Convex Hull Analysis for Artifact Detection in Patient Monitoring

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Solution Overview

Problem

The rapid increase in data streams from healthcare technologies in intensive care units creates an information-overload challenge for healthcare staff, who face a shortage of resources, making it difficult to process and distinguish clinically-significant changes from insignificant changes or artifacts in patient states.

Innovation Solution

The development of intelligent modules capable of assimilating multiple data streams and using convex hull analysis to differentiate between clinically-significant changes and artifacts in patient monitoring, alerting operators to potential changes and detecting artifacts based on collective behavior of monitored signals.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If multiple data streams from sensors and monitoring systems are collected to improve patient monitoring capability, then the comprehensiveness of patient state information is improved, but the information-overload challenge and processing difficulty increase

Engineering Contradiction:
Improvepatient state monitoring accuracyVSAvoiddata processing complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent combines multiple monitored signals (first monitored signal, second monitored signal, third monitored signal, fourth monitored signal) into pairs to create convex hulls. By merging signal pairs and analyzing their collective behavior through convex hull perturbations, the system processes multiple data streams more efficiently, reducing the information-overload challenge while maintaining comprehensive patient state monitoring.

Inventive Principle:
Principle #5Merging (Combining)

2Measurement precision

If manual processing of monitoring data is performed to identify clinically-significant changes, then the accuracy of clinical assessment is maintained, but the workload and time consumption increase due to staff shortage

Engineering Contradiction:
Improveclinical change detection accuracyVSAvoidprocessing efficiency
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The system performs self-service by automatically analyzing monitoring signals and detecting clinically-significant changes without requiring manual processing. The intelligent module autonomously monitors convex hull perturbations across multiple signal pairs, distinguishes clinically-significant changes from artifacts, and generates alerts, thereby maintaining clinical assessment accuracy while significantly improving processing efficiency and reducing staff workload.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces manual mechanical processing with an automated intelligent system. The system uses computational algorithms to calculate convex hulls, detect perturbations, and identify clinical changes, substituting human manual analysis with automated electronic processing. This maintains measurement precision while dramatically increasing productivity and reducing the burden on intensive care staff.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Reliability

If artifact detection capability is enhanced to reduce false alerts, then the reliability of monitoring system is improved, but the complexity of signal analysis increases

Engineering Contradiction:
Improvealert accuracyVSAvoidsignal analysis complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent segments the analysis by dividing monitored signals into multiple pairs (first and second monitored signal pairs, third and fourth monitored signal pairs) and calculating separate convex hulls for each pair. By segmenting the analysis into independent convex hull evaluations, the system enhances artifact detection capability - if only one convex hull is perturbed, it indicates an artifact. This segmentation approach improves alert accuracy while managing analysis complexity through modular, systematic evaluation of signal pairs.

Inventive Principle:
Principle #1Segmentation

Data Source

PatentUS8050748B2Decision support system to detect the presence of artifacts in patients monitoring signals using morphograms
Publication Date: 2011.11.01 KONINKLIJKE PHILIPS NV
  • US8050748B2 patent drawing
  • US8050748B2 patent drawing
  • US8050748B2 patent drawing

AI summary

A method for monitoring a patient (110) includes determining (114) convex hulls for pairs of monitored signals from the patient, and determining whether a perturbation has occurred (115, 116) in one or more of the convex hulls. This exemplary embodiment (110) can also include alerting an operator that a clinically significant change may have occurred (117) in the patient if each of the convex hulls has been perturbed. If only a subset of the convex hulls is perturbed, an artifact has probably occurred (118).