Project

# Title Team Members TA Documents Sponsor
66 A New Approach to an External Ventricular Drain (Capstone Project)
David Kapelyan
Isiah Lashley
Ralph Nathan
Jason Jung design_document1.pdf
final_paper1.pdf
grading_sheet1.pdf
proposal1.pdf
video
Team Members:
- Ralph Nathan (ralphn2)
- David Kapelyan (davidik2)
- Isiah Lashley (ilashl2)

# Problem
External Ventricular Drains (EVDs) are used to drain cerebrospinal fluid (CSF), but if done incorrectly, they can cause severe damage, including death. To ensure the correct amount of CSF is drained, the pressure transducers on the EVD must be properly zeroed. However, patients often move during sleep or daily activities such as showering, which can lead to incorrect pressure readings and improper CSF drainage. According to Dr. Suguna Pappu, there have been numerous cases where approximately 40 ccs of CSF were drained instead of the intended 10 due to zeroing errors. This, again, can result in significant harm or even death.
In summary, a new approach to EVDs is necessary, one that provides stable pressure readings even when the patient is in motion. This capstone project aims to create advancements in EVDs.
# Solution
We plan to utilize an STM32 microcontroller to process input from a pressure transducer connected to the catheter through which cerebrospinal fluid (CSF) is drained from the brain. Our design will incorporate a pipe tee in series with a two-way solenoid valve. The catheter extending from the skull will be connected to the tee, which will also be fitted with a pressure gauge. This pressure gauge will be linked to the microcontroller, which will control whether the solenoid valve is open or closed. Measuring pressure digitally, rather than using a manometer, will eliminate the issue of set-point shifts caused by patient movement. Additionally, there will be no need to manually set a “zero” point, as this can be calibrated in software.
We will use an instrumentation amplifier with a shunt resistor to buffer signals from the pressure transducer, ensuring accurate readings by the microcontroller. Digital signal processing (DSP) will then be performed via the microcontroller, including noise filtering, adaptive thresholding for real-time pressure management, and data logging of pressure readings. The system will regulate the flow of CSF to a drain collection bag via a push-connected solenoid valve. The microcontroller will communicate with a display or bedside monitor via Bluetooth, presenting pressure data—including real-time pressure graphs, an alarm system for abnormal pressure readings, and data logs for physician review—through a graphical user interface (GUI). Additionally, we will implement fail-safes to prevent over-drainage or blockage and include a manual override in case of system failure.



# Solution Components

## STM32 Microcontroller
An STM32 microcontroller with an on-package RF transceiver that supports Bluetooth will be utilized. The ADC of the controller supports a resolution of 12 bits which will be useful for accurately measuring the output signal of our pressure gauge. The STM32 Microcontroller comes with an internal reference voltage that is typically derived from the supply voltage.


## Power System Circuit
A high-voltage rail powered by an AC-DC wall adapter will be used to power the board. A linear regulator will be utilized to decrease the voltage such that it can be used to power the microcontroller.

## Push Connect Solenoid Valve For Drainage
A switch will be placed between the high-voltage rail and the solenoid input. The switch will be controlled by an output signal from the microcontroller.

## Pressure Transducer
The pressure transducer will be connected to the pipe tee. The pressure transducer will need to be a precision pressure transducer as the standard Intracranial Pressure is approximately 16mg(0.309 PSI) which is a relatively low pressure. The transducer will have a current output which will be connected to a shunt resistor across which the voltage will be measured using an instrumentation amplifier.

# Criterion For Success

A successful project will result in a device that accurately reads and processes pressure data from a transducer with minimal noise and high precision. The system must effectively regulate cerebrospinal fluid (CSF) drainage by dynamically controlling a solenoid valve to maintain an average outflow of 10cc/hour, preventing over-drainage or blockage. Additionally, the microcontroller must wirelessly transmit real-time pressure readings via Bluetooth to a bedside monitor, where a graphical user interface (GUI) will display real-time pressure graphs, generate alarm notifications for abnormal pressure levels, and log data for physician review. To ensure safety and reliability, the system must incorporate fail-safes to prevent malfunctions and provide a manual override for emergency control. By meeting these criteria, the project will achieve its goal of delivering an automated, accurate, and user-friendly solution for CSF drainage management.

# Parts:
STM32
PCB
Push Connect Solenoid Valve
Pipe Tee
Pressure Transducer
Instrumentation Amplifier

Links:

¼” push connect solenoid valve
⅛” npt solenoid valve

https://www.omega.com/en-us/pressure-measurement/pressure-transducers/px119/p/PX119-015GI

https://www.coleparmer.com/i/cole-parmer-0-25-accuracy-transmitter-0-to-2-psi-4-to-20-ma-output/6807503

https://www.mouser.com/ProductDetail/Analog-Devices/ADR435BRZ?qs=WIvQP4zGanhj7%2FQWeFYslw%3D%3D&utm_id=22030944703&gad_source=1&gclid=CjwKCAiAtYy9BhBcEiwANWQQLyuDFchHNWjCoLscoWoVpM2fdflY2CcCi-fQ9bxPrEm5EPQFvoIeNxoCPqgQAvD_BwE

Recovery-Monitoring Knee Brace

Dong Hyun Lee, Jong Yoon Lee, Dennis Ryu

Featured Project

Problem:

Thanks to modern technology, it is easy to encounter a wide variety of wearable fitness devices such as Fitbit and Apple Watch in the market. Such devices are designed for average consumers who wish to track their lifestyle by counting steps or measuring heartbeats. However, it is rare to find a product for the actual patients who require both the real-time monitoring of a wearable device and the hard protection of a brace.

Personally, one of our teammates ruptured his front knee ACL and received reconstruction surgery a few years ago. After ACL surgery, it is common to wear a knee brace for about two to three months for protection from outside impacts, fast recovery, and restriction of movement. For a patient who is situated in rehabilitation after surgery, knee protection is an imperative recovery stage, but is often overlooked. One cannot deny that such a brace is also cumbersome to put on in the first place.

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Solution:

Our group aims to make a wearable device for people who require a knee brace by adding a health monitoring system onto an existing knee brace. The fundamental purpose is to protect the knee, but by adding a monitoring system we want to provide data and a platform for both doctor and patients so they can easily check the current status/progress of the injury.

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Audience:

1) Average person with leg problems

2) Athletes with leg injuries

3) Elderly people with discomforts

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Equipment:

Temperature sensors : perhaps in the form of electrodes, they will be used to measure the temperature of the swelling of the knee, which will indicate if recovery is going smoothly.

Pressure sensors : they will be calibrated such that a certain threshold of force must be applied by the brace to the leg. A snug fit is required for the brace to fulfill its job.

EMG circuit : we plan on constructing an EMG circuit based on op-amps, resistors, and capacitors. This will be the circuit that is intended for doctors, as it will detect muscle movement.

Development board: our main board will transmit the data from each of the sensors to a mobile interface via. Bluetooth. The user will be notified when the pressure sensors are not tight enough. For our purposes, the battery on the development will suffice, and we will not need additional dry cells.

The data will be transmitted to a mobile system, where it would also remind the user to wear the brace if taken off. To make sure the brace has a secure enough fit, pressure sensors will be calibrated to determine accordingly. We want to emphasize the hardware circuits that will be supplemented onto the leg brace.

We want to emphasize on the hardware circuit portion this brace contains. We have tested the temperature and pressure resistors on a breadboard by soldering them to resistors, and confirmed they work as intended by checking with a multimeter.

Project Videos