Monitoring Conditions Of A Patient's Urinary System

• US 20110125061A1
• Filed: 05/13/2009
• Published: 05/26/2011
• Est. Priority Date: 12/20/2006
• Status: Abandoned Application

• Current Assignee: P. Square Medical, Ltd.
• Original Assignee: P. Square Medical, Ltd.
• Inventors: Sahar, Ori, Shahar, Menashe
• Application Number:
  US12/991,948
• Publication Number:
  US 20110125061A1
• Time in Patent Office: Days
• US Class Current: 600/586
• CPC Class Codes: A61B 2562/0204 Acoustic sensors
• CPC Class Codes: A61B 5/20 for measuring urological functions restricted to the evaluation of the urinary system A61B5/4375 takes precedence
• CPC Class Codes: A61B 5/205 Determining bladder or urethral pressure
• CPC Class Codes: A61B 5/208 adapted to determine urine quantity, e.g. flow, volume
• CPC Class Codes: A61B 5/4381 Prostate evaluation or disorder diagnosis
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: A61B 7/026 comprising more than one sound collector
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

A monitoring system and method are presented for use in monitoring a condition of a patient'"'"'s urinary system. The monitoring system comprises an acoustic assembly comprising at least one acoustic receiver adapted for receiving acoustic signals during a patient'"'"'s urination and generating data indicative thereof. The monitoring system also includes a control unit that is in communication with said acoustic assembly. The control unit is configured and operable for analyzing said generated data indicative of the continuously received acoustic signals during a patient'"'"'s urination, obtaining a time variation of the acoustic signal during the urination and determining a corresponding spectral data of the acoustic signal. The control unit further analyzes the spectral data and, upon detecting at least one first signal peak corresponding to a condition of turbulence in the urine flow, determining a relation between said first signal peak and a second signal peak corresponding to a condition of laminar urine flow. Based on said relation, the control unit determines the condition of a patient'"'"'s low urinary system and generating output data indicative thereof.

Claims

1. A monitoring system for use in monitoring a condition of a patient'"'"'s urinary system, the monitoring system comprising:

(a) an acoustic assembly comprising at least one acoustic receiver, each acoustic receiver being adapted for receiving acoustic signals during a patient'"'"'s urination and generating data indicative thereof; and

(b) a control unit in communication with said acoustic assembly, the control unit being configured and operable for analyzing the generated data from said at least one acoustic receiver indicative of the received acoustic signals during a patient'"'"'s urination, determining a time variation of the acoustic signal during the urination and determining a corresponding spectral data of the acoustic signal, analyzing the spectral data and, upon detecting at least one first signal peak corresponding to a condition of turbulence in the urine flow, determining a relation between said first signal peak and a second signal peak corresponding to a condition of laminar urine flow, and based on said relation determining the condition of a patient'"'"'s low urinary system and generating output data indicative thereof.

2. The system of claim 1, wherein said spectral data includes a Strouhal frequency range.

3. The system of claim 1, wherein said spectral data includes a frequency range of about 20-1000 Hz.

4. The system of claim 1, wherein the second signal peak corresponding to condition of laminar urine flow is in a frequency range of 70-150 Hz.

5. The system of claim 1, wherein the first signal peak corresponding to the turbulent urine flow is in a frequency range of 150-1000 Hz.

6. The system of claim 1, wherein the control unit is configured and operable for analyzing the spectral data by determining a time variation of the relation between the first and second signal peaks, a frequency of at least the first signal peak varying with time during the urination.

7. The system of claim 1, wherein the control unit is configured and operable to determine the relation between the first and second signal peaks by calculating at least one of the following:

a ratio between amplitudes of the first and second signals, and a ratio between frequencies of the first and second signals, and time variations of these ratios during urination and/or during successive urinations.

8. The system of claim 1, wherein the control unit comprises a memory utility for storing reference data comprising a given value or a range of values for at least one of the following parameters:

an urethral diameter, urethral length, and elasticity of an urethral wall.

9. The system of claim 1, wherein the control unit is configured and operable to apply a predetermined model to the spectral data, said model being based on a given value or a range of values for at least one of the following parameters:

an urethral diameter, urethral length, and elasticity of an urethral wall.

10. The system of claim 1, wherein the control unit is configured and operable to process and analyze the relation between the first and second signals or a time variation of the relation between the first and second signals during the urination, and calculate or estimate at least one of the following parameters indicative of the urinary system condition:

amount of urinated urine during the urination time;

urinal flow velocity profile;

urinary flow rate;

urethral obstruction degree;

pressure in urinary bladder; and

detrusor pressure.

11. The system of claim 1, comprising a positioning unit for positioning said at least one acoustic receiver in the vicinity of the patient'"'"'s urine flow such that an acoustic interface of the receiver is in a position for receiving acoustic signals generated during the patient'"'"'s urination.

25. The system of claim 1, wherein said acoustic assembly comprises two or two acoustic receivers for accommodation in a spaced-apart relationship along the region of interest, the control unit being configured and operable for analyzing the generated data from each of said two or more acoustic receivers and generating data being a function of time and coordinates of the acoustic receivers with respect to the region of interest.

12. A method for use in monitoring a condition of a patient'"'"'s urinary system, the method comprising:

(a) detecting acoustic signals originated by urine flow during the patient'"'"'s urination, and generating data indicative thereof;

(b) analyzing said data generated during the urination and determining spectral data indicative thereof;

(c) analyzing the spectral data and, upon detecting at least one first signal peak corresponding to a condition of turbulence in the urine flow, determining a relation between said signal peak corresponding to the condition of turbulence in the urine flow and a second signal peak corresponding to a condition of laminar urine flow, and using said relation to determine the condition of a patient'"'"'s urinary system and generate output data indicative thereof.

13. The method of claim 12, wherein said detection of the acoustic signals is carried out by at least one acoustic receiver.

14. The method of claim 12, wherein said spectral data includes a Strouhal frequency range.

15. The method of claim 12, wherein said spectral data includes a frequency range of about 20-1000 Hz.

16. The method of claim 12, wherein the signal peak corresponding to a condition of laminar urine flow is in a frequency range of 70-150 Hz.

17. The method of claim 12, wherein the signal peak corresponding to the turbulent urine flow is in a frequency range of 150-1000 Hz.

18. The method of claim 12, wherein said analyzing of the spectral data comprising determining a time variation of the relation between the first and second signal peaks.

19. The method of claim 12, wherein said relation between the first and second signal peaks is indicative of at least one of the following:

a ratio between amplitudes of the first and second signals, and a ratio between frequencies of the first and second signals.

20. The method of claim 12, wherein said analyzing of the spectral data comprises applying to said data a predetermined model based on a given value or a range of values for at least one of the following parameters:

an urethral diameter, urethral length, and elasticity of an urethral wall.

21. The method of claim 12, wherein said output data indicative of the condition of the urinary system comprises at least one of the following:

amount of urinated urine during the urination time, urinal flow velocity profile, urinary flow rate, urethral obstruction degree, urethral flow resistance, pressure in urinary bladder and detrusor pressure.

22. (canceled)

23. A method for use in monitoring a condition of a patient'"'"'s urinary system, the method comprising:

analyzing spectral data corresponding to acoustic signals originated by urine flow during the patient'"'"'s urination; and

upon detecting at least one first signal peak corresponding to a condition of turbulence in the urine flow, determining a relation between said first signal peak and a second signal peak corresponding to a condition of laminar urine flow; and

using said relation to determine the condition of a patient'"'"'s urinary system and generate output data indicative thereof.

24. A computer system adapted for receiving data indicative of a sequence of acoustic signals each corresponding to measurement during a respective urination time, said computer system being configured and operable for processing said data to determine spectral data corresponding to each of the acoustic signals, analyzing the spectral data and, upon detecting at least one first signal peak in the acoustic signal corresponding to a condition of turbulence in the urine flow, determining a relation between said first signal peak and a second signal peak in said acoustic signal corresponding to a condition of laminar urine flow, and based on said relation generating output data indicative of a condition of a patient'"'"'s urinary system from which said acoustic signals have been originated.