Systems and methods for processing physiological signals

• US 4,582,068 A
• Filed: 08/03/1984
• Issued: 04/15/1986
• Est. Priority Date: 12/21/1981
• Status: Expired due to Fees

• Current Assignee: Corometrics Medical Systems, Inc.
• Original Assignee: American Home Products Corporation (Pfizer Inc.)
• Inventors: Phillipps, Patrick G., Schenkel, Jeffrey
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/637,461
• Time in Patent Office: 620 Days
• Field of Search: 128/696, 128/706, 128/716, 128/721, 128/722, 128/723, 128/724
• US Class Current: 600/529
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00

Abstract

Systems and methods are disclosd for detecting the recurrence of physiological functions. The disclosed systems and methods are especially adapted for detecting the recurrence of a patient'"'"'s respiration from a signal representative of changes in the patient'"'"'s thoracic volume, despite the presence of cardiovascular artifact in the signal. A cardiovascular artifact filter suppresses the artifacts in response to a signal, generated by a cardiotachometer, which varies as and is proportional to the fundamental frequency of each artifact.

Claims

1. A system for detecting a patient'"'"'s respiration comprising:

terminal means for receiving a respiration signal representing changes in the patient'"'"'s thoracic volume;

cardiotachometer means for producing a heart rate signal proportional to the patient'"'"'s heart rate;

filtering means for providing a filtered respiration signal by suppressing frequency components of the respiration signal at the heart rate and harmonics thereof in response to the heart rate signal; and

threshold crossing detecting means for providing a threshold signal level and for producing a respiration event signal when the filtered respiration signal exceeds said threshold signal level wherein the filtering means comprises time averaging filter means for producing the filtered respiration signal substantially in accordance with the relationship;

##EQU3## wherein v_fr (t) represents the filtered respiration signal as it varies with time, t;

v_r (t) represents the respiration signal as it varies with time, t; and

the interval 0 to T is substantially equal to the period of the fundamental frequency component of the heart rate.

12. The method of claim 1 wherein the step of updating the threshold level comprises altering said respiration threshold level by an amount proportional to the respiration threshold level prior to updating.

13. The method of claim 1 or 2, wherein the method further comprises filtering the respiration signal to remove cardiovascular artifact.

2. A system for detecting a patient'"'"'s respiration comprising:

terminal means for receiving a respiration signal representing changes in the patient'"'"'s thoracic volume;

cardiotachometer means for producing a heart rate signal proportional to the patient'"'"'s heart rate;

filtering means for providing a filtered respiration signal by suppressing frequency components of the respiration signal at the heart rate and harmonics thereof in response to the heart rate signal; and

threshold crossing detecting means for providing a threshold signal level and for producing a respiration event signal when the filtered respiration signal exceeds said threshold signal level wherein the filtering means comprises a low pass filter, a high pass filter, and means for summing the output signals, the low pass filter and the high pass filter being coupled to receive the respiration signal and operative to pass low frequency components and high frequency components, respectively, of the respiration signal, the low pass filter and the high pass filter having operating characteristics under the control of the heart rate signal such that components of the respiration signal at the heart rate are attenuated in the filtered respiration signal, the gain of the high pass filter being selected at a value lower than the gain of the low pass filter such that components of the respiration signal having frequencies in the range of the harmonic frequencies of the heart rate are suppressed in the filtered respiration signal relative to components of the respiration signal having frequencies below the heart rate.

3. A system for detecting a patient'"'"'s respiration comprising:

terminal means for receiving a respiration signal representing changes in the patient'"'"'s thoracic volume;

cardiotachometer means for producing a heart rate signal proportional to the patient'"'"'s heart rate;

filtering means for providing a filtered respiration signal by suppressing frequency components of the respiration signal at the heart rate and harmonics thereof in response to the heart rate signal; and

threshold crossing detecting means for providing a threshold signal level and for producing a respiration event signal when the filtered respiration signal exceeds said threshold signal level wherein the filtering means comprises a bandpass filter coupled to receive the respiration signal and the heart rate signal, the bandpass filter being responsive to the heart rate signal to cause its pass band to track the heart rate as it varies to provide at a bandpass output those components of the respiration signal having a frequency substantially equal to the heart rate, the bandpass filter being operative to phase invert said components of the respiration signal;

summing means for receiving the respiration signal and coupled to the bandpass output to receive said components of the respiration signal for providing a sum signal proportional to the sum of the respiration signal and said components of the respiration signal; and

a low pass filter having an input coupled to receive the sum signal from the summing means for suppressing those components of the sum signal having a frequency equal to or greater than the second harmonic of the heart rate such that the low pass filter provides a filtered sum signal serving as the filtered respiration signal.

4. The system of claim 3 further comprising envelope detecting means for producing an envelope signal which is proportional to the envelope of said components of the respiration signal and which serves as a minimum threshold signal;

and wherein the threshold crossing detecting means is operative to set said threshold signal level equal to or above the minimum threshold signal level.

5. A system for suppressing periodic artifact in physiological signals comprising:

means for producing a physiological signal;

means for producing a frequency signal representative of the artifact frequency; and

filtering means responsive to the frequency signal and for suppressing those components of the physiological signal at at least the fundamental frequency of the periodic artifact wherein the filtering means comprises time averaging means for filtering the physiological signal substantially in accordance with the relationship;

##EQU4## wherein v_f (t) represents the filtered physiological signal as it varies with time, t;

v_ph (t) represents the physiological signal as it varies with time, t; and

the interval 0 to T is variable under the control of the frequency signal to substantially equal the period of the fundamental frequency component of the periodic artifact.

6. A system for suppressing periodic artifact in physiological signals comprising:

means for producing a physiological signal;

means for producing a frequency signal representative of the artifact frequency; and

filtering means responsive to the frequency signal and for suppressing those components of the physiological signal at at least the fundamental frequency of the periodic artifact wherein the filtering means comprises a low pass filter, a high pass filter, and means for summing the output signals of the low pass filter and the high pass filter to provide the filtered physiological signal, the low pass filter and the high pass filter being coupled to receive the physiological signal and operative to pass low frequency components and high frequency components, respectively, of the physiological signal, the low pass filter and the high pass filter having operating characteristics under the control of the frequency signal such that components of the physiological signal at the fundamental artifact frequency are attenuated in the filtered physiological signal, the gain of the high pass filter being selected at a value lower than the gain of the low pass filter such that components of the physiological signal having frequencies in the range of the harmonic frequencies of the periodic artifact are suppressed in the filtered physiological signal relative to components of the physiological signal therein having frequencies below the fundamental artifact frequency.

7. A method of detecting a patient'"'"'s respiration comprising the steps of:

obtaining an unfiltered respiration signal representing changes in the patient'"'"'s thoracic volume, the unfiltered respiration signal having cardiovascular artifact;

filtering the cardiovascular artifact from the respiration signal to produce a filtered respiration signal;

deriving a threshold signal level from the filtered respiration signal;

producing an artifact signal proportional to the cardiovascular artifact;

producing a minimum threshold signal level proportional to the envelope of the artifact signal; and

producing a recurrence signal when the filtered respiration signal exceeds the threshold signal level while preventing the threshold signal level from falling below the minimum threshold signal level.

8. The method of claim 7, wherein the step of filtering the cardiovascular artifact comprises suppressing those components of the respiration signal having a frequency equal to the patient'"'"'s heart rate and harmonics thereof.

9. The method of claim 8, wherein the step of suppressing respiration signal components comprises suppressing components of the respiration signal having a frequency equal to or greater than the second harmonic of the patient'"'"'s heart rate.

10. The method of claim 8, wherein the step of suppressing respiration signal components comprises producing a pluality of respiration signal values proportional to the respiration signal at successive points in time separated by incremental time differences, the difference in time between the oldest respiration signal thus represented and the most recent respiration signal thus represented being substantially equal to the period between successive heart beats of the patient;

and producing a fitered respiration signal proportional to the sum of the plurality of respiration signal values.

11. A method of detecting a breath event from a respiration signal having cardiovascular artifact and representing changes in a patient'"'"'s thoracic volume comprising the steps of:

establishing a respiration threshold level;

producing an update signal in the event that the respiration threshold level deviates from a reference signal level which is proportional to at least a portion of the respiration signal;

updating the respiration threshold level in response to the update signal to oppose deviation in the respiration threshold level; and

producing a breath event signal in response at least in part to a portion of the respiration signal exceeding in magnitude the updated respiration threshold level.

14. A system for filtering a periodic physiological signal of a patient which includes cardiovascular artifacts as components thereof comprising:

means for providing the physiological signal;

cardiotachometer means for producing a heart rate signal in response to the individual hearbeats of the patient; and

filtering means for frequency attenuating at least the fundamental frequency of the cardiovascular artifacts of the physiological signal in response to the heart rate signal wherein the filtering means comprises a low pass filter, a high pass filter, and means for summing the output signals of the low pass filter and the high pass filter to provide a filtered signal;

the low pass filter and the high pass filter being coupled to receive the physiological signal and operative to pass low frequency components and high frequency components of the physiological signal, respectively;

the low pass filter and the high pass filter having respective low pass means and high pass means operable in response to the heart rate signal for attenuating the frequency of the artifact in the filtered signal, the high pass means further operable in response to the heart rate signal for controlling the gain of the high pass filter such that the value of the gain of the high pass filter is lower than the gain of the low pass filter whereby components of the physiological signal having frequencies in the range of the harmonic frequencies of the artifact frequency are suppressed in the filtered signal relative to components of the physiological signal having frequencies below the artifact frequency.