Surgery: kinesitherapy – Kinesitherapy – Exercising appliance
Reexamination Certificate
2006-09-19
2006-09-19
Dawson, Glenn K. (Department: 3731)
Surgery: kinesitherapy
Kinesitherapy
Exercising appliance
C128S200240, C600S532000, C600S538000
Reexamination Certificate
active
07108666
ABSTRACT:
Disclosed is a method and device for performing forced expiratory maneuver in an infant to assess the infant's pulmonary function. Under this method, the infant's lungs are synchronously inflated to super-atmospheric levels synchronous with the infant's natural tidal inspiration for a plurality of consecutive respiratory cycles. The end-expiratory CO2levels in the infant's respiration are measured during the test. When the end-expiratory CO2concentration decreases from the baseline by a pre-defined amount, the infant lungs are rapidly inflated to substantially total lung volume and rapidly deflated to produce a maximum forced expiration. The pre-defined amount of change in CO2concentration is usually determined by the testing clinician. Typical concentration drop in CO2levels, for example, ranges between 4 and 8 mmHg. But the decrease may also be as little as 2 mmHg or as much as 15 mmHg, depending on the testing clinician. The decrease in the end-expiratory CO2level of the infant indicates that the infant's respiratory center is sufficiently modified to allow for the measurement.
REFERENCES:
patent: 1055267 (1913-03-01), Gibson
patent: 2364602 (1944-12-01), Comer et al.
patent: 2490395 (1949-12-01), Wilm
patent: 2833275 (1958-05-01), Tunnicliffe
patent: 2869537 (1959-01-01), Chu
patent: 3042024 (1962-07-01), Mendelson
patent: 3043292 (1962-07-01), Mendelson
patent: 3481327 (1969-12-01), Drennen
patent: 3509899 (1970-05-01), Hewson
patent: 3621835 (1971-11-01), Suzuki et al.
patent: 3786809 (1974-01-01), Kitrilakis
patent: 4004579 (1977-01-01), Dedo
patent: 4539984 (1985-09-01), Kiszel et al.
patent: 4977889 (1990-12-01), Budd
patent: 5222478 (1993-06-01), Scarberry et al.
patent: 5261397 (1993-11-01), Grunstein
patent: 5318038 (1994-06-01), Jackson et al.
patent: 5513647 (1996-05-01), Castile
patent: 6090056 (2000-07-01), Bystrom et al.
patent: 6581595 (2003-06-01), Murdock et al.
Adler, S.M. et al., “Flow-Volume Relationship At Low Lung Volumes In Healthy Term Newborn Infants,” Pediatrics, vol. 61, No. 4, pp. 636-640, Apr. 1978.
Amsler, B. et al., “The Effects Of Varying Inflation And Deflation Pressures On The Expiratory Deflation Flow-Volume Relationships In Anaesthetized Rhesus Monkeys,” British Physio. Society.
Bar-Yishay et al., “Partial Forced Expired Flow-Volume (PEFV) Maneuvers By The Squeeze Technique Does Not Yield Higher Flows With Better Infant Relaxation,” Am Rev Respir Dis, vol. 143, No. 4, Part 2 (Suppl.), Apr. 1991.
Deakers, T.W. et al., “Demonstration Of Flow Limitation During Maximum Expiratory Deflation Flow-Volume Maneuvers In Anesthetized Rhesus Monkeys,” Am Rev Respir Dis, vol. 143, No. 4, Part 2 (Suppl.), Apr. 1991.
Hammer, J. et al., “The Achievement Of Flow Limitation In Intubated Infants With Normal Lungs And Obstructive Airways Disease,” Am Rev Respir Dis, vol. 147, No. 4, Part 2 (Suppl.), Apr. 1993.
Hammer, J. et al., “Effect of Lung Volume on Forced Expiratory Flows During Rapid Thoracoabdominable Compression in Infants,” J. Appl. Physiol. 78, vol. 5, pp. 1993-1997 (1995).
Hammer, J. et al., “Flow Limitation In Anesthetized Rhesus Monkeys: A Comparison Of Rapid Thoracoabdominal Compression And Forced Deflation Techniques,” Pediat. Res., vol. 39, No. 3, pp. 539-546 (1996).
Inscore, S.C. et al., “Non-Invasive Measurement Of The Passive Deflation Compliance Of The Respiratory System In Infants,” Am Rev Respir Dis, vol. 135, No. 4, Part 2 (Suppl.), Apr. 1987.
LeSouef, P.N. et al., “Forced Epiratory Maneuvers,” Infant Respiratory Function Testing, Chapter 15, pp. 379-408 ( p. 390 of article only) (1996).
Motoyama, E.K., “Pulmonary Mechanics During Early Postnatal Years,” Pediat. Res., vol. 11, pp. 220-223 (1977).
Motoyama et al., “Early Onset Of Airway Reactivity In Premature Infants With Bronchopulmonary Dysplasia,” Am Rev Respir Dis, vol. 136, pp. 50-57 (1987).
Newth et al., “The Effects Of Varying Inflation And Deflation Pressures On The Maximal Expiratory Deflation Flow-Volume Relationship In Anesthetized Rhesus Monkeys,” Am Rev Respir Dis, vol. 144, pp. 807-813 (1991).
Newth et al., “The Achievement Of Flow Limitation In Anesthetized Rhesus Monkeys: A Comparison Of Squeeze Jacket And Deflation Techniques,” Am Rev Respir Dis, vol. 145, No. 4, Part 2 (Suppl.), Apr. 1992.
Pedersen et al., “Airway Compliance And Flow Limitation During Forced Expiration In Dogs,” J. Appl. Physiol., vol. 52, No. 2, pp. 357-369 (1982).
Tepper et al., “Comparison Of Forced Expiratory Flows Initiated At End-Tidal Inspiration And At Elevated Lung Volumes In Normal Infants,” Am Rev Respir Dis, vol. 147, No. 4, Part 2 (Suppl.), Apr. 1993.
Turner D.J. et al, “Assessment of Respiratory Function in Infants Pumped to Higher Lung Volumes,” Am. Rev. of Respiratory Disease, vol. 143, p. 126 (abstract), Apr. 1991.
Turner D.J. et al., “Assessment of Forced Expiratory Volume—Time Parameters in Detecting Histamine-Induced Bronchoconstriction in Wheezy Infants,” Abstract, Am Rev of Respiratory Disease, vol. 147, No. 4, Part 2, Apr. 1993.
Turner, D.J. et al., “Pressure Transmission Across The Respiratory System At Raised Lung Volumes In Infants,” Am Rev Respir Dis, vol. 145, No. 4, Part 2 (Suppl.), Apr. 1992.
Turner, D.J. et al., “Respiratory Function From Raised Lung Volumes In Normal And Wheezy Infants,” Am Rev Respir Dis, vol. 145, No. 4, Part 2 (Suppl.), Apr. 1992.
Turner, D.J. et al., “Improved Detection Of Abnormal Respiratory Function Using Forced Expiration From Raised Lung Volumes In Infants With Cystic Fibrosis,” Am Rev Respir Dis, vol. 147, No. 4, Part 2 (Suppl.), Apr. 1993.
ECO Medics Operating Guide for Exhalyzer D, Oct. 2001.
ECO Medics Exhalyzer®D Specifications.
ECO Physics spiroWare® “Add on Tools”, Eco Physics Website Sep. 30, 2002.
ECO Physics Scientific Articles, Eco Physics Website Sep. 30, 2002.
Equilibrated Bio Systems, Inc., 2605 Infant Hugger Operator's Manual.
Equilibrated Bio Systems, Inc., Introducing the EBS2605 Infant Hugger.
SensorMedics 2600 Pediatric Pulmonary Cart.
Dawson Glenn K.
Sensormedics Corporation
Sidley Austin LLP
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