CAPACITANCE ENHANCED PHYSIOLOGICAL MEASUREMENTS

• US 20150157269A1
• Filed: 05/09/2014
• Published: 06/11/2015
• Est. Priority Date: 12/06/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Lisogurski, Daniel, Meehan, Christopher J., Schlottau, Friso, Morland, Eric
• Granted Patent: US 9,462,979 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2562/0214 Capacitive electrodes
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take 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 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/0826 Detecting or evaluating apnoea events A61B5/4818 takes precedence
• CPC Class Codes: A61B 5/085 Measuring impedance of respiratory organs or lung elasticity
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61B 5/721 : using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 5/746 : Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61B 7/00 : Instruments for auscultation

Abstract

Systems, methods, apparatuses, and software for measuring and determining physiological parameters of a patient are presented. In one example, a physiological measurement system includes a physiological sensor system configured to detect a physiological signal representative of one or more physiological parameters associated with a patient. The measurement system also includes a capacitance system configured to apply one or more electric field signals to the patient and determine a capacitance signal. The measurement system also includes a processing system configured to reduce a noise level in the physiological signal based on at least the capacitance signal.

Claims

1. A physiological measurement system, comprising:

a physiological sensor system configured to detect a physiological signal representative of one or more physiological parameters associated with a patient;

a capacitance system configured to apply one or more electric field signals to the patient to determine a capacitance signal; and

a processing system configured to reduce a noise level in the physiological signal based on at least the capacitance signal.

2. The measurement system of claim 1, comprising:

the processing system configured to use the capacitance signal to correct for at least motion artifacts in the physiological signal.

3. The measurement system of claim 1, wherein the physiological sensor system comprises an optical system configured to emit one or more optical signals into tissue of the patient, and detect the one or more optical signals after propagation through the tissue;

and comprising;

the processing system configured to process the one or more detected optical signals to determine an optical plethysmograph, and process the optical plethysmograph based at least in part on the capacitance signal to determine an adjusted plethysmograph having a reduced noise level; and

the processing system configured to determine a physiological parameter based on the adjusted plethysmograph.

4. The measurement system of claim 1, comprising:

the processing system configured to process the capacitance signal to determine at least one noise component in the capacitance signal;

the processing system configured to reduce at least one noise component in the physiological signal using the at least one noise component in the capacitance signal.

5. The measurement system of claim 1, comprising:

the processing system configured to process the capacitance signal to determine a noise level in the capacitance signal caused by motion of tissue of the patient;

the processing system configured to assign the physiological signal a first processing weight when the noise level exceeds a noise threshold, and assign the physiological signal a second processing weight when the noise level does not exceed the noise threshold.

6. The processing system of claim 1, comprising:

the processing system configured to process the capacitance signal to identify a motion signal associated with motion of tissue of the patient; and

when the motion signal indicates that the motion of the tissue of the patient exceeds a motion threshold, the processing system is configured to instruct the measurement system to activate a motion alert of the measurement system.

7. The measurement system of claim 1, comprising:

the capacitance system configured to detect the capacitance signal using at least one capacitive plate positioned in proximity to tissue of the patient.

8. The measurement system of claim 1, wherein the one or more electric field signals comprise one or more modulated electric signals applied to one or more capacitor plates positioned in proximity to tissue of the patient.

9. The measurement system of claim 1, wherein the physiological sensor system comprises at least one of a pulse oximetry system, an electrocardiogram (ECG) system, an acoustic physiological parameter measurement system, a breathing monitor, and a pulse rate monitor configured to measure the physiological signal.

10. A method of operating a physiological measurement system, the method comprising:

detecting a physiological signal representative of one or more physiological parameters associated with a patient;

applying one or more electric field signals to the patient to determine a capacitance signal; and

reducing a noise level in the physiological signal based on at least the capacitance signal.

11. The method of claim 10, further comprising:

correcting for at least motion artifacts in the physiological signal using the capacitance signal.

12. The method of claim 10, further comprising:

emitting one or more optical signals into tissue of the patient, detecting the one or more optical signals after propagation through the tissue, and processing the one or more detected optical signals to determine an optical plethysmograph;

processing the optical plethysmograph based at least in part on the capacitance signal to determine an adjusted plethysmograph having a reduced a noise level; and

determining a physiological parameter based on the adjusted plethysmograph.

13. The method of claim 10, further comprising:

processing the capacitance signal to determine at least one noise component in the capacitance signal;

reducing at least one noise component in the physiological signal using the at least one noise component in the capacitance signal.

14. The method of claim 10, comprising:

processing the capacitance signal to determine a noise level in the capacitance signal caused by at least motion of tissue of the patient;

assigning the physiological signal a first processing weight when the noise level exceeds a noise threshold and assigning the physiological signal a second processing weight when the noise level does not exceed the noise threshold.

15. The method of claim 10, further comprising:

processing the capacitance signal to identify a motion signal associated with motion of tissue of the patient; and

when the motion signal indicates that the motion of the tissue of the patient exceeds a motion threshold, activating a motion alert of the measurement system.

16. The method of claim 10, further comprising:

detecting the changes in the one or more electric field signals by at least detecting changes in capacitance of at least one capacitive plate positioned in proximity to tissue of the patient.

17. The method of claim 10, wherein the one or more electric field signals comprise one or more modulated electric signals applied to one or more capacitor plates positioned in proximity to tissue of the patient.

18. The method of claim 10, wherein detecting the physiological signal comprises measuring the physiological signal with at least one of a pulse oximetry system, an electrocardiogram (ECG) system, an acoustic physiological parameter measurement system, a breathing monitor, and a pulse rate monitor.

19. A physiological measurement apparatus, comprising:

an optical portion configured to emit optical signals into tissue of a patient, and detect the optical signals after propagation through the tissue;

a capacitance portion configured to apply an electric field signal to the patient using at least one capacitor plate located in proximity to the tissue of the patient to determine a capacitance signal; and

a processing portion configured to identify a noise component in the capacitance signal caused by motion of the tissue of the patient, produce adjusted optical signals using at least the noise component in the capacitance signal, and identify one or more physiological parameters of the patient using at least the adjusted optical signals.

20. The apparatus of claim 19, comprising:

the processing portion configured to monitor the noise component in the capacitance signal to identify when the motion of the tissue of the patient exceeds a motion threshold, and instruct the optical system to inhibit emission of the optical signals when the motion of the tissue of the patient exceeds the motion threshold.