Patient monitor and method of using same

• US 6,544,192 B2
• Filed: 09/24/2001
• Issued: 04/08/2003
• Est. Priority Date: 02/25/1998
• Status: Expired due to Term

• Current Assignee: RIC INVESTMENTS LLC (Respironics Incorporated)
• Original Assignee: Respironics Incorporated
• Inventors: Kane, Michael T., Scarberry, Eugene N., Starr, Eric W.
• Primary Examiner(s): Hindenburg, Max F.
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US09/961,618
• Publication Number:
  US 20020029004A1
• Time in Patent Office: 561 Days
• Field of Search: 600/538, 600/532, 600/529, 600/531, 600/533, 600/537, 73/233, 128/204.23
• US Class Current: 600/538
• CPC Class Codes: A61B 5/087 Measuring breath flow
• 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 16/106 in a path
• 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 quantatively measuring a physiological characteristic of a patient. A first patient interface communicates with an airway of a patient such that substantially all gas inhaled and exhaled by the patient passes through the first patient interface. One or more vent elements associated with the first patient interface communicate the first patient interface with an ambient atmosphere so that a pressure differential is created between the pressure in the first patient interface and the pressure of the ambient atmosphere. A sensor communicates with the first patient interface and measures a fluid characteristic resulting from this pressure differential and outputs a first signal indicative of that 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 first patient interface adapted to be located at a first orifice of a patient such that substantially all gas passing through the first orifice passes through the first user interface;

at least one vent element associated with the first patient interface to communicate a portion of gas passing through the first patient interface with an ambient atmosphere, thereby creating a pressure differential between a pressure within the first patient interface and a pressure of the ambient atmosphere;

a first conduit having a first end coupled to the first patient interface and a second end;

a first sensor coupled to the second end of the conduit, wherein the first sensor measures a fluid characteristic resulting from the pressure differential and outputs 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 the patient based on the first signal.

2. An apparatus according to claim 1, further comprising selecting means for selecting at least one of a plurality of types of first patient interfaces to which the first sensor is coupled, wherein the processing unit determines the quantitative value for the physiological characteristic based on a type of first patient interface selected by the selecting means.

3. An apparatus according to claim 1, further comprising a communication unit for transmitting to a remote receiver the first signal or a signal corresponding to the quantitative value.

4. An apparatus according to claim 1, wherein the physiological characteristic is a rate of flow of gas or a volume of gas passing through the first patient interface.

5. An apparatus according to claim 1, wherein the first sensor is an airflow sensor and the fluid characteristic measured by the first sensor is a rate of flow of gas passing through the first sensor.

6. An apparatus according to claim 1, wherein the first sensor is a pressure sensor and the fluid characteristic measured by the first sensor is a pressure within the first patient interface.

7. An apparatus according to claim 1, wherein the first patient interface is a mask that covers a patient'"'"'s nose, mouth, or both, when donned by such a patient.

8. An apparatus according to claim 7, wherein the vent element includes at least one fixed diameter hole defined in the mask.

9. An apparatus according to claim 7, wherein the mask includes a patient contacting seal and an adhesive provided on a patient contacting portion of the seal.

10. An apparatus according to claim 1, wherein the first patient interface is nasal canula having at least one prong adapted to insert into a nare of the patient.

11. An apparatus according to claim 1, further comprising a breathing gas supply or a medication delivery device coupled in fluid communication with an airway of a patient.

12. An apparatus according to claim 1, further comprising:

a second patient interface adapted to be located at a second orifice of a patient such that substantially all gas passing through the second orifice passes through the second user interface;

at least one vent element associated with the second patient interface to communicate a portion of gas passing through the second patient interface with an ambient atmosphere, thereby creating a pressure differential between a pressure within the second patient interface and a pressure of the ambient atmosphere;

a second conduit having a first end coupled to the second patient interface and a second end; and

a second sensor coupled to the second end of the conduit, wherein the second sensor measures a fluid characteristic resulting from the pressure differential and outputs a second signal indicative of the fluid characteristic, wherein the processing unit, receiving the first signal and the second signal, and determines quantitative values for a first physiological characteristic of the patient and a second physiological characteristic of the patient based on the first signal and the second signal respectively.

13. An apparatus according to claim 12, wherein the first patient interface is a mask that covers a patient'"'"'s nose, and wherein the second patient interface is a mask that covers such a patient'"'"'s mouth.

14. An apparatus according to claim 13, wherein the first patient interface and the second patient interface are coupled to one another.

15. An apparatus according, to claim 12, wherein the first patient interface is nasal canula including a first prong adapted to insert into a first nare of the patient, and wherein the second patient interface is nasal canula having a second prong adapted to insert into a second nare of the patient.

16. An apparatus according to claim 15, wherein the first patient interface and the second patient interface are coupled to one another.

17. An apparatus according to claim 15, further comprising a breathing gas supply or a medication delivery device coupled in fluid communication with an airway of a patient.

25. A method according to claim 14, wherein locating the first patient interface at the first orifice includes covering a patient'"'"'s nose with a mask, and wherein wherein locating the second patient interface at the second orifice includes covering a patient'"'"'s mouth with a mask.

26. A method according to claim 14, wherein locating the first patient interface at the first orifice includes disposing a first prong in a first nare of the patient, and wherein locating the second patient interface at the second orifice includes disposing a second prong in a second nare of the patient.

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

locating a first patient interface at a first orifice of a patient such that substantially all gas passing through the first orifice passes through the first user interface, wherein the first patient interface includes at least one vent element associated therewith that communicates a portion of gas passing through the first patient interface with an ambient atmosphere thereby creating a first pressure differential between a pressure within the first patient interface and a pressure of the ambient atmosphere;

passing a gas through the first patient interface to create the first pressure differential;

measuring a first fluid characteristic resulting from the pressure differential; and

determining a first quantitative value for a physiological characteristic of the patient based on the first fluid characteristic.

19. A method according to claim 18, wherein the measuring step is accomplished using an airflow sensor and the fluid characteristic measured during the measuring step is a rate of flow of gas through the airflow sensor between the first patient interface and ambient atmosphere.

20. A method according to claim 18, wherein the measuring step is accomplished using a pressure sensor and the fluid characteristic measured during the measuring step is a pressure within the first patient interface.

21. A method according to claim 18, wherein the first interface is a mask that covers a nose, a mouth, or both of a patient.

22. A method according to claim 18, wherein the first interface is nasal canula having at least one prong that inserts into a nare of a patient.

23. A method according to claim 18, further comprising supplying a breathing gas or a gas carrying a medication to such a through the first patient interface.

24. A method according to claim 18, further comprising:

locating a second patient interface at a second orifice of a patient such that substantially all gas passing through the second orifice passes through the second user interface, wherein the second patient interface includes at least one vent element associated therewith that communicates a portion of gas passing through the second patient interface with an ambient atmosphere thereby creating a second pressure differential between a pressure within the second patient interface and a pressure of the ambient atmosphere;

passing a gas through the second patient interface to create the second pressure differential;

measuring a second fluid characteristic resulting from the pressure differential; and

determining a second quantitative value for a physiological characteristic of the patient based on the second fluid characteristic.