Cadwell Laboratories, Inc.

An electrode management solution for neuromonitoring applications such as electroencephalography (EEG) procedures provides for the verification of the locations and connections of electrodes. The brain is modeled as a volume conductor and an expected attenuated signal generated by an electrical signal present in the form of an electrical dipole at any other point in the brain is calculated. A known signal is connected between electrodes at ‘presumed’ locations. This action generates a defined electrical field which can be measured between any of the other electrode locations. The amplitude and phase of the measured signals are a function of the input signal, the volume conductor, and the geometric relations of the two electrodes. By comparing the expected values with the measured values, the relation between the electrodes is verified.

A signal processing apparatus removes the interference due to a mains power supply from a bioelectrical signal reading by using a hardware component to directly measure the mains, generate a digital reference signal using the mains, determine phase and amplitude of the interference, wherein the determining is performed for each segment of segments of a composite signal, measure signal to noise ratio (SNR) for each segment, wherein the mains interference constitutes the signal and the bioelectrical signal constitutes the noise, generate a steady state phase and amplitude of the interference based on the determined phase and amplitude and the SNR, and subtract the steady state interference from the composite signal to obtain the bioelectrical signal.

A method of determining an optimized stimulus intensity required to obtain an evoked potential (EP) response from a patient in a surgical intraoperative neurophysiological monitoring environment includes determining an initial stimulus current, determining an initial count to determine a predefined signal-to-noise ratio (SNR) threshold, and using a search algorithm for automatically generating an optimized/baseline stimulus intensity and average count required to elicit a maximal EP response from the patient based on the initial stimulus current and the initial count.

An integrated switch matrix for a medical device system used for long-term monitoring of electroencephalogram (EEG) signals and mapping of the brain through cortical stimulation is configured to switch functions of various electrodes associated with the system in response to user needs. The programmable switch matrix is integrated in an EEG recording device and allows for connecting any patient electrode(s) to a ground circuit, connecting any patient electrode to a common reference, connecting a selected common reference to any or all recording device(s) in the system and, connecting any patient electrode(s) to anode and/or cathode outputs of a neurostimulator for multi-contact cortical stimulation.

Systems and methods for ultrasound imaging include obtaining RF data using an ultrasound probe and processing the RF data in-parallel to generate B-mode data and echo intensity data during ultrasound examination of a patient. The RF data is analyzed in real-time to provide a user with live ultrasound image and echogenicity analytics. Based on the echogenicity analytics, the user may reposition the ultrasonic probe to adjust and select an optimal probe angle to ensure reproducible results. Providing live RF data allows the user to assess the health of nerves and muscles in real-time and make dynamic decisions on further exams to perform during the same office visit.

An electrode management solution for neuromonitoring applications such as electroencephalography (EEG) procedures provides for the verification of the locations and connections of electrodes. The brain is modeled as a volume conductor and an expected attenuated signal generated by an electrical signal present in the form of an electrical dipole at any other point in the brain is calculated. A known signal is connected between electrodes at ‘presumed’ locations. This action generates a defined electrical field which can be measured between any of the other electrode locations. The amplitude and phase of the measured signals are a function of the input signal, the volume conductor, and the geometric relations of the two electrodes. By comparing the expected values with the measured values, the relation between the electrodes is verified.

Systems, devices and methods are described for mounting medical equipment on IV poles, bed rails and other supporting structures in medical facilities including operating rooms and critical care sections. A system including a mounting hanger and corresponding equipment housing is disclosed that allows quick mounting and dismounting of equipment from a supporting structure. The novel structural design of mounting hanger including a symmetrical t-slot feature and a plunger lock allows a piece of equipment to be mounted on a supporting structure in multiple orientations as per the requirement which allows a user to optimize the placement of equipment in the medical environment.

Systems, devices and methods for advanced electrode management in neurological monitoring applications include receiving sockets configured to receive connectors having groups of electrodes. The physician is not required to manually map each electrode with its corresponding input channel. Electrodes are coupled to the corresponding input channels in groups through connectors having a unique identification (ID). The system is configured to read the unique ID of each connector and establish its identity. Based on the ID, the system configures itself to automatically correlate or associate each electrode with its corresponding input channel when the connectors are first inserted into the receiving sockets, and again if the connectors are removed and re-inserted into different positions in the receiving sockets, to insure the electrodes are always mapped to the same input channels.

An intraoperative neurophysiological monitoring (IONM) system for identifying and assessing neural structures comprises at least one probe, at least one reference electrode, at least one strip or grid electrode, at least one sensing electrode, and a stimulation module. Threshold responses determined by stimulation during a surgical procedure are used to identify and assess functionality of neural structures. The identified neural structures are avoided and preserved while diseased or damaged tissue is resected during said surgical procedure.

The present specification describes a system and method of detecting sleep disordered breathing, that includes acquiring a set of unconditioned sleep test data that includes oximetry data and at least one other physiological sensor data; sampling the set of unconditioned sleep test data; storing the sampled set of unconditioned sleep test data; receiving, through a display, an input indicative of a degree of analyzing to be applied to the sampled set of unconditioned sleep test data; based on said input, applying a corresponding degree of analyzing to the unprocessed sleep test data to generate processed sleep test data; and visually displaying the processed sleep test data.