Intravascular filter monitoring

• US 20040102806A1
• Filed: 11/27/2002
• Published: 05/27/2004
• Est. Priority Date: 11/27/2002
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Crank, Justin, Lin, Horng-Ban, Smith, Mark, Hansen, James G., Vrba, Anthony C., Broome, Thomas E., Anderson, Narin
• Application Number:
  US10/306,288
• Publication Number:
  US 20040102806A1
• Time in Patent Office: Days
• US Class Current: 606/200
• CPC Class Codes: A61B 5/02156 Calibration means
• CPC Class Codes: A61B 5/02158 provided with two or more sensor elements
• CPC Class Codes: A61F 2/013 Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting

Abstract

Devices and methods for monitoring the flow of blood through an intravascular device are disclosed. An apparatus for monitoring blood flow in accordance with an exemplary embodiment of the present invention includes an intravascular device coupled to an elongated member, a first sensor adapted to measure fluidic pressure proximal the intravascular device, a second sensor adapted to measure fluidic pressure distal the intravascular device, and a control unit for comparing the signals received from the first and second sensors to determine the pressure drop across the intravascular device.

Claims

1. An apparatus for monitoring blood flow through an intravascular device, comprising:

an elongated member having a proximal end and a distal end;

an intravascular device coupled to said elongated tubular member proximal the distal end thereof;

a first sensor adapted to measure a blood flow characteristic proximally of the intravascular device; and

a second sensor adapted to measure a blood flow characteristic distally of the intravascular device.

2. The apparatus of claim 1, wherein said intravascular device is an embolic protection filter.

3. The apparatus of claim 2, wherein said embolic protection filter comprises a support hoop coupled to a filter membrane.

4. The apparatus of claim 1, wherein said intravascular device is a catheter.

5. The apparatus of claim 4, wherein said catheter is an angioplasty catheter.

6. The apparatus of claim 1, wherein said blood flow characteristic is blood flow rate.

7. The apparatus of claim 1, wherein said blood flow characteristic is blood pressure.

8. The apparatus of claim 1, wherein said elongated member includes a guidewire.

9. The apparatus of claim 1, further comprising a hub attached to the proximal end of said elongated member.

10. The apparatus of claim 1, wherein said first and second sensors are strain gauges.

11. The apparatus of claim 10, wherein said strain gauges are selected from the group consisting of resistive, capacitive, inductive and piezoelectric-type strain gauges.

12. The apparatus of claim 1, wherein said first and second sensors are ultrasonic sensors.

13. The apparatus of claim 1, wherein said first and second sensors are MEMS sensors.

14. The apparatus of claim 13, wherein said MEMS sensors are wireless MEMS sensors.

15. The apparatus of claim 1, further comprising a control unit for monitoring the signals received from the first and second sensors, said control unit including a comparator circuit for determining the pressure drop across the intravascular device.

16. The apparatus of claim 15, wherein said control unit includes calibration means for calibrating said first and second sensors, and reset means for resetting the control unit.

17. The apparatus of claim 15, wherein said control unit includes alarm means to notify the operator when the pressure drop across the intravascular device has reached a pre-determined value.

18. An apparatus for monitoring blood flow through an embolic protection filter, comprising:

an elongated tubular member having a proximal end and a distal end;

an embolic protection filter coupled to the elongated tubular member proximal the distal end thereof;

a first sensor coupled to the elongated tubular member, said first sensor adapted to measure blood flow or pressure proximal the embolic protection filter;

a second sensor coupled to the elongated tubular member, said second sensor adapted to measure blood flow or pressure distal the embolic protection filter; and

a control unit for monitoring the signals received from the first and second sensors, said control unit including a comparator circuit for determining the pressure drop through the embolic protection filter.

19. The apparatus of claim 18, wherein said elongated tubular member is a hypo-tube.

20. The apparatus of claim 18, wherein said elongated tubular member is a guidewire.

21. The apparatus of claim 18, wherein said elongated tubular member is a catheter.

22. The apparatus of claim 18, wherein said embolic protection filter comprises a support hoop coupled to a filter membrane.

23. The apparatus of claim 18, further comprising a hub attached to the proximal end of said elongated tubular member.

24. The apparatus of claim 18, wherein said first and second sensors are strain gauges.

25. The apparatus of claim 24, wherein said strain gauges are selected from the group consisting of resistive, capacitive, inductive and piezoelectric-type strain gauges.

26. The apparatus of claim 18, wherein said first and second sensors are ultrasonic sensors.

27. The apparatus of claim 18, wherein said first and second sensors are MEMS sensors.

28. The apparatus of claim 27, wherein said MEMS sensors are wireless MEMS sensors.

29. The apparatus of claim 18, wherein said control unit includes calibration means for calibrating said first and second sensors, and reset means for resetting the control unit.

30. The apparatus of claim 18, wherein said control unit includes alarm means to notify the operator when the pressure drop through the embolic protection filter has reached a pre-determined value.

31. A method of monitoring blood flow through an embolic protection filter comprising the steps of:

providing an apparatus for monitoring blood flow through an embolic protection filter, the apparatus comprising;

an elongated tubular member having a proximal end and a distal end;

an embolic protection filter coupled to the elongated tubular member proximal the distal end thereof;

a first sensor adapted to measure blood flow or pressure proximal the embolic protection filter;

a second sensor adapted to measure blood flow or pressure distal the embolic protection filter; and

a control unit;

inserting the elongated tubular member into a body lumen such that the embolic protection filter is disposed distal a lesion; and

monitoring the pressure drop through the embolic protection filter.

32. The method of claim 31, wherein said control unit includes calibration means to calibrate the first and second sensors, and further comprising the step of calibrating the first and second sensors subsequent to the step of inserting the elongated tubular member into a body lumen.

33. The method of claim 31, wherein said control unit includes alarm means to notify the operator when the pressure drop through the embolic protection filter has reached a pre-determined value, and further comprising the step of activating said alarm means when said pressure drop reaches the pre-determined level.

34. The method of claim 31, further comprising the step of advancing a therapeutic device to the site of the lesion, and actuating the therapeutic device within the body lumen.

35. A method of monitoring blood flow through an embolic protection filter comprising the steps of:

providing an apparatus for monitoring blood flow through an embolic protection filter, the apparatus comprising;

an elongated tubular member having a proximal end and a distal end;

an embolic protection filter coupled to the elongated tubular member proximal the distal end thereof;

a first sensor adapted to measure blood flow or pressure proximal the embolic protection filter, the first sensor including a first transducer;

a second sensor adapted to measure blood flow or pressure distal the embolic protection filter, the second sensor including a second transducer; and

a control unit;

inserting the elongated tubular member into a body lumen such that that the embolic protection filter is disposed distal a lesion;

receiving a first signal from the first transducer;

receiving a second signal from the second transducer; and

comparing the difference between the first and second signals to obtain a differential value.

36. The method of claim 35, further comprising the step of continuously and repeatedly receiving the first and second signals and comparing the signals to obtain a differential value.

37. The method of claim 35, wherein said control unit includes calibration means for calibrating the first and second sensors, and further comprising the step of calibrating the first and second sensors subsequent to the step of inserting the elongated tubular member into the body lumen.

38. The method of claim 35, wherein said control unit includes alarm means to notify the operator when the pressure drop through the embolic protection filter has reached a pre-determined value, and further comprising the step of activating said alarm means when the pressure drop reaches the pre-determined level.

39. The method of claim 35, further comprising the step of advancing a therapeutic device to the site of the lesion, and actuating the therapeutic device within the body lumen.