A METHOD AND A SYSTEM FOR, PRIMARILY AMBULATORY, MEASURING BY MEANS OF ELECTRODE

Abstract: A method for a preferably amboulatory measuring and registration of at least one parameter in relation to the bilirubin presence in a measuring region (3) in the gastrointestinal tract (4) to determine the bilirubin presence in the region. The method especially characterized by that the bilirubin presence determination is made in relation to the pH-value. The invention relates also to a system for performing the method.

Description: A METHOD AND A SYSTEM FOR, PRIMARILY AMBULATORY, MEASURING BY MEANS OF ELECTRODE The present invention relates to a method tor measuring by means ot at least one electrode, such as an ambulatory measuring, the pH-value in the gastrointestinal tract. The invention also relates to a system to perform such a method. Units for the ambulatory registration for medical purposes are already known. Such a unit is known as Synectics MicroDigitrapper for the measuring of the pH-va- lue, the PO2-content and further such parameters. Several units also exist for measu¬ ring only the pH-value in different regions of the gastrointestinal tract. Such a unit is Synectics ED Digitrapper and Synectics ED Digitrapper Mkll. The sensor for the pH-value usually being applied are based on glass electrodes from Ingold, Switzerland and electrodes with an antimony crystal from Synectics according to US-A-4,119,498. Said publication describes an electrode for measuring the pH-value, and the P0 - and PQ^-content in fluids. The known methods for measuring the pH-value, however, are presenting essential measuring errors in certain measuring situations, e.g. in respect to measurements in the gastrointestinal tract. The present invention provides the possibility to essentially improve the measu¬ ring accuracy in determinating e.g. the pH-value by means of monocrystal metallic electrodes. The invention thus relates to a method according to the preambles of the attached claim 1. The method is especially characterized in what is stated in the characterizing part of said cleim. Moreover, the invention relates to a system according to the preambles of the attached claim 9. The system is especially characterized in what is stated in the cha¬ racterizing part of said last mentioned claim. The invention is described herein below with reference to execution examples and to the attached drawings, in which Figure 1 shows schematically an axial section of a rodlike monocrystal electrode, Figure 2 shows schematically an arrangement of electrodes with reference bag and a reference electrode, Figure 3 shows schematically the ambulatory measuring according to the invention of e.g. the pH-value in the gastrointestinal tract, Figure 4 shows schematically a first embodiment of a system according to the inven¬ tion with two monocrystal electrodes, Figure 5 shows schematically a second embodiment of a system according to the in¬ vention with two variables are determined with one singcl monocrystal electrode and two different circuit designs, and CORRECTED Figure 6 shows schematically a monocrystal measuring electrode . arranged within a potentiostat with a counter electrode. In figure 1 a metal monocrystal electrode is designated 1 generally according to the previously mentioned US patent, the metal preferably being antimony, a crystal 2 of the metal being arranged to be exposed at the end 3 of the electrode and the plane crystal surface 4 adapted to be exposed to a fluid coinciding with a certain crystallog- raphic constellation of the crystal. By means of a conductor 5 the crystal is coupled to an electric circuit. Between a reference electrode 6, figure 2, and the measuring elect¬ rode a potential difference is created under certain conditions and the electrode can be used to measure the pH-value, and the P0 - and PC0 -content. According to one embodiment the determination of the pH- value is to be perform by means of the mea¬ suring electrode 1. According to a special such embodiment, figures 3 and 4, the elect¬ rode is adapted and provided to be lowered into the gastrointestinal tract 8 of a patient 9, e.g. by means of a catheter 7, for an ambulatory and continuous determination of the pH-value in the gastrointestinal tract, a portable unit 10 being provided for the regis- teration of certain variables. Measuring values related to the pH-value are meant to be corrected for the oxy¬ gen influence in the fluid within the actual measuring region, the oxygen content there being expressed as the partial presuure related to 0 and is here expressed in that way, and means being provided for the determination of even PO2 to be described further down. By means of a counter 11, which if suitable preferably is comprised in said registration unit 10, the measuring result of the pH-value are meant to be corrected based on preferably generally all obtained measuring values related to P0 2 , e.g. ac¬ cording to an empirically determined correlation P H corr = P H read x K x l l-(P02normal - PO^actual where pH = corrected pH-value pH j = measured pH-value P0 9 actual = measuring value related to P0 0 P P00 99 nnoorrmmaall nnoorrmmaall vvaallue related to PO K a constant Also other correlations can possibly be provided for said correction, the correc¬ tion correlation then preferably being adapted to the actual measuring environment and the actual variables of the integral parameters. According to an embodiment the P0 is determined preferably by digital sensors 12s, e.g. from Catalyst Research, the measuring being primarily related to the P0 9 in the blood, with the measuring based on transillumination, with the thus determined PC being possibly correlated to the P0 9 in the measuring region. According to another embodiment, figure 4, there is provided a further mono- crystal electrode 13 for the determination of PO2, the electrode preferably being of the same type as in said US-patent, figure 2, and comprizing a buffer solution 14 as a reference solution for the determination of P0 , regardless of the pH- value in the fluid in accordance with the description in said patent. According to a further, preferred embodiment, figure 5, the measuring electrode for the pH-value is also adapted to be used for the determination of P0 2 , various dif¬ ferent electrical circuits being provided for the determination of the pH-value and the determination of PO2. According to the illustrated embodiment i.a. the measuring electrode is connected to a voltage source 15 adapted to provide a voltage with an AC-component, the voltage preferably not being the same for the determination of the pH-value and the determination of P0 9 - The output signal 16 from the circuit in the configuration for the determination of the pH-value is sent to a pH-value amplifier 17 and means 18 of a convenient design for the analysis of preferably both the amplitude and the phase condition for a separation of the pH-values. In a corresponding way the output signal 16 is transmitted from the circuit in the configuration for the determina¬ tion of PC to a PC -amplifϊer 19 and means 20 of a convenient design for the analy¬ sis of preferably both the amplitude and the phase condition for a separation of the Pθ2~values. There are also means 21 for an alternating between said configurations for the determination. According to a further embodiment with the same electrode 1 for several variab¬ les, figure 6, a potentiostat arrangemant is used, the counter resistor CE of the poten- tiostat is adapted and provided to be varied electrically. The potentiostat is then ar¬ ranged in such a way that during a change of the counter electrode voltage and even the frequecy, with which the counter electrode voltage is changed, it becoems possible to separate any components which are specific for the pH-value, and the PC - and PCO^-content, e.g. a double layer capacitance and a charging transmission resistance, kinetic constants possibly to be calculated and related to measuring variables, i.e.the concentrations of the corresponding substance, i.e. the pH, the P0 and the PC0 - For a further information of the potentiostat and the measuring procedures here is refeπed to Bioelectronics - Principles of Bioenergetics and Bioelectrochemistry, Oxford Press, 1990, especially pages 33-37. According to a further embodiment there is also provided a fluid impermeable diaphragma 22 provided with a monocrystal electrode, figure 2, for the determination of PCO2, even the PCO2 being in appicable cases adapted to form the basis for a cor¬ rection of the determination of the pH- value. The method and the function of the system according to the invention has been generally clarified in the description above. A measuring with a monocrystal electrode is thus supplemented by a measuring of at least one further parameter with simultane¬ ously mutually dependent parameters, such as the pH-value and the PCU, the measu¬ ring result being corrected on the basis of the performed determination and the correc¬ tion relation stated for the actual parameters. Thus, the invention provides a possibility to use metal monocrystal electrodes with an essentially improved accuracy, which already are providing extremely accurate measuring. The invention has been described above with reference to execution examples. Further embodiments can of course be imagined as well as smaller changes and supp¬ lements without leaving the scope of the invention. The invention is also applicable for other types of electrodes besides metal monocrystal electrodes, and in the case of metal electrodes the invention is applicable even for polycrystal and amorph metal electrodes and not only for monocrystal elect¬ rodes. Moreover, other circuitries than the already descbribed ones can possibly be used for embodiments using various electric circuitries for the determination of the pH-va- lue and of the PO2 with the same electrode, the electrode then in most cases being electrically energized in different ways during the corresponding determination as a result of the various circuitries. Embodiments using various circuitries for different parameters with the same electrode are also applicable to other parameters than P0 9 and the pH-value. Therefore, the invention is not limited to the already above stated embodiments but can be varied within the scope of the attached claims.

Claims: C LA I M S 1. A method for the determination of at least one of the measuring parameters pH, TOr→, and PCC in a fluid by means of at least one electrode, characterized in that the determination is supplemented by a determination of at least one further parameter influencing the determination of the parameter, the measuring parameter being correc¬ ted on the basis of the determination of said further parameter. 2. A method according to claim 1, characterized in that said electrode (1) is introduced into the gastrointestinal tract (8) for a determination of the measuring para¬ meters in the fluid in the gastrointestinal tract, said determination e.g. being performed ambulatorily for a continuous registration of one or several parameters. 3. A method according to claim 1 or 2, characterized in that the parameter pH is measured by means of the electrode (1) and P0 9 is determined as said further parame- ter. 4. A method according to claim 3, characterized in that the that P0 9 is deter- mined by means of a digital sensor (12), the measuring basing on transillumination for the determination of P0 in the blood, this P0 9 being correlated to the P0 in said fluid. 5. A method according to claim 3, characterized in that the PO2 is determined by means of a further electrode (13), a buffer solution (14) being used as a reference solution to make the determination of the PO2 independent of the pH-value in said fluid. 6. A method according to claim 3, characterized in that the PO2 is determined by means of the same electrode(l), various electrical circuitries (15, 16, 17, 18, 19, 20, 21) being used for the determination of the pH-value and of the P0 2 . 7. A method according to claim 6, characterized in that the measuring electrode (1) comprising the electrical circuitry is supplied with a voltage including a AC-volta- ge component, preferably not being the same for the determination of the pH-value and for the determination of the PO2. 8. A method according to claim 3, characterized in that the measuring electrode (1) is arranged within a potentiostat, the potentiostat of the conuter electrode being made to vary, with the measuring characteristics of all measuring parameters being separable. 9. A method according to claim 3, 4, 5, 6, 7 or 8, characterized in that even the P0 9 is determined and forms the basis for the correction. 10. A system for the determination of of at least one of the measuring parameters pH, P0 and PC0 in a fluid by means of at least one electrode, antimoy, characteri¬ zed by that means (1, 11-22) are provided to supplement the determination to deter¬ mine at least one further parameter influencing the determination of the parameter, means (10, 11) being provided to correct the parameter on the basis of the determina¬ tion of said further parameter. 11. A system according to claim 10, characterized in that said electrode (1, 13) is adapted to be inserted e.g. by means of a catheter (7), into the gastrointestinal tract (8) for e.g. an ambulatory continous registration of one or several parameters. 12. A system according to claim 10 or 11, characterized in that said electrode (1, 13) is adapted to measure the pH-value, means (12, 13, 14, 15, 16, 19, 20) being provided for the determination of the PO2 as said further parameter. 13. A system according to claim 12, characterized in that a digital sensor (12) is provided for measuring the PCU in the blood based on transillumination and in appli¬ cable cases for a correlation of the PO2 in the blood with the PO2 in said fluid. 14. A system according to claim 12, characterized in that a further electrode (13) is provided for the determination of the PO2 comprising a buffert solution 14 as a reference solution to make the determination of the P0 2 independent of the pH-value. 15. A system according to claim 12, characterized in that said electrode (1) is provided even for the determination of the PO2, various electrical circuitries (15-21) preferably being provided for the determination of the pH-value and of the YO^ 16. A system according to claim 14, characterized in that the electrode (1) comprising said electrical circuitry is connected to a voltage source (15) adapted to provide an AC- voltage component, preferably not being the same for the determination of the pH-value and the determination of the PC , means (18, 20) being provided for the analysis of preferably both the amplitude and the phase condition and frequency to separate from the measuring electrode containing the electrical circuitry to distinguish the determination of the pH-value and of the PO2. 17. A system according to claim 11, characterized in that the measuring elect¬ rode is placed in a potentiostat with a counter electrode, means (CA) being provided to vary the counter electrode voltage, measuring characteristics for the various parameters (pH, P0 , PC0 ) tten being separable. 18. A system according to claim 9, 10, 11, 12, 13, 14, 15, 16 or 17, characterized by that means (1) for the determination of the P0 9 are provided, even the determina¬ tion of the P0 being adapted to form the basis for a correction of the determination of the pH-value. 19. A system according to claim 1, 2, 3, 4, 5, 6, 7, 8 or 9, characterized in that at least one electrode consists of a metal electrode, possibly being a monocrystal electro¬ de or a electrode of a polycrystal or an amorph metallic material. 20. A system according to claim 10, 11, 12, 13, 14, 15, 16,17 or 18, characteri¬ zed by that at least one electrode is a metal electrode, possibly being a monocrystal electrode or a electrode of a polycrystal or an amorph metallic material. 21. A system according to claim 20, characterized in that the metal is antimony.

Inventors: ESSEN-MOELLER ANDERS, ESSEN-MOELLER, ANDERS
Applicants: ESSEN MOELLER ANDERS, SYNECTICS MEDICAL AB, ESSEN-MOELLER, ANDERS
Application year: 1995
Main classification: A61B5
IPC codes: A61B5