Apparatus for identifying and manipulating a blood vessel, and corresponding method

Patent metadata

Field	Value
Publication number	US-11510616-B2
Application number	US-201816480681-A
Country	US
Kind code	B2
Filing date	Jan 29, 2018
Priority date	Jan 30, 2017
Publication date	Nov 29, 2022
Grant date	Nov 29, 2022

Abstract

The invention relates to a detection apparatus and a method for detecting and manipulating a blood vessel under the skin of part of the body of a patient, which comprises a treatment chamber for accommodating the body part, a data processing control device, a vascular structure measuring device for detecting the position and/or dimensions of vascular structure data of the blood vessel in the treatment chamber by measurement, a vascular manipulation device for changing the position and/or dimension of the blood vessel, wherein the control device is designed to control the vascular manipulation device as a function of the vascular structure data.

First claim

The invention claimed is:

1. A detection apparatus for detecting and manipulating a blood vessel under the skin of a body part of a patient, comprising
a treatment chamber for accommodating the body part;
a data processing control device;
a vascular structure measuring device for detecting a position and/or dimensions of the blood vessel in the treatment chamber by measurement of vascular structure data of the blood vessel in the treatment chamber; and
a vascular manipulation device for changing the position and/or the dimensions of the blood vessel,
wherein the vascular manipulation device comprises a movable holding device and a pressing head,
the movable holding device is a robotic arm for placing the pressing head onto the body part,
the data processing control device is designed to control the vascular manipulation device as a function of the vascular structure data,
the data processing control device is designed to determine from the vascular structure data whether the blood vessel is of a predetermined thickness, and
the data processing control device is designed to control the vascular manipulation device such that the blood vessel attains the predetermined thickness and maintains the predetermined thickness for at least a predetermined interval of time.

2. The detection apparatus according to claim 1 , wherein the vascular manipulation device is designed as a pressing device and a control of the pressing device is effected by a setting of a contact pressure.

3. The detection apparatus according to claim 2 , wherein the pressing device comprises a force sensor or a pressure sensor for measuring the contact pressure.

4. The detection apparatus according to claim 3 , wherein the data processing control device is designed such that a predetermined or a data processing control device-determined maximum contact pressure is not exceeded.

5. The detection apparatus according to claim 1 , wherein the vascular structure measuring device is designed as an image capture device and comprises an optical measurement or is based on an ultrasound measurement.

6. The detection apparatus according to claim 1 , wherein the data processing control device is designed to regulate the vascular manipulation device as the function of the vascular structure data.

7. The detection apparatus according to claim 1 , wherein the data processing control device is designed to perform a change of the position and/or the dimensions of the blood vessel within a predetermined time interval.

8. A cannulation robot comprising the detection apparatus of claim 1 and being arranged for an automatic cannulation of a blood vessel of the body part of the patient detected by the detection apparatus.

9. A method for operating a detection apparatus, comprising:
detecting a position and/or dimensions of a blood vessel under the skin of a body part of a patient in a treatment chamber by measuring vascular structure data of the blood vessel in the treatment chamber;
changing the position and/or the dimensions of the blood vessel by means of a vascular manipulation device that is controlled by a data processing control device as a function of the vascular structure data, wherein
the vascular manipulation device comprises a movable holding device and a pressing head,
the movable holding device is a robotic arm for placing the pressing head onto the body part,
the changing the position and/or the dimensions of the blood vessel comprises pressing the body part of the patient with the pressing head,
it is determined from the vascular structure data, by means of the data processing control device, whether the blood vessel is of a predetermined thickness, and
the vascular manipulation device is controlled, by means of the data processing control device, such that the blood vessel attains the predetermined thickness and maintains the predetermined thickness for at least a predetermined interval of time.

10. A method for a cannulation of the blood vessel, wherein the blood vessel is disposed under the skin of a body part of a patient, wherein the method comprises the method steps according to claim 9 and, subsequent to the changing the position and/or the dimensions of the blood vessel by means of the vascular manipulation device, automatically cannulating the manipulated blood vessel.

Assignees

• Fresenius Medical Care Deutschland Gmbh

Inventors

• Kopperschmidt Pascal
• Daniel Pia
• Spickermann Reiner
• Arkossy Otto
• Scholz Cacilia
• Ritter Kai-Uwe
• Schulte Elke
• Hauke Christopher

Classifications

• A61B2090/373

  using light, e.g. by using optical scanners · CPC title

• A61B5/1535

  comprising means for indicating vein or arterial entry (A61B5/1545 takes precedence) · CPC title

• A61B34/20

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title

• A61M2205/3375

  Acoustical, e.g. ultrasonic, measuring means · CPC title

• A61B5/150786

  Optical identification systems, e.g. bar codes, colour codes · CPC title