Patient monitor and method of using same

• US 6,017,315 A
• Filed: 02/25/1998
• Issued: 01/25/2000
• Est. Priority Date: 02/25/1998
• Status: Expired due to Term

• Current Assignee: RIC INVESTMENTS LLC (Respironics Incorporated)
• Original Assignee: Respironics Incorporated
• Inventors: Scarberry, Eugene N., Starr, Eric W., Kane, Michael T.
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US09/030,221
• Time in Patent Office: 699 Days
• Field of Search: 600/538, 600/532, 600/531, 600/529, 600/533, 600/537, 128/203.29, 128/204.23, 128/204.29, 128/205.25, 128/206.21, 128/206.28
• US Class Current: 600/538
• CPC Class Codes: A61G 11/00 Baby-incubators; Couveuses
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 16/101 using an oxygen concentrator
• CPC Class Codes: A61M 16/1055 bacterial
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)

Abstract

A patient monitoring apparatus for monitoring and/or measuring a physiological characteristic of said patient. A user interface having an interior portion communicates with an airway of a user such that substantially all gas inhaled and exhaled by the user enters the interior portion of the user interface. At least one vent element is associated with the user interface and communicates the interior portion of the user interface with an ambient atmosphere outside the user interface. The vent element and user interface define a flow element across which a pressure differential is created during inhalation and exhalation. The pressure differential is the pressure difference between the pressure within the interior portion of the user interface and the pressure of the ambient atmosphere outside the user interface. A sensor communicates with the interior portion of the user interface and measures a fluid characteristic resulting from this pressure differential and outputs a first signal indicative of the measured fluid characteristic. The output from the sensor is used alone or in combination with the output from other sensors that detect other physiological characteristics to provide a variety of information about the patient.

Claims

1. A patient monitoring apparatus, comprising:

a user interface having an interior portion adapted to communicate with an airway of a user such that substantially all gas inhaled and exhaled by such a user enters said interior portion of said user interface;

at least one vent element associated with said user interface and communicating said interior portion of said user interface with an ambient atmosphere outside said user interface, said at least one vent element and said user interface defining a flow element across which a pressure differential is created during inhalation and exhalation, said pressure differential being a pressure difference between a first pressure within said interior portion of said user interface and a pressure of said ambient atmosphere outside said user interface;

a sensor communicating with said interior portion of said user interface, said sensor measuring a fluid characteristic resulting from said pressure differential and outputting a first signal indicative of said fluid characteristic; and

a processing unit receiving said first signal and determining a quantitative value for a physiological characteristic of a user based on said first signal.

2. An apparatus according to claim 1, wherein said sensor is coupled to said user interface via a single hollow tube, wherein at least one of said sensor and said user interface is selectively detachable from said hollow tube.

3. An apparatus according to claim 1, further comprising selecting means for selecting at least one of a plurality of types of said user interfaces to which said sensor is adapted to be coupled, wherein said processing unit determines said quantitative value for said physiological characteristic based on a type of user interface selected by said selecting means.

4. An apparatus according to claim 1, further comprising a communication unit for transmitting to a remote receiver at least one of said first signal and a signal corresponding to said quantitative value.

5. An apparatus according to claim 1, wherein said physiological characteristic is a characteristic associated with respiration.

6. An apparatus according to claim 5, wherein said characteristic associated with respiration is at least one of a rate of flow of gas through said user interface and a volume of gas exiting said interior portion of said user interface over at least one of predetermined period of time and a predetermined portion of a respiratory cycle.

7. An apparatus according to claim 6, wherein said flow of gas through said user interface includes a flow resulting from patient snore, and wherein said processing unit determines a quantitative value for a volume of gas displaced by said snore.

8. An apparatus according to claim 1, wherein said processing unit outputs a second signal indicative of said quantitative value, said apparatus further comprising an output device that converts said second signal into a human perceivable output.

9. An apparatus according to claim 1, wherein said sensor is an airflow sensor and said fluid characteristic measured by said sensor is a rate of flow of gas through said sensor between said interior portion of said user interface and said ambient atmosphere.

10. An apparatus according to claim 1, wherein said sensor is a pressure sensor and said fluid characteristic measured by said sensor is a pressure within said interior portion of said user interface.

11. An apparatus according to claim 1, further comprising an output device that converts said first signal into a human perceivable output indicative of said physiological characteristic.

12. An apparatus according to claim 1, wherein said user interface is a mask that covers at least one of a nose and a mouth of said user.

13. An apparatus according to claim 12, wherein said at least one vent unit includes at least one fixed diameter hole defined in said mask.

14. An apparatus according to claim 1, wherein said user interface is nasal canula having at least one prong that inserts into a nare of said user.

15. An apparatus according to claim 14, wherein said prong includes an opening defined at a distal end of said prong for communicating said interior portion of said user interface with a nasal cavity of said user, and wherein said at least one vent unit includes at least one fixed diameter hole defined in a proximal end of said prong.

16. An apparatus according to claim 1, wherein said user interface is a chamber adapted to contain at least a portion of said user therein, said interior portion of said user interface corresponding to an interior portion of said chamber.

17. An apparatus according to claim 1, further comprising a breathing gas supply communicating with said interior portion of said user interface to provide breathing gas to said interior portion of said user interface.

18. An apparatus according to claim 17, wherein said breathing gas supply is a positive pressure generating device that provides breathing gas to said user at a positive pressure that is greater than said second pressure of said ambient atmosphere outside said user interface, and wherein said user interface includes a mask that covers at least one of a nose and a mouth of said user and at least a portion of a gas delivery conduit that connects said positive pressure generating device to said mask.

19. An apparatus according to claim 17, wherein said at least one vent unit includes at least one fixed diameter hole defined in at least one of said mask and a portion of said gas delivery conduit proximate to said mask.

20. A patient monitoring apparatus, comprising:

a user interface having an interior portion adapted to communicate with an airway of a user such that substantially all gas inhaled and exhaled by such a user enters said interior portion of said user interface;

at least one vent element associated with said user interface and communicating said interior portion of said user interface with an ambient atmosphere outside said user interface, said at least one vent element and said user interface defining a flow element across which a pressure differential is created during inhalation and exhalation, said pressure differential being a pressure difference between a first pressure within said interior portion of said user interface and a pressure of said ambient atmosphere outside said user interface;

a sensor communicating with said interior portion of said user interface, said sensor measuring a fluid characteristic resulting from said pressure differential and outputting a first signal indicative of said fluid characteristic;

a breathing gas supply communicating with said interior portion of said user interface to provide breathing gas to said interior portion of said user interface; and

means for accounting for an offset in said first signal output by said sensor, said offset being caused by said supply of gas to said interior portion by said gas supply.

21. A patient monitoring apparatus, comprising:

a user interface having an interior portion adapted to communicate with an airway of a user such that substantially all gas inhaled and exhaled by such a user enters said interior portion of said user interface;

first venting means, associated with said user interface, for communicating said interior portion of said user interface with an ambient atmosphere outside said user interface, said first venting means and said user interface defining a flow element across which a pressure differential is created during inhalation and exhalation, said pressure differential being a pressure difference between a first pressure within said interior portion of said user interface and a pressure of said ambient atmosphere outside said user interface;

sensing means for measuring a fluid characteristic resulting from said pressure differential and outputting a first signal indicative of said fluid characteristic; and

processing means, receiving said first signal, for determining a quantitative value for a physiological characteristic of said patient based on said first signal.

22. An apparatus according to claim 21, further comprising means for converting a second signal, which is produced by said processing means and is indicative of said quantitative value, into a human perceivable output.

23. An apparatus according to claim 21, wherein said user interface is a mask that covers at least one of a nose and a mouth of said user, and wherein said venting means includes at least one fixed diameter hole defined in said mask.

24. An apparatus according to claim 21, wherein said user interface is nasal cannula having at least one prong that inserts into a nare of said user, said at least one prong having an opening defined at a distal end thereof for communicating said interior portion of said user interface with a nasal cavity of said user, and wherein said venting means includes at least one fixed diameter hole defined in a proximal end of said prong.

25. An apparatus according to claim 21, further comprising means for providing a breathing gas to said interior portion of said user interface.

26. A patient monitoring method, comprising the steps of:

providing a user interface having an interior portion adapted to communicate with an airway of a user such that substantially all gas inhaled and exhaled by such a user enters said interior portion of said user interface, said user interface having at least one vent element associated therewith for communicating said interior portion of said user interface with an ambient atmosphere outside said user interface, said at least one vent element and said user interface defining a flow element across which a pressure differential is created during inhalation and exhalation, said pressure differential being a pressure difference between a first pressure within said interior portion of said user interface and a pressure of said ambient atmosphere outside said user interface;

passing a gas through said flow element during at least one of said inhalation and said exhalation;

measuring a fluid characteristic resulting from said pressure differential;

outputting a first signal that corresponds to said fluid characteristic; and

using said first signal to determine a quantitative value for a physiological characteristic of said patient.

27. A method according to claim 26, wherein said step of using said first signal to determine a quantitative value for said physiological characteristic includes determining a quantitative value for a characteristic associated with respiration.

28. A method according to claim 27, wherein said step of using said first signal to determine a quantitative value for said characteristic associated with respiration includes determining at least one of a rate of flow of gas through said user interface and a volume of gas exiting said interior portion of said user interface over at least one of a predetermined period of time and a predetermined portion of a respiratory cycle.

29. A method according to claim 26, further comprising the step of outputting, in a human perceivable manner, said quantitative value for said physiological characteristic of said patient.

30. A method according to claim 26, wherein said measuring step is accomplished using an airflow sensor and said fluid characteristic measured during said measuring step is a rate of flow of gas through said airflow sensor between said interior portion of said user interface and said ambient atmosphere.

31. A method according to claim 26, wherein said measuring step is accomplished using a pressure sensor and said fluid characteristic measured by said pressure sensor is a pressure within said interior portion of said user interface.

32. A method according to claim 26, further comprising the step of outputting, in a human perceivable manner, information indicative of said physiological characteristic of said patient.

33. A method according to claim 26, wherein said user interface is a mask that covers at least one of a nose and a mouth of said user and wherein said step of passing a gas through said flow element during at least one of said inhalation and said exhalation includes directing a first portion of said gas from said interior portion to ambient atmosphere through a fixed diameter hole defined in said mask.

34. A method according to claim 26, wherein said user interface is nasal canula having at least one prong that inserts into a nare of said user and said step of passing a gas through said flow element during at least one of said inhalation and said exhalation includes directing a first portion of said gas from an interior portion of said prong through a fixed diameter hole defined in a proximal end of said prong.

35. A method according to claim 26, wherein said user interface is a chamber adapted to contain at least a portion of said user therein, said interior portion of said user interface corresponding to an interior portion of said chamber, and said step of passing a gas through said flow element during at least one of said inhalation and said exhalation includes directing a first portion of said gas from said interior portion of said chamber through a fixed diameter hole defined in a portion of said chamber.

36. A method according to claim 26, further comprising the step of supplying a breathing gas to said interior portion of said user interface.

37. A patient monitoring method, comprising the steps of:

providing a user interface having an interior portion adapted to communicate with an airway of a user such that substantially all gas inhaled and exhaled by such a user enters said interior portion of said user interface, said user interface having at least one vent element associated therewith for communicating said interior portion of said user interface with an ambient atmosphere outside said user interface, said at least one vent element and said user interface defining a flow element across which a pressure differential is created during inhalation and exhalation, said pressure differential being a pressure difference between a first pressure within said interior portion of said user interface and a pressure of said ambient atmosphere outside said user interface;

passing a gas through said flow element during at least one of said inhalation and said exhalation;

measuring a fluid characteristic resulting from said pressure differential;

outputting a first signal that corresponds to said fluid characteristic;

supplying a breathing gas to said interior portion of said user interface; and

accounting for an offset in said first signal output, said offset being caused by supplying said breathing gas to said interior portion by said gas supply.

38. A method according to claim 37, wherein said step of supplying said breathing gas to said interior portion includes supplying said breathing gas at variable pressure levels during a respiratory cycle.

39. A patient monitoring apparatus, comprising:

a user interface having an interior portion adapted to communicate with an airway of a user;

means for measuring at least one of a gas flow between such a user and said user interface and a pressure within said user interface during said gas flow and for outputting a signal indicative thereof; and

means for processing said signal to determine a quantitative volume for an amount of gas displaced during at least a portion of a time interval in which one of a sound and a vibration is generated in a user'"'"'s airway.

40. An apparatus according to claim 39, wherein said processing means also determines a location of a structure in said patient that causes a snore based on said quantitative volume.

41. A patient monitoring method, comprising:

providing a user interface having an interior portion adapted to communicate with an airway of a user;

measuring gas flow between said user and said user interface; and

processing said gas flow to determine a quantitative volume for an amount of gas displaced during at least a portion of a time interval in which at portion of a user'"'"'s airway generates one of a sound and a vibration.

42. A method according to claim 41, wherein said processing step includes determining a location of a structure in said patient that causes a snore based on said quantitative volume.