Method for detection of blood pressure using pressure sensing guide wire

Abstract

A guide wire has a distal end incorporating a coil and a capacitive element that form a resonance circuit with a resonance frequency that is responsive to the pressure of blood external to the guide wire. The resonance frequency can be detected wirelessly, or through two contacts at the proximal wire end, or through one brush contact located inside an insertion sheath and a ground electrode. Wireless detection can be implemented via a second resonance circuit, and electronics for determining the frequency when the first and second circuits are in resonance with each other.

1 . The method defined in  claim 14  wherein said sensor circuit further includes a coil provided at a distal end of said guide wire, said coil and said capacitor being coupled to each other to form a resonance circuit, at least one of said coil and said capacitor being responsive to changes in pressure of fluid external to said guide wire such that said resonance circuit has a resonance frequency that varies in accordance with changes in pressure of the external fluid. 
     
     
         2 . The method defined in  claim 1  wherein said coil is configured to have an inductance that is variable depending on changes in pressure of fluid external to said guide wire. 
     
     
         3 . The method defined in  claim 2  wherein said coil is provided with a ferromagnetic core that is movably mounted to said guide wire and partially disposed inside said coil so that changes in pressure of said external fluid results in a shifting of said core relative to said coil, thereby varying an inductance of said coil and concomitantly the resonance frequency of said resonance circuit. 
     
     
         4 . The method defined in  claim 2  wherein said resonance circuit has a movable contact shiftable relative to said coil so that changes in pressure of said external fluid results in shifting of said contact relative to said coil and changing of an active length of said coil, thereby varying an inductance of said coil and concomitantly the resonance frequency of said resonance circuit. 
     
     
         5 . The method defined in  claim 2  wherein said coil has windings that are shiftably mounted to said guide wire so that changes in pressure of said external fluid results in a change in an effective length of said coil, thereby varying an inductance of said coil and concomitantly the resonance frequency of said resonance circuit. 
     
     
         6 . The method defined in  claim 14  wherein said capacitor is configured to have a capacitance that varies in response to changes in an external pressure. 
     
     
         7 . The method defined in  claim 6  wherein said capacitor includes a first plate element and a second plate element, at least said second plate element being movably mounted to said guide wire so that changes in pressure of said external fluid results in a shifting of said second plate element and a change in a distance or separation between said first plate element and said second plate element, thereby varying said capacitance and concomitantly the resonance frequency of said resonance circuit. 
     
     
         8 . The method defined in  claim 1  wherein said detector is operatively connected to said resonance circuit for monitoring said resonance frequency and determining the pressure of said external fluid. 
     
     
         9 . A method for detecting blood pressure in a blood vessel, comprising:
 providing a device including a guide wire and a sensor circuit including a capacitor disposed at said distal end of said guide wire, said sensor circuit being responsive to changes in pressure of fluid external to said guide wire;   inserting a distal end portion of said device including said capacitor into a fluid-containing organ of a patient;   disposing a detector outside the patient, said detector being operatively connected to said sensor circuit to monitor said sensor circuit and determine the pressure of the fluid in said organ, wherein said sensor circuit is a first resonance circuit, said detector including a second resonance circuit   coupling said second resonance circuit outside the patient electromagnetically to said first resonance circuit inside the patient; and   detecting when said first and said second resonance circuits are in resonance, thereby determining said resonance frequency.   
     
     
         10 . The method defined in  claim 9  wherein said detector is configured to monitor power consumption of the second resonance circuit. 
     
     
         11 . The method defined in  claim 9  wherein said second resonance circuit includes a printed disposable coil attachable to a patient near an intervention site. 
     
     
         12 . The method defined in  claim 9  wherein said second resonance circuit is mounted on said sheath, said guide wire extending through said sheath. 
     
     
         13 . A method for detecting blood pressure in a blood vessel, comprising:
 providing a device including a guide wire and a sensor circuit including a capacitor disposed at said distal end of said guide wire, said sensor circuit being responsive to changes in pressure of fluid external to said guide wire;   inserting a distal end portion of said device including said capacitor into a fluid-containing organ of a patient;   disposing a detector outside the patient, said detector being operatively connected to said sensor circuit to monitor said sensor circuit and determine the pressure of the fluid in said organ,   said guide wire having a core member and a hypotube; and   connecting said detector to said sensor circuit via two electrical contacts located at a proximal end of said guide wire, one of said electrical contacts being connected to said core member and another of said electrical contacts being connected to said hypotube.   
     
     
         14 . A method for detecting blood pressure in a blood vessel, comprising:
 providing a device including a guide wire and a sensor circuit including a capacitor disposed at said distal end of said guide wire, said sensor circuit being responsive to changes in pressure of fluid external to said guide wire;   inserting a distal end portion of said device including said capacitor into a fluid-containing organ of a patient;   disposing a detector outside the patient, said detector being operatively connected to said sensor circuit to monitor said sensor circuit and determine the pressure of the fluid in said organ,   said device including an insertion sheath, further comprising inserting said guide wire to extend through said insertion sheath, and connecting said sensor circuit operatively to said detector via a ground electrode at a distal end of said guide wire and via a brush contact inside said insertion sheath.   
     
     
         15 - 19 . (canceled)