System and method for monitoring health using exhaled breath

a technology of exhalation and health monitoring, which is applied in the field of non-invasive monitoring of substance/compound concentrations in blood, can solve the problems of ineffective medication, high incidence of side effects of tcas, and toxic to the body of certain medications, and achieve the effect of cost-effectiveness and frequentity

Inactive Publication Date: 2007-07-19
UNIV OF FLORIDA RES FOUNDATION INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0062] A resulting advantage of the subject invention is the ability to monitor such substance and/or therapeutic drug concentration in a more cost effective and frequent manner than current methods, which involve drawing blood samples and transferring the blood samples to a laboratory facility for analysis. In addition, the subject invention enables the user to immediately and conti

Problems solved by technology

It is less likely to be associated with the transfer of serious infections than other bodily fluids and collection of samples is straightforward and painless.
Medications are ineffective if blood concentration levels are too low.
Moreover, certain medications are toxic to the body when concentration levels in the blood are too high.
Although highly effective for the treatment of depression, TCAs have a high incidence of side effects, some of which maybe life-threatening, especially when blood concentrations are too high.
In addition to the toxic effects of TCAs due to inhibition of sodium and potassium channels, which occurs primarily in the heart and brain, TCAs can also cause side effects due inhibition of norepinephrine reuptake and elevated norepinephrine levels.
The latter can cause sedation, manic episodes, profuse sweating, palpitations, increased blood pressure, tachycardia, twitches and tremors of the tongue or upper extremities, and weight gain.
Although SSRIs are no more, or may actually be slightly less effective than TCAs, TCAs are less attractive because they are more toxic than SSRIs and pose a greater threat of overdose.
The greater danger with TCA is that side effects, as well as constant blood sampling, will persuade the patient to discontinue treatment.
Interestingly, recent studies have shown that some SSRIs (and a similar group of drugs—selective norepinephrine uptake inhibitors [SNRIs]) have a “cut-off” below which the drugs are far less effective than at doses above the “cut-off”, but that this can only be determined by blood concentrations, not dosage due to large inter-patient variability.
Thus, many therapeutically effective medications that require TDM are less likely to be prescribed by physicians in view of inconvenience in constant blood sampling and lack of patient compliance.
Further, in the present era of cost-effective healthcare, considerations of prescription costs have become the primary issue for all aspects of laboratory operation.
Currently available tests for TDM are invasive, difficult to administer, frequently require the patient to be in a health care setting (versus home), and/or require an extended period of time for analysis.
Such tests are generally complex, requiring a laboratory to perform the analysis.
Healthcare providers' offices rarely possess appropriate testing technology to analyze blood samples and must therefore send the samples to an off-site laboratory or refer the patient to the laboratory to have their blood drawn, which results in an extended time period for analysis.
In the process of transfer to and from a laboratory, there is a greater likelihood that samples will be lost or mishandled, or that the incorrect results are provided to the healthcare provider, which could be detrimental to the patient's health and well-being.
Further, those on-site test devices that are presently available for assessing drug concentration levels in blood are expensive.
Reference laboratories using sophisticated techniques such as gas chromatog

Method used

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  • System and method for monitoring health using exhaled breath
  • System and method for monitoring health using exhaled breath
  • System and method for monitoring health using exhaled breath

Examples

Experimental program
Comparison scheme
Effect test

example 1

Intravenous IV Anesthesia Delivery

[0179] During intravenous anesthesia, anesthetic agents are administered directly into a patient's bloodstream rather than administering gases through a breathing circuit. The administered drug may bind to proteins circulating in the blood, be absorbed into fat or exist in a “free” form. Drug bound to protein or absorbed in fat does not produce a pharmacological effect and exists in equilibrium with unbound drug. Numerous factors, including competition for binding sites on the protein from other drugs, the amount of fat in the body and the amount of protein produced, determine the equilibrium between bound and unbound drug. Unbound drug may participate directly in the pharmacological effect or be metabolized into a drug that produces the effect. Metabolism of the active drug often leads to its removal from the bloodstream and termination of its effect. The drug effect can also be terminated by the excretion of the free drug. Free drug or a metaboli...

example 2

Inhalational Anesthesia

[0191] Inhalation agents are generally administered through a breathing system. A breathing system is an assembly of components which connects the patient's airway to the anesthetic machine, from and into which the patient breathes. As known in the art, such systems generally include a fresh gas entry port / delivery tube through which the gases are delivered from the machine; a port to connect it to the patient's airway (oral airway, mask, endotracheal tube); a reservoir for gas; a expiratory port / valve through which the expired gas is vented to the atmosphere; a carbon dioxide absorber (for rebreathing); and tubes for connecting these components. Flow directing valves may or may not be used.

[0192] The sensors of the present invention are in communication with the delivered (inspired) gas and / or the expired gas of the breathing circuit to appropriately monitor the target substance(s). Preferably, the sensors are in flow communication with the appropriate tube...

example 3

Selection of Sensors

[0196] The following are examples of various sensor technologies that may be utilized in practicing the method of the present invention:

Microgravimetric Sensors

[0197] Microgravimetric sensors are based on the preparation of polymeric- or biomolecule-based sorbents that are selectively predetermined for a particular substance, or group of structural analogs. A direct measurement of mass changes induced by binding of a sorbent with a target marker can be observed by the propagation of acoustic shear waves in the substrate of the sensor. Phase and velocity of the acoustic wave are influenced by the specific adsorption of target markers onto the sensor surface. Piezoelectric materials, such as quartz (SiO2) or zinc oxide (ZnO), resonate mechanically at a specific ultrasonic frequency when excited in an oscillating field. Electromagnetic energy is converted into acoustic energy, whereby piezoelectricity is associated with the electrical polarization of materials w...

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PUM

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Abstract

The present invention includes systems and methods for monitoring endogenous compound concentration in blood by detecting markers, such as odors, upon exhalation by a patient, wherein such markers are the endogenous compound itself or result from the endogenous compound. In the case of olfactory markers, the invention preferably utilizes electronic sensor technology, such as the commercial devices referred to as “artificial” or “electronic” noses or tongues, to non-invasively monitor endogenous compound levels in blood. The invention further includes a reporting system capable of tracking endogenous compound concentrations in blood (remote or proximate locations) and providing the necessary alerts with regard to emergent or harmful conditions in a patient.

Description

CROSS-REFERENCE TO A RELATED APPLICATION [0001] This application is a continuation-in-part of co-pending International Application No. PCT / US2005 / 006355, filed Feb. 28, 2005, which is a continuation-in-part of co-pending U.S. patent application Ser. No. 10 / 788,501, filed Feb. 26, 2004, which is a continuation-in-part of co-pending U.S. patent application Ser. No. 10 / 178,877, filed Jun. 24, 2002, which is a continuation-in-part of co-pending U.S. patent application Ser. No. 10 / 054,619, filed Jan. 22, 2002. All of the afore-mentioned applications are hereby incorporated by reference herein in their entirety, including any figures, tables, or drawings.FIELD OF INVENTION [0002] The present invention relates to non-invasive monitoring of substance / compound concentrations in blood; and more particularly, to a system and method for the determination of drug concentrations and endogenous compounds in blood utilizing a breath detection system. BACKGROUND INFORMATION [0003] Breath is a unique...

Claims

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Application Information

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IPC IPC(8): A61B5/08
CPCA61B5/082A61B5/7267A61B5/14546A61B5/411A61B5/4821A61M16/01A61M16/0808A61M16/1045A61M16/18A61M16/22A61M2016/0036A61M2016/1035A61M2202/0275A61M2202/0486A61M2205/18A61M2205/3553A61M2205/3561A61M2205/3584A61M2205/52A61M2205/80A61M2230/43A61M2230/432A61M2230/435A61M2230/437G01N33/497A61B5/14532A61M16/0841A61M16/0051A61M16/026G16H40/63G16H20/17G16H20/40
Inventor MELKER, RICHARD J.DENNIS, DONN MICHAELBJORAKER, DAVID G.GOLD, MARK S.
Owner UNIV OF FLORIDA RES FOUNDATION INC
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