An apparatus for monitoring for accumulation of lung fluid comprises a feeding tube having first electrode(s) positioned thereon for electrical contact with tissue of an esophagus of a target patient including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, second electrode(s) sized and shaped for contacting skin of the target patient, and a non-transitory memory having stored thereon code instructions for applying alternating current(s) to pair(s) of first and second electrodes, measuring a voltage over the pair(s), and computing an estimate of a change of lung fluid relative to a baseline in lung(s) of the target patient according to the applied alternating current and measured voltage, wherein the applying, the measuring, and the computing the estimate of the change in lung fluid are iteratively executed for monitoring the target patient for accumulation of lung fluid while the feeding tube is in use.

Methods and apparatus for guiding medical care based on sensor data from the gastrointestinal tract are described utilizing an apparatus which can be used with enteral feeding. Generally, the apparatus includes an elongated body having a length configured for insertion into a stomach and at least one pair of electrodes located along the length of the elongated body and positionable for placement within the stomach. A controller in electrical communication with the at least one pair of electrodes is included and the control may also be configured to measure a conductivity or impedance between the pair of electrodes and to determine a gastric residual volume of the stomach based on the measured conductivity or impedance.

An apparatus for coupling radiation into and out of an optical fiber includes an optical element, a radiation system and a sensor system. The optical element is for coupling radiation into and out of the optical fiber. The radiation system produces input radiation, so that the input radiation is at least partially received by the optical element. The sensor system is for receiving output radiation from the optical element and operates to generate a signal indicative of at least one characteristic of the output radiation. The optical element, the radiation system and the sensor system are generally co-axial and the radiation system and the sensor system are both disposed on the same side of the optical element.

An appliance (1) for enteral nutrition by means of a probe of the type comprising a tubular element of elongated shape and substantially flexible which defines a feeding channel open at the extremities for the introduction of nutritional substances in the stomach of a patient and which comprises at least a first inflatable balloon for detecting the pressure inside the oesophagus of a patient, the tubular element comprising at least a first inlet/outlet mouth for the air in/from the first balloon, the appliance (1) further comprising: at least a pneumatic circuit (3) having pumping means (4) associable at least with the first inlet/outlet mouth for inflating/deflating the first balloon; processing means (8) comprising: detection means which can be connected to the first balloon to detect the patient's oesophageal pressure (p.sub.es); reading means of the pressure of the respiratory tract (p.sub.aw) which can be connected to an external detection device; calculation means operatively connected to the detection means and to the reading means and able to calculate at least the transpulmonary pressure (p.sub.tp); graphic display means (10) operatively connected to the processing means (8) and able to display at least one of the oesophageal pressure (p.sub.es), the pressure of the respiratory tract (p.sub.aw) and the transpulmonary pressure (p.sub.tp).

A medical pump, comprising: a fluid housing having a plurality of intake openings, sealed by at least one intake valve, and an outlet opening sealed by an outlet valve; a piston which is sealing the fluid housing and connected to a drive mechanism, the drive mechanism pulls the piston to draw fluid from one of the plurality of intake openings and pushes the piston to discharge the fluid into the outlet opening; and a selecting valve enclosing at least two tubes, each providing fluid to one of the plurality of intake openings, wherein the selecting valve closes one of the at least two tubes while opening another of the at least two tubes.

Methods and apparatus for accessing and monitoring the gastrointestinal tract are described herein. One variation of a feeding tube system may generally comprise a gastric access device having a length, a controller in communication with the gastric access device, and one or more impedance or conductivity sensors positioned along the length and one or more temperature sensors positioned along the length. The controller may be configured to receive a first signal associated with the impedance or conductivity sensors and a second signal associated with respiration and determine whether a placement of the gastric access device is within a stomach of the subject.

A system for measuring cardiovascular data includes an elongate member having a channel, a first expandable member carried by the elongate member and movable between a collapsed state and an expanded state by adjustment initiated externally of a subject, a first sensor disposed on a surface of the elongate member, second and third sensors disposed on a surface of the first expandable, a first optical sensor located at a first location in relation to the distal end of the elongate member and configured for obtaining photoplethsmographic data, and wherein the first expandable member in its expanded state is configured to interface with the subject's larynx for delivery of at least oxygen gas into the respiratory system of the subject, and the second and third sensors are configured to contact tissue in proximity to the larynx when the first expandable member is in its expanded state.

An apparatus for use in tube feeding has a cylindrical body provided with first opening and second openings connected by a flow channel. The body has a reagent, for determining a characteristic of fluid disposed in the body and a transparent window to view the reagent. In use, a first end of an internal feeding tube releasably engages with the first opening. The second, distal end of the feeding tube is disposed inside a patient. A second feeding tube engages with the second opening. The second feeding tube connects the apparatus to a bi-directional pump operable: to pump internal fluid from a reservoir, through the apparatus and into the internal feeding tube; and to pump fluid from the patient into the body of the apparatus. This allows a user to pump fluid from the patient into the body of the apparatus to react with the reagent.

A long, thin, flexible medical apparatus, a kit, and a method placing, confirming, and visualizing placement of a gastric tube. The apparatus comprises an elongate body portion, a handle, and a distal tip portion. An ability to insert and remove the body and distal tip portions in relation to the gastric tube over the length of the long, thin, flexible structure provides a positive indication that the lumen is not blocked, obstructed, or otherwise compromised over that length. pH indicator sensors and, additionally or alternatively, radiopaque markers may be retained by the distal tip portion. The pH sensors exhibit a verifiable color change in response to contact with a predetermined subject fluid. The radiopaque markers enable a determination with certainty of the location and orientation of the distal tip portion of the apparatus and of the distal portion of a gastric tube in which the apparatus is disposed.

A balloon catheter (100), suitable for delivery of a balloon to the stomach via application by the nose, the balloon catheter comprising a catheter (2) and one or more inflatable balloons (1) fixedly attached to the catheter. The balloons have an outer diameter from 4 to 7 cm, are made of a relatively hard material (e.g. durometer 70 to 100 shore A), and have an effective length of 7 to 18 cm or a total inner volume of 90 to 330 ml, when inflated by 0.2 psi. A system comprising the balloon catheter, and a pressure sensor for measuring a pressure of a fluid inside the balloon, and optionally a fluid pump for inflating and/or deflating the balloon, and a control unit for reading the pressure sensor and optionally for controlling the fluid pump.