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A heartbeat-locked trace in the CO₂ waveform that ignores the Primus clock

Averaged on the ECG's R peaks, the Primus CO₂ waveform shows a heartbeat-locked signal in 60% of 10-minute windows (30-recording pilot), tight to about 20 ms. Unlike the breath, its lag does not drift with the Primus clock: it stays fixed on the SNUADC timeline.

Status open: seen, not explained.
Clocks Primus clock, SNUADC sample clock
Devices Primus anaesthesia machine
Variables Capnogram (Primus)

What it means

The trace cannot be used to time the Primus. An analysis that looks for cardiac effects in CO₂ should expect a heartbeat-locked component whose timing does not follow the Primus's other data.

What is done about it

None yet; flagged for anyone using CO₂ at beat resolution.

Detail

A cardiogenic oscillation in expired CO₂ is physiological, but it would arrive on the Primus's stamps and drift with them. A trace fixed to the SNUADC timeline suggests something timed outside the Primus clock: electrical crosstalk from the ECG, or a component of the signal that is re-timed at the recorder. Neither has been tested.

Evidence

Study Date Status Summary
The heartbeat in the Primus airway signals 2026-10-19 current A pilot in 30 recordings for a heartbeat-locked route from the Primus to the SNUADC. Airway pressure shows the heartbeat in 9% of windows only. CO₂ shows a heartbeat-locked trace in 60% of windows, tight to 20 ms, but its lag does not follow the Primus drift, so it cannot time the Primus. Closed as a clock route.