Cardiovascular measurements by sound velocity dilution

• US 5,453,576 A
• Filed: 10/24/1994
• Issued: 09/26/1995
• Est. Priority Date: 10/24/1994
• Status: Expired due to Term

• Current Assignee: Transonic Systems, Inc. (Measurement Innovations Corp.)
• Original Assignee: Transonic Systems, Inc. (Measurement Innovations Corp.)
• Inventors: Krivitski, Nikolai M.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US08/327,984
• Time in Patent Office: 337 Days
• Field of Search: 128/660.01, 128/660.02, 128/661.07, 128/661.08, 128/661.10, 128/672, 128/691, 128/747, 128/698, 73/40, 73/40.5 R, 73/40.5 A, 73/596, 73/597, 73/754, 73/861.25
• US Class Current: 600/481
• CPC Class Codes: A61B 5/0275 using tracers, e.g. dye dilution
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3656 Monitoring patency or flow at connection sites; Detecting disconnections
• CPC Class Codes: A61M 1/3658 Indicating the amount of purified blood recirculating in the fistula or shunt
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• CPC Class Codes: A61M 1/3661 for haemodialysis
• CPC Class Codes: A61M 1/3669 Electrical impedance measurement of body fluids; transducers specially adapted therefor
• CPC Class Codes: A61M 2205/3368 Temperature

Abstract

An apparatus and method for measuring hemodynamic parameters includes a sound velocity sensor coupled to at least one of an arterial or venous portion of a blood system. An indicator medium is injected into the blood system upstream of the sensor to dilute the bloodstream, and the sensor detects the dilution through changes in measured sound velocity. The changes are recorded and used to determine hemodynamic parameters.

Claims

1. Apparatus for measuring blood parameters, comprising:

a blood system, having an upstream end and a downstream end and including an arterial portion and a venous portion connected to carry blood between said upstream and said downstream end;

a sound velocity sensor coupled to at least one of said arterial and venous portions of said blood system for detecting the velocity of sound in blood flowing within said at least one portion;

an injection port in said blood system upstream of said sound velocity sensor;

an indicator injectable through said injection port to produce an indicator bolus in blood flowing in said system, said indicator bolus having sound velocity characteristics different from sound velocity characteristics of blood flowing within said blood system in the absence of said indicator to thereby dilute said blood sound velocity characteristics;

means responsive to said sensor for detecting said bolus in said bloodstream and for producing and recording curves representing said diluted sound velocity characteristics; and

means for determining selected blood characteristics from said sound velocity dilution characteristics.

2. The apparatus of claim 1, further including a sound amplitude sensor connected to at least one of said arterial and venous portions of said blood system.

3. The apparatus of claim 1, further including an electrical impedance sensor connected to at least one of said arterial and venous portions of said blood system.

4. The apparatus of claim 1, further including an optical sensor connected to at least one of said arterial and venous portions of said blood system.

5. The apparatus of claim 1, further including a thermal sensor connected to at least one of said arterial and venous portions of said blood system.

6. The apparatus of claim 1, wherein said sound sensor is connected to said venous portion of said blood system, and wherein said injection port is in said arterial portion, whereby solution clearance is determinable from said dilution curves.

7. The apparatus of claim 1, wherein said sound sensor is connected to said arterial portion of said blood system and wherein said injection port is in said venous portion, whereby solution clearance is determinable.

8. The apparatus of claim 1, wherein said injection port is so located as to cause all of said indicator bolus to pass said sensor.

9. The apparatus of claim 1, further including a catheter in at least one of said arterial and venous portions of said blood system, said catheter incorporating said sensor and said injection port for intravascular measurement of blood parameters.

10. The apparatus of claim 9, further including a sound amplitude sensor on said catheter.

11. The apparatus of claim 10, further including a temperature sensor on said catheter.

12. The apparatus of claim 11, wherein said catheter is located in said arterial portion of said blood system, and

wherein said injection port is in said venous portion of said blood system.

13. The apparatus of claim 11, further including an electrical impedance sensor on said catheter.

14. The apparatus of claim 11, further including an optical sensor on said catheter.

15. The apparatus of claim 1, wherein said blood system includes a blood vessel forming a part of the cardiovascular system of a patient, and wherein said sensor is exterior to said vessel for perivascular measurement of blood parameters.

16. The apparatus of claim 1, wherein said blood system includes extracorporeal tubing, and wherein said sensor is exterior to said vessel for clamp-on measurement of blood parameters.

17. The apparatus of claim 1, wherein said sound sensor is coupled to said arterial portion of said blood system and further including a blood flow sensor coupled to said arterial system.

18. The apparatus of claim 17, wherein said injection port is connected to said venous portion of said blood system.

19. The apparatus of claim 18, further including a dilution sensor coupled to one of said arterial portion and venous portion.

20. The apparatus of claim 1, wherein said sound velocity sensor is coupled to said venous portion of said blood system and further including a second sound velocity sensor closely matched to said first-named sound velocity sensor and coupled to said arterial portion of said blood system.

21. The apparatus of claim 20, further including a first dilution sensor coupled to said arterial portion of said blood system and a second dilution sensor coupled to said venous portion of said blood system.

22. The apparatus of claim 21, wherein said first and second dilution sensors are electrical impedance sensors.

23. The apparatus of claim 21, wherein said first and second dilution sensors are optical sensors.