Method and apparatus for monitoring and identifying sounds characteristic of tendon translation within the carpal tunnel

• US 5,924,999 A
• Filed: 11/01/1996
• Issued: 07/20/1999
• Est. Priority Date: 11/03/1995
• Status: Expired due to Fees

• Current Assignee: John M. Agee
• Original Assignee: John M. Agee
• Inventors: Agee, John M., Maher, Timothy R.
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): Wingood, Pamela L.
• Application Number:
  US08/740,777
• Time in Patent Office: 991 Days
• Field of Search: 600/561, 600/546, 600/587, 600/559, 600/552
• US Class Current: 600/587
• CPC Class Codes: A61B 5/4523 Tendons
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/486 Bio-feedback A61B5/375 takes precedence
• CPC Class Codes: A61B 7/00 Instruments for auscultation

Abstract

An apparatus and method for monitoring the energy, such as acoustic energy, generated by the translational (or "snapping") movement of tendons across the carpal tunnel, whereby an energy signature for such movement can be recognized. Feedback can then be provided to or about the person being monitored to permit, encourage, or force that person to choose a different movement whereby detrimental translational movement of tendons is reduced or minimized. Such reductions may result in a lower occurrence of CTS or the avoidance of its deleterious effects.

Claims

1. A method for detecting events related to tendon translation in the carpal tunnel, the method comprising the steps of:

(a) monitoring energy produced by tendon movement resulting in the interaction of tendons and surrounding carnal tunnel structures during hand use; and

(b) determining the frequency or amount of said energy and thereby evaluate the presence or absence of snapping of the tendons against the carpal tunnel structures during said hand use.

2. A method in accordance with claim 1, further comprising the step of comparing the characteristics of any such energy to energy characteristics previously recorded.

3. A method in accordance with claim 1, further comprising the step of providing information to or about a person being monitored.

4. A method in accordance with claim 1, further comprising the step of causing a person being monitored to modify hand use patterns to eliminate or reduce the energy produced by said tendon translation.

10. The method of claim 1 wherein the step of monitoring includes the use of computed tomography, ultrasound, X-ray, infrared, magnetic resonance or other frequencies of the electromagnetic spectrum which would penetrate the tissues of the body.

5. An apparatus for detecting events related to tendon translation in the carpal tunnel, the apparatus comprising:

(a) means for monitoring energy produced by tendon movement resulting in the interaction of tendons and surrounding carpal tunnel structures during hand use; and

(b) means for determining the frequency or amount of said energy and thereby evaluate the presence or absence of snapping of the tendons against the carpal tunnel structures during said hand use.

6. An apparatus in accordance with claim 5, further comprising means for comparing the characteristics of any such energy to energy characteristics previously recorded.

7. An apparatus in accordance with claim 5, further comprising means for causing a person being monitored to modify hand use patterns to reduce the amount of said energy.

8. An apparatus in accordance with claim 5, further comprising multiple means for detecting energy, where a phase shift of signals from various detectors is used to determine an originating location of said energy within tissues in the wrist or hand.

9. An apparatus in accordance with claim 5, further comprising detectors mounted on finger nails or tips of the fingers on a hand in close proximity to bony structures of fingers to which tendons of each digit are attached, to detect energy generated by the movement of each tendon.

11. The apparatus of claim 5 wherein said means for monitoring includes a monitoring device using computed tomography, ultrasound, X-ray, infrared, magnetic resonance or other frequencies of the electromagnetic spectrum which would penetrate the tissues of the body.

12. An apparatus for detecting events related to tendon translation in the carpal tunnel, the apparatus comprising:

(a) ultrasound means for monitoring energy generated by the interaction of tendons with the synovium in the carpal tunnel during hand use; and

(b) means for determining the frequency or amount of said energy.

13. A method for detecting events related to tendon translation in the carpal tunnel, the method comprising the steps of:

(a) monitoring energy produced by tendon movement resulting in the interaction of tendons and surrounding carpal tunnel structures including soft tissue during hand use; and

(b) determining the frequency or amount of said energy and thereby evaluate the elastic compliance of said soft tissue.

14. A method in accordance with claim 13 wherein said tissue includes the synovium.

15. A method in accordance with claim 13 wherein the elastic compliance is defined by edema.

16. A method in accordance with claim 13 wherein the elastic compliance is defined by the development of scar formation.

17. A method in accordance with claim 13 wherein the elastic compliance is defined by fibrous tissue.

18. A method in accordance with claim 13 wherein the elastic compliance is defined by cellular transudate with proteinaceous materials.

19. A method in accordance with claim 13 wherein the elastic compliance is defined by thickened synovium.

20. A method in accordance with claim 13 wherein the elastic compliance is defined by soft tissue hypertrophy.

21. The method of claim 13 wherein said monitoring step includes the use of computed tomography, ultrasound, x-ray, infrared, magnetic resonance or other frequencies of the electromagnetic spectrum which would penetrate the tissues of the body.

22. An apparatus for detecting events related to tendon translation in the carpal tunnel, the apparatus comprising:

(a) means for monitoring energy produced by tendon movement resulting in the interaction of tendons and surrounding carpal tunnel structures including soft tissue during hand use; and

(b) means for determining the frequency or amount of said energy and thereby evaluate the elastic compliance of said soft tissue.

23. An apparatus in accordance with claim 22 wherein said tissue includes the synovium.

24. An apparatus in accordance with claim 22 wherein the elastic compliance is defined by edema.

25. An apparatus in accordance with claim 22 wherein the elastic compliance is defined by the development of scar formation.

26. An apparatus in accordance with claim 22 wherein the elastic compliance is defined by fibrous tissue.

27. An apparatus in accordance with claim 22 wherein the elastic compliance is defined by cellular transudate with proteinaceous materials.

28. An apparatus in accordance with claim 22 wherein the elastic compliance is defined by thickened synovium.

29. An apparatus in accordance with claim 22 wherein the elastic compliance is defined by soft tissue hypertrophy.

30. The apparatus of claim 22 wherein said means for monitoring includes a monitoring device using computed tomography, ultrasound, x-ray, infrared, magnetic resonance or other frequencies of the electromagnetic spectrum which would penetrate the tissues of the body.