MOTION-BASED SEIZURE DETECTION SYSTEMS AND METHODS

• US 20150157242A1
• Filed: 12/05/2014
• Published: 06/11/2015
• Est. Priority Date: 12/05/2013
• Status: Abandoned Application

• Current Assignee: LivaNova USA, Inc. (LivaNova Plc)
• Original Assignee: Cyberonics, Inc
• Inventors: SABESAN, Shivkumar
• Application Number:
  US14/562,602
• Publication Number:
  US 20150157242A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0075 by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy A61B5/0071 takes precedence
• CPC Class Codes: A61B 5/0077 Devices for viewing the surface of the body, e.g. camera, magnifying lens
• CPC Class Codes: A61B 5/015 By temperature mapping of body part
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/1123 Discriminating type of movement, e.g. walking or running A61B5/1116, A61B5/112 take precedence
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/6833 Adhesive patches
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: G01B 11/00 Measuring arrangements characterised by the use of optical techniques
• CPC Class Codes: G01H 1/00 Measuring characteristics of vibrations in solids by using direct conduction to the detector G01H9/00, G01H11/00 take precedence

Abstract

A motion monitoring system and a method of obtaining and analyzing motion data that uses an accelerometer or an image capture device to acquire subject motion data. The motion data may be obtained from an accelerometer applied to a chest of the subject, or from an image capture device configured to view the subject during the detected motion. The motion data is analyzed to distinguish between a seizure type of motion and a non-seizure type of motion, with the subject motion characterized by at least one of, and combinations of, motion amplitude or magnitude, motion period or frequency, motion bandwidth, subject position, and subject change in position over a time period of the detected motion. The system and method further includes the generation of an output in response to an identification of the seizure and non-seizure types of motion.

Claims

1. A method of distinguishing between a first type of motion and a second type of motion of a subject characterized by a signal corresponding to the first and second types of motions, the method comprising:

receiving the signal at a processor, the signal being representative of subject motion data of the subject, the subject motion data including subject position data and subject change-in-position data;

analyzing, by the processor, the subject motion data to distinguish between the first type of motion occurring over a first time period and the second type of motion occurring over a second time period,

wherein the first type of motion is characterized by;

a first bandwidth that is inclusively within a first bandwidth range,

the subject position data indicating that the subject is in a recumbent orientation throughout the first time period, the recumbent orientation defined by an initial calibration during which the subject is in the recumbent position while defining an offset angle between a subject axis extending from the subject and a vertical axis, the recumbent orientation further defined by the subject axis remaining inclusively within an offset angle range throughout the first time period, and

the subject change-in-position data indicating that a first rotation parameter of the subject change-in-position data is inclusively within a rotation range throughout the first time period, and

wherein the second type of motion is characterized by;

a second bandwidth that is inclusively within a second bandwidth range,

the subject position data indicating that the subject is in an upright orientation throughout the second time period, the upright orientation defined by the offset angle equaling or exceeding an offset angle threshold throughout the second time period, and

the subject change-in-position data indicating that a second rotation parameter of the subject change-in-position data is greater than a rotation threshold throughout the second time period; and

generating a first output from the processor in response to an identification of the first type of motion and generating a second output from the processor in response to an identification of the second type of motion.

2. The method of claim 1 wherein:

the first bandwidth range is at least one of 0.05 to 0.60 and 0.10 to 0.50,

the offset angle range is at least one of zero degrees to 45 degrees and zero degrees to 60 degrees,

the rotation range is at least one of zero degrees to 30 degrees and zero degrees to 20 degrees,

the second bandwidth range is at least one of zero to 0.80 and 0.10 to 0.80,

the offset angle threshold is at least one of 60 degrees and 45 degrees, and

the rotation threshold is at least one of 15 degrees and 30 degrees.

3. The method of claim 2 wherein the subject motion data is further characterized by at least one of the following:

the first bandwidth is at a minimum and/or a maximum of the first bandwidth range for at least a portion of the first time period,

the offset angle is at a minimum and/or a maximum of the offset angle range for at least a portion of the first time period,

the first rotation parameter is at a minimum and/or a maximum of the rotation range for at least a portion of first time period, and

the second bandwidth is at a minimum and/or a maximum of the second bandwidth range for at least a portion of the second time period.

4. The method of claim 1 wherein,

the first type of motion is further characterized by:

a first amplitude that is inclusively within a first amplitude range,

a first period that is inclusively within a first period range, and

the second type of motion is further characterized by;

a second amplitude that is inclusively within a second amplitude range, and

a second period that is inclusively within a second period range.

5. The method of claim 4 wherein:

the first amplitude is a first envelope of the signal that is proportional to a root mean square (RMS) amplitude, and the first amplitude range is at least one of 0.01 g to 0.60 g and 0.04 g to 0.48 g,

the first period range is at least one of 100 ms to 1000 ms and 160 ms to 750 ms,

the first bandwidth range is at least one of 0.05 to 0.60 and 0.10 to 0.50,

the offset angle range is at least one of zero degrees to 45 degrees and zero degrees to 60 degrees,

the rotation range is at least one of zero degrees to 30 degrees and zero degrees to 20 degrees,

the second amplitude is a second envelope of the signal that is proportional to the RMS amplitude, and the second amplitude range is at least one of 0.04 g to 1.00 g and 0.48 g to 1.00 g,

the second period range is at least one of 100 ms to 2000 ms and 100 ms to 1000 ms,

the second bandwidth range is at least one of zero to 0.80 and 0.10 to 0.80,

the offset angle threshold is at least one of 60 degrees and 45 degrees, and

the rotation threshold is at least one of 15 degrees and 30 degrees.

6. The method of claim 5 wherein the subject motion data is further characterized by at least one of the following:

the first amplitude is at a minimum and/or a maximum of the first amplitude range for at least a portion of the first time period,

the first period is at a minimum and/or a maximum of the first period range for at least a portion of the first time period,

the first bandwidth is at a minimum and/or a maximum of the first bandwidth range for at least a portion of the first time period,

the offset angle is at a minimum and/or a maximum of the offset angle range for at least a portion of the first time period,

the first rotation parameter is at a minimum and/or a maximum of the rotation range for at least a portion of first time period,

the second amplitude is at a minimum and/or a maximum of the second amplitude range for at least a portion of the second time period,

the second period is at a minimum and/or a maximum of the second period range for at least a portion of the second time period, and

the second bandwidth is at a minimum and/or a maximum of the second bandwidth range for at least a portion of the second time period.

7. The method of claim 1 wherein the first output is an affirmation of a seizure condition of the subject and the second output is at least one of a null output and an affirmation of a non-seizure condition of the subject.

8. The method of claim 1 wherein the signal is provided by an accelerometer coupled to the subject and disposed to acquire the subject motion data.

9. The method of claim 8 wherein the accelerometer defines a subject axis extending away from the subject to define a baseline orientation of the subject, the recumbent position and the upright orientation each being indicated by reference to the baseline orientation.

10. The method of claim 9 wherein the subject axis extends away from the subject in a direction normal to a frontal plane of the subject.

11. The method of claim 9 wherein the subject axis extends away from the subject in a non-normal direction relative to a frontal plane of the subject, the non-normal direction being translatable to a normal direction relative to the frontal plane of the subject.

12. The method of claim 1 wherein the signal is provided by a visualization device that acquires an image of the subject, the image of the subject corresponding to the subject motion data.

13. The method of claim 12 wherein the visualization device acquires the image of the subject via at least one of a video device and a thermal imaging system and at least one of a motion detector, a depth sensor, and an infrared laser device.

14. A method of detecting a neurological condition of a subject, the method comprising:

receiving a signal from the subject at a processor, the signal being representative of subject motion data of the subject, the subject motion data including subject position data and subject change-in-position data;

analyzing, at the processor, the subject motion data to identify a seizure motion occurring over a first time period and a non-seizure motion occurring over a different second time period,

wherein the seizure motion is characterized by;

a first bandwidth that is inclusively within a first bandwidth range,

the subject position data indicating that the subject is in a recumbent orientation for at least a portion of the first time period, the recumbent orientation defined by an initial calibration during which the subject is in the recumbent position while defining an offset angle between a subject axis extending from the subject and a vertical axis, the recumbent orientation further defined by the subject axis remaining inclusively within an offset angle range for at least a portion of the first time period, and

the subject change-in-position data indicating that a first rotation parameter of the subject change-in-position data is inclusively within a rotation range for at least a portion of the first time period, and

wherein the non-seizure motion is characterized by;

a second bandwidth that is inclusively within a second bandwidth range,

the subject position data indicating that the subject is in an upright orientation for at least a portion of the second time period, the upright orientation defined by the offset angle equaling or exceeding an offset angle threshold for at least a portion of the second time period, and

the subject change-in-position data indicating that a second rotation parameter of the subject change-in-position data is greater than a rotation threshold for at least a portion of the second time period; and

generating a first output from the processor in response to an identification of the seizure motion and generating a second output from the processor in response to an identification of the non-seizure motion.

15. The method of claim 14 wherein:

the first bandwidth range is at least one of 0.05 to 0.60 and 0.10 to 0.50,

the offset angle range is at least one of zero degrees to 45 degrees and zero degrees to 60 degrees,

the rotation range is at least one of zero degrees to 30 degrees and zero degrees to 20 degrees,

the second bandwidth range is at least one of zero to 0.80 and 0.10 to 0.80,

the offset angle threshold is at least one of 60 degrees and 45 degrees, and

the rotation threshold is at least one of 15 degrees and 30 degrees.

16. The method of claim 15 wherein the subject motion data is further characterized by at least one of the following:

the first bandwidth is at a minimum and/or a maximum of the first bandwidth range for at least a portion of the first time period,

the offset angle is at a minimum and/or a maximum of the offset angle range for at least a portion of the first time period,

the first rotation parameter is at a minimum and/or a maximum of the rotation range for at least a portion of first time period, and

the second bandwidth is at a minimum and/or a maximum of the second bandwidth range for at least a portion of the second time period.

17. The method of claim 14 wherein,

the first type of motion is further characterized by:

a first amplitude that is inclusively within a first amplitude range,

a first period that is inclusively within a first period range, and

the second type of motion is further characterized by;

a second amplitude that is inclusively within a second amplitude range, and

a second period that is inclusively within a second period range.

18. The method of claim 17 wherein:

the first amplitude is a first envelope of the signal that is proportional to a root mean square (RMS) amplitude, and the first amplitude range is at least one of 0.01 g to 0.60 g and 0.04 g to 0.48 g,

the first period range is at least one of 100 ms to 1000 ms and 160 ms to 750 ms,

the first bandwidth range is at least one of 0.05 to 0.60 and 0.10 to 0.50,

the offset angle range is at least one of zero degrees to 45 degrees and zero degrees to 60 degrees,

the rotation range is at least one of zero degrees to 30 degrees and zero degrees to 20 degrees,

the second amplitude is a second envelope of the signal that proportional to the RMS amplitude, and the second amplitude range is at least one of 0.04 g to 1.00 g and 0.48 g to 1.00 g,

the second period range is at least one of 100 ms to 2000 ms and 100 ms to 1000 ms,

the second bandwidth range is at least one of zero to 0.80 and 0.10 to 0.80,

the offset angle threshold is at least one of 60 degrees and 45 degrees, and

the rotation threshold is at least one of 15 degrees and 30 degrees.

19. The method of claim 18 wherein the subject motion data is further characterized by at least one of the following:

the first amplitude is at a minimum and/or a maximum of the first amplitude range for at least a portion of the first time period,

the first period is at a minimum and/or a maximum of the first period range for at least a portion of the first time period,

the first bandwidth is at a minimum and/or a maximum of the first bandwidth range for at least a portion of the first time period,

the offset angle is at a minimum and/or a maximum of the offset angle range for at least a portion of the first time period,

the first rotation parameter is at a minimum and/or a maximum of the rotation range for at least a portion of first time period,

the second amplitude is at a minimum and/or a maximum of the second amplitude range for at least a portion of the second time period,

the second period is at a minimum and/or a maximum of the second period range for at least a portion of the second time period, and

the second bandwidth is at a minimum and/or a maximum of the second bandwidth range for at least a portion of the second time period.

20. The method of claim 14 wherein the first output is an affirmation of a seizure condition of the subject and the second output is at least one of a null output and an affirmation of a non-seizure condition of the subject.

21. The method of claim 14 wherein the signal is provided by an accelerometer coupled to the subject and disposed to acquire the subject motion data.

22. The method of claim 21 wherein the accelerometer defines a subject axis extending away from the subject to define a baseline orientation of the subject, the recumbent position and the upright orientation each being indicated by reference to the baseline orientation.

23. The method of claim 22 wherein the subject axis extends away from the subject in a direction normal to a frontal plane of the subject.

24. The method of claim 22 wherein the subject axis extends away from the subject in a non-normal direction relative to a frontal plane of the subject, the non-normal direction being translatable to a normal direction relative to the frontal plane of the subject.

25. The method of claim 14 wherein the signal is provided by a visualization device that acquires an image of the subject, the image of the subject corresponding to the subject motion data.

26. The method of claim 25 wherein the visualization device acquires the image of the subject via at least one of a video device and a thermal imaging system and at least one of a motion detector, a depth sensor, and an infrared laser device.

27. A motion monitoring system for monitoring a motion of a subject, the motion monitoring system comprising:

a housing;

a mounting system configured to couple the housing to the subject;

an accelerometer disposed on the housing, the accelerometer configured to obtain subject motion data, the subject motion data including subject position data and subject change-in-position data; and

a processor configured to analyze the subject motion data to distinguish between a first type of motion occurring over a first time period and a second type of motion occurring over a second time period,

wherein the first type of motion is characterized by;

a first bandwidth that is inclusively within a first bandwidth range,

the subject position data indicating that the subject is in a recumbent orientation throughout the first time period, the recumbent orientation defined by an initial calibration during which the subject is in the recumbent position while defining an offset angle between a subject axis extending from the subject and a vertical axis, the recumbent orientation further defined by the subject axis remaining inclusively within an offset angle range throughout the first time period, and

the subject change-in-position data indicating that a first rotation parameter of the subject change-in-position data is inclusively within a rotation range throughout the first time period, and

wherein the second type of motion is characterized by;

a second bandwidth that is inclusively within a second bandwidth range,

the subject position data indicating that the subject is in an upright orientation throughout the second time period, the upright orientation defined by the offset angle equaling or exceeding an offset angle threshold throughout the second time period, and

the subject change-in-position data indicating that a second rotation parameter of the subject change-in-position data is greater than a rotation threshold throughout the second time period; and

an interface responsive to the processor, the interface providing a first output from the processor in response to an identification of the first type of motion and providing a second output from the processor in response to an identification of the second type of motion.

28. The motion monitoring system of claim 27 wherein:

the first bandwidth range is at least one of 0.05 to 0.60 and 0.10 to 0.50,

the offset angle range is at least one of zero degrees to 45 degrees and zero degrees to 60 degrees,

the rotation range is at least one of zero degrees to 30 degrees and zero degrees to 20 degrees,

the second bandwidth range is at least one of zero to 0.80 and 0.10 to 0.80,

the offset angle threshold is at least one of 60 degrees and 45 degrees, and

the rotation threshold is at least one of 15 degrees and 30 degrees.

29. The motion monitoring system of claim 28 wherein the subject motion data is further characterized by at least one of the following:

the first bandwidth is at a minimum and/or a maximum of the first bandwidth range for at least a portion of the first time period,

the offset angle is at a minimum and/or a maximum of the offset angle range for at least a portion of the first time period,

the first rotation parameter is at a minimum and/or a maximum of the rotation range for at least a portion of first time period, and

the second bandwidth is at a minimum and/or a maximum of the second bandwidth range for at least a portion of the second time period.

30. The motion monitoring system of claim 27 wherein,

the first type of motion is further characterized by:

a first amplitude that is inclusively within a first amplitude range,

a first period that is inclusively within a first period range, and

the second type of motion is further characterized by;

a second amplitude that is inclusively within a second amplitude range, and

a second period that is inclusively within a second period range.

31. The motion monitoring system of claim 30 wherein:

the first amplitude is a first envelope of the signal that is proportional to a root mean square (RMS) amplitude, and the first amplitude range is at least one of 0.01 g to 0.60 g and 0.04 g to 0.48 g,

the first period range is at least one of 100 ms to 1000 ms and 160 ms to 750 ms,

the first bandwidth range is at least one of 0.05 to 0.60 and 0.10 to 0.50,

the offset angle range is at least one of zero degrees to 45 degrees and zero degrees to 60 degrees,

the rotation range is at least one of zero degrees to 30 degrees and zero degrees to 20 degrees,

the second amplitude is a second envelope of the signal that proportional to the RMS amplitude, and the second amplitude range is at least one of 0.04 g to 1.00 g and 0.48 g to 1.00 g,

the second period range is at least one of 100 ms to 2000 ms and 100 ms to 1000 ms,

the second bandwidth range is at least one of zero to 0.80 and 0.10 to 0.80,

the offset angle threshold is at least one of 60 degrees and 45 degrees, and

the rotation threshold is at least one of 15 degrees and 30 degrees.

32. The motion monitoring system of claim 31 wherein the subject motion data is further characterized by at least one of the following:

the first amplitude is at a minimum and/or a maximum of the first amplitude range for at least a portion of the first time period,

the first period is at a minimum and/or a maximum of the first period range for at least a portion of the first time period,

the first bandwidth is at a minimum and/or a maximum of the first bandwidth range for at least a portion of the first time period,

the offset angle is at a minimum and/or a maximum of the offset angle range for at least a portion of the first time period,

the first rotation parameter is at a minimum and/or a maximum of the rotation range for at least a portion of first time period,

the second amplitude is at a minimum and/or a maximum of the second amplitude range for at least a portion of the second time period,

the second period is at a minimum and/or a maximum of the second period range for at least a portion of the second time period, and

the second bandwidth is at a minimum and/or a maximum of the second bandwidth range for at least a portion of the second time period.

33. The motion monitoring system of claim 27 wherein the first output is an affirmation of a seizure condition of the subject and the second output is at least one of a null output and an affirmation of a non-seizure condition of the subject.

34. The motion monitoring system of claim 27 wherein the accelerometer defines a subject axis extending away from the subject to define a baseline orientation of the subject, the recumbent position and the upright orientation each being indicated by reference to the baseline orientation.

35. The motion monitoring system of claim 34 wherein the subject axis extends away from the subject in a direction normal to a frontal plane of the subject.

36. The motion monitoring system of claim 34 wherein the subject axis extends away from the subject in a non-normal direction relative to a frontal plane of the subject, the non-normal direction being translatable to a normal direction relative to the frontal plane of the subject.