Catheter with electrodes for impedance and/or conduction velocity measurement

• US 8,961,417 B2
• Filed: 01/05/2009
• Issued: 02/24/2015
• Est. Priority Date: 01/04/2008
• Status: Active Grant

• Current Assignee: Texas Heart Institute
• Original Assignee: Texas Heart Institute
• Inventors: Razavi, Mehdi
• Primary Examiner(s): QIAN, CELINE X
• Application Number:
  US12/348,695
• Publication Number:
  US 20090177069A1
• Time in Patent Office: 2,241 Days
• Field of Search: None
• US Class Current: 600/371
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/283 Invasive

Abstract

An apparatus comprises a catheter comprising a first electrode. The apparatus also comprises a second electrode electrically attached to a person and coupled to the first electrode via the person'"'"'s tissue. Logic is coupled to the electrodes and generates an electrical signal that is provided through the electrodes and computes an impedance or conduction velocity associated with the electrodes based on the electrical signal. The logic stores a threshold against which said computed impedance or conduction velocity is compared by said logic.

Claims

1. An apparatus, comprising:

an introducer usable to insert a catheter in to a blood vessel, the catheter comprising a first electrode;

a second electrode when electrically attached to a person is to be coupled to said first electrode via the person'"'"'s tissue; and

logic coupled to said electrodes, said logic generates an electrical signal that is provided through said electrodes and computes an impedance or conduction velocity associated with said electrodes based on said electrical signal;

wherein said logic stores a threshold against which said computed impedance or conduction velocity is compared by said logic; and

wherein said logic detects bleeding based on a comparison of the computed impedance or conduction velocity to the threshold and generates an alert indicative of the patient bleeding based on the computed impedance or conduction velocity exceeding the threshold.

2. The apparatus of claim 1 comprising a third electrode and said logic computes impedances between said first and third electrodes and said second and third electrodes, said logic also stores separate thresholds against which said impedances are compared.

3. The apparatus of claim 2 wherein the logic implements a calibration mode in which said thresholds are determined, said calibration mode initiated before a medical procedure is begun.

4. The apparatus of claim 3 wherein, while in the calibration mode, the logic determines an impedance between each pair of the first, second, and third electrodes.

5. The apparatus of claim 1 wherein the logic implements a calibration mode in which said threshold is determined, said calibration mode initiated before a medical procedure is begun.

6. The apparatus of claim 1 wherein the threshold comprises an impedance amplitude value.

7. The apparatus of claim 1 wherein the threshold comprises an impedance phase value.

8. The apparatus of claim 1 wherein the threshold comprises an impedance phase value and an impedance amplitude value.

9. The apparatus of claim 1 wherein when the catheter is inserted into the coronary sinus of the e son said logic computes said impedance with the catheter inserted into the coronary sinus of the person.

10. The apparatus of claim 1 wherein when the second electrode is electrically attached to the person, the second electrode is electrically attached at a site selected from a group consisting of the person'"'"'s skin, the person'"'"'s esophagus, and the person'"'"'s heart.

11. An apparatus, comprising:

an introducer usable to insert a catheter in to a blood vessel, the catheter comprising a first electrode;

a second electrode when electrically attached to a person is to be coupled to said first electrode via the person'"'"'s tissue; and

a signal generator coupled to said electrodes, said signal generator generates an electrical signal that is provided through said electrodes, computes an impedance associated with said electrodes based on said electrical signal, and determines whether the person is experiencing bleeding based on the computed impedance;

wherein the signal generator generates an alert based on a determination that the person is experiencing bleeding.

12. The apparatus of claim 11 wherein the catheter comprises a plurality of electrodes which are selectable by the signal generator to compute impedance.