Non-invasive method for monitoring cardiopulmonary parameters

• US 4,452,252 A
• Filed: 05/26/1981
• Issued: 06/05/1984
• Est. Priority Date: 05/26/1981
• Status: Expired due to Term

• Current Assignee: VivoMetrics, Inc.
• Original Assignee: Respitrace Corporation
• Inventors: Sackner, Marvin A.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US06/266,850
• Time in Patent Office: 1,106 Days
• Field of Search: 128/693, 128/694, 128/713, 128/721-723, 128/725, 128/688, 128/670, 128/671, 128/716, 128/687, 128/689, 128/774
• US Class Current: 600/484
• CPC Class Codes: A61B 5/1073 Measuring volume, e.g. of limbs
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion

Abstract

A method for monitoring cardiopulmonary events is disclosed. The basic method comprises looping an extensible conductor (14) in close encircling relation about the neck (12) of the subject (10), providing a signal indicative of the inductance of the loop, and monitoring the signal. This signal contains both qualitative and quantitative cardiopulmonary information. In accordance with another aspect of the method, an extensible conductive loop (14) is disposed in close encircling relation about the head such that the plane defined by the loop extends through the mouth. By providing a signal indicative of changes in the inductance of the loop, qualitative and quantitative information for mouth volume may be obtained.

Claims

1. A method for non-invasively monitoring one or more cardiopulmonary events in a subject comprising:

disposing about the neck means for detecting changes in cross-sectional area or a parameter indicative thereof;

providing a signal indicative of the changes in cross-sectional area or a parameter indicative thereof as detected by said detecting means; and

monitoring said signal, said signal being indicative of said cardiopulmonary events.

2. The method according to claim 1, wherein said disposing step comprises looping an extensible conductor in close encircling relation about the neck and wherein said signal providing step comprises measuring changes in the inductance of the conductive loop.

3. The method according to claim 2, wherein said monitoring step comprises processing said signal whereby to remove the carotid arterial pulse component, and monitoring said processed signal.

4. The method according to claim 3, wherein said processing step comprises low pass filtering said signal.

5. The method according to claim 4, further comprising time series averaging said signal.

6. The method according to claim 3, wherein said processing step comprises time series averaging said signal.

7. The method according to claim 3, further comprising calibrating said signal to provide a signal semi-quantitatively related to intrapleural pressure.

8. The method according to claim 7, further comprising looping an additional extensible conductor in close encircling relation about the neck, providing an additional signal indicative of the changes in the inductance of the additional conductive loop, processing the additional signal whereby to remove the carotid arterial pulse component, and calibrating said first mentioned signal and said additional signal for respiratory events having first and second frequencies, respectively.

9. The method according to claim 3, wherein said monitoring step comprises monitoring the amplitude of said signal to detect specific pulmonary events.

10. The method according to claim 3, wherein said monitoring step comprises monitoring the frequency of said signal to detect specific pulmonary events.

11. The method according to claim 3, wherein said monitoring step comprises monitoring the pattern of said signal to detect specific cardiopulmonary events.

12. The method according to claim 2, wherein said monitoring step comprises processing said signal whereby to remove the respiration component, and monitoring said processed signal.

13. The method according to claim 12, wherein said processing step comprises high pass filtering said signal.

14. The method according to claim 13, further comprising time series averaging said signal.

15. The method according to claim 12, wherein said processing step comprises time series averaging said signal.

16. The method according to claim 4, further comprising comparing said processed signal with signals from an EKG and phonocardiogram whereby to determine systolic time intervals.

17. The method according to claim 12, wherein said monitoring step comprises monitoring the amplitude of said signal to detect specific cardiac events.

18. The method according to claim 12, wherein said monitoring step comprises monitoring the frequency of said signal to detect specific cardiac events.

19. The method according to claim 12, wherein said monitoring step comprises monitoring the pattern of said signal to detect specific cardiac events.

20. The method according to claim 2, wherein said monitoring step comprises splitting said signal into first and second signals, processing said first signal whereby to remove the carotid arterial pulse component, processing said second signal whereby to remove the respiration component, and monitoring said processed first and second signals.

21. The method according to claim 2, further comprising looping an additional extensible conductor in close encircling relation about another portion of the body of said subject at the site of a pulse other than the carotid pulse;

providing an additional signal indicative of the changes in the inductance of the additional conductive loop; and

comparing the signal from the conductor looped about the neck with said additional signal whereby to determine arterial pulse wave velocity.

22. The method according to claim 21, wherein said other pulse is the brachial, radial or finger pulse.

23. The method according to claim 2, wherein said monitoring step comprises monitoring the amplitude of said signal to detect specific cardiopulmonary events.

24. The method according to claim 2, wherein said monitoring step comprises monitoring the frequency of said signal to detect specific cardiopulmonary events.

25. The method according to claim 2, wherein said monitoring step comrpises monitoring the pattern of said signal to detect specific cardiopulmonary events.

26. The method according to claim 2, further comprising looping an additional extensible conductor in close encircling relation about the neck;

providing an additional signal indicative of the changes in the inductance of the additional conductive loop; and

wherein said monitoring step comprises processing said first-mentioned signal and said additional signal to remove, respectively, the carotid arterial pulse component and the respiration component, and monitoring said processed signals.