Method and apparatus for measuring the gaseous content of blood

• US 4,424,276 A
• Filed: 12/07/1981
• Issued: 01/03/1984
• Est. Priority Date: 12/07/1981
• Status: Expired due to Fees

• Current Assignee: Intermountain Health Care Incorporated (IHC Hospitals, Inc.)
• Original Assignee: Intermountain Health Care Incorporated (IHC Hospitals, Inc.)
• Inventors: Clark, Justin S., Yen, Ming-Cheng
• Primary Examiner(s): Turk, Arnold
• Application Number:
  US06/327,756
• Time in Patent Office: 757 Days
• Field of Search: 23/230 B, 23/928, 422/68, 422/81, 128/635, 204/195 B, 204/1 T, 436/68, 436/134, 436/138, 436/150, 436/50, 436/52
• US Class Current: 205/777.5
• CPC Class Codes: G01N 33/4925 measuring blood gas content, e.g. O2, CO2 , HCO3
• CPC Class Codes: Y10T 436/115831 Condition or time responsive
• CPC Class Codes: Y10T 436/205831 Carbon monoxide only
• CPC Class Codes: Y10T 436/209163 Dissolved or trace oxygen or oxygen content of a sealed environment

Abstract

Method and apparatus for determining the gaseous content of a diluent, such as determining the oxygen or carbon dioxide content of blood. A sample of the diluent whose gaseous content is to be measured is anaerobically pumped past a junction tee after being placed in a reservoir. A second diluent, not part of the sample, is equilibrated with a gas (not the gas to be measured) in a first tonometer. This second equilibrated diluent is pumped past the junction tee where it is mixed with the diluent sample. The gas in the second diluent is selectively chosen to drive the gas to be measured into the dissolved phase. The diluent mixture is then allowed to flow through an appropriate sensor that senses the presence of the gas to be measured. This first measurement is stored in a suitable controller, such as a microprocessor. The controller, after causing the system to be flushed of all traces of the diluent sample, prepares a mixture of two selected diluents, such as first and second saline solutions, one of which is equilibrated in a tonometer to have 0% of the gas to be measured therein, and the other of which is equilibrated in another tonometer to have a known percent of the gas to be measured therein. The controller selectively controls the flow rates at which these two diluents are mixed, typically under the constraint that the flow rate of the mixture through the sensor is the same as was used in obtaining the first sensor measurement, until a second sensor measurement is obtained that is the same as the first sensor measurement. The gaseous content of the diluent sample may then be calculated based upon known physical measurements, such as flow rates, barometric pressure, and temperature.

Claims

1. A method for determining the oxygen content of blood comprising the steps of:

(a) preparing a first saline solution having carbon monoxide gas absorbed therein to a point of equilibrium;

(b) injecting a sample of blood whose oxygen content is to be measured into a blood reservoir;

(c) mixing said first equilibrated saline solution with said blood sample by;

(1) causing said first saline solution to flow into a first inlet port of a mixing tee at a first fixed volumetric flow rate,

(2) causing said blood sample to flow into a second inlet port of said mixing tee at a second fixed volumetric flow rate, and

(3) directing an output port of said mixing tee to a mixing coil wherein said first saline solution and said blood sample are mixed together to form a blood/saline mixture;

(d) causing said blood/saline mixture to flow through an oxygen sensor at a third fixed volumetric flow rate, said third fixed flow rate being determined by the sum of said first and second fixed volumetric flow rates;

(e) recording the measured response of said oxygen sensor to the blood/saline mixture passed therethrough;

(f) preparing a second saline solution having oxygen absorbed therein to a point of equilibrium;

;

p1 (g) mixing said first and second saline solutions together by;

(1) causing said first saline solution to flow into the first inlet port of said mixing tee at a first controlled volumetric flow rate,

(2) causing said second saline solution to flow into the second inlet port of said mixing tee at a second controlled volumetric flow rate, and

(3) directing the output port of said mixing tee to said mixing coil wherein said first and second saline solutions are mixed together to form a saline mixture;

(h) causing said saline mixture to flow through said oxygen sensor at the same third fixed volumetric flow rate as in step (d), said third fixed flow rate being determined by the sum of said first and second controlled volumetric flow rates;

(i) selectively adjusting said first and second controlled volumetric flow rates while maintaining said third fixed volumetric flow rate until the response of said oxygen sensor to said saline mixture flowing therethrough is within a predetermined tolerance of the response of said oxygen sensor measured and recorded in step (e);

(j) calculating the oxygen content of said saline mixture based upon known physical measurements and constants, including the ratio of said first and second controlled volumetric flow rates arrived at in step (i); and

(k) using the calculated oxygen content of said saline mixture as a relatable measure of the oxygen content of said blood sample.

2. A method as defined in claim 1 wherein steps (a) and (f) of preparing a saline solution having a gas absorbed therein to a point of equilibrium include the use of a tonometer.

3. A method as defined in claim 1 wherein the mixture of step (c) comprises a ratio of equilibrated carbon monoxide saline solution to blood of approximately 30 to 1.

4. A method as defined in claim 1 wherein the recording and comparison of the oxygen sensor response included in steps (e) and (i), the selective adjustment of said first and second volumetric flow rates of step (i), and the calculations of steps (j) and (k) are carried out under microprocessor control.

5. A method as defined in claim 4 wherein all steps except step (b) are carried out automaticaly under microprocessor control.

6. A method as defined in claim 4 wherein the volumetric flow rates associated with steps (c), (d), (g) and (h) are set by pumps in fluid connection with appropriate sources of saline solution, said pumps being adapted to pump said saline solutions at flow rates controlled by said microprocessor.

7. A method as defined in claim 6 wherein the pumps are specifically adapted to anaeobically pump said saline solutions.

8. A method for determining the gas content of a first gas dissolved in a first fluid sample comprising the steps of:

(a) preparing a first diluent having a second gas dissolved therein to a point of equilibrium;

(b) injecting a portion of said first fluid sample having said first gas dissolved therein into a reservoir;

(c) mixing said first equilibrated diluent with said first fluid sample by;

(1) causing said first diluent to flow into a first inlet port of a mixing tee at a first volumetric flow rate,

(2) causing said first fluid sample to flow into a second inlet port of said mixing tee at a second fixed volumetric flow rate, and

(3) directing an output port of said mixing tee to a mixing coil wherein said first diluent and said first fluid sample are mixed together to form a first diluent/first fluid sample mixture;

(d) causing said first diluent/first fluid sample mixture to flow through a first gas sensor at a third fixed volumetric flow rate, said third fixed flow rate being determined by the sum of said first and second fixed volumetric flow rates;

(e) recording the measured reponse of said first gas sensor to the first diluent/first fluid sample mixture passed therethrough;

(f) a second diluent solution having said first gas absorbed therein to a point of equilibrated diluents together by;

(1) causing said first diluent to flow into a first inlet port of said mixing tee at a first controlled volumetric flow rate,

(2) causing said second diluent to flow into said second inlet port of said mixing tee at a second controlled volumetric flow rate, and

(3) directing the output port of said mixing tee to said mixing coil wherein said first and second diluents are mixed together to form a first diluent/second diluent mixture;

(h) causing said first diluent/second diluent mixture to flow through said first gas sensor at the same third fixed volumetric flow rate as in step (d), said third fixed flow rate being determined by the sum of said first and second controlled volumetric flow rates;

(i) selectively adjusting said first and second controlled volumetric flow rates while maintaining said third fixed volumetric flow rate until the response of said first gas sensor to said first diluent/second diluent mixture flowing therethrough is within a predetermined tolerance of the response of said first gas sensor measured and recorded in step (e);

(j) calculating the first gas content of said first diluent/second diluent mixture based upon known physical measurements and constants, including the ratio of said first and second controlled volumetric flow rates arrived at in step (i); and

(k) using the calculated first gas content of said first diluent/second diluent mixture as a relatable measure of the first gas content of said first fluid sample.

9. A method as defined in claim 8 wherein the volumetric flow rates associated with each diluent are controlled by an anaerobic pump.

10. A method as defined in claim 9 further wherein said anaerobic pumps are controlled by a microprocessor.

11. A method as defined in claim 10 wherein said microprocessor is further adapted to receive and store the response of said sensor and to perform the calculations of step (j).

12. A method as defined in claim 11 wherein said second gas comprises carbon monoxide.

13. A method as defined in claim 11 wherein said first fluid sample comprises blood, said first gas comprises carbon dioxide, said first gas sensor is adapted to measure carbon dioxide, and said first and second diluents comprise buffered saline solutions buffered at a pH sufficiently low to drive essentially all of the carbon dioxide of the first diluent/second diluent mixture into the dissolved state.

14. A system for measuring the gas content of a first gas dissolved in a first fluid sample comprising:

means for preparing a second fluid sample having a second gas dissolved therein to a point of equilibrium;

means for mixing a quantity of a first fluid sample having a first gas dissolved therein with said second fluid sample to form a first mixture;

means for exposing a gas sensor to said first mixture under controlled conditions, said gas sensor being adapted to signal the amount of said first dissolved gas that has been sensed, and said controlled conditions including means for maintaining the volumetric flow rate of said first mixture at a fixed known value as it comes in contact with said sensor;

means for preparing a third fluid sample having said first gas dissolved therein to a point of equilibrium;

means for mixing said second and third fluid samples to form a second mixture;

means for exposing said gas sensor to said second mixture under controlled conditions, said controlled conditions including means for maintaining the volumetric flow rate of said second mixture at the same fixed known value as said first mixture;

means for selectively adjusting the respective proportions of said second and third fluid samples that constitute said second mixture while maintaining the volumetric flow rate at said fixed known value until a response is generated by said sensor that is approximately the same as the response of said sensor to said first mixture; and

controller means signally connected in said system in such a manner as to provide for the selective mixing of said first and second fluid samples and said second and third fluid samples to form said first and second mixtures respectively, for maintaining the volumetric flow rate of said first and second mixtures, for receiving signals from said gas sensor, and for calculating the content of said first gas in said first fluid sample based upon known physical measurements and constants including volumetric flow rates.

15. A system as defined in claim 14 wherein said means for selectively adjusting the respective proportions of said second and third fluid samples within said second mixture comprises:

a junction tee;

a first conduit that couples a fluid source for said second fluid sample to a first input port of said tee;

a first pump signally connected to said controller means interposed in said first conduit for receiving fluid from said fluid source for said second fluid sample and selectively pumping it at a controlled volumetric flow rate towards said junction tee;

a second conduit that couples a fluid source for said third fluid sample to a second input port of said tee; and

a second pump signally connected to said controller means interposed in said second conduit for receiving fluid from said fluid source for said third fluid sample and selectively pumping it at a controlled volumetric flow rate towards said junction tee;

whereby the proportion of said second or third fluid samples within said second mixture is proportional to the ratio of the respective flow rates associated with said second and third fluid samples to the flow rate of said second mixture.

16. A system as defined in claim 15 wherein said means for preparing said second fluid sample with said second gas dissolved therein comprises a first tonometer permeable to said second gas interposed in said first conduit between said first pump and junction tee, said first tonometer having a source of said second gas coupled thereto.

17. A system as defined in claim 16 wherein said means for preparing said third fluid sample with said first gas dissolved therein comprises a second tonometer permeable to said first gas interposed in said second conduit between said second pump and junction tee, said second tonometer having a source of first gas coupled thereto.

18. A system as defined in claim 17 wherein said means for mixing said first fluid sample with said second fluid sample comprises:

a reservoir interposed in said second conduit between said second tonometer and said junction tee, said reservoir being adapted to receive a quantity of first fluid sample;

an injection port placed in said second conduit between said tonometer and said reservoir, said injection port being adapted to allow said quantity of first fluid sample to be injected into said reservoir; and

wherein said controller means is signally coupled to said first and second pumps so as to selectively energize said pumps, thereby causing said second fluid sample to flow into one input port of said junction tee at a first controlled flow rate as determined by said first pump, and said first fluid sample to flow into the other input port of said junction tee at a second controlled flow rate, said first fluid sample being pushed out of said reservoir, through said second conduit, and into said junction tee by fluid from said second fluid source, which fluid is pumped by said second pump.

19. A system as defined in claim 18 further including a mixing coil coupled to the output of said junction tee.

20. A system as defined in claim 18 wherein said means for exposing said gas sensor to said first and second mixtures under said controlled conditions includes:

an electrode sensor adapted to have said first and second mixtures come in contact therewith after said mixtures have passed through said junction tee;

means for signally connecting said electrode to said controller; and

programming means within said controller for maintaining the flow rate of said mixtures at a desired rate.

21. A system for determining the chemical substances and properties of a fluid matrix comprising:

a first fluid line coupled between a first fluid source and a first port of a first mixing tee;

a second fluid line coupled between a second fluid source and a first port of a second mixing tee;

a third fluid line coupled between a third fluid source and a second port of said second mixing tee;

connection means for coupling a third port of said second mixing tee to a second port of said first mixing tee;

a sensor in fluid communication with a third port of said first mixing tee;

pumping means coupled to each of said first, second, and third fluid lines for selectively and individually controlling the volumetric flow rate of the fluids that respectively flow through said lines;

gas dissolving means coupled to each of said first, second and third fluid lines for selectively and individually dissolving a specified gas in the fluids that respectively flow through said lines to a desired concentration level;

reservoir means interposed in said third fluid line for holding and storing a quantity of fluid therein prior to introducing said fluid to the second mixing tee;

injection means for allowing a sample of a desired fluid matrix whose gaseous content and other chemical properties are to be determined to be injected into said reservoir means; and

a controller coupled to said pumping means and said sensor, said controller being adapted to perform the following tasks;

selectively moving said fluid matrix sample through said first and second mixing tees, splitting said sample into at least two portions as it does so, and to selectively mix said sample portions with fluid having a specified gas dissolved therein from one of said fluid sources, thereby forming at least two sample/fluid mixtures, and for further allowing a specified gas to be dissolved into at least one portion of said fluid matrix sample prior to forming its respective sample/fluid mixture,

allowing said sample/fluid mixtures to be respectively moved into fluid contact with said sensor at a controlled flow rate,

recording the response of said sensor to its contact with said sample/fluid mixtures,

selectively controlling said pumping means so as to flush the system of all traces of said fluid matrix sample,

selectively and sequencially preparing a plurality of fluid mixtures from said first, second and third fluid sources, said mixtures being prepared by controlling the respective flow rates of said first, second, and third fluids as said fluids flow through their respective fluid lines into the corresponding junction tees,

allowing said fluid mixtures to be respectively moved into fluid contact with said sensor at the same flow rate as did said sample/fluid mixtures,

selectively adjusting the flow rates associated with said first, second, or third fluids, thereby adjusting the composition of said fluid mixtures in proportion to said flow rates, the flow rate of said fluid mixtures when exposed to said sensor being maintained constant, until the response of said sensor to a specific fluid mixture is the same as the response of said sensor to a specific sample/fluid mixture, and

calculating the gaseous content and other properties of the fluid matrix sample based upon known physical measurements and constants including flow rates of the fluids.

22. A system as defined in claim 21 wherein said pumping means comprise first, second and third stepper motor controlled syringe pumps coupled respectively to said first, second, and third fluid lines.

23. A system as defined in claim 22 further including first, second, and third valve means coupled respectively to said first, second, and third stepper motor syringe pumps, each of said valve means being adapted to allow fluid to enter into the syringe portion of said pumps from the respective first, second, or third fluid sources, or to allow fluid to be pumped out of the syringe portion of said pumps towards said mixing tees under control of said controller.

24. A system as defined in claim 21 wherein said gas dissolving means comprise first, second, and third tonometers coupled respectively to said first, second and third fluid lines.

25. A system as defined in claim 24 wherein said first, second, and third fluid sources each comprise a source of buffered saline solution having a low pH.

26. A system as defined in claim 24 wherein the first tonometer is permeable to carbon monoxide, the second tonometer is permeable to oxygen, and the third tonometer is permeable to carbon dioxide.

27. A system as defined in claim 26 wherein said sensor includes two separate gas sensitive electrodes, one of which is adapted to be sensitive to oxygen, and the other of which is adapted to be sensitive to carbon dioxide.