Method of producing an audible alarm in a blood pressure and pulse oximeter monitor

• US 5,253,645 A
• Filed: 12/13/1991
• Issued: 10/19/1993
• Est. Priority Date: 12/13/1991
• Status: Expired due to Fees

• Current Assignee: Critikon Co. LLC (GE Aerospace)
• Original Assignee: Critikon, Inc. (Johnson & Johnson)
• Inventors: Medero, Richard, Friedman, Bruce A., Bordon, Daryl L.
• Primary Examiner(s): Green, Randall L.
• Assistant Examiner(s): GUALTIERI, GINA
• Application Number:
  US07/807,537
• Time in Patent Office: 676 Days
• Field of Search: 128/633, 128/632, 128/634
• US Class Current: 600/324
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/7405 using sound

Abstract

A patient monitoring system includes a pulse oximeter sensor and an audible alarm which is not produced when a blood pressure module is taking measurements, but only during that portion of the cycle that affects the pulse oximeter reading. During such measurements, the pulses detected by the oximeter decrease below a threshold T_oxim. An audible alarm is caused to receive a logic level of zero by an AND gate through the detection of measurements exceeding a minimum pressure P_min on the blood pressure module. The audible alarm continues to receive such a logic level until the measurements exceed a threshold P_thr. After that time, the audible alarm AND gate logic level is reset to one, so as to permit reporting of pulses missing at the oximeter. None of the other alarms, such as the actual SpO₂ reading, are affected by the AND gate. Accordingly, the present invention does not affect the taking of important SpO₂ readings during cuff inflation/deflation and, moreover, only prevents a pulse missing audible alarm from being heard for a short period of time.

Claims

1. A method for producing an audible alarm in a patient monitoring system including a blood pressure module having a cuff placed on a limb of a patient and a pulse oximeter placed on the limb of the patient, comprising the steps of:

using said cuff to measure peak oscillation amplitudes of the blood pressure of said patient over a blood pressure measurement cycle and to produce a first output which represents a first logical state;

using said pulse oximeter to measure an oxygen saturation (SpO₂) level of said patient and to produce a second logical state;

inputting said first and second logical states into a gate producing an output from said gate, said output capable of enabling an audible alarm; and

masking said second logical state as input for enabling said audible alarm in said gate whenever said peak oscillation amplitudes fall in a range between a minimum level P_min and a threshold level P_thr,

wherein during said masking of said second logical state, said audible alarm rejects a spurious oxygen saturation level alarm and said masking does not occur during at least a portion of said blood pressure measurement cycle.

2. The method of claim 1 further comprising the step of:

causing said audible alarm to be produced when said blood pressure peak oscillation amplitudes do not reach P_thr within a fixed period of time T₁ after P_min is reached.

3. The method of claim 2 further comprising the step of:

measuring the pulse of the patient with said pulse oximeter and producing an alarm output when said pulse oximeter has not detected a valid pulse within a predetermined period of time T₂.

4. The method of claim 3 further comprising the step of:

initially setting P_thr at a nominal value and thereafter determining a maximum peak oscillation amplitude P_max and subsequently resetting P_thr to be predetermined percentage P_x of P_max .

5. The method of claim 4 further comprising the step of:

visually displaying peak oscillation amplitudes.

6. The method of claim 5 further comprising the step of:

continuously visually displaying said SpO₂ level.

7. The method of claim 6 further comprising the step of:

producing a visual alarm indicating that the pulse of said patient has fallen below a level T_oxim, when no valid pulse has been detected for said period of time T₂.

8. The method of claim 2 wherein T₁ is approximately 20 seconds.

9. The method of claim 3 wherein T₂ is approximately 10 seconds.

10. The method of claim 4 wherein said predetermined percentage P_x is approximately 60% of P_max.