SYSTEMS AND METHODS FOR MEASURING BRAIN ACTIVITY

• US 20100168532A1
• Filed: 10/26/2009
• Published: 07/01/2010
• Est. Priority Date: 10/24/2008
• Status: Abandoned Application

• Current Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Original Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Inventors: MCKHANN, Guy M., Waziri, Allen E., Emerson, Ronald G.
• Application Number:
  US12/606,174
• Publication Number:
  US 20100168532A1
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/028 by thermo-dilution
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61B 5/14507 specially adapted for measuring characteristics of body fluids other than blood devices for taking samples of body liquids A61B10/0045
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/1473 invasive, e.g. introduced into the body by a catheter A61B5/1482 takes precedence
• CPC Class Codes: A61B 5/293 Invasive
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/37 Intracranial electroencephalography [IC-EEG], e.g. electrocorticography [ECoG]
• CPC Class Codes: A61B 5/374 Detecting the frequency distribution of signals, e.g. detecting delta, theta, alpha, beta or gamma waves
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/412 Detecting or monitoring sepsis
• CPC Class Codes: A61B 5/6864 Burr holes
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B

Abstract

A device for measuring intracortical brain activity of a subject is provided. The device includes a support member configured for intracranial insertion in the subject. The device comprises a plurality of electrodes are positioned in an electrode region of the support member, which is configured to traverse the cerebral cortex of the subject when the support member is inserted intracranially in the subject. In certain embodiments, the device further comprises drainage region positioned on the support member such that two or more electrodes in the electrode region contact the cerebral cortex of the subject when the drainage region of the support member is in fluid contact with cerebrospinal fluid in the brain ventricle of the subject. In certain embodiments, the device further comprises a detector or probe for monitoring an additional brain parameter.

Claims

1. A device for measuring intracortical brain activity of a subject, comprising:

(a) a support member comprising at least a proximal end, a distal end, and an electrode region, wherein the support member is configured for intracranial insertion in a subject;

(b) a plurality of electrodes positioned in the electrode region of the support member, wherein the electrode region is configured to traverse the cerebral cortex of the subject when the support member is inserted intracranially in the subject such that two or more electrodes in the electrode region contact the cerebral cortex of the subject, and

(c) a plurality of conductors, each conductor individually connected to a corresponding electrode of the plurality of electrodes.

3. The device of claim 1 or 2, wherein the conductors are electrically coupled to an external sensing unit.

4. The device of claim 1 or 2, wherein the conductors extend through the interior of the support member from each electrode to an external sensing unit.

5. The device of claim 1 or 2, wherein the conductors extend outside of the support member from each electrode to the external sensing unit.

6. The device of claim 3, wherein the sensing unit is an electroencephalograph (EEG) sensing unit.

7. The device of claim 3, wherein the sensing unit is an EEG amplification and recording system.

8. The device of claim 1 or 2, wherein the support member has a substantially tubular cross section.

9. The device of claim 1 or 2, wherein the support member comprises silicone.

10. The device of claim 1 or 2, wherein the electrode region is positioned from about 3.5 cm to about 0.1 cm from the distal end of the support member.

11. The device of claim 1 or 2, wherein the electrode region spans a dimension of about 1.9 cm along the length of the support member.

13. The device of claim 1 or 2, where the device comprises at least 2 electrodes in the electrode region, at least 3 electrodes in the electrode region, at least 4 electrodes in the electrode region, at least 5 electrodes in the electrode region, at least 6 electrodes in the electrode region, at least 7 electrodes in the electrode region, or at least 8 electrodes in the electrode region.

14. The device of claim 1 or 2, wherein the device comprises 8 electrodes in the electrode region.

15. The device of claim 1 or 2, wherein at least one electrode in the electrode region contacts a brain region other than the cerebral cortex when the device is inserted intracranially in the subject.

16. The device of claim 1 or 2, wherein two or more of the electrodes in the electrode region are at about 0.1 mm to about 5 mm in width along the length of the support member.

17. The device of claim 1 or 2, wherein two or more of the electrodes in the electrode region are at about 1 mm in width along the length of the support member.

18. The device of claim 1 or 2, wherein the electrodes in the electrode region are spaced such that the inter-electrode distance from the center of one electrode to the center of an adjacent electrode is about 0.1 mm to about 5.0 mm.

19. The device of claim 1 or 2, wherein the electrodes in the electrode region are spaced such that the inter-electrode distance from the center of one electrode to the center of an adjacent electrode is 2 mm.

20. The device of claim 1 or 2, wherein the device further comprises one or more probes for detecting an additional brain parameter.

21. The device of claim 20, wherein the probe is positioned on the support member and configured to contact the brain of the subject when the device is inserted intracranially.

22. The device of claim 20, wherein the probe is a cerebral blood flow probe, a thermal diffusion probe, a oxygen sensing probe, a catheter or any combination thereof.

23. The device of claim 22, wherein the catheter is a microdialysis catheter.

24. The device of claim 20, further comprising one or more conductors are individually connected to each probe and extends from probe to a recording system outside of the support member.

25. A method for measuring abnormal electrical activity in the cerebral cortex of a subject, the method comprising:

(a) inserting the device of claim 1 into the brain of the subject such that two or more of electrodes in the electrode region of the device are in physical contact with the cerebral cortex of the subject;

(b) measuring the electrical activity values recorded from the two or more electrodes in the electrode region of the device in physical contact with the cerebral cortex of the subject; and

(c) performing bi-polar referencing of the electrical activity values recorded from the two or more electrodes in the electrode region of the device in physical contact with the cerebral cortex of the subject.

27. The method of claim 25 or 26, wherein the abnormal brain activity is an electrographic seizure, a periodic epileptiform discharge, suppression-burst activity, spontaneous variability, reactivity to external stimuli, a presence of stage II sleep transients, a state change, a stimulus-induced rhythmic, periodic or ictal discharges (SIRPIDs), or any combination thereof.

28. A bedside alarm system comprising

(a) a monitor adapted to receive at least electroencephalogram signals as an input from the device of claim 1, 2 or 20 and to produce an output of numerical or graphical values indicative of intracortical brain activity of a subject;

and

(b) a signal processor connected to receive the output indicative of intracortical brain activity of the subject and programmed to analyze that output to detect a change in brain function; and

(c) a feedback transducer connected to the signal processor so as to selectively produce an alarm signal to the subject in the event the signal processor detects onset of the change in brain function.

29. The bedside alarm system of claim 28, wherein the electroencephalogram signal is a continuous electroencephalogram signal.

30. The bedside alarm system of claim 28, wherein the change of brain function is a seizure in the subject, a change in blood flow in the brain of the subject, a change in intracranial pressure, or any combination thereof.

2. A device for measuring intracortical brain activity of a subject, comprising:

(a) a hollow support member having an interior surface and an exterior surface, the support member comprising at least a proximal end, a distal end, an electrode region and a drainage region, wherein the support member is configured for intracranial insertion in a subject;

(b) one or more drainage holes in the drainage region, wherein the drainage holes provide fluid contact between the interior surface of the support member and the exterior surface of the support member,

(c) a plurality of electrodes positioned in the electrode region of the support member, wherein the electrode region and the drainage region are positioned along the support member such that two or more electrodes in the electrode region contact the cerebral cortex of the subject when the drainage region of the support member is in fluid contact with cerebrospinal fluid in the brain ventricle of the subject, and

(d) a plurality of conductors, each conductor individually connected to a corresponding electrode of the plurality of electrodes.

12. The device of claim 2, wherein the electrode region is positioned about 2 cm from the drainage region.

26. A method for measuring abnormal electrical activity in the cerebral cortex of a subject, the method comprising:

(a) inserting the device of claim 2 into the brain of the subject such that the drainage region of the device is in fluid contact with cerebrospinal fluid of a brain ventricle of the subject and two or more of electrodes in the electrode region of the device are in physical contact with the cerebral cortex of the subject;

(b) measuring the electrical activity values recorded from the two or more electrodes in the electrode region of the device in physical contact with the cerebral cortex of the subject; and

(c) performing bi-polar referencing of the electrical activity values recorded from the two or more electrodes in the electrode region of the device in physical contact with the cerebral cortex of the subject.