Low Perfusion Signal Processing Systems And Methods

• US 20100017142A1
• Filed: 10/10/2008
• Published: 01/21/2010
• Est. Priority Date: 07/15/2008
• Status: Active Grant

• Current Assignee: Nellcor Puritan Bennett Ireland
• Original Assignee: Nellcor Puritan Bennett Ireland
• Inventors: Addison, Paul Stanley, Watson, James Nicholas, McKenna, Edward M.
• Granted Patent: US 8,082,110 B2
• Time in Patent Office: Days
• US Class Current: 702/19
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/726 using Wavelet transforms
• CPC Class Codes: G01N 33/48 Biological material, e.g. blood, urine G01N33/02, G01N33/26, G01N33/44, G01N33/46 take precedence; Haemocytometers counting blood corpuscules distributed over a surface by scanning the surface G06M11/02
• CPC Class Codes: G16B 40/10 Signal processing, e.g. from mass spectrometry [MS] or from PCR
• CPC Class Codes: G16B 99/00 Subject matter not provided for in other groups of this subclass

Abstract

In some embodiments, systems and methods for identifying a low perfusion condition are provided by transforming a signal using a wavelet transform to generate a scalogram. A pulse band and adjacent marker regions in the scalogram are identified. Characteristics of the marker regions are used to detect the existence of a lower perfusion condition. If such a condition is detected, an event may be triggered, such as an alert or notification.

Claims

1. A method comprising:

receiving a signal;

transforming the signal using at least a wavelet transform;

generating a scalogram based at least in part on the transformed signal;

identifying a pulse band in the scalogram;

identifying a marker region in the scalogram, wherein the marker region is adjacent the pulse band;

identifying a characteristic of the marker region;

determining, based at least in part on the characteristic of the marker region, that a low perfusion condition exists; and

triggering an event.

2. The method of claim 1 wherein the signal comprises a photoplethysmograph signal from a patient.

3. The method of claim 1 wherein the marker region is positioned above or below the pulse band.

4. The method of claim 1 wherein identifying a marker region comprises using ridges or modulus maxima of the scalogram.

5. The method of claim 1 wherein the characteristic of the marker region comprises at least one of the group of:

a change in energy within the marker region over time, a change in amplitude within the marker region over time, a residual marker, a number of residual markers, a size of the residual marker, a location of the residual marker, energy of the residual marker, amplitude of the residual marker, and strength of the residual marker.

6. The method of claim 1 further comprising receiving a threshold for a characteristic of the marker region.

7. The method of claim 6 wherein the event is triggered if the characteristic of the marker does not correspond to the threshold.

8. The method of claim 6 wherein the threshold is based in part on a user classification.

9. The method of claim 1 wherein the event is triggered based in part on a user classification.

10. The method of claim 1 wherein the event comprises one of the group of:

sending a control signal to a display, sending a control signal to a speaker, generating an alert, sending a control signal to a second sensor, and moving a sensor.

11. The method of claim 10 wherein the alert comprises one of the group of:

an indication of a low perfusion condition, an indication to examine a patient, an indication to move the sensor, an indication to move the sensor closer to an artery, an indication to move the sensor away from an artery, and an indication of use of a second sensor.

12. The method of claim 1 further comprising:

generating a second scalogram based at least in part on the signal; and

comparing at least two of;

the scalogram, the second scalogram, and the threshold.

13. A system comprising:

a signal generator for generating a signal;

a processor coupled to the signal generator, wherein the processor is capable of;

transforming the signal using at least a wavelet transform;

generating a scalogram based at least in part on the transformed signal;

identifying a pulse band in the scalogram;

identifying a marker region in the scalogram, wherein the marker region is adjacent the pulse band;

identifying a characteristic of the marker region;

determining, based at least in part on the characteristic of the marker region, that a low perfusion condition exists; and

triggering an event; and

a display capable of displaying the scalogram.

14. The system of claim 13 wherein the signal generator comprises a pulse oximeter coupled to a sensor.

15. The system of claim 13 wherein the signal comprises a photoplethysmograph signals from a patient.

16. The system of claim 13 wherein the marker region is positioned above or below the pulse band.

17. The system of claim 13 wherein the processor identifies the marker region using ridges or modulus maxima of the scalogram.

18. The system of claim 13 wherein the characteristic of the marker region comprises at least one of the group of:

a change in energy within the marker region over time, a change in amplitude within the marker region over time, a residual marker, a number of residual markers, a size of the residual marker, a location of the residual marker, energy of the residual marker, amplitude of the residual marker, and strength of the residual marker.

19. The system of claim 13 wherein the processor is capable of receiving a threshold for a characteristic of the marker region.

20. The system of claim 19 wherein the processor triggers the event if the characteristic of the marker does not correspond to the threshold.

21. The system of claim 13 wherein the threshold is based in part on a user classification.

22. The system of claim 13 wherein the processor triggers the event based in part on a user classification.

23. The system of claim 13 wherein the event comprises one of the group of:

the processor sending a control signal to the display, the processor sending a control signal to a speaker, the processor generating an alert, the processor sending a control signal to a second sensor, and the processor sending a control signal for moving a sensor.

24. The system of claim 23 wherein the alert comprises one of the group of:

an indication of a low perfusion condition, an indication to examine a patient, an indication to move the sensor, an indication to move the sensor closer to an artery, an indication to move the sensor away from an artery, and an indication of use of a second sensor.

25. The system of claim 13 wherein the processor is capable of:

generating a second scalogram based at least in part on the signal; and

comparing at least two of;

the scalogram, the second scalogram, and the threshold.