Inline Shunt Flow Monitor for Hydrocephalus. 2017

Chuchu Qin, and Brian Stamos, and Purnendu K Dasgupta
Department of Chemistry and Biochemistry, The University of Texas at Arlington , Arlington, Texas 76019-0065, United States.

In hydrocephalus, cerebrospinal fluid (CSF) builds up in the cranial cavity causing swelling of the head and potentially brain damage. A shunt to drain the fluid into a body cavity is now universally used, but failure is all too common. Techniques for ascertaining shunt failure are time-consuming, expertise-dependent, and often inconclusive. We report here an inline system that reliably and quantitatively measures the CSF flow rate. The system uses a single thermistor to both heat the surrounding and to sense the temperature. In the heating mode, the thermistor is subjected to a 5 s voltage pulse. In the sensing mode, it is part of a Wheatstone's bridge, the output being proportional to temperature. The signal, Vi - Vf, which is the net change ΔV in the bridge output immediately before and after the heat pulse, depends both on the flow rate and the surrounding temperature. In vitro, a single equation, flow rate = 3.75 × 10-6 × ΔV(-9.568+1.088 V provided good prediction for the flow rate, with 6.3% RMS relative error. The sensor behavior is reported for flow rates between 0-52.5 mL/h at 32-39 °C, adequately covering the range of interest.

UI MeSH Term Description Entries
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D004560 Electricity The physical effects involving the presence of electric charges at rest and in motion.
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006849 Hydrocephalus Excessive accumulation of cerebrospinal fluid within the cranium which may be associated with dilation of cerebral ventricles, INTRACRANIAL HYPERTENSION; HEADACHE; lethargy; URINARY INCONTINENCE; and ATAXIA. Communicating Hydrocephalus,Congenital Hydrocephalus,Obstructive Hydrocephalus,Post-Traumatic Hydrocephalus,Aqueductal Stenosis,Cerebral Ventriculomegaly,Fetal Cerebral Ventriculomegaly,Hydrocephalus Ex-Vacuo,Hydrocephaly,Aqueductal Stenoses,Cerebral Ventriculomegalies,Cerebral Ventriculomegalies, Fetal,Cerebral Ventriculomegaly, Fetal,Fetal Cerebral Ventriculomegalies,Hydrocephalus Ex Vacuo,Hydrocephalus Ex-Vacuos,Hydrocephalus, Communicating,Hydrocephalus, Congenital,Hydrocephalus, Obstructive,Hydrocephalus, Post-Traumatic,Post Traumatic Hydrocephalus,Stenoses, Aqueductal,Stenosis, Aqueductal,Ventriculomegalies, Cerebral,Ventriculomegalies, Fetal Cerebral,Ventriculomegaly, Cerebral,Ventriculomegaly, Fetal Cerebral
D013696 Temperature The property of objects that determines the direction of heat flow when they are placed in direct thermal contact. The temperature is the energy of microscopic motions (vibrational and translational) of the particles of atoms. Temperatures

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