Systems and methods for monitoring and/or managing a person's position using variable parameters

• US 10,535,432 B2
• Filed: 09/28/2017
• Issued: 01/14/2020
• 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, Huong Q.
• Application Number:
  US15/718,549
• Publication Number:
  US 20180032690A1
• Time in Patent Office: 838 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 system, comprising:

at least one sensor configured to generate sensor data associated with a position of a person on a support surface during a series of (a) pressure-on periods in which the person is in a pressure-on position in which a particular side or area of the person'"'"'s body is pressurized by the support surface, and (b) relief periods in which the person is in a relief position in which the particular side or area of the person'"'"'s body is not pressurized by the support surface; and

a processor coupled to the at least one sensor and configured to;

receive the sensor data from the at least one sensor via wired or wireless communications;

detect changes in the person'"'"'s position over time based on the received sensor data;

determine a relief period time limit for each respective relief period based on a proportional relationship between the relief period time limit and a corresponding pressure-on time including a measured duration of a pressure-on period immediately preceding the respective relief period, such that different relief period time limits are calculated for different relief periods, depending on the respective pressure-on time corresponding with each respective relief period; and

for each respective relief period;

determine an end of the respective relief period based on a detected change in the person'"'"'s position away from the relief position;

determine whether the end of the respective relief period satisfies the relief period time limit; and

generate and communicate a notification if it is determined that the end of the respective relief period does not satisfy the relief period time limit.

2. The system of claim 1, wherein the position of the person comprises a physical orientation of the person or a portion of the person.

3. The system of claim 1, wherein the at least one sensor and the processor are provided in a wearable sensor device.

4. The system of claim 3, wherein:

the wearable sensor device further includes an output device configured to output, and

communicating a notification if it is determined that the end of the respective relief period does not satisfy the relief period time limit comprises outputting the notification via the output device of the wearable sensor device.

5. The system of claim 1, wherein:

the at least one sensor is provided in a wearable sensor device; and

the processor is provided in a separate device from the wearable sensor device.

6. The system of claim 1, wherein the relief period time limit defines a minimum relief period duration.

7. The system of claim 1, wherein:

the at least one sensor configured to generate sensor data comprises at least one accelerometer configured to generate acceleration data; and

the processor is configured to;

receive acceleration data from the at least one accelerometer via wired or wireless communications;

detect changes in the person'"'"'s position over time based on the received acceleration data.

8. A system, comprising:

at least one sensor configured to generate sensor data associated with a position of a person on a support surface during an alternating series of (a) pressure-on periods in which the person is in a pressure-on position in which a particular side or area of the person'"'"'s body is pressurized by the support surface, and (b) relief periods in which the person is in a relief position in which the particular side or area of the person'"'"'s body is not pressurized by the support surface; and

a processor coupled to the at least one sensor and configured to;

receive the sensor data from the at least one sensor via wired or wireless communications;

detect changes in the person'"'"'s position over time based on the received sensor data; and

during the alternating series of pressure-on periods and relief periods, determine a time-off threshold value for each of at least two consecutive relief periods based on a proportional relationship between the time-off threshold value for each respective relief period and a corresponding pressure-on time including a measured duration of the pressure-on period immediately preceding the respective relief period, such that different time-off threshold values are calculated for the at least two consecutive relief periods, depending on the respective pressure-on time corresponding with each respective relief period.

9. The system of claim 8, wherein the time-off threshold value defines a minimum time-off duration.

10. The system of claim 8, wherein the at least one sensor and the processor are provided in a wearable sensor device.

11. The system of claim 8, wherein:

the at least one sensor is provided in a wearable sensor device; and

the processor is provided in a separate device from the wearable sensor device.

12. The system of claim 8, wherein the processor is further configured to, for each of the at least two consecutive relief periods:

determine whether the respective relief period satisfies the respective time-off threshold value determined for that relief period; and

generate a notification if the respective relief period does not satisfy the respective time-off threshold value determined for that relief period.

13. A system, comprising:

at least one sensor configured to generate sensor data associated with a position of a person on a support surface during a series of (a) pressure-on periods in which the person is in a pressure-on position in which a particular side or area of the person'"'"'s body is pressurized by the support surface, and (b) relief periods in which the person is in a relief position in which the particular side or area of the person'"'"'s body is not pressurized by the support surface; and

a processor coupled to the at least one sensor and configured to;

receive the sensor data from the at least one sensor via wired or wireless communications;

detect changes in the person'"'"'s position over time based on the received sensor data; and

measure a duration of a relief period immediately preceding each respective pressure-on period; and

dynamically determine a time-on threshold value for each respective pressure-on period as a function of a corresponding prior relief time including the measured duration of the relief period immediately preceding the respective pressure-on period, such that different time-on threshold values are determined for different pressure-on periods, depending on the prior relief time corresponding with each respective pressure-on period.

14. The system of claim 13, wherein the time-on threshold value defines a maximum time-on duration.

15. The system of claim 13, wherein the at least one sensor and the processor are provided in a wearable sensor device.

16. The system of claim 13, wherein:

the at least one sensor is provided in a wearable sensor device; and

the processor is provided in a separate device from the wearable sensor device.

17. The system of claim 13, wherein dynamically determining a time-on threshold value for each respective pressure-on period as a function of a corresponding prior relief time including the measured duration of the relief period immediately preceding the respective pressure-on period comprises, for each respective pressure-on period:

determining whether the prior relief time corresponding with respective pressure-on period meets a minimum time-off threshold value; and

if the corresponding prior relief time meets the minimum time-off threshold value, applying a predefined time-on threshold value for the respective pressure-on period; and

if the corresponding prior relief time does not meet the minimum time-off threshold value, adjusting the predefined time-on threshold value as a function of the corresponding prior relief time, and applying the adjusted time-on threshold value for the respective pressure-on period.

18. A system, comprising:

at least one sensor configured to generate orientation data associated with an orientation of a person; and

a processor coupled to the at least one sensor and configured to;

receive the orientation data from the at least one sensor via wired or wireless communications;

determine a position of the person based on the received orientation data;

identify changes in the position of the person over time based on the received orientation data, including a series of changes between a first position that pressurizes a particular side or area of the person'"'"'s body and a relief position other than the first position and which does not pressurize the particular side or area of the person'"'"'s body;

measure a first position time duration spent by the person in the first position associated with the particular side or area of the person'"'"'s body;

dynamically determine, in real time at an identified change from the first position to the relief position, a minimum relief period time limit for a relief period in the relief position based on a defined proportional relationship between the relief period time limit and the measured first position time duration, such that the dynamically determined minimum relief period time limit increases as a proportional function of an increase in the first position time duration; and

during the relief period;

determine an end of the relief period based on a determined change in the person'"'"'s position away from the relief position;

determine whether the end of the respective relief period satisfies the minimum relief period time limit; and

generate and communicate a notification in response to determining that the end of the respective relief period does not satisfy the minimum relief period time limit.

19. The system of claim 18, wherein the minimum relief period time limit defines a minimum duration in the relief position.