Respiratory waveform analyzer

• US 9,955,899 B2
• Filed: 03/30/2010
• Issued: 05/01/2018
• Est. Priority Date: 03/30/2009
• Status: Active Grant

• Current Assignee: Nihon Kohden Corporation
• Original Assignee: Nihon Kohden Corporation
• Inventors: Aoki, Toshiki, Dainobu, Hidetoshi, Ukawa, Teiji, Echigo, Masahiro
• Primary Examiner(s): Mallari, Patricia
• Assistant Examiner(s): Ramachandran, Vasuda
• Application Number:
  US12/749,607
• Publication Number:
  US 20100249631A1
• Time in Patent Office: 2,954 Days
• Field of Search: 600529-543
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: G01N 21/3504 for analysing gases, e.g. multi-gas analysis
• CPC Class Codes: G01N 33/497 of gaseous biological material, e.g. breath

Abstract

A respiratory waveform analyzer, operable to analyze a respiratory waveform, which is generated based on a temporal change of a concentration of a component in respiratory gas of a subject, includes: a respiratory gas concentration generator which generates a concentration signal based on an output signal from a sensor that is placed to measure the concentration of the component; a flatness calculator which calculates a flatness indicative of flat degree of the respiratory waveform based on a temporal change of the concentration signal; and a reliability calculator which calculates a reliability of the respiratory waveform based on the flatness and the concentration signal.

Claims

1. An expiratory waveform analyzer, operable to analyze an expiratory waveform, which is generated based on a concentration of a component in expiratory gas of a subject measured over a plurality of time intervals, the expiratory waveform analyzer comprising:

an expiratory gas concentration generator which generates a concentration signal indicating values of the concentration of the component based on an output signal from a sensor that measures the concentration of the component;

a flatness calculator which calculates differences between the values of the concentration of the component indicated by the concentration signal over the plurality of time intervals of the expiratory waveform based on the concentration signal, and which calculates a flatness of the expiratory waveform based on the calculated differences;

a reliability calculator which calculates a reliability of the expiratory waveform based on the flatness and the values of the concentration of the component indicated by the concentration signal; and

a respiratory rate detecting portion which determines whether the expiratory waveform is reliable for inclusion in calculation of a respiratory rate of the subject based on the reliability of the expiratory waveform, and calculates the respiratory rate of the subject using the expiratory waveform in response to determining that the expiratory waveform is reliable and calculates the respiratory rate of the subject without inclusion of the expiratory waveform in response to determining that the expiratory waveform is not reliable.

2. The expiratory waveform analyzer according to claim 1, wherein the flatness is a function of an accumulated value which is obtained by accumulating differences between the concentration of the component at time intervals during which the concentration of the component generating the expiratory waveform is measured by the sensor, based on the concentration signal.

3. The expiratory waveform analyzer according to claim 2, wherein the flatness is a function of absolute values of the differences.

4. The expiratory waveform analyzer according to claim 2, wherein the flatness is equal to:

5. The expiratory waveform analyzer according to claim 1, wherein the reliability calculator calculates the reliability based on the flatness which is calculated at a timing by the flatness calculator, and the values of the concentration of the component indicated by the concentration signal at the timing.

6. The expiratory waveform analyzer according to claim 5, further comprising:

an effective concentration detector which detects a value of the concentration signal at a timing when the reliability that is calculated in a predetermined concentration detecting time period is maximum, as an effective concentration of the component in the expiratory gas in the concentration detecting time period.

7. The expiratory waveform analyzer according to claim 6, wherein the effective concentration detector accumulates the reliability in the concentration detecting time period to obtain an accumulated value in the concentration detecting time period, determines whether the expiratory waveform is reliable for inclusion in calculation of the effective concentration of the component in the expiratory gas of the subject based on whether the reliability in the concentration detecting time period exceeds a predetermined reliability, detects the effective concentration in the concentration detecting time period in response to determining that the expiratory waveform is reliable for inclusion in calculation of the effective concentration of the component in the expiratory gas of the subject and does not detect the effective concentration in the detecting time period in response to determining that the expiratory waveform is not reliable for inclusion in calculation of the effective concentration of the component in the expiratory gas of the subject, and calculates the effective concentration of the component in the expiratory gas of the subject, using the expiratory waveform if the expiratory waveform is reliable for inclusion in calculation of the effective concentration of the component in the expiratory gas of the subject and calculates the effective concentration of the component in the expiratory gas of the subject without inclusion of the expiratory waveform if the expiratory waveform is not reliable for inclusion in calculation of the effective concentration of the component in the expiratory gas of the subject.

8. The expiratory waveform analyzer according to claim 7, wherein the concentration detecting time period is a time period corresponding to one cycle of the expiratory waveform.

9. The expiratory waveform analyzer according to claim 8, further comprising:

a weighted average processor which, when a plurality of the effective concentrations are detected, weights each of the effective concentrations in accordance with degree of the accumulated value in the corresponding concentration detecting time period, and averages the weighted effective concentrations, to calculate a weighted average value.

10. The expiratory waveform analyzer according to claim 9, further comprising:

a display that displays at least one of a number at which the effective concentration detector detects the effective concentration in a time period, and the weighted average value calculated by the weighted average processor.

11. The expiratory waveform analyzer according to claim 6, wherein the expiratory gas concentration generator includes:

an expiratory gas concentration detector which converts an analog signal output from the sensor to a digital expiratory gas signal; and

an expiratory gas concentration calculator which generates the expiratory waveform signal based on the expiratory gas signal from the expiratory gas concentration detector,

the concentration signal is the expiratory waveform signal, and

when a value of the expiratory gas signal is a value or greater, which indicates that the concentration of the component is high, the effective concentration detector detects the effective concentration in the concentration detecting time period.

12. The expiratory waveform analyzer according to claim 11, further comprising:

a concentration detection value corrector which corrects the expiratory waveform signal corresponding to the expiratory gas signal, in accordance with a ratio of the expiratory gas signal to a predetermined reference value.

13. The expiratory waveform analyzer according to claim 1, further comprising:

an expiratory airway adaptor in which the expiratory gas of the subject flows; and

a liquid detector which detects a liquid in the expiratory airway adaptor.

14. The expiratory waveform analyzer of claim 1, wherein the reliability of the expiratory waveform indicates one of (i) to include the expiratory waveform in a determination of an expiratory rate of the subject and (ii) to ignore the expiratory waveform in the determination of the expiratory rate of the subject.

15. An expiratory waveform analyzer comprising:

a sensor that detects over a duration of time a concentration of a gas component of a subject at each of a plurality of time intervals in the duration of time;

an expiratory gas concentration generator that generates an expiratory waveform over the duration of time based on the concentration of the gas component at each of the plurality of time intervals;

a flatness calculating portion that calculates differences between the concentration of the gas component at each consecutive pair of the plurality of time intervals in the duration of time, and that calculates a flatness scaling factor for each of the plurality of time intervals based on the calculated differences;

a reliability calculating portion that scales the concentration of the gas component at each of the plurality of time intervals by the flatness scaling factor for the respective each of the plurality of time intervals, the scaled concentration of the gas component at each of the plurality of time intervals being a reliability of the concentration of the gas component at each of the plurality of time intervals;

an effective concentration detecting portion that determines a reliability of the expiratory waveform based on the reliabilities of the concentration of the gas component at each of the plurality of time intervals, compares the reliability of the expiratory waveform to a waveform reliability threshold, and determines whether the expiratory waveform is a reliable expiratory waveform based on a result of the comparing; and

an expiratory rate detecting portion that calculates an expiratory rate of the patient based on the expiratory waveform in response to the effective concentration detecting portion determining that the expiratory waveform is the reliable expiratory waveform, wherein the expiratory rate detecting portion calculates the expiratory rate of the patient by ignoring the expiratory waveform in response to the effective concentration detecting portion determining that the expiratory waveform is not the reliable expiratory waveform.