Physiological detector and monitor

• US 4,602,644 A
• Filed: 08/18/1982
• Issued: 07/29/1986
• Est. Priority Date: 08/18/1982
• Status: Expired due to Fees

• Current Assignee: Clinical Development Corporation
• Original Assignee: Plasmedics Incorporated
• Inventors: Krasner, Jerome L., DiBenedetto, John P.
• Primary Examiner(s): NOT, DEFINED
• Application Number:
  US06/409,306
• Time in Patent Office: 1,441 Days
• Field of Search: 128/207.18, 128/716, 128/718, 128/720, 128/721, 128/722, 128/724, 128/725, 128/671, 128/689
• US Class Current: 600/538
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 7/003 Detecting lung or respiration noise
• CPC Class Codes: A61M 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02

Abstract

An improved detector and monitor for use with the detector are disclosed for detecting and monitoring a physiological rhythmic signal. When detecting respiration the detector or the monitor is adapted to distinguish between airflow response to inhalation and airflow responsive to exhalation.

Claims

1. A device for sensing respiration in a living body, said device comprising

means adapted to be positioned relative to the respiratory airway of said living body so as to define an air passageway for providing airflow in a first direction responsively to inhalation by said body and a second direction responsively to exhalation by said body;

acoustic signal generating means disposed relative to said passageway for generating a distinctive acoustic signal responsively to airflow from said body in only a selected one of said first and second directions, said acoustic signal having a fundamental frequency higher than the dominant acoustic frequencies normally present in the natural acoustic signals generated by said body during respiration; and

means disposed relative to said acoustic signal generating means for detecting said acoustic signal and for generating an electrical signal representative of said acoustic signal.

2. A device according to claim 1 wherein said acoustic signal generating means includes a resonant cavity disposed relative to said air passageway so that only air flowing in said one of said first and second directions generates said distinctive acoustic signal in said resonant cavity.

3. A device according to claim 2, wherein said means defining said air passageway includes a nasal cannula and said resonant cavity is attached to said cannula.

4. A device according to claim 3, wherein said cannula includes a pair of nasal inserts in fluid communication with said air passageway for insertion in the nasal orifices of the living body and said resonant cavity is positioned at one end of said cannula.

5. A device according to claim 4, wherein said resonant cavity is a closed ended cavity provided at one end of said cannula, the end of said cannula oppsite said cavity is closed and said inserts are disposed between said ends.

6. A device according to claim 5, wherein said nasal inserts are axially displaced from another between said ends of said cannula, and said cannula further includes an air obstruction in said passageway between said inserts.

7. A device according to claim 4, wherein said resonant cavity is a whistle.

8. A device according to claim 1, wherein said device is adapted to be used with apparatus generating a source of acoustic noise including noise at said fundamental frequency in response to the flow of air from said apparatus in the other of said first and second directions and wherein said means for detecting said acoustic signal generates said electrical signal representative of said acoustic signal and said acoustic noise such that said electrical signal diminishes in amplitude in response to air flow in said other of said first and second directions.

9. A device according to claim 1, wherein said means disposed relative to said passageway includes at least one prong disposed in said passageway having a cross-sectional diameter substantially smaller than the internal cross-sectional dimensions of said passageway.

10. A device according to claim 1, wherein said acoustic signal generating means includes a tubular body having an open end and being of smaller cross-sectional dimensions than said passageway, said tubular body extending into said passageway with said open end positioned to receive air flowing in said passageway in said one direction.

11. A device according to claim 10, wherein the end of said tubular body opposite said open end is secured to said means for detecting said acoustic signal and for generating said electrical signal.

12. A device according to claim 1, wherein said acoustic signal generating means includes a vortex shedding element for generating air current eddies in said passageway in response to airflow in at least said one direction, and said means for detecting said acoustic signal is positioned downstream relative to said vortex shedding element in the direction of air flow in said one direction.

13. A device according to claim 1, further including a mask adapted to be worn by said living body and defining in part said passageway, and wherein said acoustic signal generating means and said means for detecting said acoustic signal are attached to said mask.

14. A device according to claim 1, wherein said acoustic signal generating means generates said distinctive acoustic signal in response to exhalation from said body.

15. In a system for sensing the respiration function of a subject, said system comprising, in combination:

(a) detection means for detecting select acoustic energy generated in response to the respiration function of said subject;

(b) signal generating means for generating an electrical signal within a predetermined range of frequencies and representative of said acoustic energy generated in response to the respiration function of said subject and detected by said detection means within said range; and

(c) demodulation means for demodulating said electrical signal so as to produce a demodulated electrical signal and so as to detect a periodic amplitude modulation frequency of the electrical signal;

wherein said system further comprises;

means adapted to be positioned relative to the respiratory airway of said subject so as to define an air passageway for providing airflow in a first direction responsively to inhalation by said subject and a second direction responsively to exhalation by said subject; and

acoustic signal generating means disposed relative to said passageway for generating a distinctive acoustic signal including said select acoustic energy responsively to airflow from said body in only a selected one of said first and second directions, said acoustic signal having a fundamental frequency higher than the dominant acoustic frequencies normally present in the natural acoustic signals generated by said body during respiration;

wherein said detection means is disposed relative to said acoustic signal generating means for detecting said acoustic signal and for generating said electrical signal representative of said acoustic signal.

16. A system according to claim 15, wherein said acoustic signal generating means includes a resonant cavity disposed relative to said air passageway so that only air flowing in said one of said first and second directions generates said acoustic signal in said resonant cavity.

17. A system according to claim 16, wherein said means adapted to be positioned relative to the respiratory airway and defining said air passageway includes a nasal cannula and said resonant cavity is attached to said cannula.

18. A system according to claim 17, wherein said cannula includes a pair of nasal inserts in fluid communication with said air passageway for insertion in the nasal orifices of the living body and said resonant cavity is positioned at one end of said cannula.

19. A system according to claim 18, wherein said resonant cavity is a closed ended cavity provided at one end of said cannula, the end of said cannula opposite said cavity is closed and said inserts are disposed between said ends.

20. A system according to claim 19, wherein said nasal inserts are axially displaced from one another between said ends of said cannula, and said cannula further includes an air obstruction in said passageway between said inserts.

21. A system according to claim 18, wherein said resonant cavity is a whistle.

22. A system according to claim 15, wherein said system is adapted to be used with apparatus generating a source of acoustic noise including noise at said fundamental frequency in response to the flow of air from said apparatus in the other of said first and second directions, and wherein said means for detecting said acoustic signal generates said electrical signal representative of said acoustic signal and said acoustic noise such that said electrical signal diminishes in amplitude in response to airflow in said other of said first and second directions.

23. A system according to claim 22, said system further including means responsive to said electrical signal generated by said detector means for distinguishing between those portions of the electrical signal which are representative of airflow in said one of said first and second directions and those portions of the signal which are representative of airflow in the other of said first and second directions and means for generating a second electrical signal representative of only those portions of the first-mentioned electrical signal representative of airflow in said one of said first and second directions.

24. A system according to claim 23, wherein said means for distinguishing between said portions of said first-mentioned electrical signal includes a threshold detector.

25. A system according to claim 15, wherein said means disposed relative to said passageway includes at least one prong disposed in said passageway and having a cross-sectional diameter substantially smaller than the internal cross-sectional dimensions of said passageway.

26. A system according to claim 15, wherein said acoustic signal generating means includes a tubular body having an open end and being of smaller cross-sectional dimensions than said passageway, said tubular body extending into said passageway with said open end positioned to receive air flowing in said passageway in said one direction.

27. A system according to claim 26, wherein the end of said tubular body opposite said open end is secured to said means for detecting said acoustic signal and for generating said electrical signal.

28. A system according to claim 15, wherein said acoustic signal generating means includes a vortex shedding element for generating air current vortices in said passageway in response to airflow in at least said one direction, and said means for detecting said acoustic signal is positioned downstream relative to said vortex shedding element in the direction of airflow in said one direction.

29. A system according to claim 15, further including a mask adapted to be worn by said living body and defining in part said passageway, and wherein said acoustic signal generating means and said means for detecting said acoustic signal are attached to said mask.

30. A system according to claim 15, wherein said acoustic signal generating means generates said distinctive acoustic signal in response to exhalation from said body.

31. A system for monitoring a physiological repetitive function of a subject, said system comprising, in combination:

detection means for detecting acoustic energy generated in response to the physiological repetitive function of said subject;

signal generating means responsive to the acoustic energy detected by said detection means for generating a first electrical signal containing signal information within at least two bands of frequencies of said detected acoustic energy; and

33. A system according to claim 31, wherein said first electrical signal contains said signal information withing two corresponding bands of electrical frequencies, said one band of frequencies of said first electrical signal contains the envelope frequency of said detected acoustic energy and said other band of frequencies of said first electrical signal contains a frequency representative of the natural frequency of and physiological function, and said means for generating said second electrical signal includes means for detecting a predetermined portion of the envelope of said first electrical signal so as to sense the signal information within said other band of said first electrical signal only within preselected portions of said envelope of said first electrical signal.

35. A system according to claim 33, wherein said physiological function is respiration, said means for generating said control signal generates said control signal as a function of a phase of each cycle of said envelope occurring substantially during inhalation and said means for detecting said predetermined portion of said envelope of said first electrical signal detects the signal information within the other band within a phase of each cycle occurring substantially during exhalation.

37. A device according to claim 35, wherein said acoustic signal generating means includes a resonant cavity disposed relative to said air passageway so that only air flowing in said one of said first and second directions generates said distinctive acoustic signal in said resonant cavity.

39. A device according to claim 37, wherein said cannula includes a pair of nasal inserts in fluid communication with said air passageway for insertion in the nasal orifices of the living body and said resonant cavity is positioned at one end of said cannula.

41. A device according to claim 39, wherein said nasal inserts are axially displaced from one another between said ends of said cannula, and said cannula further includes an air obstruction in said passageway between said inserts.

43. A device according to claim 35, wherein said means disposed relative to said passageway includes at least one prong disposed in said passageway having a cross-sectional diameter substantially smaller than the internal cross-sectional dimensions of said passageway.

44. A device according to claim 35, wherein said acoustic signal generating means includes a tubular body having an open end and being of smaller cross-sectional dimensions than said passageway, said tubular body extending into said passageway with said open end positioned to receive air flowing in said passageway in said one direction.

45. A device according to claim 43, wherein the end of said tubular body opposite said open end is secured to said means for detecting said acoustic signal and for generating said electrical signal.

46. A device according to claim 35, wherein said acoustic signal generating means includes a vortex shedding element for generating air current eddies in said passageway in response to airflow in at least said one direction, and said means for detecting said acoustic signal is positioned downstream relative to said vortex shedding element in the direction of airflow in said one direction.

47. A device according to claim 35, further including a mask adapted to be worn by said living body and defining in part said passageway, and wherein said acoustic signal generating means and said means for detecting said acoustic signal are attached to said mask.

48. A device according to claim 35, wherein said acoustic signal generating means generates said distinctive acoustic signal in response to exhalation from said body.

50. A system according to claim 48, wherein said acoustic signal generating means includes a resonant cavity disposed relative to said air passageway so that only air flowing in said one of said first and second directions generates said acoustic signal in said resonant cavity.

52. A system according to claim 50, wherein said cannula includes a pair of nasal inserts in fluid communication with said air passageway for insertion in the nasal orifices of the living body and said resonant cavity is positioned at one end of said cannula.

54. A system according to claim 52, wherein said nasal inserts are axially displaced from one another between said ends of said cannula, and said cannula further includes an air obstruction in said passageway between said inserts.

56. A system according to claim 48, wherein said means disposed relative to said passageway includes at least one prong disposed in said passageway and having a cross-sectional diameter substantially smaller than the internal cross-sectional dimensions of said passageway.

57. A system according to claim 48, wherein said acoustic signal generating means includes a tubular body having an open end and being of smaller cross-sectional dimensions than said passageway, said tubular body extending into said passageway with said open end positioned to receive air flowing in said passageway in said one direction.

58. A system according to claim 56, wherein the end of said tubular body opposite said open end is secured to said means for detecting said acoustic signal and for generating said electrical signal.

59. A system according to claim 48, wherein said acoustic signal generating means includes a vortex shedding element for generating air current vortices in said passageway in response to airflow in at least said one direction, and said means for detecting said acoustic signal is positioned downstream relative to said vortex shedding element in the direction of airflow in said one direction.

60. A system according to claim 48, further including a mask adapted to be worn by said living body and defining in part said passageway, and wherein said acoustic signal generating means and said means for detecting said acoustic signal are attached to said mask.

61. A system according to claim 48, wherein said acoustic signal generating means generates said distinctive acoustic signal in response to exhalation from said body.

32. means responsive to the signal information in one of said hands for generating a second electrical signal as a function of only preselected portions of said signal information in the other of said bands;

and

means for processing said second electrical signal so as to produce a third signal representative of said physiological repetitive function.

34. A system according to claim 32, wherein said means for detecting said predetermined portion of said envelope includes means for generating a control signal as a function of a first predetermined phase of each cycle of said envelope, and said means for detecting a predetermined portion of said envelope of said first electrical signal senses the signal information within said other band only within a second predetermined phase.

36. A device for sensing respiration in a living body, said device comprising:

means adapted to be positioned relative to the respiratory airway of said living body so as to define an air passageway for providing airflow in a first direction responsively to inhalation by said body and a second direction responsively to exhalation by said body;

acoustic signal generating means disposed relative to said passageway for generating a distinctive acoustic signal responsively to airflow from said body in only a selected one of said first and second directions; and

means disposed relative to said acoustic signal generating means for detecting said acoustic signal and for generating an electrical signal representative of said acoustic signal.

38. A device according to claim 36, wherein said means defining said air passageway includes a nasal cannula and said resonant cavity is attached to said cannula.

40. A device according to claim 38, wherein said resonant cavity is a closed ended cavity provided at one end of said cannula, the end of said cannula opposite said cavity is closed and said inserts are disposed between said ends.

42. A device according to claim 38, wherein said resonant cavity is a whistle.

49. In a system for sensing the respiration function of a subject, said system comprising, in combination:

(a) detection means for detecting select acoustic energy generated in response to the respiration function of said subject;

(b) signal generating means for generating an electrical signal within a predetermined range of frequencies and representative of said acoustic energy generated in response to the respiration function of said subject and detected by said detection means within said range; and

(c) demodulation means for demodulating said electrical signal so as to produce a demodulated electrical signal and so as to detect a periodic amplitude modulation frequency of the electrical signal;

wherein said system further comprises;

means adapted to be positioned relative to the respiratory airway of said subject so as to define an air passageway for providing airflow in a first direction responsively to inhalation by said subject and a second direction responsively to exhalation by said subject; and

acoustic signal generating means disposed relative to said passageway for generating a distinctive acoustic signal including said select acoustic energy responsively to airflow from said body in only a selected one of said first and second directions;

wherein said detection means is disposed relative to said acoustic signal generating means for detecting said acoustic signal and for generating said electrical signal representative of said acoustic signal.

51. A system according to claim 49, wherein said means adapted to be positioned relative to the respiratory airway and defining said air passageway includes a nasal cannula and said resonant cavity is attached to said cannula.

53. A system according to claim 51, wherein said resonant cavity is a closed ended cavity provided at one end of said cannula, the end of said cannula opposite said cavity is closed and said inserts are disposed between said ends.

55. A system according to claim 51, wherein said resonant cavity is a whistle.