# US 8,784,332 B2 · System for transcutaneous monitoring of intracranial pressure

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- Number: US 8,784,332 B2
- Document ID: US8784332B2
- Status: Granted
- Kind: B2
- Application number: 13/645,358
- Filed: 2012-10-04
- Published: 2013-02-07
- Granted: 2014-07-22
- Earliest claimed: 2005-02-24
- Applicants: Erich W. Wolf, II
- Inventors: Erich W. Wolf, II
- Web page: https://patentgrep.com/patent/US8784332B2

## CPC

- A61B 5/0077: {Devices for viewing the surface of the body, e.g. camera, magnifying lens}
- A61B 5/0017: {transmitting optical signals}
- A61B 5/0031: {Implanted circuitry}
- A61B 5/0086: {using infrared radiation}
- A61B 5/031: {Intracranial pressure}
- A61B 5/0075: {by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy (A61B5/0071 takes precedence)}
- A61B 2560/0219: of externally powered implanted units
- A61B 2562/0247: Pressure sensors
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A system for measuring and converting to an observer intelligible form an internal physiological parameter of a patient. The invention allows transcutaneous telemetry of intracranial pressure via a system which includes a patient implanted sensor module and an external processing module, optically coupled to the sensor module via an external coupling module. A sensor within the sensor module transduces the measured pressure and a near infrared emitter transmits the telemetry when interrogated by the external coupling module. A set of tuned inductor-crystal circuits comprised in part of a cylindrical crystal oscillator whose resonant frequency is sensed by a dipper circuit arrangement is provided. Power for the sensor module is derived inductively through rectification of a transcutaneously-applied high-frequency alternating electromagnetic field generated within the external coupling module. A computer within the processing module calculates the physiological parameter from the telemetry signal and represents this data in numerical, graphical, or analog format.

## Claims

### Claim 1

A method of determining an intracranial fluid pressure of an intracranial fluid comprising the steps of:
providing a cylindrical crystal oscillator probe having a transducer crystal and a reference crystal, wherein the transducer crystal is in contact with the intracranial fluid;
providing at least one driver circuit within the cylindrical crystal oscillator probe connected to the transducer crystal and the reference crystal;
exposing the reference crystal to a reference pressure;
exposing the transducer crystal to the intracranial fluid pressure;
exciting the transducer crystal to provide a first radio frequency energy absorption;
exciting the reference crystal to produce a second radio frequency energy absorption;
measuring the first radio frequency energy absorption;
measuring the second radio frequency energy absorption;
comparing the first radio frequency energy absorption and the second radio frequency energy absorption to determine a difference;
determining the intracranial fluid pressure from the difference and the reference pressure; determining a first resonance frequency from the first radio frequency absorption;
determining a second resonance frequency from the second radio frequency absorption;
determining a calibration slope linearly relating a set of absorption frequencies to a set of pressures;
wherein the step of determining the intracranial fluid pressure includes application of the formula:
P=P0−m(f0−f1) where:
P=the intracranial fluid pressure;
P0=the reference pressure;
m=the calibration slope;
f0=the first resonant frequency; and,
f1=the second resonant frequency.

### Claim 2 (depends on 1)

The method of claim 1 wherein the steps of exciting the transducer crystal and exciting the reference crystal include the steps of:
providing a first coil connected to the reference crystal;
providing a second coil connected to the transducer crystal; and,
sweeping an oscillating electromagnetic field over the first coil and the second coil to produce at least one frequency absorption null.

### Claim 3 (depends on 1)

The method of claim 1 including the further steps of:
providing a memory in the crystal oscillator probe; and,
storing a set of calibration data in the memory.

### Claim 4 (depends on 1)

The method of claim 1 including the further steps of:
providing a memory in the crystal oscillator probe; and,
storing a set of patient data in the memory.

### Claim 5 (depends on 1)

The method of claim 1 wherein the step of measuring the first radio frequency energy absorption further comprises the step of accounting for a protein deposit from the intracranial fluid.

### Claim 6 (depends on 5)

The method of claim 5 wherein the step of accounting for a protein deposit further includes the step of:
determining a reported resonant frequency fr according to the formula:
fr=fmeasured+(fi−ft) where:
fr=the reported resonant frequency;
fmeasured=the first resonant frequency;
fi=an initial resonant frequency; and,
ft=a final resonant frequency.

### Claim 7 (depends on 6)

The method of claim 6 further including the step of:
recording the initial resonant frequency and a time of inception.

### Claim 8

A method of determining an intracranial fluid pressure of an intracranial fluid comprising the steps of:
providing a cylindrical crystal oscillator probe having a transducer section and a reference section;
providing at least one driver circuit within the cylindrical crystal oscillator probe connected to the transducer section and the reference section;
exposing the reference section to a reference pressure;
exposing the transducer section to the intracranial fluid pressure;
exciting the transducer section to provide a first radio frequency energy absorption;
exciting the reference section to produce a second radio frequency energy absorption;
measuring the first radio frequency energy absorption;
measuring the second radio frequency energy absorption;
comparing the first radio frequency energy absorption and the second radio frequency energy absorption to determine a difference;
determining the intracranial fluid pressure from the difference and the reference pressure;
determining a first resonance frequency from the first radio frequency absorption;
determining a second resonance frequency from the second radio frequency absorption;
determining a calibration slope linearly relating a set of absorption frequencies to a set of pressures; and,
wherein the step of determining the intracranial fluid pressure includes application of the formula:
P=P0−m(f0−f1) where:
P=the intracranial fluid pressure;
P0=the reference pressure;
m=the calibration slope;
f0=the first resonant frequency; and,
f1=the second resonant frequency.

### Claim 9

A method of determining an intracranial fluid pressure of an intracranial fluid comprising the steps of:
providing a cylindrical crystal oscillator probe having a transducer section and a reference section;
providing at least one driver circuit within the cylindrical crystal oscillator probe connected to the transducer section and the reference section;
exposing the reference section to a reference pressure;
exposing the transducer section to the intracranial fluid pressure;
exciting the transducer section to provide a first radio frequency energy absorption;
exciting the reference section to produce a second radio frequency energy absorption;
measuring the first radio frequency energy absorption;
measuring the second radio frequency energy absorption;
comparing the first radio frequency energy absorption and the second radio frequency energy absorption to determine a difference;
determining the intracranial fluid pressure from the difference and the reference pressure;
determining a first resonance frequency from the first radio frequency absorption;
determining a second resonance frequency from the second radio frequency absorption;
determining a calibration slope linearly relating a set of absorption frequencies to a set of pressures;
wherein the step of determining the intracranial fluid pressure includes application of the formula:
P=P0−m(f0−f1) where:
P=the intracranial fluid pressure;
P0=the reference pressure;
m=the calibration slope;
f0=the first resonant frequency;
f1=the second resonant frequency;
providing a first coil connected to the reference section;
providing a second coil connected to the transducer section; and,
sweeping an oscillating electromagnetic field over the first coil and the second coil to produce at least one frequency absorption null.

### Claim 10

A method of determining an intracranial fluid pressure of an intracranial fluid comprising the steps of:
providing a cylindrical crystal oscillator probe having a transducer section and a reference section;
providing at least one driver circuit within the cylindrical crystal oscillator probe connected to the transducer section and the reference section;
exposing the reference section to a reference pressure;
exposing the transducer section to the intracranial fluid pressure;
exciting the transducer section to provide a first radio frequency energy absorption;
exciting the reference section to produce a second radio frequency energy absorption;
measuring the first radio frequency energy absorption;
measuring the second radio frequency energy absorption;
comparing the first radio frequency energy absorption and the second radio frequency energy absorption to determine a difference;
determining the intracranial fluid pressure from the difference and the reference pressure; and,
wherein the step of measuring the first radio frequency energy absorption further comprises the step of accounting for a protein deposit from the intracranial fluid.

### Claim 11

A method of determining an intracranial fluid pressure of an intracranial fluid comprising the steps of:
providing a cylindrical crystal oscillator probe having a transducer section and a reference section;
providing at least one driver circuit within the cylindrical crystal oscillator probe connected to the transducer section and the reference section;
exposing the reference section to a reference pressure;
exposing the transducer section to the intracranial fluid pressure;
exciting the transducer section to provide a first radio frequency energy absorption;
exciting the reference section to produce a second radio frequency energy absorption;
measuring the first radio frequency energy absorption;
measuring the second radio frequency energy absorption;
comparing the first radio frequency energy absorption and the second radio frequency energy absorption to determine a difference;
determining the intracranial fluid pressure from the difference and the reference pressure;
wherein the step of measuring the first radio frequency energy absorption further comprises the step of accounting for a protein deposit from the intracranial fluid; and,
wherein the step of accounting for a protein deposit further includes the step of:
determining a reported resonant frequency fr according to the formula:
fr=fmeasured+(fi−ft) where:
fr=the reported resonant frequency;
fmeasured=a first resonant frequency;
fi=an initial resonant frequency; and,
ft=a final resonant frequency.

### Claim 12

A method of determining an intracranial fluid pressure of an intracranial fluid comprising the steps of:
providing a cylindrical crystal oscillator probe having a transducer section and a reference section;
providing at least one driver circuit within the cylindrical crystal oscillator probe connected to the transducer section and the reference section;
exposing the reference section to a reference pressure;
exposing the transducer section to the intracranial fluid pressure;
exciting the transducer section to provide a first radio frequency energy absorption;
exciting the reference section to produce a second radio frequency energy absorption;
measuring the first radio frequency energy absorption;
measuring the second radio frequency energy absorption;
comparing the first radio frequency energy absorption and the second radio frequency energy absorption to determine a difference; and,
determining the intracranial fluid pressure from the difference and the reference pressure;
wherein the step of measuring the first radio frequency energy absorption further comprises the step of accounting for a protein deposit from the intracranial fluid;
wherein the step of accounting for a protein deposit further includes the step of:
determining a reported resonant frequency fr according to the formula:
fr=fmeasured+(fi−ft) where:
fr=the reported resonant frequency;
fmeasured=a first resonant frequency;
fi=an initial resonant frequency;
ft=a final resonant frequency; and,
further including the step of recording the initial resonant frequency and a time of inception.
