Physiologic parameter monitoring apparatus

• US 8,460,200 B2
• Filed: 09/16/2009
• Issued: 06/11/2013
• Est. Priority Date: 09/16/2009
• Status: Expired due to Fees

• Current Assignee: Analogic Corporation
• Original Assignee: Analogic Corporation
• Inventors: Harrold, Lewis Norman
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): WEARE, MEREDITH H
• Application Number:
  US12/560,701
• Publication Number:
  US 20110066040A1
• Time in Patent Office: 1,364 Days
• Field of Search: 600/481, 600/484, 600/504, 600/506
• US Class Current: 600/506
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/4869 Determining body composition

Abstract

A physiologic parameter monitor includes a parameter value determiner that determines a parameter value indicative of a response of a human or animal subject to fluid intake during fluid therapy. The parameter value determiner determines the parameter value based on a signal indicative of a non-invasively obtained state of the subject. The physiologic parameter monitor also includes a display that displays the parameter value in a human readable format.

Claims

1. A physiologic parameter monitor, comprising:

a processor that determines a parameter value indicative of a response of a human or animal subject to fluid intake during fluid therapy based on an impedance cardiographic (ICG) output signal, wherein the processor is configured to;

determine a stroke volume value, for a plurality of heartbeats, based on an area under respective ICG output signal waveforms from when the aortic valve opens to when the aortic valve closes;

determine a respiratory rate value, for the plurality of heartbeats, based on peaks of the respective ICG output signal waveforms over a predetermined time period; and

determine the parameter value based at least on the determined stroke volume value and the determined respiratory rate value as a change in the determined stroke volume divided by the determined respiratory rate; and

a display that displays the parameter value in a human readable format.

2. The physiologic parameter monitor of claim 1, wherein the parameter value is normalized by a filling time of the left ventricle of the heart of the subject.

3. The physiologic parameter monitor of claim 1, further comprising a logger that logs an event corresponding to the fluid therapy.

4. The physiologic parameter monitor of claim 1, further comprising a trender that trends the parameter value over time.

5. The physiologic parameter monitor of claim 1, further comprising a parameter analyzer and storage that stores a predetermined desired parameter value range, wherein the parameter analyzer compares the parameter value and the parameter value range and generates data indicative of whether the parameter value is within the parameter value range.

6. The physiologic parameter monitor of claim 5, wherein the display displays the parameter value range concurrently with the parameter value.

7. The physiologic parameter monitor of claim 5, further comprising a notification component that generates a message in response to the parameter value being outside of the parameter value range, and the display displays the message.

8. A method, comprising:

determining, via a processor, a respiratory rate value based on an impedance cardiographic (ICG) signal non-invasively determined by an ICG monitor monitoring a subject, wherein the respiratory rate value is determined from peaks of the ICG signal corresponding to a plurality of heartbeats over a predetermined time period;

determining, via the processor, a stroke volume value based on the ICG signal, wherein the stroke volume value is determined for the plurality of heartbeats based on an area under respective ICG output signal waveforms from when the aortic valve opens to when the aortic valve closes;

determining, via the processor, a parameter value indicative of a response of a human or animal subject to fluid intake during fluid therapy based at least on the respiratory rate value as a ratio of a change in the stroke volume value to the respiratory rate value; and

displaying, via a display, the parameter value in a human readable format.

9. The method of claim 8, wherein the ratio is normalized by a filling time of the left ventricle of the heart of the subject.

10. The method of claim 8, further comprising:

generating a trend of the parameter value over time; and

displaying the trend.

11. The method of claim 8, further comprising:

logging an event corresponding to the fluid therapy; and

displaying the logged event.

12. The method of claim 8, further comprising:

concurrently displaying a predetermined parameter value range.

13. The method of claim 12, further comprising:

determining whether the parameter value satisfies the parameter value range; and

presenting information indicating that the parameter value does not satisfy the parameter value range in response to the parameter value not satisfying the parameter value range.

14. A non-transitory memory containing instructions which, when executed by a computer, cause the computer to:

determine a stroke volume value, for the plurality of heartbeats, based on an area under respective ICG signal waveforms from when the aortic valve opens to when the aortic valve closes;

determine a respiratory rate value based peaks of the ICG signal corresponding to the plurality of heartbeats over a predetermined time period;

determine a parameter value indicative of a response of a human or animal subject to fluid intake during fluid therapy as a ratio of a change in the stroke volume value to the respiratory rate value based on the determined stroke volume value and the determined respiratory rate value; and

displaying the parameter value in a human readable format.