A medical lead with at least a distal portion thereof implantable in the brain of a patient is described, together with methods and systems for using the lead. The lead is provided with at least two sensing modalities (e.g., two or more sensing modalities for measurements of field potential measurements, neuronal single unit activity, neuronal multi unit activity, optical blood volume, optical blood oxygenation, voltammetry and rheoencephalography). Acquisition of measurements and the lead components and other components for accomplishing a measurement in each modality are also described as are various applications for the multimodal brain sensing lead.

A biological information detection device according to an aspect of the present disclosure includes: a light source that, in operation, emits irradiation light for irradiating a test portion of a subject; a light detector that, in operation, detects light reached from the test portion and that outputs an electrical signal corresponding to the light; and a calculation circuit that, in operation, generates a signal of biological information related to a blood flow in a target area in the test portion based on the electrical signal. The light detector is an image sensor. The electrical signal includes an image signal obtained by the image sensor. The calculation circuit, in operation, detects a magnitude of an inclination of an orientation of the test portion with respect to a reference orientation by image recognition based on the image signal, and determines the target area according to the magnitude of the inclination of the orientation of the test portion.

Electrophysiologic biomarkers for prognostication of neurological outcome are described herein. An inverse correlation was found between timing of a cortical spreading depolarization (SD) wave and neurological outcome as tested at 24 hours post-CPR. Additionally, a minor image of this SD was identified as a “repolarization (RP) wave.” Quantifying features of SD and RP during cardiac arrest and cardiopulmonary resuscitation (CPR) provide important metrics for diagnosis and prognosis of neurological injury from hypoxia-ischemia and can serve as an early prognostication tool for predicting outcome at subsequent days after successful CPR. This discovery may also allow for novel therapeutic interventions to improve neurological recovery after hypoxia-ischemia insults.

In some examples, a system is configured to determine, using a neural network algorithm of a cerebral autoregulation model, a cerebral autoregulation status of the patient based at least in part on a blood pressure of the patient over a period of time and regional cerebral oxygen saturation of the patient over the period of time.

Disclosed are a method and system for brain activity detection. The method is: performing multi-channel synchronous collections of brain electrical signals and cerebral cortex blood oxygen signals simultaneously, and ensuring synchronicity of the collected signals among channels, and collecting said brain electrical signals and said cerebral cortex blood oxygen signals of all locations at the same time. The system comprises: a functional near-infrared light source emission module (2) which employs the frequency division multiplexing technique, wherein the light source is modulated by carrier of different frequencies, said signal is accessed from the multi-functional joint collection helmet (1) through a transmission optical fiber to irradiate the scalp, and after being scattered and absorbed by the brain, the attenuated light signal is processed by the functional near-infrared detection module (3); the functional near-infrared detection module (3) is used for detecting weak optical signals of the scalp; the brain electricity detection module (4) is used for detecting weak electrical signals of the scalp; the central control unit (5) is used for synchronizing and fusing data flows, sending control commands to each functional module, and uploading data to the host computer (6). The method and system can control the interference to be the minimum and have good time scale consistency.

A method and apparatus of non-invasively determining a blood circulatory hemoglobin value for a subject using a near-infrared spectrophotometric (NIRS) sensing device is provided. The method includes: a) non-invasively sensing tissue of the subject using the NIRS sensing device at about a time T1, and determining at least one NIRS tissue totalHb value; b) acquiring at least one circulatory blood sample from the subject at about the time T1; c) determining at least one blood circulatory THb value; d) calibrating the NIRS sensing device using the at least one blood circulatory THb value and the at least one NIRS tissue TotalHb value; and e) determining at least one blood circulatory hemoglobin value using the calibrated NIRS sensing device and the at least one NIRS tissue totalHb value.

A device includes a digit probe, a plurality of optical elements, a processor, and a communication module. The digit probe has an interior surface and has an exterior surface. The interior surface is configured to engage a digit and the exterior surface is configured to engage a tissue site associated with the digit. The plurality of optical elements is coupled to at least one of the interior surface and the exterior surface, The plurality of optical elements includes at least one emitter and includes at least one detector. The processor is coupled to the plurality of optical elements. The processor is configured to generate a measure of arterial oxygenation corresponding to the digit and configured to generate a measure of regional oxygenation corresponding to the tissue site. The communication module is coupled to the processor. The communication module is configured to communicate the measure of arterial oxygenation and regional oxygenation with a remote device.

A sensor which is adapted to attach to a head of a subject includes a first fastener that includes a first end portion and a second end portion and extends into an arc-shape, a first coupling portion that is disposed on an inner circumference side of the first fastener, a second fastener that has a first through hole and a second through hole, a second coupling portion that is disposed on a first side of the second fastener, and attachable to and detachable from the first coupling portion, a light emitter that is disposed on the first side of the second fastener, and opposed to the first through hole, and a light detector that is disposed on the first side of the second fastener, and opposed to the second through hole.

Disclosed are a time division spread spectrum code-based optical spectroscopy system capable of controlling irradiation power and a method for controlling the optical spectroscopy system. The optical spectroscopy system may comprise: a light transmission unit for irradiating light to a particular region of a subject by means of a light source, wherein the light is irradiated so that the overall energy is consistently maintained by reducing the light irradiation time and increasing the strength of the light; and a light receiving unit for collecting emergent light which has passed through the particular region.

A device for measuring brain oxygen level of a subject, including a probe (210) and a detecting means (220), which are respectively coupled to a processor (230). According to the example, the probe (210) includes three light sources (215a, 215b, 215c) that simultaneously emit the first, second, and third NIR wavelengths across the brain of the subject. The first NIR wavelength is the isosbestic wavelength for oxy-hemoglobin (HbO2) and deoxy-hemoglobin (Hb), the second NIR wavelength is shorter than the first NIR wavelength, and the third NIR wavelength is longer than the first NIR wavelength. The detecting means (220) includes a first, second and third detectors (221, 222, 223) for respectively detecting the NIR intensities of the first, second and third NIR wavelengths traveled across the brain. The processor (230) is configured to determine blood oxygen level based on the measured NIR intensities of the first, second and third NIR wavelengths by use of build-in algorithm derived from Beer-Lambert Law. And method of detecting brain hematoma of a subject by use of the present device.