Apparatus for determining a location in a body using a catheter and method of using such catheter

• US 7,223,247 B2
• Filed: 11/01/2003
• Issued: 05/29/2007
• Est. Priority Date: 11/01/2003
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Madsen, Michael O.
• Primary Examiner(s): Hindenburg; Max F.
• Assistant Examiner(s): SZMAL, BRIAN SCOTT
• Application Number:
  US10/698,348
• Publication Number:
  US 20050096634A1
• Time in Patent Office: 1,305 Days
• Field of Search: 600/591, 600/593, 600/350, 600/343, 600/361, 600/459, 600/463, 600/561, 606/196, 606/139, 606/140, 128/903, 128/205.23, 128/207.14
• US Class Current: 600/561
• CPC Class Codes: A61B 5/037 Measuring oesophageal pressure
• CPC Class Codes: A61B 5/073 Intestinal transmitters
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/4233 oesophagus

Abstract

Method of using an esophageal catheter. A distal end of the catheter is passed through the esophagus into the stomach of a patient. A constant pressure of gas is applied to the catheter. The back pressure of the gas is measured. The distal end of the catheter is pulled from the patient. An increase in the pressure measured is noted. A subsequent decrease in the pressure measured is then noted. The upper boundary of the lower esophageal sphincter is identified as a function of such decrease. The catheter is then used to place a remote monitoring device to the esophagus.

Claims

1. A method of using an esophageal catheter, having a lumen, comprising the steps of:

determining an esophageal location in a patient having an esophagus, comprising the steps of;

passing a distal end of said catheter through an esophagus and a lower esophageal sphincter into a stomach of a patient;

introducing a flow of gas having a constant pressure to a proximate end of said lumen of said esophageal catheter;

measuring a lumen pressure of said gas in said lumen;

pulling back said distal end of said catheter from said patient;

noting an increase in said lumen pressure;

noting a subsequent decrease in said lumen pressure;

identifying an upper boundary of said lower esophageal sphincter based upon said decrease; and

establishing said esophageal location relative to said upper boundary of said lower esophageal sphincter; and

anchoring a capsule to said esophagus with said catheter.

2. A method as in claim 1 further comprising the step of determining a baseline for said lumen pressure before said pulling back step and wherein said increase in said lumen pressure is relative to said baseline.

3. A method as in claim 2 wherein said distal end of said catheter is removed gradually.

4. A method as in claim 3 wherein said increase is measured as said distal end of said catheter enters said lower esophageal sphincter.

5. A method as in claim 4 wherein said decrease is measured as said distal end of said catheter passes an upper boundary of said lower esophageal sphincter.

6. A method as in claim 5 wherein said anchoring step is accomplished by measuring a predetermined distance from said upper boundary of said lower esophageal sphincter.

7. A method as in claim 6 wherein said esophageal location is a predetermined distance above said upper boundary of said lower esophageal sphincter.

8. A method as in claim 1 wherein said pulling back step is accomplished in a series of incremental steps with pauses in between each of said incremental steps and wherein said measuring step is accomplished during said pauses.

9. A method as in claim 1 wherein said gas comprises air.

10. A method of using a catheter having a lumen, comprising the steps of:

determining an esophageal location in a patient having an esophagus, comprising the steps of;

passing a distal end of said catheter through a first chamber and a restriction into a second chamber of a patient;

introducing an air flow having a constant pressure to a proximate end of said lumen;

measuring a lumen pressure in said lumen;

determining a baseline for said lumen pressure;

pulling back said distal end of said catheter from said patient;

noting an increase in said lumen pressure;

noting a subsequent decrease in said lumen pressure;

identifying an upper boundary of said restriction upon said decrease; and

establishing said esophageal location relative to said upper boundary of said lower esophageal sphincter; and

anchoring a capsule to said esophagus with said catheter.

11. A method as in claim 10 further comprising the step of determining a baseline for said lumen pressure before said pulling back step and wherein said increase in said lumen pressure is relative to said baseline.

12. A method as in claim 11 wherein said distal end of said catheter is removed gradually.

13. A method as in claim 12 wherein said increase is measured as said distal end of said catheter enters said restriction.

14. A method as in claim 13 wherein said decrease is measured as said distal end of said catheter passes an upper boundary of said restriction.

15. A method as in claim 14 wherein said anchoring step is accomplished by measuring a predetermined distance from said upper boundary of said restriction.

16. A method as in claim 15 wherein said esophageal location is a predetermined distance above said upper boundary of said restriction.

17. A method as in claim 10 wherein said pulling back step is accomplished in a series of incremental steps with pauses in between each of said incremental steps and wherein said measuring step is accomplished during said pauses.

18. A method as in claim 10 wherein said gas comprises air.