CA2762123A1 - Physiological sensor delivery device and method - Google Patents

Physiological sensor delivery device and method Download PDF

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Publication number
CA2762123A1
CA2762123A1 CA2762123A CA2762123A CA2762123A1 CA 2762123 A1 CA2762123 A1 CA 2762123A1 CA 2762123 A CA2762123 A CA 2762123A CA 2762123 A CA2762123 A CA 2762123A CA 2762123 A1 CA2762123 A1 CA 2762123A1
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CA
Canada
Prior art keywords
signal
sensor
delivery device
patient
sensor delivery
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Granted
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CA2762123A
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French (fr)
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CA2762123C (en
Inventor
Jung Kwon Pak
Dale R. Manstrom
Amy R. Raatikka
Robert F. Wilson
Edward R. Miller
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ACIST Medical Systems Inc
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ACIST Medical Systems Inc
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Application filed by ACIST Medical Systems Inc filed Critical ACIST Medical Systems Inc
Priority to CA2803747A priority Critical patent/CA2803747C/en
Publication of CA2762123A1 publication Critical patent/CA2762123A1/en
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Classifications

    • AHUMAN NECESSITIES
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    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/02028Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
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    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
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    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0017Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system transmitting optical signals
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    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022Monitoring a patient using a global network, e.g. telephone networks, internet
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    • A61B5/02007Evaluating blood vessel condition, e.g. elasticity, compliance
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    • A61B5/02007Evaluating blood vessel condition, e.g. elasticity, compliance
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    • A61B5/021Measuring pressure in heart or blood vessels
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    • A61B5/021Measuring pressure in heart or blood vessels
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    • A61B5/02154Measuring pressure in heart or blood vessels by means inserted into the body by optical transmission
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    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/0215Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02158Measuring pressure in heart or blood vessels by means inserted into the body provided with two or more sensor elements
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    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/0225Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
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    • A61B5/1455Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
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    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
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    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6851Guide wires
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    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6853Catheters with a balloon
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    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6862Stents
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    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
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    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
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Abstract

An intravascular sensor delivery device for measuring a physiological parameter of a patient, such as blood pressure, within a vascular structure or passage. In some embodiments, the device can be used to measure the pressure gradient across a stenotic lesion or heart valve. For example, such a device may be used to measure fractional flow reserve (FFR) across a stenotic lesion in order to assess the severity of the lesion. The sensor delivery device has a distal sleeve configured to pass or slide over a standard medical guidewire. Some distance back from the sensor and distal sleeve, the device separates from the guidewire to permit independent control of the sensor delivery device and the guidewire. The sensor delivery device can be sized to pass over different sizes of guidewires to enable usage in coronary and peripheral arteries, for example.

Claims (6)

1. A fluid injection system comprising:

fluid tubing adapted to provide fluid communication between the injection system and a patient;

a control panel; and a processor;

wherein the processor is adapted to receive:

(a) a first signal representative of blood pressure measured upstream of a location of interest in the patient, and (b) a second signal generated by a sensor delivery device, the second signal representative of blood pressure measured downstream of a location of interest in the patient, and wherein the control panel is adapted to display information derived from the first and second signals.
2. The system of claim 1 wherein the processor is adapted to calculate fractional flow reserve (FFR) based on a ratio of the first signal to the second signal, and wherein the control panel is adapted to display information related to the calculated FFR.
3. The system of claim 2 wherein the control panel provides an indication of whether the FFR is below a threshold value.
4. The system of claim 3 wherein the threshold value is about 0.75.
5. The system of claim 1 wherein the sensor delivery device comprises:

a distal sleeve having a guidewire lumen for slidably receiving a guidewire;

a sensor coupled to the distal sleeve, the sensor adapted to measure blood pressure of the patient and generate the first signal; and a proximal portion coupled to the distal sleeve, the proximal portion comprising a communication channel for communicating the first signal from the sensor to the processor of the injection system, the proximal portion being adapted to facilitate positioning of the sensor within a vascular structure of the patient.
6. The system of claim 1 wherein the first signal is a fluid pressure signal communicated to the fluid injection system using the fluid tubing.
CA2762123A 2008-09-11 2009-09-11 Physiological sensor delivery device and method Active CA2762123C (en)

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Application Number Priority Date Filing Date Title
CA2803747A CA2803747C (en) 2008-09-11 2009-09-11 Physiological sensor delivery device and method

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US9621608P 2008-09-11 2008-09-11
US61/096,216 2008-09-11
CA2734698A CA2734698C (en) 2008-09-11 2009-09-11 Physiological sensor delivery device and method

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CA2762123C CA2762123C (en) 2013-06-11

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CA2762123A Active CA2762123C (en) 2008-09-11 2009-09-11 Physiological sensor delivery device and method
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US (12) US8298156B2 (en)
EP (1) EP2334227B1 (en)
JP (2) JP5746969B2 (en)
KR (2) KR101754570B1 (en)
CN (1) CN102202562B (en)
AU (3) AU2009291623B2 (en)
BR (1) BRPI0918563B8 (en)
CA (4) CA2734698C (en)
ES (1) ES2913941T3 (en)
IL (2) IL211659A (en)
PL (1) PL2334227T3 (en)
RU (1) RU2478338C2 (en)
WO (1) WO2010030882A1 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11055848B2 (en) 2012-05-14 2021-07-06 Koninklijke Philips N.V. Determination of a fractional flow reserve (FFR) value for a stenosis of a vessel
CN113476694A (en) * 2021-07-05 2021-10-08 重庆医科大学 Infusion alarm capable of being clamped and stopped based on optical fiber Fabry-Perot detection principle
CN113876357A (en) * 2020-11-04 2022-01-04 科特有限责任公司 Imaging and pressure sensing device and probe with slidable sleeve

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* Cited by examiner, † Cited by third party
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