Abstract: Methods, systems, and apparatus, including computer programs encoded on computer-storage media, for an enhanced goniometer. In some implementations, a method includes obtaining a sequence of measurements to be measured based on one or more data points of an examination; receiving input from a user initiating a measurement; receiving raw data from a measuring component; processing the raw data to exclude measurements corresponding to one or more axes; generating a measurement result based on the processed raw data; and providing the measurement result for output.

Abstract: A clustering device includes: an evaluation score calculation section configured to calculate an evaluation score or evaluation scores for evaluating a classification result; a batch process section configured to classify multiple element data into clusters with an optimum number of clusters, based on the evaluation scores respectively obtained for different number of clusters by assigning each of the multiple element data to one of the clusters; an update process section configured to assign newly added element data to a cluster that is closest to the newly added element data among the clusters into which the multiple element data are classified by the batch process section; and a determination section configured to determine validity of a classification result after assigning the newly added element data to the cluster, based on the evaluation score obtained by assigning the newly added element data to the cluster by the update process section.

Abstract: A system includes a display and a processor. The processor is configured to: (i) receive a dataset including multiple data points, each data point corresponding to one or more properties of an organ of a patient, (ii) produce, based on a clustering criterion, at least a cluster including two or more of the data points, and (iii) produce and present on the display, a map of the organ and at least an object indicative of the cluster. In response to selection of the object by a user, the processor is configured to produce and present on the display, a two-dimensional (2D) table including the one or more properties of each of the clustered data points.

Abstract: An electrical muscle stimulation (EMS) suit having electrodes affixed thereto is disclosed. The EMS suit may include a vest portion comprising a left front portion, a right front portion, and a back portion, as well as a processor and memory storing pulse parameter settings. In some embodiments, the left front portion has a first pair of electrodes on a first channel, and the right front portion has a second pair of electrodes on a second channel. In some embodiments, the back portion has a third pair of electrodes on a third channel and positioned in a left half of the back portion, as well as a fourth pair of electrodes on a fourth channel and positioned in a left half of the back portion. During operation of the EMS suit, electrical impulses are delivered via the pairs of electrodes in accordance with the pulse parameter settings to elicit muscle contraction.

Abstract: Methods of operating a prosthesis having at least one moveable component and an electronic control device are provided, where the at least one moveable component has two or more operating modes and at least one operating parameter. The method comprises receiving at least one input control signal from the wearer of the prosthesis, comparing the at least one input control signal with an operating profile stored in the electronic control device in order to determine a desired operating mode and operating parameter, and instructing the moveable component to move in accordance with the desired operating mode and operating parameter. Prostheses are also provided, at least one such prosthesis comprising at least one moveable component and an electronic device operable to select both an operating mode of the at least one moveable component and at least one operating parameter of the at least one moveable component in response to an input command signal from the wearer of the prosthesis.

Abstract: The present invention relates to a system and related methods for performing neurophysiologic assessments during surgical procedures. A method includes the steps of delivering a first transcutaneous, trans-abdominal stimulation signal to a spinal nerve root superior to a surgical target site; and determining a first neuromuscular response data set, based on transmission of said first transcutaneous, trans-abdominal stimulation signal, of a muscle located inferior to said surgical target site.

Abstract: A method for identifying and treating a neural pathway associated with chronic pain via nerve stimulation and brain wave monitoring of a mammalian brain is described. The method includes positioning a probe to stimulate a target nerve, wherein the target nerve is suspected of being a source of chronic pain; delivering a first nerve stimulation from the probe to the target nerve, wherein the first nerve stimulation is sufficient to elicit a chronic pain response in the brain; and monitoring for evoked potential activity in the brain as a result of the first nerve stimulation. The method can also include delivering second and third nerve stimulations to confirm the correct identification of the neural pathway and to treat the chronic pain, respectively. A system and apparatus for performing a procedure to identify and treat a nerve that is the source of chronic pain are also described.

Abstract: Embodiments of a method for removal and replacement of artifacts in electrophysiological data from muscular activity in the gastrointestinal tract of a patient are disclosed. The approach includes setting an artifact identification threshold based on the parameters of the data, assessing the full extent of the artifact in time, and replacing the values with ones that are neutral in the time series and minimizing the effect on a power spectrum of the data. More particularly, the method includes steps of identifying artifacts within the raw time series data, eliminating the identified artifacts, and replacing the artifacts with any of interpolated points or constant value points to create a clean time series data set representing valid gastrointestinal tract EMG signals.

Abstract: An apparatus includes a catheter, a sensor, a first pair of wire segments, an artifact reduction feature, and a correction module. The sensor is positioned at a distal end of the catheter and is configured to generate a sensor signal. The first pair of wire segments is coupled with the sensor and extends along the length of the catheter. The artifact reduction feature is positioned proximate to the sensor and includes a second pair of wire segments. The correction module is configured to subtract motion-induced artifacts from signals received from the first pair of wire segments, based on motion-induced artifacts from signals received from the second pair of wire segments, to thereby provide a corrected sensor signal.

Abstract: Methods, systems, and apparatus for detecting rhythmic synchronization of motor neurons. The system includes one or more sensors for receiving a first signal that measures an electrical signal of one or more neurons, the first signal having a first plurality of specific bursts. The system includes a processor connected to the one or more sensors. The processor is configured to receive the first signal. The processor is configured to generate a second signal based on the first signal using a discrete wavelet transform, the second signal having a second plurality of specific bursts. The processor is configured to determine a time delay between a specific burst within the first plurality of specific bursts and a specific burst within the second plurality of specific bursts using one or more expert rules. The processor is configured to apply the time delay to the first signal.

Abstract: A method for configuring a myoelectrically controlled prosthetic system with a prosthesis socket and several lead electrodes for recording electric muscle activities, featuring the steps: placement of a surface electrode arrangement comprising several surface electrodes around the circumference of a residual limb, recording of electric muscle activity in muscles of the residual limb as electromyograhic signals, the activity being recorded by the surface electrodes, evaluation of the myoelectric signals with regards to the distinctness of the signals, selection of the control procedure that is to be used to control the prosthesis system, based on the evaluation of the distinctness of the signals, and fixing of the lead electrodes to the prosthesis socket.

Abstract: A medical device control unit is provided. The control unit may include a communications interface, a memory, and at least one processing device. The processing device may be configured to cause application of a control signal to a primary antenna associated with a unit external to a subject's body. The processing device may further be configured to monitor a feedback signal indicative of the subject's breathing and store, in the memory, information associated with the feedback signal. The processing device may also cause transmission of the stored information, via the communications interface, to a location remote from the control unit. The processing device may further be configured to receive an update signal, from the location remote from the control unit, and cause application of an updated control signal to the primary antenna based on the update signal.

Abstract: Methods and systems for conditioning a signal indicative of electrosurgical unit activity are described. A hardware circuit acquires AC current from an electrosurgical unit on patient isolated circuitry and conditions the signal in either of two alternate processing methods. The processed signal is routed as input to an analog to digital converter circuit. A method for determining saturation on referential inputs and recovering inputs to an unsaturated state is also described.

Abstract: The present invention relates to an automated method of determining a kinetic state of a person. The method obtains accelerometer data from an accelerometer worn on an extremity of the person and processes the accelerometer data to determine a measure for the kinetic state. The present invention further relates to a device for determining a kinetic state of a person. The device comprises a processor configured to process data obtained from an accelerometer worn on an extremity of the person and to determine from the data a measure for the kinetic state. In the method and system the kinetic state is at least one of bradykinesia, dyskinesia, and hyperkinesia.

Abstract: A reliable technology for determining the masticatory side of the user is provided. First and second electromyographic waveforms respectively originating from left and right muscles related to masticatory actions of a user are acquired; a coefficient of correlation between pieces of information respectively extracted from the first and the second electromyographic waveforms is calculated as a first feature value; a second feature value is calculated from a power spectrum obtained by performing frequency analysis on the first electromyographic waveform; a third feature value is calculated from a power spectrum obtained by performing frequency analysis on the second electromyographic waveform; a learning model is generated by associating the first, second, and third feature values with a plurality of labels; and the masticatory side of the user is determined based on first, second, and third feature values calculated from a newly acquired electromyographic waveform and the learning model.

Abstract: A system and method are provided that use context awareness with device-dependent training to improve precision while reducing classification latency and the need for additional computing, such as by relying on cloud-based processing. Moreover, the following can leverage signal analysis with multiple sensors and secondary validation in a multi-modal approach to track passive events that would otherwise be difficult to identify using classical methods. In at least one implementation, the system and method described herein can leverage low power sensors and integrate already available human behavior in modular algorithms isolating specific context to reduce user interact time and training to a minimum.

Abstract: The present disclosure provides methods for diagnosing and determining the disease progression of neurodegenerative disorders in patients using neurophysiological biomarkers.

Abstract: Release of a neurological drug in a targeted region of a subject's brain by a drug delivery system (DDS) is intentionally caused by the subject watching or interacting with an audio/video-based task on an electronic display. The DDS is calibrated to release the neurological drug based on a particular pH, lactate level, blood flow, temperature, magnetic field, specific molecules released by brain cells, or other physiological factors within the target region. The interactive task produces the physiological factors in the brain in specific areas of pathology for which the drug is prescribed, and limits drug delivery at areas unaffected by illness where it could disrupt normal function, causing problematic side effects and preventing dose levels optimal for target impact. Feedback from the interactive task and associated cognitive probes also can adapt the interactive task or suggest new pharmacologic agents as the degree or primary focus of brain pathology changes during the course of treatment.

Abstract: An input device, method, and system enabling a switch input operation of various equipment by moving a body part other than hands and feet. Input by body movement, such as a wink, is achieved by an input device including: a detector which includes a first contact electrode placed at a first position of a body part and a second contact electrode placed at a second position of the body part, the detector configured to measure a biological signal between the first contact electrode and the second contact electrode, and to detect a low-frequency component inclusive of the biological signal; and a discrimination processor configured to determine, based on a signal from the detector, presence or absence of an input movement of the body part in a vicinity of the first position, and/or presence or absence of an input movement of the body part in a vicinity of the second position.

Abstract: A biological signal analysis device includes: an acquiring unit configured to acquire biological signals of a measurement target; a trigger information acquiring unit configured to acquire, from a stimulator configured to apply stimuli to the measurement target, trigger information indicating times at which the stimuli are generated; and a signal processing unit configured to process the biological signals. The signal processing unit is configured to calculate biological information on the measurement target based on the biological signals, maintain only pieces of trigger information corresponding to times at which it is determined that biological signals of the measurement target are generated, from the calculated biological information, delete another piece of trigger information, and use an averaged waveform that is obtained by performing an averaging process on the biological signals that are generated in synchronization with the stimuli based on the pieces of remaining trigger information.

Abstract: The present invention discloses an EOG-based method and apparatus for asynchronous character input, said method comprising the following steps: displaying a virtual keyboard having a total of N keys on a display, the virtual keyboard flickering in rounds, wherein in each round, all N keys randomly flicker once; when spelling, a user blinks after the flickering of a target key, so as to acquire electro-oculogram signals of the user in real-time; capturing electro-oculogram data within a time period following the flickering of a key from the acquired electro-oculogram signals, and using said electro-oculogram data as an original feature vector of the flickering key; N original feature vectors being generated in each cycle, an electro-oculogram identification method is called to identify the N original feature vectors, and outputting a certain result from 0 to N, wherein 0 indicates that a condition for character input is not met, and 1 to N correspond to the N keys on the virtual keyboard.

Abstract: A wire passer system for passing a surgical wire around a bone. The wire passer system broadly comprises a gun assembly, a flexible push member, and a surgical wire. The gun assembly can comprise a handle, a trigger, a rigid guide section, a support guide, a push rod, and tensioner.

Abstract: A method for diagnosing motility disorders of a gastrointestinal tract of a body. The method can include measuring electrical signals from the gastrointestinal tract while the patient is engaged in normal daily activities, recording the measured electrical signals on a portable electronic device carried by the body, recording by the patient in real time one or more symptoms of the body and analyzing characteristics of the recorded electrical signals with the recorded symptoms of the body to diagnosis gastrointestinal disorders of the body. Apparatus for use therewith and methods for treatment thereof are provided.

Abstract: A system for recording, processing, and monitoring biosignals is provided, the system being configured to suspend data acquisition whenever an electric surgical tool or other generator of high frequency interference is in use. Such a system may protect the hardware of the system and reduce or eliminate the acquisition of distorted signals. The system of some embodiments includes an amplifier system configured to detect the presence of high frequency interference. Related methods are also disclosed.

Abstract: A program is presented to a user including a stream of content including a first auditory content and a first visual content related to the workout. A context state of the user participating in the workout is determined based on information from a sensor. A responsive content is selectively added based on the context state of the user to the stream of content in a manner that avoids conflict with the stream of content.

Abstract: A vestibular system examination device includes a platform unit and an examination unit. The platform unit includes a base, a driving mechanism mounted to the base, and a seat mounted to the driving mechanism and adapted for a user to sit thereon. The seat is driven movably and rotatably with six degrees of freedom by the driving mechanism. The examining unit includes a detector adapted for detecting eye movement or electrooculography of the user, a measuring module electrically connected to the platform unit for measuring location and displacement thereof, and a processing module electrically connected to the detector and the measuring module for receiving and processing data acquired from the detector and the measuring module.

Abstract: A diagnosis device, and more particularly, a compartment syndrome diagnostic device is described herein. The diagnostic device may include a display that renders information associated with stimulation of a motor unit suspected of suffering from compartment syndrome. The diagnostic device may generate a stimulation signal for stimulating the motor unit through an electrode. The device may determine whether the motor unit is at risk for compartment syndrome based on the response of the motor unit to the stimulation. The diagnostic device may also measure pressure of a compartment. The device may determine whether the motor unit is at risk for compartment syndrome based on the measured pressure and the response of the motor unit to the stimulation.

Abstract: Systems, architectures, and methods of neurophysiological monitoring are described. In a particular example, an architecture may include a monitoring system and display system including two or more display devices. The monitoring system may manage the monitoring of some aspect of a patient's nervous system. A first display device is positioned adjacent the patient and viewable by a first user. A second display device is positioned apart from the patient and viewable by a second user and obscured from the first user. The first display device and the second display device may be used to display monitoring data collected by the monitoring system.

Abstract: A respiratory assistance device including a respiratory interface device configured to be worn by a user and deliver a gas, a gas temperature measurement unit configured to measure a gas temperature that is a temperature of the gas, a warming unit configured to warm the gas, and a temperature change unit configured to change the gas temperature by controlling the warming unit. The respiratory assistance device can administer comfortable respiratory assistance even during sleep.

Abstract: The present invention is method and a device to detect and treat Bruxism through a combination of muscle and brain sensors detecting sensors and providing a set of biofeedbacks to stop grinding while preventing habituation to biofeedbacks. The frequency and phase of the rhythmic grinding pattern of a Bruxer is identified and a biofeedback with the same frequency but different phase is applied on the user to stop grinding without waking the user from a sleep.

Abstract: Techniques to help improve efficiency or effectiveness of treating a disorder such as RLS or PLMD, such as by issuing neural electrostimulations to a particular patient, while varying one or more amplitude parameters (e.g., at least one of electrostimulation current amplitude, electrostimulation voltage amplitude, or electrostimulation pulsewidth duration). A corresponding patient-subjective or patient-objective response can be observed. A characteristic electrostimulation intensity relationship can be generated, for example, based on the determined respective at least one of RLS or PLMD response indication threshold amplitude parameters and the plurality of corresponding neural electrostimulation durations.

Abstract: Methods and systems are provided for monitoring neuromuscular blockade in patients during surgical procedures. In one embodiment, a system includes a stimulator, an electromyography (EMG) sensor, a kinemyography (KMG) sensor, and a single connector configured to couple each of the stimulator, the EMG sensor, and the KMG sensor to a patient monitoring device via a single input. In this way, neuromuscular transmission (NMT) monitoring in patient may be done reliably by ensuring that NMT measurement from a first sensor (EMG sensor) is in line with the measurement of the second sensor (KMG sensor).

Abstract: Embodiments relate to devices, systems and methods for monitoring neuromuscular blockage. In an embodiment, a neuromuscular blockage monitoring system comprises a patch device comprising a unitary patch body, at least two electrodes and at least one sensor, the at least one sensor arranged between the at least two electrodes on the unitary patch body; and a stimulator device operatively coupled to the patch device and configured to provide at least one electrical signal to the at least two electrodes to stimulate a muscle motor point and to receive a signal from the at least one sensor related to a result of the stimulation of the muscle motor point.

Abstract: Objective Pulmonary Function (PF) evaluation for respiratory fatigue is vital to the diagnosis and management of many pediatric respiratory diseases in the intensive care, emergency and outpatient settings. A non-invasive PF instrument utilizes sensors and software to access respiratory breathing patterns, vital parameters, asynchrony and measures the work of breathing. Software algorithms predict respiratory fatigue. The hardware includes a microcircuit board that individually links to rib cage (RC) and abdominal (ABD) inductance bands. The bands wirelessly transmit changes in RC and ABD circumference. Point-of-care, real-time indices of respiratory work, breathing patterns and respiratory fatigue indices are developed on a user-friendly graphical user interface. The diagnostic data can later be securely emailed as an attachment for entry into patients' electronic medical records or sent to a caretaker's computer, or used directly to control a respiratory therapy device.

Abstract: A method is provided for characterising a gait comprising steps of: receiving a signal measuring the movement of a target subject measured beforehand; comparing (204) at least one section of the measuring signal with a plurality of reference signals, the plurality of reference signals comprising at least one movement signal measured beforehand on a reference subject different from the target subject, each comparison of the measuring signal with a reference signal producing a similarity coefficient representative of a probability of similarity between the compared signals; and selecting (208) at least one local maximum of interest among the similarity coefficients produced, wherein the plurality of reference signals comprises at least one movement signal measured beforehand on a reference subject afflicted with a gait disorder, and at least one movement signal measured beforehand on a healthy reference object.

Abstract: Apparatus and methods for monitoring pregnancy or labour are disclosed. In one embodiment the apparatus includes an electromyography (EMG) sensor having two or more EMG electrodes to monitor fetal or maternal activity during pregnancy or labour and one or more position sensors to monitor the relative positioning of the two or more EMG electrodes during the fetal or maternal activity. In one embodiment, the apparatus includes a monitoring device to be placed on a body and having a plurality of sensors integrated into the monitoring device, the plurality of sensors including at least: a first sensor configured to detect a first type of signal from the body indicative of a first type of fetal or maternal activity during pregnancy or labour; and a second sensor configured to detect a second type of signal from the body, different from the first type of signal, also indicative of the first type of fetal or maternal activity during pregnancy or labour.

Abstract: Mechanisms are provided to implement an intraoral control mechanism that allows a user to control an operation of a computer system or an electronic device. The intraoral control mechanism detects a strain based on a tongue of a user moving a control mechanism away from a fixed position; transduces the detected strain into a control signal; amplifies an amplitude of the control signal thereby producing an amplified control signal; converts the amplified control signal to a digital input signal; modulates the digital input signal onto a transmission frequency wave; and transmits the digital input signal to the computer system. The computer system may then either execute the digital control signal on the computer system itself to perform an operation or transmit the digital control signal to the electronic device so as to operate as indicated by the digital control signal. The digital input signal is saved for characterization of the user.

Abstract: The present invention relates to a system and methods generally aimed at monitoring the angular orientation between two locations within a fluoroscopic image and especially for monitoring the angular orientation between two locations within a fluoroscopic image and a predetermined target angle.

Abstract: Methods and apparatus for substantially real-time detection of spike events in neuromuscular data. The method comprises receiving a plurality of neuromuscular signals from a plurality of neuromuscular sensors arranged on one or more wearable devices worn by a user, detecting, based on the plurality of neuromuscular signals or information derived from the plurality of neuromuscular signals, at least one spike event corresponding to firing of an action potential in at least one motor unit, determining, based on the plurality of neuromuscular signals or the information derived from the plurality of neuromuscular signals, a biological source of the detected at least one spike event, and generating at least one output based, at least in part, on the detected at least one spike event and/or the determined biological source of the detected at least one spike event.

Abstract: An electronic device is disclosed. The electronic device comprises: a biological signal input unit for receiving the input of a biological signal detected through an electrode; and a processor which determines, based on a usage context of the electronic device, a biological signal to be inputted, sets up, according to the determined biological signal, the state of a channel corresponding to the electrode, and determines a biological change by using the biological signal inputted according to the set channel state.

Abstract: Example systems for positioning an implantable electrode may include a stimulation circuitry, a sensing circuitry, and processing circuitry. The stimulation circuitry may generate electrical stimulation deliverable to a patient. The sensing circuitry may sense electromyographic (EMG) responses. The processing circuitry may control the stimulation circuitry to deliver the electrical stimulation at a plurality of different stimulation metric levels at each of a plurality of different positions. The processing circuitry may sense, via the sensing circuitry, electromyographic (EMG) responses to the electrical stimulation. The processing circuitry may score one or more of the different positions for chronic implantation of at least one implantable electrode. The scoring may be based on a stimulation metric level greater than a predetermined metric threshold sufficient to evoke at least some of the sensed EMG responses, and a level of the at least some of the sensed EMG responses.

Abstract: Systems and methods for treating a patient having symptoms of restless legs syndrome (RLS) or Periodic Limb Movement Disorder (PLMD) using high-frequency stimulation by applying a high-frequency pulsed electrostimulation therapy signal to a peroneal nerve or a branch thereof, where the therapy signal is above a motor threshold of a muscle innervated by the peroneal nerve or branch thereof. Surface EMG (sEMG) response to neurostimulation can be used to evaluate patient responsivity to neurostimulation, or to evaluate neurostimulation efficacy, such as to compare various neurostimulation parameter settings and to select between such settings to meet or balance between one or more goals. The sEMG response can be obtained with the muscle at rest, or during muscle activation.

Abstract: A system and method is used to monitor, control, and/or provide feedback relative to one or more factors related to a patient's body, such as a shoulder, pursuant to a treatment process. The system monitors, controls, and/or provides feedback relative to shoulder factors including shoulder motion, shoulder muscle contraction, and external pressure on the shoulder.

Abstract: A method of forming a plurality of lipid bilayers over an array of cells in a nanopore based sequencing chip is disclosed. Each of the cells comprises a well. A salt buffer solution is flowed over the array of cells in the nanopore based sequencing chip to substantially fill the wells in the cells with the salt buffer solution. A lipid and solvent mixture is flowed over the array of cells to deposit the lipid and solvent mixture over at least some of the wells in the cells. A first portion of the cells, each having a lipid bilayer over its well, is detected. A second portion of the cells, each having a lipid membrane but not a lipid bilayer over its well, is detected. An electrical lipid-thinning stimulus is selectively applied to the second portion of the cells but not to the first portion of the cells.

Abstract: The invention provides methods for diagnosing, assessing or quantitating drug use, drug abuse or narcosis or for differentiating drug use, drug abuse or narcosis from brain injury in a subject by tracking eye movement of at least one eye of the subject, analyzing eye movement of at least one eye of the subject, comparing eye movement of at least one eye of the subject the normal or mean eye movement; and, optionally calculating a standard deviation or p value for eye movement of at least one eye of the subject as compared to the normal or mean eye movement.

Abstract: A plurality of control sequences is stored. A user state is detected. A next control sequence associated with the user is selected from the plurality of control sequences based at least in part on the user state.

Abstract: The present disclosure provides an exercise guidance method and an exercise guidance device. The method includes receiving myoelectric parameters of a user collected by a plurality of myoelectric sensors, determining a current exercise state of the user based on myoelectric parameters, generating exercise guidance information based on the current exercise condition, and sending the exercise guidance information to a terminal.

Abstract: A method of monitoring a patient for seizure activity may include monitoring the patient by collecting an electromyography signal, determining features of the signal using wavelet analysis and inputting determined feature values into a neural network trained to detect seizure activity. Related apparatuses are also described.

Abstract: There is provided system for monitoring spontaneous breathing of a mechanically ventilated target individual, including: a feeding tube for insertion into a distal end of an esophagus of the individual, sensor(s) disposed on the feeding tube at a location such that the sensor(s) is located at the distal end of the esophagus of the individual when the feeding tube is in use, wherein the sensor(s) is positioned for sensing values by contact with the tissue of the esophagus including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, and code for computing an indication of a frequency band of diaphragm movement of the individual according to an analysis of values sensed by the sensor(s), and for adjustment of parameter(s) of a mechanical ventilator for mechanically ventilating the individual, wherein the instructions for adjustment are computed while the feeding tube is in use.

Abstract: A paralysis monitoring system can be utilized during various medical procedures. Generally, the system is used during procedures involving anesthesia, when general paralysis is necessary, e.g., during surgery that requires cutting through or mobilizing muscle tissue. The paralysis monitoring system stimulates a nerve with low voltage signals and can provide for continuous monitoring and recording of the evoked muscle activity throughout and after a procedure. By monitoring a quantitative response of the muscle activity to nerve stimulation, an anesthesiologist may adjust subsequent doses of a paralytic agent to achieve a desired level of paralysis.