Method and apparatus for the early diagnosis of subacute, potentially catastrophic illness

• US 20050137484A1
• Filed: 12/01/2004
• Published: 06/23/2005
• Est. Priority Date: 03/17/1998
• Status: Active Grant

• Current Assignee: University of Virginia Patent Foundation (University of Virginia)
• Original Assignee: University of Virginia
• Inventors: Moorman, J. Randall, Griffin, M. Pamela
• Granted Patent: US 7,774,050 B2
• Time in Patent Office: Days
• US Class Current: 600/509
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/02411 of foetuses
• CPC Class Codes: A61B 5/344 Foetal cardiography
• CPC Class Codes: A61B 5/412 Detecting or monitoring sepsis
• CPC Class Codes: A61B 5/4362 Assessing foetal parameters
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

In one aspect of the invention, there is provided a method and apparatus for early detection of subacute, potentially catastrophic infectious illness in a premature newborn infant. The method comprises: (a) continuously monitoring heart rate variability in the premature newborn infant; and (b) identifying at least one characteristic abnormality in the heart rate variability that is associated with the illness. This method can be use to diagnose illnesses such as, but not limited to, sepsis, necrotizing enterocolitis, pneumonia and meningitis. In another aspect of the present invention, there is provided a method and apparatus for early detection of subacute, potentially catastrophic infectious illness in a patient. The method comprises: (a) continuously monitoring the patient'"'"'s RR intervals; (b) generating a normalized data set of the RR intervals; (c) calculating one or more of (i) moments of the data set selected from the third and higher moments and (ii) percentile values of the data set; and (d) identifying an abnormal heart rate variability associated with the illness based on one or more of the moments and the percentile values.

Claims

1-62. -62. (canceled)

63. A method for early detection of subacute, potentially catastrophic illness in an infant comprising:

(a) monitoring the infant'"'"'s RR intervals;

(b) generating a normalized data set of the RR intervals;

(c) calculating one or more of (i) moments of the data set selected from the third and higher moments and (ii) percentile values of the data set; and

(d) identifying an abnormal hear rate variability associated with the illness based on one or more of the moments and percentile values.

64. The method of claim 63, wherein the moments include the third moment of the data set.

65. The method of claim 63, wherein the moments include the fourth moment of the data set.

66. The method of claim 63, wherein the percentile values include the 10^th data percentile value.

67. The method of claim 67, wherein the infant is a neonate.

68. (canceled)

69. (canceled)

70. (canceled)

71-76. -76. (canceled)

77. An apparatus for early detection of subacute, potentially catastrophic infectious illness in a patient, wherein the patient is selected from the group consisting of a premature newborn infant, infant, newborn infant, toddler and child, comprising (1) a monitoring device, continuously monitoring the patient'"'"'s RR intervals, and (2) a microprocessor, said microprocessor performing steps comprising:

(a) generating a normalized data set of the RR intervals;

(b) calculating one or more of (i) moments of the data set selected from the third and higher moments and (ii) percentile values of the data set; and

(c) identifying an abnormal heart rate variability based on one or more of the moments and the percentile values.

78. The apparatus of claim 77, wherein the microprocessor calculates the third moment of the data set.

79. The apparatus of claim 77, wherein the microprocessor calculates the fourth moment of the data set.

80. The apparatus of claim 77, wherein the microprocessor calculates the 10th percentile of the data set.