Localized projection of audible noises in medical settings
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Assignment
First Claim
1. A system for providing localized projection of audible noises, the system comprising:
- a plurality of speakers configured to output auditory signals; and
a sound localization controller configured to control the plurality of speakers to coordinate the auditory signals to simulate an origination location of a patient indicator, wherein the sound localization controller comprises a processor configured to;
receive an indication of an activation of the patient indicator,determine the origination location of the patient indicator based at least in part on the indication of the activation of the patient indicator,based at least in part on the origination location of the patient indicator, identify sound parameters for each of the plurality of speakers, wherein the sound parameters comprise at least one of a timing, an intensity, or a frequency of a sound signal,determine a plurality of adjusted auditory signals based at least in part on the identified sound parameters, andcontrol the plurality of speakers to output the plurality of adjusted auditory signals.
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Accused Products

Abstract
A localized sound projection system can coordinate the sounds of speakers to simulate the placement of an auditory cue in a 3D space. The system can include a plurality of speakers configured to output auditory signals and a sound localization controller configured to control the plurality of speakers to coordinate the auditory signals to simulate an origination location of a patient alarm. The sound localization controller can determine adjusted auditory signals and control a plurality of speakers to output the plurality of adjusted auditory signals. A method for dynamically controlling speaker settings in a medical environment can include determining volume settings corresponding to a speaker, monitoring a level of ambient noise corresponding to a room of a patient, controlling the volume settings of the speaker to reduce or increase a sound level output of a speaker. A patient monitoring system can be configured to physically manipulate medical devices in response to audible commands. The system can receive a plurality of vocal commands from a user and can manipulate various settings after confirmation from a user.
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Masimo Corporation
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Masimo Corporation
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Pulse oximetry sensor including stored sensor data | ||
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JP Morgan Chase Bank N.A.
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Current Assignee
Masimo Corporation
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Masimo Corporation
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Multivariate analysis of green to ultraviolet spectra of cell and tissue samples | ||
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Cercacor Laboratories
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Induced fluorescence spectroscopy blood perfusion and pH monitor and method | ||
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Cedars-Sinai Medical Center
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Masimo Corporation
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Glucose fluorescence monitor and method | ||
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Cedars-Sinai Medical Center
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Masimo Corporation
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JP Morgan Chase Bank N.A.
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Flex circuit shielded optical sensor | ||
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Masimo Corporation
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Pulse oximetry sensor adaptor | ||
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JP Morgan Chase Bank N.A.
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Pulse oximetry data confidence indicator | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Method and apparatus for demodulating signals in a pulse oximetry system | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Method and apparatus for reducing coupling between signals | ||
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Cercacor Laboratories
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Masimo Corporation
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Parallel measurement alarm processor | ||
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JP Morgan Chase Bank N.A.
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Blood parameter measurement system | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Limited use medical probe | ||
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Masimo Corporation
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Plethysmograph pulse recognition processor | ||
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JP Morgan Chase Bank N.A.
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Rapid non-invasive blood pressure measuring device | ||
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US 7,041,060 B2
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Resposable pulse oximetry sensor | ||
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CFS BUHL GMBH
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Limited use medical probe | ||
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Optical probe including predetermined emission wavelength based on patient type | ||
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Masimo Corporation
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Masimo Corporation
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Parameter compensated physiological monitor | ||
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Masimo Corporation
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Masimo Corporation
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Shielded optical probe having an electrical connector | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Optical spectroscopy pathlength measurement system | ||
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Masimo Corporation
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Masimo Corporation
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System and method of determining whether to recalibrate a blood pressure monitor | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Masimo Corporation
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Signal component processor | ||
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Masimo Corporation
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Masimo Corporation
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Systems and methods for indicating an amount of use of a sensor | ||
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JP Morgan Chase Bank N.A.
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Optical sensor including disposable and reusable elements | ||
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Masimo Corporation
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Masimo Corporation
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Physiological sensor combination | ||
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Masimo Corporation
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Active pulse blood constituent monitoring | ||
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Masimo Corporation
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Isolation and communication element for a resposable pulse oximetry sensor | ||
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Masimo Corporation
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Masimo Corporation
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Rapid non-invasive blood pressure measuring device | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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System for detecting injection holding material | ||
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Masimo Corporation
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Masimo Corporation
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Systems and methods for determining blood oxygen saturation values using complex number encoding | ||
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Masimo Corporation
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Pulse and active pulse spectraphotometry | ||
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Masimo Corporation
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Masimo Corporation
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Systems and methods for indicating an amount of use of a sensor | ||
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JP Morgan Chase Bank N.A.
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Optical probe and positioning wrap | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Reusable pulse oximeter probe and disposable bandage method | ||
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Masimo Corporation
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Pulse oximetry data confidence indicator | ||
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Masimo Corporation
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Masimo Corporation
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Method and devices for laser induced fluorescence attenuation spectroscopy (LIFAS) | ||
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Cedars-Sinai Medical Center
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Cedars-Sinai Medical Center
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Pulse oximetry sensor compatible with multiple pulse oximetry systems | ||
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US 6,697,656 B1
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Masimo Corporation
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Masimo Corporation
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Low power pulse oximeter | ||
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US 6,697,658 B2
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Masimo Corporation
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Masimo Corporation
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Stereo pulse oximeter | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Signal processing apparatus and method | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Universal modular pulse oximeter probe for use with reusable and disposable patient attachment devices | ||
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Masimo Corporation
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Resposable pulse oximetry sensor | ||
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US 6,725,075 B2
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Non-invasive tissue glucose level monitoring | ||
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US 6,728,560 B2
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General Hospital Corporation
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Non-invasive tissue glucose level monitoring | ||
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US 6,721,582 B2
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Cercacor Laboratories
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General Hospital Corporation
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Reusable pulse oximeter probe and disposable bandage apparatus | ||
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US 6,735,459 B2
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Masimo Corporation
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Signal processing apparatus | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Ribbon cable substrate pulse oximetry sensor | ||
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Current Assignee
Masimo Corporation
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Masimo Corporation
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Dual-mode pulse oximeter | ||
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US 6,770,028 B1
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Masimo Corporation
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Masimo Corporation
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Pulse oximeter probe-off detection system | ||
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Masimo Corporation
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Masimo Corporation
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Low-noise optical probes for reducing light piping | ||
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Masimo Corporation
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Masimo Corporation
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Low-noise optical probes for reducing ambient noise | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Plethysmograph pulse recognition processor | ||
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JP Morgan Chase Bank N.A.
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Signal processing apparatus and method | ||
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JP Morgan Chase Bank N.A.
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Parallel measurement alarm processor | ||
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Masimo Corporation
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Masimo Corporation
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Non-invasive tissue glucose level monitoring | ||
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General Hospital Corporation
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Reusable pulse oximeter probe and disposable bandage apparatus | ||
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Masimo Corporation
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System for indicating the expiration of the useful operating life of a pulse oximetry sensor | ||
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Masimo Corporation
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Masimo Corporation
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Pulse oximeter probe-off detection system | ||
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Masimo Corporation
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Masimo Corporation
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Shielded optical probe having an electrical connector | ||
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Masimo Corporation
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Masimo Corporation
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Pulse oximeter monitor for expressing the urgency of the patient's condition | ||
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Universal/upgrading pulse oximeter | ||
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Masimo Corporation
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Pulse oximetry sensor adapter | ||
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JP Morgan Chase Bank N.A.
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Generation of spatially-averaged excitation-emission map in heterogeneous tissue | ||
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Masimo Corporation
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Pulse oximetry pulse indicator | ||
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Masimo Corporation
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Masimo Corporation
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Optical spectroscopy pathlength measurement system | ||
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Masimo Corporation
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Asynchronous fluorescence scan | ||
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Rapid non-invasive blood pressure measuring device | ||
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JP Morgan Chase Bank N.A.
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Method and apparatus for demodulating signals in a pulse oximetry system | ||
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JP Morgan Chase Bank N.A.
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Pulse oximeter probe-off detector | ||
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JP Morgan Chase Bank N.A.
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Piezoelectric biological sound monitor with printed circuit board | ||
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Pulse oximeter user interface | ||
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Masimo Corporation
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Sensor wrap including foldable applicator | ||
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Masimo Corporation
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Masimo Corporation
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Reusable pulse oximeter probe and disposable bandage apparatus | ||
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Masimo Corporation
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Pulse oximetry sensor adapter | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Pulse oximeter probe-off detector | ||
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Masimo Corporation
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Masimo Corporation
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Method and apparatus for estimating systolic and mean pulmonary artery pressures of a patient | ||
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Universite Laval, Institut De Recherches Cliniques De Montreal
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Universite Laval, Institut De Recherches Cliniques De Montreal
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System and method of determining whether to recalibrate a blood pressure monitor | ||
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VITAL INSITE INCORPORATED
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Resposable pulse oximetry sensor | ||
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Masimo Corporation
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Masimo Corporation
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Manual and automatic probe calibration | ||
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The United States of America As Represented By The Secretary of Agriculture
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The United States of America As Represented By The Secretary of Agriculture
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Shielded optical probe and method having a longevity indication | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Module for acquiring electroencephalograph signals from a patient | ||
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Masimo Corporation
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Elastic sock for positioning an optical probe | ||
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Masimo Corporation
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Masimo Corporation
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Plethysmograph pulse recognition processor | ||
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Masimo Corporation
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Signal processing apparatus and method | ||
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JP Morgan Chase Bank N.A.
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Photodiode detector with integrated noise shielding | ||
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Masimo Corporation
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Signal processing apparatus and method | ||
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JP Morgan Chase Bank N.A.
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Glucose monitoring apparatus and method using laser-induced emission spectroscopy | ||
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Cedars-Sinai Medical Center
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Method and apparatus for demodulating signals in a pulse oximetry system | ||
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Masimo Corporation
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Signal processing apparatus | ||
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Masimo Corporation
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Phonospirometry for non-invasive monitoring of respiration | ||
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McGill University
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Noninvasive medical monitoring instrument using surface emitting laser devices | ||
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Signal processing apparatus | ||
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Masimo Corporation
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Low-noise optical probes | ||
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Masimo Corporation
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Patient cable connector | ||
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JP Morgan Chase Bank N.A.
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Masimo Corporation
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Optical filter for spectroscopic measurement and method of producing the optical filter | ||
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Cercacor Laboratories
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Fetal pulse oximetry sensor | ||
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Masimo Corporation
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Reservoir electrodes for electroencephalograph headgear appliance | ||
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Masimo Corporation
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Limited use medical probe | ||
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Masimo Corporation
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Anesthesia monitoring system based on electroencephalographic signals | ||
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Masimo Corporation
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Reusable pulse oximeter probe with disposable liner | ||
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Masimo Corporation
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Device and method for measuring pulsus paradoxus | ||
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Masimo Corporation
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Method and devices for laser induced fluorescence attenuation spectroscopy | ||
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Reusable pulse oximeter probe and disposable bandage apparatus | ||
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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PATIENT MONITOR FOR DETERMINING MICROCIRCULATION STATE | ||
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Cercacor Laboratories
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MEDICAL TREATMENT DEVICE WITH SPEAKER SOUND DETECTION | ||
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Patient monitor capable of monitoring the quality of attached probes and accessories | ||
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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Masimo Corporation
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20 Claims
- 1. A system for providing localized projection of audible noises, the system comprising:
a plurality of speakers configured to output auditory signals; and a sound localization controller configured to control the plurality of speakers to coordinate the auditory signals to simulate an origination location of a patient indicator, wherein the sound localization controller comprises a processor configured to; receive an indication of an activation of the patient indicator, determine the origination location of the patient indicator based at least in part on the indication of the activation of the patient indicator, based at least in part on the origination location of the patient indicator, identify sound parameters for each of the plurality of speakers, wherein the sound parameters comprise at least one of a timing, an intensity, or a frequency of a sound signal, determine a plurality of adjusted auditory signals based at least in part on the identified sound parameters, and control the plurality of speakers to output the plurality of adjusted auditory signals. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
- 10. A method for providing localized projection of audible noises, the method comprising:
receiving an indication of an activation of a patient indicator; determining an origination location of the patient indicator based at least in part on the indication of the activation of the patient indicator; based at least in part on the origination location of the patient indicator, identifying sound parameters for each of a plurality of speakers, wherein the sound parameters comprise at least one of a timing, an intensity, or a frequency of a sound signal; determining a plurality of auditory signals based at least in part on the identified sound parameters; and controlling the plurality of speakers to output the plurality of auditory signals, wherein the auditory signals of the plurality of speakers produce an audible noise that sounds as if it is originating from a direction associated with the origination location. - View Dependent Claims (11, 12, 13)
- 14. A system for providing localized projection of audible noises, the system comprising:
a plurality of speakers configured to output auditory signals; and a sound localization controller configured to control the plurality of speakers to coordinate the auditory signals such that the auditory signals of the plurality of speakers produce an audible noise that sounds as if it is originating from a direction associated with an origination location, wherein the sound localization controller comprises a processor configured to; receive an indication of a physiological parameter of a monitored patient, determine the origination location based at least in part on the indication of the physiological parameter, based at least in part on the origination location, identify for each of the plurality of speakers at least one sound parameter, wherein the at least one sound parameter comprises a timing, an intensity, or a frequency associated with the auditory signal of the particular speaker, and control each of the plurality of speakers to output the plurality of auditory signals, wherein each speaker outputs a particular auditory signal having the identified at least one sound parameter that is associated with that particular speaker. - View Dependent Claims (15, 16)
- 17. A method for providing localized projection of audible noises, the method comprising:
receiving an indication of a physiological parameter of a monitored patient; determining an origination location based at least in part on the indication of the physiological parameter; based at least in part on the origination location, identifying for each of a plurality of speakers at least one sound parameter, wherein the at least one sound parameter comprises a timing, an intensity, or a frequency associated with the auditory signal of the particular speaker; and controlling each of the plurality of speakers to output the plurality of auditory signals, wherein each speaker outputs a particular auditory signal having the identified at least one sound parameter that is associated with that particular speaker, wherein the auditory signals of the plurality of speakers produce an audible noise that sounds as if it is originating from a direction associated with the origination location. - View Dependent Claims (18, 19, 20)
1 Specification
This application claims the benefit of U.S. Provisional Patent Application No. 62/463,490, filed Feb. 24, 2017, entitled “MEDICAL MONITORING HUB,” which is incorporated by reference in its entirety.
The present disclosure relates generally to improvements in patient monitoring devices.
Today'"'"'s patient monitoring environments are crowded with sophisticated and often electronic medical devices servicing a wide variety of monitoring and treatment endeavors for a given patient. Generally, many if not all of the devices are from differing manufactures, and many may be portable devices. The devices may not communicate with one another and each may include its own control, display, alarms, configurations and the like.
The result of such device disparity is often a caregiver environment scattered with multiple displays and alarms leading to a potentially chaotic experience. Such chaos can be detrimental to the patient in many situations including surgical environments where caregiver distraction is unwanted, and including recovery or monitoring environments where patient distraction or disturbance may be unwanted.
The present disclosure provides for improved monitoring of patients through the use of localized projection of audible noises to direct a care provider quickly and intuitively to a particular direction or location. The system can include a plurality of speakers configured to output auditory signals, and a sound localization controller. The sound localization controller can be in communication with the speakers and can be configured to control the speakers to coordinate the auditory signals to simulate an origination location. The sound localization controller can include a processor that can be configured to receive an indication of an activation of the patient indicator and determine the origination location of the patient indicator based at least in part on the indication of the activation of the patient indicator. Based at least in part on the origination location and a location of each of a plurality of speakers, the processor can identify sound parameters for each of the plurality of speakers. The sound parameters can correspond to at least one of a timing, intensity, or frequency of a sound signal. The processor can determine adjusted auditory signals based at least in part on the identified sound parameters, and can control the plurality of speakers to output the plurality of adjusted auditory signals.
The system of the preceding paragraph may also include any combination of the following features described in this paragraph, among others described herein. The system can further include a patient monitoring device configured to receive one or more patient signals from one or more physiological sensors, determine measurements of physiological parameters of a patient from the received one or more patient signals, monitor patient indicator criteria associated with the one or more measurements of the one or more physiological parameters, and transmit the indication of the activation of the patient indicator. The origination location can include at least one of a location of a physiological sensor, a patient monitoring device, a patient, a patient room, or one of the plurality of speakers. The adjusted auditory signals can include at least one alarm signal and at least one time-delay alarm signal.
The system of any of the preceding paragraphs may also include any combination of the following features described in this paragraph, among others described herein. The plurality of speakers can include a first speaker and a second speaker. The first speaker can be configured to output the at least one audible noise, such as an alarm signal, and the second speaker can be configured to output the at least one time-delayed audible noise. The at least one time-delayed alarm signal can be a time-delayed copy of the alarm signal. The at least one time-delayed alarm signal can be time-delayed from the alarm signal by a few milliseconds. The plurality of speakers can be located in a patient room. The first speaker can be located closer to the origination location than the second speaker is. The alarm signal can include a heartbeat signal corresponding to a patient'"'"'s heartbeat.
The present disclosure also provides for an improved monitoring device for adjusting auditory settings based on acoustics of the environment. The patient monitoring device includes a plurality of speakers configured to output auditory signals, a noise sensor, and an acoustics controller having a processor. The processor can be configured to control the plurality of speakers to output one or more test auditory signals, receive noise data from the noise sensor corresponding to the one or more test auditory signals, determine acoustics of a surrounding environment based at least in part on the received noise data, and adjust one or more speaker parameters of the plurality of speakers based on the determined acoustics.
The device of the preceding paragraph may also include any combination of the following features described in this paragraph, among others described herein. The plurality of speakers can include a first speaker and a second speaker. The adjustment of the one or more speaker parameters can optimize the output auditory signals for the determined acoustics of the surrounding environment.
A system is configured to connect to a plurality of devices, each device having one or more speakers. The system can transmit a request to each of the plurality of devices. The request can request that each of the devices provide a test sound through the respective speakers. The system can listen for the test sound of the speakers and can determine at least one of a location, distance, and volume of each of the speakers. The patient monitoring system can use at least one of the plurality of speakers to provide a one or more audible noises. In some cases, the system communicates with each of the devices in sequence. In some cases, the system communicates with each of the devices simultaneously.
The present disclosure also provides for dynamically controlling speaker settings in a medical environment. This can include determining, using a noise sensor, volume settings corresponding to a speaker of an electrical device. Dynamically controlling speaker settings can further include monitoring, using a noise sensor, a level of ambient noise corresponding to a room of a patient, and controlling the volume settings of the speaker to adjust a sound level output of a speaker based at least in part on a determination that one or more volume adjustment conditions are satisfied.
The dynamically controlling speaker settings of the preceding paragraph may also include any combination of the following features or steps described in this paragraph, among others described herein. The one or more volume adjustment conditions can include determining, based on the level of ambient noise, that the patient, the room of the patient, or the speaker is located in a quiet zone of a hospital, and determining, based at least in part on a time of day, that quiet hours are ongoing. The dynamically controlling speaker settings can further include adjusting the sound level output of the speaker to reduce the sound level output of the speaker.
The dynamically controlling speaker settings of any of the preceding two paragraphs may also include any combination of the following features or steps described in this paragraph, among others described herein. The one or more volume adjustment conditions can include determining, based on the level of ambient noise, that the patient, the room of the patient, or the speaker is not located in a quiet zone of a hospital, and determining, based at least in part on a time of day, that quiet hours are not ongoing. The dynamically controlling speaker settings can further include adjusting the sound level output of the speaker to increase the sound level output of the speaker.
The dynamically controlling speaker settings of any of the preceding three paragraphs may also include any combination of the following features or steps described in this paragraph, among others described herein. The noise sensor can include at least one of a decibel reader or a microphone. The level of ambient noise can correspond to the level of ambient noise in a room of a patient. The method can further include adjusting the volume settings of the speaker by a predetermined amount. The method can further include adjusting the volume settings of the speaker to a predetermined volume setting.
The present disclosure also provides for dynamically controlling display settings in a medical environment. This can include determining display settings corresponding to a display. Dynamically controlling display settings can further include monitoring, using an ambient light sensor, a level of ambient light corresponding to a surrounding environment, and adjusting the display settings of the display based on a display settings threshold.
The dynamically controlling display settings of the preceding paragraph may also include any combination of the following features or steps described in this paragraph, among others described herein. Dynamically controlling display settings can further include determining the display settings threshold based on the level of ambient light, and adjusting the display settings based at least in part on a comparison of the display settings to a display settings threshold.
In some aspects of the present disclosure, a method of audibly altering parameters of a medical device can include receiving, using a microphone, a first vocal command, and interpreting the first vocal command as an activation phrase configured to initiate a process of audibly altering parameters of a medical device. The method can further include controlling a speaker to provide an audible indication of an acknowledgment of the activation phrase and initiation of the process of audibly altering parameters of the medical device. The method can further include, after controlling the speaker to provide the audible indication, receiving, using the microphone, a second vocal command. The method can further include interpreting the second vocal command as a request to alter the parameters of the medical device, and causing a display to display, in text, an indication of the interpreted request to alter the parameters. The indication can include a request for confirmation. The method can further include receiving the confirmation and altering the parameters of the medical device.
The method of the preceding paragraph may also include any combination of the following features or steps described in this paragraph, among others described herein. The method can further include receiving a third vocal command, failing to interpret the third vocal command, and controlling the speaker to provide an audible indication that the third vocal command was not interpreted. The confirmation can be received using the microphone. The confirmation can be received using an input device. The input device can include a touch screen or keyboard.
A patient monitoring system can include a speaker. The speaker can include a large speaker chamber. Based on the size of the speaker chamber, the speaker can produce a low-frequency sound that can travel further than convention patient monitoring speakers produce, without having a higher volume. The low-frequency speaker can be configured to pass through walls or doors to alert care providers outside of a room to an activation of the patient indicator.
For purposes of summarizing the disclosure, certain aspects, advantages and novel features are discussed herein. It is to be understood that not necessarily all such aspects, advantages or features will be embodied in any particular embodiment of the invention and an artisan would recognize from the disclosure herein a myriad of combinations of such aspects, advantages or features.
The following drawings and the associated descriptions are provided to illustrate embodiments of the present disclosure and do not limit the scope of the claims.
While the foregoing “Brief Description of the Drawings” references generally various embodiments of the disclosure, an artisan will recognize from the disclosure herein that such embodiments are not mutually exclusive. Rather, the artisan would recognize a myriad of combinations of some or all of such embodiments.
The patient monitoring device 100 can include a first processor 104, a display, 106, and an OEM board 108. The patient monitoring device 100 further includes one or more cables 110 and an antenna 112 for wired and wireless communication, respectively.
The OEM board 108 can include an instrument board 114, a core or technical board 116, and memory 118. In some cases, the memory 118 can include a user interface module 120, a signal processing module 122, instrument configuration parameters 124, and local configuration parameters 126.
The patient monitoring device 100 may communicate with a variety of noninvasive and/or minimally invasive sensors 102 such as optical sensors with light emission and detection circuitry, acoustic sensors, devices that measure blood parameters from a finger prick, cuffs, ventilators, ECG sensors, pulse oximeters, and the like.
One or more of the sensors 102 can be attached to a medical patient. The sensors 102 can obtain physiological information from a medical patient and transmit this information to the technical board 116 through cables 130 or through a wireless connection (not shown). The physiological information can include one or more physiological parameters or values and waveforms corresponding to the physiological parameters.
The technical board 116 can receive physiological information from the sensors 102. The technical board 116 can include a circuit having a second processor, which may be the same as the first processor 104, and input ports for receiving the physiological information. The technical board 116 can access the signal processing module 122 to process the physiological information in the second processor. In addition, the technical board 116 can include one or more output ports, such as serial ports. For example, an RS232, RS423, or autobaud RS232 (serial interface standard) port or a universal serial bus (USB) port may be included in the technical board 116.
The technical board 116 and the signal processing module 122 can include a sensor processing system for the patient monitoring device 100. In some cases, the sensor processing system generates waveforms from signals received from the sensors 102. The sensor processing system may also analyze single or multiparameter trends to provide early warning alerts to clinicians prior to an alarm event. In addition, the sensor processing system can generate alarms in response to physiological parameters exceeding certain safe thresholds.
Example alerts include no communication with the patient monitoring device 100, alarm silenced on the patient monitoring device 100, instrument low battery (patient monitoring device 100), and transmitter low battery. Example physiological parameters include SpO2 levels, high and low SpO2, high and low PR, HbCO level, HbMET level, pulse rate, perfusion index, signal quality, HbCO, HbMET, PI, and desat index. Additional example alarms include SpO2 alarms, high and low SpO2 alarms, high and low PR, HbCO alarms, HbMET alarms, pulse rate alarms, no sensor alarms, sensor off patient alarms, sensor error, low perfusion index alarm, low signal quality alarm, HbCO alarm, HbMET alarm, PI trend alarm, and desat index alarm.
The instrument board 114 can receive the waveforms, alerts, alarms, and the like from the technical board 116. The instrument board 114 can include a circuit having a third processor, which may be the same as the first processor 104, and input ports for receiving the waveforms, alerts, and alarms from the technical board 116 and output ports for interfacing with the display 106, a speaker or other device capable of producing an audible indication. The instrument board 114 can access the user interface module 120 to process the waveforms, alerts, and alarms to provide indications of the waveforms, alerts, alarms or other data associated with the physiological parameters monitored by the sensors 102. The indications can be displayed on the display 106. In addition or alternatively, the alerts and alarms are audible. The indications, alerts, and alarms can be communicated to end-user devices, for example, through a hospital backbone, a hospital WLAN 16, and/or the Internet.
Additionally, the instrument board 114 and/or the technical board 116 may advantageously include one or more processors and controllers, busses, all manner of communication connectivity and electronics, memory, memory readers including EPROM readers, and other electronics recognizable to an artisan from the disclosure herein. Each board can include substrates for positioning and support, interconnect for communications, electronic components including controllers, logic devices, hardware/software combinations and the like to accomplish the tasks designated above and others.
An artisan will recognize from the disclosure herein that the instrument board 114 and/or the technical board 116 may include a large number of electronic components organized in a large number of ways.
Because of the versatility needed to process many different physiological parameters, the technical board 116 can further include a revision number or other indication of the circuit design and capabilities of a specific technical board 116.
Likewise, because of the versatility needed to display the processed physiological parameters for use by many different end users, the instrument board 114 can further include a revision number or other indication of the circuit design and capabilities of the specific instrument board.
Software is also subject to upgrading to increase its capabilities. The signal processing module 122 can further include a version number or other indication of the code found in the specific signal processing module 122. Likewise, the user interface module 120 can further include a version number or other indication of the code found on the specific user interface module 120.
Some or all of the serial numbers, the model numbers, and the revision numbers of the technical board 116 and the instrument board 114 that include the specific patient monitoring device 100 can be stored in the instrument configuration parameters 124. Further, the version numbers of the signal processing module 122 and the user interface module 120 are stored in the instrument configuration parameters 124. The instrument configuration parameters 124 can further include indications of the physiological parameters that are enabled, and indications of the physiological parameters that are capable of being enabled for the patient monitoring device 100.
The location of the patient monitoring device 100 can affect the sensitivity at which a physiological parameter is monitored. For example, a physiological parameter may be monitored with greater sensitivity when the patent monitoring device 100 is located in the neonatal intensive care unit (NICU), OR or surgical ICU than when it is located in an adult patient'"'"'s room. In some cases, the location of the patient monitoring device 100 may affect the availability of the device for another patient. For example, a patient monitoring device 100 located in the hospital discharge area may be available for another patient, whereas one located in a patient'"'"'s room may not be available anytime soon.
The local configuration parameters 126 can include a location of the patient monitoring device 100 within the facility, an indication of whether the device is configured for adult or pediatric monitoring, and the like.
The sensor 102 can include memory 128. The memory 128 can include information associated with the sensor 102, such as, but not limited to a sensor type, a sensor model number, a sensor revision number, a sensor serial number, and the like.
The patient monitoring device 100 can include a Radical-7® Rainbow SET Pulse Oximeter by Masimo Corporation, Irvine, Calif. The OEM board 108 can be produced by Masimo Corporation, Irvine, Calif. and used by others to produce patient monitoring devices.
The display 224 may present a wide variety of measurement and/or treatment data in numerical, graphical, waveform, or other display indicia 232. The display 224 can occupy much of a front face of the housing 228; although an artisan will appreciate the display 224 may include a tablet or tabletop horizontal configuration, a laptop-like configuration or the like. Other examples may include communicating display information and data to a table computer, smartphone, television, or any display system recognizable to an artisan. The upright inclined configuration of
Additionally, the instrument board 202 and/or the technical board 212 may advantageously include one or more processors and controllers, busses, all manner of communication connectivity and electronics, memory, memory readers including EPROM readers, and other electronics recognizable to an artisan from the disclosure herein. Each board can include substrates for positioning and support, interconnect for communications, electronic components including controllers, logic devices, hardware/software combinations and the like to accomplish the tasks designated above and others.
An artisan will recognize from the disclosure herein that the instrument board 202 and or the technical board 212 may include a large number of electronic components organized in a large number of ways.
Because of the versatility needed to process many different physiological parameters, the technical board 212 can further include a revision number or other indication of the circuit design and capabilities of a specific technical board 212.
Likewise, because of the versatility needed to display the processed physiological parameters for use by many different end users, the instrument board 202 can further include a revision number or other indication of the circuit design and capabilities of the specific instrument board 202.
The memory 204 can include a user interface module 240, a signal processing module 242, instrument configuration parameters 244, and local configuration parameters 246.
The instrument board 202 can access the user interface module 240 to process the waveforms, alerts, and alarms to provide indications of the waveforms, alerts, alarms or other data associated with the physiological parameters for the patient monitoring device 200. The technical board 212 can access the signal processing module 242 to process the physiological information for the patient monitoring device 200.
Software for the patient monitoring device 200 is also subject to upgrading to increase its capabilities. The signal processing module 242 can further include a version number or other indication of the code found in the specific signal processing module 242. Likewise, the user interface module 240 can further include a version number or other indication of the code found on the specific user interface module 240.
Some or all of the serial numbers, the model numbers, and the revision numbers of the technical board 212 and the instrument board 202 that include the specific patient medical monitoring hub 150 can be stored in the instrument configuration parameters 244. Further, the version numbers of the signal processing module 242 and the user interface module 240 can be stored in the instrument configuration parameters 244. The instrument configuration parameters 244 further include indications of the physiological parameters that are enabled, and indications of the physiological parameters that are capable of being enabled for the patient monitoring device 200.
The local configuration parameters 246 can include a location of the patient monitoring device 200 within the facility, an indication of whether the device is configured for adult or pediatric monitoring, and the like.
The patient monitoring device 200 can include a Root® Patient Monitoring and Connectivity Platform by Masimo Corporation, Irvine, Calif. that includes the Radical-7® also by Masimo Corporation, Irvine, Calif.
Low-Frequency Speaker
As described here, a patient monitoring device can be configured to receive one or more signals from a physiological sensor, determine one or more measurements of the one or more physiological parameters of a patient from the received signal, and determine one or more conditions associated with the one or more measurements of the one or more physiological parameters. The patient monitoring device can communicate with speaker 400 and cause the speaker to produce an audible noise, which can include an alarm or other sound, such as a heat beat, a chirp or any other noise meant to obtain the attention of the care provider in an intuitive way. In some cases, the audible noise can be intended to alert a caregiver of an alarm condition or of the activation of the patient indicator. Accordingly, it can be of vital importance to the health of the patient for a caregiver to hear and respond to the audible noise of the speaker 400.
Unfortunately, especially in a hospital environment when nurses and doctors are responsible for a multitude of patients, it can be difficult to provide an audible noise that can be heard by a caregiver, who might be a substantial distance from the patient such as outside of the patient'"'"'s room. One solution might be to make the audible noise louder, but this solution comes with its disadvantages, such as causing damage to a nearby patient'"'"'s hearing or simply disrupting any serenity provided by the hospital. Speaker 400 can advantageously produce a sound wave that can travel further than conventional speakers can (for example, passing through walls), yet is not louder in volume than conventional speakers are. Accordingly, the speaker 400 can increase a likelihood that an audible noise will be heard by a caregiver.
In contrast to traditional speakers, the speaker 400 has an increased size. For example, any of the, length 410, width 412, height 414, or diameter 408 can larger than that of a traditional speaker. Furthermore, and the speaker includes a large acoustic chamber that allows the speaker 400 to produce sound waves that have lower frequencies. Walls reflect and/or absorb most high and medium frequency sound. The remaining low frequency energy that is not reflected or absorbed passes through the wall. Accordingly, the speaker 400 can produce a low frequency that generally passes through walls.
Localized Projection
As illustrated in
To aid in monitoring the patients, in many cases, the nurses'"'"' desks are oriented in a nursing station 504 such that the nurses'"'"' backs are to each other or to a supply room 502 and their faces are directed to the patients'"'"' rooms 506. Each of the nurses at the nurses station can be assigned a set of patients, and, in many circumstances, this assignment can be based on the patient room locations on the floor. For example, with four nurses working the floor and two at each nursing station 504, each of the nurses can be assigned a quarter of the floor. Accordingly, a particular nurse is responsible for any patient residing in a patient room 506 that corresponds to the assigned quarter of the floor.
However, despite these provisions, in many cases, each nurse is generally responsible for monitoring many patients at once. Further, many physiological parameters including heart rate, blood pressure, or the like can be monitored for each patient. Thus, a nurse'"'"'s job can be quite overwhelming and complex, especially when he or she is hearing many audible noises at once, as it can be sometimes be difficult for the nurse to determine which audible noise corresponds to a particular patient. Accordingly, techniques for enhancing patient monitoring are described.
The localized sound projection systems 500A, 500B can implement sound localization techniques. Sound localization exploits a listener'"'"'s spatial-hearing “map,” a perceptual representation of where sounds are located relative to the head. Generally, listeners can hear a sound and can identify the position of the sound or discriminate changes in the location of sounds. By coordinating or offsetting speakers, the localized sound projection systems 500A, 500B can simulate the placement of an auditory cue in a 3D space. In other words, the localized sound projection systems 500A, 500B can, in essence, fool the listener'"'"'s brain into thinking an audible noise originates from a particular location, such as a patient'"'"'s room, a patient, a particular area in the nurses'"'"' station 504, etc.
The localized sound projection system 500A, 500B can adjust a location (sometimes referred to as origination location) at which a listener thinks the audible noise originated in order to give the listener immediate insight as to a direction from which the issue arises. For example, if a patient indicator is activated for Patient A, localized sound projection system 500A, 500B can cause an audible noise to sound as if it is coming from Patient A'"'"'s room. Accordingly, the localized sound projection system can advantageously aid a caregiver in identifying the direction or location of a patient that necessities attention, which can speed up a caregiver response time.
A person'"'"'s auditory system uses several cues for sound source localization, including time- and level-differences (or intensity-difference) between ears, spectral information, timing analysis, correlation analysis, and pattern matching. Thus, system 500A can include a plurality of speakers that are located at various positions in a space. For example, any of speakers 508, 510 can be located on a hospital floor, a nursing station, or a patient'"'"'s room. The speakers can be configured to simulate the placement of an auditory noise, which may be an alarm or a sound, such as a heat beat, a chirp or any other noise meant to obtain the attention of the care provider in an intuitive way by altering one or more of a timing, intensity, frequency, etc. of a sound signal output by the speakers. For example, the timing can be altered by a few milliseconds.
By altering a timing, intensity, frequency or one or more of the speakers, the system 500A, 500B can simulate audible noises as originating from various locations, thereby making the listener believe the sounds are coming from the simulated location.
As a non-limiting example, each patient room 506 can include one or more patient monitors that are configured to monitor physiological parameters of a patient. The system 500A can communicate with patient monitors in a plurality of patient rooms 506 (or can communicate with a centralized system that communicates with the patient monitors). When a patient indicator is activated for a particular patient, the system 500A can coordinate the audible noises of the speakers to make them sound as if they are originating from a particular location or direction, such as a patient, a patient'"'"'s bed, a patient'"'"'s room, or a general direction of a patient.
The system can utilize multiple speakers projecting audible noises at different delays. For example, the system can utilize speakers, and based on the activation of the patient indicator, the second speaker can project an audible noise that is delayed by a few milliseconds relative to an audible noise projected by another speaker. Accordingly, the system can fool a user'"'"'s brain into thinking the audible noise is coming from a particular direction, such as a location of a patient'"'"'s room or a specific location on the patient. For example, the system can fool a user'"'"'s brain into thinking that the audible noise is coming from the patient'"'"'s foot.
The system 500A, 500B can utilize a speaker of one or more various connected devices to provide surround sound. For example, the system 500A, 500B can be in communication with various devices (for example, patient monitors, televisions, etc.) that have an associated speaker. The system 500A, 500B, 500C can also utilize a sound calibration mode to determine which of these connected devices have sound capabilities. Furthermore, the system 500A and 500B can determine a location of each of the various devices and/or can determine from which direction or location the sounds will come from.
For example, the system 500A, 500B, 500C can transmit a command to one or more of the connected devices and request that the device make a sound. The patient monitoring system can then use a noise sensor to monitor the sound and determine the direction, location, volume, etc. of the particular device. After acquiring this information for a plurality of devices, the system 500B can then use the speakers of those devices to provide localized projection of patient sounds. Because the various connected devices may by moved around the room, removed from the room, or added to the room, the patient monitoring system may periodically initiate the sound calibration mode to reset the localized projection.
As described herein with respect to
An abnormal parameter or system operating parameter can be associated with a specific portion of a patient'"'"'s body. For instance, if the system utilizes a pulse oximeter, then a probe off condition might be associated with a patient'"'"'s left or right hand. Similarly, a patient'"'"'s respiration rate might be associated with a patient'"'"'s chest. Accordingly, in some cases, when the system wants to indicate an audible noise, it can utilize a speaker or speakers that is closest to the associated portion of the patient'"'"'s body or can project audible noises using a plurality of speakers in a particular direction. Using the examples above, the system can utilize the speakers on the right side of the patient'"'"'s body to indicate a probe off condition corresponding to the patient'"'"'s right hand. Similarly, the system can utilize the speakers near the patient'"'"'s head to indicate the activation of the patient indicator associated with the upper half of a patient'"'"'s body. For example, the patient indicator associated with the upper half of the patient'"'"'s body can include an abnormal respiration rate. Accordingly, the system can utilize the speakers to indicate to the caregiver a direction and/or general location of the portion of the patient'"'"'s body which needs attention. Alternatively, a surround sound bar can be used to project sound in a specific direction to draw the attention of care providers in that direction.
The system can be utilized to localize the projection of an audible noise to make the audible noise sound as though it is coming from an ailing body part or a portion of the patient'"'"'s body that is associated with the activation of the patient indicator. By localizing the sound to a particular portion of the patient'"'"'s body, a caregiver is quickly informed of the location on the patient which is experiencing an issue and the caregiver can more easily and more efficiently determine what is wrong with the patient. As a non-limiting example, if the patient monitor detects that the patient is experiencing an abnormal heart rate, the surround sound can localize the sound of the audible noise to the patient'"'"'s heart, such that it sounds as though the audible noise is coming from the patient'"'"'s heart.
The audible noise or notification can be a sound that corresponds the activation of the patient indicator. For instance, if a heart rate parameter is causing the activation of the patient indicator, then the audible noise can sound like a beating heart. Thus, by hearing the audible noise, and because a heartbeat is an easily identifiable noise, the caregiver will know that the heart rate is abnormal. Similarly, if a patient hydration parameter is causing an audible noise, the audible noise can sound like running or falling water. Different audible noises can be set for each measured parameter, or a single audible noise can be set for any of a group of parameters. It should be noted however that while any audible noise can be used to designate an alarm, it can be advantageous for the audible noise to sound like or correspond to the abnormal parameter so as to help guide the caregiver. Alternatively or in addition, the audible noise can include an audible representation of the abnormal parameter. For instance, “oxygen saturation,” “carboxyhemoglobin,” “methemoglobin,” etc. can be spoken by the speaker when that particular parameter is abnormal.
The speakers of the patient monitoring device 200 can be integrated within a housing of the device. In some cases, the patient monitor 200 includes two integrated speakers. However, in other cases, the system 500C can include fewer or more speakers. For example, the system 500B can include 1, 3, 4, 5, 6, 7, 8 or more speakers. Each of the speakers can have configurable settings which can be adjusted based off determined acoustics.
The noise sensor can include any of various types of sensors configured to measure noise. For example, the noise sensor can include, but is not limited to, a decibel reader, a microphone, or any other sensor capable of ambient noise detection.
The patient monitoring device 200 can include an acoustics controller that includes a processor. The processor of the acoustics controller can be configured to control the speakers to output test auditory signals. Furthermore, the processor can receive noise data from the noise sensor. The noise data can correspond to the one or more tests signals. Based on the test auditory signals output by the speakers and the noise data received from the noise sensor, the processor can determine an acoustics of a surrounding environment. For example, based on a change in the test signal from when it was transmitted by the speakers two when it was received by the noise sensor, the processor can determine one or more properties or qualities of the environment that determine how sound is transmitted in it. Based on these one or more properties or qualities of the environment, the system can adjust one or more speaker parameters of the speakers. In some cases, the adjustment can optimize speakers for the determined acoustic environment.
At block 602, the sound localization controller can receive an indication of an activation of the patient indicator. The indication of the activation of the patient indicator can include, but is not limited to indications of waveforms, alerts, alarms or other data associated with physiological parameters of a patient monitoring device (for example, device 100 or 150). As described herein, a patient monitoring device can be communicatively coupled to one or more physiological sensors. The patient monitoring device can receive one or more patient signals from the physiological sensors and can determine measurements of physiological parameters of a patient from the received patient signals. The patient monitoring device can monitor patient indicators associated with the measurements of the physiological parameters. In some cases, the patient monitoring device can transmit the indication of the activation of the patient indicator to the sound localization controller. In addition or alternatively, the sound localization controller can monitor the activation of the patient indicator.
The sound localization controller can be in communication with one or more patient monitors that monitor one or more patients. For example, a patient monitor may be located in a patient'"'"'s room, and the patient monitor can be configured to monitor the patient residing in the patient room. Other patient monitors can be located in the same room or in other rooms and can monitor the same patient or other patients. The sound localization controller can communicate with one or more of the patient monitors and can receive patient indicators from each of the patient monitors with which it is in communication. In some cases, the indication of the activation of the patient indicator comprises other identifying information such as a physiological sensor identifier, a patient monitoring device identifier, a patient identifier, a patient room identifier, or a speaker identifier. The sound localization controller can also be part of one or more of the patient monitors.
In addition or alternatively, the sound localization controller can be in communication with a single device. For example, the sound localization controller can communicate with a centralized database that includes real-time patient information, such as real time physiological parameter data or real time alarm data.
At block 604, the sound localization controller can determine an origination location of a patient indicator. As described in more detail herein, the localized sound projection system can implement sound localization techniques to exploit a listener'"'"'s spatial-hearing “map.” By coordinating or offsetting speakers, the sound localization controller can simulate the placement of an auditory cue in a three dimensional (3D) space. In other words, the sound localization controller can fool a listener'"'"'s brain into thinking a sound originates from a particular location. The sound localization controller determines the desired location at which the controller will cause the sound to originate.
The origination location can be a particular location. For example, the origination location can include a general or specific location of a physiological sensor, a patient monitoring device, a patient, a patient'"'"'s room, a speaker, etc.
In some cases, the origination location can correspond to an ailing body part or a portion of the patient'"'"'s body that is associated with the patient indicator. As a non-limiting example, if the activation of the patient indicator corresponds to a patient'"'"'s heartbeat, the origination location can be the location of the patient'"'"'s chest. Accordingly, the audible noise can sound as though it is coming from the direction of patient'"'"'s heart. By localizing the sound to a particular portion of the patient'"'"'s body, a caregiver is quickly informed of the location on the patient which is experiencing an issue and the caregiver can more easily and more efficiently determine what is wrong with the patient.
Furthermore, in some cases, the audible noise can correspond to the physiological parameter associated with the activation of the patient indicator. For example, if the activation of the patient indicator corresponds to a patient'"'"'s heartbeat, the audible noise can sound like a beating heart. In some cases, the sound will be the patient'"'"'s heartbeat, rather than an arbitrary heartbeat.
The sound localization controller can determine the target origination location using various techniques. For example, in some cases, the sound localization controller can access a database (for example, a lookup table) which correlates the activations of the patient indicators with origination locations. In addition or alternatively, the sound localization controller can receive the origination location from a patient monitor, such as along with the indication the patient indicator.
The target origination location can correspond to a location of a speaker. For example, the target origination location can correspond to the location of the speaker that is closest to the source of the patient indicator (for example, the patient, the sensor, the patient'"'"'s room, the physiological monitor, etc.). Accordingly, the sound localization controller can determine a location of one or more of the plurality of speakers and can also determine a location of the source of the patient indicator. The sound localization controller can then select as the origination location the location of the speaker closest to the source of the patient indicator.
At block 606, based at least in part on the origination location and/or a location of one or more of the speakers, the sound localization controller can identify one or more sound parameters. As described herein, each of the speakers can be configured to output auditory signals. In some cases, each of the speakers output an identical audible noise, save one or more sound parameters. The sound parameters can include, but are not limited to, a timing, intensity, or frequency of the audible noise.
In other words, at block 606, the sound localization controller determines how to adjust or modify the sound signals output by the speaker to provide the desired localized projection. In some cases, the sound parameters are based at least in part on the origination location and/or the location of one or more speakers. For example, first speakers that are further from the origination location than second speakers can have sound parameters that include a time delay (for example, 1, 2, 3, 4, 5, 10, milliseconds (+/− a few milliseconds)). Accordingly, sound from first speakers can be time-delayed from the sound of the second speakers).
At block 608, the sound localization controller determines the signals which it will cause the speakers to output. For example, as described here, each of the speakers may be configured to output an identical audible noise, save the one or more sound parameters determined at block 606.
At block 610, the sound localization controller controls the speakers to output the plurality of audible noises that have been adjusted based on the sound parameters.
At block 702, the patient monitoring system controls a plurality of speakers to output one or more tests auditory signals. The speakers can be integrated within a housing of the patient monitoring device 200. In some cases, the patient monitor 200 includes two integrated speakers. However, in other cases, the system can include fewer or more speakers. For example, the system can include 1, 3, 4, 5, 6, 7, 8 or more speakers. Each of the speakers can have configurable settings which can be adjusted based off determined acoustics.
At block 704, the patient monitoring system receives noise data corresponding to the test auditory signals. For example, the patient monitoring system can include a noise sensor. The noise sensor can include any of various types of sensors configured to measure noise. For example, the noise sensor can include, but is not limited to, a decibel reader, a microphone, or any other sensor capable of ambient noise detection. The noise sensor can sense the test signals after they are transmitted by the speakers into the environment, and can provide noise sensor data to the patient monitor.
At block 706, the patient monitor can determine acoustics of the surrounding environment based at least on the received noise data from the noise sensor. For example, based on a change in the auditory test signal transmitted by the speakers to the signal received by the noise sensor, the processor can determine one or more properties or qualities of the environment that determine how sound is transmitted in it.
At block 708, based on these properties or qualities of the environment that correspond to the acoustics, the patient monitor can adjust or monitor one or more speaker parameters of the speaker. In some cases, the adjustment can optimize speakers for the determined acoustic environment.
Adjust Volume
Reducing hospital noise and creating a quieter environment for patients can increase both patient satisfaction and patient outcomes. Some hospitals have implemented quiet zones (sometimes known as quiet rooms) where patients and their families can go to relax, on what may be some of the most difficult days of their lives. Similarly, regardless of whether a quiet area exists, certain times of the day, such as nighttime, are preferably quieter. For example, patients may be trying to sleep at this time. Though noise is not responsible for all sleep disruptions, its contribution is significant. In addition, researchers have found the sick and the elderly are the most likely to have their sleep disturbed by noise, and people never completely habituate themselves to nighttime noise. In contrast, many times throughout a hospital day can be hectic and loud. Thus, during these times, quiet audible noises might not be attended to or even heard.
Accordingly, it is an object of the present disclosure to provide a physiological monitoring system that adjusts a speaker volume responsive to changes in environmental noise and/or changes in the time of day. For example, based on an ambient noise level or a time of day, the physiological monitoring system can determine that a quieter audible noise is preferred and can lower a volume of a speaker. In contrast, based on an ambient noise level or a time of day, the physiological monitoring system can determine that a louder audible noise is preferred and can raise a volume of a speaker.