Signal quality metrics design for qualifying data for a physiological monitor

• US 7,006,856 B2
• Filed: 01/10/2003
• Issued: 02/28/2006
• Est. Priority Date: 01/10/2003
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Inventors: Baker, Clark R. Jr., Richards, Edward M.
• Primary Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US10/341,318
• Publication Number:
  US 20040138540A1
• Time in Patent Office: 1,145 Days
• Field of Search: 600/310, 600/322, 600/323, 600/330, 600/336, 600/300
• US Class Current: 600/310
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives

Abstract

A method and a device for determining the quality of signal used for measuring a physiological parameter. One embodiment of the present invention is directed towards a pulse oximeter, where the measured physiological parameter includes a patient'"'"'s pulse rate and blood oxygen saturation. The signal quality, which is indicative of the accuracy and reliability of the measured physiological parameter, is calculated by combining a plurality of signal quality indicators, each of which is an indicator of a quality of the measured signal. The value of the signal quality metric is compared to a threshold and based on this comparison various decisions are made by the medical device. One decision is directed towards deciding whether or not to display the measured physiological parameter, to ensure that only accurate measured values are displayed. Another decision is directed towards providing feedback to guide the clinician to adjust the location of the sensor to a more suitable tissue location.

Claims

1. A method for displaying a physiological parameter, comprising:

processing a signal quality metric associated with a measured physiological parameter to temper changes in the signal quality metric over time;

comparing an attribute of the processed signal quality metric to a threshold; and

displaying the measured physiological parameter for an interval determined by the attribute of the processed signal quality metric if the attribute is greater than the threshold.

2. The method of claim 1, comprising ceasing to display the measured physiological parameter if the attribute is less than the threshold.

3. The method of claim 1, comprising deriving the signal quality metric from one or more signal quality indicators associated with the measured physiological parameter.

4. The method of claim 1, wherein processing the signal quality metric comprises applying an integral control process to the signal quality metric.

5. The method of claim 1, wherein processing the signal quality metric comprises applying a derivative control process to the signal quality metric.

6. A method of indicating signal quality for a measured physiological parameter, comprising:

performing at least two of a proportional control operation, an integral control operation, or a derivative control operation to a signal quality metric associated with a measured physiological parameter to generate at least two of a proportional signal quality metric, an integral signal quality metric, or a derivative signal quality metric, respectively;

generating a processed signal quality metric based upon the at least two of the proportional signal quality metric, the integral signal quality metric, or the derivative signal quality metric; and

providing an indication of the signal quality of the measured physiological parameter based upon the processed signal quality metric.

7. The method of claim 6, wherein providing the indication comprises adjusting the display duration of the measured physiological parameter based upon the processed signal quality metric.

8. The method of claim 6, wherein providing the indication comprises ceasing to display the measured physiological parameter if the processed signal quality metric is less than a threshold value.

9. The method of claim 6, wherein providing the indication comprises displaying an alphanumeric message if the processed signal quality metric is less than a threshold value.

10. The method of claim 6, wherein providing the indication comprises displaying a visual alarm if the processed signal quality metric is less than a threshold value.

11. The method of claim 6, wherein providing the indication comprises sounding an audible alarm if the processed signal quality metric is less than a threshold value.

12. The method of claim 6, wherein providing the indication comprises displaying a numerical scale of signal quality.

13. A tangible machine readable medium, comprising:

code adapted to process a signal quality metric associated with a measured physiological parameter to temper changes in the signal quality metric over time;

code adapted to compare the signal quality metric to a threshold; and

code adapted to cause the display of the measured physiological parameter for an interval determined by the signal quality metric if the signal quality metric is greater than the threshold.

14. The tangible machine readable medium of claim 13, comprising code adapted to cause cessation of the display of the measured physiological parameter if the signal quality metric is less than the threshold.

15. The tangible machine readable medium of claim 13, comprising code adapted to derive the signal quality metric from one or more signal quality indicators associated with the measured physiological parameter.

16. The tangible machine readable medium of claim 13, comprising code adapted to apply an integral control process to the signal quality metric.

17. The tangible machine readable medium of claim 13, comprising code adapted to apply a derivative control process to the signal quality metric.

18. A tangible machine readable medium, comprising:

code adapted to perform at least two of a proportional control operation, an integral control operation or a derivative control operation to a signal quality metric associated with a measured physiological parameter to generate at least two of a proportional signal quality metric, an integral signal quality metric, or a derivative signal quality metric, respectively;

code adapted to generate a processed signal quality metric based upon the at least two of the proportional signal quality metric, the integral signal quality metric, or the derivative signal quality metric; and

code adapted to provide an indication of the signal quality of a measured physiological parameter based upon the processed signal quality metric.

19. The tangible machine readable medium of claim 18, wherein the code adapted to provide the indication adjusts the display duration of the measured physiological parameter based upon the processed signal quality metric.

20. The tangible machine readable medium of claim 18, wherein the code adapted to provide the indication ceases the display of the measured physiological parameter if the processed signal quality metric is less than a threshold.

21. The tangible machine readable medium of claim 18, wherein the code adapted to provide the indication displays an alphanumeric message if the processed signal quality metric is less than a threshold value.

22. The tangible machine readable medium of claim 18, wherein the code adapted to provide the indication displays a visual alarm if the processed signal quality metric is less than a threshold value.

23. The tangible machine readable medium of claim 18, wherein the code adapted to provide the indication sounds an audible alarm if the processed signal quality metric is less than a threshold value.

24. The tangible machine readable medium of claim 18, wherein the code adapted to provide the indication displays a numerical scale of signal quality.

25. A patient monitoring system comprising:

a patient monitor configured to process a signal quality metric associated with a measured physiological parameter to temper changes in the signal quality metric over time, and to compare an attribute of the processed signal quality metric to a threshold, and a display configured to display the measured physiological parameter for an interval determined by an attribute of the processed metric if the attribute is greater than the threshold.

26. The system of claim 25, wherein the patient monitor is configured to cease displaying the measured physiological parameter if the attribute is less than the threshold.

27. The system of claim 25, wherein the patient monitor is configured to derive the signal quality metric from one or more signal quality indicators associated with the measured physiological parameter.

28. The system of claim 25, wherein the patient monitor is configured to apply an integral control process to the signal quality metric.

29. The system of claim 25, wherein the patient monitor is configured to apply a derivative control process to the signal quality metric.

30. A patient monitor system comprising:

a patient monitor configured to perform at least two of a proportional control operation, an integral control operation, or a derivative control operation to a signal quality metric associated with a measured physiological parameter to generate a at least two of a proportional signal quality metric, an integral signal quality metric, or a derivative signal quality metric, respectively, and to generate a processed signal quality metric based upon the at least two of the proportional signal quality metric, the integral signal quality metric, or the derivative signal quality metric, and an output to provide an indication of the signal quality of the measured physiological parameter based upon the processed signal quality metric.

31. The system of claim 30, wherein the output is configured to provide the indication by adjusting a display duration of the measured physiological parameter based upon the processed signal quality metric.

32. The system of claim 30, wherein the output is configured to provide the indication by ceasing the display of the measured physiological parameter if the processed signal quality metric is less than a threshold.

33. The system of claim 30, wherein the output is configured to provide the indication by displaying an alphanumeric message if the processed signal quality metric is less than a threshold value.

34. The system of claim 30, wherein the output is configured to provide the indication by displaying a visual alarm if the processed signal quality metric is less than a threshold value.

35. The system of claim 30, wherein the output is configured to provide the indication by sounding an audible alarm if the processed signal quality metric is less than a threshold value.

36. The system of claim 30, wherein the output is configured to provide the indication by displaying a numerical scale of signal quality.

37. A method of manufacturing a patient monitoring system, comprising:

providing a patient monitor configured to process a signal quality metric associated with a measured physiological parameter to temper changes in the signal quality metric over time, and to compare an attribute of the processed signal quality metric to a threshold, and a display configured to display the measured physiological parameter for an interval determined by an attribute of the processed metric if the attribute is greater than the threshold.

38. A method of manufacturing a patient monitoring system, comprising:

providing a patient monitor configured to perform at least two of a proportional control operation, an integral control operation, or a derivative control operation to a signal quality metric associated with a measured physiological parameter to generate at least two of a proportional signal quality metric, an integral signal quality metric, or a derivative signal quality metric, respectively, and to generate a processed signal quality metric based upon the at least two of the proportional signal quality metric, the integral signal quality metric, or the derivative signal quality metric, and an output to provide an indication of the signal quality of the measured physiological parameter based upon the processed signal quality metric.