Methods and systems for recalibrating a blood pressure monitor with memory

• US 10,165,953 B2
• Filed: 03/21/2016
• Issued: 01/01/2019
• Est. Priority Date: 11/30/2010
• Status: Active Grant

• Current Assignee: Nellcor Puritan Bennett Ireland
• Original Assignee: Nellcor Puritan Bennett Ireland
• Inventors: Addison, Paul Stanley, Watson, James N.
• Primary Examiner(s): BHAT, ADITYA S
• Application Number:
  US15/076,552
• Publication Number:
  US 20160198963A1
• Time in Patent Office: 1,016 Days
• Field of Search: None
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/02141 Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits A61B5/02233, A61B5/0235 take precedence
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/7235 Details of waveform analysis A61B5/349 takes precedence
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

Systems and methods are provided for storing and recalling metrics associated with physiological signals. It may be determined that the value of a monitored physiological metric corresponds to a stored value. In such cases, a patient monitor may determine that a calibration is not desired. In some cases, a patient monitor may recall calibration parameters associated with the stored value if it determined that the stored value corresponds to the monitored metric value.

Claims

1. A method for triggering a cuff-based blood pressure measurement of a subject, the method comprising:

receiving a photoplethysmograph (PPG) signal from a sensor;

monitoring, using a processor, a first value of a metric derived at least in part from the PPG signal;

comparing, using the processor, the first value of the metric to each stored value of a plurality of stored values, wherein each stored value of the plurality of stored values is associated with a respective calibration parameter;

determining, using the processor, that the first value of the metric does not correspond to any stored value of the plurality of stored values based at least in part on the comparison;

triggering, using the processor, the cuff-based blood pressure measurement in response to determining that the first value of the metric does not correspond to any stored value of the plurality of stored values;

executing, using an inflatable cuff, the cuff-based blood pressure measurement of the subject in response to the trigger;

determining, using the processor, a second value of the metric;

comparing, using the processor, the second value of the metric to stored values of the plurality of stored values;

determining, using the processor, that the second value of the metric corresponds to a stored value of the plurality of stored values based at least in part on the comparison; and

recalling, from at least one memory device, a set of blood pressure calibration parameters associated with the stored value of the plurality of stored values based on determining that the second value of the metric corresponds to the stored value.

2. The method of claim 1, further comprising updating, using the processor, the plurality of stored values to include the first value of the metric in response to the trigger.

3. The method of claim 2, further comprising updating, using the processor, a stored set of blood pressure calibration parameters comprising the calibration parameters associated with the plurality of stored values, based at least in part on the cuff-based blood pressure measurement of the subject, to generate an updated stored set of blood pressure calibration parameters, wherein the stored set of blood pressure calibration parameters comprises the set of blood pressure calibration parameters associated with the stored value.

4. The method of claim 3, further comprising determining, using the processor, a blood pressure value of the subject based on the updated stored set of blood pressure calibration parameters and the PPG signal.

5. The method of claim 4, wherein the cuff-based blood pressure measurement comprises a cuff-based blood pressure measurement, the method further comprising:

comparing the blood pressure value of the subject to a stored blood pressure value of the subject;

determining, using the processor, that a difference between the blood pressure value and the stored blood pressure value satisfies a threshold difference value; and

triggering, using the processor, a second cuff-based blood pressure measurement based at least in part on the determination.

6. The method of claim 3, further comprising storing, using the at least one memory device, the updated set of stored blood pressure calibration parameters and the first value of the metric.

7. The method of claim 1, wherein the first value of the metric corresponds to pulse wave area, pulse wave moment, relative fiducial point position, kurtosis, dicrotic notch position, pulse wave skew, skew of the derivative of a portion of the PPG signal, pulse wave height, pulse wave full width at half maximum, length of a pulse upstroke, the position of a centroid of a pulse wave, or any combination thereof.

8. The method of claim 1, wherein the first value of the metric corresponds to blood pressure, heart rate, differential pulse transit time, or any combination thereof.

9. The method of claim 1, wherein comparing the first value of the metric to each stored value of the plurality of stored values comprises using a pattern matching technique.

10. The method of claim 1, further comprising receiving an auxiliary PPG signal from a sensor, wherein the metric corresponds to a time difference between at least one portion of the PPG signal and at least one portion of the auxiliary PPG signal.

11. The method of claim 1, further comprising calibrating a system comprising the sensor using the cuff-based blood pressure measurement of the subject.

12. A system for triggering a cuff-based blood pressure measurement of a subject, the system comprising:

a signal input configured to receive a PPG signal of a subject from a sensor;

a processor coupled to the signal input, wherein the processor is configured to;

monitor a first value of a metric derived at least in part from the PPG signal;

compare the first value of the metric to each stored value of a plurality of stored values, wherein each stored value of the plurality of stored values is associated with a respective calibration parameter;

determine that the first value of the metric does not correspond to any stored value of the plurality of stored values based at least in part on the comparison;

trigger the cuff-based blood pressure measurement in response to determining that the first value of the metric does not correspond to any stored value of the plurality of stored values;

determine a second value of the metric;

compare the second value of the metric to stored values of the plurality of stored values;

determine that the second value of the metric corresponds to a stored value of the plurality of stored values based at least in part on the comparison; and

recall, from at least one memory device, a set of blood pressure calibration parameters associated with the stored value of the plurality of stored values based on determining that the second value of the metric corresponds to the stored value; and

an inflatable cuff coupled to the processor, wherein the inflatable cuff is configured to execute the cuff-based blood pressure measurement of the subject in response to the trigger.

13. The system of claim 12, wherein the processor is further configured to update the plurality of stored values to include the first value of the metric in response to the trigger.

14. The system of claim 13, wherein the processor is further configured to update a stored set of blood pressure calibration parameters comprising the calibration parameters associated with the plurality of stored values, based at least in part on the cuff-based blood pressure measurement of the subject, to generate an updated stored set of blood pressure calibration parameters, wherein the stored set of blood pressure calibration parameters comprises the set of blood pressure calibration parameters associated with the stored value.

15. The system of claim 14, wherein the processor is further configured to determine a pressure value of the subject based on the updated stored set of blood pressure calibration parameters and the PPG signal.

16. The system of claim 15, wherein the processor is further configured to:

compare the blood pressure value of the subject to a stored blood pressure value of the subject;

determine that a difference between the blood pressure value of the subject and the stored blood pressure value of the subject satisfies a threshold difference value; and

trigger a cuff-based blood pressure measurement based at least in part on the determination.

17. The system of claim 12, wherein the sensor comprises a first sensor, and wherein the signal input is further configured to receive a PPG signal of a subject from a second sensor.

18. The system of claim 12, wherein the metric comprises at least one of a differential pulse transit time, blood pressure, heart rate, PPG signal morphology metric, PPG signal integral, PPG signal moment, PPG signal peak value, coefficient of a PPG signal transform, or a combination thereof.

19. The system of claim 12, wherein the processor is configured to compare the value of the metric to each stored value of the plurality of stored values by at least using a pattern matching technique.

20. The system of claim 12, wherein the processor is further configured to calibrate a system comprising the sensor using the cuff-based blood pressure measurement of the subject.