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公开(公告)号:US11510603B2
公开(公告)日:2022-11-29
申请号:US17127445
申请日:2020-12-18
发明人: Robert Snow , Richard O'Brien
摘要: Devices and methods for stimulation and recording of muscle responses for determining degree of neuromuscular blockade, particularly relevant to elicitation of such responses in those under the influence of anesthesia. A system for estimating the degree of neuromuscular blockade includes at least one stimulating electrode, at least one recording electrode, a pulse generator for providing stimulation to a nerve through the stimulating electrode, and a computing device configured to: apply stimuli to the nerve according to a stimulation protocol, wherein the stimulation protocol provides a plurality of stimulation sequences that vary in frequency of pulses in the stimulation sequence, frequency of the stimulation sequences, number of pulses in the stimulation sequence, or all of the above; measure, by the recording electrode, electrical responses of a muscle; and estimate the degree of neuromuscular blockade based on changes in the electrical responses of the muscle during a stimulation sequence.
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公开(公告)号:US20190275333A1
公开(公告)日:2019-09-12
申请号:US16348437
申请日:2017-11-13
发明人: Richard O'Brien
摘要: A method of optimally placing spinal cord stimulator (SCS) leads includes acquiring components of somatosensory evoked potentials (SSEPs), compound action potentials and triggered EMG; analyzing the waveforms; and quantifying waveform features in a single display such that a surgeon can quickly and easily determine optimal placement (as it relates to laterality and level of placement on the spinal cord) of SCS leads in a patient under general anesthesia without additional expert help.
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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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公开(公告)号:US20180333569A1
公开(公告)日:2018-11-22
申请号:US15529928
申请日:2015-11-25
发明人: Robert Snow , Richard O'Brien
CPC分类号: A61N1/02 , A61B5/04001 , A61B5/0488 , A61B5/4821 , A61B5/4839 , A61B2505/05 , G16H20/40
摘要: Devices and methods for stimulation and recording of muscle responses for determining degree of neuromuscular blockade, particularly relevant to elicitation of such responses in those under the influence of anesthesia. A system for estimating the degree of neuromuscular blockade includes at least one stimulating electrode, at least one recording electrode, a pulse generator for providing stimulation to a nerve through the stimulating electrode, and a computing device configured to: apply stimuli to the nerve according to a stimulation protocol, wherein the stimulation protocol provides a plurality of stimulation sequences that vary in frequency of pulses in the stimulation sequence, frequency of the stimulation sequences, number of pulses in the stimulation sequence, or all of the above; measure, by the recording electrode, electrical responses of a muscle; and estimate the degree of neuromuscular blockade based on changes in the electrical responses of the muscle during a stimulation sequence.
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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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公开(公告)号:US20210100490A1
公开(公告)日:2021-04-08
申请号:US17127445
申请日:2020-12-18
发明人: Robert Snow , Richard O'Brien
摘要: Devices and methods for stimulation and recording of muscle responses for determining degree of neuromuscular blockade, particularly relevant to elicitation of such responses in those under the influence of anesthesia. A system for estimating the degree of neuromuscular blockade includes at least one stimulating electrode, at least one recording electrode, a pulse generator for providing stimulation to a nerve through the stimulating electrode, and a computing device configured to: apply stimuli to the nerve according to a stimulation protocol, wherein the stimulation protocol provides a plurality of stimulation sequences that vary in frequency of pulses in the stimulation sequence, frequency of the stimulation sequences, number of pulses in the stimulation sequence, or all of the above; measure, by the recording electrode, electrical responses of a muscle; and estimate the degree of neuromuscular blockade based on changes in the electrical responses of the muscle during a stimulation sequence.
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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:US11648401B2
公开(公告)日:2023-05-16
申请号:US16348437
申请日:2017-11-13
发明人: Richard O'Brien , Robert Snow
CPC分类号: A61N1/36139 , A61B5/24 , A61B5/316 , A61B5/389 , A61B5/4893 , A61B5/743 , A61B5/746 , A61N1/0551 , A61N1/3615 , A61N1/36062
摘要: A method of optimally placing spinal cord stimulator (SCS) leads includes acquiring components of somatosensory evoked potentials (SSEPs), compound action potentials and triggered EMG; analyzing the waveforms; and quantifying waveform features in a single display such that a surgeon can quickly and easily determine optimal placement (as it relates to laterality and level of placement on the spinal cord) of SCS leads in a patient under general anesthesia without additional expert help.
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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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