Systems and methods for calibrating physiological signals with multiple techniques

• US 20120136261A1
• Filed: 11/30/2010
• Published: 05/31/2012
• Est. Priority Date: 11/30/2010
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Sethi, Rakesh, Stoughton, Robert, Watson, James N., Addison, Paul Stanley, Campbell, Shannon E., Lisogurski, Daniel, McKenna, Edward M.
• Application Number:
  US12/956,932
• Publication Number:
  US 20120136261A1
• Time in Patent Office: Days
• US Class Current: 600/485
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/1495 Calibrating or testing of in-vivo probes

Abstract

Systems and methods are disclosed herein for calibrating the calculation of physiological parameters. Two or more calibration techniques may be used to determine a relationship between physiological measurements and a desired physiological parameter, such as a relationship between differential pulse transit time (DPTT) and blood pressure. Different calibration techniques may be used in a serial fashion, one after the other, or in a parallel fashion, with different weights accorded to each calibration technique. When physiological or other changes occur, the calibration data may be stored for later use and new calibration data may be generated.

Claims

1. A method for measuring blood pressure of a subject, comprising:

determining, with a processor executing a first calibration technique, first calibration data for use in determining blood pressure;

determining, with a processor executing a second calibration technique, second calibration data for use in determining blood pressure, wherein the second calibration technique is different from the first calibration technique;

measuring a differential pulse transit time; and

determining, with a processor, the blood pressure of the subject based at least in part on the differential pulse transit time and at least one of the first calibration data and the second calibration data.

2. The method of claim 1, wherein the first calibration technique is based at least in part on at least one of inter-patient empirical data, intra-patient empirical data, gravity-based calibration data, and respiration-based calibration data.

3. The method of claim 1, wherein the first calibration data and the second calibration data are determined substantially simultaneously.

4. The method of claim 1, wherein the first calibration data is determined substantially before the second calibration data is determined.

5. The method of claim 1, wherein the blood pressure is determined based at least in part on a weighted combination of the first calibration data and the second calibration data.

6. The method of claim 5, wherein the weighting of the combination of the first calibration data and the second calibration data is based at least in part on an indication of accuracy.

7. The method of claim 1, wherein the first calibration data includes a plurality of calibration points, wherein the plurality of calibration points are weighted based at least in part on when the calibration points were determined, and wherein the blood pressure is determined based at least in part on the weighted calibration points.

8. The method of claim 1, further comprising:

determining, with a processor, if at least one of the first calibration data and the second calibration data include outlier data; and

in response to determining that outlier data is included, determining, with a processor, if the outlier data should be removed.

9. A method for measuring blood pressure of a subject, comprising:

determining, with a processor executing a calibration technique, first calibration data;

measuring a first differential pulse transit time;

determining, with a processor, the blood pressure of the subject based at least in part on the first differential pulse transit time and the first calibration data;

determining that a change event occurred;

determining, with a processor executing a calibration technique, second calibration data based on at least two calibration data points taken after the change event occurred;

measuring a second differential pulse transit time after the change event occurred; and

determining, with a processor, the blood pressure of the subject based at least in part on the second differential pulse transit time and the second calibration data after the change event occurred.

10. The method of claim 9, wherein the change event is a change in compliance.

11. The method of claim 9, further comprising storing, in a memory, for later use, at least one of the first calibration data, the first differential pulse transit time, the second calibration data, the second differential pulse transit time, and the blood pressure.

12. The method of claim 9, wherein the calibration technique executed before the change event is different from the calibration technique executed after the change event.

13. The method of claim 9, wherein the second calibration data is further based on calibration data previously stored in a memory for later use.

14. A system for measuring blood pressure of a subject, comprising:

at least two sensors; and

a processor configured to;

execute a first calibration technique to determine first calibration data for use in determining blood pressure;

execute a second calibration technique to determine second calibration data for use in determining blood pressure, wherein the second calibration technique is different from the first calibration technique;

measure a differential pulse transit time based at least in part on data received from the at least two sensors; and

determine the blood pressure of the subject based at least in part on the differential pulse transit time and at least one of the first calibration data and the second calibration data.

15. The system of claim 14, wherein the first calibration technique is based at least in part on at least one of inter-patient empirical data, intra-patient empirical data, gravity-based calibration data, and respiration-based calibration data.

16. The system of claim 14, wherein the processor is configured to determine the first calibration data and the second calibration data substantially simultaneously.

17. The system of claim 14, wherein the processor is configured to determine the first calibration data substantially before determining the second calibration data.

18. The system of claim 14, wherein the processor is configured to determine blood pressure based at least in part on a weighted combination of the first calibration data and the second calibration data.

19. The system of claim 18, wherein the weighting of the combination of the first calibration data and the second calibration data is based at least in part on an indication of accuracy.

20. The system of claim 14, wherein the first calibration data includes a plurality of calibration points, wherein the calibration points are weighted based at least in part on when the calibration points were determined, and wherein the processor is configured to determine blood pressure based at least in part on the weighted calibration points.

21. The system of claim 14, wherein the processor is configured to:

determine if at least one of the first calibration data and the second calibration data include outlier data; and

in response to determining that outlier data is included, determine if the outlier data should be removed.

22. A system for measuring blood pressure of a subject, comprising:

at least two sensors; and

a processor configured to;

execute a calibration technique to determine first calibration data;

measure a first differential pulse transit time based at least in part on data received from the at least two sensors;

determine the blood pressure of the subject based at least in part on the first differential pulse transit time and the first calibration data;

determine that a change event occurred;

execute a calibration technique to determine second calibration data based on at least two calibration data points taken after the change event occurred;

measure a second differential pulse transit time based at least in part on data received from the at least two sensors after the change event occurred; and

determine the blood pressure of the subject based at least in part on the second differential pulse transit time and the second calibration data after the change event occurred.

23. The system of claim 22, wherein the change event is a change in compliance.

24. The system of claim 22, further comprising a memory, and wherein the processor is configured to store, in the memory, for later use, at least one of the first calibration data, the first differential pulse transit time, the second calibration data, the second differential pulse transit time, and the blood pressure.

25. The system of claim 22, wherein the calibration technique executed before the change event is different from the calibration technique executed after the change event.

26. The system of claim 22, further comprising a memory, wherein the second calibration data is further based on calibration data previously stored in the memory for later use.