Device and method for quantifying edema

• US 8,147,428 B2
• Filed: 04/15/2005
• Issued: 04/03/2012
• Est. Priority Date: 04/16/2004
• Status: Active Grant

• Current Assignee: University Of Massachusetts, Worcester Polytechnic Institute
• Original Assignee: University Of Massachusetts, Worcester Polytechnic Institute
• Inventors: Billiar, Kristen L., Dunn, Raymond M.
• Primary Examiner(s): HOEKSTRA, JEFFREY GERBEN
• Application Number:
  US11/107,302
• Publication Number:
  US 20060030791A1
• Time in Patent Office: 2,545 Days
• Field of Search: 600/372, 600/382, 600/384, 600/398, 600/552, 600/561, 600/587, 600/595, 600/300, 600/306
• 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 5/442 Evaluating skin mechanical properties, e.g. elasticity, hardness, texture, wrinkle assessment
• CPC Class Codes: A61B 5/4878 Evaluating oedema

Abstract

The preferred embodiments of the present invention are directed at a device that provides a reliable, accurate and quantifiable measure of a patient'"'"'s edema. The device improves on the current method of digital manipulation by evaluating the pitting phenomena in a user-independent manner. The output of the device allows a physician to categorize edema into at least ten different levels of severity. The systems of the present invention provides the ability to distinguish between tissues of varying viscosity.

Claims

1. A method of measuring edema comprising:

contacting a region of skin tissue of an arm or leg of a patient with a displacement member the region of tissue including edematous tissue;

applying pressure to the region of skin tissue to displace the region of tissue a distance to a displaced position with the displacement member;

releasing the pressure applied with the displacement member to the region of skin tissue;

subsequently measuring a displacement of the region of tissue with the displacement member and a sensor that measures a displacement of the displacement member over a time during which the region of tissue relaxes from the displaced position; and

displaying a quantitative value from the measured displacement with a display device, the measured displacement indicating a level of edema.

2. The method of claim 1 further comprising using the displacement member, a light source and a sensor, the light source and sensor determining a position of the displacement member.

3. The method of claim 2 further comprising using a housing on which the displacement member, light source and sensor are mounted.

4. The method of claim 1 further comprising measuring a time for return of the tissue to half the distance of the displaced position.

5. The method of claim 1 wherein the steps of contacting the region of tissue further comprises contacting a region of skin of the patient with the displacement member, displacing the region of skin with the displacement member and holding the displacement member at the displaced position for a selected period of time prior to the releasing step and subsequently measuring the relaxation of the skin from the displaced position.

6. The method of claim 1 further comprising treating the region of edematous tissue by compressing the region of tissue for a period of time.

7. The method of claim 1 further comprising recording the displacement of tissue as a function of time after the release of pressure.

8. The method of claim 1 further comprising using a housing, the housing and the displacement member undergoing relative movement from a first position to a second position.

9. The method of claim 1 further comprising comparing measured displacement data with stored data.

10. The method of claim 1 further comprising holding a housing on which the displacement member is mounted, and processing displacement data with a processor in the housing.

11. The method of claim 1 wherein the sensor comprises an LVDT such that the method further comprises using the LVDT to measure the displacement of the displacement member.

12. The method of claim 1 further comprising processing an output signal from the sensor with an amplification and filter circuit.

13. The method of claim 1 wherein the sensor and displacement member are mounted in a housing with a battery.

14. A method for measuring edema in an arm or leg of patient comprising:

contacting a region of tissue on the arm or the leg of a patient with a displacement member, the region of tissue including edematous tissue;

applying pressure to the region of tissue to displace the region of tissue a selected distance to a displaced position with the displacement member;

releasing the pressure applied with the displacement member to the region of interest;

subsequently measuring a displacement of the region of tissue from the displaced position with the displacement member and a sensor that measures a displacement of the displacement member over a period of time during relaxation of the edematous tissue from the displaced position; and

displaying a quantitative value from the measured displacement with a display device, the measured displacement indicating a level of edema.

15. The method of claim 14 further comprising using a housing, the displacement member being movably attached to the housing.

16. The method of claim 14 further comprising measuring tissue swelling in the arm or leg of the patient.

17. The method of claim 14 further comprising treating the patient by compressing the region of tissue for a period of time and subsequently remeasuring edema in the region of tissue of the patient.

18. The method of claim 14 further comprising using a battery mounted within a housing to provide power to the sensor for measuring patient edema in the arm or the leg of the patient, the displacement member being mounted to the housing.