Medical diagnostic apparatus with sleep mode

• US 5,746,697 A
• Filed: 02/09/1996
• Issued: 05/05/1998
• Est. Priority Date: 02/09/1996
• Status: Expired due to Term

• Current Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Inventors: Swedlow, David B., Porges, Charles E., Bernstein, Michael J., Luecke, James E., Nootbaar, Michael W.
• Primary Examiner(s): Bahr, Jennifer
• Assistant Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US08/599,255
• Time in Patent Office: 816 Days
• Field of Search: 128/633, 128/630, 128/632, 128/670, 607/16, 356/41
• US Class Current: 600/323
• CPC Class Codes: A61B 2560/0209 adapted for power saving
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: G06F 1/3215 Monitoring of peripheral devices
• CPC Class Codes: G06F 1/325 Power saving in peripheral device
• CPC Class Codes: Y02D 30/50 in wire-line communication networks, e.g. low power modes or reduced link rate

Abstract

A method and apparatus for conserving power in a medical diagnostic apparatus by using a sleep mode during a monitoring state. The invention monitors physiological parameters of the patient and enters a sleep mode only after they have been stable for a predetermined period of time. The apparatus is periodically awakened from the sleep mode to take additional measurements and to ascertain that the stability of the physiological parameters has not changed.

Claims

1. A method for conserving power in a pulse oximeter apparatus, said apparatus including electronic circuitry, the method comprising the steps of:

(a) measuring a blood oxygen saturation of a patient using said apparatus;

(b) monitoring said blood oxygen saturation of said patient;

(c) determining when said blood oxygen saturation has been stable for a predetermined stable time period and providing a stability indication signal;

(d) initiating a sleep mode for at least a portion of said electronic circuitry, in response to said stability indication signal, for a first, sleep portion of each of a plurality of sleep mode time periods;

(e) exiting said sleep mode for at least some of said portion of electronic circuitry for a second, awake portion of each of said plurality of sleep mode time periods;

(f) determining whether said blood oxygen saturation remains stable during at least periodic ones of said sleep mode time periods;

(g) repeating steps (a)-(f) if said blood oxygen saturation is determined to not have remained stable during said awake portion; and

(h) repeating steps (c)-(f) if said blood oxygen saturation is determined to have remained stable during said awake portion.

2. The method of claim 1 wherein said blood oxygen saturation is stable if it has not varied by more than a predetermined limit which is no greater than 5 saturation points out of a scale of 100 saturation points.

3. The method of claim 1 wherein said predetermined stable time period is at least 15 seconds.

4. The method of claim 1 further comprising the step of monitoring a heart rate of said patient, and producing said stability indication signal only if said heart rate is also stable, said heart rate being stable if it does not vary more than a predetermined limit which is less than ten percent from a previous value in at least a 15 second period.

5. The method of claim 4 wherein said pulse oximeter includes a display and further comprising the step of deactivating all diagnostic displays except a numerical indication of oxygen saturation and heart rate on said display during said sleep mode.

6. The method of claim 1 wherein said portion of said electronic circuitry in said sleep mode includes a light emitter driver, a CPU and an analog-to-digital converter, and does not include a memory.

7. The method of claim 1 further comprising the step of controlling the initiation and exiting of said sleep mode with a remote host computer.

8. The method of claim 1 wherein said sleep mode time period comprises a plurality of cardiac pulse periods.

9. The method of claim 1 wherein said sleep portion of said sleep mode time period is no more than 30 seconds.

10. The method of claim 1 wherein step (b) is performed over a plurality of cardiac pulse periods, each of the cardiac pulse periods comprises a diastolic period, and the method further comprises the step of entering the sleep mode during the diastolic period of each of the cardiac pulse periods.

11. The method of claim 1 further comprising the steps of:

determining whether a sensor is attached to said pulse oximeter;

entering said sleep mode for a short sleep time shorter than said first, sleep period if no sensor is attached; and

testing whether a sensor is attached during an awake portion of said sleep mode time period.

12. The method of claim 1 wherein said apparatus includes a display, and further comprising the steps of:

deactivating at least a portion of said display during said sleep mode.

13. The method of claim 1 further comprising the steps of:

determining whether said blood oxygen saturation has been greater than a predetermined value during said stable time period; and

providing said stability indication signal only if said blood oxygen saturation has been greater than said predetermined value during said stable time period.

14. The method of claim 1 further comprising the steps of:

providing an alarm signal in response to a pre-specified physiological condition of a patient or a condition of said apparatus continuing for an alarm time-out period; and

shortening said alarm time-out period upon exiting said sleep mode.

15. A method for conserving power in a pulse oximeter, said pulse oximeter having light emitters and electronic circuitry including a CPU, an analog-to-digital converter and a memory, the method comprising the steps of:

(a) monitoring the blood oxygen saturation of a patient using said pulse oximeter;

(b) monitoring the heart rate of said patient;

(c) determining when said blood oxygen saturation and said heart rate have been stable for a stable time period of at least 15 seconds and providing a stability indication signal, said blood oxygen saturation being stable if it has not varied by more than a predetermined blood oxygen saturation limit which is less than 5 saturation points out of a scale of 100 saturation points, said heart rate being stable if it does not vary more than a predetermined heart rate limit which is less than ten percent from a previous value in at least a 15 second period;

(d) initiating a sleep mode for said light emitters and at least said CPU and analog-to-digital converter, in response to said stability indication signal, for a first, sleep portion of each of a plurality of sleep mode time periods, said sleep portion being no more than 40 seconds;

(e) exiting said sleep mode for said light emitters and said electronic circuitry for a second, awake portion of each of said plurality of sleep mode time periods;

(f) determining whether said blood oxygen saturation and heart rate remain stable during said awake portion of said sleep mode time period;

(g) repeating steps (a)-(f) if either of said blood oxygen saturation and heart rate is determined to not have remained stable during said awake portion; and

(h) providing the stability indication signal and repeating steps (d)-(f) if both said blood oxygen saturation and heart rate are determined to have remained stable during said awake portion.

17. The pulse oximeter of claim 15 wherein said blood oxygen saturation is stable if it has not varied by more than a predetermined limit which is no greater than 5 saturation points out of a scale of 100 saturation points.

18. The pulse oximeter of claim 15 wherein said means for monitoring also monitors a heart rate of said patient and provides said stability indication signal only if said heart rate is also stable, said heart rate being stable if it does not vary more than a predetermined limit which is less than ten percent from a previous value in at least a 15 second period.

16. A pulse oximeter with a power saving feature, comprising:

a CPU;

a memory coupled to said CPU;

light emitter drive circuitry coupled to said CPU;

light detector receiving circuitry;

an analog-to-digital converter coupled to said light emitter receiving circuitry and to said CPU;

means, coupled to said CPU, for monitoring the blood oxygen saturation of a patient using said pulse oximeter;

means, coupled to said CPU, for monitoring at least one additional physiological parameter of said patient;

means, coupled to said CPU, for determining when said blood oxygen saturation has been stable for a predetermined stable time period and providing a stability indicating signal;

means, coupled to said CPU, for initiating a sleep mode for said light emitter drive circuitry and at least said CPU and said analog-to-digital converter, in response to said stability indication signal, for a first, sleep portion of each of a plurality of sleep mode time periods;

means, coupled to said CPU, for exiting said sleep mode for said light emitter drive circuitry, said CPU and said analog-to-digital converter for a second, awake portion of each of said plurality of sleep mode time periods;

means, coupled to said CPU, for determining whether said blood oxygen saturation remains stable during said awake portion of said sleep mode time period; and

means, coupled to said CPU, for reinitiating said sleep mode for said light emitter drive circuitry and at least said CPU and said analog-to-digital converter, if said physiological parameter is determined to have remained stable during said awake portion.

19. The pulse oximeter of claim 16 wherein said predetermined stable time period is at least 15 seconds.

20. The pulse oximeter of claim 16 further comprising:

a remote host computer; and

means for controlling the initiation and exiting of said sleep mode with said remote host computer.

21. The pulse oximeter of claim 16 wherein said sleep mode time period comprises a plurality of cardiac pulse periods.

22. The pulse oximeter of claim 21 wherein said sleep portion of said sleep mode time period is no more than 30 seconds.

23. The pulse oximeter of claim 16 wherein said means for monitoring monitors said physiological parameter over a plurality of cardiac pulse periods, each cardiac pulse period including a diastolic period, and the pulse oximeter further comprises means for entering the sleep mode during the diastolic period of each of the cardiac pulse periods.

24. The pulse oximeter of claim 16 further comprising:

means for determining whether a sensor is attached to said pulse oximeter;

means for entering said sleep mode for a short sleep time shorter than said first, sleep period if no sensor is attached; and

means for testing whether a sensor is attached during an awake portion of said sleep mode time period.

25. The pulse oximeter of claim 16 further comprising:

a display;

means for deactivating at least a portion of said display during said sleep mode.

26. The pulse oximeter of claim 23 further comprising:

means for measuring said blood oxygen saturation and a heart rate of said patient; and

means for deactivating all diagnostic displays except a numerical indication of oxygen saturation and heart rate on said display during said sleep mode.

27. The pulse oximeter of claim 16 further comprising:

means for determining whether said blood oxygen saturation has been greater than a predetermined value during said stable time period; and

means for providing said stable indication signal only if said blood oxygen saturation has been greater than said predetermined value during said stable time period.

28. The pulse oximeter of claim 16 further comprising:

means for providing an alarm signal in response to a pre-specified condition of an oximeter signal continuing for an alarm time-out period; and

means for shortening said alarm time-out period upon exiting said sleep mode.

29. The pulse oximeter of claim 16 further comprising a separate monitor connected to said CPU, for monitoring said additional physiological parameter.