Integrated optic system for monitoring blood gases

• US 4,854,321 A
• Filed: 12/02/1988
• Issued: 08/08/1989
• Est. Priority Date: 06/18/1986
• Status: Expired due to Fees

• Current Assignee: Medex Incorporated (Smiths Group International Holdings Ltd.)
• Original Assignee: Medex Incorporated (Smiths Group International Holdings Ltd.)
• Inventors: Hartman, Nile F., Verber, Carl M., Boiarski, Anthony A.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Hanley, John C.
• Application Number:
  US07/282,961
• Time in Patent Office: 249 Days
• Field of Search: 128/632, 128/634, 128/665, 128/666, 128/667
• US Class Current: 600/312
• CPC Class Codes: A61B 5/02154 by optical transmission
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence

Abstract

Blood gases and the like are monitored by a single probe having multiple dye wells and dyes immobilized in the wells, the dyes being exposed to the blood gases. Optical fibers and waveguides connected to the dye wells permit light to be directed from a light source to be dyes and the light due to absorption or the spontaneous emission of the dye returned to a light detector. The intensity, phase shift or other mechanism of the returned radiation is a measure of the partial pressure of a respective blood gas.

Claims

1. A probe for in vivo monitoring constituents of the blood comprising,

a base having a surface,

at least one dye well and one channel formed in said base and opening at the surface of said base, said channel also opening into said dye well;

a first optical fiber having a first end mounted in said channel and a second end opposite said first end,

a waveguide of optically conducting formed in said medium channel and forming an optical coupling between said fiber and said dye well,

a dye in said dye well whose optical characteristics change in the presence of a constituent,

means, permeable to said constituent, for containing said dye within said dye well.

2. Apparatus as in claim 1 further comprising a cannula enclosing a substantial portion of said base and a blood pressure monitoring device mounted on the portion of said base located within said cannula and additional optical fibers connected to said blood pressure monitoring device.

3. Apparatus as in claim 2 further comprising means for continuously supplying a heparin or like solution through said cannula.

4. A probe as in claim 1 in which a plurality of dye wells are formed in said base, each said dye well having a different dye and permeable means combination from the other dye wells for monitoring a plurality of different constituents.

5. A probe as in claim 4 in which each said dye fluoresces when excited by a light beam, said base having an O₂ monitoring dye well containing an O₂ sensitive dye which is insensitive to CO₂ and immobilized in a silicone rubber matrix,

said base having a CO₂ monitoring dye well having a CO₂ sensitive dye which is insensitive to O₂ in a silicone rubber matrix,

and said base having a pH monitoring dye well having a hydrophilic dye sensitive only to pH and immobilized in a hydrophilic matrix.

6. Apparatus as in claim 5 further comprising,

a source of light adjacent said second end of said first optical fiber and directed into said optical fiber, said source having two wavelengths which when directed sequentially onto a dye capable of fluorescing will each produce a fluorescence of differing wavelength, the intensity of fluorsecence for one wavelength of light being different from the intensity of fluorescence for the other wavelength of light,

wherein the ratio of said different intensities will vary with concentration of a constituent in the dye but remain constant for each specific concentration of said constituent regardless of variations in the intensity of the excitation light.

and means adjacent said second end of said first optical fiber for measuring the ratio of intensities of said fluorescence of different wavelengths, whereby the concentration of said constituent can be determined.

7. A probe as in claim 1 in which said base is about 50 mm long, 0.5 mm wide and 0.4 mm thick.

8. A probe as in claim 4 wherein said at least one dye well comprises three dye wells and wherein said channel includes a first portion optically coupled to said first end of said optical fiber and a second portion having three channel branches optically coupled to said first portion and respective ones of said three dye wells.

9. A probe as in claim 8 in which said waveguides are square in cross section and said optical fiber is circular in cross section, wherein said fiber has a core having a diameter equal to the length of a side of said square.

10. A probe for monitoring three fluids comprising,

a base having a surface,

three dye wells formed in said base and opening at the surface of said base,

channels formed in said base opening at the surface of said base and to each of said dye wells, said channels containing an optically conducting medium;

optical fiber means for directing light into and receiving light from said dye wells via said optically conducting medium;

a dye in each said dye well,

each dye in each well being capable of reacting to a respective fluid to be monitored to modify the optical characteristics of the dye,

and a membrane covering each dye well,

each membrane being selectively permeable to a fluid being monitored.

11. A probe according to claim 10,

means for directing light into said optical fiber means and waveguides to interrogate the dye in said dye well,

an optoelectronic means for receiving light from said dye wells via said waveguides and optical fiber means, and for analyzing said receiving light for continuously monitoring the respective fluids in the environment surrounding said base.