METHODS AND SYSTEMS FOR DETERMINING PHYSIOLOGICAL INFORMATION USING MODULATED SIGNALS

• US 20140073863A1
• Filed: 09/11/2012
• Published: 03/13/2014
• Est. Priority Date: 09/11/2012
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Engelbrecht, Pirow, Rodriguez-Llorente, Fernando
• Application Number:
  US13/609,451
• Publication Number:
  US 20140073863A1
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/0806 by whole-body plethysmography measuring blood flow using plethysmography A61B5/0295; impedance plethysmography A61B5/053; measuring volume of the body or parts thereof A61B5/1073
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 5/7217 of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
• CPC Class Codes: A61B 5/7228 Signal modulation applied to the input signal sent to patient or subject; demodulation to recover the physiological signal modulation H03C
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A physiological monitoring system may process a physiological signal such a photoplethysmograph signal from a subject. The system may determine physiological information, such as a physiological rate, from the physiological signal. The system may use search techniques and qualification techniques to determine one or more initialization parameters. The initialization parameters may be used to calculate and qualify a physiological rate. The system may use signal conditioning to reduce noise in the physiological signal and to improve the determination of physiological information. The system may use qualification techniques to confirm determined physiological parameters. The system may also use autocorrelation techniques, cross-correlation techniques, fast start techniques, and/or reference waveforms when processing the physiological signal.

Claims

1. A subject monitoring system for determining physiological information of a subject, comprising:

a sensor configured to generate an intensity signal, wherein the sensor detects light attenuated by the subject; and

processing equipment coupled to the sensor, wherein the processing equipment is configured to;

perform a first modulation based on the intensity signal using a first modulation signal to generate a first modulated intensity signal;

perform a second modulation based on the intensity signal using a second modulation signal to generate a second modulated intensity signal;

generate a phase signal based on the first modulated intensity signal and the second modulated intensity signal; and

determine a value indicative of a physiological rate of the subject based on the phase signal.

2. The system of claim 1, wherein the processing equipment is further configured to condition the intensity signal using a detrending calculation prior to calculating the auto correlation sequence.

3. The system of claim 1, wherein the first modulation signal is a sinusoid and wherein the second modulation signal is a phase shifted sinusoid.

4. The system of claim 1, wherein the processing equipment is further configured to low pass filter the first and second modulated intensity signals prior to generating the phase signal.

5. The system of claim 1, wherein the processing equipment is further configured to:

perform a plurality of first modulations based on the intensity signal using a plurality of first modulation signals to generate a plurality of first modulated intensity signals, wherein the plurality of first modulation signals are at different modulation frequencies;

perform a plurality of second modulations based on the intensity signal using a plurality of second modulation signals to generate a plurality of second modulated intensity signals, wherein the plurality of second modulation signals are at different modulation frequencies;

generate a plurality of phase signals based on the plurality of first modulated intensity signals and the plurality of second modulated intensity signals; and

determine the value indicative of the physiological rate based on the plurality phase signals.

6. The system of claim 5, wherein the processing equipment is further configured to determine a modulation frequency that provides a substantially stable phase signal.

7. The system of claim 1, wherein the intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.

8. A processing module for determining physiological information of a subject, wherein the processing module is configured to:

receive an intensity signal from a detector, wherein the detector detects light attenuated by the subject;

perform a first modulation based on the intensity signal using a first modulation signal to generate a first modulated intensity signal;

perform a second modulation based on the intensity signal using a second modulation signal to generate a second modulated intensity signal;

generate a phase signal based on the first modulated intensity signal and the second modulated intensity signal; and

determine a value indicative of a physiological rate of the subject based on the phase signal.

9. The processing module of claim 8, further configured to condition the intensity signal using a detrending calculation prior to calculating the autocorrelation sequence.

10. The processing module of claim 8, wherein the first modulation signal is a sinusoid and wherein the second modulation signal is a phase shifted sinusoid.

11. The processing module of claim 8, further configured to low pass filter the first and second modulated intensity signals prior to generating the phase signal.

12. The processing module of claim 8, further configured to:

perform a plurality of first modulations based on the intensity signal using a plurality of first modulation signals to generate a plurality of first modulated intensity signals, wherein the plurality of first modulation signals are at different modulation frequencies;

perform a plurality of second modulations based on the intensity signal using a plurality of second modulation signals to generate a plurality of second modulated intensity signals, wherein the plurality of second modulation signals are at different modulation frequencies;

generate a plurality of phase signals based on the plurality of first modulated intensity signals and the plurality of second modulated intensity signals; and

determine the value indicative of the physiological rate based on the plurality of phase signals.

13. The processing module of claim 12, further configured to determine a modulation frequency that provides a substantially stable phase signal.

14. The processing module of claim 8, wherein the intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.

15. A method for determining physiological information of a subject, comprising:

receiving an intensity signal from a detector, which detects light attenuated by the subject;

performing a first modulation based on the intensity signal using a first modulation signal to generate a first modulated intensity signal;

performing a second modulation based on the intensity signal using a second modulation signal to generate a second modulated intensity signal;

generating a phase signal based on the first modulated intensity signal and the second modulated intensity signal; and

determining, using processing equipment, a value indicative of a physiological rate of the subject based on the phase signal.

16. The method of claim 15, further comprising conditioning the intensity signal using a detrending calculation prior to calculating the autocorrelation sequence.

17. The method of claim 15, wherein the first modulation signal is a sinusoid and wherein the second modulation signal is a phase shifted sinusoid.

18. The method of claim 15, further comprising low pass filtering the first and second modulated intensity signals prior to analyzing the phase signal.

19. The method of claim 15, further comprising:

performing a plurality of first modulations based on the intensity signal using a plurality of first modulation signals to generate a plurality of first modulated intensity signals, wherein the plurality of first modulation signals are at different modulation frequencies; and

performing a plurality of second modulations based on the intensity signal using a plurality of second modulation signals to generate a plurality of second modulated intensity signals, wherein the plurality of second modulation signals are at different modulation frequencies, wherein generating the phase signal comprises generating a plurality of phase signals based on the plurality of first modulated intensity signals and the plurality of second modulated intensity signals, and wherein determining the value indicative of the physiological rate comprises determining the value indicative of the physiological rate based on the plurality of phase signals.

20. The method of claim 19, wherein determining the value indicative of the physiological rate comprises determining a modulation frequency that provides a substantially stable phase signal.

21. The method of claim 15, wherein the intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.

22. A computer-readable medium for use in determining physiological information of a subject, the computer-readable medium having computer program instructions recorded thereon for:

receiving an intensity signal from a detector, which detects light attenuated by the subject;

performing a first modulation based on the intensity signal using a first modulation signal to generate a first modulated intensity signal;

performing a second modulation based on the intensity signal using a second modulation signal to generate a second modulated intensity signal;

generating a phase signal based on the first modulated intensity signal and the second modulated intensity signal; and

determining a value indicative of a physiological rate of the subject based on the phase signal.

23. The computer-readable medium of claim 22, having further computer program instructions recorded thereon for conditioning the intensity signal using a detrending calculation prior to calculating the autocorrelation sequence.

24. The computer-readable medium of claim 22, wherein the first modulation signal is a sinusoid and wherein the second modulation signal is a phase shifted sinusoid.

25. The computer-readable medium of claim 22, having further computer program instructions recorded thereon for low pass filtering the first and second modulated intensity signals prior to analyzing the phase signal.

26. The computer-readable medium of claim 22, having further computer program instructions recorded thereon for:

performing a plurality of first modulations based on the intensity signal using a plurality of first modulation signals to generate a plurality of first modulated intensity signals, wherein the plurality of first modulation signals are at different modulation frequencies; and

performing a plurality of second modulations based on the intensity signal using a plurality of second modulation signals to generate a plurality of second modulated intensity signals, wherein the plurality of second modulation signals are at different modulation frequencies, wherein generating the phase signal comprises generating a plurality of phase signals based on the plurality of first modulated intensity signals and the plurality of second modulated intensity signals, and wherein determining the value indicative of the physiological rate comprises determining the value indicative of the physiological rate based on the plurality of phase signals.

27. The computer-readable medium of claim 26, having further computer program instructions recorded thereon for determining a modulation frequency that provides a substantially stable phase signal.

28. The computer-readable medium of claim 22, wherein the intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.