System and method for selecting physiological data from a plurality of physiological data sources

• US 6,801,802 B2
• Filed: 06/29/2001
• Issued: 10/05/2004
• Est. Priority Date: 06/29/2001
• Status: Expired due to Term

• Current Assignee: GE Medical Systems Information Technologies Incorporated (General Electric Company)
• Original Assignee: GE Medical Systems Information Technologies Incorporated (General Electric Company)
• Inventors: Farrell, Robert M., Sitzman, David A.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US09/896,076
• Publication Number:
  US 20030009106A1
• Time in Patent Office: 1,194 Days
• Field of Search: 600/513, 600/515, 600/519, 600/483, 600/301, 600/522, 600/502
• US Class Current: 600/513
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia
• CPC Class Codes: A61B 5/7217 of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker

Abstract

A system for selecting physiological data from a plurality of physiological data sources includes first and second physiological data sources and a selection algorithm. The first physiological data source is configured to provide first physiological data. The first physiological data includes a first measurement of a physiological trait. The second physiological data source is configured to provide second physiological data. The second physiological data includes a second measurement of the physiological trait. The first and second measurements are based on different physiological characteristics. The selection algorithm is configured to receive the first and second physiological data and to select one of the first and second measurements as the output data for the physiological trait based on at least one of the first physiological data and the second physiological data.

Claims

1. A system for selecting physiological data from a plurality of physiological sources, the system implemented on a computer-readable medium having program code recorded thereon for execution in a computer, the program code comprising:

a first physiological data source configured to provide first physiological data, wherein the first physiological data comprises a first measurement of a physiological trait;

a second physiological data source configured to provide second physiological data, wherein the second physiological data comprises a second measurement of the physiological trait, wherein the first and second measurements are based on different physiological characteristics; and

a selection algorithm configured to receive the first and second physiological data and to select one of the first and second measurements as the output data for the physiological trait based at least on the first physiological data exceeding a predetermined limit and the second physiological data.

2. The system of claim 1, further comprising an alarm algorithm configured to receive the output data, to compare the output data to a predetermined alarm condition, and to provide an alarm signal based on the comparison.

3. The system of claim 1, further comprising a display algorithm configured to receive the output data and to generate display signals for simultaneous display of the output data and at least one of the first and second measurements of the physiological trait.

4. The system of claim 1, wherein the first physiological data further comprises a statistical function of the first measurement of the physiological trait.

5. The system of claim 1, wherein the physiological trait comprises patient heart rate.

6. The system of claim 5, further comprising:

an ECG sensor coupled to the first physiological data source wherein the first physiological data source is configured to receive signals from the ECG sensor; and

one of an SpO2 sensor and an IBP sensor coupled to the second physiological data source, wherein the second physiological data source is configured to receive signals from one of the SpO2 sensor and the IBP sensor.

7. The system of claim 6, wherein the selection algorithm is configured to select the second measurement as the output data in response to an increase or decrease in a heart rate from the first measurement beyond the predetermined limit and in response to a substantially constant heart rate from the SpO₂ or IBP sensor.

8. A system for improving the accuracy of an arrhythmia detection algorithm, the system implemented on a computer-readable medium having program code recorded thereon for execution in a computer, the program code comprising:

an ECG data source configured to receive ECG signals and to generate ECG heart rate data based on the received ECG signals;

an arrhythmia detection algorithm configured to receive ECG heart rate data and to detect an arrhythmia condition;

a hemodynamic heart rate data source configured to receive hemodynamic heart rate signals and to generate hemodynamic heart rate data based on the received signals; and

an alarm algorithm configured to receive the ECG heart rate data and the hemodynamic heart rate data, to select one of the ECG heart rate data and the hemodynamic heart rate data as the most accurate of the heart rates based on at least the ECG heart rate data exceeding a first predetermined limit and to provide and alarm based on the detected arrhythmia condition and the hemodynamic heart rate data.

9. The system of claim 8, wherein, when an arrhythmia condition is detected by the arrhythmia detection algorithm, the alarm algorithm is configured to prevent the alarm signal if the hemodynamic heart rate indicates that no arrhythmia condition exists.

10. The system of claim 8, further comprising an IBP sensor or SpO₂ sensor coupled to the hemodynamic heart rate data source, wherein the hemodynamic heart rate data source receives signals from the IBP sensor or SpO₂ sensor.

11. The system of claim 8, wherein the system operates in a real-time monitoring environment.

12. The system of claim 8, wherein the arrhythmia condition is an asystole condition.

13. A system for improving the accuracy of a heart rate limit alarm, the system implemented on a computer-readable medium having program code recorded thereon for execution in a computer, the program code comprising:

a first heart rate signal source configured to receive first sensor signals and to generate a first heart rate based on the first sensor signals;

a second heart signal source configured to receive second sensor signals, wherein the second sensor signals measure a different physiological characteristic than the first sensor signals, wherein the second heart signal source is configured to generate a second heart rate based on the second sensor signals; and

an alarm algorithm configured to receive the first and second heart rate, to select one of the first heart rate and the second heart rate as the most accurate of the heart rates based on at least the first heart rate exceeding a first predetermined limit, and to only generate a heart rate limit alarm signal when the most accurate of the heart rates is outside a second predetermined limit.

14. The system of claim 13, wherein the alarm algorithm is configured to select the second heart rate as the most accurate heart rate when the first heart rate increases at a rate exceeding the first predetermined limit and the second heart rate remains substantially constant.

15. The system of claim 13, wherein the alarm algorithm is configured to select the second heart rate as the most accurate heart rate when the first heart rate decreases at a rate exceeding the first predetermined limit and the second heart rate remains substantially constant.

16. The system of claim 13, further comprising:

a first sensor coupled to the first heart rate signal source, wherein the first heart rate signal source is configured to receive first sensor signals from the first sensor;

a second sensor coupled to the-second heart rate signal source, wherein the second heart rate signal source is configured to receive second sensor signals from the second sensor;

wherein the first sensor is an ECG sensor and the second sensor is a hemodynamic heart rate sensor.

17. The system of claim 16, wherein the hemodynamic heart rate sensor is an SpO₂ sensor or an IBP sensor.

18. A method of selecting physiological data from a plurality of physiological data sources, comprising:

providing first physiological data comprising a first measurement of a physiological trait;

providing second physiological data comprising a second measurement of the physiological trait, wherein the first and second measurements are based on different physiological characteristics; and

selecting one of the first and second measurements as the output data for the physiological trait based at least on the first physiological data exceeding a predetermined limit and the second physiological data.

19. The method of claim 18, further comprising comparing the output data to a predetermined alarm condition and providing an alarm signal based on the comparison.

20. The method of claim 18, further comprising generating display signals for simultaneous display of the output data and at least one of the first and second measurements of the physiological trait.

21. The method of claim 18, wherein the physiological trait comprises patient heart rate.

22. The method of claim 21, further comprising:

receiving ECG signals from an ECG sensor and generating the first physiological data based on the ECG signals; and

receiving hemodynamic heart rate signals from a hemodynamic heart rate sensor and generating the second physiological data based on the hemodynamic heart rate signals.