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1.
公开(公告)号:US11963775B2
公开(公告)日:2024-04-23
申请号:US15927921
申请日:2018-03-21
发明人: Gregg Johns , Richard Arthur O'Brien , Robert Snow
CPC分类号: A61B5/24 , A61B5/316 , A61B5/7217 , A61B5/746 , A61B5/021 , A61B5/4821 , A61B2505/05 , A61N1/0456 , A61N1/36014
摘要: A medical method of automatically improving signals received from a patient's physiological system can include delivering stimulation signals to a nerve pathway of a patient with electrical pulses via electrodes placed over the nerve pathway to generate a plurality of resultant electrical waveforms (EPs) based on a plurality of electrophysiological responses (ERs); recording the plurality of resultant EPs; generating an ensemble average waveform (EA), the generating comprising averaging a subset of the plurality of ERs; and denoising the EA, the denoising comprising applying a wavelet transform to the EA.
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公开(公告)号:US11197640B2
公开(公告)日:2021-12-14
申请号:US15569367
申请日:2016-05-03
发明人: Gregg Johns , Richard O'Brien , Robert Snow
摘要: An automated evoked potential analysis apparatus for improved monitoring, detecting and identifying changes to a patient's physiological system is described. The apparatus includes an input device for obtaining electrical potential data from the patient's physiological system after application of stimulation to a patient's nerve and a computing system for receiving and analyzing the electrical potential data. The computing system includes a processing circuit configured to: generate a plurality of evoked potential waveforms (EPs) based on the electrical potential data, measure changes or trends in the generated EPs utilizing a sliding window of analysis, display incremental changes in waveforms between full subsets of EPs, and determine an alert vote for each subset, representative of changes to the physiological system generating the EPs.
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3.
公开(公告)号:US20180310849A1
公开(公告)日:2018-11-01
申请号:US15927921
申请日:2018-03-21
发明人: Gregg Johns , Richard Arthur O'Brien , Robert Snow
摘要: A medical method of automatically improving signals received from a patient's physiological system can include delivering stimulation signals to a nerve pathway of a patient with electrical pulses via electrodes placed over the nerve pathway to generate a plurality of resultant electrical waveforms (EPs) based on a plurality of electrophysiological responses (ERs); recording the plurality of resultant EPs; generating an ensemble average waveform (EA), the generating comprising averaging a subset of the plurality of ERs; and denoising the EA, the denoising comprising applying a wavelet transform to the EA.
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4.
公开(公告)号:US20240260903A1
公开(公告)日:2024-08-08
申请号:US18641240
申请日:2024-04-19
发明人: Cameron Snow , Richard O'Brien , Gregg Johns
CPC分类号: A61B5/7203 , A61B5/0205 , A61B5/316 , A61B5/377 , A61B5/7217 , A61N1/36014 , G11B20/24 , G16H40/63 , A61B2560/0247 , A61N1/18
摘要: An automated electrophysiological response analysis apparatus for identifying and eliminating signals having non-physiological artifact noise from an averaged evoked potential signal, wherein the apparatus is adapted to identify in an electrophysiological response at least one characteristic representative of non-physiological artifact noise to classify the signal as an artifact signal and remove the artifact signal from a collection of signals used to generate the averaged evoked potential signal.
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公开(公告)号:US11986321B2
公开(公告)日:2024-05-21
申请号:US15710749
申请日:2017-09-20
发明人: Cameron Snow , Richard O'Brien , Gregg Johns
CPC分类号: A61B5/7203 , A61B5/0205 , A61B5/316 , A61B5/377 , A61B5/7217 , A61N1/36014 , G11B20/24 , G16H40/63 , A61B2560/0247 , A61N1/18
摘要: An automated electrophysiological response analysis apparatus for identifying and eliminating signals having non-physiological artifact noise from an averaged evoked potential signal, wherein the apparatus is adapted to identify in an electrophysiological response at least one characteristic representative of non-physiological artifact noise to classify the signal as an artifact signal and remove the artifact signal from a collection of signals used to generate the averaged evoked potential signal.
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6.
公开(公告)号:US20240268738A1
公开(公告)日:2024-08-15
申请号:US18643337
申请日:2024-04-23
发明人: Gregg Johns , Richard Arthur O'Brien , Robert Snow
CPC分类号: A61B5/24 , A61B5/316 , A61B5/7217 , A61B5/746 , A61B5/021 , A61B5/4821 , A61B2505/05 , A61N1/0456 , A61N1/36014
摘要: An automated evoked potential analysis apparatus for improved monitoring, detecting and identifying changes to a patient's physiological system, wherein the apparatus includes an input device for obtaining electrical potential data from the patient's physiological system after application of stimulation to a patient's nerve and a computing system for receiving and analyzing the electrical potential data. The computing system includes a processing circuit configured to: generate a plurality of evoked potential waveforms (EPs) based on the electrical potential data and calculate an ensemble average waveform (EA) of a subset of the plurality of EPs. The computing system is further configured to apply a mathematical wavelet transform to the resultant EA, attenuate noise components from the transformed EA, and apply an inverse transform to the transformed EA to generate a denoised EA.
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公开(公告)号:US12048567B2
公开(公告)日:2024-07-30
申请号:US17549764
申请日:2021-12-13
发明人: Gregg Johns , Richard O'Brien , Robert Snow
摘要: An automated evoked potential analysis apparatus for improved monitoring, detecting and identifying changes to a patient's physiological system is described. The apparatus includes an input device for obtaining electrical potential data from the patient's physiological system after application of stimulation to a patient's nerve and a computing system for receiving and analyzing the electrical potential data. The computing system includes a processing circuit configured to: generate a plurality of evoked potential waveforms (EPs) based on the electrical potential data, measure changes or trends in the generated EPs utilizing a sliding window of analysis, display incremental changes in waveforms between full subsets of EPs, and determine an alert vote for each subset, representative of changes to the physiological system generating the EPs.
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公开(公告)号:US20220096022A1
公开(公告)日:2022-03-31
申请号:US17549764
申请日:2021-12-13
发明人: Gregg Johns , Richard O'Brien , Robert Snow
摘要: An automated evoked potential analysis apparatus for improved monitoring, detecting and identifying changes to a patient's physiological system is described. The apparatus includes an input device for obtaining electrical potential data from the patient's physiological system after application of stimulation to a patient's nerve and a computing system for receiving and analyzing the electrical potential data. The computing system includes a processing circuit configured to: generate a plurality of evoked potential waveforms (EPs) based on the electrical potential data, measure changes or trends in the generated EPs utilizing a sliding window of analysis, display incremental changes in waveforms between full subsets of EPs, and determine an alert vote for each subset, representative of changes to the physiological system generating the EPs.
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9.
公开(公告)号:US20180360336A1
公开(公告)日:2018-12-20
申请号:US16010157
申请日:2018-06-15
发明人: Richard A. O'Brien , Gregg Johns , Robert Snow , James E. Gharib
IPC分类号: A61B5/04 , A61B5/0488 , A61B5/00 , G16H20/30
摘要: A method for determining a lowest stimulation threshold current level in a group of channels of a neuromonitoring device. The method includes stimulating tissue at a current level from a predetermined range of current levels as a sequence of pulses delivered at a frequency. The stimulating includes increasing the current level of each pulse in the sequence of pulses from an immediately preceding pulse by a first current increment. The method includes determining that a first evocation pulse from the sequence of pulses evokes a first muscular response. The method includes stimulating the tissue with a second evocation pulse from the sequence of pulses to evoke a second muscular response. The stimulating includes decreasing the frequency of the delivery of each pulse in the sequence of pulses and increasing the current level of each pulse in the sequence of pulses from the immediately preceding pulse by a second current increment. The method includes determining that the second evocation pulse from the sequence of pulses evokes the second muscular response.
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公开(公告)号:US20180078220A1
公开(公告)日:2018-03-22
申请号:US15569367
申请日:2016-05-03
发明人: Gregg Johns , Richard O'Brien , Robert Snow
CPC分类号: A61B5/746 , A61B5/04001 , A61B5/0484 , A61B5/7275 , A61G13/06 , G16H50/50
摘要: An automated evoked potential analysis apparatus for improved monitoring, detecting and identifying changes to a patient's physiological system is described. The apparatus includes an input device for obtaining electrical potential data from the patient's physiological system after application of stimulation to a patient's nerve and a computing system for receiving and analyzing the electrical potential data. The computing system includes a processing circuit configured to: generate a plurality of evoked potential waveforms (EPs) based on the electrical potential data, measure changes or trends in the generated EPs utilizing a sliding window of analysis, display incremental changes in waveforms between full subsets of EPs, and determine an alert vote for each subset, representative of changes to the physiological system generating the EPs.
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