System and method for assessing urinary function

• US 20030023134A1
• Filed: 06/27/2002
• Published: 01/30/2003
• Est. Priority Date: 06/29/2001
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Tracey, Michael R.
• Granted Patent: US 7,004,899 B2
• Time in Patent Office: Days
• US Class Current: 600/29
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00
• CPC Class Codes: A61B 2560/0443 Modular apparatus
• CPC Class Codes: A61B 5/202 Assessing bladder functions, e.g. incontinence assessment
• CPC Class Codes: A61B 5/204 Determining bladder volume
• CPC Class Codes: A61B 5/205 Determining bladder or urethral pressure
• CPC Class Codes: A61B 5/208 adapted to determine urine quantity, e.g. flow, volume
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface

Abstract

A portable, self-contained medical diagnostic system is provided for assessing urinary function. The system includes a control device including a processor, a pump device, and a pressure sensor, and a test module removably coupled to the control device, and further including a pressure interface and a tubing assembly defining a first fluid conduit between a first fluid inlet and a first fluid outlet. The pump device is coupled to the first fluid conduit for pumping fluid therethrough. The system also includes an insert member having a first channel therethrough and coupled to the first fluid outlet so that fluid flowing through the first fluid conduit may flow through the first channel. The insert member is dimensioned for insertion into a patient'"'"'s bladder through the urethral canal. When so inserted, the pressure interface transmits bladder pressure information to the pressure sensor.

Claims

1. A portable, self-contained medical diagnostic system for assessing urinary function comprising:

a control device including a processor, a pump device, and a pressure sensor;

a test module removably coupled to the control device, the test module further comprising a pressure interface and a tubing assembly defining a first fluid conduit between a first fluid inlet and a first fluid outlet, wherein the pump device is coupled with the first fluid conduit for pumping fluid therethrough; and

an insert member having a first channel therethrough and coupled to the first fluid outlet so that fluid flowing through the first fluid conduit may flow through the first channel, the insert member being dimensioned for insertion into a patient'"'"'s bladder through the patient'"'"'s urethral canal,

wherein, when the insert member is inserted into the patient'"'"'s bladder, the pressure interface is in fluid communication with the bladder such that a pressure at the pressure interface substantially corresponds to a pressure within the bladder, the pressure interface further being positioned relative to the pressure sensor so as to transmit bladder pressure information thereto.

2. The diagnostic system according to claim 1, wherein the pump device is electrically coupled to and controlled by the processor, and wherein the pressure sensor is electrically coupled to and provides bladder pressure information to the processor.

3. The diagnostic system according to claim 1, wherein the test module further comprises a module identification device coupled with a module detection device in the control device, wherein the module detection device is electrically coupled to the control device processor.

4. The diagnostic system according to claim 1, wherein the insert member is a catheter.

5. The diagnostic system according to claim 4, wherein the catheter is a dual lumen catheter further comprises a second channel therethrough, wherein the pressure interface is in fluid communication with the second channel.

6. The diagnostic system according to claim 1, wherein the test module further comprises a test module housing having at least one tab element projecting therefrom for engaging the control device, and a first port therein dimensioned to receive the control device pressure sensor, wherein the pressure interface is positioned within the first port.

7. The diagnostic system according to claim 1, wherein the test module further comprises a second tubing conduit having an opening at one end thereof, and a second pressure interface in fluid communication with the second tubing conduit.

8. The diagnostic system according to claim 7, further comprising a second insert member coupled to the second tubing conduit opening, and dimensioned for insertion into the patient'"'"'s body at a second location other than the urethral canal from which abdominal pressure can be sensed, the second insert member having a channel therethrough and being coupled to the second tubing conduit such that a pressure at the second interface substantially correlates to a pressure at the second location.

9. A medical diagnostic system comprising:

a control device including a processor and pump device electrically coupled to and controlled by the processor;

a test module removably coupled to the control device and including a tubing assembly having a first fluid inlet, a first fluid outlet, and a first fluid conduit extending therebetween;

an insert member coupled to the tubing assembly fluid outlet and having a channel therethrough in fluid communication with the first fluid conduit, the insert member being dimensioned for insertion into a patient'"'"'s bladder through the patient'"'"'s urethral canal;

a pressure detection system for detecting pressure correlating to a pressure within the bladder;

wherein the pump device is coupled to the first fluid conduit to thereby be capable of pumping fluid through the first fluid conduit and insert member channel and into the bladder, and wherein the pressure detection system is capable of detecting the pressure within the bladder as fluid is pumped therein.

10. The diagnostic system according to claim 9, wherein the insert member is a dual lumen catheter further comprising a second channel therethrough having an open distal end in proximity with an open distal end of the first channel, and wherein the pressure detection system further comprises a pressure interface within the test module in fluid communication with the second fluid conduit.

11. The diagnostic system according to claim 9, wherein the test module further comprises a module identification device coupled with a module detection device in the control device, wherein the module detection device is electrically coupled with the control device processor.

12. The diagnostic system according to claim 9, wherein the test module further comprises a pressure interface in fluid communication with the bladder when the insert member is inserted into the patient'"'"'s bladder, and a test module housing having at least one tab element projecting therefrom for engaging the control device, and a first port therein dimensioned to receive the control device pressure sensor, wherein the pressure interface being positioned within the first port.

13. The diagnostic system according to claim 9, wherein the test module further comprises a second tubing conduit having an opening at one end thereof, and a second pressure interface in fluid communication with the second tubing conduit.

14. The diagnostic system according to claim 13, further comprising a second insert member coupled to the second tubing conduit opening, and dimensioned for insertion into the patient'"'"'s body at a second location other than the urethral canal from which abdominal pressure can be sensed, the second insert member having a channel therethrough and being coupled to the second tubing conduit such that, when the second insert member is inserted into the patient'"'"'s body, a pressure at the second interface substantially correlates to a pressure at the second location.

15. A method for assessing urinary function comprising the steps of:

removably coupling a test module to a control device to form a portable, self-contained diagnostic system, the control device including a processor, a pump device and a pressure sensor, and the testing module including a fluid tubing assembly having a first fluid inlet, a first fluid outlet and a first fluid conduit extending therebetween;

coupling to the first fluid outlet an insert member having a channel therethrough in fluid communication with the first fluid conduit;

coupling the first fluid inlet to a fluid source;

inserting the insert member into a patient'"'"'s bladder through the patient'"'"'s urethral canal;

activating the pump device to thereby infuse fluid from the fluid source through the first fluid conduit and insert member channel and into the bladder; and

measuring pressure within the bladder as fluid is infused therein.

16. The method according to claim 15, wherein the step of removably coupling the test module to the control device further comprises coupling a pressure interface in the test module with a pressure sensor in the control device that is electrically coupled to the processor.

17. The method according to claim 16, wherein the step of removably coupling the test module to the control device further comprises coupling the pump device with the first fluid conduit.

18. The method according to claim 15, wherein the test module further comprises a second fluid conduit having a distal open end and a second pressure interface in fluid communication with the second fluid conduit, the method further comprising coupling a second insert member to the distal open end and inserting the second insert member into the patient'"'"'s body at a second location other than the urethral canal from which abdominal pressure can be sensed, the second insert member having a channel therethrough and being coupled to the second tubing conduit such that, when the second insert member is inserted into the patient'"'"'s body, a pressure at the second interface substantially correlates to a pressure at the second location.

19. A self-contained medical diagnostic system for assessing urinary function comprising:

a control device including a processor, a pump device electrically coupled to and controlled by the processor, and a first pressure sensor;

a testing module removably coupled to the control device, the testing module further comprising a first fluid conduit extending between a first fluid inlet and a first fluid outlet, and a second conduit having a first open end and a first pressure interface in fluid communication therewith; and

a first insert member having first and second channels therethrough, the first channel being in fluid communication with the first fluid conduit and the second channel being in communication with the second conduit, the insert member being dimensioned for insertion into a patient'"'"'s bladder through the patient'"'"'s urethral canal,

wherein the pump device is coupled to the first fluid conduit for infusing fluid through the first fluid conduit, the first insert member channel and into the bladder, and wherein the first pressure interface and first pressure sensor are positioned relative to one another so that the first pressure interface transmits pressure information to the first pressure sensor.

20. The diagnostic system according to claim 19, wherein the control device further comprises a second pressure sensor, and the test module further comprises a third tubing conduit having a first open end and a second pressure interface in communication therewith.

21. The diagnostic system according to claim 20, further comprising a second insert member coupled to the first open end of the third tubing conduit and being dimensioned for insertion into the patient'"'"'s body at a second location other than the urethral canal at which abdominal pressure can be sensed.

22. The diagnostic system according to claim 21, wherein the second location is the rectum.

23. The diagnostic system according to claim 21, wherein the second location is the vaginal canal.