Anaesthesia control system

Surgery – Diagnostic testing – Detecting brain electric signal

Reexamination Certificate

Rate now

  [ 0.00 ] – not rated yet Voters 0   Comments 0

Details

Reexamination Certificate

active

06934579

ABSTRACT:
An anaesthesia control system and a method of calculating an index representative of the depth of anaesthesia is disclosed. The method comprises subjecting a patient to a repetitive audio stimulus and monitoring and auditory evoked potentials (AEP) produced by the patient and then recording these auditory evoked potentials using EEG recording means and providing a signal corresponding to the coarseness of the monitored AEP signal and using this signal as an index indicative of anaesthetic depth. The raw AEP signal is divided into a series of sweeps and each sweep is synchronized with the repetitive audio stimulus and sweeps are recorded in sequence to produce a time averaged sweep from which the anaesthetic index is calculated. The anaesthetic index is constantly updated by repeatedly conducting a successive series of sweeps. The system and index signal can be used as part of an anaesthesia control system for regulating the supply of anaesthetic to the patient to maintain the anaesthetic index at a predetermined level.

REFERENCES:
patent: 2690178 (1954-09-01), Bickford
patent: 4280494 (1981-07-01), Cosgrove, Jr. et al.
patent: 4557270 (1985-12-01), John
patent: 5699808 (1997-12-01), John
patent: 5775330 (1998-07-01), Kangas et al.
patent: 6016444 (2000-01-01), John
patent: 6067467 (2000-05-01), John
patent: WO 91/19453 (1991-12-01), None
patent: WO 93/07804 (1993-04-01), None
De Beere et al. May, 1996; British Journal of Anaesthesia; 76: 685-693.
Webb et al.,Closed-Loop Control of Depth of Anaesthesia,Measurement + Control, vol. 29, No. 7, Sep. 1996, pp. 211-215.
International Search Report, PCT/GB97/02435, Feb. 3, 1998.
Sebel et al., “The Cebrel Function Analysis Monitor (CFAM): A New Microprocessor-based Device for the On-line Analysis of the EEG and Evoked Potentials,” British Journal of Anaesthesia (1983), vol. 55, No. 12, pp. 1265-1270.
Kochs, E., “Electrophysiological monitoring and mild hypothermia,” Journal of Neurosurgical Anaesthesiology (1995), vol. 7, No. 3, pp. 222-228.
Schwender et al., “Spectral edge frequency of the electroencephalogram to monitor “depth” of anaesthesia with isoflurane or propofol,” British Journal of Anaesthesia (1996), vol. 77, No. 2, pp. 179-184.
Leslie et al., “Prediction of movement during propofol
itrous oxide anesthesia,” Anesthesiology (1996), vol. 84, No. 1; pp. 52-63.
Gaitini et al., “Awareness detection during caesarean section under general anaesthesia using EEG spectrum analysis,” Canadian Journal of Anaesthesia (1995), vol. 42, No. 5, pp. 37-381.
Traast et al., “Electroencephalographic characteristics of emergence from propofol/sufentanil total intravenous anesthesia,” Anesthesia and Analgesia (1995), vol. 81, No. 2, pp. 366-371.
Schwilden et al., “Closed-loop feedback control of propofol anaesthesia by quantitative EEG analysis in humans,” British Journal of Anaesthesiology, (1989), vol. 62, No. 3, pp. 290-296.
Russ et al., “Spectral analysis of the EEG during hypothermic cardiopulmonary bypass,” Acta Anaesthesiologica Scandinavica (1987), vol. 31, pp. 111-116.
Levy, W.J., “Quantitative analysis of EEG changes during hypothermia,” Anesthesiology (1984), vol. 60, No. 4, pp. 291-297.
Bashein et al., “Electroencephalography during surgery with cardiopulmonary bypass and hypothermia,” Anesthesiology (1992), vol. 76, No. 6, pp. 878-891.
Flaishon et al., “Detection of consciousness following thiopental: isolated forearm and bispectral EEG (BIS),” Anesthesiology (1995), vol. 83, No. 3A, A515.
Kearse et al. “The Bispectral Index correlates with sedation/hypnoses and recall: comparison using multiple agents,” Anesthesiology (1995), vol. 83, No. 3A, A507.
Kearse et al., “Bispectral analysis of the electroencephalogram correlates with patient movement to skin incision during propofol
itrous oxide anesthesia,” Anesthesiology (1994), vol. 81, No. 6, pp. 1365-1370.
Vernon et al., “Prediction of movement using bispectral electroencephalographic analysis during propofol/alfentanil or isoflurane/alfentanil anesthesia,” Anesthesia & Analgesia (1995), vol. 80, No. 4, pp. 780-785.
Thornton et al., “Effect of propofol on the auditory evoked response and oesophageal contractility,” British Journal of Anaesthesia (1989), vol. 63, No. 4, pp. 411-417.
Davies et al., “Middle latency auditory evoked potentials during repeated transitions from consciousness to unconsciousness,” Anaesthesia (1996), vol. 51, No. 1, pp. 107-113.
Newton et al., “Auditory evoked response and awareness: a study of volunteers at sub-MAC concentrations of isoflurane,” British Journal of Anaesthesia (1992), vol. 69, No. 2, pp. 122-129.
Kenny et al., “Transition between consciousness and unconsciousness during anesthesia,” Anesthesiology (1993), vol. 79, No. 3A, A330.
Kenny et al., “Closed-loop control of anesthesia,” Anesthesiology (1992), vol. 77, No. 3A, A328.
Hett et al., “Effect of temperature and cardiopulmonary bypass on the auditory evoked response,” British Journal of Anaesthesia (1995), vol. 75, pp. 293-296.
Kenny et al., “A portable target controlled propofol infusion system,” International Journal of Clinical Monitoring and Computing (1992), vol. 9, No. 3, pp. 179-182.
Davies et al., “Postoperative analgesia using a computerized infusion of alfentanil following aortic bifurcation graft surgery,” International Journal of Clinical Monitoring and Computing (1992), vol. 9, No. 4, pp. 207-212.
Markand et al., “Monitoring of multimodality evoked potentials during open heart surgery under hypothermia,” Electroencephalography and Clinical Neurophysiology (1984), vol. 59, No. 6, pp. 432-440.
Blair, E., “A physiological classification of clinical hypothermia,” Surgery (1965), vol. 58, No. 3, pp. 607-618.
Chassard et al., “Auditory evoked potentials during propofol anaesthesia in man,” British Journal of Anaesthesia (1989), vol. 62, No. 5, pp. 522-526.
Leslie et al., “Propofol blood concentration and the Bispectral Index predict suppression of learning during propofol/epidural anesthesia in volunteers,” Anesthesia & Analgesia (1995) vol. 81, No. 6, pp. 1269-1274.
Davidson et al., “Effective concentration 50 for propofol with and without 67% nitrous oxide,” Acta Anaesthesiologica Scandinavica (1993), vol. 37, pp. 458-464.
Russell et al., “Propofol-fentanyl anaesthesia for coronary artery surgery and cardiopulmonary bypass,” Anaesthesia (1989), vol. 44, No. 3, pp. 205-208.
Massey et al., “Pharmacokinetics of an infusion of propofol during cardiac surgery,” British Journal of Anaesthesia (1990), vol. 65, No. 4, pp. 475-479.
Hynyen et al., “Propofol sequestration within the extracorporeal circuit,” Canadian Journal of Anaesthesia (1994), vol. 41, No. 7, pp. 583-588.
Schwender et al., “Effects of increasing doses of alfentanil, fentanyl and morphine on mid-latency auditory evoked potentials,” British Journal of Anaesthesia (1993), vol. 71, No. 5, pp. 622-628.
Jessop et al., “Evaluation of the actions of general anaesthetics in the human brain,” General Pharmacology (1992), vol. 23, No. 6, pp. 927-935.
Jones, J.G., “Perception and memory during general anaesthesia,” British Journal of Anaesthesia (1994), vol. 73, No. 1, pp. 31-37.
Sharpe et al., Auditory evoked response, median frequency and 95% spectral edge during anaesthesia with desflurane and nitrous oxide, British Journal of Anaesthesia (1997), vol. 78, pp. 282-285.
Kearse et al., “Bispectral analysis of the electroencephalogram during induction of anesthesia may predict hemodynamic responses to laryngoscopy and intubation,” Electroencephalography & Clinical Neurophysiology (1994), vol. 90, No. 3, pp. 194-200.
Sebel et al., “EE

LandOfFree

Say what you really think

Search LandOfFree.com for the USA inventors and patents. Rate them and share your experience with other people.

Rating

Anaesthesia control system does not yet have a rating. At this time, there are no reviews or comments for this patent.

If you have personal experience with Anaesthesia control system, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Anaesthesia control system will most certainly appreciate the feedback.

Rate now

     

Profile ID: LFUS-PAI-O-3504521

  Search
All data on this website is collected from public sources. Our data reflects the most accurate information available at the time of publication.