PHOTOACOUSTIC MONITORING TECHNIQUE

• US 20140275943A1
• Filed: 03/15/2013
• Published: 09/18/2014
• Est. Priority Date: 03/15/2013
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kang, DongYel, Chen, Bo, Huang, Qiaojian, Li, Youzhi
• Application Number:
  US13/840,944
• Publication Number:
  US 20140275943A1
• Time in Patent Office: Days
• US Class Current: 600/407
• CPC Class Codes: A61B 5/0095 by applying light and detecting acoustic waves, i.e. photoacoustic measurements
• CPC Class Codes: A61B 5/0275 using tracers, e.g. dye dilution
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/1451 for interstitial fluid
• CPC Class Codes: A61B 5/7228 Signal modulation applied to the input signal sent to patient or subject; demodulation to recover the physiological signal modulation H03C
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence

Abstract

Various methods and systems for photoacoustic patient monitoring are provided. A photoacoustic system includes a light emitting component that emits one or more wavelengths of light into an interrogation region of a patient and an acoustic detector that detects acoustic energy generated by the interrogation region of the patient in response to the emitted light. The system may be implemented to receive photoacoustic waves from a local vein and artery and determine hemodynamic parameters based on a summed indicator dilution curve representative of both arterial and venous indicator dilution.

Claims

1. A photoacoustic monitoring system, comprising:

a memory storing instructions for;

receiving a signal from an acoustic detector configured to detect a photoacoustic effect from light emitted into a patient'"'"'s tissue, wherein the signal is representative of an indicator concentration in an artery and a vein; and

determining a physiological parameter based at least in part on the signal; and

a processor configured to execute the instructions.

2. The system of claim 1, wherein determining the physiological parameter based at least in part on the signal comprises providing a summed dilution curve based on the signal and determining the physiological parameter based on the summed dilution curve.

3. The system of claim 1, comprising a photoacoustic sensor comprising a light source and the acoustic detector, wherein the photoacoustic sensor is configured to generate the signal.

4. The system of claim 1, wherein the acoustic detector comprises a fixed focus ultrasound detector.

5. The system of claim 1, wherein the acoustic detector comprises a flat ultrasound detector.

6. The system of claim 4, wherein the fixed focus ultrasound detector has a central frequency of 1-5 MHz.

7. The system of claim 4, wherein the fixed focus ultrasound detector has a focal length of about 2 cm or less.

8. The system of claim 3, comprising an encoder disposed on the photoacoustic sensor or on a cable coupled to the photoacoustic sensor, wherein the encoder is configured to store one or more of calibration information or information related to characteristics of the acoustic detector.

9. The system of claim 1, wherein the physiological parameter comprises a cardiac output.

10. A photoacoustic monitoring system, comprising:

a monitor configured to;

receive a signal representative of an indicator concentration in an artery and a vein; and

determine a physiological parameter based at least in part on the signal; and

a sensor coupled to the monitor, comprising;

a light source configured to emit light into a tissue, wherein the tissue includes an artery and a vein; and

a flat or fixed focus ultrasound receiver configured to detect a photoacoustic effect from the light emitted into the tissue to generate the signal, wherein a focal length of the flat or fixed focus ultrasound receiver encompasses the artery and the vein.

11. The system of claim 10, wherein the focal length is about 7 cm or less.

12. The system of claim 10, wherein the focal length is between 0.1 cm and 2 cm.

13. The system of claim 10, wherein the monitor is configured to provide an indicator dilution curve from the signal.

14. The system of claim 10, wherein the physiological parameter is related to blood flow.

15. The system of claim 10, wherein the monitor is configured to receive an input related to an indicator injection time point.

16. A method, comprising:

using a processor;

receiving a signal from a fixed focus or flat acoustic detector configured to detect a photoacoustic effect from light emitted into a patient'"'"'s tissue, wherein the signal is representative of an indicator concentration in an artery and a vein; and

determining a physiological parameter based at least in part on the signal.

17. The method of claim 16, comprising providing an indication of the physiological parameter on a display.

18. The method of claim 16, wherein determining the physiological parameter comprises determining an indicator concentration from the signal.

19. The method of claim 16, wherein the signal is representative of an indicator concentration in a temporal vein and artery.

20. The method of claim 16, wherein the signal is representative of an indicator concentration in a femoral vein and artery.