Method and apparatus for measurement of in vivo air volumes

• US 6,626,845 B2
• Filed: 04/06/2001
• Issued: 09/30/2003
• Est. Priority Date: 04/07/2000
• Status: Expired due to Fees

• Current Assignee: DFI Enterprises, Inc., New York Medical College (Touro College & University System)
• Original Assignee: DFI Enterprises, Inc., New York Medical College (Touro College & University System)
• Inventors: Lingo, Lowell Edwin Jr., Roark, Rick Morris
• Primary Examiner(s): Hepperle, Stephen M.
• Application Number:
  US09/828,085
• Publication Number:
  US 20010037071A1
• Time in Patent Office: 907 Days
• Field of Search: 600/528, 600/533, 600/538, 600/540, 600/541, 600/542
• US Class Current: 600/538
• CPC Class Codes: A61B 5/085 Measuring impedance of respiratory organs or lung elasticity
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/091 Measuring volume of inspired or expired gases, e.g. to determine lung capacity

Abstract

This invention relates to instruments, particularly medical and research instruments that are used for assessing gas volumes of cavities, particularly, cavities that may exhibit a compliance to changes in pressure, such as in vivo volumes of the lung, thorax, oropharynx and/or nasopharynx.

Claims

1. An apparatus for measuring gas volumes of a cavity of unknown compliance in a subject having a heart cycle comprising,:

(a) an air cavity with induction means for inducing calibrated mass and volume changes in said air cavity;

(b) a means for interfacing said air cavity to said subject;

(c) a means for interfacing said air cavity to the volume to be measured;

(d) a means of interfacing said air cavity to ambient environment to facilitate ordinary breathing activity of said patient during measurement;

(e) a means for measuring air pressure variations in said air cavity;

(f) a processing means electrically coupled to said induction means;

(g) a means for monitoring pulse, wherein said means allows each induced volume change to occur at the same phase in the heart cycle and wherein said means is coupled to said processing means and

(h) measuring means for calculating the gas volume.

2. The apparatus of claim 1, wherein the gas volumes are in vivo lung, thorax, orapharynx, and/or nasopharynx volumes of a human patient.

3. The apparatus of claim 1, wherein the means for interfacing said air cavity to the ambient environment is a respiratory valve.

4. The apparatus of claim 1, wherein the induction means is a piston, acoustic speaker, or gas mass injection or dilution.

5. The apparatus of claim 1, wherein the interface to the subject is a facial mask, mouthpiece, nasal mask or tubes.

6. The apparatus according to claim 1, which further comprises a glottal monitoring means.

7. The apparatus according to claim 1, which further comprises a means for measurement of volumetric air flow during breathing.

8. An apparatus for measuring gas volumes of a cavity of unknown compliance in a subject comprising:

(a) an air cavity with induction means for inducing calibrated mass and volume changes in said air cavity;

(b) a means for interfacing said air cavity to said subject;

(c) a means for interfacing said air cavity to the volume to be measured;

(d) a means of interfacing said air cavity to ambient environment to facilitate ordinary breathing activity of said patient during measurement

(e) a means for measuring air pressure variations in said air cavity;

(f) a processing means electrically coupled to said induction means;

(g) a glottal monitoring means and

(h) measuring means for calculating the gas volume.

9. The apparatus of claim 8, wherein the gas volumes are in vivo lung, thorax, orapharynx, and/or nasopharynx volumes of a human patient.

10. The apparatus of claim 8, wherein the means for interfacing said air cavity to the ambient environment is a respiratory valve.

11. The apparatus of claim 8, wherein the induction means is a piston, acoustic speaker, or gas mass injection or dilution.

12. The apparatus of claim 8, wherein the interface to the subject is a facial mask, mouthpiece, nasal mask or tubes.

13. The apparatus according to claim 8, which further comprises a means for monitoring pulse, wherein said means is coupled to said processing means for coordinating volume measurements with the heart cycle.

14. The apparatus according to claim 8, which further comprises a means for measurement of volumetric air flow during breathing.

15. A method for measuring a gas volume of a cavity having compliance in a subject comprising:

(a) attaching an apparatus to said cavity, said apparatus comprising;

(i)an air cavity with induction means for inducing calibrated mass and volume changes in said air cavity;

(ii) a means for interfacing said air cavity to said subject;

(iii) a means for interfacing said air cavity to the volume being measured;

(iv) a means for interfacing said air cavity to ambient environment to facilitate ordinary breathing of said patient during measurement;

(v) a means for measuring air pressure variations within said air cavity;

(vi) a processing means electrically coupled to said induction means;

(vii) a means for calculating said gas volume;

(b) measuring the barometric pressure in an area near the subject;

(c)measuring the change in induced pressure and volume in said cavity during at least two inductions;

(d) calculating compliance of said cavity, and

(e) calculating said gas volume.

16. The method of claim 15, where the said cavity is the in vivo thoracic, orapharynx, nasopharynx and lung cavities.

17. The method of claim 15, which further comprises averaging volume measurements obtained over successive breathing cycles.

18. A method for measuring a gas volume of a cavity having compliance in a subject comprising:

(a) attaching an apparatus to said cavity, said apparatus comprising;

(i) an air cavity with induction means for inducing calibrated mass and volume changes in said air cavity;

(ii) a means for interfacing said air cavity to said subject;

(iii) a means for interlacing said air cavity to the volume being measured;

(iv) a means br interlacing said air cavity to ambient environment to facilitate ordinary breathing of said patient during measurement;

(v) a means for measuring air pressure variations within said air cavity;

(vi) a processing means electrically coupled to said induction means;

(vii) a means for calculating said gas volume;

(b) measuring barometric pressure in an area near the subject;

(c) measuring the change in induced pressure and volume in said cavity during at least three inductions of varying rates and volumes at similar glottal configurations and heart cycle times;

(d) calculating airway resistance to said volume;

(e) calculating compliance of said cavity, and

(f) calculating said gas volume.