Multi-vital-sign smartphone system in an electronic medical records system

• US 10,492,684 B2
• Filed: 02/21/2017
• Issued: 12/03/2019
• Est. Priority Date: 02/21/2017
• Status: Active Grant

• Current Assignee: ARC Devices, Ltd.
• Original Assignee: Arc Devices (Ni) Limited
• Inventors: Khachaturian, Mark, Smith, Michael, Gross, Irwin, Cherepy, Christine
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US15/438,751
• Publication Number:
  US 20180235468A1
• Time in Patent Office: 1,015 Days
• Field of Search: None
• CPC Class Codes: A61B 2505/07 Home care
• CPC Class Codes: A61B 2560/0252 using ambient temperature
• CPC Class Codes: A61B 2560/0425 Ergonomically shaped housings A61B2560/0418 takes precedence
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 2562/0257 Proximity sensors
• CPC Class Codes: A61B 2562/028 Microscale sensors, e.g. electromechanical sensors [MEMS]
• CPC Class Codes: A61B 5/0008 Temperature signals
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0077 Devices for viewing the surface of the body, e.g. camera, magnifying lens
• 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 5/02241 of small dimensions, e.g. adapted to fingers
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/02433 for infrared radiation
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/1032 Determining colour for diagnostic purposes measuring colour in general G01J3/46
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/1495 Calibrating or testing of in-vivo probes
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/6898 Portable consumer electronic devices, e.g. music players, telephones, tablet computers
• CPC Class Codes: A61B 5/7275 : Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/7278 : Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 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 5/746 : Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: G06F 1/1632 : External expansion units, e.g. docking stations
• CPC Class Codes: G16H 10/60 : for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/40 : for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/63 : for local operation

Abstract

In one implementation, a multi-vital-sign smartphone system detects multiple vital signs from sensors such as a digital infrared sensor, a photoplethysmogram (PPG) sensor and at least one micro dynamic light scattering (mDLS) sensor, and thereafter in some implementations the vital signs are transmitted to, and stored by, an electronic medical record system.

Claims

1. An apparatus comprising:

a SPO2 subsystem including a first exterior housing and a first photoplethysmogram sensor in the first exterior housing;

a finger occlusion cuff including a second exterior housing, a second photoplethysmogram sensor and a micro dynamic light scattering sensor in the second exterior housing;

a multi-vital-signs finger cuff smartphone accessory including a third exterior housing, the third exterior housing including a microprocessor, a memory, a battery and a digital infrared sensor, the third exterior housing of the multi-vital-signs finger cuff smartphone accessory being operably coupled to the first exterior housing of the SPO2 subsystem and the third exterior housing of the multi-vital-signs finger cuff smartphone accessory being operably coupled to the second exterior housing of the finger occlusion cuff;

the microprocessor being operably coupled the first photoplethysmogram sensor, the second photoplethysmogram sensor and operably coupled to the micro dynamic light scattering sensor in the second exterior housing, wherein the microprocessor is configured to estimate SpO2 blood oxygenation from data from the first photoplethysmogram sensor in the first exterior housing and a respiration rate is estimated from data from the micro dynamic light scattering sensor;

the battery being operably coupled to the microprocessor;

the memory being operably coupled to the microprocessor, the memory storing data that correlates a surface temperature to the body core temperature and the memory providing the data that correlates the surface temperature to the body core temperature; and

the digital infrared sensor being operably coupled to the microprocessor, the digital infrared sensor including a Faraday cage surrounding a single thermopile sensor, a central processing unit and a control block,

wherein the microprocessor is configured to receive from the digital infrared sensor a digital signal that is representative of an infrared signal of the surface temperature that is detected by the digital infrared sensor and the microprocessor is configured to estimate the body core temperature from the digital signal that is representative of the infrared signal in reference to a plurality of tables that are stored in another memory that correlates the surface temperature to the body core temperature.

2. The apparatus of claim 1, the microprocessor further comprising:

a camera that is operably coupled to the microprocessor and configured to provide a plurality of images to the microprocessor; and

a pixel-examination-module configured to examine pixel-values of the plurality of images, a temporal-variation module to determine temporal variation of the pixel-values between the plurality of images being below a particular threshold, a signal processing module configured to amplify the temporal variation resulting in an amplified-temporal-variation, and a visualizer to visualize a pattern of flow of blood in the amplified-temporal-variation in the plurality of images.

3. The apparatus of claim 1 further comprising:

the digital infrared sensor having no analog sensor readout ports.

4. The apparatus of claim 1 wherein a wireless communication subsystem is operably coupled to the microprocessor and the wireless communication subsystem is configured to transmit a representation of the body core temperature via a short distance wireless communication path.

5. The apparatus of claim 4 wherein the apparatus is verified by a second apparatus as known by the second apparatus and as allowed by the second apparatus to transfer information to the second apparatus.

6. The apparatus of claim 4 wherein a connection is established and the body core temperature is pushed from the apparatus through the wireless communication subsystem, thereafter an external device controls flow of the body core temperature between the apparatus and the external device, wherein the connection further comprises an authenticated communication channel.

7. The apparatus of claim 4, wherein the digital infrared sensor further comprises an analog-to-digital converter.

8. The apparatus of claim 4, wherein the wireless communication subsystem further comprises a component that is configured to transmit a representation of date and time, operator identification, patient identification, manufacturer and model number of the apparatus.

9. The apparatus of claim 4 wherein the wireless communication subsystem transmits through an Internet Protocol tunnel.

10. The apparatus of claim 1 further comprising:

a camera that is operably coupled to the microprocessor and configured to provide a plurality of images to the microprocessor; and

the microprocessor including a cropper module that is configured to receive the plurality of images and configured to crop the plurality of images to exclude a border area of the plurality of images, generating a plurality of cropped images, the microprocessor also including a temporal-variation-amplifier of the plurality of cropped images that is configured to generate a temporal variation, the microprocessor also including a biological vital-sign generator that is operably coupled to the temporal-variation-amplifier that is configured to generate a biological vital sign from the temporal variation and the microprocessor also operably coupled to the biological vital-sign generator.

11. The apparatus of claim 10, wherein the temporal-variation-amplifier further comprises a skin surface skin-pixel-identification module.

12. The apparatus of claim 10, wherein the temporal-variation-amplifier further comprises a regional facial clusterial module.

13. The apparatus of claim 10, wherein the temporal-variation-amplifier further comprises a first frequency filter module.

14. The apparatus of claim 10 further comprising the digital infrared sensor that is not recalibrated with a black body and that further comprises a low noise amplifier, the low noise amplifier being operably coupled to an analog-to-digital converter, the analog-to-digital converter being operably coupled to a digital signal processor, the digital signal processor being operably coupled to a pulse width modulator.

15. The apparatus of claim 10 further comprising a storage device that is operably coupled to the biological vital-sign generator and that is configured to store the biological vital sign in a non-volatile memory.

16. The apparatus of claim 10 further comprising a storage device that is operably coupled to the biological vital-sign generator and that is configured to transmit the biological vital sign to another apparatus.

17. The apparatus of claim 10 wherein the biological vital sign further comprises:

pulse rate.

18. The apparatus of claim 1 further comprising:

the digital infrared sensor having only digital readout ports.

19. The apparatus of claim 10 further comprising:

a first circuit board including;

the microprocessor, a second battery, a display device and a first digital interface that is operably coupled to the microprocessor; and

a second circuit board in a smartphone including;

the digital infrared sensor; and

a second digital interface, the second digital interface being operably coupled to the first digital interface and the second digital interface being operably coupled to the digital infrared sensor.