Monitoring apparatus for use in obtaining bronchial electrocardiogram

• US 5,379,765 A
• Filed: 12/04/1992
• Issued: 01/10/1995
• Est. Priority Date: 12/06/1991
• Status: Expired due to Fees

• Current Assignee: Nagao Kajiwara, Takayoshi Watanabe
• Original Assignee: Nagao Kajiwara, Takayoshi Watanabe
• Inventors: Watanabe, Takayoshi, Kajiwara, Nagao
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US07/986,039
• Time in Patent Office: 767 Days
• Field of Search: 128/639, 128/642, 128/783-784, 128/786, 607/116, 607/122, 607/124, 607/133
• US Class Current: 600/380
• CPC Class Codes: A61B 5/285 Endotracheal, oesophageal or gastric probes
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00

Abstract

An intrabronchial catheter has an inflatable balloon on which the bronchial ECG lead electrodes are mounted. Upon inserting the intrabronchial catheter into the trachea or bronchus of a human body, air is supplied to the balloon so that the balloon is stably retained in the trachea or bronchus, thereby bringing the bronchial ECG lead electrodes in close contact with the internal wall surface of the trachea or bronchus so as to effectively obtain a bronchial electrocardiogram or effect cardiac pacing.

Claims

1. Apparatus for obtaining a bronchial electrocardiogram and effecting cardiac pacing, said apparatus comprising:

an elastic hollow intrabronchial catheter capable of being inserted into the trachea or bronchus, said catheter having a leading end portion,

an electrically non-conductive inflatable balloon disposed at the leading end portion of said intrabronchial catheter;

two pairs of bronchial ECG electrodes which detect an ECG lead current and effect cardiac pacing, respectively,

two of said bronchial ECG lead electrodes being mounted on an inflatable portion of said balloon so as to move outwardly away from said catheter as the balloon is being inflated;

the others of said bronchial ECG lead electrodes also being mounted to said balloon;

an air tube extending along said catheter and having a leading end connected to said balloon such that air can be introduced into said balloon from said tube; and

said balloon being inflatable to a degree at which said balloon can contact an inner wall portion of the trachea or bronchus such that said ECG electrodes can be brought to anatomically prescribed locations on the inner wall portion when the catheter is inserted into the trachea or bronchus and the balloon is inflated to said degree.

2. The apparatus according to claim 1 wherein said bronchial ECG lead electrodes are arranged at prescribed intervals.

3. The apparatus according to claim 1, and further comprising an air pump connected to said balloon via said air tube, the pump supplying the air to inflate said balloon.

4. The apparatus according to claim 1, and further comprising an air pump and a check valve connected to said balloon via said air tube, said pump supplying the air to inflate said balloon.

5. The apparatus according to claim 1, wherein said intrabronchial catheter has a connector connectable to an air supply tube of an artificial respirator so that a patient can breath using an artificial respirator as the catheter is inserted into the trachea or bronchus and when the balloon is inflated in the trachea or bronchus.

6. The apparatus according to claim 1, and further comprising lead wires which extend along an internal wall surface of said catheter, and external terminals of an electrocardiograph, said lead wires being connected to said ECG lead electrodes which detect an ECG current and to said external terminals.

7. The apparatus according to claim 1, wherein said ECG lead electrodes are arranged in line at regular intervals.

8. The apparatus according to claim 7, wherein the ECG lead electrodes which detect an ECG lead current are alternately disposed with the ECG lead electrodes which effect cardiac pacing.

9. The apparatus according to claim 1, wherein said balloon has a side peripheral surface on which said two of the bronchial ECG lead electrodes are mounted and a front surface on which the others of said ECG lead electrodes are mounted.

10. The apparatus according to claim 9, wherein the ECG electrodes which detect an ECG lead current are mounted on said side peripheral surface and said front peripheral surface, respectively, and the ECG lead electrodes which effect cardiac pacing are mounted on said side peripheral surface and said front peripheral surface, respectively.

11. The apparatus according to claim 1 further comprising an auxiliary balloon disposed on said intrabronchial catheter distant from said balloon.

12. The apparatus according to claim 11, wherein said intrabronchial catheter has at least one vent hole extending therethrough at a location between said balloons.