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US5161531A Expired / Lapsed US ⏱️ 0.0 years remaining

Method and apparatus for intravascularly measuring oxidative metabolism in body organs and tissues

Assignee: Duke University
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Filing: 1992-03-03
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Granted: 1992-11-10
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Expires: 2012-03-03
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Abstract

Abstract A method and apparatus for measuring oxidative metabolism in an internal organ or tissue of interest wherein a percutaneous intravascular approach is utilized to bring a light-transmitting and receiving scope into contact with the site to be assessed. The tip of the scope is adapted so that the light-transmitting optical fiber(s) and light-receiving optical fiber(s) are in divergent relationship so as to increase the photon pathlength through the tissue of interest to provide optical information from a substantial volume of tissue relative thereto.

Inventors

  • 👤 William J. Parsons
  • 👤 Claude A. Piantadosi
  • 👤 Benjamin J. Comfort

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 23:12
CPC Classifications
A; A61; A61K; A61K49/00; A61B; A61B5/00; A61B5/0059; A61B5/0082; A61B5/0084; A61B5/0086; A61B5/02; A61B5/145; A61B5/1455; A61B5/14551

Claims Analysis

Total Claims: 14
Claim 1
Independent Claim 230 words
A method of measuring oxygen availability and utilization in internal body organs such as the heart, brain, liver and kidneys or selected body tissue, comprising the steps of: providing a tube containing a plurality of optical fibers and comprising at least one light-transmitting optical fiber having a proximal and distal end and at least one light-receiving optical fiber having a proximal and distal end wherein said distal ends of said at least one light-transmitting optical fiber and said at least one light-receiving optical fiber are divergently oriented relative to each other; inserting said tube through at least a portion of the length of a body conduit and into contact with an organ or tissue of interest; directing light into the proximal end of said at least one light-transmitting optical fiber so as to transmit said light therethrough and out of the distal end thereof into said organ or tissue of interest in a direction divergent from the distal end of said at least one light-receiving optical fiber; receiving reflected light which has traversed a portion of said organ or tissue of interest in the distal end of said at least one light-receiving optical fiber so as to transmit said reflected light therethrough and back to the proximal end thereof; and analyzing said reflected light to obtain measurements of oxidative metabolism and/or related data for the organ or tissue of interest.
Claim 2
Independent Claim 230 words
A method of measuring oxygen availability and utilization in internal body organs such as the heart, brain, liver and kidneys or selected body tissue, comprising the steps of: providing a tube containing a plurality of optical fibers and comprising at least one light-transmitting optical fiber having a proximal and distal end and at least one light-receiving optical fiber having a proximal and distal end wherein said distal ends of said at least one light-transmitting optical fiber and said at least one light-receiving optical fiber are divergently oriented relative to each other; inserting said tube through at least a portion of the length of a body conduit and into contact with an organ or tissue of interest; directing light into the proximal end of said at least one light-transmitting optical fiber so as to transmit said light therethrough and out of the distal end thereof into said organ or tissue of interest in a direction divergent from the distal end of said at least one light-receiving optical fiber; receiving reflected light which has traversed a portion of said organ or tissue of interest in the distal end of said at least one light-receiving optical fiber so as to transmit said reflected light therethrough and back to the proximal end thereof; and analyzing said reflected light to obtain measurements of oxidative metabolism and/or related data for the organ or tissue of interest.
Claim 3
Dependent Claim 15 words
A method as defined in claim 1 wherein said light is near infrared (NIR) light.
Claim 4
Dependent Claim 13 words
A method as defined in claim 1 wherein said light is visible light.
Claim 5
Dependent Claim 14 words
A method as defined in claim 1 wherein said light is near ultraviolet light.
Claim 6
Dependent Claim 35 words
A method as defined in claim 1 wherein oxygen availability and utilization in the heart is measured by inserting said tube via a percutaneous, intravascular route to an endocardial point of contact within the heart.
Claim 7
Dependent Claim 38 words
A method as defined in claim 5 wherein said measurements of oxidative metabolism and related data include changes in the oxidation level of cytochrome a, a 3 copper, oxygenation of tissue hemoglobin and myoglobin, and tissue blood volume.
Claim 8
Independent Claim 234 words
A method for measuring oxygen availability and utilization in internal body organs such as the heart, brain, liver and kidneys or selected body tissue, comprising the steps of: providing a tube containing a plurality of optical fibers and comprising at least one light-transmitting optical fiber having a proximal and distal end and at least one light-receiving optical fiber having a proximal and distal end wherein said distal ends of said at least one light-transmitting optical fiber and said at least one light-receiving optical fiber are adapted to transmit and receive light, respectively, along divergent pathways; inserting said tube through at least a portion of the length of a body conduit and into contact with an organ or tissue of interest; directing light into the proximal end of said at least one light-transmitting optical fiber so as to transmit said light therethrough and out of the distal end thereof into said organ or tissue of interest in a direction divergent from the distal end of said at least one light-receiving optical fiber; receiving reflected light which has traversed a portion of said organ or tissue of interest in the distal end of said at least one light-receiving optical fiber so as to transmit said reflected light therethrough and back to the proximal end thereof; and analyzing said reflected light to obtain measurements of oxidative metabolism and/or related data for the organ or tissue of interest.
Claim 9
Independent Claim 234 words
A method for measuring oxygen availability and utilization in internal body organs such as the heart, brain, liver and kidneys or selected body tissue, comprising the steps of: providing a tube containing a plurality of optical fibers and comprising at least one light-transmitting optical fiber having a proximal and distal end and at least one light-receiving optical fiber having a proximal and distal end wherein said distal ends of said at least one light-transmitting optical fiber and said at least one light-receiving optical fiber are adapted to transmit and receive light, respectively, along divergent pathways; inserting said tube through at least a portion of the length of a body conduit and into contact with an organ or tissue of interest; directing light into the proximal end of said at least one light-transmitting optical fiber so as to transmit said light therethrough and out of the distal end thereof into said organ or tissue of interest in a direction divergent from the distal end of said at least one light-receiving optical fiber; receiving reflected light which has traversed a portion of said organ or tissue of interest in the distal end of said at least one light-receiving optical fiber so as to transmit said reflected light therethrough and back to the proximal end thereof; and analyzing said reflected light to obtain measurements of oxidative metabolism and/or related data for the organ or tissue of interest.
Claim 10
Dependent Claim 15 words
A method as defined in claim 7 wherein said light is near infrared (NIR) light.
Claim 11
Dependent Claim 13 words
A method as defined in claim 7 wherein said light is visible light.
Claim 12
Dependent Claim 14 words
A method as defined in claim 7 wherein said light is near ultraviolet light.
Claim 13
Dependent Claim 35 words
A method as defined in claim 7 wherein oxygen availability and utilization in the heart is measured by inserting said tube via a percutaneous, intravascular route to an endocardial point of contact within the heart.
Claim 14
Dependent Claim 38 words
A method as defined in claim 11 wherein said measurements of oxidative metabolism and related data include changes in the oxidation level of cytochrome a, a 3 copper, oxygenation of tissue hemoglobin and myoglobin, and tissue blood volume.

References Cited (Backward Citations)

US4803992A Cited

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3.5 Years (Year 4) 1995-11-10 1996-05-11 1996-11-10 $2000.00 Window Closed / Lapsed
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