System and method for noninvasively evaluating a limb suspected of compartment syndrome

• US 7,097,625 B2
• Filed: 12/08/2003
• Issued: 08/29/2006
• Est. Priority Date: 10/19/2001
• Status: Expired due to Term

• Current Assignee: NCSE LLC
• Original Assignee: NCSE LLC
• Inventors: Steinberg, Bruce
• Primary Examiner(s): MARMOR II, CHARLES ALAN
• Application Number:
  US10/730,482
• Publication Number:
  US 20040116834A1
• Time in Patent Office: 995 Days
• Field of Search: 600/488, 600/561, 600/587, 600/592, 600/595, 73/81, 735/73
• US Class Current: 600/587
• CPC Class Codes: A61B 5/0053 by applying pressure, e.g. compression, indentation, palpation, grasping, gauging
• 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 5/441 Skin evaluation, e.g. for skin disorder diagnosis
• CPC Class Codes: A61B 5/4519 Muscles A61B5/389, A61B5/224 take precedence
• CPC Class Codes: G01N 2203/0082 Indentation characteristics measured during load
• CPC Class Codes: G01N 2203/0218 Calculations based on experimental data

Abstract

A system and method are disclosed for noninvasively diagnosing limb compartment syndrome by measuring a quantitative modulus of hardness. In the preferred embodiment, a nonmovable pressure probe mounted in the center of a movable spring loaded platform is applied against a limb compartment. Force is gradually applied to the probe and the platform, compressing a limb compartment. Pressure on the probe is measured as the probe pushes into the limb. The spring loaded platform displaces, and the distance of the probe tip to the platform is measured. This distance is the depth of compression into the limb by the probe. The relationship of incremental pressures in the probe and the corresponding distance of the probe tip to the platform for each pressure is plotted. A linear regression analysis is preformed whose slope forms a quantitative modulus of hardness.

Claims

1. A device for use in noninvasively evaluating a limb suspected of compartment syndrome, the device comprising in combination:

an applicator instrument including a base portion, a force plate having a cross section, and a force probe, the force probe being positioned through an aperture of the force plate, the force probe having a solid cross section of an area that is substantially smaller than the cross section of the force plate, the force probe and force plate being biased relative to one another, the force plate being permitted to slide relative to the probe, the force plate including at least one stabilizing column which is slidably received within the base portion, an encoder positioned within the base portion for measuring the travel distance of the stabilizing column, such distance corresponding to the movement of the force plate relative to the force probe, a load cell directly connected to the force probe for use in measuring the pressure applied to the force probe, the travel distance and pressure measurements being used to compute modulus of hardness.

2. The device as described in claim 1 wherein the device further includes a series of lights to provide a user feedback regarding the force rate of application of the device.

3. A device for use in evaluating a limb, the device comprising in combination:

an applicator instrument including a force plate and a force probe which are slidably related to one another, the force probe having a solid cross section and being substantially smaller than the force plate, a spring secured about the force probe and biasing the force probe relative to the force plate, an encoder positioned within the instrument for measuring the relative distance between a distal end of the force plate and a distal end of the force probe, a load cell directly interconnected to the force probe for use in measuring the pressure applied to the force probe, wherein the distance and pressure measurements are used in making a medical diagnosis, the travel distance and pressure measurements being used to compute modulus of hardness.

4. The device as described in claim 3 further including a breakout box electrically coupled to the instrument, the breakout box receiving pressure measurements from the load cell, the breakout box including indicator means for signifying the presence of predetermined minimum and maximum pressure measurements.

5. The device as described in claim 4 further including a computer electrically coupled to the breakout box for use in providing electrical power to the instrument and breakout box, the computer being used in collecting, storing and analyzing pressure and distance measurements collected by the instrument.