Gastrointestinal motility disorders remain significant both in terms of prevalence and morbidity (e.g., suffering, functional impairment, and health care resource use). Intraluminal manometry is an important diagnostic tool, but technological limitations of current devices having relatively few pressure sensing sites have restricted its clinical use. These limitations are strongly apparent in anorectal manometry where the complex muscular structures are closely spaced and asymmetric structural defects may exist. The novel application of tactile technology to manometric measurement will yield high-definition pressure images of this region. High-definition manometry likely will improve diagnosis and treatment of millions of people with anorectal motor dysfunction (e.g., anal incontinence, constipation). The techniques when applied to other organ regions also may benefit patients with other pelvic floor disorders, gastroesophageal reflux disease, and motility disorders in upper gut sites. In this Phase I effort we will build a functional prototype high-definition motility visualization system (HD-MVS) with as many as one hundred fold more pressure sensors than are used in current anorectal manometry systems. The data will be displayed on a 3-D model that will ultimately project the radial and circumferential distributions of contractile pressure within the region. We will optimize the probe form factor for anorectal study and perform technology advancements to demonstrate that the sensor is capable of meeting key performance requirements. The HD-MVS will yield unique benefits for physicians, clinical staff, and patients. High-definition coverage of the entire organ surface promises simplified and shortened clinical procedures with greater consistency in study data site-to-site. The ability to isolate and characterize physiological abnormalities should be dramatically improved. This technology has the potential to significantly expand the clinical utility of manometric assessment in disease management.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Small Business Innovation Research Grants (SBIR) - Phase II (R44)
Project #
1R44DK069131-01
Application #
6835095
Study Section
Special Emphasis Panel (ZRG1-DIG-E (10))
Program Officer
Densmore, Christine L
Project Start
2004-09-30
Project End
2005-01-30
Budget Start
2004-09-30
Budget End
2005-01-30
Support Year
1
Fiscal Year
2004
Total Cost
$118,192
Indirect Cost
Name
Sierra Scientific Instruments, Inc.
Department
Type
DUNS #
City
Los Angeles
State
CA
Country
United States
Zip Code
90045