Method and device for measuring intracranial pressure

• US 5,291,899 A
• Filed: 04/29/1991
• Issued: 03/08/1994
• Est. Priority Date: 05/10/1990
• Status: Expired due to Term

• Current Assignee: Kabushiki Kaisha Nihon MDM
• Original Assignee: Kabushiki Kaisha Nihon MDM
• Inventors: Watanabe, Yasuo, Shimazu, Hideaki
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Tucker, Guy V.
• Application Number:
  US07/693,443
• Time in Patent Office: 1,044 Days
• Field of Search: 128/748, 128/774, 604/9, 604/8, 604/10, 73/700, 73/708, 73/714, 73/715, 73/4 R, 73/753, 73/756, 73/726, 73/727, 73/729, 73/730, 73/731
• US Class Current: 600/561
• CPC Class Codes: A61B 5/02156 Calibration means
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61B 5/6864 Burr holes

Abstract

This invention provides a method for measuring intracranial pressure and a device for the same which enable intracranial pressure to be accurately measured without any conventional calibration using data obtained by previous measurement because they are characterized in that intracranial pressure is measured after a communication valve capable of communicating with the atmosphere is closed following zero point correction of a pressure transducer performed by adjusting the internal pressure of a flexible membrane provided at the tip of a pressing part and filled with a fluid to atmospheric pressure by the operation of the above communication valve.

Claims

1. A method for measuring intracranial pressure by using a device comprising a reservoir implantable under the skin of a patient and into which cerebrospinal fluid can be introduced from a brain ventricle of the patient, a flexible dome configured to be upwardly projected from said reservoir by the pressure of the cerebrospinal fluid and flexibly deformable according to an external force, a pressing part for pressing against said dome through the skin, a pressing-part-driving means for driving said pressing part toward said dome at a constant speed, a pressure transducer for measuring the force of the pressing part pressing the dome and a flexible membrane provided at the tip of the pressing part and having an interior filled with a fluid, the method comprising:

pressing the flexible membrane of the pressing part against the dome of the reservoir through the skin by means of the pressing-part-driving means after a zero point correction of the pressure transducer is performed by communicating the interior of the flexible membrane with the atmosphere.

2. A method for measuring intracranial pressure as set forth in claim 1, wherein the zero point correction of the pressure transducer is performed by opening a valve communicating the interior of the flexible membrane with the atmosphere and then closing the valve.

3. A device for measuring intracranial pressure of cerebrospinal fluid in a brain ventricle of a patient, comprising:

a reservoir implantable under the skin of a patient and into which cerebrospinal fluid can be introduced from a brain ventricle of the patient, a flexible dome configured to be upwardly projected from said reservoir by the pressure of the cerebrospinal fluid and flexibly deformable according to an external force, and a detector comprising a pressing part movable to be pressed against said dome through the skin, a pressing-part-driving means for driving the pressing part toward the dome at a constant speed, a pressure transducer for measuring the force of the pressing part pressing the dome, a flexible membrane provided at the tip of the pressing part and having an interior filled with a fluid, means defining an exhaust path for communicating the interior of said flexible membrane with the atmosphere, and a valve for opening and closing said exhaust path.

4. A device for measuring intracranial pressure as set forth in claim 3, wherein the detector has a cylindrical frame, the pressing part being vertically movably fitted inside said frame, and the pressing-part-driving means comprising a nut attached to a rear end of the pressing part and a motor having a revolving shaft provided with a male thread fitting said nut.

5. A device for measuring intracranial pressure as set forth in claim 4, wherein a leg to be mounted on the skin of a patient is attached to the cylindrical frame.

6. A device for measuring intracranical pressure as set forth in claim 5, including means including a thumbscrew for adjusting the position of the leg relative to the cylindrical frame.

7. A device for measuring intracranial pressure as set forth in claim 3 or 4, wherein the means defining an exhaust path comprises an exhaust pipe communicating with the interior of the flexible membrane, the valve being provided in said exhaust pipe.

8. A device for measuring intracranial pressure as set forth in claim 3, wherein the valve comprises a solenoid valve, and a controller for controlling the solenoid valve.

9. A device for measuring the pressure of cerebrospinal fluid in a brain ventricle of a patient, comprising:

a reservoir implantable under the skin of a patient during use of the device and having a flexible dome portion for receiving therein cerebrospinal fluid under pressure from a brain ventricle of the patient; and

a detector positionable in opposed spaced relation from the implanted reservoir during use of the device for detecting the pressure of the cerebrospinal fluid, the detector comprising a flexible membrane having an interior, means including a conduit connected to the flexible membrane for selectively communicating the interior of the flexible membrane with ambient air to equalize the air pressure within the flexible membrane with that of the ambient air and for thereafter fluidtightly closing the conduit to maintain the flexible membrane filled with air, means mounting the flexible membrane for displacement toward and away from the flexible dome portion of the reservoir, driving means for displacing the air-filled flexible membrane toward the reservoir to cause the flexible membrane to exert an inward pressing force on the flexible dome portion of the reservoir through the patient'"'"'s skin to flexibly inwardly deform the dome portion, and means for measuring the force with which the flexible membrane presses against the flexible dome portion and producing a corresponding output signal representative of the pressure of the cerebrospinal fluid.

10. A device according to claim 9;

wherein the means for measuring the force comprises a pressure transducer connected to measure the air pressure within the flexible membrane and produce a corresponding electrical output signal.

11. A device according to claim 9;

wherein the means mounting the flexible membrane comprises a displaceable member having forward and rearward ends, the flexible membrane being mounted at the forward end of the displaceable member, and means mounting the displaceable member for displacement toward and away from the flexible dome portion of the reservoir to thereby correspondingly displace the flexible membrane.

12. A device according to claim 11;

wherein the means mounting the displaceable member comprises a frame positionable on the patient in opposed spaced relation from the implanted reservoir during use of the device, the displaceable member being slidably mounted on the frame to undergo displacement toward and away from the flexible dome portion.

13. A device according to claim 12;

including means for mounting the driving means on the frame.

14. A device according to claim 13;

wherein the driving means comprises means including a motor for displacing the displaceable member at a constant speed toward the flexible dome portion of the reservoir.

15. A device according to claim 9;

wherein the driving means comprises means including a motor for displacing the flexible membrane at a constant speed toward the flexible dome portion of the reservoir.

16. A device according to claim 15;

wherein the means for selectively communicating the interior of the flexible membrane with the ambient air comprises a valve disposed in the conduit for opening and closing the conduit.

17. A device according to claim 16;

including control means for controlling the operation of the motor and the valve.

18. A device according to claim 17;

wherein the motor comprises an electrically operated motor and the valve comprises an electrically operated valve, and the control means comprises a controller for electrically controlling the operation of the motor and the valve.

19. A device according to claim 16;

wherein the means for measuring the force comprises a pressure transducer connected to measure the air pressure within the flexible membrane and produce a corresponding electrical output signal.

20. A device according to claim 19;

including means responsive to the electrical output signal from the pressure transducer for providing a recording of the pressure of the cerebrospinal fluid.