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A monitoring system and patient technology, applied to the computer program of the patient monitoring system, monitors the patient field, and can solve the problems of increasing the delay of the alarm notification in the case of a true positive alarm, increasing the delay time of the alarm, and harming the patient
Active Publication Date: 2009-10-21
KONINKLIJKE PHILIPS ELECTRONICS NV
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However, these mechanisms were only developed for special cases (see refresh / sampling detection algorithm above)
There is no technique that is universal for other physiological parameters, or generally for a large number of physiological parameters
Additionally, use of these known algorithms may increase alert notification delays for true positive alert conditions
In other words, in the case of a true alarm, the alarm delay time is increased, which in some cases may harm the patient
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[0040] figure 1 A patient monitoring system 1 according to the invention is illustrated. Monitoring system 1 as described suppresses false positive apnea alarms related to respiration (eg caused by motion artifacts or noise signals) by using the patient's invasive blood pressure signal as an alternative parameter.
[0041] The system 1 comprises a plurality of measuring electrodes 2 adapted to perform impedance respiration measurements to obtain a respiration signal 10 corresponding to the patient's respiration, see figure 2 . The system 1 also comprises a measurement device 3 for sensing the patient's invasive blood pressure (PAP) 11, and an SpO for acquiring the patient's plethysmographic signal (PAP) 12. 2 A sensor 4 , the signal corresponding to the pulsation of the patient's blood at said sensor measurement point, and an ECG sensor 5 for measuring the ECG signal 13 . All signals, the PAP signal 11, the plethysmographic signal 12, and the ECG signal 13 include respirat...
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Abstract
The present invention relates to a patient monitoring system (1). Further the invention relates to a method for monitoring a patient and to a computer program for a patient monitoring system (1). In order to provide a reliable technique for reducing the number of false alarms in a patient monitoring system a patient monitoring system (1) is suggested, which comprises a first sensor device (2) adapted to acquire (101) a first patient signal (10) corresponding to a first physiological parameter of the patient, a second sensor device (3, 4, 5) adapted to acquire (102, 103, 104) a second patient signal (11, 12, 13) corresponding to a second physiological parameter of the patient, said second patient signal (11, 12, 13) comprising an overlay signal (14, 15, 16) caused by the first physiological parameter of the patient, a processing device (7) adapted to determine (105) from the first patient signal (10) a first value of the first physiological parameter of the patient, to determine (106, 107, 108) from the overlay signal (14, 15, 16) of the second patient signal (11, 12, 13) a second value of the first physiological parameter of the patient, and to analyze (109) the first and second value of the first physiological parameter of the patient, and a control device (8) adapted to control (110) a patient monitor alarm system (9) depending on the result of the analysis.
Description
technical field [0001] The present invention relates to a patient monitoring system. Still further, the invention relates to a method for monitoring a patient and a computer program for a patient monitoring system. Background technique [0002] Patient monitoring systems are commonly used for observation of patient conditions in clinical settings. Currently, most of these patient monitors are multi-parameter patient monitors that can display a large number of different physiological parameters. [0003] One of the main tasks of modern patient monitoring systems is to alert medical personnel when one or more parameters show an unexpected (critical) behavior, or in other words, when a patient's physiological signal exceeds predetermined upper or lower alarm limits, i.e. Trigger an alarm signal. Although signal processing performance has been enhanced over the past few years, there are still a large number of false positive (single) alarms. These are alarms that are trigger...
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