Mobile medical workstation

• US 10,010,287 B2
• Filed: 09/12/2012
• Issued: 07/03/2018
• Est. Priority Date: 08/20/2002
• Status: Active Grant

• Current Assignee: Welch Allyn Incorporated
• Original Assignee: Welch Allyn Incorporated
• Inventors: Perkins, David G., Linquest, Douglas J., Wawro, Thaddeus J., Metz, Kristin A., Soderberg, Peter H., Labosky, Bonita L., Vivenzio, Robert L.
• Primary Examiner(s): Downey, John R
• Assistant Examiner(s): JIAN, SHIRLEY XUEYING
• Application Number:
  US13/611,869
• Publication Number:
  US 20130002420A1
• Time in Patent Office: 2,120 Days
• Field of Search: 600300-301
• CPC Class Codes: A61B 2560/0437 Trolley or cart-type apparatus
• CPC Class Codes: A61B 2560/0456 Apparatus provided with a docking unit
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/1172 using fingerprinting
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/412 Detecting or monitoring sepsis
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 50/10 Furniture specially adapted for surgical or diagnostic appliances or instruments
• CPC Class Codes: A61B 50/13 Trolleys, e.g. carts
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

A medical workstation is defined by a supporting structure having at least one medical diagnostic instrument disposed thereupon. A first display is further disposed on a first side of the supporting structure and a second display is disposed on a second side of the supporting structure in a manner substantially opposite from the first display. Each of the first and second displays are interconnected to the at least one medical diagnostic instrument to permit at least one of the displays in order to display diagnostic results and are tandemly or independently controllable.

Claims

1. An integrated apparatus for use in a patient examination, said apparatus comprising:

at least one medical diagnostic instrument including a vital signs monitoring device for measuring physiologic parameters from a patient including blood pressure, glucose, body temperature, pulse rate and blood oxygen saturation; and

a computing device connected to the vital signs monitoring device, wherein at least one of said computing device and vital signs monitoring device are programmed to detect changes in a patient condition and in which said computing device is programmed to alert a user that changes in said patient condition have occurred based on changes to two or more of the measured physiologic parameters, wherein the computing device is programmed to create patient-specific thresholds based on historical readings and at least two of location, position and method relating to the measurement of each physiologic parameter and in which changes in the at least two physiologic parameters, including the patient-specific thresholds, is used by the computing device to produce an alert predictive of the onset of sepsis, wherein the alert apprises the user of the onset of sepsis including reasons for the alert.

2. An integrated apparatus as recited in claim 1, wherein said changes in measured parameters include a predetermined change in blood pressure for a patient having a specified range of blood pressure readings, wherein the history of readings of said patient are used by said computing device of said apparatus in order to determine the specified range, and in which the specified range can include readings that extend outside that of a standard range of acceptable readings for the patient.

3. An integrated apparatus as recited in claim 1, wherein an estimated accuracy of each of said two or more physiologic parameters is determined and graded by said computing device prior to alerting said user.

4. An integrated apparatus as recited in claim 1, wherein said apparatus includes a display connected to said computing device, said computing device being programmed to display the reason for said alert.

5. An integrated apparatus as recited in claim 1, wherein said computing device includes processing logic that is programmed to trend physiologic parameter data of said patient.

6. An integrated apparatus as recited in claim 5, wherein said computing device is programmed to show a likelihood of an alert or a false alarm based upon analysis of the trended data.

7. An integrated apparatus as recited in claim 1, wherein the programming of the thresholds is reconfigurable.

8. An integrated apparatus as recited in claim 7, wherein the programming of the thresholds is manually reconfigurable by a user.

9. An integrated apparatus as recited in claim 7, wherein the programming of the thresholds includes the creation of newly derived thresholds made by said computing device based on accumulated historical data.

10. An integrated apparatus as recited in claim 1, wherein said apparatus is wirelessly connected with at least one hospital network, said at least one network including at least one respondent device.

11. An integrated apparatus as recited in claim 1, wherein said apparatus is wirelessly connected with at least one hospital network.

12. An integrated apparatus as recited in claim 11, wherein said at least one hospital network includes at least one respondent device.

13. An integrated apparatus as recited in claim 1, wherein one of the measured physiologic parameters is blood glucose and the computing device is further programmed to create the patient-specific thresholds based on one or more meal consumption qualifiers relating to a blood glucose measurement, the one or more meal consumption qualifiers comprising information recording whether or not a meal was consumed by the patient.

14. An integrated apparatus as recited in claim 1, wherein one of the measured physiologic parameters is blood pressure and the computing device is further programmed to create the patient-specific thresholds based on one or more blood pressure qualifiers relating to a blood pressure measurement, the one or more blood pressure qualifiers comprising information of a position of a patient or a location of the blood pressure measurement.

15. An integrated apparatus as recited in claim 1, wherein one of the measured physiologic parameters is respiration rate and the computing device is further programmed to create the patient-specific thresholds based on one or more respiration qualifiers relating to a respiration rate measurement, the one or more respiration qualifiers comprising information of a position of a patient or a ventilator.

16. An integrated apparatus as recited in claim 1, wherein one of the measured physiologic parameters is heart rate and the computing device is further programmed to create the patient-specific thresholds based on one or more heart-rate qualifiers relating to a heart rate measurement, the one or more heart-rate qualifiers comprising information of a position of a patient or a measurement artery.