System and method for determining stroke volume of a patient

• US 9,241,646 B2
• Filed: 09/11/2012
• Issued: 01/26/2016
• Est. Priority Date: 09/11/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Addison, Paul Stanley, Watson, James Nicholas
• Primary Examiner(s): EVOY, NICHOLAS LANE
• Application Number:
  US13/609,566
• Publication Number:
  US 20140073962A1
• Time in Patent Office: 1,232 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• 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 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 8/02 Measuring pulse or heart rate

Abstract

A PPG system for determining a stroke volume of a patient includes a PPG sensor configured to be secured to an anatomical portion of the patient. The PPG sensor is configured to sense a physiological characteristic of the patient. The PPG system may include a monitor operatively connected to the PPG sensor. The monitor receives a PPG signal from the PPG sensor. The monitor includes a pulse trending module determining a slope transit time of an upslope of a primary peak of the PPG signal. The pulse trending module determines a stroke volume of the patient as a function of the slope transit time.

Claims

1. A photoplethysmogram (PPG) system for determining a stroke volume of a patient, the PPG system comprising:

a PPG sensor configured to be secured to a skin surface of the patient, wherein the PPG sensor comprises a probe comprising;

one or more light sources configured to emit light into a tissue; and

one or more detectors configured to detect an amount of the light from the tissue, wherein the detected amount of the light corresponds to a physiological characteristic of the patient; and

a monitor operatively connected to the PPG sensor to receive a PPG signal from the PPG sensor, wherein the PPG signal comprises a primary peak separated from a trailing peak by a dichrotic notch, and wherein the monitor comprises a processor configured to measure an inverse gradient of an upslope of the primary peak of the PPG signal, and wherein the processor determines a stroke volume based at least in part on the inverse gradient of the PPG signal.

2. The PPG system of claim 1, wherein the PPG signal forms a PPG waveform, and wherein the processor is further configured to analyze a contour of the PPG waveform along the upslope of the primary peak to identify the inverse gradient.

3. The PPG system of claim 1, wherein the processor is configured to calculate the stroke volume based at least in part on the inverse gradient of the PPG signal and one or more empirically determined constants.

4. The PPG system of claim 3, wherein the one or more empirically determined constants comprise a calibration constant.

5. The PPG system of claim 1, wherein the monitor displays an output of the stroke volume on a display.

6. The system of claim 1, wherein the processor is configured to measure a gradient of the upslope of the primary peak.

7. The system of claim 6, wherein the processor is configured to determine an actual gradient of the upslope of the primary peak from the measured gradient by using a scaling factor, an algorithm, a lookup table, or a combination thereof.

8. The system of claim 6, wherein the measured gradient is a fixed height change or an amplitude of the PPG signal.

9. The system of claim 7, wherein the inverse gradient is the inverse of the measured gradient or the actual gradient.

10. The system of claim 1, wherein the processor is further configured to calculate a heart rate based on a frequency of or a time interval between primary peaks in the PPG signal, and to calculate a cardiac output based on the stroke volume and the heart rate.

11. The system of claim 1, wherein the inverse gradient comprises a temporal gradient per unit amplitude of the primary peak.

12. The system of claim 1, wherein the monitor further comprises an alarm triggered by the monitor when the stroke volume exceeds a threshold.

19. The system of claim 3, wherein the one or more empirically determined constants are determined through clinical examinations of the patient.

20. The system of claim 3, wherein the one or more empirically determined constants are derived from historical data related to the patient, wherein the historical data comprises patient demographic data, a body mass index, a height, a weight, or a combination thereof.

21. The system of claim 3, wherein the one or more empirically determined constants are derived from measured characteristics of the PPG signal, wherein the measured characteristics comprise a heart rate, a pulse transit time, a differential pulse transit time, or a combination thereof.

22. The system of claim 12, wherein the threshold is based on physiological conditions of the patient, and wherein the physiological conditions comprise an age, a weight, a height, a diagnosis, medications, treatments, or a combination thereof.

13. A medical system, comprising:

a photoplethysmogram (PPG) sensor configured to be secured to a skin surface of the patient, wherein the PPG sensor comprises one or more light sources configured to emit light into a tissue, and wherein the PPG sensor comprises one or more detectors configured to detect an amount of the light from the tissue; and

a monitor operatively connected to the PPG sensor to receive a PPG signal from the PPG sensor, wherein the monitor comprises;

an electrical input configured to receive the PPG signal, wherein the PPG signal comprises a primary peak;

a processor electrically coupled to the electrical input and to a memory storing instructions for performing the functions of;

calculating a heart rate based on a frequency of or a time interval between primary peaks in the PPG signal;

determining an inverse gradient of an upstroke of the primary peak of the PPG signal; and

calculating a stroke volume based at least in part on the inverse gradient; and

a display graphically displaying an indication of the stroke volume.

14. The system of claim 13, wherein the PPG signal forms a PPG waveform, and wherein the processor is further configured to analyze a contour of the PPG waveform along the upslope of the primary peak to identify the inverse gradient.

15. The system of claim 13, wherein the memory further stores instruction for calculating the stroke volume based at least in part on the inverse gradient of the PPG signal and one or more empirical constants.

16. The system of claim 13, wherein the one or more empirically determined constants comprise a calibration constant or the one or more empirically determined constants are derived from clinical examinations of the patient.

17. The system of claim 13, wherein the memory further stores instructions for calculating a cardiac output based on the stroke volume and the heart rate.

18. The system of claim 13, further comprising an alarm triggered by the processor when the calculated stroke volume exceeds a threshold.