Limb monitoring method and associated apparatus

• US 5,497,787 A
• Filed: 08/05/1994
• Issued: 03/12/1996
• Est. Priority Date: 08/05/1994
• Status: Expired due to Fees

• Current Assignee: Gabor Nemesdy, Peter J. Wilk
• Original Assignee: Gabor Nemesdy, Peter J. Wilk
• Inventors: Nemesdy, Gabor, Wilk, Peter J.
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US08/286,684
• Time in Patent Office: 585 Days
• Field of Search: 128/677, 128/678, 128/679, 128/686, 128/694, 128/721, 128/774, 128/782, 604/30, 604/31, 604/50, 604/65, 604/66
• US Class Current: 600/587
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 5/107 Measuring physical dimensions, e.g. size of the entire body or parts thereof
• CPC Class Codes: A61B 5/1073 Measuring volume, e.g. of limbs
• CPC Class Codes: A61B 5/1075 for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer A61B8/0858 takes precedence
• CPC Class Codes: A61B 5/1077 Measuring of profiles
• CPC Class Codes: A61B 5/6807 Footwear
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6828 Leg
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses
• CPC Class Codes: A61B 5/6833 Adhesive patches
• CPC Class Codes: A61M 5/16836 by sensing tissue properties at the infusion site, e.g. for detecting infiltration detecting tissue temperature for diagnostic purposes A61M39/0247

Abstract

A medical method comprises the steps of attaching a sensing device to a limb of a patient, automatically operating the sensing device to monitor a circumference of the limb, automatically comparing a measured circumference with a reference value, and automatically generating an alarm signal upon detecting that the measured circumference differs from the reference value by more than a predetermined magnitude. In one application of the method, an intravenous catheter is inserted into a blood vessel in the limb, and a fluid is fed into the blood vessel via the catheter. The limb is covered upon insertion of the catheter and attachment of the sensing device, thereby preventing direct visual observation of the limb during performance of a surgical operation on the patient. The circumference measurements and automatic comparisons are performed periodically. In another application of the method, where the limb is one leg of the patient, a detecting device attached to the other leg of the patient, monitors a circumference of that other leg. The circumferences of the two legs are peridocially compared with one another and with reference values to determine an increase in circumference of just one leg, indicating possible phlebitis.

Claims

1. A medical device for detecting phlebitis in a leg of a patient, comprising:

monitoring means for monitoring a first linear dimension of one leg of the patient;

detecting means for detecting a second linear dimension of another leg of the patient;

first comparing means operatively connected to said monitoring means for comparing said first linear dimension with a reference value of said first linear dimension;

second comparing means operatively connected to said detecting means for comparing said second linear dimension with a reference value of said second linear dimension;

third comparing means operatively connected to said first comparing means and said second comparing means for comparing an increase in size of said first linear dimension with a change in size of said second linear dimension; and

alarm generating means operatively connected to said third comparing means for generating an alarm signal upon determining that said first linear dimension has increased by an amount greater than an increase in size of said another leg, thereby indicating the presence of phlebitis in said one leg.

2. The device defined in claim 1 wherein said monitoring means includes a strain gauge mounted to said attachment means.

3. The device defined in claim 1 wherein said alarm generating means includes an auditory signal generator.

4. A medical method for reducing risk of patient injury during a surgical operation, comprising the steps of:

inserting an intravenous catheter into a blood vessel in a body limb of a patient;

feeding a fluid into said blood vessel via said catheter;

covering said limb, thereby preventing direct visual observation of said limb;

performing a surgical operation on the patient;

during said step of performing, automatically and peridoically monitoring a linear dimension of said limb; and

upon detecting an increase in said linear dimension greater than a predetermined threshold, generating an alarm signal.

5. The method defined in claim 4, further comprising the step of reinserting said catheter into a cardiovascular vessel in said limb upon generation of said alarm signal.

6. The device defined in claim 5 wherein said cardiovascular vessel is said blood vessel.

7. The method defined in claim 4 wherein said step of automatically monitoring includes the step of sensing current in a strain gauge, further comprising the step of attaching said strain gauge to said limb prior to said step of covering.

8. The method defined in claim 4 wherein said step of automatically monitoring includes the step automatically comparing a sensed linear dimension of said limb with a predetermined reference linear dimension.

9. The method defined in claim 8 wherein said reference linear dimension is an initial linear dimension of said limb.

10. The method defined in claim 4 wherein said step of performing includes the performance of open heart surgery.

11. A medical method for detecting phlebitis in a leg of a patient, comprising the steps of:

(a) automatically monitoring a first linear dimension of one leg of the patient;

(b) automatically detecting a second linear dimension of another leg of the patient;

(c) automatically comparing said first linear dimension with a reference value of said first linear dimension;

(d) automatically comparing said second linear dimension with a reference value of said second linear dimension;

(e) automatically comparing an increase in size of said first linear dimension with a change in size of said second linear dimension; and

(f) automatically generating an alarm signal upon determining that said first linear dimension has increased by an amount greater than an increase in size of said another leg, thereby indicating the presence of phlebitis in said one leg.

12. The method defined in claim 11 wherein said steps (a) through (e) are performed periodically.

13. The method defined in claim 11 wherein said step (c) includes the step of calculating a first difference between said first linear dimension and its respective reference value, said step (d) includes the step of calculating a second difference between said second linear dimension and its respective reference value, and said step (e) includes the steps of calculating a third difference between said first difference and said second difference and comparing said third difference with a pre-established reference value.

14. The method defined in claim 11 wherein said steps of automatically monitoring and automatically detecting each include the step of sensing current in a respective strain gauge attached to said one leg and to said another leg prior to said steps of automatically monitoring and automatically detecting.

15. The method defined in claim 11 wherein said reference linear dimensions are initial linear dimensions of the respective legs.

16. A medical method comprising the steps of:

attaching a sensing device to a limb of a patient;

automatically operating said sensing device to monitor a linear dimension of said limb;

inserting an intravenous catheter into a blood vessel in said limb;

feeding a fluid into said blood vessel via said catheter;

upon completion of said steps of attaching and inserting, covering said limb, thereby preventing direct visual observation of said limb;

automatically comparing, with a reference value, a linear dimension of said limb measured during said step of operating;

performing a surgical operation on the patient, the operating of said sensing device and the comparing of said linear dimension with said reference value being periodically executed during the performing of said surgical operation; and

automatically generating an alarm signal upon detecting, in said step of comparing, that the measured linear dimension differs from said reference value by more than a predetermined magnitude.

17. The method defined in claim 16 wherein said sensing device includes a strain gauge, said step of operating said sensing device including the step of sensing current in said strain gauge.

18. The method defined in claim 16 wherein said reference linear dimension is an initial linear dimension of said limb, further comprising the step of storing said initial linear dimension in a memory.

19. The method defined in claim 16 wherein said limb is one leg of the patient, further comprising the steps of:

attaching a detecting device to another leg of the patient;

automatically operating said detecting device to monitor a linear dimension of said another leg;

automatically comparing, with another reference value, a linear dimension of said another leg measured via said detecting device; and

automatically comparing a measured increase in linear dimension of said one leg with a measured change in size of said another leg,

said step of generating an alarm signal being implemented upon determining that the linear dimension of said one leg has increased in size by an amount greater than the linear dimension of said another leg, thereby indicating the presence of phlebitis in said one leg.