Method and apparatus for reconstructing a high fidelity pressure waveform with a balloon catheter

• US 6,398,738 B1
• Filed: 09/25/2000
• Issued: 06/04/2002
• Est. Priority Date: 09/25/2000
• Status: Active Grant

• Current Assignee: Millar Instruments
• Original Assignee: Millar Instruments
• Inventors: Millar, Huntly D.
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US09/668,912
• Time in Patent Office: 617 Days
• Field of Search: 600/486, 600/488, 600/487
• US Class Current: 600/486
• CPC Class Codes: A61B 5/02108 from analysis of pulse wave characteristics
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/6851 Guide wires
• CPC Class Codes: A61B 5/6853 with a balloon

Abstract

The invention provides a method and system for reconstructing a high-fidelity pressure waveform with a balloon catheter used in a heart. First, a balloon catheter having an air line is inserted into the aorta of the heart. The air line is then closed and sufficient air is introduced in order to equalize the pressure in the balloon catheter and the aorta. The AC components of the aortic pressure and the mean aortic pressure are detected separately and then added to form a high-fidelity pressure waveform. The high fidelity pressure waveform may be displayed on an oscilloscope, a patient monitor, or other suitable display.

Claims

1. A system for reconstructing a high-fidelity waveform of the blood pressure in the aorta of a human body, comprising:

a catheter body having a distal end and a proximal end;

a support surface proximate the distal end of the catheter body;

an inflatable balloon surrounding at least a portion of the catheter body;

a pressure sensor supported by the support surface;

a capacitively coupled detection circuit operatively coupled to the pressure sensor for removing DC bias and detecting frequency changes occurring at the pressure sensor; and

an external pressure transducer located at the proximal end of the catheter body and operatively coupled for determining the mean pressure within the inflatable balloon.

2. The system of claim 1, further comprising a patient monitor for reconstructing the high-fidelity waveform by adding the output of the capacitively coupled detection circuit and the output of the external pressure transducer.

3. The system of claim 1, further comprising an oscilloscope for reconstructing the high-fidelity waveform by adding the output of the capacitively coupled detection circuit and the output of the external pressure transducer.

4. The system of claim 1, further comprising a computer for adding the output of the capacitively coupled detection circuit and the output of the external pressure transducer.

5. The system of claim 1, wherein the external pressure transducer is disposable.

6. The system of claim 1, wherein the external pressure transducer is reusable.

7. The system of claim 1, wherein the capacitively coupled detection circuit is operable to detect frequency changes corresponding to the dicrotic notch in the aortic pressure.

8. A method for reconstructing a high-fidelity pressure waveform with a balloon catheter used in a heart, comprising:

inserting a balloon catheter having an air line into the aorta of the heart;

closing the airline;

inserting air in the air line to equalize the pressure in the balloon catheter and the aorta;

sensing the aortic pressure changes at the tip of the balloon catheter;

detecting the AC component of the measured aortic pressure changes;

detecting the pressure in the air line in order to determine the mean aortic pressure; and

adding the AC component of the measured aortic pressure to the mean aortic pressure to form a high-fidelity pressure waveform.

9. The method of claim 8, wherein the step of detecting the pressure in the air line is performed using a disposable pressure sensor.

10. The method of claim 8, wherein the amount of air inserted in the air line is approximately 5 cc'"'"'s.

11. The method of claim 8, further comprising displaying the high-fidelity pressure waveform on an oscilloscope.

12. The method of claim 8, further comprising displaying the high-fidelity pressure waveform on a patient monitor.

13. The method of claim 8, further comprising:

detecting the dicrotic notch of the AC component of the measured aortic pressure changes; and

inflating the balloon catheter based on the location of the dicrotic notch.