Agent gas analyzer and method of use

• US 5,046,018 A
• Filed: 09/11/1989
• Issued: 09/03/1991
• Est. Priority Date: 09/11/1989
• Status: Expired due to Term

• Current Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Original Assignee: Nellcor Incorporated (Medtronic Plc)
• Inventors: Flewelling, Ross F., Johansson, Eric T., Culver, John A., Ferus, Lucille A., Breton, Keith H.
• Primary Examiner(s): Teska, Kevin J.
• Application Number:
  US07/406,230
• Time in Patent Office: 722 Days
• Field of Search: 250/338, 250/343, 250/345, 250/344, 356/51, 356/437, 364/413.02, 364/413.03, 364/496-499, 128/719, 422/83
• US Class Current: 702/24
• CPC Class Codes: A61B 5/083 Measuring rate of metabolism by using breath test, e.g. measuring rate of oxygen consumption
• CPC Class Codes: A61M 16/104 specially adapted for anaesthetics A61M16/18 takes precedence
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/102 Measuring a parameter of the content of the delivered gas
• CPC Class Codes: A61M 2016/1035 the anaesthetic agent concentration
• CPC Class Codes: G01N 2021/3129 Determining multicomponents by multiwavelength light
• CPC Class Codes: G01N 21/3504 for analysing gases, e.g. multi-gas analysis

Abstract

An agent gas analyzer that will determine the types and measure simultaneously the concentrations of a plurality of agent gases in a respiratory gas stream of an anesthetized patient, with the analyzer self-determining the agent gas types and concentrations each time gas measurements are made.

Claims

1. A method for simultaneously determining concentrations of N gases in a respiratory gas stream, where N>

1, comprising the steps of;

(a) irradiating a portion of said respiratory gas stream with radiation;

(b) positioning each of N different filters to intercept said radiation after said radiation passes through and is partially absorbed by said portion of said respiratory gas stream to produce N different bands of wavelengths of said radiation;

(c) detecting the amount of radiation in each of said N different bands of wavelengths of said radiation;

(d) generating N electrical absorption signals representative of said amount of radiation in said N bands; and

(e) computing simultaneously the concentrations of each of said N gases in the respiratory gas stream using matrix equations with a dimension of the matrix equal to N, and including said N electrical absorption signals as variables which are at least second order variables in said matrix equations.

2. The method as recited in claim 1, wherein said at least second order variables are third order variables.

3. The method of claim 1 further comprising the steps of:

storing coefficients for said matrix equation in a memory, said coefficients varying according to the values of said electrical absorption signals; and

applying said electrical absorption signals to said memory to select a set of coefficients for use in said matrix equation.

4. The method of claim 1 wherein said irradiating is done in the infrared range.

5. The method of claim 1 further comprising the steps of:

detecting said amount of radiation absorbed during periods when a rate of change of a reference gas in said respiratory gas stream is within a predetermined range; and

when the amount of radiation absorbed in one of said N bands is not detected in one of said periods, interpolating a value from values for absorption in said one band from previous and subsequent periods based on a time-weighted average.

6. The method of claim 1 further comprising the steps of:

detecting the absorption of radiation in a reference band corresponding to absorption by a reference gas indicative of inspired and expired events in a breath cycle of said respiratory gas stream;

determining the occurence of an inspired or expired event from the amount of radiation detected in said reference band; and

computing and displaying said concentrations for a period of time corresponding to one of said inspired and expired events.

7. The method of claim 6 wherein said reference gas is carbon dioxide.

8. The method of claim 7 further comprising the steps of:

determining a sample period within one of said inspired and expired periods wherein the rate of change of absorption by said reference gas is within a predetermined range; and

performing said computing step on absorptions detected during said sample period of time.

9. The method of claim 6 wherein said determining the occurence of an inspired or expired event includes determining whether the absorption in said reference band for said inspired and expired events crossed inspired and expired threshold levels, respectively.

10. The method of claim 9 wherein said inspired and expired threshold levels are continually adjusted based upon both previous inspired and expired events.

11. A method for simultaneously determining concentrations of N gases in a respiratory gas stream having repeated breath cycles of a patient, comprising the steps of:

(a) irradiating a portion of said respiratory gas stream with radiation;

(b) positioning each of N different filters and a reference filter to intercept said radiation after said radiation passes through and is partially absorbed by said portion of said respiratory gas stream to produce N different bands and a reference band of wavelengths of said radiation;

(c) detecting the amount of radiation in each of said N different bands of wavelengths of said radiation and said reference band for determining a position in said breath cycles;

(d) generating electrical absorption signals representative of the amount of absorption detected in step (c) for said N bands;

(e) determining portions of each said breath cycle during which the rate of change of said electrical absorption signal for said reference band is within a predetermined range;

(f) measuring the absorption of radiation by the respiratory gas stream in as many bands from 1 to N as may e accomplished when the rate of change of said electrical absorption signal for said reference band is within said predetermined range for each said breath cycle;

(g) computing simultaneously the concentrations of each of said N gases in the respiratory gas stream using matrix equations with a dimension of the matrix equal to N, and including said N electrical absorption signals as variables which are at least second order variables in said matrix equations, if all said N electrical absorption signals were generated during a breath cycle; and

(h) computing simultaneously the concentrations of each of said N gases in the respiratory gas stream using said matrix equations if less than N electrical absorption signals were generated during a breath cycle by interpolating values for the number of electrical absorption signals not generated during such breath cycle based on a time-weighted average for each electrical absorption signal not generated using electrical absorption signals generated during previous and subsequent breath cycles.

12. A method for simultaneously determining concentrations of N gases in a respiratory gas stream, comprising the steps of:

(a) irradiating a portion of said respiratory gas stream with radiation;

(b) positioning each of N different filters and a reference filter to intercept said radiation after said radiation passes through and is partially absorbed by said portion of said respiratory gas stream to produce N different bands and a reference band of wavelengths of said radiation;

(c) detecting the amount of radiation absorbed in said reference band of radiation;

(d) determining an inspired event and expired event of a breath cycle from the amount of detected radiation in said reference band;

(e) determining for each of the inspired and expired events the time when the rate of change of radiation absorbed in said reference band has a slope within a predetermined range;

(f) detecting an amount of absorption of radiation by the respiratory gas stream at said N discrete bands separately for both the inspired and expired events during the time when said rate of change of absorption in the reference band has a slope within the predetermined range for each event; and

(g) computing simultaneously the concentrations of each of said N gases in the respiratory gas stream separately for the inspired and expired events using matrix equations with a dimension of the matrix equal to N, and including said amounts of absorption in said N bands as variables which are at least second order variables in said matrix equations.

13. The method as recited in claim 12, wherein said at least second order variables are third order variables.

14. A method for determining a concentration for each of N gases in a respiratory gas stream comprising the steps of:

irradiating said respiratory gas stream with radiation;

positioning each of N different filters and a reference filter to intercept said radiation after said radiation passes through and is partially absorbed by said portion of said respiratory gas stream to produce N different bands and a reference band of wavelengths of said radiation;

detecting the of radiation in said reference band corresponding to absorption by a reference gas indicative of inspired and expired events in a breath cycle of said respiratory gas stream;

determining the occurrence of an inspired or expired event from the amount of radiation detected in said reference band;

detecting the amount of radiation absorbed by said respiratory gas stream in said N different bands of wavelengths of said radiation;

computing and displaying said concentrations from said amounts of radiation absorbed for a period of time corresponding to one of said inspired and expired events;

determining a sample period within one of said inspired and expired periods wherein the rate of change of absorption by said reference gas is within a predetermined range; and

performing said computing step on absorptions detected during said sample period of time.

15. The method of claim 14 further comprising the step of detecting said amount of radiation absorbed during periods when a rate of change of said reference gas in said respiratory gas stream is within a predetermined range.

16. The method of claim 15 further comprising the step of, when the amount of radiation absorbed in one of said N bands is not detected in one of said periods, interpolating a value for the amount of radiation absorbed from values for absorption in said one band from previous and subsequent periods based on a time-weighted average.

17. A method for determining a concentration for each of N gases in a respiratory gas stream, comprising the steps of:

irradiating said respiratory gas stream with radiation;

positioning each of N different filters to intercept said radiation after said radiation passes through and is partially absorbed by said portion of said respiratory gas stream to produce N different bands of wavelengths of said radiation;

detecting the absorption of radiation in as many of said N bands of wavelengths of said radiation as is possible during each of a plurality of measurement periods;

interpolating to determine the absorption in any of said N bands when absorption is not detected in one of said measurement periods; and

computing the concentrations of each of said N gases using detected and interpolated absorptions with multiple simultaneous equations;

wherein said measurement period is one of an inspired and expired event in a breath cycle.

18. A method for determining a concentration for each of N gases in a respiratory gas stream, comprising the steps of:

irradiating said respiratory gas stream with radiation;

positioning each of N different filters to intercept said radiation after said radiation passes through and is partially absorbed by said portion of said respiratory gas stream to produce N different bands of wavelengths of said radiation;

detecting the absorption of radiation in as many of said N bands of wavelengths of said radiation as is possible during each of a plurality of measurement periods;

interpolating to determine the absorption in any of said N bands when absorption is not detected in one of said measurement periods; and

computing the concentrations of each of said N gases using detected and interpolated absorptions with multiple simultaneous equations;

wherein said multiple simultaneous equations are matrix equations with said absorptions being variables which are at least second order variables.

19. A method for determining the concentrations of N gases in a respiratory gas stream, where N>

1, comprising the steps of;

irradiating said respiratory gas stream with radiation;

positioning each of N different filters to intercept said radiation after said radiation passes through and is partially absorbed by said portion of said respiratory gas stream to produce N different bands of wavelengths of said radiation;

detecting the absorption of said radiation in one of said N bands of wavelengths of said radiation;

comparing a detected absorption in said one band to criteria for an event;

determining whether said absorption is within said event;

detecting the absorption of radiation in said N bands other than said one in said event;

determining whether said absorption for said other bands are within said event; and

computing the concentrations of each of said N gases during said event using detected absorptions with multiple simultaneous equations;

wherein said criteria include determining whether the absorption levels for a reference gas cross threshold levels for inspired and expired events of a breath cycle.

20. A method for determining the concentrations of N gases in a respiratory gas stream, where N>

1, comprising the steps of;

irradiating said respiratory gas stream with radiation;

positioning each of N different filters to intercept said radiation after said radiation passes through and is partially absorbed by said portion of said respiratory gas stream to produce N different bands of wavelengths of said radiation;

detecting the absorption of said radiation in one of said N bands of wavelengths of said radiation;

comparing a detected absorption in said one band to criteria for an event;

determining whether said absorption is within said event;

detecting the absorption of radiation in said N bands other than said one in said event;

determining whether said absorption for said other bands are within said event; and

computing the concentrations of each of said N gases during said event using detected absorptions with multiple simultaneous equations;

wherein said criteria includes a predetermined range for a rate of change of said one band.

21. The method of claim 20 wherein said one band corresponds to a reference gas.

22. The method of claim 20 wherein said one band corresponds to an agent gas.

23. The method of claim 20 wherein said multiple simultaneous equations are matrix equations with said absorptions being variables which are at least second order variables.