System and method for measuring cross-sectional areas and pressure gradients in luminal organs
First Claim
1. An impedance catheter for measuring luminal cross-sectional area of blood vessels, heart valves, and other hollow visceral organs, for enabling selection of an appropriately sized stent or other medical device and for avoiding under or over deployment and under or over sizing of the stent or other medical device, comprising:
- an elongated tubular body extending from a proximal body end to a distal body end, said body having an exterior surface and defining a first lumen along the longitudinal axis of the body, whereby enabling introduction of the catheter into a treatment site;
a first excitation impedance electrode and a second excitation impedance electrode along the longitudinal axis of the body, both located near the distal body end, said first excitation electrode comprising a first excitation impedance lead extending from said first excitation electrode to a data acquisition system near the proximal body end, said second excitation electrode comprising a second excitation impedance lead extending from said second excitation electrode to the data acquisition system;
a first detection impedance electrode and a second detection impedance electrode along the longitudinal axis of the body, both located in between the first and second excitation electrodes, said first detection electrode comprising a first detection impedance lead extending from said first detection electrode to the data acquisition system, said second detection electrode comprising a second detection impedance lead extending from said second detection electrode to the data acquisition system; and
a first suction/infusion port located near the distal end, wherein said first suction/infusion port is in communication with said first lumen, whereby enabling injection of two or more solutions into the treatment site;
wherein at least one of the first and second excitation electrodes are in communication with a constant current source, whereby enabling supply of constant electrical current to the treatment site, whereby enabling measurement of two or more conductance values at the treatment site, and whereby enabling calculation of cross-sectional area at the treatment site.
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Abstract
The invention comprises a system, catheter and method for measuring the cross-sectional areas and pressure gradients in any hollow organ, such as, for example, blood vessels. One embodiment of such a system includes: an impedance catheter capable of being introduced into a targeted site; a solution delivery source; a constant current source; a balloon inflation control device; and a data acquisition and processing system that receives conductance and/or pressure gradient data from the catheter and calculates the cross-sectional area of the targeted site. In one embodiment, the catheter has an inflatable balloon along its longitudinal axis, thereby enabling the breakup of any materials causing stenosis at the targeted site and/or distention and delivery of an optional stent into the targeted site.
136 Citations
38 Claims
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1. An impedance catheter for measuring luminal cross-sectional area of blood vessels, heart valves, and other hollow visceral organs, for enabling selection of an appropriately sized stent or other medical device and for avoiding under or over deployment and under or over sizing of the stent or other medical device, comprising:
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an elongated tubular body extending from a proximal body end to a distal body end, said body having an exterior surface and defining a first lumen along the longitudinal axis of the body, whereby enabling introduction of the catheter into a treatment site;
a first excitation impedance electrode and a second excitation impedance electrode along the longitudinal axis of the body, both located near the distal body end, said first excitation electrode comprising a first excitation impedance lead extending from said first excitation electrode to a data acquisition system near the proximal body end, said second excitation electrode comprising a second excitation impedance lead extending from said second excitation electrode to the data acquisition system;
a first detection impedance electrode and a second detection impedance electrode along the longitudinal axis of the body, both located in between the first and second excitation electrodes, said first detection electrode comprising a first detection impedance lead extending from said first detection electrode to the data acquisition system, said second detection electrode comprising a second detection impedance lead extending from said second detection electrode to the data acquisition system; and
a first suction/infusion port located near the distal end, wherein said first suction/infusion port is in communication with said first lumen, whereby enabling injection of two or more solutions into the treatment site;
wherein at least one of the first and second excitation electrodes are in communication with a constant current source, whereby enabling supply of constant electrical current to the treatment site, whereby enabling measurement of two or more conductance values at the treatment site, and whereby enabling calculation of cross-sectional area at the treatment site.
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2. A system for measuring luminal cross-sectional area of blood vessels, heart valves, and other hollow visceral organs, for enabling selection of an appropriately sized stent or other medical device and for avoiding under or over deployment and under or over sizing of the stent or other medical device, comprising:
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an impedance catheter extending from a proximal catheter end to a distal catheter end, said catheter capable of being introduced into a treatment site, said catheter further comprising;
a suction/infusion port near the distal catheter end;
two or more excitation electrodes; and
two or more detection electrodes;
a solution delivery source for injecting a solution through the catheter, through the suction/infusion port and into the treatment site, whereby enabling injection of two or more solutions into the treatment site;
a constant current source in communication with at least one of the excitation electrodes, whereby enabling supply of constant electrical current to the treatment site; and
a data acquisition and processing system in communication with the detection electrodes, whereby enabling measurement of two or more conductance values at the treatment site, and whereby enabling calculation of cross-sectional area at the treatment site.
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3. An impedance catheter, comprising:
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an elongated tubular body extending from a proximal body end to a distal body end, said body having an exterior surface and defining a first lumen along the longitudinal axis of the body;
a first excitation impedance electrode and a second excitation impedance electrode along the longitudinal axis of the body, both located near the distal body end, said first excitation electrode comprising a first excitation impedance lead extending from said first excitation electrode to a data acquisition system near the proximal body end, said second excitation electrode comprising a second excitation impedance lead extending from said second excitation electrode to the data acquisition system;
a first detection impedance electrode and a second detection impedance electrode along the longitudinal axis of the body, both located in between the first and second excitation electrodes, said first detection electrode comprising a first detection impedance lead extending from said first detection electrode to the data acquisition system, said second detection electrode comprising a second detection impedance lead extending from said second detection electrode to the data acquisition system; and
a first suction/infusion port located near the distal end, wherein said first suction/infusion port is in communication with said first lumen. - View Dependent Claims (4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A system for measuring a cross-sectional area of a targeted treatment site, comprising:
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an impedance catheter extending from a proximal catheter end to a distal catheter end, said catheter further comprising a suction/infusion port near the distal catheter end;
a solution delivery source for injecting a solution through the catheter, through the suction/infusion port and into the treatment site;
a constant current source; and
a data acquisition and processing system that receives conductance data from the catheter and determines the cross-sectional area of the treatment site. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21)
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22. A method for constructing a three-dimensional model of a treatment site, comprising:
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introducing an impedance catheter into the treatment site;
measuring a first cross-sectional area at a first point along the longitudinal axis;
pulling back the catheter to a second point along the longitudinal axis at a first speed, wherein the second point is located proximally relative to the first point along the longitudinal axis;
measuring a second cross-sectional area at the second point along the longitudinal axis; and
constructing a three-dimensional model of the treatment site along the longitudinal axis based in part on the first and second cross-sectional area measurements. - View Dependent Claims (23, 24, 25)
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26. A method for constructing a three-dimensional model of a treatment site, comprising:
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introducing an impedance catheter into the treatment site;
measuring a first cross-sectional area at a first point along the longitudinal axis;
pushing forward the catheter to a second point along the longitudinal axis at a first speed, wherein the second point is located distally relative to the first point along the longitudinal axis;
measuring a second cross-sectional area at the second point along the longitudinal axis; and
constructing a three-dimensional model of the treatment site along the longitudinal axis based in part on the first and second cross-sectional area measurements. - View Dependent Claims (27, 28, 29)
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30. An impedance catheter assembly, comprising:
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an elongate wire extending from a proximal wire end to a distal wire end;
a catheter comprising an elongate tube extending from a proximal tube end to a distal tube end, said tube having an exterior surface and defining a tube lumen along the longitudinal axis of the tube, said tube surrounding the wire coaxially;
a first excitation impedance electrode and a second excitation impedance electrode along the longitudinal axis of the wire, both located near the distal wire end, said first excitation electrode comprising a first excitation impedance lead extending from said first excitation electrode to a data acquisition system near the proximal wire end, said second excitation electrode comprising a second excitation impedance lead extending from said second excitation electrode to the data acquisition system; and
a first detection impedance electrode and a second detection impedance electrode along the longitudinal axis of the wire, both located in between the first and second excitation electrodes, said first detection electrode comprising a first detection impedance lead extending from said first detection electrode to the data acquisition system, said second detection electrode comprising a second detection impedance lead extending from said second detection electrode to the data acquisition system. - View Dependent Claims (31, 32, 33, 34, 35, 36)
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37. A system for measuring a cross-sectional area of a targeted treatment site, comprising:
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an impedance catheter assembly;
a solution delivery source for injecting a solution through the assembly and into the treatment site;
a constant current source; and
a data acquisition and processing system that receives conductance data from the assembly and determines the cross-sectional area of the treatment site. - View Dependent Claims (38)
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Specification