Intracranial pressure monitoring system

• US 5,325,865 A
• Filed: 02/26/1990
• Issued: 07/05/1994
• Est. Priority Date: 02/26/1990
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Baxter International Inc.
• Inventors: Bequette, Jesse N., Beckman, Ronald B.
• Primary Examiner(s): Shay, David M.
• Application Number:
  US07/485,349
• Time in Patent Office: 1,590 Days
• Field of Search: 128/667, 128/675, 128/634, 128/673, 128/748, 73/4 R, 73/705, 73/708, 250/227.28, 250/231.19, 250/352, 250/214 C, 250/238
• US Class Current: 600/561
• CPC Class Codes: A61B 5/02154 by optical transmission
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: G01L 9/0077 for measuring reflected light

Abstract

A catheter assembly for measuring a fluid pressure in a body cavity includes an optical converter responsive to an electrical power source for energizing a light-emitting diode which has drift characteristics which vary in response to temperature. An optical sensor is adapted to receive the light from the light-emitting diode and to provide a measurement signal indicative of the fluid pressure in the cavity. This measurement signal has undesirable characteristics related to the thermal drift characteristics of the diode. A detection circuit detects the measurement signal and provides an output signal indicative of fluid pressure in the cavity. A special filter is included in this detection circuit which has optical characteristics that substantially offset the undesirable characteristics of the measurement signal, so that the output signal is substantially independent of the temperature of the diode. A power conversion circuit enables the assembly to be energized by an excitation voltage which is provided in several different forms by various monitors.

Claims

1. An apparatus for sensing a physical parameter including:

a sensor exhibiting a physical change in response to the physical parameter;

a source of light disposed in a particular environment and providing an incident light signal having undesirable properties which vary in response to a change in temperature in the particular environment;

means for directing the incident light signal onto the sensor and receiving a reflective light signal from the sensor, the reflective light signal having first characteristics dependent upon the physical change of the sensor and second characteristics dependent upon the undesirable properties of the incident light signal;

detection means responsive to the reflective light signal for detecting the first characteristics of the reflective light signal to provide an indication of the physical parameter in the environment; and

a filter included in the detection means and disposed in the particular environment, the filter having optical properties which inhibit the second characteristics of the reflected light signal.

2. The apparatus recited in claim 1 further comprising:

means for providing the source of light an optical spectrum which moves in a particular direction in response to the change in temperature; and

means for providing the filter with an optical spectrum which moves in the particular direction in response to the change in temperature.

3. A catheter assembly adapted for measurement of a fluid pressure within a body cavity of a patient, comprising:

a light source having a temperature providing an optical signal having thermal drift characteristics which vary in response to a change in the temperature of the light source;

optical sensor means adapted to receive the optical signal from the light source to provide a measurement signal indicative of the fluid pressure in the cavity, the measurement signal having undesirable characteristics related to the thermal drift characteristics of the light source;

detection means coupled to the optical sensor means for detecting the measurement signal to provide an output signal indicative of the fluid pressure in the cavity;

a filter included in the detection means and having optical characteristics which substantially offset the undesirable characteristics of the measurement signal;

whereby

the output signal is substantially independent of the temperature of the light source.

4. The assembly recited in claim 3 wherein:

each of the light source and the filter has a spectrum;

the output signal is dependent upon the area of a spectral envelope defined on one side by the spectrum of the light source and defined on the other side by the spectrum of the filter; and

the assembly further comprises;

means for causing the spectrum of the light source to shift in a particular direction in response to the change in temperature; and

means for causing the spectrum of the filter to shift in the particular direction in response to the change in temperature.

5. The assembly recited in claim 3 wherein each of the light source and the filter has a spectrum and the assembly further comprises:

means included in the light source and responsive to a change in temperature of the light source for causing the spectrum of the light source to drift in a particular direction; and

means included in the filter and responsive to a change in temperature of the filter for causing the spectrum of the filter to drift in the particular direction to about the same extend as the drift of the light source.

6. The assembly as set forth in claim 3 wherein each of the light source and the filter has a spectral frequency curve, and the assembly further comprises:

means providing the output signal with characteristics responsive to variations in a particular area beneath an envelope defined by the spectral frequency curve of the light source and the spectral frequency curve of the filter; and

means responsive to an increase in temperature, for causing the particular area of the envelope to decrease with a shift in the spectral frequency curve of the light source and to increase with a shift in the spectral frequency curve of the filter.

7. The assembly recited in claim 6 wherein the particular area of the envelope is defined in one direction by the spectral frequency curve of the filter and in another direction by the spectral frequency curve of the light source, and the assembly further comprise:

means responsive to an increase in temperature for moving the spectral frequency curve of the light source in the one direction to increase the particular area;

means responsive to the increase in temperature for moving the spectral frequency curve of the filter in the one direction to decrease the particular area of the envelope;

whereby

the size of the particular area remains substantially constant in response to the increase in temperature.

8. A catheter assembly adapted for measurement of a fluid pressure within a body cavity of a patient, comprising:

an electrical power source;

optical conversion means responsive to the electrical power source for providing an optical signal;

a light emitting diode included in the optical conversion means and having a spectrum, the diode having thermal drift characteristics which vary in response to a change in temperature such that the spectrum of the diode shifts to longer wavelengths in response to an increase in temperature;

optical sensor means adapted to receive the optical signal from the optical conversion means and to provide a measurement signal indicative of the fluid pressure in the cavity, the measurement signal having undesirable characteristics related to the thermal drift characteristics of the diode;

detection means coupled to the optical sensor means for detecting the measurement signal to provide an output signal indicative of the fluid pressure in the cavity;

a filter included in the detection means and having a spectrum, the filter having optical characteristics such that the spectrum of the filer shifts to longer wavelengths in response to an increase in temperature;

the output signal is dependent upon the area of the spectral envelope which is defined on one side by the spectrum of the diode and which is defined on the other side by the spectrum of the filter;

whereby

the area beneath the envelope is substantially unchanged in response to an increase in temperature.

9. A catheter assembly for measuring a fluid pressure within a body cavity of a patient, comprising:

a catheter having a distal end adapted for disposition in the body cavity of the patient;

optical pressure sensor means coupled to the catheter, the sensor means having a temperature and properties for providing an optical measurement signal indicative of the fluid pressure in the body cavity;

detection means responsive to the optical measurement signal for providing an electrical signal indicative of fluid pressure in the body cavity;

the optical measurement signal including undesirable optical components which vary with the temperature of the sensor means and provide the optical measurement signal with a signal-to-noise ratio; and

filter means included in the detection means for inhibiting the undesirable optical components of the optical signal which vary with the temperature of the sensor means in order to increase the signal-to-noise ratio of the optical measurement signal.

10. The catheter assembly recited in claim 9, wherein:

the optical measurement signal is a first optical signal having a first signal-to-noise ratio; and

the filter means provides a corrected optical signal having a second signal-to-noise ratio higher than the first signal-to-noise ratio.

11. The catheter assembly recited in claim 10, wherein:

the first optical signal has a spectrum with variations responsive to temperature; and

the filter means includes an optical filter having a spectrum which reduces the variations in the spectrum of the first optical signal in order to increase the signal-to-noise of the corrected optical signal.

12. The catheter assembly recited in claim 9 wherein the optical pressure sensor means comprises:

a light source providing an optical signal having characteristics which vary in response to the temperature of the sensor means; and

a sensor responsive to the optical signal of the light source to provide the optical pressure measurement signal indicative of the fluid pressure in the body cavity.

13. The catheter assembly recited in claim 12 wherein:

the light source is disposed in a particular environment which establishes the temperature of the light source; and

the filter means is disposed in the particular environment which establishes the temperature of the filter means, the filter means having properties for inhibiting the undesirable optical components of the optical signal which vary with the temperature of the light source in order to increase the signal-to-noise ratio of the optical measurement signal.

14. A catheter assembly for measuring a fluid pressure within a body cavity of a patient, comprising:

a catheter having a distal end adapted for disposition in the body cavity of the patient;

a light source disposed in a particular environment that establishes the temperature of the light source, the light source providing an optical signal having characteristics which vary in response to a change in the temperature of the light source;

an optical pressure sensor disposed generally at the distal end of the catheter and responsive to the optical signal of the light source to provide an optical measurement signal indicative of the fluid pressure in the body cavity;

detection means responsive to the optical measurement signal for providing an electrical signal indicative of fluid pressure in the body cavity;

the optical measurement signal including undesirable optical components which vary with the temperature of the light source and provide the optical measurement signal with a signal-to-noise ratio; and

filter means includes in the detection means and disposed in the particular environment that establishes the temperature of the filter means, the filter means having properties for inhibiting the undesirable optical components of the optical signal which vary with the temperature of the light source in order to increase the signal-o-noise ratio of the optical measurement signal.

15. A catheter assembly for measuring a fluid pressure within a body cavity of a patient, comprising;

a catheter having a distal end adapted for disposition in the body cavity of a patient;

optical pressure sensor coupled to the catheter, the sensor means having a temperature and properties for providing an optical measurement signal indicative of the fluid pressure in the body cavity;

detection means responsive to the optical measurement signal for providing an electrical signal indicative of fluid pressure in the body cavity;

the optical measurement signal including undesirable components which vary with the temperature of the sensor means;

means included in the detection means for compensating for the undesirable components of the optical signal which vary with the temperature;

first amplifier means included in the detection means and responsive to the optical measurement signal for providing the electrical signal with first components representative of the optical measurement signal including the undesirable components;

means included in the compensation means for filtering the optical signal to provide a corrected signal adjusted in accordance with the undesirable components of the optical signal;

second amplifier means included in the detection means and responsive to the corrected means for providing the electrical signal with second components representative of the optical measurement signal excluding the undesirable components;

conversion means coupled to the detection means for providing a digital signal indicative of the fluid pressure in the body cavity; and

output means responsive to the digital signal for displaying the fluid pressure in the body cavity.

16. The assembly defined in claim 15 further comprising:

memory means responsive to the digital signal of the conversion means for storing a particular digital quantity representative of the value of the digital signal when the fluid pressure in the body cavity is zero; and

the output means being responsive to the particular digital value stored in the memory means to provide an analog signal indicative of a zero pressure in the body cavity.

17. The assembly recited in claim 15 wherein the conversion means includes divider means coupled to the first and second amplifiers for providing the digital signal with characteristics indicative of the first components of the electrical signal divided by the second components of the electrical signal.

18. A catheter assembly for measuring a fluid pressure within a body cavity of a patient, comprising:

a catheter having a distal end adapted for disposition in the body cavity of a patient;

a light source disposed in a particular environment that establishes the temperature of the light source, the light source providing an optical signal having characteristics which vary in response to a change in the temperature of the light source;

an optical pressure sensor disposed generally at the distal end of the catheter and responsive to the optical signal of the light source to provide an optical measurement signal indicative of the fluid pressure in the body cavity;

detection means responsive to the optical measurement signal for providing an electrical signal indicative of fluid pressure in the body cavity;

the optical measurement signal including undesirable components which vary with the temperature of the light source;

compensating means included in the detection means and disposed in the particular environment that establishes the temperature of the compensating means, the compensating means having properties for compensating for the undesirable components of the optical signal which vary with the temperature of the light source;

first amplifier means included in the detection means and responsive to the optical measurement signal for providing the optical measurement signal including the undesirable components;

means included in the compensating means for filtering the optical signal to provide a corrected signal adjusted in accordance with the undesirable components of the optical signal;

second amplifier means included in the detection means and responsive to the corrected signal for providing the electrical signal with second components representative of the optical measurement signal excluding the undesirable components;

conversion means coupled to the detection means for providing a distal signal indicative of the fluid pressure in the body cavity; and

output means responsive to the digital signal for displaying the fluid pressure in the body cavity.

19. A method for reducing the effect of a change in temperature on an optical system including a sensor having properties dependent upon a change in pressure, the method comprising the steps of:

directing an incident light signal onto the sensor, the incident light signal having undesirable properties dependent upon the change in temperature;

sensing the change in pressure;

receiving a reflective light signal from the sensor, the reflective light signal having first characteristics dependent upon the change in pressure sensed by the sensor, and second characteristics dependent upon the change in temperature;

directing the reflective light signal through an optical filter to inhibit the second characteristics in the reflective light signal; and

detecting the first characteristics in the reflective light signal to provide an indication of the pressure sensed by the sensor.

20. The method recited in claim 19 wherein during the inhibiting step the method further comprising the steps of:

increasing the area of the combination spectrum in response to the change in temperature, the area of the combination spectrum being defined on one side by a first spectrum dependent upon the undesirable properties of the incident light signal, and defined on the other side by a second spectrum which varies in response to the change in temperature; and

decreasing the area of the combination spectrum in response to variations in the second spectrum in response to the change in temperature.

21. The method recited in claim 19 wherein during the inhibiting step the method further comprises the steps of:

providing a combination spectrum with an area defined on one side by a first spectrum dependent on the undesirable properties of the incident light signal, and defined ion another side by a second spectrum which varies in response to the change in temperature;

increasing the area of the combination spectrum in response to variations of the first spectrum resulting from the change in temperature; and

decreasing the area of the combination spectrum in response to the variations of the second spectrum resulting from the change in temperature.