JP6754354B2 - 生理学的データを感知し、体液を排出しかつ分析するためのシステム、デバイス、および方法 - Google Patents
生理学的データを感知し、体液を排出しかつ分析するためのシステム、デバイス、および方法 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
- A61B5/6853—Catheters with a balloon
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/002—Monitoring the patient using a local or closed circuit, e.g. in a room or building
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
- A61B5/0245—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/03—Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
- A61B5/036—Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs by means introduced into body tracts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
- A61B5/0816—Measuring devices for examining respiratory frequency
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/14546—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring analytes not otherwise provided for, e.g. ions, cytochromes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
- A61B5/1459—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters invasive, e.g. introduced into the body by a catheter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/20—Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
- A61B5/207—Sensing devices adapted to collect urine
- A61B5/208—Sensing devices adapted to collect urine adapted to determine urine quantity, e.g. flow, volume
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
- A61B2560/04—Constructional details of apparatus
- A61B2560/0475—Special features of memory means, e.g. removable memory cards
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0074—Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
- A61M25/0075—Valve means
- A61M2025/0076—Unidirectional valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/587—Lighting arrangements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/75—General characteristics of the apparatus with filters
- A61M2205/7536—General characteristics of the apparatus with filters allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2209/00—Ancillary equipment
- A61M2209/08—Supports for equipment
- A61M2209/082—Mounting brackets, arm supports for equipment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
- A61M25/007—Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0074—Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
- A61M25/0075—Valve means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/172—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
- A61M5/1723—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Physics & Mathematics (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Optics & Photonics (AREA)
- Pulmonology (AREA)
- Cardiology (AREA)
- Urology & Nephrology (AREA)
- Hematology (AREA)
- Spectroscopy & Molecular Physics (AREA)
- Signal Processing (AREA)
- Computer Networks & Wireless Communication (AREA)
- External Artificial Organs (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Investigating Or Analysing Materials By Optical Means (AREA)
- Investigating Or Analysing Biological Materials (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
Description
本願は、2014年9月28日に出願された米国特許仮出願第62/056,563号、2014年9月28日に出願された米国特許仮出願第62/056,564号、2014年10月12日に出願された米国特許仮出願第62/062,924号、2014年11月7日に出願された米国特許仮出願第62/076,725号、2014年11月28日に出願された米国特許仮出願第62/085,463号、2015年3月8日に出願された米国特許仮出願第62/129,899号、2015年4月9日に出願された米国特許仮出願第62/145,241号、および、2015年6月13日出願された米国特許仮出願第62/175,237号に対する優先権を主張するものであり、2014年6月27日出願された国際出願PCT/US2014/44565および2015年1月7日に出願された国際出願PCT/US2015/010530に関連し、これらのそれぞれはその全体を参照することにより本明細書に組み込まれている。
本明細書に述べられた全ての刊行物および特許出願は、各個々の刊行物または特許出願が参照により組み込まれるように具体的におよび個々に指示された場合と同じ程度に参照により本明細書に組み込まれている。
V:容量
A:断面積
h:液体の高さ
P:圧力
ρ:液体密度
g:重力
v:音速
t:音が反射する時間
E:液体の体積弾性率
Claims (20)
- 1つまたは複数の患者パラメータを監視するためのシステムであって、
細長いカテーテルであって、前記カテーテルの遠位端又は遠位端の近くに1つまたは複数の開口部を画定する細長いカテーテルと、
前記カテーテルの近位端に結合される通気機構であって、陰圧が前記通気機構に加えられる時に空気を通すように構成される通気機構と、
前記通気機構に結合され、かつ前記1つまたは複数の開口部と流体連通するルーメンと、
前記ルーメンの近位端に結合され、かつ前記1つまたは複数の開口部と流体連通する貯蔵部と、
前記貯蔵部に接続するように構成され、かつ、前記ルーメン内の圧力を制御するようにプログラムされ、さらにインターフェースを介して前記貯蔵部に流体結合されるポンプを備える制御装置と、を備え、
前記制御装置は、患者から前記貯蔵部に受けられる尿排出量を監視するようにさらにプログラムされ、
前記制御装置は、所定の間隔で前記ルーメンに陰圧を加えるようにさらにプログラムされ、
前記制御装置は、前記貯蔵部および前記ルーメン内の圧力が、前記ルーメン内の尿のメニスカスが前記ルーメン内の最小点を通過するまで低下し、前記圧力が変曲点に達した後、前記制御装置は前記貯蔵部および前記ルーメン内の吸引量を減少させるために前記ポンプへの電力を減少させてエアロック除去のために前記ポンプを作動させるようにプログラムされている、システム。 - 前記カテーテルはフォーリー型カテーテルを含む、請求項1に記載のシステム。
- 前記細長いカテーテルに沿って設けられたバルーンをさらに含む、請求項1に記載のシステム。
- 前記貯蔵部は剛性の筐体を有するカセット部品を含む、請求項1に記載のシステム。
- 前記カセット部品は、前記制御装置に収まるように設計され、かつ前記制御装置と機能的に連動する、請求項4に記載のシステム。
- 2人以上の患者からの尿排出量を含む患者データはメモリ構成要素に記憶される、請求項1に記載のシステム。
- 前記患者データはリモートデータベースに移送可能である、請求項6に記載のシステム。
- 前記制御装置は、尿排出量を含む患者から取得された患者データを分析し、かつ、感染または患者の挙動の予測因子として、前記患者データの前記1つまたは複数の患者パラメータの間の1つまたは複数の傾向もしくは関係を判断するようにさらにプログラムされる、請求項1に記載のシステム。
- 前記通気機構は、前記ルーメン内に陰圧が加えられると空気が前記通気機構に入るように構成される通気口を備える、請求項1に記載のシステム。
- 前記通気機構は空気が前記ルーメンを出ないように構成される一方向弁を備える、請求項9に記載のシステム。
- 前記通気機構は液体ではなくガスを伝達するように構成される疎水性膜を有する通気口を備える、請求項1に記載のシステム。
- 前記疎水性膜はPTFEまたはePTFE膜を含む、請求項11に記載のシステム。
- 前記ルーメンは、0.25インチ以下の内径を画定する、請求項1に記載のシステム。
- 前記制御装置は、患者の呼吸速度または心拍を含む患者の1つまたは複数のパラメータを感知するようにさらにプログラムされる、請求項1に記載のシステム。
- 前記制御装置は感染の存在を判断するようにさらにプログラムされる、請求項1に記載のシステム。
- 前記制御装置は、尿排出量の測定値に基づいて患者における急性腎障害の存在を判断するようにさらにプログラムされる、請求項1に記載のシステム。
- 前記貯蔵部に近位の光送信機および受信機をさらに備え、前記貯蔵部は光学的に透明なセクションを画定する、請求項1に記載のシステム。
- 前記受信機は、前記貯蔵部を通して、および内部に収容される尿の量から伝達される1つまたは複数の波長を検出するようにさらにプログラムされる前記制御装置と連通している、請求項17に記載のシステム。
- 前記制御装置は、感染を示すような、細菌、赤血球、血しょう、または白血球の存在について前記1つまたは複数の波長を分析するようにさらにプログラムされる、請求項18に記載のシステム。
- 前記貯蔵部と流体連通する採取バッグによってかけられる歪みを測定するように構成される採取バッグフックをさらに備える、請求項1に記載のシステム。
Applications Claiming Priority (19)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201462056564P | 2014-09-28 | 2014-09-28 | |
US201462056563P | 2014-09-28 | 2014-09-28 | |
US62/056,564 | 2014-09-28 | ||
US62/056,563 | 2014-09-28 | ||
US201462062924P | 2014-10-12 | 2014-10-12 | |
US62/062,924 | 2014-10-12 | ||
US201462076725P | 2014-11-07 | 2014-11-07 | |
US62/076,725 | 2014-11-07 | ||
US201462085463P | 2014-11-28 | 2014-11-28 | |
US62/085,463 | 2014-11-28 | ||
PCT/US2015/010530 WO2015105916A1 (en) | 2014-01-07 | 2015-01-07 | Systems, devices and methods for draining and analyzing bodily fluids |
USPCT/US2015/010530 | 2015-01-07 | ||
US201562129899P | 2015-03-08 | 2015-03-08 | |
US62/129,899 | 2015-03-08 | ||
US201562145241P | 2015-04-09 | 2015-04-09 | |
US62/145,241 | 2015-04-09 | ||
US201562175237P | 2015-06-13 | 2015-06-13 | |
US62/175,237 | 2015-06-13 | ||
PCT/US2015/052716 WO2016049654A1 (en) | 2014-09-28 | 2015-09-28 | Systems, devices and methods for sensing physiologic data and draining and analyzing bodily fluids |
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JP2020115966A Division JP7257994B2 (ja) | 2014-09-28 | 2020-07-03 | 生理学的データを感知し、体液を排出しかつ分析するためのシステム |
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JP2017536857A JP2017536857A (ja) | 2017-12-14 |
JP6754354B2 true JP6754354B2 (ja) | 2020-09-16 |
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JP2017513028A Active JP6754354B2 (ja) | 2014-09-28 | 2015-09-28 | 生理学的データを感知し、体液を排出しかつ分析するためのシステム、デバイス、および方法 |
JP2020115966A Active JP7257994B2 (ja) | 2014-09-28 | 2020-07-03 | 生理学的データを感知し、体液を排出しかつ分析するためのシステム |
JP2021180691A Pending JP2022023991A (ja) | 2014-09-28 | 2021-11-04 | 生理学的データを感知し、体液を排出しかつ分析するためのシステム、デバイス、および方法 |
JP2023132109A Pending JP2023164826A (ja) | 2014-09-28 | 2023-08-14 | 生理学的データを感知し、体液を排出しかつ分析するためのシステム、デバイス、および方法 |
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JP2021180691A Pending JP2022023991A (ja) | 2014-09-28 | 2021-11-04 | 生理学的データを感知し、体液を排出しかつ分析するためのシステム、デバイス、および方法 |
JP2023132109A Pending JP2023164826A (ja) | 2014-09-28 | 2023-08-14 | 生理学的データを感知し、体液を排出しかつ分析するためのシステム、デバイス、および方法 |
Country Status (8)
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US (2) | US10517538B2 (ja) |
EP (2) | EP3197349B1 (ja) |
JP (4) | JP6754354B2 (ja) |
CN (2) | CN111657863B (ja) |
AU (2) | AU2015319822B2 (ja) |
CA (1) | CA2961757C (ja) |
SG (2) | SG11201701818YA (ja) |
WO (1) | WO2016049654A1 (ja) |
Families Citing this family (71)
Publication number | Priority date | Publication date | Assignee | Title |
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US9655555B2 (en) * | 2011-03-07 | 2017-05-23 | Potrero Medical, Inc. | Sensing foley catheter |
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CN107205675B (zh) | 2020-06-30 |
CA2961757A1 (en) | 2016-03-31 |
AU2020256358B2 (en) | 2023-05-18 |
US20180177458A1 (en) | 2018-06-28 |
EP4233696A3 (en) | 2023-09-06 |
SG10201902676VA (en) | 2019-04-29 |
AU2015319822B2 (en) | 2020-07-23 |
CN111657863B (zh) | 2023-10-20 |
EP3197349A1 (en) | 2017-08-02 |
EP3197349B1 (en) | 2023-07-19 |
AU2015319822A1 (en) | 2017-04-06 |
AU2020256358A1 (en) | 2020-11-12 |
EP4233696A2 (en) | 2023-08-30 |
JP2020182866A (ja) | 2020-11-12 |
CN107205675A (zh) | 2017-09-26 |
JP2022023991A (ja) | 2022-02-08 |
EP3197349A4 (en) | 2018-06-06 |
CA2961757C (en) | 2023-10-03 |
US20200085378A1 (en) | 2020-03-19 |
JP7257994B2 (ja) | 2023-04-14 |
JP2017536857A (ja) | 2017-12-14 |
JP2023164826A (ja) | 2023-11-14 |
US10517538B2 (en) | 2019-12-31 |
WO2016049654A1 (en) | 2016-03-31 |
CN111657863A (zh) | 2020-09-15 |
SG11201701818YA (en) | 2017-04-27 |
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