Non-invasive estimation of individual lung function

• US 5,159,935 A
• Filed: 03/08/1990
• Issued: 11/03/1992
• Est. Priority Date: 03/08/1990
• Status: Expired due to Term

• Current Assignee: VivoMetrics, Inc.
• Original Assignee: NIMS Incorporated
• Inventors: Sackner, Joathan D., Sackner, Marvin A.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Pfaffle, K. M.
• Application Number:
  US07/491,675
• Time in Patent Office: 971 Days
• Field of Search: 128/716, 128/720-723, 128/725, 128/774, 128/782
• US Class Current: 600/534
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion

Abstract

A non-invasive method and apparatus for monitoring individual lung function is disclosed. A transducer (12, 14) is disposed on the torso above the lung to be monitored, the transducer producing a signal corresponding to movement of the torso portion therebeneath which, in turn, corresponds to changes in the volume of the underlying lung. Regional lung volume changes may also be assessed by utilizing transducers positioned on the torso to encompass only a portion of the underlying lung.

Claims

1. A non-invasive method for monitoring individual lung function in a subject having a torso and right and left sides of the torso defined on opposite sides of a midsternal line, comprising:

disposing a transducer on the subject'"'"'s torso, said transducer being disposed on one only of the right and the left sides of the subject'"'"'s torso for overlying only a portion of the chest and back of the subject'"'"'s torso above an individual lung to be monitored, said transducer producing a signal corresponding to the movement of the portion therebeneath; and

monitoring the signal produced by said transducer, said signal corresponding to volume changes in the underlying individual lung.

2. The method of claim 1, wherein said disposing step further comprises disposing at least one plethysmographic transducer.

3. The method of claim 2, further comprising the step of securing said at least one plethysmographic transducer to the subject'"'"'s torso.

4. The method of claim 1, wherein said disposing step further comprises disposing a first hemithoracic transducer band on the right side of the subject for monitoring right lung functions, and wherein said method further comprises disposing a second hemithoracic transducer band on the left side of the subject for monitoring left lung functions, each of said first and second transducer bands forming a continuous loop that courses, anteriorly, vertically near a right mid-clavicular line and a left mid-clavicular line, respectively, of the subject'"'"'s torso, then horizontally at a lower rib cage, and then posteriorly, near a right mid-scapular line and a left mid-scapular line, respectively, of the subject'"'"'s torso vertically back to a left and right shoulder, respectively.

5. The method of claim 4, further comprising the step of securing each of said first and second plurality of transducer bands to the subject.

6. The method of claim 4, wherein each of said first and second transducer band disposing steps comprising coursing the respective transducer band horizontally at said lower rib cage about 2-4 centimeters below the subject'"'"'s nipple line, and wherein each of said first and second transducer bands is about 2.5 centimeters wide.

7. The method of claim 1, wherein said disposing step comprises disposing a first plurality of inductive plethysmographic transducer bands above the left lung of the subject so that each transducer band of said first plurality of bands overlies a different portion of the left lung, said method further comprising the step of disposing a second plurality of inductive plethysmographic transducer bands above the right lung of the subject so that each transducer band of said second plurality of bands overlies a different portion of the right lung.

8. The method of claim 7, wherein the step of disposing each said first and second plurality of transducer bands further comprises disposing three generally oval transducer bands above each lung so that a first of said oval transducer bands is positioned above an upper region of its corresponding lung, a second of said oval transducer bands is positioned above a middle region of its corresponding lung, and a third of said oval transducer bands is positioned above a lower region of its corresponding lung.

9. The method of claim 7, wherein the step of disposing each of said first and second plurality of transducer bands further comprises disposing each of said bands near a mid-clavicular line anteriorly and near a mid-scapular line posteriorly.

10. The method of claim 7, wherein the step of disposing said first and second plurality of transducer bands further comprise disposing said first and second plurality of inductive plethysmographic transducer bands in spaced relation about the left and right shoulders, respectively, of the subject.

11. The method of claim 10, further comprising the step of securing said transducer bands to the subject.

12. A non-invasive apparatus for monitoring individual lung function in a subject having a torso and right and left sides of the torso defined on opposite sides of a midsternal line, comprising:

transducer means adapted for disposition on one only of the right and the left sides of the subject'"'"'s torso for overlying only a portion of the chest and back of the subject'"'"'s torso above an individual lung to be monitored, said transducer producing a signal corresponding to movement of the portion therebeneath; and

means for monitoring the signal produced by said transducer, said signal corresponding to volume changes in the underlying individual lung.

13. The apparatus of claim 12, wherein said transducer means comprises a first inductive plethysmographic transducer comprising a first hemithoracic transducer band for disposition on the right side of the subject'"'"'s torso for monitoring right lung functions, said apparatus further comprising a second inductive plethysmographic transducer comprising a second hemithoracic transducer band for disposition on the left side of the subject'"'"'s torso for monitoring left lung functions, each of said first and second transducer bands comprising a continuous loop for coursing, anteriorly, vertically near a right mid-clavicular line and a left mid-clavicular line, respectively, of the subject'"'"'s torso, then horizontally at a lower right and left rib cage, respectively, and then posteriorly, vertically near a right mid-scapular line and a left mid-scapular line, respectively, of the subject'"'"'s torso back to a left and a right shoulder, respectively.

14. The apparatus of claim 13, further including means for holding each of said transducer bands in place on the subject.

15. The apparatus of claim 13, wherein said continuous loop is about 2.5 centimeters wide.

16. The apparatus of claim 12, wherein said transducer means comprises at least one inductive plethysmographic transducer.

17. The apparatus of claim 16, wherein said at least one plethysmographic transducer comprises a wire having an inductance, and said means for monitoring comprises means for converting the inductance of the wire of said at least one transducer to a proportional voltage signal, and means connected to said converting means for recording or displaying said voltage signals.

18. The apparatus of claim 17, wherein said converting means comprises an LC oscillator having an inductance element and a frequency to voltage converter connected to said LC oscillator, and wherein said inductive plethysmographic transducer forms the inductance element of said LC oscillator.

19. The apparatus of claim 18, wherein

said at least one plethysmographic transducer comprises at least first and second plethysmographic transducers dimensioned for disposition above the left and right lungs of said subject, respectively;

wherein said at least one LC oscillator comprises at least a first LC oscillator for said first transducer and at least a second LC oscillator connected to said second transducer; and

wherein said at least one frequency to voltage converter comprises at least a first frequency to voltage converter connected to said first LC oscillator and at least a second frequency to voltage converter connected to said second LC oscillator; and

wherein said first inductive plethysmographic transducer forms the inductance element of said first LC oscillator and said second inductive plethysmographic transducer forms the inductance element of said second LC oscillator.

20. The apparatus of claim 19, further comprising first and second calibrating means for calibrating output signals from said first and second plethysmographic transducers connected to said at least first and second frequency to voltage converters, respectively.

21. The apparatus of claim 20, wherein said at least first and second calibrating means include first and second scaling amplifiers, respectively.

22. The apparatus of claim 21, further including a summing means connected to said at least first and second scaling amplifiers for summing the signals therefrom.

23. The apparatus of claim 22, wherein said summing means comprises a microprocessor.

24. The apparatus of claim 22, further including means for recording or displaying an output from said summing means.

25. The apparatus of claim 20, further comprising a summing means connected to said at least first and second calibrating means for summing the signals therefrom.

26. The apparatus of claim 25, wherein said summing means comprises a summing amplifier.

27. The apparatus of claim 25, wherein said summing means comprises a microprocessor.

28. The apparatus of claim 25, further including means for recording or displaying an output from said summing means.

29. The apparatus of claim 12, wherein said transducer comprises a first inductive plethysmographic transducer comprising a first plurality of inductive plethysmographic transducer bands for positioning above a left lung of the subject, each of said bands of said first plurality of bands overlying a different portion of the left lung, said apparatus further comprising a second inductive plethysmographic transducer comprising a second plurality of inductive plethysmographic transducer bands for positioning above a right lung of the subject, each of said bands of said second plurality of bands overlying a different portion of the right lung.

30. The apparatus of claim 29, wherein each of said first and second plurality of transducer bands comprise three generally oval transducer bands, a first adapted to be positioned above an upper region of a corresponding lung, a second adapted to be positioned above a middle region of said corresponding lung, and a third adapted to be positioned above a lower region of said corresponding lung of said subject.

31. The apparatus of claim 30, further including means for securing said bands to said subject.

32. The apparatus of claim 29, further including means for securing said bands to said subject.

33. A non-invasive method for monitoring individual lung function in a subject having a torso and right and left sides of the torso defined on opposite sides of a midsternal line, comprising the steps of:

a. disposing a transducer on the subject'"'"'s torso, said transducer being disposed on one only of the right and the left sides of the subject'"'"'s torso for overlying only a portion of the chest and back of the subject'"'"'s torso above an individual lung to be monitored, said transducer comprising a stretchable conductor whose inductance changes as it stretches in response to movements of the portion therebeneath;

b. converting the inductance of said conductor to a proportional voltage signal; and

c. recording or displaying said voltage signal, said voltage signal being indicative of the individual lung function.

34. The non-invasive method of claim 33, wherein said converting step (b) comprises incorporating the conductor as an inductance element of an LC oscillator and converting frequency changes of said LC oscillator to corresponding voltage signal changes.

35. The method of claim 33, wherein said transducer comprises a first transducer, said stretchable conductor comprises a first stretchable conductor, and said first transducer disposing step further comprises disposing the first transducer above a left lung of the subject, said method further comprising the steps of disposing a second transducer having a second stretchable conductor above a right lung of the subject so that an inductance of the second conductor changes as it stretches in response to movements of the portion therebeneath, and converting the inductance of the second conductor to a proportional voltage signal indicative of the function of the right lung, wherein each of said converting steps comprises incorporating the respective conductors as inductance elements of respective LC oscillators and converting frequency changes of said LC oscillators to corresponding voltage signal changes, and said method further comprising a step of calibrating said voltage signals from said first and second transducers to reflect the relative contributions of the left and right lungs to total lung ventilation.

36. The method of claim 35, further comprising a step of summing said voltage signals which have been calibrated.

37. The method of claim 36, further comprising steps of:

measuring an absolute total lung volume using spirometry; and

calibrating at least one of said voltage signals until the summed calibrated voltage signal equals said absolute total lung volume as measured by spirometry, whereby said summed calibrated voltage signal is indicative of said absolute total lung volume.

38. The method of claim 37, further comprising a step of recording or displaying said summed calibrated voltage signal.

39. The method of claim 35, further comprising a step of recording or displaying said calibrated voltage signals.