Universitéde Montreal

Maquet Critical Care Ab

The Royal Institution for the Advancement of Learning / Mcgill University

Lars Lindstrom

Christer Sinderby

Jennifer Beck

Sven Friberg

Alejandro Grassino

Jadranka Spahija

The present invention relates to a method and device for determining a level of ventilatory assist to a ventilator-dependent patient, in which a critical threshold of a respiration-related feature is calculated. Fatigue of a respiratory muscle of the ventilator-dependent patient develops when the critical threshold is reached by the respiration-related feature. The level of ventilatory assist to the ventilator-dependent patient is controlled in relation to the critical threshold of the respiration-related feature so as to prevent fatigue of the patient's respiratory muscle.

Method and device using myoelectrical activity for optimizing a patient's ventilatory assist

Described is an electrode array for measuring electrical activity in a subject's biological tissue, comprising an electrode support, a group of electrodes mounted on the electrode support, and an inter-electrode conductive medium having a given resistivity for controlling resistivity between the electrodes of the group. Also, described is a method for controlling the inter-electrode resistivity in the electrode array comprises providing the inter-electrode conductive medium having the given resistivity between the electrodes of the group, and interconnecting the electrodes of the group through this inter-electrode conductive medium to control resistivity between the electrodes. In this manner, when contact between at least one electrode of the group and the subject's biological tissue is poor, an estimate of the electrical activity in the subject's biological tissue is produced on this electrode through the inter-electrode conductive medium, this estimate being a mean value of electrical potentials produced on neighbouring electrodes of the group by the electrical activity in the subject's biological tissue.

Control of inter-electrode resistivity to improve quality of measured electrical biological signals

A method and system for producing higher quality electromyogram (EMG) signals utilizes an array of electrodes for sensing a plurality of EMG signals in an electrically active region of a subject's muscle. A weighting function is applied to the EMG signals to produce weighted signals. This weighting function contains correction features for the relative locations of the center of the electrically active region and the electrodes. The quality of the weighted EMG signals is evaluated, and the weighted signals or sum or mean of the weighted signals whose evaluated quality is insufficient are replaced. A sum or mean of a feature of the weighted signals is calculated to produce a higher quality electromyocardiographic signal. The method and system can also be used to determine signal strength or frequency contents of a signal falling outside the array of electrodes.

Method and system for producing a higher quality electromyographic signal from an electrode array

To control a lung ventilator comprising an inspiratory implement to be worn by the patient, an air supply system for supplying air to the inspiratory implement, and a control unit for controlling the air supply system, electromyographic signals produced by the patient's diaphragm are detected by an array of electrodes passing through the center of the patient's diaphragm depolarizing region. The position of the center of the patient's diaphragm depolarizing region is determined through detection of a reversal of polarity of the electromyographic component of the electrode-detected electromyographic signals. First and second electromyographic signals detected by the electrodes of the array on opposite sides of the patient's diaphragm depolarizing region are subtracted from each other, this subtraction cancelling the noise components of the first and second electromyographic signals but adding the respective electromyographic components of these first and second signals together to produce an electromyographic signal having an improved signal-to-noise ratio, having a reduced electrode-position-induced filter effect, and being representative of a demand to inspire from the patient's brain. The electromyographic signal of improved signal-to-noise ratio is finally supplied as input signal to the control unit of the lung ventilator for controlling the air supply system and therefore the inspiration assist in relation to the electromyographic signal of improved signal-to-noise ratio and of reduced electrode-position-induced filter effect, and therefore in relation to the demand to inspire from the patient's brain.

Inspiratory proportional pressure assist ventilation controlled by a

In the method and system for electromyographic analysis of a striated muscle, electromyographic signals produced by the muscle are detected by means of an array of electrodes passing through the center of the muscle depolarizing region. Each electromyographic signal comprises an electromyographic component and a noise component. The position of the center of the muscle depolarizing region is then determined by detecting a reversal of polarity of the electromyographic components of the signals. Finally, two signals of opposite polarities amongst the electromyographic signals are subtracted. The subtraction subtracts the noise components of the two signals from each other but adds the electromyographic components of the two signals together to produce an electromyographic signal of improved signal-to-noise ratio. Advantageously, the array of electrodes is a linear array of successive electrodes, the center of the muscle depolarizing region is located between the electrodes of a given pair of successive electrodes, and the two signals of opposite polarities detected through the two pairs of successive electrodes adjacent to the given pair on opposite sides thereof are subtracted.

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Mölndal, Sweden

Lars Lindstrom