JP2009519467A5 - - Google Patents

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JP2009519467A5
JP2009519467A5 JP2008545656A JP2008545656A JP2009519467A5 JP 2009519467 A5 JP2009519467 A5 JP 2009519467A5 JP 2008545656 A JP2008545656 A JP 2008545656A JP 2008545656 A JP2008545656 A JP 2008545656A JP 2009519467 A5 JP2009519467 A5 JP 2009519467A5
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patient
anesthetic
concentration
breath
signal
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Priority claimed from US11/301,911 external-priority patent/US20070167853A1/en
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Claims (16)

  1. 患者の呼出した息(expired breath)をサンプリングする段階、
    患者における少なくとも一つの内因性化合物の対応する濃度に比例する少なくとも一つの内因性化合物マーカーの息中濃度を、センサー技術を使用して分析する段階、
    患者の息中の内因性化合物マーカーの濃度を計算する段階、および
    患者の息中の内因性化合物マーカーの計算された濃度に基づいて、患者における内因性化合物の対応する濃度を計算する段階
    を含む、患者における内因性化合物をモニタリングするための方法。
  2. 内因性化合物マーカーが内因性化合物であり、グルコース;タンパク質;ウロビリノーゲン;ウロビリルビン;ビリルビン;ホルモン;オリゴヌクレオチド;アデノシン;アデノシン三リン酸(ATP);アデノシン二リン酸(ADP);アデノシン一リン酸(AMP);プロスタグランジン;ロイコトリエン;サイトカイン;インターロイキン;メラトニン;6-スルホキシメラトニン(6-sulfoxymelatonin);低酸素誘導因子1α(HIF-1α);筋原性制御因子;2,3-ジホスホグリセレート(2,3-DPG);ケトン;ナイトレート;電解質;尿素;尿酸;アンモニア;乳酸;コレステロール;トリグリセリド;乳酸デヒドゲナーゼ(LDH);および癌マーカーからなる群より選択される物質のいずれか一つまたは組み合わせである、請求項1記載の方法。
  3. 内因性化合物マーカーが、内因性化合物から直接誘導される化合物である、請求項1記載の方法。
  4. 内因性化合物マーカーが、グルコース;タンパク質;ウロビリノーゲン;ウロビリルビン;ビリルビン;ホルモン;オリゴヌクレオチド;アデノシン;アデノシン三リン酸(ATP);アデノシン二リン酸(ADP);アデノシン一リン酸(AMP);プロスタグランジン;ロイコトリエン;サイトカイン;インターロイキン;メラトニン;6-スルホキシメラトニン;低酸素誘導因子1α(HIF-1α);筋原性制御因子;2,3-ジホスホグリセレート(2,3-DPG);ケトン;ナイトレート;電解質;尿素;尿酸;アンモニア;乳酸;コレステロール;トリグリセリド;乳酸デヒドゲナーゼ(LDH);および癌マーカーからなる群より選択される内因性化合物のいずれか一つから誘導される代謝産物である、請求項3記載の方法。
  5. センサー技術が、金属-絶縁体-金属アンサンブル(MIME)センサー、交差反応性光学マイクロセンサーアレイ、蛍光ポリマーフィルム、表面増感ラマン分光法(SERS)、ダイオードレーザー、選択イオン流量管(selected ion flow tube)、金属酸化物センサー(MOS)、バルク音響波(BAW)センサー、比色管、赤外分光法、ガスクロマトグラフィー、半導体ガスセンサー技術;質量分光計、蛍光分光光度計、導電性ポリマーガスセンサー技術;アプタマーセンサー技術;増幅蛍光ポリマー(AFP)センサー技術;マイクロカンチレバー技術;分子的ポリマーフィルム技術(molecularly polymeric film technology);表面共鳴アレイ;マイクロ重量測定(microgravimetric)センサー;厚さ剪断モードセンサー;または表面音響波ガスセンサー技術からなる群より選択される、請求項1記載の方法。
  6. センサー技術が、少なくとも一つの標的マーカーの検出および濃度を特徴付けるための特有の電子フィンガープリントを生成する、請求項5記載の方法。
  7. 患者における内因性化合物の計算された濃度に応答して治療薬の投与を自動的に制御する段階をさらに含む、請求項1記載の方法。
  8. 内因性化合物がグルコースであり、治療薬がインスリンである、請求項7記載の方法。
  9. 患者の息試料を捕集するための手段、
    患者における少なくとも一つの内因性化合物の対応する濃度に比例する少なくとも一つの内因性化合物マーカーの息中濃度を分析し、分析された濃度に関するシグナルを発するためのセンサー技術、および
    センサーからのシグナルを受けかつ分析して、患者の息中の内因性化合物マーカーの濃度に基づいて患者における内因性化合物の対応する濃度を計算し、伝達する、センサー技術に接続されたプロセッサ
    を含む、内因性化合物モニタリングシステム。
  10. 供給により提供される麻酔剤の量を制御するための制御装置を有する麻酔供給源、
    患者の血流中の麻酔剤濃度を示す少なくとも一つの物質の濃度に関して患者の息を分析し、患者に送達される麻酔剤濃度を示すシグナルを提供するための息分析装置、および
    シグナルを受け、シグナルに基づいて麻酔剤の量を制御する、麻酔供給源に接続されたシステム制御装置
    を含む、所望の用量の麻酔剤を患者に送達するための麻酔剤送達システム。
  11. 供給により呼吸回路に提供される揮発性麻酔剤の量を制御するための制御装置を有する麻酔ガス供給源、
    患者に静脈投与されるIV麻酔剤の量を制御するための制御装置を有する静脈麻酔剤供給源、
    呼吸回路中の麻酔ガスの濃度を分析するための吸気(inspired gas)分析装置、
    患者の血流中の麻酔剤濃度を示す少なくとも一つの物質の濃度に関して患者の息を分析し、患者に送達される麻酔剤濃度を示す少なくとも一つのシグナルを提供するための呼気分析装置、および
    シグナルを受け、シグナルに基づいて麻酔剤投与量を制御する、各麻酔供給源に接続されたシステム制御装置
    を含む、呼吸回路およびIVを介してバランス麻酔を患者に送達するための麻酔剤送達およびモニタリングシステム。
  12. 少なくとも一つの静脈麻酔剤の少なくとも一つの供給源、
    該少なくとも一つの静脈麻酔剤を患者に制御可能に静脈内に送達するための静脈内送達手段、
    少なくとも一つの吸入麻酔剤の少なくとも一つの供給源、
    該吸入麻酔剤の送達のための呼吸回路、
    該吸入麻酔剤に関して該呼吸回路中のガスを分析するための吸気分析装置、
    患者の血流中の麻酔剤を示す少なくとも一つの物質の濃度に関して患者の息を分析し、患者に送達される麻酔剤濃度を示すためのシグナルを提供するための呼気分析装置、
    シグナルを受け、シグナルに基づいて麻酔剤の量を制御する、静脈内送達手段に接続されたシステム制御装置、および
    シグナルを受け、シグナルに基づいて麻酔剤の量を制御する、呼吸回路に接続されたシステム制御装置
    を含む、バランス麻酔を患者に投与するための装置。
  13. 少なくとも一つの治療薬を患者に投与する段階、
    少なくとも一つのセンサーを患者からの呼気に暴露する段階、
    治療薬からの一つまたは複数の標的マーカーを該センサーで検出する段階
    を含む、少なくとも一つの治療薬の投与中に患者をモニタリングする方法。
  14. 標的マーカーが、ジメチルスルホキシド(DMSO)、アセトアルデヒド、アセトフェノン、トランス-アネトール(1-メトキシ-4-プロペニルベンゼン)(アニス)、ベンズアルデヒド(安息香酸アルデヒド)、ベンジルアルコール、桂皮酸ベンジル、カジネン、カンフェン、ショウノウ、桂皮アルデヒド(3-フェニルプロペナール)、ガーリック、シトロネラール、クレゾール、シクロヘキサン、オイカリプトール、およびオイゲノール、オイゲニルメチルエーテル;イソ酪酸ブチル(n-ブチル2, メチルプロパノエート)(パイナップル);シトラール(2-トランス-3,7-ジメチル-2,6-アクタジエン-1-アール);メントール(1-メチル-4-イソプロピルシクロヘキサン-3-オール);ならびにα-ピネン(2,6,6-トリメチルビシクロ-(3,1,1)-2-ヘプテン)からなる群より選択される、請求項13記載の方法。
  15. 少なくとも一つの治療薬が、関節リウマチ、全身性エリテマトーデス、アンギナ、冠動脈疾患、末梢血管疾患、潰瘍性大腸炎、クローン病、臓器拒絶反応、てんかん、不安、変性性関節炎、血管炎および炎症からなる群より選択される状態の処置のために選択されるか、またはうつ病治療薬であるか、または鎮痛薬である、請求項13記載の方法。
  16. 供給により患者に提供される治療薬の量を制御するための制御装置を有する少なくとも一つの治療薬供給源、
    患者の血流中の治療薬濃度を示す少なくとも一つの標的マーカーの存在および濃度に関して患者の息を分析し、患者の血流中の治療薬の濃度に関するシグナルを送信するための呼気センサー、および
    センサーからのシグナルを受けかつ分析し、シグナルに基づいて患者への治療薬投与量を制御する、治療薬供給源に接続されたシステム制御装置
    を含む、適切な投薬量の治療薬を患者に送達するための治療薬送達およびモニタリングシステム。
JP2008545656A 2005-12-13 2006-12-06 呼息を用いて健康をモニタリングするためのシステムおよび方法 Withdrawn JP2009519467A (ja)

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US11/301,911 US20070167853A1 (en) 2002-01-22 2005-12-13 System and method for monitoring health using exhaled breath
PCT/US2006/046660 WO2007089328A2 (en) 2005-12-13 2006-12-06 System and method for monitoring health using exhaled breath

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