Clinical evaluation of intraparenchymal Spiegelberg pressure sensor

Josef Michael Lang, Jürgen Beck, Michael Zimmermann, Volker Seifert, Andreas Raabe, Daniel F. Kelly, Marvin Bergsneider, Robert G. Grossman, Thomas H. Milhorat, Marek Czosnyka

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Objective: The Spiegelberg 3-PN intraparenchymal pressure sensor was clinically evaluated. Description of instrumentation: The Spiegelberg intraparenchymal pressure sensor is a low-cost device that uniquely performs regular automatic zeroing in situ throughout the measurement period. Operative technique: The Spiegelberg sensor was inserted in 87 patients who required intracranial pressure monitoring as part of their routine management. Complications were assessed by postoperative computed tomographic scanning and clinical investigation. The automated zeroing procedure was assessed after implantation of the sensor and during long-term measurement. In five patients, the "gold standard' of intraventricular pressure was measured simultaneously and compared with the intraparenchymal or subdural Spiegelberg 3-PN pressure. Experience and results: No complications associated with the Spiegelberg sensor were observed. The duration of monitoring ranged from 3 to 28 days (mean, 10 d). In 3 patients, technical problems occurred, and in 84 patients, the pressure measurement was successful, including the automatic zeroing procedures performed by the monitor after insertion and hourly thereafter. The absolute difference between the Spiegelberg reading and the intraventricular pressure was less than ±3 mm Hg in 99.6% and less than ±2 mm Hg in 91.3% of readings. An Altman-Bland bias plot revealed good agreement between the two methods, with an average bias of 0.5 mm Hg, but revealed a significant trend toward 10% lower Spiegelberg readings with increasing intracranial pressure of <25 mm Hg. There was no difference between intraparenchymal and subdural locations. Conclusion: The Spiegelberg 3-PN sensor was reliable and simple to use. It can be recommended for routine intraparenchymal and subdural pressure measurement at a considerably lower price compared with other tip transducers and has the unique advantage of automated zeroing in vivo.

Original languageEnglish (US)
Pages (from-to)1455-1459
Number of pages5
JournalNeurosurgery
Volume52
Issue number6
DOIs
StatePublished - Jun 1 2003

Keywords

  • Calibration
  • Intracranial pressure
  • Monitoring
  • Pressure sensor

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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