Non-invasive monitoring of cardiac output

• US 5,105,815 A
• Filed: 07/20/1990
• Issued: 04/21/1992
• Est. Priority Date: 10/08/1987
• Status: Expired due to Fees

• Current Assignee: Johnson & Johnson Vision Care Incorporated (Johnson & Johnson)
• Original Assignee: Abbey Biosystems Limited
• Inventors: Clancy, Paul, Hall, Peter R., Trehearne, Jack, Parker, Dawood
• Primary Examiner(s): Jaworski, Francis
• Application Number:
  US07/556,311
• Time in Patent Office: 641 Days
• Field of Search: 128/661.08-661.10, 128/696, 128/713
• US Class Current: 600/454
• CPC Class Codes: A61B 5/273 Connection of cords, cables or leads to electrodes
• CPC Class Codes: A61B 5/274 using snap or button fasteners
• CPC Class Codes: A61B 5/28 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 8/065 to determine blood output from the heart in general A61B5/029

Abstract

A device for positioning/retaining a transducer relative to a body characterized in that it comprises a supporting member for placement on the body, connected thereto one end of a flexible and elongate arm, which has a mount for the transducer at or near the remote end thereof, and means for locking the arm in a fixed position relative to the body is disclosed.

Also disclosed are an apparatus for monitoring aortic blood velocity and derived parameters by Doppler ultrasound and, optionally, ECG comprising such a device and that use of such an apparatus.

Claims

1. A method of monitoring the cardiac output of a patient comprising

monitoring ECG signals from the patient to determine systole and diastole portions of the period between heart beats,

monitoring Doppler signals from the patient to determine rate of blood flow including measuring a parameter of the Doppler signal during systole, measuring said parameter of the Doppler signal during diastole, computing the ratio between said parameter of the Doppler signal during systole and said parameter of the Doppler signal during diastole, and rejecting the Doppler signal if said ratio is beyond a predetermined threshold value, and

computing the blood flow volume from the Doppler signals obtained substantially only during the systole portion of the period between heart beats.

2. A method of monitoring the cardiac output of a patient according to claim 1 wherein said parameter is maximum frequency of significant energy integrated over time.