Method and apparatus for determining changes in intracranial pressure utilizing measurement of the circumferential expansion or contraction of a patient's skull
AssigneeNational Aeronautics and Space Administration
A method and apparatus for measuring changes in intracranial pressure (ICP) utilizing the variation of the surface wave propagation parameters of the patient's skull to determine the change in ICP. In one embodiment, the method comprises the steps of transmitting an ultrasonic bulk compressional wave onto the surface of the skull at a predetermined angle with respect to the skull so as to produce a surface wave, receiving the surface wave at an angle with respect to the skull which is substantially the same as the predetermined angle and at a location that is a predetermined distance from where the ultrasonic bulk compressional wave was transmitted upon the skull, determining the retardation or advancement in phase of the received surface wave with respect to a reference phase, and processing the determined retardation or advancement in phase to determine circumferential expansion or contraction of the skull and utilizing the determined circumferential change to determine the change in intracranial pressure.
Drawings
Claims31
A method for determining changes in intracranial pressure within a patient's skull comprising:
transmitting a sound wave onto the surface of the skull so as to produce a surface wave;
receiving the surface wave at a location that is a predetermined distance from where the sound wave was transmitted upon the skull;
determining the change in phase of the received surface wave with respect to a reference phase;
and
processing the determined change in phase to determine a change in intracranial pressure.
2 more elements
An apparatus for determining changes in intracranial pressure in a patient's skull, comprising:
a transmitting device for generating a sound wave on the surface of the skull;
a receiving device for receiving the surface wave at a location that is a predetermined distance from where the sound wave was generated upon the skull;
a measuring device for determining the change in phase of the received surface wave with respect to a reference phase;
and
a processing device for using the determined phase change to determine a change in intracranial pressure.
2 more elements
An apparatus for determining changes in intracranial pressure, comprising:
means for transmitting a wave onto the surface of the skull so as to produce a surface wave;
means for receiving the surface wave a distance from where the wave was transmitted upon the skull;
means for determining the change in phase of the received surface wave with respect to a reference phase;
and
means for processing the determined phase change to determine a change in intracranial pressure.
2 more elements
An apparatus for determining changes in intracranial pressure in a patient's skull, comprising:
a transmitting device for generating a wave on the surface of the skull;
a receiving device for receiving the surface wave;
a measuring device for determining the change in phase of the received surface wave with respect to a reference phase;
and
a processing device to utilize the determined phase change to determine a change in intracranial pressure.
#The present invention relates broadly to the field of apparatuses and methods for determining changes in intracranial pressure (“ICP”) by measuring the effects of these changes on a patient's skull.
#The features of the invention believed to be novel and the elements characteristic of the invention are set forth with particularity in the appended claims. The figures are for illustration purposes only and are not drawn to scale. The invention itself, however, both as to organization and method of operation, may best be understood by reference to the detailed description which follows taken in conjunction with the accompanying drawings in which:
#FIG. 1 is a block diagram of an apparatus of the present invention; and
#FIG. 2 is a schematic diagram of one embodiment of a measuring device that can be used in the apparatus of the present invention.
Detailed description1,827 words
#In describing the embodiments of the present invention, reference will be made herein to FIGS. 1 and 2 of the drawings in which like numerals refer to like features of the invention.
#Referring to FIG. 1, there is shown apparatus 10 of the present invention. Apparatus 10 comprises measurement device 11. In one embodiment, the measurement device can be configured as a CFPPLL described in commonly owned U.S. Pat. No. 5,214,955, the disclosure of which is herein incorporated by reference as if set forth in its entirety. The CFPPLL is shown in FIG. 2 and is briefly described in the ensuing description in order to facilitate understanding of the present invention. The CFPPLL is configured to operate in the “pitch-catch” mode which is described in the aforementioned U.S. Pat. No. 5,214,955. In another embodiment, the measurement device 11 might comprise a variable frequency pulsed phase-locked loop (“VFPPLL”), for example as described in the article by Yost, et al., Fundamental Aspects of Pulse Phase-locked Loop Technology-based Methods for Measurement of Ultrasonic Velocity, J. Acoust. Soc. Am. 91, 1456-1468 (1992), which article is incorporated herein by reference as if set forth in its entirety.
#As shown in FIG. 2, the CFPPLL includes a fixed frequency oscillator 12, such as a phase-stable synthesizer. The fixed frequency oscillator 12 sends its constant frequency output to three different blocks: the logic and timing circuit 14, a buffer amplifier-phase shift circuit 16, and a tone-burst formation gate 18. The logic and timing circuit 14 uses this signal as a clock and counts down to determine the timing on its outputs. One output is the transmit or Tx gate to form the electrical tone burst. The logic and timing circuit 14 also contains a setting so that the operator can set the gate for as many cycles as is desired.