Method and apparatus for triggering an event at a desired point in the breathing cycle

• US 6,370,419 B2
• Filed: 02/20/1998
• Issued: 04/09/2002
• Est. Priority Date: 02/20/1998
• Status: Expired due to Fees

• Current Assignee: University of Florida (State University System of Florida)
• Original Assignee: University of Florida (State University System of Florida)
• Inventors: Lampotang, Samsun, Langevin, Paul B.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US09/026,908
• Publication Number:
  US 20010014772A1
• Time in Patent Office: 1,509 Days
• Field of Search: 600/411, 600/413, 600/427, 600/428, 600/529, 600/534, 600/538, 600/539, 128/200.24, 128/202.13, 128/202.16, 378/98, 378/95, 378/117, 378/147
• US Class Current: 600/427
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61B 6/507 for determination of haemodynamic parameters, e.g. perfusion CT
• CPC Class Codes: A61B 6/541 involving acquisition triggered by a physiological signal
• CPC Class Codes: A61N 5/1037 taking into account the movement of the target, e.g. 4D-image based planning
• CPC Class Codes: A61N 5/1064 for adjusting radiation treatment in response to monitoring

Abstract

The subject invention pertains to a novel method and apparatus for improving the efficacy of a medical treatment or diagnostic procedure by coordinating such treatment or procedure with a patient'"'"'s breathing cycle. In a specific embodiment, the subject invention pertains to a novel method of coordinating a chest x-ray with a patient'"'"'s ventilatory cycle. In a specific example, this invention concerns a novel device for interfacing a ventilator and an x-ray machine to ensure that an x-ray chest image can be taken at peak insufflation of the patient. The subject invention also relates to other medical procedures including, but not limited to, cardiac output measurement, chest imaging, inhalation therapy, oxygen delivery, blood pressure measurement, and pulse oximeter optoplethysmograms. By coordinating certain medical treatments and diagnostic procedures with a patient'"'"'s breathing cycle, the subject invention improves the quality of medical care received by the patient.

Claims

1. A device for improving the efficacy of the taking of a chest image, comprising:

a means for receiving a signal which indicates a degree of insufflation of a patient; and

a means for effecting the taking of a chest image with respect to said patient based on said degree of insufflation,

wherein said device improves the efficacy of the taking of a chest image by coordinating the taking of a chest image with the patient'"'"'s degree of insufflation.

wherein said means for effecting the taking of a chest image causes said chest image to be taken when said signal indicates a desired degree of insufflation,

wherein said signal which indicates the degree of insufflation of a patient is received from a ventilator, wherein the desired degree of insufflation is not minimum insufflation or maximum insufflation.

2. The device according to claim 1, wherein said signal which indicates a degree of insufflation of a patient further indicates the point in the breathing cycle of said patient.

3. The device according to claim 1, further comprising:

a ventilator model switch comprising settings corresponding to specific ventilators such that said device can interpret the signal indicating the patient'"'"'s degree of insufflation received from a selected ventilator.

4. The device according to claim 1, further comprising a switch which indicates the degree of insufflation of the patient at which the taking of a chest image is to be effected.

5. A device for improving the efficacy of the taking of a chest image, comprising:

a means for receiving a signal which indicates a degree of insufflation of a patient; and

a means for effecting the taking of a chest image with respect to said patient based on said degree of insufflation,

wherein said device improves the efficacy of the taking of a chest image by coordinating the taking of a chest image with the patient'"'"'s degree of insufflation,

wherein said means for effecting the taking of a chest image causes said chest image to be taken when said signal indicates a desired degree of insufflation,

wherein said signal which indicates the degree of insufflation of a patient is received from a ventilator,

further comprising;

a means for causing said ventilator to ventilate the patient with a sigh breath, wherein said chest image of the patient is taken during the sigh breath.

6. The device for improving the efficacy of the taking of a chest image, comprising:

a means for receiving a signal which indicates a degree of insufflation of a patient; and

a means for effecting the taking of a chest image with respect to said patient based on said degree of insufflation,

wherein said device improves the efficacy of the taking of a chest image by coordinating the taking of a chest image with the patient'"'"'s degree of insufflation,

wherein said means for effecting the taking of a chest image causes said chest image to be taken when said signal indicates a desired degree of insufflation such that said chest image is taken at the desired degree of insufflation,

wherein said device effects the taking of a chest image by sending an output signal to an x-ray machine,

further comprising;

a means for emulating an x-ray machine firing handle, said means for emulating an x-ray machine firing handle comprising a means for selecting a fire command, wherein a caregiver can select the fire command such that, after a predetermined delay period, said device will send the output signal to the x-ray machine when said signal indicates the desired degree of insufflation.

7. The device according to claim 6, wherein said means for emulating an x-ray machine firing handle comprises a computer interface.

8. The device according to claim 7, wherein the computer interface comprises a button wherein when a caregiver selects the fire command the button on the computer interface indicates the fire command has been received.

9. The device according to claim 6, wherein said predetermined delay period is related to a time period required to charge up at least one capacitor, wherein said at least one capacitor supplies the charge needed to effect the taking of the x-ray image.

10. The device according to claim 6, wherein said predetermined delay period is at least two seconds.

11. The device according to claim 6, wherein said means for emulating an x-ray machine firing handle comprises a means for selecting a collimator command, wherein when a caregiver selects the collimator command a collimator light is turned on.

12. The device according to claim 6, wherein the means for selecting a fire command is a fire button wherein a caregiver can select the fire command by pushing and releasing the fire button.

13. A device for improving the efficacy of the taking of a chest image, comprising:

a means for receiving a signal which indicates a degree of insufflation of a patient; and

a means for effecting the taking of a chest image with respect to said patient based on said degree of insufflation,

wherein said device improves the efficacy of the taking of a chest image by coordinating the taking of a chest image with the patient'"'"'s degree of insufflation,

wherein said means for effecting the taking of a chest image causes said chest image to be taken when said signal indicates a desired degree of insufflation such that said chest image is taken at the desired degree of insufflation,

wherein said device effects the taking of a chest image by sending an output signal to an x-ray machine, wherein said device sends the output signal to the x-ray machine when said signal indicates the desired degree of insufflation,

wherein said signal which indicates the degree of insufflation of a patient is received from a flowmeter.

14. The device according to claim 13, wherein said device further comprises an obstructive type flowmeter which generates said signal which indicates a degree of insufflation of a patient.

15. The device according to claim 14, wherein said flowmeter is an orifice type flowmeter.

16. The device according to claim 15, wherein the flowmeter is placed at a Y-piece of the patient.

17. The device according to claim 15, wherein the flowmeter is placed inside a ventilator.

18. A method for imaging a chest of a patient, comprising the steps of:

(a) monitoring a signal outputted from a patient'"'"'s ventilator, wherein said signal indicates the patient'"'"'s degree of insufflation;

(b) receiving an indication from a caregiver to effect the taking of an x-ray image; and

(c) sending an output signal to an x-ray machine to effect the taking of an x-ray image of the patient when said signal indicates a desired degree of insufflation such that the x-ray image of the patient is taken at the desired degree of insufflation, wherein the x-ray image is taken only after receipt of said indication from the caregiver to effect an x-ray image and the signal indicates the desired degree of insufflation, wherein the caregiver indicates to effect the taking of an x-ray image by selecting a fire command on a user interface.

19. The method according to claim 18, wherein said desired degree of insufflation is peak insufflation.

20. The method according to claim 18, wherein said caregiver indicates to effect the taking of an x-ray image by interfacing with a device which monitors said signal outputted from the patient'"'"'s ventilator and sends said output signal.

21. The method according to claim 20, wherein said device is electrically isolated from said x-ray machine.

22. A device for improving the efficacy of the taking of a chest image, comprising:

a means for receiving a signal which indicates a degree of insufflation of a patient; and

a means for effecting the taking of a chest image with respect to said patient based on said degree of insufflation,

wherein said device improves the efficacy of the taking of a chest image by coordinating the taking of a chest image with the patient'"'"'s degree of insufflation,

wherein said means for effecting the taking of a chest image causes said chest image to be taken at a desired degree of insufflation such that said chest image is taken at the desired degree of insufflation,

wherein said device effects the taking of a chest image by sending an output signal to an x-ray machine,

further comprising;

a means for emulating an x-ray machine firing handle, wherein a caregiver can select a fire command such that, after a predetermined delay period, said device will send the output signal to the x-ray machine when said signal indicates the desired degree of insufflation,

wherein a caregiver can select a rotor-up command which initiates the charging of the x-ray machine'"'"'s capacitor to prepare for firing, and wherein when the caregiver selects the fire command after selection of the rotor-up command the predetermined delay period is measured from selection of the rotor-up command such that, after the predetermined delay period, said device will send the output signal to the x-ray machine when said signal indicates the desired degree of insufflation.

23. A device for improving the efficacy of the taking of a chest image, comprising:

a means for receiving a signal which indicates a degree of insufflation of a patient; and

a means for effecting the taking of a chest image with respect to said patient based on said degree of insufflation,

wherein said device improves the efficacy of the taking of a chest image by coordinating the taking of a chest image with the patient'"'"'s degree of insufflation,

wherein said means for effecting the taking of a chest image causes said chest image to be taken when said signal indicates a desired degree of insufflation such that said chest image is taken at the desired degree of insufflation, wherein said device effects the taking of a chest image by sending an output signal to an x-ray machine, further comprising;

a user interface, wherein a caregiver can select a fire command such that, after a predetermined delay period, said device will effect the taking of a chest image when said signal indicates the desired degree of insufflation by sending the output signal to the x-ray machine when said signal indicates the desired degree of insufflation.