Pulse oximetry data capture system

• US 7,373,193 B2
• Filed: 11/05/2004
• Issued: 05/13/2008
• Est. Priority Date: 11/07/2003
• Status: Active Grant

• Current Assignee: Masimo Corporation
• Original Assignee: Masimo Corporation
• Inventors: Muhsin, Bilal, Lee, Michael, Al-Ali, Ammar
• Primary Examiner(s): Winakur; Eric
• Assistant Examiner(s): Berhanu; Etsub D
• Application Number:
  US10/983,048
• Publication Number:
  US 20050101849A1
• Time in Patent Office: 1,285 Days
• Field of Search: 600/300, 600/323, 600/324, 600/322
• US Class Current: 600/323
• CPC Class Codes: A61B 2560/0456 Apparatus provided with a docking unit
• CPC Class Codes: A61B 2560/0475 Special features of memory means, e.g. removable memory cards
• 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

Abstract

A data capture system utilizes a sensor with emitters adapted to transmit light into a fleshy medium and a detector adapted to generate intensity signals in response to receiving light after absorption by the fleshy medium. A monitor is configured to input the intensity signals, generate digitized signals from the intensity signals at a sampling rate and compute at least one physiological parameter responsive to magnitudes of the digitized signals. A data storage device is integrated with the monitor and is adapted to record data derived from the digitized signals on a removable storage media at the sampling rate.

Claims

1. A physiological monitor and data capture system capable of real-time patient monitoring and data acquisition for post-monitoring off-site analysis, the system comprising:

a sensor having emitters configured to transmit light of at least first and second wavelengths into a fleshy medium and a detector configured to generate at least first and second intensity signals in response to receiving light after absorption by constituents of pulsatile blood flowing within the fleshy medium;

a monitor configured to receive said intensity signals, generate digitized signals from said intensity signals at a sampling rate, compute physiological parameter data responsive to said digitized signals, and display one or more of said computed physiological parameter data responsive to said intensity signals, or trend data responsive to trends in said computed physiological data or said intensity signals; and

a data storage device integrated with said monitor, said data storage device being configured to record on a removable storage media data at said sampling rate (sampling rate data) and data at a sub-sampling rate (sub-sampling data) using message packets having a format capable of preserving a relationship between the sampling rate data and the sub-sampling rate data, wherein said sampling rate data comprises at least a plethysmograph waveform data and said sub-sampling rate data comprises at least said computed physiological parameter or trend data.

2. The system according to claim 1 wherein said monitor comprises:

a portable instrument that functions as a stand-alone pulse oximeter; and

a docking station configured to receive and expand the functionality of said portable instrument, said data storage device being mounted internally to, and drawing power from, said docking station.

3. The system according to claim 2 further comprising a data path within said docking station so as to provide communications with an external device, said data storage device installed along said data path so as to capture and transparently pass-through said communications.

4. The system according to claim 3 further comprising a slot defined in a bottom wall of said docking station, said data storage device mounted inside said docking station proximate said wall, said slot providing removable storage media access to said storage device.

5. The system according to claim 1 wherein said plethysmograph waveform data comprises raw plethysmograph waveform data.

6. The system according to claim 1 wherein said sub-sampling rate data comprises oxygen saturation and pulse rate.

7. The system according to claim 6 wherein said sub-sampling rate data comprises signal quality.

8. The system according to claim 6 wherein said sub-sampling rate data comprises at least one of sensor status, monitor status, monitor settings and alarm data.

9. The system according to claim 1 wherein said sampling rate data comprises filtered plethysmograph waveform data.

10. The system according to claim 9 wherein said sub-sampling rate data comprises signal quality monitor settings and alarm data.

11. The system according to claim 1 wherein said sampling rate data comprises scaled plethysmograph data.

12. The system according to claim 11 wherein said sub-sampling rate data comprises signal quality monitor settings and alarm data.

13. The system according to claim 1, wherein said data storage device records said at least some data on the removable storage media in a cyclical group of message packets.

14. A method of capturing physiological data for post-monitoring off-site analysis, the method comprising the steps of:

emitting light of at least first and second wavelengths;

detecting said light after absorption by a fleshy medium site so as to generate a corresponding sensor signal;

digitizing the sensor signal at a sampling rate;

demodulating said digitized sensor signal so as to generate a plethysmograph;

calculating at least oxygen saturation and pulse rate from paid plethysmograph;

displaying one or more of said plethysmogragh, said oxygen saturation and said pulse rate, each responsive to said intensity signals; and

writing data to a removable storage media in message packets having a format capable of preserving a relationship between data segments comprising said plethysmograph at said sampling rate along with said oxygen saturation and said pulse rate at a sub-sampling rate.

15. The data capture method according to claim 14 further comprising the steps of:

creating a plurality of files on said removable storage media;

recording said data in each of said files;

checking a capacity of said removable storage media; and

deleting an oldest one of said files if said removable storage media is over capacity.

16. The data capture method according to claim 14 further comprising the steps of:

removing said removable storage media from a patient site after said recording step; and

reading said removable storage media at an off-site location so as to process said data and remotely evaluate at least one of a patient, a monitor of said patient and an algorithm executing on said monitor.

17. The method of claim 14, wherein writing data to said removable storage media comprises writing data to said removable storage media in a cyclical group of message packets.

18. A physiological data capture system configured to acquire data for post-monitoring off-site analysis, the system comprising:

a sensor adapted to generate an intensity signal responsive to light absorption by constituents of pulsatile blood flowing within a fleshy medium;

a digitizer receiving said intensity signal and generating a digital plethysmograph signal at a sampling rate;

a signal processor receiving said plethysmograph signal, calculating an oxygen saturation and pulse rate, and outputting for display one or more of said plethysmograph signal, calculated oxygen saturation, or pulse rate, each responsive to said intensity signals;

a data storage device configured to write said plethysmograph signal, oxygen saturation and pulse rate into message packets having a format capable of preserving a relationship between the plethysmograph signal at the sampling rate with the oxygen saturation and pulse rate data at a sub-sampling rate;

a storage media configured to be removably loaded into said data storage device or removed to an off-site location for post-monitoring off-site analysis of the plethysmograph signal, calculated oxygen saturation, and pulse rate data based on data written into the message packets, said data storage device writing said plethymograph to said storage media at said sampling rate, along with said oxygen saturation and said pulse rate at a sub-sampling rate.

19. The data capture system according to claim 18 further comprising:

a data port adapted to communicate with an external device; and

a communications path between said signal processor and said data port configured to output said plethysmograph, oxygen saturation and pulse rate to said external device;

wherein said data storage device is installed along said communications path and configured to transparently capture and write said plethysmograph to said removable storage media.

20. The data capture system according to claim 19 further comprising:

a portable instrument having said digitizer;

a docking station configured to accept said portable instrument and housing said data storage device; and

a plurality of UART signals provided between said docking station and said data storage device along said communications path.

21. The data capture system of claim 18, wherein said data storage device writes said plethysmograph signal, oxygen saturation and pulse rate into a cyclical group of message packets.