Nellcor Puritan Bennett Ireland

Covidien LP

Nellcor Puritan Bennett Incorporated

Other

Cardiodigital Limited

Nellcot Puritan Bennett Ireland

Nelleor Puritan Bennett Ireland

Neilcor Puritan Bennett Ireland

Nellcor Puritan Bennet Ireland

Addison, Paul

Montgomery, Dean

Watson, James

James Nicholas Watson

Paul Stanley Addison

Scott McGonigle

Rakesh Sethi

James Ochs

Dean Montgomery

Edward M McKenna

Braddon M Van Slyke

Keith Manning

David Clifton

Paul A Edney

Robert Stoughton

Daniel Wayne Bartlett

Clark Raymond Baker, Jr

Peter Doyle

Bo Chen

Mark Su

James Dripps

Michael Mestek

Eric Morland

Rui Wang

Ron Kadlec

Daniel M Lisogurski

Youzhi Li

Peter M Galen

Niranjan Maharajh

Mark Kolnsberg

Corinne H Johnson

Ronald Kadlec

Graeme A Lyon

David J Giarracco

Clark R Baker

George Keith Manning

Binwel Weng

Jimmy Dripps

Andrew M Cassidy

Andrew Cassidy

James Wolstencroft

Scott Mcgonigle

A method for monitoring autoregulation includes, using a processor, using a processor to execute one or more routines on a memory. The one or more routines include receiving one or more physiological signals from a patient, determining a correlation-based measure indicative of the patient's autoregulation based on the one or more physiological signals, and generating an autoregulation profile of the patient based on autoregulation index values of the correlation-based measure. The autoregulation profile includes the autoregulation index values sorted into bins corresponding to different blood pressure ranges. The one or more routines also include designating a blood pressure range encompassing one or more of the bins as a blood pressure safe zone indicative of intact regulation and providing a signal to a display to display the autoregulation profile and a first indicator of the blood pressure safe zone.

System and method for providing blood pressure safe zone indication during autoregulation monitoring

Methods and systems are provided for determining fluid administration. The system may determine fluid administration based on the fluid responsiveness and regional oxygen saturation of a subject. The system may receive the fluid responsiveness and regional oxygen saturation from external sources or may determine one or both based on received physiological signals. In some embodiments, the system may determine whether to administer fluid based on the fluid responsiveness and regional oxygen saturation. In some embodiments, the system may determine the amount of fluid to administer based on the fluid responsiveness and regional oxygen saturation. In some embodiments, the system may determine the effectiveness of fluid administration. In some embodiments, the system may provide an indication of the determined fluid administration so that a care-giver can implement the appropriate fluid administration. In some embodiments, the system may control the fluid administration based on its determination.

Methods and systems for determining fluid administration

Methods, systems, and devices for measuring respiratory parameters from an ECG device are described. The method may include receiving an electrocardiogram (ECG) signal associated with a patient. The method may further include detecting a change in modulation of the ECG signal between a first portion of the ECG signal and a second portion of the ECG signal. The method may further include determining a change in respiratory effort of the patient based at least in part on the change in modulation.

Measuring respiratory parameters from an ECG device

A patient monitor for monitoring cerebral activity of a patient may include a processor configured to determine a depth of consciousness index for the patient based on electroencephalography (EEG) data and determine regional oxygen saturation for the patient based on regional oximetry data. Additionally, the processor may be configured to determine a metric associated with cerebral activity of the patient based at least in part on the one or more values of the depth of consciousness index and the one or more regional oxygen saturation values and to provide the one or more values of a depth of consciousness index and the metric to an output device.

System and method for monitoring cerebral activity

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.

System and method for determining stroke volume of a patient

The present invention relates to physiological signal processing, and in particular to methods and systems for processing physiological signals to predict a fluid responsiveness of a patient. A medical monitor for monitoring a patient includes an input receiving a photoplethysmograph (PPG) signal representing light absorption by a patient's tissue. The monitor also includes a perfusion status indicator indicating a perfusion status of the PPG signal, and a fluid responsiveness predictor (FRP) calculator programmed to calculate an FRP value based on a respiratory variation of the PPG signal. The FRP calculator applies a correction factor based on the perfusion status indicator.

System and method for generating an adjusted fluid responsiveness metric

Methods and systems are presented for indicating the proximity of a process requirement metric to a corresponding system process requirement in a physiological monitor. Metrics are determined based on a received physiological signal, such as a PPG signal. At least one of the metrics is compared to a corresponding system process requirement, such as a threshold, which can be used to trigger a system process, such as an alarm, a recalibration, or a measurement. The proximity of the metric to the corresponding system process requirement is calculated and indicated. Indicating the proximity to a system process requirement may provide valuable information to clinicians and allow them to manually trigger system processes, such as measurements or recalibrations, when a metric is close to a system process requirement for a significant period of time.

Methods and systems for providing the proximity of a process requirement metric to a system process requirement

Various methods and systems for blood pressure monitoring are provided. A device for monitoring blood pressure may include a memory storing instructions for receiving one or more signals representative of one or more patient parameters, wherein at least one of the one or more signals comprises a plethysmography signal. The memory also stores instructions for determining a change in a pulse shape metric of the plethysmography signal and determining a change in a blood pressure signal over a period of time based on the one or more signals. The memory also stores instructions for determining a confidence level of the blood pressure signal based at least in part on a correlation between the change in the blood pressure signal and the change in the pulse shape metric over the period of time. The device also includes a processor configured to execute the instructions.

Systems and methods for monitoring blood pressure

A method for monitoring autoregulation includes, using a processor, receiving a blood pressure signal an oxygen saturation signal, and a regional oxygen saturation signal from a patient. The method also includes normalizing the regional oxygen saturation signal to correct for variation in the oxygen saturation signal based on a relationship between the oxygen saturation signal and the regional oxygen saturation signal. The method further includes determining a linear correlation between the blood pressure signal and the normalized regional oxygen saturation signal. The method still further includes providing a signal indicative of the patient's autoregulation status to an output device based on the linear correlation.

System and method for monitoring autoregulation utilizing normalized regional oxygen saturation values

In some examples, a device includes processing circuitry configured to receive first and second signals indicative of first and second physiological parameters, respectively, of a patient. The processing circuitry is also configured to determine a first estimate of a limit of autoregulation of the patient based on the first and second signals. The processing circuitry is further configured to determine a difference between the first estimate of the limit of autoregulation and one or more other estimates of the limit of autoregulation. The processing circuitry is configured to determine a weighted average of the first estimate and a previous value of the limit of autoregulation based on the difference between the first estimate and the one or more other estimates. The processing circuitry is configured to determine an autoregulation status based on the weighted average and output, for display via the display, an indication of the autoregulation status.

Determining changes to autoregulation

A method for monitoring autoregulation includes, using a processor, receiving a blood pressure signal, a regional oxygen saturation signal, and a blood volume signal from a patient. The method also includes determining a first linear correlation between the blood pressure signal and the regional oxygen saturation signal and determining a second linear correlation between the blood pressure signal and the blood volume signal. The method also includes determining a confidence level associated with the first linear correlation based at least in part on the second linear correlation and providing a signal indicative of the patient's autoregulation status to an output device based on the linear correlation and the confidence level.

Systems and methods for monitoring autoregulation using a confidence level

Methods and systems are presented for determining physiological information in a physiological monitor. A physiological signal (e.g., an EEG signal) received from a subject is wavelet transformed and first and second related features that vary in scale over time are identified in the transformed signal. First and second coupled ridges of the respective first and second related features may also be identified in the transformed signal. A non-stationary relationship parameter is determined and is indicative of the relationship between the first and second features and/or between the first and second ridges. Physiological information, which may be indicative of a level of awareness of a subject, is determined based on the non-stationary relationship parameter. This physiological information may be used, for example, in an operating room to monitor/regulate the subject's anesthetic state while under general anesthesia or in an intensive care unit to monitor the subject's sedateness and administer medication accordingly.

Non-stationary feature relationship parameters for awareness monitoring

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Dunfermline, United Kingdom

James Nicholas Watson