Regional saturation shock detection method and system

• US 10,098,576 B2
• Filed: 03/06/2015
• Issued: 10/16/2018
• Est. Priority Date: 03/14/2014
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Su, Mark Yu-Tsu, Borg, Ulf Rune
• Primary Examiner(s): Winakur, Eric
• Assistant Examiner(s): Liu, Chu Chuan (J J)
• Application Number:
  US14/640,928
• Publication Number:
  US 20150257690A1
• Time in Patent Office: 1,320 Days
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor

Abstract

According to various embodiments, a medical system and method for early detection of shock may include devices configured to provide information about multiple patient parameters. In certain embodiments, the system may receive input from a regional saturation sensor. Based on these inputs, the system may provide a diagnosis of shock and/or distinguish between various types of shock.

Claims

1. A system comprising:

light drive circuitry configured to drive a light emitter coupled to a regional saturation sensor;

input circuitry configured to receive a regional saturation signal from a first detector and a second detector of the regional saturation sensor, wherein the first detector and the second detector are spaced apart from the light emitter at respective first and second distances, the second distance being greater than the first distance;

a processor configured to execute instructions to;

determine a regional saturation parameter based on the regional saturation signal, wherein the processor is configured to determine the regional saturation parameter by at least assessing a portion of the signal that is representative of light detected by the second detector that has passed through additional tissue relative to the first detector;

receive information related to a blood pressure parameter of a patient;

compare the regional saturation parameter to a first threshold;

compare the blood pressure parameter to a second threshold;

determine that the patient is in shock based on the comparison of the regional saturation parameter to the first threshold and the comparison of the blood pressure parameter to the second threshold; and

provide an output related to shock based on the determination that the patient is in shock; and

a memory storing the instructions.

2. The system of claim 1, wherein the processor is configured to determine the patient is in warm shock if the regional saturation parameter is above the first threshold when the blood pressure parameter is below the second threshold and if the patient is not fluid-responsive, wherein the output comprises an indication that the patient is in warm shock.

3. The system of claim 2, wherein the first threshold is a regional saturation value of 50-60%.

4. The system of claim 1, wherein the processor is configured to determine the patient is in cold shock if the regional saturation parameter is below the first threshold when the blood pressure parameter is below the second threshold and if the patient is not fluid-responsive, wherein the output comprises an indication that the patient is in cold shock.

5. The system of claim 4, wherein the first threshold is a regional saturation value of 50-60%.

6. The system of claim 1, wherein processor is configured to determine the patient is not in shock and fluid-responsive if the regional saturation parameter is above the first threshold when the blood pressure parameter is above the second threshold and wherein the output comprises an indication that the patient is not in shock and is fluid-responsive.

7. The system of claim 6, wherein the first threshold is a regional saturation value of 50-60%.

8. The system of claim 1, wherein the processor is configured to receive a blood oxygen saturation signal and determine an oxygen saturation parameter based on the blood oxygen saturation signal.

9. The system of claim 1, further comprising a display, wherein the processor is configured to display an indication related to shock on the display, wherein the indication comprises instructions to a caregiver to perform a recommended treatment based on the relationship.

10. The system of claim 1, further comprising the regional saturation sensor, wherein the regional saturation sensor is configured to be disposed on the patient'"'"'s head.

11. A system, comprising:

one or more light emitters;

a plurality of detectors that, in operation, detect light emitted by the one or more light emitters to generate a first signal representative of a regional saturation of the patient; and

a non-invasive blood pressure sensor that, in operation, generates a second signal representative of a blood pressure of the patient; and

a monitor configured to;

receive the first signal and determine a regional saturation parameter of the patient based on the first signal;

receive the second signal and determine a blood pressure parameter of the patient based on the second signal;

compare the regional saturation parameter to a first threshold;

compare the blood pressure parameter to a second threshold; and

determine that the patient is in shock or is not in shock based on the comparison of the regional saturation parameter to the first threshold and the comparison of the blood pressure parameter to the second threshold.

12. The system of claim 11, wherein the system comprises a sensor body having a tissue-contacting surface on which the one or more light emitters and the plurality of detectors are disposed.

13. The system of claim 12, wherein the one or more light emitters comprise a first light emitter spaced apart a first distance from a first detector of the plurality of detectors and a second distance from a second detector of the plurality of detectors on the tissue-contacting surface of the sensor body, wherein the second distance is greater than the first distance.

14. The system of claim 11, wherein the plurality of detectors is configured to generate a third signal representative of a blood oxygen saturation.

15. The system of claim 14, wherein the system is configured to trigger inflation or deflation of a cuff comprising the blood pressure sensor based on the third signal.

16. The system of claim 14, wherein monitor comprises a processor configured to determine the patient is in shock when the regional saturation is below the first threshold and the blood pressure is above or below the second threshold.