Measurement system and method for measuring parameters in a body tissue

• US 10,682,100 B2
• Filed: 05/21/2014
• Issued: 06/16/2020
• Est. Priority Date: 05/22/2013
• Status: Active Grant

• Current Assignee: Luciole Medical AG
• Original Assignee: Luciole Medical AG
• Inventors: Muser, Markus Hugo, Froehlich, Juerg Hans, Baumann, Dirk
• Primary Examiner(s): Winakur, Eric F
• Application Number:
  US14/888,862
• Publication Number:
  US 20160058395A1
• Time in Patent Office: 2,218 Days
• CPC Class Codes: A61B 2090/306 using optical fibres
• CPC Class Codes: A61B 2562/0238 Optical sensor arrangements for performing transmission measurements on body tissue
• CPC Class Codes: A61B 5/0075 by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy A61B5/0071 takes precedence
• CPC Class Codes: A61B 5/03 Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs A61B5/205 takes precedence
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/14556 by fluorescence A61B5/14555 takes precedence
• CPC Class Codes: A61B 5/4519 Muscles A61B5/389, A61B5/224 take precedence
• CPC Class Codes: A61B 5/6833 Adhesive patches
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: G01N 2021/3129 Determining multicomponents by multiwavelength light
• CPC Class Codes: G01N 2021/3148 using three or more wavelengths
• CPC Class Codes: G01N 21/314 with comparison of measurements at specific and non-specific wavelengths dual wavelength spectrometry G01J3/427

Abstract

A measurement system and method for measuring at least one parameter in a body tissue comprise at least one measurement device to be applied to the body, an optical unit for emitting light waves, wherein at least one wavelength of the light waves lies in the region of the absorption of a body parameter, at least one light guide between the optical unit and the measurement device in order to transmit light waves, and an evaluation unit for evaluating measurement waves. Light waves emitted by the optical unit can be beamed into an optical measurement volume in the body tissue by means of the measurement device, and measurement waves received by the measurement device from the measurement volume can be transmitted from the body tissue to the evaluation unit. The evaluation unit comprises a transformation algorithm, which transforms pulsatility of a body parameter measured in the measurement volume into a parameter of the pressure in the body tissue, wherein the body parameter is measured by determining the absorption of the light waves.

Claims

1. A measurement system for measuring at least one parameter in a body tissue, said system comprising:

at least one measurement device for measuring an optical volume segment of the body tissue, the at least one measurement device being configured to be applied to the body tissue;

an optical unit configured for emitting at least four light waves having differing wavelengths, at least one wavelength of the emitted at least four light waves being in a range of absorption of the at least one parameter in the body tissue;

at least one light guide located between the optical unit and the at least one measurement device, the at least one light guide being configured for transmission of the at least four light waves with differing wavelengths; and

an analysis unit configured for analyzing measurement wave signals received from a detector of the measurement device,

wherein;

the at least four light waves with differing wavelengths emitted by the optical unit are radiated into the optical volume segment of the body tissue via the at least one measurement device;

the measurement wave signals from the optical volume segment of the body tissue, detected by the detector, are transmitted to and received by the analysis unit;

the analysis unit comprises a transformation algorithm, the transformation algorithm processing the measurement wave signals to determine a morphology for a set of the measurement wave signals for at least one parameter indicative of intensity related to absorption wavelength, determining changes of concentration values of the at least one parameter, and transforming the morphology of the set of measurement wave signals into a parameter indicative of a pressure in the body tissue;

the transformation algorithm identifies the pressure in the body tissue through an operation of comparison between a pressure reference course and at least one of the measurement wave signals or a peak of the measurement wave signals of the at least one parameter in the body tissue.

2. The measurement system according to claim 1, wherein the parameter indicative of the pressure in the body tissue is based further upon a concentration value of the at least one parameter.

3. The measurement system according to claim 2, wherein the parameter indicative of the pressure in the body tissue is based further upon at least one of a concentration of oxygenated hemoglobin, deoxygenated hemoglobin or an overall hemoglobin concentration, measured in the optical volume segment.

4. The measurement system according to claim 1, wherein the parameter is a parameter of intracranial pressure in a brain.

5. The measurement system according to claim 1, wherein the parameter is a compartmental pressure parameter of a muscle.

6. The measurement system according to claim 1, wherein one of the at least four wavelengths is selected to lie in the range of the absorption of water, and other of the at least four wavelengths are selected to lie in the range of the absorption of the at least one parameter of the body tissue to be determined.

7. The measurement system according to claim 1, wherein:

the at least four wavelengths are selected such that for each parameter in the body tissue to be measured a constituent is identified, and

a product of an absorption coefficient and a concentration of the constituent to be measured for each of the wavelengths lies within an order of magnitude.

8. The measurement system according to claim 1, wherein:

for different parameters in the body tissue to be measured different constituents are identified; and

a set of wavelengths is provided according to absorption of a set of the different constituents for measurement of concentration of the different constituents.

9. The measurement system according to claim 1, wherein a multiplicity of emitted light waves and a multiplicity of received measurement wave signals are conducted simultaneously in the at least one measurement device.

10. The measurement system according to claim 1, wherein the at least one measurement device is provided as a non-invasive measurement device.

11. The measurement system according to claim 1, wherein implemented in the analysis unit is a numerical method which identifies, by means of a linear equation system, at least one of:

a tissue water volume, a concentration of blood, or a concentration of a parameter in the body tissue.

12. The measurement system according to claim 1, wherein a marker device is provided for introduction of a dye into a blood flow of the body tissue and the measurement system comprises a mode for determination of a dye concentration in the blood flow.

13. A method for measuring the at least one parameter in a body tissue, the method comprising:

providing the measurement system according to claim 1,

emitting, via the optical unit, the at least four light waves having differing wavelengths,

transmitting, via the at least one light guide and to the measurement device, the at least four light waves with differing wavelengths,

receiving, from the detector and at the analysis unit, measurement wave signals, and

deducing, via the transformation algorithm, the pressure in the body tissue.

14. The method for measuring at least one parameter according to claim 13, further comprising the step of simultaneously determining a hemodynamics and a concentration of constituents of the brain or a muscle, using the numerical method, from the measurement wave signals of a multiplicity of light waves of differing wavelengths.

15. The measurement system according to claim 1, wherein for a set of constituents in the body tissue a corresponding set of wavelengths is provided according to absorption of the set of constituents for measurement of at least one of:

concentration values of the set of constituents in the body tissue or a wavelength according to absorption for measurement of a concentration of blood.

16. The measurement system according to claim 1, wherein a difference of the morphology of the set of measurement wave signals is a difference among amplitudes of peaks of the measurement wave signals identifying difference of the concentration of the parameter in the body tissue with the at least four light waves of differing wavelengths.

17. The measurement system according to claim 1, wherein a difference of the morphology of the set of measurement wave signals is a difference among waveforms of the measurement wave signals identifying difference of the concentration of the parameter in the body tissue with the at least four light waves of differing wavelengths.