Method of measuring respiration and respiratory effort using plural catheters

• US 5,810,741 A
• Filed: 12/21/1995
• Issued: 09/22/1998
• Est. Priority Date: 11/05/1992
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Synectics Medical AB (Medtronic Plc)
• Inventors: Essen-Moller, Anders
• Primary Examiner(s): Bahr, Jennifer
• Assistant Examiner(s): GILBERT, SAMUEL G
• Application Number:
  US08/576,034
• Time in Patent Office: 1,006 Days
• Field of Search: 128/716-725, 128/730, 128/207.14, 128/207.15, 128/207.18, 128/204.23, 600/529-534, 600/543
• 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 method of determining the existence and location of an obstruction in a respiratory track includes introducing a first catheter having a first sensing site into the body of a patient until the first sensing site is positioned so that it is distal to the obstruction. The first catheter is used to monitor respiratory effort with generated signals indicative of respiratory effort. A second catheter having a second sensing site is positioned so that the second sensing site is near the nostrils. The second catheter is used to monitor actual respiration with generated signals indicative of actual respiration. The existence of the obstruction is verified by observing respiratory effort signals without corresponding actual respiration signals.

Claims

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

introducing a first catheter into the respiratory track so that a first sensing site is positioned distal to the obstruction, by inserting the first catheter into the respiratory track until signals from the first catheter indicative of respiratory effort cease to occur, indicating that the first catheter has been pushed to a distal side of said obstruction;

using the first catheter to monitor respiratory effort with signals generated at said first sensing site indicative of the respiratory effort;

positioning a second catheter in the respiratory track so that a second sensing site is near nostrils;

using the second catheter to monitor actual respiration with signals from the second catheter generated at said second sensing site indicative of the actual respiration; and

verifying existence of the obstruction by observing respiratory effort signals without corresponding actual respiration signals.

2. A method as defined by claim 1, wherein said step of using the first catheter to monitor respiratory effort includes the step of using a sensor selected from the group consisting of:

a pressure transducer;

an optical pressure sensor;

a lumen providing perfusion;

an acoustic sensor;

a balloon pressure sensor; and

an impedance sensor.

5. 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.

6. 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.

3. A method as defined by clam 1, wherein said step of using the second catheter to monitor actual respiration includes the step of using a sensor located at said second sensing site to monitor said actual respiration, where the sensor is selected from the group consisting of a pressure sensor and a temperature sensor.

4. A method as defined by claim 3, wherein said pressure sensor is selected from the group consisting of a pressure transducer, an optical pressure sensor, or a lumen providing perfusion, and said temperature sensor is a thermistor.

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

introducing a first sensor catheter into the respiratory track and positioning the catheter so that a first sensor on the first catheter is positioned distal to the obstruction thus monitoring respiratory effort, by inserting the first catheter into the respiratory track until signals from the first sensor indicative of respiratory effort cease to occur, indicating that the first sensor has been pushed to a distal side of said obstruction;

positioning a second sensor catheter in the respiratory track so that a sensing site on the second catheter is sufficiently near nostrils to permit monitoring signals indicative of actual respiration; and

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

8. A method as defined by claim 7, further comprising the step of locating the obstruction by inserting the second sensor catheter into the respiratory track until respiration signals similar to the respiratory effort signals cease to occur, indicating that the second sensor catheter also has been pushed to a distal side of said obstruction.

9. A method as defined by claim 7, further comprising the step of locating the obstruction by withdrawing the first sensor catheter until it registers respiration effort signals similar to respiration signals registered by the second sensor catheter, indicating that the first sensor catheter has crossed over to a proximal side of said obstruction.

10. A method as defined by claim 7, wherein said second sensor catheter has a structure the same as said first sensor catheter.

11. A method as defined by claim 7, wherein said sensor catheters include sensors which are any of a pressure sensor, a temperature sensor, an electrical pressure transducer, an optical pressure sensor, and a thermistor.

12. A method as defined by claim 7, wherein the step of positioning said second sensor catheter includes positioning said second sensor catheter just inside one of the nostrils.

13. A method of monitoring obstructive and central nervous system sleep apnea comprising the steps of:

introducing into a respiratory track a first sensor catheter and positioning a sensor on the first catheter distal to any airway obstruction for monitoring respiratory effort;

positioning in the respiratory track a second sensor catheter so that a sensor on the second catheter is sufficiently near nostrils to permit monitoring of actual respiration;

connecting the catheters to an ambulatory recorder and recording signals from the sensors and thus monitoring both respiratory effort and respiration;

recording an apnea when there are no signals indicative of actual respiration and

classifying recorded apneas as obstructive if signals indicative of respiratory efforts occur in the absence of signals indicative of actual respiration and as central nervous system if there are no signals indicative of respiratory effort and no signals indicative of actual respiration.