Methods and systems for determining a light drive parameter limit in a physiological monitor

• US 10,188,330 B1
• Filed: 02/04/2015
• Issued: 01/29/2019
• Est. Priority Date: 02/05/2014
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kadlec, Ron, Mackinnon, John, Lund, Greg, Lin, Andy
• Primary Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US14/614,274
• Time in Patent Office: 1,455 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 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/1495 Calibrating or testing of in-vivo probes
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity
• CPC Class Codes: H05B 47/105 in response to determined parameters

Abstract

A physiological monitoring system may receive a sensor signal from a physiological sensor. The system may determine a parameter based on the sensor signal, for example variability of a blood oxygen saturation value or the percent modulation of a light signal. The system may determine a light drive parameter limit based on one or more parameters. For example, the system may determine a light drive current limit. The frequency of changes in the limit may be regulated using a state machine and other techniques that include hysteresis. An extant light drive parameter may be updated or changed in accordance with the light drive parameter limit and a light drive signal may be generated based on the light drive parameter.

Claims

1. A method for driving a medical sensor for use on a subject, comprising:

generating a light drive signal with a variable current below a first maximum current limit, the light drive signal being configured to produce an emitted light in a medical sensor;

receiving a sensor signal from the medical sensor, in response to the emitted light;

determining a parameter based on the received sensor signal;

changing the maximum current limit based on the parameter; and

generating the light drive signal in accordance with the changed maximum current limit.

2. The method of claim 1, wherein generating the light drive signal in accordance with the changed maximum current limit comprises changing a level of current of the light drive signal.

3. The method of claim 1, wherein the parameter comprises a physiological parameter, a system parameter, or a signal quality parameter.

4. The method of claim 1, wherein the parameter comprises a first parameter, the method further comprising:

determining a second parameter;

making a first decision based on the first parameter;

making a second decision based on the second parameter; and

combining the first decision and the second decision, wherein;

changing the maximum current limit comprises changing the maximum current limit based on the combination of the first decision and the second decision.

5. The method of claim 4, wherein combining comprises a logical AND operation.

6. The method of claim 1, wherein changing the maximum current limit comprises using a state machine based at least in part on the parameter.

7. The method of claim 6, wherein the state machine comprises hysteresis.

8. The method of claim 1, wherein changing the maximum current limit comprises applying hysteresis.

9. The method of claim 1, wherein changing the maximum current limit comprises comparing the parameter to a threshold.

10. The method of claim 1, wherein the parameter is selected from the group consisting of percent modulation, nAv, oxygen saturation, pulse rate, signal quality, a variability of a physiological parameter, and combinations thereof.

11. The method of claim 1, further comprising:

determining a physiological parameter of the subject based at least in part on the received sensor signal.

12. The method of claim 1, wherein generating the light drive signal in accordance with the maximum current limit comprises generating the light drive signal at a first current, wherein generating the light drive signal in accordance with the changed maximum current limit comprises generating the light drive signal at a second current, and wherein the second current is less than the first current.

13. The method of claim 1, wherein generating the light drive signal with a variable current below a first maximum current limit comprises generating the light drive signal at a first current, wherein generating the light drive signal in accordance with the changed maximum current limit comprises generating the light drive signal at a second current, and wherein the second current is greater than the first current.

14. The method of claim 1, wherein generating the light drive signal with a variable current below a first maximum current limit comprises generating the light drive signal at a first current, and wherein generating the light drive signal in accordance with the changed maximum current limit comprises generating the light drive signal at the same first current.

15. The method of claim 1, wherein changing the maximum current limit based on the parameter comprises changing the maximum current limit if the parameter exceeds a threshold for a duration of time.

16. The method of claim 1, wherein the medical sensor comprises a pulse oximetry sensor having first and second light emitters, wherein generating the light drive signal with a variable current below a first maximum current limit comprises generating first and second light drive signals for producing emitted light from the first and second light emitters, respectively, and wherein generating the light drive signal in accordance with the changed maximum current limit comprises generating the first and second light drive signals in accordance with the changed maximum current limit.

17. The method of claim 16, wherein generating the first and second light drive signals in accordance with the changed maximum current limit comprises changing a current of one but not both of the first and the second light drive signals.

18. The method of claim 1, wherein generating the light drive signal in accordance with the changed maximum current limit comprises varying a current level of the light drive signal, while remaining below or equal to the maximum current limit.

19. A method for monitoring a physiological parameter of a subject, comprising:

driving a medical sensor with a varying current below a first maximum current to emit light into a subject;

receiving a sensor signal from the medical sensor in response to the emitted light;

determining a plurality of parameters based on the sensor signal;

comparing each of the plurality of parameters to a respective threshold or condition;

determining, for each of the plurality of parameters, a vote based on whether the parameter meets its respective threshold or condition;

combining the votes of the plurality of parameters;

reducing the maximum current limit available to the medical sensor based on the combined votes; and

driving the medical sensor with varying current below the reduced maximum current limit.

20. The method of claim 19, wherein combining the votes of the plurality of parameters comprises a logical AND operation.

21. The method of claim 19, wherein reducing the maximum current limit available comprises reducing the maximum current if the combined vote is affirmative for a minimum duration of time.

22. The method of claim 19, further comprising increasing the maximum current limit available to the medical sensor if the combined vote is negative for a minimum duration of time.