Apparatus for examining the functioning of body structures comprising smooth muscle walls

• US 5,617,876 A
• Filed: 09/19/1994
• Issued: 04/08/1997
• Est. Priority Date: 09/19/1994
• Status: Expired due to Fees

• Current Assignee: Laborie Medical Technologies, Corp. (2941881 Canada, Inc.)
• Original Assignee: LES Enterprises Laborie, Inc.
• Inventors: van Duyl, Wilhelmus A.
• Primary Examiner(s): Hindenburg, Max
• Application Number:
  US08/307,432
• Time in Patent Office: 932 Days
• Field of Search: 128/774, 128/778, 128/780, 606/138
• US Class Current: 600/595
• CPC Class Codes: A61B 2562/0215 Silver or silver chloride containing
• CPC Class Codes: A61B 2562/0217 Electrolyte containing
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/1107 Measuring contraction of parts of the body, e.g. organ, muscle apparatus for measuring work or force in general G01L
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/304 Switching circuits
• CPC Class Codes: A61B 5/6853 with a balloon

Abstract

An apparatus for measuring the micromotion of the wall of a hollow organ comprises: a catheter having a first end and a second end; an inflatable balloon disposed over the first end of the catheter with the balloon being fluid tightly sealed to the catheter at a position intermediate the first and second ends thereof; at least four electrodes affixed to an inner surface of the balloon, the electrodes being spaced apart from one another when the inflatable balloon is at least partially inflated; and a respective electrically conductive lead electrically connected to each of the electrodes, each lead having an electrically insulating cover thereover and each lead passing through said catheter and extending beyond the second end thereof. In use, the catheter with the deflated balloon attached is brought into the hollow organ, e.g., the bladder, and then the balloon is at least partially inflated with a liquid having a predetermined electrical resistivity. The wall of the balloon is thus pressed against the wall of the organ so that the electrodes will move with movement of the organ wall. Movement of the organ wall causes movement of the electrodes which produces a variation in the resistance between the electrodes, which is measured and compared to a calibration of the apparatus to determine the motion of the wall.

Claims

1. An apparatus for measuring the micromotion of the wall of a hollow organ comprising:

a catheter having a first end and a second end;

an inflatable balloon disposed over the first end of said catheter, said inflatable balloon being fluid tightly sealed to said catheter at a position intermediate said first and second ends;

at least four electrodes affixed to an inner surface of said balloon, said at least four electrodes being spaced apart from one another when said inflatable balloon is at least partially inflated; and

a respective electrically conductive lead electrically connected to each of said at least four electrodes, each said respective electrically conductive lead having an electrically insulative covering thereover, each said respective electrically conductive lead passing through said catheter and extending beyond said second end thereof;

whereby, in use, said catheter with said deflated balloon attached is inserted into hollow organ and said balloon is at least partially inflated with a liquid having a predetermined electrical resistivity,whereby the wall of the balloon is pressed against the wall of said organ so that said electrodes will move with movement of the organ wall, whereby movement of said electrodes produces a variation in resistance between said electrodes, which is measured and compared to a calibration of the apparatus to determine the motion of the wall.

2. The apparatus according to claim 1, wherein a respective protrusion is formed on an outer surface of said balloon adjacent each of said at least four electrodes, said protrusion being forced into the wall of the hollow organ upon at least partial inflation of said balloon so as to cause movement of a respective electrode upon movement of said hollow organ wall at said protrusion.

3. The apparatus according to claim 2, further comprising means for supplying an electrically conductive solution to said catheter, at said second end, in order to at least partially inflate said balloon.

4. The apparatus according to claim 3, further comprising means for applying a voltage across a first pair of said electrically conductive leads and means for measuring an electrical resistance across a second pair of said electrically conductive leads.

5. The apparatus according to claim 4, wherein said at least four electrodes, when said balloon is inflated, are disposed radially about an axis of said catheter.

6. The apparatus according to claim 5, comprising sixteen electrodes.

7. The apparatus according to claim 6, wherein said hollow organ is a urinary bladder and said inflatable balloon is of a size to substantially fill said bladder upon inflation thereof.