Pulmonary compliance and air flow resistance

• US 9,750,431 B2
• Filed: 08/25/2014
• Issued: 09/05/2017
• Est. Priority Date: 08/26/2013
• Status: Active Grant

• Current Assignee: Echosense Jersey Limited
• Original Assignee: Echosense Jersey Limited
• Inventors: Palti, Yoram
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): MESSERSMITH, ERIC J
• Application Number:
  US14/467,558
• Publication Number:
  US 20150057559A1
• Time in Patent Office: 1,107 Days
• CPC Class Codes: A61B 5/085 Measuring impedance of respiratory organs or lung elasticity
• 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 5/097 Devices for facilitating collection of breath or for directing breath into or through measuring devices
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/7242 using integration

Abstract

Methods and apparatuses are described for direct rapid measurement of pulmonary flow resistance. A measurement of a first pressure in a gas-tight chamber is received from a pressure sensor when a gas output port of the chamber is closed, a patient is blowing into a gas inlet of the chamber at a given pressure, and a gas-flow path between the inlet and output port has a resistance value. A measurement of a second pressure in the chamber is received from the pressure sensor and a measurement of gas flow through the chamber is received from a gas flow sensor when the output port is opened and the patient is blowing into the inlet to maintain the given pressure relatively constant. A pulmonary flow resistance is computed based upon the measurement of the first pressure, the measurement of the second pressure, the resistance value, and the measurement of gas flow.

Claims

1. A device for measuring pulmonary flow resistance, the device comprising:

a housing that defines a gas-tight chamber, the chamber having a gas inlet and a gas output port and a gas-flow path between the gas inlet and the gas output port, the gas-flow path having a first resistance value, wherein the gas output port is configured to switch selectively between (i) an open position in which gas can flow out of the chamber through the gas output port and (ii) a closed position in which gas flow out of the chamber is blocked;

a gas flow sensor configured to measure flow of gas through the chamber;

a pressure sensor configured to measure pressure in the chamber; and

a controller configured to

(a) receive, when the output port is closed and a patient is blowing into the gas inlet at a given pressure, a measurement of a first pressure from the pressure sensor,

(b) determine, after step (a) has been performed and when the gas output port is opened, that the patient is blowing into the gas inlet so as to maintain the given pressure relatively constant,

(c) receive a measurement of a second pressure from the pressure sensor and a measurement of a first gas flow from the gas flow sensor while the patient is blowing into the gas inlet so as to maintain the given pressure relatively constant, and

(d) compute a first pulmonary flow resistance based upon the measurement of the first pressure, the measurement of the second pressure, the first resistance value, and the measurement of the first gas flow.

2. The device of claim 1, wherein the gas inlet comprises a mouthpiece.

3. The device of claim 1, further comprising an actuator configured to open and close the gas output port in response to a control signal received from the controller, and wherein the controller is configured to send the control signal to open the gas output port after step (a) has been performed and before step (b) is performed.

4. The device of claim 1, further comprising a display configured to show at least one of:

the measurement of the first pressure, the measurement of the second pressure, the measurement of the first gas flow, the first resistance value, and the first pulmonary flow resistance.

5. The device of claim 1, further comprising a display configured to indicate to the patient when to start and/or stop blowing into the gas inlet in response to a second control signal received from the controller, and wherein the controller is configured to send the second signal to the display before step (a) is performed.

6. The device of claim 1, wherein the first pulmonary flow resistance (Rp) is calculated using the following equation:

(Rp+Rr)=Pa/F, wherein Rr is the first resistance value, Pa is estimated based upon the measurement of the second pressure, and F is the measurement of the first gas flow.

7. The device of claim 6, wherein Pa is calculated by extrapolating the measurement of the second pressure versus time curve back to a time at which the gas output port is opened.

8. The device of claim 1, wherein the controller is further configured to compute a pulmonary compliance (C) of the patient using the following equation:

C=Δ

V/Δ

P, wherein Δ

V is change in pulmonary volume and Δ

P is change in pulmonary pressure.

9. The device of claim 1, wherein the first resistance value is predetermined.

10. A method for measuring pulmonary flow resistance, the method comprising the steps of:

(a) receiving, when a gas output port of a gas-tight chamber is closed and a patient is blowing into a gas inlet of the chamber at a given pressure, a measurement of a first pressure in the chamber from a pressure sensor, wherein a gas-flow path between the gas inlet and the gas output port has a first resistance value;

(b) receiving, after step (a) has been performed, and when the gas output port is opened and the patient is blowing into the gas inlet so as to maintain the given pressure relatively constant, a measurement of a second pressure in the chamber from the pressure sensor and a measurement of a first gas flow through the chamber from a gas flow sensor; and

(c) computing a first pulmonary flow resistance based upon the measurement of the first pressure, the measurement of the second pressure, the first resistance value, and the measurement of the first gas flow.

11. The method of claim 10, wherein the first pulmonary flow resistance (Rp) is calculated using the following equation:

(Rp+Rr)=Pa/F, wherein Rr is the first resistance value, Pa is estimated based upon the measurement of the second pressure, and F is the measurement of the first gas flow.

12. The method of claim 11, wherein Pa is calculated by extrapolating the measurement of the second pressure versus time curve back to a time at which the gas output port is opened.

13. The method of claim 10, further comprising the step of computing a pulmonary compliance (C) of the patient using the following equation:

C=Δ

V/Δ

P, wherein Δ

V is change in pulmonary volume over time and Δ

P is change in pulmonary pressure over time.

14. The method of claim 10, wherein the first resistance value is predetermined.

15. The method of claim 10, further comprising the steps of:

(d) modifying the gas-flow path to have a second resistance value;

(e) receiving, when the output port is closed and a patient is blowing into the gas inlet so as to maintain a second given pressure relatively constant, a measurement of a third pressure from the pressure sensor;

(f) receiving, after steps (d) and (e) have been performed, and when the gas output port is opened and the patient is blowing into the gas inlet so as to maintain the second given pressure relatively constant, a measurement of a fourth pressure from the pressure sensor and a measurement of a second gas flow from the gas flow sensor; and

(g) computing a second pulmonary flow resistance based upon the measurement of the third pressure, the measurement of the fourth pressure, the second resistance value, and the measurement of the second gas flow.

16. The method of claim 15, further comprising the step of

(h) generating a resistance-to-flow curve depicting pulmonary resistance versus pulmonary flow and a resistance-to-pressure curve depicting pulmonary resistance versus pulmonary pressure, by taking measurements at different blowing pressures and/or resistance values.

17. A method for measuring pulmonary flow resistance, the method comprising the steps of:

(a) closing a gas output port of a gas-tight chamber, the chamber having a gas inlet;

(b) setting a gas flow resistor disposed in a gas-flow path between the inlet and the outlet port to a first resistance value;

(c) receiving, after step (a) and step (b) have been performed and when a patient is blowing into the gas inlet at a given pressure, a measurement of a first pressure in the chamber from a pressure sensor;

(d) opening, after step (c) has been performed, the gas output port;

(e) receiving, after step (d) has been performed and when the patient is blowing into the gas inlet so as to maintain the given pressure relatively constant, a measurement of a second pressure in the chamber from the pressure sensor and a measurement of a first gas flow through the chamber from a gas flow sensor; and

(f) computing a first pulmonary flow resistance based upon the measurement of the first pressure, the measurement of the second pressure, the first resistance value, and the measurement of the first gas flow.

18. A device for measuring pulmonary flow resistance, the device comprising:

a housing that defines a gas-tight chamber, the chamber having a gas inlet and a gas output port and a gas-flow path between the gas inlet and the gas output port, wherein the gas output port is configured to switch selectively between (i) an open position in which gas can flow out of the chamber through the gas output port and (ii) a closed position in which gas flow out of the chamber is blocked;

a gas flow sensor configured to measure flow of gas through the chamber;

a pressure sensor configured to measure pressure in the chamber;

a gas flow resistor disposed in the gas-flow path, configured to be adjustable by a control input; and

a controller configured to

(a) set the gas flow resistor to a first resistance value by sending a first control signal to the control input,

(b) receive, when the output port is closed and a patient is blowing into the gas inlet at a given pressure, a measurement of a first pressure from the pressure sensor,

(c) determine, after steps (a) and (b) have been performed and when the gas output port is opened, that the patient is blowing into the gas inlet so as to maintain the given pressure relatively constant,

(d) receive a measurement of a second pressure from the pressure sensor and a measurement of a first gas flow from the gas flow sensor while the patient is blowing into the gas inlet so as to maintain the given pressure relatively constant, and

(e) compute a first pulmonary flow resistance based upon the measurement of the first pressure, the measurement of the second pressure, the first resistance value, and the measurement of the first gas flow.

19. The device of claim 18, wherein the gas inlet comprises a mouthpiece.

20. The device of claim 18, further comprising an actuator configured to open and close the gas output port in response to a second control signal received from the controller, and wherein the controller is configured to send the second control signal to open the gas output port after step (a) has been performed and before step (b) is performed.

21. The device of claim 18, further comprising a display configured to show at least one of:

the measurement of the first pressure, the measurement of the second pressure, the measurement of the first gas flow, the first resistance value, and the first pulmonary flow resistance.

22. The device of claim 18, further comprising a display configured to indicate to the patient when to start and/or stop blowing into the gas inlet in response to a third control signal received from the controller, and wherein the controller is configured to send the third control signal to the display before step (a) is performed.

23. The device of claim 18, wherein the first pulmonary flow resistance (Rp) is calculated using the following equation:

(Rp+Rr)=Pa/F, wherein Rr is the first resistance value, Pa is estimated based upon the measurement of the second pressure, and F is the measurement of the first gas flow.

24. The device of claim 23, wherein Pa is calculated by extrapolating the measurement of the second pressure versus time curve back to a time at which the gas output port is opened.

25. The device of claim 18, wherein the controller is further configured to compute a pulmonary compliance (C) of the patient using the following equation:

C=Δ

V/Δ

P, wherein Δ

V is change in pulmonary volume and Δ

P is change in pulmonary pressure.

26. The device of claim 18, wherein the controller is further configured to

(f) set the gas flow resistor to a second resistance value by sending a fourth control signal to the control input,

(g) receive, when the output port is closed and a patient is blowing into the gas inlet so as to maintain a second given pressure relatively constant, a measurement of a third pressure from the pressure sensor,

(h) receive, after steps (f) and (g) have been performed, and when the gas output port is opened and the patient is blowing into the gas inlet so as to maintain the second given pressure relatively constant, a measurement of a fourth pressure from the pressure sensor and a measurement of a second gas flow from the gas flow sensor, and

(i) compute a second pulmonary flow resistance based upon the measurement of the third pressure, the measurement of the fourth pressure, the second resistance value, and the measurement of the second gas flow.

27. The device of claim 26, wherein the controller is further configured to

(j) generate a resistance-to-flow curve depicting pulmonary resistance versus pulmonary flow and a resistance-to-pressure curve depicting pulmonary resistance versus pulmonary pressure, by taking measurements at different blowing pressures and/or resistance values.