System or method for assessing a subject's peripheral blood circulation

• US 8,585,602 B2
• Filed: 01/10/2005
• Issued: 11/19/2013
• Est. Priority Date: 01/08/2004
• Status: Expired due to Fees

• Current Assignee: Dialog Devices Limited
• Original Assignee: Dialog Devices Limited
• Inventors: Smith, Peter Richard, Crabtree, Vincent Peter
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): MESSERSMITH, ERIC J
• Application Number:
  US10/584,179
• Publication Number:
  US 20070270699A1
• Time in Patent Office: 3,235 Days
• Field of Search: 600 50-507
• US Class Current: 600/481
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/6829 Foot or ankle

Abstract

A system for assessing blood circulation in a subject'"'"'s limb, including detection means for detecting a signal dependent upon the arterial blood volume in a limb of the subject when the subject is in a first posture and also when the subject is in a second posture, different to the first posture; and processing means for calculating a quantitative indicator that is dependent upon the ratio of the signal for the first posture to the signal for the second posture.

Claims

1. A system that is configured to produce an indicator that measures a response of a blood circulation system of a subject to postural change, comprising:

pre-processing circuitry configured to detect a signal dependent upon an arterial blood volume in a limb of the subject when the subject is in a first posture and configured to detect a signal dependent upon an arterial blood volume in the limb of the subject responsive to a change in the subject'"'"'s posture from the first posture to a second posture, different from the first posture; and

processing circuitry configured to calculate a quantitative indicator that quantifies the response of the subject'"'"'s blood circulation system to postural change and is dependent upon a ratio of a first input value to a second input value,

wherein the processing circuitry is configured to determine automatically when the posture change occurs,

the processing circuitry is configured to control the first input value to be the signal detected prior to the detected postural change; and

the processing circuitry is configured to control the second input value to be the signal detected after the detected postural change.

2. A system as claimed in claim 1, wherein the quantitative indicator is directly proportional to the ratio of the signal detected prior to the detected postural change to the signal detected after the detected postural change and during the response of the subject'"'"'s blood circulation system to the detected postural change.

3. A system as claimed in claim 1, wherein the detected signal dependent upon the arterial blood volume of the limb is a pulsating component of a measured parameter, the measured parameter being dependent upon the blood volume in the subject'"'"'s limb.

4. A system as claimed in claim 3, wherein the calculation of the quantitative indicator is additionally dependent upon a ratio of a non-pulsating component of the measured parameter, measured after the detected postural change and during the response of the subject'"'"'s blood circulation system to the detected postural change, to a non-pulsating component of the measured parameter, measured prior to the detected postural change.

5. A system as claimed in claim 4, wherein the quantitative indicator is directly proportional to the ratio of the non-pulsating component of the measured parameter, measured after the detected postural change and during an immediate response of the subject'"'"'s blood circulation system to the detected postural change, to the non-pulsating component of the measured parameter measured prior to the detected postural change.

6. A system as claimed in claim 3, wherein the measured parameter is an intensity of light reflected from the limb.

7. A system as claimed in claim 1, comprising at least one sensor configured to measure a parameter indicative of the blood volume of the subject'"'"'s limb when the subject is in the first posture prior to the detected postural change, and to measure the parameter when the subject is in the second posture after the detected postural change, and circuitry configured to isolate a pulsating component of the measured parameter.

8. A system as claimed in claim 1 wherein the limb is a foot.

change in the subject'"'"'s posture from the first posture to a second posture, different from the first posture.

9. A system as claimed in claim 1, wherein the change in the subject'"'"'s posture from the first posture to a second posture, different from the first posture is a change in a position of the limb between a first position and a second position.

10. A system as claimed in claim 1, wherein, in the first posture the limb is at a first elevation relative to a heart of the subject and in the second posture the limb is at a second, different elevation relative to the heart.

11. A system as claimed in claim 1, wherein the processing circuitry is configured to control the first input value and the second input value to be separated in time by less than 60 seconds.

12. A system as claimed in claim 1, wherein the processing circuitry is configured to control the second input value to be the signal detected less than 30 seconds after the posture change.

13. A system as claimed in claim 1, further comprising a detector configured to detect postural change and provide a signal to the processing circuitry indicative of postural change.

14. A method of assessing a subject by producing a subject-dependent indicator that measures a response of a subject'"'"'s blood circulation system to postural change, comprising:

providing, as a first input value to a calculation performed by a processor, a signal dependent upon an arterial blood volume in a limb of the subject when the subject is in a first posture prior to a postural change;

providing, as a second input to a calculation performed by the processor, a non-steady state signal dependent upon an arterial blood volume in the limb of the subject after a change in subject posture from the first posture to a second posture, different to the first posture; and

using a processor to calculate a quantitative subject-dependent indicator that measures the response of the subject'"'"'s blood circulation system to the postural change and is dependent upon a ratio of the first input value to the second input value.

15. A method as claimed in claim 14, further comprising:

measuring a parameter that is dependent upon the blood volume in the subject'"'"'s limb when the subject is in the first posture prior to postural change;

isolating, as the first input value, a pulsating component of the parameter measured when the subject is in the first posture prior to postural change;

measuring the parameter that is dependent upon the blood volume in the subject'"'"'s limb after the detected postural change; and

isolating, as the second input value, a pulsating component of the parameter measured after the detected postural change.

16. A method as claimed in claim 15, further comprising:

isolating, as a third input value, a non-pulsating component of the parameter measured when the subject is in the first posture prior to postural change; and

isolating, as a fourth input value, a non-pulsating component of the parameter measured after the detected postural change and during the response of the subject'"'"'s blood circulation system to the detected postural change,

wherein the processing circuitry is configured to calculate the quantitative subject-dependent indicator that measures the response of the subject'"'"'s blood circulation system to postural change using a ratio of the fourth input value to the third input value.

17. A method as claimed in claim 16, wherein the limb is a foot.

18. A method as claimed in claim 14, wherein the position of the limb is changed between the first posture and the second posture.

19. A method as claimed in claim 14 wherein, in the first posture the limb is at a first elevation and in the second posture the limb is at a second elevation.

20. A method as claimed in claim 14, wherein the detected signal for the first posture prior to the postural change and the detected signal for the second posture after the postural change are separated in time by less than 60 seconds.

21. A method as claimed in claim 14, wherein the detected signal for the second posture after the postural change is less than 30 seconds after the posture change.

22. A method as claimed in claim 14, further comprising using a detector to detect postural change and provide a signal to the processor indicative of postural change.

23. A system for producing an indicator that measures a response of a blood circulation system of a subject to postural change, comprising:

a sensor configured to measure a parameter dependent upon a blood volume in a limb of the subject when the subject is in a first posture to produce a measured parameter for the first posture, and configured to measure the parameter dependent upon the blood volume in the limb of the subject after a change in the subject'"'"'s posture from the first posture to a second posture, different from the first posture to produce a measured parameter for the second posture;

circuitry configured to separate the measured parameter for the first posture into a first component and a second component, and separate the measured parameter for the second posture into a first component and a second component; and

a processor configured to calculate a quantitative indicator that measures the response of the subject'"'"'s blood circulation system to postural change, wherein the processor is configured to perform a calculation that takes as a first input value the first component of the measured parameter for the first posture, measured prior to the postural change, and that takes as a second input value that is non-steady state, the first component of the measured parameter for the second posture, measured after the postural change.

24. A system as claimed in claim 23, wherein the first component for the first posture and the first component for the second posture are pulsating components, and the second component for the first posture and the second component for the second posture are non-pulsating components.

25. A system as claimed in claim 23, wherein the quantitative indicator is dependent upon a ratio of the first component of the measured parameter for the first posture to the first component of the measured parameter for the second posture, measured after the postural change.

26. A system as claimed in claim 25, wherein the quantitative indicator is directly proportional to the ratio of the first component of the measured parameter for the first posture to the first component of the measured parameter for the second posture, measured after the postural change.

27. A system as claimed in claim 25, wherein the measured parameter is an intensity of red light and the quantitative indicator is indicative of skin tone color.

28. A system as claimed in claim 23, wherein the quantitative indicator is dependent upon a ratio of the second component of the measured parameter for the second posture, measured after the postural change, to the second component of the measured parameter for the first posture.

29. A system as claimed in claim 28, wherein the quantitative indicator is directly proportional to the ratio of the second component of the measured parameter for the second posture, measured after the postural change, to the second component of the measured parameter for the first posture.

30. A system as claimed in claim 23, wherein the measured parameter is intensity of light.

31. A system as claimed in claim 23, wherein the processing circuitry is configured to control the first input value and the second input value to be separated in time by less than 60 seconds.

32. A system as claimed in claim 23, wherein the processing circuitry is configured to control the second input value to be the signal detected less than 30 seconds after the posture change.

33. A system as claimed in claim 23, further comprising a detector configured to detect postural change and provide a signal to the processor indicative of postural change.

34. A system as claimed in claim 23 further comprising:

an additional sensor configured to measure an additional parameter dependent upon the blood volume in the limb of the subject when the subject is in the first posture and also when the subject is in the second posture; and

circuitry configured to separate the additional parameter into first and second components;

wherein the processor is configured to calculate the quantitative indicator wherein the calculation takes as inputs not only the first component of the measured parameter for the first posture and the first component of the measured parameter for the second posture, measured after the postural change, but also the first component of the additional parameter for the first posture and the first component of the additional parameter for the second posture, measured after the postural change.

35. A system as claimed in claim 34, wherein the quantitative indicator is dependent upon a ratio of a modified first component of the measured parameter for the second posture to a modified first component of the measured parameter for the first posture,

wherein the modified first component of the measured parameter for the second posture is the first component of the measured parameter for the second posture divided by the sum of the first component of the measured parameter for the second posture and a first component of the additional parameter for the second posture, and

wherein the modified first component of the measured parameter for the first posture is the first component of the measured parameter for the first posture divided by the sum of the first component of the measured parameter for the first posture and a first component of the additional parameter for the first posture.

36. A system as claimed in claim 35, wherein the sensor configured to measure the measured parameter measures red light and the additional sensor configured to measure the additional parameter measures infrared light.

37. A system as claimed in claim 23, wherein the first component is a pulsating component and the second component is a non-pulsating component.

38. A system as claimed in claim 23, wherein the first component is a non-pulsating component and the second component is a pulsating component.

39. A method of assessing a subject by producing a subject-dependent indicator that measures a response of a subject'"'"'s blood circulation system to postural change, comprising:

measuring a parameter dependent upon a blood volume in a limb of the subject when the subject is in a first posture prior to a postural change;

separating the measured parameter, for the first posture, into a first component and a second component;

after a change in the subject'"'"'s posture from the first posture to a second posture, different to the first posture, measuring the parameter dependent upon the blood volume in the limb of the subject, the parameter being non-steady state;

separating the measured parameter for the second posture, measured after the postural change, into a first component and a second component; and

using a processor to calculate a quantitative indicator wherein the calculation takes as inputs the first component of the measured parameter for the first posture and the first component of the measured parameter for the second posture, measured after the postural change.

40. A method as claimed in claim 39, wherein the first component of the measured parameter for the first posture is a pulsating component and the second component of the measured parameter for the first posture is a non-pulsating component.

41. A method as claimed in claim 39, wherein the quantitative indicator is dependent upon a ratio of the first component of the measured parameter for the first posture to the first component of the measured parameter for the second posture, measured after the postural change.

42. A method as claimed in claim 39, wherein the measured parameter for the first posture, measured prior to the postural change, and the measured parameter for the second posture, measured after the postural change are measured with a separation of less than 60 seconds.

43. A method as claimed in claim 39, wherein the measured parameter for the second posture, measured after the postural change is measured less than 30 seconds after the posture change.

44. A method as claimed in claim 39, further comprising using a detector to detect postural change and provide a signal to the processor indicative of postural change.

45. A system for assessing a blood circulation of a subject, comprising:

a first sensor configured to measure a first parameter dependent upon a blood volume in a limb of the subject when the subject is in a first posture and when the subject is in a second posture;

circuitry configured to separate the first parameter for the first posture into first and second components, and to separate the first parameter for the second posture into first and second components;

a second sensor configured to measure a second parameter dependent upon the blood volume in a limb of the subject when the subject is in the first posture and is in the second posture;

circuitry configured to separate the second parameter for the first posture into first and second components, and to separate the second parameter for the second posture into first and second components; and

processing circuitry configured to calculate a quantitative indicator wherein the processing circuitry takes as inputs for the calculation the first and second components of the first parameter for the first posture, the first and second components of the first parameter for the second posture, the first and second components of the second parameter for the first posture and the first and second components of the second parameter for the second posture,

wherein the first sensor measures red light and the second sensor measures infrared light.

46. A system as claimed in claim 45, wherein the first component of the first parameter is a first pulsating component of the first parameter, the second component of the first parameter is a second non-pulsating component of the first parameter, the first component of the second parameter is a first pulsating component of the second parameter, and the second component of the second parameter is a second non-pulsating component of the second parameter.

47. A system as claimed in claim 46, wherein the quantitative indicator is dependent upon a ratio of a modified first component of the first parameter for the second posture to a modified first component of the first parameter for the first posture,

wherein the modified first component of the first parameter for the second posture is the first component of the first parameter for the second posture divided by the sum of the first component of the first parameter for the second posture and a first component of the second parameter for the second posture, and

wherein the modified first component of the first parameter for the first posture is the first component of the first parameter for the first posture divided by the sum of the first component of the first parameter for the first posture and a first component of the second parameter for the first posture.

48. A system as claimed in claim 46, wherein the indicator is dependent upon the ratio of a modified second component of the first parameter for the second posture to a modified second component of the first parameter for the first posture,

wherein the modified second component of the first parameter for the second posture is the second component of the first parameter for the second posture divided by the sum of the second component of the first parameter for the second posture and a second component of the second parameter for the second posture and the modified second component of the first parameter for the first posture is the second component of the first parameter for the first posture divided by the sum of the second component of the first parameter for the first posture and a second component of the second parameter for the first posture.

49. A method of assessing a blood circulation of a subject, comprising:

measuring, at a first sensor, a first parameter dependent upon a blood volume in a limb of the subject when the subject is in a first posture;

separating the measured first parameter for the first posture into first and second components;

measuring a second parameter dependent upon the blood volume in the limb of the subject when the subject is in the first posture;

separating the measured second parameter for the first posture into first and second components;

measuring a first parameter dependent upon the blood volume in the limb of the subject when the subject is in a second posture;

separating the measured first parameter for the second posture into first and second components;

measuring a second parameter dependent upon the blood volume in the limb of the subject when the subject is in the second posture, the second parameter being non-steady state;

separating the measured second parameter for the second posture into first and second components; and

calculating a quantitative indicator using as inputs for the calculation the first and second components of the first parameter for the first posture, the first and second components of the first parameter for the second posture, the first and second components of the second parameter for the first posture, and the first and second components of the second parameter for the second posture,

wherein the first parameter is a measurement of red light and the second parameter is a measurement of infrared light.

50. A system as claimed in claim 49, wherein the first component of the first parameter is a first pulsating component of the first parameter, the second component of the first parameter is a second non-pulsating component of the first parameter, the first component of the second parameter is a first pulsating component of the second parameter, and the second component of the second parameter is a second non-pulsating component of the second parameter.

51. A method as claimed in claim 49, wherein the quantitative indicator is dependent upon a ratio of a modified first component of the first parameter for the second posture to a modified first component of the first parameter for the first posture,

wherein the modified first component of the first parameter for the second posture is the first component of the first parameter for the second posture divided by the sum of the first component of the first parameter for the second posture and a first component of the second parameter for the second posture, and

wherein the modified first component of the first parameter for the first posture is the first component of the first parameter for the first posture divided by the sum of the first component of the first parameter for the first posture and a first component of the second parameter for the first posture.

52. A method as claimed in claim 49, wherein the indicator is dependent upon a ratio of a modified second component of the first parameter for the second posture to a modified second component of the first parameter for the first posture,

wherein the modified second component of the first parameter for the second posture is the second component of the first parameter for the second posture divided by the sum of the second component of the first parameter for the second posture and a second component of the second parameter for the second posture, and

wherein the modified second component of the first parameter for the first posture is the second component of the first parameter for the first posture divided by the sum of the second component of the first parameter for the first posture and a second component of the second parameter for the first posture.