METHODS AND SYSTEMS FOR DETERMINING PHYSIOLOGICAL INFORMATION BASED ON THE SHAPE OF AUTOCORRELATION PEAKS

• US 20140073953A1
• 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, Wooder, Nicholas James
• Application Number:
  US13/609,445
• Publication Number:
  US 20140073953A1
• Time in Patent Office: Days
• US Class Current: 600/479
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• 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

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;

calculate an autocorrelation sequence of an optical intensity signal derived from the intensity signal;

identify one or more peaks of the autocorrelation sequence; and

determine a value indicative of a physiological rate of the subject based on an analysis of the shape of the one or more peaks.

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

3. The system of claim 2, wherein the processing equipment is further configured to:

select a first portion of the conditioned optical intensity signal, wherein the first portion is a recent portion of the conditioned intensity signal;

select a second portion of the conditioned optical intensity signal, wherein the second portion is bigger than the first portion; and

calculate a correlation of the first portion with the second portion at a plurality of different lags.

4. The system of claim 1, wherein the analysis is based on a symmetry of the one or more peaks.

5. The system of claim 1, wherein the analysis is based on a width of the one or more peaks.

6. The system of claim 1, wherein the analysis is based on an amplitude of the one or more peaks.

7. The method of claim 1, wherein the processing equipment is further configured to:

identify a plurality of peaks of the autocorrelation sequence;

disqualify peaks that do not meet one or more criteria; and

determine the value indicative of the physiological rate based on one or more of the non-disqualified peaks.

8. 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.

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

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

calculate an autocorrelation sequence of the optical intensity signal;

identify one or more peaks of the autocorrelation sequence; and

determine a value indicative of a physiological rate of the subject based on an analysis of the shape of the one or more peaks.

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

11. The processing module of claim 10, further configured to:

select a first portion of the conditioned optical intensity signal, wherein the first portion is a recent portion of the conditioned intensity signal;

select a second portion of the conditioned optical intensity signal, wherein the second portion is bigger than the first portion; and

calculate a correlation of the first portion with the second portion at a plurality of different lags.

12. The processing module of claim 9, wherein the analysis is based on a symmetry of the one or more peaks.

13. The processing module of claim 9, wherein the analysis is based on a width of the one or more peaks.

14. The processing module of claim 9, wherein the analysis is based on an amplitude of the one or more peaks.

15. The processing module of claim 9, further configured to:

identify a plurality of peaks of the autocorrelation sequence;

disqualify peaks that do not meet one or more criteria; and

determine the value indicative of the physiological rate based on one or more of the non-disqualified peaks.

16. The processing module of claim 9, 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.

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

receiving an optical intensity signal derived from a detector output, wherein the detector detects light attenuated by the subject;

calculating an autocorrelation sequence of the optical intensity signal;

identifying one or more peaks of the autocorrelation sequence; and

determining, using processing equipment, a value indicative of a physiological rate of the subject based on an analysis of the shape of the one or more peaks.

18. The method of claim 17, further comprising conditioning the optical intensity signal using a detrending calculation prior to calculating the autocorrelation sequence.

19. The method of claim 18, wherein calculating the autocorrelation sequence comprises:

selecting a first portion of the conditioned optical intensity signal, wherein the first portion is a recent portion of the conditioned intensity signal;

selecting a second portion of the conditioned optical intensity signal, wherein the second portion is bigger than the first portion; and

calculating a correlation of the first portion with the second portion at a plurality of different lags.

20. The method of claim 17, wherein the analysis is based on a symmetry of the one or more peaks.

21. The method of claim 17, wherein the analysis is based on a width of the one or more peaks.

22. The method of claim 17, wherein the analysis is based on an amplitude of the one or more peaks.

23. The method of claim 17, wherein the identifying comprises identifying a plurality of peaks of the autocorrelation sequence and wherein the determining the value indicative of the physiological rate comprises:

disqualifying peaks that do not meet one or more criteria; and

determining the value indicative of the physiological rate based on one or more of the non-disqualified peaks.

24. The method of claim 17, wherein the optical intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.

25. 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 optical intensity signal derived from a detector output, wherein the detector detects light attenuated by the subject;

calculating an autocorrelation sequence of the optical intensity signal;

identifying one or more peaks of the autocorrelation sequence; and

determining a value indicative of a physiological rate of the subject based on an analysis of the shape of the one or more peaks.

26. The computer-readable medium of claim 25, having further computer program instructions recorded thereon for conditioning the optical intensity signal using a detrending calculation prior to calculating the autocorrelation sequence.

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

selecting a first portion of the conditioned optical intensity signal, wherein the first portion is a recent portion of the conditioned intensity signal;

selecting a second portion of the conditioned optical intensity signal, wherein the second portion is bigger than the first portion; and

calculating a correlation of the first portion with the second portion at a plurality of different lags.

28. The computer-readable medium of claim 25, wherein the analysis is based on a symmetry of the one or more peaks.

29. The computer-readable medium of claim 25, wherein the analysis is based on a width of the one or more peaks.

30. The computer-readable medium of claim 25, wherein the analysis is based on an amplitude of the one or more peaks.

31. The computer-readable medium of claim 25, having further computer program instructions recorded thereon for:

identifying a plurality of peaks of the autocorrelation sequence and wherein the determining the value indicative of the physiological rate comprises;

disqualifying peaks that do not meet one or more criteria; and

determining the value indicative of the physiological rate based on one or more of the non-disqualified peaks.

32. The computer-readable medium of claim 25, 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.