Endoscopic system with integrated patient respiratory status indicator

• US 7,967,759 B2
• Filed: 01/19/2006
• Issued: 06/28/2011
• Est. Priority Date: 01/19/2006
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Couvillon, Lucien Alfred Jr.
• Primary Examiner(s): Leubecker; John P
• Assistant Examiner(s): CANDLER, SAMUEL M
• Application Number:
  US11/336,688
• Publication Number:
  US 20070167683A1
• Time in Patent Office: 1,986 Days
• Field of Search: 600/484, 600/529, 600531-538, 73/233, 128/204.22, 128/204.23
• US Class Current: 600/529
• CPC Class Codes: A61B 1/00055 for alerting the user
• CPC Class Codes: A61B 1/267 for the respiratory tract, e.g. laryngoscopes, bronchoscopes
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production

Abstract

The system 10 includes an endoscopic probe 20 and an expired air sampling device 24 functionally connected to a control console 28. In use, the endoscopic probe 20 is routed through a body lumen of a patient to, for example, visualize a selected region of a patient'"'"'s body. As the endoscopic probe 20 is routed through the body lumens, the expired air sampling device 24 collects expired air from the patient, generates signals indicative of patient respiratory status, and outputs the generated signals to the control console 28. The control console 28 processes the signals and monitors the respiratory status of the patient. If the respiratory status of the patient changes based on the processed signals of the expired air sampling device 24, the control console 28 may output an audible or visual alert signal.

Claims

1. An endoscope system, comprising:

an endoscopic probe, the endoscopic probe having a proximal end, a distal end, and an elongate passageway extending between the proximal and distal ends;

the elongate passageway configured to route at least one of an illumination system or a visualization system, wherein at least a distal end portion of the endoscopic probe is configured for insertion into a natural orifice of a body and routable through a tortuous natural lumen of the body; and

a sampling device attached to the endoscopic probe at a position proximate the distal end portion of the endoscopic probe such that the sampling device is configured for insertion into the body, wherein the sampling device includes a capnographic sensor capable of generating signals indicative of CO₂ gas concentration during endoscopic use, and wherein the capnographic sensor includes an infrared LED light associated with an infrared detector, and a reference light emitter associated with a reference light detector.

2. The endoscopic system of claim 1, wherein the capnographic sensor measures CO₂ concentration by IR spectroscopy.

3. The endoscopic system of claim 1, wherein the distal end portion of the endoscopic probe includes a distal-most end face, and wherein the sampling device is positioned adjacent the distal-most end face of the endoscopic probe.

4. The endoscopic system of claim 3, wherein the capnographic sensor includes an elongate sampling chamber, and wherein the distal-most end face of the elongate sampling chamber is a aligned with the distal-most end face of the endoscopic probe.

5. The endoscopic system of claim 1, further comprising a control console, the control console receiving signals from the capnographic sensor, processing the received signals, and displaying results of the processed signals.

6. The endoscopic system of claim 5, wherein the control console includes an alert device for generating an alert signal indicative of patient distress based on the received signals from the capnographic sensor.

7. The endoscopic system of claim 6, wherein the alert signal is either visual or audible.

8. The endoscopic system of claim 1, further comprising a respiration sensor.

9. The endoscopic system of claim 8, wherein the respiration sensor generates signals indicative of breath cycles.

10. An endoscopic system, comprising:

an endoscopic probe routable through a passageway of a body, the endoscopic probe having a proximal end, a distal end, and an elongate working channel therebetween, wherein the elongate working channel includes at least one of an illumination system or a visualization system, and wherein at least a distal end portion of the endoscopic probe is configured for insertion into a natural orifice of a body and routable through a tortuous natural lumen of the body; and

a sampling device coupled to the endoscopic probe and having a capnographic sensor capable of generating signals indicative of respiratory gas concentrations during endoscope probe use;

said capnographic sensor located at a position proximate the distal end portion of the endoscopic probe such that the capnographic sensor is configured for insertion into the body, and wherein the capnographic sensor includes an infrared LED light associated with an infrared detector, and a reference light emitter associated with a reference light detector.

11. The endoscopic system of claim 10, wherein the distal end portion of the endoscopic probe includes a distal-most end face, and wherein the sampling device is located at the distal-most end face of the endoscopic probe.

12. The endoscopic system of claim 11, wherein the capnographic sensor includes an elongate sampling chamber, and wherein the distal-most end face of the elongate sampling chamber is a aligned with the distal-most end face of the endoscopic probe.

13. The endoscopic system of claim 10, further including a control console functionally connected to the endoscopic probe and the capnographic sensor, the control console receiving at least the generated signals from the capnographic sensor, processing the received signals, and outputting the processed signals for display, wherein the control console includes an alert device for generating a signal indicative of patient distress based on the received signals from the capnographic sensor.

14. The endoscopic system of claim 13, wherein patient distress is determined by comparing the processed signals from the capnographic signals with a value stored in or generated by the control console.

15. The endoscopic system of claim 10, further including a control console functionally connected to the endoscopic probe and the capnographic sensor, the control console receiving at least the generated signals from the capnographic sensor, processing the received signals, and outputting the processed signals for display, wherein the control console receives signals from the capnographic sensor and other signals associated with the body.

16. The endoscopic system of claim 15, wherein the other received signals are respiration signals indicative of breath cycles.

17. An endoscopic system, comprising:

an endoscopic probe, the endoscopic probe including a working channel configured to route an imaging or light system, and wherein at least a distal end portion of the endoscopic probe is configured for insertion into an esophagus of a body and routable through the esophagus of the body; and

a sampling device attached to the endoscopic probe including a capnographic sensor capable of generating signals indicative of respiratory gas concentrations during endoscope probe use;

said capnographic sensor located at a position proximate the distal end portion of the endoscopic probe such that the capnographic sensor is configured for insertion into the esophagus of the body, and wherein the capnographic sensor includes an infrared LED light associated with an infrared detector, and a reference light emitter associated with a reference light detector.