Apparatus for and method of monitoring and controlling body-function parameters during intracranial observation

• US 4,688,577 A
• Filed: 02/10/1986
• Issued: 08/25/1987
• Est. Priority Date: 02/10/1986
• Status: Expired due to Term

• Current Assignee: Flowtronics Incorporated
• Original Assignee: Flowtronics Incorporated
• Inventors: Bro, William J.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): SHAY, DAVID M
• Application Number:
  US06/827,866
• Time in Patent Office: 561 Days
• Field of Search: 128/670, 128/691-692, 128/748, 604/50, 604/65, 604/66
• US Class Current: 600/483
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 5/031 Intracranial pressure

Abstract

A system and method for monitoring body-function parameters including bloodflow, intracranial pressure and blood pressure during cranial observation of an individual wherein different pharmacological agents are added to an intravenous fluid to compensate for changes in the parameters.

Claims

1. A system for monitoring and controlling selected body function parameters during intracranial observations, said system comprising:

(a) intracranial pressure monitor means for sensing fluid pressure in the cranium and providing a pressure output signal;

(b) a first comparator means for receiving the pressure output signal and generating a first output signal when the pressure output signal exceeds a predetermined limit;

(c) rate detector means for receiving the pressure output signal from said monitor means and generating a rate signal when the rate of change of said pressure exceeds a predetermined limit;

(d) intracranial bloodflow monitor means for sensing and providing a bloodflow output signal

(e) a second comparator means for receiving the bloodflow output signal and generating a second output signal when said bloodflow is less than a predetermined limit,

(f) means for controlling the rate of introduction of fluid into the vascular system of the body;

(g) means responsive to the second output signal from said comparator means for altering the composition of said fluid to thereby vary cranial bloodflow; and

(h) set-point control means for receiving the first output signal and the rate signal, said control means varying the predetermined limit of said second comparator means to permit the alteration of the composition of said fluid at a lesser cranial bloodflow.

2. The system of claim 1 further comprising a third comparator means for receiving the bloodflow signal and generating a third output signal when said bloodflow exceeds a predetermined limit, said means for altering the composition of said fluid being responsive to the second and third output signals from said comparator means to vary the cranial bloodflow accordingly.

3. The system of claim 2 wherein said intracranial bloodflow monitor means comprises thermal diffusion sensing means for placement within said cranium to determine bloodflow therein.

4. The system of claim 3 wherein said intracranial pressure monitor means comprises a transduce means for insertion into the cranium to determine fluid pressure therein.

5. The system of claim 4 further comprising means for monitoring the blood pressure of the body and providing a blood pressure output signal, said means being located remote from the cranium.

6. The system of claim 5 further comprising means for receiving the pressure, bloodflow and blood pressure output signals and visually displaying same.

7. A method for use in monitoring and controlling selected body function parameters during intracranial observations, said method comprising the steps:

(a) sensing intracranial fluid pressure and generating a first electrical signal representative of said pressure;

(b) setting an upper limit for said pressure and generating a limit pressure signal if said first signal exceeds said limit;

(c) setting a rate of increase limit for said pressure and generating a rate pressure signal if said first signal exceeds said rate;

(d) sensing intracranial bloodflow and generating a second electrical signal representative of said bloodflow;

(e) setting a lower limit for bloodflow and generating a lower limit signal if said second signal is less than said limit;

(f) regulating said lower limit for bloodflow in response to at least one of said limit pressure and rate pressure signals; and

(g) controlling the composition of fluid introduced into the vascular system of the observed body subject in response to the lower limit signal, whereby selected body function parameters of said subject are controlled during intracranial observation.

8. The method of claim 7 further comprising the step of setting an upper limit for bloodflow and generating an upper limit signal if said second signal is greater than said limit;

and controlling the composition of fluid in response to the upper limit signal.

9. The method of claim 8 further comprising the step of simultaneously displaying said first and second electrical signals.

10. The method of claim 9 further comprising the steps of sensing the blood pressure of said subject and generating a third electrical signal representative of said pressure;

and simultaneously displaying said first, second and third electrical signals.