Method and apparatus for detecting artifacts in a blood pressure measuring system

• US 5,343,868 A
• Filed: 03/26/1993
• Issued: 09/06/1994
• Est. Priority Date: 04/02/1992
• Status: Expired due to Term

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Hewlett-Packard Company (HP Inc.)
• Inventors: Beech, Michael P., Kurscheidt, Regina, Felger, Martin
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US08/038,672
• Time in Patent Office: 529 Days
• Field of Search: 128/672-673, 128/677, 128/680-683, 128/748
• US Class Current: 600/486
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00

Abstract

A method for detecting artifacts in a blood pressure measuring system, in particular artifacts caused by sampling or flushing in an invasive blood pressure measuring system, disables the related alarms if a sample in a time sequence is larger than a mean value, and when it exceeds a predetermined limit, and when its slope is beyond another limit, and if all of these conditions apply for a certain time period. The end of an artifact is detected if the slope falls beyond a limit, a pulsation is detected, the absolute value is beyond a limit for a certain amount of time, or a long timeout occurs.

Claims

1. A method for detecting artificial artifacts in a blood pressure measuring system comprising the steps of:

obtaining a time sequence of samples representative of the actual blood pressure of a being,

calculating a short-term mean value based on preceding values of the blood pressure,

comparing at least one of said samples of said time sequence with said mean value,

repeating said step of comparing for a period of time,

indicating an artificial artifact if substantially all of said comparisons reveal that the samples exceed said mean value, and

inhibiting said indicating step if pulsations is detected.

2. The method according to claim 1, characterized in that said mean value is a moving average.

3. The method according to claim 1, characterized in that said mean value is calculated from the mean beat-to-beat blood pressure.

4. The method according to claim 1, comprising the additional step of indicating an artificial artifact only if substantially all samples compared during said period of time exceed, or are equal to, a predetermined threshold.

5. The method according to claim 1, comprising the additional step of indicating an artificial artifact only if the difference between substantially every sample and the sample preceding it in time is greater than, or equal to, a predetermined limit, said samples occurring during said period of time.

6. The method according to claim 1, comprising the additional step of varying the amplitude of said mean value in dependence of preceding detected artifacts.

7. The method according to claim 6, wherein the amplitude of said mean value is increased if an artificial artifact has not been detected for a predetermined time period.

8. The method according to claim 1, wherein said indicating step is inhibited if the difference between a sample and preceding sample falls below a predetermined limit.

9. The method according to claim 1, wherein said indicating step is inhibited if a sample falls below a predetermined limit.

10. The method according to claim 1, wherein said indication is removed if a predetermined time period has expired since its last onset.

11. The method according to claim 1, comprising the step of suppressing or disabling an alarm as long as an artificial artifact is indicated.

12. The method according to claim 1, wherein said method is set up for the detection of artifacts caused by sampling in an invasive blood pressure measuring system.

13. The method according to claim 1, wherein said method is set up for the detection of artifacts caused by a flushing in an invasive blood pressure measuring system.

14. The method according to claim 1, wherein the repeating step includes repeating the calculating step.

15. The method according to claim 1, wherein said period of time is defined by a predetermined number of samples.

16. The method according to claim 15, wherein said samples are substantially equally spaced.

17. The method according to claim 1, wherein said period of time is a predetermined amount of time.

18. The method according to claim 1, wherein said indicating step is inhibited if the samples occurring during said period of time fall below a predetermined limit.

19. A blood pressure measuring system, in particular an invasive blood pressure measuring system, comprising:

blood pressure sensing means for receiving electronic signals representative of a being'"'"'s blood pressure from a blood pressure transducer;

blood pressure calculating means for calculating the blood pressure, in particular the mean beat-to-beat blood pressure, from said electronic signals received from said blood pressure sensing means;

alarm generating means set up to generate an alarm if said calculated blood pressure fulfills at least one predetermined alarm condition, in particular if it falls below or exceeds a predetermined limit; and

artificial artifact detection means for comparing samples representative of said being'"'"'s actual blood pressure with a mean value based on preceding values of the blood pressure for repeating said comparison for a predetermined number of samples and for generating an artificial artifact indicating signal if substantially all of said comparisons reveal that the samples exceed said mean value or values unless pulsation is sensed by said blood pressure transducer;

wherein said artificial artifact indicating signal is fed to said alarm generating means causing the alarm generating means to suppress alarms as long as said artificial artifact indicating signal is in its active state.