Auditory response detection method and apparatus

• US 4,275,744 A
• Filed: 11/19/1979
• Issued: 06/30/1981
• Est. Priority Date: 11/19/1979
• Status: Expired due to Term

• Current Assignee: Silicon Valley Bank (SVB Financial Group)
• Original Assignee: Wisconsin Alumni Research Foundation (University of Wisconsin System)
• Inventors: Thornton, Aaron R., Obenour, Jerry
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/095,552
• Time in Patent Office: 589 Days
• Field of Search: 128/731, 128/746, 128/902
• US Class Current: 600/544
• CPC Class Codes: A61B 5/377 using evoked responses
• CPC Class Codes: A61B 5/38 Acoustic or auditory stimuli

Abstract

Auditory tone burst signals are supplied to the ear of a human subject and the electroencephalographic responses are monitored, filtered, and provided to a sampler which samples the polarity of the EEG signal at predetermined times after the auditory signal has been applied. The existence of an expected response waveform of a definite shape and frequency in an individual who responds to the sounds causes a statistical shift of the ratio of sample polarities matching the expected polarity with respect to the total number of trials. The number of matched response polarities and the number of trials are counted and can be compared after the test is completed. A decision can be made as to whether a subject is responding by selecting a statistical confidence limit which allows the hypothesis that a subject is not responding to the auditory signal to be rejected if the ratio of responses to trials falls above the selected confidence limit.

Claims

1. Apparatus for generating data from which the likelihood of hearing impairment can be determined in a human subject who receives a selected auditory signal and whose response thereto is detected by an electroencephalographic transducer, comprising:

(a) sampling means for sampling the polarity of the electroencephalographic signal at predetermined times after the time of application of the selected auditory signal which correspond to the positive and negative peaks of the waveform of the expected response component of the electroencephalographic signal, said sampling means providing a response output pulse when the polarity of the sampled signal matches the polarity of the expected response waveform at the predetermined time and also providing a trial output pulse at the time of each sample;

(b) synchronizing means responsive to the auditory signal for triggering the sampling means at the appropriate predetermined times;

(c) a response counter receiving the response output pulses from said sampling means and counting the pulses received by it and providing an output signal which is indicative of the total number of pulses counted; and

(d) a trial counter receiving the trial output pulses from said sampling means and counting the number of pulses received by it and providing an output signal indicative of the total number of pulses counted, whereby an operator can determine the ratio of the number of response pulses to the number of trial pulses over a selected period of time to provide a measure of the likelihood that a response is being evoked in a subject by the auditory signals.

4. The apparatus of claim 1 or 3 including means for comparing the count total in said trials counter with a predetermined trials count and for issuing an output signal to terminate counting when the predetermined trials count is obtained.

6. The apparatus of claim 4 including control logic means connected to receive the output signal from said means for comparing the count in said trials counter and also receiving the response pulses and trials pulses outputs of said sampling means, said control logic means transmitting said response pulses and said trial pulses to said response and trials counters respectively as long as no signal is received from said means for comparing the count in said trials counter and blocking the passage of the response pulses and trials pulses when a signal is received from said means for comparing the count in said trials counter.

7. The apparatus of claim 1 or 3 including means for displaying to an operator the number of trials counted by said trials counter and means for displaying the number of responses counted by said response counter.

9. The apparatus of claim 1, 2, 3 or 8 including means for comparing the count total in said response counter with a predetermined response count and for issuing an output signal to terminate counting when the predetermined response count is obtained.

17. The apparatus of claim 1, 2, 3 or 8 further including automatic gain control means receiving the signal from the electroencephalographic transducer and stabilizing the average magnitude of the signal to a predetermined level.

18. The apparatus of claim 17 further including an overload detector which monitors the level of the electroencephalographic signal from the transducer and issues a logical high output when no overload is present and a logical low output when an overload is present, said apparatus further including an underload detector which issues a logical high output when the average electroencephalographic signal is above a predetermined level and issues a logical low output when the average electroencephalographic signal is below a predetermined level;

an AND gate which ands the outputs of said overload and underload detectors, the output of said AND gate provided to another input of another AND gate which has as its second input the trials pulses output, the output of said AND gate being further provided to the input of another AND gate which has its other input as the responses pulses output line, whereby the output of said last AND gate will correspond to the response pulses only if no overload and no underload is present in the electroencephalographic signal.

2. Apparatus for generating data from which the likelihood of hearing impairment can be determined in a human subject who receives a selected auditory signal and whose response thereto is detected by an electroencephalographic transducer, comprising:

(a) an auditory stimulus generator adapted to provide auditory signal pulses to the ear of the human subject at a known uniform frequency;

(b) sampling means for sampling the polarity of the electroencephalographic signal at predetermined times after the time of application of the selected auditory signal which correspond to the positive and negative peaks of the wave form of the expected response component of the electroencephalographic signal, said sampling means providing a response output pulse when the polarity of the sampled signal matches the polarity of the expected response waveform at the predetermined time;

(c) synchronizing means responsive to the auditory stimulus generator to trigger the sampling means at the predetermined times after the auditory signal; and

(d) a response counter receiving the response output pulses from said sampling means and counting the pulses received by it over a selected period of time and providing an output signal which is indicative of the total number of pulses counted, whereby an operator can determine from the number of response pulses counted over the selected period of time and the number of pulses generated by the auditory stimulus generator during the selected period of time a measure of the likelihood that a response is being evoked in a subject by the auditory signals.

16. The apparatus of claim 2 or 8 including means for displaying to an operator the number of responses counted by said response counter.

3. Apparatus for generating data from which the likelihood of hearing impairment can be determined in a human subject who receives a selected auditory signal and whose response thereto is detected by an electroencephalographic transducer, comprising:

(a) a handpass filter having a frequency pass hand containing the frequency of the component of the electroencephalographic signal expected as a response to the selected auditory signal in the subject being tested;

(b) sampling means for sampling the polarity of the filtered electroencephalographic signal at predetermined times after the time of application of the selected auditory signal which correspond to the positive and negative peaks of the waveform of the expected response component, said sampling means providing a response output pulse when the polarity of the sampled signal matches the polarity of the expected response waveform at the predetermined time and also providing a trial output pulse at the time of each sample;

(c) synchronizing means responsive to the auditory signal for triggering the sampling means at predetermined times after the auditory signal;

(d) a response counter receiving the response output pulses from said sampling means and counting the pulses received by it and providing an output signal which is indicative of the total number of pulses counted; and

(e) a trial counter receiving the trial output pulses from said sampling means and counting the number of pulses received by it and providing an output signal indicative of the total number of pulses counted, whereby an operator can determine the ratio of the number of response pulses to the number of trial pulses over a selected period of time to provide a measure of the likelihood that a response is being evoked in a subject by the auditory signals.

5. The apparatus of claim 3 including an auditory stimulus generator adapted to provide auditory signal pulses to the ear of the human subject at uniform frequency.

10. The apparatus of claim 8 or 5 wherein said auditory stimulus generator comprises:

(1) an audio frequency oscillator;

(2) an electronic gate receiving the signal from said audio frequency oscillator and passing the signal therethrough at a magnitude proportional to the gating pulse received by said gate;

(3) a gate generator providing gating pulses of selected duration to said electronic gate at selected time intervals, said gate generator adapted to be connected and sychronized to a clock oscillator to which said sampling means is sychronized, the output of said gate being adapted to be provided to an earphone worn by the subject being tested.

11. The apparatus of claim 10 wherein said audio frequency oscillator generates an audio frequency at approximately 1,000 Hz, wherein the gating pulses provided by said gate generator to said electronic gate are approximately 8.5 milliseconds in duration and have a 2 millisecond ramp rise time and a 2 millisecond ramp decay time, and wherein the gating pulses are provided at a frequency of approximately 12.5 Hz.

12. The apparatus of claim 8 or 5 wherein said bandpass filter substantially attenuates the frequencies of signals provided to it below approximately 25 Hz and above 100 Hz, and wherein said sampling means samples at times which are approximately 30, 41, 51 and 64 milliseconds after the auditory signal is provided by said auditory stimulus generator to an adult subject.

13. The apparatus of claim 8 or 5 wherein said bandpass filter substantially attenuates the frequencies of signals provided to it below approximately 25 Hz and about 100 Hz, and wherein said sampling means samples at times which are approximately 28, 38, 54, and 71 milliseconds after the auditory signal is provided by said auditory stimulus generator to an infant subject.

14. The apparatus of claim 3 or 8 including a clock oscillator providing uniform clock pulses and wherein said sampling means includes:

(1) a comparator which receives the filtered electroencephalographic signal from said band pass filter and provides a signal positive output on a first line which is in a logical high state when the input signal to the comparator is positive in polarity and is low otherwise, and a signal negative output on a second line which provides a logical high when the input to the comparator is negative in polarity and is low otherwise;

(2) adjustable delay means, receiving clock pulses from said clock oscillator which are synchronized to the pulses of the auditory stimulus provided to the subject, and having four outputs, for providing a pulse on a first of said outputs a selected period of time after each clock pulse which corresponds in time to the first positive peak in the expected waveform, providing a pulse on a second of said outputs corresponding to the time of the first negative peak in the expected response waveform, providing a pulse on a third of its outputs corresponding to the time of the second positive peak in the expectd response waveform, and providing a pulse on a fourth of its outputs at a time corresponding to the second negative peak in the expected response waveform;

(3) logic means for combining the outputs of said comparator and said adjustable delay means and providing a response output which is at a logical high level when a pulse is present on the first or third of said adjustable delay outputs and a pulse is present on said signal positive output of said comparator or when a pulse is present on said second and fourth outputs of said adjustable delay means and a pulse is present on said signal negative output of said comparator, and wherein said logic means also provides a trials output which is at a logical high level when any of the outputs of said adjustable delay means are at a logical high level.

15. The apparatus of claim 3 or 8 including control logic means connected to receive the output signal from said means for monitoring the count in said responses counter and also receiving the response pulse output of said sampling means, said control logic means transmitting said response pulses to said response counter as long as no signal is received from said means for comparing the count in said response counter and blocking the passage of the response pulses when a signal is received from said means for comparing the count in said response counter.

19. The apparatus of claim 3 or 8 including an electroencephalographic transducer attachable to a subject to be tested and providing its output to said bandpass filter.

8. Apparatus for generating data from which the likelihood of hearing impairment can be determined in a human subject who receives a selected auditory signal and whose response thereto is detected by an electroencephalographic transducer, comprising:

(a) an auditory stimulus generator adapted to provide auditory signal pulses to the ear of the human subject at a uniform frequency.

(b) a bandpass filter having a frequency pass band containing the frequency of the component of the electroencephalographic signal expected as a response to the selected auditory signal in the subject being tested;

(c) sampling means for sampling the polarity of the filtered electroencephalographic signal at predetermined times after the time of application of the selected auditory signal which correspond to the positive and negative peaks of the waveform of the expected response component, said sampling means providing a response output pulse when the polarity of the sampled signal matches the polarity of the expected response waveform at the predetermined time;

(d) synchronizing means responsive to the auditory stimulus generator to trigger the sampling means at the predetermined times following the auditory signals; and

(e) a response counter receiving the response output pulses from said sampling means and counting the pulses received by it over a selected period of time and providing an output signal which is indicative of the total number of pulses counted, whereby an operator can determine from the number of response pulses counted over the selected period of time and the number of auditory signal pulses over the selected period of time a measure of the likelihood that a response is being evoked in a subject by the auditory signals.

20. A method of generating data which can be used to determine whether a human subject is capable of responding to auditory stimuli without requiring voluntary cooperation by the subject, comprising the steps of:

(a) providing a series of auditory stimulus pulses to the ear of the subject during a test period;

(b) detecting the electroencephalographic response of the subject to the stimulus pulses and providing an electrical signal corresponding thereto;

(c) sampling the polarity of the electroencephalographic signal at predetermined times after the time of application of the auditory stimulus pulses to determine whether the polarity of the sampled signal matches the polarity of the waveform of the expected response component of the electroencephalographic signal at the time of the sample;

(d) counting the total number of matches of the polarity of the electroencephalographic signal with the polarity of the expected waveform over the period of the test;

(e) counting the total number of trials at which the electroencephalographic signal was sampled during the test.

21. A method of generating data which can be used to determine whether a human subject is capable of responding to auditory stimuli without requiring voluntary cooperation by the subject, comprising the steps of:

(a) providing a series of auditory stimulus pulses to the ear of the subject during a test period;

(b) detecting the electroencephalographic response of the subject to the stimulus pulses and providing an electrical signal corresponding thereto;

(c) filtering out frequency components of the electroencephalographic signal above and below a pass band of frequencies containing the frequency of the waveform of the expected response component of the electroencephalographic signal to improve the signal to noise ratio of the filtered signal;

(d) sampling the polarity of the filtered electroencephalographic signal at predetermined times after the time of application of the auditory stimulus pulses to determine whether the polarity of the sampled signal matches the polarity of the waveform of the expected response component of the electroencephalographic signal at the time of the sample;

(e) counting the total number of matches of the polarity of the electroencephalographic signal with the polarity of the expected waveform over the period of the test;

(f) counting the total number of trials at which the electroencephalographic signal was sampled during the test.

22. The method of claim 21 further including the steps of:

calculating the ratio of the number of responses counted to the number of trials counted over the test;

calculating a statistical confidence limit ratio of responses to trials at a selected confidence level, and

comparing the ratio of responses to trials with the value of the confidence limit calculated to determine whether the ratio of responses to trials indicates that the hypothesis that a response is not present may be rejected with a probability of error determined by the confidence level selected.