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    • 4. 发明申请
    • REAL TIME CSF FLOW MEASUREMENT SYSTEM & METHOD
    • 实时CSF流量测量系统与方法
    • US20130109998A1
    • 2013-05-02
    • US13698689
    • 2011-05-27
    • Marek SwobodaMatias Gabriel HochmanMark Evan MattiucciFrederick J. Fritz
    • Marek SwobodaMatias Gabriel HochmanMark Evan MattiucciFrederick J. Fritz
    • A61B5/03G01F1/684
    • A61M27/006A61B5/01A61B5/031A61B5/032A61M5/168A61M5/16836G01F1/684
    • A system for measuring quantitative CSF flow in shunt tubing implanted under the skin. The system includes an array of thermosensors clustered in three sections, cooling device, placed on the skin surface and an associated data acquisition and analysis device. Two sensor sections are placed over the shunt on the skin and measure real time temperature responses related to CSF movement. One array placed adjacent the cooling device collects data on thermal properties of skin including skin thermal condictivity, specific heat, diffusivity, perfusion, and thermal inertia. The method involves assessing thermal properties of skin and measuring CSF flow in shunt tubing. The method is useful for shunt patency assessment, CSF valve adjustment procedures and CSF flow measurements related to CSF over drainage. Alternatively, only one section of sensors need be used when determining relative CSF flow, without the need to determine thermal skin properties and by applying the cooling device continuously.
    • 用于测量植入皮下的分流管中定量CSF流量的系统。 该系统包括聚集在三个部分中的热敏元件阵列,放置在皮肤表面上的冷却装置和相关联的数据采集和分析装置。 将两个传感器部分放置在皮肤上的分流器上,并测量与CSF运动相关的实时温度响应。 靠近冷却装置放置的一个阵列收集关于皮肤热性质的数据,包括皮肤热变性,比热,扩散性,灌注和热惯性。 该方法包括评估皮肤的热性质并测量分流管中的CSF流量。 该方法对于分流通气评估,脑脊液阀调节程序和与流量相关的CSF流量测量有用。 或者,当确定相对CSF流量时,仅需要使用一个传感器部分,而不需要确定热皮肤性质并且连续地施加冷却装置。
    • 5. 发明申请
    • CSF SHUNT FLOW ENHANCER, METHOD FOR GENERATING CSF FLOW IN SHUNTS AND ASSESSMENT OF PARTIAL AND COMPLETE OCCLUSION OF CSF SHUNT SYSTEMS
    • CSF SHUNT FLOW ENHANCER,用于产生脑脊液流动的方法和CSF分流系统部分和完全闭塞的评估
    • US20130102951A1
    • 2013-04-25
    • US13698477
    • 2011-05-19
    • Marek SwobodaMatias Gabriel HochmanMark Evan MattiucciFrederick J. Fritz
    • Marek SwobodaMatias Gabriel HochmanMark Evan MattiucciFrederick J. Fritz
    • A61M27/00
    • A61M27/006A61M27/002
    • An apparatus capable of generating flow in cerebrospinal fluid (CSF) shunt systems by vibrating the shunt, tubing or shunt valve dome, or applying cyclical pressure to the various parts of the shunt system. A method of generating flow and method of using the apparatus in shunt patency assessment, for example, hydraulic resistance assessment, is also disclosed. The apparatus allows, in conjunction with a thermal dilution method or radionuclide method, a quick CSF shunt patency assessment based upon CSF shunt resistance and not upon CSF flow or intracranial pressure (ICP) separately. This provides a more objective measure of shunt obstruction compared to other methods. Furthermore, the apparatus can be used to enhance flow in shunts, identify partial occlusion before symptoms occur, differentiate between patent, partially-occluded and occluded shunts. The apparatus can be used to generate flow in shunts if there is a need to lower ICP or move drugs administered via an injection chamber or a shunt dome.
    • 能够通过振动分流管,管路或分流阀盖,或者对分流系统的各个部分施加周期性压力,从而在脑脊液(CSF)分路系统中产生流动的装置。 还公开了一种产生流动的方法和在分流通气评估中使用该装置的方法,例如水力阻力评估。 该装置允许结合热稀释法或放射性核素方法基于CSF分流电阻而不是CSF流量或颅内压(ICP)分别进行快速CSF分流通气评估。 与其他方法相比,这提供了更为客观的分流阻塞措施。 此外,该装置可以用于增强分路中的流动,在症状发生之前识别部分闭塞,区分专利,部分闭塞和闭塞分流。 如果需要降低ICP或移动通过注射室或分流穹顶施用的药物,该装置可用于产生分流中的流动。
    • 6. 发明申请
    • CEREBROSPINAL FLUID EVALUATION SYSTEM HAVING THERMAL FLOW AND FLOW RATE MEASUREMENT PAD USING A PLURALITY OF CONTROL SENSORS
    • 具有多个控制传感器的热流量和流速测量垫的脑脊液评估系统
    • US20110054382A1
    • 2011-03-03
    • US12936162
    • 2009-04-01
    • Frederick J. FritzMarek Swoboda
    • Frederick J. FritzMarek Swoboda
    • A61M5/00
    • A61M27/006A61B5/028
    • A method and device for testing for the presence, absence and/or rate of flow in a shunt tubing implanted under the skin by using a measurement pad having a plurality of temperature sensors, one of which is aligned with the shunt and the other sensors being symmetrically displaced on either side of the first temperature sensor in a direction transverse to the shunt tubing. These “outer” temperature sensors act as control temperature sensors. A temperature source, e.g., a cooling agent, positioned within an insulated enclosure, is then applied at a predetermined location on the measurement pad that is insulated from the temperature sensors. The movement of this temperature “pulse” is detected by the shunt-aligned temperature sensor via the shunt tubing as the CSF carries the temperature pulse while the control sensors detect the pulse via convection through the skin. The temperature data from these sensors are provided to a CSF analyzer that determines a CSF shunt flow status or flow rate.
    • 一种用于通过使用具有多个温度传感器的测量垫来测试在皮肤下植入的分流管中的存在,不存在和/或流速的方法和装置,其中一个温度传感器与分流器对准,其它传感器 在横向于分流管的方向上对称地位于第一温度传感器的两侧。 这些“外部”温度传感器用作控制温度传感器。 然后将位于绝缘外壳内的温度源(例如,冷却剂)施加在与温度传感器绝缘的测量垫上的预定位置处。 该温度“脉冲”的运动由分流对准的温度传感器通过分流管检测,因为CSF携带温度脉冲,而控制传感器通过皮肤对流来检测脉冲。 来自这些传感器的温度数据被提供给CSF分析器,其确定CSF分流流状态或流速。
    • 7. 发明授权
    • CSF shunt flow enhancer, method for generating CSF flow in shunts and assessment of partial and complete occlusion of CSF shunt systems
    • CSF分流增强器,用于在分路中产生CSF流的方法以及CSF分流系统部分和完全闭塞的评估
    • US09138568B2
    • 2015-09-22
    • US13698477
    • 2011-05-19
    • Marek SwobodaMatias Gabriel HochmanMark Evan MattiucciFrederick J. FritzJoseph R. Madsen
    • Marek SwobodaMatias Gabriel HochmanMark Evan MattiucciFrederick J. FritzJoseph R. Madsen
    • A61M27/00
    • A61M27/006A61M27/002
    • An apparatus capable of generating flow in cerebrospinal fluid (CSF) shunt systems by vibrating the shunt, tubing or shunt valve dome, or applying cyclical pressure to the various parts of the shunt system. A method of generating flow and method of using the apparatus in shunt patency assessment, for example, hydraulic resistance assessment, is also disclosed. The apparatus allows, in conjunction with a thermal dilution method or radionuclide method, a quick CSF shunt patency assessment based upon CSF shunt resistance and not upon CSF flow or intracranial pressure (ICP) separately. This provides a more objective measure of shunt obstruction compared to other methods. Furthermore, the apparatus can be used to enhance flow in shunts, identify partial occlusion before symptoms occur, differentiate between patent, partially-occluded and occluded shunts. The apparatus can be used to generate flow in shunts if there is a need to lower ICP or move drugs administered via an injection chamber or a shunt dome.
    • 能够通过振动分流管,管路或分流阀盖,或者对分流系统的各个部分施加周期性压力,从而在脑脊液(CSF)分路系统中产生流动的装置。 还公开了一种产生流动的方法和在分流通气评估中使用该装置的方法,例如水力阻力评估。 该装置允许结合热稀释法或放射性核素方法基于CSF分流电阻而不是CSF流量或颅内压(ICP)分别进行快速CSF分流通气评估。 与其他方法相比,这提供了更为客观的分流阻塞措施。 此外,该装置可以用于增强分路中的流动,在症状发生之前识别部分闭塞,区分专利,部分闭塞和闭塞分流。 如果需要降低ICP或移动通过注射室或分流穹顶施用的药物,该装置可用于产生分流中的流动。
    • 8. 发明授权
    • Real time CSF flow measurement system and method
    • 实时CSF流量测量系统及方法
    • US08894584B2
    • 2014-11-25
    • US13698689
    • 2011-05-27
    • Marek SwobodaMatias Gabriel HochmanMark Evan MattiucciFrederick J. Fritz
    • Marek SwobodaMatias Gabriel HochmanMark Evan MattiucciFrederick J. Fritz
    • A61B5/01A61B5/03A61M5/168G01F1/684
    • A61M27/006A61B5/01A61B5/031A61B5/032A61M5/168A61M5/16836G01F1/684
    • A system for measuring quantitative CSF flow in shunt tubing implanted under the skin. The system includes an array of thermosensors clustered in three sections, cooling device, placed on the skin surface and an associated data acquisition and analysis device. Two sensor sections are placed over the shunt on the skin and measure real time temperature responses related to CSF movement. One array placed adjacent the cooling device collects data on thermal properties of skin including skin thermal condictivity, specific heat, diffusivity, perfusion, and thermal inertia. The method involves assessing thermal properties of skin and measuring CSF flow in shunt tubing. The method is useful for shunt patency assessment, CSF valve adjustment procedures and CSF flow measurements related to CSF over drainage. Alternatively, only one section of sensors need be used when determining relative CSF flow, without the need to determine thermal skin properties and by applying the cooling device continuously.
    • 用于测量植入皮下的分流管中定量CSF流量的系统。 该系统包括聚集在三个部分中的热敏元件阵列,放置在皮肤表面上的冷却装置和相关联的数据采集和分析装置。 将两个传感器部分放置在皮肤上的分流器上,并测量与CSF运动相关的实时温度响应。 靠近冷却装置放置的一个阵列收集关于皮肤热性质的数据,包括皮肤热变性,比热,扩散性,灌注和热惯性。 该方法包括评估皮肤的热性质并测量分流管中的CSF流量。 该方法对于分流通气评估,脑脊液阀调节程序和与流量相关的CSF流量测量有用。 或者,当确定相对CSF流量时,仅需要使用一个传感器部分,而不需要确定热皮肤性质并且连续地施加冷却装置。
    • 9. 发明授权
    • Cerebrospinal fluid evaluation system having thermal flow and flow rate measurement pad using a plurality of control sensors
    • 具有使用多个控制传感器的热流量和流量测量垫的脑脊液评估系统
    • US08551011B2
    • 2013-10-08
    • US12936162
    • 2009-04-01
    • Frederick J. FritzMarek Swoboda
    • Frederick J. FritzMarek Swoboda
    • A61B5/03G01F1/684
    • A61M27/006A61B5/028
    • A method and device for testing for the presence, absence and/or rate of flow in a shunt tubing implanted under the skin by using a measurement pad having a plurality of temperature sensors, one of which is aligned with the shunt and the other sensors being symmetrically displaced on either side of the first temperature sensor in a direction transverse to the shunt tubing. These “outer” temperature sensors act as control temperature sensors. A temperature source, e.g., a cooling agent, positioned within an insulated enclosure, is then applied at a predetermined location on the measurement pad that is insulated from the temperature sensors. The movement of this temperature “pulse” is detected by the shunt-aligned temperature sensor via the shunt tubing as the CSF carries the temperature pulse while the control sensors detect the pulse via convection through the skin. The temperature data from these sensors are provided to a CSF analyzer that determines a CSF shunt flow status or flow rate.
    • 一种用于通过使用具有多个温度传感器的测量垫来测试在皮肤下植入的分流管中的存在,不存在和/或流速的方法和装置,其中一个温度传感器与分流器对准,其它传感器 在横向于分流管的方向上对称地位于第一温度传感器的两侧。 这些“外部”温度传感器用作控制温度传感器。 然后将位于绝缘外壳内的温度源(例如,冷却剂)施加在与温度传感器绝缘的测量垫上的预定位置处。 该温度“脉冲”的运动由分流对准的温度传感器通过分流管检测,因为CSF携带温度脉冲,而控制传感器通过皮肤对流来检测脉冲。 来自这些传感器的温度数据被提供给CSF分析器,其确定CSF分流流状态或流速。
    • 10. 发明申请
    • Cerebrospinal Fluid Evaluation Systems
    • 脑脊液评估系统
    • US20080214951A1
    • 2008-09-04
    • US12055990
    • 2008-03-26
    • Frederick J. FritzMarek Swoboda
    • Frederick J. FritzMarek Swoboda
    • A61B5/01A61M27/00
    • A61B5/01A61B5/031A61M27/006A61M2205/3379
    • Methods and devices for testing for the presence, absence and/or rate of flow in a shunt tubing implanted under the skin by using a measurement pad having a plurality of temperature sensor configurations, or by using other temperature sensor arrangements, or by using a temperature sensitive material, which are positioned over, or in the vicinity of, the CSF shunt in substantially an upstream and downstream orientation. A temperature source, e.g., a cooling agent, is then applied at a predetermined location with respect to the measurement pad that is insulated from the temperature sensors, or to the temperature sensitive material. The movement of this temperature “pulse” is detected by the temperature sensors, or temperature sensitive material, via the shunt tubing as the CSF carries the temperature pulse while a control sensor detects the pulse via convection through the skin. The temperature data from these sensors are provided to a CSF analyzer that subtracts the control sensor data from each of the other sensors for determining a CSF shunt flow status or flow rate. A reader is used to optically or electrically detect the changes in the temperature sensitive material for determining a CSF shunt flow status or flow rate.
    • 用于通过使用具有多个温度传感器构造的测量垫或通过使用其它温度传感器装置或通过使用温度来测量在植入皮下的分流管中存在,不存在和/或流速的方法和装置 敏感材料位于基本上上游和下游取向的CSF分流之上或附近。 然后将温度源(例如冷却剂)施加在相对于与温度传感器绝缘的测量垫的预定位置处,或者施加到感温材料上。 当温度传感器或温度敏感材料通过分流管道时,该温度“脉冲”的移动随着CSF携带温度脉冲而控制传感器通过皮肤对流来检测脉冲。 来自这些传感器的温度数据被提供给CSF分析仪,其从每个其它传感器中减去控制传感器数据,以确定CSF分流流状态或流速。 阅读器用于光学或电检测用于确定CSF分流流状态或流速的感温材料的变化。