Gain setting in doppler haemodynamic monitors

• US 8,075,485 B2
• Filed: 10/09/2008
• Issued: 12/13/2011
• Est. Priority Date: 12/13/2000
• Status: Expired due to Fees

• Current Assignee: Deltex Medical Limited
• Original Assignee: Deltex Medical Limited
• Inventors: Smith, Leonard
• Primary Examiner(s): Cattungal, Sanjay
• Application Number:
  US12/248,642
• Publication Number:
  US 20090149758A1
• Time in Patent Office: 1,160 Days
• Field of Search: 600437-463
• US Class Current: 600/437
• CPC Class Codes: A61B 8/065 to determine blood output from the heart in general A61B5/029
• CPC Class Codes: A61B 8/5276 due to motion
• CPC Class Codes: G01S 15/8979 Combined Doppler and pulse-echo imaging systems
• CPC Class Codes: G01S 7/52033 Gain control of receivers for seismic signals G01V1/245

Abstract

This invention relates to a method of automatically setting the gain of an echo signal in a Doppler ultrasound haemodynamic monitor. In essence the invention comprises monitoring the strength of velocity components measured by the apparatus, and identifying a group of such components occupying a particular band within the overall velocity spectrum. The signal gain is then adjusted so that the perceived width of the band falls within predetermined limits. The monitoring or assessment of the velocity components is preferably undertaken when the overall flow velocity is high e.g. during systole.

Claims

1. A method of automatically setting a signal gain in a Doppler ultrasound haemodynamic monitor comprising the acts of:

setting a signal gain in a Doppler ultrasound haemodynamic monitor;

acquiring ultrasound data, by the Doppler ultrasound haemodynamic monitor, by scanning a region of interest;

identifying an acceptable number of velocity components in an instantaneous blood velocity spectrum of the ultrasound data that exceeds a pre-defined minimum value;

comparing the acceptable number of velocity components to a predetermined threshold;

increasing a control variable when the acceptable number of velocity components is above said predetermined threshold;

decreasing the control variable when the acceptable number of velocity components is below said predetermined threshold;

comparing the control variable to a predetermined band; and

automatically adjusting the signal gain when the control variable is outside the predetermined band.

2. The method of claim 1, wherein said pre-defined minimum value and predetermined threshold are each derived from clinical testing.

3. The method of claim 1, wherein identifying the acceptable number of velocity components comprises:

assessing, from a received signal, a strength for each of a plurality of individual velocity components of the instantaneous blood velocity spectrum; and

identifying each of the plurality of individual velocity components that exceeds the pre-defined minimum value.

4. The method of claim 3, identifying each of the plurality of individual velocity components comprises identifying each of the plurality of individual velocity components that exceeds the pre-defined minimum value during a systole period.

5. The method of claim 1, wherein increasing the control variable comprises increasing the control variable by an increment that is proportional to the amount by which the acceptable number of velocity components exceeds the predetermined threshold.

6. The method of claim 5, wherein decreasing the control variable comprises decreasing the control variable by a decrement that is proportional to the amount the acceptable number of velocity components is below the predetermined threshold.

7. The method of claim 1 wherein increasing the control variable comprises:

applying a first increment to said control variable if the magnitude of the difference between the acceptable number of velocity components exceeds the predetermined threshold by no more than a predetermined step size; and

applying a second increment to the control variable if the magnitude of the difference between the acceptable number of velocity components exceeds the predetermined threshold by more than the predetermined step size, wherein the first increment is less than the second increment.

8. The method of claim 7 wherein decreasing the control variable comprises:

applying a first decrement to said control variable if the magnitude of the difference between the acceptable number of velocity components is below the predetermined threshold by no more than a predetermined step size; and

applying a second decrement to the control variable if the magnitude of the difference between the acceptable number of velocity components is below the predetermined threshold by more than the predetermined step size, wherein the first increment is less than the second increment.

9. The method of claim 1, wherein adjusting the signal gain comprises decreasing the signal gain when the control variable is above the predetermined band, and increasing the signal gain when the control variable is below the predetermined band.

10. The method of claim 9, further comprising setting the control variable to zero in response to said adjusting.

11. A method of adjusting signal gain in a Doppler ultrasound haemodynamic monitor comprising the acts of:

acquiring ultrasound data, by the Doppler ultrasound haemodynamic monitor, by scanning a region of interest;

setting a signal gain in the Doppler ultrasound haemodynamic monitor;

assessing the strength of each of a plurality of individual velocity components of an instantaneous blood velocity spectrum of the ultrasound data;

identifying an acceptable number of velocity components from the plurality of individual velocity components, wherein the strength of the acceptable number of velocity components is above a pre-defined minimum value;

comparing the acceptable number of velocity components to predetermined upper and lower limits; and

automatically adjusting the signal gain such that the acceptable number of velocity components falls within the predetermined upper and lower limits.

12. The method of claim 11, further comprising applying a smoothing function, wherein the smoothing function comprises:

increasing a control variable when the acceptable number of velocity components is above said predetermined threshold;

decreasing the control variable when the acceptable number of velocity components is below said predetermined threshold; and

comparing the control variable to a predetermined band.

13. The method of claim 12, wherein adjusting the signal gain comprises adjusting the signal gain when the control variable is outside the predetermined band.

14. The method of claim 12, wherein increasing the control variable comprises increasing the control variable by an increment that is proportional to the amount by which the acceptable number of velocity components exceeds the predetermined threshold.

15. The method of claim 12, wherein decreasing the control variable comprises decreasing the control variable by a decrement that is proportional to the amount the acceptable number of velocity components is below the predetermined threshold.

16. The method of claim 13, wherein adjusting the signal gain comprises decreasing the signal gain when the control variable is above the predetermined band, and increasing the signal gain when the control variable is below the predetermined band.

17. The method of claim 16, further comprising setting the control variable to zero in response to said adjusting.

18. The method of claim 11, wherein said pre-defined minimum value, and the predetermined upper and lower limits are each derived from clinical testing.

19. The method of claim 11, wherein identifying the acceptable number of velocity components comprises identifying each of the plurality of individual velocity components that exceeds the pre-defined minimum value during a systole period.