Surgery – Diagnostic testing – Respiratory
Reexamination Certificate
2006-07-11
2006-07-11
Nasser, Robert L. (Department: 3736)
Surgery
Diagnostic testing
Respiratory
C073S023300, C422S084000
Reexamination Certificate
active
07074196
ABSTRACT:
Methods for estimating the volume of the carbon dioxide stores of an individual's respiratory tract include determining a carbon dioxide store volume at which a correlation between corresponding signals of carbon dioxide elimination and an indicator of the content of carbon dioxide in blood of the individual is optimized. The estimate of the volume of carbon dioxide stores, which comprises a model of the respiratory tract, or lungs, of the individual, may be used as a transformation to improve the accuracy of one or both of the carbon dioxide elimination and carbon dioxide content signals. Transformation, or filtering, algorithms are also disclosed, as are systems in which the methods and algorithms may be used. The methods, algorithms, and systems may be used to accurately and noninvasively determine one or both of the pulmonary capillary blood flow and cardiac output of the individual.
REFERENCES:
patent: 4221224 (1980-09-01), Clark
patent: 4463764 (1984-08-01), Anderson et al.
patent: 5060656 (1991-10-01), Howard
patent: 5069220 (1991-12-01), Casparie et al.
patent: 5117674 (1992-06-01), Howard
patent: 5178155 (1993-01-01), Mault
patent: 5285782 (1994-02-01), Prosser
patent: 5285794 (1994-02-01), Lynch
patent: 5299579 (1994-04-01), Gedeon et al.
patent: 5402796 (1995-04-01), Packer et al.
patent: 5632281 (1997-05-01), Rayburn
patent: 5836300 (1998-11-01), Mault
patent: 5971934 (1999-10-01), Scherer et al.
patent: 6059732 (2000-05-01), Orr et al.
patent: 6102868 (2000-08-01), Banner et al.
patent: 6135107 (2000-10-01), Mault
patent: 6200271 (2001-03-01), Kuck et al.
patent: 6210342 (2001-04-01), Kuck et al.
patent: 6217524 (2001-04-01), Orr et al.
patent: 6227196 (2001-05-01), Jaffe et al.
patent: 6238351 (2001-05-01), Orr et al.
patent: 6306098 (2001-10-01), Orr et al.
patent: 6394962 (2002-05-01), Gama De Abreu et al.
patent: 6402697 (2002-06-01), Calkins et al.
patent: 6540689 (2003-04-01), Orr et al.
patent: 2002/0169365 (2002-11-01), Heinonen et al.
patent: 28 49 217 (1980-05-01), None
patent: WO 96/12963 (1996-04-01), None
patent: WO 96/24285 (1996-08-01), None
H. Blomquist et al.,A Non-Invasive Technique for Measurement of Lung Perfusion, Intensive Care Medicine 1986; 12:172.
R.J. Bosman et al,Non-Invasive Pulimonary Blood Flow Measurement by Means of CO2Analysis Of Expiratory Gases, Intensive Care Medicine 1991, 17:98-102.
A. Gedeon,Non-Invasive Pulmonary Blood Flow for Optimal Peep, ICOR AB, Ulvsundavagen 178 B, S-161 30 Bromma, Sweden, pp. 49-58.
Capek, J.M.,Noninvasive Measurement of Cardiac Output Using Partial CO2Rebreathing[Dissertation], Rensselaer Polytechnic Institute (1988) 28:351 p. (due to large number of pages, only table of contents and abstract have been copied).
Capek, J.M., et al.,Noninvasive Measurement of Cardiac Output Using Partial CO2Rebreathing, IEEE Trans. Biomed. Eng. (1988) 35(9):653-61.
Davies, Gerald G., et al.,Continuous Fick cardiac output compared to thermodilution cardiac output, Critical Care Medicine (1986) 14(10):881-85.
Elliot, C. Gregory, et al.,Complications of Pulmonary Artery Catheterization in the Care of Critically III Patients, Chest (1979) 76:547-52.
Fick, A.,Über die Messung des Blutquantums in den Herzventrikeln, Sitzungsbericht der Physikalisch-Medizinischen Gesellschalt zu Würzburg (1870) 36 (2 pages).
Gama de Abreu, Marcelo, et al.,Measurement of Pulmonary Capillary Blood Flow for Trending Mixed Venous Blood Oxygen Saturation and Oxygen Delivery, Crit. Care Med. (1998), vol. 26, No. 1 (Suppl.), A106, Abstract #238, (1 page).
Gama de Abreu, Marcelo, et al.,Is the Partial CO2Rebreathing Technique a Useful Tool for Trending Pulmonary Capillary Blood Flow During Adjustments of Peep?, Crit. Care Med. (1998), vol. 26, No. 1 (Suppl.), A106, Abstract #237, (1 page).
Gama de Abreu, et al.,Partial carbon dioxide rebreathing: A reliable technique for noninvasive measurement of nonshunted pulmonary capillary blood flow, Crit. Care Med. (1997) 25(4):675-83.
Gedeon, A., et al.,Noninvasive Cardiac Output Determined with a New Method Based on Gas Exchange Measurements and Carbon Dioxide Rebreathing: A Study in Animals/Pigs, J. Clin. Monit. (1992) 8(4):267-78.
Gedeon, A., et al.,A new method for noninvasive bedside determination of pulmonary blood flowMed. & Biol. Eng. & Comput. (1980) 18:411-418.
Guyton, A.E., et al.,Measurement of cardiac output by the direct Fick method, In: Cardiac output and its regulation, W.B. Saunders Company (1973) 21-39.
Kyoku, I., et al.,Measurement of cardiac output by Fick method using CO2analyzer Servo, Kyobu Geka. Japanese Journal of Thoracic Surgery (1988) 41(12):966-70.
Lynch, J., et al.,Comparison of a modified Fick method with thermodilution for determining cardiac output in critically ill patients on mechanical ventilation, Intensive Care Med. (1990) 16:248-51.
Mahutte, C. Kees, et al.,Relationship of Thermodilution Cardiac Output to Metabolic Measurements and Mixed Venous Oxygen Saturation, Chest (1993) 104(4):1236-42.
Miller, D.M., et al.,A Simple Method for the Continuous Noninvasive Estimates of Cardiac Output Using the Maxima Breathing System. A Pilot Study, Anaesth. Intens. Care (1997) 25(1):23-28.
Österlund, B., et al.,A new method of using gas exchange measurements for the noninvasive determination of cardiac output: clinical experiences in adults following cardiac surgery, Acta Anaesthesiol Scand (1995) 39:727-32.
Sackner, Marvin A.,Measurement of cardiac output by alveolar gas exchange, Handbook of Physiology—The Respiratory System IV, Chapter 13, 233-55.
Spalding, H. K., et al.,Carbon Dioxide(CO2)Elimination Rate Accurately Predicts Cardiac Output, Anesthesiology (1997) 87(3A) (1 page).
Sprung, Charles L., et al.,Ventricular Arrhythmias During Swan-Ganz Catheterization of the Critically III, Chest (1981) 79:413-15.
Taskar, V., et al.,Dynamics of Carbon Dioxide Elimination Following Ventilator Resetting, Chest (1995) 108:196-202.
Winkler, Tilo, et al.,Pulmonary Capillary Blood Flow by Partial CO2Rebreathing: A Simulation Study Using a Bicompartmental Model of Gas Exchange, Crit. Care Med. (1998), vol. 26, No. 1 (Suppl.), A105, Abstract #234, (1 page).
International Search Report of Dec. 8, 2000.
Farhi, L.E., et al., “Gas Stores of the Body and the Unsteady State,” O2 and CO2 Gas Stores, Mar. 1955, pp. 472-484.
Matthews, C.M.E., et al., “A Model for the Distribution and Transport of CO2 in the Body and the Ventilatory Reponse to CO2, ”Respiration Physiology (1968/1969), vol. 6, pp. 45-87, North-Holland Pub. Co., Amsterdam.
Critchley et al., “A meta-analysis of studies using bias and precision statistics to compare cardiac output measurement techniques,” J. Clin. Monitoring 15:85-91 (1999).
Brewer Lara
Kück Kai
Orr Joseph A.
Nasser Robert L.
Respironics Inc.
TraskBritt
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