Method of monitoring patient respiration and predicting apnea therefrom

• US 4,365,636 A
• Filed: 06/19/1981
• Issued: 12/28/1982
• Est. Priority Date: 06/19/1981
• Status: Expired due to Fees

• Current Assignee: Medicon Incorporated (Becton, Dickinson & Co)
• Original Assignee: Medicon Incorporated (Becton, Dickinson & Co)
• Inventors: Barker, Kent R.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Hanley, John C.
• Application Number:
  US06/275,343
• Time in Patent Office: 557 Days
• Field of Search: 128/716, 128/720, 128/724, 364/417
• US Class Current: 600/529
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A method for detecting apnea by sampling a voltage waveform representative of respiration at regular intervals and calculating the instantaneous voltage differences at alternate sample points, and comparing the magnitude of each difference voltage so calculated against a "threshold" value determined to be the minimum value consistent with normal respiration activity.

Claims

1. A method of monitoring waveforms indicative of patient respiration and activating an alarm upon occurrence of predetermined respiration conditions indicative of apnea, comprising the steps of

(a) monitoring a respiration waveform and forming a value representative of the instantaneous magnitude of said waveform at regular and continuous time intervals;

(b) continuously forming the difference between each such value and at least the second previous such value, and developing therefrom a value representative of the instaneous slope of said waveform;

(c) collecting such slope values for a first predetermined time which is at least as long in time as one respiration cycle and selecting from the collected slope values the maximum collected slope value;

(d) continuously repeating step (c) for a second predetermined time which is longer than said first predetermined time, and forming the average of all maximum collected slope values;

(e) forming a threshold value by selecting a predetermined fraction of said average of step (d);

(f) comparing subsequent slope valves as found in step (b) with said threshold value of step (e) and activating said alarm when said subsequent slope values are less than the threshold value of step (e) for longer than a third predetermined time.

2. The method of claim 1, wherein said regular and continuous time intervals of step (a) are at least 8 times per second.

3. The method of claim 1, wherein the values developed in step (b) are converted to absolute magnitude values.

4. The method of claim 1, wherein said first predetermined time is at least four seconds.

5. The method of claim 1, wherein said second predetermined time is at least two minutes.

6. The method of claim 1, wherein said predetermined fraction is 174 .

7. The method of claim 1, wherein said third predetermined time is in the range of ten to thirty seconds.

8. The method of claim 2, wherein said first predetermined time is at least four seconds.

9. The method of claim 8, wherein said second predetermined time is at least two minutes.

10. The method of claim 9, wherein said predetermined fraction is 1/4.

11. The method of claim 10, wherein said third predetermined time is in the range of ten to thirty seconds.

12. A method of monitoring patient respiration waveforms and activating an audible alarm upon occurrence of predetermined respiration conditions indication of apnea, comprising

(a) sampling a respiration waveform at a predetermined sampling rate and recording instantaneous waveform magnitude values obtained from such sampling;

(b) subtracting recorded instantaeous magnitude values from previously recorded instantaneous magnitude values and developing therefrom values representative of instantaneous rate of change of respiration;

(c) selecting the maximum rate of change value occurring over a first predetermined time period which is at least as long as one respiration cycle;

(d) continuously repeating step (c) for a second predetermined time period which is longer than said first time period and accumulating the selected maximum rate of change values over said first and second predetermined time periods;

(e) averaging the accumulated maximum rate of change values and forming a threshold value by developing a value which is a predetermined fraction of said averaged values, said fraction being less than one;

(f) comparing said threshold value against subsequent values representative of instantaneous rate of change of respiration as developed in step (b); and

(g) activating an alarm whenever said threshold value exceeds said values representative of instantaneous rate of change of respiration for a third predetermined time interval.

13. The method of claim 12, wherein said predetermined sampling rate is at least 8 samples per second.

14. The method of claim 12, wherein said step of subtracting further comprises subtracting a recorded instantaneous respiration value from a second previous recorded instantaneous respiration value.

15. The method of claim 12, wherein said first predetermined time interval is at least four seconds.

16. The method of claim 12, wherein said second predetermined time interval is at least two minutes.

17. The method of claim 12, wherein said predetermined fraction is substantially 1/4.

18. The method of claim 12, wherein said third predetermined time interval is in the range of ten to thirty seconds.

19. The method of claim 13, wherein said step of subtracting further comprises subtracting a recorded instantaneous magnitude value from a second previous recorded instantaneous magnitude value.

20. The method of claim 14, wherein said first predetermined time interval is at least four seconds.

21. The method of claim 15, wherein said second predetermined time interval is at least two minutes.

22. The method of claim 16, wherein said predetermined fraction is substantially 1/4.

23. The method of claim 17, wherein said third predetermined time interval is in the range of ten to thirty seconds.