Method and system for positioning a sensor

• US 8,577,440 B2
• Filed: 03/29/2011
• Issued: 11/05/2013
• Est. Priority Date: 03/29/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Afanasewicz, Elizabeth A., Harhen, Robert P., Young, Adam J., Cordero, Rafael M.
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US13/074,127
• Publication Number:
  US 20120253163A1
• Time in Patent Office: 952 Days
• Field of Search: 600/383, 600391-393, 600/544
• US Class Current: 600/383
• CPC Class Codes: A61B 2562/164 the sensor is mounted in or on a conformable substrate or carrier
• CPC Class Codes: A61B 5/291 for electroencephalography [EEG]
• CPC Class Codes: A61B 5/296 for electromyography [EMG]
• CPC Class Codes: A61B 5/6814 Head

Abstract

Embodiments of the present disclosure relate to sensor designs or shapes configured to facilitate placement of sensor electrodes and, thus, proper positioning of the sensors on patients. According to certain embodiments, a sensor may include a substrate that includes multiple electrodes, where a first electrode is configured to be placed on a patient'"'"'s temple and a second electrode is configured to be placed on a patient'"'"'s forehead directly above a patient'"'"'s eyebrow. The sensor may include a particular shape and a fixed distance between the first and second electrodes to facilitate proper angling and positioning of the first and second electrodes as well as the other electrodes (e.g., third and fourth electrodes). Other embodiments may include a method for positioning the sensor on the patient, including a monitor with help screens.

Claims

1. A bispectral index sensor comprising:

an elongated substrate having;

a first end portion and a second end portion and having a first electrode disposed on the first end portion and a second electrode disposed on the second end portion, the first electrode and the second electrode being separated from one another by a distance substantially equal to a distance from a patient'"'"'s temple to a central portion of a patient'"'"'s forehead, such that the first electrode is adapted to be placed on a patient'"'"'s temple and the second electrode is adapted to be placed on the central portion of the patient'"'"'s forehead;

a third electrode and a fourth electrode disposed on the substrate in spaced apart relation between the first electrode and the second electrode, wherein the third electrode is positioned on the substrate to be placed on the patient'"'"'s forehead directly above the patient'"'"'s eye when the first electrode is placed on the patient'"'"'s temple and the second electrode is placed on the central portion of the patient'"'"'s forehead, the fourth electrode being positioned on the substrate between the second electrode and the third electrode and being adapted to be placed on the patient'"'"'s forehead between the second electrode and the third electrode;

wherein the elongated substrate has a width and a thickness, and wherein the substrate is sufficiently rigid in a direction along the width to prevent the electrodes from moving laterally relative to a longitudinal axis of the sensor and being sufficiently flexible along the thickness to facilitate bending of the substrate about a patient'"'"'s head when the first electrode is placed on the patient'"'"'s temple and the second electrode is placed on the central portion of the patient'"'"'s forehead.

2. The sensor, as set forth in claim 1, wherein the substrate comprises an adhesive layer to facilitate attachment of the first electrode to the patient'"'"'s temple and the second electrode to the central portion of the patient'"'"'s forehead.

3. The sensor, as set forth in claim 1, wherein the elongated substrate has a length, wherein the length is substantially greater than the width and wherein the width is substantially greater than the thickness.

4. The sensor, as set forth in claim 1, wherein the substrate comprises a bridge disposed between the first electrode and the third electrode, wherein the bridge is configured to prevent the first and the third electrodes from moving laterally relative to the longitudinal axis of the sensor.

5. The sensor, as set forth in claim 4, wherein the bridge comprises a concave curvature configured to trace up and around lateral and top edges of an eyebrow of the patient to reinforce correct positioning of the first electrode and the third electrode.

6. The sensor, as set forth in claim 4, wherein the bridge comprises notches disposed at a mid-portion of the bridge, wherein the notches are configured to allow rotational movement of the first electrode about the longitudinal axis of the sensor.

7. The sensor, as set forth in claim 1, wherein the substrate surrounds the electrodes, the substrate surrounding the first and second electrodes includes protrusions configured to counteract peeling forces and to reduce adhesion shear.

8. The sensor, as set forth in claim 1, wherein the substrate surrounds the electrodes, the substrate surrounding each of the electrodes includes protrusions configured to counteract peeling forces and to reduce adhesion shear.

9. The sensor, as set forth in claim 1, wherein the substrate comprises a tail section on the second end portion which is coupled to an electrical cable and which is configured to resist lift-off in response to movement of the electrical cable.

10. The sensor, as set forth in claim 9, wherein the second end portion of the substrate proximate the second electrode comprises protrusions and a radiused cut out to separate the protrusions, wherein the protrusions are configured to provide forces to counteract lift-off of the tail section.

11. The sensor, as set forth in claim 10, wherein the tail section of the substrate comprises a knife-cut to separate the tail section from the protrusions.

12. The sensor, as set forth in claim 1, wherein the substrate comprises indicia to facilitate proper placement of the sensor on the patient, wherein the indicia comprises at least one arrow proximate the second electrode, the arrow being positioned to point toward a patient'"'"'s nose when the first electrode is placed on the patient'"'"'s temple and the second electrode is placed on the central portion of the patient'"'"'s forehead.

13. A method for attachment of a bispectral index sensor to a patient, the method comprising:

positioning a first electrode on a patient'"'"'s temple;

positioning a second electrode on a patient'"'"'s forehead directly above a patient'"'"'s eye;

positioning a third electrode on a central portion of the patient'"'"'s forehead; and

positioning a fourth electrode on the patient'"'"'s forehead between the second electrode and the third electrode, wherein the bispectral index sensor comprises a substrate supporting the electrodes and having a bridge disposed between the first and second electrodes, wherein the bridge is sufficiently rigid to prevent the first and the second electrodes from moving laterally relative to a longitudinal axis of the sensor.

14. The method, as set forth in claim 13, wherein the substrate has a width and a thickness, and the substrate is sufficiently rigid along the width to prevent the electrodes from moving laterally relative to the longitudinal axis of the sensor and sufficiently flexible along the thickness to facilitate bending of the substrate about the patient'"'"'s forehead.

15. The method, as set forth in claim 13, wherein the substrate surrounds the electrodes, the substrate surrounding the first and the third electrodes comprises protrusions configured to counteract peeling forces and to reduce adhesion shear.

16. The method, as set forth in claim 15, wherein the substrate comprises a tail section which is coupled to an electrical cable, wherein the tail section of the substrate comprises a knife-cut to separate the tail section from at least one of the protrusions.

17. The method, as set forth in claim 13, wherein the bridge comprises notches disposed at a mid-portion of the bridge, wherein the notches are configured to allow rotational movement of the first electrode about the longitudinal axis of the sensor.

18. The method, as set forth in claim 13, wherein the bridge comprises a concave curvature configured to trace up and around lateral and top edges of an eyebrow of the patient to reinforce correct positioning of the first electrode and the second electrode.

19. The method, as set forth in claim 13, wherein the substrate comprises a second end portion proximate to the third electrode, the second end portion having a tail section coupled to an electrical cable, wherein the second end portion comprises protrusions and a radiused cut out to separate the protrusions.

20. A monitor comprising:

a display unit configured to display at least one help screen to facilitate a correct placement of a sensor on a patient, wherein the sensor comprises an elongated substrate having a first end portion and a second end portion and having a first electrode disposed on the first end portion and a second electrode disposed on the second end portion, the first electrode and the second electrode being separated from one another by a distance substantially equal to a distance from a patient'"'"'s temple to a central portion of a patient'"'"'s forehead, such that the first electrode is adapted to be placed on the patient'"'"'s temple and the second electrode is adapted to be placed on the central portion of the patient'"'"'s forehead, and a third electrode positioned on the substrate to be placed on the patient'"'"'s forehead directly above a patient'"'"'s eye when the first electrode is placed on the patient'"'"'s temple and the second electrode is placed on the central portion of the patient'"'"'s forehead, and a fourth electrode being positioned on the substrate between the second electrode and the third electrode and being adapted to be placed on the patient'"'"'s forehead between the second electrode and the third electrode, wherein the at least one help screen comprises at least one help screen illustrating a representation of a portion of the patient'"'"'s head and proper placement of the sensor on the portion of the patient patient'"'"'s head.

21. The monitor, as set forth in claim 20, wherein the display unit is configured to display a first help screen illustrating positioning of the first electrode on the patient'"'"'s temple, a second help screen illustrating positioning the third electrode directly above the patient'"'"'s forehead directly above the patient'"'"'s eye, and a third help screen illustrating positioning the second electrode on the central portion of the patient'"'"'s forehead when the first electrode has been placed on the patient'"'"'s temple and the third electrode has been placed on the patient'"'"'s forehead directly above the patient'"'"'s eye.

22. The monitor, as set forth in claim 20, wherein the display unit is configured to display a screen to verify a proper electrical contact or placement of the sensor on the patient.

23. The monitor, as set forth in claim 20, wherein the substrate has a length, a width, and a thickness, and is sufficiently rigid in a direction along the width to prevent the electrodes from moving laterally relative to a longitudinal axis of the sensor.

24. The monitor, as set forth in claim 20, wherein the substrate includes protrusions surrounding at least the first and the third electrodes, the protrusions being configured to counteract peeling forces and to reduce adhesion shear.