Model-based approach to investigate equipment-induced error in pressure-waveform derived hemodynamic measurements

Objective: Advanced hemodynamic monitoring systems have provided less invasive methods for estimating pressure-derived measurements such as pressure-derived cardiac output (CO) measurements. These devices apply algorithms to arterial pressure waveforms recorded via pressure recording components that transmit the pressure signal to a pressure monitor. While standards have been developed for pressure monitoring equipment, it’s unclear how the equipment-induced error can affect secondary measurements from pressure waveforms. We propose an approach for modelling different components of a pressure monitoring system and use this model-based approach to investigate the effect of different pressure recording configurations on pressure-derived hemodynamic measurements. Approach: The proposed model-based approach is a three step process. 1) modelling the response of pressure recording components using bench tests; 2) verifying the identified models through nonparametric equivalence tests; and 3) assessing the effects of pressure recording components on pressure-derived measurements. To delineate the application of this approach, we performed a series of model-based analyses to quantify the combined effect of a wide range of tubing configurations with various damping ratios and natural frequencies and monitors with different bandwidths on pressure waveforms and CO measurements by six pulse contour algorithms. Results: Model-based results show the error in pressure-derived CO measurements because of tubing configurations with different natural frequencies and damping ratios. Tubing configurations with low natural frequencies (<23 Hz) altered characteristics of pressure waveforms in a way that affected the CO measurement, some by as much as 20%. Significance: Our method can serve as a tool to quantify the performance of pressure recording systems with different dynamic properties. This approach can be applied to investigate the effects of physiologic signal recording configurations on various pressure-derived hemodynamic measurements.

Advanced Remote Data Acquisition Using a Pop-Up Data Shuttle (PDS) to Report Data From Current- and Pressure-Recording Inverted Echo Sounders (CPIES)

A current- and pressure-recording inverted echo sounder (CPIES) placed on the sea floor monitors aspects of the physical ocean environment for periods of months to years. Until recently, acoustic telemetry of daily-processed data was the existing method for data acquisition from CPIES without full instrument recovery. However, this approach, which requires positioning a ship at the mooring site and operator time, is expensive and time-consuming. Here, we introduce a new method of obtaining data remotely from CPIES using a popup-data-shuttle (PDS), which enables straightforward data acquisition without a ship. The PDS data subsampled from CPIES has 30–60 min temporal resolution. The PDS has a scheduled pop-up-type release system, so each data pod floats to the sea surface at a user-specified date and relays the recorded data via the Iridium satellite system. We demonstrated the capability of an array of PDS-CPIES via two successful field experiments in the Arctic Ocean. The data acquired through the PDS were in agreement with the fully recovered datasets. An example of the data retrieved from the PDS shows that time-varying signals of tides and high-frequency internal waves were well captured. GPS-tracked trajectories of the PDS floating free at the sea surface can provide insights into ice drift or ocean surface currents. This PDS technology provides an alternative method for remote deep-ocean mooring data acquisition.