Patient monitor and method of using same

• US 6,342,040 B1
• Filed: 11/10/1999
• Issued: 01/29/2002
• Est. Priority Date: 02/25/1998
• Status: Expired due to Term

• Current Assignee: RIC INVESTMENTS LLC (Koninklijke Philips N.V.)
• Original Assignee: Respironics Incorporated (Koninklijke Philips N.V.)
• Inventors: Scarberry, Eugene N., Starr, Eric W., Kane, Michael T.
• Primary Examiner(s): Lacyk, John P.
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US09/438,081
• Time in Patent Office: 811 Days
• Field of Search: 600/532, 600/529, 600/531, 600/533, 600/537, 600/538, 73/233, 128/204.23
• US Class Current: 600/538
• CPC Class Codes: A61G 11/00 Baby-incubators; Couveuses
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 16/101 using an oxygen concentrator
• CPC Class Codes: A61M 16/1055 bacterial
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)

Abstract

A patient monitoring apparatus for monitoring and/or measuring a physiological characteristic of said patient. A user interface having an interior portion communicates with an airway of a user such that substantially all gas inhaled and exhaled by the user enters the interior portion of the user interface. At least one vent element is associated with the user interface and communicates the interior portion of the user interface with an ambient atmosphere outside the user interface. The vent element and user interface define a flow element across which a pressure differential is created during inhalation and exhalation. The pressure differential is the pressure difference between the pressure within the interior portion of the user interface and the pressure of the ambient atmosphere outside the user interface. A sensor communicates with the interior portion of the user interface and measures a fluid characteristic resulting from this pressure differential and outputs a first signal indicative of the measured fluid characteristic. The output from the sensor is used alone or in combination with the output from other sensors that detect other physiological characteristics to provide a variety of information about the patient.

Claims

1. A patient monitoring apparatus, comprising:

a mask adapted to be donned by a user and having an outer user contacting surface adapted to encircle at least one of a user'"'"'s nares, a user'"'"'s mouth, and both a user'"'"'s nares and mouth such that an interior portion of the mask is in fluid communication with an airway of a user to receive substantially all gas inhaled and exhaled by such a user;

an exhaust vent associated with the mask and communicating the interior portion of the mask with an ambient atmosphere outside the mask, the exhaust vent and the mask defining a flow element across which a pressure differential is created during inhalation and exhalation, the pressure differential being a pressure difference between a first pressure within the interior portion of the mask and a pressure of ambient atmosphere outside the mask;

a sensor communicating with the interior portion of the mask to measure a fluid characteristic resulting from such a pressure differential and to output a first signal indicative of the fluid characteristic; and

a processing unit receiving the first signal and determining a quantitative value for a physiological characteristic of a user based on the first signal.

2. An apparatus according to claim 1, wherein the sensor is coupled to the mask via a single hollow tube, wherein at least one of the sensor and the mask is selectively detachable from the hollow tube.

3. An apparatus according to claim 1, wherein the physiological characteristic is a characteristic associated with respiration.

4. An apparatus according to claim 3, wherein the characteristic associated with respiration is at least one of a rate of flow of gas through the mask and a volume of gas exiting the interior portion of the mask over at least one of a predetermined period of time and a predetermined portion of a respiratory cycle.

5. An apparatus according to claim 1, wherein the processing unit outputs a second signal indicative of the quantitative value, and wherein the apparatus further comprises an output device that converts the second signal into a human perceivable output.

6. An apparatus according to claim 1, wherein the sensor is a gas flow sensor and the fluid characteristic measured by the sensor is a rate of flow of gas through the gas flow sensor between the interior portion of the mask and anbient atmosphere.

7. An apparatus according to claim 1, wherein the sensor is a pressure sensor and the fluid characteristic measured by the sensor is a pressure within the interior portion of the mask.

8. An apparatus according to claim 1, wherein the exhaust vent is a fixed diameter hole defined in the mask.

9. An apparatus according to claim 1, further comprising a breathing gas supply communicating with the interior portion of the mask to provide breathing gas to the interior portion of the mask.

10. An apparatus according to claim 9, further comprising means for accounting for an offset in the first signal caused by the supply of breathing gas to the interior portion of the mask by the gas supply.

11. An apparatus according to claim 1, wherein the exhaust vent is defined in the mask.

12. An apparatus according to claim 1, further comprising a breathing circuit operatively coupled to the mask, and wherein the exhaust vent is defined in the breathing circuit.

13. A patient monitoring apparatus, comprising:

a nasal cannula having at least one prong that inserts into a nare of a user such that an interior portion of the prong is in fluid communication with an airway of such a user to receive substantially all gas inhaled and exhaled by such a user;

an exhaust vent associated with the prong and communicating the interior portion of the prong with ambient atmosphere, the exhaust vent and the prong defining a flow element across which a pressure differential is created during inhalation and exhalation, the pressure differential being a pressure difference between a first pressure within the interior portion of the prong and a pressure of ambient atmosphere;

a sensor communicating with the interior portion of the prong to measure a fluid characteristic resulting from such a pressure differential and to output a first signal indicative of the fluid characteristic; and

a processing unit receiving the first signal and determining a quantitative value for a physiological characteristic of a user based on the first signal.

14. An apparatus according to claim 13, wherein the prong includes an opening defined at a distal end to communicate the interior portion of the prong with a nasal cavity of the user, and wherein the exhaust vent includes at least one fixed diameter hole defined in a proximal end of the prong.

15. An apparatus according to claim 13, wherein the physiological characteristic is at least one of a rate of flow of gas through the prong and a volume of gas exiting the interior portion of the prong over at least one of a predetermined period of time and a predetermined portion of a respiratory cycle.

16. An apparatus according to claim 13, further comprising:

a breathing gas supply communicating with the interior portion of the mask to provide breathing gas to the interior portion of the mask; and

means for accounting for an offset in the first signal caused by the supply of breathing gas to the interior portion of the prong by the breathing gas supply.

17. A patient monitoring method, comprising the steps of:

donning a mask on a user such that an onter user contacting surface of the mask encircles at last one of a user'"'"'s nares, a user'"'"'s mouth, and both a user'"'"'s nares and mouth and such that an interior portion of the mask is in fluid communication with an airway of a user to receive substantially all gas inhaled and exhaled by such a user, wherein an exhaust vent is associated with the mask so as to coimunicate the interior portion of the mask with an ambient atmosphere, the exhaust vent defining a flow element across which a pressure differential is created during inhalation and exhalation, the pressure differential being a pressure difference between a first pressure within the interior portion of the mask and a pressure of ambient atmosphere outside;

passing a flow gas through the flow element during at least one of inhalation and exhalation;

measuring a fluid characierstic resulting from the pressure differential;

outputting a first signal that corresponds to the fluid characteristic; and

using the first signal to determine a quantitative value for a physiological characteristic of such a user.

18. A method according to claim 17, wherein the step of using the first signal to determine a quantitative value for the physiological characteristic includes determining a quantitative value for a characteristic associated with respiration.

19. A method according to claim 17, wherein the step of using the first signal to determine a quantitative value for the characteristic associated with respiration includes determining at least one of a rate of flow of gas through the mask and a volume of gas exiting the interior portion of the mask over at least one of a predetermined period of time and a predetermined portion of a respiratory cycle.

20. A method according to claim 17, further comprising outputting, in a human perceivable manner, the quantitative value for the physiological characteristic of such a user.

21. A method according to claim 17, wherein the measuring step is accomplished using a gas flow sensor, and the fluid characteristic measured during the measuring step is a rate of flow of gas through the gas flow sensor between the interior portion of the mask and ambient atmosphere.

22. A method according to claim 17, wherein the measuring step is accomplished using a pressure sensor, and the fluid characteristic measured by the pressure sensor is a pressure within the interior portion of the mask.

23. A method according to claim 17, further comprising outputting, in a human perceivable manner, information indicative of the physiological characteristic of such a user.

24. A method according to claim 17, further comprising supplying a breathing gas to the interior portion of the mask.

25. A method according to claim 24, further comprising accounting for an offset in the first signal caused by supplying the breathing gas to the interior portion of the mask by the gas supply.

26. A method according to claim 17, wherein the exhaust vent is defined in the mask.

27. A method according to claim 17, further comprising a breathing circuit operatively coupled to the mask, and wherein the exhaust vent is defined in the breathing circuit.

28. A patient monitoring method, comprising the steps of:

inserting a nasal prong into a user'"'"'s nares such that an interior portion of the prong is in fluid communication with an airway of a user to receive substantially all gas inhaled and exhaled by such a user, wherein the prong includes an exhaust vent that communicates the interior portion of the prong with an ambient atmosphere, the exhaust vent and the prong defining a flow element across which a pressure differential is created during inhalation and exhalation, the pressure differential being a pressure difference between a first pressure within the interior portion of the prong and a pressure of ambient atmosphere outside;

passing a flow of gas through the flow element during at least one of inhalation and exhalation;

measuring a fluid characteristic resulting from the pressure differential;

outputting a first signal that corresponds to the fluid characteristic; and

using the first signal to determine a quantitative value for a physiological characteristic of such a user.

29. A method according to claim 28, wherein the step of using the first signal to determine a quantitative value for the physiological characteristic includes determining at least one of a rate of flow of gas through the prong and a volume of gas exiting the interior portion of the prong over at least one of a predetermined period of time and a predetermined portion of a respiratory cycle.

30. A method according to claim 28, further comprising:

supplying a breathing gas to the interior portion of the prong; and

accounting for an offset in the first signal caused by supplying the breathing gas to the interior portion of the prong by the gas supply.