Patient data display

• US 9,717,439 B2
• Filed: 03/31/2010
• Issued: 08/01/2017
• Est. Priority Date: 03/31/2010
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Giftakis, Jonathon E., Denison, Timothy J.
• Primary Examiner(s): WEARE, MEREDITH H
• Application Number:
  US12/751,508
• Publication Number:
  US 20110245629A1
• Time in Patent Office: 2,680 Days
• Field of Search: 600301, 600544, 600545
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6828 Leg
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/6868 Brain
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61B 5/744 Displaying an avatar, e.g. an animated cartoon character

Abstract

The temporal correlation between a bioelectrical brain signal of a patient and patient motion data, such as a signal indicative of patient motion or a patient posture indicator, is displayed by a display device. In some examples, the patient posture indicator comprises a graphical representation of at least a portion of a body of the patient. In some examples, the temporal correlation between a bioelectrical brain signal, a signal indicative of patient motion, and a signal indicative of cardiac activity of the patient is displayed by the display device.

Claims

1. A method comprising:

displaying, with a display device, a bioelectrical brain signal of a patient;

generating and displaying, with the display device, a patient posture indicator that is temporally correlated with a segment of the bioelectrical brain signal indicative of a seizure event of the patient, wherein the patient posture indicator comprises a graphical representation of at least a portion of a body of the patient during the seizure event, and wherein displaying the bioelectrical brain signal and displaying the patient posture indicator comprises displaying a graphical user interface that includes the bioelectrical brain signal and the patient posture indicator;

displaying, with the display device, a representation of a temporal correlation between the bioelectrical brain signal of a patient and a signal indicative of motion of the patient; and

displaying, with the display device, a sliding window that highlights the segment of the bioelectrical brain signal indicative of the seizure event of the patient and a portion of the signal indicative of motion of the patient that were sensed during a common time period.

2. The method of claim 1, wherein generating the patient posture indicator comprises:

determining a posture state of the patient based on a segment of the signal indicative of motion of the patient temporally correlated with the segment of the bioelectrical brain signal indicative of the seizure event of the patient;

selecting the patient posture indicator based on the determined posture state; and

displaying the selected patient posture indicator.

3. The method of claim 2, wherein the patient posture state comprises a posture state associated with at least one of a fall, a sitting upright after a fall, standing upright after a fall, a tonic seizure component, a clonic seizure component, a tonic-clonic seizure, convulsive activity, nocturnal seizure activity, a dystonic-type movement, a compulsive motor activity, or a tic behavior.

4. The method of claim 1, wherein displaying the patient posture indicator comprises displaying a plurality of patient posture indicators, each of the plurality of patient posture indicators being temporally correlated with a respective segment of a plurality of segments of the bioelectrical brain signal of the patient, the plurality of segments of the bioelectrical brain signal comprising the segment of the bioelectrical brain signal indicative of the seizure event of the patient.

5. The method of claim 4, wherein displaying the plurality of patient posture indicators comprises displaying one patient posture indicator of the plurality of patient posture indicators at a time.

6. The method of claim 1, further comprising displaying, with the display device, a marker that identifies a portion of the bioelectrical brain signal temporally correlated with a change in a posture state of the patient.

7. The method of claim 1, further comprising displaying, with the display device, a signal indicative of cardiac activity of the patient that is temporally correlated with the bioelectrical brain signal of the patient and the patient posture indicator.

8. The method of claim 1, further comprising receiving, with the display device, user input selecting a type of patient posture indicator, wherein displaying, with the display device, the bioelectrical brain signal of a patient comprises displaying the bioelectrical brain signal that temporally correlates to the selected type of patient posture indicator.

9. The method of claim 1, further comprising receiving, via the display device, user input characterizing the seizure event of the patient after displaying the bioelectrical brain signal and the patient posture indicator.

10. The method of claim 1, further comprising, with the display device, identifying the segment of the bioelectrical brain signal indicative of the seizure event of the patient by at least executing a seizure detection algorithm.

11. The method of claim 10, further comprising receiving, with the display device, user input modifying the seizure detection algorithm after displaying the bioelectrical brain signal and the patient posture indicator.

12. The method of claim 1, wherein the segment of the bioelectrical brain signal comprises a first segment of the bioelectrical brain signal, the method further comprising:

identifying, with the display device, a second segment of the bioelectrical brain signal indicative of the seizure event of the patient, wherein the second segment of the bioelectrical brain signal indicates that the seizure event is impending; and

presenting, with the display device, a visual alert indicating that the seizure event is impending.

13. A system comprising:

a user interface; and

a processor configured to generate and display, via the user interface, a graphical user interface comprising a bioelectrical brain signal of a patient, a patient posture indicator, a signal indicative of motion of the patient, and a sliding window, wherein the patient posture indicator is temporally correlated with a segment of the bioelectrical brain signal indicative of a seizure event of the patient, wherein the patient posture indicator comprises a graphical representation of at least a portion of a body of the patient during the seizure event, and wherein the sliding window highlights the segment of the bioelectrical brain signal indicative of the seizure event of the patient and a portion of the signal indicative of motion of the patient temporally correlated with the segment of the bioelectrical brain signal.

14. The system of claim 13, wherein the processor is configured to generate the patient posture indicator by at least determining a posture state of the patient based on a segment of the signal indicative of motion of the patient temporally correlated with the segment of the bioelectrical brain signal indicative of the seizure event of the patient, and selecting the patient posture indicator based on the determined posture state.

15. The system of claim 13, wherein the graphical user interface further comprises a plurality of patient posture indicators, each of the plurality of patient posture indicators being temporally correlated with a respective segment of a plurality of segments of the bioelectrical brain signal of the patient, the plurality of segments of the bioelectrical brain signal comprising the segment of the bioelectrical brain signal indicative of the seizure event of the patient.

16. The system of claim 13, wherein the graphical user interface further comprises a marker that identifies a portion of the bioelectrical brain signal temporally correlated with a change in a posture state of the patient.

17. The system of claim 13, further comprising a first sensor configured to generate the bioelectrical brain signal of the patient and a second sensor configured to generate the signal indicative of motion of the patient, wherein the processor is configured to generate the patient posture indicator based on the signal indicative of motion of the patient.

18. The system of claim 13, wherein the graphical user interface further comprises a signal indicative of cardiac activity of the patient that is temporally correlated with the bioelectrical brain signal of the patient and the patient posture indicator.

19. The system of claim 13, wherein the processor is configured to receive, via the user interface, user input selecting a type of patient posture indicator, wherein the bioelectrical brain signal temporally correlates to the selected type of patient posture indicator.

20. The system of claim 13, wherein the processor is further configured to receive, via the user interface, user input characterizing the seizure event of the patient after displaying the bioelectrical brain signal and the patient posture indicator.

21. The system of claim 13, wherein the segment of the bioelectrical brain signal comprises a first segment of the bioelectrical brain signal, and wherein the processor is further configured to:

identify a second segment of the bioelectrical brain signal indicative of the seizure event of the patient, wherein the second segment of the bioelectrical brain signal indicates that the seizure event is impending, and

present, via the user interface, a visual alert indicating that the seizure event is impending.

22. A system comprising:

means for displaying a bioelectrical brain signal of a patient; and

means for generating a patient posture indicator that is temporally correlated with a segment of the bioelectrical brain signal indicative of a seizure event of the patient, wherein the patient posture indicator comprises a graphical representation of at least a portion of a body of the patient during the seizure event, wherein the means for displaying displays a graphical user interface comprising the patient posture indicator, the bioelectrical brain signal, a signal indicative of motion of the patient, and a sliding window that highlights the segment of the bioelectrical brain signal indicative of the seizure event of the patient and a portion of the signal indicative of motion of the patient temporally correlated with the segment of the bioelectrical brain signal.

23. The system of claim 22, wherein the graphical user interface further comprises a signal indicative of cardiac activity of the patient that is temporally correlated with the bioelectrical brain signal of the patient and the patient posture indicator.

24. A non-transitory computer-readable medium comprising instructions that cause a programmable processor to:

display a bioelectrical brain signal of a patient;

generate and display a patient posture indicator that is temporally correlated with a segment of the bioelectrical brain signal indicative of a seizure event of the patient, wherein the patient posture indicator comprises a graphical representation of at least a portion of a body of the patient during the seizure event, and wherein the instructions cause the programmable processor to display the bioelectrical brain signal and the patient posture indicator by at least displaying a graphical user interface that includes the bioelectrical brain signal and the patient posture indicator; and

display a signal indicative of motion of the patient and a sliding window that highlights the segment of the bioelectrical brain signal indicative of the seizure event of the patient and a portion of the signal indicative of motion of the patient temporally correlated with the segment of the bioelectrical brain signal.

25. The non-transitory computer-readable medium of claim 24, further comprising instructions that cause the programmable processor to display a signal indicative of cardiac activity of the patient that is temporally correlated with the bioelectrical brain signal of the patient and the patient posture indicator.