Method for locating a catheter tip using audio detection

• US 9,351,663 B2
• Filed: 05/08/2014
• Issued: 05/31/2016
• Est. Priority Date: 10/01/2010
• Status: Active Grant

• Current Assignee: Brian F. Nentwick, James E. Ingold Jr, Thomas Vincent Ii Casey
• Original Assignee: Brian F. Nentwick, James E. Ingold Jr, Thomas Vincent Ii Casey
• Inventors: Ingold, James E. Jr., Casey, Thomas Vincent II, Nentwick, Brian F.
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US14/272,890
• Publication Number:
  US 20140249428A1
• Time in Patent Office: 754 Days
• Field of Search: 600/586
• US Class Current: 1/1
• CPC Class Codes: A61B 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 2562/0204 Acoustic sensors
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
• CPC Class Codes: A61M 2205/0294 Piezoelectric materials
• CPC Class Codes: A61M 25/0108 using radio-opaque or ultrasound markers

Abstract

A method for locating a catheter tip within a human body is disclosed. An audio sensor is positioned at a site on the human body. An audio signal is detected by the audio sensor, and transmitted to an audio signal processing unit. The audio signal processing unit determines if the audio signal corresponds to a target location of the catheter tip, and transmits a notification signal to a user notification unit. An infusion of fluid or an audio emitting element can be used to generate the audio signal at the catheter tip.

Claims

1. A method for locating a catheter tip within a human body comprising:

positioning a first audio sensor at a first site on or near the human body,

infusing fluid through an opening in the catheter tip,

the first audio signal caused by the infusing fluid,

detecting a first audio signal through the first audio sensor,

transmitting the first audio signal to an audio signal processing unit,

determining if the first audio signal corresponds to a target location of the catheter tip, and

transmitting a notification signal to a user notification unit.

2. The method of claim 1, wherein the first site is located substantially over a lower ⅓

of a superior vena cava of the human body.

3. The method of claim 1, wherein the first audio sensor comprises a piezo film element.

4. The method of claim 1, further comprising:

detecting a first baseline audio signal through the first audio sensor,

transmitting the first baseline audio signal to the audio signal processing unit, and

comparing the first baseline audio signal to the first audio signal.

5. The method of claim 1, further comprising:

detecting a first electrocardiogram signal through a first electrocardiogram electrode,

transmitting the first electrocardiogram signal to an electrocardiogram signal processing unit, and

determining if the first electrocardiogram signal corresponds to the target location.

6. The method of claim 5, wherein the first audio sensor and the first electrocardiogram electrode are operably connected to a first pad member, and wherein the first pad member is positioned at the first site.

7. The method of claim 5, further comprising:

detecting a first baseline electrocardiogram signal through the first electrocardiogram sensor,

transmitting the first baseline electrocardiogram signal to the electrocardiogram signal processing unit, and

comparing the first baseline electrocardiogram signal to the first electrocardiogram signal.

8. The method of claim 1, wherein the fluid is a saline bolus.

9. The method of claim 1, further comprising:

positioning a second audio sensor at a second site on or near the human body,

detecting a second audio signal through the second audio sensor,

transmitting the second audio signal to the audio signal processing unit, and

determining if the second audio signal corresponds to the target location.

10. The method of claim 9, wherein the second site is located substantially over an internal jugular vein.

11. The method of claim 9, further comprising:

detecting a second baseline audio signal through the second audio sensor,

transmitting the second baseline audio signal to the audio signal processing unit, and

comparing the second baseline audio signal to the second audio signal.

12. The method of claim 9, further comprising:

determining if the first audio signal and the second audio signal correspond to a non-target location of the catheter tip.

13. The method of claim 9, wherein the first site and the second site are located on opposite sides of and substantially equal distance from a third intercostal space.

14. The method of claim 9, further comprising:

detecting a second electrocardiogram signal through a second electrocardiogram electrode,

transmitting the second electrocardiogram signal to an electrocardiogram signal processing unit, and

determining if the second electrocardiogram signal corresponds to the target location.

15. The method of claim 14, wherein the second audio sensor and the second electrocardiogram electrode are operably connected to a second pad member, and wherein the second pad member is positioned at the second site.

16. The method of claim 14, further comprising:

detecting a second baseline electrocardiogram signal through the second electrocardiogram sensor,

transmitting the second baseline electrocardiogram signal to the electrocardiogram signal processing unit, and

comparing the second baseline electrocardiogram signal to the second electrocardiogram signal.

17. The method of claim 9, further comprising:

positioning a third audio sensor at a third site on or near the human body,

detecting a third audio signal through the third audio sensor,

transmitting the third audio signal to the audio signal processing unit, and

determining if the third audio signal corresponds to the target location.

18. The method of claim 17, wherein the third site is located substantially over a subclavian vein.

19. The method of claim 17, further comprising:

detecting a third baseline audio signal through the third audio sensor,

transmitting the third baseline audio signal to the audio signal processing unit, and

comparing the third baseline audio signal to the third audio signal.

20. The method of claim 17, further comprising:

determining if the first audio signal, the second audio signal and the third audio signal a non-target location of the catheter tip.

21. The method of claim 17, further comprising:

detecting a third electrocardiogram signal through a third electrocardiogram electrode,

transmitting the third electrocardiogram signal to an electrocardiogram signal processing unit, and

determining if the third electrocardiogram signal corresponds to the target location.

22. The method of claim 21, wherein the third audio sensor and the third electrocardiogram electrode are operably connected to a third pad member, and wherein the third pad member is positioned at the third site.

23. The method of claim 21, further comprising:

detecting a third baseline electrocardiogram signal through the third electrocardiogram sensor,

transmitting the third baseline electrocardiogram signal to the electrocardiogram signal processing unit, and

comparing the third baseline electrocardiogram signal to the third electrocardiogram signal.