The lack of an accepted method of accurate and objective measurement o
f wound dimensions is a major obstacle to the assessment of effective
wound management regimes. This paper addresses the problems associated
with wound measurements and introduces a new instrument based on the
principle of coded structured light. The instrument projects a sequenc
e of parallel stripes of light onto the surface of the lesion. These p
atterns are observed by a video camera which is linked to a computer s
ystem where the images can be stored and processed Using the positions
of the focal points of the camera and the stripe projector, the compu
ter calculates a three dimensional map of the observed scene by triang
ulation. This map is then used to reconstruct the original, healthy sk
irt surface by cubic spline interpolation. The area of the reconstruct
ed surface is the area of the wound Irs volume is sandwiched between t
he measured and the reconstructed surface. The system also calculates
the depth and the circumference of the wound. The instrument measures
the volume of the wound with a precision of about 5 per cent provided
that the ratio of volume to area is greater than 4 mm.