Carbon dioxide-sensing airway products and technique for using the same

• US 8,109,272 B2
• Filed: 09/25/2006
• Issued: 02/07/2012
• Est. Priority Date: 09/25/2006
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Baker, Clark R. Jr., Mecca, Roger, O'Neil, Michael P., Ostrowski, Rafael
• Primary Examiner(s): Yu, Justine
• Assistant Examiner(s): Louis, Latoya M
• Application Number:
  US11/526,861
• Publication Number:
  US 20080072913A1
• Time in Patent Office: 1,961 Days
• Field of Search: 128/200.24, 128/200.26, 128/204.22, 128/204.23, 128/205.19, 12820714-20718, 73/232, 73/232.2
• US Class Current: 128/207.14
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• 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
• CPC Class Codes: A61B 5/412 Detecting or monitoring sepsis
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/04 Tracheal tubes catheters in general A61M25/00
• CPC Class Codes: A61M 16/0415 with access means to the stomach
• CPC Class Codes: A61M 16/042 with separate conduits for in-and expiration gas, e.g. for limited dead volume
• CPC Class Codes: A61M 16/0434 Cuffs
• CPC Class Codes: A61M 16/0443 Special cuff-wall materials A61M16/0481, A61M16/0422 take precedence
• CPC Class Codes: A61M 16/0459 one cuff behind another
• CPC Class Codes: A61M 16/0475 having openings in the tube
• CPC Class Codes: A61M 16/0486 Multi-lumen tracheal tubes
• CPC Class Codes: A61M 16/08 Bellows; Connecting tubes having means for taking samples G01N1/22; Water traps; Patient circuits
• CPC Class Codes: A61M 2016/0413 with detectors of CO2 in exhaled gases
• CPC Class Codes: A61M 2016/103 the CO2 concentration
• CPC Class Codes: A61M 2230/40 Respiratory characteristics
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)

Abstract

An airway device is provided that may track the flow of respiratory gases through the device with sensing elements at a plurality of locations along the gas flow path of the device. Such a device may be useful for assessing a variety of clinical states, for adjusting patient ventilator settings, or for determining whether or not an airway device has been properly inserted into a patient airway.

Claims

1. An endotracheal tube comprising:

a conduit adapted to transfer gas to or from a patient'"'"'s lungs;

an inflatable balloon cuff disposed on the conduit, the inflatable balloon cuff having a proximal end, a distal end, and a body extending from the proximal end to the distal end, wherein the inflatable balloon cuff is adapted to form a seal against a patient'"'"'s tracheal walls; and

at least one carbon dioxide sensing component disposed on the proximal end of the inflatable balloon cuff that does not form part of the seal, wherein the carbon dioxide sensing component is configured to send a signal that correlates to a level of secretions on the cuff.

2. The endotracheal tube of claim 1, comprising a ventilator to which the conduit is operatively connected.

3. The endotracheal tube of claim 1, comprising a selective barrier disposed on at least one sensing component that is substantially impermeable to water.

4. The endotracheal tube of claim 1, wherein the carbon dioxide sensing component comprises a chemical indicator.

5. The endotracheal tube of claim 1, wherein the carbon dioxide sensing component comprises an electrochemical transducer.

6. The endotracheal tube of claim 1, wherein the carbon dioxide sensing component comprises a non-optical transducer.

7. The endotracheal tube of claim 1, wherein the carbon dioxide sensing component comprises an optical transducer.

8. The endotracheal tube of claim 1, wherein the carbon dioxide sensing component comprises a quantum-restricted element.

9. The endotracheal tube of claim 1, wherein the carbon dioxide sensing component comprises a borosilicate substrate;

and

a carbon dioxide responsive indicator solution disposed on the borosilicate substrate.

10. The endotracheal tube of claim 9, wherein the borosilicate substrate comprises an acrylic binder.

11. The endotracheal tube of claim 1, wherein the conduit comprises at least one lumen adapted to transfer gas to at least one sensing component.

12. A system comprising:

a conduit adapted to transfer gas to or from a patient'"'"'s lungs;

an inflatable balloon cuff disposed on the conduit, the inflatable balloon cuff having a proximal end, a distal end, and a body extending from the proximal end to the distal end wherein the inflatable balloon cuff is adapted to form a seal against a patient'"'"'s tracheal walls; and

at least one carbon dioxide sensing component disposed on the proximal end of the inflatable balloon cuff that does not contact the tracheal walls when the inflatable balloon cuff is inflated, wherein the at least one carbon dioxide sensing component is configured to send a signal that correlates to a level of secretions on the cuff; and

a monitor adapted to be operatively coupled to the at least one carbon dioxide sensing component.

13. The system of claim 12, comprising a ventilator to which the conduit is operatively connected.

14. The system of claim 12, comprising a selective barrier disposed on at least one sensing component that is substantially impermeable to water.

15. The system of claim 12, wherein the carbon dioxide sensing component comprises a chemical indicator.

16. The system of claim 12, wherein the carbon dioxide sensing component comprises an electrochemical transducer.

17. The system of claim 12, wherein the carbon dioxide sensing component comprises a non-optical transducer.

18. The system of claim 12, wherein the carbon dioxide sensing component comprises an optical transducer.

19. The system of claim 12, wherein the carbon dioxide sensing component comprises a quantum-restricted element.

20. The system of claim 12, wherein the carbon dioxide sensing component comprises a borosilicate substrate;

and

a carbon dioxide responsive indicator solution disposed on the borosilicate substrate.

21. The system of claim 20, wherein the borosilicate substrate comprises an acrylic binder.

22. The system of claim 12, wherein the conduit comprises at least one lumen adapted to transfer gas to at least one of a plurality of sensing component.

23. A method comprising:

providing a conduit adapted to transfer a gas to or from a patient;

providing an inflatable balloon cuff disposed on the conduit, the inflatable balloon cuff having a proximal end, a distal end, and a body extending from the proximal end to the distal end wherein the inflatable balloon cuff is adapted to form a seal against a patient'"'"'s tracheal walls; and

providing at least one carbon dioxide sensing component disposed on a proximal portion of the inflatable balloon cuff that does not form part of the seal, wherein the carbon dioxide sensing component is configured to send a signal that correlates to a level of secretions on the cuff.

24. The method of claim 23, comprising providing a ventilator to which the conduit is operatively connected.

25. The method of claim 23, comprising providing a selective barrier disposed on the sensing component that is substantially impermeable to water.

26. The method of claim 23, wherein providing the sensing component comprises providing a chemical indicator.

27. The method of claim 23, wherein providing the sensing component comprises providing an electrochemical transducer.

28. The method of claim 23, wherein providing the sensing component comprises providing a non-optical transducer.

29. The method of claim 23, wherein providing the sensing component comprises providing an optical transducer.

30. The method of claim 23, wherein providing the sensing component comprises providing a quantum-restricted element.

31. The method of claim 23, wherein providing the sensing component comprises providing an elongate borosilicate substrate;

and

providing a carbon dioxide responsive indicator solution disposed on the elongate borosilicate substrate.

32. The method of claim 31, wherein providing the elongate borosilicate substrate comprises providing an acrylic binder.

33. The method of claim 23, wherein providing the sensing component comprises embedding the sensing component in the inflatable balloon cuff.

34. A method comprising:

receiving a signal from at least one carbon dioxide sensing component disposed on an inflatable balloon cuff having a proximal end, a distal end, and a body extending from the proximal end to the distal end and wherein the inflatable balloon cuff is operatively connected to an endotracheal tube, and wherein the carbon dioxide sensing component is disposed on the proximal end of the inflatable balloon cuff not in contact with a patient'"'"'s tracheal walls; and

correlating the signal to a level of secretions on the cuff.

35. The method of claim 34, comprising correlating a decrease in sensed carbon dioxide to an increase in secretions on the cuff.

36. The method of claim 34, comprising comparing the signal to a control.

37. The method of claim 34, comprising activating a visual or audio message if the level of secretions is above a threshold level.

38. The method of claim 34, comprising activating an aspiration assembly if the level of secretions is above a threshold level.

39. A method comprising:

receiving a first signal from a first carbon dioxide sensing component disposed on an endotracheal tube;

receiving a second signal from a second carbon dioxide sensing component disposed on an inflatable balloon cuff associated with the endotracheal tube, wherein the inflatable balloon cuff comprises a proximal end, a distal end, and a body extending from the proximal end to the distal end and wherein the second carbon dioxide sensing component is disposed on the proximal end of the inflatable balloon cuff; and

correlating a difference between the first signal and the second signal to a level of secretions on a surface of the endotracheal tube.

40. The method of claim 39, comprising correlating a decrease in sensed carbon dioxide at the first carbon dioxide sensing component to an increase in secretions on the cuff.

41. The method of claim 39, comprising comparing the signal to a control.

42. The method of claim 39, comprising activating a visual or audio message if the level of secretions is above a threshold level.