Method and apparatus for monitoring a patient's circulatory status

• US 4,945,918 A
• Filed: 05/04/1988
• Issued: 08/07/1990
• Est. Priority Date: 05/04/1988
• Status: Expired due to Fees

• Current Assignee: Charles M. Abernathy, Jr., Family Trust
• Original Assignee: Charles M. Abernathy
• Inventors: Abernathy, Charles M.
• Primary Examiner(s): Green, Randall L.
• Assistant Examiner(s): Reichle, K. M.
• Application Number:
  US07/189,977
• Time in Patent Office: 825 Days
• Field of Search: 128/236, 128/716, 128/719, 128/725, 128/727, 128/202.22, 128/205.23, 128/202.13, 128/671, 116/200, 116/201, 116/206, 116/209, 922/3-5, 922/84-89, 922/103, 922/104, 436/133
• US Class Current: 600/532
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 16/0078 Breathing bags
• CPC Class Codes: A61M 16/0084 self-reinflatable by elasticity, e.g. resuscitation squeeze bags
• CPC Class Codes: A61M 16/08 Bellows; Connecting tubes having means for taking samples G01N1/22; Water traps; Patient circuits
• CPC Class Codes: A61M 16/0816 Joints or connectors
• CPC Class Codes: A61M 2016/0413 with detectors of CO2 in exhaled gases
• CPC Class Codes: A61M 2205/583 by visual feedback
• CPC Class Codes: A61M 2205/584 having a color code
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: G01N 33/497 of gaseous biological material, e.g. breath

Abstract

A method and apparatus for monitoring a patient'"'"'s circulatory status during cardiopulmonary resuscitation is disclosed. The apparatus includes a housing defining a passageway through which the patient'"'"'s breath passes. The device also includes a carbon dioxide indicator in communication with said passageway for indicating the presence of carbon dioxide in the patient'"'"'s breath over a temporary period of time wherein the length of the temporary period is a known function of the level of carbon dioxide in the patient'"'"'s breath. Accordingly, the level or concentration of carbon dioxide in the patient'"'"'s breath is easily determined by simply measuring the length of the temporary period. The preferred carbon dioxide indicator utilizes a chemical substance that changes color when exposed to carbon dioxide. The chemical substance is preferably disposed in an internal chamber which is in communication with the housing'"'"'s passageway. The internal chamber is preferably sized and configured to contain a predetermined amount of the chemical substance so that all of the substance changes color over a period of about four minutes when exposed to the breath of a patient containing about 1% carbon dioxide.

Claims

1. An apparatus for monitoring a patient'"'"'s circulatory status during cardiopulmonary resuscitation comprising:

a housing defining carbon dioxide indicating passageway means for passing the patient'"'"'s breath and

means in communication with said passageway means for indicating the presence of carbon dioxide in the patient'"'"'s breath over a temporary period wherein the length of the temporary period of indicating is a known function of the level of carbon dioxide in the patient'"'"'s breath so that the carbon dioxide level is determinable by measuring the length of the temporary period, the level of carbon dioxide thereby providing an indication of the patient'"'"'s circulatory status.

2. An apparatus as claimed in claim 1 wherein said housing defines an internal chamber in communication with said passageway, means said means for indicating the presence of carbon dioxide being disposed within said internal chamber.

3. An apparatus as claimed in claim 2 wherein said chamber is cylindrically shaped with the portion of said housing defining said internal chamber being transparent.

4. An apparatus as claimed in claim 1 wherein said carbon dioxide indicating means further includes:

scale means for indicating whether the patient'"'"'s breath contains a specific percentage of carbon dioxide.

5. An apparatus as claimed in claim 1 wherein said carbon dioxide indicating means includes:

chemical substance means for changing color when exposed to breath containing carbon dioxide; and

internal chamber means in communication with said passageway means of the housing for receiving a predetermined amount of said chemical substance means so that said chemical substance means changes color at a rate which enables the level of carbon dioxide in the patient'"'"'s breath to be determinable by measuring the length of the period over which said chemical substance means changes color, the level of carbon dioxide in the patient'"'"'s breath thereby providing an indication of the patient'"'"'s circulatory status.

6. An apparatus as claimed in claim 5 wherein said means for indicating the presence of carbon dioxide includes breath transmitting filter means for retaining said chemical substance means in said internal chamber means.

7. An apparatus as claimed in claim 6 wherein said filter means includes a cooper screen having mesh ranging between #40 and #80.

8. An apparatus as claimed in claim 5 wherein the length of the period over which the predetermined amount of said chemical substance means in said chamber means changes color is inversely proportional to the level of carbon dioxide in the patient'"'"'s breath.

9. An apparatus as claimed in claim 8 wherein the length of the period is at least thirty seconds when said chemical substance means in said chamber means is exposed to breath containing about 1% carbon dioxide.

10. An apparatus as claimed in claim 8 wherein the length of the period is about four minutes when said chemical substance means in said chamber means is exposed to breath containing about 1% carbon dioxide.

11. An apparatus as claimed in claim 10 wherein said internal chamber means is cylindrically shaped and filled with said chemical substance means so as to provide a column of said chemical substance means that changes color along the column when exposed to breath of the patient containing carbon dioxide, said indicating means further including scale means calibrated with time indicating marks located on said internal chamber means along said column for indicating whether the patient'"'"'s breath contains at least 1% carbon dioxide, the 1% level of carbon dioxide being indicated if that portion of the column indicated by said time indicating mark changes color in a period of time that is equal to or less than the time indicated for said time indicating mark.

12. An apparatus as claimed in claim 5 further comprising:

removable sealing means for sealing said internal chamber means to prevent said chemical substance means from being exposed to carbon dioxide until said removable sealing means is removed from said apparatus.

13. An apparatus as claimed in claim 12 wherein said internal chamber means has a sealable end in communication with said passageway means and wherein said removable sealing means includes a sealing pull tab which is sized and configured and provided with a suitable adhesive on one side thereof to sealingly cover said sealable end of said internal chamber means, said sealing tab also being provided with a tab end extending out of said apparatus to enable said tab end to be grasped and thereby removed when it is desired to use said apparatus.

14. An apparatus for monitoring patient'"'"'s circulatory status during cardiopulmonary resuscitation comprising:

a housing defining passageway means for passing the patient'"'"'s breath; and

carbon dioxide indicating means in communication with said passageway means for indicating the presence of carbon dioxide in the patient'"'"'s breath over a temporary period wherein the length of the temporary period of indicating is a known function of the level of carbon dioxide in the patient'"'"'s breath so that the carbon dioxide level is determinable by measuring the length of the temporary period, said indicating means including chemical substance means for changing color when exposed to carbon dioxide, said indicating means also including internal chamber means in communication with said passageway means for receiving a predetermined amount of said chemical substance means so that all of said chemical substance means changes color at a predetermined rate which is proportional to the level of carbon dioxide in the patient'"'"'s breath so that the level of carbon dioxide in the patient'"'"'s breath is determinable by measuring the length of the period over which said chemical substance means changes color, the level of carbon dioxide in the patient'"'"'s breath thereby providing an indication of the patient'"'"'s circulatory status.

15. An apparatus as claimed in claim 14 wherein said chemical substance means includes an acid-base indicator and an amine.

16. An apparatus as claimed in claim 14 wherein said chemical substance means includes thymol blue and ethanol amine.

17. An apparatus as claimed in claim 14 wherein the length of the period over which the predetermined amount of chemical substance means in said chamber means changes color is about four minutes when said chemical substance means is exposed to breath of the patient containing about 1% carbon dioxide.

18. A method for monitoring a patient'"'"'s circulatory status during cardiopulmonary resuscitation, said method comprising the steps of:

providing resuscitation means for resuscitating the patient, the resuscitation means having breath passing means for passing the patient'"'"'s breath;

resuscitating the patient with the resuscitation means;

providing an apparatus for attachment to the breath passing means of the resuscitation means, the apparatus including;

a housing defining passageway means for passing the patient'"'"'s breath which is in communication with the breath passing means of the resuscitation means when the apparatus is attached to the resuscitation means; and

carbon dioxide indicating means in communication with the passageway means for indicating the presence of carbon dioxide in the patient'"'"'s breath over a temporary period wherein the length of the temporary period is a known function of the level of carbon dioxide in the patient'"'"'s breath;

attaching the apparatus to the resuscitation means so that the patient'"'"'breath passes into the passageway means of the apparatus and contacts the carbon dioxide indicating means, such contact beginning the temporary period over which the indicating means indicates the presence of carbon dioxide; and

measuring the length of the temporary period to determine the level of carbon dioxide in the patient'"'"'s breath, the level of carbon dioxide thereby providing an indication of the patient'"'"'s circulatory status.