Systems and methods for EEG monitoring

• US 10,111,617 B2
• Filed: 09/18/2015
• Issued: 10/30/2018
• Est. Priority Date: 09/22/2014
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Iyer, Darshan Ramesh
• Primary Examiner(s): Cheng, Jacqueline
• Assistant Examiner(s): TRAN, THO Q
• Application Number:
  US14/858,160
• Publication Number:
  US 20160081617A1
• Time in Patent Office: 1,138 Days
• Field of Search: 600544
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/4821 Determining level or depth of anaesthesia A61B5/1106 takes precedence
• CPC Class Codes: A61B 5/6814 Head
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/748 Selection of a region of interest, e.g. using a graphics tablet

Abstract

A patient monitoring system includes an electroencephalography (EEG) monitor and an EEG sensor array. The EEG sensor array includes a plurality of electrodes configured to acquire EEG signals from a patient. The EEG monitor may be configured to calculate one or more depth of anesthesia indices for the patient based on received EEG signals from the EEG sensor array. Additionally, the EEG monitor may be configured to generate and display a topographic color map of the calculated depth of anesthesia indices.

Claims

1. A medical monitoring system, comprising:

an electroencephalography (EEG) sensor array comprising a plurality of electrodes configured for EEG monitoring, wherein the plurality of electrodes are configured to be disposed about a patient'"'"'s head, and wherein the plurality of electrodes comprise a ground electrode, a reference electrode, and a plurality of sensing electrodes; and

an EEG monitor operatively coupled to the EEG sensor array, wherein the EEG monitor comprises;

input circuitry configured to receive EEG signals from the plurality of sensing electrodes;

a processor configured to;

determine a plurality of depth of anesthesia indices based at least in part on the EEG signals, wherein the depth of anesthesia indices comprise bispectral indices; and

generate a topographic color map of the depth of anesthesia indices based on a color scale, wherein the color scale comprises a predetermined set of colors, wherein each color of the predetermined set of colors represents a predetermined depth of anesthesia index; and

a display configured to display the topographic color map;

wherein the EEG monitor is configured to receive a user selection of one or more regions of the patient'"'"'s head to monitor, wherein the display is configured to display an anesthesia index for each of the one or more regions, and wherein the processor is configured to determine a correlation between depth of anesthesia indices associated with a first region of the patient'"'"'s head and depth of anesthesia indices associated with a second region of the patient'"'"'s head, and wherein the processor is configured to detect a clinically adverse event based at least in part upon the correlation.

2. The system of claim 1, wherein the plurality of electrodes comprises between 64 and 256 electrodes.

3. The system of claim 1, wherein the display is configured to display the color scale associated with the topographic color map.

4. The system of claim 1, wherein the processor is configured to analyze the topographic color map for one or more features or patterns of EEG activity indicative of a clinically adverse event.

5. The system of claim 4, wherein the clinically adverse event comprises a seizure or an ischemic event.

6. The system of claim 4, wherein the EEG monitor is configured to cause the monitor to display an indication of a clinically adverse event in response to a determination that the topographic color map includes the one or more features or patterns of EEG activity indicative of a clinically adverse event.

7. The system of claim 6, wherein the indication identifies a region of the patient'"'"'s head on the topographic color map that is associated with the detected clinically adverse event.

8. The system of claim 4, wherein the EEG monitor comprises a memory, wherein the memory stores a plurality of reference topographic color maps comprising one or more features or patterns of EEG activity indicative of a clinically adverse event, and wherein the processor is configured to compare the topographic color map to one or more of the stored plurality of reference topographic color maps to detect a clinically adverse event.

9. The system of claim 1, wherein the EEG signals are spontaneous EEG signals.

10. The system of claim 1, wherein the processor is configured to determine a correlation between one or more frequency bands of EEG signals associated with the first region of the patient'"'"'s head and one or more frequency bands of EEG signals associated with the second region of the patient'"'"'s head, and wherein the processor is configured to detect a clinically adverse event based at least in part upon the correlation.

11. A method for monitoring a patient, comprising:

receiving, via an electroencephalograph (EEG) monitor, a plurality of EEG signals from an EEG sensor array, wherein the EEG sensor array comprises a plurality of electrodes configured to be disposed about a patient'"'"'s head;

determining, via the EEC monitor, a depth of anesthesia index for each EEG signal of the plurality of EEG signals, wherein the depth of anesthesia index comprises a bispectral index, wherein a first portion of the EEG signals corresponds to a first region of the patient'"'"'s head and wherein a second portion of the EEG signals corresponds to a second region of the patient'"'"'s head;

generating, via the EEG monitor, a topographic color map of depth of anesthesia indices of the first region and depth of anesthesia indices of the second region;

displaying, via the EEG monitor, the topographic color map; and

determining, via the EEG monitor, a patient condition based on a correlation between the depth of anesthesia indices of the first region and the depth of anesthesia indices of the second region.

12. The method of claim 11, wherein the plurality of electrodes comprises between 64 and 256 electrodes.

13. The method of claim 11, wherein a third portion and a fourth portion of the EEG signals corresponds to a third region and a fourth region of the patient'"'"'s head, respectively, and wherein each of the first, second, third, and fourth regions corresponds to a respective quadrant of the patient'"'"'s head, and wherein a correlation of depth of anesthesia indices between the quadrants is high when delivery of anesthesia to the patient is initiated.

14. The method of claim 13, comprising determining, via the EEG monitor, the patient condition based on a decrease in the correlation of depth of anesthesia indices between the quadrants after a predetermined time has elapsed after the delivery of anesthesia to the patient is initiated.

15. The method of claim 11, wherein determining the patient condition comprises determining a characteristic signature of EEG activity for the plurality of EEG signals.

16. The method of claim 11, wherein the correlation is determined in a time domain.

17. The method of claim 11, wherein the correlation is determined in a frequency domain.

18. An electroencephalography (EEG) monitor, comprising:

an EEG sensor array;

input circuitry configured to receive a plurality of EEG signals from the EEG sensor array, wherein the EEG sensor array is configured to be coupled to the EEG monitor and, wherein the EEG sensor array comprises a plurality of electrodes configured to be disposed about a patient'"'"'s head; and

a processor configured to;

determine a plurality of depth of anesthesia indices based on the received plurality of EEG signals, wherein the depth of anesthesia indices comprise bispectral indices;

determine a correlation between depth of anesthesia indices associated with a first region of the patient'"'"'s head and depth of anesthesia indices associated with a second region of the patient'"'"'s head;

provide an index for the first and second head regions based on the depth of anesthesia indices associated with electrodes disposed on the respective head regions;

detect an anesthesia condition of the patient based at least in part upon the index for each head region and on the determined correlation; and

provide a user-perceivable indication of the anesthesia condition.

19. The monitor of claim 18, wherein the anesthesia condition comprises ischemia.

20. The monitor of claim 18, wherein the anesthesia condition comprises a seizure.

21. The monitor of claim 18, comprising a display, and wherein the processor is configured to generate a topographic color map of the plurality of depth of anesthesia indices and to cause the monitor to display the topographic color map.