Implantable optical pressure sensor for sensing urinary sphincter pressure

• US 7,610,093 B2
• Filed: 04/28/2005
• Issued: 10/27/2009
• Est. Priority Date: 04/28/2005
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gerber, Martin T., Miesel, Keith A., Shumaker, Steven J.
• Primary Examiner(s): BOCKELMAN, MARK
• Application Number:
  US11/117,064
• Publication Number:
  US 20060247724A1
• Time in Patent Office: 1,643 Days
• Field of Search: 600/587, 600/593, 607 40- 41, 607/62, 607/143
• US Class Current: 607/41
• CPC Class Codes: A61B 5/202 Assessing bladder functions, e.g. incontinence assessment
• CPC Class Codes: A61B 5/205 Determining bladder or urethral pressure
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control

Abstract

The disclosure describes an optical fiber pressure sensor to measure sphincter pressure which may be incorporated into a therapeutic sphincter control system. The system senses sphincter pressure and sends the information to a stimulator that is capable of stimulation therapy to control sphincter contractility, thus reducing unwanted urinary incontinence. Measuring sphincter pressure is accomplished through the use of an optical fiber connected to flexible tube section placed through the sphincter, where properties of the emitted light are changed proportional to the pressure on the tube section. The light is returned to a light detector to measure light properties and create an electrical signal representative of the pressure on the tube section. The signal may then be sent by wireless telemetry to an implanted stimulator or external programmer.

Claims

1. A method comprising:

transmitting light via an optical fiber positioned proximate a sphincter within a patient;

detecting reflected light via the optical fiber; and

generating pressure information based on the detected light, wherein;

the optical fiber is coupled to a flexible tube section that contains a reflective, flexible diaphragm mounted within the flexible tube section, and the flexible tube section is mounted within the sphincter; and

the diaphragm reflects the light transmitted via the optical fiber and deflects in response to exertion of pressure against the flexible tube section by the sphincter.

2. The method of claim 1, further comprising generating the Pressure information based on changes in one or more properties of the reflected light in response to deflection of the diaphragm.

3. The method of claim 1, wherein the optical fiber includes a first optical fiber that transmits the light and a second optical fiber that receives the light reflected by the diaphragm.

4. The method of claim 1, wherein the optical fiber is positioned proximate a urinary sphincter of the patient.

5. The method of claim 1, further comprising adjusting one or more parameters of electrical stimulation delivered to the patient based on the pressure information.

6. The method of claim 5, wherein the electrical stimulation is configured to alleviate urinary incontinence.

7. The method of claim 1,

wherein the optical fiber extends from a housing, the method further comprising attaching the housing to a bladder wall of the patient.

8. The method of claim 1, further comprising cystoscopically deploying the optical fiber within a urethra of the patient.