System for measuring respiratory function

• US 6,723,055 B2
• Filed: 09/10/2001
• Issued: 04/20/2004
• Est. Priority Date: 04/23/1999
• Status: Active Grant

• Current Assignee: Trustees of Tufts College
• Original Assignee: Trustees of Tufts College
• Inventors: Hoffman, Andrew
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US09/950,318
• Publication Number:
  US 20020120207A1
• Time in Patent Office: 953 Days
• Field of Search: 600/533-8
• US Class Current: 600/538
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• 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 5/0878 using temperature sensing means
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 7/003 Detecting lung or respiration noise
• CPC Class Codes: A61D 99/00 Subject matter not provided for in other groups of this subclass
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

The present invention relates to a system for measuring respiratory function of living organisms. More particularly, signals indicative of the change in lung volume, defined as active and passive work, required to breathe and the airflow through the respiratory system of the living organism are obtained and processed as waveforms to provide a signal indicative of the respiratory restriction. The methods of the present invention measure clinical forms of airway obstruction, airway reactivity and lung volume and may be used to continuously or intermittently monitor patients with compromised respiratory function. In a preferred embodiment, a head-out, breath in respiratory plethysmograph system provides the signals indicative of change in lung volume as related to pressure changes in a chamber. Further, flowmetric variables are generated that provide a characterization of airway obstructions.

Claims

1. A method for characterizing airway obstruction of a conscious living organism, comprising the steps of:

obtaining a first input signal using a constant volume plethysmograph system having a head-out, breath-in chamber, the first input signal being a pressure differential signal indicative of alveolar pressure during breathing by said living organism in a chamber;

obtaining a second input signal from a second sensor indicative of nasal airflow of said living organism; and

processing said first input signal and said second input signal to calculate at least a third signal indicative of airway resistance; and

characterizing airway obstructions of said living organism using the at least third signal.

2. The method according to claim 1, wherein the processing step comprises the step of comparing said first input signal to said second input signal.

3. The method according to claim 2, wherein the step of comparing said first and second input signals comprises analyzing phase and magnitude differences between said first and second signals in the same time domain.

4. The method according to claim 3, wherein the step of comparing said first and second input signals further comprises the step of subtracting said second input signal from said first input signal.

5. The method according to claim 1, further comprising of obtaining the first input signal through use of at least one of respiratory induction plethysmography, an optoelectronic plethysmograph and a fiber optic respiration plethysmograph.

6. The method according to claim 1, further comprising of obtaining the first input signal through use of impedance plethysmography.

7. The method according to claim 1, further comprising of obtaining the second input signal through use of a pneumotachographic measurement device.

8. The method according to claim 1, further comprising of obtaining the second input signal through use of an ultrasonic device.

9. The method according to claim 1, further comprising of obtaining the second input signal through use of a thermistor.

10. The method according to claim 1, further comprising of obtaining the second input signal through use of a breath-sound intensity device.

11. The method according to claim 1, further comprising the step of calibrating first input signal.

12. The method according to claim 1, further comprising the step of administering a medication to the living organism to alter the respiratory function.

13. The method according to claim 1, further comprising of administering a bronchodilators medication.

14. The method according to claim 1, further comprising calculating a plurality of signals indicative of respiratory function comprising at least one of functional residual capacity, airway resistance, diffusion capacity peak and area differences during expiration, peak and area differences during inspiration and corrected values thereof.

15. The method according to claim 1, further comprising measuring airway obstructions during inspiration and expiration.

16. The method of claim 1, wherein the constant volume plethysmograph comprises at least one adjustable volume chamber.

17. The method of claim 16, further comprising a data collection system in communication with the chamber.

18. The method of claim 16, further comprises controlling the environment of the chamber.

19. A method for characterizing airway obstruction of a conscious living organism comprising the steps of:

obtaining a first input signal indicative of a change in lung volume as related to a pressure change in a constant volume, head out, breath in plethysmograph chamber;

converting said first input signal from an analog signal to a digital signal;

taking the derivative of said digital first input signal to generate a signal indicative of thoracic flow;

converting the second input signal from an analog to a digital signal;

taking the derivative of the second input signal to generate a signal indicative of nasal airflow; and

dynamically comparing the signals indicative of thoracic flow and nasal airflow.

20. The method according to claim 19, further comprising measuring airway obstructions during inspiration and expiration.

21. The method according to claim 19, wherein the constant volume plethysmograph comprises at least one adjustable volume chamber.

22. The method according to claim 19, further comprising controlling the environment of the chamber.

23. The method according to claim 19, wherein the living organism is a canine.

24. The method according to claim 19, further comprising further processing the first input signal and second input signal to calculate a plurality of signals indicative of respiratory function.

25. A system for characterizing airway obstruction of a conscious mammal, comprising:

a constant volume plethysmograph having at least one head out, breath in chamber having a plurality of sensors disposed therein, and

a data collection and processing system in communication with the constant volume plethysmograph.

26. A system of claim 25 wherein the constant volume plethysmograph further comprises at least one pressure sensor to obtain a first input signal indicative of alveolar pressure of the conscious mammal;

and

a device that obtains a second input signal indicative of nasal flow.

27. The system of claim 25, wherein the first and second input signals are processed in the data collection and processing system to calculate a plurality of signals indicative of respiration function.

28. An apparatus for measuring airway obstructions in a conscious mammal, comprising:

at least one chamber having a constant volume and at least one pressure sensor to obtain a first input signal indicative of alveolar pressure of the conscious mammal, the at least one chamber provides for a head-out breath-in configuration for the conscious mammal;

a device to obtain a second input signal indicative of nasal flow, and

a processing device in communication with the chamber to calculate a third signal by comparing the first and second input signals to characterize airway obstructions of the mammal.

29. The apparatus of claim 28, wherein the at least one chamber further comprising a tube to couple expired air from the conscious mammal into the chamber.

30. The apparatus of claim 28, wherein the at least one chamber comprises a constant volume plethysmographic measurement device.

31. The apparatus of claim 30, wherein the pneumotachographic measurement device comprises at least one of screen type, Fleisch, ultrasonic and turbine devices.

32. The apparatus of claim 28, wherein the device comprises a pneumotachographic measurement device.

33. The apparatus of claim 28, further comprising a heating device in the chamber.

34. The apparatus of claim 28, further comprising a plurality of differential pressure transducers.

35. The apparatus of claim 28, further comprising at least one sensor to monitor the temperature, humidity and barometric pressure of the chamber.

36. The apparatus of claim 28, wherein the processing device further comprises a programmable computer.

37. The apparatus of claim 28, wherein the apparatus is portable and weighs less than 30 pounds.

38. The apparatus of claim 28, wherein the volume of the at least one chamber is adjustable.

39. The apparatus of claim 28, wherein the processing device compares the first and second input signals in the same time domain.

40. A portable apparatus for measuring pulmonary function in a conscious mammal, comprising:

at least one headout, breath in chamber having a constant volume and at least one pressure sensor to obtain a first input signal indicative of alveolar pressure of the conscious mammal;

a device to obtain a second input signal indicative of nasal flow, and

a processing device in communication with the chamber to calculate a third signal by comparing the first and second input signals to characterize airway obstructions of the mammal.

41. The apparatus of claim 40, wherein the at least one chamber provides for a head-out configuration for the conscious mammal;

the at least one chamber having a tube to couple expired air from the conscious mammal into the chamber.

42. The apparatus of claim 40, wherein the at least one chamber comprises a constant volume plethysmographic measurement device.

43. The apparatus of claim 40, wherein the device comprises a pneumotachographic measurement device.

44. The apparatus of claim 40, further comprising a heating device in the chamber.

45. The apparatus of claim 40, further comprising a plurality of differential pressure transducers.

46. The apparatus of claim 42, wherein the pneumotachographic measurement device comprises at least one of screen type, Fleisch, ultrasonic and turbine devices.

47. The apparatus of claim 42, further comprising at least one sensor to monitor the temperature, humidity and barometric pressure of the chamber.

48. The apparatus of claim 42, wherein the processing device further comprises a programmable computer.

49. The apparatus of claim 42, wherein the apparatus weighs less than 30 pounds.

50. The apparatus of claim 42, wherein the volume of the at least one chamber is adjustable.

51. The apparatus of claim 42, wherein the processing device compares the first and second input signals in the same time domain.