U.S. patents available from 1976 to present.
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Ambulatory reflux monitoring system

Patent 5479935 Issued on January 2, 1996. Estimated Expiration Date: Icon_subject October 21, 2013. Estimated Expiration Date is calculated based on simple USPTO term provisions. It does not account for terminal disclaimers, term adjustments, failure to pay maintenance fees, or other factors which might affect the term of a patent.

Patent References

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Inventor

Assignee

Application

No. 139117 filed on 10/21/1993

US Classes:

600/547, Measuring electrical impedance or conductance of body portion600/593Esophagus, stomach, or lower alimentary canal

Examiners

Primary: Hindenburg, Max

Attorney, Agent or Firm

Foreign Patent References

  • 0073558 EP. 03/13/1983
  • 0080680 EP. 06/13/1983
  • 2453630 DE. 11/13/1980
  • 3140265 DE. 04/13/1983
  • 221635 DE. 05/13/1985
  • 7707275 NL. 01/13/1979
  • 178028 SU. 11/13/1966
  • 272477 SU. 05/13/1968
  • 1502004 SU. 08/13/1989

International Class

A61B 005/05

Abstract

An ambulatory system for recording and analyzing gastroesophageal reflux is presented. The system comprises a digital recorder, an analysis software package and a catheter for measurement of changes in esophageal impedance. For the first time, gastroesophageal reflux can be detected with a pH above 4 (called alkaline reflux), which is the normal pH environment of the healthy esophagus. In addition, one embodiment of the invention allows for the determination of the direction of flow of the detected material in the esophagus, thus enabling the system to distinguish between swallowed saliva and alkaline gastroesophageal reflux. In yet a further embodiment, the present invention allows for recording and analysis of reflux on a non-invasive basis, by using pairs of externally worn impedance sensors. In another embodiment, the invention measures impedance simultaneously with other bio-parameters, such as pH or pressure.

Other References

  • "Clinical relevance of ambulatory 24-hour . . . ", Vogten, et al., 1987, pp. 21-31 in Netherlands Journal of Medicine
  • "Computerized Axial Manometry of the Esophagus", Bombeck, et al. in Annals of Surgery, vol. 206, No. 4, pp. 465-472, Oct. 1987
  • "The laser motility sensor for long-term study of intraesophageal pressure", Schneider et al., in Primary Motility Disorder of the Esophagus, Giuli et al., eds. pp. 64-69 1991
  • Kim et al., American Journal of Clinical Pathology, 1990, vol. 94, pp. 187-191, "The Gastric Juice Urea and Ammonia . . . "
  • Butcher et al., Digestion, 1992, vol. 53, pp. 142-148, "Use of an Ammonia Electrode for Rapid Quantification of Helicobacter pylori Urease: Its use in the Endoscopy Room and in the . . . "
  • The New Yorker, Sep. 20, 1993, T. Monmaney, "Marhsall's Hunch"
  • "Oesophageal multipurpose monitoring probe", Baker et al., Anaesthesia, 1983, vol. 38, pp. 892-897
  • Digestive Diseases, Reprint, vol. 8, Suppl. 1, pp. 60-70, 1990, Scarpignato et al., "Simultaneous Measurement and Recording . . . "
  • Hojgaard et al., "A New Method for Measurement of the Electrical Potential Difference Across the Stomach Wall", 1991. pp. 847-858
  • "Ambulatory Monitoring of Gastric Emptying", Hoeft et al., May 16, 1993, American Assoc. of the Study of Live Disease
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