Percutaneous stimulation device and method for detecting compartment syndrome

Abstract

A diagnosis device, and more particularly, a compartment syndrome diagnostic device is described herein. The diagnostic device may include a display that renders information associated with stimulation of a motor unit suspected of suffering from compartment syndrome. The diagnostic device may generate a stimulation signal for stimulating the motor unit through an electrode. The device may determine whether the motor unit is at risk for compartment syndrome based on the response of the motor unit to the stimulation. The diagnostic device may also measure pressure of a compartment. The device may determine whether the motor unit is at risk for compartment syndrome based on the measured pressure and the response of the motor unit to the stimulation.

1 .- 17 . (canceled) 
     
     
         18 . A compartment syndrome diagnosis device, comprising:
 a probe comprising an electrode; and   an electrical stimulation device, wherein electrical stimulation device generates a stimulus signal intended to elicit a visible and/or palpable muscle contraction of a motor unit of a compartment and the electrical stimulation device monitors at least one stimulation parameter associated with a stimulation threshold of the motor unit of the compartment,   wherein the electrical stimulation device operatively delivers, based on the stimulation parameter, a stimulation signal to the motor unit via the electrode.   
     
     
         19 . The device of  claim 18 , wherein the probe is configured to be at least partially implanted into a tissue region. 
     
     
         20 . The device of  claim 18 , wherein the electrode is configured to deliver unipolar stimulation to the motor unit. 
     
     
         21 . The device of  claim 18  further comprising at least one control device configured to receive an input related to the stimulation signal. 
     
     
         22 . The device of  claim 21 , wherein the at least one control device comprises at least one of a user input device, a muscle twitch sensor operatively coupled to a patient receiving the electrical stimulation, or an electromyograph electrode comprising at least one of a surface electrode or a percutaneous lead. 
     
     
         23 . The device of  claim 22 , wherein the at least one control device generates a notification indicative of at least one of a prompt to a user to initiate iterating alteration of the stimulus signal, upon the at least one stimulation parameter exceeding a threshold, a rate of alteration of the at least one stimulation parameter exceeding a threshold rate, or a weighted combination thereof. 
     
     
         24 . The device of  claim 23 , wherein the at least one control device generates notification as at least one of an audible notification, visual notification, a tactile notification, or a communication notification sent through a communications network to a user device. 
     
     
         25 . The device of  claim 18 , wherein the stimulation parameter for stimulation of the motor unit comprises a stimulation signal comprising within a range of frequency, wherein the range is greater than about 0.7 to less than about 3 hertz. 
     
     
         26 . The device of  claim 18 , further comprising a pressure sensor configured to measure interstitial pressure within the compartment. 
     
     
         27 . A compartment syndrome diagnosis device, comprising:
 a stimulation device that generates a stimulation signal;   a probe operatively in communication with a motor unit, wherein the stimulation device stimulates the motor unit via the probe, wherein the stimulation signal comprises parameters intended to elicit a palpable and/or visible muscle contraction of the motor unit; and   a sensor configured to measure a pressure of a compartment comprising the motor unit.   
     
     
         28 . The device of  claim 27  further comprising a display device indicating stimulation parameters associated with stimulation and pressure parameters. 
     
     
         29 . The device of  claim 28  further comprising a memory operatively storing a history of the stimulation parameters. 
     
     
         30 . The device of  claim 29 , wherein the sensor comprises an intermuscular pressure sensing component. 
     
     
         31 . The device of  claim 27  further comprising a motion sensor operatively measuring the palpable and/or visible muscle contraction. 
     
     
         32 . A compartment syndrome diagnosis device, comprising:
 a stimulation component configured to generate a stimulation signal;   a probe operatively in communication with a motor unit, wherein the stimulation component is configured to stimulate the motor unit via the probe and based on the stimulation signal, wherein the stimulation signal comprises parameters intended to elicit a palpable and/or visible muscle contraction of the motor unit;   an intermuscular pressure sensing component configured to measure a pressure of a compartment comprising the motor unit;   a display device configured to render a display indicating stimulation parameters associated with stimulation and pressure parameters; and   a memory operatively storing a history of the stimulation parameters.   
     
     
         33 . The device of  claim 32 , wherein the probe is configured to be at least partially implanted into the tissue region. 
     
     
         34 . The device of  claim 32 , wherein the probe comprises at least one of a needle, a catheter, or an intramuscular lead. 
     
     
         35 . The device of  claim 32 , wherein the probe comprises an electrode configured for delivering unipolar stimulation to the motor unit. 
     
     
         36 . The device of  claim 35  further comprising a return electrode coupled to the stimulation component, the return electrode configured to provide a return path for the stimulation signal. 
     
     
         37 . The device of  claim 32 , wherein the stimulation signal comprises a frequency that is greater than about 0.5 to less than about 50 Hertz. 
     
     
         38 . The device of  claim 32 , further comprising:
 a printer configured to print information associated with the stimulation signal, wherein the printer comprises at least one of an integrated printer that is integrated within the stimulation component or an external printer that is wirelessly connected or hard-wired connected to the stimulation component.   
     
     
         39 . The device of  claim 32 , wherein the stimulation component is a wearable device. 
     
     
         40 . The device of  claim 32 , further comprising a motion sensor operatively measuring the palpable and/or visible muscle contraction.