NON-INVASIVE METHOD FOR MONITORING AUTOREGULATION

• US 20140073888A1
• Filed: 09/07/2012
• Published: 03/13/2014
• Est. Priority Date: 09/07/2012
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Sethi, Rakesh, Watson, James N., Addison, Paul S.
• Application Number:
  US13/606,312
• Publication Number:
  US 20140073888A1
• Time in Patent Office: Days
• US Class Current: 600/324
• CPC Class Codes: A61B 5/0075 by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy A61B5/0071 takes precedence
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/4064 Evaluating the brain A61B5/031, A61B5/369, A61B5/14553 take precedence

Abstract

A system includes a controller that receives a blood pressure signal and an oxygen saturation signal. The blood pressure signal represents a non-invasive measure of blood pressure. The oxygen saturation signal represents a non-invasive measure of oxygen saturation. The controller generates an autoregulation status signal representing a status of cerebral autoregulation. The autoregulation status signal is based, at least in part, on a relationship between the measured blood pressure and the measured oxygen saturation. An exemplary method may include receiving the blood pressure signal and the oxygen saturation signal, defining a relationship between the measured blood pressure and the measured oxygen saturation, determining an autoregulation status based at least in part on the defined relationship, and generating an autoregulation status signal representing the determined autoregulation status.

Claims

1. A system comprising:

a controller configured to receive a blood pressure signal representing a non-invasive measure of blood pressure and an oxygen saturation signal representing a non-invasive measure of oxygen saturation,

wherein the controller is configured to generate an autoregulation status signal representing a status of cerebral autoregulation, and

wherein the autoregulation status signal is based at least in part on a relationship between the measured blood pressure and the measured oxygen saturation.

2. A system as set forth in claim 1, wherein the controller is configured to determine a linear correlation between the measured blood pressure and the measured oxygen saturation and determine an autoregulation status based on the linear correlation.

3. A system as set forth in claim 2, wherein the controller is configured to determine the autoregulation status based at least in part on a slope of the linear correlation.

4. A system as set forth in claim 1, wherein the controller is configured to output the autoregulation status signal to an output device.

5. A system as set forth in claim 1, wherein the controller is configured to determine the autoregulation status based at least in part on the relationship between the measured blood pressure and the measured oxygen saturation.

6. A system as set forth in claim 1, wherein the controller is configured to generate an alarm signal if the autoregulation status indicates that cerebral autoregulation is impaired.

7. A system as set forth in claim 1, wherein controller is configured to derive a cerebral oximetry index measurement from the relationship between the measured blood pressure and the measured oxygen saturation.

8. A system as set forth in claim 7, wherein the controller is configured to derive the cerebral oximetry index measurement based at least in part on a linear correlation between the measured blood pressure and the measured oxygen saturation.

9. A system as set forth in claim 1, further comprising a first sensor configured to non-invasively measure blood pressure and generate the blood pressure signal.

10. A system as set forth in claim 9, further comprising a second sensor configured to non-invasively measure oxygen saturation and generate the oxygen saturation signal.

20. A system as set forth in claim 1, wherein controller is configured to derive a cerebral oximetry index measurement from the linear correlation between the measured blood pressure and the measured oxygen saturation.

11. A method comprising:

receiving a blood pressure signal representing a non-invasive measure of blood pressure;

receiving an oxygen saturation signal representing a non-invasive measure of oxygen saturation;

defining a relationship between the measured blood pressure and the measured oxygen saturation;

determining an autoregulation status based at least in part on the defined relationship; and

generating an autoregulation status signal representing the determined autoregulation status.

12. A method as set forth in claim 11, wherein defining the relationship between the measured blood pressure and the measured oxygen saturation includes determining a linear correlation between the measured blood pressure and the measured oxygen saturation.

13. A method as set forth in claim 12, wherein determining the autoregulation status is based at least in part on a slope of the linear correlation.

14. A method as set forth in claim 11, further comprising generating an alarm signal if the autoregulation status indicates that cerebral autoregulation is impaired.

15. A method as set forth in claim 11, further comprising deriving a cerebral oximetry index measurement from the relationship between the measured blood pressure and the measured oxygen saturation.

16. A method as set forth in claim 15, wherein deriving the cerebral oximetry index measurement includes deriving the cerebral oximetry index measurement from a linear correlation between the measured blood pressure and the measured oxygen saturation.

17. A system comprising:

a first sensor configured to non-invasively measure blood pressure and generate a blood pressure signal;

a second sensor configured to non-invasively measure oxygen saturation and generate an oxygen saturation signal;

a controller in communication with the first sensor and the second sensor and configured to receive the blood pressure signal and the oxygen saturation signal, wherein the controller is configured to generate an autoregulation status signal representing a status of cerebral autoregulation,

wherein the autoregulation status signal is based at least in part on a linear correlation between the measured blood pressure and the measured oxygen saturation, the linear correlation forming a regression line when plotted, and

wherein the controller is configured to determine the autoregulation status based at least in part on a slope of the regression line.

18. A system as set forth in claim 17, further comprising an output device configured to receive the autoregulation status signal from the controller, wherein the output device is configured to display a visual representation of the status of cerebral autoregulation.

19. A system as set forth in claim 17, wherein the controller is configured to generate an alarm signal if the autoregulation status indicates that cerebral autoregulation is impaired.