This disclosure relates to medical pressure transducers and, more particularly, to medical pressure transducer mounting devices.
Pressure transducers are used in a variety of different industries for a variety of different applications. In the medical industry, for instance, pressure transducers are used to monitor bodily fluid pressures before, during, and after medical procedures. Information about bodily fluid pressures, such as blood pressure, can help a health care provider diagnose a condition of the patient. In some applications, the health care provider can also use the bodily fluid pressure information to adjust therapeutic treatments or diagnostic agents being delivered to the patient.
Angiography is one type of medical procedure that is typically performed while monitoring the blood pressure of a patient. Angiography is a procedure used to help diagnose and treat cardiovascular conditions including, for example, abnormalities or restrictions in blood vessels in the heart. During angiography, radiographic contrast media is injected through a catheter into a vein or artery, which then passes to vascular structures in fluid communication with the vein or artery. When X-rays are passed through the region of the body into which the contrast media is injected, the X-rays may be absorbed by the contrast media, providing radiographic images of the desired vascular structure(s).
To monitor the blood pressure of a patient during a medical procedure, such as angiography, the patient may be connected to a pressure transducer positioned outside of the body of the patient. For example, the pressure transducer may be hydraulically coupled to the patient's circulatory system via a catheter introduced inside the body of the patient. The catheter may hydraulically communicate pressure from within the body of the patient to the pressure transducer positioned outside of the body of the patient, which may then convert the hydraulic pressure to electrical signals for analysis, display, storage, etc.
Ensuring that a pressure transducer is properly oriented and positioned relative to a portion of the patient's body during a medical procedure may help ensure that the pressure transducer provides an accurate pressure reading. For example, when a patient is undergoing an angiographic procedure, the pressure transducer may be positioned within the same horizontal plane as the patient's heart. If the pressure transducer is positioned higher or lower than the horizontal plane containing the patient's heart, the weight of the column of fluid hydraulically connecting the pressure transducer to the patient's body may increase or decrease relative to when the pressure transducer is at a desired vertical position. In turn, this additional fluid weight may impact the accuracy of the blood pressure determined by the pressure transducer.
While a medical procedure room may include a permanent fixture for holding and positioning a pressure transducer relative to a patient's body, different size patients may dictate different pressure transducer positions. Further, medical care providers, such as doctors, often have significant amounts of discretion to choose the specific hardware they want to use when performing a medical procedure. In instances in which different medical care providers share a common medical procedure space, each medical care provider may use a different type or brand of pressure transducer when performing procedures.
In general, this disclosure is directed to devices and techniques for mounting a pressure transducer so that the pressure transducer can be used to determine a patient's bodily fluid pressure before, during, and/or after a medical procedure. In some examples as described herein, a pressure transducer mounting device is configured to receive and hold a plurality of different types pressure transducers. For example, the pressure transducer mounting device may include a pressure transducer holder that expands in one direction (e.g., open or closed) to receive one of a plurality of different pressure transducers, where each of the plurality of different pressure transducers has a different size, shape, and/or connection features, and biases in an opposite direction (e.g., closed or open) to hold the specific transducer inserted into the pressure transducer holder. In an additional example, the pressure transducer mounting device includes at least two different pressure transducer holders that are each designed to receive and hold a different type of pressure transducer having different connection features. In use, a medical care provider can select a specific pressure transducer for use during a medical procedure from one of multiple different pressure transducer designs (e.g., which may be supplied from different pressure transducer manufacturers). Different pressure transducer designs may have different sizes, shapes, and/or different attachment structures for interfacing with a pressure transducer holder. However, by configuring the pressure transducer mounting device to receive different types of pressure transducers, the health care provider may insert the selected pressure transducer into the pressure transducer holder regardless of the design of the specific pressure transducer (e.g., the design of the specific attachment interface structure of the pressure transducer). In this way, the pressure transducer mounting device may accommodate different pressure transducers, providing a universal mounting device that can adapt to different medical provider preferences and different pressure transducer sourcing options.
Depending on the application, the pressure transducer mounting device may include a fixed portion that is connectable to a surface in a medical procedure space (e.g., a catheter lab) and a moveable portion that can move relative to the fixed portion. The moveable portion may include one or more pressure transducer holders that are configured to receive and hold pressure transducers having a variety of different designs. The moveable portion of the pressure transducer mounting device may be selectively moveable to different vertically elevated positions. In use, a health care provider may move the moveable portion and, hence, a pressure transducer connected to the moveable portion, to different vertical positions. This may be useful, for example, when the health care provider desires to position a pressure transducer relative to a specific anatomical landmark of patient.
In one example, a pressure transducer mounting device is described that includes a support member configured to attach to a support surface and a pressure transducer holder moveably connected to the support member. According to the example, the pressure transducer holder is configured to expand open to receive one of a plurality of different sized pressure transducers and bias closed to hold a received one of the plurality of different sized pressure transducers. In addition, the example specifies that the pressure transducer holder is configured to move relative to the support member to one of a plurality of different vertically elevated positions.
In another example, a system is described that includes a power injection device, a selected pressure transducer, and a pressure transducer mounting device. The power injection device includes a syringe configured to be driven by an electrical power source, at least one fluid reservoir in fluid communication with the syringe, and a tubing system configured to deliver fluid from the at least one fluid reservoir to a patient line. The selected pressure transducer is configured to monitor a hemodynamic pressure of a body of a patient and is also configured to be in fluid communication with the patient during operation of the power injection device. According to the example, the pressure transducer mounting device includes a support member attached to the power injection device and a pressure transducer holder moveably connected to the support member. The pressure transducer holder is configured to expand open to receive one of a plurality of different sized pressure transducers and bias closed to hold the selected pressure transducer. In addition, the example specifies that the pressure transducer holder is configured to move relative to the support member to one of a plurality of different vertically elevated positions.
In another example, a method is described that includes attaching a support member of a pressure transducer mounting device to a support surface. The method also includes expanding a pressure transducer holder moveably connected to the support member open to receive one of a plurality of different sized pressure transducers and biasing the pressure transducer closed to hold a received one of the plurality of different sized pressure transducers. According to the example, the pressure transducer holder is configured to move relative to the support member to one of a plurality of different vertically elevated positions.
In another example, a pressure transducer mounting device is described that includes means for attaching to a support surface and means for receiving and holding one of a plurality of different sized pressure transducers, where the means for receiving and holding is configured to receive and hold each of the different sized pressure transducers. According to the example, the means for receiving and holding is moveably connected to the means for attaching, and the means for receiving and holding is configured to move relative to the means for attaching to one of a plurality of different vertically elevated positions.
The details of one or more examples are set forth in the accompanying drawings and the description below. Other features, objects, and advantages will be apparent from the description and drawings, and from the claims.
The following detailed description is exemplary in nature and is not intended to limit the scope, applicability, or configuration of the invention in any way. Rather, the following description provides practical illustrations for implementing exemplary embodiments of the present invention. Examples of constructions, materials, dimensions, and manufacturing processes may be provided for selected elements, and all other elements employ that which is known to those of skill in the field. Those skilled in the art will recognize that many of the examples provided have suitable alternatives that can be utilized.
Invasive hemodynamic pressure monitoring can provide a continuous assessment of the status of a patient and their response to ongoing therapy or diagnostic analysis. Invasive hemodynamic pressure monitoring can yield information about the intra-arterial blood pressure of patient, pulmonary artery pressure, left atrial pressure, and/or central venous pressure of the patient. This information can then be used by a medical provider to help diagnose issues or adjust ongoing procedures being performed on the patient. For example, when delivering drugs or agents to a patient that affect the vascular system of the patient, medical providers often desire to monitor a patient's intra-arterial blood pressure.
To monitor the hemodynamic pressure of a patient, the patient may be catheterized and the catheter then coupled via a tube to a medical pressure transducer positioned outside of the body of the patient. The tube may be filled with a fluid (e.g., saline, blood) to hydraulically communicate pressure from within the patient's body to the transducer positioned outside of the body. Depending on the configuration, the pressure transducer may convert the hydraulic pressure to an electrical signal that can be analyzed, displayed, stored, or otherwise processed.
Overtime, many health care providers have developed preferences for different types of pressure transducers. Be it the manufacturer of the pressure transducer, the ease of use of a specific pressure transducer, cost, or other factors, individual health care providers may wish to use a specific brand or even model of pressure transducer when performing a procedure. In instances in which different health care providers share a common medical procedure space or common medical equipment, it would be useful if the space and/or equipment could accommodate the different types of pressure transducers that may be used by different personnel.
In accordance with the techniques described in this disclosure, a pressure transducer mounting device is described that may receive and hold a select one of any of a plurality of different types of pressure transducers, where different types of pressure transducers have different sizes, shapes, and/or different connection features for connecting to the pressure transducer mounting device. For example, the pressure transducer mounting device may include a pressure transducer holder that expands in one direction (e.g., open or closed) to receive one of any of a plurality of different types of pressure transducers and biases in an opposite direction (e.g., closed or open) to hold a specific transducer inserted into the pressure transducer holder. As another example, the pressure transducer mounting device may includes two different pressure transducer holders that are each designed to receive and hold a different type of pressure transducer having different connection features. The pressure transducer mounting device may accommodate different pressure transducers, providing a universal mounting device that can adapt to different medical provider preferences.
Example pressure transducers and pressure transducer mounting devices will be described in greater detail with reference to
In the example of injection system 10, the injection head 30 includes various subcomponents. For example, the injection head 30 includes a small control panel 50, first and second syringe/plunger assemblies 80A and 80B, first and second valve/air detection assemblies 70A and 70B, and assembly 110. The first and second syringe/plunger assemblies 80A and 80B each include a syringe chamber that houses a syringe and a plunger that is axially moveable through the syringe. Assembly 110 is positioned at a discharge end of first and second syringe/plunger assemblies 80A and 80B and may house various subcomponents of the system.
During operation, injection system 10 can draw fluid from the first reservoir 60 into the first syringe/plunger assembly 80A via tubing 90A by actuating a plunger to create a partial vacuum within the first syringe (i.e., by drawing the plunger back into injection head 30). Injection system 10 can also draw fluid from the second reservoir 40 into the second syringe/plunger assembly 80B via tubing 90B by actuating a second plunger to create a partial vacuum within the second syringe. By reversing the direction of plunger travel, injection system 10 can subsequently eject fluid out of the first syringe and/or second syringe of injection system 10 and through tube 100A and 100B, respectively, into a patient's body. In some examples, tube 100A and 100B are coupled to a patient line (e.g., via a three-way valve) that extends into a body of a patient. Injection system 10 can control the rate, volume, and source of fluid delivered to the patient, e.g., by controlling which plunger is actuated and the speed at which the plunger moves through a syringe.
It may be useful to monitor a patient's hemodynamic pressure during some injection procedures. For example, during angiography, a health care provider may record the intravascular and intra-cardiac pressures of the patient between injections of high pressure contrast media. The health care provider may look for pressure values falling within the general range of −1 psi to +6 psi (−51.7 mmHg to 310 mmHg) to confirm the hemodynamic health of the patient.
To monitor the hemodynamic pressure of the patient in these examples, injection system 10 may include a pressure transducer that is fluidly connected to the patient. In the example of
In addition, device 220 in
As described in greater detail below, pressure transducer holder 226 is configured (e.g., sized and/or shaped) to receive and hold a plurality of different types of pressure transducers. A plurality of different types of pressure transducers may be, e.g., two, three, five, ten, or even more different types pressure transducers. In operation, a user may a select a specific pressure transducer 222 from the plurality of different sized pressure transducers and insert the selected pressure transducer into pressure transducer holder 226. Pressure transducer holder 226 may receive the selected pressure transducer 222 that is inserted into the holder and secure the pressure transducer during subsequent pressure monitoring operation. By configuring pressure transducer holder 226 to receive and hold a plurality of different types pressure transducers, a single pressure transducer mounting device 220 can be used to mount a variety of different types of pressure transducers for a medical procedure. For example, pressure transducer mounting device 220 may be used to mount pressure transducers supplied by different manufactures and/or different pressure transducer models supplied by a single manufacture rather than requiring different pressure transducer mounting devices for each different type of pressure transducer.
In some examples, device 220 includes a single pressure transducer mounting holder 226 that is configured to hold a plurality of different sized pressure transducers. In other examples, device 220 includes multiple pressure transducers holders that are each configured to hold different pressure transducers. Configuring device 220 with multiple pressure transducer holders may enable the device to attach to different types of pressure transducers having different types of connection features. For example, device 220 may include at least a first pressure transducer holder configured to attached to pressure transducers having a first type of connection features and a second pressure transducer holder configured to attach to pressure transducers having a second type of connection features different than the first type of connection features. When so configured, both pressure transducer holders may be configured to receive and hold pressure transducers having different types of attachment interface structures (e.g., different sized and/or shaped attachment interface structures).
In the example of
Pressure transducer mounting device 220 holds pressure transducer 222. Pressure transducer 222 can be any device suitable for sensing a hemodynamic pressure (e.g., blood pressure) of a patient. In some examples, pressure transducer 222 is configured to generate a signal as a function of the pressure imposed on a portion of the transducer. In such examples, the transducer may include a flexible membrane that moves in response to pressure changes in a fluid in contact with the membrane. The transducer may then convert the sensed pressure to an electrical output signal (e.g., voltage and/or amperage) and transmit the signal to a pressure control module, a display, a computer readable storage medium, or the like. Although the operating parameters of pressure transducer 222 can vary, in some examples, the pressure transducer is rated to sense pressures ranging from approximately −30 mmHg to approximately 300 mmHg.
In one example, pressure transducer 222 is implemented as a piezoelectric pressure transducer. In general, a piezoelectric pressure transducer has a piezoelectric crystal that produces an electrical potential when placed under stress by a pressure-sensing element. Varying the amount of pressure on the pressure-sensing element varies the amount of stress and, hence, the electrical potential generated by the pressure transducer. In another example, pressure transducer 222 is implemented as a two component pressure sensor that includes a reusable sensor component and a disposable dome component. The reusable sensor component may include a diaphragm in pressure communication with a sensor while the disposable component includes a dome diaphragm that can be positioned in confronting, pressure-transmitting relationship with the diaphragm on the reusable sensor. In such examples, pressure transducer holder 226 may attach to the reusable sensor component which, in turn, connects to the disposable dome component. An example of such a two component pressure sensor is described in U.S. Pat. No. 5,848,971, the entire contents of which are incorporated herein by reference.
When device 220 is designed to simultaneously hold multiple different types of pressure transducers, each pressure transducer may be the same type of pressure transducer (e.g., a piezoelectric pressure transducer) but have different sizes, shapes, and/or connection features, or at least one pressure transducer (e.g., first pressure transducer 222A) may be a different type of pressure transducer than at least one other pressure transducer (e.g., second pressure transducer 222B). In one example, first pressure transducer 222A is a piezoelectric pressure transducer and second pressure transducer 222B is a two component pressure sensor that includes a reusable sensor component and a disposable component. Configuring device 220 to receive, or at least be capable of receiving, at least two different types of pressure sensors may be useful to increase the variety of sensors that a user can select to attach to device 220.
Pressure transducer holder 226 is connected support member 224. In particular, in the example of
In the example of
Configuring device 220 so that pressure transducer holder 226 is vertically moveable relative to support member 224 may be useful, e.g., to help accurately measure the hemodynamic pressure of a patient during a medical procedure. For example, when using pressure transducer 222 to monitor an intra-arterial blood pressure of a patient during a medical procedure, pressure transducer 222 may provide more accurate pressure determinations when positioned at the same or substantially the same vertical elevation as the patient's heart. This position, which may be referred to as a midaxial position, may vary based on the size of the specific individual undergoing the medical procedure. If pressure transducer 222 is positioned higher or lower than the horizontal plane containing the patient's heart, the weight of the column of fluid hydraulically connecting the pressure transducer to the patient's body may increase or decrease relative to when the pressure transducer is in the same horizontal plane as the patient's heart. This variation in fluid weight may impact the accuracy of pressure determinations made by pressure transducer 222. However, by configuring device 220 so that pressure transducer holder 226 is vertically movable relative to support member 224, a user can adjust the vertical height of pressure transducer 222, e.g., at the beginning of a medical procedure so that the pressure transducer is in the same or substantially the same horizontal plane as the heart of a patient undergoing the medical procedure.
When device 220 includes locking mechanism 230, the locking mechanism may be any feature that releasably locks pressure transducer holder 226 in a selected vertical position. In the example of
In the example of device 220, elongated shaft 228 includes vertical height indicia 229. Vertical height indicia 229 may be graphics or text that indicate the height between pressure transducer holder 226 and support member 224. Vertical height indicia 229 may provide a reference that allows a user to quickly adjust the vertical position of pressure transducer holder 226 relative to support member 224 to a desired location. In other examples, elongated shaft 228 does not include vertical height indicia 229. In addition, in different examples, elongated shaft 228 may or may not be completely removable from support member 224. Depending on the application, allowing a user to completely remove elongated shaft 228 from support member 224 may be helpful to provide access to features or equipment positioned pressure transducer holder 226.
To use pressure transducer mounting device 220, the device may be mounted to a support surface via support member 224 and then pressure transducer 222 inserted into pressure transducer holder 226. Support member may be any structure that can be attached pressure transducer holder 226 to a support surface so that the pressure transducer holder is spaced away from the support surface. In some examples, support member 224 is constructed of a rigid material that resists deformation during the use of device 220 such as metal or rigid thermoplastic. In addition, although support member 224 may be attached to a power injection device as described with respect to
As briefly discussed above, first pressure transducer holder 226A of device 220 is configured to receive and hold a plurality of different sized pressure transducers. For example, first pressure transducer holder 226A may expand open to receive one of a plurality of different pressure transducers and bias closed to hold a selected pressure transducer that is inserted into the holder (e.g., while the holder is expanded open). Each of the plurality of different pressure transducers may have different sizes, shapes, and/or connection features.
To help hold first pressure transducer 222A between first arm 240A and second arm 240B of first pressure transducer holder 226A, the pressure transducer holder may include additional engagement surfaces for engaging with the pressure transducer. In the example of
In the example of
As briefly discussed above, pressure transducer mounting device 220 includes a second pressure transducer holder 226B.
With back surface 263 of reusable component 262 received and held by second pressure transducer holder 226B, one or more disposable components may be attached to a front surface of the reusable component to provide second pressure transducer 222B. In some examples, a front surface of reusable component 262 is designed to attach to only a single disposable component to provide a single pressure transducer. In other examples, the front surface of reusable component 262 is designed to attached to multiple (e.g., two, three, four, or more) disposable components to provide multiple pressure transducers, e.g., for measuring different pressures or the pressure of different bodily fluids. Regardless, when second pressure transducer holder 226B is designed to receive and hold a two-part pressure transducer, the pressure transducer holder may only directly receive and hold one part of the pressure transducer while the second part of the pressure transducer is subsequently connected to the part already held by second pressure transducer holder 226B. Therefore, although pressure transducer holders of device 220 are described herein as being configured to receive an hold a pressure transducer, the pressure transducer holders need not receive and hold an entire pressure transducer but may instead receive and hold only a portion or a part of the pressure transducer.
Pressure transducer mounting device 220 can have different configurations and/or can be used to other types of equipment in addition to or in lieu of what has been described above, as will be appreciated by those of skill in the art. For instance, in one example, pressure transducer mounting device 220 is designed to receive a laser leveling device to help a health care provider set pressure transducer holder 226 to a desired vertically elevated position. The laser leveling device may be attached to device 220 so that the laser leveling device is in the same or substantially the same horizontal plane as pressure transducer holder 226. With a laser dot pointed at a patient, the health care provider can move pressure transducer holder 226 up or down relative to support member 224 unit the laser dot is pointed at a desired anatomical landmark on the patient such as, e.g., a midaxial position on the patient. In this manner, the health care provider can use the laser leveling device to set the vertical position of pressure transducer holder 226 and, hence, a pressure transducer inserted into the pressure transducer holder.
Connector 306 can be used to connect laser leveling device 300 to device 220. In some examples, connector 306 has the same size, shape, and/or style as a portion of first pressure transducer 222A and/or second pressure transducer 222B that is received and held by first pressure transducer holder 226A and/or second pressure transducer holder 226B. For example, connector 306 may define the same size and/or shape as backing plate 252 of first pressure transducer 222A (
Various examples have been described. These and other examples are within the scope of the following claims.
This application is a divisional of U.S. patent application Ser. No. 13/800,204, filed Mar. 13, 2013, which claims priority to U.S. Provisional Application No. 61/639,940 filed Apr. 29, 2012, the entire contents of which are incorporated herein by reference.
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Child | 14873074 | US |