Seizure and movement monitoring

• US 20030236474A1
• Filed: 06/24/2002
• Published: 12/25/2003
• Est. Priority Date: 06/24/2002
• Status: Abandoned Application

• Current Assignee: Balbir Singh
• Original Assignee: Balbir Singh
• Inventors: Singh, Balbir
• Application Number:
  US10/178,587
• Publication Number:
  US 20030236474A1
• Time in Patent Office: Days
• US Class Current: 600/595
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/1126 using a particular sensing technique
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/6887 mounted on external non-worn devices, e.g. non-medical devices
• CPC Class Codes: A61B 5/6892 Mats
• CPC Class Codes: A61B 7/006 Detecting skeletal, cartilage or muscle noise A61B7/003 and A61B7/008 take precedence
• CPC Class Codes: G08B 21/043 detecting an emergency event, e.g. a fall
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

An apparatus and method for monitoring movements of a patient is provided. If movements of the patient are detected to exceed predetermined thresholds, then a detector assembly determines that a seizure condition is present, and an alarm may be generated. In one arrangement, a sensor assembly includes one or more sound detectors to detect sound cause by patient movement. The detector assembly monitors the movement of the patient for determining if an abnormal movement or seizure condition is present. In another arrangement, an image sensor is used. A detector assembly monitors images produced by the image sensor to determine if the movements exceed predetermined thresholds. Other types of sensors can be used in other arrangements. The sensors can either be placed on a surface common to the patient or they can be attached to the patient.

Claims

1. An apparatus for detecting a seizure or other movement disorder of a patient, comprising:

a sensor assembly comprising one or more sound sensors; and

a detector assembly adapted to receive an indication of sound detected by the one or more sound sensors,

the detector assembly adapted to determine if the movement disorder is present based on the indication.

2. The apparatus of claim 1, wherein the detector assembly comprises a computer.

3. The apparatus of claim 1, wherein the detector assembly comprises software executable to perform the determination.

4. The apparatus of claim 1, wherein the sensor assembly further comprises a reference sensor to detect environmental noise.

5. The apparatus of claim 4, wherein the detector assembly is adapted to account for the environmental noise in determining if the movement disorder is present.

6. The apparatus of claim 1, wherein the one or more sound sensors are adapted to sense sound generated by patient movement on a surface.

7. The apparatus of claim 1, wherein the detector assembly is adapted to generate an alarm in response to determining that the movement disorder is present

8. The apparatus of claim 7, wherein the detector assembly is adapted to send an alarm notification to a remote location.

9. The apparatus of claim 1, further comprising a central telemetry system operatively coupled to the sensor assembly.

10. The apparatus of claim 9, wherein the central telemetry system comprises a cardiac telemetry system.

11. The apparatus of claim 9, wherein the detector assembly comprises seizure detection software executable in the cardiac telemetry system

12. The apparatus of claim 1, wherein the sensor assembly is adapted to generate signal waves, and

wherein the detector assembly is adapted to determine if the movement disorder is present based on detecting characteristics of the waves including an angle of a slope of each wave.

13. The apparatus of claim 1, further comprising a video device adapted to continuously receive images of the patient, the video device to save a segment of the received images in response to determining the movement disorder is present.

14. An apparatus for detecting a seizure condition of a patient, comprising:

a sensor assembly comprising one or more sensors selected from the group consisting of a sound sensor, a charge transfer sensor, an accelerometer, a micro-accelerometer, a seismometer, a geophone, a hydrophone, and a fiber-optic sensor,

the sensor assembly adapted to detect patient movement; and

a detector assembly adapted to receive an indication of the patient movement from the sensor assembly and to generate an alarm if the detector assembly determines a seizure condition is present.

15. The apparatus of claim 14, wherein the detector assembly is adapted to send the alarm to a remote location.

16. The apparatus of claim 15, wherein the detector assembly is adapted to receive an acknowledgement of the alarm from the remote location.

17. The apparatus of claim 16, wherein the detector assembly is adapted to contact a sequence of remote locations until a predetermined acknowledgment is received.

18. The apparatus of claim 14, wherein the sensor assembly is adapted to detect patient movement on a surface.

19. The apparatus of claim 14, wherein the sensor assembly is adapted to be worn on the patient.

20. The apparatus of claim 14, further comprising a central telemetry system operatively coupled to the sensor assembly.

21. The apparatus of claim 20, wherein the central telemetry system comprises a cardiac telemetry system.

22. The apparatus of claim 20, wherein the detector assembly comprises seizure detection software executable in the cardiac telemetry system.

23. The apparatus of claim 14, wherein the sensor assembly is adapted to generate signal waves, and

wherein the detector assembly is adapted to determine if the movement disorder is present based on detecting characteristics of the waves including an angle of a slope of each wave.

24. The apparatus of claim 14, further comprising a video device adapted to continuously receive images of the patient, the video device to save a segment of the received images in response to determining the seizure condition is present.

25. An apparatus comprising:

an image sensor adapted to generate images of a patient;

a detector assembly coupled to the image sensor,

the detector assembly comprising an image-processing module adapted to process a series of images to determine if a patient seizure condition is present.

26. The apparatus of claim 25, wherein the image sensor comprises a video camera.

27. The apparatus of claim 25, wherein the detector assembly is adapted to generate an alarm in response to determining the patient seizure condition is present.

28. The apparatus of claim 27, wherein the detector assembly is adapted to send an alarm notification to a remote location.

29. The apparatus of claim 25, further comprising a video recorder adapted to save a segment of received images in response to determining the seizure condition is present.

30. A method of detecting a seizure condition, comprising:

receiving indications of sound from one or more sound detectors, the sound generated by patient movement; and

determining if the seizure condition is present in response to the indications.

31. The method of claim 30, further comprising generating an alarm in response to determining the seizure condition is present.

32. The method of claim 30, further comprising receiving an indication of sound due to environmental noise.

33. The method of claim 32, wherein determining if the alarm is present is based on the indications of sound generated by patient movement and sound due to environmental noise.

34. The method of claim 30, wherein receiving the indications comprises receiving signal waves, and

wherein determining if the seizure condition is present based on characteristics of the waves including an angle of a slope of each signal wave.

35. A method of detecting a seizure condition of a patient, comprising:

receiving data representing one of sound generated by patient movement and video images of the patient; and

determining if the seizure condition is present based on the received data.

36. The method of claim 35, wherein receiving the data comprises receiving the data from one or more sound sensors.

37. The method of claim 35, wherein receiving the data comprises receiving the data from one or more image sensors.

38. A method of detecting a seizure condition of a patient, comprising:

receiving data representative of patient movement from a sensor selected from the group consisting of a sound sensor, a charge transfer sensor, an accelerometer, a micro-accelerometer, a seismometer, a geophone, a hydrophone, and a fiber-optic sensor; and

determining if the seizure condition is present based on the received data.

39. An apparatus for detecting a seizure condition of a patient, comprising:

a movement detector to detect if movement of the patient indicative of a seizure condition is present;

a position detector to detect an inclination of the patient; and

a controller adapted to generate an indication of a seizure condition in response to the movement detector, the position detector or the combined outputs of the movement detector and the position detector.

40. The apparatus of claim 39, wherein the movement detector comprises a device selected from the group consisting of an accelerometer, a micro-accelerometer, a geophone, and a piezoelectric device.

41. The apparatus of claim 39, wherein the position detector comprises a spherical structure containing an electrically conductive fluid.

42. The apparatus of claim 41, wherein the electrically conductive fluid comprises mercury.

43. The apparatus of claim 39, further comprising a communications device adapted to communicate with a remote location to provide an indication of the seizure condition and a location of the patient.

44. The apparatus of claim 43, wherein the communications device is adapted to communicate the alarm condition and the location of the patient using one of cellular network signals, GPS/satellite signals, and two-way pager signals.

45. The apparatus of claim 39, wherein the movement detector is adapted to generate signal waves, and wherein the controller is adapted to generate the indication based on characteristics of the waves including an angle of a slope of each signal wave.

46. A method for detecting a seizure condition of a patient, comprising:

detecting movement of a patient that is indicative of a seizure condition with a movement detector;

detecting an inclination of the patient with a position detector;

receiving signals from the movement detector and the position detector; and

generating an indication of the seizure condition in response to the signals.