Protective external cranial plate

Abstract

A method and apparatus for preventing brain compression subsequent to removal of a portion of a patient's cranium comprises custom forming a protective external cranial plate. The protective external cranial plate is shaped to approximate the removed portion of the patient's cranium, and to extend peripherally beyond the removed portion. The protective external cranial plate is affixed in airtight and fluid tight engagement to the scalp of the patient.

Claims

1. A method for preventing brain compression subsequent to removal of a portion of a patient's cranium, said method comprising: custom forming a protective external cranial plate, said protective external cranial plate being shaped to approximate said removed portion of said patient's cranium, and to extend peripherally beyond said removed portion; shaping said cranial plate to comprise a convex portion shaped to approximate said removed portion of said cranium and an integrally formed peripheral portion contiguous with said convex portion and extending peripherally outward beyond said removed portion, said convex portion and said integrally formed peripheral portion forming a uniformly smooth external surface with a single convex curvature, the entirety of said peripheral portion shaped to engage and seal against said scalp of said patient adjacent to said removed portion; configuring said plate to be externally affixed in sealing engagement to said scalp of said patient over said removed portion to protect intracranial contents from the effects of atmospheric pressure; and externally affixing said protective external cranial plate to the scalp of said patient to thereby prevent brain compression.

2. A method in accordance with claim 1, comprising: affixing said protective external cranial plate to said scalp in fluid tight and airtight engagement with said scalp around said peripheral portion of said protective external cranial plate.

3. A method in accordance with claim 2, comprising: using a bio-adhesive to affix said peripheral portion of said protective external cranial plate to said scalp.

4. A method in accordance with claim 1, comprising: custom forming said external protective external cranial plate for said patient from a solid material.

5. A method in accordance with claim 1, comprising: custom forming at least a portion of said protective external cranial plate from a material that is transparent.

6. A method in accordance with claim 1, comprising: custom forming said protective external cranial plate to have said peripheral portion extending continuously around the entire periphery of said removed portion.

7. A method in accordance with claim 1, comprising: using a bin-adhesive to affix said protective external cranial plate to said scalp.

8. A method in accordance with claim 7, comprising: custom forming said external protective external cranial plate covering for said patient from a solid material.

9. A method in accordance with claim 8, comprising: custom forming said external protective external cranial plate covering from a material that is transparent.

10. A method in accordance with claim 1, comprising: providing said external protective external cranial plate with at least one port.

11. A method in accordance with claim 10 comprising: providing said at least one port with one of a valve and a transducer.

12. A medical device to prevent brain compression subsequent to removal of a portion of a cranium of a patient, said device comprising: a convex portion shaped to approximate said removed portion of said cranium; and an integrally formed peripheral portion contiguous with said convex portion and extending peripherally outward beyond said removed portion, the entirety of a lower surface of said peripheral portion shaped to engage and seal against the scalp of said patient adjacent to said removed portion; said convex portion and said integrally formed peripheral portion forming a uniformly smooth protective external cranial plate with a single convex curvature, said protective external cranial plate configured to be externally affixed in sealing engagement to said scalp of said patient over said removed portion, said protective external plate configured to protect said patient's intracranial contents from the effects of atmospheric pressure to thereby prevent brain compression.

13. A medical device in accordance with claim 12, wherein: said medical device is removably affixable to said scalp with said peripheral edge portion in fluid tight and airtight engagement with said scalp.

14. A medical device in accordance with claim 13, comprising: said peripheral edge portion is removably affixable to said scalp with a bio-adhesive.

15. A medical device in accordance with claim 12, wherein: said medical device is custom manufactured for said patient.

16. A medical device in accordance with claim 15, wherein: said medical device is custom manufactured from a solid material.

17. A medical device in accordance with claim 16, wherein: said solid material comprises an optically transparent material.

18. A medical device in accordance with claim 12, wherein: said peripheral portion extends continuously around the entire periphery of said removed portion.

19. A medical device in accordance with claim 18, wherein: said medical device is removably affixable to said scalp with said peripheral edge portion in fluid tight and airtight engagement with said scalp.

20. A medical device in accordance with claim 19, comprising: said peripheral edge portion is removably affixable to said scalp with a bio-adhesive.

21. A medical device in accordance with claim 20, wherein: said medical device is custom manufactured for said patient.

22. A medical device in accordance with claim 21, wherein: said medical device is custom manufactured from a solid material.

23. A medical device in accordance with claim 21, wherein: said solid material comprises an optically transparent material.

24. A medical device in accordance with claim 12, wherein: said peripheral edge portion is affixable in fluid tight and airtight engagement with said scalp.

25. A medical device in accordance with claim 12, comprising: at least one port formed therein.

26. A medical device in accordance with claim 25, comprising: one of a valve and a transducer in communication with said at least one port.

27. A medical device comprising: a solid portion shaped to approximate a removed portion of the cranium of a patient having a convex curvature; and a peripheral portion contiguous with said solid portion and integrally formed with said solid portion and extending peripherally outward beyond said removed portion, the entirety of said peripheral portion shaped to engage and seal against the scalp of said patient adjacent to said removed portion; said solid portion and said integrally formed peripheral portion forming a protective external cranial plate configured to be externally affixed in sealing engagement to the scalp of said patient over said removed portion, said protective external plate configured to protect intracranial contents of said cranium from atmospheric pressure to prevent cranial compression, said solid portion and said integrally formed peripheral portion providing a single smooth upper surface with a single convex curvature.

28. A medical device in accordance with claim 27, wherein: said medical device is removably affixable to said scalp with said peripheral edge portion in fluid tight and airtight engagement with said scalp.

29. A medical device in accordance with claim 28, comprising: said peripheral edge portion is removably affixable to said scalp with a bio-adhesive.

30. A medical device in accordance with claim 27, wherein: said medical device is custom manufactured for said patient.

31. A medical device in accordance with claim 30, wherein: said medical device is custom manufactured from a solid material.

32. A medical device in accordance with claim 31, wherein: said solid material comprises an optically transparent material.

33. A medical device in accordance with claim 27, wherein: said peripheral portion extends continuously around the entire periphery of said removed portion.

34. A medical device in accordance with claim 33, wherein: said medical device is removably affixable to said scalp with said peripheral edge portion in fluid tight and airtight engagement with said scalp.

35. A medical device in accordance with claim 34, comprising: said peripheral edge portion is removably affixable to said scalp with a bio-adhesive.

36. A medical device in accordance with claim 35, wherein: said medical device is custom manufactured for said patient.

37. A medical device in accordance with claim 36, wherein: said medical device is custom manufactured from a solid material.

38. A medical device in accordance with claim 37, wherein: said solid material comprises an optically transparent material.

39. A medical device in accordance with claim 27, wherein: said peripheral edge portion is affixable in fluid tight and airtight engagement with said scalp.

40. A medical device in accordance with claim 27, comprising: at least one port formed on said solid portion.

41. A medical device in accordance with claim 40, comprising: one of a valve and a transducer in communication with said at least one port.

42. A method of manufacturing a protective external cranial plate for external application to the scalp of said patient over a removed portion of the cranium of said patient to protect the intracranial contents of said patient from atmospheric pressure, comprising: casting a negative impression of said removed portion; forming a positive mandrel from said negative impression; forming a solid material over said mandrel to produce said protective external cranial plate shaping said protective external cranial plate to comprise a convex portion shaped to approximate said removed portion of said cranium and an integrally formed peripheral portion contiguous with said convex portion, said peripheral portion extending peripherally outward beyond said removed portion, said peripheral portion shaped to engage and seal against said scalp of said patient adjacent to said removed portion said integrally formed peripheral portion and said convex portion providing a uniformly smooth outer surface with a single convex curvature; and configuring said plate to be externally affixed in sealing engagement to said scalp of said patient over said removed portion to protect intracranial contents from the effects of atmospheric pressure to prevent cranial compression.

43. A method in accordance with claim 42, comprising: selecting said solid material to comprise a plastic material.

44. A method in accordance with claim 43, comprising: selecting said material to be transparent.

45. A method in accordance with claim 42, comprising: trimming said protective external cranial plate to a desired outline.

46. A method in accordance with claim 42, comprising: forming at least one port in said protective external cranial plate.

47. A method in accordance with claim 42, comprising: providing said at least one port with one of a valve and a transducer.

Description

BRIEF DESCRIPTION OF THE DRAWING

(1) The invention will be better understood from a reading of the following detailed description in conjunction with the drawing figures in which like reference designators are utilized to identify like element, and in which:

(2) FIG. 1 is a model of a cranium with a removed portion;

(3) FIG. 2 shows the model of FIG. 1 with a protective external cranial plate;

(4) FIG. 3 is a top view of an embodiment of a protective external cranial plate;

(5) FIG. 4 is a side view of the embodiment of FIG. 3;

(6) FIG. 5 is a cross-section of the embodiment of FIG. 3 taken along line 5-5;

(7) FIG. 6 is a top view of a second embodiment of a protective external cranial plate;

(8) FIG. 7 is a side view of the embodiment of FIG. 6.

(9) FIG. 8 is a cross-section of the embodiment of FIG. 6 taken along line 8-8 of FIG. 7

(10) FIG. 9 illustrates steps in a method; and

(11) FIG. 10 illustrates steps in a method of forming the embodiment of FIG. 6.

DETAILED DESCRIPTION

(12) Turning now to FIG. 1, a model 100 is shown of a head. Model 100 simulates the head of a patient that has had a decompressive craniotomy. The outer surface 101 of model 100 represents the scalp or skin covering the head. Model 100 includes a concave portion 103 that is representative of the depression that results as a result of a decompressive craniotomy in which a bone flap is removed. Concave portion 103 is bounded by edge 105. Edge 105 is representative of where the scalp covers the edge of the cranial bone. Line 107, which completely encircles concave portion 103, represents the perimeter of a custom manufactured protective external plate 200 shown in FIG. 2. Line 107 is spaced outward from concave portion 103 by a distance 109 forming a circumferential or peripheral scalp portion 111 that surrounds concave portion 103.

(13) In FIG. 2, protective external cranial plate 200 is in place on model. Cranial plate 200 is formed from a single sheet of a hard material. In the embodiment shown, cranial plate 200 comprises a polycarbonate material that is optically transparent thereby permitting observation of concave portion 103. Protective external cranial plate 200 fully covers concave portion 103 and extends beyond edge 105 to line 107 along its entire periphery 201 providing a peripheral edge portion 203.

(14) A bio-adhesive is utilized to removably affix peripheral edge portion 203 to the scalp in peripheral scalp portion 111. The bio-adhesive is applied along the entire peripheral edge portion 203. By utilizing a bio-adhesive, protective external cranial plate 200 is sealed in airtight and watertight engagement to peripheral scalp portion 111 covering the bone flap region or concave portion 103. The bio-adhesive utilized is one of a type commonly used with osteotomy products and can be used on skin for years with excellent tolerance.

(15) FIGS. 3, 4 and 5 show an embodiment of protective external cranial plate 200. The side view in FIG. 3 and cross-section view of FIG. 5 clearly show that protective external cranial plate 200 is generally convex and its peripheral edge portion 203 is shaped to mate with the peripheral scalp portion 111.

(16) Another embodiment of a protective external cranial plate 600 is shown in FIGS. 6, 7, and 8. Protective external cranial plate 600 has at least one port 601 formed therein. Port 601 comprises a through aperture 603. Through aperture 603 may have a valve 605 coupled therein. Valve 605 may be utilized to reduce the pressure under protective external cranial plate 200. Reducing the pressure under protective external cranial plate 200 to less than atmospheric pressure helps adhere external cranial plate 200 to the scalp. In addition reducing the pressure helps prevent cranial collapse and may also allow for rehydration of the brain.

(17) Port 601 may also have a transducer or sensor carried therein. The transducer or sensor may be any transducer or sensor of medical interest such as, e.g., a pressure sensor or humidity sensor. As will be apparent to those skilled in the art

(18) FIG. 9 illustrates the method of manufacturing protective external cranial plate 200. At step 901, a negative plaster impression of at least a portion of the cranium including the bone flap region or concave portion 103. At step 903, the negative plaster impression is utilized to form a positive mandrel. The positive mandrel may likewise be formed of plaster. At step 905, a sheet of polycarbonate is heated in an oven to a temperature such that it is shapeable. At step 907, the sheet of polycarbonate is drawn over the positive mandrel. At step 909, the resulting shaped polycarbonate sheet is trimmed to form protective external cranium plate 200. At step 911 an aperture is formed in external cranium plate for receiving one of a valve, transducer or sensor.

(19) In accordance with an embodiment of a method in accordance with the principles of the invention, shown in FIG. 10, comprises forming a protective external cranial plate for a patient by shaping the protective external cranial plate to approximate a portion of the cranium of the patient at step 1001. The portion comprises an approximation of the cranium that would enclose a removed portion of the cranium of the patient and a portion of the cranium extending on the scalp of the patient around the entire periphery of the removed portion. The portion of the protective external cranial plate extending peripherally beyond the removed portion is shaped to engage the surface of the patient's head. The method further comprises externally affixing the cranial plate to the scalp of the patient at step 1003.

(20) The method comprises affixing a peripheral edge portion of the cranial plate to the scalp in fluid tight and airtight engagement with the scalp at step 1003A. The method may further comprise using a bio-adhesive to affix the cranial plate to the scalp at step 1003B.

(21) The method further comprises custom forming the cranial plate from a solid material at step 1001A and may comprise custom forming the cranial plate covering from a material that is transparent at step 1001B.

(22) The method may comprise custom forming the cranial plate to have a peripheral portion extending on the scalp outwardly adjacent to the removed portion at step 1001C. The method may comprise custom forming the cranial plate to have the peripheral portion extending continuously around the entire periphery of the convex portion 103.

(23) The various embodiments of the method may comprise affixing the cranial plate to the scalp in fluid tight and airtight engagement with the scalp around a peripheral edge portion of the cranial plate at step 1003C.

(24) Various embodiments of the method may comprise providing the protective external cranial plate with a port 601 at step 1005. Still further, such embodiments may include providing port 601 with at least one of a valve, a sensor and a transducer at step 1007. Although only one port is shown in the drawing figures, those skilled in the art appreciate that there may be multiple ports. In other embodiments, the protective external cranial plate may comprise a portion that is transparent rather than it being transparent in its entirety.

(25) It will be further understood by those skilled in the art that various changes and modifications may be made to the method and apparatus of the invention without departing from its spirit or scope. It is intended that the invention not be limited to the embodiments shown and described herein, but that the invention be given the broadest possible scope permissible by law and that the invention is to be limited in scope only by the claims appended hereto.