Catheter for measuring respiration and respiratory effort

• US 5,477,860 A
• Filed: 11/05/1992
• Issued: 12/26/1995
• Est. Priority Date: 11/05/1992
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Synectics Medical, Inc.
• Inventors: Essen-Moller, Anders
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): Gilbert, Samuel
• Application Number:
  US07/972,208
• Time in Patent Office: 1,146 Days
• Field of Search: 128/635, 128/716, 128/719, 128/725, 128/748, 128/760, 128/207.14, 128/207.15, 128/207.18, 128/204.23
• US Class Current: 600/529
• CPC Class Codes: A61B 5/03 Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs A61B5/205 takes precedence
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/4818 Sleep apnoea

Abstract

A catheter for the ambulatory monitoring and recording of respiration, respiratory effort, and pH, to facilitate the study of sleep apnea and related diseases, comprising a tubular body, with one or more lumens, each lumen used for measuring one factor, the possible factors including respiration, respiratory effort, and pH. The tubular body is shown with lumens for monitoring respiration and respiratory effort, each lumen having an opening in the side of the catheter at the site of monitoring. The air in each lumen pneumatically communicates from said opening through the lumen to the proximal end of the catheter. Each air lumen ends in a lead with a connector to which an external pressure sensor can be connected so that said pressure sensor thereby pneumatically communicates with said openings on the catheter. A pH sensor in the catheter has a head portion included in the tubular body and an electrical conductor connected to and extending from the head portion to the proximal end of the tubular body. The electrical conductor is connected with a pH monitor recorder. A method is described for locating obstructions in the respiratory track. A method is described for monitoring and recording on an ambulatory recorder, respiration, respiratory effort, and pH through at least one nightly sleep cycle.

Claims

1. A method of determining existence and location of an obstruction in a respiratory track comprising the steps of:

(a) introducing a first catheter with a distal opening from an internal lumen having a proximal end connected to an external pressure transducer and monitor so that said distal opening is positioned distal to the obstruction, using the first catheter to monitor respiratory effort and generating signals indicative of respiratory effort;

(b) positioning a second catheter so that a sensing site is sufficiently near nostrils, using the second catheter to monitor actual respiration and generating signals indicative of actual respiration; and

(c) verifying existence of the obstruction by observing respiratory effort signals without corresponding respiration signals.

2. A method as defined by claim 1, further comprising the step of locating the obstruction by inserting the second catheter into the respiratory track until the signals indicative of actual respiration cease to occur, indicating that the second catheter also has been pushed to a distal side of said obstruction.

3. A method as defined by claim 1, further comprising the step of locating the obstruction by withdrawing the first catheter until it registers respiration effort signals similar to respiration signals registered by the second catheter, indicating that the first catheter has crossed over to a proximal side of said obstruction.

4. A method as defined by claim 1, wherein said second catheter is similar to said first catheter.

5. A method as defined by claim 1, wherein said second catheter is of a thermistor type.

6. A method as defined by claim 1, wherein the step of positioning said second catheter includes positioning said second catheter just inside one of the nostrils.