System and method for monitoring and controlling intrauterine pressure using a pressure cuff

Patent metadata

Field	Value
Publication number	US-11389198-B2
Application number	US-201916241075-A
Country	US
Kind code	B2
Filing date	Jan 7, 2019
Priority date	Jan 7, 2019
Publication date	Jul 19, 2022
Grant date	Jul 19, 2022

Abstract

A method of determining a pressure of a body cavity with a controller of a fluid management system includes determining a pressure and a volume of a cuff disposed about a collapsible bag, determining a volume of the collapsible bag based on the pressure and the volume of the cuff, and determining a pressure of the collapsible bag based on the volume of the collapsible bag. The method also includes calculating a fluid flow from the collapsible bag into a body cavity from the collapsible bag and determining a pressure of the body cavity based on the fluid flow.

First claim

What is claimed:

1. A method of determining a pressure of a body cavity with a fluid management system, the method comprising:
inflating a cuff to a predetermined pressure to apply pressure to a collapsible bag, wherein inflating the cuff includes manually pumping an air pump to inflate the cuff to the predetermined pressure;
discharging fluid from the collapsible bag into the body cavity under the predetermined cuff pressure;
measuring a change in pressure of the cuff as fluid flows from the collapsible bag into the body cavity;
determining a bag volume change of the collapsible bag using a reference function based on the change in pressure of the cuff;
calculating a fluid flow from the collapsible bag into a body cavity based on the determined bag volume change of the collapsible bag; and
determining the pressure of the body cavity based on the fluid flow such that
P U =P CB −Q F R IN +pgΔh,

wherein P U is the pressure of the body cavity,
P CB is a pressure of the collapsible bag,
Q F is the fluid flow from the collapsible bag,
R IN is a Resistance of output from the collapsible bag,
p is the fluid density,
g is gravity, and
Δh is a height of the collapsible bag.

2. The method according to claim 1 , wherein measuring the change in pressure of the cuff is in response to discharging the fluid from the collapsible bag.

3. The method according to claim 1 , wherein a controller of the fluid management system determines the bag volume change from a memory of the controller.

4. The method according to claim 1 , wherein inflating the cuff to the predetermined pressure includes measuring a pressure of the cuff with a pressure sensor disposed between the air pump and the cuff.

5. The method according to claim 4 , wherein the air pump is a powered air pump.

6. The method according to claim 5 , wherein measuring the pressure of the cuff with the pressure sensor includes increasing, maintaining, or decreasing an air flow within an air hose of the fluid management system increases, maintains, or decreases the pressure of the body cavity to reach the predetermined pressure via a controller.

7. The method according to claim 6 , wherein the controller receives a preset predetermined pressure or an input predetermined pressure.

8. The method according to claim 1 , wherein calculating the fluid flow from the collapsible bag includes subtracting a volume of the collapsible bag at a first time from a volume of the collapsible bag at a second time and dividing the result by the amount of time between the first and second time.

9. The method according to claim 1 , further comprising providing the pressure of the body cavity on a display of a controller.

10. The method according to claim 9 , further including displaying an indication of a state of the controller on the display of the controller.

11. The method according to claim 10 , wherein the state of the controller is one of a calibrating state or a determining fluid flow state.

12. The method according to claim 1 , further comprising transmitting a control signal to the air pump to pump air into the cuff in response to determining the pressure of the body cavity.

13. The method according to claim 1 , wherein inflating the cuff to the predetermined pressure further includes permitting fluid to flow from the collapsible bag into the body cavity.

14. The method according to claim 13 , wherein, as fluid flows from the collapsible bag into the body cavity, the pressure of the cuff decays over time with a decrease in a volume of the collapsible bag.

15. A method of determining a pressure of a body cavity with a fluid management system, the method comprising:
inflating a cuff to a predetermined pressure to apply pressure to a collapsible bag;
discharging fluid from the collapsible bag into the body cavity under the predetermined cuff pressure;
measuring a change in pressure of the cuff as fluid flows from the collapsible bag into the body cavity;
determining a bag volume change of the collapsible bag using a reference function based on the change in pressure of the cuff;
calculating a fluid flow from the collapsible bag into a body cavity based on the determined bag volume change of the collapsible bag; and
determining the pressure of the body cavity based on the fluid flow such that
P U =P CB −Q F R IN +pgΔh,

wherein P U is the pressure of the body cavity,
P CB is a pressure of the collapsible bag,
Q F is the fluid flow from the collapsible bag,
R IN is a Resistance of output from the collapsible bag,
p is the fluid density,
g is gravity, and
Δh is a height of the collapsible bag.

16. The method according to claim 15 , wherein measuring the change in pressure of the cuff is in response to discharging the fluid from the collapsible bag.

17. The method according to claim 15 , wherein a controller of the fluid management system determines the bag volume change from a memory of the controller.

18. The method according to claim 15 , wherein inflating the cuff to the predetermined pressure includes measuring a pressure of the cuff with a pressure sensor disposed between an air pump and the cuff.

19. The method according to claim 15 , wherein calculating the fluid flow from the collapsible bag includes subtracting a volume of the collapsible bag at a first time from a volume of the collapsible bag at a second time and dividing the result by the amount of time between the first and second time.

20. The method according to claim 15 , further comprising providing the pressure of the body cavity on a display of a controller.

Assignees

• Covidien Lp

Inventors

• Whisler Jordan A
• Begg Nikolai D

Classifications

• A61B17/42 Primary

  Gynaecological or obstetrical instruments or methods {(ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708)} · CPC title

• A61M3/0262

  manually, e.g. by squeezing a bulb · CPC title

• A61M3/0233

  characterised by liquid supply means, e.g. from pressurised reservoirs · CPC title

• A61M3/0208 Primary

  before use · CPC title

• A61M3/0202

  with electronic control means or interfaces · CPC title