Methods and systems for qualifying physiological values based on segments of a physiological signal

• US 8,868,148 B2
• Filed: 09/11/2012
• Issued: 10/21/2014
• Est. Priority Date: 09/11/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Engelbrecht, Pirow, Rodriguez-Llorente, Fernando, Wooder, Nicholas James
• Primary Examiner(s): ROZANSKI, MICHAEL T
• Application Number:
  US13/609,937
• Publication Number:
  US 20140073898A1
• Time in Patent Office: 770 Days
• Field of Search: 600/310, 600/323, 600/336, 600/407, 600/473, 600/476, 600500-504
• US Class Current: 600/310
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity

Abstract

A physiological monitoring system may process a physiological signal such a photoplethysmograph signal from a subject. The system may determine physiological information, such as a physiological rate, from the physiological signal. The system may use search techniques and qualification techniques to determine one or more initialization parameters. The initialization parameters may be used to calculate and qualify a physiological rate. The system may use signal conditioning to reduce noise in the physiological signal and to improve the determination of physiological information. The system may use qualification techniques to confirm determined physiological parameters. The system may also use autocorrelation techniques, cross-correlation techniques, fast start techniques, and/or reference waveforms when processing the physiological signal.

Claims

1. A subject monitoring system for determining physiological information of a subject, comprising:

a sensor configured to generate an intensity signal, wherein the sensor detects light attenuated by the subject; and

processing equipment coupled to the sensor, wherein the processing equipment is configured to;

determine a value indicative of a physiological rate of the subject;

select two signal segments based on the intensity signal, wherein the two signal segments are of two different lengths, and wherein the two different lengths are selected based on the value indicative of the physiological rate of the subject; and

determine whether to qualify the value indicative of the physiological rate of the subject based on the two signal segments.

2. The system of claim 1, wherein a first of the two different lengths is approximately double a second of the two different lengths and wherein the first length is approximately equal to a period associated with the value indicative of the physiological rate or approximately equal to double the period associated with the value indicative of the physiological rate.

3. The system of claim 1, wherein the processing equipment is further configured to calculate a positive area and a negative area for each of the two signal segments.

4. The system of claim 3, wherein the processing equipment is further configured to calculate a difference between the positive area and the negative area for each of the two signal segments.

5. The system of claim 4, wherein the processing equipment is further configured to:

generate a threshold based on the difference for a first of the two signal segments; and

compare a value based on the difference for a second of the two signal segments to the threshold.

6. The system of claim 1, wherein the processing equipment is further configured to not use the value indicative of the physiological rate in calculating a display rate when the value is not qualified.

7. The system of claim 1, wherein the processing equipment is further configured to filter the value indicative of the physiological rate in a rate filter, wherein a filter weight associated with the value is decreased when the value is not qualified.

8. The system of claim 1, wherein the intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.

9. A processing module for determining physiological information of a subject, wherein the processing module is configured to:

receive an intensity signal from a detector, wherein the detector detects light attenuated by the subject;

determine a value indicative of a physiological rate of the subject;

select two signal segments based on the intensity signal, wherein the two signal segments are of two different lengths, and wherein the two different lengths are selected based on the value indicative of the physiological rate of the subject; and

determine whether to qualify the value indicative of the physiological rate of the subject based on the two signal segments.

10. The processing module of claim 9, wherein a first of the two different lengths is approximately double a second of the two different lengths and wherein the first length is approximately equal to a period associated with the value indicative of the physiological rate or approximately equal to double the period associated with the value indicative of the physiological rate.

11. The processing module of claim 9, further configured to calculate a positive area and a negative area for each of the two signal segments.

12. The processing module of claim 11, further configured to calculate a difference between the positive area and the negative area for each of the two signal segments.

13. The processing module of claim 12, further configured to:

generate a threshold based on the difference for a first of the two signal segments; and

compare a value based on the difference for a second of the two signal segments to the threshold.

14. The processing module of claim 9, further configured to not use the value indicative of the physiological rate in calculating a display rate when the value is not qualified.

15. The processing module of claim 9, further configured to filter the value indicative of the physiological rate in a rate filter, wherein a filter weight associated with the value is decreased when the value is not qualified.

16. The processing module of claim 9, wherein the intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.

17. A method for processing physiological information of a subject, comprising:

receiving an intensity signal from a detector, which detects light attenuated by the subject;

determining a value indicative of a physiological rate of the subject;

selecting two signal segments based on the intensity signal, wherein the two signal segments are of two different lengths, and wherein the two different lengths are selected based on the value indicative of the physiological rate of the subject; and

determining, using processing equipment, whether to qualify the value indicative of the physiological rate of the subject based on the two signal segments.

18. The method of claim 17, wherein a first of the two different lengths is approximately double a second of the two different lengths and wherein the first length is approximately equal to a period associated with the value indicative of the physiological rate or approximately equal to double the period associated with the value indicative of the physiological rate.

19. The method of claim 17, further comprising calculating a positive area and a negative area for each of the two signal segments.

20. The method of claim 19, further comprising calculating a difference between the positive area and the negative area for each of the two signal segments.

21. The method of claim 20, further comprising:

generating a threshold based on the difference for a first of the two signal segments; and

comparing a value based on the difference for a second of the two signal segments to the threshold.

22. The method of claim 17, further comprising not using the value indicative of the physiological rate in calculating a display rate when the value is not qualified.

23. The method of claim 17, further comprising filtering the value indicative of the physiological rate in a rate filter, wherein a filter weight associated with the value is decreased when the value is not qualified.

24. The method of claim 17, wherein the intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.

25. Non-transitory computer-readable medium for use in determining physiological information of a subject, the computer-readable medium having computer program instructions recorded thereon for:

receiving an intensity signal from a detector, which detects light attenuated by the subject;

determining a value indicative of a physiological rate of the subject;

selecting two signal segments based on the intensity signal, wherein the two signal segments are of two different lengths, and wherein the two different lengths are selected based on the value indicative of the physiological rate of the subject; and

determining whether to qualify the value indicative of the physiological rate of the subject based on the two signal segments.

26. The non-transitory computer-readable medium of claim 25, wherein a first of the two different lengths is approximately double a second of the two different lengths and wherein the first length is approximately equal to a period associated with the value indicative of the physiological rate or approximately equal to double the period associated with the value indicative of the physiological rate.

27. The non-transitory computer-readable medium of claim 25, having further computer program instructions recorded thereon for calculating a positive area and a negative area for each of the two signal segments.

28. The non-transitory computer-readable medium of claim 27, having further computer program instructions recorded thereon for calculating a difference between the positive area and the negative area for each of the two signal segments.

29. The non-transitory computer-readable medium of claim 28, having further computer program instructions recorded thereon for:

generating a threshold based on the difference for a first of the two signal segments; and

comparing a value based on the difference for a second of the two signal segments to the threshold.

30. The non-transitory computer-readable medium of claim 25, having further computer program instructions recorded thereon for not using the value indicative of the physiological rate in calculating a display rate when the value is not qualified.

31. The non-transitory computer-readable medium of claim 25, having further computer program instructions recorded thereon for filtering the value indicative of the physiological rate in a rate filter, wherein a filter weight associated with the value is decreased when the value is not qualified.

32. The non-transitory computer-readable medium of claim 25, wherein the intensity signal is a photoplethysmograph signal and wherein the value indicative of the physiological rate is a value indicative of a pulse rate.