Methods for accurately, substantially noninvasively...

Surgery – Diagnostic testing – Respiratory

Reexamination Certificate

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C073S023300, C422S084000

Reexamination Certificate

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07025731

ABSTRACT:
A method for noninvasively determining the pulmonary capillary blood flow or cardiac output of a patient includes measurement of respiratory flow and carbon dioxide pressure of the patient's breathing. These measurements are used to calculate carbon dioxide elimination and an indicator of the carbon dioxide content of the patient's blood. A geometric relationship between the carbon dioxide elimination data and the data of the indicator of carbon dioxide content is determined. At least one set of the data is modified and at least one other determination of a geometric relationship between the data is made to find the most accurate data set. The data may be modified by filtering or clustering. A slope of at least a portion of the geometric relationship is then used to determine the pulmonary capillary blood flow or cardiac output of the patient.

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: 6238351 (2001-05-01), Orr et al.
patent: 6306098 (2001-10-01), Orr et al.
patent: 6394962 (2002-05-01), Gama De Abreau et al.
patent: 6402697 (2002-06-01), Calkins et al.
patent: 6540689 (2003-04-01), Orr et al.
patent: 28 49 217 (1980-05-01), None
patent: WO 96/24285 (1996-08-01), None
patent: WO 98/12963 (1998-04-01), 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 Ill Patients, Chest (1979) 76:647-52.
Fick, A., Über die Messung des Blutquantums in den Herzventrikoln, Sitzungsbericht der Physikalisch-Medizinischen Gesellschaft 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 flow, Med. & 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.
International Search Report of Dec. 8, 2000.
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 Estimate of Cardiac Output Using the Maxime Breathing System. A Pilot Study, Anaesth. Intens. Care (1997) 25(1):23-28.
Osterlund, 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, Acts Anaethesiol 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 Ill, 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).

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