Methods and systems for determining a probe-off condition in a medical device

• US 9,560,995 B2
• Filed: 02/25/2013
• Issued: 02/07/2017
• Est. Priority Date: 02/25/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Addison, Paul Stanley, Watson, James Nicholas
• Primary Examiner(s): Chen, Tse
• Assistant Examiner(s): Fardanesh, Marjan
• Application Number:
  US13/776,686
• Publication Number:
  US 20140243633A1
• Time in Patent Office: 1,443 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/6844 Monitoring or controlling distance between sensor and tissue
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence

Abstract

A physiological monitoring system may determine a probe-off condition. A physiological sensor may receive a light signal including one or more wavelengths of light. The received light signal may be processed to obtain a light signal corresponding to an ambient light signal and a light signal corresponding to an emitted light signal and the ambient light signal. The signals may be analyzed to identify an inverse effect. The system may determine whether the physiological sensor is properly positioned based on the identification of an inverse effect.

Claims

1. A method for determining whether a pulse oximetry sensor is properly positioned on a subject, the method comprising:

receiving a detected light signal using the pulse oximetry sensor;

processing, using a pulse oximeter, the light signal to obtain a first signal corresponding to ambient light;

processing, using the pulse oximeter, the light signal to obtain a second signal corresponding to an emitted photonic signal and ambient light;

identifying, using the pulse oximeter, an inverse effect based on the first signal and the second signal, wherein the inverse effect corresponds to when two signals change inversely with respect to each other, wherein identifying the inverse effect comprises;

determining a difference signal by subtracting the first signal from the second signal;

determining a weight based on the first signal and the difference signal;

determining a count based on the first signal and the difference signal;

determining a metric based on the weight and the count; and

comparing the metric to a threshold; and

determining, using the pulse oximeter, that the pulse oximetry sensor is not properly positioned based on the identification of an inverse effect.

2. The method of claim 1, wherein determining the weight comprises:

determining the product of multiplying the absolute value of the first signal by the absolute value of the difference signal for a given sample;

determining a summation of the products for N number of samples; and

determining a quotient by dividing the summation by N number of samples.

3. The method of claim 1, wherein determining the count comprises:

identifying when the first signal and the difference signal change inversely with respect to each other; and

incrementing the count based on when the first signal and the difference signal are identified as changing inversely with respect to each other.

4. The method of claim 1, wherein determining the metric based on the weight and the count comprises determining the product of multiplying the weight by the count.

5. The method of claim 1, wherein determining the inverse effect comprises using a technique selected from the group comprising Lissajous, covariance, or any combination thereof.

6. The method of claim 1, further comprising providing an indicator that the pulse oximetry sensor is not properly positioned.

7. A system for determining whether a pulse oximetry sensor is properly positioned on a subject, the system comprising:

a pulse oximeter configured to;

receive a detected light signal using the pulse oximetry sensor;

process the light signal to obtain a first signal corresponding to ambient light;

process the light signal to obtain a second signal corresponding to an emitted photonic signal and ambient light;

determine a difference signal by subtracting the first signal from the second signal;

determine a weight based on the first signal and the difference signal;

determine a count based on the first signal and the difference signal;

determine a metric based on the weight and the count;

compare the metric to a threshold;

identify an inverse effect based on the first signal and the second signal, wherein the inverse effect corresponds to when two signals change inversely with respect to each other; and

determine that the pulse oximetry sensor is not properly positioned based on the identification of an inverse effect.

8. The system of claim 7, wherein the pulse oximeter is configured to determine the weight by:

determining the product of multiplying the absolute value of the first signal by the absolute value of the difference signal for a given sample;

determining a summation of the products for N number of samples; and

determining a quotient by dividing the summation by N number of samples.

9. The system of claim 7, wherein the pulse oximeter is configured to determine the count by:

identifying when the first signal and the difference signal change inversely with respect to each other; and

incrementing the count based on when the first signal and the difference signal are identified as changing inversely with respect to each other.

10. The system of claim 7, wherein the pulse oximeter is configured to determine the metric by determining the product of multiplying the weight by the count.

11. The system of claim 7, wherein the pulse oximeter is configured to determine the inverse effect by using a technique selected from the group comprising Lissajous, covariance, or any combination thereof.

12. The system of claim 7, wherein the pulse oximeter is further configured to provide an indicator that the pulse oximetry sensor is not properly positioned.