SYSTEM AND METHOD FOR DETERMINING HEMODYNAMIC STATUS THROUGH A BLOOD PRESSURE RELATED INDEX

• US 20140323846A1
• Filed: 03/27/2014
• Published: 10/30/2014
• Est. Priority Date: 04/24/2013
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Watson, James Nicholas, Addison, Paul Stanley, Niebel, Kathleen H.
• Application Number:
  US14/227,594
• Publication Number:
  US 20140323846A1
• Time in Patent Office: Days
• US Class Current: 600/407
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence

Abstract

A system for determining a hemodynamic status of an individual may include a photoplethysmography (PPG) sub-system configured to detect a PPG signal and a response triggering module configured to analyze the PPG signal and output one or more response triggers based on a changing feature of the PPG signal within a time window. Each of the one or more response triggers may relate to an instruction to initiate detection of at least one physiological characteristic of the individual. A blood pressure (BP) variability index determination module is configured to determine a BP variability index related to a hemodynamic status of the individual based on a frequency or pattern of the one or more response triggers.

Claims

1. A system for determining a hemodynamic status of an individual, the system comprising:

a photoplethysmography (PPG) sub-system configured to detect a PPG signal;

a response triggering module configured to analyze the PPG signal and output one or more response triggers based on a changing feature of the PPG signal within a time window, wherein each of the one or more response triggers relates to an instruction to initiate detection of at least one physiological characteristic of the individual; and

a blood pressure (BP) variability index determination module configured to determine a BP variability index related to the hemodynamic status of the individual based on a frequency or pattern of the one or more response triggers.

2. The system of claim 1, wherein the physiological characteristic of the individual includes a blood pressure of the individual.

3. The system of claim 1, wherein the BP variability index is based on the frequency of the one or more response triggers output by the response triggering module during the time window.

4. The system of claim 1, further comprising a BP detection unit operatively connected to the response trigger module and the BP variability index determination module, wherein the BP detection unit is configured to initiate detection of BP of the individual upon reception of the one or more response triggers.

5. The system of claim 4, wherein the BP variability index is further based on the detected BP of the individual.

6. The system of claim 1, wherein the system is devoid of a separate and distinct device configured to detect the at least one physiological characteristic of the individual.

7. The system of claim 1, further comprising a fluid responsiveness determination module in communication with the PPG sub-system and the BP variability index determination module, wherein the fluid responsiveness determination module is configured to determine a fluid responsiveness predictor (FRP) based on an analysis of the PPG signal.

8. The system of claim 7, wherein the BP variability index is further based on the FRP.

9. The system of claim 7, wherein the response triggering module is configured to output the one or more response triggers if the FRP is above or below a threshold or inside or outside of a range.

10. A system for determining a hemodynamic status of an individual comprising:

an input receiving a photoplethysmography (PPG) signal representing light absorption by a subject'"'"'s tissue;

a trigger generated based on a change in a feature of the PPG signal, wherein the trigger indicates a probability of a change in blood pressure of the subject based on the change in the feature of the PPG signal; and

a calculator outputting a blood pressure (BP) variability index based on a number or pattern of triggers generated over a period of time.

11. The system of claim 10, further comprising a BP detection unit operatively connected to the calculator, wherein the BP detection unit is configured to initiate detection of BP of the individual upon reception of the trigger.

12. The system of claim 11, wherein the calculator outputs the BP variability index based on the detected BP of the individual.

13. The system of claim 10, wherein the system is devoid of a separate and distinct device configured to detect the BP of the individual.

14. The system of claim 10, further comprising a fluid responsiveness determination module in communication with the input, wherein the fluid responsiveness determination module is configured to determine a fluid responsiveness predictor (FRP) based on an analysis of the PPG signal.

15. The system of claim 14, wherein the BP variability index is further based on the FRP.

16. The system of claim 15, wherein the trigger is generated when the FRP is above or below a threshold or inside or outside of a range.

17. A system for determining a hemodynamic status of an individual, the system comprising:

at least one circuit or processor configured to determine whether to trigger a blood pressure (BP) measurement of the individual based on an analysis of a photoplethysmography (PPG) signal, and develop a BP variability index related to the hemodynamic status of the individual based on a number or pattern of triggered BP measurements within a time window.

18. The system of claim 17, wherein the system is devoid of a separate and distinct device configured to detect the BP of the individual.