Measurement of body fluid chemistry

• US 4,535,786 A
• Filed: 07/25/1983
• Issued: 08/20/1985
• Est. Priority Date: 07/25/1983
• Status: Expired due to Term

• Current Assignee: ALARIS Medical Systems, Inc. (Becton, Dickinson & Co)
• Original Assignee: Eli Lilly and Company
• Inventors: Kater, John A. R.
• Primary Examiner(s): Coven, Edward M.
• Application Number:
  US06/516,627
• Time in Patent Office: 757 Days
• Field of Search: 128/630, 128/632, 128/637, 128/760, 436/68, 436/150, 422/68, 204/403, 204/411, 604/4-6
• US Class Current: 600/573
• CPC Class Codes: A61B 5/14507 specially adapted for measuring characteristics of body fluids other than blood devices for taking samples of body liquids A61B10/0045
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/1468 using chemical or electrochemical methods, e.g. by polarographic means A61B5/1486 takes precedence
• CPC Class Codes: A61B 5/20 for measuring urological functions restricted to the evaluation of the urinary system A61B5/4375 takes precedence

Abstract

A method and apparatus are disclosed in which body fluid chemistry is measured in either differential or nondifferential mode using apparatus of the kind employed in infusing fluids into patients'"'"' blood streams, either with or without combination with such infusion, to the end that measurement of body fluid chemistry is conveniently and measured automatically at selected frequency.

Claims

1. The method of measuring a chemical property of a body fluid using a conduit which terminates in a quantity of the body fluid and which incorporates a first electrode selective to said property and a second, reference electrode at spaced points along its length, which method comprises the steps of:

filling said conduit with a quantity of reference fluid sufficiently to subject both of said electrodes to the reference fluid; and

at another time, filling said conduit with a quantity of the reference fluid such that the reference electrode is subjected to reference fluid, and with a quantity of the body fluid such that the first electrode is subjected to the body fluid.

2. The method defined in claim 1 in which the conduit is filled with reference fluid by flowing the reference fluid through the conduit past the first and second electrodes in the direction toward said quantity of body fluid, and thereafter reversing flow in said conduit such as to withdraw body fluid from said quantity of blood to a point in said conduit intermediate said first and second electrodes.

3. The invention defined in claim 1 in which the step of filling the conduit with a quantity of reference fluid and blood is accomplished by reversing the flow of reference fluid in said conduit and aspirating body fluid along the conduit to fill the conduit with body fluid from said quantity of body fluid to a point along said conduit between said electrodes.

4. The invention defined in claim 3 in which the body fluid is blood and which method comprises the further step of flowing an infusant into said quantity of blood and of interrupting the flow of infusant whenever blood is aspirated along said conduit.

5. The invention defined in claim 4 which comprises the step of interrupting flow of reference fluid in said conduit during intervals in which infusant is flowing into said quantity of blood.

6. The invention defined in claim 3 in which said conduit incorporates a plurality of ion selective electrodes at a point intermediate said quantity of body fluid and said reference electrode, each of said ion selective electrodes being selective to a different ion;

and

said body fluid being aspirated into said conduit such that each of said electrodes other than said reference electrode is subjected to the body fluid.

7. The method of measuring blood chemistry using an apparatus comprising a calibratable electrode signal measuring unit, a source of reference fluid, connection means for completing a connection to the bloodstream of a subject, an electrode set having a reference electrode and at least one ion selective electrode, and a flowpath extending from said connection means to said source and in which said electrodes are exposed, said method comprising the steps of:

(a) connecting said connection means to the bloodstream of a subject;

(b) flowing reference fluid from said source through said flowpath past said electrodes and into the bloodstream of the subject such that said electrodes are subjected simultaneously to said reference fluid;

(c) calibrating said measuring unit while the electrodes are subjected to reference fluid;

(d) thereafter, reversing flow in said flowpath such that blood from said bloodstream is drawn into said flowpath and reference fluid is returned to said source until at least said ion selective electrode is subjected to blood from said bloodstream;

(e) making a measurement with said measuring unit while said ion selective unit is subjected to said blood; and

(f) again reversing the direction of flow in said flowpath to return all of the blood withdrawn from said bloodstream and to cause a flow of reference fluid past said electrodes into said bloodstream.

8. The method of measuring blood chemistry using an apparatus comprising a calibratable electrode signal measuring unit, a source of reference fluid, connection means for completing a connection to the bloodstream of a subject, an electrode set having a reference electrode and at least one ion selective electrode, a first flowpath extending from said connection means to said source and in which said electrodes are exposed, a source of intravenous fluid and a second flowpath interconnecting said source of intravenous fluid with said first flowpath at a point in said first flowpath between said source of reference fluid and said electrode set, said method comprising the steps of:

(a) connecting said connection means to the bloodstream of a subject;

(b) flowing reference fluid from said source through said first flowpath past said electrodes and into the bloodstream of the subject such that said electrodes are subjected simultaneously to said reference fluid;

(c) calibrating said measuring unit while the electrodes are subjected to reference fluid;

(d) thereafter, reversing flow in at least one of said flowpaths such that blood from said bloodstream is drawn into said flowpath and fluid is returned to at least one of said sources until said ion selective electrode is subjected to blood from said bloodstream;

(e) making a measurement with said measuring unit while said ion selective unit is subjected to said blood; and

(f) again reversing the direction of flow in said flowpath to return all of the blood withdrawn from said bloodstream and to cause a flow of reference fluid past said electrodes into said bloodstream.

9. Apparatus for measuring blood chemistry comprising:

(a) a calibratable electrode signal measuring unit;

(b) a source of reference fluid;

(c) connection means for completing a connection to the bloodstream of a subject;

(d) an electrode set having a reference electrode and at least one ion selective electrode;

(e) a flowpath extending from said connection means to said source and in which said electrodes are exposed; and

(f) means for causing reference fluid to flow from said source through said flowpath past said electrodes and into the bloodstream of the subject such that said electrodes are subjected simultaneously to said reference fluid and for calibrating said measuring unit while the electrodes are subjected to reference fluid and thereafter reversing flow in said flowpath such that blood from said bloodstream is drawn into said flowpath and reference fluid is returned to said source until at least said ion selective electrode is subjected to blood from said bloodstream.

10. Apparatus for measuring blood chemistry comprising:

(a) a calibratable electrode signal measuring unit;

(b) a source of reference fluid;

(c) a source of intravenous fluid;

(d) connection means for completing a connection to the bloodstream of a subject;

(e) an electrode set having a reference electrode and at least one ion selective electrode;

(f) a first flowpath extending from said connection means to one of said sources and in which said electrodes are exposed; and

(g) a second flowpath interconnecting the other of said sources with said first flowpath at a point in said first flowpath between said one source and said electrode set; and

(h) means for causing reference fluid to flow from one of said sources through said flowpath past said electrodes and into the bloodstream of the subject such that said electrodes are subjected simultaneously to said reference fluid and for calibrating said measuring unit while the electrodes are subjected to reference fluid and thereafter reversing flow in said flowpath such that blood from said bloodstream is drawn into said flowpath and fluid is returned to at least one of said sources until at least said ion selective electrode is subjected to blood from said bloodstream.