Method and circuit for storing and providing historical physiological data

• US 6,463,310 B1
• Filed: 03/07/2000
• Issued: 10/08/2002
• Est. Priority Date: 03/08/1999
• Status: Expired due to Term

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Mallinckrodt Incorporated (Mallinckrodt plc)
• Inventors: Porges, Charles, Swedlow, David B., Daleo, Stephen L., Richards, Edward M., Stuart, Charles, Nemits, Daniel M., Delonzor, Russell L., Yorkey, Thomas J.
• Primary Examiner(s): Winakur, Eric F.
• Assistant Examiner(s): KREMER, MATTHEW J
• Application Number:
  US09/520,104
• Time in Patent Office: 945 Days
• Field of Search: 600/309-311, 600/316, 600/326, 600/322-324, 600/331, 600/336, 600/300-301, 356/39, 356/41, 359/39-42, 128/903, 128/904, 128/920
• US Class Current: 600/323
• CPC Class Codes: A61B 2560/045 with a separable interface unit, e.g. for communication
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period

Abstract

A mechanism for storing and providing historical physiological data, such as blood oxygen saturation data, for a patient. In particular, the historical physiological data is stored in a storage medium that “travels” with the patient and is accessible wherever the patient is moved. This is achieved by storing the physiological data within a sensor assembly. At the destination site, a monitor or a device capable of interfacing with the sensor electronics can retrieve and display the data. The historical physiological data allows a clinician or medical personnel at the destination site to assess the condition of the patient for the entire time that the patient has been monitored. Various types of physiological data can be stored including, but not limited to, blood oxygen saturation, heart rate, and temperature data. Compression of the data can be performed to enhance the storage capability.

Claims

1. A physiological sensor for connecting to a first monitor, comprising:

means for obtaining signals from a patient indicative of a physiological condition of the patient;

means for sending the signals to said first monitor; and

a sensor memory circuit associated with said physiological sensor and located outside any monitor which processes said signals, said sensor memory stores patient physiological data derived from the signals by said first monitor and which are indicative of the physiological condition, the sensor memory circuit providing the data to any monitor when requested by said any monitor, such that when said sensor is disconnected from said any monitor said sensor memory is physically connected with and moves with said sensor.

2. The sensor of claim 1, wherein said monitor comprises a second any monitor.

3. The sensor of claim 1 wherein said memory circuit is implemented as a write-once memory, a FLASH memory, a random access memory (RAM), an erasable memory, or an electrically erasable programmable read only memory (EEPROM).

4. The sensor of claim 1 wherein said physiological data includes arterial blood oxygen saturation data.

5. The sensor of claim 1 wherein said physiological data is compressed before storage to the memory circuit.

6. The senor of claim 5 wherein said physiological data is compressed using one of the following:

differential coding, runlength coding, or Huffman encoding.

7. The sensor of claim 6 wherein said physiological data is subsampled to provide one data sample for each epoch, wherein an epoch is a predetermined time period selected, in part, based on characteristics of physiological data being stored, a quantity of each data sample being fixed for a range of physiological data values, the data samples being packetized before being transmitted to the memory circuit.

8. The sensor of claim 1 wherein said physiological data is uncompressed when stored on said memory circuit.

9. The sensor of claim 1 wherein said memory circuit provides information to said first monitor that indicates when the memory circuit is full.

10. The sensor of claim 1 wherein said memory circuit further stores information of a time associated with each of specific samples of the physiological data.

11. A method for storing physiological data comprising:

detecting via a sensor at least one signal indicative of a physiological condition;

conditioning the detected at least one signal to generate data samples;

processing the data samples to generate the physiological data, wherein said physiological data describes the physiological condition; and

storing the physiological data within a sensor memory associated with said sensor and located outside a monitor which processes the data samples, such that when said sensor is disconnected from said monitor said sensor memory is physically connected with and moves with said sensor.

12. The method of claim 11 wherein said physiological data includes blood oxygen saturation data.

13. A physiological monitoring instrument comprising:

a first monitor including

conditioning circuitry that receives an electrical signal and processes the electrical signal to provide sampled data, and

processing circuitry that processes the sampled data to provide physiological data, wherein the physiological data is indicative of a physiological condition of a patient; and

a sensor coupled to the first monitor, said sensor having a sensor memory circuit, said sensor memory circuit configured to store at least some of the physiological data from said first monitor and provide the data when requested, wherein said memory circuit is located outside any monitor which processes said signals, such that when said sensor is disconnected from said any monitor said sensor memory is physically connected with and moves with said sensor.

14. The physiological monitoring instrument of claim 13 wherein said first monitor further includes means responsive to a user input for transferring at least some of said physiological data to said memory circuit in response to user input.

15. The physiological monitoring instrument of claim 13 wherein the first monitor further includes means responsive to an oxygen desaturation event for transferring at least some of said physiological data to said memory circuit in response to the oxygen desaturation event of the patient.

16. The physiological monitoring instrument of claim 13 wherein said first monitor further includes means responsive to a threshold crossing for transferring at least some of said physiological data to said memory circuit when an oxygen saturation of the patient differs by more than a predetermined amount from a previous oxygen saturation of the patient.

17. The physiological monitoring instrument of claim 13 wherein said first monitor further includes an encoder coupled to said processing circuitry, wherein said encoder codes said physiological data to provide compressed physiological data for transmission to said sensor memory circuit.

18. The physiological monitoring instrument of claim 17 wherein said first monitor further includes a decoder that receives compressed physiological data from said memory circuit and decodes said data.

19. The physiological monitoring instrument of claim 13 wherein said physiological data includes blood oxygen saturation data.

20. An oximeter system for storing and providing historical saturation data of a patient comprising:

two or more light sources for transmitting light through the patient, wherein said light sources operate at different wavelengths;

a detector that detects optical signals from said light sources and provides electrical signals indicative of the detected optical signals;

conditioning circuitry that processes said electrical signals to provide data samples corresponding to the electrical signals;

processing circuit that receives said data samples and processes said data samples to provide saturation data;

a sensor memory connected with a sensor that stores said saturation data, wherein said sensor memory is located outside a monitor which processes said electrical signals, such that when said sensor is disconnected from said monitor said sensor memory is physically connected with and moves with said sensor; and

circuitry that retrieves the stored saturation data and directs display of said saturation data.