Perinatal pulse oximetry sensor

• US 5,109,849 A
• Filed: 02/21/1990
• Issued: 05/05/1992
• Est. Priority Date: 08/30/1983
• Status: Expired due to Term

• Current Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Original Assignee: Nellcor Incorporated (Medtronic Plc)
• Inventors: Mannheimer, Paul D., Goodman, David E., Warring, Jessica A.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US07/482,827
• Time in Patent Office: 804 Days
• Field of Search: 128/633-635, 128/664-666, 128/643, 128/670, 128/698, 128/700, 128/736
• US Class Current: 600/483
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/1464 specially adapted for foetal tissue
• CPC Class Codes: A61B 5/252 by suction
• CPC Class Codes: A61B 5/28 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/4362 Assessing foetal parameters
• CPC Class Codes: A61B 5/6834 using vacuum

Abstract

An apparatus for use in measuring fetal blood flow characteristics. The apparatus includes a non-invasive pulse oximetry probe that is inserted into the uterus between the fetus and the uterine wall. The probe is deformable and is positively attached to the fetal tissue surface using a vacuum pump which causes the probe to deform from a pre-set curvature to the curvature of the fetal tissue surface and to form a gasket-type seal with the fetal tissue surface. The probe is manually inserted into the uterus using a curved insertion tool, and is shaped to fit through a slightly dilated cervix. In a preferred embodiment, the probe includes fetal and maternal ECG sensors and additional sensing devices, and is provided with apparatus for improving the efficiency of the pulse oximetry optics.

Claims

1. An intrauterine sensor system, comprising:

a probe adapted for insertion into a uterus, the probe having a deformable outer body;

means for connecting the probe to a vacuum source to positively attach the probe to the fetal tissue surface;

means for forming a deformable seal, the deformable seal means being mounted to a surface of the outer body that contacts the fetal tissue surface having a compliancy greater than the compliancy of the fetal tissue;

a light source and a light detector mounted in the probe and adapted to generate a signal for use in measuring at least one fetal blood flow characteristic by pulse oximetry;

first electrode means for detecting a fetal body function and for generating a signal responsive to the detected body function, the first electrode means being mounted in the probe and adapted to contact the fetal tissue surface when the probe is in place; and

means for connecting the light source to an external source of power, and for connecting the light detector and the first electrode means to external components adapted to receive and monitor the signals generated by the light detector and the first electrode means.

2. The intrauterine sensor system of claim 1, wherein the deformable outer body comprises a flexible diaphragm having a pocket formed therein in which the light source and light detector are disposed.

3. The sensor system of claim 1, wherein the deformable seal means comprises a gasket secured to the outer body.

4. The sensor system of claim 3, further comprising:

second electrode means associated with the probe for detecting a body function and for generating a signal responsive to the detected body function; and

means for connecting the second electrode means to external components adapted to receive and monitor the signal generated by the second electrode means.

5. The sensor system of claim 4, further comprising:

a second light source and a second light detector, mounted on a surface of the probe directed toward the uterine wall when the probe is in place and adapted to generate a signal for use in measuring at least one maternal blood flow characteristic by pulse oximetry; and

means for connecting the second light source to an external source of power, and for connecting the second light detector to external components adapted to receive and monitor the signal generated by the second light detector.

6. The sensor system of claim 5, further comprising:

temperature sensing means mounted in the probe for sensing the temperature of a portion of the fetal tissue surface and for generating a signal responsive to the sensed temperature; and

means for connecting the temperature sensing means to external components adapted to receive and monitor the signal generated by the temperature sensing means.

7. The sensor system of claim 6, further comprising:

means mounted in the probe for sensing heat flux in at least a portion of one of the maternal biological fluid and the fetal tissue surface and for generating a signal responsive to the sensed heat flux; and

means for connecting the heat flux sensing means to external components adapted to receive and monitor the signal generated by the heat flux sensing means.

8. The sensor system of claim 1, wherein the probe further includes a light barrier element between the light source and the light detector.

9. The sensor system of claim 1, wherein the first electrode means is mounted between the light source and the light detector as a light barrier.

10. The sensor system of claim 1, wherein the probe further includes a first reflector being mounted adjacent one of the light source and the light detector.

11. The sensor system of claim 10, wherein the first reflector is mounted as a light barrier element between the light source and the light detector.

12. The sensor system of claim 1, wherein the first electrode means is a reflector mounted adjacent one of the light source and the light detector.

13. The sensor system of claim 1, wherein the first electrode means is a reflector mounted adjacent one of the light source and the light detector, and is positioned as a light barrier element between the light source and the light detector.

14. The sensor system of claim 13, wherein the first reflector means reflects light between the light source and the fetal tissue surface, and the probe further includes a second reflector means for reflecting light between the light detector and the fetal tissue surface, and wherein the first and second reflector means are formed by a single electrically conductive element.

15. The sensor system of claim 14, wherein the first and second reflector means are flexible.

16. The sensor system of claim 1, further including at least one porous filter element mounted on the probe for diffusing air removed from within the probe before the air enters the means connecting the probe to the vacuum source.

17. The sensor system of claim 16, wherein the first electrode means comprises a conductive surface which is urged against the fetal tissue surface by the porous filter element.

18. The sensor system of claim 1, wherein the first electrode means comprises a spring-loaded electrically conductive surface biased toward the fetal tissue surface.