Monitoring pneumocardial function

• US 10,182,727 B2
• Filed: 11/27/2014
• Issued: 01/22/2019
• Est. Priority Date: 11/28/2013
• Status: Active Grant

• Current Assignee: Western Sydney University
• Original Assignee: Western Sydney University
• Inventors: Gargiulo, Gaetano, Breen, Paul
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US15/100,234
• Publication Number:
  US 20170000357A1
• Time in Patent Office: 1,517 Days
• Field of Search: None
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/067 using accelerometers or gyroscopes
• CPC Class Codes: A61B 5/0806 by whole-body plethysmography measuring blood flow using plethysmography A61B5/0295; impedance plethysmography A61B5/053; measuring volume of the body or parts thereof A61B5/1073
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/6805 Vests
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses

Abstract

A pneumocardial function monitor includes a carrier configured to be mounted about at least a part of a trunk of a body of a subject. A sensing arrangement is mounted on the carrier, the sensing arrangement including at least one element for monitoring changes in volume of the part of the subject'"'"'s body. A signal processing module is in communication with the sensing arrangement for processing signals output from the sensing arrangement, the signal processing module having at least one output for outputting a signal related to respiratory function and/or cardiac function.

Claims

1. A pneumocardial function monitor comprising:

a carrier configured to be mounted about a thorax of a subject;

a sensor mounted on the carrier, the sensor configured to monitor changes in volume of the thorax of the subject, the sensor comprising a plurality of sensing elements, which operate together to monitor at least respiratory function, which comprises measurement of changes in chest volume and measurement of diaphragm activation of the subject, which are used to interpret respiratory effort, wherein at least one of the sensing elements measures cardiac events based on volume changes of the thorax; and

a signal processor in communication with the sensor configured to process signals output from the sensor, the signal processor having at least two outputs, a first output configured to transmit a first signal related to volume changes of the thorax, the first signal being related to respiratory function, and a second output configured to transmit a second signal from which volume changes of the thorax related to respiratory function have been filtered out, the second signal being related to cardiac function.

2. The monitor of claim 1, wherein the carrier is configured to insulate the sensor from the subject'"'"'s skin.

3. The monitor of claim 1, wherein the sensor comprises a pair of resistive bands arranged in spaced relationship.

4. The monitor of claim 3, wherein the sensor comprises a helically arranged band carried by the carrier.

5. The monitor of claim 4, wherein the helically arranged band is an electro-resistive band.

6. The monitor of claim 3, wherein each band is of a resiliently flexible material, and wherein resistivity of the bands increasing with extension.

7. The monitor of claim 6, wherein each band is extended at rest to provide a resting resistance.

8. The monitor of claim 1, wherein the signal processor comprises a filter configured to filter out artifact signals.

9. The monitor of claim 1, wherein the signal processor comprises amplification circuitry configured to amplify signals from the sensor.

10. The monitor of claim 1, wherein the sensor comprises a position detector configured to monitor a position of the body of the subject.

11. The monitor of claim 1, wherein the sensor comprises a temperature monitor configured to monitor core temperature of the body of the subject.

12. The monitor of claim 1, wherein the sensor comprises an acoustic sensor configured to sense sounds emitted by the subject.

13. The monitor of claim 1 in which at least the first output is a directly amplified sensor output that is DC coupled.

14. A method of monitoring pneumocardial function, the method comprising:

mounting a carrier about a thorax of a subject, the carrier mounting a sensor configured to monitor changes in volume of the thorax of the subject, the sensor comprising a plurality of sensing elements;

using the plurality of sensing elements to measure respiratory function which comprises measurement of changes in chest volume and measurement of diaphragm activation of the subject which are used to interpret respiratory effort, wherein at least one of the sensing elements further measures cardiac events based on volume changes of the thorax;

processing data output by the sensor; and

outputting a first signal relating volume changes of the thorax related to respiratory function and outputting a second signal from which volume changes of the thorax related to respiratory function have been filtered out, the second signal being related to cardiac function.

15. The method of claim 14, comprising monitoring changes in resistivity of the sensors to obtain data on at least one of respiratory function and cardiac function.

16. The method of claim 14, which includes amplifying and DC coupling at least the first output signal.