WO2006054306A3 - Sleep staging based on cardio-respiratory signals - Google Patents

Sleep staging based on cardio-respiratory signals Download PDF

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Publication number
WO2006054306A3
WO2006054306A3 PCT/IL2005/001233 IL2005001233W WO2006054306A3 WO 2006054306 A3 WO2006054306 A3 WO 2006054306A3 IL 2005001233 W IL2005001233 W IL 2005001233W WO 2006054306 A3 WO2006054306 A3 WO 2006054306A3
Authority
WO
WIPO (PCT)
Prior art keywords
cardio
respiratory signals
sleep staging
patient
staging based
Prior art date
Application number
PCT/IL2005/001233
Other languages
French (fr)
Other versions
WO2006054306A2 (en
Inventor
Koby Todros
Yariv Amos
Roman Chenisky
Tomer Zonans
Amir Geva
Daniel Reisfeld
Original Assignee
Widemed Ltd
Koby Todros
Yariv Amos
Roman Chenisky
Tomer Zonans
Amir Geva
Daniel Reisfeld
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Widemed Ltd, Koby Todros, Yariv Amos, Roman Chenisky, Tomer Zonans, Amir Geva, Daniel Reisfeld filed Critical Widemed Ltd
Priority to EP05808274A priority Critical patent/EP1819272A4/en
Publication of WO2006054306A2 publication Critical patent/WO2006054306A2/en
Priority to US11/750,221 priority patent/US7674230B2/en
Priority to US11/750,222 priority patent/US7803118B2/en
Priority to US11/750,250 priority patent/US7803119B2/en
Priority to US11/750,173 priority patent/US7794406B2/en
Publication of WO2006054306A3 publication Critical patent/WO2006054306A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/113Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb occurring during breathing
    • A61B5/1135Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb occurring during breathing by monitoring thoracic expansion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • A61B5/4812Detecting sleep stages or cycles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • A61B5/4815Sleep quality
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/681Wristwatch-type devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6825Hand
    • A61B5/6826Finger
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/683Means for maintaining contact with the body
    • A61B5/6838Clamps or clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235Details of waveform analysis
    • A61B5/7264Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/082Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • A61B5/4809Sleep detection, i.e. determining whether a subject is asleep or not
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7207Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7232Signal processing specially adapted for physiological signals or for diagnostic purposes involving compression of the physiological signal, e.g. to extend the signal recording period
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235Details of waveform analysis
    • A61B5/7264Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • A61B5/7267Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems involving training the classification device
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A method for diagnosis of a sleep-related condition of a patient. The method includes receiving physiological signals from sensors (24, 26, 27) coupled to the lower body of the patient, and analyzing the physiological signals, independently of any electroencephalogram (EEG) or electro-oculogram (EOG) signals, in order to identify sleep stages of the patient.
PCT/IL2005/001233 2004-11-22 2005-11-22 Sleep staging based on cardio-respiratory signals WO2006054306A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
EP05808274A EP1819272A4 (en) 2004-11-22 2005-11-22 Sleep staging based on cardio-respiratory signals
US11/750,221 US7674230B2 (en) 2004-11-22 2007-05-17 Sleep monitoring using a photoplethysmograph
US11/750,222 US7803118B2 (en) 2004-11-22 2007-05-17 Detection of heart failure using a photoplethysmograph
US11/750,250 US7803119B2 (en) 2004-11-22 2007-05-17 Respiration-based prognosis of heart disease
US11/750,173 US7794406B2 (en) 2004-11-22 2007-05-17 Detection of cardiac arrhythmias using a photoplethysmograph

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/995,817 2004-11-22
US10/995,817 US7578793B2 (en) 2004-11-22 2004-11-22 Sleep staging based on cardio-respiratory signals

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
US10/995,817 Continuation US7578793B2 (en) 2004-11-22 2004-11-22 Sleep staging based on cardio-respiratory signals
US11/750,221 Continuation US7674230B2 (en) 2004-11-22 2007-05-17 Sleep monitoring using a photoplethysmograph

Related Child Applications (5)

Application Number Title Priority Date Filing Date
PCT/IL2006/000148 Continuation-In-Part WO2006082589A2 (en) 2004-11-22 2006-02-07 Detection and monitoring of stress events during sleep
US11/750,250 Continuation-In-Part US7803119B2 (en) 2004-11-22 2007-05-17 Respiration-based prognosis of heart disease
US11/750,221 Continuation-In-Part US7674230B2 (en) 2004-11-22 2007-05-17 Sleep monitoring using a photoplethysmograph
US11/750,173 Continuation-In-Part US7794406B2 (en) 2004-11-22 2007-05-17 Detection of cardiac arrhythmias using a photoplethysmograph
US11/750,222 Continuation-In-Part US7803118B2 (en) 2004-11-22 2007-05-17 Detection of heart failure using a photoplethysmograph

Publications (2)

Publication Number Publication Date
WO2006054306A2 WO2006054306A2 (en) 2006-05-26
WO2006054306A3 true WO2006054306A3 (en) 2007-10-18

Family

ID=36407547

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2005/001233 WO2006054306A2 (en) 2004-11-22 2005-11-22 Sleep staging based on cardio-respiratory signals

Country Status (3)

Country Link
US (5) US7578793B2 (en)
EP (1) EP1819272A4 (en)
WO (1) WO2006054306A2 (en)

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US7674230B2 (en) 2010-03-09

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