Blood component monitoring system

• US 4,736,748 A
• Filed: 04/03/1987
• Issued: 04/12/1988
• Est. Priority Date: 04/05/1986
• Status: Expired due to Fees

• Current Assignee: Nihon Kohden Corporation
• Original Assignee: Kuraray Company Limited
• Inventors: Nakamura, Michihiro, Yano, Makoto
• Primary Examiner(s): Coven, Edward M.
• Application Number:
  US07/034,026
• Time in Patent Office: 375 Days
• Field of Search: 128/63 V, 604/4, 422/68
• US Class Current: 600/352
• CPC Class Codes: G01N 33/4925 measuring blood gas content, e.g. O2, CO2 , HCO3

Abstract

A blood component monitoring system for monitoring chemical substances of interest in blood, which includes a transfusion circuit including a flow-through cell adapted to be fluid-connected with a blood vessel through an indwelling catheter, a reservoir for accommodating a quantity of physiologically compatible sensor correcting solution, a connecting tubing extending between the reservoir and the flow-through cell and a transfusion pump; a detector unit including a temperature sensor and a chemical sensitive sensor device both incorporated inside the flow-through cell. A transfusion pump drive circuit is provided for controlling operation of the transfusion pump, a sensor drive circuit is provided for driving the temperature sensor and the chemical sensitive sensor device, a processing unit is provided for controlling both of the transfusion pump drive circuit and the sensor drive circuit and for reading respective outputs from the temperature sensor and the chemical sensitive sensor device and converting the outputs into respective measured values, and an output device is provided for externally outputting the measured values.

Claims

1. A blood component monitoring system for monitoring chemical substances of interest in blood, which comprises:

a transfusion circuit including a flow-through cell adapted to be fluid-connected with a blood vessel through an indwelling catheter, a reservoir for accommodating a quantity of physiologically compatible sensor correcting solution, a connecting tubing extending between the reservoir and the flow-through cell and a transfusion pump;

a detector unit including a temperature sensor and a chemical sensitive sensor device both incorporated inside the flow-through cell;

a transfusion pump drive circuit for controlling operation of the transfusion pump;

a sensor drive circuit for driving the temperature sensor and the chemical sensitive sensor device;

a processing unit for controlling both of the transfusion pump drive circuit and the sensor drive circuit and for reading respective outputs from the temperature sensor and the chemical sensitive sensor device and converting the outputs into respective measured values; and

an output device for externally outputting the measured values;

said processing unit including,

pump control means for controlling the pump drive circuit to drive the transfusion pump alternately in first and second directions opposite to each other according to a predetermined operating program, said first direction being such that physiologically compatible transfusion solution is introduced from the flow-through cell towards the blood vessel, said second direction being such that blood is drawn from the blood vessel towards the flow-through cell,

representative temperature setting means for setting as a representative temperature the temperature of the detector unit which is detected by the temperature sensor at a particular timing during each pumping cycle of the transfusion pump when the transfusion pump has been driven according to the predetermined operating program,

temperature compensating means for converting the output from the chemical sensitive sensor device into an output corresponding to the representative temperature according to a predetermined temperature compensating equation on the basis of the output from the chemical sensitive sensor device and the output from the temperature sensor both read out during each pumping cycle while the transfusion pump is being driven according to the predetermined operating program; and

correcting means for correcting a characteristic value, based on the amplitude of the converted output, according to a predetermined correction equation to calculate the concentration of one or more chemical substances in the blood and then to apply a signal indicative of the calculated concentration to the output device.

2. The monitoring system as claimed in claim 1, wherein the processing unit further includes a flow regulator operable to control the flow to establish the following relationship;

space="preserve" listing-type="equation">4.0≦

QF/QR≦

30

wherein QF represents the volume of flow of the physiologically compatible transfusion solution during the drive of the transfusion pump in the first direction, and QR represents the volume of flow of the physiologically compatible transfusion solution during the drive of the transfusion pump in the second direction.

3. The monitoring system as claimed in claim 1, wherein the processing unit further includes adjusting means for adjusting the measured values of the chemical substances fed from the correcting means so that the measured values of the chemical substances in the blood which are given by the blood component monitoring system can match with the measured values of the same substances in the same blood which are given by a different and separate monitoring system, said adjusting means being also operable to output the adjusted measured values to the output device.

4. The monitoring system as claimed in claim 3, wherein the adjusting means adjusts the measured values of the chemical substances, fed from the correcting means, according to predetermined correcting parameters which are empirically or experimentally determined with the use of the monitoring system and the different and separate monitoring system.

5. The monitoring system as claimed in claim 3, wherein the adjusting means is operable to calculate correcting parameters by comparing the respective measured values obtained with the use of the monitoring system and the different and separate monitoring system both being operated simultaneously with each other, and also to adjust the measured values from the correcting means with the use of the calculated parameters so determined.

6. The monitoring apparatus as claimed in claim 1, further comprising a drain tubing branched off from a portion of the indwelling catheter between the flow-through cell and the blood vessel, a valve device for selectively closing and opening the indwelling catheter and selectively closing and opening the drain tubing in a manner opposite to the closing and opening of the indwelling catheter, and a valve drive circuit for controlling the valve device, and wherein said processing unit further includes valve control means for controlling the valve drive circuit according to a predetermined program to actuate the valve device to cause the indwelling catheter and the drain tubing to open and close, respectively, during a period in which the volume of blood and transfusion solution moving during the drive of the transfusion pump in the first direction attains a predetermined value subsequent to the start of drive of the transfusion pump in the first direction and also to close and open the indwelling catheter and the drain tubing, respectively, when the volume exceeds the predetermined value, said predetermined volume being selected to be greater than the volume of blood and transfusion solution moving during the drive of the transfusion pump in the second direction.

7. The monitoring system as claimed in claim 6, wherein the predetermined volume is of a value within the range of 1.5 to 2.5 times the volume of blood and transfusion solution moving during the drive of the transfusion pump in the second direction.

8. A blood component monitoring system for monitoring chemical substances of interest in blood, which comprises:

a transfusion circuit including a flow-through cell adapted to be fluid-connected with a blood vessel through an indwelling catheter, a reservoir for accommodating a quantity of physiologically compatible sensor correcting solution, a connecting tubing extending between the reservoir and the flow-through cell and a transfusion pump;

a detector unit including a temperature sensor and a chemical sensitive sensor device both incorporated inside the flow-through cell;

a transfusion pump drive circuit for controlling operation of the transfusion pump;

a sensor drive circuit for driving the temperature sensor and the chemical sensitive sensor device;

a processing unit for controlling both of the transfusion pump drive circuit and the sensor drive circuit and for reading respective outputs from the temperature sensor and the chemical sensitive sensor device and converting the outputs into respective measured values; and

an output device for externally outputting the measured values;

said processing unit including,

pump control means for controlling the transfusion pump drive circuit to drive the transfusion pump alternately in first and second directions opposite to each other according to a predetermined operating program, said first direction being such that physiologically compatible transfusion solution is introduced from the flow-through cell towards the blood vessel, said second direction being such that blood is drawn from the blood vessel towards the flow-through cell,

flow regulating means operable to control the flow to establish the following relationship;

space="preserve" listing-type="equation">4.0≦

QF/QR≦

30

wherein QF represents the volume of flow of the physiologically compatible transfusion solution during the drive of the transfusion pump in the first direction, and QR represents the volume of flow of the physiologically compatible transfusion solution during the drive of the transfusion pump in the second direction, and

correcting means for correcting a characteristic value, based on the amplitude of the converted output, according to a predetermined correction equation to calculate the concentration of one or more chemical substances in the blood and then to apply a signal indicative of the calculated concentration to the output device.

9. The monitoring system as claimed in claim 8, further comprising a drain tubing branched off from a portion of the indwelling catheter between the flow-through cell and the blood vessel, a valve device for selectively closing and opening the indwelling catheter and selectively closing and opening the drain tubing in a manner opposite to the closing and opening of the indwelling catheter, and a valve drive circuit for controlling the valve device, and wherein said processing unit further includes valve control means for controlling the valve drive circuit according to a predetermined program to actuate the the valve device to cause the indwelling catheter and the drain tubing to open and close, respectively, during a period in which said first mentioned volume attains a predetermined value subsequent to the start of drive of the transfusion pump in the first direction and also to close and open the indwelling catheter and the drain tubing, respectively, when said first mentioned volume QF exceeds the predetermined value, said predetermined volume being selected to be greater than said second mentioned volume QR.

10. The monitoring system as claimed in claim 9, wherein said predetermined volume is of a value within the range of 1.5 to 2.5 times the second mentioned volume QR.