Oximetric esophageal probe

• US 5,329,922 A
• Filed: 10/19/1992
• Issued: 07/19/1994
• Est. Priority Date: 10/19/1992
• Status: Expired due to Term

• Current Assignee: Dolphin Medical, Inc. (OSI Systems Incorporated)
• Original Assignee: Sensor Devices, Inc. (Mars Incorporated)
• Inventors: Atlee, John L. III
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): GILBERT, SAMUEL G
• Application Number:
  US07/963,072
• Time in Patent Office: 638 Days
• Field of Search: 128/632-635, 356/41
• US Class Current: 600/328
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61B 5/4233 oesophagus

Abstract

An esophageal probe comprising an elongated tubular body member with a distal portion that is insertible into an esophagus and a pair of oximeter sensors mounted in a spaced apart relation on the body for generating electrical signals functionally related to the fraction of hemoglobin in blood in the form of oxyhemoglobin.

Claims

1. An esophageal probe comprising:

an elongated tubular hollow body member having a distal portion that is insertible into an esophagus of a patient and including a probe having a contact portion, having a length for contact with the esophagus, said contact portion having a distal end for communicating with a gastro-esophageal junction of the patient and a proximal end for communicating with a hypo-pharynx of the patient, one third of the length of said contact portion from said distal end defining a distal third and a remaining two thirds defining a proximal two thirds, and an oximeter sensor located in the proximal two thirds of said contact portion, said oximeter sensor being constructed and arranged to measure a level of oxygen saturation in a patient'"'"'s blood in tissue located in that portion of the esophagus adjacent the proximal two thirds of said contact portion.

2. The esophageal probe as set forth in claim 1 wherein said oximeter sensor comprises means for alternately emitting light energy of selected wavelengths, means for detecting light energy of selected wavelengths, and means for transducing said light energy detected at said selected wavelengths to generate electrical signals functionally related to the level of said oxygen saturation.

3. The esophageal probe as set forth in claim 2 wherein said light energy emitting means comprises a red light emitter capable of emitting light at red wavelengths and an infrared light emitter capable of emitting light at infrared wavelengths.

4. The esophageal probe as set forth in claim 3 wherein said oximeter sensor is a reflective pulse oximeter.

5. An esophageal probe comprising:

an elongated tubular hollow body member having a distal portion constructed and arranged to be inserted into an esophagus of a patient and including a probe having a contact portion, having a length, for contact with the esophagus, said contact portion having a distal end for communicating with a gastro-esophageal junction of the patient and a proximal end for communicating with a hypo-pharynx of the patient, one quarter of the length of said contact portion from said distal end defining a distal quarter and a remaining three quarters defining a proximal three quarters, and an oximeter sensor located in the proximal three quarters of said contact portion, said oximeter sensor being constructed and arranged to measure a level of oxygen saturation in a patient'"'"'s blood.

6. An esophageal probe comprising:

an elongated tubular hollow body member having a distal portion that is insertable into an esophagus of a patient and including a probe having an elongated contact portion, having a length for contact with the patient'"'"'s esophagus, said contact portion having a distal end for communicating with a gastro-esophageal junction of the patient and a proximal end for communicating with a hypo-pharynx of the patient, and a pair of oximeter sensors mounted in a spaced apart relation on said elongated contact portion.

7. The esophageal probe set forth in claim 6 wherein one third of the length of said contact portion from said distal end defining a first location and two thirds of the length of said contact portion from said distal end defining a second location, one of said pair of oximeter sensors being mounted on said contact portion at each location.

8. A method for measuring a fraction of hemoglobin in blood in a form of oxyhemoglobin, the method comprising:

inserting an esophageal probe mounted oximeter sensor into an esophagus of a patient;

positioning the oximeter sensor in that portion of the patient'"'"'s esophagus located in an upper three-fourths thereof as measured proximally from the patient'"'"'s gastro-esophageal junction;

generating signals functionally related to an oxyhemoglobin concentration in the blood within esophageal tissue of the patient'"'"'s said upper three fourths portion;

determining the oxyhemoglobin concentration of said blood from said signals.

9. A method for measuring a fraction of hemoglobin in blood in a form of oxyhemoglobin, the method comprising;

inserting an esophageal probe mounted oximeter sensor into an esophagus of a patient;

positioning the oximeter sensor in that portion of the patient'"'"'s esophagus located in an upper two thirds thereof as measured proximally from the patient'"'"'s gastro-esophageal junction;

generating signals functionally related to an oxyhemoglobin concentration in the blood within esophageal tissue of the patient at a location within said upper two thirds portion;

determining the oxyhemoglobin concentration of said blood from said signals.

10. The method set forth in claim 9 and including the steps of generating said signals functionally related to the oxyhemoglobin concentration in the blood at plural levels of the esophagus of the patient and determining the oxyhemoglobin concentration at said plural levels from said signals.

11. The method set forth in claim 10 and including the steps of generating said signals functionally related to the oxyhemoglobin concentration in the blood of the patient at levels approximately one third and two thirds of the length of the esophagus measured from the gastro-esophageal junction.