Device and method for determining a respiration rate

• US 8,696,588 B2
• Filed: 10/24/2007
• Issued: 04/15/2014
• Est. Priority Date: 12/07/2006
• Status: Active Grant

• Current Assignee: Dragerwerk AG & Company KGaA (FPS Vermögensverwaltung GmbH)
• Original Assignee: Drager Medical GmbH (FPS Vermögensverwaltung GmbH)
• Inventors: Hansmann, Hans-Ullrich, Blumenthal, Tilman von, Tschuncky, Peter, Hengstenberg, Andreas, Mett, Frank, Khn, Uwe, Franz, Frank, Kck, Kai, Schmitt, Steffen
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): WEARE, MEREDITH H
• Application Number:
  US11/877,910
• Publication Number:
  US 20080139955A1
• Time in Patent Office: 2,365 Days
• Field of Search: 600529-543, 128/204.23
• US Class Current: 600/529
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/0823 Detecting or evaluating cough events
• CPC Class Codes: A61B 5/6817 Ear canal
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 7/003 Detecting lung or respiration noise

Abstract

A device (1) and a corresponding method are provided for determining and/or monitoring the respiration rate based on measurement with more than one sensor (5, 7, 9, 13, 15). The device may be part of a monitor for determining and/or monitoring the respiration rate. The second and/or additional sensors are different form the first sensor and have a different manor of operation from the first sensor.

Claims

1. A method for determining a respiration rate of a subject, the method comprising the steps of:

measuring a first estimation of the respiration rate in a first way with a first sensor;

measuring a second estimation of the respiration rate in a second way with a second sensor, said first sensor and said second sensor sensing a different physical characteristic;

setting by means of a control unit one quality value for each of the first and second estimations of the respiration rate;

determining a difference by means of the control unit between said first and second estimation of the respiration rate;

determining by means of the control unit if said difference is greater or less than 20%;

if said difference is less than 20%, then determining by means of the control unit a third estimation of the respiration rate of the subject by use of weighted averaging based on the first and second estimations of the respiration rate and their respective quality values; and

if said difference is greater than 20%, then choosing one of the first and second estimations of the respiration rate with the highest quality value as an actual respiration rate of the subject.

2. A method in accordance with claim 1, further comprising the step of:

displaying one of said set quality values.

3. A method in accordance with claim 1, further comprising:

providing an evaluating sensor for said measuring of the present activity;

evaluating the estimations of the respiration rate determined by said first and second sensors by means of said evaluating sensor.

4. A method in accordance with claim 1, wherein:

said determining of said quality value includes measuring a signal to noise ratio of one of said first and second sensors, and using said signal to noise ratio to set a respective said quality value.

5. A method in accordance with claim 1, wherein:

said determining of said quality value includes measuring movement of the subject that would interfere with the measuring of one of the first and second sensors, said determining of said quality value using the measurements of movement to set a respective said quality value.

6. A monitor for a subject, the monitor comprising:

a first sensor for sensing one or more physical characteristics relating to the subject for determining a first estimation of a respiration rate of the subject;

a second sensor for sensing one or more physical characteristics relating to the subject for determining a second estimation of the respiration rate of the subject, said second sensor being at least one of a different form of sensor from said first sensor, sensing a different physical characteristic from said first sensor and having a different manner of operation from said first sensor;

a quality value setting means for setting a quality value for each of said first and second sensors; and

a control unit for receiving signals from said first sensor and said second sensor to selectively provide the respiration rate of the subject based on physical characteristic sensing by one or both of said first sensor and said second sensor, and by each of said quality values,

wherein said control unit is configured to selectively provide the respiration rate by determining a difference between said first and second estimation of the respiration rate;

determining if said difference is less than or greater than 20%, if said difference is 20% or less, then determining a third estimation of the respiration rate by use of weighted averaging based on the first and second estimations of the respiration rate and respective said quality values; and

if said difference is greater than 20%, then choosing the one of the first and second estimations with the highest quality value as an actual respiration rate of the subject.

7. A monitor in accordance with claim 6, further comprising an evaluating sensor for evaluating at least one of said estimations of the respiration rates based on physical characteristic sensing by one or both of said first sensor and said second sensor, said evaluating sensor being separate from said first and second sensors.

8. A monitor in accordance with claim 6, wherein:

said control unit compares present said signals from said first sensor with present signals from said second sensor to determine a reliability of the first or second estimations of the respiration rate.

9. A monitor in accordance with claim 6, wherein:

said quality value setting means measures a signal to noise ratio of one of said first and second sensors, and uses said signal to noise ratio to determine a respective said quality value.

10. A monitor in accordance with claim 6, wherein:

said quality value setting means measures movement of the subject that would interfere with the sensing of one of the first and second sensors, said quality value setting means uses the measurements of movement to determine a respective said quality value.

11. A monitor in accordance with claim 6, wherein:

said quality value setting means measures external sound from around the subject that would interfere with the sensing of one of the first and second sensors, said quality value setting means uses the measurements of sound to determine a respective said quality value.

12. A monitor in accordance with claim 6, wherein:

said quality value setting means includes an evaluating sensor for sensing the evaluating information from the subject, said evaluating sensor being separate from said first sensor and said second sensor.

13. A monitor in accordance with claim 12, wherein:

one of said first sensor and said second sensor measures the respiration rate by measuring a first type of physical movement of the patient;

said evaluating sensor measures a second type of physical movement of the patient, the second type of physical movement being different than the first type of physical movement.

14. A monitor in accordance with claim 6, wherein:

said quality value setting means includes an evaluating sensor for sensing evaluating information from the subject, said evaluating information includes information concerning a wave shape of the signal received from one of said first sensor and said second sensor.

15. A monitor in accordance with claim 6, wherein:

said quality value setting means includes an evaluating sensor for sensing evaluating information from the subject, said evaluating information includes information concerning an amplitude spectrum of the signal received from one of said first sensor and said second sensor.

16. A monitor in accordance with claim 6, wherein:

said quality value setting means includes an evaluating sensor for sensing evaluating information from the subject, said evaluating information includes information concerning a frequency spectrum of the signal received from one of said first sensor and said second sensor.