Medical tube and system for locating the same in a body using passive integrated transponders

• US 8,113,210 B2
• Filed: 10/05/2007
• Issued: 02/14/2012
• Est. Priority Date: 10/06/2006
• Status: Active Grant

• Current Assignee: Health Beacons, Inc. (Hologic Incorporated)
• Original Assignee: Health Beacons, Inc. (Hologic Incorporated)
• Inventors: Petcavich, Robert J., Reicher, Murray
• Primary Examiner(s): Chen, Tse
• Assistant Examiner(s): CHAO, ELMER M
• Application Number:
  US11/973,018
• Publication Number:
  US 20080086046A1
• Time in Patent Office: 1,593 Days
• Field of Search: 600/300, 600/587, 600/591, 600/595, 342/118, 606/1, 128/897, 128/898, 337/00, 73/17.9, 734/90
• US Class Current: 128/899
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/062 using magnetic field

Abstract

A medical tube has one or more permanent passive integrated transponders associated therewith that are capable of being located by a detection apparatus which senses the electromagnetic field strength gradient generated by each passive integrated transponder associated with the medical tube and indicates the value of the gradient to the user. In one embodiment, the passive integrated transponder is associated with the distal end of an endotracheal medical tube in a fixed orientation with an electromagnetic field pointing at a preferred angle of no more than 15 degrees to the longitudinal axis of the medical tube. The passive integrated transponder'"'"'s static electromagnetic field is sensed by the detection apparatus and indicates the location of the distal end of the medical tube within a body.

Claims

1. A medical device comprising:

a medical tube configured for positioning in a body and defining a longitudinal axis;

a passive integrated transponder on said tube, said transponder configured for generating an electromagnetic signal at a designated frequency in a frequency range of 120 kHz to 135 kHz; and

a handheld reading device tuned to said designated frequency and including a grid dip oscillator and processing means configured for determining each end of said transponder by sensing magnetic poles of the electromagnetic signal generated by said transponder at said designated frequency when said reading device is physically moved over said transponder on said medical tube while said medical tube is in the body and determining a location of said transponder based on said locations of the magnetic poles sensed by said reading device, said reading device configured for providing at least one of a visual signal and an audio signal proportional to a magnitude of the electromagnetic signal sensed by said reading device for determining the locations of each end and a mid-portion of said transponder.

2. The medical device as set forth in claim 1 wherein said tube has a proximal end and a distal end and said transponder is on the distal end of said tube.

3. The medical device as set forth in claim 1 including a plurality of passive integrated transponders on said tube and spaced longitudinally along said tube.

4. The medical device as set forth in claim 1 wherein a front surface of said transponder is oriented at an angle of no more than 15 degrees relative to the longitudinal axis of said tube.

5. The medical device as set forth in claim 4, said transponder is configured for enabling ascertainment of the orientation of said tube in the body.

6. The medical device as set forth in claim 2 wherein said tube comprises a gastric tube.

7. The medical device as set forth in claim 3 wherein said tube comprises an endotracheal tube.

8. A medical apparatus comprising:

a medical tube configured for positioning in a body and defining a longitudinal axis;

at least one passive integrated transponder on said tube and configured for generating a radio frequency signal at a designated frequency in a frequency range of 120 kHz to 135 kHz;

a handheld grid dip oscillating scanner and processing means tuned to said designated frequency and configured for sensing a peak signal of said radio frequency signal at said designated frequency at each end of said at least one transponder and a mid-portion signal between each of said peak signals indicating a mid-portion of said at least one transponder when said scanner is physically moved over a length of said transponder on said medical tube while said medical tube is in the body, said scanner configured to provide at least one of a visual signal and an audio signal proportional to a magnitude of the radio frequency signal sensed by said scanner for determining locations of each end and said mid-portion of said at least one transponder and thereby a location of at least a portion of said medical tube in the body.

9. The medical apparatus as set forth in claim 8 wherein said tube has a proximal end and a distal end and said at least one transponder is on the distal end of said tube, said scanner configured for determining a location of the distal end of said tube.

10. The medical apparatus as set forth in claim 9 wherein said tube comprises a gastric tube.

11. The medical apparatus as set forth in claim 8 including a plurality of passive integrated transponders on said tube and spaced longitudinally along said tube.

12. The medical apparatus as set forth in claim 11 wherein said tube comprises an endotracheal tube and said scanner determines a location of said tube within the trachea.

13. The medical apparatus as set forth in claim 8 wherein a front surface of said at least one transponder is oriented at an angle of no more than 15 degrees relative to the longitudinal axis of said tube to aid in determining by the scanner of both the location and the orientation of said tube in the body.

14. A system for detecting a medical tube within a body comprising:

a medical tube configured for insertion into a body and a plurality of permanent passive integrated transponders on the medical tube, the permanent passive integrated transponders each configured for generating a static electromagnetic field at a designated frequency in a frequency range of 120 kHz to 135 kHz to permit detection of the electromagnetic field when the medical tube is inserted into the body, and

a handheld detection apparatus tuned to said designated frequency and configured for physically scanning the body, said detection apparatus comprising a grid dip oscillator configured for sensing electromagnetic field strength at said designated frequency and processing means operatively associated with the grid dip oscillator for indicating electromagnetic field strength signals received by the grid dip oscillator,

wherein said detection apparatus is configured to be physically scanned over the body and the processing means is configured for sensing a peak signal of the electromagnetic field strength signals at each end of at least one of said plurality of transponders while said medical tube is in the body for determining a location and orientation of said at least one transponder and thus a location and orientation of the medical tube within the body.

15. The system as set forth in claim 14 wherein the medical tube is selected from the group comprising catheters and medical instruments.

16. The system as set forth in claim 14 wherein the medical tube is a catheter selected from the group consisting of a nasogastric tube, endotracheal tube, stomach pump tube, wound drain tube, rectal tube, vascular tube, Sengstaken-Blakemore tube, colonic decompression tube and urological tube.

17. The system as set forth in claim 14 wherein the medical tube has a proximal end and a distal end and said at least one transponder is associated with the distal end of the tube.

18. The system as set forth in claim 14 wherein said plurality of permanent passive integrated transponders on said tube are spaced longitudinally along said tube.

19. The system as set forth in claim 14 wherein the medical tube is a feeding tube having a proximal end and a distal end with a tip and wherein at least one of said plurality of passive integrated transponders is on a tip of the tube.

20. A method of locating a medical tube within a body comprising the steps of:

affixing a permanent passive integrated transponder configured for generating an electromagnetic field at a designated frequency in a frequency range of 120 kHz to 135 kHz to a medical tube prior to insertion of the tube into the body; and

inserting said medical tube into the body;

physically scanning the body with a handheld sensor including a grid dip oscillator and processing means tuned to said designated frequency and sensing a peak signal of the transponder'"'"'s electromagnetic field at each end of said transponder while said medical tube is in the body; and

providing at least one of a visual signal and an audio signal proportional to a magnitude of the electromagnetic field sensed by said sensor and determining a location of the transponder while the transponder is on the medical tube based on said peak signal sensed at each end of said transponder, and thus, determining the location of at least a portion of the medical tube within the body.