Surgical insufflation system with improved determination of body cavity pressure

• US 5,439,441 A
• Filed: 10/12/1993
• Issued: 08/08/1995
• Est. Priority Date: 10/12/1993
• Status: Expired due to Term

• Current Assignee: Genzyme Corporation (Sanofi )
• Original Assignee: Snowden Pencer Incorporated (Cardinal Health, Inc.)
• Inventors: Carlisle, Steven N., Grimsley, Richard L.
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US08/134,460
• Time in Patent Office: 665 Days
• Field of Search: 128/747, 128/748, 604/26
• US Class Current: 604/26
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing

Abstract

Insufflation gas is introduced into a body cavity to be inflated. The gas flow is stopped, and the pressure in the body cavity is measured at plural, discrete intervals of time. Pressure reading values are stored in memory for a predetermined number n of the most recent pressure reading values. These stored pressure reading values are compared to one another to determine the pressure differential between the highest and lowest pressure values. New pressure readings are continually made at the time intervals, and the new pressure reading values replace the oldest pressure readings such that the most recent pressure reading values are stored in memory. Pressure measurements are continued if the maximum pressure differential in the predetermined number n of the most recent stored pressure reading values is less than the predetermined pressure differential. However, if the differential is less than a predetermined pressure differential, then it is determined that the pressure oscillations in the body cavity have subsided, and the nominal body cavity pressure is determined. If the measured pressure is below a preset target level of insufflation, additional gas may be introduced into the body cavity, and then pressure measurements may be resumed.

Claims

1. A process for supplying insufflation gas to inflate a body cavity of a patient during an endoscopic procedure, comprising the steps of:

supplying insufflation gas into the body cavity;

discontinuing the supply of gas into the body cavity;

measuring pressure in communication with the body cavity to obtain pressure reading values taken at plural discrete intervals of time when no gas is being introduced into the body cavity to obtain a plurality of pressure reading values;

storing a plurality of said pressure reading values;

comparing a predetermined number n of the most recent pressure reading values to determine the pressure differential between a highest and a lowest pressure reading value therein;

determining a nominal body cavity pressure when said pressure differential becomes less than a predetermined pressure differential.

2. A process according to claim 1, wherein the pressure is measured by an electronic pressure transducer.

3. A process according to claim 1, wherein the discrete intervals of time are about 0.5 milliseconds.

4. A process according to claim 1, wherein the predetermined number n of pressure reading values is at least 10.

5. A process according to claim 4, wherein the number n of pressure reading values is 32.

6. A process according to claim 1, wherein the predetermined pressure differential is about 1 mm Hg.

7. A process according to claim 1, wherein the step of determining nominal body cavity pressure is performed by averaging a predetermined number n'"'"' of the most recent pressure reading values.

8. A process according to claim 7, wherein n'"'"' is less than n.

9. A process according to claim 1, further including the step of indicating the nominal body cavity pressure on a display.

10. A process according to claim 1, wherein the measuring step is performed at least eight times, and the last eight pressure reading values stored in memory are averaged to determine the nominal body cavity pressure.

11. A process according to claim 1, further including the step of resuming the supply of gas into the body cavity when the nominal body cavity pressure is less than a target pressure value.

12. Insufflation apparatus for supplying insufflation gas to inflate a body cavity of a patient during an endoscopic procedure, comprising:

supply means for supplying insufflation gas into said body cavity;

control means for controlling the pressure in the body cavity, said control means including pressure measuring means in communication with the body cavity for providing pressure reading values taken at discrete intervals of time when no gas is being introduced into the body cavity;

memory means for storing said pressure reading values;

means for comparing a number n of the most recent pressure reading values to determine the differential between a highest and a lowest pressure reading value therein; and

,

means for determining a nominal body cavity pressure when said differential becomes less than a predetermined pressure differential.

13. Insufflation apparatus according to claim 12, wherein the pressure measuring means includes an electronic pressure transducer.

14. Insufflation apparatus according to claim 12, wherein the pressure measuring means provides pressure reading values at intervals of about 0.5 millisecond.

15. Insufflation apparatus according to claim 12, wherein the number n of the most recent pressure values is at least 10.

16. Insufflation apparatus according to claim 15, wherein the value of n is 32.

17. Insufflation apparatus according to claim 12, wherein the predetermined pressure differential is about 1 mm Hg.

18. Insufflation apparatus according to claim 12, wherein the means for determining the nominal body cavity pressure calculates an average of a predetermined number n'"'"' of the most recent pressure reading values.

19. Insufflation apparatus according to claim 18, wherein n'"'"' is less than n.

20. Insufflation apparatus according to claim 12, including means for indicating the nominal body cavity pressure, said indicating means being selected from the group consisting of:

a light emitting diode display, a liquid crystal display, an analog needle gauge display, a computer screen, a paper printout, and an ink and pen tracing display.

21. Insufflation apparatus according to claim 12, further including means for resuming the supply of gas into the body cavity when the nominal body cavity pressure becomes less than a predetermined target pressure.