Monitoring apparatus

• US 9,993,164 B2
• Filed: 01/23/2015
• Issued: 06/12/2018
• Est. Priority Date: 01/24/2014
• Status: Active Grant

• Current Assignee: National Cerebral And Cardiovascular Center, Nihon Kohden Corporation
• Original Assignee: National Cerebral And Cardiovascular Center, Nihon Kohden Corporation
• Inventors: Tanishima, Masami, Yoshida, Tatsuo, Ukawa, Teiji, Kitakaze, Masafumi, Seguchi, Osamu
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): GHAND, JENNIFER LEIGH-STEWAR
• Application Number:
  US14/603,486
• Publication Number:
  US 20150208927A1
• Time in Patent Office: 1,236 Days
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• 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 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

A monitoring apparatus includes a condition determining section which is configured to determine a condition of one of a heart, lungs, and blood vessels based on: a concentration of carbon dioxide in an expired gas which is measured by using a first sensor; and an oxygen transport parameter or a metabolic parameter which is measured by using a second sensor.

Claims

1. A monitoring apparatus comprising:

a condition determining section which is configured to determine a condition of one of a heart, lungs, and blood vessels based on;

a concentration of carbon dioxide in an expired gas which is measured by using a first sensor and an oxygen transport parameter or a metabolic parameter which is measured by using a second sensor;

a displaying section which is configured to display in a form of a graph the condition of one of the heart, the lungs, and the blood vessels, the condition being classified based on the concentration of the carbon dioxide and the oxygen transport parameter or the metabolic parameter, wherein the displaying section displays the concentration of the carbon dioxide and the oxygen transport parameter or the metabolic parameter, on two-dimensional coordinates from an origin, the oxygen transport parameter or the metabolic parameter being indicated on an ordinate from the origin, and the concentration of the carbon dioxide being indicated on an abscissa from the origin, the concentration of the carbon dioxide parameter on the abscissa decreasing from a high value at the origin to lower values that are lower than the high value along the abscissa; and

a memory configured to store in association;

concentrations of carbon dioxide in an expired gas, oxygen transport parameters or metabolic parameters, and one of a condition of heart failure, a ventilation condition, a condition of pulmonary congestion or pulmonary hypertension, and a condition of acute pulmonary congestion or pulmonary hypertension that is indicated by the concentrations of carbon dioxide in the expired gas and oxygen transport parameters or metabolic parameters,

wherein the condition determining section comprises a processor configured to;

compare the concentration of carbon dioxide in an expired gas which is measured by using the first sensor and the oxygen transport parameter or a metabolic parameter which is measured by using the second sensor with the concentrations of carbon dioxide in the expired gas and oxygen transport parameters or metabolic parameters stored in the memory,

determine the one of the condition of heart failure, the ventilation condition, the condition of pulmonary congestion or pulmonary hypertension, and the condition of acute pulmonary congestion or pulmonary hypertension that is indicated by the concentrations of carbon dioxide in the expired gas and oxygen transport parameters or metabolic parameters in the memory that matches the concentration of carbon dioxide in the expired gas which is measured by using the first sensor and the oxygen transport parameter or a metabolic parameter which is measured by using the second sensor, and

control the displaying section to display in a form of a graph the concentration of the carbon dioxide which is measured by using the first sensor and the oxygen transport parameter or the metabolic parameter which is measured by using the second sensor, and to display, on the graph, regions indicating the one of the condition of heart failure, the ventilation condition, the condition of pulmonary congestion or pulmonary hypertension, and the condition of acute pulmonary congestion or pulmonary hypertension that is indicated by the concentrations of carbon dioxide in the expired gas and oxygen transport parameters or metabolic parameters in the memory.

2. The monitoring apparatus according to claim 1, wherein the first sensor measures an expired end-tidal carbon dioxide concentration which is a concentration of the carbon dioxide in the expired gas during an end-tidal phase of expiration.

3. The monitoring apparatus according to claim 1, wherein the oxygen transport parameter or the metabolic parameter includes one of an arterial blood oxygen saturation (SpO₂), blood gas information, a blood pressure, a cardiac output, a cardiac index, a pulsation rate, a body temperature, a pulse rate, and a heart rate.

4. The monitoring apparatus according to claim 3, wherein the cardiac output is non-invasively measured.

5. The monitoring apparatus according to claim 4, wherein the second sensor is configured by a pulse wave sensor for measuring a pulse wave, and an electrocardiogram sensor for measuring an electrocardiogram, and non-invasively measures the cardiac output based on the pulse wave and the electrocardiogram.

6. The monitoring apparatus according to claim 1, wherein a determination reference value for determining the condition of one of the heart, the lungs, and the blood vessels is indicated in the graph displayed on the displaying section.

7. The monitoring apparatus according to claim 1, wherein the regions are defined by thresholds of the concentrations of carbon dioxide in an expired gas and the oxygen transport parameters or metabolic parameters that indicate one of the condition of heart failure, the ventilation condition, the condition of pulmonary congestion or pulmonary hypertension, and the condition of acute pulmonary congestion or pulmonary hypertension.

8. The monitoring apparatus according to claim 7, wherein the thresholds are previously set in the memory.

9. The monitoring apparatus according to claim 8, wherein the thresholds are set in the memory by a medical personnel.