System and method for measuring blood urea nitrogen, blood osmolarity, plasma free hemoglobin and tissue water content

• US 6,687,519 B2
• Filed: 01/22/2001
• Issued: 02/03/2004
• Est. Priority Date: 10/06/1990
• Status: Expired due to Fees

• Current Assignee: Hema Metrics, LLC
• Original Assignee: HEMA Metrics Incorporated
• Inventors: Miller, David R., Steuer, Robert R.
• Primary Examiner(s): Winakur; Eric F.
• Assistant Examiner(s): Kremer; Matthew J
• Application Number:
  US09/765,584
• Publication Number:
  US 20010020122A1
• Time in Patent Office: 1,107 Days
• Field of Search: 600/309-310,322-327,300,473,476
• US Class Current: 600/322
• CPC Class Codes: A61B 5/14535 for measuring haematocrit
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/14557 specially adapted to extracorporeal circuits
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61M 1/361 before treatment
• CPC Class Codes: A61M 1/3612 after treatment
• CPC Class Codes: G01N 2021/036 transformable, modifiable
• CPC Class Codes: G01N 21/0303 Optical path conditioning in cuvettes, e.g. windows; adapted optical elements or systems; path modifying or adjustment G01N21/031 - G01N21/15 take precedence

Abstract

Systems and methods are provided for noninvasively measuring the levels of urea, blood osmolarity (or Na⁺), plasma free hemoglobin and tissue water content in a patient'"'"'s blood or tissue. Light of selected wavelengths is passed through blood or body tissue and the transmitted or reflected light is detected and the detected signals can be electronically compared and manipulated to provide the non-invasive, continuous and quantitative display of a patient'"'"'s blood urea, blood osmolarity (or Na⁺), plasma free hemoglobin and tissue water content.

Claims

1. A system for determining tissue water content of a patient, the blood flowing in a pulsatile fashion in a blood conduit in communication with the circulatory system of the patient so as to be subjectable to examination, the system comprising:

blood conduit receiving means for receiving a blood conduit containing the flowing blood of the patient;

a first emitter positioned on said conduit receiving means for emitting a first radiation wavelength;

directing means for directing the first radiation wavelength into the flowing blood in the blood conduit;

first detecting means for detecting an amount of first radiation after passing through the blood conduit, said detected amount of first radiation having at least one extinction characteristic; and

determining means for receiving said first radiation from said first detecting means for determining tissue water content by using a single wavelength of approximately 1300 nm to solve the equation [(X_wi/X_wt)−

1]×

100, where, X_wi equals the initial volume of water per volume of tissue at time 0 and X_wt equals the volume of water per volume of tissue at time t.

2. The system of claim 1, wherein the blood conduit is a body part of the patient.

3. The system of claim 1, wherein the blood conduit is an extracorporeal passageway.

4. A method for determining tissue water content of a patient, the blood flowing in a pulsatile fashion in a blood conduit in communication with the circulatory system of the patient so as to be subjectable to examination, the method comprising the steps of:

receiving a blood conduit containing the flowing blood of the patient;

directing a first radiation wavelength into the flowing blood in the blood conduit;

detecting an amount of first radiation after passing through the blood conduit, the detected amount of first radiation having at least one extinction characteristic;

determining X_wi by measuring the initial volume of water per volume of tissue at time 0 by using a single wavelength of approximately 1300 nm;

determining X_wt by measuring the volume of water per volume of tissue at time t by using a single wavelength of approximately 1300 nm; and

determining tissue water content by solving the equation [(X_wi/X_wt)−

1]×

100.

5. The method of claim 4, wherein the blood conduit is a body part of the patient.

6. The method of claim 4, wherein the blood conduit is an extracorporeal passageway.

7. In a hemodialysis tubing circuit, a system for determining tissue water content of a patient, the blood flowing in the tubing circuit during dialysis, the system comprising:

blood conduit receiving means for receiving a blood conduit formed in the tubing circuit and containing the flowing blood of the patient;

a first emitter positioned on said conduit receiving means for emitting a first radiation wavelength;

directing means for directing the first radiation wavelength into the flowing blood in the blood conduit;

first detecting means for detecting an amount of first radiation after passing through the blood conduit, said detected amount of first radiation having at least one extinction characteristic; and

determining means for receiving said first radiation from said first detecting means for determining tissue water content by using a single wavelength of approximately 1300 nm to solve the equation [(X_wi/X_wt)−

1]×

100, where, X_wi equals the initial volume of water per volume of tissue at time 0 and X_wt equals the volume of water per volume of tissue at time t.

8. In a hemodialysis tubing circuit, a method for determining tissue water content of a patient, the blood flowing in the tubing circuit during dialysis, the method comprising the steps of:

receiving a blood conduit containing the flowing blood of the patient;

directing a first radiation wavelength into the flowing blood in the blood conduit;

detecting an amount of first radiation after passing through the blood conduit, the detected amount of first radiation having at least one extinction characteristic;

determining X_wi by measuring the initial volume of water per volume of tissue at time 0 by using a single wavelength of approximately 1300 nm;

determining X_wt by measuring the volume of water per volume of tissue at time t by using a single wavelength of approximately 1300 nm; and

determining tissue water content by solving the equation [(X_wi/X_wt)−

1]×

100.