Reducing nuisance alarms

• US 9,820,681 B2
• Filed: 06/26/2014
• Issued: 11/21/2017
• Est. Priority Date: 03/31/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Baker, Jr., Clark R.
• Primary Examiner(s): Stout, Michael C
• Assistant Examiner(s): Kolderman, Nicholas E
• Application Number:
  US14/315,693
• Publication Number:
  US 20140309507A1
• Time in Patent Office: 1,244 Days
• Field of Search: 600323
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

Embodiments disclosed herein may describe systems and methods for reducing nuisance alarms using probability and/or accuracy of a measured physiological parameter, such as the pulse rate or SpO2 measurement generated by a pulse oximeter. Embodiments may include methods for adjusting a predetermined alarm threshold based on the probability distribution of the estimated pulse rate and/or oxygen saturation of a patient'"'"'s blood.

Claims

1. A method performed by a pulse oximeter comprising a processor and a memory, the method comprising:

calculating an estimated value of an oxygen saturation of a patient'"'"'s blood from information received from a sensor;

calculating a probability distribution of an actual value of the oxygen saturation of the patient'"'"'s blood based at least in part upon information received from the sensor;

calculating, by the pulse oximeter, an adjusted threshold based at least in part upon the probability distribution and a predetermined threshold, wherein when the estimated value of oxygen saturation exceeds the adjusted threshold an alarm is indicated;

determining that the estimated value of the oxygen saturation exceeds the adjusted threshold;

determining, by the pulse oximeter, whether an accuracy of the estimated value has recently degraded by comparing a current accuracy of the estimated value to a previous accuracy of the estimated value; and

delaying generating, by the pulse oximeter, the alarm based at least in part upon determining that the accuracy of the estimated value has recently degraded.

2. The method of claim 1, further comprising storing one or more of:

the predetermined threshold,

the adjusted threshold,

the estimated value of the oxygen saturation of the patient'"'"'s blood,

the previous accuracy associated with the estimated value,

the probability distribution, and

a delay time period calculated based at least in part on the comparison of the current accuracy of the estimated value and the previous accuracy of the estimated value.

3. The method of claim 1, further comprising:

calculating, based at least in part upon the probability distribution, a confidence interval for the actual value of the oxygen saturation of the patient'"'"'s blood; and

comparing the confidence interval to the predetermined threshold.

4. The method of claim 1, further comprising:

retrieving a confidence level; and

calculating, based at least in part upon the probability distribution, a confidence interval for the oxygen saturation of the patient'"'"'s blood using the retrieved confidence level.

5. The method of claim 4, wherein the retrieved confidence level is selected from 99%, 98%, 97.5%, 95%, 90% and a user-selected value.

6. The method of claim 1, further comprising:

calculating the current accuracy of the estimated value based at least in part upon the information received from the sensor.

7. The method of claim 6, wherein calculating the probability distribution further comprises:

calculating the probability distribution of the actual value of the oxygen saturation of the patient'"'"'s blood based at least in part upon the current accuracy of the estimated value.