Abstract: Flow parameters in a fluid delivery assembly are determined by monitoring pressure responses and processing those responses along with information regarding the fluid flow. In one aspect, a processor controls the pump to pump flow quantities in accordance with a pseudorandom code. Portions of the resulting pressure signal sensed at the conduit is averaged, and the averaged values are then decoded in accordance with the pseudorandom code. An estimate of the equilibrium pressure is generated from the decoded average pressure values, while a summation of the pressure samples is generated from the undecoded pressure signals. The resistance to fluid flow of the system is determined from the estimated equilibrium pressure and pressure summation. For low flow rates, a processor controls the pump to pump fluid in a series of fluid boluses, with each fluid bolus delivered in the beginning of a separate timeslot.

Abstract: A system for increasing the volumetric flow uniformity of fluid pumped through a conduit by an infusion pump. A pumping mechanism operates in identifiable step movements that are broken down into microstep movements that are then grouped into packets. The pumping mechanism controls the period of each microstep, so that the sum of the microstep periods in a packet is essentially equal to the packet period, with little or no waiting time on the motor. The motor preferably begins moving the assigned microsteps in each packet immediately upon the beginning of the time period, but controls the period of the microsteps for that packet.

Abstract: A pumping segment of a fluid line alternately in fluid communication with the upstream and downstream portions of the fluid line connects a fluid supply to a fluid receiver. A pressure sensor located downstream of the segment monitors the pressure during the segment's communication with the upstream and downstream ends. The pressure difference is used to establish a pressure threshold against which the average pressure is compared to determine if an upstream occlusion exists. Should the average pressure fall within a cautionary zone, the pump is reversed to examine the pressure difference once again. Based on the pressure difference during the reversal, a pressure threshold line may be adjusted thereby adapting to fluid administration conditions.

Abstract: A system for noninvasively continuously monitoring arterial blood pressure includes a tissue stress sensor that has a continuous diaphragm for sensing stress within tissue adjacent a preselected artery caused by arterial pulsations within that artery. The stress sensitive diaphragm is coupled with electromechanical means for producing electrical signals that represent the stress within the tissue that is communicated to the sensor. These signals are then processed electronically in order to yield an output that is indicative of the arterial blood pressure of the preselected artery. The disclosed system includes methods of operation for determining blood pressure while maintaining a preselected artery in an optimum applanation state and an off-optimum applanation state.

Abstract: A system for increasing the volumetric flow uniformity of fluid pumped through a conduit by an infusion pump. A pumping mechanism operates in identifiable step movements that are broken down into microstep movements that are then grouped into packets. The pumping mechanism controls the period of each microstep, so that the sum of the microstep periods in a packet is essentially equal to the packet period, with little or no waiting time on the motor. The motor preferably begins moving the assigned microsteps in each packet immediately upon the beginning of the time period, but controls the period of the microsteps for that packet.

Abstract: Flow parameters in a fluid delivery assembly are determined by monitoring pressure responses and processing those responses along with information regarding the fluid flow. In one aspect, a processor controls the pump to pump flow quantities in accordance with a pseudorandom code. Portions of the resulting pressure signal sensed are then decoded in accordance with the pseudorandom code. An estimate of the equilibrium pressure is generated from the decoded pressure values, while a summation of the pressure samples is generated from the undecoded pressure signals. The resistance to fluid flow of the system is determined from the estimated equilibrium pressure and pressure summation. For low flow rates, a processor controls the pump to pump fluid in a series of fluid boluses, with each fluid bolus delivered in the beginning of a separate timeslot. The equilibrium pressure is measured at the end of each timeslot, and a summation of the pressure samples is generated from the pressure signals.

Abstract: A system for increasing the volumetric flow uniformity of fluid pumped through a conduit by an infusion pump. A pumping mechanism operates in identifiable step movements that are broken down into microstep movements that are then grouped into packets. The pumping mechanism controls the period of each microstep, so that the sum of the microstep periods in a packet is essentially equal to the packet period, with little or no waiting time on the motor. The motor preferably begins moving the assigned microsteps in each packet immediately upon the beginning of the time period, but controls the period of the microsteps for that packet.

Abstract: Flow parameters in a fluid delivery assembly are determined by monitoring pressure responses and processing those responses along with information regarding the fluid flow. In one aspect, a processor controls the pump to pump flow quantities in accordance with a pseudorandom code. Portions of the resulting pressure signal sensed at the conduit is averaged, and the averaged values are then decoded in accordance with the pseudorandom code. An estimate of the equilibrium pressure is generated from the decoded average pressure values, while a summation of the pressure samples is generated from the undecoded pressure signals. The resistance to fluid flow of the system is determined from the estimated equilibrium pressure and pressure summation. For low flow rates, a processor controls the pump to pump fluid in a series of fluid boluses, with each fluid bolus delivered in the beginning of a separate timeslot.

Abstract: A system for noninvasively continuously monitoring arterial blood pressure includes a tissue stress sensor that has a continuous diaphragm for sensing stress within tissue adjacent a preselected artery caused by arterial pulsations within that artery. The stress sensitive diaphragm is coupled with electromechanical means for producing electrical signals that represent the stress within the tissue that is communicated to the sensor. These signals are then processed electronically in order to yield an output that is indicative of the arterial blood pressure of the preselected artery. The disclosed system includes methods of operation for determining blood pressure while maintaining a preselected artery in an optimum applanation state and an off-optimum applanation state.

Abstract: A pumping segment of a fluid line alternately in fluid communication with the upstream and downstream portions of the fluid line connects a fluid supply to a fluid receiver. A pressure sensor located downstream of the segment monitors the pressure during the segment's communication with the upstream and downstream ends. The pressure difference is used to establish a pressure threshold against which the average pressure is compared to determine if an upstream occlusion exists. Should the average pressure fall within a cautionary zone, the pump is reversed to examine the pressure difference once again. Based on the pressure difference during the reversal, a pressure threshold line may be adjusted thereby adapting to fluid administration conditions.

Abstract: Flow parameters in a fluid delivery assembly are determined by monitoring pressure responses and processing those responses along with information regarding the fluid flow. In one aspect, a processor controls the pump to pump flow quantities in accordance with a pseudorandom code. Portions of the resulting pressure signal sensed are then decoded in accordance with the pseudorandom code. An estimate of the equilibrium pressure is generated from the decoded pressure values, while a summation of the pressure samples is generated from the undecoded pressure signals. The resistance to fluid flow of the system is determined from the estimated equilibrium pressure and pressure summation. For low flow rates, a processor controls the pump to pump fluid in a series of fluid boluses, with each fluid bolus delivered in the beginning of a separate timeslot. The equilibrium pressure is measured at the end of each timeslot, and a summation of the pressure samples is generated from the pressure signals.

Abstract: A pumping mechanism moving in movement increments is controlled to space those movement increments in direct proportion to the volume resulting from each movement increment. In a further aspect, movement increments are grouped to result in approximately equal volumes per group. The mechanism moves continuously through the movement increments in each group. Groups are spaced to result in approximately equal flow volumes per group. The number of groups decreases as the flow rate increases. The number of movement increments in each group and the volume of each group increase as the flow rate increases.

Abstract: A device for mounting a tonometry sensor upon a patient's wrist includes a base portion that is specifically adapted to generally conform to the patient's wrist while providing a stable placement of the tonometry sensor relative to a preselected artery. A sensor housing is movably mounted upon the base portion and configured such that the mounting device has an essentially equal thickness at each end of the device. A strap member is provided for releasably securing the mounting device to a patient's wrist. The mounting device facilitates more accurate, non-invasive blood pressure measurement by providing a stable placement of the tonometry sensor relative to the tissue overlying a preselected artery at a measurement location and, further, limits undesirable movement by the patient to thereby reduce undesirable error in the blood pressure measurement.

Abstract: Impedance to fluid flow in a fluid delivery line is measured. Two techniques are used depending on the flow rate selected. For high flow rates, the pump is controlled to vary the flow rate and the change in pressure is divided by the change in flow to directly determine the resistance. For low flow rates, a processor controls the pump to pump flow quantities in accordance with a pseudo-random binary code. The resulting pressure signal sensed at the conduit is decoded in accordance with that code. Pressures received during code periods of no flow are subtracted from pressures received during code periods of flow. Pressure offset is also removed and a least squares estimation approach is used with a linear prediction model to determine impedance. The coefficients determined in the model are used to calculate the resistance to fluid flow of the system. A quality supervisor monitors the resistance determination process and controls the display of resistance depending on the quality determined.

Abstract: A pressure waveform monitor for non-invasively monitoring the pressure waveform inside a vessel, such as an artery, includes a flexible diaphragm extended across an opening of a container containing a fluid. The flexible diaphragm is placed against tissue surrounding an artery such that arterial pressure causes a deflection in the diaphragm. A deflection in the diaphragm causes the fluid to be redistributed throughout the container which is effectively divided into an array of volume compartments. The relative volume distribution is determined through impedance plethysmography. The diaphragm is maintained in a calibrated position by maintaining the array of volume compartments at relatively unchanged volumes. When the relative volumes remain essentially unchanged, calibrated tonometry is possible. The pressure within the container is then used to determine the pulse waveform and the pressure within the artery.

Abstract: An air ejection system usable with a pressure vessel for a pumping segment for fluid flow and for incorporation into a fluid delivery system. The air ejection system includes a vane positioned directly in the fluid flow path to redirect flow into the pressure vessel to wash out air bubbles that may accumulate there. In one aspect, the vane is shaped to provide a redirected flow to wash the entire internal area of the pressure vessel. In another aspect, the vane is shaped so that when the pressure vessel is loaded by a pressure sensor, the redirected flow path has a uniform cross-sectional area throughout its entire length.

Abstract: A pumping segment for incorporation into a fluid delivery system, the segment having a dome-shaped pressure vessel with an optimal shape for interfacing with a pressure sensing element, and which is capable of uniformly distributing pressure across its interfacing structure and being optimally pre-loaded against the pressure sensing element. The pumping segment including a lateral restraint to inhibit rupture of the unloaded pressure vessel when experiencing high internal pressures.

Abstract: A pressure waveform monitor for non-invasively monitoring the pressure waveform inside a vessel, such as an artery, includes a flexible diaphragm extended across an opening of a container containing a fluid. The flexible diaphragm is placed against tissue surrounding an artery such that arterial pressure causes a deflection in the diaphragm. A deflection in the diaphragm causes the fluid to be redistributed throughout the container which is effectively divided into an array of volume compartments. The relative volume distribution is determined through impedance plethysmography. The diaphragm is maintained in a calibrated position by maintaining the array of volume compartments at relatively unchanged volumes. When the relative volumes remain essentially unchanged, calibrated tonometry is possible. The pressure within the container is then used to determine the pulse waveform and the pressure within the artery.

Abstract: Bidirectional flow patterns are induced in a fluid supply line and the reverse flow resistance and the forward flow resistance are measured and compared. A measure of the resistance to flow is made by normalizing a sum of the entire pressure response about a pressure baseline according to the volume of fluid in the bidirectional flow pattern. In the event that the cannula is positioned near or against the vessel wall, the resulting relatively large negative pressure response can indicate the positional irregularity. In one embodiment, a time period of zero flow is included between the positive and negative flow volumes to permit the system to stabilize.

Abstract: A pressure waveform monitor noninvasively monitors the pressure waveform in an underlying vessel such as an artery. The apparatus comprises at least one continuous, relatively thin and narrow diaphragm mounted in a housing to be placed on the tissue overlying the vessel of interest. The diaphragm is longer than the diameter of the vessel for purposely monitoring pressure in the tissue adjacent the vessel of interest. The tonometer also comprises deformation sensor means for measuring deformation of the diaphragm both over the vessel and adjacent the vessel, and signal processing means for combining the waveform of the vessel as monitored by the part of the diaphragm over the vessel with the waveforms of adjacent tissue to accurately determine the actual pressure waveform in the vessel.