WO2004041059A3 - Method and apparatus for monitoring the progress of labor - Google Patents

Method and apparatus for monitoring the progress of labor Download PDF

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Publication number
WO2004041059A3
WO2004041059A3 PCT/IL2003/000928 IL0300928W WO2004041059A3 WO 2004041059 A3 WO2004041059 A3 WO 2004041059A3 IL 0300928 W IL0300928 W IL 0300928W WO 2004041059 A3 WO2004041059 A3 WO 2004041059A3
Authority
WO
WIPO (PCT)
Prior art keywords
monitoring
mother
position sensor
location
labor
Prior art date
Application number
PCT/IL2003/000928
Other languages
French (fr)
Other versions
WO2004041059A2 (en
Inventor
Yoav Paltieli
Original Assignee
Trig Medical Ltd
Yoav Paltieli
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Trig Medical Ltd, Yoav Paltieli filed Critical Trig Medical Ltd
Priority to US10/534,084 priority Critical patent/US20060015036A1/en
Priority to JP2004549525A priority patent/JP2006505323A/en
Priority to AU2003282336A priority patent/AU2003282336A1/en
Priority to MXPA05004923A priority patent/MXPA05004923A/en
Priority to CA002504869A priority patent/CA2504869A1/en
Priority to EP03773952.1A priority patent/EP1565099B1/en
Priority to BR0315471-8A priority patent/BR0315471A/en
Publication of WO2004041059A2 publication Critical patent/WO2004041059A2/en
Publication of WO2004041059A3 publication Critical patent/WO2004041059A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/03Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6825Hand
    • A61B5/6826Finger
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1076Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/43Detecting, measuring or recording for evaluating the reproductive systems
    • A61B5/4306Detecting, measuring or recording for evaluating the reproductive systems for evaluating the female reproductive systems, e.g. gynaecological evaluations
    • A61B5/4343Pregnancy and labour monitoring, e.g. for labour onset detection
    • A61B5/435Assessing cervix alteration or dilation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/683Means for maintaining contact with the body
    • A61B5/6838Clamps or clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0866Detecting organic movements or changes, e.g. tumours, cysts, swellings involving foetal diagnosis; pre-natal or peri-natal diagnosis of the baby
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00438Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to a finger
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium
    • A61B2017/4225Cervix uteri
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2051Electromagnetic tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2063Acoustic tracking systems, e.g. using ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2072Reference field transducer attached to an instrument or patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/397Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
    • A61B2090/3975Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave active

Abstract

A method of monitoring the progress of labor in a mother during childbirth, by using a position sensor to measure a predetermined point on the mother; monitoring the location of the position sensor in three-dimensional space; and monitoring the location of the fetal presenting part with respect to the predetermined point on the mother. The location of the fetal presenting part may be indicated by a similar position sensor, or by imaging. Other conditions, such as effacement, cervical dilatation, and cervical position may also be monitored in a similar manner. A reference or affixation point may be provided to the position sensor by, for example, attaching a key or shaped object to one or more points on the fetus or mother.
PCT/IL2003/000928 1997-05-05 2003-11-06 Method and apparatus for monitoring the progress of labor WO2004041059A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
US10/534,084 US20060015036A1 (en) 1997-05-05 2003-11-06 Method and apparatus for monitoring the progress of labor
JP2004549525A JP2006505323A (en) 2002-11-07 2003-11-06 Method and apparatus for monitoring the progress of labor
AU2003282336A AU2003282336A1 (en) 2002-11-07 2003-11-06 Method and apparatus for monitoring the progress of labor
MXPA05004923A MXPA05004923A (en) 2002-11-07 2003-11-06 Method and apparatus for monitoring the progress of labor.
CA002504869A CA2504869A1 (en) 2002-11-07 2003-11-06 Method and apparatus for monitoring the progress of labor
EP03773952.1A EP1565099B1 (en) 2002-11-07 2003-11-06 Apparatus for monitoring the progress of labor
BR0315471-8A BR0315471A (en) 2002-11-07 2003-11-06 Method and apparatus for monitoring progress of labor

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/289,304 US6669653B2 (en) 1997-05-05 2002-11-07 Method and apparatus for monitoring the progress of labor
US10/289,304 2002-11-07

Publications (2)

Publication Number Publication Date
WO2004041059A2 WO2004041059A2 (en) 2004-05-21
WO2004041059A3 true WO2004041059A3 (en) 2004-08-19

Family

ID=32312097

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2003/000928 WO2004041059A2 (en) 1997-05-05 2003-11-06 Method and apparatus for monitoring the progress of labor

Country Status (10)

Country Link
US (2) US6669653B2 (en)
EP (1) EP1565099B1 (en)
JP (1) JP2006505323A (en)
KR (1) KR20050072803A (en)
CN (1) CN1735374A (en)
AU (1) AU2003282336A1 (en)
BR (1) BR0315471A (en)
CA (1) CA2504869A1 (en)
MX (1) MXPA05004923A (en)
WO (1) WO2004041059A2 (en)

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US7850625B2 (en) * 2003-08-06 2010-12-14 Trig Medical Ltd. Method and apparatus for monitoring labor parameter
US20050059879A1 (en) * 2003-09-16 2005-03-17 Robert Sutherland Localization of a sensor device in a body
US20050059887A1 (en) * 2003-09-16 2005-03-17 Hassan Mostafavi Localization of a target using in vivo markers
EP1941832B1 (en) * 2003-10-14 2010-10-06 Monica Healthcare Limited Fetal surveillance
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US20080294022A1 (en) * 2004-04-07 2008-11-27 Barnev Ltd. Birthing Medical Monitor
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US8636676B2 (en) * 2005-06-07 2014-01-28 Perigen, Inc Method and apparatus for providing information related to labor progress for an obstetrics patient
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Also Published As

Publication number Publication date
EP1565099B1 (en) 2016-03-16
JP2006505323A (en) 2006-02-16
US20060015036A1 (en) 2006-01-19
CN1735374A (en) 2006-02-15
WO2004041059A2 (en) 2004-05-21
US20030114779A1 (en) 2003-06-19
EP1565099A4 (en) 2010-03-10
KR20050072803A (en) 2005-07-12
AU2003282336A8 (en) 2004-06-07
AU2003282336A1 (en) 2004-06-07
BR0315471A (en) 2005-08-23
CA2504869A1 (en) 2004-05-21
MXPA05004923A (en) 2006-01-27
EP1565099A2 (en) 2005-08-24
US6669653B2 (en) 2003-12-30

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