Interference detector for patient monitor

• US 9,989,560 B2
• Filed: 06/05/2014
• Issued: 06/05/2018
• Est. Priority Date: 07/24/2009
• Status: Active Grant

• Current Assignee: Masimo Corporation
• Sponsoring Entity: Masimo Corporation
• Inventors: Poeze, Jeroen, Chen, Jesse, Paul, Mathew, Lamego, Marcelo, Kiani, Massi Joe E.
• Primary Examiner(s): Breene, John
• Assistant Examiner(s): Islam, Mohammad
• APPLICATION: US 20150012231A1
• Time in USPTO: 1461 Days
• CPC Class Codes: A61B 2560/0242 : adapted to measure environmental factors, e.g. temperature, pollution
• CPC Class Codes: A61B 2560/0276 : Determining malfunction
• CPC Class Codes: A61B 5/0015 : characterised by features of the telemetry system
• CPC Class Codes: A61B 5/0261 : using optical means, e.g. infra-red light
• CPC Class Codes: A61B 5/14532 : for measuring glucose, e.g. by tissue impedance measurement
• 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 5/7228 : Signal modulation applied to the input signal sent to patient or subject; demodulation to recover the physiological signal modulation H03C
• CPC Class Codes: G01R 13/0281 : using electro-optic elements
• CPC Class Codes: G01R 29/0814 : Field measurements related to measuring influence on or from apparatus, components or humans EMC, EMI and similar testing in general G01R31/001, e.g. in ESD, EMI, EMC, EMP testing, measuring radiation leakage; detecting presence of micro- or radiowave emitters; dosimetry; testing shielding; measurements related to lightning

Abstract

A system is disclosed for detecting and calculating the level of ambient and/or environmental noise, such as electromagnetic interference generated by electric power lines, ambient lights, light dimmers, television or computer displays, power supplies or transformers, and medical equipment. In some embodiments, the system performs frequency analysis on the interference signal detected by light photodetectors and determines the power of the interference signal concentrated in the analyzed frequency bands. The worst-case interference level can be determined by selecting the maximum from the computed power values. In some embodiments, the determined interference signal power can be compared with the noise tolerance of a patient monitoring system configured to reliably and noninvasively detect physiological parameters of a user. The results of the comparison can be presented to the user audio-visually. In some embodiments, the system can be used to perform spot check measurements of electromagnetic interference.

Claims

1. A noninvasive monitor configured to communicate with a sensor including an optical radiation source and one or more detectors housed in a sensor housing, the sensor housing configured to position the optical radiation source and the one or more detectors proximate tissue of a patient, the noninvasive monitor comprising:

an input configured to receive from the sensor first sensor signals responsive to detected light from the optical radiation source attenuated by the tissue and second sensor signals responsive to detected ambient electronic interference proximate the sensor; and

a hardware processor configured to;

process the first sensor signals to determine a first measurement value for a first physiological parameter of the patient and a second measurement value for a second physiological parameter of the patient without using the second sensor signals to determine the first measurement value and the second measurement value, the first physiological parameter being different from the second physiological parameter, the first physiological parameter corresponding to a first threshold and the second physiological parameter corresponding to a second threshold different from the first threshold,

process the second sensor signals differently from the first sensor signals to determine a first level of ambient electronic interference proximate the sensor and a second level of ambient electronic interference proximate the sensor,

determine at least one of a first audio or visual indication from a comparison of the first level of ambient electronic interference to the first threshold, the at least one of the first audio or visual indication indicating a suitability of a testing environment for patient monitoring for the first physiological parameter and indicating a degree to which relocating the sensor could reduce ambient electronic interference proximate the sensor,

determine at least one of a second audio or visual indication from a comparison of the second level of ambient electronic interference to the second threshold, the at least one of the second audio or visual indication indicating a suitability of the testing environment for patient monitoring for the second physiological parameter and indicating a degree to which relocating the sensor could reduce ambient electronic interference proximate the sensor,

output the at least one of the first audio or visual indication for presentation prior to outputting the first measurement value for presentation, and

output the at least one of the second audio or visual indication for presentation prior to outputting the second measurement value for presentation.

2. The noninvasive monitor of claim 1, wherein the hardware processor is configured to output the first visual indication so that the first visual indication is shown relative to ranges of ambient electronic interference on a display.

3. The noninvasive monitor of claim 2, further comprising the display, and wherein the ranges of ambient electronic interference include a first range associated with a low severity of ambient electronic interference, a second range associated with a medium severity of ambient electronic interference, and a third range associated with a high severity of ambient electronic interference.

4. The noninvasive monitor of claim 1, wherein the first physiological parameter comprises total hemoglobin, and the second physiological parameter comprises glucose.

5. The noninvasive monitor of claim 1, wherein the first physiological parameter comprises methemoglobin, and the second physiological parameter comprises total hemoglobin.

6. The noninvasive monitor of claim 1, wherein the first level of ambient electronic interference is the same as the second level of ambient electronic interference.

7. The noninvasive monitor of claim 1, wherein the first level of ambient electronic interference is different from the second level of ambient electronic interference.

8. The noninvasive monitor of claim 1, wherein the hardware processor is configured to output the first visual indication so that the first visual indication is shown in association with one of a plurality of colors on a display, a first color of the plurality of colors corresponding to a lower severity of ambient electronic interference than a second color of the plurality of colors.

9. A noninvasive monitor configured to communicate with a sensor including an optical radiation source and one or more detectors housed in a sensor housing, the sensor housing configured to position the optical radiation source and the one or more detectors proximate tissue of a patient, the one or more detectors including a detector configured to output a first sensor signal responsive to light attenuated by the tissue and a second sensor signal responsive to ambient electronic interference proximate the sensor, the noninvasive monitor comprising:

an input configured to receive from the sensor the first sensor signal and the second sensor signal; and

a hardware processor configured to;

process the first sensor signal to determine measurement values for one or more physiological parameters of the patient without using the second sensor signal to determine the measurement values,

process the second sensor signal differently from the first sensor signal to determine a level of ambient electronic interference proximate the sensor at a first frequency and a level of ambient electronic interference proximate the sensor at a second frequency different from the first frequency,

determine a likelihood of successful processing of the first sensor signal given the level of ambient electronic interference proximate the sensor at the first frequency and the level of ambient electronic interference proximate the sensor at the second frequency,

determine at least one of an audio or visual indication from the likelihood of successful processing of the first sensor signal, the at least one of an audio or visual indication indicating a suitability of a testing environment for patient monitoring and indicating a degree to which relocating the sensor could reduce ambient electronic interference proximate the sensor, and

output the at least one of the audio or visual indication for presentation prior to outputting the measurement values for presentation.

10. The noninvasive monitor of claim 9, wherein the level of ambient electronic interference proximate the sensor at the first frequency comprises a measure of energy or power of ambient electronic interference proximate the sensor at the first frequency, and the level of ambient electronic interference proximate the sensor at the second frequency comprises a measure of energy or power of ambient electronic interference proximate the sensor at the second frequency.

11. The noninvasive monitor of claim 9, wherein the hardware processor is configured to output the at least one of the audio or visual indication via a communication network to a device.

12. The noninvasive monitor of claim 9, wherein the second frequency is a harmonic frequency of the first frequency.

13. The noninvasive monitor of claim 9, wherein the hardware processor is configured to:

process the second sensor signal differently from the first sensor signal to determine a level of ambient electronic interference proximate the sensor at a third frequency different from the first frequency and the second frequency; and

determine the likelihood of successful processing of the first sensor signal further given the level of ambient electronic interference proximate the sensor at the third frequency.

14. The noninvasive monitor of claim 9, further comprising the sensor, and wherein the optical radiation source is configured to emit light at the first frequency and the second frequency.

15. The noninvasive monitor of claim 9, wherein the hardware processor is configured to output the visual indication so that the visual indication is shown relative to ranges of ambient electronic interference on a display.

16. The noninvasive monitor of claim 15, further comprising the display, and wherein the ranges of ambient electronic interference include a first range associated with a low severity of ambient electronic interference, a second range associated with a medium severity of ambient electronic interference, and a third range associated with a high severity of ambient electronic interference.

17. The noninvasive monitor of claim 9, wherein the hardware processor is configured to output the visual indication so that the visual indication is shown in association with one of a plurality of colors on a display, a first color of the plurality of colors corresponding to a lower severity of ambient electronic interference than a second color of the plurality of colors.

18. The noninvasive monitor of claim 17, wherein the first color is green, and the second color is red.

19. The noninvasive monitor of claim 9, wherein the hardware processor is configured to process the second sensor signal prior to processing the first sensor signal.

20. The noninvasive monitor of claim 9, wherein the second sensor signal is responsive to ambient electronic interference proximate the sensor when the sensor is not coupled to the patient.