Apparatus for determining the conductivity of blood

• US 5,842,998 A
• Filed: 04/16/1997
• Issued: 12/01/1998
• Est. Priority Date: 08/21/1996
• Status: Expired due to Fees

• Current Assignee: Cleveland Clinic Foundation, Marquette Medical Systems, Inc.
• Original Assignee: Cleveland Clinic Foundation, Marquette Medical Systems, Inc.
• Inventors: Gopakumaran, Balakrishnan, Petre, John H., Osborn, Peter K.
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Assistant Examiner(s): Carter, Ryan
• Application Number:
  US08/842,640
• Time in Patent Office: 594 Days
• Field of Search: 600/374, 600/381, 600/454, 600/481, 600/485-486, 600/506, 600/508, 600/510, 600/526, 600/547
• US Class Current: 600/547
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/05 Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves impedance plethysmography A61B5/0295; measuring movement of the entire body or parts thereof A61B5/11; detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof A61B5/24
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

An in vivo apparatus for determining the absolute conductivity of a liquid such as human blood, including the steps of determining a location in a ventricle of a patient'"'"'s heart at which blood conductivity may be measured effectively, positioning a catheter having a plurality of spaced electrodes in the ventricle such that at least a pair of adjacent electrodes are positioned at the location, applying a current of known magnitude to the adjacent electrodes, measuring the voltage between the adjacent electrodes, and determining the conductivity of the patient'"'"'s blood from the known current and measured voltage.

Claims

1. An apparatus for determining the absolute conductivity of blood, said an apparatus including a catheter comprising an elongate body having a distal end and a proximal end and a plurality of electrodes on the outer surface thereof and spaced apart between the proximal and distal ends, one of said electrodes being positioned adjacent to the distal end and being the distal electrode and a second electrode being disposed adjacent the proximal end and being the proximal electrode, there being a plurality of measuring electrodes disposed between the distal and proximal electrodes, means coupled to the measuring electrodes for determining the location within a patient'"'"'s ventricle where conductivity readings can optimally be obtained when the measuring electrodes are positioned in the ventricle, whereby the catheter may be positioned so that a pair of adjacent ones of the measuring electrodes are proximal to the location, means for applying an alternating electric current of known magnitude to the pair of adjacent measuring electrodes, means for measuring the voltage between the pair of adjacent measuring electrodes and means for determining the absolute conductivity of blood in the ventricle from the alternating electric current and the measured voltage.

2. The apparatus set forth in claim 1 wherein the means for determining comprises a processor programmed to determine blood conductivity S from the expression:

space="preserve" listing-type="equation">S=IKc/V

Where;

I=the applied current

Kc=a constant

V=the measured voltage.

3. The apparatus set forth in claim 2 wherein there are a plurality of electrodes on said catheter, said electrodes having known spacing.

4. The apparatus set forth in claim 2 wherein said catheter includes a plurality of electrodes greater in number than two, said processor being programmed for determining which adjacent pair of electrodes of said plurality are located in the patient'"'"'s ventricle at the optimal position where a conductivity measurement can be obtained, said current applying means being operative to energize the pair of electrodes at the position, said voltage measuring means being operative to measure the voltage between the pair of electrodes at the location.

5. Apparatus for determining cardiac volume including a catheter constructed and arranged to be positioned in a ventricle of a patient'"'"'s heart, the catheter comprising an elongate body having a proximal end and a distal end within the ventricle and a plurality of spaced electrodes on the outer surface thereof and between the proximal and distal ends, said electrodes being spaced a predetermined distance from each other, means for providing a constant alternating electric current to the distal and proximal electrodes, means for measuring the voltage between pairs of adjacent electrodes located between the distal and proximal electrodes and resulting from said electrical current, processor means for determining cardiac volume using an expression in which the absolute conductivity of the patient'"'"'s blood is a variable, said processor being programmed (1) to determine the location of a position in the ventricle in which conductivity measurements can optimally be made, (2) to actuate the electrical current means for applying a constant electrical current of known magnitude to a selected pair of adjacent electrodes proximal to the located position, (3) to measure the voltage between the selected pair of adjacent electrodes, and 4 to determine the absolute conductivity of the patient'"'"'s blood from the known electrical current and the measured voltage.

6. The apparatus set forth in claim 5 wherein said processor is further programmed to (1) periodically terminate the cardiac volume determination for a dwell period;

(2) to determine the absolute conductivity of the patient'"'"'s blood during each dwell period, and to resume the cardiac output determination at the end of the dwell period using the blood conductivity determined during the preceding dwell period.

7. The apparatus set forth in claim 5 wherein said processor is further programmed to simultaneously determine cardiac output and blood conductivity.