1315 results about "Pulse rate" patented technology

A data confidence indicator includes a plurality of physiological data and a plurality of signal quality measures derived from a physiological sensor output, and a plurality of comparator outputs each responsive to one of the measures and a corresponding one of a plurality of thresholds. An alert trigger output combines the comparator outputs. A low signal quality warning is generated in response to the alert trigger output, wherein the thresholds are set so that the warning occurs during a time period when there is low confidence in the data. The alert may be in the form of a message generated on the pulse oximeter display to warn that the accuracy of saturation and pulse rate measurements may be compromised. A confidence-based alarm utilizes signal quality measures to reduce the probability of false alarms when data confidence is low and to reduce the probability of missed events when data confidence is high.

A signal processor generates basis functions and identifies at least one basis function component of a sensor signal in order to calculate a physiological measurement. The signal processor is advantageously applied to pulse oximetry so as to directly calculate oxygen saturation and so as to calculate a robust oxygen saturation measurement. In particular, a signal component transform may be calculated within a window around a derived pulse rate estimate. A signal component transform may also utilize sinusoidal basis functions, and an optimization of a signal component transform may occur at a particular frequency or a set of frequencies. A sinusoidal waveform or waveforms at that frequency or set of frequencies is generated to select associated red and infrared components of the sensor signal, and an oxygen saturation is calculated from a magnitude ratio of these components.

A pulse oximeter has an integrated mode in which it operates as a plug-in module for a multiparameter patient monitoring system (MPMS). The pulse oximeter also has a portable mode in which operates separately from the MPMS as a battery-powered handheld or standalone instrument. The pulse oximeter has a sensor port that receives a photo-plethysmographic signal as input to an internal processor. The pulse oximeter processes this sensor signal to derive oxygen saturation and pulse rate measurements. In the portable mode, this information is provided on its display, and stored in memory for trend capability. In the integrated mode, the pulse oximeter provides oxygen saturation and pulse rate measurements to the MPMS through a docking station to be displayed on a MPMS monitor. In the integrated mode, the portable pulse oximeter docks to the docking station, which in turn is inserted in one or more MPMS slots. The docking station can function as a simple electrical pass-through device between the docked portable pulse oximeter and the MPMS or it can provide a MPMS communications interface.

A processor provides signal quality based limits to a signal strength operating region of a pulse oximeter. These limits are superimposed on the typical gain dependent signal strength limits. If a sensor signal appears physiologically generated, the pulse oximeter is allowed to operate with minimal signal strength, maximizing low perfusion performance. If a sensor signal is potentially due to a signal induced by a dislodged sensor, signal strength requirements are raised. Thus, signal quality limitations enhance probe off detection without significantly impacting low perfusion performance. One signal quality measure used is pulse rate density, which defines the percentage of time physiologically acceptable pulses are occurring. If the detected signal contains a significant percentage of unacceptable pulses, the minimum required signal strength is raised proportionately. Another signal quality measure used in conjunction with pulse rate density is energy ratio, computed as the percentage of total energy contained in the pulse rate fundamental and associated harmonics.

A system for long-term remote medical monitoring is especially suitable for the medical supervision of astronauts onboard a space station. The system includes at least one autonomous sensor unit (SU) with a sensor (1) and transmit / receive electrodes (2) connected to a microchip (3) and mounted on a carrier (4) in the form of an adhesive bandage that can easily be applied to the skin of the subject astronaut (11). The system further includes a body transceiver (10) that is worn on the body of the subject and acts as a centralized transmitting and receiving unit, and a portable data logger (12). Medical data such as the pulse rate and the like, as well as environmental data such as the ambient surrounding air temperature, are sensed by respective allocated sensor units (SU) and transmitted from the sensor units as electrical signals via the skin and other body tissues of the subject (11) to the body transceiver (10). From the body transceiver (10), the data signals are further transmitted, for example by a radio or infrared transmission, to the data logger (12), where the data can be recorded, displayed, processed, or further transmitted via a satellite (14) to a base station (13) or a ground-based facility such as a hospital (15). Polling signals are also transmitted from the body transceiver (10) to the sensor units (SU) in a wireless manner through the skin and other body tissues of the subject.

The present invention relates to advanced signal processing methods including digital wavelet transformation to analyze heart-related electronic signals and extract features that can accurately identify various states of the cardiovascular system. The invention may be utilized to estimate the extent of blood volume loss, distinguish blood volume loss from physiological activities associated with exercise, and predict the presence and extent of cardiovascular disease in general.

A user configurable variable mode pulse indicator provides a user the ability to influence outputs indicative of a pulse occurrence at least during distortion, or high-noise events. For example, when configured to provide or trigger pulse indication outputs, a pulse indicator designates the occurrence of each pulse in a pulse oximeter-derived photo-plethysmograph waveform, through waveform analysis or some statistical measure of the pulse rate, such as an averaged pulse rate. When the configured to block outputs or not trigger pulse indication outputs, a pulse indicator disables the output for one or more of an audio or visual pulse occurrence indication. The outputs can be used to initiate an audible tone “beep” or a visual pulse indication on a display, such as a vertical spike on a horizontal trace or a corresponding indication on a bar display. The amplitude output is used to indicate data integrity and corresponding confidence in the computed values of saturation and pulse rate. The amplitude output can vary a characteristic of the pulse indicator, such as beep volume or frequency or the height of the visual display spike.

A wearable platform embodied in a belt or patch provides physiological monitoring of soldiers during field operations or trauma victims at accident sites and makes health state assessments. The platform includes sensors for heart rate, body motion, respiration rate and intensity, and temperature and further contains a microprocessor and short range transmitter. An analog circuit running an algorithm obtains the R-wave period from the EKG signal and produces electrical pulses with the period between pulses corresponding to the R-wave period. A rule based processing engine having an evaluation algorithm is capable of making a medical evaluation of subject condition and determines a confidence level for the evaluation. The rules are subject to variation depending upon the subject population. The information is communicated wirelessly to a local hub for relay to a remote monitor.

The invention provides a body-worn monitor that measures a patient's vital signs (e.g. blood pressure, SpO2, heart rate, respiratory rate, and temperature) while simultaneously characterizing their activity state (e.g. resting, walking, convulsing, falling). The body-worn monitor processes this information to minimize corruption of the vital signs by motion-related artifacts. A software framework generates alarms / alerts based on threshold values that are either preset or determined in real time. The framework additionally includes a series of ‘heuristic’ rules that take the patient's activity state and motion into account, and process the vital signs accordingly. These rules, for example, indicate that a walking patient is likely breathing and has a regular heart rate, even if their motion-corrupted vital signs suggest otherwise.

In order to obtain calorie expenditure with good accuracy, the device is provided with a basal metabolic state specifying element (142) which specifies the subject's basal metabolic state from his body temperature; a correlation storing element (151) which stores respective regression formulas showing the correlation between the pulse rate and the calorie expenditure when the subject is at rest or active; a correlation correcting element (152) which correcting the stored regression formulas using the basal metabolic state; a body motion determining element (104) which determines whether or not the subject is at rest; and a regression formula selecting element (153) which selects the regression formula which should be used in accordance with the results of this determination. The subject's pulse rate is applied in the selected regression formula, and the calorie expenditure corresponding to this pulse rate is calculated by calorie expenditure calculator (162).

A wearable system or garment comprises at least three conductive electrodes that may, for example, be made of stretch-recovery electrically conductive yarns integrated with non-conductive stretch-recovery yarns that make up the remaining portion of the wearable system or garment. The wearable or garment further comprises means for using three electrodes to monitor at least one physiological or biophysical event or characteristic of the wearer. One electrode is specifically used to feed back an inverted noise signal to the wearer to destructively interfere with the wearer generated noise. Specifically, the wearer's heart rate, ECG and associated electrical characteristics may be monitored in high resolution under dry electrode conditions.

PCT No. PCT / JP97 / 02029 Sec. 371 Date Feb. 9, 1998 Sec. 102(e) Date Feb. 9, 1998 PCT Filed Jun. 12, 1997 PCT Pub. No. WO97 / 47239 PCT Pub. Date Dec. 18, 1997In order to obtain calorie expenditure with good accuracy, the device is provided with a basal metabolic state specifying element (142) which specifies the subject's basal metabolic state from his body temperature; a correlation storing element (151) which stores respective regression formulas showing the correlation between the pulse rate and the calorie expenditure when the subject is at rest or active; a correlation correcting element (152) which correcting the stored regression formulas using the basal metabolic state; a body motion determining element (104) which determines whether or not the subject is at rest; and a regression formula selecting element (153) which selects the regression formula which should be used in accordance with the results of this determination. The subject's pulse rate is applied in the selected regression formula, and the calorie expenditure corresponding to this pulse rate is calculated by calorie expenditure calculator (162).

A cardiac rhythm management system includes an atrial pacing preference (APP) filter for promoting atrial pacing. The APP filter includes an infinite impulse response (IIR) or other filter that controls the timing of delivery of atrial pacing pulses. The atrial pacing pulses are delivered at an APP-indicated pacing rate that is typically at a small amount above the intrinsic atrial heart rate. For sensed beats, the APP indicated rate is increased until it becomes slightly faster than the intrinsic atrial heart rate. The APP-indicated pacing rate is then gradually decreased to search for the underlying intrinsic atrial heart rate. Then, after a sensed atrial beat, the APP filter again increases the pacing rate until it becomes faster than the intrinsic atrial rate by a small amount. As a result, most atrial heart beats are paced, rather than sensed. This decreases the likelihood of the occurrence of an atrial tachyarrhythima, such as atrial fibrillation. The decreased likelihood of atrial tachyarrhythmia, in turn, decreases the likelihood of inducing a ventricular arrhythmia, either as a result of the atrial tachyarrhythmia, or as the result of delivering a defibrillation shock to treat the atrial tachyarrhythmia.

In a technique for collecting and analyzing physiological signals to detect sleep apnea, a small light-weight physiological monitoring system, affixed to a patient's forehead, detects and records the pulse, oximetry, snoring sounds, and head position of a patient to detect a respiratory event, such as sleep apnea. The physiological monitoring system may contain several sensors including a pulse oximeter to detect oximetry and pulse rate, a microphone to detect snoring sounds, and a position sensor to detect head position. The physiological monitoring system also can contain a memory to store or record the signals monitored by the mentioned sensors and a power source. The physiological monitoring system may be held in place by a single elastic strap, thereby enabling a patient to use the system without the assistance of trained technicians.

Program products, methods, and systems for providing fitness monitoring services are disclosed. In an embodiment, a method for providing heart rate information to a user of a portable fitness monitoring service includes: (a) defining a plurality of heart rate zones as ranges of percentages of a maximum heart rate; (b) associating a color with each of said heart rate zones; (c) receiving heart rate information from the user; and (d) providing a graphical display of the heart rate information, wherein a color of a portion of the graphical display corresponds with the color associated with one of said heart rate zones, wherein steps (a)-(d) are executed using at least one processor.

A monitoring device (20) and method (200) for monitoring the health of a user is disclosed herein. The monitoring device (20) is preferably a watch (25), an optical sensor (30) disposed on a band of the watch (25), a circuitry assembly (35) embedded within a main body of the watch (25), a display member (40) disposed on an exterior surface of the main of the watch, and a control component (43). The monitoring device (20) preferably displays the following information about the user: pulse rate; blood oxygenation levels; calories expended by the user of a pre-set time period; target zones of activity; time; distance traveled; and dynamic blood pressure. The watch (25) also displays the time of day on the display member (40).

A cardiac monitor is provided that monitors the condition of the heart of a cardiac patient and generates signals indicating one of several conditions, such as supraventricular tachycardia, ventricular tachycardia and ventricular fibrillation. In order to generate these signals, the ECG from the patient is analyzed to determine a cardiac interval and heart rate, as well as a waveform factor and a waveform factor irregularity. The waveform factor is derived from the average of the ECG amplitudes during a cardiac interval and the peak value of the ECG during the same interval. Preferably, a running average is calculated over several intervals. This waveform factor is then used to detect shockable ventricular arrhythmia. The waveform factor irregularity is indicative of the variability of the waveform factor and is used to differentiate between ventricular tachycardia and ventricular defibrillation.

A safety indicator monitors environment conditions detrimental to humans e.g., hazardous gases, air pollutants, low oxygen, radiation levels of EMF or RF and microwave, temperature, humidity and air pressure retaining a three month history to upload to a PC via infra red data interface or phone link. Contaminants are analyzed and compared to stored profiles to determine its classification and notify user of an adversity by stored voice messages from, via alarm tones and associated flashing LED, via vibrator for silent operation or via LCD. Environmental radiation sources are monitored and auto-scaled. Instantaneous radiation exposure level and exposure duration data are stored for later readout as a detector and dosimeter. Scans for EMF allow detection with auto scaling of radiation levels and exposure durations are stored for subsequent readout. Electronic bugs can be found with a high sensitivity EMF range setting. Ambient temperature measurements or humidity and barometric pressure can be made over time to predict weather changes. A PCS RF link provides wireless remote communications in a first responder military use by upload of alarm conditions, field measurements and with download of command instructions. The link supports reception of telemetry data for real time remote monitoring of personnel via the wrist band for blood pressure, temperature, pulse rate and blood oxygen levels are transmitted. Commercial uses include remote environmental data collection and employee assignment tasking. GPS locates personnel and reporting coordinates associated with alarm occurrences and associated environmental measurements.

Pacing systems are disclosed including detectors for detecting the presence of electromagnetic interference and setting an interference state pacing mode and pacing rate. The interference state pacing mode and pacing rate are altered as a function of patient pacemaker dependency and the prevailing mean heart rate. When pacemaker dependency exists, the pacing rate is maintained and even increased from the prevailing mean heart for the duration of the interference state. When the patient is determined to not be pacemaker dependent, pacing is inhibited or suspended for the duration of the interference state.

Devices and methods are disclosed that treat a medical condition, such as migraine headache, by electrically stimulating a nerve noninvasively, which may be a vagus nerve situated within a patient's neck. Preferred embodiments allow a patient to self-treat his or her condition. Disclosed methods assure that the device is being positioned correctly on the neck and that the amplitude and other parameters of the stimulation actually stimulate the vagus nerve with a therapeutic waveform. Those methods comprise measuring properties of the patient's larynx, pupil diameters, blood flow within an eye, electrodermal activity and / or heart rate variability.

Portable pulse rate detecting device for contact with human body tissue, including a light-emitting source for emitting radiant energy directed at through human body tissue; at least first and second light detectors for detecting intensity of radiant energy after propagation through human body tissue and for providing first and second input signals as a function of such propagation, a detecting device for providing a motion reference signal, and processing means for removing motion-related contributions from the first and second input signals and subtracting a calculated model based on the motion reference signal from each of the first and second input signals, wherein the processing means is also for removing measurement noise and residual non-modeled contributions from the first and second enhanced signals using a noise reduction algorithm.

A method of diagnosing pulmonary congestion is provided. At least one decrease in a trans-thoracic impedance value from a baseline trans-thoracic impedance value is sensed. At least one increase in a heart rate value from a baseline heart rate value is also sensed. Pulmonary congestion is diagnosed if the decrease in the trans-thoracic impedance value corresponding to the increase in the heart rate does not increase after a predetermined interval. Systems and programs incorporating the method are also provided.

A monitoring device (20) and method (200) for monitoring the health of a user is disclosed herein. The monitoring device (20) preferably includes eyewear (25) with an optical sensor (30), a digital storage and processing device (35) with a display member (40) and a control component (43), and a connection cable (45). The monitoring device (20) preferably displays the following information about the user: pulse rate; calories expended by the user of a pre-set time period; target zones of activity; time; and distance traveled.

A method of conserving power and extending the life of a battery in an implantable rate-responsive cardiac rhythm management device. In accordance with the preferred embodiment, a first physiologic sensor is used to enable a power consuming feature only when the first sensor produces an output falling within a predetermined range and subsequently disables the power consuming feature when the output of the first sensor falls back outside the predetermined range. The first sensor may measure heart rate, physical movement, posture or other parameters and the power consuming feature may comprise further physiologic sensors, a different mode of pacing or a combination thereof.

A method and device for measuring a patient's pulse rate and blood pressure and also the condition of the blood vessel access can be accurately monitored by identifying a frequency component of the pressure wave caused by the patient's heartbeat among other pressure waves in a fluid by frequency analysis. The method and device are used when a medical device is connected to the patient's blood vessel via a blood vessel access and has a mechanical device for applying pressure to a fluid to transport it to said blood vessel.

Methods and apparatus for detecting oxygen saturation levels in blood from within an auditory canal of a living being proximal to a tympanic membrane are disclosed. The auditory canal is lined with tissue and includes a proximal bend and a distal bend located between the proximal bend and the tympanic membrane. Oxygen levels are detected by emitting one or more wavelengths of light into a first position on the tissue of the auditory canal in a first region defined by the distal bend and the tympanic membrane. The wavelengths of light are then sensed at a second position on the tissue of the auditory canal in the first region. A blood oxygen saturation level and / or pulse rate is then calculated responsive to intensity information corresponding to the wavelengths of light detected at the second position.

A maternal-fetal monitoring system for use during all stages of pregnancy, including antepartum and intrapartum stages. The maternal-fetal monitoring system of the subject invention comprises (1) a set of sensors; (2) an amplifying / filtering means; (3) a computing means; and (4) a graphical user interface. Accurate clinical data, which can be extracted and provided to the user in real-time using the system of the invention, include without limitation, maternal electrocardiogram (ECG) signals, maternal uterine activity signals (EHG), maternal heart rate, fetal ECG signals, and fetal heart rate. In a preferred embodiment, the maternal-fetal monitoring system of the invention includes an intelligence means, such as a neural network system, to analyze and interpret clinical data for use in clinical diagnosis antepartum, intrapartum and postpartum, as well as delivery strategy.