heat dissipating layer may be placed on top of the heating element with the loop fabric facing down (the heating element) and the woven fabric facing up (towards the patient). The thickness of the heat dissipating layer is not particularly limited and in some embodiments, it is about 3 mm thick.
In other embodiments, the heat dissipating layer may comprise polyurethane foams having a thickness of about 1/16 inch to about ⅛ inch. The heat dissipating layer may also comprise semi-conductive materials in some embodiments. Any semi-conductive materials may be used and illustrative, non-limiting examples include semi-conductive foams, films, and rubber sheets. If rubber sheets or the foregoing semi-conductive materials were used, not only would they be effective in dissipating heat, they could also function to electrostatic discharge shielding.
The controller, the heating pad, thermocouples, pressure sensors, temperature change sensors, and the transducers may be in communication with one another. In one embodiment, as shown in
Thus, in some embodiments, the warming system may comprise radio-frequency identification (RFID) capabilities. A RFID identification system uses readers to identify certain objects comprising tags. The readers may be two-way radio transmitter-receivers, which can send a signal to the tag and read its response. In one embodiment, as can be seen in
In some embodiments, the RFID reader and the RFID tag must be compatible in order for them to communicate. If the RFID tag on the heating pad is not compatible with the RFID reader in the controller, the controller will not be able to control the heating pad, such as increasing or decreasing the electric current being supplied thereto. Moreover, in some embodiments, the RFID tag may be time dated. In these embodiments, the tag may be dated for a certain time period, for example, two years, and after two years, the tag will no longer be compatible with the RFID reader. Such a configuration will help ensure that heating pads, or any other devices comprising the RFID tags, will only be used for their intended lifetime.
In some embodiments, the controller and/or heating pad may comprise a RFID reader and a RFID tag may be placed in any other device that may be used near the heating pad. For example, a patient may be lying on the heating pad and there may be a surgical tool or a sponge, for example, in the area. The surgical tool and/or sponge may comprise a RFID tag and the controller and/or heating pad may comprise a reader to provide existence and/or location data for the tool/sponge.
In some embodiments, the transceivers may comprise Bluetooth™ capabilities, such that the components of the system, for example, the transducers, controller and other heating pad components, can be paired and communicate with each other. The communication is accomplished wirelessly through short-range networks called piconets. Other devices comprising Bluetooth™ capabilities, such as additional controllers, may also communicate in the piconet network with the heating pad such that more than one controller may be used to control the heating pad.
In one embodiment, a controller comprising Bluetooth™ capabilities may be used to view a temperature reading of the heating zones, whereby a temperature of a plurality of different zones on the heating pad may be seen on an interface of the controller.
As used herein, the term “controller” refers to an electronic device having components such as a processor, memory device, digital storage medium, a communication interface including communication circuitry operable to support communications across any number of communication protocols and/or networks, a user interface (e.g., a graphical user interface that may include cathode ray tube, liquid crystal display, plasma display, touch screen, or other monitor), and/or other components. The controller is preferably operable for integration with one or more application-specific integrated circuits, programs, computer-executable instructions or algorithms, one or more hard-wired devices, wireless devices, and/or one or more mechanical devices. Some or all of the controller system functions may be at a central location, such as a network server, for communication over a local area network, wide area network, wireless network, internet connection, microwave link, infrared link, wired network (e.g., Ethernet) and the like. In addition, other components such as a signal conditioner or system monitor may be included to facilitate signal transmission and signal-processing algorithms.
In certain aspects, the controller comprises appropriate software to receive data from one or more thermocouples or temperature sensors, for example, to determine if the temperature in one or more zones of the heating pad is within an acceptable range. The software can also allow the controller to determine appropriate actions that should be taken to remedy an undesired temperature and/or undesired temperature rate of change, such as increasing or decreasing current to the heating element or a specific portion of the heating element.
Data transmission in the present application is accomplished using any suitable device, and across any number of wired and/or wireless networks, including, as illustrative examples, WiFi, WiMAX, Ethernet, cable, digital subscriber line, Bluetooth™, Zigbee™, cellular technologies (e.g., 2G, 3G, Universal Mobile Telecommunications System (UMTS), GSM, Long Term Evolution (LTE), or more)etc. Any suitable interface standard(s), such as an Ethernet interface, wireless interface (e.g., IEEE 802.11a/b/g/x, 802.16, Bluetooth, optical, infrared, radiofrequency, etc.), universal serial bus, telephone network, the like, and combinations of such interfaces/connections may be used. As used herein, the term “network” encompasses all of these data transmission methods. Any of the described devices may be connected to one another using the above-described or other suitable interface or connection.
The presently disclosed controller may be used to adjust the electric current being applied to the heating element or a portion thereof. It may also be used to turn the system on and off. In some embodiments, the controller adjusts the current based on input provided to the controller from a user. For example, a user can depress a button on the controller to increase the current or a button on the controller to decrease the current. In other embodiments, the controller may automatically adjust the amount of current being supplied to the heating element based on information received from the thermocouples, temperature change sensors, and/or pressure sensors disposed on the heating pad, heating element, and/or substrate. All such components may be in electronic communication with the controller and the communication may be wired or wireless. This creates a closed loop system in which the controller is much better adapted to provide consistent, controllable, and precise warmth through the heating pad.
The controller may also provide a power feed to the heating element to create a uniform heat pattern across the substrate/heating pad or the controller may only supply power to certain portions of the heating element, such as those portions in close proximity to a patient or body part of a patient.
In some embodiments, the controller comprises a variety of different safety features. For example, the controller may comprise dual shutdown mechanisms (one in hardware and another in software) to cut power in the event that excessive electric current flows to the heating element. Likewise, there may be dual mechanisms to cut power if any of the thermocouple or temperature sensor readings exceed a preset threshold, such as about 41° C. In some aspects, if the electric cord connecting the heating pad and controller is disconnected, the software can detect the disconnection and cease operation of the warming system. The controller may also comprise logic to detect extreme temperature differences between zones, such as about 3° C. or more, to detect an unusually low temperature, such as less than about 68° F., to detect an unusually high temperature, such as higher than about 41° C. in one or more zones, and/or to detect extreme temperature changes, such as about 2° C. per minute or more, across the pad. In some embodiments, if one of these events was detected by the controller, the controller may automatically shut down the system.
In some embodiments, as can be seen in
In some embodiments, the controller may be operatively coupled to the heating element and to the power source. In such embodiments, a continuous electrical path is formed between the power source and the heating element. Moreover, a continuous signal path may be formed between a thermocouple and the controller.
In certain embodiments, the controller need not be plugged into an electrical outlet. Instead, the controller may comprise a battery, which powers the warming system. In further embodiments, the controller comprises a battery and may be plugged into an electrical outlet. In such embodiments, the electrical outlet may be used to charge the battery.
While this invention may be embodied in many different forms, there are described in detail herein specific preferred embodiments of the invention. The present disclosure is an exemplification of the principles of the invention and is not intended to limit the invention to the particular embodiments illustrated. In addition, unless expressly stated to the contrary, use of the term “a” is intended to include “at least one” or “one or more.” For example, “a device” is intended to include “at least one device” or “one or more devices.”
Any ranges given either in absolute terms or in approximate terms are intended to encompass both, and any definitions used herein are intended to be clarifying and not limiting. Notwithstanding that the numerical ranges and parameters setting forth the broad scope of the invention are approximations, the numerical values set forth in the specific examples are reported as precisely as possible. Any numerical value, however, inherently contains certain errors necessarily resulting from the standard deviation found in their respective testing measurements. Moreover, all ranges disclosed herein are to be understood to encompass any and all sub-ranges (including all fractional and whole values) subsumed therein.
Furthermore, the invention encompasses any and all possible combinations of some or all of the various embodiments described herein. It should also be understood that various changes and modifications to the presently preferred embodiments described herein will be apparent to those skilled in the art. Such changes and modifications can be made without departing from the spirit and scope of the invention and without diminishing its intended advantages. It is therefore intended that such changes and modifications be covered by the appended claims.
Filing Document | Filing Date | Country | Kind |
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PCT/US15/31923 | 5/21/2015 | WO | 00 |