METHOD AND APPARATUS FOR ADMINISTERING GASES INCLUDING NITRIC OXIDE
A method of modulating oxygen saturation levels can include measuring oxygen saturation levels in a patient, administering inhaled nitric oxide, adjusting the dose of oxygen in real time to a second dose based on the inhaled nitric oxide.
1 . A method of modulating oxygen saturation levels, comprising:
measuring oxygen saturation levels in a patient;
administering inhaled nitric oxide;
adjusting the dose of oxygen in real time to a second dose based on the inhaled nitric oxide;
determining a first oxygen requirement to address an oxygen deficiency;
determining a reduced oxygen requirement based on the generated nitric oxide; and
delivering a dose of supplemental oxygen based on the reduced oxygen requirement and the gas mixture including nitric oxide from the receptacle to the patient.
2 . The method of claim 1 further comprising
mixing a first gas including oxygen and a second gas including a nitric oxide-releasing agent within a receptacle to form a gas mixture, wherein the receptacle includes an inlet, an outlet and a reducing agent; and
contacting the nitric oxide-releasing agent in the gas mixture with the reducing agent to generate nitric oxide
3 . The method of claim 1 wherein adjusting the dose includes titrating the dose of oxygen in real time.
4 . A method of modulating oxygen saturation levels, comprising:
measuring oxygen saturation levels in a patient;
determining a first dose of oxygen to address an oxygen deficiency;
mixing a first gas including oxygen and a second gas including a nitric oxide;
determining a second dose of oxygen based on an amount of nitric oxide to be co-administered with the oxygen, wherein the second dose is lower than the first dose; and
delivering the gas mixture including nitric oxide from the receptacle to the patient.
5 . The method of claim 1 , wherein the method includes an incremental reduction of pO2.
6 .- 12 . (canceled)
13 . The method of claim 1 , wherein the concentration of nitric oxide in the gas mixture delivered is at least 0.01 ppm and at most 2 ppm.
14 . The method of claim 1 , wherein hydrogen is added in the following combinations: (H+O2) or (H+NO) or (H+NO+O2).
15 . (canceled)
16 . The method of claim 1 , further comprising delivering hydrogen, the hydrogen acts to eliminate peroxynitrite, thereby reducing adverse effects of nitric oxide.
17 .- 20 . (canceled)
21 . The method of claim 2 , wherein delivering the gas mixture including nitric oxide from the receptacle to the mammal includes pulsing the gas mixture.
22 . The method of claim 21 , wherein pulsing includes providing the gas mixture for one or more pulses of 1 to 6 seconds.
23 .- 28 . (canceled)
29 . The method of claim 2 , comprising communicating the first gas through a gas conduit to the receptacle and supplying the second gas into the gas conduit immediately prior to the receptacle.
30 .- 34 . (canceled)
35 . The method of claim 1 , wherein the nitric oxide is administered to adults.
36 . The method of claim 1 , wherein the nitric oxide is provided through a cartridge having a length, width, and thickness, an outer surface, and an inner surface, and can be substantially cylindrical in shape.
37 . The method of claim 36 , wherein the thickness between the inner and outer surface is constant, thereby providing a uniform exposure to the reducing agents.
38 . (canceled)
39 . A method of modulating oxygen saturation levels, comprising:
implanting a pulmonary artery pressure sensor;
monitoring pulmonary artery pressure in real time;
measuring oxygen saturation levels in a patient;
administering inhaled nitric oxide;
adjusting the dose of oxygen in real time to a second dose based on the inhaled nitric oxide;
determining a first oxygen requirement to address an oxygen deficiency;
determining a reduced oxygen requirement based on the generated nitric oxide; and
delivering a dose of supplemental oxygen based on the reduced oxygen requirement and the gas mixture including nitric oxide from the receptacle to the patient.
40 . The method of claim 39 , wherein the pulmonary artery pressure sensor is configured to monitor the right heart.
41 . The method of claim 39 , wherein the pulmonary artery pressure sensor is configured to monitor the left heart.
42 . The method of claim 39 , wherein the pulmonary artery pressure sensor is a wireless device.