SYSTEM AND METHOD FOR DETECTING NEUROLOGICAL DETERIORATION

• US 20140031712A1
• Filed: 04/05/2012
• Published: 01/30/2014
• Est. Priority Date: 04/05/2011
• Status: Abandoned Application

• Current Assignee: Neurokeeper Technologies Ltd.
• Original Assignee: Neurokeeper Technologies Ltd.
• Inventors: Shahaf, Goded, Herskovitz, Moshe
• Application Number:
  US14/110,264
• Publication Number:
  US 20140031712A1
• Time in Patent Office: Days
• US Class Current: 600/545
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• 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 5/375 using biofeedback
• CPC Class Codes: A61B 5/377 using evoked responses
• CPC Class Codes: A61B 5/4806 Sleep evaluation A61B5/4821 takes precedence; devices for inducing sleep A61M21/02
• CPC Class Codes: A61B 5/4812 Detecting sleep stages or cycles
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity
• CPC Class Codes: A61B 5/7405 using sound
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61M 2021/0022 by the tactile sense, e.g. vibrations
• CPC Class Codes: A61M 2021/0027 by the hearing sense
• CPC Class Codes: A61M 2021/0083 especially for waking up
• CPC Class Codes: A61M 21/02 for inducing sleep or relaxation, e.g. by direct nerve stimulation, hypnosis, analgesia for massage A61H; electrotherapy A61N, e.g. applying alternating or intermittent electric currents for producing anaesthesia A61N1/36021
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/10 Electroencephalographic signals
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A system for detecting a neurological deterioration in a patient, the system constituted of: an analyzing module; and at least one input port arranged to receive a plurality of first samples of electroencephalographic (EEG) activity of the patient and a plurality of second samples of EEG activity of the patient and further arranged to output the received samples to the analyzing module, wherein the analyzing module is arranged to: compare a function of the received first EEG samples to a function of the received second EEG samples; determine the difference between the outcome of the comparison and a baseline value; and output a neurological deterioration signal responsive to the determined difference.

Claims

1. A system for detecting a neurological deterioration in a patient, the system comprising:

an analyzing module; and

at least one of input port arranged to receive a plurality of first samples of electroencephalographic (EEG) activity of the patient and a plurality of second samples of EEG activity of the patient and further arranged to output said received samples to said analyzing module,

wherein said analyzing module is arranged to;

compare a function of said received first EEG samples to a function of said received second EEG samples;

determine the difference between the outcome of said comparison and a baseline value; and

output a neurological deterioration signal responsive to said determined difference.

2. The system of claim 1, wherein said received at least one first EEG sample is associated with a first cerebral hemisphere of the patient and said second plurality of received EEG samples are associated with a second cerebral hemisphere of the patient opposing the first cerebral hemisphere.

3. The system of claim 1, wherein said comparison comprises determining the correlation between the function of said first plurality of received EEG samples and the function of said second plurality of received EEG samples.

4. The system of claim 1, wherein said at least one input port comprises a plurality of input ports, each in communication with a particular electrode arranged to sample EEG samples of the patient, and

wherein said received plurality of first EEG samples comprise:

a first set of first EEG samples received from a first of a pair of first electrodes; and

a second set of first EEG samples received from a second of a pair of first electrodes,

wherein said received plurality of second EEG samples comprise;

a first set of second EEG samples received from a first of a pair of second electrodes; and

a second set of second EEG samples received from a second of a pair of second electrodes,

wherein said function of said received plurality of first EEG samples comprises the difference between the amplitudes of said first set of first EEG samples and the amplitudes of said second set of first EEG samples, and

wherein said function of said received plurality of second EEG sample comprises the difference between the amplitudes of said first set of second EEG samples and the amplitudes of said second set of second EEG samples.

5. The system of claim 1, wherein said at least one input port comprises a plurality of input ports, each in communication with a particular electrode arranged to sample EEG samples of the patient,

wherein said received plurality of first EEG samples comprise:

a first set of first EEG samples received from a first of a pair of first electrodes; and

a second set of first EEG samples received from a second of a pair of first electrodes,

wherein said received plurality of second EEG samples comprise;

a first set of second EEG samples received from a first of a pair of second electrodes; and

a second set of second EEG samples received from a second of a pair of second electrodes,

wherein said function of said received plurality of first EEG samples comprises the correlation between said first set of first EEG samples and said second set of first EEG samples, and

wherein said function of said received plurality of second EEG samples comprises the correlation between said first plurality of second EEG samples and said second plurality of second EEG samples.

6. The system of claim 1, wherein said comparison comprises determining one of:

an average of the amplitude values of said plurality of first EEG samples and said plurality of second EEG samples;

the variability of the amplitude values of said plurality of first EEG samples and said plurality of second EEG samples; and

the rate of change of the amplitude values of said plurality of first EEG samples and said plurality of second EEG samples.

7. The system of claim 1, wherein said baseline value comprises one of:

a general population baseline; and

a baseline associated with the patient.

8. The system of claim 1, further comprising:

a patient stimulation device, in communication with said analyzing module, and arranged, responsive to a non-stimulated state patient stimulation signal, to provide a non-awakening stimulation to the patient, said non-awakening stimulation arranged to at least partially increase the EEG activity of the patient,

wherein said analyzing module is further arranged to;

compare the amplitude of each of said received EEG samples to a predetermined minimum value; and

in the event the amplitude of one of said received EEG samples is less than the predetermined minimum value, output said patient stimulation signal.

9. The system of claim 8, wherein said patient stimulation device is arranged to provide awakening stimulation to the patient responsive to a stimulated state patient stimulation signal received from said analyzing module, and

wherein said awakening stimulation is arranged to awaken the patient.

10. The system of claim 1, further comprising:

a patient stimulation device, in communication with said analyzing module, and arranged, responsive to a non-stimulated state patient stimulation signal, to provide a non-awakening stimulation to the patient,

wherein said non-awakening stimulation is arranged to at least partially increase the EEG activity of the patient, and

wherein said non-stimulated state patient stimulation signal is responsive to said output neurological deterioration signal.

11. The system of claim 10, wherein said patient stimulation device is arranged to provide awakening stimulation to the patient responsive to an stimulated state patient stimulation signal received from said analyzing module,

wherein said awakening stimulation is arranged to awaken the patient, and

wherein said stimulated state patient stimulation signal is responsive to said output neurological deterioration signal.

12. The system of claim 1, wherein said analyzing module further comprises:

a communication module arranged to output said neurological deterioration signal,

wherein said communication module comprises one of;

a connection to a an audible output device;

a connection to a graphical output device;

a connection to a short messaging service;

a connection to a telephony network;

a connection to the Internet; and

a connection to a medical network.

13. The system of claim 1, wherein each of said plurality of input ports is in communication with a particular electrode, said received plurality of first EEG samples being received from at least one first electrode and said received plurality of second EEG samples being received from at least one second electrode,

wherein said analyzing module is further arranged to determine the standard deviation of said received EEG samples from each of the first and second electrodes over a first predetermined time period, and

in the event said determined standard deviation for any the first and second electrodes is greater than a first predetermined value, said analyzing module is further arranged to output a noise detection signal for the particular electrode.

14. The system of claim 1, wherein said neurological deterioration signal is output in the event said determined difference is greater than a second predetermined value for a second predetermined time period.

15. The system of claim 1, wherein said baseline value is selectable from a plurality of baseline values, wherein said analyzing module is further arranged to:

determine the current sleep stage of the patient, responsive to said received plurality of first EEG samples and said plurality of second EEG samples; and

select a particular baseline value responsive to said determined sleep stage of the patient.

16. A method of detecting a neurological deterioration in a patient, the method comprising:

receiving a plurality of first samples of electroencephalographic (EEG) activity of the patient and a plurality of second samples of EEG activity of the patient;

comparing a function of said received first EEG samples to a function of said received second EEG samples;

determining the difference between the outcome of said comparison and a baseline value; and

outputting a neurological deterioration signal responsive to said determined difference.

17. The method of claim 16, wherein said received first EEG samples are associated with a first cerebral hemisphere of the patient and said receive second EEG samples are associated with a second cerebral hemisphere of the patient opposing the first cerebral hemisphere.

18. The method of claim 16, wherein said comparing comprises determining the correlation between the function of said received first EEG samples and the function of said received second EEG samples.

19. The method of claim 16, wherein said received plurality of first EEG samples comprise:

a first set of first EEG samples received from a first of a pair of first electrodes; and

a second set of first EEG samples received from a second of a pair of first electrodes,

wherein said received plurality of second EEG samples comprise;

a first set of second EEG samples received from a first of a pair of second electrodes; and

a second set of second EEG samples received from a second of a pair of second electrodes,

wherein said function of said received plurality of first EEG samples comprises the difference between the amplitudes of said first set of first EEG samples and the amplitudes of said second set of first EEG samples, and

wherein said function of said received plurality of second EEG samples comprises the difference between the amplitudes of said first set of second EEG samples and the amplitudes of said second set of second EEG samples.

20. The method of claim 16, wherein said received plurality of first EEG samples comprise:

a first set of first EEG samples received from a first of a pair of first electrodes; and

a second set of first EEG samples received from a second of a pair of first electrodes,

wherein said received plurality of second EEG samples comprise;

a first set of second EEG samples received from a first of a pair of second electrodes; and

a second set of second EEG samples received from a second of a pair of second electrodes,

wherein said function of said received plurality of first EEG samples comprises the correlation between said first set of first EEG samples and said second set of first EEG samples, and

wherein said function of said received plurality of second EEG samples comprises the correlation between said first set of second EEG samples and said second set of second EEG samples.

21. The method of claim 16, wherein said comparing comprises determining one of:

an average of the amplitude values of said plurality of first EEG samples and said plurality second EEG samples;

the variability of the amplitude values of said plurality of first EEG samples and said plurality of second EEG samples; and

the rate of change of the amplitude values of said plurality of first EEG samples and said plurality of second EEG samples.

22. The method of claim 16, wherein said baseline value comprises one of:

a general population baseline; and

a baseline associated with the patient.

23. The method of claim 16, further comprising:

providing, responsive to a non-stimulated state patient stimulation signal, non-awakening stimulation to the patient, said non-awakening stimulation arranged to at least partially increase the EEG activity of the patient;

comparing the amplitude of each of said received EEG samples to a predetermined minimum value; and

in the event the amplitude of one of said received EEG samples is less than the predetermined minimum value, outputting said patient stimulation signal.

24. The method of claim 23, further comprising:

providing awakening stimulation to the patient responsive to a stimulated state patient stimulation signal, wherein said awakening stimulation is arranged to awaken the patient.

25. The method of claim 16, further comprising:

providing, responsive to a non-stimulated state patient stimulation signal, non-awakening stimulation to the patient,

wherein said non-awakening stimulation is arranged to at least partially increase the EEG activity of the patient, and

wherein said non-stimulated state patient stimulation signal is responsive to said output neurological deterioration signal.

26. The method of claim 25, further comprising:

providing awakening stimulation to the patient responsive to an stimulated state patient stimulation signal,

wherein said awakening stimulation is arranged to awaken the patient, and

wherein said stimulated state patient stimulation signal is responsive to said output neurological deterioration signal.

27. The method of claim 16, wherein said outputting said neurological deterioration signal comprises connecting to one of:

an audible output device;

a graphical output device;

a short messaging service;

a telephony network;

the Internet; and

a medical network.

28. The method of claim 16, wherein said received plurality of first EEG samples are received from at least one first electrode and said received plurality of second EEG samples are received from at least one second electrode, the method further comprising:

determining the standard deviation of said received EEG samples from each of the first and second electrodes over a first predetermined time period, and

in the event said determined standard deviation for any of the first and second electrodes is greater than a first predetermined value, outputting a noise detection signal for the particular electrode.

29. The method of claim 16, wherein said neurological deterioration signal is output in the event said determined difference is greater than a second predetermined value for a second predetermined time period.

30. The method of claim 16, wherein said baseline value is selectable from a plurality of baseline values, the method further comprising:

determining the sleep stage of the patient responsive to said received plurality of first EEG samples and said received plurality of second EEG samples; and

selecting a particular baseline value responsive to said determined sleep stage of the patient.