Patient movement detection system and method

• US 10,497,474 B2
• Filed: 06/16/2016
• Issued: 12/03/2019
• Est. Priority Date: 03/24/2009
• Status: Active Grant

• Current Assignee: Leaf Healthcare, Inc. (Smith & Nephew PLC)
• Original Assignee: Leaf Healthcare, Inc. (Smith & Nephew PLC)
• Inventors: Perlman, David, Himle, Joseph
• Primary Examiner(s): Henson, Devin B
• Assistant Examiner(s): Nguyen, H. Q.
• Application Number:
  US15/183,785
• Publication Number:
  US 20170049365A1
• Time in Patent Office: 1,265 Days
• CPC Class Codes: A61B 2560/0443 Modular apparatus
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 2562/18 Shielding or protection of sensors from environmental influences, e.g. protection from mechanical damage
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/447 specially adapted for aiding the prevention of ulcer or pressure sore development, i.e. before the ulcer or sore has developed
• CPC Class Codes: A61B 5/6801 specially adapted to be attached to or worn on the body surface
• 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 5/742 using visual displays A61B5/339 takes precedence
• 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: G16H 40/63 for local operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A monitoring system and method tracks a patient'"'"'s position over time and ensures that proper turning or other manipulation is done within the time prescribed. Preferably, the techniques herein continuously monitor patient position and alert medical or other personnel of the need for turning or other patient manipulation. The system may be implemented within a medical or other care facility, or within a patient'"'"'s home.

Claims

1. A method for monitoring an orientation of a person with respect to a defined turning protocol for the person, the method comprising:

receiving, via an input device, user input defining a person-specific restricted orientation associated with an injury at a specific side or area of the person'"'"'s body, the person-specific restricted orientation comprising an orientation in which a patient support surface imparts pressure on the injured side or area of the person'"'"'s body,

sensing, with a sensor device configured to be physically wearable by the person, information representative of a physical orientation of the person,

executing, by a processor, computer instructions stored in non-transitory computer-readable media to;

determine, based on the sensed physical orientation of the person, a turn of or by the person from a first orientation to a second orientation,

determine both;

(a) whether the second orientation to which the person has turned is the restricted orientation defined for the person via the input device, and

(b) whether the second orientation to which the person has turned is compliant with the defined turning protocol for the person,

initiate an audible or visual alert in response to each one of the following;

a determination that the second orientation to which the person has turned is the restricted orientation,

a determination that the second orientation to which the person has turned is non-compliant with the defined turning protocol, and

a determination that a time spent in the second orientation exceeds a threshold time specified by the defined turning protocol, and

adjust a timer of the defined turning protocol without initiating an audible or visual alert in response to a determination that the second orientation to which the person has turned (a) is compliant with the defined turning protocol and (b) is not the restricted orientation, and is thus a compliant turn.

2. The method of claim 1 wherein the input defining a person-specific restricted orientation for the person comprises input defining a side of the person'"'"'s body with the injury.

3. The method of claim 1, wherein the input device is provided at a computer distinct from the wearable sensor device and communicatively coupled to the wearable sensor device by a wireless link.

4. The method of claim 1, wherein the input device comprises a keyboard.

5. The method of claim 1, further comprising, in addition to the processor initiating the audible or visual alerts, the processor causing a visual display of both (a) an indication of a current orientation of the person and (b) an indication of the user-defined restricted orientation associated with the injury at the specific side or area of the person'"'"'s body.

6. The method of claim 1, further comprising, in addition to the processor initiating the audible or visual alerts, the processor causing a display of an indication of a current orientation of the person.

7. The method of claim 1, further comprising determining, and displaying an indication of, at least one of:

(a) an amount of time since a previously detected change in orientation of the person, or

(b) an amount of time until an upcoming change in orientation of the person as defined by the defined turning protocol for the person.

8. The method of claim 1, wherein the audible or visual alert initiated in response to the determination that the time spent in the second orientation exceeds the threshold time specified by the defined turning protocol is different than the audible or visual alert initiated in response to the determination that the second orientation to which the person has turned is the restricted orientation.

9. The method of claim 1, wherein the sensor device comprises at least one accelerometer to generate information representative of the physical orientation of the person.

10. The method of claim 1, further comprising displaying an indication of a current orientation of the person.

11. A system for monitoring an orientation of a person, the system comprising:

an input device configured to receive user input defining a restricted orientation associated with an injury at a specific side or area of the person'"'"'s body, the person-specific restricted orientation comprising an orientation in which a patient support surface imparts pressure on the injured side or area of the person'"'"'s body,

a sensor device configured to be physically wearable by the person and configured to output orientation information representative of changes in the orientation of the person with respect to the physical support surface,

computer instructions stored in non-transitory computer-readable media,

an audio or visual output device, and

a processor in communication with the sensor device and the audio or visual output device, the processor configured to;

receive the orientation information output by the sensor device, and

execute the computer instructions to;

determine, based on the received orientation information, a particular turn of the person from a first orientation to a second orientation,

determine whether the second orientation to which the person has turned is the user-defined restricted orientation for the person defined by the received user input,

determine whether the second orientation is a correct orientation for the person according to a defined turning protocol for the person,

determine whether the particular turn from the first orientation to the second orientation is a compliant turn or a non-compliant turn based at least on (a) the determination of whether the second orientation is the user-defined restricted orientation for the person and (b) the determination of whether the second orientation is a correct orientation for the person according to the defined turning protocol for the person, and

based on the determination of whether the particular turn is a compliant turn or a non-compliant turn;

initiate an audible or visual non-compliant turn notification via the audio or visual output device if the particular turn is determined to be a non-compliant turn, and

not initiate an audible or visual notification via the audio or visual output device if the particular turn is determined to be a compliant turn.

12. The system of claim 11 wherein the input defining a restricted orientation for the person comprises user input defining a side of the person'"'"'s body with the injury.

13. The system of claim 11, wherein the input device is provided at a computer distinct from the wearable sensor device and communicatively coupled to the wearable sensor device by a wireless link.

14. The system of claim 11, wherein the input device comprises a keyboard.

15. The system of claim 11, comprising a display device configured to visually display both (a) an indication of a current orientation of the person and (b) an indication of the user-defined restricted orientation associated with the injury at the specific side or area of the person'"'"'s body.

16. The system of claim 11, wherein the sensor device comprises at least one accelerometer to generate information representative of the physical orientation of the person.