Abstract:
The invention concerns a method and apparatus for monitoring respiratory condition by impedance pneumography. An electrical signal is applied at a plurality of frequencies to a human subject by way of a first pair of spaced electrodes applied to the trunk of the body, whilst the resulting electrical signal is monitored at said plurality of frequencies at different points on the body by way of a second pair of spaced electrodes. From the resulting electrical signal a measure of the impedance of a part of the body at the plurality of frequencies is obtained, and a difference signal representing the impedance change with frequency is calculated. The difference signal is normalised with respect to a signal representative of the impedance measure itself at one or more frequencies, thereby suppressing the effect of those impedance signal components -such as movement artefact- whose frequency dependent change is substantially proportional to the impedance signal value. The invention improves the reliability of impedance pneumography, especially when employed in situations in which it is difficult to restrict subject movement, such as during sleep. It has particular application in neonatal and infant sleep apnoea detection systems.
Abstract:
A method and apparatus for measuring the air capacity of a user's lungs (30). The method involves use of an apparatus which includes a container (100) having a constant volume and an opening (102) adapted to allow flow communication with the lungs (30). The container (100) further includes a flow sensor (148) and a pressure sensor (50). The method involves determining the initial air pressure in the container (100) before flow communication with the lungs (30) is established. After flow communication with the lungs (30) is established, the flows and pressures are measured. The lung air capacity is calculated based on the known constant container (100) volume, the initial air pressure, and the changes in volume and pressure of the lungs (3) as determined from the measured flows and pressures in the container (100).
Abstract:
A non-acoustic pulse echo radar monitor (1) averages a large number of reflected pulses to produce a voltage that modulates an audio oscillator (39) to produce an audible tone that corresponds to the heart (22) or other body part motion. Both amplitude modulation and the Doppler effect are used. A dual time constant is used to reduce the effect of gross sensor-to-surface movement. The monitor includes a pulse generator (10) for simultaneously inputting a sequence of pulses to a transmit path (12) and a gating path (14). The pulses on the transmit path drive an impulse generator (16) which generates pulses to a transmit antenna (18). The gating path includes a range delay generator (30) which generates timed gating pulses. The timed gating pulses cause the receive path (15) to selectively conduct pulses reflected from the body part (22) and received by a receive antenna (20). Both antennas (18)(20) are flat copper foils which permit their use in a substantially flat housing.
Abstract:
A method and apparatus (10) for monitoring and indicating whether a tracheal tube (T) is located in the trachea or esophagus during an endotracheal intubation of a human or animal. In a calibration mode, the resonant frequency of the tube (T) is determined by generating a signal at a plurality of frequencies and finding the signal which propagates with the greatest amplitude. This indicates the resonant frequency. When the tube (T) is inserted into the patient, the resonant frequency of the system shifts, thus the amplitude of the signal changes. Based on known characteristics of the trachea and esophagus, the amount of change is dictated by whether the tube (T) has been inserted into the trachea or esophagus. Alternatively, the device can continually determine the resonant frequency and use this to monitor the level of a liquid in a tank.
Abstract:
An indirect calorimeter for calculating the metabolic rate of a subject by measuring the oxygen consumption during respiration over a period of time includes a gas flow meter (42) providing output electric signals to a microprocessor (20) which drives a display and printer. The output of the flow meter (42) is connected to a mouthpiece (12). The exhaled gas passes through a CO2 scrubber (30) and then through the flow meter (42). The difference in volume between the inhaled gas and the exhaled gas is proportional to the oxygen consumption of the subject and the microprocessor (20) integrates that signal over the time of the test, and multiples it by a constant to provide a metabolic rate display. The temperature and water vapor content of the inhaled air are adjusted to that of the exhaled air either by passing both the inhaled and exhaled gases through the scrubber (30) before their volume is measured, or by preheating the inhaled air and employing a water absorbent member to add moisture to the inhaled air and remove it from the exhaled air.
Abstract:
A breathing monitoring device comprising a temperature sensitive probe (1, 11) for location in an air-way (2, 12) through which a patient breaths in and out. A circuit (7) monitors the output of the temperature sensitive probe to derive an output representative of the patient's breathing. An alarm (9, 21) may be activated if the monitored output indicates a stable temperature for a predetermined period which is long in comparison with an expected breathing cycle period.
Abstract:
Apparatus for examining pulmonary function parameters of a patient comprises a rebreathing system (1-6) adapted to be connected with the patient and including a variable-volume reservoir (1), a carbon dioxide absorber (19) in an inhalation conduit (3), and means (24) for selectively switching the carbon dioxide absorber (19) on and off. A carbon dioxide meter (25) is controllable to selectively measure the carbon dioxide content of respiratory gas being exhaled and of exhaled respiratory gas collected in the reservoir (1). Volume monitoring means (17, 18) monitor the volume variations of the reservoir (1). A computing unit (30) computes the pulmonary blood flow and other pulmonary function parameters using carbon dioxide concentration parameters measured by means of the carbon dioxide meter (25) and ventilatory rate parameters measured by means of the monitoring means (17, 18).
Abstract:
An indirect calorimeter for calculating the metabolic rate of a subject (10) by measuring the oxygen consumption during respiration over a period of time includes a gas flow meter (42) providing ouput electric signals to a microprocessor (39) which drives a display (41) and printer (43). A carbon dioxide scrubber (30) is connected to the flow meter and a mouthpiece (12) so that inhaled gas passes first through the scrubber and then through the flow meter before being provided to the subject's respiratory system through the mouthpiece. The exhaled gas passes through the scrubber and then through the flow meter. The difference in volume between the inhaled gas and the exhaled gas is proportional to the oxygen comsumption of the subject and the microprocessor integrates that signal over the time of the test, and multiplies it by a constant to provide a metabolic rate display. By passsing both the inhaled and exhaled gases through the scrubber before their volume is measured, their temperature and humidity are modified to a state of equal temperature and humidity.
Abstract:
A portable belt-type monitor of body functions such as the heart and breathing is described formed of a plurality of articulated, distributed modules (24, 26, 28, 30, 32) containing EKG sensors (220.1, 220.2, 220.3), a respiration sensor (48.1, 48.2), circuitry including a microprocessor (180) for sensing alarm conditions, a transmitter (184) for sending alarm conditions to a remote receiver and a battery (56) to drive the various circuits. A respiration sensor is described wherein tension changes in the belt (22) due to breathing are transformed into opposing forces directed transversely to the belt and which cooperate to produce a reliable, sensitive detection of respiratory activities. The belt can be conveniently worn with reliable EKG sensing during normal body activities. A processor program is described whereby these body functions are monitored with alarms being generated when these functions exceed preset limits while preserving sufficient functional performance data when an alarm occurs.
Abstract:
The device comprises a lens (16) which produces, on a set (17) of photosensitive elements (19), an image of at least one region of the space within which a person under surveillance is capable of moving, a light source (23) for illuminating said area, fine-control and read-out circuits for the photosensitive elements, an analog-digital converter (21), data processing means (22), for example a microcalculator, for comparing the signals emitted successively by the photosensitive elements (19) and determining the significant variations between these signals which are due to the respiration of said person, and alarm means (14, 15) triggered by said data processing means in response to the detection of an absence of significant variation. Application to the detection of respiratory arrests of infants or bedridden patients.