Wireless urodynamic monitoring system with automated voiding diary

• US 20060020225A1
• Filed: 10/29/2004
• Published: 01/26/2006
• Est. Priority Date: 07/20/2004
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gerber, Martin T., Weimer, William D.
• Application Number:
  US10/978,233
• Publication Number:
  US 20060020225A1
• Time in Patent Office: Days
• US Class Current: 600/561
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/14539 for measuring pH
• 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 5/6874 Bladder
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

The disclosure describes a wireless urodynamic monitoring system with an automated voiding diary feature. The system senses and records urodynamic information in response to a user command or in response to detection of the onset of a voiding event. The urodynamic information obtained over a series of voiding events forms an automated voiding diary that is useful in diagnosis of urological disorders. An implantable monitor obtains the urodynamic information and either records the information locally or transmits the information to an external controller via a wireless telemetry link. In some embodiments, the external controller may include a loop recorder for recording urodynamic information obtained by the implantable monitor over an extended period of time.

Claims

1. A system for forming a urinary voiding diary for a patient, the system comprising:

an implantable urodynamic monitor to generate urodynamic information based on a sensed physiological condition within a urinary tract of a patient in response to a voiding event activation command; and

an external controller to receive the urodynamic information from the monitor via wireless communication, and record the urodynamic information to form a voiding diary.

2. The system of claim 1, wherein the monitor terminates generation of the urodynamic information in response to a voiding event deactivation command.

3. The system of claim 1, wherein the monitor terminates generation of the urodynamic information upon expiration of a period of time following the voiding event activation command.

4. The system of claim 1, wherein the external controller includes a user input device to enter the voiding event activation command, and a wireless telemetry interface to transmit the voiding event activation command to the monitor.

5. The system of claim 1, wherein the monitor includes a wireless telemetry interface to receive the voiding event activation command.

6. The system of claim 1, wherein the monitor includes a magnet detector to detect proximity of a magnet to the monitor as the voiding event activation command.

7. The system of claim 1, wherein the monitor generates the voiding event activation command in response to detection of the onset of a voiding event.

8. The system of claim 7, wherein the monitor includes a sensor to detect the onset of the voiding event.

9. The system of claim 7, wherein the voiding event corresponds to at least one of an attempt to void urine from a bladder of the patient, a feeling of discomfort in the urinary tract, and involuntary leakage of urine.

10. The system of claim 1, wherein the monitor includes a memory to record the urodynamic information.

11. The system of claim 1, wherein the monitor includes a sensor configured to sense the physiological condition, and wherein the physiological condition includes at least one of pressure, flow, velocity, temperature, contractile force, and impedance.

12. The system of claim 1, wherein the external controller includes a display to present the urodynamic information to a user.

13. The system of claim 1, wherein the monitor includes a fixation element to fix the monitor within the urinary tract of the patient.

14. The system of claim 1, wherein the implantable urodynamic monitor generates urodynamic information for a plurality of voiding events over a period of time in response to a plurality of voiding event activation commands, and the external controller records the urodynamic information to form a voiding diary for the plurality of voiding events.

15. The system of claim 1, further comprising a plurality of the implantable urodynamic monitors generating multiple sets of the urodynamic information, the external controller recording the multiple sets of urodynamic information to form the voiding diary.

16. A method for forming a urinary voiding diary for a patient, the method comprising:

controlling an implantable urodynamic monitor to generate urodynamic information based on a sensed physiological condition within a urinary tract of a patient during a voiding event; and

generating a voiding diary based on the urodynamic information.

17. The method of claim 16, further comprising transmitting the urodynamic information to an external controller via wireless communication, and recording the urodynamic information in memory in the external controller to form the voiding diary.

18. The method of claim 16, wherein controlling the monitor includes transmitting a voiding event activation command to the monitor.

19. The method of claim 18, further comprising controlling the monitor to terminate generation of the urodynamic information upon expiration of a period of time following the voiding event activation command.

20. The method of claim 18, further comprising transmitting a voiding event deactivation command to the monitor to cause the monitor to terminate generation of the urodynamic information.

21. The method of claim 16, wherein controlling the monitor further comprises controlling the monitor to generate urodynamic information in response to user input indicating onset of a voiding event.

22. The method of claim 16, wherein controlling the monitor further comprises controlling the monitor to generate urodynamic information in response to detection of proximity of a magnet to the monitor.

23. The method of claim 16, wherein controlling the monitor further comprises controlling the monitor to generate urodynamic information in response to detection of the onset of a voiding event.

24. The method of claim 23, wherein the monitor includes a sensor to detect the onset of the voiding event.

25. The method of claim 16, wherein the voiding event corresponds to at least one of an attempt to void urine from a bladder of the patient, a feeling of discomfort in the urinary tract, and involuntary leakage of urine.

26. The method of claim 16, further comprising obtaining the sensed physiological condition from a sensor that senses at least one of pressure, flow, velocity, temperature, contractile force, and impedance.

27. The method of claim 16, further comprising transmitting the urodynamic information to an external controller via a wireless interface, and presenting the urodynamic information to a user via a display associated with the external controller.

28. The method of claim 16, wherein controlling the monitor includes controlling the monitor to generate urodynamic information for a plurality of voiding events over a period of time, and forming the voiding diary includes forming the voiding diary using the urodynamic information generated for the plurality of voiding events.

29. The method of claim 16, further comprising controlling a plurality of implantable urodynamic monitors to generate multiple sets of the urodynamic information, and forming the voiding diary based on the multiple sets of urodynamic information.

30-42. -42. (canceled)

43. An implantable urodynamic monitor comprising:

a sensor to sense a physiological condition within a urinary tract of a patient; and

a processor to generate urodynamic information based on the physiological condition in response to a voiding event activation command indicative of an onset of a voiding event.

44. The monitor of claim 43, further comprising a wireless telemetry interface to transmit the urodynamic information to an external controller for formulation of a voiding diary based on the urodynamic information.

45. The monitor of claim 43, further comprising a wireless telemetry interface to receive the voiding event activation command from an external controller operated by the patient.

46. The monitor of claim 43, wherein the processor terminates generation of the urodynamic information in response to a voiding event deactivation command received from a user.

47. The monitor of claim 43, wherein the processor terminates generation of the urodynamic information upon expiration of a period of time following the voiding event activation command.

48. The monitor of claim 43, wherein the monitor includes a magnet detector to detect proximity of a magnet to the monitor as the voiding event activation command.

49. The monitor of claim 43, wherein the processor generates the voiding event activation command in response to detection of the onset of a voiding event.

50. The monitor of claim 49, wherein the monitor includes a sensor to detect the onset of the voiding event.

51. The monitor of claim 43, wherein the voiding event corresponds to at least one of an attempt to void urine from a bladder of the patient, a feeling of discomfort in the urinary tract, and involuntary leakage of urine.

52. The monitor of claim 43, further comprising a memory to record the urodynamic information.

53. The monitor of claim 43, wherein the sensor is configured to sense at least one of pressure, flow, velocity, temperature, contractile force, and impedance.

54. The monitor of claim 43, wherein the monitor includes a fixation element to fix the monitor within the urinary tract of the patient.