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2 - Embedded Wireless Device for Intracranial Pressure Monitoring

Usmah Kawoos
Affiliation:
Naval Medical Research Center
Mohammad-Reza Tofighi
Affiliation:
Pennsylvania State University
Francis Kralick
Affiliation:
Naval Medical Research Center
Xu Meng
Affiliation:
Drexel University
Arye Rosen
Affiliation:
Drexel University
Isar Mostafanezhad
Affiliation:
University of Hawaii, Manoa
Olga Boric-Lubecke
Affiliation:
University of Hawaii, Manoa
Jenshan Lin
Affiliation:
University of Florida
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Summary

Introduction

Intracranial pressure (ICP) monitoring is a significant tool that aids in the management of neurologic disorders such as hydrocephalus, head trauma, tumors, colloid cysts, and cerebral hematomas. ICP is the pressure exerted on the rigid, bony skull by its constituents, which are brain, cerebrospinal fluid (CSF), and cerebral blood. Increased ICP can lead to brain damage, disability, and death. Various modalities have been developed for monitoring ICP in hospitals and in ambulatory conditions. Currently, only catheter-based systems have made it to clinical practice. The catheter-based systems can only be used in a hospital setting and have a limited useful life owing to drift and the risk of infection. The wired methods of patient monitoring are cumbersome, cause patient discomfort, and can potentially introduce motion artifacts in the measured quantity. The contemporary medical world is witnessing a transition from a wired to a wireless healthcare domain.

Wireless Technology in Medical Use

The application of wireless technology in healthcare is becoming ubiquitous, if it is not already so. The therapeutic and diagnostic applications of radiofrequency (RF) and microwave technologies in medicine have been the subject of extensive study in the past [1–3]. Medical implants for the transfer of information at these nonionizing frequencies have been developed [4]. Research accomplishments using data communication links at microwave frequencies between a medical implant and an external unit have been reported by many researchers. The resonance characteristics of implanted antennas operating at a frequency band of 402 to 405 MHz and their radiation pattern outside the body have been shown to be favorable for short-range medical implants [5]. Poon et al. [6] demonstrated that the optimal frequency for power transmission in biologic media is in the gigahertz range. Gosalia et al. [7] demonstrated a novel approach of establishing a data telemetry link between an implant and an external unit in the 1.45 and 2.45 GHz band for retinal prostheses. Such medical implants are basic components for the success of telemedicine, which refers to the use of telecommunication technologies in healthcare. Telemedicine not only facilitates medical treatment and care but is also gaining popularity in posthospital patient care [8]. It provides expert consultation in remote understaffed locations and advanced emergency care via modern telecommunication techniques [9]. Mobile patient monitoring systems using wireless implants have been developed to maintain records of patient vital signs and history [10,11].

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Publisher: Cambridge University Press
Print publication year: 2017

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References

[1] Rosen, A., Stuchly, M. A., and Vorst, A. Vander, “Applications of RF/Microwave in medicine,” IEEE Trans. Microwave Theory & Tech., 50(3) (2002): 963–74.CrossRefGoogle Scholar
[2] Habash, R. W. Y. and Alhafid, H. T., “Key developments in therapeutic applications of RF/microwaves,” Int. J. Sci. Res. 16 (2006): 451–5.Google Scholar
[3] Vorst, A. Vander, Rosen, A., and Kotsuka, Y., RF/Microwave Interaction with Biological Tissues (Hoboken, NJ: Wiley, 2006).Google Scholar
[4] Schlierf, R., Horst, U., Ruhl, M., Schmitz-Rode, T., Mokwa, W., et al., “A fast telemetric pressure and temperature sensor system for medical applications,” J. Micromech. Microeng. 17 (2007): S98–102.CrossRefGoogle Scholar
[5] Kim, J. and Rahmat-Samii, Y., “Implanted antenna inside a human body: simulations, designs, and characterizations,” IEEE Trans. Microwave Theory & Tech. 52(8) (2004): 1934–43.CrossRefGoogle Scholar
[6] Poon, A. Y., O'Driscoll, S., and Meng, T. H., “Optimal operating frequency in wireless power transmission for implantable devices,” in Proceedings of the 29th Annual International Conference IEEE EMBS (Piscataway, NJ: IEEE, 2007), pp. 5673–8.Google Scholar
[7] Gosalia, K., Lazzi, G., and Humayun, M., “Investigation of a microwave data telemetry link for a retinal prosthesis,” IEEE Trans. Microwave Theory & Tech. 52(8) (2004): 1925–33.CrossRefGoogle Scholar
[8] Lubecke, O. B. and Lubecke, V. M., “Wireless house calls: using communications technology for health care and monitoring,” IEEE Microwave Mag. 3(3) (2002): 43–8.Google Scholar
[9] Schepps, J. and Rosen, A., “Microwave industry outlook: wireless communications in health care,” IEEE Trans. Microwave Theory & Tech. 50(3) (2002): 1044–5,.CrossRefGoogle Scholar
[10] Lin, Y. H., Jan, I.-C., Ko, P. C-I, Chen, Y-Y., Wong, J.-M., et al., “A wireless PDA-based patient monitoring system for patient transport,” IEEE Trans. Information Tech. Biomed. 8(4) (2004): 440–7.Google ScholarPubMed
[11] Pattichis, S., Kyriaccou, E., Voskarides, S., Pattichis, M. S., Istepanian, R., et al., “Wireless telemedicine system: an overview,” IEEE Antennas Propag. Mag. 44 (2002): 143–53.CrossRefGoogle Scholar
[12] Ganong, W. E., Review of Medical Physiology, (Norwalk, CT: Appleton & Lange, 1995).Google Scholar
[13] Fliesher, G. F., Ludwig, S., and Silverman, B. K., Synopsis of Pediatric Emergency Medicine, rRev. edn. *Philadelphia: Lippincott Williams & Wilkins, 2002).Google Scholar
[14] Biaha, M. and Lazar, D., “Traumatic brain injury and haemorrhagic complications after intracranial pressure monitoring,” J. Neurol. Neurosurg. Psychaitr. 76 (2005): 147.Google Scholar
[15] Gowers, W. R., A Manual of Diseases of the Nervous System (Philadelphia:Blakiston, 1895).Google Scholar
[16] Geocadin, R. G., Varelas, P. N., Rigamonti, D., and Williams, M. A., “Continuous intracranial pressure monitoring via the shunt reservoir to assess suspected shunt malfunction in adults with hydrocephalus,” Neurosurg. Focus 22(4) (2007): e10.CrossRefGoogle ScholarPubMed
[17] Bohn, J., Biggar, W. D., Smith, C. R., Conn, A. W., and Barker, G. A., “Influence of hypothermia, barbiturate therapy, and intracranial pressure monitoring on morbidity and mortality after near-drowning,” Crit. Care Med. 14(6) (1986): 529–34.CrossRefGoogle ScholarPubMed
[18] Chi, S, Law, K. L., Wong, T. T., Su, G. Y.,and Lin, N., “Continuous monitoring of intracranial pressure in Reye's syndrome: 5 year experience,” Acta Paediatr. J. 32(4) (1990): 426–34.Google Scholar
[19] Hamani, C., Zanetti, M. V., Pinto, F. C., Andrade, A. F., Ciquini, O. Jr., et al., “Intraventricular pressure monitoring in patients with thalamic and ganglionic hemorrhages,” Arq. Neuropsiquiatr. 61(2B) (2003): 376–80.CrossRefGoogle ScholarPubMed
[20] Petersen, K. D., Landsfeldt, U., Cold, G. E., et al., “Intracranial pressure and cerebral hemodynamic in patients with cerebral tumors: a randomized prospective study of patients subjected to craniotomy in propofol-fentanyl, isoflurane-fentanyl, or sevoflurane-fentanyl anesthesia,” Anesthesiology 98(2) (2003): 329–36.CrossRefGoogle ScholarPubMed
[21] Marik, P., Chen, K., Varon, J., Fromm, R. Jr., and Sternbach, G. L., “Management of increased intracranial pressure: a review for clinicians,” J. Emerg. Med. 17(4) (1999): 711–19.CrossRefGoogle ScholarPubMed
[22] Becker, P., Miller, J. D., and Ward, J. D., “The outcome from severe head injury with early diagnosis and intensive management,” J. Neurosurg. 49 (1977): 491–502.Google Scholar
[23] Miller, J. D., Butterworth, J. F., Gudeman, S. K., Faulkner, J. E., Choi, S. C., et al., “Further experience in the management of severe head injury,” J. Neurosurg. 54 (1981): 289–99.CrossRefGoogle ScholarPubMed
[24] Crossman, A. R. and Neary, D., Neuroanatomy, (Edinburg: Churchill Livingstone, 1995).Google Scholar
[25] Sahay, K. B., Mehrotra, R., Sachdeva, U., and Banerji, A. K., “Relation between epidural and ventricular pressures in canine brain: an experimental study,” J. Neurosurg. 5(4) (1991): 379–86.Google Scholar
[26] Brock, M. and Ishii, N. H., ICP Revisited (Tokyo: Springer-Verlag, 1983), pp. 3–7.Google Scholar
[27] Bland, J. M. and Altman, D. G., “Statistical methods for assessing agreement between two methods of clinical measurement,” Lancet 327(8476) (1986): 307–10.Google Scholar
[28] Powell, M. P. and Crockard, H. A., “Behavior of an extradural pressure monitor in clinical use: comparison of extradural with intraventricular pressure in patients with acute and chronically raised intracranial pressure,” J. Neurosurg. 63 (1985): 745–9.CrossRefGoogle ScholarPubMed
[29] Newman, W. D., Hollman, A. S., Dutton, G. N., and Carachi, R., “Measurement of optic nerve sheath diameter by ultrasound: a means of detecting acute raised intracranial pressure in hydrocephalus,” Br. J. Opthalmol. 86 (2002): 1109–13.CrossRefGoogle ScholarPubMed
[30] Lin, L., Li, G., Xiang, S., and Sun, J., “Research on non-invasive intracranial pressure measurement using near-infrared light,” Proc. SPIE, 4916 (2002): 450–6.Google Scholar
[31] Steinbach, G. C., Yost, W. T., Macias, B., Iyengar, J., Nguyen, T., et al., “Noninvasive intracranial diameter/pressure measurements using ultrasounds: in-vitro characterization and in-vivo application during 30 days bedrest,” Bioastronautics Investigators’ Workshop, Division of Space Life Sciences, Universities Space Research Association, Galveston,TX, January 17–19, 2001, available at www.dsls.usra.edu/meetings/bio2001/pdf/151p.pdf.
[32] Ueno, T., Macias, B. R., and Hargens, A. R., “Pulsed phase lock loop technique to measure intracranial pressure non-invasively,” in Proceeding of the 2003 IEEE Ultrasonics Symposium (Piscataway, NJ: IEEE, 2003), pp. 1215–18.Google Scholar
[33] Piatt, J. H. Jr, “Clinical recognition of CSF shunt failure,” Am. Acad. Pediatr. Grand Rounds 5(6) (2001): 56–8.Google Scholar
[34] Cooper, R. and Hulme, A., “Intracranial pressure and related phenomena during sleep,” J. Neurol. Neurosurg. Psychiatr. 92(6) (1966): 564–70.Google Scholar
[35] Report number ANSI/AAMI NS28:1998/(R), 1993.
[36] Warty, R. V., “ISM-band antenna scattering from scalp phantom for intracranial pressure monitoring implants,” Master thesis, Drexel University, Philadelphia, December 2007.
[37] Tofighi, M. R., Kawoos, U., Kralick, F. A., and Rosen, A., “Wireless intracranial pressure monitoring through scalp at microwave frequencies: preliminary phantom and animal study,” in Digest of 2006 IEEE International Microwave Symposium Digest (Piscataway, NJ: IEEE, 2006), pp. 1738–41.Google Scholar
[38] Tofighi, M. R., Kawoos, U., Neff, S., and Rosen, A., “Wireless intracranial pressure monitoring through scalp at microwave frequencies,” Elec. Lett. 42(3) (2006): 148–50.CrossRefGoogle Scholar
[39] Jacobs-Cook, A. J., “MEMS versus MOMS from a systems point of view,” J. Micromech. Microeng. 6 (1996): 148–56.CrossRefGoogle Scholar
[40] Kawoos, U., Tofighi, M. R., Warty, R., Kralick, F. A., and Rosen, A., “ In-vitro and in-vivo trans-scalp evaluation of intracranial pressure monitoring implant at 2.4 GHz,” IEEE Trans. Microwave Theory & Tech. 56(10) (2008): 2356–65.CrossRefGoogle Scholar
[41] Warty, R., Tofighi, M. R., Kawoos, U., and Rosen, A., “Characterization of implantable antennas: reflection by and transmission through a scalp phantom,” IEEE Trans. Microwave Theory & Tech. 56(10) (2008): 2366–76.CrossRefGoogle Scholar
[42] Kawoos, U., Warty, R. V., Tofighi, M. R., Kralick, F. A., and Rosen, A., “Issues in wireless intracranial pressure monitoring at microwave frequencies,” Progr. Electromagn. Res. Symp. 3(6) (2007): 927–31.Google Scholar
[43] Andreuccetti, D., Bini, M., Ignesti, A., Olmi, R., Rubino, N., et al. “Use of polyacrylamide as a tissue-equivalent material in the microwave range,” IEEE Trans. Biomed. Eng. 35(4) (1998): 275–7.Google Scholar
[44] Staebell, K. F. and Misra, D., “An experimental technique for in vivo permittivity measurement of materials at microwave frequencies,” IEEE Trans. Microwave Theory & Tech. 38(3) (1990): 337–9.CrossRefGoogle Scholar
[45] Stogryn, A., “Equations for calculating the dielectric constant of saline water,” IEEE Trans. Microwave Theory & Tech. 19(8) (1971): 733–6.CrossRefGoogle Scholar
[46] Application Note: FR4 Material, FR402, Isola Group S.a.r.l., Arizona, USA, 2007.
[47] Neelkanta, P. S., Handbook of Electromagnetic Materials: Monolithic and Composite Versions and Their Applications (Boca Raton, FL: CRC Press, 1995), pp. 65–8.Google Scholar
[48] Soontornpipit, P., Furse, C. Y., and Chung, Y. C., “Design of implantable microstrip antenna for communication with medical implants,” IEEE Trans. Microwave Theory & Tech. 52(8) (2004): 1944–51.CrossRefGoogle Scholar
[49] Bini, M. G., Ignesti, A., and Milanta, L., “Polyacrylamide for electromagnetic hyperthermia studies,” IEEE Trans. Biomed. Eng. 31(3) (1984): 317–22.Google ScholarPubMed
[50] Vodicka, P., Smetana, K. Jr., Dvoránková, B., Emerick, T., Xu, Y. Z., et al., “Miniature pig as an animal model in biomedical research,” Ann. NY Acad. Sci. 1049 (2005): 161–71.CrossRefGoogle ScholarPubMed
[51] Simon, A. and Maibach, H. I., “The pig as an experimental animal model of percutaneous permeation in man: qualitative and quantitative observations – an overview,” J. Pharmocol. Biophysiol. Res. 13(5) (2000): 229–34.Google ScholarPubMed
[52] O'Malley, J. F., “Evolution of the nasal cavities and sinuses in relation to function,” J. Laryngol. Otol. 39 (1924): 57–64.CrossRefGoogle Scholar
[53] Shimazu, H., Ito, H., Hashimoto, T., Yamakoshi, K., Gondoh, M., et al., “Collapsing technique: the indirect measurement of intracranial pressure,” in Proceedings of the 12th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, November 1–4 (Philadelphia: IEEE, 1990).Google Scholar
[54] Butler, A. B., Rosenthal, J. D., Bass, N. H., and Johnson, R. N., “Multiport device for the assessment of cerebrospinal fluid dynamics under conditions of elevated intracranial pressure in man and experimental animals,” Med. Biol. Eng. & Comput. 16(5) (1978): 601–2.CrossRefGoogle ScholarPubMed
[55] Kroin, J. S., McCarthy, R. J., Stylos, L., Miesel, K., Ivankovich, A. D, et al., “Long-term testing of an intracranial monitoring device,” J. Neurosurg. 93 (2000): 852–8.CrossRefGoogle ScholarPubMed
[56] Sahay, K. B., Mehrotra, R., Sachdeva, U., and Banerji, A. K., “Relation between epidural and ventricular pressures in canine brain: an experimental study,” Br. J. Neurosurg. 5 (1991): 379–86.CrossRefGoogle Scholar
[57] Chavko, M., Koller, W. A., Prusaczyk, W. K., and McCarron, R. M., “Measurement of blast wave by a miniature fiber optic pressure transducer in the rat brain,” J. Neurosci. Methods 159 (2007): 277–81.CrossRefGoogle ScholarPubMed
[58] Kawoos, U., Meng, X., Huang, S., Rosen, A., McCarron, R. M., et al., “Telemetric intracranial pressure monitoring in blast induced traumatic brain injury,” unpublished.

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