SENSOR FUSION AND PROBABILISTIC PARAMETER ESTIMATION METHOD AND APPARATUS

• US 20140275886A1
• Filed: 03/14/2013
• Published: 09/18/2014
• Est. Priority Date: 03/14/2013
• Status: Abandoned Application

• Current Assignee: Vital Metrix Inc.
• Original Assignee: Streamline Automation LLC
• Inventors: Teixeira, Rodrigo E.
• Application Number:
  US13/829,334
• Publication Number:
  US 20140275886A1
• Time in Patent Office: Days
• US Class Current: 600/324
• 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 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/346 Analysis of electrocardiograms
• CPC Class Codes: A61B 5/7214 using signal cancellation, e.g. based on input of two identical physiological sensors spaced apart, or based on two signals derived from the same sensor, for different optical wavelengths
• CPC Class Codes: A61B 5/725 using specific filters therefor, e.g. Kalman or adaptive filters A61B5/316 take precedence
• 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: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A probabilistic digital signal processor using data from multiple instruments is described. Initial probability distribution functions are input to a dynamic state-space model, which operates on state and/or model probability distribution functions to generate a prior probability distribution function, which is input to a probabilistic updater. The probabilistic updater integrates sensor data from multiple instruments with the prior to generate a posterior probability distribution function passed (1) to a probabilistic sampler, which estimates one or more parameters using the posterior, which is output or re-sampled in an iterative algorithm or (2) iteratively to the dynamic state-space model. For example, the probabilistic processor operates on fused data using a physical model, where the data originates from a mechanical system or a medical meter or instrument, such as an electrocardiogram or pulse oximeter to generate new parameter information and/or enhanced parameter information.

Claims

1. An apparatus configured for processing sensor data representative of a body, comprising:

an analyzer, comprising;

a physical model representative of function of a circulatory system of the body, said physical model coded into a digital signal processor embedded in said analyzer, said digital signal processor configured to;

generate a prior probability distribution function using said physical model; and

repetitively fuse input data originating from at least two types of medical instruments, configured to measure separate sections of the circulatory system, with the prior probability distribution function to generate a posterior probability distribution function,

said processor configured to process the posterior probability distribution function using the physical model to generate an output of at least one of;

a heart stroke volume related to power spent during systolic contraction of a heart of the body;

a cardiac output flow rate;

an aortic blood pressure; and

a radial blood pressure.

2. The apparatus of claim 1, wherein said two types of medical instruments comprise:

a pulse oximeter; and

an electrocardiogram device,

wherein a portion of said input data originating from said pulse oximeter comprises a first value of at least one of;

first raw data;

a current;

a voltage;

a spectral value; and

a blood oxygen saturation, and

wherein a portion of said input data originating from said electrocardiogram device comprises a second value of at least one of;

second raw data;

processed sensor data; and

an electrocardiogram.

3. The apparatus of claim 1, wherein the output of said processor comprises the heart stroke volume, said processor configured to use at least one equation relating the heart stroke volume to the posterior probability distribution function.

4. The apparatus of claim 1, wherein at least one of said two types of medical instruments comprises an instrument configured to monitor a hemodynamic process using light, wherein at least one of said two types of medical instruments comprises an instrument configured to monitor an electrodynamic process related to a an electrical signal from a heart of the body, and wherein the physical model representative of function of the circulatory system of the body comprises:

an electrodynamics model of a heart;

a hemodynamic process model of the circulatory system; and

a blood flow model of an aorta of the circulatory system.

5. The apparatus of claim 1, further comprising an environment sensor configured to generate environment data representative of a local environment state outside of the body, said digital signal processor further configured to repetitively fuse the environment data with the prior probability distribution function.

6. The apparatus of claim 5, said environment sensor comprising:

a multi-axes accelerometer, said processor configured to fuse output from said accelerometer with output data from at least one of said at least two types of medical sensors to identify outlier data.

7. The apparatus of claim 5, said environment sensor comprising:

a global positioning system linked to a database of locational environmental data, said digital signal processor configured to fuse the locational environmental data with the prior probability distribution function.

8. The apparatus of claim 1, wherein said physical model comprises an electrodynamics physical model configured to use a fitting constant related to at least one of age and gender.

9. The apparatus of claim 1, wherein said physical model comprises a thoracic aortic cross-sectional area parameter.

10. A method for processing sensor data representative of a body, comprising the steps of:

using a physical model, representative of function of a circulatory system of a body, coded into a digital signal processor of an analyzer;

generating a prior probability distribution function using said physical model;

repetitively fusing input data originating from at least a first medical instrument and a second medical instrument, measuring separate sections of the circulatory system, with the prior probability distribution function to generate a posterior probability distribution function; and

processing the posterior probability distribution function with said processor to generate an output of at least one of;

a heart stroke volume related to power spent during systolic contraction of a heart of the body;

a cardiac output flow rate;

an aortic blood pressure; and

a radial blood pressure.

11. The method of claim 10, further comprising the steps of:

determining a noise artifact event through analysis of the input data from said first instrument, said first instrument comprising a pulse oximeter; and

using said noise artifact event to filter the input data from said second instrument, said second instrument comprising an electrocardiogram device.

12. The method of claim 10, further comprising the step of:

generating a metric to a parameter not output by either said first instrument or said second instrument,

wherein said first instrument comprises a pulse oximeter configured to measure at least one of a heart rate and a blood oxygen saturation,

wherein said second instrument comprises an electrocardiogram device configured to generate an electrocardiogram,

wherein said metric comprises at least one of;

the heart stroke volume, the cardiac output flow rate, the aortic pressure, and the radial blood pressure.

13. The method of claim 10, wherein said step of processing generates the output of the heart stroke volume, wherein said step of processing uses at least one equation relating heart stroke volume to the posterior probability distribution function.

14. The method of claim 10, wherein said physical model:

incorporates a tissue permittivity parameter; and

comprises at least one equation related to arterial blood flow rate in the body.

16. The method of claim 10, further comprising the step of:

using a fitting constant related to at least one of age and gender in the physical model, wherein the physical model comprises an electrodynamics physical model of a heart of the body.

17. The method of claim 10, further comprising the step of:

the physical model representing both an aortic pressure and a radial pressure of a vascular system of the body.

18. The method of claim 10, further comprising the step of:

the physical model comprising a heart electrodynamics physical model using;

a conductivity parameter;

a transmembrane potential; and

an electrode placement model.

19. The method of claim 18, wherein the physical model comprises use of a term related to arterial compliance.

20. The method of claim 10, further comprising the steps of:

a probabilistic processor converting the repetitively fused input data into at least two probability distribution functions;

dynamically circulating the at least two probability distribution functions through a dynamic state-space model, said dynamic state-space model comprising;

a first process model configured to model physical aspects of the first medical instrument;

a probabilistic process model configured to model physical aspects of the second medical instrument; and

an observation model configured to model at least one data noise source related to the repetitively fused input data; and

iteratively circulating the at least two probability distribution functions in said dynamic state-space model in synchronization with receipt of at least one of;

updated first input data from said first medical instrument; and

updated second input data from said second medical instrument.

15. The method of claim 15, further comprising the step of:

using both hemodynamic data and an electrodynamic signal to generate an estimate of an autonomic nervous system tone,

wherein the input data from said first instrument comprises a measure of the hemodynamic data outside of a heart of the body, and

wherein the input data from said second instrument comprises a measure of electrodynamic data representative of an electrodynamic signal originating in the heart of the body.