Congenital heart disease monitor
First Claim
1. A congenital heart disease monitor comprising:
- a display;
a sensor configured to emit optical radiation having a plurality of wavelengths into a tissue site and to detect the optical radiation after attenuation by pulsatile blood flowing within the tissue site;
a patient monitor configured to drive the sensor, receive a sensor signal corresponding to the detected optical radiation and to generate at least one of a visual output and an audio output responsive to the sensor signal;
one or more hardware processors within the patient monitor programmed to derive a physiological parameter measurement comprising oxygen saturation from sensor data responsive to the sensor signal and determine an indication of a congenital heart disease condition for output to the display, the one or more hardware processors further configured to;
electronically determine a first oxygen saturation from a first channel corresponding to a first measurement site;
electronically determine a second oxygen saturation from a second channel at a second measurement site;
electronically determine a difference of oxygen saturation between the first channel and the second channel;
electronically determine a rate of change of the difference of oxygen saturation over time between the first channel and the second channel; and
electronically determine a first metric based on a comparison of the first oxygen saturation corresponding to the first channel with a saturation limit threshold;
electronically determine a second metric based on a comparison of the second oxygen saturation corresponding to the second channel with the saturation limit threshold;
electronically determine a third metric based on a comparison of the difference of oxygen saturation with a cross channel saturation limit threshold;
electronically determine a fourth metric based on a comparison of the rate of change of the difference of oxygen saturation over time between the first channel and the second channel with a cross channel saturation trend threshold;
electronically generate a first indicator based on the following electronic determinations;
the first metric indicating that the first oxygen saturation is greater than the saturation limit threshold, the second metric indicating that the second oxygen saturation is greater than the saturation limit threshold, the third metric indicating that the difference of oxygen saturation is less than the cross channel saturation limit threshold, and the fourth metric indicating that the comparison of the rate of change of the difference is less than the cross channel saturation threshold; and
electronically generate a second indicator based on the following electronic determinations;
the first metric indicating that the first oxygen saturation is greater than the saturation limit threshold or the second metric indicating that the second oxygen saturation is greater than the saturation limit threshold, the first indicator corresponding to a lower risk of congenital heart disease than the second indicator.
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Abstract
A congenital heart disease monitor utilizes a sensor capable of emitting multiple wavelengths of optical radiation into a tissue site and detecting the optical radiation after attenuation by pulsatile blood flowing within the tissue site. A patient monitor is capable of receiving a sensor signal corresponding to the detected optical radiation and calculating at least one physiological parameter in response. The physiological parameter is measured at a baseline site and a comparison site and a difference in these measurements is calculated. A potential congenital heart disease condition in indicated according to the measured physiological parameter at each of the sites or the calculated difference in the measured physiological parameter between the sites or both.
917 Citations
11 Claims
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1. A congenital heart disease monitor comprising:
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a display; a sensor configured to emit optical radiation having a plurality of wavelengths into a tissue site and to detect the optical radiation after attenuation by pulsatile blood flowing within the tissue site; a patient monitor configured to drive the sensor, receive a sensor signal corresponding to the detected optical radiation and to generate at least one of a visual output and an audio output responsive to the sensor signal; one or more hardware processors within the patient monitor programmed to derive a physiological parameter measurement comprising oxygen saturation from sensor data responsive to the sensor signal and determine an indication of a congenital heart disease condition for output to the display, the one or more hardware processors further configured to; electronically determine a first oxygen saturation from a first channel corresponding to a first measurement site; electronically determine a second oxygen saturation from a second channel at a second measurement site; electronically determine a difference of oxygen saturation between the first channel and the second channel; electronically determine a rate of change of the difference of oxygen saturation over time between the first channel and the second channel; and electronically determine a first metric based on a comparison of the first oxygen saturation corresponding to the first channel with a saturation limit threshold; electronically determine a second metric based on a comparison of the second oxygen saturation corresponding to the second channel with the saturation limit threshold; electronically determine a third metric based on a comparison of the difference of oxygen saturation with a cross channel saturation limit threshold; electronically determine a fourth metric based on a comparison of the rate of change of the difference of oxygen saturation over time between the first channel and the second channel with a cross channel saturation trend threshold; electronically generate a first indicator based on the following electronic determinations;
the first metric indicating that the first oxygen saturation is greater than the saturation limit threshold, the second metric indicating that the second oxygen saturation is greater than the saturation limit threshold, the third metric indicating that the difference of oxygen saturation is less than the cross channel saturation limit threshold, and the fourth metric indicating that the comparison of the rate of change of the difference is less than the cross channel saturation threshold; andelectronically generate a second indicator based on the following electronic determinations;
the first metric indicating that the first oxygen saturation is greater than the saturation limit threshold or the second metric indicating that the second oxygen saturation is greater than the saturation limit threshold, the first indicator corresponding to a lower risk of congenital heart disease than the second indicator. - View Dependent Claims (2, 3, 4, 5)
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6. A congenital heart disease screening method comprising the steps of:
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electronically measuring, using a sensor and a patient monitor, a first oxygen saturation at a first patient site; electronically measuring, using the sensor and the patient monitor, a second oxygen saturation at the second patient site; electronically determining a difference between the first oxygen saturation and the second oxygen saturation; electronically determining a rate of change of the difference over time; electronically determining a first metric based on a comparison of the first oxygen saturation with a saturation limit threshold; electronically determining a second metric based on a comparison of the second oxygen saturation with the saturation limit threshold; electronically determining a third metric based on a comparison of the difference with a cross channel saturation limit threshold; electronically determining a fourth metric based on a comparison of the rate of change of the difference over time with a cross channel saturation trend threshold; electronically generating a first indicator based on the following electronic determinations;
the first metric indicating that the first oxygen saturation is greater than the saturation limit threshold, the second metric indicating that the second oxygen saturation is greater than the saturation limit threshold, the third metric indicating that the difference of oxygen saturation is less than the cross channel saturation limit threshold, and the fourth metric indicating that the comparison of the rate of change of the difference is less than the cross channel saturation threshold; andelectronically generating a second indicator based on the following electronic determinations;
the first metric indicating that the first oxygen saturation is greater than the saturation limit threshold or the second metric indicating that the second oxygen saturation is greater than the saturation limit threshold, the first indicator corresponding to a lower risk of congenital heart disease than the second indicator; anddisplaying the generated first indicator or the second indicator on a display screen. - View Dependent Claims (7, 8, 9, 10, 11)
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Specification