Anesthesia machine output monitor

• US 5,778,874 A
• Filed: 10/02/1996
• Issued: 07/14/1998
• Est. Priority Date: 10/02/1996
• Status: Expired due to Fees

• Current Assignee: Thomas Jefferson University (Main Line Health System)
• Original Assignee: Thomas Jefferson University (Main Line Health System)
• Inventors: Maguire, David P., Torjman, Marc
• Primary Examiner(s): Asher, Kimberly L.
• Application Number:
  US08/725,291
• Time in Patent Office: 650 Days
• Field of Search: 128/203.12, 128/204.21, 128/204.22, 128/205.23, 128/716
• US Class Current: 128/204.22
• CPC Class Codes: A61M 16/01 specially adapted for anaesthetising A61M16/104, A61M16/18 take precedence
• CPC Class Codes: A61M 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/104 specially adapted for anaesthetics A61M16/18 takes precedence
• CPC Class Codes: A61M 16/18 Vaporising devices for anaesthetic preparations
• CPC Class Codes: A61M 16/22 Carbon dioxide-absorbing devices ; Other means for removing carbon dioxidecartridges with absorbing substances for respiratory apparatus A62B19/00
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2016/1035 the anaesthetic agent concentration
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2202/0283 Nitrous oxide (N2O)
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)

Abstract

An anesthesia machine output monitor (AMOM) which performs the functions of measuring the flow and composition of anesthesia gases delivered by the anesthesia machine, measuring on-line the amount of inhaled anesthetic used during a procedure requiring an anesthetic agent, measuring on-line the cost of inhaled anesthetic used during a procedure requiring an anesthetic agent, and integrating with an automated anesthesia recorder (AAR) to allow the recording of anesthetic gas flow rates and composition during a procedure and the cumulative cost of the anesthetic gases used during the procedure. The anesthesia gas flow rates and composition are measured using a modified infrared anesthetic gas analyzer that measures anesthetic gas composition and a pitot tube that is inserted in the common gas outlet of the anesthesia machine in order to measure the composition and flow rates of gases as they exit the anesthesia machine. Anesthetic gas sampling is accomplished by aspirating anesthetic gases from a sampling port integrated into the pitot tube. The measured gas analog signals are then captured from an I/O port of the capnograph and provided to a processor for on-line processing. An automated anesthesia recorder is preferably provided to permit cost and compliance records to be maintained for each use of the anesthesia machine.

Claims

1. A device for measuring anesthetic gas concentration delivered to a patient during a medical procedure requiring an anesthetic gas, comprising:

a supply which provides an anesthetic gas to a patient during a medical procedure;

a capnograph which determines flow rates and concentrations of respective gases input thereto;

a gas sampling device which provides a sample of gas output from said supply to said capnograph;

a processor which processes the flow rates and concentrations of gases in said sample provided to said capnograph by said gas sampling device to determine a cumulative cost of at least anesthetic gas used during said medical procedure; and

a display which displays at least said flow rates and gas concentrations of said sample to an operator of said device.

2. A device as in claim 1, further comprising a gas outlet on said device, wherein said gas sampling device is connected to an output of said gas outlet.

3. A device as in claim 1, further comprising a gas outlet on said device, wherein said gas sampling device is connected between said supply and said gas outlet.

4. A device as in claim 1, wherein said gas sampling device comprises a pitot tube with a narrow internal diameter, said pitot tube being sensitive to gas flow in one direction.

5. A device as in claim 1, wherein said capnograph has an I/O port for providing said flow rates and concentrations of gases in said sample to said processor.

6. A device as in claim 1, further comprising a data recorder connected to an output of said processor, said data recorder recording anesthetic gas flow rates, gas concentrations, and said cumulative cost of at least anesthetic gas used during said medical procedure.

7. A device as in claim 1, wherein said display further displays said cumulative cost determined by said processor.

8. A device as in claim 1, wherein said processor displays a message on said display instructing said operator to adjust a flow rate of anesthetic gas when said processor determines that at least one of said flow rates and said concentrations is out of an acceptable range.

9. A device as in claim 1, wherein said gas sampling device comprises a pneumatach flow turbine.

10. A method of providing anesthetic gases from an anesthetic gas supply in prescribed concentrations to a patient during a medical procedure requiring an anesthetic gas, comprising the steps of:

selecting at least one anesthetic gas to be provided to a patient during a medical procedure;

sampling gases provided from said gas supply during said medical procedure at a point between said gas supply and the patient;

determining flow rates and concentrations of said sampled gases;

determining a cumulative cost of anesthetic gases used during said medical procedure; and

displaying at least said flow rates and gas concentrations of said sampled gases to an operator.

11. A method as in claim 10, wherein gases from said gas supply are sampled in said sampling step at an output of a gas outlet of said gas supply.

12. A method as in claim 10, wherein gases from said gas supply are sampled in said sampling step at a point between said gas supply and a gas outlet of an anesthesia machine associated with said gas supply.

13. A method as in claim 10, wherein said sampling step comprises the step of reducing a diameter of an output tube of said gas supply as gas output from said gas supply passes through a pitot tube, thereby increasing sensitivity of said pitot tube to gas flow therethrough.

14. A method as in claim 10, comprising the further step of recording anesthetic gas flow rates, gas concentrations, and said cumulative cost of anesthetic gases used during said medical procedure.

15. A method as in claim 10, wherein said displaying step comprises the step of displaying said cumulative cost determined by said processor to said operator.

16. A method as in claim 10, comprising the further step of displaying a message on said display instructing the operator to adjust a flow rate of anesthetic gases when it is determined in said flow rates and concentrations determining step that at least one of said flow rates and said concentrations is out of an acceptable range.