Gastroscope

• US 8,909,315 B2
• Filed: 02/15/2010
• Issued: 12/09/2014
• Est. Priority Date: 02/17/2009
• Status: Expired due to Fees

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Frtsch, Stefan, Kuth, Rainer, Maier, Karl-Heinz
• Primary Examiner(s): Natnithithadha, Navin
• Application Number:
  US13/148,506
• Publication Number:
  US 20110313265A1
• Time in Patent Office: 1,758 Days
• Field of Search: 600/309, 600/345, 600/348, 600/349, 600/350, 600/361, 600/380, 600/547, 600/302
• US Class Current: 600/350
• CPC Class Codes: A61B 1/00097 Sensors
• CPC Class Codes: A61B 1/2736 Gastroscopes
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2562/0215 Silver or silver chloride containing
• 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 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/4238 stomach
• CPC Class Codes: A61B 5/6852 Catheters

Abstract

A gastroscope has an insertion tube with a distal end, at which a sensor is located. The sensor has a first electrode produced of an acid-resistant noble metal, and a second electrode produced of silver. An electrical voltage is applied between the first and second electrodes, and a change in an electrical variable is measured between the first and second electrodes, when ammonia is present. The gastroscope allows screening of gastric acid and the tissue of the stomach lining for Helicobacter pylori in a manner that is gentle for the patient.

Claims

1. A gastroscope comprising:

an insertion tube having a size and shape allowing insertion of said insertion tube into the gastrointestinal tract of a subject, said insertion tube having a distal end;

a sensor at said distal end of said insertion tube that is exposed to an interior of the gastrointestinal tract, said sensor comprising a first electrode made of a noble metal, which cannot be attacked by acid and a second electrode made of silver with a silver chloride layer that is exposed to said interior;

a voltage source connected between said first electrode and said second electrode that produces an electric voltage between said first electrode and said second electrode with said first electrode operated as a reference electrode and said second electrode operated as a measurement electrode; and

a detector that detects a change in an electrical variable between said first electrode and said second electrode when ammonia is present in said interior between said first electrode and said second electrode, by said silver chloride layer participating in a chemical reaction with said ammonia.

2. A gastroscope as claimed in claim 1 wherein said voltage source produces an electric voltage between said first electrode and said second electrode of zero.

3. A gastroscope as claimed in claim 1 wherein said voltage source produces said electric voltage source as an AC voltage with a variable frequency spectrum.

4. A gastroscope as claimed in claim 1 wherein said voltage source produces said electric voltage as a DC voltage for a predetermined period of time.

5. A gastroscope as claimed in claim 1 wherein said detector measures electrical potential as said electrical variable.

6. A gastroscope as claimed in claim 1 wherein said detector measures electrical current as said electrical variable.

7. A gastroscope as claimed in claim 1 wherein said detector measures electrical resistance as said electrical variable.

8. A gastroscope as claimed in claim 1 wherein said first electrode is made of a noble metal selected from the group consisting of platinum and gold.

9. A gastroscope as claimed in claim 1 wherein at least one of said first electrode and said second electrode is configured to be replaceable.

10. A gastroscope as claimed in claim 1 wherein said second electrode is regenerable.

11. A gastroscope as claimed in claim 1 wherein said insertion tube comprises a work channel and wherein said sensor is located in the insertion tube next to said work channel.

12. A gastroscope as claimed in claim 1 wherein said sensor is located at an exterior surface of the insertion tube.

13. A gastroscope as claimed in claim 1 wherein said voltage source generates said electrical voltage as an AC sinusoidal voltage.

14. A gastroscope as claimed in claim 1 wherein said voltage source generates said electrical voltage as an AC triangular voltage.

15. A gastroscope as claimed in claim 1 wherein said voltage source generates said electrical voltage as an AC sawtooth voltage.

16. A gastroscope as claimed in claim 1 wherein said voltage source generates said electrical voltage as an AC voltage representing a noise spectrum.

17. A gastroscope as claimed in claim 1 wherein said voltage source generates said electrical voltage as an AC voltage having a variable frequency spectrum comprised of at least two pulses with respectively different shapes.

18. A gastroscope as claimed in claim 1 wherein said voltage source generates said electrical voltage as an AC voltage with a variable frequency spectrum comprised of components having respectively different bandwidths.

19. A gastroscope as claimed in claim 1 wherein said voltage source generates said electrical voltage as a modulated AC voltage having a variable frequency spectrum.