Apparatus and method for respired gas collection and analysis

• US 5,046,491 A
• Filed: 10/17/1990
• Issued: 09/10/1991
• Est. Priority Date: 03/27/1990
• Status: Expired due to Term

• Current Assignee: Steven J. Derrick
• Original Assignee: Steven J. Derrick
• Inventors: Derrick, Steven J.
• Primary Examiner(s): Burr, Edgar S.
• Assistant Examiner(s): RACITI, ERIC
• Application Number:
  US07/611,429
• Time in Patent Office: 328 Days
• Field of Search: 128/203.12, 128/203.22, 128/204.11, 128/204.18, 128/207.18, 128/200.24, 128/730, 128/716, 128/718, 128/719, 128/725, 128/911, 128/912
• US Class Current: 128/200.24
• CPC Class Codes: A61B 5/097 Devices for facilitating collection of breath or for directing breath into or through measuring devices
• CPC Class Codes: A61B 5/6819 Nose
• CPC Class Codes: A61M 16/009 Removing used or expired gases or anaesthetic vapours filtering, sterilising or disinfecting the exhaust air in drainage systems A61M1/784; bacterial filters in the expiratory path A61M16/1065
• CPC Class Codes: A61M 16/0605 Means for improving the adaptation of the mask to the patient
• CPC Class Codes: A61M 16/0611 with a gusset portion
• 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
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 2210/0625 Mouth
• CPC Class Codes: A61M 2230/202 partial carbon oxide pressure, e.g. partial dioxide pressure (P-CO2)
• CPC Class Codes: Y10S 128/911 Unilimb inhalation-exhalation breathing tubes

Abstract

Apparatus and method for selective, separate or simultaneous collection and analysis of nasal gases and oral gases, and mixtures thereof, respired by a patient, with optional simultaneous delivery to the patient of selected inhalant gases. The apparatus comprises a nasal gas cannula and an oral gas capture member constructed and arranged to avoid or minimize contact with the patient'"'"'s mouth and other facial surfaces.

Claims

1. Apparatus for collecting, transporting, sampling and analyzing nasal and oral gases respired by a patient, said apparatus comprising

cannula means constructed and arranged for placement in at least one of the patient'"'"'s nares,

said cannula means having at least one opening distal from the patient'"'"'s nare for conducting respired nasal gases,

a nasal respired gas conduit having at least two spaced openings, with one of said openings connected in fluid communication with the respired gas opening of the cannula means and the other end of said nasal respired gas conduit connected to respired gas distribution means,

oral respired gas capture means for placement near the patient'"'"'s mouth,

said oral respired gas capture means comprising a hollow member having at least one aperture therein to permit aggregation of oral respired gases therein and having at least one effluent opening for the removal of oral respired gases therefrom, and

an oral respired gas conduit independent from said nasal respired gas conduit, having at least two spaced openings therein, with one of said openings connected in fluid communication with the effluent opening of said oral respired gas capture means and the other end of said oral respired gas conduit connected to said respired gas distribution means.

2. Apparatus for collecting, transporting, sampling and analyzing gases respired by a patient, said apparatus comprising

cannula means constructed and arranged for placement in at least one of the patient'"'"'s nares,

said cannula means having at least one opening distal from the patient'"'"'s nare for conducting respired nasal gases, and

a nasal respired gas conduit having at least two spaced openings, with one of said openings connected in fluid communication with the respired gas opening of the cannula means and the other end of said nasal respired gas conduit connected to respired gas distribution means, and

oral respired gas capture means suspended from said cannula means near the patient'"'"'s mouth, and

said oral respired gas capture means having a hollow member having at least one aperture therein, constructed and arranged to permit aggregation of oral respired gases therein and having at least one effluent opening for the removal of oral respired gases therefrom, and

an oral respired gas conduit having at least two spaced openings therein, with one of said openings connected in fluid communication with the effluent port of said oral respired gas capture means and the other end of said oral respired gas conduit connected to said respired gas distribution means.

3. Apparatus as described in claim 2 and including

inhalant gas delivery means mounted on said apparatus near the patient'"'"'s nose and mouth and having at least one end of said delivery means open for fluid communication, and

an inhalant gas conduit having at least two spaced openings therein, with one of said openings connected in fluid communication with the opening in the inhalant gas delivery means and the other end of said inhalant gas conduit connected in fluid communication with a source of gases to be delivered to the patient for inhalation by the patient, and

said inhalant gas delivery means having at least one aperture therein constructed and arranged to deliver into the ambient atmosphere around the patient'"'"'s nose and mouth said gas delivered for inhalation by the patient.

4. Apparatus as described in claim 2 wherein said nasal respired gas conduit and said oral respired gas conduit are each separately connected to valve means constructed and arranged for selective delivery from said valve means of a sample gas comprising gas selected from a class including said nasal respired gas separately, and said oral respired gas separately, and a mixture of said oral respired gas and said nasal respired gas.

5. Apparatus as set forth in claim 2 wherein said nasal respired gas conduit and said oral respired gas conduit are connected in fluid communication with analytical means adapted for analysis and determination of the concentrations of carbon dioxide and other gases respired by the patient.

6. Apparatus as described in claim 3 wherein said inhalant gas delivery means comprises a gas delivery tube having formed therein at least one aperture constructed and arranged to permit diffusion of said respired gas into the ambient atmosphere surrounding the patient'"'"'s nose and mouth.

7. Apparatus as described in claim 6 wherein said gas delivery tube comprises a portion of said cannula means.

8. Apparatus as described in claim 2 wherein said oral respired gas capture means comprises

a hood member near the patient'"'"'s mouth, and

an oral gas capture tube, having formed therein at least one aperture constructed and arranged for passage of oral respired gas through said aperture into said oral gas capture tube.

9. Apparatus as described in claim 2, wherein said oral respired gas capture means comprises a hood member having formed therein at least one aperture permitting flow of ambient gases through said hood member.

10. Apparatus as described in claim 2, wherein said oral respired gas capture means is connected to said nasal respired gas cannula means by an adjustable connecting member constructed and arranged to facilitate positioning said oral respired gas capture means near, but spaced from, the patient'"'"'s mouth and other facial surfaces when the cannula means is inserted in the nare of the patient.

11. Apparatus as described in claim 2 wherein said cannula means comprise

a cannula body member, and

a cannula base portion connected to said cannula body member, and

a cannula tube slidably mounted in said cannula base member for adjustment of the length of said cannula tube inserted into the patient'"'"'s nose.

12. Apparatus as described in claim 2 wherein

said cannula means comprise first and second separate cannulas, and

said first cannula is connected to inhalant gas delivery means, and

said second cannula is connected to said nasal respired gas conduit.

13. A method for selective collection and analysis of gas respired by a patient comprising

collecting nasal respired gas in the patient'"'"'s nare, and

collecting oral respired gas, and

separately conducting each of said oral respired gas and said nasal respired gas to a distribution zone, and

conducting from said distribution zone a sample gas comprising one or more gases selected from a class of gases including said nasal respired gas, and said oral respired gas, and a mixture of said nasal respired gas and said oral respired gas, and

analyzing said sample gas for the presence and concentrations of preselected constituents.

14. A method as described in claim 13 wherein said nasal respired gas and said oral respired gas are simultaneously and separately collected.

15. A method as described in claim 13 including

introducing, into the ambient atmosphere near the patient'"'"'s nose and mouth, a preselected inhalation gas.

16. A method as described in claim 13 including

introducing, into the ambient atmosphere near the patient'"'"'s nose and mouth, an inhalation gas comprising a mixture of oxygen and water vapor.

17. A method as described in claim 13 including

introducing, into the ambient atmosphere near the patient'"'"'s nose and mouth, an inhalation gas comprising a mixture of oxygen and analgesic gases.

18. A method as set forth in claim 13 including

introducing, into the ambient atmosphere surrounding the patient'"'"'s nose and mouth, an inhalant gas comprising a mixture of oxygen and anesthetic gases.