Methods and systems for qualifying calculated values based on multiple difference signals

• US 9,161,723 B2
• Filed: 09/11/2012
• Issued: 10/20/2015
• Est. Priority Date: 09/11/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Rodriguez-Llorente, Fernando, Engelbrecht, Pirow, Wooder, Nicholas James
• Primary Examiner(s): Cattungal, Sanjay
• Assistant Examiner(s): Negarestan, Farshad
• Application Number:
  US13/609,490
• Publication Number:
  US 20140073943A1
• Time in Patent Office: 1,134 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients

Abstract

A physiological monitoring system may determine physiological information, such as physiological rate information, from a physiological signal. The system may receive a calculated value indicative of a physiological rate. The system may generate and sort multiple difference signals based on the physiological signal. The system may analyze a first sorted difference signal and a second sorted difference signal to determine at least one first metric, and analyze a third sorted difference signal and a fourth sorted difference signal to determine at least one second metric. The system may qualify or disqualify the calculated value based on the at least one first and second metrics. The segments used to generate the third and fourth sorted difference signals may, for example, be subsets of the segments used to generate the first and second sorted difference signals.

Claims

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

a pulse oximetry sensor configured to generate a physiological signal, wherein the pulse oximetry sensor detects light attenuated by the subject; and

a pulse oximeter coupled to the sensor, wherein the pulse oximeter is configured to;

receive a calculated value that is a candidate for being indicative of a physiological rate of the subject;

generate a first difference signal based on a first segment of the physiological signal;

sort the first difference signal to generate a first sorted difference signal;

generate a second difference signal based on a second segment of the physiological signal;

sort the second difference signal to generate a second sorted difference signal;

generate a third difference signal based on a third segment of the physiological signal;

sort the third difference signal to generate a third sorted difference signal;

generate a fourth difference signal based on a fourth segment of the physiological signal;

sort the fourth difference signal to generate a fourth sorted difference signal;

analyze the first sorted difference signal and the second sorted difference signal to determine at least one first metric;

analyze the third sorted difference signal and the fourth sorted difference signal to determine at least one second metric;

qualify or disqualify the calculated value based on the at least one first metric and the at least one second metric;

determine the physiological rate of the subject based on the calculated value when the calculated value is qualified; and

display the physiological rate of the subject on a display.

2. The system of claim 1, wherein the calculated value is indicative of a period associated with the physiological rate.

3. The system of claim 2, wherein the third segment of the physiological signal is a subset of the first segment corresponding to the period associated with the physiological rate, and wherein the fourth segment of the physiological signal is a subset of the second segment corresponding to the period associated with the physiological rate.

4. The system of claim 1, wherein the at least one first metric comprises at least one of:

a correlation coefficient between the first segment of the physiological signal and the second segment of the physiological signal based on a plurality of value pairs, each of the value pairs comprising a value of the first sorted difference signal and a corresponding value of the second sorted difference signal;

a value indicative of slope based on a plurality of value pairs, each of the value pairs comprising a value of the first sorted difference signal and a corresponding value of the second sorted difference signal;

a value indicative of a curve length of the first sorted difference signal;

a value indicative of a curve length of the second sorted difference signal;

a value of the first sorted difference signal corresponding to a terminal end of the first sorted difference signal;

a value of the second sorted difference signal corresponding to a terminal end of the second sorted difference signal; and

a combination thereof.

5. The system of claim 1, wherein the at least one first metric comprises at least two metrics, and wherein the processing equipment is further configured to compare a first metric of the at least two metrics to a second metric of the at least two metrics.

6. The system of claim 1, wherein the pulse oximeter is further configured to compare the at least one first metric to a threshold.

7. The system of claim 1, wherein the pulse oximeter is further configured to compare the at least one first metric to the at least one second metric.

8. A processing module of a pulse oximeter for processing physiological information of a subject, wherein the processing module is configured to:

receive a physiological signal derived from a detector output of a pulse oximetry sensor, wherein the detector detects light attenuated by the subject;

receive a calculated value that is a candidate for being indicative of a physiological rate of the subject;

generate a first difference signal based on a first segment of the physiological signal;

sort the first difference signal to generate a first sorted difference signal;

generate a second difference signal based on a second segment of the physiological signal;

sort the second difference signal to generate a second sorted difference signal;

generate a third difference signal based on a third segment of the physiological signal;

sort the third difference signal to generate a third sorted difference signal;

generate a fourth difference signal based on a fourth segment of the physiological signal;

sort the fourth difference signal to generate a fourth sorted difference signal;

analyze the first sorted difference signal and the second sorted difference signal to determine at least one first metric;

analyze the third sorted difference signal and the fourth sorted difference signal to determine at least one second metric;

qualify or disqualify the calculated value based on the at least one first metric and the at least one second metric;

determine the physiological rate of the subject based on the calculated value when the calculated value is qualified; and

display the physiological rate of the subject on a display.

9. The processing module of claim 8, wherein the calculated value is indicative of a period associated with the physiological rate.

10. The processing module of claim 9, wherein the third segment of the physiological signal is a subset of the first segment corresponding to the period associated with the physiological rate, and wherein the fourth segment of the physiological signal is a subset of the second segment corresponding to the period associated with the physiological rate.

11. The processing module of claim 8, wherein the at least one first metric comprises at least one of:

a correlation coefficient between the first segment of the physiological signal and the second segment of the physiological signal based on a plurality of value pairs, each of the value pairs comprising a value of the first sorted difference signal and a corresponding value of the second sorted difference signal;

a value indicative of slope based on a plurality of value pairs, each of the value pairs comprising a value of the first sorted difference signal and a corresponding value of the second sorted difference signal;

a value indicative of a curve length of the first sorted difference signal;

a value indicative of a curve length of the second sorted difference signal;

a value of the first sorted difference signal corresponding to a terminal end of the first sorted difference signal;

a value of the second sorted difference signal corresponding to a terminal end of the second sorted difference signal; and

a combination thereof.

12. The processing module of claim 8, wherein the at least one first metric comprises at least two metrics, and wherein the processing module is further configured to compare a first metric of the at least two metrics to a second metric of the at least two metrics.

13. The processing module of claim 8, further configured to compare the at least one first metric to a threshold.

14. The processing module of claim 8, further configured to compare the at least one first metric to the at least one second metric.

15. A method for processing physiological information of a subject using a pulse oximeter, comprising:

receiving, using the pulse oximeter, a physiological signal derived from a detector output of a pulse oximetry sensor, wherein the detector detects light attenuated by the subject;

receiving, using the pulse oximeter, a calculated value that is a candidate for being indicative of a physiological rate of the subject;

generating, using the pulse oximeter, a first difference signal based on a first segment of the physiological signal;

sorting, using the pulse oximeter, the first difference signal to generate a first sorted difference signal;

generating, using the pulse oximeter, a second difference signal based on a second segment of the physiological signal;

sorting, using the pulse oximeter, the second difference signal to generate a second sorted difference signal;

generating, using the pulse oximeter, a third difference signal based on a third segment of the physiological signal;

sorting, using the pulse oximeter, the third difference signal to generate a third sorted difference signal;

generating, using the pulse oximeter, a fourth difference signal based on a fourth segment of the physiological signal;

sorting, using the pulse oximeter, the fourth difference signal to generate a fourth sorted difference signal;

analyzing, using the pulse oximeter, the first sorted difference signal and the second sorted difference signal to determine at least one first metric;

analyzing, using the pulse oximeter, the third sorted difference signal and the fourth sorted difference signal to determine at least one second metric;

qualifying or disqualifying, using the pulse oximeter, the calculated value based on the at least one first metric and the at least one second metric;

determining, using the pulse oximeter, the physiological rate of the subject based on the calculated value when the calculated value is qualified; and

displaying, using the pulse oximeter, the physiological rate of the subject on a display.

16. The method of claim 15, wherein the calculated value is indicative of a period associated with the physiological rate.

17. The method of claim 16, wherein the third segment of the physiological signal is a subset of the first segment corresponding to the period associated with the physiological rate, and wherein the fourth segment of the physiological signal is a subset of the second segment corresponding to the period associated with the physiological rate.

18. The method of claim 15, wherein the at least one first metric comprises at least one of:

a correlation coefficient between the first segment of the physiological signal and the second segment of the physiological signal based on a plurality of value pairs, each of the value pairs comprising a value of the first sorted difference signal and a corresponding value of the second sorted difference signal;

a value indicative of slope based on a plurality of value pairs, each of the value pairs comprising a value of the first sorted difference signal and a corresponding value of the second sorted difference signal;

a value indicative of a curve length of the first sorted difference signal;

a value indicative of a curve length of the second sorted difference signal;

a value of the first sorted difference signal corresponding to a terminal end of the first sorted difference signal;

a value of the second sorted difference signal corresponding to a terminal end of the second sorted difference signal; and

a combination thereof.

19. The method of claim 15, wherein the at least one first metric comprises at least two metrics, and wherein qualifying or disqualifying the calculated value comprises comparing a first metric of the at least two metrics to a second metric of the at least two metrics.

20. The method of claim 15, wherein qualifying or disqualifying the calculated value comprises comparing the at least one first metric to a threshold.

21. The method of claim 15, wherein qualifying or disqualifying the calculated value comprises comparing the at least one first metric to the at least one second metric.

22. A non-transitory computer-readable medium for use in processing physiological information of a subject, the non-transitory computer-readable medium comprising:

computer program instructions recorded thereon for causing a pulse oximeter to;

receive a physiological signal derived from a detector output of a pulse oximetry sensor, wherein the detector detects light attenuated by the subject;

receive a calculated value that is a candidate for being indicative of a physiological rate of the subject;

generate a first difference signal based on a first segment of the physiological signal;

sort the first difference signal to generate a first sorted difference signal;

generate a second difference signal based on a second segment of the physiological signal;

sort the second difference signal to generate a second sorted difference signal;

generate a third difference signal based on a third segment of the physiological signal;

sort the third difference signal to generate a third sorted difference signal;

generate a fourth difference signal based on a fourth segment of the physiological signal;

sort the fourth difference signal to generate a fourth sorted difference signal;

analyze the first sorted difference signal and the second sorted difference signal to determine at least one first metric;

analyze the third sorted difference signal and the fourth sorted difference signal to determine at least one second metric;

qualify or disqualify the calculated value based on the at least one first metric and the at least one second metric

determine the physiological rate of the subject based on the calculated value when the calculated value is qualified; and

display the physiological rate of the subject on a display.

23. The non-transitory computer-readable medium of claim 22, wherein the calculated value is indicative of a period associated with the physiological rate.

24. The non-transitory computer-readable medium of claim 23, wherein the third segment of the physiological signal is a subset of the first segment corresponding to the period associated with the physiological rate, and wherein the fourth segment of the physiological signal is a subset of the second segment corresponding to the period associated with the physiological rate.

25. The non-transitory computer-readable medium of claim 22, wherein the at least one first metric comprises at least one of:

a correlation coefficient between the first segment of the physiological signal and the second segment of the physiological signal based on a plurality of value pairs, each of the value pairs comprising a value of the first sorted difference signal and a corresponding value of the second sorted difference signal;

a value indicative of slope based on a plurality of value pairs, each of the value pairs comprising a value of the first sorted difference signal and a corresponding value of the second sorted difference signal;

a value indicative of a curve length of the first sorted difference signal;

a value indicative of a curve length of the second sorted difference signal;

a value of the first sorted difference signal corresponding to a terminal end of the first sorted difference signal;

a value of the second sorted difference signal corresponding to a terminal end of the second sorted difference signal; and

a combination thereof.

26. The non-transitory computer-readable medium of claim 22, wherein the at least one first metric comprises at least two metrics, the computer-readable medium comprising further computer program instructions recorded thereon for causing the pulse oximeter to compare a first metric of the at least two metrics to a second metric of the at least two metrics.

27. The non-transitory computer-readable medium of claim 22, comprising further computer program instructions recorded thereon for causing the pulse oximeter to compare the at least one first metric to a threshold.

28. The non-transitory computer-readable medium of claim 22, comprising further computer program instructions recorded thereon for causing the pulse oximeter to compare the at least one first metric to the at least one second metric.