Method for rejecting electrical interference from physiological measurements

• US 5,305,760 A
• Filed: 02/07/1992
• Issued: 04/26/1994
• Est. Priority Date: 02/07/1992
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Interflo Medical, Inc.
• Inventors: Eckert, Chris, McKown, Russell C., Quinn, Michael D.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): GILBERT, SAMUEL G
• Application Number:
  US07/832,410
• Time in Patent Office: 809 Days
• Field of Search: 128/713, 128/691, 128/692, 128/670, 73/861.06, 73/204.16, 73/204.17, 73/204.18, 73/204.19, 73/204.23
• US Class Current: 600/505
• CPC Class Codes: A61B 5/028 by thermo-dilution
• CPC Class Codes: A61B 5/301 providing electrical separation, e.g. by using isolating transformers or optocouplers
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]

Abstract

Methods and apparatus for eliminating the effects of electrosurgical interference on continuous, heat-based cardiac output measurements employing several procedures, including the steps of (1) supplying power via an isolation transformer and carrier frequency to a catheter-mounted heating element; (2) measuring the voltage and current on the primary side of the isolation transformer; (3) determining the voltage and current on the secondary side of the transformer on the basis of the measured primary side voltage and current; and (4) calculating the power delivered to and resistance of the catheter-mounted heater on the basis of the secondary voltage and current. A heater power waveform generated with this process will be substantially free of electrical interference due to electrosurgical devices. Then, a system transfer function may be produced via signal processing techniques which involve cross-correlating the heater power waveform with the blood temperature waveform. The system transfer function will be uncorrupted, even if the blood temperature waveform contains moderate electrical interference, since the heater power waveform is free of any correlated electrical interference.

Claims

1. A method for obtaining a measurement of a parameter of interest of a system while minimizing the effects of any electromagnetic interference on said measurement, comprising the steps of:

(a) injecting an amount of indicator into said system by supplying power to said system via an isolation transformer and a carrier frequency;

(b) measuring a first signal that is both indicative of said amount of said indicator injected in step (a) and substantially free of the effects of said electromagnetic interference;

(c) determining, from said first signal, a first waveform representative of said amount of said indicator delivered into said system as a function of time, said first waveform being substantially free of the effects of said electromagnetic interference;

(d) measuring a second signal that is indicative of a response of said system to said indicator;

(e) determining, from said second signal, a second waveform representative of said response as a function of time; and

(f) determining a system transfer function by cross-correlating said first waveform with said second waveform, said system transfer function being both substantially uncorrupted by said electromagnetic interference and indicative of said parameter of interest.

2. The method recited in claim 1, wherein said system is a patient, said parameter of interest is a physiological parameter, and step (a) comprises the steps of inserting a catheter-mounted heating element into the patient and supplying power to said catheter-mounted heating element via said isolation transformer and said carrier frequency.

3. The method recited in claim 2, wherein step (b) comprises the step of measuring a first voltage and a first current on a primary side of said isolation transformer.

4. The method recited in claim 3, wherein step (c) comprises the step of determining a second voltage and a second current on a secondary side of said isolation transformer from said measured first voltage and said first current.

5. The method recited in claim 4, wherein step (c) comprises the further step of translating said first voltage and said first current into said second voltage and said second current by using a model characterizing properties of said isolation transformer.

6. The method recited in claim 4, wherein said indicator is heat and the patient'"'"'s blood is heated by said heating element, step (c) comprises the step of calculating the power delivered to and resistance of said catheter-mounted heating element from said second voltage and said second current, and said first waveform is representative of the power delivered to said catheter-mounted heating element.

7. The method recited in claim 6, wherein said system response is the patient'"'"'s blood temperature and said second signal is indicative of said blood temperature, said second waveform is representative of said blood temperature as a function of time, and step (f) comprises the step of cross-correlating said first waveform with said second waveform.

8. The method recited in claim 1, wherein step (b) comprises the step of measuring a first voltage and a first current on a primary side of said isolation transformer.

9. The method recited in claim 8, wherein step (c) comprises the step of determining a second voltage and a second current on a secondary side of said isolation transformer from said measured first voltage and said first current.

10. The method recited in claim 9, wherein step (c) comprises the further step of translating said first voltage and said first current into said second voltage and said second current by using a model characterizing properties of said isolation transformer.

11. A method for substantially eliminating the effects of electrosurgical interference on continuous, heat-based cardiac output (CO) measurements, comprising:

(a) supplying power via an isolation transformer and carrier frequency to a catheter-mounted heating element inserted into a patient for whom a CO measurement is to be obtained;

(b) measuring a first voltage and a first current on a primary side of said isolation transformer;

(c) determining a second voltage and a second current on a secondary side of said transformer from the measured first voltage and first current;

(d) determining the power delivered to and resistance of said catheter-mounted heating element from the second voltage and the second current;

(e) determining a heater power waveform from said power delivered to and resistance of said catheter-mounted heating element, said heater power waveform being substantially free of electrical interference due to electrosurgical devices;

(f) obtaining a blood temperature waveform that is representative of a temperature associated with the blood of said patient and indicative of a response of said patient to said power delivered to said heating element; and

(g) producing a system transfer function via signal processing techniques that include cross-correlating said heater power waveform with said blood temperature waveform, said system transfer function being substantially uncorrupted by electrical interference.

12. The method recited in claim 11, comprising the further step of determining the CO measurement for said patient from at least said system transfer function.

13. The method recited in claim 12, wherein said transformer has certain properties, and step (c) comprises the step of translating the primary-side voltage and current measurements into corresponding secondary-side measurements by using a mathematical model characterizing said properties of said transformer.

14. An apparatus for obtaining a measurement of a parameter of interest of a system while minimizing the effects of any electromagnetic interference on said measurement, comprising:

(a) first means for injecting an indicator into said system comprising means for supplying power to said system via an isolation transformer and a carrier frequency;

(b) second means for measuring a first signal that is both indicative of an amount of said indicator injected by said first means and substantially free of the effects of said electromagnetic interference;

(c) third means for determining, from said first signal, a first waveform representative of the amount of said indicator delivered into the patient as a first function of time, said first waveform being substantially free of the effects of the electromagnetic interference;

(d) fourth means for measuring a second signal that is indicative of a response of the patient to said indicator;

(e) fifth means for determining, from said second signal, a second waveform representative of said response as a second function of time; and

(f) sixth means for determining a system transfer function by cross-correlating said first waveform with said second waveform, said system transfer function being both substantially uncorrupted by said electromagnetic interference and indicative of said physiological parameter.

15. The apparatus recited in claim 14, wherein said system is a patient, said parameter of interest is a physiological parameter, and said first means further comprises a catheter-mounted heating element inserted into said patient and means for supplying power to said heating element via said isolation transformer and said carrier frequency.

16. The apparatus recited in claim 15, wherein said second means comprises means for measuring a first voltage and a first current on a primary side of said isolation transformer.

17. The apparatus recited in claim 16, comprising means for determining a second voltage and a second current measurement on a secondary side of said isolation transformer from said first voltage and said first current measurement.

18. The apparatus recited in claim 17, comprising means for translating said first voltage and said first current measurement into said second voltage and said second current by using a model characterizing properties of said isolation transformer.

19. The apparatus recited in claim 17, wherein said indicator is heat, and comprising means for calculating the power delivered to and resistance of said catheter-mounted heating element from said second voltage and said second current measurements, said first waveform being representative of the power delivered to said catheter-mounted heating element.

20. The apparatus recited in claim 19, wherein said second signal is indicative of the temperature of patient'"'"'s blood, said second waveform is representative of said blood temperature as a function of time, and said sixth means comprises means for cross-correlating said first waveform with said second waveform.

21. The apparatus recited in claim 14, wherein said second means comprises means for measuring a first voltage and a first current on a primary side of said isolation transformer.

22. The apparatus recited in claim 21, comprising means for determining a second voltage and a second current measurement on a secondary side of said isolation transformer from said first voltage and said first current measurement.

23. The apparatus recited in claim 22, comprising means for translating said first voltage and said first current measurement into said second voltage and said second current by using a model characterizing properties of said isolation transformer.