In situ detection of endoleak and endotension

• US 20040210118A1
• Filed: 04/18/2003
• Published: 10/21/2004
• Est. Priority Date: 04/18/2003
• Status: Abandoned Application

• Current Assignee: Medtronic Ave Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Ave Incorporated (Medtronic Plc)
• Inventors: Letort, Michel
• Application Number:
  US10/419,324
• Publication Number:
  US 20040210118A1
• Time in Patent Office: Days
• US Class Current: 600/339
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/02014 Determining aneurysm
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence

Abstract

Endotension, the continued expansion and tensioning of a blood vessel at an aneurysm site after the repair of the aneurysm by placement of a stent graft therethrough, typically caused by refilling of the aneurysmal location by blood leakage thereto, is detected. The detection is accomplished by locating a detector in the aneurysmal vessel, between the blood vessel wall and the stent graft, and monitoring signals generating therefrom which are indicative of the arrival of fresh blood in the region, and thus a leakage of blood therein. The detector may be an oxygen sensor, and the monitoring can include maintaining a history of periodic blood oxygen signals indicative of the oxygen content of blood between the stent graft and the vessel wall, and the periodic analysis of these signals to determine whether the oxygen level is increasing, indicating the existence of endoleak and thus likely endotension.

Claims

1. An apparatus for detecting endoleak and endotension, comprising:

a detector, located within a bypassed aneurysmal blood vessel, and having a detection member capable of detecting a condition in the bypassed aneurysmal blood vessel indicative of fresh blood therein;

a controller in communication with said detector and enabled to control the operation of said detector to make detection readings; and

a reader configured to evaluate said detection readings and thereby indicate the presence of fresh blood in the bypassed aneurysmal blood vessel.

2. The apparatus of claim 1, wherein said detector is an oxygen sensor.

3. The apparatus of claim 2, wherein said oxygen sensor includes at least one light source and one light detector.

4. The apparatus of claim 1, wherein said controller includes:

a microprocessor;

a memory interconnected to said microprocessor; and

a clock.

5. The apparatus of claim 4, wherein said microprocessor controls the operation of said detector, and actuates said detector to detect conditions indicative of fresh blood present in the bypassed aneurysmal blood vessel and to transmit a signal indicative of the condition detected.

6. The apparatus of claim 5, wherein said microprocessor further directs said signal to said memory.

7. The apparatus of claim 6, wherein said signals are recorded in said memory in conjunction with an indication of the time said signal was generated.

8. The apparatus of claim 7, wherein said detector includes at least a first and a second light source, and at least one light detector.

9. The apparatus of claim 8, wherein said light sources emit radiation at different frequencies.

10. The apparatus of claim 9, wherein said microprocessor is configured to cause each one of said light sources to emit radiation in a separate time window.

11. The apparatus of claim 10, wherein said light sources emit light simultaneously and said light detector transmits a signal indicative of the intensity of light reaching the light detector at each frequency to said memory.

12. A method of providing detection of aneurysm repair irregularity following aneurysm repair, comprising the steps of:

providing a sensor indicative of the presence of at least one fluid constituent entering the space between an aneurysm repair vehicle and the aneurysmal wall;

providing a mechanism to operate and interpret any data generated by the detector; and

instructing the placement of the sensor, at a location adjacent the aneurysmal wall.

13. The method of claim 12, wherein the instructed location is within the space existing between the aneurysm repair vehicle and the aneurysmal wall.

14. The method of claim 13, wherein the sensor is an oxygen sensor.

15. The method of claim 14, wherein the oxygen sensor includes at least one light sensor therein.

16. The method of claim 15, wherein the step of providing a mechanism to operate and interpret any data generated by the detector further includes the steps of;

providing a controller capable of;

initiating, with said controller, the detection of a property of a fluid constituent located in the space between the aneurysm repair vehicle and the aneurysmal wall with the sensor;

receiving from the sensor, with the controller, a signal indicative of a property of the fluid; and

storing, in a memory associated with the controller, a signal corresponding to the property of the fluid along with a corresponding marker related to a time when the signal indicative of the fluid property was generated.

17. The method of claim 16, further including the steps of enabling the controller to initiate a multiplicity of initiations of signals from the sensor indicative of the properties of a fluid located in the space between the aneurysm repair vehicle and the aneurysmal wall, and to store such signals each with a corresponding marker indicative of the time when such signal indicative of the fluid property was generated.

18. The method of claim 12, wherein the step of providing a mechanism to operate and interpret any data generated by the detector;

further includes the steps of;

providing a controller capable of;

initiating, with said controller, the detection of a property of a fluid constituent located in the space between the aneurysm repair vehicle and the aneurysmal wall with the sensor;

receiving from the sensor, with the controller, a signal indicative of a property of the fluid;

storing, in a memory associated with the controller, a signal corresponding to the property of the fluid along with a corresponding marker related to a time when the signal indicative of the fluid property was generated;

providing a telemetry member coupled to the controller; and

providing a reader, remote from the controller, capable of sending signals to the controller, through the telemetry system, to initiate the return of signals, from the controller, indicative of signals recorded in memory including the accompanying time marker therefore.

19. The method of claim 18, further including the steps of detecting a biochemical property of the fluid with the sensor.

20. A method of detecting endotension in a blood vessel following aneurysm repair, comprising the steps of:

providing a sensor connected by a lead to a controller;

positioning said sensor into the space between an aneurysm repair vehicle and the wall of the blood vessel having an aneurysmal event;

directing the sensor, with the controller, to initiate a sensing of a property of a fluid present in the space between an aneurysm repair vehicle and the wall of the blood vessel having an aneurysmal event;

reading, by the sensor, at least one biochemical property of a fluid in the space between the aneurysm repair vehicle and the wall of the blood vessel having an aneurysmal event;

generating a signal from the sensor indicative of the property and transmitting the signal from the sensor to the controller; and

recording the signal in a memory in the controller.

21. The method of claim 20, further including the steps of:

directing, with the controller, a plurality of discrete sensings of at least one property of a fluid in the space between an aneurysm repair vehicle and the wall of the blood vessel having an aneurysmal event;

reading, by the sensor, of each of the plurality of sensing;

generating, by the sensor, a signal indicative of the a the property for each reading by the sensor and transmitting each signal to the controller;

recording each signal in a memory associated with the controller; and

generating a marker, indicative of the time each signal was generated and associating such markers with corresponding signals received in the memory.

22. The method of claim 21, further including the step of measuring, by the readings of the sensor, the oxygen content of the fluid in the space between an aneurysm repair vehicle and the wall of the blood vessel having an aneurysmal event.

23. The method of claim 22, wherein the oxygen content of the fluid is measured by:

directing, into the fluid, light at a selected intensity in a frequency known to be absorbed or otherwise effected by oxygen in blood;

detecting the intensity of light passing through the fluid; and

generating a signal indicative of the intensity of light so detected.

24. (currently amended):

The method of claim 23, further including the step of transmitting the signal indicative of the intensity of light detected to the memory; and

recording the signal.

25. The method of claim 23, further including the step of comparing the signal value to the intensity of light directed into the fluid.

26. The method of claim 23, further including the step of comparing the signal to signals previously generated by the sensor.

27. The method of claim 24, further including the steps of:

providing a reader, remote from the controller;

generating a signal from the reader, receivable from the controller, to initiate the controller to send data from the memory indicative of the readings received in the memory indicative of oxygen level in the fluid, coupled with markers indicative of the time when each signal corresponding to such reading was made;

transmitting the data to the reader;

transmitting the data from the reader to a processor; and

interpreting the data to provide information indicative of the oxygen content in the space between an aneurysm repair vehicle and the wall of the blood vessel having an aneurysmal event.

28. The method of claim 24, further including the steps of:

providing a monitor in a location remote from the controller;

providing a signal reception member and an alarm in the monitor;

periodically sending signals indicative of the oxygen level in the space between an aneurysm repair vehicle and the wall of the blood vessel having an aneurysmal event to the monitor signal reception member;

evaluating the signals sent to the monitor; and

actuating the alarm if the oxygen content exceeds a desired level.

29. The method of claim 28, wherein the monitor includes a microprocessor and a memory;

the microprocessor periodically reads the signals received in memory and performs a function to determine whether to actuate the alarm; and

the microprocessor sends an alarm to the signal if the data is indicative of an oxygen level which is undesirable.