Automated Latency Marker Placement for Neurophysiologic Waveforms

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Solution Overview

Problem

Current neurophysiologic monitoring techniques, such as SSEP, are time-consuming and require specialized personnel, increasing healthcare costs and operation duration due to the need for manual analysis of complex waveforms during spinal surgery, which poses risks to nervous tissue.

Innovation Solution

A system capable of stimulating nerves and recording somatosensory responses, featuring a processing unit that delivers stimulation signals and automatically places latency markers on neurophysiologic waveforms, reducing the need for manual intervention and enhancing real-time monitoring.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If manual analysis of SSEP waveforms is performed by neurophysiologists, then measurement precision is improved, but loss of time and productivity deteriorate

Engineering Contradiction:
Improvewaveform analysis accuracyVSAvoidoperation duration
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system performs automatic waveform analysis where the neurophysiologic monitoring system itself identifies morphology, places markers, and calculates amplitudes and latencies without requiring manual intervention by neurophysiologists, thereby eliminating the time-consuming manual analysis process while maintaining measurement precision through algorithmic processing

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces the mechanical manual process of visual waveform identification and marker placement with an automated computational system that uses algorithms to analyze SSEP waveforms, extract features, and place markers automatically, substituting human manual labor with machine-based processing

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Reliability

If specialized neurophysiologists are required for monitoring, then reliability is improved, but device complexity and healthcare costs worsen

Engineering Contradiction:
Improvemonitoring accuracyVSAvoidsystem complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The neurophysiologic monitoring system performs automatic waveform analysis and interpretation functions that previously required specialized neurophysiologist expertise, making the system self-sufficient in performing complex analysis tasks through integrated algorithms and processing capabilities

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The monitoring system is designed to perform multiple functions including waveform acquisition, morphology identification, marker placement, amplitude and latency calculation, and real-time monitoring within a single integrated system, eliminating the need for separate specialized personnel and reducing overall system complexity

Inventive Principle:
Principle #6Universality (Multi-functionality)

3Measurement precision

If manual marker placement is performed, then measurement precision is improved, but productivity deteriorates

Engineering Contradiction:
Improvemarker placement accuracyVSAvoidanalysis speed
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The system replaces manual marker placement with automated algorithmic processing that identifies waveform morphology and places markers based on predefined criteria and signal processing techniques, maintaining precision through systematic analysis while dramatically increasing processing speed

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The automatic marker placement system operates continuously without interruption, processing waveforms in real-time as they are acquired, eliminating the discontinuous nature of manual marker placement where neurophysiologists must periodically stop to analyze and mark waveforms

Inventive Principle:
Principle #20Continuity of useful action

Data Source

PatentUS9757072B1Waveform marker placement algorithm for use in neurophysiologic monitoring
Publication Date: 2017.09.12 NUVASIVE INC
  • US9757072B1 patent drawing
  • US9757072B1 patent drawing
  • US9757072B1 patent drawing

AI summary

The present invention relates to a system and methods generally aimed at surgery. More particularly, the present invention is directed at a system and related methods for performing surgical procedures and assessments involving the use of neurophysiology.