Method and apparatus for recording physiologic signals

• US 5,529,073 A
• Filed: 10/22/1993
• Issued: 06/25/1996
• Est. Priority Date: 05/21/1992
• Status: Expired due to Term

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Hewlett-Packard Company (HP Inc.)
• Inventors: Kielbasiewicz, Peter
• Primary Examiner(s): Hayes, Gail O.
• Assistant Examiner(s): Poinvil, Frantzy
• Application Number:
  US08/149,121
• Time in Patent Office: 977 Days
• Field of Search: 364/413.01, 364/413.02, 364/480, 364/486, 364/487, 364/487, 128/660.04, 128/661.07, 128/661.08, 128/696, 128/698, 128/700, 128/710, 128/712, 128/715, 324/121
• US Class Current: 600/509
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/338 Recording by printing on paper
• CPC Class Codes: A61B 5/344 Foetal cardiography
• CPC Class Codes: A61B 5/4362 Assessing foetal parameters
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records

Abstract

A medical monitor, such as a fetal monitor, records physiologic signals representing the same physiologic parameter, but originating from different beings, such as the heart rate traces originating from two fetuses, in particular twins. In case the two signals show a significant amount of overlap which impairs their interpretation, one of the signals is recorded with an appropriate offset. Switching between the offset mode and the non-offset mode may be performed manually or on an automatic basis.

Claims

1. A method for recording at least two physiologic signals originating from different sources, comprising the steps of:

sensing at least two physiologic signals;

recording a trace of each said physiologic signal so sensed on a medium having a grid with predefined scaling;

at least one of said physiologic signals being recorded on the grid relative to said predefined scaling;

at least one of said physiologic signals being recorded on the grid with an offset relative to said predefined scaling;

switching between a first mode wherein said physiologic signals are recorded relative to said predefined scaling, and a second mode wherein at least one of said physiological signals is recorded with an offset relative to the predefined scaling; and

providing a detector for automatic detection of at least two physiologic signals being recorded on said grid and within the same range of the predefined scaling on said grid.

2. The method according to claim 1, wherein said physiologic signals are fetal heart rates from at least two fetuses, and said fetal heart rates are monitored using a fetal monitor.

3. The method according to claim 1, wherein said recording on said medium is provided by a recorder.

4. The method according to claim 3, wherein said recorder is a thermal printer.

5. The method according to claim 3, further comprising the step of:

loading said recorder with paper having said grid with said predefined scaling preprinted thereon.

6. The method according to claim 5, wherein said grid is preprinted in a color different from the color of said traces recorded.

7. The method according to claim 3, further comprising the steps of:

loading said recorder with paper; and

printing said grid having said predefined scaling on said paper and further recording said physiologic signals on said grid with said recorder.

8. The method according to claim 3, wherein said step of recording further comprises the step of:

printing a first identification relative to at least the physiologic signal being recorded with said offset relative to the predefined scaling.

9. The method according to claim 8, wherein said step of printing further comprises the step of:

printing said physiologic signals with different trace patterns.

10. The method according to claim 8, wherein said step of printing further comprises the step of:

printing said physiologic signals in different colors.

11. The method according to claim 8, wherein said step of printing, further comprises the step of:

printing at least one label assigned with said physiologic signal being recorded with said offset relative to the predefined scaling.

12. The method according to claim 11, wherein said label includes the numeric value of said offset.

13. The method according to claim 11, further comprising the step of:

printing a connection line connecting said label and said physiologic signal so recorded with said offset relative to the predefined scaling.

14. The method according to claim 11, further comprising the step of:

repeating said printing step in predefined time intervals.

15. The method according to claim 1, wherein user-actuatable switches are provided for switching between said first mode and said second mode.

16. The method according to claim 15, wherein said user-actuatable switches include keys.

17. The method according to claim 15, wherein said user-actuatable switches include a bar code reader.

18. The method according to claim 1, further comprising the step of:

generating a signal in response to said automatic detection by said detector.

19. The method according to claim 1, further comprising the steps of:

automatically switching to said second mode when said two physiologic signals in the same range are so detected, and

automatically switching to said first mode when said two physiologic signals in the same range are no longer detected by said detector.

20. The method according to claim 1, further comprising the step of:

counting the zero crossings of said two physiologic signals over a predefined time period.

21. The method according to claim 1, further comprising the steps of:

comparing a minimum and a maximum value from each of at least two said physiologic signals; and

determining, based on said minimum and maximum values, whether said physiologic signals overlap by more than a predetermined amount.

22. The method according to claim 1, further comprising the step of:

automatically conforming said offset to the degree of coincidence between said two physiologic signals.

23. The method according to claim 1, wherein said step of recording further comprises the step of:

printing a second identification upon switching between said first mode and said second mode, and upon switching between said second mode and said first mode.

24. The method according to claim 23, wherein said step of printing, further comprises the step of:

printing a line crossing the traces of said two physiologic signals.

25. The method according to claim 23, wherein said step of printing further comprises the step of:

printing at least one label assigned with said physiologic signal being recorded with said offset relative to the predefined scaling.

26. The method according to claim 25, wherein said label further comprising the numerical value of said offset.

27. The method according to claim 23, wherein said step of recording further comprises the step of:

printing the actual time.

28. The method according to claim 1, wherein said medium is a display.

29. The method according to claim 2, wherein ultrasound waves are transmitted in the direction of a fetal heart of each of said two fetuses, further comprising the step of:

processing the ultrasound waves reflected by each fetal heart and determining a Doppler shift therefrom;

generating a Doppler trace having peaks based on the Doppler shifts so determined; and

each said trace being indicative of each fetal heart rate, each fetal heart rate being determined by the inverse of an interval between two subsequent peaks in the Doppler trace.

30. A medical monitor for recording at least two physiologic signals originating from different sources comprising:

recording means for recording at least one of said physiologic signals on a grid having a predefined scaling and further for recording at least one of said physiologic signals with an offset relative to said predefined scaling;

switching means coupled to the recording means for switching between a first mode wherein said physiologic signals are recorded on said grid relative to said predefined scaling, and a second mode wherein at least one of said physiologic signals is recorded with said offset relative to the predefined scaling; and

automatic detection means coupled to said switching means for determining whether said two physiologic signals are in the same range relative to said predefined scaling.

31. The medical monitor according to claim 30, wherein said physiologic signals are fetal heart rates from two fetuses, and said medical monitor is a fetal monitor.

32. The medical monitor according to claim 30, further comprising:

user-actuatable switching means coupled to said switching means for causing said switching means to switch between said first and second modes.

33. The medical monitor according to claim 32, wherein said user-actuatable switching means comprises keys.

34. The medical monitor according to claim 32, wherein said user-actuatable switching means comprises a bar code reader.

35. The medical monitor according to claim 30, further comprising:

signal generation means coupled to said automatic detection means for providing a signal if said two physiologic signals are determined to be in the same range by said automatic detection means.

36. The medical monitor according to claim 30, wherein said switching means automatically switches between said first and second modes in response to the determination of the automatic detection means.