06684090 is referenced by 696 patents and cites 8 patents.

An intelligent, rule-based processor provides a pulse indicator designating the occurrence of each pulse in a pulse oximeter-derived photo-plethysmograph waveform. When there is relatively no distortion corrupting the plethysmograph signal, the processor analyzes the shape of the pulses in the waveform to determine where in the waveform to generate the pulse indication. When distortion is present, looser waveform criteria are used to determine if pulses are present. If pulses are present, the pulse indication is based upon an averaged pulse rate. If no pulses are present, no indication occurs. The pulse indicator provides a trigger and amplitude output. The trigger output is 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.

The visual pulse indicator is supplemented by a signal quality alert. Combined with several indicators of signal quality, the alert is used to initiate a warning when data confidence is very low. 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.

Title
Pulse oximetry data confidence indicator
Application Number
9/858114
Publication Number
6684090 (B2)
Application Date
May 15, 2001
Publication Date
January 27, 2004
Inventor
Massi E Kiani
Laguna Niguel
CA, US
Jerome J Novak
Aliso Viejo
CA, US
Divya S Breed
Laguna Niguel
CA, US
Ammar Al Ali
Tustin
CA, US
Agent
Knobbe Martens Olson & Bear
US
Assignee
Masimo Corporation
CA, US
IPC
A61B 5/00
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