Systems, devices and methods for assessment of body cavity pressures
View Patent ↗Systems, devices and methods that can be used to obtain objective pressure measurements in a body cavity using one or more monitoring bladders mounted on a catheter. The monitoring bladders may be adapted to connect or be connected to a system capable of providing objective pressure measurements indicative of the compressive forces acting on the one or more monitoring bladder in the body cavity. The body cavity may include, for example, the rectum, esophagus, stomach, intestine, colon, reproductive tract, urethra, oronasopharnygeal tract, etc.
1. A method of monitoring anal canal pressures comprising:
locating a pressure measuring device in an anal canal and rectum, wherein the pressure measuring device comprises:
a catheter comprising a proximal end and a distal end;
a distention device mounted on the catheter proximate the distal end of the catheter, wherein the distention device is expandable and collapsible between a collapsed configuration and a distended configuration;
a plurality of monitoring bladders mounted on the catheter at a location proximal to the distention device, wherein each monitoring bladder is movable along the catheter, and wherein the plurality of monitoring bladders are positioned about a periphery of the catheter at the same longitudinal position, wherein each monitoring bladder occupies only a portion of the periphery of the catheter and wherein the plurality of monitoring bladders are located in the anal canal; and
a plurality of monitoring lumens, wherein each monitoring lumen of the plurality of monitoring lumens extends proximally through at least a portion of the catheter from the monitoring bladder towards the proximal end of the catheter, wherein each monitoring lumen is in fluid communication with an interior of one monitoring bladder such that a fluid pressure in the one monitoring bladder is communicated through the monitoring lumen;
expanding the distention device to the distended configuration after locating the pressure measuring device in the anal canal and rectum; and
monitoring pressure exerted by the anal canal at a first location using the plurality of monitoring bladders after expanding the distention device to the distended configuration, wherein pressure exerted by the anal canal on the plurality of monitoring bladders is measured independently of each other while the distention device is in the distended configuration.
2. A method according to claim 1 , wherein the method further comprises:
moving the plurality of monitoring bladders toward or away from the distention device after monitoring pressure exerted on the plurality of monitoring bladders by the anal canal at the first location using the plurality of monitoring bladders; and
monitoring pressure exerted by the anal canal using the plurality of monitoring bladders after moving the plurality of monitoring bladders toward or away from the distention device while the distention device is in the distended configuration.
3. A method according to claim 2 , the method further comprising holding the distention device in the distended configuration while moving the plurality of monitoring bladders toward or away from the distention device after monitoring pressure exerted on the plurality of monitoring bladders by the anal canal at the first location.
4. A method according to claim 1 , wherein the distention device comprises a maximum transverse dimension in the distended configuration that is larger than any maximum transverse dimension of the pressure measuring device in the length occupied by the plurality of monitoring bladders, wherein the maximum transverse dimensions are measured transverse to the longitudinal axis.
5. A method according to claim 1 , wherein the distention device is mounted at a fixed position on the catheter.
6. A method according to claim 1 , wherein moving the plurality of monitoring bladders comprises moving a movable sleeve along the catheter, wherein the plurality of monitoring bladders are mounted on the movable sleeve.
7. A method according to claim 1 , the method further comprising delivering fluid to the plurality of monitoring bladders before monitoring pressure exerted on the plurality of monitoring bladders by the anal canal.