Method and apparatus for enhancing patient compliance during inspiration measurements

• US 6,106,481 A
• Filed: 10/01/1997
• Issued: 08/22/2000
• Est. Priority Date: 10/01/1997
• Status: Expired due to Fees

• Current Assignee: Boston Medical Technologies Incorporated
• Original Assignee: Boston Medical Technologies Incorporated
• Inventors: Cohen, Alan M.
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): ASTORINO, MICHAEL C
• Application Number:
  US08/942,710
• Time in Patent Office: 1,056 Days
• Field of Search: 600/500, 600/528-538, 128/900-925, 128/897-899
• US Class Current: 600/534
• CPC Class Codes: A61B 5/091 Measuring volume of inspired or expired gases, e.g. to determine lung capacity
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/486 Bio-feedback A61B5/375 takes precedence

Abstract

A system for measuring a patient'"'"'s inspiration volume and for enhancing patient compliance with a predetermined breathing pattern during inspiration volume measurements. A flexible conductive loop adapted for being wrapped around, and conforming to the patient'"'"'s chest is coupled to an amplifier circuit including a signal generator and an exclusive-OR gate. The signal generator generates a square-wave signal for coupling to a first terminal of the conductive loop and the exclusive-OR gate is responsive to the applied square-wave signal and to a signal at the second terminal of the loop for measuring the delay between the signals. The output signal of the amplifier circuit is indicative of the inductance of the loop, which varies with the patient'"'"'s inspiration volume. The measured inspiration volume is displayed on a first display and a target inspiration volume is displayed on a second display, preferably, disposed adjacent to the first display. The patient is instructed to breathe in a manner that causes the measured inspiration volume display to match the target inspiration volume display. In one embodiment, a measure of the patient'"'"'s compliance with the predetermined breathing pattern is provided.

Claims

1. A system for improving patient compliance with a predetermined breathing pattern during inspiration volume measurements, comprising:

an inspiration volume amplifier for measuring the inspiration volume of a patient for heart rate variability analysis;

a display comprising;

a first display portion for displaying the measured inspiration volume of the patient; and

a second display portion disposed adjacent to the first display portion for displaying a target inspiration volume; and

a processor responsive to the measured inspiration volume of the patient for controlling the first display portion, wherein the processor is operative to control the second display portion in accordance with a predetermined mathematical function.

2. The system of claim 1, wherein the inspiration volume amplifier is adapted for coupling to a conductive loop suitable for positioning around and conforming to the patient'"'"'s chest.

3. The system of claim 2, wherein the inspiration volume amplifier comprises a delay measuring circuit for measuring a delay between a square-wave signal applied to a first terminal of the conductive loop and a signal at a second terminal of the conductive loop.

4. The system of claim 1, wherein the first and second display portions are in the form of bar graphs.

5. The system of claim 1, wherein each of the first and second display portions comprises a plurality of LEDs.

6. The system of claim 1, wherein the first display portion comprises a demultiplexer responsive to a plurality of data input signals provided by the processor for controlling the first display portion and the second display portion comprises a demultiplexer responsive to the plurality of data input signals provided by the processor for controlling the second display portion.

7. The system of claim 1, wherein the predetermined mathematical function is a sine wave function.

8. The system of claim 1, wherein the predetermined mathematical function is a chirp function.

9. A system for improving patient compliance with a predetermined breathing pattern during inspiration volume measurements comprising:

an inspiration volume amplifier for measuring the inspiration volume of a patient, said inspiration volume amplifier adapted for coupling to a conductive loop suitable for positioning around and conforming to the patient'"'"'s chest and comprising a delay measuring circuit for measuring a delay between a square-wave signal applied to a first terminal of the conductive loop and a signal at a second terminal of the conductive loop;

a display comprising;

a first display portion for displaying the measured inspiration volume of the patient; and

a second display portion disposed adjacent to the first display portion for displaying a target inspiration volume; and

a processor responsive to the measured inspiration volume of the patient for controlling the first display portion, wherein the processor is operative to control the second display portion in accordance with a predetermined function.

10. A system for improving patient compliance with a predetermined breathing pattern during inspiration volume measurements comprising:

an inspiration volume amplifier for measuring the inspiration volume of a patient;

a display comprising;

a first display portion for displaying the measured inspiration volume of the patient, said first display portion comprising a demultiplexer responsive to a plurality of data input signals provided by the processor for controlling the first display portion; and

a second display portion disposed adjacent to the first display portion for displaying a target inspiration volume, said second display portion comprising a demultiplexer responsive to the plurality of data input signals provided by the processor for controlling the second display portion; and

a processor responsive to the measured inspiration volume of the patient for controlling the first display portion, wherein the processor is operative to control the second display portion in accordance with a predetermined function.

11. A system for improving patient compliance with a predetermined breathing pattern comprising:

(a) a device for measuring the inspiration volume of a patient;

(b) a display for displaying the measured inspiration volume of the patient, wherein said display comprises;

(i) a deep breathing maximum display portion for indicating when the patient'"'"'s breathing exceeds a deep breathing maximum level, wherein said deep breathing maximum level is a function of said measured inspiration volume of the patient; and

(ii) a deep breathing minimum display portion for indicating when the patient'"'"'s breathing falls below a deep breathing minimum level, wherein said deep breathing minimum level is a function of said measured inspiration volume of the patient; and

(c) a processor for controlling said display in accordance with the measured inspiration volume of the patient.

12. The system of claim 11, wherein said display further comprises a target inspiration volume portion for displaying a target inspiration volume.

13. The system of claim 12, wherein said processor controls said target inspiration volume portion according to a predetermined mathematical function.

14. A method for improving patient compliance with a predetermined breathing pattern during inspiration volume measurements, comprising the steps of:

measuring the patient'"'"'s inspiration volume;

computing a deep breathing maximum level as a function of the patient'"'"'s measured inspiration volume and a deep breathing minimum level as a function of the patient'"'"'s measured inspiration volume;

displaying the measured inspiration volume of the patient, including when said measured inspiration volume is greater than said deep breathing maximum level and when said measured inspiration volume is less than said deep breathing minimum level;

displaying a target inspiration volume in accordance with a predetermined function; and

instructing the patient to breathe in a manner that causes the measured inspiration volume display to match the target inspiration volume display.