Monitoring uterine contractions by radiotelemetric transmission

• US 5,373,852 A
• Filed: 06/25/1993
• Issued: 12/20/1994
• Est. Priority Date: 06/25/1993
• Status: Expired due to Fees

• Current Assignee: Regents of the University of California (University of California)
• Original Assignee: Regents of the University of California (University of California)
• Inventors: Harrison, Michael R., Jennings, Russell W.
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US08/081,133
• Time in Patent Office: 543 Days
• Field of Search: 128/733, 128/736, 128/738, 128/775, 128/778, 128/903
• US Class Current: 600/546
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/392 Detecting gastrointestinal contractions
• CPC Class Codes: A61B 5/4356 Assessing uterine contractions A61B5/033 takes precedence
• CPC Class Codes: Y10S 128/903 Radio telemetry

Abstract

A uterine monitor is provided for gathering characteristic data such as maternal uterine electromyogram, uterine temperature and intra-uterine pressure so that the onset of parturition or labor may be determined. The uterine monitor comprises a remote sensing unit, the remote sensing unit containing sensors which sense uterine temperature, intra-uterine pressure and uterine electromyogram. A transceiver is housed in the remote sensing unit and outputs the sensed signals to an external antenna. A monitoring station is provided for monitoring the sampled signals. Additionally a medication dispenser is provided which may be actuated by the monitoring station upon the onset of parturition or labor.

Claims

1. A uterine monitor for measuring characteristics indicative of labor said monitor comprising:

means for sensing an intra-uterine pressure of a mother and for outputting a pressure signal;

means for sensing uterine temperature and for outputting a sampled uterine temperature signal;

means for sensing electrical activity of a uterine muscle of said mother'"'"'s uterus and for outputting an electromyogram signal; and

means for receiving said pressure, temperature and electromyogram signals and for determining the onset of labor based upon said pressure, temperature and electromyogram signals.

2. The uterine monitor recited in claim 1, wherein said means for sensing an electromyogram comprises:

at least one electromyogram lead having an exposed distal end, said electromyogram lead for receiving electrical signals indicative of a maternal electromyogram;

a noise reduction means secured to a proximal end of said electromyogram lead; and

an amplification means for amplifying said electromyogram signal.

3. The uterine monitor recited in claim 2, wherein said exposed distal end of said electromyogram lead is maintained within a uterine wall of said mother for preventing accidental short circuits.

4. The uterine monitor recited in claim 1, wherein said outputting means for said electromyogram signal comprises a transceiver.

5. The uterine monitor recited in claim 4, wherein said transceiver is a radio-telemetry transceiver.

6. The uterine monitor recited in claim 1, wherein said means for sensing the intra-uterine pressure of said mother comprises:

a pressure transducer; and

a pressure transmission catheter for providing fluid communication between amniotic fluid contained in a uterus and said pressure transducer.

7. The uterine monitor recited in claim 1, wherein said outputting means for said intra-uterine pressure signal comprises a transceiver.

8. The uterine monitor recited in claim 7, wherein said transceiver is a radio-telemetry transceiver.

9. The uterine monitor recited in claim 1, wherein said means for receiving comprises an antenna.

10. The uterine monitor recited in claim 9, wherein said antenna is a ring retractor antenna.

11. The uterine monitor recited in claim 9, wherein said antenna is a flexible loop of conductive material.

12. The uterine monitor recited in claim 9, wherein said antenna is a finger antenna.

13. The uterine monitor recited in claim 1, wherein said determining means comprises:

a receiver for receiving said electromyogram and pressure signals;

a computing means; and

an output means.

14. The uterine monitor recited in claim 13, wherein said computing means comprises a central processor, memory, arithmetic logic unit, and a communications bus for passing said electromyogram and pressure signals from said receiver to said output means.

15. The uterine monitor recited in claim 13, wherein said output means comprises a liquid crystal display.

16. The uterine monitor recited in claim 13, wherein said output means comprises a cathode ray tube.

17. The uterine monitor recited in claim 13, wherein said output means comprises a strip chart recorder.

18. The uterine monitor recited in claim 1, further comprising an automatic dispensing means for dispensing medication to said mother upon the onset of labor.

19. The uterine monitor recited in claim 18, wherein said automatic dispensing means comprises:

communications means for communicating with said determining means;

a pump for dispensing said medication;

a reservoir for maintaining said medication for said pump; and

actuation means for receiving a signal from said communications means and for actuating said pump based upon said signal.

20. The uterine monitor recited in claim 19, wherein said communications means comprises a transceiver.

21. The uterine monitor recited in claim 20, wherein said transceiver is a radio-telemetry transceiver.

22. The uterine monitor recited in claim 19, wherein said pump is a piezoelectrically driven micro-pump.

23. The uterine monitor recited in claim 19, wherein said reservoir is a collapsible bag.

24. The uterine monitor recited in claim 18, wherein said automatic dispensing means comprises:

communications means for communicating with said outputting means for electromyogram signal and for communicating with said outputting means for pressure signal;

a pump for dispensing said medication;

a reservoir for maintaining said medication for said pump; and

actuation means for receiving said electromyogram and pressure signals from said communications means and actuating said pump based upon said signals.

25. The uterine monitor recited in claim 1, wherein said means for sensing said intra-uterine pressure of said mother comprises a solid state pressure transducer.

26. A uterine monitoring system for measuring characteristics indicative of labor, said monitoring system comprising:

a remote sensing unit, said remote sensing unit containing means for sensing the intra-uterine pressure of a mother and for sensing electrical activity of a uterine muscle of said mother'"'"'s uterus, said remote sensing unit also housing a first transceiver for outputting pressure and electromyogram signals;

an antenna for receiving said pressure and electromyogram signals from said first transceiver;

a monitoring station for monitoring said pressure and electromyogram signals, said monitoring station comprising a second transceiver for receiving said electromyogram and pressure signals from said antenna, a computing means for manipulating said electromyogram and pressure signals, and an output means for displaying information from said electromyogram and pressure signals, and means for sensing uterine temperature and for outputting a uterine temperature signal.

27. The uterine monitor recited in claim 26, wherein said computing means comprises a central processor, memory, arithmetic logic unit, and a communications bus for passing said electromyogram and pressure signals from said receiver to said output means.

28. The uterine monitor recited in claim 26, wherein said output means comprises a liquid crystal display.

29. The uterine monitor recited in claim 26, wherein said output means comprises a cathode ray tube.

30. The uterine monitor recited in claim 26, wherein said output means comprises a strip chart recorder.

31. The uterine monitor recited in claim 26, further comprising an automatic dispensing means for dispensing medication to said mother upon the existence of labor.

32. The uterine monitor recited in claim 31, wherein said automatic dispensing means comprises:

communications means for communicating with said determining means;

a pump for dispensing said medication;

a reservoir for maintaining said medication for said pump; and

actuation means for receiving a signal from said communications means and for actuating said pump based upon said signal.

33. The uterine monitor recited in claim 32, wherein said communications means comprises a third transceiver.

34. The uterine monitor recited in claim 33, wherein said transceiver is a radio-telemetry transceiver.

35. The uterine monitor recited in claim 33, wherein each of said transceivers has a distinct predetermined frequency associated therewith, said predetermined frequencies for preventing accidental communication between said first, second and third transceivers

36. A uterine monitor for detecting onset of labor, said monitor comprising:

intra-uterine pressure sensing means implantable in a mother for providing a pressure signal representative of sensed intra-uterine pressure;

temperature sensing means implantable in said mother for providing a temperature signal representative of sensed uterine temperature; and

signal processing means for receiving said pressure signal and said temperature signal, said signal processing means providing an output indicative of the onset of labor as a function of said pressure signal and said temperature signal.

37. The uterine monitor recited in claim 36, further comprising:

electromyogram sensing means implantable in said mother for providing an electromyogram signal representative of sensed uterine wall activity; and

wherein said signal processing means provides said output indicative of the onset of labor as a function of said electromyogram signal and said pressure signal.

38. The uterine monitor recited in claim 37,

wherein said signal processing means provides said output indicative of the onset of labor as a function of said temperature signal, said electromyogram signal, and said pressure signal.

39. A uterine monitor for detecting onset of labor, said monitor comprising:

electromyogram sensing means implantable in a mother for providing signal representative sensed uterine wall activity;

temperature sensing means implantable in said mother for providing a temperature signal representative of sensed uterine temperature; and

signal processing means for receiving said electromyogram signal and said temperature signal, said signal processing means for providing an output indicative of the onset of labor as a function of said electromyogram signal and said temperature signal.