Method and apparatus for quantifying the hypnotic component of the depth of anesthesia by monitoring changes in optical scattering properties of brain tissue

• US 6,526,297 B1
• Filed: 09/29/2000
• Issued: 02/25/2003
• Est. Priority Date: 10/04/1999
• Status: Expired due to Term

• Current Assignee: Instrumentarium Dental Incorporated (Envista Holdings Corporation)
• Original Assignee: Instrumentarium Dental Incorporated (Envista Holdings Corporation)
• Inventors: Meriläinen, Pekka
• Primary Examiner(s): Winakur, Eric F.
• Assistant Examiner(s): KREMER, MATTHEW J
• Application Number:
  US09/675,871
• Time in Patent Office: 879 Days
• Field of Search: 600/309-310, 600/322-324, 600/473-479, 356/39-42
• US Class Current: 600/310
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/4821 Determining level or depth of anaesthesia A61B5/1106 takes precedence
• CPC Class Codes: A61M 16/01 specially adapted for anaesthetising A61M16/104, A61M16/18 take precedence

Abstract

A method/apparatus for non-invasively measuring a neurological activity state in the brain of a subject to ascertain, for example, the state of the hypnotic component of the subject'"'"'s anesthesia. The method/apparatus comprises means for, or the step of, passing light through a portion of the brain of the subject, the light having a characteristic that subjects it to scattering during passage by tissues of the brain, the light scattering capabilities of the brain tissues varying responsive to their neurological activity. The light exiting the brain tissue portion is measured to determine the amount of scattering it has undergone as a measurement of the state of the hypnotic component of the subject'"'"'s anesthesia. Light having a wavelength in a range of 650-1000 nm, preferably around 800 nm may be used.

Claims

1. Method for non-invasively measuring neurological activity in the brain of a subject to ascertain a state of hypnosis of an anesthetized subject or a state of sedation of the subject, said method comprising the steps of:

passing light through a portion of the brain of the subject, the light having a characteristic that subjects it to scattering during passage by tissues of the brain, the light scattering capabilities of the brain tissues varying responsive to their neurological activity;

sensing light that has passed through the portion of the brain and that has thereafter become available for sensing; and

measuring the sensed light, in the form it became available for sensing, to determine the amount of scattering present in the sensed light and resulting from the passage of the light through the brain tissue as a measurement of the state of hypnosis or sedation of the subject.

2. The method of claim 1 further defined as passing light, the wavelength of which is in the near infrared range, through a portion of the brain.

3. The method of claim 1 further defined as passing light, the wavelength of which is selected so that the light is subjected to scattering but does not react primarily to the state of oxygenation of the brain tissue.

4. The method of claim 1 further defined as passing light having a wavelength in a range of 650-1000 nm through a portion of the brain.

5. The method of claim 4 further defined as passing light having a wavelength of substantially 800 nm through a portion of the brain.

6. The method of claim 1 further defined as including the steps of emitting light from a source comprised of one of a light emitting diode or a diode laser and passing the emitted light through a portion of the brain of the subject.

7. The method of claim 1 further defined as including the steps of sensing the light that has passed through the portion of the brain by a detector comprised of one of a photomultiplier tube or a photodiode and measuring the sensed light using an output signal of the detector.

8. The method of claim 1 further including the step of attaching a light emitter on a skin surface of the subject.

9. The method of claim 1 further defined as including, the step of transmitting light via optical light conducting means to a skin surface of the subject for passing through a portion of the brain.

10. The method of claim 1 further including the step of attaching a light detector on a skin surface of the subject.

11. The method of claim 1 further defined as including the step of transmitting light via optical light conducting means from a skin surface of the subject.

12. The method of claim 1 further including the steps of emitting light by one or more emitters for passage through the brain tissue portion, sensing light that has passed through the portion of the brain by a single detector, and measuring the sensed light using an output signal of the detector.

13. The method of claim 1 including the steps of emitting light for passage through the brain tissue portion by a single emitter, sensing light that has passed through the portion of the brain by one or more detectors, and measuring the sensed light using an output signal of the one or more detectors.

14. The method of claim 1 including the step of arranging a plurality of means for emitting and sensing light in a pattern having a centrally located one of said means and a plurality of said means located around the central one of said means.

15. The method of claim 1 further defined as including the steps of emitting light as a pulse and synchronously sensing the light that has passed through the portion of the brain.

16. The method of claim 1 further defined as one for additionally measuring the oxygenation of the brain and as including the steps of passing additional light through a portion of the brain tissue, the additional light having wavelength characteristics suitable for oxygenation measurement, and measuring the additional light to determine oxygenation.

17. Apparatus for non-invasively measuring neurological activity in the brain of a subject to ascertain a state of hypnosis of an anesthetized subject or a state of sedation of the subject, said apparatus comprising:

a light emitter emitting light for passage through a portion of the brain of the subject, the light having a characteristic that subjects it to scattering during passage by tissues of the brain, the light scattering capabilities of the brain tissues varying responsive to their neurological activity; and

a light detector for sensing light that has passed through the portion of the brain and that has thereafter become available for sensing, said light detector measuring the sensed light, in the form it became available for sensing, to determine the amount of scattering present in sensed light and resulting from the passage of the light through the brain tissue as a measurement of the state of hypnosis or sedation of the subject.

18. The apparatus of claim 17 wherein the light emitter is further defined as emitting light as a pulse and said light detector is further defined as synchronously sensing light that has passed through the portion of the brain.

19. The apparatus of claim 17 further defined as one for additionally measuring the oxygenation of the brain and as including an additional light emitter emitting light for passage through a portion of the brain, the light of said additional light emitter having wavelength characteristics suitable for oxygenation measurement, and a light detector for detecting the light from said additional light emitter exiting the brain tissue portion and for measuring same to determine oxygenation.

20. The apparatus of claim 17 wherein said light emitter is further defined as emitting light, the wavelength of which is in the near infrared range.

21. The apparatus of claim 17 further defined as passing light, the wavelength of which is selected so that the light is subjected to scattering but does not react primarily to the state of oxygenation of the brain tissue.

22. The apparatus of claim 19 wherein said light emitter is further defined as emitting light having a wavelength in a range of 650-1000 nm.

23. The apparatus of claim 22 wherein said light emitter is further defined as emitting light having a wavelength of substantially 800 nm.

24. The apparatus of claim 19 wherein said light emitter is further defined as comprising of one of a light emitting diode or a diode laser.

25. The apparatus of claim 19 wherein said light detector is further defined as comprising of one of a photomultiplier tube or a photodiode.

26. The apparatus of claim 19 wherein said light emitter includes means for attaching the light emitter on a skin of the subject.

27. The apparatus of claim 19 wherein at least one of said light emitter and light detector includes means for transmitting light via optical light conducting means to or from a skin surface of the subject.

28. The apparatus of claim 19 wherein said light detector includes means for attaching the light detector on a skin surface of the subject.

29. The apparatus of claim 19 further defined as including a plurality of light emitters and a single light detector.

30. The apparatus of claim 19 further defined as including a single light emitter and a plurality of light detectors.

31. The apparatus of claim 19 further defined as including a plurality of light emitters and light detectors arranged in a pattern having a centrally located one of said elements and a plurality of said elements located around the central one of said elements.