Method for delivering incremental doses of oxygen for maximizing blood oxygen saturation levels

• US 5,315,990 A
• Filed: 11/25/1992
• Issued: 05/31/1994
• Est. Priority Date: 12/30/1991
• Status: Expired due to Fees

• Current Assignee: Adolph J. Mondry
• Original Assignee: Adolph J. Mondry
• Inventors: Mondry, Adolph J.
• Primary Examiner(s): Burr, Edgar S.
• Assistant Examiner(s): Asher, Kimberly L.
• Application Number:
  US07/982,389
• Time in Patent Office: 552 Days
• Field of Search: 128/204.22, 128/204.23, 128/204.18, 128/205.11, 128/205.24, 128/205.23, 128/205.26, 128/633, 128/634, 128/205.25
• US Class Current: 128/205.11
• CPC Class Codes: A61M 16/0627 with sealing means on a part of the body other than the face, e.g. helmets, hoods or domes
• CPC Class Codes: A61M 16/0672 Nasal cannula assemblies for oxygen therapy
• CPC Class Codes: A61M 16/10 Preparation of respiratory gases or vapours
• CPC Class Codes: A61M 16/12 by mixing different gases
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)

Abstract

Methods for automatically maximizing blood oxygenation saturation or maintaining blood oxygen saturation levels in adult patients having an oxygen requiring pulmonary disease and infant patients having underdeveloped lungs, within a specified range of values. In one embodiment, the method includes energizing a valve to deliver oxygen to the patient at a first rate and measuring the associated average oxygen saturation level of the patient. The method also includes deenergizing the valve and energizing another valve to deliver oxygen to the patient at a second rate and measuring the second average oxygen saturation level of the patient. A dominant valve, the valve associated with the higher average oxygen saturation level, is identified based on the measured oxygen saturation levels and then energized to deliver oxygen to the patient, thereby maximizing the blood oxygen saturation level in the patient.

Claims

1. A method for delivering incremental doses of oxygen to a patient having an obstructive pulmonary disease to maximize the blood oxygen saturation level in the patient, the method comprising:

(a) providing an oxydosimeter system including an electronic control unit (ECU) having memory, a pulse oximeter attached to a patient for measuring the oxygen saturation of the patient, and a plurality of valves controlled by the ECU for delivering oxygen to the patient;

(b) energizing one of the plurality of valves to deliver the incremental doses of oxygen to the patient at a first rate;

(c) measuring an associated average oxygen saturation level of the patient to obtain a first average oxygen saturation signal;

(d) deenergizing the one valve and energizing another valve to deliver the incremental doses of oxygen to the patient at a second rate;

(e) measuring a second average oxygen saturation level of the patient to obtain a second average oxygen saturation signal;

(f) identifying a dominant valve based on the first average oxygen saturation signal and the second average oxygen saturation signal, the dominant valve being the valve associated with the higher average oxygen saturation level in the patient; and

(g) energizing the dominant valve, thereby delivering the incremental doses of oxygen to the patient to maximize the blood oxygen saturation level in the patient.

2. The method of claim 1 further comprising:

(h) establishing a baseline average oxygen saturation level based on the first average oxygen saturation signal and a predetermined number of previous average oxygen saturation levels stored in the memory; and

(i) repeating steps (a)-(h) utilizing the dominant valve and another of the plurality of valves, the step of deenergizing occurring only if the first oxygen saturation level is within a predetermined range of the baseline average oxygen saturation level.

3. The method of claim 2 further comprising:

(j) energizing an oxygen saturation exercise valve if the first average oxygen saturation level is outside of a predetermined range of the baseline average oxygen saturation levels, the oxygen saturation exercise valve delivering the maximum amount of oxygen to the patient for a predetermined amount of time.