Method and system for monitoring sleep

• US 8,764,667 B2
• Filed: 03/06/2008
• Issued: 07/01/2014
• Est. Priority Date: 03/07/2007
• Status: Active Grant

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Cheetah Medical, Inc. (Baxter International Inc.)
• Inventors: Avidor, Yoav, Burkhoff, Daniel, Squara, Pierre, Keren, Hanan
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): BERHANU, ETSUB D
• Application Number:
  US12/450,022
• Publication Number:
  US 20100031959A1
• Time in Patent Office: 2,308 Days
• Field of Search: 600/302, 600/483, 600/526
• US Class Current: 600/483
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/4818 Sleep apnoea

Abstract

A method of monitoring sleep of a sleeping subject is disclosed. The method comprises determining a phase shift of input radiofrequency signals received from the subject during sleep relative to output radiofrequency signals transmitted to the subject during sleep, calculating cardiac output based on the phase shift, and using the cardiac output for identifying sleep apnea events.

Claims

1. A method of monitoring sleep of a sleeping subject using output radiofrequency signals transmitted to the subject during sleep and input radiofrequency signals received from the subject during sleep, the method comprising:

determining a phase shift of the input radiofrequency signals relative to the output radiofrequency signals to provide processed signals;

applying to said processed signals a dynamically variable filter characterized by a frequency band which is dynamically adapted in response to a change in a physiological condition of the subject;

using a cardiac output calculator, calculating cardiac output based on said filtered processed signals; and

using said cardiac output for identifying sleep apnea events.

2. The method of claim 1, further comprising supplementing said cardiac output with blood oxygen content, wherein said identification of said sleep apnea events is based on said cardiac output and said blood oxygen content.

3. The method of claim 1, further comprising inputting or estimating hemoglobin concentration of the sleeping subject, wherein said identification of said sleep apnea events is based on said cardiac output and said hemoglobin concentration.

4. The method of claim 3, further comprising estimating total oxygen delivery and generating a wakening signal when an estimated value is below a predetermined threshold.

5. The method of claim 4, wherein said identification of said sleep apnea events is further based on said estimated value of said total oxygen delivery.

6. The method of claim 4, further comprising controlling positive airway pressure delivered to the sleeping subject based on said estimated value.

7. The method of claim 1, further comprising reducing or eliminating amplitude modulation of said input radiofrequency signals so as to provide input radiofrequency signals of substantially constant envelope.

8. The method of claim 1, further comprising mixing said output radiofrequency signals and said input radiofrequency signals so as to provide a mixed radiofrequency signal, and filtering out a portion of said mixed radiofrequency signal so as to substantially increase a signal-to-noise ratio of a remaining portion of said mixed radiofrequency signal.

9. The method of claim 1, wherein said cardiac output is calculated using a linear relationship between said filtered processed signals and said cardiac output.

10. The method of claim 1, wherein said physiological condition is a heart rate of the subject.

11. The method of claim 10, wherein a lower frequency bound characterizing said filter is about 0.9*(HR/60) Hz at all times, wherein said HR is said heart rate in units of beats per minute.

12. The method of claim 10, wherein an upper frequency bound characterizing said filter is about 6+1.5*[(HR/60)−

1] Hz at all times, wherein said HR is said heart rate in units of beats per minute.

13. A method of monitoring sleep of a sleeping subject, comprising:

transmitting output radiofrequency signals to the subject during sleep;

receiving input radiofrequency signals from the subject during sleep; and

executing the method of claim 1.

14. The method of claim 13, further comprising measuring blood oxygen content and supplementing said cardiac output with blood oxygen content, wherein said identification of said sleep apnea events is based on said cardiac output and said blood oxygen content.

15. Apparatus for monitoring sleep of a sleeping subject using output radiofrequency signals transmitted to the subject during sleep and input radiofrequency signals received from the subject during sleep, the apparatus comprising:

a phase shift determinator configured for determining a phase shift of the input radiofrequency signals relative to the output radiofrequency signals, to provide processed signals;

a filtering unit configured for applying to said processed signals a dynamically variable filter characterized by a frequency band which is dynamically adapted in response to a change in a physiological condition of the subject;

a cardiac output calculator configured for calculating cardiac output based on said filtered processed signals; and

a sleep apnea identification unit configured for identifying sleep apnea events based on said cardiac output.

16. The apparatus of claim 15, wherein the apparatus further comprises a total oxygen delivery estimator configured for estimating total oxygen delivery.

17. The apparatus of claim 16, wherein said sleep apnea identification unit is configured to identify said sleep apnea events based on an estimated value of said total oxygen delivery and said cardiac output.

18. The apparatus of claim 16, wherein the apparatus further comprises a closed-loop control unit configured for receiving an estimated value of said total oxygen delivery and controlling pressure delivered by a respiratory therapy device based on said estimated value.

19. The apparatus of claim 15, wherein the apparatus further comprises an envelope elimination unit designed and configured for reducing or eliminating amplitude modulation of said input radiofrequency signals so as to provide input radiofrequency signals of substantially constant envelope.

20. The apparatus of claim 15, wherein the apparatus further comprises:

a mixer configured for mixing said output radiofrequency signals and said input radiofrequency signals, to provide a mixed radiofrequency signal; and

a radiofrequency filter for filtering out a portion of said mixed radiofrequency signal so as to substantially increase a signal-to-noise ratio of a remaining portion of said mixed radiofrequency signal.

21. The apparatus of claim 15, wherein a lower frequency bound characterizing said filter is about 0.9*(HR/60) Hz at all times, wherein said HR is said heart rate in units of beats per minute.

22. The apparatus of claim 15, wherein an upper frequency bound characterizing said filter is about 6+1.5*[(HR/60)−

1] Hz at all times, wherein said HR is said heart rate in units of beats per minute.

23. A system for monitoring sleep of a sleeping subject, comprising:

a radiofrequency generator for generating output radiofrequency signals;

a plurality of electrodes designed for transmitting said output radiofrequency signals to the subject and for sensing input radiofrequency signals from the subject; and

the apparatus of claim 15.

24. The system of claim 23, further comprising a blood oxygen measuring device.

25. The system of claim 23, wherein the apparatus further comprises a total oxygen delivery estimator configured for estimating total oxygen delivery, and wherein the apparatus further comprises a closed-loop control unit configured for receiving an estimated value of said total oxygen delivery and controlling pressure delivered by a respiratory therapy device based on said estimated value.

26. The system of claim 25, further comprising said respiratory therapy device.