Neonatal cardiorespirograph incorporating multi-variable display and memory

• US 5,206,807 A
• Filed: 02/16/1989
• Issued: 04/27/1993
• Est. Priority Date: 02/16/1989
• Status: Expired due to Fees

• Current Assignee: HILL-Rom Air-Shields, Inc.
• Original Assignee: Hill-Rom Manufacturing Incorporated (Baxter International Inc.)
• Inventors: Kolarovic, Ronald S., Wise, James A., Stubbs, Reagh A., Hatke, Fred L.
• Primary Examiner(s): Envall, Jr., Roy N.
• Assistant Examiner(s): Huntley, David
• Application Number:
  US07/310,678
• Time in Patent Office: 1,531 Days
• Field of Search: 364/413.03, 364/413.02, 364/413.05, 364/413.06, 128/700, 128/709, 128/710, 128/716, 371/29.1
• US Class Current: 600/484
• CPC Class Codes: A61B 2503/06 Children, e.g. for attention deficit diagnosis
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A system and method for transducing, recording, and displaying information relating to cardiac and respiratory functions of an infant. The system and method allows immediate detection of apnea events and of bradycardia associated therewith, as well as presentation of historical charts of such events.

Claims

1. A method for displaying historical information related to apnea events in a human infant comprising the steps of:

a) producing signals indicative of cardiac activity, and respiratory effort;

b) transmitting said produced signals to a computer;

c) receiving said signals into said computer;

d) calculating smoothed instantaneous heart rate, respiratory effort, transthoracic impedance, and smoothed instantaneous respiration rate;

e) detecting apnea and bradycardia events, storing data indicative of said events, and simultaneously displaying to a user on a single visual display;

1) a first histogram showing the absolute number of apnea events for each of a predetermined number of time intervals over a predetermined period;

2) a numeric indication of the absolute number of apnea events during said predetermined period; and

3) a second histogram showing the absolute number of apnea events for each of a predetermined number of durations during said predetermined period.

2. The method of claim 1 wherein said histograms further indicate visually the number of said apnea events which coincide in time with bradycardia events.

3. A method for displaying historical information related to apnea events in a human infant comprising the steps of:

a) producing signals indicative of cardiac activity, and respiratory effort;

b) transmitting said produced signals to a computer;

c) receiving said signals into said computer;

d) calculating smoothed instantaneous heart rate, respiratory effort, transthoracic impedance, and smoothed instantaneous respiration rate;

e) selecting a time interval of interest to a user;

f) detecting apnea and bradycardia events, storing data indicative of said events, and simultaneously displaying to a user on a single visual display;

1) a first histogram showing the absolute number of apnea events for each of a predetermined number of time intervals over a predetermined period;

2) a numeric indication of the absolute number of apnea events during said selected time interval; and

3) a second histogram showing the absolute number of apnea events for each of a predetermined number of durations during said selected time interval.

4. The method of claim 3 wherein said histograms further indicate visually the number of said apnea events which coincide in time with bradycardia events.

5. The method of claim 3 wherein apnea-coupled bradycardia is indicated when said smoothed instantaneous heart rate falls below a value less than 80% of a rate calculated by averaging a predetermined number of immediately preceding rate values, and apnea has been detected.

6. The method of claim 3 wherein apnea-coupled bradycardia is indicated when said smoothed instantaneous heart rate falls below a value less than a user-defined value, and apnea has been detected.

7. A method for displaying historical information related to apnea events in a human infant comprising the steps of:

a) producing signals indicative of cardiac activity, and respiratory effort;

b) transmitting said produced signals to a computer;

c) receiving said signals into said computer;

d) calculating smoothed instantaneous heart rate, respiratory effort, transthoracic impedance, and smoothed instantaneous respiration rate;

e) selecting an apnea duration of interest to a user;

f) detecting apnea and bradycardia events, storing data indicative of said events, and simultaneously displaying to a user on a single visual display;

1) a first histogram showing the absolute number of apnea events for said selected duration for each of a predetermined number of time intervals over a predetermined period;

2) a numeric indication of the absolute number of apnea events for said selected duration during said predetermined period; and

3) a second histogram showing the absolute number of apnea events for each of a predetermined number of durations during said predetermined period.

8. A method for displaying historical information related to apnea events in a human infant comprising the steps of:

a) producing signals indicative of cardiac activity, and transthoracic impedance;

b) transmitting said produced signals to a computer;

c) receiving said signals into said computer;

d) calculating smoothed instantaneous heart rate, smoothed instantaneous oxyhemoglobin saturation, average oxyhemoglobin saturation over a predetermined time interval, minimum and maximum oxyhemoglobin saturation over said predetermined time interval, respiratory effort, transthoracic impedance, and smoothed instantaneous respiration rate;

e) detecting apnea and bradycardia events, storing data indicative of said events, and simultaneously displaying to a user on a single visual display;

1) a first histogram showing the absolute number of apnea events for each of a predetermined number of said time intervals over a predetermined period;

2) a numeric indication of the absolute number of apnea events during said predetermined period; and

3) a second histogram showing the maximum, minimum and average oxyhemoglobin saturation for each of a predetermined number of durations during said predetermined period.

9. The method of claim 8 wherein said first histogram further indicates visually the number of said apnea events which coincide in time with bradycardia events.