Device for continuously detecting blood parameters

• US 5,687,718 A
• Filed: 06/14/1995
• Issued: 11/18/1997
• Est. Priority Date: 07/09/1994
• Status: Expired due to Fees

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Hewlett-Packard Company (HP Inc.)
• Inventors: Wender, Joachim, Fischer, Bernhard, Rochlitzer, Frank, Zoll, Martin
• Primary Examiner(s): Bahr, Jennifer
• Assistant Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US08/490,320
• Time in Patent Office: 888 Days
• Field of Search: 128/632, 128/634, 128/635, 128/637, 128/672, 128/673, 128/692, 604/44, 600/16
• US Class Current: 600/368
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/1473 invasive, e.g. introduced into the body by a catheter A61B5/1482 takes precedence

Abstract

Disclosed is a device for continuing detecting blood parameters. The device includes a catheter adapted to be introduced into the artery of a patient. A sensor is arranged in the catheter. A tube us adapted to be coupled to a vein of a patient and is also connected to the first catheter. A device controllably maintains blood flow across the sensor, the device being controlled such that initially the flow of blood to the first catheter via the tube is prevented so long as the detective blood parameters indicated a sufficient amount of fresh arterial blood is flowing around the sensor. In the event that a detective blood parameters indicate that an insufficient amount of blood flows around the sensor, then blood flow through the first catheter to the vein of the patient via the tube is then established.

Claims

1. A device for continuously detecting blood parameters, comprising:

a catheter adapted to be introduced, with a free end thereof, into an artery of a patient;

a sensor arranged on said catheter for detecting blood parameters;

a tube adapted to be coupled to a vein of the patient and connected to said catheter; and

a device for controllably maintaining blood flow across said sensor, wherein said device is controlled such that blood flow through the catheter is prevented so as long as the detected blood parameters indicate a sufficient amount of fresh arterial blood flowing around said sensor, and

if the detected blood parameters indicate that an insufficient amount of blood flows around said sensor, then blood flow through the catheter to the vein of the patient via said tube is established.

2. A device according to claim 1, wherein the device for controllably maintaining a bloodstream from the artery via tube sensor into the vein comprises:

a first branching member, a first arm of which extends to the catheter, through a second arm of which a sensor cable connected to the sensor extends, and a third arm of which is connected to a rinsing device used for supplying a rinsing solution; and

a second branching member, a first arm of which extends to said first branching member, through a second arm of which the sensor cable extends to a monitor for blood parameter values, and a third arm of which extends to said tube.

3. A device according to claim 1, wherein

the catheter, which is adapted to have its free end introduced into an artery of a patient, is a double-lumen catheter comprising two lumina;

and

the sensor is arranged in one lumen of said double-lumen catheter.

4. A device according to claim 3, wherein and a device for supplying a rinsing solution;

and

a sensor cable, which is connected to the sensor, extends through a second lumen of said double-lumen catheter; and

wherein said device further comprises a branching member comprising a first arm which extends to the second lumen of the double-lumen catheter, a second arm through which the sensor cable extends to a monitor for blood parameter values, and a third arm which serves to drain blood from the artery.

5. A device according to claim 4, further comprising a second branching member, a first arm of which extends to the second arm of the branching member, a second arm of which leads the sensor cable in the direction of the monitor for the blood parameter values, and a third arm of which is connected to the device for supplying the rinsing solution.

6. A device according to claim 4, wherein the first lumen and the interior surface of the second lumen of the double-lumen catheter are coated at least partly with an antithrombotic coating.

7. A device according to claim 4, wherein the first lumen of the double-lumen catheter is coated at least partly with an antithrombotic coating.

8. A device according to claim 4, wherein the interior surface of the second lumen of the double-lumen catheter is coated at least partly with an antithrombotic coating.

9. A device according to claim 3, wherein through one arm of a branching member located next to the catheter a suitable amount of an anticoagulant, is supplied in concentrated form.

10. A device according to claim 3, wherein through one arm of a branching member located next to the arterial catheter a suitable amount of an anticoagulant, is supplied in a suitable solution.

11. A device according to claim 10, wherein the device for controllably maintaining blood flow has a uniform interior diameter between 0.8 and 1.2 mm.

12. A device according to claim 10, wherein the device for controllably maintaining blood flow is produced from one material.

13. A device according to claim 10, wherein the interior surface of the device for controllably maintaining blood flow is coated with an antithrombotic coating.

14. A device according to claim 13, wherein branching members in a shunt are non-releasably connected to hose elements of the shunt.

15. A device according to claim 1, further comprising a pump connected to the device for controllably maintaining a bloodstream and used for pumping blood through the catheter.

16. A device according to claim 15, wherein a first port of the pump is connected to a first arm of a first branching member and a second port of the pump is adapted to be connected to said tube.

17. A device according to claim 15, wherein the pump consists of a hose-roller pump.

18. A device according to claim 15, wherein the pump consists of a manually operated liquid slide valve.

19. A device according to claim 1, wherein parts of the device for controllably maintaining a bloodstream are coated with an antithrombotic coating.

20. A device according claim 1, wherein the device for controllably maintaining a bloodstream has, without including the arterial and any venous catheters, a uniform interior diameter throughout a whole shunt path even across all connecting and branching members, deviations of the diameter of individual connecting and branching members from the uniform interior diameter which do not exceed 30% being still regarded as uniform interior diameter.

21. A device according to claim 1, wherein the device for controllably maintaining blood flow has Luer-lock connection ends and wherein these Luer-lock connection ends are provided with special transition adapters, which, when connected to a Luer-lock connection, will fill an enlarged lumen located in the area of the Luer-lock connection in such a way that, in the connected condition, a homogeneous free interior lumen will be obtained in a connection area of the Luer-lock connection, said interior lumen having a free cross-section which is reduced to the interior diameter of a shunt connection.

22. A device for continuously detecting blood parameters, comprising:

a catheter adapted to be introduced, with a free end thereof, into an artery of a patient;

a sensor arranged on said catheter for detecting blood parameters;

a tube adapted to be coupled to a vein of the patient; and

a device for controllably maintaining a bloodstream from the artery via said sensor and said tube into the vein, said device for controllably maintaining a bloodstream from the artery via said sensor and said tube into the vein comprising;

a first branching member, a first arm of which extends to the catheter, through a second arm of which a sensor cable connected to the sensor extends, and a third arm of which is connected to a rinsing device used for supplying a rinsing solution; and

a second branching member, a first arm of which extends to said first branching member, through a second arm of which the sensor cable extends to a monitor for blood parameter values, and a third arm of which serves to drain blood from the blood vessel.

23. A device for continuously detecting blood parameters, comprising:

a catheter adapted to be introduced, with a free end thereof, into an artery of a patient, wherein the catheter, which is adapted to have its free end introduced into an artery of a patient, is a double-lumen catheter comprising two lumina;

a sensor arranged on said catheter, wherein the sensor is arranged in one lumen of said double-lumen catheter;

a tube adapted to be coupled to a vein of the patient; and

a device for controllably maintaining a bloodstream from the artery via said sensor and said tube into the vein;

wherein

a first lumen of said double-lumen catheter is connected to a pressure transducer and a device for supplying a rinsing solution; and

a sensor cable, which is connected to the sensor, extends through a second lumen of said double-lumen catheter; and

said device further comprises a branching member comprising a first arm which extends to the second lumen of the double-lumen catheter, a second arm through which the sensor cable extends to a monitor for blood parameter values, and a third arm which serves to drain blood from the artery.

24. A device for continuously detecting blood parameters, comprising:

a catheter adapted to be introduced with a free end thereof, into an artery of a patient, wherein the first catheter, which is adapted to have its free end introduced into an artery of a patient, is a double-lumen catheter comprising two lumina;

a sensor arranged on said catheter, wherein the sensor is arranged in one lumen of said double-lumen catheter;

a tube adapted to be coupled to a vein of the patient; and

a device for controllably maintaining a bloodstream from the artery via said sensor and said tube into the vein;

wherein

a first lumen of said double-lumen catheter is connected to a pressure transducer and a device for supplying a rinsing solution; and

a sensor cable, which is connected to the sensor, extends through a second lumen of said double-lumen catheter; and

said device further comprising;

a branching member comprising a first arm which extends to the second lumen of the double-lumen catheter, a second arm through which the sensor cable extends to a monitor for blood parameter values, and a third arm which serves to drain blood from the artery; and

a second branching member, a first arm of which extends to the second arm of the branching member, a second arm of which leads the sensor cable in the direction of the monitor for the blood parameter values, and a third arm of which is connected to the rinsing device for the rinsing solution.

25. A device for continuously detecting blood parameters, comprising:

a catheter adapted to be introduced, with a free end thereof, into an artery of a patient;

a sensor arranged on said catheter for detecting blood parameters;

a tube adapted to be coupled to a vein of the patient; and

a device for controllably maintaining a bloodstream from the artery via said sensor and said tube into the vein;

wherein the device for controllably maintaining a bloodstream has Luer-lock connection ends and wherein these Luer-lock connection ends are provided with special transition adapters, which, when connected to a Luer-lock connection, will fill an enlarged lumen located in an area of the Luer-lock connection in such a way that, in the connected condition, a homogeneous free interior lumen will be obtained in a connection area of the Luer-lock connection, said interior lumen having a free cross-section which is reduced to the interior diameter of a shunt connection.

26. A device for continuously detecting blood parameters, comprising:

a catheter adapted to be introduced, with a free end thereof, into an artery of a patient;

a sensor arranged on said catheter for detecting blood parameters;

a tube adapted to be coupled to a vein of the patient; and

a device for controllably maintaining a bloodstream from the artery via said sensor and said tube into the vein;

wherein the device for controllably maintaining a bloodstream has, without including the arterial and any venous catheters, a uniform interior diameter throughout a whole shunt path even across all connecting an branching members, deviations of the diameter of individual connecting and branching members from the uniform interior diameter which do not exceed 30% being still regarded as uniform interior diameter;

wherein the interior surface of the device for controllably maintaining a bloodstream is coated with an antithrombotic coating; and

wherein branching members in a shunt are non-releasably connected to hose elements of the shunt.