Apparatus and methods for detecting increase in intracranial pressure

• US 10,064,563 B2
• Filed: 06/11/2015
• Issued: 09/04/2018
• Est. Priority Date: 06/11/2014
• Status: Active Grant

• Current Assignee: Nihon Kohden Corporation
• Original Assignee: Nihon Kohden Corporation
• Inventors: Beach, Kirk Watson
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US14/737,461
• Publication Number:
  US 20150359448A1
• Time in Patent Office: 1,181 Days
• CPC Class Codes: A61B 5/0082 adapted for particular medical purposes
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/4064 Evaluating the brain A61B5/031, A61B5/369, A61B5/14553 take precedence
• CPC Class Codes: A61B 8/0808 for diagnosis of the brain
• CPC Class Codes: A61B 8/15 Transmission-tomography
• CPC Class Codes: A61B 8/4477 using several separate ultrasound transducers or probes
• CPC Class Codes: A61B 8/488 involving Doppler signals
• CPC Class Codes: A61B 8/5207 involving processing of raw data to produce diagnostic data, e.g. for generating an image reconstruction G06T11/00
• CPC Class Codes: A61B 8/5223 for extracting a diagnostic or physiological parameter from medical diagnostic data for algorithms to analyse biomedical images G06T7/0012

Abstract

The disclosed subject matter related to methods and apparatus for determining brain swelling in a patient as well as predicting an increase in intracranial pressure in the patient. The apparatus can include a transducer such as an ultrasound transducer communicatively connected to a controller via wires or via wireless communications device(s). A monitor and/or alarm device can be provided to notify a practitioner when the controller has determined brain swelling is occurring and/or when an imminent increase in intracranial pressure is likely to occur.

Claims

1. An apparatus for predicting intracranial pressure increase in a patient, comprising:

a transducer configured for attachment to the patient'"'"'s head;

at least one of a monitor and an alarm device; and

a controller communicatively connected to both the transducer and the at least one of the monitor and the alarm device, the controller configured to receive information from the transducer related to at least one of a location and a motion of a first tissue portion relative to at least one of a location and a motion of a second tissue portion,

the controller further configured to predict an increase in the volume of an intracranial structure of the patient or intracranial pressure of the patient based on information that motion of the first tissue portion relative to the second tissue portion at a first time occurs at a first value that correlates to expansion of brain tissue, and at a second time occurs at a second value less than the first value that correlates to a decrease in motion of the brain tissue caused by the brain tissue contacting an intracranial structure, and the controller configured to output a signal to the at least one of the monitor and the alarm device if the controller predicts the increase in the volume of an intracranial structure or intracranial pressure.

2. The method of claim 1, wherein the transducer is an ultrasound transducer.

3. The apparatus of claim 1, further comprising:

at least one accelerometer communicatively connected to the controller, the at least one accelerometer configured for attachment to at least one of the chest and the head of the patient.

4. The apparatus of claim 3, wherein the controller is configured to receive information from the at least one accelerometer and to use the information to determine whether motion of the first tissue portion is due to brain swelling or due to movement of at least one of the chest and head of the patient.

5. The apparatus of claim 1, further comprising:

a respiratory sensor communicatively connected to the controller and configured to determine a respiratory function of the patient.

6. The apparatus of claim 1, further comprising:

a cardiac sensor communicatively connected to the controller and configured to determine a cardiac function of the patient.

7. The apparatus of claim 1, further comprising:

a respiratory sensor communicatively connected to the controller and configured to obtain respiratory information related to a respiratory function of the patient; and

a cardiac sensor communicatively connected to the controller and configured to obtain cardiac information related to a cardiac function of the patient, wherein

the controller is configured to use the respiratory information and the cardiac information to calculate at least one of location and motion of the first tissue portion.

8. The apparatus of claim 1, wherein the first tissue portion is a first brain tissue portion, and the second tissue portion is a second brain tissue portion different from the first brain tissue portion.