Method and arrangement for calculating a physiological function parameter of a life form for therapy control

• US 5,405,364 A
• Filed: 06/07/1993
• Issued: 04/11/1995
• Est. Priority Date: 06/09/1992
• Status: Expired due to Term

• Current Assignee: Pacesetter AB
• Original Assignee: Siemens AG
• Inventors: Franksson, Agneta, Noren, Kjell, Nilsson, Kenth-Ake-Sune
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US08/072,432
• Time in Patent Office: 673 Days
• Field of Search: 128/670, 128/671, 128/696, 128/697, 128/698, 128/700, 128/901, 607/17
• US Class Current: 607/17
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance

Abstract

A method and apparatus for calculating a parameter for a physiological function wherein, given a measurement signal influenced by more than one physiological function parameter, signal components of the measurement signal arising from a parameter not of interest are filtered out such that a period duration inversely proportional to the respective current frequency of the parameter not of interest is continuously identified and a mean value of the measurement signal is continuously formed over the identified period duration.

Claims

1. A method for measuring a parameter of interest of a physiological function of a life form, comprising the steps of:

(a) sensing a physiological function and generating a measurement signal including signal components relating to occurrences of events of a parameter not of interest;

(b) producing a succession of samples of the measurement signal by sampling the measurement of signal at a frequency greater than a frequency of the occurrences of the events of the parameter not of interest;

(c) measuring at least one interval between occurrences of the events of the parametr not of interest;

(d) filtering the signal components out from the measurement signal by generating a filtered measurement signal by forming a successon of mean values of the measurement signal, each mean value being formed from the most recent samples taken during a time span equal in length to the interval, a mean value being formed at each sampling; and

(e) administering therapy to said life form having at least one variable therapy feature and controlling said variable therapy feature dependent on said filtered measurement signal.

2. The method of claim 1, wherein the measurement signal is an analog signal.

3. The method of claim 1, wherein the succession of mean values are calculated over overlapping time spans.

4. The method of claim 3, wherein the time spans are variable.

5. The method of claim 1 comprising the steps of:

storing the samples in a shift register such that the samples are shifted into and through the register in chronological order;

counting the samples taken between occurrences of the events;

generating a pointer that identifies a range of samples taken since the last occurrence of an event; and

generating the mean value by summing all samples within the range identified by the pointer and dividing such sum by the number of samples in the range identified by the pointer.

6. The method of claim 5, wherein the pointer is adjusted to identify a different range of samples when the number of samples taken since the last occurrence of an event differs from the number of samples identified by the pointer previously.

7. The method of claim 1, wherein the step of filtering the measurement signal comprises:

sampling the measurement signal and storing samples thus obtained in chronological succession in a shift register;

detecting occurrences of events whose signal components are to be filtered out of the measurement signal;

counting the number of samples taken of the measurement signal since the last occurrence of such an event;

storing the count in a pointer memory upon the occurrence of such an event before the counting recommences; and

continuously generating a mean value of the measurement signal by summing the latest samples as determined by the current count in the pointer memory and dividing the sum by the count in the pointer memory.

8. The method of claim 1, comprising identifying intervals between occurrences of the signal components of the parameter not of interest and forming each mean value from the most recent samples taken during a time span equal in length to the last identified interval.

9. The method of claim 8, comprising varying the intervals.

10. An apparatus for measuring a physiological function parameter of a life form, comprising:

a measurement circuit configured to sense a physiological function and to generate a measurement signal with signal components relating to respiration and activity of a heart in said life form;

a heart beat detector for detecting beats of said heart;

a filter circuit coupled to the measurement circuit and the heart beat detector and configured to generate a filtered signal as a measure of the physiological function parameter, the filter circuit including a sampling circuit configured to sample the measurement signal at a prescribed frequency and to generate a succession of signal samples, a clock configured to generate a clock signal with the prescribed sampling frequency, a shift register coupled to the sampling circuit and configured to store the samples in chronological succession, a counter coupled to the clock signal and to the heart beat detector so as to count samples taken between occurrences of heart beats, a pointer register coupled to the counter and configured to store the value of the counter just after the last occurrence of a heart beat before the counter is reset to zero, and a calculating stage coupled to the shift register, the pointer register and the clock signal and configured to sum a range of the samples in the shift register commencing from the latest sample to the earliest sample indicated by the value in the pointer register and generating a mean value of such samples; and

means for administering therapy to said heart having at least one variable therapy feature and including means for controlling said variable therapy feature dependent on said filtered signal.

11. The apparatus of claim 10, wherein the apparatus is a heart pacemaker and wherein said means for administering therapy comprises means for generating stimulation pulses and for delivering said stimulation pulses to said heart.

12. A method for measuring a parameter of interest of a physiological function of a life form, comprising the steps of:

(a) acquiring a useful measured signal that is dependent on a function parameter and which includes occurrences of another function parameter;

(b) filtering out of the measured signal components relating to said another function parameter to obtain a filtered measured signal by continuously identifying a period duration occurring between the last two occurrences of the another function parameter, and continuously generating a mean value of the measured signal over the period duration; and

(c) administering therapy to said life form having at least one variable therapy feature by using said mean value of the measured signal over the period duration as said filtered measured signal and controlling said variable therapy feature dependent on said filtered measured signal.

13. The method of claim 12, wherein said another function parameter comprises individual events that occur with the characteristic frequency, said method comprising detecting the events and calculating a current period duration of the another function parameter from the time elapsed between the two most recently detected events.

14. The method of claim 12, comprising varying the period duration.