Patient interface with respiratory gas measurement component

A patient interface assembly for use with gas monitoring. The patient interface includes a mask shell having a portion that seals against the face of a patient and a mask attachment coupled to an opening of the shell. The mask attachment has a mask connection section coupled to the opening of the shell, an airway adapter section that serves as a gas measurement site for use in measuring a respiratory variable, and a breathing system connection section adapted to be coupled to a to a patient circuit. The gas measurement site, which includes a window, may be disposed on the conduit, the shell, or both. An access port, defined in the mask, the mask attachment, or both permits a sampling tube to be placed in fluid communication with an airway of a patient.

Metabolic measurements system including a multiple function airway adapter

A system for measuring a metabolic parameter. The system includes an integrated airway adapter capable of monitoring any combination of respiratory flow, O₂ concentration, and concentrations of one or more of CO₂, N₂O, and an anesthetic agent in real time, breath by breath. Respiratory flow may be monitored with differential pressure flow meters under diverse inlet conditions through improved sensor configurations which minimize phase lag and dead space within the airway. Molecular oxygen concentration may be monitored by way of luminescence quenching techniques. Infrared absorption techniques may be used to monitor one or more of CO₂, N₂O, and anesthetic agents.

Respiratory profile parameter determination method and apparatus

A method of sampling one or more respiratory profile characteristics and monitoring a variety of respiratory profile parameters. The sampled respiratory characteristics include respiratory flow rate, respiratory pressure, and partial pressure of at least one constituent of a patient's respiration. The method detects patient breaths, determines whether each breath is a spontaneous breath or a ventilator-induced breath and calculates various respiratory profile parameters based on the sampled measurements. The method displays the respiratory profile parameters in graphic and numeric forms. Preferably, the method allows a user to select the displayed respiratory profile parameters.

Multiple function airway adapter

An integrated airway adapter capable of monitoring any combination of respiratory flow, O 2 concentration, and concentrations of one or more of CO 2 , N 2 O, and an anesthetic agent in real time, breath by breath. Respiratory flow may be monitored with differential pressure flow meters under diverse inlet conditions through improved sensor configurations which minimize phase lag and dead space within the airway. Molecular oxygen concentration may be monitored by way of luminescence quenching techniques. Infrared absorption techniques may be used to monitor one or more of CO 2 , N 2 O, and anesthetic agents.

Apparatus for non-invasively measuring cardiac output

Apparatus and methods for non-invasively determining cardiac output using partial re-breathing techniques are disclosed in which the apparatus is constructed with an instantaneously adjustable deadspace for accommodating differences in breathing capacities of various patients. The apparatus is constructed of inexpensive elements, including a single two-way valve which renders the apparatus very simple to use and inexpensive so that the unit may be readily disposable. The method of the invention provides a novel means of estimating cardiac output based on alveolar CO2 values rather than end-tidal CO2 values as previously practiced. A program for calculating cardiac output is also disclosed.

Metabolic measurement system including a multiple function airway adapter

A system (300) for measuring a metabolic parameter. The system includes an integrated airway adapter (20, 100, 200) capable of monitoring any combination of respiratory flow, O2 concentration, and concentrations of one or more of CO2, N2O, and an anesthetic agent in real time, breath by breath. Respiratory flow may be monitored with differential pressure flow meters under diverse inlet conditions through improved sensor configurations which minimize phase lag and dead space within the airway. Molecular oxygen concentration may be monitored by way of luminescence quenching techniques. Infraredabsorption techniques may be used to monitor one or more of CO2, N2O, and anesthetic agents.

METABOLIC MEASURE SYSTEM INCLUDING A MULTIPLE FUNCTION AIRWAY ADAPTER

A system (300) for measuring a metabolic parameter. The system includes an integrated airway adapter (20, 100, 200) capable of monitoring any combination of respiratory flow, O2 concentration, and concentrations of one or more of CO2, N2O, and an anesthetic agent in real time, breath by breath. Respiratory flow may be monitored with differential pressure flow meters under diverse inlet conditions through improved sensor configurations which minimize phase lag and dead space within the airway. Molecular oxygen concentration may be monitored by way of luminescence quenching techniques. Infrared absorption techniques may be used to monitor one or more of CO2, N2O, and anesthetic agents.

Nasal and oral patient interface

A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.

Method, apparatus, and system for removing motion artifacts from measurements of bodily parameters

A method for removing motion artifacts from devices for sensing bodily parameters and apparatus and system for effecting same that includes analyzing segments of measured data representing bodily parameters and possibly noise from motion artifacts. Each data segment is frequency analyzed to determine up to three candidate peaks for further analysis. Up to three candidate frequencies may be filtered and various parameters associated with each candidate frequency are calculated. A pulse-estimate input may also be accepted from an external source. The best frequency, if one exists, is determined by arbitrating the candidate frequencies and the pulse-estimate input using the calculated parameters according to predefined criteria. If a best frequency is found, a pulse rate and SpO2 may be output. If a best frequency is not found, other, conventional techniques for calculating pulse rate and SpO2 may be used.

Reliability-enhanced apparatus operation for re-breathing and methods of effecting same

An apparatus and method for affording a re-breathing capability to a breathing circuit. The apparatus includes a valve that permits air flow through or re-breathing in the breathing circuit. A CO2 sensor and an air flow sensor detects CO2 a rate of air flow in the breathing circuit, respectively. A processor computes a parameter based on the CO2 waveform feature and a volumetric CO2 waveform feature based on signals from the air flow sensor and/or the CO2 sensor. An alarm is triggered when the parameter deviates from a selected magnitude. In a further embodiment, at least one parameter associated with an energy source for actuating the valve is monitored. Deviation of the value from at least one selected value of the at least one parameter is corrected.

Methods of measuring cardiac output using a non-invasively estimated intrapulmonary shunt fraction

A method of non-invasively estimating the intrapulmonary shunt in a patient. The method includes non-invasively measuring respiratory flow, respiratory carbon dioxide content, and arterial blood oxygen content. A re-breathing process is employed to facilitate an estimate of the patient's pulmonary capillary blood flow. Any inaccuracies of the arterial blood oxygen content are corrected to provide a substantially accurate arterial blood oxygen content measurement. The respiratory flow, carbon dioxide content and arterial blood oxygen content measurements, and the pulmonary capillary blood flow estimate are employed to estimate an intrapulmonary shunt of the patient. The invention also includes a method of determining the total cardiac output of the patient which considers the estimated intrapulmonary shunt.

Method of compensating for non-metabolic changes in respiratory or blood gas profile parameters

A method of compensating for non-metabolic changes in respiratory or blood gas parameters including generating a compensatory signal based on the magnitude of the non-metabolic change and the amount of time elapsed since the onset of the non-metabolic change. The method of the present invention is useful for compensating for non-metabolic changes in non-invasive carbon dioxide elimination measurements and, particularly, when carbon dioxide elimination is employed to determine cardiac output on a non-invasive, continuous basis.

APPARATUS AND METHOD FOR NON-INVASIVELY MEASURING CARIDAC OUTPUT

Apparatus and methods for non-invasively determining cardiac output using partial re-breathing techniques are disclosed in which the apparatus is constructed with an instantaneously adjustable deadspace for accommodating differences in breathing capacities of various patients. The apparatus is constructed of inexpensive elements, including a single two-way valve which renders the apparatus very simple to use and inexpensive so that the unit may be readily disposable. The method of the invention provides a novel means of estimating cardiac output based on alveolar CO2 values rather than end-tidal CO2 values as previously practiced. A program for calculating cardiac output is also disclosed.

Apparatus and method for non-invasively measuring cardiac output

Apparatus and methods for non-invasively determining cardiac output using partial re-breathing techniques are disclosed in which the apparatus is constructed with an instantaneously adjustable deadspace for accommodating differences in breathing capacities of various patients. The apparatus is constructed of inexpensive elements, including a single two-way valve which renders the apparatus very simple to use and inexpensive so that the unit may be readily disposable. The method of the invention provides a novel means of estimating cardiac output based on alveolar CO2 values rather than end-tidal CO2 values as previously practiced. A program for calculating cardiac output is also disclosed.

End-tidal gas estimation system and method

An apparatus and method of using an end-tidal gas value taken from an non-intubated patient that includes measuring a plurality of gas concentration values, determining an end-tidal gas value from the gas concentration values, and reporting the end-tidal gas value for a breath as the greater of either: (a) a maximum gas concentration values observed during such a breath, or (b) the end-tidal gas value reported for a previous breath decreased by a maximum allowable breath-to-breath percent change.

Reliability-enhanced apparatus operation for re-breathing and methods of effecting same

Methods and apparatus for enhancing reliability of, and monitoring the operation of airway valves to enhance patient safety. Pneumatic control line pressure (positive or negative) for actuation of the airway valve may be specified at a given magnitude or within a selected range and monitored continuously. Reduced or excessive pressure may be compensated by actuation of a pressure source or a bleed valve, and monitoring may be effected so as to warn the user of any deviation from the range, or deviations of selected magnitudes or frequencies or a combination thereof. The inspired volume of CO2 may be monitored using air flow and CO2 sensing, with detection of excessive CO2 volume triggering a warning. Similarly, measured end-tidal or end-inspired CO2 or other appropriate measures of CO2 concentration may be employed as a warning trigger. Other driving energy sources for airway valves, and monitoring thereof, are also disclosed. In addition, alternative devices and approaches for initiation ...

Apparatus and method for non-invasively measuring cardiac output

Apparatus and methods for non-invasively determining the cardiac output or pulmonary capillary blood flow of a patient using partial re-breathing techniques. The apparatus includes a substantially instantaneously adjustable deadspace volume for accommodating differences in sizes or breathing capacities of various patients. The apparatus may be constructed of inexpensive elements, including one or more two-way valves, which render the apparatus very simple to use and inexpensive so that the unit may be employed as a disposable product. The method of the invention includes estimating the cardiac output or pulmonary capillary blood flow of a patient based on partial pressure of alveolar CO 2 rather than on the partial pressure of end tidal CO 2 , as previously practiced. A computer program for calculating the cardiac output or pulmonary capillary blood flow of a patient is also disclosed.

Methods of non-invasively estimating intrapulmonary shunt fraction and measuring cardiac output

A method of non-invasively estimating the intrapulmonary shunt in a patient. The method includes non-invasively measuring respiratory flow, respiratory carbon dioxide content, and arterial blood oxygen content. A re-breathing process is employed to facilitate an estimate of the patient's pulmonary capillary blood flow. Any inaccuracies of the arterial blood oxygen content are corrected to provide a substantially accurate arterial blood oxygen content measurement. The respiratory flow, carbon dioxide content and arterial blood oxygen content measurements, and the pulmonary capillary blood flow estimate are employed to estimate an intrapulmonary shunt of the patient. The invention also includes a method of determining the total cardiac output of the patient which considers the estimated intrapulmonary shunt.

NASAL AND ORAL PATIENT INTERFACES

A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed. 1. A patient interface comprising:a U-shaped body portion configured to communicate with a first fluid path, the body portion being configured to engage an exterior surface of the nose of a patient responsive to being donned by a patient;a U-shaped first nostril interface extending from the body portion, wherein the nostril interface communicates with the first fluid path, and wherein the first nostril interface is configured to extend generally over a end of the nose of the patient and into a first nostril of the patient responsive to being donned by a patient and is sized and configured such that the first nostril interface does not completely block a nostril responsive to being donned by the patient;a first tubing that defines the first fluid path, where the first tubing is coupled to the first nostril interface; and a first securement portion extending from the body portion proximate the first nostril interface, wherein, in use, the securement portion is constructed and arranged to engage an exterior alar sidewall surface of the patient's nose to clamp the body portion to the patient's nose and to secure the patient interface to the patient's nose, and wherein a resiliency of the first securement portion and the first nostril interface is configured to enable clamping of the alar sidewall portion of the patient's nose there between, wherein the body portion is configured to communicate with a second fluid path and further comprising a second U-shaped nostril interface extending from the body portion and operatively coupled to the second fluid path, wherein the second nostril interface is configured to extend over the end of ...

Apparatus and method for non-invasively measuring cardiac output

Apparatus and methods for non-invasively determining cardiac output using partial re-breathing techniques are disclosed in which the apparatus is constructed with an instantaneously adjustable deadspace for accommodating differences in breathing capacities of various patients. The apparatus is constructed of inexpensive elements, including a single two-way valve which renders the apparatus very simple to use and inexpensive so that the unit may be readily disposable. The method of the invention provides a novel means of estimating cardiac output based on alveolar CO₂ values rather than end-tidal CO₂ values as previously practiced. A program for calculating cardiac output is also disclosed.

Reliability-enhanced apparatus operation for re-breathing and methods of effecting same

Methods and apparatus for enhancing reliability of, and monitoring, the operation of airway valves to enhance patient safety. Pneumatic control line pressure (positive or negative) for actuation of the airway valve may be specified at a given magnitude or within a selected range and monitored continuously. Reduced or excessive pressure may be compensated by actuation of a pressure source or a bleed valve, and monitoring may be effected so as to warn the user of any deviation from the range, or deviations of selected magnitudes or frequencies or a combination thereof. The inspired volume of CO2 may be monitored using air flow and CO2 sensing, with detection of excessive CO2 volume triggering a warning. Similarly, measured end-tidal or end-inspired CO2 or other appropriate measures of CO2 concentration may be employed as a warning trigger. Other driving energy sources for airway valves, and monitoring thereof, are also disclosed.

Method, apparatus and system for removing motion artifacts from measurements of bodily parameters

A method for removing motion artifacts from devices for sensing bodily parameters and apparatus and system for effecting same. The method includes analyzing segments of measured data representing bodily parameters and possibly noise from motion artifacts. Each segment of measured data may correspond to a single light signal transmitted and detected after transmission or reflection through bodily tissue. Each data segment is frequency analyzed to determine dominant frequency components. The frequency component which represents at least one bodily parameter of interest is selected for further processing. The segment of data is subdivided into subsegments, each subsegment representing one heartbeat. The subsegments are used to calculate a modified average pulse as a candidate output pulse. The candidate output pulse is analyzed to determine whether it is a valid bodily parameter and, if yes, it is output for use in calculating the at least one bodily parameter of interest without any substantial ...

End-tidal gas estimation system and method

An apparatus (10) and method of indicating the reliability of an end-tidal gas value that includes measuring a plurality of gas concentration values, measuring a plurality of ventilation values, determining an end-tidal gas value from the gas concentration values, determining the degree of ventilatory stability from the ventilation values, and providing an estimate of reliability of the end-tidalgas values using the degree of ventilatory stability.

Apparatus and method for non-invasively measuring caridac output

Apparatus and methods for non-invasively determining cardiac output using partial re-breathing techniques are disclosed in which the apparatus is constructed with an instantaneously adjustable deadspace for accommodating differences in breathing capacities of various patients. The apparatus is constructed of inexpensive elements, including a single two-way valve which renders the apparatus very simple to use and inexpensive so that the unit may be readily disposable. The method of the invention provides a novel means of estimating cardiac output based on alveolar CO2 values rather than end-tidal CO2 values as previously practiced. A program for calculating cardiac output is also disclosed.

NASAL AND ORAL PATIENT INTERFACES

A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed. 1. A patient interface comprising:an appliance portion including:a U-shaped body portion configured to communicate with a fluid path, the body portion being configured to engage an exterior surface of a nose of a patient responsive to being donned by a patient; anda U-shaped nostril interface extending from the body portion, the nostril interface being configured to extend generally over an end of the nose of the patient and into a nostril of the patient responsive to being donned by a patient and to provide fluid communication between the nostril and the fluid path, and wherein the nostril interface is sized and configured such that the first nostril interface does not completely block the nostril responsive to being received by the nostril;a first tubing that defines the first fluid path, where the first tubing is coupled to the nostril interface;a securement portion extending from the body portion and disposed proximate the nostril interface, and wherein, in use, the securement portion is constructed and arranged to engage an exterior alar sidewall surface of a patient's nose to clamp the body portion to the patient's nose and to secure the patient interface to the patient's nose; anda physiological function sensor connected with the appliance portion for engagement with the skin of the nose of the patient and generating a signal based upon a physiological function measurement.2. A patient interface according to claim 1 , wherein the sensor comprises an emitter for emitting a signal and a detector for detecting the signal.3. A patient interface according to claim 1 , wherein at leasta portion of the sensor is disposed on the ...

Apparatus and method for non-invasively measuring cardiac output

Apparatus and methods for non-invasively determining cardiac output using partial re-breathing techniques are disclosed in which the apparatus is constructed with an instantaneously adjustable deadspace for accommodating differences in breathing capacities of various patients. The apparatus is constructed of inexpensive elements, including a single two-way valve which renders the apparatus very simple to use and inexpensive so that the unit may be readily disposable. The method of the invention provides a novel means of estimating cardiac output based on alveolar CO₂ values rather than end-tidal CO₂ values as previously practiced. A program for calculating cardiac output is also disclosed.

Re-breathing apparatus for non-invasive cardiac output, method of operation, and ventilator circuit so equipped

A re-breathing apparatus including a novel dual chamber reservoir connected to a ventilator circuit by means of a diverting adapter. The dual chamber reservoir utilizes two gas chambers which can be operated in reciprocating fashion. To accomplish re-breathing, expired gas is drawn into one chamber, while gas is ejected from the other chamber. The expired gas is then ejected into the breathing circuit as the patient inspires, while a charge of fresh gas is drawn into the other chamber. The diverting adaptor minimizes mixing of gases being drawn into and ejected from the two chambers. An advantage of the inventive method is that the total volume of gases in the system can be kept constant throughout re-breathing. The preferred embodiment of the inventive reservoir is a one-piece, blow-molded plastic, bellows-like structure which can be manufactured simply and inexpensively for one-time (disposable) use. Actuation of the system may be performed under microprocessor control. ...

Apparatus and method for non-invasively measuring cardiac output

Apparatus and methods for non-invasively determining the cardiac output or pulmonary capillary blood flow of a patient using partial re-breathing techniques. The apparatus includes a substantially instantaneously adjustable deadspace volume for accommodating differences in sizes or breathing capacities of various patients. The apparatus may be constructed of inexpensive elements, including one or more two-way valves, which render the apparatus very simple to use and inexpensive so that the unit may be employed as a disposable product. The method of the invention includes estimating the cardiac output or pulmonary capillary blood flow of a patient based on partial pressure of alveolar CO₂, rather than on the partial pressure of end tidal CO₂, as previously practiced. A computer program for calculating the cardiac output or pulmonary capillary blood flow of a patient is also disclosed.

Apparatus and method for non-invasively measuring cardiac output

Apparatus and methods for non-invasively determining cardiac output using partial re-breathing techniques are disclosed in which the apparatus is constructed with an instantaneously adjustable deadspace for accommodating differences in breathing capacities of various patients. The apparatus is constructed of inexpensive elements, including a single two-way valve which renders the apparatus very simple to use and inexpensive so that the unit may be readily disposable. The method of the invention provides a novel means of estimating cardiac output based on alveolar CO2 values rather than end-tidal CO2 values as previously practiced. A program for calculating cardiac output is also disclosed.

Nasal and oral patient interfaces

A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.

Method of continuously, non-invasively monitoring pulmonary capillary blood flow and cardiac output

A method of continuously, non-invasively determining the cardiac output of a patient. The method includes intermittently measuring the cardiac output, the volume of carbon dioxide exhaled by the patient per breath, and determining the arterial-venous gradient of the patient or a similar substantially constant value by dividing the volume of carbon dioxide exhaled by the measured cardiac output. The arterial-venous gradient or similar substantially constant value may then be employed to determine the cardiac output of the patient on a breath-by-breath basis. The carbon dioxide elimination, which is non-invasively measured as the volume of carbon dioxide exhaled by the patient per breath, is divided by the arterial-venous gradient or the substantially constant value to determine the cardiac output. The method may also include generating a signal to compensate for any non-metabolic changes in the carbon dioxide elimination, arterial-venous gradient, or other respiratory or blood gas profile ...

Method, apparatus and system for removing motion artifacts from measurements of bodily parameters

A method for removing motion artifacts from devices for sensing bodily parameters and apparatus and system for effecting same. The method includes analyzing segments of measured data representing bodily parameters and possibly noise from motion artifacts. Each segment of measured data may correspond to a single light signal transmitted and detected after transmission or reflection through bodily tissue. Each data segment is frequency analyzed to determine up to three candidate peaks for further analysis. Each of the up to three candidate frequencies may be filtered and various parameters associated with each of the up to three candidate frequencies are calculated. The best frequency, if one exists, is determined by arbitrating the candidate frequencies using the calculated parameters according to predefined criteria. If a best frequency is found, a pulse rate and SpO2 may be output. If a best frequency is not found, other, conventional techniques for calculating pulse rate and Spo2 may ...

Apparatus and method for non-invasively measuring cardiac output

Apparatus and methods for non-invasively determining the cardiac output or pulmonary capillary blood flow of a patient using partial re-breathing techniques. The apparatus includes a substantially instantaneously adjustable deadspace volume for accommodating differences in sizes or breathing capacities of various patients. The apparatus may be constructed of inexpensive elements, including one or more two-way valves, which render the apparatus very simple to use and inexpensive so that the unit may be employed as a disposable product. The method of the invention includes estimating the cardiac output or pulmonary capillary blood flow of a patient based on partial pressure of alveolar CO2, rather than on the partial pressure of end tidal CO2, as previously practiced. A computer program for calculating the cardiac output or pulmonary capillary blood flow of a patient is also disclosed.

Method, apparatus and system for removing motion artifacts from measurements of bodily parameters

A method for removing motion artifacts from devices for sensing bodily parameters and apparatus and system for effecting same. The method includes analyzing segments of measured data representing bodily parameters and possibly noise from motion artifacts. Each segment of measured data may correspond to a single light signal transmitted and detected after transmission or reflection through bodily tissue. Each data segment is frequency analyzed to determine up to three candidate peaks for further analysis. Each of the up to three candidate frequencies may be filtered and various parameters associated with each of the up to three candidate frequencies are calculated. The best frequency, if one exists, is determined by arbitrating the candidate frequencies using the calculated parameters according to predefined criteria. If a best frequency is found, a pulse rate and SpO2 may be output. If a best frequency is not found, other, conventional techniques for calculating pulse rate and SpO2 may ...

End-tidal gas estimation system and method

An apparatus and method of indicating the reliability of an end-tidal gas value that includes measuring a plurality of gas concentration values, measuring a plurality of ventilation values, determining an end-tidal gas value from the gas concentration values, determining the degree of ventilatory stability from the ventilation values, and providing an estimate of reliability of the end-tidal gas values using the degree of ventilatory stability.

Sidestream Gas Sampling System with Closed Sample Circuit

The invention provides a sidestream gas sampling apparatus having a gas sampling circuit and a set of reusable elements. The gas sampling circuit carries the gas sample from a main flow of gas, through a sample analysis area, and vents the gas sample to an analyzed gas destination. The reusable components provide motive forces to remove the gas sample through the gas sampling circuit and provide analysis components for the gas sampling apparatus while not making contact with the gas sample. As such, the reusable components do not become contaminated by the gas sample and do not have to be cleaned or sterilized between applications.

Nasal and oral patient interface

A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.

RESPIRATORY PROFILE PARAMETER DETERMINATION METHOD AND APPARATUS

A method of sampling one or more respiratory profile characteristics and monitoring a variety of respiratory profile parameters. The sampled respiratory characteristics include respiratory flow rate, respiratory pressure, and partial pressure of at least one constituent of a patient's respiration. The method detects patient breaths, determines whether each breath is a spontaneous breath or a ventilator-induced breath and calculates various respiratory profile parameters based on the sampled measurements. The method displays the respiratory profile parameters in graphic and numeric forms. Preferably, the method allows a user to select the displayed respiratory profile parameters.

Respiratory profile parameter determination method and apparatus

A method of sampling one or more respiratory profile characteristics and monitoring a variety of respiratory profile parameters. The sampled respiratory characteristics include respiratory flow rate, respiratory pressure, and partial pressure of at least one constituent of a patient's respiration. The method detects patient breaths, determines whether each breath is a spontaneous breath or a ventilator-induced breath and calculates various respiratory profile parameters based on the sampled measurements. The method displays the respiratory profile parameters in graphic and numeric forms. Preferably, the method allows a user to select the displayed respiratory profile parameters.

Method, apparatus and system for removing motion artifacts from measurements of bodily parameters

A method for removing motion artifacts from devices for sensing bodily parameters and apparatus and system for effecting same. The method includes analyzing segments of measured data representing bodily parameters and possibly noise from motion artifacts. Each segment of measured data may correspond to a single light signal transmitted and detected after transmission or reflection through bodily tissue. Each data segment is frequency analyzed to determine up to three candidate peaks for further analysis. Each of the up to three candidate frequencies may be filtered and various parameters associated with each of the up to three candidate frequencies are calculated. The best frequency, if one exists, is determined by arbitrating the candidate frequencies using the calculated parameters according to predefined criteria. If a best frequency is found, a pulse rate and SPO₂ may be output. If a best frequency is not found, other, conventional techniques for calculating pulse rate and ...

Sidestream gas sampling system with closed sample circuit

The invention provides a sidestream gas sampling apparatus having a gas sampling circuit and a set of reusable elements. The gas sampling circuit carries the gas sample from a main flow of gas, through a sample analysis area, and vents the gas sample to an analyzed gas destination. The reusable components provide motive forces to remove the gas sample through the gas sampling circuit and provide analysis components for the gas sampling apparatus while not making contact with the gas sample. As such, the reusable components do not become contaminated by the gas sample and do not have to be cleaned or sterilized between applications.

Bi-directional partial re-breathing method

A re-breathing method for determining pulmonary capillary blood flow that accounts for changes in the carbon dioxide content of a patient. The carbon dioxide elimination and partial pressure of end tidal carbon dioxide of the patient are measured prior to re-breathing, during re-breathing, and after re-breathing. A rate of change of carbon dioxide content of the venous blood of the patient is then calculated. The rate of change is then employed in calculating the pulmonary capillary blood flow of the patient.

Patient interface with respiratory gas measurement component

A patient interface assembly for use with gas monitoring. The patient interface includes a mask shell having a portion that seals against the face of a patient and a mask attachment coupled to an opening of the shell. The mask attachment has a mask connection section coupled to the opening of the shell, an airway adapter section that serves as a gas measurement site for use in measuring a respiratory variable, and a breathing system connection section adapted to be coupled to a to a patient circuit. The gas measurement site, which includes a window, may be disposed on the conduit, the shell, or both. An access port, defined in the mask, the mask attachment, or both permits a sampling tube to be placed in fluid communication with an airway of a patient.

Respiratory profile parameter determination apparatus

A method of sampling one or more respiratory profile characteristics and monitoring a variety of respiratory profile parameters. The sampled respiratory characteristics include respiratory flow rate, respiratory pressure, and partial pressure of at least one constituent of a patient's respiration. The method detects patient breaths, determines whether each breath is a spontaneous breath or a ventilator-induced breath and calculates various respiratory profile parameters based on the sampled measurements. The method displays the respiratory profile parameters in graphic and numeric forms. Preferably, the method allows a user to select the displayed respiratory profile parameters.

Reliability-enhanced apparatus operation for re-breathing

patient interface

interface de paciente. é divulgada uma interface de paciente para comunicar fluidos para e/ou a partir de uma cavidade nasal e/ou cavidade oral de paciente. em adição, é divulgada uma interface de paciente para monitorar fluido e função fisiológica próximo à cavidade nasal e/ou cavidade oral do paciente. um monitor de apnéia e um método para monitorar apnéia também são divulgados. patient interface. a patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. in addition, a patient interface for monitoring fluid and physiological function near the patient's nasal cavity and/or oral cavity is disclosed. an apnea monitor and a method for monitoring apnea are also disclosed.

Patient interface with respiratory gas measurement component

A patient interface assembly (100, 300, 315, 410) for use with gas monitoring. The patient interface includes a mask shell (120) having a portion (110) that seals against the face of a patient and a mask attachment (200, 201, 317, 340, 440) coupled to an opening of the shell. The mask attachment has a mask connection section (220, 320) coupled to the opening of the shell, an airway adapter section (250, 350) that serves as a gas measurement site for use in measuring a respiratory variable, and a breathing system connection section (280, 380) adapted to be coupled to a to a patient circuit. The gas measurement site, which includes a window, may be disposed on the conduit, the shell, or both. An access port (232, 203, 319), defined in the mask, the mask attachment, or both permits a sampling tube to be placed in fluid communication with an airway of a patient.

Method, apparatus and system for removing motion artifacts from measurements of bodily parameters

This invention is a method for removing motion artifacts from devices for sensing bodily parameters, an apparatus, and system for effecting same. The method includes analyzing segments of measured data (100) representing bodily parameters, and possibly noise from motion artifacts. Each segment of measured data may correspond to a single light signal transmitted, and detected after transmission or reflection through bodily tissue. Each data segment is frequency analyzed (110) to determine dominant frequency components. The frequency component which represents at least on bodily parameter of interest (120) is selected for further processing. The segment of data is subdivided into subsegments, each subsegment representing one heartbeat. The subsegments are used to calculate a modified average pulse as a candidate output pulse (130). The candidate output pulse is analyzed to determine whether it is a valid bodily parameter and, if yes, it is output for use in calculating the at least one bodily parameter of interest without any substantial noise degradation. The above method may be applied to red, and infrared pulse oximetry signals prior to calculating pulsatile blood oxygen concentration.

Method, apparatus and system for removing motion artifacts from measurements of bodily parameters

A method for removing motion artifacts from devices for sensing bodily parameters and apparatus and system for effecting same. The method includes analyzing segments of measured data representing bodily parameters and possibly noise from motion artifacts. Each segment of measured data may correspond to a single light signal transmitted and detected after transmission or reflection through bodily tissue. Each data segment is frequency analyzed to determine up to three candidate peaks for further analysis. Each of the up to three candidate frequencies may be filtered and various parameters associated with each of the up to three candidate frequencies are calculated. The best frequency, if one exists, is determined by arbitrating the candidate frequencies using the calculated parameters according to predefined criteria. If a best frequency is found, a pulse rate and SpO2 may be output. If a best frequency is not found, other, conventional techniques for calculating pulse rate and SpO2 may be used. The above method may be applied to red and infrared pulse oximetry signals prior to calculating pulse rate and/or pulsatile blood oxygen concentration. Apparatus and systems disclosed are configured to perform methods disclosed according to the invention.

Respiratory gas analysis instrument having improved volume calibration method and apparatus

An improved gas volume calibration method and apparatus for use in respiratory gas analyzers. A control unit monitors the flow of calibration gas through the analyzer by monitoring the electrical signals produced by a gas turbine and a breath switch. During calibration, a known volume of calibration gas is repeatedly delivered to the analyzer from a calibration syringe at each of a number of different flow rates. On the basis of the information received from the turbine and the breath switch, the control unit generates and stores a piecewise linear approximation of the nonlinear characteristic of the turbine. This stored turbine characteristic is then made available during subsequent measurements to eliminate those volume errors which are associated with variations in the rate at which the sample gas is delivered, thereby affording measurements of improved accuracy.

Nasal and oral patient interface

A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.

Method, apparatus and system for removing motion artifacts from measurements of bodily parameters

This invention is a method for removing motion artifacts from devices for sensing bodily parameters, an apparatus, and system for effecting same. The method includes analyzing segments of measured data (100) representing bodily parameters, and possibly noise from motion artifacts. Each segment of measured data may correspond to a single light signal transmitted, and detected after transmission or reflection through bodily tissue. Each data segment is frequency analyzed (110) to determine dominant frequency components. The frequency component which represents at least on bodily parameter of interest (120) is selected for further processing. The segment of data is subdivided into subsegments, each subsegment representing one heartbeat. The subsegments are used to calculate a modified average pulse as a candidate output pulse (130). The candidate output pulse is analyzed to determine whether it is a valid bodily parameter and, if yes, it is output for use in calculating the at least one bodily parameter of interest without any substantial noise degradation. The above method may be applied to red, and infrared pulse oximetry signals prior to calculating pulsatile blood oxygen concentration.

Patient interface with respiratory gas measurement component

A patient interface assembly (100, 300, 315, 410) for use with gas monitoring. The patient interface includes a mask shell (120) having a portion (110) that seals against the face of a patient and a mask attachment (200, 201, 317, 340, 440) coupled to an opening of the shell. The mask attachment has a mask connection section (220, 320) coupled to the opening of the shell, an airway adapter section (250, 350) that serves as a gas measurement site for use in measuring a respiratory variable, and a breathing system connection section (280, 380) adapted to be coupled to a to a patient circuit. The gas measurement site, which includes a window, may be disposed on the conduit, the shell, or both. An access port (232, 203, 319), defined in the mask, the mask attachment, or both permits a sampling tube to be placed in fluid communication with an airway of a patient.

End-tidal gas estimation system and method

Nasal and oral patient interface

A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.

Respiratory profile parameter determination method and apparatus

A method of sampling one or more respiratory profile characteristics and monitoring a variety of respiratory profile parameters. The sampled respiratory characteristics include respiratory flow rate, respiratory pressure, and partial pressure of at least one constituent of a patient's respiration. The method detects patient breaths, determines whether each breath, is a spontaneous breath or a ventilator-induced breath, and calculates various respiratory profile parameters based on the sampled measurements. The method displays the respiratory profile parameters in graphic and numeric forms. Preferably, the method allows a user to select the displayed respiratory profile parameters.

End-Tidal Gas Estimation System and Method

An apparatus and method of using an end-tidal gas value taken from an non-intubated patient that includes measuring a plurality of gas concentration values, determining an end-tidal gas value from the gas concentration values, and reporting the end-tidal gas value for a breath as the greater of either: (a) a maximum gas concentration values observed during such a breath, or (b) the end-tidal gas value reported for a previous breath decreased by a maximum allowable breath-to-breath percent change.

Metabolic measurement system

Apparat zur entfernung von bewegungs-artefakten von körperparametermessungen

Beatmungsgerät mit erhöhter zuverlässigkeit

Apparatus for estimating hemodynamic performance

Apparatus for estimating hemodynamic performance

Methods and apparatus for inducing changes in the effective ventilation of an individual by varying one or more respiratory parameters to derive measurements which may be utilized to calculate measures of hemodynamic performance, e.g., pulmonary capillary blood flow and cardiac output, are provided. The techniques of the present invention are used to attain measurements under the wide array of ventilatory modes available with modern ventilation machines to calculate indicators of hemodynamic performance using a differential form of the carbon dioxide Fick equation.

Metabolic measurement system including a multiple function airway adapter

A system (300) for measuring a metabolic parameter. The system includes an integrated airway adapter (20, 100, 200) capable of monitoring any combination of respiratory flow, O2 concentration, and concentrations of one or more of CO2, N2O, and an anesthetic agent in real time, breath by breath. Respiratory flow may be monitored with differential pressure flow meters under diverse inlet conditions through improved sensor configurations which minimize phase lag and dead space within the airway. Molecular oxygen concentration may be monitored by way of luminescence quenching techniques. Infrared absorption techniques may be used to monitor one or more of CO2, N2O, and anesthetic agents.

Metabolic measurement system including a multiple function airway adapter