Beat onset detector

• US 5,720,292 A
• Filed: 07/31/1996
• Issued: 02/24/1998
• Est. Priority Date: 07/31/1996
• Status: Expired due to Fees

• Current Assignee: Medwave, Inc.
• Original Assignee: Medwave, Inc.
• Inventors: Poliac, Marius O.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US08/690,627
• Time in Patent Office: 573 Days
• Field of Search: 128/668, 128/672, 128/687, 128/688, 128/689, 128/690
• US Class Current: 600/485
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02225 using the oscillometric method

Abstract

A method for identifying an onset of a first heart beat includes sensing blood pressure over time to produce a plurality of blood pressure samples, each sample having a corresponding blood pressure amplitude in time, identifying a post onset point in time following an onset of the first heart beat and preceding an onset of a second heart beat, and identifying an onset of the heart beat based upon the blood pressure samples and the post onset point.

Claims

1. A method for identifying an onset of a first heart beat, the method comprising:

sensing blood pressure over time to produce a plurality of blood pressure samples;

identifying a post onset point in time following an onset of the first heart beat and preceding an onset of a second heart beat; and

identifying the onset of the first heart beat based upon the blood pressure samples and the post onset point.

2. The method of claim 1 wherein the step of identifying the onset of the first heart beat includes identifying the onset of the first heart beat based upon blood pressure samples sensed before the post onset point.

3. The method of claim 1 wherein the step of identifying a post onset point includes:

identifying a time period during which the sensed blood pressure increases at a fastest rate.

4. The method of claim 3 wherein identifying a time period during which the blood pressure increases at the fastest rate includes:

generating a plurality of gain values, each gain value representing a pressure amplitude change during a corresponding preselected-time period; and

comparing the plurality of gain values to identify a maximum gain value, wherein the maximum gain value corresponds to the time period during which blood pressure increases at the fastest rate.

5. The method of claim 4 wherein only positive gain values are compared.

6. The method of claim 4 wherein the step of generating a plurality of gain values includes:

magnifying the pressure amplitude change during a corresponding preselected time period to generate each gain value.

7. The method of claim 4 wherein the step of comparing the plurality of gain values includes a step of generating an envelope threshold value representing a preselected exponential decay of a previously identified maximum gain value and wherein only gain values greater than the envelope threshold value are compared.

8. The method of claim 4 wherein only gain values corresponding to time periods that succeed a time period corresponding to a previously identified maximum gain value by a selected amount of time are compared.

9. The method of claim 4 wherein the step of comparing the plurality of gain values includes:

successively comparing gain values corresponding to successive time periods until a gain value less than a preselected noise threshold value is identified.

10. The method of claim 1 wherein the step of identifying the onset of the first heart beat based upon the blood pressure samples and the post onset point includes:

selecting at least one candidate blood pressure sample as a potential onset of the heart beat based upon the post onset point;

for each candidate sample selected, generating a threshold rate of blood pressure change between the candidate sample and a blood pressure amplitude at a preceding identified onset of a preceding heart beat;

generating a local rate of blood pressure change between the candidate sample and a preceding preselected sample; and

comparing a threshold rate and the local rate to determine whether the candidate sample constitutes the onset of the heart beat.

11. The method of claim 1 wherein the step of identifying the onset of the first heart beat based upon the blood pressure samples and the post onset point includes:

(a) selecting a candidate blood pressure sample sensed before the post onset point as a potential onset of the heart beat;

(b) generating a threshold rate of blood pressure change between the candidate sample and a blood pressure amplitude at a preceding identified onset of a preceding heart beat;

(c) generating a local rate of blood pressure change between the candidate sample and a preceding preselected sample; and

(d) comparing the threshold rate and the local rate to determine whether the candidate sample constitutes the onset of the heart beat.

12. The method of claim 11 including:

iteritively repeating steps (a)-(d) for each consecutively preceding candidate blood pressure sample until a candidate sample is identified as the onset of the heart beat.

13. A method for identifying an onset of a heart beat, the method comprising:

sensing blood pressure over time to produce a plurality of blood pressure samples, each sample representing a blood pressure amplitude at a corresponding time;

selecting at least one candidate blood pressure sample as a potential onset of the heart beat;

for each candidate sample, generating a threshold rate of blood pressure change between the candidate sample and a blood pressure amplitude at a preceding identified onset of a preceding heart beat;

generating a local rate of blood pressure change between the candidate sample and a preceding preselected sample; and

comparing the threshold rate and the local rate to determine whether the candidate sample constitutes the onset of the heart beat.

14. A method for identifying an onset of a first heart beat, the method comprising:

sensing blood pressure over time to produce a plurality of blood pressure samples;

identifying a post onset point in time following an onset of the first heart beat and preceding an onset of a second heart beat, wherein the step of identifying a post onset point in time includes;

generating a plurality of gain values, each gain value representing a pressure amplitude change during a corresponding preselected time period; and

comparing the plurality of gain values to identify a maximum gain value, wherein the maximum gain value corresponds to the post onset point; and

identifying the onset of the first heart beat based upon blood pressure samples sensed before the post onset point by;

(a) selecting a candidate blood pressure sample preceding the post onset point as a potential onset of the heart beat;

(b) generating a threshold rate of blood pressure change between the candidate sample and a blood pressure amplitude at a preceding identified onset of a preceding heart beat;

(c) generating a local rate of blood pressure change between the candidate sample and a preceding preselected sample; and

(d) comparing a threshold rate and the local rate to determine whether the candidate sample constitutes the onset of the heart beat.

15. The method of claim 14 wherein the step of identifying the onset includes:

iteritively repeating steps (a)-(d) for each consecutively preceding candidate sample until the onset of the heart beat is identified.