Reducing data acquisition, power and processing for hemodynamic signal sampling

• US 7,909,768 B1
• Filed: 07/19/2004
• Issued: 03/22/2011
• Est. Priority Date: 07/19/2004
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Turcott, Robert G.
• Primary Examiner(s): Mallari; Patricia C
• Application Number:
  US10/894,962
• Time in Patent Office: 2,437 Days
• Field of Search: 600/481, 600508-523, 600/301, 600/310, 600323-325, 600333-336, 600/453, 600454-457, 600476-480, 600485-486, 600/500, 600/504, 600/507, 600/547
• US Class Current: 600/481
• CPC Class Codes: A61B 2560/0209 adapted for power saving
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters

Abstract

Methods, systems and devices are provided for reducing the amount of data, processing and/or power required to analyze hemodynamic signals such as photoplethysmography (PPG) signals, pressure signals, and impedance signals. In response to detecting a specific event associated with a cyclical body function, a hemodynamic signal is continuously sampled during a window following the detecting of the specific event, wherein the window is shorter than a cycle associated with the cyclical body function. The hemodynamic signal is then analyzed based on the plurality of samples.

Claims

1. A computer readable medium comprising computer executable instructions that when executed by a processor cause the processor to:

(a) in response to detecting a specific event associated with a cyclical body function, continuously sample a hemodynamic signal during a window following the detecting of the specific event, to thereby produce a plurality of samples, wherein the window is shorter than a cycle associated with the cyclical body function;

(b) repeat step (a) a plurality of times such that a plurality of samples is produced for each of a plurality of said windows;

(c) analyze the hemodynamic signal based on the plurality of samples, wherein said analyzing step comprises averaging the plurality of samples produced for each of the plurality of said windows to thereby produce an average value for each of said windows; and

(d) determine a peak-to-peak amplitude based on the plurality of samples.

2. The computer readable medium of claim 1, wherein the continuous sampling of the hemodynamic signal begins a fixed delay after a specific cardiac event.

3. The computer readable medium of claim 1, wherein the cyclical body function comprises heart beat, and wherein the cycle associated with the cyclical body function comprises a cardiac cycle.

4. The computer readable medium of claim 1, wherein the continuous sampling is performed at a rate of about 20 Hz or greater.

5. The computer readable medium of claim 1, wherein the specific event comprises one of the following:

sensing a ventricular contraction;

a ventricular pace;

sensing an atrial contraction; and

an atrial pace.

6. The computer readable medium of claim 1, wherein the cyclical body function comprises respiration, and wherein the cycle associated with the cyclical body function comprises a respiratory cycle.

7. The computer readable medium of claim 1, wherein the continuous sampling is performed at a rate of about 1 Hz or greater.

8. The computer readable medium of claim 1, wherein the specific event comprises one of the following:

expiration; and

inspiration.

9. The computer readable medium of claim 1, wherein the hemodynamic signal comprises a photoplethysmography (PPG) signal produced using a light source and a light detector.

10. The computer readable medium of claim 1, wherein the hemodynamic signal comprises a pressure signal produced using a pressure transducer.

11. The computer readable medium of claim 1, wherein the hemodynamic signal comprises an arterial pressure signal produced using a pressure transducer.

12. The computer readable medium of claim 1, wherein the hemodynamic signal comprises an atrial pressure signal produced using a pressure transducer.

13. The computer readable medium of claim 1, wherein the hemodynamic signal comprises a ventricular pressure signal produced using a pressure transducer.

14. The computer readable medium of claim 1, wherein the hemodynamic signal comprises an electrical impedance signal produced using electrodes.

15. The computer readable medium of claim 1, wherein the window includes both the onset and completion of a systolic cardiac pulse.

16. A system for reducing the amount of data required to analyze a hemodynamic signal, comprising:

a sampler configured to continuously sample the hemodynamic signal during a window following a detection of a specific event associated with a cyclical body function, to thereby produce a plurality of samples, wherein the window is shorter than a cycle associated with the cyclical body function; and

a processor configured to analyze the hemodynamic signal based on the plurality of samples wherein the processor averages the plurality of samples produced for the window to thereby produce an average value for the window, wherein the processor determines a peak-to-peak amplitude based on the plurality of samples.

17. The system of claim 16, wherein the hemodynamic signal comprise an atrial pressure signal, and wherein the system further comprises a pressure transducer to produce the atrial pressure signal.

18. The system of claim 16, wherein the hemodynamic signal comprise a ventricular pressure signal, and wherein the system further comprises a pressure transducer to produce the ventricular pressure signal.

19. The system of claim 16, wherein the continuous sampling of the hemodynamic signal begins a fixed delay after the specific event.

20. The system of claim 16, wherein the cyclical body function comprises heart beat, and wherein the cycle associated with the cyclical body function comprises a cardiac cycle.

21. The system of claim 20, wherein the continuous sampling is performed at a rate of about 20 Hz or greater.

22. The system of claim 20, wherein the specific event comprises one of the following:

sensing a ventricular contraction;

a ventricular pace;

sensing an atrial contraction; and

an atrial pace.

23. The system of claim 17, wherein the cyclical body function comprises respiration, and wherein the cycle associated with the cyclical body function comprises a respiratory cycle.

24. The system of claim 17, wherein the continuous sampling is performed at a rate of about 1 Hz or greater.

25. The system of claim 24, wherein the specific event comprises one of the following:

expiration; and

inspiration.

26. The system of claim 16, wherein the hemodynamic signal comprise an electrical impedance signal, and wherein the system further comprises electrodes to produce the electrical impedance signal.

27. The system of claim 16, wherein the hemodynamic signal comprise a pressure signal, and wherein the system further comprises a pressure transducer to produce the pressure signal.

28. The system of claim 16, wherein the hemodynamic signal comprise an arterial pressure signal, and wherein the system further comprises a pressure transducer to produce the arterial pressure signal.

29. An implantable cardiac stimulation device comprising:

a sensor configured to produce a hemodynamic signal, wherein the sensor is a PPG sensor;

a sampler configured to continuously sample the hemodynamic signal during a window following a detection of a specific event associated with a cyclical body function, to thereby produce a plurality of samples, wherein the window is shorter than a cycle associated with the cyclical body function; and

a processor configured to analyze the hemodynamic signal based on the plurality of samples, wherein the processor averages the plurality of samples produced for the window to thereby produce an average value for the window.

30. The device of claim 29 wherein the specific event associated with a cyclical body function is selected from the group consisting of a ventricular contraction, and atrial contraction, a ventricular pace, and an atrial pace.

31. The device of claim 29 wherein the window begins after a fixed delay after the specific event.

32. The device of claim 29 wherein the cyclic body function is heart beat and the cycle associated with the cyclical body function is a cardiac cycle.

33. The device of claim 29 wherein the specific event is a respiratory event and the cyclic body function is a respiratory cycle.

34. An implantable cardiac stimulation device comprising:

a sensor configured to produce a hemodynamic signal;

a sampler configured to continuously sample the hemodynamic signal during a window following a detection of a specific event associated with a cyclical body function, to thereby produce a plurality of samples, wherein the window is shorter than a cycle associated with the cyclical body function; and

a processor configured to;

analyze the hemodynamic signal based on the plurality of samples, wherein the processor averages the plurality of samples produced for the window to thereby produce an average value for the window; and

determine a peak-to-peak amplitude based on the plurality of samples.

35. The device of claim 34 wherein the hemodynamic signal is an arterial pressure signal.

36. The device of claim 34 wherein the specific event associated with a cyclical body function is selected from the group consisting of a ventricular contraction, and atrial contraction, a ventricular pace, and an atrial pace.

37. The device of claim 34 wherein the window begins after a fixed delay after the specific event.

38. The device of claim 34 wherein the cyclic body function is heart beat and the cycle associated with the cyclical body function is a cardiac cycle.

39. The device of claim 34 wherein the specific event is a respiratory event and the cyclic body function is a respiratory cycle.

40. A system for reducing the amount of data required to analyze a hemodynamic signal, comprising:

a sampler configured to continuously sample the hemodynamic signal during a window following a detection of a specific event associated with a cyclical body function, to thereby produce a plurality of samples, wherein the window is shorter than a cycle associated with the cyclical body function;

a processor configured to analyze the hemodynamic signal based on the plurality of samples wherein the processor averages the plurality of samples produced for the window to thereby produce an average value for the window, wherein the hemodynamic signal comprises a photoplethysmography (PPG) signal; and

a light source and a light detector to produce the PPG signal,

wherein the cyclical body function is heart beat, and wherein the cycle associated with the cyclical body function comprises a cardiac cycle.

41. The system of claim 40, wherein the continuous sampling of the hemodynamic signal begins a fixed delay after the specific event.

42. The system of claim 40, wherein the continuous sampling is performed at a rate of about 20 Hz or greater.

43. The system of claim 40, wherein the processor determines a peak-to-peak amplitude based on the plurality of samples.

44. A system for reducing the amount of data required to analyze a hemodynamic signal, comprising:

one or more sensors configured to produce one or more hemodynamic signals, wherein the hemodynamic signals comprise at least a photoplethysmography (PPG) signal;

a light source and a light detector to produce the PPG signal; and

a computer readable medium comprising computer executable instructions that when executed by a processor cause the processor to;

(a) in response to detecting a specific event associated with a cyclical body function, continuously sample the one or more hemodynamic signals during a window following the detecting of the specific event, to thereby produce a plurality of samples, wherein the window is shorter than a cycle associated with the cyclical body function;

(b) repeat step (a) a plurality of times such that a plurality of samples is produced for each of a plurality of said windows; and

(c) analyze the one or more hemodynamic signals based on the plurality of samples, wherein said analyzing step comprises averaging the plurality of samples produced for each of the plurality of said windows to thereby produce an average value for each of said windows, wherein the cyclical body function is heart beat, and wherein the cycle associated with the cyclical body function comprises a cardiac cycle.

45. The system of claim 44, wherein the continuous sampling of the one or more hemodynamic signals begins a fixed delay after a specific cardiac event.

46. The system of claim 44, wherein the continuous sampling is performed at a rate of about 20 Hz or greater.

47. The system of claim 44, wherein the window includes both the onset and completion of a systolic cardiac pulse.