Patents by Inventor Dean Montgomery

Dean Montgomery has filed for patents to protect the following inventions. This listing includes patent applications that are pending as well as patents that have already been granted by the United States Patent and Trademark Office (USPTO).

  • Publication number: 20210145366
    Abstract: A method for monitoring autoregulation includes, using a processor, receiving a blood pressure signal, a regional oxygen saturation signal, and a blood volume signal from a patient. The method also includes determining a first linear correlation between the blood pressure signal and the regional oxygen saturation signal and determining a second linear correlation between the blood pressure signal and the blood volume signal. The method also includes determining a confidence level associated with the first linear correlation based at least in part on the second linear correlation and providing a signal indicative of the patient's autoregulation status to an output device based on the linear correlation and the confidence level.
    Type: Application
    Filed: January 26, 2021
    Publication date: May 20, 2021
    Inventors: Paul S. Addison, Dean Montgomery, James N. Watson
  • Patent number: 10932673
    Abstract: A system for monitoring autoregulation may include processing circuitry configured to receive a blood pressure signal indicative of an acquisition blood pressure of a patient at an acquisition site and an oxygen saturation signal indicative of an oxygen saturation of the patient. The processing circuitry may determine a cerebral autoregulation status value based on the blood pressure signal and the oxygen saturation signal. The processing circuitry may determine a non-cerebral autoregulation status value based on the cerebral autoregulation status value and an adjustment value. The processing circuitry provide to an output device a signal indicative of the non-cerebral autoregulation status value and a signal indicative of the cerebral autoregulation status value to enable a clinician to monitor the autoregulation status of the patient.
    Type: Grant
    Filed: October 19, 2018
    Date of Patent: March 2, 2021
    Assignee: Covidien LP
    Inventors: Paul S. Addison, Dean Montgomery, Andre Antunes
  • Patent number: 10932724
    Abstract: A method for monitoring autoregulation includes, using a processor, receiving a blood pressure signal, a regional oxygen saturation signal, and a blood volume signal from a patient. The method also includes determining a first linear correlation between the blood pressure signal and the regional oxygen saturation signal and determining a second linear correlation between the blood pressure signal and the blood volume signal. The method also includes determining a confidence level associated with the first linear correlation based at least in part on the second linear correlation and providing a signal indicative of the patient's autoregulation status to an output device based on the linear correlation and the confidence level.
    Type: Grant
    Filed: June 16, 2016
    Date of Patent: March 2, 2021
    Assignee: Covidien LP
    Inventors: Paul S. Addison, Dean Montgomery, James N. Watson
  • Publication number: 20200330049
    Abstract: A system for monitoring autoregulation includes an oxygen saturation sensor configured to obtain an oxygen saturation signal indicative of an oxygen saturation of a patient. The system also includes a controller having a processor configured to receive a blood pressure signal indicative of a blood pressure of the patient and the oxygen saturation signal, determine a change in the oxygen saturation signal and a change in the blood pressure signal over a period of time, and provide an indication that the patient's autoregulation is intact if the oxygen saturation changes by more than an oxygen saturation threshold and if the blood pressure changes by less than a blood pressure threshold during the period of time.
    Type: Application
    Filed: July 6, 2020
    Publication date: October 22, 2020
    Inventors: Dean Montgomery, Paul S. Addison, Peter Galen
  • Publication number: 20200281537
    Abstract: In some examples, a device includes processing circuitry configured to determine a set of correlation coefficient values for first and second physiological parameters. The processing circuitry is further configured to determine a metric of the correlation coefficient values for a first plurality of bins and for a second plurality of bins, wherein each bin of the first plurality has a first bin parameter and each bin of the second plurality of bins has a second bin parameter different than the first bin parameter. The processing circuitry is also configured to determine a composite estimate of a limit of autoregulation of the patient based on the metric for the first plurality of bins and the metric for the second plurality of bins. The processing circuitry is configured to determine an autoregulation status based on the composite estimate and output, for display via the display, an indication of the autoregulation status.
    Type: Application
    Filed: May 22, 2020
    Publication date: September 10, 2020
    Inventors: Paul S. Addison, Dean Montgomery
  • Patent number: 10736578
    Abstract: A system for monitoring autoregulation includes an oxygen saturation sensor configured to obtain an oxygen saturation signal indicative of an oxygen saturation of a patient. The system also includes a controller having a processor configured to receive a blood pressure signal indicative of a blood pressure of the patient and the oxygen saturation signal, determine a change in the oxygen saturation signal and a change in the blood pressure signal over a period of time, and provide an indication that the patient's autoregulation is intact if the oxygen saturation changes by more than an oxygen saturation threshold and if the blood pressure changes by less than a blood pressure threshold during the period of time.
    Type: Grant
    Filed: July 13, 2017
    Date of Patent: August 11, 2020
    Assignee: COVIDIEN LP
    Inventors: Dean Montgomery, Paul S. Addison, Peter Galen
  • Publication number: 20200229773
    Abstract: In some examples, a device includes a memory configured to store a first relationship between a blood pressure and another physiological parameter of a patient, the first relationship being indicative of cerebral autoregulation of the patient. The device also includes processing circuitry configured to receive first and second signals indicative of the blood pressure and the physiological parameter, respectively, of a patient. The processing circuitry is also configured to determine an expected value and an actual value of the physiological parameter at a particular blood pressure value of the first physiological signal. The processing circuitry is configured to determine, based on a difference between the actual value and the expected value, and store, in the memory, a second relationship between the blood pressure and the physiological parameter, the second relationship being indicative of a change in the cerebral autoregulation of the patient from the first relationship.
    Type: Application
    Filed: April 2, 2020
    Publication date: July 23, 2020
    Inventors: Paul S. Addison, Dean Montgomery, Andre Antunes
  • Publication number: 20200187866
    Abstract: In some examples, a method includes receiving a signal indicative of a blood pressure of a patient and identifying at least one first portion of the signal comprising a first characteristic of the signal exceeding a first threshold. The method also includes identifying at least one first portion of the signal comprising a second characteristic of the signal exceeding a second threshold, the first characteristic being different than the second characteristic. The method further includes determining a filtered signal indicative of the blood pressure of the patient by excluding the at least one first portion and the at least one second portion from the signal. The method includes determining a set of mean arterial pressure values based on the filtered signal and determining an autoregulation status of the patient based on the set of mean arterial pressure values.
    Type: Application
    Filed: December 12, 2018
    Publication date: June 18, 2020
    Inventors: Andre Antunes, Paul S. Addison, Dean Montgomery
  • Patent number: 10674964
    Abstract: In some examples, a device includes processing circuitry configured to determine a set of correlation coefficient values for first and second physiological parameters. The processing circuitry is further configured to determine a metric of the correlation coefficient values for a first plurality of bins and for a second plurality of bins, wherein each bin of the first plurality has a first bin parameter and each bin of the second plurality of bins has a second bin parameter different than the first bin parameter. The processing circuitry is also configured to determine a composite estimate of a limit of autoregulation of the patient based on the metric for the first plurality of bins and the metric for the second plurality of bins. The processing circuitry is configured to determine an autoregulation status based on the composite estimate and output, for display via the display, an indication of the autoregulation status.
    Type: Grant
    Filed: April 25, 2018
    Date of Patent: June 9, 2020
    Assignee: COVIDIEN LP
    Inventors: Paul S. Addison, Dean Montgomery
  • Publication number: 20200170517
    Abstract: In some examples, devices, systems, and techniques are configured to compensate for changes in sensed blood pressure due to issues such as blood pressure sensor movement. For example, processing circuitry of a device may determine a difference value between a first blood pressure value representative of a blood pressure at a first time and a second blood pressure value representative of the blood pressure at a second time. Responsive to determining that the difference value is greater than or equal to a threshold value, the processing circuitry may generate updated blood pressure values by applying an offset value to the second blood pressure value and subsequently received blood pressure values that compensates for the difference value between the first blood pressure value and the second blood pressure value.
    Type: Application
    Filed: November 29, 2018
    Publication date: June 4, 2020
    Inventors: Paul S. Addison, Dean Montgomery, Andre Antunes
  • Patent number: 10660530
    Abstract: In some examples, a device includes processing circuitry configured to determine a set of correlation coefficient values for values of first and second physiological parameters. The processing circuitry is further configured to determine that the first physiological parameter changes rapidly in a particular time period. The processing circuitry is configured to select a correlation coefficient value associated with the particular time period and determine an updated value of the selected correlation coefficient value in response to determining that the first physiological parameter changes rapidly in a particular time period. The processing circuitry is further configured to determine an estimate of a limit of autoregulation of the patient based on the set of correlation coefficient values and the updated value. The processing circuitry is configured to determine an autoregulation status based on the estimate of the limit of autoregulation and output, for display, an indication of the autoregulation status.
    Type: Grant
    Filed: April 25, 2018
    Date of Patent: May 26, 2020
    Assignee: COVIDIEN LP
    Inventors: Dean Montgomery, Paul S. Addison
  • Publication number: 20200129076
    Abstract: In some examples, a device includes sensing circuitry configured to receive one or more signals from a patient and processing circuitry configured to determine a plurality of autoregulation state values associated with a plurality of blood pressure values based on the one or more signals. The processing circuitry is further configured to determine that a first autoregulation state value of the plurality of autoregulation state values is anomalous based on other autoregulation state values of the plurality of autoregulation state values. The processing circuitry is also configured to modify the first autoregulation state value in response to determining that the first autoregulation state value is anomalous and determine an autoregulation status of the patient based on the plurality of autoregulation state values including the modified first autoregulation state value.
    Type: Application
    Filed: October 24, 2018
    Publication date: April 30, 2020
    Inventors: Dean Montgomery, Paul S. Addison, Andre Antunes
  • Publication number: 20200121193
    Abstract: A system for monitoring autoregulation may include processing circuitry configured to receive a blood pressure signal indicative of an acquisition blood pressure of a patient at an acquisition site and an oxygen saturation signal indicative of an oxygen saturation of the patient. The processing circuitry may determine a cerebral autoregulation status value based on the blood pressure signal and the oxygen saturation signal. The processing circuitry may determine a non-cerebral autoregulation status value based on the cerebral autoregulation status value and an adjustment value. The processing circuitry provide to an output device a signal indicative of the non-cerebral autoregulation status value and a signal indicative of the cerebral autoregulation status value to enable a clinician to monitor the autoregulation status of the patient.
    Type: Application
    Filed: October 19, 2018
    Publication date: April 23, 2020
    Inventors: Paul S. Addison, Dean Montgomery, Andre Antunes
  • Publication number: 20200107763
    Abstract: A system for monitoring autoregulation may include processing circuitry configured to receive a blood pressure signal indicative of an acquisition blood pressure of a patient at an acquisition site and an oxygen saturation signal indicative of an oxygen saturation of the patient. The processing circuitry may determine an altered blood pressure value indicative of a reference blood pressure of the patient at a reference site based on the blood pressure signal. The altered blood pressure value may enable a more accurate subsequent determination of a value indicative of the autoregulation status of the patient compared to an unaltered blood pressure value. In some examples, the processing circuitry may provide a signal indicative of the autoregulation status of the patient to an output device to enable a clinician to monitor the autoregulation status of the patient.
    Type: Application
    Filed: October 8, 2018
    Publication date: April 9, 2020
    Inventors: Andre Antunes, Paul S. Addison, Dean Montgomery
  • Patent number: 10610164
    Abstract: In some examples, a device includes a memory configured to store a first relationship between a blood pressure and another physiological parameter of a patient, the first relationship being indicative of cerebral autoregulation of the patient. The device also includes processing circuitry configured to receive first and second signals indicative of the blood pressure and the physiological parameter, respectively, of a patient. The processing circuitry is also configured to determine an expected value and an actual value of the physiological parameter at a particular blood pressure value of the first physiological signal. The processing circuitry is configured to determine, based on a difference between the actual value and the expected value, and store, in the memory, a second relationship between the blood pressure and the physiological parameter, the second relationship being indicative of a change in the cerebral autoregulation of the patient from the first relationship.
    Type: Grant
    Filed: April 25, 2018
    Date of Patent: April 7, 2020
    Assignee: COVIDIEN LP
    Inventors: Paul S. Addison, Dean Montgomery, Andre Antunes
  • Publication number: 20200069195
    Abstract: A method for monitoring autoregulation includes, using a processor, using a processor to execute one or more routines on a memory. The one or more routines include receiving one or more physiological signals from a patient, determining a correlation-based measure indicative of the patient's autoregulation based on the one or more physiological signals, and generating an autoregulation profile of the patient based on autoregulation index values of the correlation-based measure. The autoregulation profile includes the autoregulation index values sorted into bins corresponding to different blood pressure ranges. The one or more routines also include designating a blood pressure range encompassing one or more of the bins as a blood pressure safe zone indicative of intact regulation and providing a signal to a display to display the autoregulation profile and a first indicator of the blood pressure safe zone.
    Type: Application
    Filed: November 6, 2019
    Publication date: March 5, 2020
    Inventors: Paul Stanley Addison, James N. Watson, Dean Montgomery
  • Patent number: 10499818
    Abstract: A method for monitoring autoregulation includes, using a processor, using a processor to execute one or more routines on a memory. The one or more routines include receiving one or more physiological signals from a patient, determining a correlation-based measure indicative of the patient's autoregulation based on the one or more physiological signals, and generating an autoregulation profile of the patient based on autoregulation index values of the correlation-based measure. The autoregulation profile includes the autoregulation index values sorted into bins corresponding to different blood pressure ranges. The one or more routines also include designating a blood pressure range encompassing one or more of the bins as a blood pressure safe zone indicative of intact regulation and providing a signal to a display to display the autoregulation profile and a first indicator of the blood pressure safe zone.
    Type: Grant
    Filed: October 18, 2016
    Date of Patent: December 10, 2019
    Assignee: Covidien LP
    Inventors: Paul Stanley Addison, James N. Watson, Dean Montgomery
  • Patent number: 10463292
    Abstract: A system configured to monitor autoregulation includes a medical sensor configured to be applied to a patient and to generate a regional oxygen saturation signal. The system includes a controller having a processor configured to receive the regional oxygen saturation signal and a blood pressure signal and to determine a cerebral oximetry index (COx) based on the blood pressure signal and the regional oxygen saturation signal. The processor is also configured to apply a data clustering algorithm to cluster COx data points over a range of blood pressures, identify a first cluster of COx data points that corresponds to an intact autoregulation zone for the patient, and provide a first output indicative of the intact autoregulation zone for the patient.
    Type: Grant
    Filed: October 14, 2016
    Date of Patent: November 5, 2019
    Assignee: Covidien LP
    Inventors: Paul Stanley Addison, James N. Watson, Dean Montgomery
  • Publication number: 20190328337
    Abstract: In some examples, a device includes a memory configured to store a first relationship between a blood pressure and another physiological parameter of a patient, the first relationship being indicative of cerebral autoregulation of the patient. The device also includes processing circuitry configured to receive first and second signals indicative of the blood pressure and the physiological parameter, respectively, of a patient. The processing circuitry is also configured to determine an expected value and an actual value of the physiological parameter at a particular blood pressure value of the first physiological signal. The processing circuitry is configured to determine, based on a difference between the actual value and the expected value, and store, in the memory, a second relationship between the blood pressure and the physiological parameter, the second relationship being indicative of a change in the cerebral autoregulation of the patient from the first relationship.
    Type: Application
    Filed: April 25, 2018
    Publication date: October 31, 2019
    Inventors: Paul S. Addison, Dean Montgomery, Andre Antunes
  • Publication number: 20190328334
    Abstract: In some examples, a device includes processing circuitry configured to determine a set of correlation coefficient values for first and second physiological parameters. The processing circuitry is further configured to determine a metric of the correlation coefficient values for a first plurality of bins and for a second plurality of bins, wherein each bin of the first plurality has a first bin parameter and each bin of the second plurality of bins has a second bin parameter different than the first bin parameter. The processing circuitry is also configured to determine a composite estimate of a limit of autoregulation of the patient based on the metric for the first plurality of bins and the metric for the second plurality of bins. The processing circuitry is configured to determine an autoregulation status based on the composite estimate and output, for display via the display, an indication of the autoregulation status.
    Type: Application
    Filed: April 25, 2018
    Publication date: October 31, 2019
    Inventors: Paul S. Addison, Dean Montgomery