# US 8,147,428 B2 · Device and method for quantifying edema

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- Number: US 8,147,428 B2
- Document ID: US8147428B2
- Status: Granted
- Kind: B2
- Application number: 11/107,302
- Filed: 2005-04-15
- Published: 2006-02-09
- Granted: 2012-04-03
- Earliest claimed: 2004-04-16
- Assignees: University of Massachusetts; Worcester Polytechnic Institute
- Inventors: Kristen L. Billiar; Raymond M. Dunn
- Web page: https://patentgrep.com/patent/US8147428B2

## CPC

- A61B 5/0053: {by applying pressure, e.g. compression, indentation, palpation, grasping, gauging}
- A61B 5/442: {Evaluating skin mechanical properties, e.g. elasticity, hardness, texture, wrinkle assessment}
- A61B 5/4878: {Evaluating oedema}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## 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

### Claim 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.

### Claim 2 (depends on 1)

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.

### Claim 3 (depends on 2)

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

### Claim 4 (depends on 1)

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

### Claim 5 (depends on 1)

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.

### Claim 6 (depends on 1)

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

### Claim 7 (depends on 1)

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

### Claim 8 (depends on 1)

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.

### Claim 9 (depends on 1)

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

### Claim 10 (depends on 1)

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.

### Claim 11 (depends on 1)

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.

### Claim 12 (depends on 1)

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

### Claim 13 (depends on 1)

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

### Claim 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.

### Claim 15 (depends on 14)

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

### Claim 16 (depends on 14)

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

### Claim 17 (depends on 14)

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.

### Claim 18 (depends on 14)

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.
