Urine measurement apparatus and method for the determination of the density of urine

• US 5,769,087 A
• Filed: 10/19/1995
• Issued: 06/23/1998
• Est. Priority Date: 11/12/1993
• Status: Expired due to Fees

• Current Assignee: Fresenius AG (Fresenius SE & Co. KGaA)
• Original Assignee: Fresenius AG (Fresenius SE & Co. KGaA)
• Inventors: Wild, Andreas, Metzner, Klaus, Lapp, Uwe, Koerdt, Franz-Wilhelm, Grimm, Gunther, Westphal, Detlef
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): WINGOOD, PAMELA LYNN
• Application Number:
  US08/481,473
• Time in Patent Office: 978 Days
• Field of Search: 128/771, 128/760, 128/767, 128/768, 604/317, 604/318, 604/327, 604/329, 604/331, 604/343, 604/345
• US Class Current: 600/573
• CPC Class Codes: A61B 5/14507 specially adapted for measuring characteristics of body fluids other than blood devices for taking samples of body liquids A61B10/0045
• CPC Class Codes: A61B 5/208 adapted to determine urine quantity, e.g. flow, volume
• CPC Class Codes: G01G 17/04 for weighing fluids, e.g. gases, pastes
• CPC Class Codes: G01G 23/002 Means for correcting for obliquity of mounting for pendulum-weight apparatus G01G1/16

Abstract

A body fluid measurement apparatus for continually monitoring the body fluids produced by a catheterized patient is disclosed. The apparatus comprises a discharge hose in fluid communication with the patient, a housing that supports the discharge hose, a dripping chamber for temporarily holding the body fluid while temperature and electrical conductivity measurements are made, a force transducer for producing a signal representing the weight of the body fluid mass collected, a container for collecting the body fluid that is suspended from the force transducer, a storage cell power source, and a computer for processing a signal generated by the force transducer, for generating a timing signal, and for computing the patient'"'"'s body fluid volume flow in a certain time interval. All computed measurements are sent to a display also located on the apparatus. Additionally, two angle sensors, located in two planes orthogonal to one another, provide a signal to the computer for the compensation of the inclined position of the housing and for the compensation of an erroneous measurement of the weight of the body fluids collected. In addition, a method for the automatic monitoring and recording of the corrected volume flow of body fluids produced by a catheterized patient is also disclosed.

Claims

1. A body fluid measurement apparatus for monitoring body fluids produced by a catheterized patient, comprising:

a housing mountable to a hospital bed;

a discharge hose connected to said housing and connectable to a catheterized patient disposed on the hospital bed for receiving body fluids produced by the patient;

a force transducer coupled to said housing;

a container suspended from said housing and coupled to said force transducer, said container being in fluid communication with said discharge hose;

at least two angle sensors coupled to said housing and oriented in orthogonal planes to each other to provide a correction signal indicating an inclined position of said housing;

a storage battery cell, coupled to said housing, providing a current supply; and

a computer coupled to said force transducer and to said angle sensors to collect and process signals from said angle sensors and from said force transducer, to determine values for total collected patient body fluid volume and average body fluid volume flow in a predetermined time interval, and to generate signals corresponding to said values.

2. The fluid measurement apparatus of claim 1, wherein said computer further comprises:

a processing unit for continually determining a volume of collected body fluid produced by the patient;

a timer for providing a timing signal to said processing unit, for determining an average volume flow of the patient'"'"'s body fluid over a time interval and for determining an increase in body fluid volume;

a storage unit for storing a value for the average density of body fluid produced by the patient and a value of said average body fluid flow over said time interval; and

display means, coupled to said housing, and in electronic communication with said computer, for displaying the patient'"'"'s average body fluid flow values over said time intervals.

3. The fluid measurement apparatus of claim 2, further comprising:

a power supply for said computer; and

a switch, coupled to said power supply and to said computer for switching on said power supply after receiving a signal from said clock signal generator after the expiration of said time interval, and for switching off said power supply after said body fluid measurements are performed for said time interval.

4. The fluid measurement apparatus of claim 1, wherein said container further comprises:

a stirrup-shaped holding device connectable to said container and coupled to said force transducer in a form-locking manner; and

means for bonding said container to said discharge hose to form a removable and disposable part.

5. The fluid measurement apparatus of claim 1, further comprising:

a dripping chamber, coupled to said housing and in fluid communication between said discharge hose and said container;

a shaft connectable to and located within said housing, said shaft having extensions forming a plurality of finger gripping depressions extending around to the right and left of said dripping chamber for removing said dripping chamber;

a means of locking said dripping chamber to said shaft;

a channel joined to said shaft, for guiding said discharge hose from said dripping chamber to the patient, wherein a portion of said discharge hose is in fluid communication between said dripping chamber and said container, and is constructed long enough to form a force-free hose loop; and

means for bonding said discharge hose, said dripping chamber, and said container into one piece to form a removable and disposable part.

6. The fluid measurement apparatus of claim 5, wherein said dripping chamber further comprises:

a front wall made of transparent plastic for viewing purposes;

a U-shaped channel with internal front, back, and side walls comprising a branch located in the body fluid drop fall line of said dripping chamber, and another branch leading to an overflow chamber being in fluid communication with said discharge hose and said container; and

a check valve, connectable to said dripping chamber and spring-loaded to open only when the fluid level in said overflow chamber exceeds a predetermined value.

7. The fluid measurement apparatus of claim 6, further comprising:

a base with rim areas, located in said shaft; and

a plurality of elastic tongues constructed on a back wall of said dripping chamber and engaging said rim areas of said base.

8. The fluid measurement apparatus of claim 7, wherein said dripping chamber further comprises:

a plurality of lead electrodes mountable to at least one side wall of said U-shaped channel extending through said back wall of said dripping chamber, to form elastic contact tongues;

a plurality of contact points corresponding to the number of said electrodes inside said dripping chamber, attachable to said shaft of said housing; and

a temperature sensor for sensing temperatures of said body fluid and for providing a temperature signal to said processing unit to generate a corrected value for said density of body fluid produced by the patient.

9. The fluid measurement apparatus of claim 2, further comprising:

a temperature measurement element, coupled to the patient'"'"'s catheter and to said discharge hose; and

means for electrically coupling said temperature measurement element to said computer for providing a temperature reading to be displayed by said display means.

10. A method, for the automatic monitoring and recording of the volume flow of body fluids produced by a catheterized patient, which are captured in a collecting container that is suspended on a holder from a fluid measurement apparatus, comprising the steps of:

determining a weight of the body fluids collected in the container;

determining a correction factor based on signals generated from two angle sensors coupled to the fluid measurement apparatus, oriented orthogonal to each other, that determine a value for an inclined position of the holder;

determining a corrected value of said weight of the body fluids produced by the patient; and

determining a value for volume flow of the body fluids by

subtracting off a stored tare value of the container from said corrected actual weight to produce a value for weight of body fluid collected, and

dividing said value for weight of body fluid collected by a stored value for the specific gravity of the body fluid, producing a value for the total collected body fluid volume.

11. The method of claim 10, further comprising the step of:

determining a value for density of body fluids through an empirically derived relationship based on a value for measured electrical conductivity of the body fluids produced by the patient.