Continuous intra-abdominal pressure monitoring system

• US 8,535,237 B2
• Filed: 10/22/2008
• Issued: 09/17/2013
• Est. Priority Date: 10/23/2007
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Nishtala, Vasu
• Primary Examiner(s): SZMAL, BRIAN SCOTT
• Application Number:
  US12/739,492
• Publication Number:
  US 20100249663A1
• Time in Patent Office: 1,791 Days
• Field of Search: 600/561, 604/544, 137/507, 137/455
• US Class Current: 600/561
• CPC Class Codes: A61B 5/036 by means introduced into body tracts A61B5/032 and A61B5/035 take precedence
• CPC Class Codes: A61M 2025/0003 having an additional lumen transmitting fluid pressure to the outside for measurement
• CPC Class Codes: A61M 2025/0076 Unidirectional valves
• CPC Class Codes: A61M 2025/1061 having separate inflations tubes, e.g. coaxial tubes or tubes otherwise arranged apart from the catheter tube
• CPC Class Codes: A61M 25/0017 specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections
• CPC Class Codes: A61M 25/0026 Multi-lumen catheters with stationary elements catheter assemblies comprising a catheter in combination with a guide tube, sheath or sleeve A61M2025/0681; catheters comprising telescoping coaxial elements A61M2025/0175
• CPC Class Codes: A61M 25/10185 Valves
• CPC Class Codes: A61M 25/10188 Inflation or deflation data displays

Abstract

Described herein are devices, systems, kits and methods for continuously measuring intra-abdominal pressure (IAP) from a patient catheterized with a urinary catheter system Devices may include a lumen configured to connect to a pressure transducer, and a compensation chamber in fluid communication with the lumen and a urinary catheter.

Claims

1. A system for monitoring intra-abdominal pressure, comprising:

a pressure transducer;

a lumen configured to connect to the pressure transducer;

a compensation chamber connected to the lumen and configured to be removably attached to a port of a urinary catheter system to form a fluid connection between the urinary catheter system and the lumen, an interior volume of the compensation chamber configured to change to adjust fluid pressure within the device.

2. The system of claim 1, wherein the lumen is connected indirectly to the pressure transducer.

3. The system of claim 2 further comprising a stopcock that is configured selectably control a fluid connection between the compensation chamber and the pressure transducer.

4. The system of claim 1, wherein the compensation chamber comprises a spring.

5. The system of claim 1, wherein the compensation chamber comprises a port configured to securely receive a syringe.

6. The system of claim 1 further comprising a stopcock that is configured to selectably control the fluid connection between the compensation chamber and the urinary catheter system.

7. The system of claim 1 further comprising a second lumen that couples the urinary catheter system and the compensation chamber, and allows for a fluid connection therebetween.

8. The system of claim 1 further comprising the urinary catheter system, the urinary catheter system comprising a bypass lumen and a retention balloon, the retention balloon adapted to be expanded to at least partially abut at least a portion of the bladder wall of a patient, the retention balloon being in fluid communication with the compensation chamber.

9. The device of claim 1, wherein the compensation chamber comprises a compensation spring that is configured to bias a compensation chamber floor to change the interior volume of the compensation chamber.

10. The device of claim 1, wherein the device is configured to connect to the urinary catheter system during use thereof without having to disassemble or otherwise open a portion of the urinary catheter system to the atmosphere.

11. An Infra-Abdominal Pressure monitoring device comprising:

a urinary catheter system comprising a bypass lumen and a retention balloon, the retention balloon adapted to be expanded to at least partially abut at least a portion of a bladder wall of a patient;

a compensation chamber coupled by a fluid connection with the retention balloon via the bypass lumen, the compensation chamber being configured for adjusting fluid pressure within the device via movement of a compensation chamber floor; and

a pressure monitor for monitoring pressure within the bladder, the pressure monitor being in fluid communication with the compensation chamber.

12. The device of claim 11, wherein the bypass lumen is connected indirectly to a pressure transducer.

13. The device of claim 12 further comprising a stopcock that is configured to selectably control a fluid connection between the compensation chamber and the pressure transducer.

14. The device of claim 11, wherein the compensation chamber comprises a compensation spring that is configured to bias the compensation chamber floor to adjust the volume of the compensation chamber.

15. The device of claim 11, wherein the compensation chamber comprises a port configured to securely receive a syringe.

16. The device of claim 11 further comprising a stopcock that is configured to selectably control the fluid connection between the compensation chamber and the urinary catheter system.

17. The device of claim 11, further comprising a syringe for injecting fluid into the compensation chamber, and a valve for adding or removing fluid from the compensation chamber.

18. The device of claim 17, wherein the valve is located on the syringe.

19. The device of claim 17, wherein the valve is located on the compensation chamber.