Time frame synchronization of medical monitoring signals

• US 20020055687A1
• Filed: 09/21/2001
• Published: 05/09/2002
• Est. Priority Date: 05/26/1999
• Status: Active Grant

• Current Assignee: Viasys Healthcare Incorporated (Cardinal Health, Inc.)
• Original Assignee: Nicolet Biomedical, Inc. (Thermo Fisher Scientific Incorporated)
• Inventors: Lutz, William J.
• Granted Patent: US 6,735,711 B2
• Time in Patent Office: Days
• US Class Current: 600/544
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/377 using evoked responses
• CPC Class Codes: A61B 5/383 Somatosensory stimuli, e.g. electric stimulation
• CPC Class Codes: A61B 5/389 Electromyography [EMG]

Abstract

The present invention provides a system and method for establishing a synchronized time frame for signals in a medical monitoring system. In particular, the present invention provides a system and method for synchronizing the time frame of stimulation signals provided by a stimulator to a subject and response signals received by an amplifier device from the subject in response thereto. Thus, the present invention allows accurate display and analysis of the relationship between stimulation and response signals by a monitoring device. Time frame synchronization of stimulus and response signals is achieved using a periodic bus cycle clock signal which is provided by a bus, i.e., an IEEE 1394 bus, connecting together each of the devices in the monitoring system. For example, a time frame synchronized stimulation trigger signal may be generated by a stimulus synchronization circuit including a phase-locked loop for providing a local clock signal synchronized to the periodic bus cycle clock signal, and employing the local clock signal to provide a multi-bit signal indicating a segment during a bus cycle during which the stimulation signal is provided by the stimulator to the subject.

Claims

1. A medical monitoring system, comprising:

(a) a stimulator for providing a stimulation signal to a subject;

(b) an amplifier device for receiving a response signal from the subject;

(c) a bus connecting the stimulator and the amplifier device together and providing a periodic bus cycle clock signal to the stimulator and amplifier device; and

(d) time frame synchronization means for employing the periodic bus cycle clock signal to provide time frame synchronization of the stimulation signal with the response signal.

2. The medical monitoring system of claim 1 wherein the stimulator is selected from the group of stimulators consisting of visual stimulators, auditory stimulators, and electrical stimulators.

3. The medical monitoring system of claim 1 wherein the amplifier device is selected from the group of amplifier devices consisting of EEG amplifiers and EMG amplifiers.

4. The medical monitoring system of claim 1 wherein the bus is an IEEE 1394 serial bus and the periodic bus cycle clock signal is a Cycle Start packet.

5. The medical monitoring system of claim 1 wherein the time frame synchronization mean includes a stimulus synchronization circuit for generating a time frame synchronized stimulation pulse trigger signal indicating a segment of a bus cycle during which the stimulation signal is provided to the subject.

6. The medical monitoring system of claim 5 wherein the stimulus synchronization circuit includes a phase lock loop circuit for generating a local stimulus synchronization circuit clock signal synchronized with the periodic bus cycle clock signal.

7. The medical monitoring system of claim 6 wherein the stimulus synchronization circuit includes a clock divider for deriving a plurality of local clock signals of various frequencies from the local stimulus synchronization circuit clock signal.

8. The medical monitoring system of claim 7 wherein the stimulus synchronization circuit includes a multi-bit latch having inputs and outputs and wherein selected ones of the plurality of local clock signals are provided to the inputs of the multi-bit latch to provide a varying multi-bit signal dividing the bus cycle into a plurality of segments, and wherein the varying multi-bit signal on the inputs of the multi-bit latch is latched onto the outputs of the multi-bit latch when the stimulation signal is provided to the subject to provide the time frame synchronized stimulation pulse trigger signal.

9. The medical monitoring system of claim 1 comprising additionally a monitor device for analyzing a relationship between the stimulation signal and the response signal and connected to the stimulator and the amplifier device via the bus.

10. The medical monitoring system of claim 9 wherein the monitor device and the amplifier device are combined into a single device.

11. A time frame synchronization circuit for providing time frame synchronization of a first signal with a periodic bus cycle clock signal, comprising:

(a) a phase lock loop circuit for generating a local stimulus synchronization circuit clock signal synchronized with the periodic bus cycle clock signal; and

(b) means for generating a multi-bit time frame synchronized signal indicating a segment of a bus cycle during which the first signal occurs from the first signal and the local stimulus synchronization circuit clock signal.

12. The time frame synchronization circuit of claim 11 comprising additionally a clock divider for deriving a plurality of local clock signals of various frequencies from the local stimulus synchronization circuit clock signal.

13. The time frame synchronization circuit of claim 12 wherein the means for generating a multi-bit time frame synchronized signal includes a multi-bit latch having inputs and outputs and wherein selected ones of the plurality of local clock signals are provided to the inputs of the multi-bit latch to provide a varying multi-bit signal dividing the bus cycle into a plurality of segments, and wherein the first signal is provided to the latch to latch the varying multi-bit signal on the inputs of the multi-bit latch onto the outputs of the multi-bit latch to provide the multi-bit time frame synchronized signal.

14. The time frame synchronization circuit of claim 11 wherein the first signal is a stimulation pulse trigger signal provided by a stimulator in a medical monitoring system.

15. The time frame synchronization circuit of claim 11 wherein the periodic bus cycle clock signal is a Cycle Start packet signal in an IEEE 1394 bus.

17. The method of claim 16 wherein the step of providing a stimulation signal is selected from the group of steps of providing a stimulation signal consisting of providing a visual stimulation signal, providing an auditory stimulation signal, and providing an electrical stimulation signal.

18. The method of claim 16 wherein the step of receiving a response signal is selected from the group of steps of receiving a response signal consisting of receiving an EEG signal and receiving an EMG signal.

19. The method of claim 16 wherein the step of providing the periodic bus cycle clock signal includes the step of providing an IEEE 1394 serial bus Cycle Start packet.

20. The method of claim 16 wherein the step of employing the periodic bus cycle clock signal to provide time frame synchronization of the stimulation signal with the response signal includes the step of generating a time frame synchronized stimulation pulse trigger signal indicating a segment of a bus cycle during which the stimulation signal is provided to the subject.

21. The method of claim 20 wherein the step of generating a time frame synchronized stimulation pulse trigger signal includes the step of generating a local stimulus synchronization clock signal synchronized with the periodic bus cycle clock signal.

22. The method of claim 21 wherein the step of generating a time frame synchronized stimulation pulse trigger signal includes the further step of deriving a plurality of local clock signals of various frequencies from the local stimulus synchronization clock signal.

23. The method of claim 22 wherein the step of generating a time frame synchronized stimulation pulse trigger signal includes the further steps of providing selected ones of the plurality of local clock signals to inputs of a multi-bit latch to provide a varying multi-bit signal which divides the bus cycle into a plurality of segments, and latching the varying multi-bit signal on the inputs of the multi-bit latch onto the outputs of the multi-bit latch when the stimulation signal is provided to the subject to provide the time frame synchronized stimulation pulse trigger signal.

24. The method of claim 16 comprising additionally the step of analyzing a relationship between the stimulation signal and the response signal.

26. The method of claim 25 wherein the step of generating a multi-bit time frame synchronized signal includes the step of deriving a plurality of local clock signals of various frequencies from the local stimulus synchronization clock signal.

27. The method of claim 26 wherein the step of generating a multi-bit time frame synchronized signal includes the further steps of providing selected ones of the plurality of local clock signals to inputs of a multi-bit latch to provide a varying multi-bit signal which divides the bus cycle into a plurality of segments at the inputs of the multi-bit latch, and providing the first signal to the latch to latch the varying multi-bit signal on the inputs of the multi-bit latch onto the outputs of the multi-bit latch to provide the multi-bit time frame synchronized signal.

28. The method of claim 25 wherein the first signal is a stimulation pulse trigger signal provided by a stimulator in a medical monitoring system.

29. The method of claim 25 wherein the periodic bus cycle clock signal is a Cycle Start packet signal in an IEEE 1394 bus.

16. A method of providing time frame synchronization of medical monitoring system signals, comprising the steps of:

(a) providing a stimulation signal to a subject;

(b) receiving a response signal from the subject;

(c) providing a periodic bus cycle clock signal; and

(d) employing the periodic bus cycle clock signal to provide time frame synchronization of the stimulation signal with the response signal.

25. A method of providing time frame synchronization of a first signal with a periodic bus cycle clock signal, comprising the steps of:

(a) generating a local stimulus synchronization clock signal synchronized with the periodic bus cycle clock signal; and

(b) generating a multi-bit time frame synchronized signal indicating a segment of a bus cycle during which the first signal occurs from the first signal and the local stimulus synchronization circuit clock signal.

30. A method of providing time frame synchronization in a medical monitoring system including a stimulator device and at least one other device in the system, comprising the steps of:

(a) providing a stimulation signal from the stimulator device;

(b) generating a time frame synchronized signal in the stimulator device indicating when the stimulation signal is provided from the stimulator device in a time frame synchronized with the other device in the system; and

(c) providing the time frame synchronized signal in a message from the stimulator device to the other device in the system.