CATHETER SYSTEMS WITH BLOOD MEASUREMENT DEVICE AND METHODS

• US 20090156916A1
• Filed: 12/29/2008
• Published: 06/18/2009
• Est. Priority Date: 12/18/2007
• Status: Abandoned Application

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Wang, Huisun, Stangenes, Todd
• Application Number:
  US12/345,590
• Publication Number:
  US 20090156916A1
• Time in Patent Office: Days
• US Class Current: 600/339
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61B 5/15003 for venous or arterial blood
• CPC Class Codes: A61B 5/150389 Hollow piercing elements, e.g. canulas, needles, for piercing the skin
• CPC Class Codes: A61B 5/150503 Single-ended needles hollow piercing element tip design A61B5/150396, needle sets for catheters A61M25/06, needles for bringing media into the body A61M5/32
• CPC Class Codes: A61B 5/15087 short range, e.g. between console and disposable using implanted devices A61B5/150877
• CPC Class Codes: A61B 5/150992 Blood sampling from a fluid line external to a patient, such as a catheter line, combined with an infusion line; blood sampling from indwelling needle sets, e.g. sealable ports, luer couplings, valves tubing connectors and couplings A61M39/00
• CPC Class Codes: A61B 5/153 Devices specially adapted for taking samples of venous or arterial blood, e.g. with syringes
• CPC Class Codes: A61B 5/157 Devices characterised by integrated means for measuring characteristics of blood

Abstract

Catheter systems with blood measurement device and methods are disclosed. An exemplary catheter system for use in positioning a distal end of a catheter body at a desired location in a patient'"'"'s body may include a needle provided at the distal end of the catheter body to withdraw blood from the patient'"'"'s body. The needle is fluidically connected to a proximal end of the catheter body. The catheter system may also include a measurement device provided at the proximal end of the catheter body. The measurement device is configured to receive blood withdrawn by the needle for measuring a blood gas value of the blood for use in positioning the distal end of the catheter body at the desired location in the patient'"'"'s body.

Claims

1. A catheter system for use in positioning a distal end of a catheter body at a desired location in a patient'"'"'s body, comprising:

a needle provided at the distal end of the catheter body to withdraw blood from the patient'"'"'s body, the needle fluidically connected to a proximal end of the catheter body;

a measurement device provided at the proximal end of the catheter body, the measurement device configured to receive blood withdrawn by the needle for measuring a blood gas value of the blood for use in positioning the distal end of the catheter body at the desired location in the patient'"'"'s body.

2. The system of claim 1, wherein the measurement device includes at least one detector configured for measuring the blood gas value.

3. The system of claim 1, wherein the measurement device includes at least one sensor configured for measuring the blood gas value.

4. The system of claim 3, wherein the sensor includes at least one LED for generating optical signals for measuring the blood gas value.

5. The system of claim 3, wherein the sensor includes at least one infrared (IR) device for generating IR signals for measuring the blood gas value.

6. The system of claim 1, wherein the measurement device converts optical signals to electrical signals representative of the blood gas value.

7. The system of claim 1, further comprising a processor configured to determine the blood gas value based on output from the measurement device.

8. The system of claim 7, wherein the processor correlates the blood gas value to a position of the catheter in the patient'"'"'s body.

9. The system of claim 7, wherein the processor correlates a threshold change in the blood gas value to a position of the catheter in the patient'"'"'s body.

10. The system of claim 1, wherein the measurement device is operable with a conventional catheter.

11. The system of claim 10, wherein the needle for withdrawing the blood from the patient'"'"'s body is the same needle used for piercing a heart wall in the patient'"'"'s body during positioning of the catheter body in the patient'"'"'s body.

12. A catheter system comprising:

a catheter body having a proximal end and a distal end, the proximal end having a handle for positioning the distal end in a patient'"'"'s body,

a needle insertable through the catheter body to the distal end of the catheter body, the needle configured to withdraw blood from the patient'"'"'s body near the distal end of the catheter body;

a measurement device provided at the proximal end of the catheter body, the measurement device measuring a blood gas value of the blood; and

an output device operatively associated with the measurement device, the output device configured to output information based on the blood gas value for use in positioning the distal end of the catheter body at the desired location in the patient'"'"'s body.

13. The system of claim 12, wherein the measurement device includes at least one detector and at least one sensor configured for measuring the blood gas value.

14. The system of claim 12, wherein the measurement device utilizes at least one of optical and infrared (IR) signals representative of the blood gas value.

15. The system of claim 12, wherein the measurement device is an oximeter.

16. The system of claim 12, wherein the output device is configured to determine the blood gas value based on output from the measurement device.

17. The system of claim 12, wherein the output device is configured to correlate the blood gas value to a position of the catheter in the patient'"'"'s body.

18. The system of claim 12, wherein the output device is configured to detect a threshold change in the blood gas value.

19. A method for use in positioning a catheter at a desired location in a patient'"'"'s body, comprising:

inserting the catheter into the patient'"'"'s body;

withdrawing blood from the patient'"'"'s body at a distal end of the catheter, and transferring the withdrawn blood through the catheter to a proximal end of the catheter;

measuring at least one parameter in the withdrawn blood at the proximal end of the catheter while the catheter remains inserted in the patient'"'"'s body; and

using the at least one measured parameter to assist in positioning the catheter at the desired location in the patient'"'"'s body.

20. The method of claim 19, wherein the at least one parameter includes at least one of an oxygen saturation value, a carbon dioxide value, and a pH value.

21. The method of claim 19, wherein measuring the at least one parameter includes at least one of an optical measurement and a chemical measurement.

22. The method of claim 19, further comprising correlating the at least one parameter to a position of the catheter in the patient'"'"'s body.

23. The method of claim 19, further comprising correlating a threshold change in the at least one parameter to a position of the catheter in the patient'"'"'s body.

24. The method of claim 23, wherein withdrawing the blood from the patient'"'"'s body is in real-time during positioning of the catheter in the patient'"'"'s body.

25. The method of claim 23, wherein withdrawing the blood from the patient'"'"'s body is without having to insert a separate device within the catheter during positioning of the catheter in the patient'"'"'s body.

26. The method of claim 23, wherein withdrawing the blood from the patient'"'"'s body is with a needle of the catheter, the needle used for piercing a heart wall in the patient'"'"'s body.

27. The method of claim 23, wherein measuring the at least one parameter is without one or more sensors and detectors of an oximeter contacting the blood.