AT527000A5 - Verfahren und Anordnung zum automatisierten Bestimmen von hämodynamischen Parametern in einem Blutgefäss an invasiv aufgezeichneten Pulswellen - Google Patents

Verfahren und Anordnung zum automatisierten Bestimmen von hämodynamischen Parametern in einem Blutgefäss an invasiv aufgezeichneten Pulswellen Download PDF

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Publication number
AT527000A5
AT527000A5 ATA9352/2019A AT93522019A AT527000A5 AT 527000 A5 AT527000 A5 AT 527000A5 AT 93522019 A AT93522019 A AT 93522019A AT 527000 A5 AT527000 A5 AT 527000A5
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AT
Austria
Prior art keywords
blood vessel
pulse wave
pressure
pulse
pulse waves
Prior art date
Application number
ATA9352/2019A
Other languages
English (en)
Inventor
Dittrich Verena
Stockmann Chris
Mainka Andreas
Original Assignee
Redwave Medical GmbH
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Publication date
Application filed by Redwave Medical GmbH filed Critical Redwave Medical GmbH
Publication of AT527000A5 publication Critical patent/AT527000A5/de

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/02007Evaluating blood vessel condition, e.g. elasticity, compliance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/02028Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021Measuring pressure in heart or blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/02108Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/0215Measuring pressure in heart or blood vessels by means inserted into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/026Measuring blood flow
    • 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
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • 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
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • 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
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters
    • 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
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6876Blood vessel
    • 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
    • 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
    • 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
    • A61B5/7239Details of waveform analysis using differentiation including higher order derivatives
    • 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
    • A61B5/7246Details of waveform analysis using correlation, e.g. template matching or determination of similarity
    • 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
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Physiology (AREA)
  • Cardiology (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Vascular Medicine (AREA)
  • Hematology (AREA)
  • Evolutionary Computation (AREA)
  • Fuzzy Systems (AREA)
  • Mathematical Physics (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

Verfahren zum automatisierten Bestimmen von hämodynamischen Parametern in einem Blutgefäß an invasiv aufgezeichneten Pulswellen durch eine Analyse dieser Pulswellen und/oder von aus der Gesamtheit ausgewählten Pulswellen, mindestens jedoch einer Pulswelle, durch ein Aufzeichnen eines zeitlichen Druckverlaufs in einem Blutgefäß an nur einem einzigen Messpunkt in dem Blutgefäß, wobei der dabei aufgezeichnete Druckverlauf nachfolgend einer automatisierten Signalverarbeitung zugeführt wird, wobei an einem vorher bis zu dem vorgesehenen Messpunkt innerhalb des Blutgefäßes eingeführten Druckmesskatheter (1) mit einem Druckmesssensor (2) folgende Verfahrensschritte ausgeführt werden: - Aufzeichnen und Speichern des zeitlichen Druckverlaufs und Erfassen mindestens eines Pulswellensignals (PW) an dem Messpunkt, - Extrahieren eines Pulswellenechoanteils (PE) aus dem mindestens einen Pulswellensignal (PW) und Ermitteln eines Zeitversatzes (T) zwischen einem Pulswellengrundsignalanteil (PG) und dem Pulswellenechoanteil (PE) im Pulswellensignal (PW), - Umrechnen des Zeitversatzes (T) in eine Pulswellengeschwindigkeit (PWV) mittels eines gegebenen Referenzabstandes zwischen einer Echostelle des Blutgefäßsystems und der Position des Druckmesssensors (2) im Blutgefäß und/oder - Bestimmung von insbesondere einer Pulswellengeschwindigkeit (PWV) ohne Berücksichtigung eines Referenzabstandes über ein gegebenes Druck/Fluss- Modell und ein Druck/Volumen-Modell des Blutgefäßsystems.
ATA9352/2019A 2018-09-19 2019-09-19 Verfahren und Anordnung zum automatisierten Bestimmen von hämodynamischen Parametern in einem Blutgefäss an invasiv aufgezeichneten Pulswellen AT527000A5 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102018122938 2018-09-19
DE102019125062.5A DE102019125062A1 (de) 2018-09-19 2019-09-18 Verfahren zum automatisierten Bestimmen von hämodynamischen Parametern in einem Blutgefäß an invasiv aufgezeichneten Pulswellen
PCT/EP2019/075127 WO2020058383A1 (de) 2018-09-19 2019-09-19 Verfahren und anordnung zum automatisierten bestimmen von hämodynamischen parametern in einem blutgefäss an invasiv aufgezeichneten pulswellen

Publications (1)

Publication Number Publication Date
AT527000A5 true AT527000A5 (de) 2024-08-15

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
ATA9352/2019A AT527000A5 (de) 2018-09-19 2019-09-19 Verfahren und Anordnung zum automatisierten Bestimmen von hämodynamischen Parametern in einem Blutgefäss an invasiv aufgezeichneten Pulswellen

Country Status (4)

Country Link
AT (1) AT527000A5 (de)
AU (1) AU2019344027B2 (de)
DE (1) DE102019125062A1 (de)
WO (1) WO2020058383A1 (de)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113197557B (zh) * 2021-04-07 2023-07-07 季华实验室 人体脉搏分析方法、计算机可读存储介质及系统
CN118415601B (zh) * 2024-07-04 2024-11-12 荣耀终端有限公司 脉搏波速度测量方法及电子设备

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020022785A1 (en) * 1999-04-27 2002-02-21 Salvatore Romano Method and apparatus for measuring cardiac output
EP1598005A1 (de) * 2004-05-17 2005-11-23 Pulsion Medical Systems AG Vorrichtung zur Ermittlung eines hämodynamischen Parameters
DE102010053789A1 (de) * 2010-12-08 2012-06-14 Pulsion Medical Systems Ag Vorrichtung zur Durchführung physiologischer Messungen
GB2552455A (en) * 2016-06-16 2018-01-31 Digital & Future Tech Limited Blood monitoring

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6193669B1 (en) * 1998-12-11 2001-02-27 Florence Medical Ltd. System and method for detecting, localizing, and characterizing occlusions, stent positioning, dissections and aneurysms in a vessel
DE60103360T2 (de) * 2001-03-01 2005-06-02 Pulsion Medical Systems Ag Gerät, Computerprogramm und Zentralvenenkatheter zur hämodynamischen Überwachung
AU2005211992C1 (en) * 2004-02-18 2009-05-14 Jozsef Beres Apparatus and method for measuring hemodynamic parameters
DE102011114666A1 (de) * 2011-09-30 2013-04-04 Pulsion Medical Systems Se Vorrichtung zur hämodynamischen Überwachung

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020022785A1 (en) * 1999-04-27 2002-02-21 Salvatore Romano Method and apparatus for measuring cardiac output
EP1598005A1 (de) * 2004-05-17 2005-11-23 Pulsion Medical Systems AG Vorrichtung zur Ermittlung eines hämodynamischen Parameters
DE102010053789A1 (de) * 2010-12-08 2012-06-14 Pulsion Medical Systems Ag Vorrichtung zur Durchführung physiologischer Messungen
GB2552455A (en) * 2016-06-16 2018-01-31 Digital & Future Tech Limited Blood monitoring

Also Published As

Publication number Publication date
AU2019344027A1 (en) 2021-05-13
WO2020058383A1 (de) 2020-03-26
AU2019344027B2 (en) 2025-02-06
DE102019125062A1 (de) 2020-03-19

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