System for conveying gases from and to a subject's trachea and for measuring physiological parameters in vivo

• US 5,193,544 A
• Filed: 01/31/1991
• Issued: 03/16/1993
• Est. Priority Date: 01/31/1991
• Status: Expired due to Fees

• Current Assignee: Board of Trustees of the Leland Stanford Junior University (Stanford University)
• Original Assignee: Board of Trustees of the Leland Stanford Junior University (Stanford University)
• Inventors: Jaffe, Richard A.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): PONTIUS, KEVIN LANE
• Application Number:
  US07/650,824
• Time in Patent Office: 775 Days
• Field of Search: 128/633, 128/634, 128/664, 128/665, 128/713, 128/207.15, 128/207.16, 128/716, 128/719, 128/207.14
• US Class Current: 600/323
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61M 16/04 Tracheal tubes catheters in general A61M25/00
• CPC Class Codes: A61M 16/0438 Liquid-filled
• CPC Class Codes: A61M 2016/0413 with detectors of CO2 in exhaled gases
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: Y10S 128/911 Unilimb inhalation-exhalation breathing tubes

Abstract

An optical path is provided in the wall of an endotracheal tube to transmit light from a light source to the tracheal tissue. The same path or different path may be used to receive light reflected from the tracheal tissue to a detector for detecting the oxygen saturation of blood of a subject. The light supplied may also be directed across the gaseous medium inside the tube and received by a different optical path. The received light signal is then detected to determine the carbon dioxide concentration of the medium inside the trachea.

Claims

1. An apparatus for conveying gases from and to a subject'"'"'s trachea and for enabling the measurement of a physiological parameter in vivo or the measurement of respired gas concentrations, comprising:

a tube suitable for insertion into the trachea and for conveying gases;

at least one light source;

at least one light detector; and

means for conveying light from the light source to the trachea or locations within the trachea and for conveying light to the light detector from the trachea or locations within the trachea, said light conveying means including at least one optical path having two ends along the tube for passage of light signals between the trachea or locations within the trachea at one end of the path, and the detector at the other end, the at least one optical path transmitting light from the trachea or locations within the trachea along the tube to the detector for enabling the measurement of the physiological parameter or the measurement of respired gas concentrations of the subject.

2. The apparatus of claim 1, said apparatus comprising at least two optical paths, one transmitting light from the light source to the trachea or a location within the trachea and the other path transmitting light from the trachea or a location within the trachea to the detector.

3. The apparatus of claim 1, said apparatus comprising at least two optical paths, one path transmitting infrared light for the measurement of gas concentration in the tube, and the other path transmitting light in the infrared and the red regions of light wavelengths for the measurement of oxygen saturation of blood in trachea tissue.

4. The apparatus of claim 1, wherein said at least one optical path forms part of the tube.

5. The apparatus of claim 1, wherein said at least one optical path is an optical fiber.

6. The apparatus of claim 1, said tube being elongated and having a length, wherein said tube has two light barrier portions and a light transmitting portion between said barrier portions, all three portions being along the length of the tube, said light transmitting portion being the optical path.

7. The apparatus of claim 1, said apparatus comprising at least two optical paths, a first path having an output end and transmitting light from the source to said output end and through said output end to gases within the tube, and a second path having an input end for receiving light that has passed through said gases from the output end, said second path transmitting said received light to the detector for measuring carbon dioxide concentration in the tube.

8. The apparatus of claim 7, said tube being annular, wherein said output and input ends are located on opposite sides of the tube.

9. The apparatus of claim 1, said at least one optical path having a subject end for transmitting light to the trachea or locations within it or for receiving light from the trachea or locations within it for transmission to the detector, said subject end including a curved path terminating at a surface of the tube.

10. The apparatus of claim 1, said at least one optical path having a subject end for transmitting light to the trachea or locations within it or for receiving light from the trachea or locations within it for transmission to the detector, said subject end including a prism or reflecting surface for transmission or reception of light to or from the trachea or locations in the trachea.

11. The apparatus of claim 1, wherein the light conveying means further comprises a connector connecting the tube to medical equipment, said connector having an additional optical path positioned to transmit light between the at least one optical path and the detector or the light source.

12. The apparatus of claim 1, wherein said light source provides ultraviolet light to the at least one optical path.

13. The apparatus of claim 1, wherein said light source provides light in the infrared and the red regions to the at least one optical path.

14. A method for measuring data useful for determining a physiological parameter or the respired gas concentrations of a subject employing a tube suitable for insertion into the trachea of the subject, said trachea having a medium therein, said tube having at least one optical path having a first and a second end along the tube for passage of light signals between the trachea or locations within the trachea at the first end of the path and the second end of the path, said method comprising:

providing light to illuminate a portion of the trachea or locations within the medium; and

measuring light reflected from the trachea or transmitted through the medium in the tube, said reflected light indicative of a physiological parameter or of the respired gas concentrations of the subject.

15. The method of claim 14 further comprising, prior to the measuring step, transmitting light reflected from the trachea or transmitted through the medium in the tube through the path from the first to the second end.