Transbronchial reflectance oximetric measurement of mixed...

Surgery – Diagnostic testing – Measuring or detecting nonradioactive constituent of body...

Reexamination Certificate

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C600S341000

Reexamination Certificate

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06961600

ABSTRACT:
Provided are methods and a system for the transbronchial reflectance oximetric measurement of mixed venous oxygen saturation in the pulmonary artery of a patient, and a device therefor. Thus, provided is a quick, minimally invasive, method and system for determining an important endpoint of resuscitation, particularly for a patient in shock, because the probe used to measure the venous oxygen saturation is configured to permit insertion through an endotracheal tube until the probe is placed in contact with the bronchial luminus mucosa of the patient's right bronchus, left bronchus or distal trachea, directly adjacent to the patient's pulmonary artery.

REFERENCES:
patent: 3847483 (1974-11-01), Shaw et al.
patent: 5005573 (1991-04-01), Buchanan
patent: 5111817 (1992-05-01), Clark et al.
patent: 5127408 (1992-07-01), Parsons et al.
patent: 5329922 (1994-07-01), Atlee, III
patent: 5357954 (1994-10-01), Shigezawa et al.
patent: 5417207 (1995-05-01), Young et al.
patent: 5715816 (1998-02-01), Mainiero et al.
patent: 5954050 (1999-09-01), Christopher
patent: 6071237 (2000-06-01), Weil et al.
patent: 6073037 (2000-06-01), Alam et al.
Baele, P.L., McMichan, J.C., Marsh, H.M., Sill, J.C., and Southorn, P.A., “Continuous monitoring of mixed venous oxygen saturation in critically ill patients,”Anesth. Analg.61:513 (1982).
Baldwin, I.C., and Heland, M., “Incidence of cardiac dysrhythmias in patients during pulmonary artery catheter removal after cardiac surgery,”Heart Lung29:155 (2000).
Boscoe, M.J. and de Lange, S., “Damage to the tricuspid valve with a Swan-Ganz catheter,”BMJ283:346 (1981).
Boyd, K.D., Thomas, S.J., and Gold, J., “A prospective study of complications of pulmonary artery catheterizations in 500 consecutive patients,”Chest84:245 (1983).
Brimacombe, J., Keller, C., and Margreiter, J., “A pilot study of left tracheal pulse oximetry,”Anesth. Analg.91:1003 (2000).
De Lima, L.G., Wynands, J.E., Bourke, M.E., and Walley, V.M., “Catheter-induced pulmonary artery false aneurysm and rupture: case report and review,”J. Cardiothoracic Vasc. Anesth.8:70 (1994).
Ducatman, B.S., McMichan, J.C., and Edwards, J.E., “Local complications associated with indwelling Swan-Ganz catheters: A one-year prospective study of 141 autopsies,”JAMA253:791 (1985).
Edwards, J.D., and Mayall, R.M., “Importance of the sampling site for measurement of mixed venous oxygen saturation in shock,”Crit. Care Med.26:1356 (1998).
Elliott, C.G., Zimmerman, G.A., and Clemmer, T.P., “Complications of pulmonary artery catheterization in the care of critically ill patients. A prospective study,”Chest76:647 (1979).
Foote, G.A., Schabel, S.I., and Hodges, M.H., “Pulmonary complications of the flow directed balloon-tipped catheter,”N. Engl. J. Med.290:927 (1974).
Fowler, N.O., Westcott, R.N., and Scott, R.C., “Disturbances in cardiac mechanism of several hours duration complicating cardiac venous catheterization,”Am. Heart J.46:652 (1951).
Gattinoni, L, Brazzi, L., Pelosi, P., Latini, R., Tognoni, G., Pesenti, A., and Fumagalli, R., “A trial of goal-directed hemodynamic therapy in critically ill patients,”N. Engl. J. Med.333;1025 (1995).
Greenall, M.J., Blewett, R.W., and McMahon, M.J., “Cardiac tamponade and central venous catheters,”BMJ2:595 (1975).
Henzel, J.W., and DeWeese, M.S., “Morbid and mortal complications associated with prolonged central venous cannulation: awareness, recognition, and prevention,”Am. J. Surg.121:600 (1971).
Hull, E.L., and Foster, T.H., “Noninvasive Near-Infrared Hemoglobin Spectroscopy for in-vivo Monitoring of Tumor Oxygenation and Response to Oxygen Modifiers,” InOptical Tomography and Spectroscopy of Tissue: Theory, Instrumentation, Model and Human Studies II,Chance, B., and Alfano, R.R. (eds.),SPIE Proc.2979:355 (1997).
Katz, J.D., Cronau, L.H., and Barash, P.G., “Pulmonary artery flow-guided catheters in the perioperative period. Indications and Complications,”JAMA237:2832 (1977).
Margreiter, J., Keller, C., and Brimacombe, J., “The Feasibility of Transesophogeal Echocardiograph-Guided Right and Left Ventricular Oximetry in Hemodynamically Stable Patients Undergoing Coronary Artery Bypass Grafting,”Anesth. Analg.94:794 (2002).
McDaniel, D.D., Stone, J.G., and Faltas, A.N., “Catheter-induced pulmonary artery hemorrhage. Diagnosis and management in cardiac operations,”J. Thorac. Cardiovasc. Surg.82:1 (1981).
Mermel, L.A., McCormick, R.D., and Springman, S.R., “The pathogenesis and epidemology of catheter-related infection with pulmonary artery Swan-Ganz catheters: a prospective study utilizing molecular subtyping,”Am. J. Med.91:197S (1991).
Michel, L., Marsh, H.M., and McMichan, J.C., “Infection of pulmonary artery catheters in critically ill patients,”JAMA245:1032 (1981).
Morris, D., Mulvihill, D., and Lew, W.Y., “Risk of developing complete heart block during bedside pulmonary artery catheterization in patients with left bundle-branch block,”Arch. Intern Med.147:2005 (1987).
O'Toole, J.D., Wurtzbacher, J.J., Wearner, N.E., and Jain, A.C., “Pulmonary-valve injury and insufficiency during pulmonary-artery catheterization,”NEJM301:1167 (1979).
Patil, A.R., “Risk of right bundle-branch block and complete heart block during pulmonary artery catheterization [letter],”Crit. Care Med.18:122 (1990).
Puri, V.K., Carlson, R.W., Bander, J.J., and Weil M.H., “Complications of vascular catheterization in the critically ill,”Crit. Care Med.8: 495 (1980).
Risk, S.C., Brandon, D., and D'Ambra, M.N., “Indications for the use of pacing pulmonary artery catheters in cardiac surgery,”J. Cardiothoracic Vasc. Anesth.2:275, 1992.
Rivers, E., Nguyen, B., Havstad, S., Ressler, J., Muzzin, A., Knoblich, B., Petersen, E., and Tomlanovich, M., “Early goal-directed therapy in the treatment of severe sepsis and septic shock,”N. Engl. J. Med.345:1368 (2001).
Robin, E.D., “Death by pulmonary artery flow-directed catheter. Time for a moratorium?,”Chest92:727 (1987).
Schwartz, K.V., and Garcia, F.G., “Entanglement of Swan-Ganz catheter around an intracardiac structure,”JAMA237:113 (1987).
Shah, K.B., Rao, T.L.K., and Laughlin, S., “A review of pulmonary artery catheterization in 6,245 patients,”Anesthesiology61:271 (1984).
Sise, M.J., Hollingsworth P., and Brimm J., “Complications of the flow-directed pulmonary-artery catheter: a prospective analysis of 219 patients,”Crit. Care Med.9:315 (1981).
Sprung, C.L., Elser, B., and Schein, M.H., “Risk of right bundle-branch block and complete heart block during pulmonary artery catheterization,”Crit. Care Med.17:1 (1989).
Svedjeholm, R., Hakanson, E., and Szabo, Z., “Routine SVO2 measurement after CABG surgery with a surgically introduced pulmonary artery catheter,”Eur. J. of Cardio-Thor. Surg.16:450 (1999).
Takatani, S., and Ling, J., “Optical oximetry sensors for whole blood and tissue,”IEEE Eng. Med. Biol. Mag.3:347 (1994).
Zilstra, W.G., Buursma, A. and van Assendelft, O.W., InVisible and Near Infrared Absorption Spectra of Human and Animal Haemoglobin,Utrecht: VSP, pp. 262 (2000).
Zonios, G., Perelman, L.T., Backman, V., and Manoharan, R., “Diffuse Reflectance Spectroscopy of Human Adenomatous Colon Polyps in vivo,”Applied Optics38(31):6628 (1999).

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