SYSTEMS AND METHODS FOR PPG SENSORS INCORPORATING EKG SENSORS

• US 20110270048A1
• Filed: 04/30/2010
• Published: 11/03/2011
• Est. Priority Date: 04/30/2010
• Status: Abandoned Application

• Current Assignee: Nellcor Puritan Bennett Ireland
• Original Assignee: Nellcor Puritan Bennett Ireland
• Inventors: Addison, Paul Stanley, Watson, James N., Sethi, Rakesh
• Application Number:
  US12/771,770
• Publication Number:
  US 20110270048A1
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02444 Details of sensor A61B5/02427 takes precedence
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/14551 for measuring blood gases

Abstract

Techniques and structures are disclosed for using photoplethysmograph (PPG) and electrocardiographic (EKG)-based readings of a subject to determine one or more physiological characteristics of the subject. In an arrangement, a combined PPG-EKG sensor unit may be used to detect both PPG and EKG signals of the subject. The sensor unit may include a PPG sensor, an EKG sensor, and a support structure for connecting or fastening the sensor unit to the subject. The detected readings may be provided to an electronic monitor. In an arrangement, a PPG-EKG monitoring system, including the electronic monitor, may be used to determine the physiological parameters of the subject. The monitoring system may first determine an auxiliary parameter based at least in part on the EKG signal, and then compute the one or more physiological characteristics of the subject based at least in part on both the PPG signal and the auxiliary parameter.

Claims

1. A sensor unit for detecting signals related to physiological characteristics of a subject, the sensor unit comprising:

a support structure;

a first sensor capable of detecting a photoplethysmograph (PPG) signal, wherein the first sensor is physically coupled to the support structure;

a second sensor capable of detecting an electrocardiographic (EKG) signal, wherein the second sensor is physically coupled to the support structure; and

an interface coupled to the first sensor and the second sensor, wherein the interface is capable of providing the detected PPG signal and the detected EKG signal to at least one electronic monitor.

2. The sensor unit of claim 1, wherein the first sensor comprises a LED emitter and a photoelectric detector.

3. The sensor unit of claim 1, wherein the second sensor comprises a metal electrode.

4. The sensor unit of claim 1, wherein the sensor unit is configured to be attached to a subject'"'"'s digit, and wherein the sensor unit further comprises:

a first part configured to contact the top of the digit; and

a second part configured to contact the bottom of the digit, wherein the second sensor is coupled to a portion of the support structure that is located in the second part of the sensor and is arranged to contact the underside of a digit of the subject.

5. The sensor unit of claim 1, wherein the sensor unit is configured to be attached to a subject'"'"'s digit, and wherein the sensor unit further comprises:

a first part configured to contact the top of the digit; and

a second part configured to contact the bottom of the digit, wherein the second sensor is coupled to a portion of the support structure that is located in the first part of the sensor and is arranged to contact the top of the digit at a location separate from a nail of the subject.

6. The sensor unit of claim 1, wherein the sensor further comprises an adhesive layer, wherein the adhesive layer is physically coupled to the support structure, and wherein the adhesive layer is arranged to be affixed onto a portion of the body of the subject.

7. The sensor unit of claim 1, further comprising:

a clip comprising a spring, wherein the spring is capable of biasing the support structure; and

wherein the support structure comprises padding material, wherein the padding material is adjustable to conform to a digit of the subject.

8. The sensor unit of claim 1, wherein the interface is a wireless interface capable of providing the detected PPG signal and the detected EKG signal to the at least one electronic monitor by a wireless link.

9. The sensor unit of claim 1, further comprising:

a first cable coupled to the interface for providing the detected PPG signal to the at least one electronic monitor; and

a second cable coupled to the interface for providing the detected EKG signal to the at least one electronic monitor.

10. The sensor unit of claim 1, further comprising a common cable capable of providing both the detected PPG signal and the detected EKG signal to the at least one electronic monitor.

11. A monitoring system for determining one or more physiological parameters of a subject, the system comprising:

a sensor unit, the sensor unit comprising;

a support structure;

a first sensor capable of detecting a photoplethysmograph (PPG) signal, wherein the first sensor is physically coupled to the support structure;

a second sensor capable of detecting an electrocardiographic (EKG) signal, wherein the second sensor is physically coupled to the support structure; and

an interface coupled to the first sensor and the second sensor, wherein the interface is capable of providing the detected PPG signal and the detected EKG signal to at least one electronic monitor; and

a processor coupled to the at least one electronic monitor, wherein the processor is capable of;

determining the one or more physiological parameters of the subject based, at least in part, on the detected PPG signal;

determining an auxiliary parameter based, at least in part, on the detected EKG signal; and

outputting the one or more physiological parameters.

12. The system of claim 11, wherein the determining of the one or more physiological parameters of the subject is performed using the auxiliary parameter.

13. The system of claim 11, wherein the auxiliary parameter comprises a trigger, and wherein the processor is further capable of generating an ensemble average of the determined PPG signal in response to the trigger.

14. The system of claim 11, wherein the auxiliary parameter comprises an indicator of the presence of an arrhythmia condition in the subject.

15. The system of claim 11, wherein the auxiliary parameter comprises respiration information determined based at least in part on at least one impedance change of the subject.

16. A method for determining one or more physiological parameters of a subject, the method comprising:

detecting a photoplethysmograph (PPG) signal;

detecting an electrocardiographic (EKG) signal;

providing the detected PPG signal and the detected EKG signal to at least one electronic monitor;

determining the one or more physiological parameters of the subject based, at least in part, on the detected PPG signal;

determining an auxiliary parameter based, at least in part, on the detected EKG signal; and

outputting the one or more physiological parameters.

17. The method of claim 16, wherein the determining of the one or more physiological parameters of the subject is performed using the auxiliary parameter.

18. The method of claim 16, wherein the auxiliary parameter comprises a trigger, the method further comprising generating an ensemble average of the detected PPG signal based, at least in part, on the trigger.

19. The method of claim 16, wherein the auxiliary parameter comprises an indicator of the presence of an arrhythmia condition in the subject.

20. The method of claim 16, wherein the auxiliary parameter comprises respiration information determined based at least in part on at least one impedance change of the subject.