Method and apparatus for detection of venous pulsation
First Claim
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1. A method for detecting venous pulsation with a patient monitor having a microprocessor, comprising:
- deriving a skew metric for one or more plethysmographic signals with the microprocessor;
wherein the skew metric comprises a measure of the skewness of the derivative of the one or more plethysmographic signals;
filtering the skew metric based on a first set of filters with the microprocessor to generate a filtered skew metric;
adjusting the filtered skew metric with the microprocessor based on a pulse rate to generate an adjusted skew metric;
detecting the presence of venous pulsation with the microprocessor by comparing the adjusted skew metric to a predetermined threshold.
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Abstract
Methods and systems for detecting venous pulsation are provided. In one embodiment, a metric of the pulse shape of one or more plethysmographic signals is derived and the presence of venous pulsation is detected based on the metric of pulse shape. Examples, of metrics of pulse shape include a skew metric and a ratio of a minima-to-maxima time over a pulse period interval. In an exemplary embodiment, the presence of venous pulsation is detected based on a metric of the pulse shape of one or more plethysmographic signals and on a phase comparison of the plethysmographic signals.
159 Citations
9 Claims
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1. A method for detecting venous pulsation with a patient monitor having a microprocessor, comprising:
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deriving a skew metric for one or more plethysmographic signals with the microprocessor;
wherein the skew metric comprises a measure of the skewness of the derivative of the one or more plethysmographic signals;filtering the skew metric based on a first set of filters with the microprocessor to generate a filtered skew metric; adjusting the filtered skew metric with the microprocessor based on a pulse rate to generate an adjusted skew metric; detecting the presence of venous pulsation with the microprocessor by comparing the adjusted skew metric to a predetermined threshold. - View Dependent Claims (2, 3)
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4. One or more non-transitory machine readable media, comprising code executable by a microprocessor to perform the acts of:
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deriving a skew metric for one or more plethysmographic signals wherein the skew metric comprises a measure of the skewness of the derivative of the one of more plethysmographic signals; filtering the skew metric based on a first set of filters to generate a filtered skew metric; adjusting the filtered skew metric based on a pulse rate to generate an adjusted skew metric; and detecting the presence of venous pulsation by comparing the adjusted skew metric to a predetermined threshold. - View Dependent Claims (5, 6)
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7. A patient monitoring system comprising:
- a patient monitor configured to;
derive a skew metric for one or more plethysmographic signals wherein the skew metric comprises a measure of the skewness of the derivative of the one or more plethysmographic signals; filter the skew metric based on a first set of filters to generate a filtered skew metric; adjust the filtered skew metric based on a pulse rate to generate an adjusted skew metric; and detect the presence of venous pulsation by comparing the adjusted skew metric to a predetermined threshold. - View Dependent Claims (8, 9)
- a patient monitor configured to;
Specification