Method and apparatus for pressure measurement
Methods and apparatus for measuring pressure in a patient are provided which may include any number of features. One feature is a pressure measurement system comprising a pressure source, a compliant bladder, a catheter in communication with the pressure source, pressure sensors, and a controller configured to determine a pressure within the compliant bladder. The pressure measurement system can inflate the compliant bladder with gas or air to determine a pressure within a patient. In one embodiment, the pressure measurement system measures pressure within a peritoneal cavity.
1. A method of measuring pressure in a patient, comprising:
anchoring a pressure measurement catheter within a patient via a retention balloon;
inflating a pressure sensing membrane disposed on the pressure measurement catheter;
measuring a pressure of the pressure sensing membrane with a pressure sensor in communication with the pressure sensing membrane and with a controller to determine a pressure within the patient; and
controlling a flow of fluid to the pressure sensing membrane via the controller.
2. The method of claim 1 further comprising removing a volume of gas from the pressure sensing membrane.
3. The method of claim 2 wherein the removing a volume of gas step further comprises opening the pressure sensing membrane to a lower pressure for a period of time to remove the gas from the pressure sensing membrane.
4. The method of claim 3 wherein the lower pressure is atmospheric pressure.
5. The method of claim 1 wherein inflating further comprises inflating the pressure sensing membrane with a first volume of air.
6. The method of claim 1 wherein inflating further comprises inflating the pressure sensing membrane to a preset pressure.
7. The method of claim 1 wherein inflating further comprises inserting the pressure measurement catheter into a peritoneal cavity of the patient.
8. The method of claim 1 wherein inflating further comprises inserting the pressure measurement catheter into a stomach of the patient.
9. The method of claim 1 wherein inflating further comprises inserting the pressure measurement catheter into a urinary tract of the patient.
10. The method of claim 1 further comprising infusing a fluid into the patient through an infusion lumen of the pressure measurement catheter.
11. The method of claim 10 further comprising extracting fluid from the patient through an extraction lumen of the pressure measurement catheter.
12. The method of claim 10 wherein the infusing step comprises infusing a hypothermic fluid into the patient.
13. A pressure measurement system, comprising:
a catheter having a pressure lumen disposed in the catheter;
a pressure sensing membrane disposed on the catheter, the pressure sensing membrane being in communication with the pressure lumen;
a retention balloon configured to anchor the catheter within a patient body;
a pressure sensor coupled to the pressure lumen and configured to receive a pressure signal from the pressure sensing membrane via the pressure lumen; and
a controller configured to receive the pressure signal from the pressure sensor and to control a flow of fluid to the pressure sensing membrane.
14. The system of claim 13 further comprising a pressure source coupled to the pressure lumen.
15. The system of claim 14 wherein the controller is configured to control the pressure source to control the flow of fluid from the pressure sensing membrane.
16. The system of claim 13 wherein the pressure sensing membrane comprises a pressure sensing balloon.
17. The system of claim 14 wherein the controller is programmed with instructions to execute a priming sequence, the instructions comprising:
commanding the pressure source to fill the pressure sensing membrane with a first volume of fluid; and
after filling the pressure sensing membrane with the first volume of fluid, commanding the pressure source to remove a second volume of fluid from the pressure sensing membrane.
18. The system of claim 17 wherein the instructions further comprise periodically repeating the priming sequence ensure accurate pressure measurements.
19. The system of claim 14 wherein the controller is programmed with instructions to execute a priming sequence, the instructions comprising:
commanding the pressure source to fill the pressure sensing membrane with the fluid until the pressure sensing membrane reaches a first pressure; and
after reaching the first pressure, commanding the pressure source to remove a first volume of fluid from the pressure sensing membrane.
20. The system of claim 19 wherein the instructions further comprise periodically repeating the priming sequence to ensure accurate pressure measurements.
21. The system of claim 14 wherein the controller is programmed with instructions to execute a priming sequence, the instructions comprising:
commanding the pressure source to fill the pressure sensing membrane with the fluid until the pressure sensing membrane reaches a first pressure; and
after reaching the first pressure, opening the pressure source to atmospheric pressure for a first amount of time to remove the fluid from the pressure sensing membrane.
22. The system of claim 21 wherein the instructions further comprise periodically repeating the priming sequence to ensure accurate pressure measurements.
23. The system of claim 14 wherein the controller is programmed with instructions to execute a priming sequence, the instructions comprising:
commanding the pressure source to remove the fluid from the pressure sensing membrane for a set period of time.
24. The system of claim 23 wherein the instructions further comprise periodically repeating the priming sequence to ensure accurate pressure measurements.
25. The system of claim 13 wherein the controller is programmed with instructions to execute a leak test sequence, the instructions comprising identifying drift in the pressure signal.
26. The system of claim 13 wherein the catheter further comprises a fluid extraction lumen.
27. The system of claim 13 wherein the catheter includes a temperature sensor.
28. The system of claim 13 wherein the catheter is a Foley type catheter.
29. The system of claim 13 wherein the controller is further configured to automatically detect when the catheter is connected to the controller.
30. The system of claim 13 wherein the controller is configured to collect identifying information from the catheter.
31. The system of claim 30 wherein the controller is configured to detect when a predetermined pressure or volume is reached by the compliant bladder as an indication of the catheter being properly connected to the controller.