Method and system for monitoring nutritional uptake as a function of hydrogen gas levels

Patent metadata

Field	Value
Publication number	US-10028892-B2
Application number	US-201514803827-A
Country	US
Kind code	B2
Filing date	Jul 20, 2015
Priority date	Dec 14, 2010
Publication date	Jul 24, 2018
Grant date	Jul 24, 2018

Abstract

Systems and methods for monitoring nutritional uptake of an individual are disclosed. The method can include monitoring microflora intestinal gas concentration levels associated with a patient and adjusting the volume of nutrient provided by the patient with an artificial feeding device based at least in part on the microflora intestinal gas levels associated with the patient. A microflora intestinal gas sensor can be used to monitor the microflora intestinal gas associated with the patient. The microflora intestinal gas sensor can monitor the microflora intestinal gas in a patient's exhaled breath or in the patient's digestive tract. The microflora intestinal gas sensor be included as part of an enteral feeding system at the distal end or outside end of an enteral feeding tube. Systems and methods for monitoring nutritional uptake of an infant based on microflora intestinal gas levels associated with the infant are also disclosed.

First claim

What is claimed:

1. A system for monitoring artificial feeding of a patient, the system comprising:
a feeding device configured to deliver a volume of nutrient to a patient at an initial feeding rate;
a microflora intestinal gas sensor configured to monitor an amount of microflora intestinal gas associated with the patient; and
a controller configured to adjust the volume of nutrient delivered to the patient based at least in part on the amount of microflora intestinal gas associated with the patient;
wherein the feeding device is configured to deliver the volume of nutrient to the patient with both continuous and intermittent delivery separately, and wherein the feeding device is configured to provide nutrient to the patient when the amount of microflora intestinal gas associated with the patient is less than a first threshold value and to stop delivery of nutrient to the patient when the amount of microflora intestinal gas associated with the patient is greater than a second threshold value.

2. The system of claim 1 , wherein said feeding device comprises an enteral feeding device having a distal end inserted in said patient and an outside end coupled to a nutrient source.

3. The system of claim 2 , wherein said microflora intestinal gas sensor is located at the distal end of said enteral feeding tube.

4. The system of claim 2 , wherein said microflora intestinal gas sensor is located at the outside end of said enteral feeding tube.

5. The system of claim 1 , wherein said microflora intestinal gas sensor comprises a sensor configured to monitor exhaled breath of the patient.

6. The system of claim 1 , wherein said microflora intestinal gas sensor is configured to monitor the amount of microflora intestinal gas in areas selected from the stomach and the small intestine of the patient.

7. The system of claim 1 , wherein said system further comprises an alert system configured to provide an alert to a caregiver based at least in part on the amount of microflora intestinal gas monitored by said microflora intestinal gas sensor.

8. The system of claim 1 , wherein the system is configured to monitor the amount of microflora intestinal gas associated with the patient before delivering the volume of nutrient to the patient with the feeding device to determine a baseline value of microflora intestinal gas, and wherein the system is configured to determine a relative change in microflora intestinal gas associated with the patient from the baseline value after delivering the volume of nutrient to the patient to adjust the volume of nutrient delivered to the patient based at least in part on the relative change in microflora intestinal gas.

9. The system of claim 1 , wherein the feeding device is coupled to a control loop configured to regulate the volume of nutrient delivered by the feeding device based at least in part on the amount of microflora intestinal gas monitored by the microflora intestinal gas sensor.

10. The system of claim 1 , wherein the feeding device is configured to increase the initial feeding rate if the monitored amount of microflora intestinal gas is less than a first threshold value, maintain the initial feeding rate substantially constant if the monitored amount of microflora intestinal gas is greater than the first threshold value and less than a second threshold value, and decrease the initial feeding rate if the monitored amount of microflora intestinal gas is greater than the second threshold value.

11. The system of claim 10 , wherein the first threshold value is in the range of about 3 ppm to about 25 ppm and the second threshold value is in the range of about 65 ppm to about 85 ppm.

12. The system of claim 1 , wherein the microflora intestinal gas sensor is configured to monitor the amount of microflora intestinal gas from areas selected from the patient's breath, the patient's digestive tract, and combinations thereof.

13. The system of claim 1 , wherein the microflora intestinal gas is hydrogen.

14. The system of claim 13 , wherein monitoring the amount of the microflora intestinal gas associated with the patient includes monitoring a concentration of the microflora intestinal gas associated with the patient.

15. A system for monitoring artificial feeding of a patient, the system comprising:
a feeding device configured to deliver a volume of nutrient to a patient at an initial feeding rate;
a microflora intestinal gas sensor configured to monitor an amount of microflora intestinal gas associated with the patient; and
a controller configured to adjust the volume of nutrient delivered to the patient based at least in part on the amount of microflora intestinal gas associated with the patient;
wherein the feeding device is configured to provide nutrient to the patient when the amount of microflora intestinal gas associated with the patient is less than a first threshold value and to stop delivery of nutrient to the patient when the amount of microflora intestinal gas associated with the patient is greater than a second threshold value.

16. The system of claim 15 , wherein monitoring the amount of the microflora intestinal gas associated with the patient includes monitoring a concentration of the microflora intestinal gas associated with the patient, and wherein the first threshold value is in the range of about 3 ppm to about 25 ppm and the second threshold value is in the range of about 65 ppm to about 85 ppm.

17. The system of claim 15 , wherein the microflora intestinal gas is hydrogen.

18. A system for monitoring artificial feeding of a patient, the system comprising:
a feeding device configured to deliver a volume of nutrient to a patient at an initial feeding rate;
a microflora intestinal gas sensor configured to monitor an amount of microflora intestinal gas associated with the patient; and
a controller configured to adjust the volume of nutrient delivered to the patient based at least in part on the amount of microflora intestinal gas associated with the patient;
wherein the feeding device is configured to increase the initial feeding rate if the monitored amount of microflora intestinal gas is less than a first threshold value, maintain the initial feeding rate substantially constant if the monitored amount of microflora intestinal gas is greater than the first threshold value and less than a second threshold value, and decrease the initial feeding rate if the monitored amount of microflora intestinal gas is greater than the second threshold value.

19. The system of claim 18 , wherein monitoring the amount of the microflora intestinal gas associated with the patient includes monitoring a concentration of the microflora intestinal gas associated with the patient, and wherein the first threshold value is in the range of about 3 ppm to about 25 ppm and the second threshold value is in the range of about 65 ppm to about 85 ppm.

20. The system of claim 18 , wherein the microflora intestinal gas is hydrogen.

Assignees

• Kimberly Clark Co

Inventors

• Macdonald John Gavin
• Koh Cholwon
• Sa Inyoung

Classifications

• A61B5/6871

  Stomach · CPC title

• C12N15/113

  Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; {Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing (when used in plants C12N15/8218)} · CPC title

• A61B5/4866

  Evaluating metabolism (using breath test A61B5/083) · CPC title

• A61J15/0084

  for sensing parameters related to the patient · CPC title

• A61J15/00 Primary

  Feeding-tubes for therapeutic purposes · CPC title