Patent Application
20140343515
The present disclosure relates generally to systems and methods for collecting biological fluids during medical procedures and, in particular, to a user interlock screen for verifying a selected vacuum setting for use when collecting biological fluids.
Biological fluids and other types of medical waste often must be collected during surgery or other medical procedures. This is typically accomplished using a medical waste fluid collection cart, which may be part of a medical waste fluid collection and disposal system. Such carts may include at least one suction canister where a suction port on the canister lid is connected to a source of vacuum or suction via a hose or line. As a result, a vacuum is drawn on the interior of the canister. A second hose or line is connected to a “patient” port on the canister lid and is used to collect medical waste in the form of fluids and solids from the patient, which is stored in the canister. After collection, the medical waste and contaminated collection components, such as canister lids, and the like, must be disposed of in accordance with rules and regulations imposed by various government and regulatory organizations.
In some cases, medical waste fluid collection carts may be designed for use in a variety of different of medical procedures. For example, a medical waste fluid collection cart may be used in a surgical setting involving large amounts of fluid, such as arthroscopic knee surgery. In such cases, the user may desire to operate the medical waste fluid collection cart at a high flow rate that may be about 300 standard cubic feet per hour (SCFH) or more, and may involve a high vacuum level (e.g., about 600 mm Hg). In other cases, such as in low flow and/or passive collection applications, a high flow rate and/or high vacuum level may have adverse consequences. For example, during a surgical procedure associated with delicate tissues (e.g., brain surgery) or during a medical procedure involving a closed body cavity (e.g., a chest tube) where the closed body cavity is receiving the vacuum, only very low vacuum settings (e.g. less than about 50 mm Hg) and extremely low flow may be desired. Because of the broad range of vacuum settings and/or flow level requirements over the range of possible medical procedures in which the medical waste fluid cart may be used, it may be advantageous to provide a user interlock to enable a user to verify at least one of a flow rate setting and/or a vacuum level setting prior to activating the medical waste fluid collection cart.
The present disclosure relates generally to systems and methods for collecting biological fluids during medical procedures and, in particular, to a user interlock screen to verify a selected vacuum setting for use in collecting biological fluids using a medical fluid collection system. In some cases, a medical waste fluid collection cart for use in a medical waste fluid collection and disposal system may include a graphical user interface, wherein the medical waste fluid collection cart may include a controller for controlling one or more functions of the medical waste fluid collection cart and a memory coupled to the controller, the memory configured for storing one or more vacuum levels. The graphical user interface may be communicatively coupled to the controller and/or the memory and may be configured to allow a user to monitor and/or control one or more functions of the medical waste fluid collection cart, wherein the graphical user interface may include at least one user confirmation screen to allow a user to confirm a vacuum setting. Using the confirmation screen, the user may confirm the vacuum setting using a first selection corresponding to a predetermined low vacuum level or a second selection corresponding to a previously used vacuum level.
In some cases, a method of providing a user interlock for a medical waste fluid collection and disposal system may include initiating a startup procedure of the medical waste fluid collection and disposal system. Power may be applied to a portion of the medical waste fluid collection and disposal system, such as a medical waste fluid collection cart, or may cycle power to a portion of the medical waste fluid collection and disposal system. The medical waste fluid collection cart may also be configured for determining whether an improper shutdown of the medical waste fluid collection and disposal system preceded the initiated startup procedure. In some cases, electrical power may be restored to the medical waste fluid collection cart after electrical power was interrupted. Occasionally, power may be interrupted (e.g., a disconnected power cord, an electrical power outage, etc.) during a medical waste fluid collection process and/or without resetting one or more configuration settings following completion of a medical waste fluid collection process. If an improper shutdown of the medical waste fluid collection and disposal system is identified, the medical waste fluid collection cart may be configured for displaying a notification to a user during the startup procedure, the notification prompting the user to select a vacuum level for use by the medical fluid waste collection and disposal system by selecting either a predetermined vacuum level or a previously programmed vacuum level associated with a previous fluid collection process. For example, the medical waste fluid collection cart may be configured to include a preprogrammed vacuum setting and/or flow rate for use with a number of medical procedures or may be configured to store a last known vacuum level and/or flow rate or other previously programmed vacuum level and/or flow rate.
Similarly, the medical waste fluid collection and disposal system may be configured to implement another method for user confirmation of a selected vacuum level for a medical waste fluid collection and disposal system including obtaining a vacuum level for use during a medical waste fluid collection process using a user interface of the medical waste fluid collection and disposal system, providing an indication of the obtained vacuum level to a user via a user interface, and prompting the user for confirmation of the obtained vacuum level before initiating the medical waste fluid collection process. In some cases the medical waste fluid collection cart may be configured for reading a first vacuum level from a memory, wherein the first vacuum level is a vacuum level corresponding to a passive fluid collection process and/or reading a second vacuum level from the memory, wherein the second vacuum level was stored by a controller during a previously initiated medical waste fluid collection process. For example, a medical waste fluid collection cart may obtain the vacuum level from a memory location, such as a memory location storing a preprogrammed vacuum level (e.g., 0 mm Hg, 50 mm Hg, etc.), a memory location storing a last known vacuum level, or a user prompt on a user interface screen. When displaying an image to a user, the image may include an indication of the first vacuum level associated with passive fluid collection and/or an indication of the second vacuum level associated with the previously initiated medical waste fluid collection process. In some cases, the user interface may provide one or more input mechanisms for prompting the user for a desired vacuum level associated with a desired fluid collection process.
The disclosure may be more completely understood in consideration of the following description of various illustrative embodiments in connection with the accompanying drawings, in which:
While the disclosure is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and will be described in detail. It should be understood, however, that the intention is not to limit aspects of the disclosure to the particular illustrative embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the disclosure.
The following description should be read with reference to the drawings wherein like reference numerals indicate like elements throughout the several views. The description and drawings show several illustrative embodiments which are meant to illustrative in nature.
In some cases, each of the cylinders 112a-112d may be connected between a number of corresponding lids 124a-124d via flexible tubing 122a-122d to a vacuum source. The lids may be constructed of molded plastic and may be disposable. The flexible tubing 122a of
After the medical waste fluid collection cart 102 is used in an operating room procedure, and fluids have been collected in one or more of the cylinders 112a-112d, the patient suction tubing is removed from the cylinder lids and all ports for each cylinder lid 124 to which suction was applied are covered with caps. The medical waste fluid collection cart 102 may then be rolled to a position adjacent to the evacuation station 104 for draining, washing, disinfecting, rinsing and return to a suction collection state, as illustrated in
The evacuation station 104 may include a housing 142 that contains a source of disinfection solution, pump, drainage system and other components, which are described below, for draining washing and disinfecting the cylinders of the medical waste fluid collection cart 102. The evacuation station 104 communicates with the medical waste fluid collection cart 102 by way of the composite hose 144 and the coupler 146. As illustrated in
In some cases, the medical waste fluid collection cart may include a “wash” valve system to facilitate washing and/or disinfecting the cylinders 112a-d, a “drain” valve system to facilitate draining fluids from the cylinders 112a-d and/or a “vent” valve system to facilitate venting of the cylinders 112a-d. The wash valve system, the drain valve system and/or the vent valve system may include one or more valves, one or more valve drive motors for controlling the operation of the valves, one or more tubes for providing fluid transfer to and/or from the cylinders 112a-d and one or more electrical components for controlling the operation of the valves and/or valve drive motors. A fluid manifold 240 may be positioned between two or more cylinders 112a-112d and may extend into the interior of the cabinet 114. The fluid manifold 240 may include a “wash” tube fitting, a “drain” tube fitting and a “vent” tube fitting. The “wash” tube fitting may communicate with a 3-way “wash” valve and/or the cleaning nozzles 273a, 273b via a fluid passage. The “drain” tube fitting may similarly communicate with a 3-way “drain” valve, via a fluid passage. The “vent” tube fitting may similarly communicate with a 3-way “vent” valve.
When the draining, washing and disinfecting of the cart cylinders 112a-112d is complete, the coupler 146 is removed from the receptacle 148 on the medical waste fluid collection cart 102 so that the medical waste fluid collection cart 102 may again be rolled to an operating room for use. The coupler 146 permits a single connection to be made between the medical waste fluid collection cart 102 and the evacuation station 104. This simplifies and expedites connecting the medical waste fluid collection cart 102 to, and disconnecting the medical waste fluid collection cart 102 from, the evacuation station 104. When the medical waste fluid collection cart 102 and the evacuation station 104 are connected using the coupler 146, one or more communication links may be used to permit a controller of the medical waste fluid collection cart 102 and a controller of the evacuation station 104 to communicate so that the user can control both, including one or more of a draining operation, a washing operation and a disinfecting operation, via the touch screen 140.
The processor 215 may operate using a control algorithm that controls or at least partially controls the collection of medical waste fluid and/or disposal of the collected medical waste fluid. The processor 215 may, for example, operate in accordance with an algorithm for collecting medical waste fluid during a medical procedure using one or more vacuum levels and/or fluid flow rates that may be specified by a user and/or may be preset in the memory 220, 232, for example. In some cases, the instructions may allow the processor 215 to implement a method of providing a user interlock for the medical waste fluid collection cart 102 of the medical waste fluid collection and disposal system 100. For example, the processor 215 may be configured to initiate a startup procedure of the medical waste fluid collection and disposal system 100 upon powering on the controller 210. For example, upon receiving power the processor 215 may process instructions for initializing and/or otherwise preparing the medical waste fluid collection cart 102 for use during a particular medical procedure. The processor 215 may be configured to determine whether an improper shutdown of one or more components (e.g., the medical waste fluid collection cart 102, the evacuation station 104, etc.) of the medical waste fluid collection and disposal system 100 immediately preceded the initiated startup procedure. An example of a startup procedure may include a first startup procedure for use during normal startup conditions and a second startup procedure for use after an improper shutdown procedure (e.g., loss of electrical power, a failure to reset a parameter setting, etc.). In some instances, the processor 215 may be configured to initiate vacuum at a predetermined and/or otherwise preset vacuum level (or flow rate), such as at a low vacuum level, upon start up of the medical waste fluid collection cart 102, during normal startup conditions, after an improper shutdown procedure, and/or regardless of the previous usage.
For example, an improper shutdown of the medical waste fluid collection cart 102 and/or the evacuation station 104 of the medical waste fluid collection and disposal system 100 may include a loss of power (e.g., electrical power) to the medical waste fluid collection cart 102 and/or the evacuation station 104. In some cases, an improper shutdown may be indicated after a failure to reset a parameter setting (e.g., a fluid volume setting) before removing electrical power from the components of the medical waste fluid collection and disposal system 100. In other cases, an improper shutdown may include a failure to complete a previously started medical waste fluid collection process. In some cases, the processor 215 may be configured to process an algorithm for monitoring the incoming power to predict or otherwise detect an imminent or active power outage.
For such cases, the processor 215 may be configured to store a vacuum level into a location in the memory 220, 232, where the stored vacuum level corresponds to the vacuum level that was in use immediately before power was disconnected from the medical waste fluid collection and disposal system 100. If an improper shutdown of a component of the medical waste fluid collection and disposal system 100 was identified, the processor 215 may provide information to be displayed in a notification on the user interface 235 to a user during the subsequent startup procedure. The notification may prompt the user to verify a vacuum level for use by the medical fluid waste collection and disposal system 100 by selecting either, for example, a predetermined/preset vacuum level or a previously programmed vacuum level associated with a previous fluid collection process, where one or more of the predetermined/preset vacuum level or the previously programmed vacuum level are provided by the processor 215 and may be read from the memory 220, 232. Of course, the notification screen may also be displayed to a user during the normal startup procedure where the indication of an improper shutdown is not detected, if desired.
In some cases, the notification screen may be used to inform a user that a predetermined and/or otherwise preset vacuum level (or flow rate) will be used upon start up of the medical waste fluid collection cart. Sometimes, a notification may not be displayed to a user after every startup. In such cases, the medical waste fluid collection cart may be configured to use a predetermined default vacuum level (e.g., at or near zero mm Hg), after a successful startup procedure until the user enters or selects a different vacuum level or flow rate using an input device (e.g., the touch screen, a keyboard, a rotary dial, etc.). In such cases, the input device may be used to provide the user interlock mechanism in preventing the wrong vacuum level or flow rate from being used with a particular medical procedure.
In some cases, the processor 215 may be configured to store a vacuum level associated with an active medical waste fluid collection process in the memory 220, 232. The vacuum level may be stored before the medical waste fluid collection process begins, while the medical waste fluid collection process is active, or after the medical waste fluid collection cart 102 loses power while the medical waste fluid collection process is active. The processor 215 may also store into the memory 220, 232 an indication (e.g., a flag, a binary value, an integer value, etc.) whether the active medical waste fluid collection process completes successfully. The processor 215 may use the stored indication of successful completion of the active waste fluid collection process to display, or not to display (e.g., bypass), the user notification screen before beginning a subsequent medical waste fluid collection process. In some cases, the stored indication may be used to determine which information (e.g., stored vacuum levels, stored flow rate values, etc.) is to be displayed on the user notification screen and/or which information is to be prompted to be received from the user.
The processor 215 may be configured to process instructions to allow for user confirmation of a selected vacuum level for a medical waste fluid collection and disposal system 100 prior to turning on the vacuum pump or otherwise creating suction in the waste canister or cylinder 112 and/or suction tubing to the patient. For example, the processor 215 may be configured for obtaining a vacuum level for use during a medical waste fluid collection process using a user interface 140, 235 of the medical waste fluid collection cart 102. The processor 215 may obtain the vacuum level via a user input device and/or may obtain the vacuum level from a memory 220, 232. The processor 215 may then provide an indication of the obtained vacuum level to a user via a user interface 235, such as via the user interface screens 237. The user interface screens 237 may be configured to prompt the user for confirmation of the obtained vacuum level before initiating the medical waste fluid collection process (e.g., before turning on the vacuum pump or otherwise creating suction in the waste canister or cylinder 112 and/or suction tubing to the patient) and/or for prompting the user to enter a different vacuum level and/or flow rate to be used during the medical waste fluid collection process.
For example, the processor 215 may be configured for reading two or more vacuum levels and/or flow rates from a memory 220, 232 or for obtaining the two or more vacuum levels and/or flow rates from a different source, such as a user interface screen and/or a manual user interface device (e.g., a switch, a potentiometer, dial, etc.). A first vacuum level may be read from the memory 220, 232, wherein the first vacuum level is a vacuum level which may correspond to a passive fluid collection process. A second vacuum level may be read from the memory 220, 232, wherein the second vacuum level may have been stored by the processor 215 during a previously initiated medical waste fluid collection process (which, in some instances, may have been interrupted by a loss of electrical power). A third vacuum level and/or flow rate may be manually entered by a user via a graphical user interface (e.g., a touchscreen, an LED display, an LCD display, a CRT display, etc.) and/or an electromechanical user interface device (e.g., a switch, a potentiometer, dial, etc.). Once entered, the processor 215 may receive the confirmed and/or selected vacuum level from the user interface 235 for use in a subsequent medical waste fluid collection process.
In one example, the processor 215 may be configured to operate the algorithm using an operating system (e.g., Windows, OS X, iOS, Android, Linux, Unix, GNU, etc.), or an example embedded operating system (e.g., QNX, NiagaraAX, Windows CE, etc.). In some cases, the controller 210 may include a timer (not shown). The timer may be integral to the processor 215 or may be provided as a separate component.
The memory 220, 232 of the illustrative controller 210 may be communicatively coupled to the processor 215. The memory 220, 232 may be used to store any desired information, such as the aforementioned control algorithm, a power monitoring algorithm, the configuration of the medical waste fluid collection and disposal system 100, set points, vacuum levels, flow levels, flags, indicators, diagnostic limits, and/or the like. The memory 220, 232 may be any suitable type of storage device including, but not limited to, RAM, ROM, EPROM, flash memory, a hard drive, and/or the like. In some cases, the processor 215 may store information within memory 220, 232, and may subsequently retrieve the stored information. In some cases, the memory 220, 232 may be used to store predetermined/preset vacuum levels and/or flow rates. In some cases, the stored predetermined/preset vacuum levels and/or flow rates may be associated with one or more medical waste fluid collection processes, such as one or more passive fluid collection processes (e.g., near zero mm Hg, about 90 mm Hg or less, about 80 mm Hg or less, about 75 mm Hg or less, about 60 mm Hg or less, about 50 mm Hg or less, about 30 mm Hg or less, within a range from about 0 mm Hg to about 90 mm Hg, a range of about 0 mm Hg to about 75 mm Hg, a range of about 5 mm Hg to about 90 mm Hg, a range of about 5 mm Hg to about 75 mm Hg, a range of about 5 mm Hg to about 50 mm Hg, etc.) or one or more higher rate fluid collection processes (e.g., about 100 mm Hg or more, about 200 mm Hg or more, about 300 mm Hg or more, within a range from about 100 mm Hg to about 350 mm Hg, etc.).
In some cases, the controller 210 may include an input/output block (I/O block) 225 for receiving one or more signals from one or more components of the medical waste fluid collection cart 102 and or for providing one or more signals to the one or more components of the medical waste fluid collection cart 102. For example, the I/O block 225 may be configured to provide signals to and/or to receive signals from one or more lights 250 (e.g., cylinder lights associated with the cylinders 112a-d), one or more switching devices 255 (e.g., solenoids, relays, transistors, etc.), one or more components of a valve drive system 260 (e.g., motors, valves, etc.) including one or more components of the “wash” valve, the “drain” valve and/or the “vent” valve, one or more sensors 265 (e.g., pressure sensors, level sensors, flow sensors, etc.), pumps 270 (e.g., a vacuum pump, an evacuation pump, etc.), and/or one or more other components via one or more communication paths 227. The I/O block 225 may be configured for wired communication via one or more terminal screws, for example, and/or wireless communication via a wireless communication interface, for example. In some cases, the I/O block 225 may be used to communicate with other sensors and/or other devices associated with a particular medical process.
In some cases, as illustrated in
The data port 230 may be configured to communicate with the processor 215 and may, if desired, be used to upload information to the processor 215 and/or download information from the processor 215. Information that can be uploaded and/or downloaded may include, for example, values of operating parameters (e.g., vacuum levels, flow rates, etc.). In some instances, the data port 230 may be used to upload previously-created configurations and/or software updates into the controller 210, thereby hastening the programming process.
In some cases, the data port 230 may be used to download data stored within the memory 220, 232 for analysis and/or transfer to another device. For example, the data port 230 may be used to download, one or more stored flow rates and/or vacuum levels, a faults and/or alerts log and/or parts thereof to a remote device such as a USB memory stick (also sometimes referred to as a thumb drive or jump drive), personal computer, laptop, iPAD® or other tablet computer, PDA, smart phone, or other device, as desired. In some cases, the data may be convertible to an MS EXCEL®, MS WORD®, text, XML, and/or Adobe PDF® file, if desired.
In the illustrative embodiment of
For example, the user interface 235 may include a graphical user interface communicatively coupled to the processor 215 and/or the memory 220, 232 via the data bus 217. The user interface 235 may be configured to allow a user to monitor and/or control one or more functions of the medical waste fluid collection cart 102 and/or the evacuation station 104. The user interface 235 may include one or more screens 237 that may be used to present information to a user and may include at least one user confirmation screen (e.g., the user interface screen 300 of
The communication interface 240 may include one or more communication interfaces for allowing the controller 210 to communicate with one or more other devices, such as via a communication link 247. For example, the communication interface 240 may include a communication interface that allows the medical waste fluid collection cart 102 to communicate with the evacuation station 104 via the coupler 146. In some cases, one or more connectors associated with the communication link 247 may be included within the coupler 146. In other cases, the communication link may be separate from the coupler 146. In some cases, the communication interface 240 may include one or more wired and/or wireless communication interfaces, such as an Ethernet port, a wireless port, an RS-232 port, an RS-422 port, an RS-485 port, and the like. In such cases, the communication interface 240 may allow data entry, reprogramming, upgrading, debugging, and/or other operations to be done remotely, such as by an authorized user, via the communication link 247.
In some cases, it may be desired to use a default or otherwise predetermined vacuum level and/or flow rate upon start up of the medical waste fluid collection cart 102. For example, a user may desire the medical waste fluid collection cart 102 to use a low programmed/preset vacuum level (e.g., at or near zero mm Hg). In such cases, the user interface screen 300 may be configured to solicit user confirmation that warnings and/or other information, such as the programmed/preset vacuum level, was presented to the user such as in the informational section 320 or in the data solicitation section 330. In some cases, the user confirmation screen 300 may be used for programming or otherwise selecting a default, preset or user defined vacuum level and/or flow rate, such as by selecting a value from one or more presented values or by using a user interface device (e.g., a keyboard, buttons, a dial, a slider, etc.) to select a desired value. In some instances, the medical waste fluid collection cart 102 may automatically revert or go to a programmed/preset low vacuum level (e.g., at or near zero mm Hg) upon start up of the medical waste fluid collection cart 102 without user input or confirmation (e.g., without the user selecting a desired vacuum level). The user may then manually adjust (e.g., increase or decrease) the vacuum level from the programmed/preset low vacuum level to a desired vacuum level, as desired.
The selection fields or buttons 340, 350 may be associated with possible selections available to the user. For example, the first selection field or button 340 may correspond to a first vacuum level, such as a vacuum level associated with a passive collection operation. As shown, the selection field or button 340 may include descriptive text and/or an indication 362 of an associated vacuum level (e.g., a vacuum level within the range of about 0 mm Hg to about 70 mm Hg). The second selection field or button 350 may correspond to a second vacuum level, such as a vacuum level associated an immediately preceding use of the medical fluid collection cart 102. Similarly, the selection field or button 350 may include descriptive text and/or an indication 360 corresponding to a vacuum level associated with the previously programmed vacuum level (e.g., the last known vacuum level used prior to an error condition). In some cases, only one selection field 340 may be shown, such as when it has been decided to use a predetermined vacuum level after power has been applied to the medical waste fluid collection cart 102. In such cases, the selection field 340 may display the value of the predetermined vacuum level. In some cases, the selection field 340 may solicit user input by displaying a prompt (e.g., ‘OK’). In some cases, the user interface screen may not include either selection field 340 or selection field 350. Rather, information about the currently active vacuum level setting may be displayed to the user using the title section 305 and/or the informational section 320. In such cases, the user may be prompted to confirm this setting using a user entry device (e.g., a keyboard, a rotary dial, a switch, a button, etc.) before continuing allowing the vacuum level to become active. In some cases, the user interface screen 300 may not be displayed or may not be active for a predetermined duration (e.g., 10 seconds, 15 seconds, etc.).
In some cases, a user interlock may be performed using one or more user entry devices. For example, the medical waste fluid collection cart 102 may be configured to be set at a predetermined/preset vacuum level or flow rate (e.g., at or near zero mm Hg) upon start-up until a user enters a new vacuum level. In some cases, the newly entered vacuum level may become active immediately after entry by a user. However, in many cases, the user may be prompted to confirm the newly entered vacuum level setting before use. For example, a display may prompt the user to confirm the new vacuum level setting, such as by pressing a button (e.g., a mechanical button, a button on a touch screen, etc.), flipping a switch, depressing a key, turning a dial, and the like.
In some cases, the predetermined/preset vacuum level may remain active until a user performs a predetermined sequence of events. For example, the controller of the medical waste fluid collection cart may be programmed to use the predetermined/preset vacuum level after a successful power up sequence. In some cases, the controller may be programmed to override a programmed vacuum level setting until the user performs the predetermined sequence of events. For example, the user may be prompted or otherwise required to depress keys or buttons in a particular sequence. In some cases, the user may be required to move a mechanical entry device (e.g., a dial, a slider, a multi-position switch, etc.) to a particular position before selecting a vacuum level different than the preprogrammed/preset vacuum level. For example, a user may be prompted, or otherwise may be required, to turn a dial from the previously programmed setting (e.g., vacuum level, flow rate, etc.) to a particular position or to a particular vacuum level/flow rate setting (e.g., about zero mm Hg) before turning the dial to the desired vacuum level. Of course, these examples are merely illustrative and are not meant to preclude other similar methods or procedures from being used.
Having thus described several illustrative embodiments of the present disclosure, those of skill in the art will readily appreciate that yet other embodiments may be made and used within the scope of the claims hereto attached.
