Patent Application
20200353143
Various embodiments relate generally to heaters on medical devices.
Kidneys provide waste product filtering from an individual's blood supply. Systemically the kidneys may help regulate blood pressure, provide electrolyte balance, and may be involved with producing red blood cells. Some people may experience progressive kidney failure, and may be provided treatment for its underlying causes. For some individuals, various stages of kidney failure may necessitate regular dialysis treatments.
Dialysis treatments may cleanse the body of various waste products. A dialysis machine may provide this treatment by use of a filter system. In one type of dialysis, peritoneal dialysis, a catheter is surgically placed through a patient's abdominal wall. A dialysate is then administered into the patient's peritoneal cavity via the catheter. The dialysate may remain in the patient for a few hours, then be drained out. This process may leech various waste products from the blood, and may aid in replacing normal kidney function. Before the dialysate is administered into the patient, it may be warmed to body temperature. Warming the dialysate may mitigate patient discomfort.
Hemodialysis is one type of renal replacement therapy that filters waste, removes extra fluid, and balances electrolytes. In hemodialysis, blood may be removed from the body and filtered through a man-made membrane called a dialyzer, or artificial kidney. The filtered blood may then be returned to the body. There may be different access types for hemodialysis (e.g., arteriovenous (AV) fistula, AV graft, and central venous catheter).
Intravenous therapy is therapy that delivers liquid substances directly into a vein. The intravenous (IV) route of administration can be used for injections or infusions. The intravenous route may be the fastest way to deliver medications and fluid replacement throughout the body, because the body's circulatory system carries them. Intravenous therapy may be used for fluid replacement, to correct electrolyte imbalances, to deliver medications, and for blood transfusions.
Systems and methods include a heat transfer body with opposing major surfaces formed from a thermally conductive substrate in intimate thermal interaction with an alumina exterior surface that extends across the major surfaces of the body. In an illustrative example, the heat source may be a substantially planar, silicone-based heater source (P-SBHS). The heat transfer body may be configured to thermally interact, for example, heat from a heat source proximate a first of the major surfaces to a second of the major surfaces. A temperature sensor module may be located, for example, proximate to the first major surface such that a temperature sensor thermally interacts with the first major surface. The temperature sensor module may, for example, insulate the temperature sensor from the P-SBHS. The electrical insulation provided by the alumina exterior surface may reduce electrical leakage currents induced between the P-SBHS and, for example, patient and/or operator accessible parts.
Various embodiments may achieve one or more advantages. For example, some implementations may accurately measure the temperature of the warming tray and may advantageously provide more accurate control of the temperature of various fluids being warmed. In some examples, labor involved with assembly of the warming tray may be reduced. Various embodiments may accommodate non-planar warming trays which may advantageously provide an effective retention mechanism for the fluid bags being warmed.
The details of various embodiments are set forth in the accompanying drawings and the description below. Other features and advantages will be apparent from the description and drawings, and from the claims.
Like reference symbols in the various drawings indicate like elements.
To aid understanding, this document is organized as follows. First, a chemically formed layer of alumina on a heater subassembly is briefly introduced with reference to
The chemically formed layer of alumina 130 may mitigate electrical leakage currents from active electrical circuits 135 within the heat source 120. The chemically formed layer of alumina 130 may provide substantial electrical insulation between the active electrical circuits 135 and external operator/patient accessible surfaces 140. The term “substantial electrical insulation” in this case may refer to insulation that limits electrical leakage current to a predetermined criteria for example, less than about 0.1 pA, 0.2 pA, 0.25 pA, 0.3 pA, 0.4 pA, 0.5 pA, 0.6 pA, 0.7 pA, 0.75 pA, 0.8 pA, 0.9 pA, 1 pA, 2 pA, 3 pA, 4 pA, 5 pA, 6 pA, 7 pA, 8 pA, 9 pA, 10 pA, 20 pA, 25 pA, 30 pA, 40 pA, or up to at least about 50 pA.
The blood product 110 is administered to the patient 105 through a tubing set 145. The tubing set 145 is applied to a pump 150. The pump 150 is operable to move the warmed blood product 110 to the patient 105. In some examples, the warming tray assembly 115 may be part of a system administering dialysis or other forms of treatment administered directly into bloodstream. These systems may administer fluids, medications, or blood products. Various systems including the warming tray assembly 115 may remove body toxins or excess fluids.
In the depicted example, a thermal breaker 230 is thermally coupled to the heat source 210. In operation, if the temperature of the heat source 210 exceeds a predetermined threshold for a predetermined amount of time, the thermal breaker 230 may electrically open. In some examples, the thermal breaker 230 may be connected in series with the input power harness 215 shutting off power to the heat source 210 when the heat source 210 exceeds a predetermined threshold for a predetermined time. In some embodiments, a control circuit (not shown) may receive a signal from the thermal breaker 230 in response to the heat source 210 exceeding a predetermined threshold for a predetermined time. Accordingly, the control circuit may turn off power to the heat source 210.
In an illustrative example, the heating surface subassembly 200B may be constructed by first punching one or more apertures (e.g., 235) through a silicone-based heater source (e.g., 210). The apertures may be located in any suitable location. In some examples, at the time the silicone-based heater source is die-cut, the aperture(s) may be punched out in the same process. Next, the silicone-based heater source may be vulcanized to a heat transfer body (e.g., 205). Next, one or more thermal insulating barrels (e.g., 220) may be inserted through the aperture(s). Thermal paste may then be applied into the thermal insulating barrel(s). One or more temperature sensors may then be inserted into the thermal insulating barrel(s). Finally, thermal insulating glue may be applied inside the barrel(s) to fasten the temperature sensor(s) to the thermal insulating barrel(s), and may be applied outside the barrel(s) to fasten the barrel(s) to the silicone-based heater source.
The thermal compound 240 and the temperature sensor assembly 225 are adhesively coupled to the thermal insulating barrel 220 via an adhesive 245. In some implementations, the adhesive 245 may be potting compound. Accordingly, the temperature sensor assembly 225 may be potted within the thermal insulating barrel 220. An outer surface of the thermal insulating barrel 220 is adhesively coupled to the heat source 210 via an adhesive 250.
In some embodiments, the thermal insulating barrel 220 may mitigate direct thermal interaction with the heat source 210 to the temperature sensing element 225A. Further, the temperature sensing element 225A may be in intimate contact directly with the heat transfer body 205, in some implementations. Accordingly, the temperature sensing element 225A may sense and/or measure the temperature of the heat transfer body 205, while maintaining thermal decoupling from the direct heating effects of the heat source 210.
The temperature sensing element 225A may be a temperature sensor. In various examples, the temperature sensor may include one or more thermocouples. Thermocouples may advantageously withstand high temperatures, caustic environments, and may be provided in a small form factor. In some embodiments, the temperature sensor may include one or more metallic resistance temperature detectors (RTDs). Metallic RTDs may advantageously provide high accuracy and repeatability. In some examples, the temperature sensor may include one or more thermistors. Inclusion of a thermistor may advantageously provide substantially rapid response, and high precision over a limited temperature range of about −90° C. to 130° C. The term “substantially rapid” in this example may be defined as less than one second. In some implementations, the temperature sensor may include one or more semiconductor-based temperature sensors. Semiconductor-based temperature sensors may advantageously provide high linearity and high accuracy over an operating range of about −55° C. to 150° C.
In an illustrative example, a warning tray assembly (e.g.,
In an illustrative example, the thermally insulating cover 320 may substantially insulate the temperature probes 315 from the direct cooling effects of the surrounding air. The temperature probes 315 in a location remote from the heat source 310 may advantageously provide enhanced accuracy measurements of the temperature of the thermal interface substrate 305, while being thermally decoupled from the direct heating effects of the heat source 210.
The heater subassembly 420 includes a power harness 425 and a temperature sensor harness 430. In various examples, the heater subassembly 420 may include one or more temperature sensor harnesses 430. The power harness 425 and the temperature sensor harnesses 430 may be routed on an opposing side of the upper surface 405A of the heater tray frame 405. The design of the heater subassembly 420 may allow a straightforward method for deposition or creation of a chemically formed layer of alumina on one or more surfaces of the heater subassembly 420. The chemically formed layer of alumina may advantageously insulate users, patients and/or operators from electrical leakage currents.
In an illustrative example, the heater tray 400 may be included in a medical fluid warming device which may, for example, provide intravenous therapy to a user. An operator may place a bag of blood product (e.g.,
The heater subassembly 520 includes a power harness 525 and a temperature sensor harness 530. In various examples, the heater subassembly 520 may include one or more temperature sensor harnesses 530. The power harness 525 and the temperature sensor harnesses 530 may be routed on an opposing surface of the upper surface 505A of the heater tray frame 505. Further, the power harness 525 and the temperature sensor harnesses 530 may be enclosed within a device enclosure. The device enclosure may house the electronics and may protect patients and operators from electrical hazards. In addition, the heater subassembly 520 may include an integral insulative chemically formed layer. The device housing, in conjunction with the heater tray 500 may protect patients and operators from electrical hazards within the device housing. This electrical hazard protection may include the heater subassembly 520 with the integral insulative chemically formed layer.
Although various embodiments have been described with reference to the figures, other embodiments are possible. For example, in some implementations, various heat transfer bodies may include a curved shape. Further, various examples of heat transfer bodies may be flat or may be formed in various shapes that may optimize heat transfer to fluids. In some implementations, various temperature sensors may include non-contact measurement, for example, infrared (IR) sensing. The temperature sensors may sense the temperature of a heat transfer body.
In various examples, a thermal interface substrate (e.g., 305) and/or a heating tray (e.g., 400) may include thermally conductive and electrically isolative materials. For example, the thermal interface substrate may be nonmetallic. In some examples, beating elements within the silicon-based layers may be embedded or sandwiched.
In various examples, a thermal interface substrate (e.g., 305) may be metallic. The metallic thermal interface substrate may advantageously provide a cost-effective and thermally conductive interface between a beating element and a liquid to be heated.
The system may be advantageously employed in double-insulated fluid-heating medical applications. For example, the system may be advantageously employed as a blood components heater for blood transfusion devices. In an illustrative example, the system may be advantageously employed in various intravenous (IV) medical applications. In various applications, a patient's body temperature may be maintained. In some examples, various medical devices may remove blood pathogens in patients with AIDS or cancer. In such examples, various fluids may be heated by the system. In addition, a chemically formed layer of alumina on a heat transfer body may mitigate leakage currents to a patient or operator in contact with the heat transfer body. The system may be advantageously employed for other appropriate uses, for example, warming of a dialysate for various dialysis therapies.
In various examples, leakage current measured between a power input harness on a heater assembly and an external surface of a heat transfer body of the heater assembly may be below various regulatory standard thresholds. An alumina substrate on the external surface of the heat transfer body may electrically insulate the heat transfer body from the power input harness. In an illustrative current leakage test case, 85-250 AC Vrms may be applied at 50 to 60 Hz between the power input harness and the external surface of the heat transfer body. In such applications, the leakage current is limited to 5 pA or less. Further, the withstand voltage between the power input harness and the external surface of the heat transfer body may be about 2 kV or greater. In some implementations, the withstand voltage between the power harness and the external surface of the heat transfer body may be about 4 kV or greater.
In some embodiments, the chemically formed layer of alumina may be formed, in whole or in substantial part, from an aluminum oxide. The aluminum oxide may include, for example, a chemical makeup of Al2O3.
In an illustrative example, the heater tray may be included in a medical fluid warming device which may, for example, provide peritoneal dialysis therapy to a user. An operator may place a bag of dialysate on the heater tray. The heater subassembly may heat the dialysate to human body temperature. Accordingly, the heated dialysate administered to the user may mitigate user discomfort.
A number of implementations have been described. Nevertheless, it will be understood that various modifications may be made. For example, advantageous results may be achieved if the steps of the disclosed techniques were performed in a different sequence, or if components of the disclosed systems were combined in a different manner, or if the components were supplemented with other components. Accordingly, other implementations are within the scope of the following claims.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/US2017/064451 | 12/4/2017 | WO | 00 |
