Indicating the accuracy of a physiological parameter

• US 9,186,075 B2
• Filed: 03/24/2009
• Issued: 11/17/2015
• Est. Priority Date: 03/24/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Baker, Clark R. Jr., Andersohn, Lutz, Mannheimer, Paul
• Primary Examiner(s): DOUGHERTY, SEAN PATRICK
• Application Number:
  US12/409,704
• Publication Number:
  US 20100249549A1
• Time in Patent Office: 2,429 Days
• Field of Search: 600/483, 600/300, 600/301, 600309-344, 730/0
• US Class Current: 1/1
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/7415 Sound rendering of measured values, e.g. by pitch or volume variation A61B5/741 takes precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

This disclosure describes systems and methods for displaying information that describes the accuracy of estimated values of physiological parameters. As part of the process of estimating a physiological parameter, the data used for the estimation are further analyzed to determine one or more statistical parameters indicative of the accuracy of the estimate. These statistical parameters are then displayed to the caregiver in order to provide the caregiver additional information concerning the estimated value. In the systems and methods described herein, one or more probability analyses are performed on the data used to generate the estimate of the physiological parameter. The analyses may include calculating the accuracy, confidence interval or some other statistical parameter representative of the accuracy of the estimate of the physiological parameter from the variations in the data An indication of the accuracy and/or an indication of the calculated probability may then be displayed to a caregiver or user.

Claims

1. A method for displaying oxygen saturation of a patient'"'"'s blood comprising, using a processor configured to determine the oxygen saturation, wherein the processor is associated with a patient monitor, and wherein determining the oxygen saturation comprises:

calculating using the processor an estimated value of the oxygen saturation of the patient'"'"'s blood based at least in part upon information received from a sensor;

displaying the estimated value on a display of the patient monitor;

calculating, using the processor, at least one statistical parameter associated with the estimated value based at least in part upon information received from the sensor, wherein calculating the at least one statistical parameter comprises calculating an accuracy of the estimated value based at least in part upon one or more data characteristics of the information received from the sensor, wherein the one or more data characteristics comprise a pulse amplitude, a pulse shape, or a correlation of infrared and red components; and

displaying the at least one statistical parameter with the estimated value on the display, wherein displaying the at least one statistical parameter comprises displaying the accuracy of the estimated value and at least one of an upper limit of a confidence interval and a lower limit of the confidence interval, wherein the displayed confidence interval limit is calculated based at least in part upon a predetermined confidence level or the information received from the sensor.

2. The method of claim 1 further comprising:

receiving a user selection, via a user interface of the patient monitor, selecting the predetermined confidence level.

3. The method of claim 1, wherein displaying the at least one statistical parameter comprises:

displaying the upper limit of the confidence interval, the lower limit of the confidence interval, and the accuracy of the estimated value on the display.

4. The method of claim 1, wherein displaying the at least one statistical parameter comprises:

displaying the predetermined confidence level on the display.

5. The method of claim 3 further comprising:

displaying a representation of a dial having a circumference with an associated scale on the display;

displaying an arrow pointing to a first position on the circumference corresponding to the estimated value of the oxygen saturation of the patient'"'"'s blood on the display;

displaying a first mark on the circumference at a second position corresponding to the upper limit of the confidence interval on the display;

displaying a second mark on the circumference at a third position corresponding to the lower limit of the confidence interval on the display; and

adjusting a displayed feature of the arrow based on the accuracy.

6. The method of claim 3 further comprising:

displaying a bar with an associated scale on the display;

displaying a first mark at a first position on the bar corresponding to the estimated value of the oxygen saturation of the patient'"'"'s blood on the display;

displaying a second mark at a second position on the bar corresponding to the upper limit of the confidence interval on the display;

displaying a third mark at a third position on the bar corresponding to the lower limit of the confidence interval on the display; and

displaying the first mark with a size corresponding to the accuracy of the estimated value of the oxygen saturation of the patient'"'"'s blood on the display.

7. A method for display of a physiological parameter comprising, using a processor configured to determine the physiological parameter, wherein the processor is associated with a patient monitor, and wherein determining the physiological parameter comprises:

calculating, using the processor, an estimated value of the physiological parameter based at least in part upon physiological data received from a sensor;

displaying a graphical representation comprising a numerical scale on a display of the patient monitor;

displaying a first indicator on the graphical representation at a first position relative to the numerical scale corresponding to the estimated value of the physiological parameter; and

displaying a second indicator on the display describing a probability distribution of the estimated value of the physiological parameter, wherein displaying the second indicator comprises displaying the second indicator on the graphical representation at a second position relative to the numerical scale corresponding to an upper limit of a confidence interval or a lower limit of the confidence interval associated with the estimated value of the physiological parameter.

8. The method of claim 7, wherein displaying the second indicator further comprises:

identifying a predetermined confidence level, wherein the upper limit or lower limit is calculated based at least in part upon the predetermined confidence level and the physiological data received from the sensor.

9. The method of claim 7, comprising displaying a third indicator on the graphical representation, wherein the second position of the second indicator corresponds to the upper limit of the confidence interval, and wherein displaying the third indicator comprises displaying the third indicator at a third position relative to the numerical scale corresponding to the lower limit of the confidence interval.

10. The method of claim 7 further comprising:

displaying a third indicator describing an accuracy of the estimated value on the display.

11. The method of claim 10, wherein displaying the third indicator further comprises:

calculating, using the processor, a standard deviation of the physiological data received from the sensor; and

generating, using the processor, the third indicator based on the standard deviation.

12. The method of claim 7 further comprising:

displaying the probability distribution of the estimated value of the physiological parameter.

13. The method of claim 7, wherein the graphical representation comprises a bar adjacent to and parallel with the numerical scale.

14. The method of claim 7, wherein the graphical representation comprises a graphical representation of a dial, and wherein the numerical scale is disposed about a circumference of the graphical representation of the dial.

15. The method of claim 14 further comprising:

displaying the first indicator as an arrow within the graphical representation of the dial pointing to the estimated value of the physiological parameter; and

displaying the second indicator as a bar on the circumference of the graphical representation of the dial.

16. The method of claim 7 comprising:

audibly communicating the estimated value of the physiological parameter.

17. The method of claim 7 comprising:

calculating, using the processor, an accuracy of the estimated value of the physiological parameter.

18. The method of claim 17 further comprising:

generating one or more audible tones having at least one of a pitch, an amplitude, a duration, and a separation period selected based on the accuracy of the physiological parameter.

20. The method of claim 12, wherein the probability distribution comprises a first curve describing a first probability that an actual value of the physiological parameter is less than the estimated value of the physiological parameter, and wherein the probability distribution comprises a second curve-describing a second probability that the actual value of the physiological parameter is greater than the estimated value of the physiological parameter.

19. A monitor, comprising:

a processor configured to;

calculate an estimated value of oxygen saturation of a patient based at least in part upon information received from a sensor;

calculate an accuracy of the estimated value based at least in part upon one or more data characteristics of the information received from the sensor, wherein the one or more data characteristics comprise a pulse amplitude, a pulse shape, or a correlation of infrared and red components; and

calculate at least one of an upper limit of a confidence interval or a lower limit of the confidence interval, wherein the upper limit or the lower limit of the confidence interval is calculated based at least in part upon a predetermined confidence level or information received from the sensor; and

a display configured to display the estimated value, the accuracy, and the upper limit or the lower limit of the confidence interval.