Respiratory monitoring

• US 8,667,967 B2
• Filed: 09/01/2011
• Issued: 03/11/2014
• Est. Priority Date: 05/31/2006
• Status: Active Grant

• Current Assignee: Masimo Corporation
• Original Assignee: Masimo Corporation
• Inventors: Al-Ali, Ammar, Diab, Mohamed K.
• Primary Examiner(s): DOUGLAS, STEVEN O
• Application Number:
  US13/224,266
• Publication Number:
  US 20120226184A1
• Time in Patent Office: 922 Days
• Field of Search: 128/206.11, 128/207.18, 128/204.12, 128/206.18, 128/207.13, 128/207.29, 128/204.22, 128/204.23
• US Class Current: 128/207.18
• CPC Class Codes: A61B 5/0004 characterised by the type of physiological signal transmitted
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/097 Devices for facilitating collection of breath or for directing breath into or through measuring devices
• CPC Class Codes: A61B 5/6819 Nose
• CPC Class Codes: A61B 5/682 Mouth, e.g., oral cavity; tongue; Lips; Teeth
• CPC Class Codes: A61B 5/6822 Neck
• CPC Class Codes: A61M 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/0672 Nasal cannula assemblies for oxygen therapy
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/10 Preparation of respiratory gases or vapours
• CPC Class Codes: A61M 16/1065 in the expiratory path
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/581 by audible feedback
• CPC Class Codes: A61M 2205/583 by visual feedback
• CPC Class Codes: A61M 2230/42 Rate
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)

Abstract

A patient interface in accordance with one embodiment of the present invention is configured to be at least partially carried by a patient and to receive gas exhaled by the patient. The patient interface includes first and second cannula tubes each having a first end and a second end, the first ends are configured to be inserted into the nostrils of a patient, the first and second cannula tubes are configured to direct exhaled gas from the patient from the first ends to said second ends. The patient interface also includes first and second sensors positioned near the second ends, and the first and second sensors are configured to provide first and second signals based upon the gas, wherein the first and second signals are indicative of a physiological parameter of the patient. The patient interface also includes a communications link configured to provide the signal to a physiological monitor.

Claims

1. A patient interface configured to receive gas exhaled by a patient, said patient interface comprising:

a cannula tube having a first end and a second end, the first end configured to be inserted into a nostril of a patient, the cannula tube configured to direct exhaled gas from the patient from the first end to the second end;

a sensor positioned proximate the second end, the sensor configured to provide a signal based upon the gas, wherein the signal is indicative of a physiological parameter of the patient; and

an information element coupled to the sensor, wherein the information element comprises calibration information regarding the sensor.

2. The patient interface of claim 1, further comprising a communications link configured to provide the signal to a physiological monitor.

3. The patient interface of claim 1, wherein the sensor comprises at least one of a nanotechnology sensor and an infrared sensor.

4. The patient interface of claim 1, wherein the signal is indicative of at least one of a carbon dioxide concentration of the gas and a respiratory rate of the patient.

5. The patient interface of claim 1, wherein a length of the cannula tube is selected from the group consisting of about 1 inch, about 2 inches, about 4 inches, about six inches, and no longer than about 5 inches.

6. The patient interface of claim 1, wherein the patient interface is configured to be suspended from the neck of the patient.

7. The patient interface of claim 1, further comprising:

a second sensor positioned proximate the second end; and

a sensor selector, wherein the sensor selector causes the exhaled gas to be directed to the second sensor when selected.

8. The patient interface of claim 7, wherein the sensor selector comprises at least one of a rotatable plate, a slidable plate, and one or more valves.

9. The patient interface of claim 7, wherein the sensor selector is configured to control the second sensor'"'"'s location with respect to the second end.

10. The patient interface of claim 7, wherein the sensor selector is configured to activate before the useful life of the sensor ends.

11. The patient interface of claim 7, further comprising a second cannula tube, the second cannula tube configured to be inserted into a nostril of the patient and to direct gas exhaled from the patient to the second sensor.

12. A system for detecting a physiological parameter of a patient, comprising:

a cannula tube having a first end and a second end, the cannula tube configured to direct gas exhaled by a patient from the first end to the second end; and

a sensing module positioned proximate the second end, the sensing module comprising;

a plurality of sensors, each sensor configured, when activated, to provide a signal generated based at least in part on a composition of gas incident on the sensor, the signal indicative of a physiological parameter of a patient; and

a sensor selector configured to cause the gas exhaled by the patient to be directed to an active sensor, the active sensor selected from the plurality of sensors.

13. The system of claim 12, wherein when a predetermined event occurs, the sensor selector directs the gas to a second sensor selected from the plurality of sensors.

14. The system of claim 13, wherein the predetermined event is at least one of:

an accuracy of the active sensor falling below a predetermined level, an end of a useful life of the active sensor, a passing of a predetermined amount of time, and a triggering of an alarm based on an expiration of a timer.

15. The system of claim 12, wherein when at least one of the plurality of sensors does not receive gas at a particular time.

16. The system of claim 12, wherein the sensor selector comprises at least one of a rotatable plate, a slidable plate, and one or more valves.

17. The system of claim 12, wherein the sensing module is configured to be suspended from the neck of the patient.

18. A method of determining a physiological parameter of a patient, comprising:

receiving, in a patient interface, gas exhaled from a patient, wherein the patient interface comprises a sensor and an information element, wherein the information element comprises calibration information regarding the sensor; and

generating a signal indicative of a physiological parameter of the patient by sensing a parameter of the gas with the sensor.

19. The method of claim 18, wherein the patient interface is configured to be suspended from the neck of the patient.

20. The method of claim 18, wherein generating a signal comprises generating a signal indicative of at least one of a carbon dioxide concentration of the gas and a respiratory rate of the patient.

21. The method of claim 18, wherein the patient interface further comprises a second sensor, the method further comprising controlling a transfer of the gas to a selected one of the two sensors located within the patient interface with a sensor selector.

22. The method of claim 21, wherein controlling is based on at least one of:

an accuracy of one of the sensors falling below a predetermined level, an end of a useful life of one of the sensors, a passing of a predetermined amount of time, and a triggering of an alarm based on an expiration of a timer.