Patient monitor placement indicator

• US 10,575,779 B2
• Filed: 03/02/2018
• Issued: 03/03/2020
• Est. Priority Date: 03/14/2013
• Status: Active Grant

• Current Assignee: Masimo Corporation
• Original Assignee: Masimo Corporation
• Inventors: Poeze, Jeroen, Lamego, Marcelo M.
• Primary Examiner(s): Lau, Hoi C
• Application Number:
  US15/910,542
• Publication Number:
  US 20180289325A1
• Time in Patent Office: 732 Days
• Field of Search: 600595, 600322, 600407, 600323, 600331, 600310, 600316, 600424, 600300, 3405731, 340 443, 340635, 3406861
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/684 Indicating the position of the sensor on the body
• CPC Class Codes: A61B 5/7405 using sound
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots

Abstract

A monitoring device for measuring one or more physiological parameters of a medical patient can include a finger clip sensor connected to a monitor. A placement indicator helps the patient to properly position the sensor. The monitor can display a message alerting the patient to reposition the sensor. The device can delay measurement until the sensor is properly positioned.

Claims

1. A noninvasive medical monitoring device, said monitoring device comprising:

a physiological sensor configured to output at least one physiological signal;

at least one processor configured with computer-readable instructions to;

calculate at least one reference transmittance value indicative of a reference position of said physiological sensor on a measurement site;

calculate at least one operating transmittance value indicative of a position of said physiological sensor on said measurement site relative to said reference position;

compare said at least one reference transmittance value with said at least one operating transmittance value; and

generate an indication when said comparison exceeds a placement indication threshold.

2. The noninvasive medical monitoring device of claim 1, wherein said computer-readable instructions further configure said at least one processor to generate an output on a display based at least in part on said operating transmittance value.

3. The noninvasive medical monitoring device of claim 2, wherein said output comprises one or more verbal messages.

4. The noninvasive medical monitoring device of claim 2, wherein said output comprises a movement or balance game.

5. The noninvasive medical monitoring device of claim 1 further comprises a data storage device configured to store said at least one reference transmittance value.

6. The noninvasive medical monitoring device of claim 1, wherein transmittance calculator is configured to calculate said at least one reference transmittance value based on an input received from a user.

7. The noninvasive medical monitoring device of claim 1, wherein transmittance calculator is configured to calculate said at least one operating transmittance value periodically.

8. The noninvasive medical monitoring device of claim 1, wherein transmittance calculator is configured to calculate said at least one operating transmittance value prior to filtering said at least one physiological signal with a low pass filter.

9. The noninvasive medical monitoring device of claim 2, wherein said output indicates a magnitude and a direction of said position relative to said reference position.

10. A method of determining positioning of a physiological sensor, said method comprising:

by a noninvasive medical monitoring device, comprising said physiological sensor configured to output at least one physiological signal, and computer-readable instructions configuring at least one processor to perform;

calculating at least one reference transmittance value from a first plurality of physiological signals received from said physiological sensor on a measurement site of a patient, wherein said at least one reference transmittance value is indicative of a reference position of said physiological sensor on said measurement site;

calculating at least one operating transmittance value from a second plurality of physiological signals received from said physiological sensor, wherein said at least one operating transmittance value is indicative of a current position of said physiological sensor on said measurement site;

comparing said at least one reference transmittance value with said at least one operating transmittance value;

determining whether said comparison exceeds a placement indicator threshold; and

generating an indication when said comparison exceeds said placement indicator threshold.

11. The method of claim 10, further comprising generating an output on a display based at least in part on said placement indication value, wherein said output comprises an indicator for notifying said patient that said physiological sensor is incorrectly positioned.

12. The method of claim 11, wherein said indicator is an audible indicator.

13. The method of claim 11, wherein said indicator is a visual indicator.

14. The method of claim 11, wherein said indicator comprises at least one of a direction and a magnitude.

15. The method of claim 10 further comprising receiving an input to calculate said at least one reference transmittance value.

16. The method of claim 10 further comprising delaying determining a physiological measurement associated with said at least one physiological signal when said placement indicator value exceeds said placement indicator threshold.

17. A method of determining positioning of a physiological sensor, said method comprising:

by a noninvasive medical monitoring device, comprising said physiological sensor configured to output at least one physiological signal, and computer-readable instructions configuring at least one processor to perform;

calculating a first value from a first set of physiological signal data received from said physiological sensor, wherein said first value is indicative of a first position of said physiological sensor on said measurement site;

calculating a second value from a second set of physiological signal data received from said physiological sensor after calculating said first value, wherein said second value is indicative of a second position of said physiological sensor on said measurement site;

comparing said first value and said second value; and

generating an indication based at least in part on the comparison between said first value and said second value.

18. The method of claim 17, wherein said indication notifies said patient that said physiological sensor is incorrectly positioned.

19. The method of claim 17, wherein said indication is at least one of an audible indicator or a visual indicator.

20. The method of claim 17 further comprising receiving an input from a user prior to initiating calculating said first value.