Abstract: Ischemia in a hollow internal organ can be detected in its incipient stages by obtaining a CO.sub.2 sample from within the organ of interest, measuring the partial pressure of CO.sub.2 sample, measuring the bicarbonate concentration of an arterial blood sample, and on the basis of these two measurements calculating the pH of the wall of the organ. The value of the pH is an indicator of the onset of ischemia in the organ. The CO.sub.2 sample is obtained by a novel catheter, multiple embodiments of which are disclosed. Also disclosed is a method for determining the vitality or adequacy of oxygenation of the whole body, or a solid internal organ, by the measurement of the pH of venous blood.

Abstract: A tonometric device for use in hollow viscus tonometry and remote sensing of patient fluid parameters is disclosed in combination with a secondary apparatus, such as a urinary catheter, a nasogastric sump apparatus, or a feeding tube, for example. The device is capable of monitoring certain critical fluid properties of interest, such as oxygen gases and carbon dioxide gases in the wall tissue itself of the patient's organ, rather than monitoring such properties in a lumen of the organ. A walled sampling chamber, which is preferably an inflated balloon member, is provided on an elongated tube, with provisions for positioning the sampling chamber in direct contact with a wall portion of the patient's internal organ.

Abstract: An improved tonometric catheter can be configured to have one or more pressure transmitting chambers for sensing the internal pressure such as the internal abdominal pressure of a subject. The tonometric catheter is inserted into the patient such as a nasogastric catheter. The pressure sensing chamber in the form of a balloon is insufflated with a pressure transmitting medium when the balloon is in the desired location. After insufflation of the chamber the catheter is connected to a pressure transducer or manometer which then provides an output reading the internal pressure of the subject. The tonometric catheter with a pressure sensing chamber is useful for sensing the internal abdominal pressure such as during laparoscopic surgery. The sensing of internal pressure can also be used at other locations along the gut or in the cranium. The monitoring of internal pressure is also useful in conjunction with the monitoring of internal pH.

Abstract: A tonometric device for use in hollow viscus tonometry and remote sensing of patient fluid parameters is disclosed. The device is capable of monitoring certain critical fluid properties of interest, such as oxygen gases and carbon dioxide gases in the wall tissue itself of the patient's organ, rather than monitoring such properties in a lumen of the organ. A walled sampling chamber, which is preferably an inflated balloon member, is provided on an elongated tube, with provisions for positioning the sampling chamber in direct contact with a wall portion of the patient's internal organ.

Abstract: A tonometric device for use in hollow viscus tonometry and remote sensing of patient fluid parameters is disclosed. The device is capable of monitoring certain critical fluid properties of interest, such as oxygen gases and carbon dioxide gases in the wall tissue itself of the patient's organ, rather than monitoring such properties in a lumen of the organ. A walled sampling chamber, which is preferably an inflated balloon member, is provided on an elongated tube, with provisions for positioning the sampling chamber in direct contact with a wall portion of the patient's internal organ.

Abstract: The pCO.sub.2 probe has a miniaturized glass bulb pH sensor concentrically arranged in a flexible, noncollapsible hollow tube. A silicone end cap is expanded in a freon solvent and placed over the end of the tube while the freon evaporates, returning the end cap to its normal contracted size where it forms a tight elastic fit. The pH sensor includes an internal electrode and an outer electrode is concentrically wrapped about the glass bulb so the electrodes are in close proximity. The glass bulb and the chamber defined by the tube walls and silicone membrane are both filled with suitable electrolytes of sufficient volume to minimize air bubbles. Without air bubbles, the electrodes remain emersed in the respective electrolytes regardless of the physical orientation of the probe.