Apparatus and method for determining a mechanical property of an organ or body cavity by impedance determination

• US 6,360,123 B1
• Filed: 08/24/1999
• Issued: 03/19/2002
• Est. Priority Date: 08/24/1999
• Status: Expired due to Term

• Current Assignee: Impulse Dynamics NV
• Original Assignee: Impulse Dynamics NV
• Inventors: Kimchi, Yoav, Shemer, Itzhak, Prutchi, David
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): Lin, Jeoyuh
• Application Number:
  US09/382,269
• Time in Patent Office: 938 Days
• Field of Search: 600/372, 600/373, 600/380, 600/398, 600/399, 600/407, 600/482, 600/487, 600/485, 600/486, 600/588, 600/500, 600/502, 600/504, 600/505, 600/506, 600/523, 600/547, 600/443, 324/602-727
• US Class Current: 600/547
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/42 Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems A61B1/00, A61B5/4857, A61B5/486, A61B5/4866, A61B5/4869 take precedence
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance

Abstract

Apparatus and method for determining a mechanical property of an organ or a body part. The method includes positioning an impedance sensor within a blood vessel. The impedance sensor has at least two electrodes disposed within the blood vessel, which is mechanically coupled to the organ or body part. The method further includes determining the electrical impedance between the two electrodes to obtain an impedance signal correlated with the mechanical property of the organ or body part. The organ may be the heart, lungs, uterus, urinary bladder, part of the gastrointestinal tract and the brain. The impedance sensor includes at least two spaced apart electrodes capable of being disposed within a blood vessel. The sensor is operatively connected to an impedance determining unit which determines the impedance between the electrodes. The impedance sensor may be a part of an insertable or implantable lead or catheter like device. Alternatively, the impedance sensor may bea small device adapted to be permanently implanted in a blood vessel and to wirelessly communicate with an external device for transmitting impedance data thereto.

Claims

1. A method for determining the left ventricular pressure of a heart, the method comprising the steps of:

positioning an impedance sensor within a coronary blood vessel of said heart, said impedance sensor has at least two electrodes disposed within said coronary blood vessel; and

determining the electrical impedance between said at least two electrodes to obtain an impedance signal said impedance signal is correlated with said left ventricular pressure, the correlation coefficient of said impedance signal and sad left ventricular pressure has a value higher than 0.8.

2. The method according to claim 1 further including the step of processing said impedance signal to determine said left ventricular pressure.

3. A method for determining the left ventricular pressure of a heart, the method comprising the steps of:

positioning an impedance sensor within a coronary blood vessel of said heart, said impedance sensor has at least two electrodes disposed within said coronary blood vessel; and

determining the electrical impedance between said at least two electrodes to obtain an impedance signal said impedance signal is correlated with said left ventricular pressure, the correlation coefficient of said impedance signal and sad left ventricular pressure has a value higher than 0.95.

4. The method according to claim 3 further including the step of processing said impedance signal to determine said left ventricular pressure.

5. A method for determining the left ventricular pressure of a heart, the method comprising the steps of:

positioning an impedance sensor within a coronary blood vessel of said heart, said impedance sensor has at least two electrodes disposed within said coronary blood vessel; and

determining the electrical impedance between said at least two electrodes to obtain an impedance signal correlated with said left ventricular pressure, said impedance signal is substantially unaffected by postural changes.

6. The method according to claim 5 further including the step of processing said impedance signal to determine said left ventricular pressure.

7. A method for sensing a signal correlated with the left ventricular pressure of a heart, the method comprising the steps of:

positioning an impedance sensor within a coronary blood vessel of said heart, said impedance sensor has at least two electrodes disposed within said coronary blood vessel; and

determining the electrical impedance between said at least two electrodes to obtain an impedance signal correlated with said left ventricular pressure the correlation coefficient of said impedance signal and said left ventricular pressure has a value higher than 0.8.

8. A method for sensing a signal correlated with the left ventricular pressure of a heart, the method comprising the steps of:

positioning an impedance sensor within a coronary blood vessel of said heart, said impedance sensor has at least two electrodes disposed within said coronary blood vessel; and

determining the electrical impedance between said at least two electrodes to obtain an impedance signal correlated with said left ventricular pressure the correlation coefficient of said impedance signal and said left ventricular pressure has a value higher than 0.95.

9. A method for sensing a signal correlated with the left ventricular pressure of a heart, the method comprising the steps of:

positioning an impedance sensor within a coronary blood vessel of said heart, said impedance sensor has at least two electrodes disposed within said coronary blood vessel; and

determining the electrical impedance between said at least two electrodes to obtain an impedance signal correlated with said left ventricular pressure, said impedance signal is substantially unaffected by postural changes.