Oxygen regulation with at least two SPO;monitors and automatic recognition of a signal having a higher rating

• US 9,254,368 B2
• Filed: 12/02/2011
• Issued: 02/09/2016
• Est. Priority Date: 12/02/2011
• Status: Active Grant

• Current Assignee: Dragerwerk AG & Company KGaA (FPS Vermögensverwaltung GmbH)
• Original Assignee: Dragerwerk AG & Company KGaA (FPS Vermögensverwaltung GmbH)
• Inventors: von Blumenthal, Tilman, Null, Donald
• Primary Examiner(s): Skorupa, Valerie L
• Application Number:
  US13/310,195
• Publication Number:
  US 20130139817A1
• Time in Patent Office: 1,530 Days
• US Class Current: 1/1
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/1005 with O2 features or with parameter measurement
• CPC Class Codes: A61M 16/12 by mixing different gases
• CPC Class Codes: A61M 16/16 Devices to humidify the respiration air A61M16/1045 takes precedence
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2230/06 Heartbeat rate only
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)

Abstract

A process and a device for oxygen regulation of a patient having at least two SPO₂ monitors and a control for automatic recognition of which measurements are more reliable. The measurement from one or more of the two SPO₂ is used to control the oxygen concentration delivered to a patient based on a comparison of the measurements from the at least two SPO₂ monitors.

Claims

1. A process for controlling a respirator, the process comprising the steps of:

providing a first oxygen saturation monitor;

providing a second oxygen saturation monitor;

detecting a first measurement signal with said first oxygen saturation monitor, said first measurement signal comprising a first patient blood oxygen saturation measurement;

detecting a second measurement signal with said second oxygen saturation monitor, said second measurement signal comprising a second patient blood oxygen saturation measurement;

determining a measuring reliability rating for each of said first measurement signal and said second measurement signal when said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement are greater than or equal to a predetermined oxygen saturation threshold;

comparing the measuring reliability rating associated with said first measurement signal with the measuring reliability rating associated with said second measurement signal when said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement are greater than or equal to the predetermined oxygen saturation threshold to provide a comparison of measuring reliability ratings;

selecting at least one of said first measurement signal associated with said first oxygen saturation monitor and said second measurement signal associated with said second oxygen saturation monitor based on said comparison of measuring reliability ratings to define at least one selected measurement signal;

controlling an oxygen concentration delivered to the patient based on said at least one selected oxygen saturation measurement.

2. A process in accordance with claim 1, wherein said measuring reliability rating is determined based on at least a comparison of said first patient blood oxygen saturation measurement and said second blood oxygen saturation measurement.

3. A process in accordance with claim 2, wherein said measuring reliability rating associated with one of said first measurement and said second measurement is increased when said one of said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement is greater than another one of said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement.

4. A process in accordance with claim 3, further comprising:

providing an electrocardiography device;

measuring the patient with said electrocardiography device to provide a reference heart rate;

detecting a first patient heart rate signal with said first oxygen saturation monitor, said first patient heart rate signal comprising a first patient heart rate measurement;

detecting a second patient heart rate signal with said second oxygen saturation monitor, said second patient heart rate signal comprising a second patient heart rate measurement;

comparing said first patient heart rate measurement with said reference heart rate measurement;

comparing said second patient heart rate measurement with said reference heart rate, wherein said measuring reliability rating is determined based on said comparison of said first patient heart rate measurement with said reference heart rate and said comparison of said second patient heart rate measurement with said reference heart rate.

5. A process in accordance with claim 4, wherein said measuring reliability rating associated with one of said first measurement signal and said second measurement signal is increased when a difference between said reference heart rate and at least one of said first patient heart rate measurement and said second patient heart rate measurement is less than a difference between said reference heart rate and another one of said first patient heart measurement and said second patient heart rate measurement.

6. A process in accordance with claim 4, wherein said measuring reliability rating associated with said one of said first measurement signal and said second measurement signal is greater than said measuring reliability rating associated with said another one of said first measurement signal and said second measurement signal, said at least one selected measurement signal corresponding to said one of said first measurement signal and said second measurement signal with said greater measuring reliability rating.

7. A process in accordance with claim 4, wherein said at least one selected measurement signal comprises an average of said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement.

8. A process in accordance with claim 1, wherein said predetermined oxygen saturation threshold is eighty percent.

9. A process in accordance with claim 8, further comprising:

providing an alarm element;

activating said alarm element when said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement are less than said predetermined oxygen saturation threshold.

10. A process in accordance with claim 1, further comprising:

providing an oxygen saturation bedside monitor, said oxygen saturation bedside monitor providing said second patient blood oxygen saturation measurement as output; and

transferring said second patient blood oxygen saturation measurement signal to said second oxygen saturation monitor via a network.

11. A device for controlling a respirator, the device comprising:

a first oxygen saturation monitor detecting a first measurement signal, said first measurement signal comprising a first patient blood oxygen saturation measurement;

a second oxygen saturation monitor detecting a second measurement signal, said second measurement signal comprising a second patient blood oxygen saturation measurement;

a measurement selection means for determining a reliability rating for each of said first measurement signal and said second measurement signal and for comparing said reliability rating of said first measurement signal with said reliability rating of said second measurement signal when said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement is greater than a predetermined oxygen saturation threshold and for selecting at least one of said first measurement signal and said second measurement signal based on said comparison of said measuring reliability rating associated with said first measurement signal and said measuring reliability rating associated with said second measurement signal when said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement is greater than said predetermined oxygen saturation threshold to define at least one selected measurement signal;

a means for controlling an oxygen concentration delivered to a patient based on said at least one selected measurement signal.

12. A device in accordance with claim 11, wherein said measuring reliability rating is determined via said measurement selection means based on at least a comparison of said first patient blood oxygen saturation measurement and said second blood oxygen saturation measurement.

13. A device in accordance with claim 12, wherein said measurement selection means increases said reliability rating associated with one of said first measurement signal and said second measurement signal when one of said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement is greater than another one of said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement.

14. A device in accordance with claim 13, further comprising:

an electrocardiography device, said electrocardiography device providing a patient reference heart rate as output, said measurement selection means receiving said patient reference heart rate as input, said first oxygen saturation monitor providing a first patient heart rate as output, said second oxygen saturation monitor providing a second patient heart rate as output, said measurement selection means receiving said first patient heart rate and said second patient heart rate as input, wherein said measurement selection means determines said measuring reliability rating based on a comparison of said first patient heart rate measurement with said reference heart rate and a comparison of said second patient heart rate measurement with said reference heart rate.

15. A device in accordance with claim 14, wherein said measurement selection means increases said measuring reliability rating associated with one of said first measurement signal and said second measurement signal when a difference between said reference heart rate and at least one of said first patient heart rate measurement and said second patient heart rate measurement is less than a difference between said reference heart rate and another one of said first patient heart measurement and said second patient heart rate measurement.

16. A device in accordance with claim 14, wherein said measuring reliability rating associated with said one of said first measurement signal and said second measurement signal is greater than said measuring reliability rating associated with said another one of said first measurement signal and said second measurement signal, said at least one selected measurement signal corresponding to said one of said first measurement signal and said second measurement signal with said greater measuring reliability rating.

17. A device in accordance with claim 14, wherein said at least one selected measurement signal comprises an average of said first patient blood oxygen saturation measurement and said second patient blood oxygen saturation measurement.

18. A device in accordance with claim 11, further comprising:

an alarm device, wherein said predetermined oxygen saturation threshold is eighty percent, said alarm device generating an alarm signal as output when said first oxygen saturation measurement and said second oxygen saturation measurement is less than said predetermined oxygen saturation threshold.

19. A device in accordance with claim 11, further comprising:

an oxygen saturation bedside monitor providing said second patient blood oxygen saturation measurement as output, said second patient blood oxygen saturation measurement signal being transferred to said second oxygen saturation monitor via a network.

20. A process for controlling a respirator, the process comprising the steps of:

providing a first measuring device, said first measuring device providing a first measurement signal as output, said first measurement signal comprising a first patient oxygen saturation measurement;

providing a first oxygen saturation monitor receiving said first measurement signal;

providing a second measuring device, said second measuring device providing a second measurement signal as output, said second measurement signal comprising a second patient oxygen saturation measurement;

providing a second oxygen saturation monitor receiving said second measurement signal;

comparing said first patient oxygen saturation measurement and said second patient oxygen saturation measurement with a predetermined saturation threshold;

providing at least one measuring reliability rating criteria, said at least one measuring reliability rating criteria comprising at least a comparison of said first patient oxygen saturation measurement with said second patient oxygen saturation measurement;

determining a first measuring signal reliability rating associated with said first measurement signal when said first patient oxygen saturation measurement and said second patient oxygen saturation measurement are greater than or equal to said predetermined saturation threshold;

determining a second measuring signal reliability rating associated with said second measurement signal when said first patient oxygen saturation measurement and said second patient oxygen saturation measurement are greater than or equal to said predetermined saturation threshold;

comparing said first measuring signal reliability rating with said second measuring signal reliability rating to provide a comparison of measuring signal reliability ratings;

selecting at least one of said first measurement signal and said second measurement signal based on said comparison of measuring signal reliability ratings when said first patient oxygen saturation measurement and said second patient oxygen saturation measurement are greater than or equal to said predetermined saturation threshold to define at least one selected measurement signal;

controlling an oxygen concentration delivered to the patient based on said selected one of said first measurement signal and said second measurement signal, said selected one of said first measurement signal and said second measurement signal comprising one of said first patient oxygen saturation measurement, said second patient oxygen saturation measurement and an average of said first patient oxygen saturation measurement and said second patient oxygen saturation measurement.