Method and apparatus for communicating an alarm while monitoring

• US 7,639,145 B2
• Filed: 04/29/2004
• Issued: 12/29/2009
• Est. Priority Date: 05/19/2003
• Status: Active Grant

• Current Assignee: GE Medical Systems Information Technologies Incorporated (GE Healthcare Technologies, Inc.)
• Original Assignee: GE Medical Systems Information Technologies Incorporated (GE Healthcare Technologies, Inc.)
• Inventors: Bock, Elizabeth Anne, Lawson, Corey James, Hutchinson, George Martin
• Primary Examiner(s): Mehmood; Jennifer
• Application Number:
  US10/834,625
• Publication Number:
  US 20040249249A1
• Time in Patent Office: 2,070 Days
• Field of Search: 340/500, 340/501, 340/573.1, 340/539.12, 340/7.55, 340/7.56, 340/309.16, 340/3.1, 340/3.9, 600/300, 600/301, 600/306, 600/323, 600/324, 600346-348
• US Class Current: 340/573.1
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/02455 provided with high/low alarm devices
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

Method and apparatus for displaying an alarm condition on a patient monitor. A graphical user interface can include an alarm communication device that indicates a state of a physiological parameter. The alarm communication device can include a stable region, an intermediate region, and a critical region. At least one of the intermediate region and the critical region can represent the alarm condition. The graphical user interface can also include a tolerance control that adjusts at least one of a boundary and a width of at least one of the stable region, the intermediate region, and the critical region in order to adjust the alarm condition.

Claims

1. A graphical user interface for displaying an alarm condition on a patient monitor, the graphical user interface comprising:

a chart that displays a physiological parameter of a patient;

an alarm communication device separate from the chart that indicates a state of the physiological parameter displayed by the chart, the alarm communication device including at least a stable region, an intermediate region, and a critical region, at least one of the intermediate region and the critical region representing the alarm condition; and

a tolerance control that adjusts at least one of a boundary and a width of at least one of the stable region, the intermediate region, and the critical region in order to adjust the alarm condition.

2. The graphical user interface of claim 1 wherein the alarm communication device includes a horizontal bar divided into at least the stable region, the intermediate region, and the critical region.

3. The graphical user interface of claim 1 wherein the alarm communication device includes an indicator representing a current data point.

4. The graphical user interface of claim 1 wherein the alarm communication device includes an indicator representing a calculated representative value for the physiological parameter.

5. The graphical user interface of claim 1 wherein an upper boundary of the stable region corresponds to at least one of an upper tracking threshold, an upper alarm limit, a lower tracking threshold, and a lower alarm limit.

6. The graphical user interface of claim 1 wherein an upper boundary of the intermediate region corresponds to at least one of an upper extremity limit and a lower extremity limit.

7. The graphical user interface of claim 1 wherein the width of the stable region is proportional to a depth between a calculated representative value and at least one of an upper tracking threshold and a lower tracking threshold.

8. The graphical user interface of claim 7 wherein the width of the stable region is proportional to the depth plus an excursion value.

9. The graphical user interface of claim 1 wherein each one of the stable region, the intermediate region, and the critical region is displayed in a different color.

10. The graphical user interface of claim 1 wherein

the alarm communication device includes an indicator representing a current data point, and

the indicator has a color, the color of the indicator being at least partially dependent upon the position of the indicator with respect to at least one of the stable region, the intermediate region, and the critical region.

11. The graphical user interface of claim 1 wherein at least one of a boundary and the width of the critical region is a default setting that cannot be adjusted with the tolerance control.

12. The graphical user interface of claim 1 wherein the tolerance control can adjust an upper tracking threshold and a lower tracking threshold in order to determine at least one of the boundary and the width of at least one of the stable region and the intermediate region.

13. The graphical user interface of claim 1 wherein the alarm communication device is an elongated device oriented vertically or horizontally.

14. The graphical user interface of claim 1 wherein the tolerance control can adjust at least one of the boundary and the width of at least one of the stable region and the intermediate region for a particular patient.

15. The graphical user interface of claim 1 wherein the tolerance control can adjust at least one of tracking speed, tightness, speed of response, excursion depth, and time to reset.

16. The graphical user interface of claim 1 and further comprising at least one of a tracking speed knob, a tightness knob, a speed of response knob, an excursion depth knob, and a time to reset knob, each knob being controlled individually for a particular patient.

17. A graphical user interface for displaying an alarm condition on a patient monitor, the graphical user interface comprising:

a chart including;

an acquired data stream of a physiological parameter;

an upper tracking threshold displayed above the acquired data stream; and

a lower tracking threshold displayed below the acquired data stream;

an alarm communication device separate from the chart that indicates a state of the physiological parameter displayed by the chart, the alarm communication device including at least a stable region, an intermediate region, and a critical region, at least one of the intermediate region and the critical region representing the alarm condition; and

a tolerance control that adjusts at least one of the upper tracking threshold and the lower tracking threshold in order to adjust the alarm condition.

18. The graphical user interface of claim 17, wherein the acquired data stream has a color, the color of the acquired data stream being at least partially dependent upon the alarm condition.

19. The graphical user interface of claim 17 wherein the tolerance control adjusts at least one of the upper tracking threshold and the lower tracking threshold based on a calculated representative value.

20. The graphical user interface of claim 19 wherein the calculated representative value can be incremented when the acquired data stream is greater than a previous calculated representative value and can be decremented when the acquired data stream is less than the previous calculated representative value.

21. The graphical user interface of claim 20 wherein the calculated representative value is incremented or decremented by at least one of a fixed default amount, a percentage of the previous calculated representative value, and an amount based on a standard of deviation of the acquired data stream.

22. The graphical user interface of claim 17 wherein at least one of the upper tracking threshold and the lower tracking threshold are constant values that can only be adjusted by a healthcare provider.

23. The graphical user interface of claim 17 wherein the tolerance control adjusts at least one of the upper tracking threshold and the lower tracking threshold based on a standard deviation of at least one of a calculated representative value and the acquired data stream.

24. The graphical user interface of claim 17 wherein the chart includes at least one of an upper alarm limit and a lower alarm limit, the upper alarm limit being based on the upper tracking threshold and an excursion value, the lower alarm limit being based on the lower tracking threshold and the excursion value.

25. The graphical user interface of claim 24 wherein the excursion value represents an amount by which the acquired data stream must exceed one of the upper tracking threshold and the lower tracking threshold for the alarm condition.

26. The graphical user interface of claim 17 and further comprising an alarm communication device that indicates a state of the physiological parameter, the alarm communication device including a stable region, an intermediate region, and a critical region, the critical region representing the alarm condition.

27. The graphical user interface of claim 17 wherein the chart includes at least one of an upper extremity limit displayed above the upper tracking threshold and a lower extremity limit displayed below the lower tracking threshold.

28. The graphical user interface of claim 17 and further comprising a pointer that indicates a data point on the chart corresponding to currently-acquired data.

29. The graphical user interface of claim 28 and further comprising a current data display including a numeric value representing the data point corresponding to the currently-acquired data.

30. The graphical user interface of claim 29 wherein the current data display has a color, the color of the current data display being at least partially dependent upon the alarm condition.

31. The graphical user interface of claim 17 wherein the acquired data stream includes heart rate data.

32. The graphical user interface of claim 17 wherein the tolerance control adjusts at least one of the upper tracking threshold and the lower tracking threshold automatically based on at least one of the acquired data stream and a calculated representative value.

33. The graphical user interface of claim 32 wherein the tolerance control adjusts at least one of the upper tracking threshold and the lower tracking threshold automatically based on at least one of a slope and a standard deviation of at least one of the acquired data stream and the calculated representative value.

34. The graphical user interface of claim 17 wherein the tolerance control adjusts one of the upper tracking threshold and the lower tracking threshold automatically based on characteristics of a particular patient.

35. A method of displaying an alarm condition with respect to a physiological parameter being acquired form a patient, the method comprising:

indicating whether a physiological parameter is within one of a stable region, an intermediate region, and a critical region, on an alarm communication device that is separate from a chart displaying the physiological parameter, at least one of the intermediate region and the critical region representing the alarm condition; and

adjusting at least one of a boundary and a width of at least one of the stable region, the intermediate region, and the critical region in order to adjust the alarm condition.

36. The method of claim 35 and further comprising displaying an indicator representing a position of a current data point.

37. The method of claim 35 and further comprising displaying an indicator representing a calculated representative value for the physiological parameter.

38. The method of claim 35 and further comprising adjusting a width of the intermediate region in proportion to a depth between a calculated representative value and at least one of an upper tracking threshold and a lower tracking threshold.

39. The method of claim 38 wherein the adjusting the width of the intermediate region include adjusting the width of the intermediate region in proportion to the depth plus an excursion value.

40. The method of claim 35 and further comprising displaying each one of the stable region, the intermediate region, and the critical region in a different color.

41. The method of claim 35 and further comprising adjusting an upper alarm threshold and a lower tracking threshold in order to determine at least one of the boundary and the width of at least one of the stable region and the intermediate region.

42. The method of claim 35 and further comprising adjusting at least one of the boundary and the width of at least one of the stable region and the intermediate region for a particular patient.

43. A method of displaying an alarm condition with respect to a physiological parameter being acquired from a patient, the method comprising;

displaying a chart including;

an acquired data stream of the physiological parameter;

an upper tracking threshold displayed above the acquired data stream; and

a lower tracking threshold displayed below the acquired data stream;

displaying an alarm communication device separate from the chart that indicates a state of the physiological parameter displayed by the chart, the alarm communication device including at least a stable region, an intermediate region, and a critical region, at least one of the intermediate region and the critical region representing the alarm condition; and

adjusting at least one of the upper tracking threshold and the lower tracking threshold in order to adjust the alarm condition.

44. The method of claim 43 and further comprising adjusting at least one of the upper tracking threshold and the lower tracking threshold based on a calculated representative value.

45. The method of claim 44 and further comprising incrementing the calculated representative value when the acquired data stream is greater than a previous calculated representative value and decrementing the calculated representative value when the acquired data stream is less than the previous calculated representative value.

46. The method of claim 44 and further comprising incrementing or decrementing the calculated representative value by at least one of a fixed default amount, a percentage of the previous calculated representative value, and an amount based on a standard of deviation of the acquired data stream.

47. The method of claim 43 and further comprising adjusting at least one of the upper tracking threshold and the lower tracking threshold based on a standard deviation of at least one of a calculated representative value and the acquired data stream.

48. The method of claim 43 and further comprising displaying a chart including at least one of an upper alarm limit and a lower alarm limit, the upper alarm limit being based on the upper tracking threshold and an excursion value, the lower alarm limit being based on the lower tracking threshold and the excursion value.

49. The method of claim 43 and further comprising displaying at least one of an upper extremity limit above the upper tracking threshold and a lower extremity limit below the lower tracking threshold.

50. The method of claim 43 and further comprising indicating a data point on the chart corresponding to currently-acquired data.

51. The method of claim 50 and further comprising displaying a numeric value representing the data point corresponding to the currently-acquired data.

52. The method of claim 43 and further comprising displaying an acquired data stream including heart rate data.

53. The method of claim 43 and further comprising adjusting at least one of the upper tracking threshold and the lower tracking threshold automatically based on at least one of the acquired data stream and a calculated representative value.

54. The method of claim 53 and further comprising adjusting at least one of the upper tracking threshold and the lower tracking threshold automatically based on at least one of a slope and a standard deviation of at least one of the acquired data stream and the calculated representative value.

55. The method of claim 43 and further comprising adjusting one of the upper tracking threshold and the lower tracking threshold automatically based on characteristics of a particular patient.

56. A device for displaying an alarm condition with respect to a physiological parameter being acquired from a patient, the device comprising:

means for indicating a state of a physiological parameter separate from a means for displaying the physiological parameter, the state being within one of a stable region, an intermediate region, and a critical region, at least one of the intermediate region and the critical region representing the alarm condition; and

means for adjusting at least one of a boundary and a width of at least one of the stable region, the intermediate region, and the critical region in order to adjust the alarm condition.