IP Library Granted Patent US 9,486,157
Granted Patent B2
US 9,486,157 · App. 13/043,648 · Granted Nov 8, 2016

Intubation monitoring apparatus and method

Inventor: Lars Wik (Oslo, NO)
Assignee: MEDINNOVA AS
A61B5/053A61B5/0538A61B5/0809A61M16/0488
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Quick Facts
Patent No.
US 9,486,157
App. No.
13/043,648
Granted
Nov 8, 2016
Kind
B2
Abstract

The invention comprises an apparatus and a method for externally assessing and monitoring placement of an endo-tracheal tube for ventilation of patients based on thoracic impedance measurement.

Claims (60)

1. A method for externally assessing or monitoring placement of an endo-tracheal tube for ventilation of a patient, said method comprising

transmitting a current through at least two external measuring electrodes placed on a thoracic region of said patient;

receiving, at a measuring unit via the at least two external measuring electrodes, thoracic impedance signals of said patient to assess or monitor placement of said endo-tracheal tube for ventilation of said patient;

detecting, using a processing unit connected to the measuring unit, whether the received impedance signals indicate an impedance change;

upon detection of an impedance change, comparing, using the processing unit, the detected impedance change to a predetermined threshold value indicative of a thoracic air volume change of said patient;

transmitting a signal to at least one of an alarm device or a display device connected to said processing unit when the comparison indicates that the at least one impedance change is greater than or equal to the predetermined threshold value; and

generating, in response to the signal, an indication that the proper endo-tracheal tube placement is achieved.

2. The method according to claim 1 , wherein the threshold value is stored in a storage unit connected to the processing unit.

3. The method according to claim 1 , wherein a start signal is given to the processing unit by a user to begin transmitting the current and receiving thoracic impedance signals and the detecting step, the comparing step, and the transmitting a signal step, are repeated during a predetermined period of time or until a stop signal is given to the processing unit by a user.

4. The method according to claim 1 , wherein the alarm device comprises at least one of a sound emitting device and a light emitting device.

5. The method according to claim 1 , wherein the alarm device comprises a user interface configured to display at least one of the detected impedance change, an indication of incorrect intubation of an endo-tracheal tube, and an indication of correct intubation of an endo-tracheal tube.

6. The method according to claim 1 , further comprising:

storing in a storage unit, at least one of the received impedance signals, the comparison of the impedance changes, and the threshold value.

7. The method according to claim 1 , further comprising:

receiving, via a user interface connected to the processing unit, at least one of reference thoracic impedance values, threshold impedance values, and patient characteristics.

8. A method for externally assessing and monitoring placement of an endo-tracheal tube for ventilation in a recipient, said method comprising

transmitting a current through at least two external measuring electrodes placed on a thoracic region of said recipient;

receiving, at a measuring unit via the at least two external measuring electrodes, thoracic impedance signals of said recipient to assess or monitor placement of said endo-tracheal tube for ventilation of said recipient;

detecting, using a processing unit connected to said measuring unit, whether the received impedance signals indicate an impedance change;

upon detection of an impedance change, comparing, using said processing unit, the detected impedance change to a predetermined threshold value indicative of a thoracic air volume change of said recipient;

transmitting a signal to at least one of an alarm device or display device connected to said processing unit if the at least one impedance change is less than the predetermined value; and

generating, in response to the signal, an indication of improper endo-tracheal tube placement.

9. The method according to claim 8 , wherein the threshold value is stored in a storage unit which is connected to the processing unit.

10. The method according to claim 8 , wherein a start signal is given to the processing unit by a user to begin transmitting the current and receiving thoracic impedance signals and the detecting step, the comparing step, and the transmitting a signal step, are repeated a during a predetermined period of time or until a stop signal is given to the processing unit by a user.

11. The method according to claim 8 , wherein the alarm device comprises at least one of a sound emitting device and a light emitting device.

12. The method according to claim 8 , wherein the alarm device comprises a user interface configured to display at least one of the detected impedance change, an indication of incorrect intubation of an endo-tracheal tube, and an indication of correct intubation of an endo-tracheal tube.

13. The method according to claim 8 , further comprising:

storing in a storage unit, at least one of the received impedance signals, the comparison of the impedance changes, and the threshold value.

14. The method according to claim 8 , further comprising:

receiving, via a user interface connected to the processing unit, at least one of reference thoracic impedance values, threshold impedance values, and recipient characteristics.

15. A non-transitory computer-readable medium comprising instructions that when executed perform a method for externally assessing or monitoring placement of an endo-tracheal tube for ventilation of a patient, said method comprising:

transmitting a current through at least two external measuring electrodes placed on a thoracic region of said patient;

receiving, at a measuring unit via the at least two measuring electrodes, thoracic impedance signals of said patient to externally assess or monitor placement of said endo-tracheal tube for ventilation of said patient;

detecting, using a processing unit connected to the measuring unit, whether the received impedance signals indicate an impedance change;

upon detection of an impedance change, comparing, using the processing unit, the detected impedance change to a predetermined threshold value indicative of a thoracic air volume change of said patient;

transmitting a signal to at least one of an alarm device or a display device connected to said processing unit when the comparison indicates that the at least one impedance change is greater than or equal to the predetermined threshold value; and

generating, in response to the signal, an indication that the proper endo-tracheal tube placement is achieved.

16. The non-transitory computer-readable medium according to claim 15 , wherein the threshold value is stored in a storage unit connected to the processing unit.

17. The non-transitory computer-readable medium according to claim 15 , wherein a start signal is given to the processing unit by a user to begin transmitting the current and receiving thoracic impedance signals and the detecting step, the comparing step, and the transmitting a signal step, are repeated a during a predetermined period of time or until a stop signal is given to the processing unit by a user.

18. The non-transitory computer-readable medium according to claim 15 , wherein the alarm device comprises at least one of a sound emitting device and a light emitting device.

19. The non-transitory computer-readable medium according to claim 15 , wherein the alarm device comprises a user interface configured to display at least one of the detected impedance change, an indication of incorrect intubation of an endo-tracheal tube, and an indication of correct intubation of an endo-tracheal tube.

20. The non-transitory computer-readable medium according to claim 15 , further comprising:

storing in a storage unit, at least one of the received impedance signals, the comparison of the impedance changes, and the threshold value.

21. The non-transitory computer-readable medium according to claim 15 , further comprising:

receiving, via a user interface connected to the processing unit, at least one of reference thoracic impedance values, threshold impedance values, and patient characteristics.

22. A non-transitory computer-readable medium comprising instructions that when executed perform a method for externally assessing and monitoring placement of an endo-tracheal tube for ventilation in a recipient, said method comprising:

transmitting a current through at least two external measuring electrodes placed on a thoracic region of said recipient;

receiving, at a measuring unit via the at least two external measuring electrodes, thoracic impedance signals of said recipient to assess or monitor placement of said endo-tracheal tube for ventilation of said recipient;

detecting, using a processing unit connected to said measuring unit, whether the received impedance signals indicate an impedance;

upon detection of an impedance change, comparing, using said processing unit, the detected impedance change to a predetermined threshold value indicative of a thoracic air volume change of said recipient;

transmitting a signal to at least one of an alarm device or display device connected to said processing unit if the at least one impedance change is less than the predetermined value; and

generating, in response to the signal, an indication of improper endo-tracheal tube placement.

23. The non-transitory computer-readable medium according to claim 22 , wherein the threshold value is stored in a storage unit which is connected to the processing unit.

24. The non-transitory computer-readable medium according to claim 22 , wherein a start signal is given to the processing unit by a user to begin transmitting the current and receiving thoracic impedance signals and the detecting step, the comparing step, and the transmitting a signal step, are repeated a during a predetermined period of time or until a stop signal is given to the processing unit by a user.

25. The non-transitory computer-readable medium according to claim 22 , wherein the alarm device comprises at least one of a sound emitting device and a light emitting device.

26. The non-transitory computer-readable medium according to claim 22 , wherein the alarm device comprises a user interface configured to display at least one of the detected impedance change, an indication of incorrect intubation of an endo-tracheal tube, and an indication of correct intubation of an endo-tracheal tube.

27. The non-transitory computer-readable medium according to claim 22 , further comprising:

storing in a storage unit, at least one of the received impedance signals, the comparison of the impedance changes, and the threshold value.

28. The non-transitory computer-readable medium according to claim 22 , further comprising:

receiving, via a user interface connected to the processing unit, at least one of reference thoracic impedance values, threshold impedance values, and recipient characteristics.

Priority Claims (1)
NO 20022960 · Jun 19, 2002 · national
Continuity (3)
Division 10517989
Provisional Application 60390115 · Jun 21, 2002
Related Publication 20110224568A1 · Sep 15, 2011