Physiological signal monitoring apparatus and method

• US 20050165323A1
• Filed: 05/19/2004
• Published: 07/28/2005
• Est. Priority Date: 10/07/1999
• Status: Abandoned Application

• Current Assignee: Lamont LLC
• Original Assignee: Lamont LLC
• Inventors: Chang, Ming, Milsap, Jeffrey P., Palmer, Robert L., Bold, Jason W., Strelow, Daniel C., Wierschke, Jeffrey, Jacobs, Ernest C., Montgomery, Peter G., Montgomery, Anthony R., Jamieson, Elaine, Micoley, Scott H., Code, Douglas M., Carpiaux, Douglas
• Application Number:
  US10/848,968
• Publication Number:
  US 20050165323A1
• Time in Patent Office: Days
• US Class Current: 600/544
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/372 Analysis of electroencephalograms
• CPC Class Codes: A61B 5/384 Recording apparatus or displays specially adapted therefor
• CPC Class Codes: A61B 5/386 Accessories or supplementary instruments therefor
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period

Abstract

Preferred embodiments of the invention employ a portable and wearable EEG monitoring device having a patient-worn amplifier releasably coupled to a host computer for transmitting EEG signals. When patient disconnection from the host computer is desired, a portable operations device (POD) can be connected to the amplifier. Preferably upon detecting disconnection, a controller causes new EEG signals to be routed to a removable memory or transmitter peripheral card, enabling seamless data acquisition. Upon detecting reconnection between the amplifier and the host computer, the controller causes new EEG signals to be routed to the host computer. The controller also preferably transmits EEG signals stored on the peripheral memory card (if used) to the host computer. Preferred embodiments include a handheld display apparatus for viewing EEG signals and electrode information. Also, preferred embodiments reduce patient tethers by connecting multiple amplifiers in a daisy-chain format (most preferably on a PAN bus).

Claims

1. An electroencephalographic patient monitoring system for monitoring electrical physiological signals from the brain of a patient and for communication with a host computer, the electroencephalographic patent monitoring system comprising:

a host computer interface;

an amplifier having a communications port for transmitting electroencephalographic signals to the host computer; and

a portable operations device coupled to the amplifier, the portable operations device having

a memory; and

a controller responsive to disconnection of communication between the communications port and the host computer by transmitting electroencephalographic signals to the memory.

2. The electroencephalographic patient monitoring system as claimed in claim 1, further comprising a bay in the portable operations device within which the memory is removably received.

3. The electroencephalographic patient monitoring system as claimed in claim 2, wherein the memory is on a peripheral card removably received within the bay in the portable operations device.

4. The electroencephalographic patient monitoring system as claimed in claim 1, further comprising a cable for connecting the communications port with the host computer interface, wherein electroencephalographic signals are transmitted from the amplifier to the host computer interface via the cable.

5. The electroencephalographic patient monitoring system as claimed in claim 4, wherein power is supplied to the amplifier and to the portable operations device via the cable.

6. The electroencephalographic patient monitoring system as claimed in claim 5, further comprising a battery coupled to the portable operations device, the amplifier and the portable operations device powered by the battery when the cable between the amplifier and the host computer is disconnected.

7. The electroencephalographic patient monitoring system as claimed in claim 1, further comprising:

a wireless transmitter coupled to the communications port; and

a wireless receiver for coupling to the host computer interface,

wherein communication between the communications port and the host computer interface is via the wireless transmitter and receiver.

8. The electroencephalographic patient monitoring system as claimed in claim 7, further comprising a battery coupled to and powering the portable operations device and amplifier.

9. The electroencephalographic patient monitoring system as claimed in claim 1, wherein the controller is responsive to re-establishment of communication between the communications port and the host computer by routing new electroencephalographic signals from the patient to the host computer and by transmitting electroencephalographic signals in the memory to the host computer.

10. The electroencephalographic patient monitoring system as claimed in claim 1, wherein the controller is responsive to re-establishment of communication between the communications port and the host computer by simultaneously routing new electroencephalographic signals from the patient to the host computer and transmitting electroencephalographic signals in the memory to the host computer.

11. The electroencephalographic patient monitoring system as claimed in claim 1, further comprising:

at least one electrode operable to receive electroencephalographic signals from the patient'"'"'s brain; and

a jackbox coupled to the amplifier and to the at least one electrode to transmit electroencephalographic signals from the patient'"'"'s brain to the amplifier.

12. The electroencephalographic patient monitoring system as claimed in claim 11, wherein the portable operations device has

an input coupled to the controller and operable to receive the electroencephalographic signals from the amplifier;

and

at least one other input coupled to the controller and operable to receive at least one other type of physiological signal from the patient.

13. The electroencephalographic patient monitoring system as claimed in claim 12, wherein the at least one other input is a microphone jack.

14. The electroencephalographic patient monitoring system as claimed in claim 12, wherein the at least one other input is a light sensor.

15. The electroencephalographic patient monitoring system as claimed in claim 12, wherein the at least one other input is a jack releasably connectable to a patient physiological signal monitoring device.

16. The electroencephalographic patient monitoring system as claimed in claim 1, wherein the amplifier has an expansion port to which at least one additional amplifier can be releasably coupled.

17. The electroencephalographic patient monitoring system as claimed in claim 16, further comprising a peripheral area network bus defined in part by the expansion port of the amplifier.

18. The electroencephalographic patient monitoring system as claimed in claim 1, wherein the amplifier and the portable operations device are wearable upon the patient.

19. The electroencephalographic patient monitoring system as claimed in claim 1, further comprising a communications port for transmitting video signals to the host computer.

20. The electroencephalographic patient monitoring system as claimed in claim 1, further comprising a communications port for transmitting audio signals to the host computer.

21. The electroencephalographic patient monitoring system as claimed in claim 1, further comprising a stimulation generator in the amplifier for cortical stimulation.

22. A method of monitoring electroencephalographic signals from a patient'"'"'s brain, comprising:

amplifying electroencephalographic signals from the patient'"'"'s brain;

transmitting amplified electroencephalographic signals to a host computer;

detecting loss of communication with the host computer;

transmitting amplified electroencephalographic signals to a portable memory device on the patient in response to detecting loss of communication with the host computer;

storing the amplified electroencephalographic signals as data in the portable memory device while communication with the host computer is lost;

detecting re-establishment of communication with the host computer; and

transmitting new amplified electroencephalographic signals to the host computer.

23. The method as claimed in claim 22, wherein the portable memory device is a peripheral card coupled to the amplifier.

24. The method as claimed in claim 23, wherein the portable memory device is coupled to the amplifier via a bay on the patient, the method further comprising removing the peripheral card from the bay.

25. The method as claimed in claim 22, further comprising removing the peripheral card from the patient.

26. The method as claimed in claim 22, further comprising transmitting data from the portable memory device after detecting re-establishment of communication with the host computer.

27. The method as claimed in claim 22, further comprising transmitting data from the portable memory device simultaneously with transmitting the new amplified electroencephalographic signals to the host computer.

28. The method as claimed in claim 22, wherein electroencephalographic signals from the patient'"'"'s brain are amplified by an amplifier worn by the patient.

29. The method as claimed in claim 28, wherein amplified electroencephalographic signals are transmitted to the host computer via a cable coupled to the amplifier and to the host computer, the method further comprising disconnecting the cable.

30. The method as claimed in claim 29, further comprising re-connecting the cable prior to detecting re-establishment of communication with the host computer.

31. The method as claimed in claim 22, wherein the electroencephalographic signals are amplified by at least two amplifiers coupled together.

32. The method as claimed in claim 31, wherein the at least two amplifiers are coupled together along a peripheral area network bus.

33. The method as claimed in claim 31, further comprising:

coupling a first amplifier of the at least two amplifiers to the host computer; and

coupling a second amplifier of the at least two amplifiers to the first amplifier, wherein

transmitting electroencephalographic signals includes transmitting a first plurality of electroencephalographic signals from the second amplifier to the first amplifier and transmitting a second plurality of electroencephalographic signals with the first plurality of electroencephalographic signals from the first amplifier to the host computer.

34. The method as claimed in claim 22, further comprising transmitting video signals to the host computer.

35. The method claimed in claim 22, further comprising transmitting audio signals to the host computer.

36. The method as claimed in claim 22, further comprising transmitting stimulation signals to the patient.

37. The method as claimed in claim 22, further comprising:

coupling an amplifier to the portable memory device via a first input prior to amplifying electroencephalographic signals from the patient'"'"'s brain;

coupling at least one physiological signal monitoring device to the memory via at least one other input; and

transmitting physiological signals of the patient to the memory from the at least one physiological signal monitoring device.

38. The method as claimed in claim 22, further comprising:

coupling at least one electrode to the patient'"'"'s brain;

coupling the at least one electrode to a jackbox worn by the patient; and

coupling the jackbox to the amplifier prior to amplifying electroencephalographic signals from the patient'"'"'s brain.

39. A portable electroencephalographic operations device for receiving and directing patient electroencephalographic signals in a system having an amplifier and a host computer, the portable electroencephalographic operations device comprising:

an input adapted to receive electroencephalographic signals from the amplifier;

an output adapted to transmit electroencephalographic signals to the host computer;

a memory in communication with the input and output; and

a controller coupled to the input, output and memory and operable to transmit electroencephalographic signals to the memory responsive to loss of communication between the amplifier and the host computer and to transmit electroencephalographic signals stored in the memory to the host computer upon re-establishment of communication between the amplifier and the host computer.

40. The portable electroencephalographic operations device as claimed in claim 39, wherein the output transmits electroencephalographic signals to the host computer via the amplifier.

41. The portable electroencephalographic operations device as claimed in claim 40, further comprising a communications port adapted to connect to the amplifier, wherein the input and output are defined by the communications port.

42. The portable electroencephalographic operations device as claimed in claim 39, wherein the output is a wireless transmitter operable to transmit electroencephalographic signals wirelessly to the host computer.

43. The portable electroencephalographic operations device as claimed in claim 39, further comprising a housing within which the input, output, memory, and controller are at least partially enclosed, wherein the housing is adapted to be worn upon a patient.

44. The portable electroencephalographic operations device as claimed in claim 43, further comprising a belt to which the housing is coupled.

45. The portable electroencephalographic operations device as claimed in claim 39, wherein the memory is at least one removable peripheral card.

46. The portable electroencephalographic operations device as claimed in claim 39, further comprising at least one bay coupled to the controller and to the input and output, the at least one bay adapted to removably receive a peripheral card.

47. The portable electroencephalographic operations device as claimed in claim 46, wherein the memory is a peripheral card removably received within the at least one bay.

48. The portable electroencephalographic operations device as claimed in claim 39, wherein the portable electroencephalographic operations device is shaped to removably receive at least part of the amplifier.

49. The portable electroencephalographic operations device as claimed in claim 48, further comprising a communications port adapted to connect to the amplifier upon insertion of the amplifier in the portable electroencephalographic operations device.

50. The portable electroencephalographic operations device as claimed in claim 48 for use in conjunction with an amplifier connected by a cable to the host computer, wherein the portable electroencephalographic operations device has an open portion shaped to receive the cable connected to the amplifier.

51. The portable electroencephalographic operations device as claimed in claim 39 for use in conjunction with a battery and an amplifier releasably connected by a cable to the host computer, the portable electroencephalographic operations device having:

a first power mode in which the cable is disconnected and the portable electroencephalographic operations device is powered by the battery; and

a second power mode in which the cable is connected and the portable electroencephalographic operations device is powered via the cable.

52. The portable electroencephalographic operations device as claimed in claim 39, further comprising at least one additional input coupled to the controller, releasably connectable to a physiological signal monitoring device, and adapted to receive physiological signals from the physiological signal monitoring device.

53. A method of controlling patient electroencephalographic signal transmission, comprising:

transmitting patient electroencephalographic signals through an amplifier to a host computer;

coupling a portable operations device to the amplifier;

disconnecting the amplifier from the host computer;

transferring transmission of patient electroencephalographic signals from the amplifier to the portable operations device;

reconnecting the amplifier to the host computer; and

transferring transmission of patient electroencephalographic signals from the amplifier to the host computer after reconnection of the amplifier to the host computer.

54. The method as claimed in claim 53, wherein transferring transmission of patient electroencephalographic signals from the amplifier to the portable operations device is performed responsive to disconnection of the amplifier from the host computer.

55. The method as claimed in claim 53, wherein transferring transmission of patient electroencephalographic signals from the amplifier to the portable operations device is performed prior to disconnection of the amplifier from the host computer.

56. The method as claimed in claim 53, wherein transferring transmission of patient electroencephalographic signals from the amplifier to the host computer is performed responsive to reconnection of the amplifier to the host computer.

57. The method as claimed in claim 53, wherein transferring transmission of patient electroencephalographic signals from the amplifier to the host computer is performed after reconnection of the amplifier to the host computer.

58. The method as claimed in claim 53, further comprising transmitting data from the portable memory device to the host computer simultaneously with transmitting electroencephalographic signals from the amplifier to the host computer.

59. The method as claimed in claim 53, wherein disconnecting the amplifier includes disconnecting a cable running between the amplifier and the host computer.

60. The method as claimed in claim 53, wherein disconnecting the amplifier includes losing wireless communication between the amplifier and the host computer.

61. The method as claimed in claim 53, wherein disconnecting the amplifier includes losing wireless communication between the portable operations device and the host computer.

62. The method as claimed in claim 53, further comprising storing patient electroencephalographic signals to memory in the portable operations device after transferring transmission of patient electroencephalographic signals from the amplifier to the portable operations device.

63. The method as claimed in claim 62, further comprising removing the memory from the portable operations device after storing patient electroencephalographic signals thereto.

64. The method as claimed in claim 63, wherein the memory is a peripheral card releasably connected to and within the portable operations device.

65. The method as claimed in claim 62, further comprising transmitting patient electroencephalographic signals in the memory to the host computer after reconnecting the amplifier to the host computer.

66. The method as claimed in claim 65, wherein transmitting patient electroencephalographic signals in the memory to the host computer includes transmitting patient electroencephalographic signals to the amplifier and then to the host computer.

67. The method as claimed in claim 53, further comprising:

transmitting patient electroencephalographic signals from a patient'"'"'s head to an input of the portable operations device after transferring transmission of patient electroencephalographic signals from the amplifier to the portable operations device via at least one electrode coupled to the patient and a jackbox coupled to the at least one electrode and to an input of the amplifier, wherein the at least one electrode is one type of patient physiological sensor; and

coupling at least one other type of patient physiological sensor to at least one additional input of the portable operations device.

68. The method as claimed in claim 67, further comprising transmitting additional patient physiological signals from the at least one other type of patient physiological sensor to the portable operations device.

69. The method as claimed in claim 53, further comprising transmitting video signals to the host computer.

70. The method as claimed in claim 53, further comprising transmitting audio signals to the host computer.

71. The method as claimed in claim 53, further comprising transmitting a stimulation signal to the patient.

72. The method as claimed in claim 53, wherein coupling the portable operations device to the amplifier includes mounting the amplifier upon the portable operations device.

73. A modular and portable electroencephalographic monitoring apparatus for use in conjunction with a host computer, the apparatus comprising:

a jackbox; and

an amplifier coupled to the jackbox, the amplifier having

an input communications port operable to receive electroencephalographic signals from the patient;

an expansion communications port operable to receive additional electroencephalographic signals from the patient, the amplifier releasably connectable to at least one additional amplifier and capable of receiving additional electroencephalographic signals from the at least one additional amplifier via the expansion communications port; and

an output communications port operable to transmit electroencephalographic signals from the amplifier and the at least one additional amplifier to the host computer.

74. The modular and portable electroencephalographic monitoring apparatus as claimed in claim 73, wherein the amplifier and the at least one additional amplifier are coupled together along a peripheral area network bus.

75. The modular and portable electroencephalographic monitoring apparatus as claimed in claim 73, wherein the amplifier and the at least one additional amplifier are coupled together in a daisy chain format.

76. The modular and portable electroencephalographic monitoring apparatus as claimed in claim 75, wherein the amplifier and the at least one additional amplifier are coupled together along a peripheral area network bus.

77. A method of monitoring electroencephalographic signals of a patient, comprising:

transmitting a first plurality of electroencephalographic signals from the patient to a first amplifier;

amplifying the first plurality of electroencephalographic signals by the first amplifier;

transmitting the first plurality of electroencephalographic signals to an output of the first amplifier;

coupling at least one other amplifier to an input of the first amplifier;

transmitting additional electroencephalographic signals from the patient to the at least one other amplifier;

amplifying the additional electroencephalographic signals by the at least one other amplifier;

transmitting the additional electroencephalographic signals to the input of the first amplifier via respective outputs of the at least one other amplifier; and

transmitting the additional electroencephalographic signals to the output of the second amplifier.

78. The method as claimed in claim 77, further comprising coupling the amplifier and the at least one other amplifier together along a peripheral area network bus.

79. The method as claimed in claim 77, wherein coupling the at least one other amplifier includes coupling the at least one other amplifier to the first amplifier in a daisy chain format.

80. The method as claimed in claim 79, wherein the first amplifier and the at least one other amplifier are coupled together along a peripheral area network bus.

81. A portable and wearable apparatus for monitoring electroencephalographic signals of a patient, comprising:

at least one electrode operable to detect electroencephalographic signals of the patient;

an amplifier wearable upon the patient, coupled to the at least one electrode, and adapted to receive electroencephalographic signals detected by the at least one electrode;

a housing wearable upon a patient;

a bay in the housing, in electrical communication with the amplifier to receive amplified electroencephalographic signals therefrom, and adapted to removably receive at least one peripheral card; and

at least one peripheral card removably received in the bay and to which amplified electroencephalographic signals can be transmitted from the bay.

82. The portable and wearable apparatus as claimed in claim 81, wherein the bay in the housing is in electrical communication with the amplifier via a peripheral area network bus.

83. The portable and wearable apparatus as claimed in claim 81, wherein the peripheral card is a memory card.

84. The portable and wearable apparatus as claimed in claim 81, wherein the peripheral card is a wireless transmitter card.

85. The portable and wearable apparatus as claimed in claim 81, further comprising a battery capable of powering the apparatus, whereby the apparatus and the patient wearing the apparatus can be completely untethered from other equipment.

86. The portable and wearable apparatus as claimed in claim 81, wherein the amplifier is a first amplifier, the apparatus further comprising at least one additional amplifier releasably coupled to the first amplifier and wearable upon the patient, wherein the bay is in electrical communication with the at least one additional amplifier and receives amplified electroencephalographic signals from the at least one additional amplifier via the first amplifier.

87. A method of monitoring electroencephalographic signals of a patient, comprising:

transmitting electroencephalographic signals from the patient to an amplifier worn on the patient;

amplifying the electroencephalographic signals by the amplifier on the patient;

transmitting the electroencephalographic signals from the amplifier to a communications bay worn on the patient;

transmitting the electroencephalographic signals from the communications bay on the patient to a removable peripheral card in the bay;

removing the peripheral card from the bay following transmission of the electroencephalographic signals to the peripheral card; and

installing another peripheral card in the bay.

88. The method as claimed in claim 87, wherein the communications bay is located in a housing worn by the patient.

89. The method as claimed in claim 88, wherein electroencephalographic signals are transmitted to the bay via a controller.

90. The method as claimed in claim 89, wherein the controller is a microprocessor.

91. The method as claimed in claim 89, further comprising:

transmitting light sensor signals from a light sensor to the communications bay; and

transmitting the light sensor signals from the communications bay to the peripheral card in the bay.

92. The method as claimed in claim 89, further comprising:

transmitting sound signals from a microphone to the communications bay; and

transmitting the sound signals from the communications bay to the peripheral card in the bay.

93. The method as claimed in claim 89, wherein the electroencephalographic signals are one type of patient physiological signal, the method further comprising:

transmitting at least one other type of patient physiological signal from the patient to the communications bay; and

transmitting the at least one other type of patient physiological signal from the communications bay to the peripheral card in the bay.

94. The method as claimed in claim 87, further comprising transmitting video signals to the host computer.

95. The method claimed in claim 87, further comprising transmitting audio signals to the host computer.

96. The method as claimed in claim 87, further comprising transmitting stimulation signals to the patient.

97. The method as claimed in claim 87, wherein the peripheral card is a memory card, the method further comprising saving the electroencephalographic signals upon the memory card.

98. The method as claimed in claim 87, wherein the peripheral card includes a wireless transmitter, the method further comprising transmitting electroencephalographic signals from the peripheral card.

99. The method as claimed in claim 87, wherein electroencephalographic signals are transmitted from the amplifier to the communications bay via a peripheral area network bus.

100. The method as claimed in claim 87, wherein the amplifier is a first amplifier, the method further comprising coupling at least one additional amplifier to the first amplifier.

101. The method as claimed in claim 100, wherein the at least one additional amplifier is coupled to the first amplifier in a daisy chain format.

102. The method as claimed in claim 100, further comprising:

transmitting additional electroencephalographic signals from the at least one additional amplifier to the first amplifier; and

transmitting the additional electroencephalographic signals from the first amplifier to the communications bay.

103. An electroencephalographic signal display apparatus, comprising:

a handheld portable housing;

an input operable to receive electroencephalographic signals of a patient;

a display coupled to the input and operable to display data representative of the electroencephalographic signals;

a controller in the housing and coupled to the input and display, the controller adapted to selectively display at least one of the electroencephalographic signals received from the input; and

at least one user-manipulatable control on the housing, coupled to the controller, and operable to change the electroencephalographic signals displayed by the controller upon the display.

104. The electroencephalographic signal display apparatus as claimed in claim 103 for use in conjunction with an electroencephalographic monitoring device having at least one electrode, the apparatus further comprising an output operable to transmit control signals to the electroencephalographic monitoring device to control operation thereof.

105. The electroencephalographic signal display apparatus as claimed in claim 104, wherein the input and output are coupled to the electroencephalographic monitoring device via a cable.

106. The electroencephalographic signal display apparatus as claimed in claim 103 for use in conjunction with an electroencephalographic monitoring device coupled to the apparatus, wherein the apparatus is adapted to be releasably connectable to the electroencephalographic monitoring device via a peripheral area network bus.

107. The electroencephalographic signal display apparatus as claimed in claim 103 for use in conjunction with at least one electrode coupled to the apparatus, the apparatus further comprising an operational mode in which electroencephalographic signals from the at least one electrode are displayed upon the display.

108. The electroencephalographic signal display apparatus as claimed in claim 103, further comprising a controller operable to display at least one trace of a patient'"'"'s electroencephalographic signals upon the display.

109. The electroencephalographic signal display apparatus as claimed in claim 103 for use in conjunction with at least one electrode coupled to the apparatus, the apparatus further comprising an operational mode in which impedance of at least one electrode is displayed upon the display.

110. The electroencephalographic signal display apparatus as claimed in claim 103 for use in conjunction with at least one electrode coupled to the apparatus, wherein the controller is operable by the at least one user-manipulatable control to change a threshold impedance of the at least one electrode.

111. The electroencephalographic signal display apparatus as claimed in claim 103 for use in conjunction with a pulse oximeter coupled to the apparatus, the apparatus further comprising a pulse oximeter mode in which pulse oximeter signals from the pulse oximeter are displayed upon the display.

112. The electroencephalographic signal display apparatus as claimed in claim 103, for use in conjunction with multiple amplifiers, wherein the input is operable to receive electroencephalographic signals of the patient from multiple amplifiers coupled together in a daisy chain format.

113. The electroencephalographic signal display apparatus as claimed in claim 112, wherein the apparatus is adapted to be releasably coupled to at least one amplifier via a peripheral area network bus.

114. A method of displaying electroencephalographic signals, comprising:

transmitting electroencephalographic signals from a patient to an input of a handheld display device;

transmitting the electroencephalographic signals from the input to a controller in the handheld display device;

displaying electroencephalographic signal information regarding the electroencephalographic signals upon a display on the handheld display device via the controller;

receiving at least one display command from a user;

transmitting the at least one display command to the controller; and

changing the electroencephalographic signal information being displayed upon the display in response to transmitting the at least one display command to the controller.

115. The method as claimed in claim 114, further comprising wearing the handheld display device upon the patient.

116. The method as claimed in claim 115, further comprising coupling the handheld display device to at least one amplifier worn upon the patient and from which the electroencephalographic signals are received.

117. The method as claimed in claim 114, wherein transmitting electroencephalographic signals from the patient to the input of the handheld display device occurs over a peripheral area network bus.

118. The method as claimed in claim 114, wherein displaying electroencephalographic signal information includes displaying the threshold impedance value of at least one electrode on the patient.

119. The method as claimed in claim 118, further comprising:

receiving commands from a user via at least one user-manipulatable control on the handheld display device; and

displaying threshold impedance values of different electrodes on the patient in response to receiving commands from the user.

120. The method as claimed in claim 118, further comprising:

receiving commands from a user via at least one user-manipulatable control on the handheld display device; and

changing desired threshold impedance values of electrodes on the patient in response to receiving commands from the user.

121. The method as claimed in claim 114, wherein displaying electroencephalographic signal information includes a display mode in which electroencephalographic information is displayed only for electrodes upon the patient having threshold impedance values that have been exceeded.

122. The method as claimed in claim 121, further comprising:

transmitting updated electroencephalographic signals to the input of the handheld display device;

transmitting the updated electroencephalographic signals from the input to the controller; and

continuously updating the display mode with updated electroencephalographic signal information regarding the updated electroencephalographic signals received by the input and controller.

123. The method as claimed in claim 114, further comprising:

transmitting updated electroencephalographic signals to the input of the handheld display device;

transmitting the updated electroencephalographic signals from the input to the controller; and

continuously updating the display with updated electroencephalographic signal information regarding the updated electroencephalographic signals received by the input and controller.

124. The method as claimed in claim 114, wherein displaying electroencephalographic signal information includes displaying at least one trace of a patient'"'"'s electroencephalographic signals corresponding to at least one respective electrode coupled to the handheld display device.

125. The method as claimed in claim 114, further comprising:

transmitting pulse oximetry signals from a pulse oximeter coupled to the patient to the input of the handheld display device;

transmitting the pulse oximetry signals from the input to the controller in the handheld display device; and

displaying pulse oximetry signal information regarding the pulse oximetry signals upon the display on the handheld device via the controller.

126. A wearable electroencephalographic monitoring apparatus for use in conjunction with a host computer, comprising:

at least one electrode operable to receive electroencephalographic signals from a patient;

a jackbox coupled to at least one electrode;

an amplifier releasably coupled to the jackbox and to the host computer;

a communications device having

a housing;

an input coupled to the amplifier;

an output coupled to the host computer; and

a controller operable to selectively route electroencephalographic signals received from the amplifier to the output of the communications device; and

a battery coupled to the communications device;

wherein the amplifier, communications device, and battery are arranged as a single physically integrated unit wearable by the patient.

127. The wearable electroencephalographic monitoring apparatus as claimed in claim 126, wherein the input and output are defined by a communications port between the communications device and the amplifier.

128. The wearable electroencephalographic monitoring apparatus as claimed in claim 126, wherein:

the jackbox is releasably mounted upon the amplifier; and

the jackbox, amplifier, communications device, and battery are arranged as a single physically integrated unit wearable by the patient.

129. The wearable electroencephalographic monitoring apparatus as claimed in claim 126, further comprising a holster within which the single physically integrated unit is at least partially received.

130. The wearable electroencephalographic monitoring apparatus as claimed in claim 129, further comprising a patient-wearable belt upon which the holster is coupled.

131. The wearable electroencephalographic monitoring apparatus as claimed in claim 126, further comprising a belt upon which the single physically integrated unit is coupled.

132. The wearable electroencephalographic monitoring apparatus as claimed in claim 126, wherein the jackbox and the amplifier have a common housing.

133. The wearable electroencephalographic monitoring apparatus as claimed in claim 126, wherein the communications device further includes a peripheral card to which the controller can selectively route electroencephalographic signals.

134. The wearable electroencephalographic monitoring apparatus as claimed in claim 133, wherein the peripheral card is removable from the communications device.

135. The wearable electroencephalographic monitoring apparatus as claimed in claim 126, wherein the apparatus is releasably tethered to and in communication with the host computer via a single cable coupled to the amplifier.

136. The wearable electroencephalographic monitoring apparatus as claimed in claim 126, wherein the amplifier is a first amplifier, the apparatus further comprising at least one additional amplifier coupled to the first amplifier to transmit electroencephalographic signals from each at least one additional amplifier to the host computer via the first amplifier.

137. The wearable electroencephalographic monitoring apparatus as claimed in claim 136, further comprising:

a belt wearable by the patient and to which the amplifier and the at least one additional amplifier are coupled; and

at least one cable coupled to the belt and connecting the first amplifier and the at least one additional amplifier together.

138. A method of monitoring electroencephalographic signals of a patient, comprising:

providing an amplifier operable to receive electroencephalographic signals from the patient;

mounting the amplifier upon a housing within which is located a controller;

coupling a battery to the housing;

wearing the amplifier, housing, and battery upon the patient as a single physically integrated unit;

transmitting electroencephalographic signals from the patient to the amplifier;

transmitting electroencephalographic signals from the amplifier to the controller; and

transmitting electroencephalographic signals from the controller to a host computer.

139. The method as claimed in claim 138, wherein transmitting electroencephalographic signals from the controller to the host computer includes transmitting electroencephalographic signals from the controller to the amplifier and then to the host computer.

140. The method as claimed in claim 138, further comprising:

coupling at least one electrode to the patient and to a jackbox; and

mounting the jackbox upon the amplifier.

141. The method as claimed in claim 138, wherein mounting the amplifier upon the housing establishes electrical communication between the amplifier and the controller.

142. The method as claimed in claim 138, wherein coupling the battery to the housing includes mounting the battery upon the housing.

143. The method as claimed in claim 142, further comprising:

coupling at least one electrode to the patient and to a jackbox; and

mounting the jackbox upon the amplifier.

144. The method as claimed in claim 138, further comprising coupling at least one electrode to the patient and to a jackbox, wherein the jackbox and the amplifier have a common housing.

145. The method as claimed in claim 138, wherein wearing the amplifier, housing, and battery upon the patient as a single physically integrated unit includes inserting at least part of the unit in a holster worn upon the patient.

146. The method as claimed in claim 145, wherein wearing the amplifier, housing, and battery upon the patient as a single physically integrated unit also includes coupling the holster to a belt worn by the patient.

147. The method as claimed in claim 138, wherein wearing the amplifier, housing, and battery upon the patient as a single physically integrated unit includes coupling the unit to a belt worn by the patient.

148. The method as claimed in claim 138, further comprising coupling the unit to the host computer by a single cable coupled to the amplifier prior to transmitting electroencephalographic signals from the controller to a host computer

149. The method as claimed in claim 138, further comprising coupling at least one removable peripheral card to the controller.

150. The method as claimed in claim 138, wherein the amplifier is a first amplifier, the method further comprising:

coupling at least one additional amplifier to the first amplifier;

transmitting additional electroencephalographic signals from the patient to the at least one additional amplifier;

transmitting the additional electroencephalographic signals from the at least one additional amplifier to the first amplifier;

transmitting the additional electroencephalographic signals from the first amplifier to the controller; and

transmitting the additional electroencephalographic signals from the controller to the host computer.

151. The method as claimed in claim 150, further comprising:

coupling the first amplifier and the at least one additional amplifier to a belt worn by the patient;

coupling the first amplifier and the at least one additional amplifier together by at least one cable; and

coupling the at least one cable to the belt.