SYSTEMS FOR CHARACTERIZING PHYSIOLOGIC PARAMETERS AND METHODS FOR USE THEREWITH

• US 20100057046A1
• Filed: 09/01/2009
• Published: 03/04/2010
• Est. Priority Date: 09/03/2008
• Status: Abandoned Application

• Current Assignee: Keimar, Inc.
• Original Assignee: Keimar, Inc.
• Inventors: Stevens (nee Webber), Margaret R., Zoeller, Hank, Blakley, Richard
• Application Number:
  US12/552,081
• Publication Number:
  US 20100057046A1
• Time in Patent Office: Days
• US Class Current: 604/507
• CPC Class Codes: A61B 2562/0215 Silver or silver chloride containing
• CPC Class Codes: A61B 2562/0217 Electrolyte containing
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/02152 specially adapted for venous pressure
• CPC Class Codes: A61B 5/02158 provided with two or more sensor elements
• 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 5/14539 for measuring pH
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61B 5/1473 invasive, e.g. introduced into the body by a catheter A61B5/1482 takes precedence
• CPC Class Codes: A61B 5/412 Detecting or monitoring sepsis
• CPC Class Codes: A61B 5/681 Wristwatch-type devices
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/202 partial carbon oxide pressure, e.g. partial dioxide pressure (P-CO2)
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/207 : hematocrit
• CPC Class Codes: A61M 2230/208 : pH-value
• CPC Class Codes: A61M 2230/432 : partial CO2 pressure (P-CO2)
• CPC Class Codes: A61M 2230/50 : Temperature
• CPC Class Codes: A61N 1/36514 : controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by two or more physical parameters A61N1/36585

Abstract

Disclosed herein are systems and methods for continuously measuring a physiologic parameter of a patient, and can also include adjusting therapy based upon the physiologic parameter. The system can include a first probe having an elongate body, the probe configured to be inserted into a first location within a patient. At least one sensor can be operably connected to the first probe and configured to continuously provide real-time feedback information on one or more physiologic parameters at the first location within the patient, such as pH, pCO₂, pO₂, pressure, or temperature. A controller can be connected to the probe and configured to receive the real-time feedback information and to adjust a therapeutic setting on a therapeutic device based at least in part on the feedback information.

Claims

1. A medical system for continuously measuring a physiologic parameter of a patient and adjusting therapy based upon feedback information on the physiologic parameter, comprising:

a first probe having an elongate body, the first probe configured to be inserted into a first location;

a first sensor operably connected to the first probe and configured to continuously provide feedback information on at least one physiologic parameter at the first location, the physiologic parameter selected from the group consisting of;

pH, pCO₂, pO₂, pressure, and temperature; and

a controller operably connected to the first probe,

wherein the controller is configured to receive the feedback information and to adjust a therapeutic setting on a therapeutic device based at least in part on the feedback information.

2. The system of claim 1, wherein the first probe comprises a catheter.

3. The system of claim 1, wherein the first probe comprises a wire.

4. The system of claim 1, wherein the therapeutic device is an infusion device.

5. The system of claim 1, wherein the therapeutic device is a ventilator.

6. The system of claim 1, further comprising:

a second probe having an elongate body, the second probe configured to be inserted into a second location within the patient; and

at least a second sensor operably connected to the second probe and configured to continuously provide real-time feedback information on at least one physiologic parameter at the second location within the patient, the physiologic parameters selected from the group consisting of;

pH, pCO₂, pO₂, pressure, and temperature.

7. The system of claim 6, further comprising a module configured to determine the cardiac output of the patient based at least in part from the feedback information from the first sensor and the second sensor.

8. A medical system for continuously measuring a physiologic parameter of a patient and adjusting therapy based upon feedback information on the physiologic parameter, comprising:

a first probe having an elongate body, the first probe configured to be inserted into a first location within the arterial circulation of a patient;

a sensor array operably connected to the first probe and configured to continuously provide feedback information on at least one physiologic parameter at the first location within the patient, the at least one physiologic parameter selected from the group consisting of;

pH, pCO₂, pO₂, pressure, and temperature;

a controller configured to operably communicate with the first probe; and

a module configured to calculate the patient'"'"'s cardiac output based in at least in part upon feedback information from the sensor array,

wherein the controller is configured to receive the feedback information and to adjust a therapeutic setting on a ventilator based at least in part on the feedback information.

9. A method of continuously monitoring at least one physiologic parameter of a patient, comprising:

providing a first probe having an elongate body, the first probe configured to be inserted into a first location, the probe operably connected to a first sensor;

delivering the first probe to the first location;

continuously measuring the at least one physiologic parameter of the patient at the first location using the first sensor, wherein the at least one physiologic parameter is selected from the group consisting of;

pH, pCO₂, pO₂, pressure, and temperature; and

transmitting feedback information regarding the physiologic parameter to an output device.

10. The method of claim 9, wherein continuously measuring the at least one physiologic parameter of the patient comprises measuring the physiologic parameter without interruption.

11. The method of claim 9, wherein continuously measuring the at least one physiologic parameter of the patient comprises measuring the physiologic parameter substantially without interruption.

12. The method of claim 9, wherein the first location is within the arterial circulation of the patient.

13. The method of claim 9, further comprising:

interpreting the physiologic parameter feedback information; and

adjusting a therapeutic setting on a therapeutic device at least partially based on the physiologic parameter feedback information from the first location.

14. The method of claim 13, further comprising:

providing a second probe having an elongate body, the second probe configured to be inserted into a second location to measure at least one physiologic parameter of the patient, the second probe operably connected to a second sensor configured to continuously provide feedback information on the at least one physiologic parameter at the second location within the patient;

delivering the second probe to a second anatomical location of the patient; and

continuously measuring the at least one physiologic parameter of the patient at the second location using the second sensor, wherein the at least one physiologic parameter is selected from the group consisting of;

pH, pCO₂, pO₂, pressure, and temperature; and

transmitting physiologic parameter feedback information from the second location to a second output device.

15. The method of claim 14, wherein the second anatomical location is within the venous circulation of the patient.

16. The method of claim 14, further comprising determining the patient'"'"'s cardiac output using the physiologic parameter feedback from the first location and from the second location.

17. The method of claim 13, wherein the therapeutic device is an infusion device.

18. The method of claim 13, wherein the therapeutic device is a ventilator.

19. The method of claim 18, wherein the therapeutic setting comprises FiO₂.

20. The method of claim 18, wherein the therapeutic setting comprises at least one setting affecting minute ventilation.