Use of time indexed plethysmographic spectral data in assessing saturation estimation validity

• US 20060094943A1
• Filed: 06/28/2005
• Published: 05/04/2006
• Est. Priority Date: 06/28/2004
• Status: Abandoned Application

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Van Slyke, Braddon Michael
• Application Number:
  US11/168,988
• Publication Number:
  US 20060094943A1
• Time in Patent Office: Days
• US Class Current: 600/323
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/7257 using Fourier transforms
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00

Abstract

Detector signals in a pulse oximeter are analyzed to determine a quality of the signals in relation to desired information content or artifact content. The analysis involves performing a transform on a signal to obtain frequency related information and analyzing the frequency related information to obtain a value independent of a shape and waveform of a spectrum of the time-based signal. In one implementation, the analysis involves the relative amplitude or power measures of corresponding peaks in the red and infrared spectra. For example, the ratio of the amplitude of the fundamental peak in the red spectrum and the amplitude of the fundamental peak in the infrared spectrum may be tracked over time. In another implementation, the analysis involves consideration of the relative phase of the fundamental and harmonic components of a signal. In either case, signals including desired physiological information can be distinguished from artifact affected signals. Based on this analysis, signals can be validated or an appropriate processing algorithm can be selected.

Claims

1. A method for use in a pulse oximetry system, comprising the steps of:

obtaining a time-based signal representative of an optical signal potentially including physiological information based on interaction with a patient;

first performing a transform on said time-based signal to obtain frequency related information;

second performing an analysis on said frequency related information to obtain a value independent of a shape and waveform of a spectrum of said time-based signal; and

using said value to determine a quality of said time-based signal in relation to one of physiological information content and artifact content.

2. A method as set forth in claim 1, wherein said step of first performing comprises obtaining first frequency related information corresponding to a first portion of said time-based signal, obtaining second frequency related information corresponding to a second portion of said time-based signal, and using said first and second frequency related information to calculate said value.

3. A method as set forth in claim 2, wherein said step of obtaining comprises receiving first channel information corresponding to a first channel of said optical signal having a first spectral content and second channel information corresponding to a second channel of said optical signal having a second spectral content different than said first spectral content.

4. A method as set forth in claim 3, wherein said first frequency related information corresponds to said first channel information and second frequency related information corresponds to said second channel information.

5. A method as set forth in claim 3, wherein said step of second performing comprises calculating a parameter indicative of a relative energy of said first and second channels.

6. A method as set forth in claim 5, wherein said relative energy relates a peak energy of the first channel and a peak energy of the second channel.

7. A method as set forth in claim 5, wherein said relative energy involves a ratio of a peak energy of the first channel to a peak energy of the second channel.

8. A method as set forth in claim 5, further comprising the step of monitoring said parameter over time.

9. A method as set forth in claim 2, wherein said first frequency related information corresponds to a fundamental component of said time-based signal and said second frequency related information corresponds to a harmonic component of said time-based signal.

10. A method as set forth in claim 9, wherein said step of second performing comprises calculating a relative phase of said harmonic component in relation to said fundamental component.

11. A method as set forth in claim 1, further comprising the step of determining blood oxygen saturation information.

12. A method as set forth in claim 1, further comprising the step of determining pulse rate information.

13. A method as set forth in claim 10, further comprising the step of displaying a plethysmographic waveform when said physiological information is obtained, wherein said step of displaying comprises using information corresponding to said phase of said harmonic component.

14. A method for use in a pulse oximetry system, comprising the steps of:

obtaining an input signal representative of an optical signal potentially including physiological information based on interaction with a patient;

determining first information regarding an energy related parameter for a first signal component in a first channel of said input signal;

determining second information regarding an energy related parameter for the first signal component in a second signal channel different than the first signal channel of said input signal, wherein said first channel corresponds to a different spectral component of said optical signal than said second channel; and

using said first information and said second information to determine a quality of the input signal in relation to one of a desired information content and an artifact content.

15. A method as set forth in claim 14, wherein said first signal component corresponds to a fundamental frequency of said input signal.

16. A method as set forth in claim 14, wherein said first signal component corresponds to a harmonic frequency of said input signal.

17. A method as set forth in claim 14, wherein each of said steps of determining first information and determining second information comprises obtaining a spectrum and calculating a value related to a peak of the spectrum.

18. A method as set forth in claim 14, wherein said step of using comprises determining a value of a second parameter relating said first and second information and comparing said value to a previously determined value of said parameter.

19. A pulse oximetry apparatus, comprising:

a port for receiving an input signal representative of an optical signal potentially including physiological information based on interaction with a patient; and

a processor operative for determining first information regarding an energy related parameter for a first signal component in a first signal channel, determining second information regarding an energy related parameter for the first signal component in a second signal channel different than the first channel, and using the first information and second information to determine a quality of the input signal in relation to one of desired information content and artifact content.

20. An apparatus as set forth in claim 19, wherein said processor is operative for obtaining spectra for said first signal component for each of said first and second channels, and comparing values of said energy related parameter for corresponding peaks of said spectra.

21. An apparatus as set forth in claim 19, wherein said processor is further operative for determining a value of a second parameter relating to said first and second information and comparing said value to a previously determined value of said parameter.

22. A method for use in a pulse oximetry system, comprising the steps of:

obtaining an input signal representative of an optical signal potentially including physiological information based on interaction with a patient;

identifying first and second components of said input signal for analysis;

evaluating said first and second components to distinguish potential artifact content from potential arrhythmia content; and

selectively processing said input signal based on said determination.

23. A method as set forth in claim 22, wherein said first component corresponds to a fundamental frequency of said input signal, said second component corresponds to a harmonic frequency of said input signal and said step of analyzing comprises determining a relative phase of said first and second components.

24. A method as set forth in claim 22, wherein said first component comprises a spectral peak for a first channel of said input signal, said second component comprises a corresponding spectral peak for a second channel of said input signal, and said step of analyzing comprises determining a value of a parameter relating energies associated with said spectral peaks and comparing said value to a previously determined value of said parameter.