Method and system for determining a risk of ulcer onset

• US 20050165284A1
• Filed: 03/10/2003
• Published: 07/28/2005
• Est. Priority Date: 03/25/2002
• Status: Abandoned Application

• Current Assignee: Ramot at Tel Aviv University Limited (Tel Aviv University)
• Original Assignee: Ramot at Tel Aviv University Limited (Tel Aviv University)
• Inventors: Gefen, Amit
• Application Number:
  US10/508,002
• Publication Number:
  US 20050165284A1
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: A61B 2562/02 Details of sensors specially adapted for in-vivo measurements
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0008 Temperature signals
• CPC Class Codes: A61B 5/015 By temperature mapping of body part
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/415 the glands, e.g. tonsils, adenoids or thymus
• CPC Class Codes: A61B 5/418 lymph vessels, ducts or nodes
• CPC Class Codes: A61B 5/441 Skin evaluation, e.g. for skin disorder diagnosis
• 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 5/4519 Muscles A61B5/389, A61B5/224 take precedence
• CPC Class Codes: A61B 5/6804 Garments; Clothes
• 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 5/704 Tables

Abstract

A system for determining a risk of pressure ulcer onset on a subject being in contact with a supporting-surface, the system comprising: an arrangement of sensors, located at predetermined locations between the supporting-surface and the subject; and a data processor for receiving and processing data sensed by the sensors; the sensors and the data processor being designed and programmed for determining the risk of pressure ulcer onset on the subject being in contact with the supporting-surface.

Claims

1-200. -200. (canceled)

201. A system for determining a risk of pressure ulcer onset on a subject being in contact with a supporting-surface, the system comprising:

an arrangement of interfacial stress sensors, located at predetermined locations between the supporting-surface and the subject;

an interfacial stress converter, for converting interfacial stress transmitted by said arrangement of sensors into internal stress; and

a data processor for receiving and processing data from said interfacial stress sensors and said interfacial stress converter;

said interfacial stress sensors, said interfacial stress converter and said data processor being designed and programmed for determining the risk of pressure ulcer onset on the subject being in contact with the supporting-surface.

202. The system of claim 201, wherein said sensors and said data processor are designed and programmed to alert prior to a formation, on the subject, of at least one ulcer adjacent to at least one of said sensors.

203. The system of claim 201, wherein said arrangement of sensors is designed locatable on a supporting-surface selected from the group consisting of a bed, a mattress, a chair, a wheelchair, an armchair, an operating table and a surface of a prosthesis being in contact with a residual limb.

204. The system of claim 201, wherein at least one of said interfacial stress sensors is combined with at least one additional sensor selected from the group consisting of a pressure sensor, a temperature sensor and a humidity sensor.

205. The system of claim 201, wherein said interfacial stress converter is configured to convert said interfacial stress using at least one conversion function, selected from the group consisting of a polynomial conversion function, an exponential conversion function, a rational conversion function, a power conversion function, a look-up table and any combination thereof.

206. The system of claim 205, wherein said at least one conversion function varies with at least one parameter selected from the group consisting of a weight, a body structure, an organ geometry, an age, a nutritional status, a general health condition, medications administered to the subject, a tissue mechanical property, a geometry of the supporting surface and a mechanical property of the supporting surface.

207. The system of claim 206, wherein said tissue mechanical property is selected from the group consisting of a Young modulus, a Poisson'"'"'s ratio, a shear modulus, a bulk modulus, a Lamé

coefficients, a tangent elastic modulus, a plurality of hyper-elastic material model invariants and a plurality of coefficients which characterize a phenomenological function describing experimental stress-strain data.

208. The system of claim 201, further comprising a risk parameter calculator for calculating a risk parameter, α

, characterizing the risk of the ulcers onset.

209. The system of claim 208, wherein said risk parameter calculator comprises a first integrator for integrating said internal stress over a first predetermined period, thereby to obtain a pressure dose index, PDI.

210. The system of claim 209, wherein said risk parameter calculator comprises a pressure normalizer for normalizing said PDI, using a reference pressure dose.

211. The system of claim 202, wherein said alert is selected from the group consisting of an audio-alert, a visual-alert and a combination of an audio-alert and a visual-alert.

212. The system of claim 201, further comprising a display for displaying a risk status for each of said predetermined locations.

213. The system of claim 201, further comprising a communication channel for transmitting information from the system to a remote location.

214. The system of claim 213, wherein said remote location is a nursing control center.

215. The system of claim 213, wherein said communication channel is designed connectable to a telemetry apparatus.

216. The system of claim 213, wherein said communication channel is designed connectable to a telemedicine apparatus.

217. A method of determining a risk of pressure ulcer onset on a subject being in contact with a supporting-surface, the method comprising:

inputting information from an arrangement of interfacial stress sensors, located on predetermined locations between the supporting-surface and the subject;

converting nterfacial stress transmitted by said arrangement of sensors into internal stress; and

using said information and said internal stress for determining the risk of pressure ulcer onset on the subject being in contact with the supporting-surface.

218. The method of claim 217, further comprising alerting prior to a formation, on the subject, of at least one ulcer adjacent to at least one of said sensors.

219. The method of claim 217, wherein said arrangement of sensors is designed locatable on a supporting-surface selected from the group consisting of a bed, a mattress, a chair, a wheelchair, an armchair, an operating table and a surface of a prosthesis being in contact with a residual limb.

220. The method of claim 217, wherein at least one of said interfacial stress sensors is combined with at least one additional sensor selected from the group consisting of a pressure sensor, a temperature sensor and a humidity sensor.

221. The method of claim 217, wherein said conversion of said interfacial stress is by at least one conversion function selected from the group consisting of a polynomial conversion function, an exponential conversion function, a rational conversion function, a power conversion function, a look-up table and any combination thereof.

222. The method of claim 221, wherein said at least one conversion function is selected from the group consisting of a polynomial conversion function, an exponential conversion function, a rational conversion function, a power conversion function, a look-up table and any combination thereof.

223. The method of claim 221, wherein said at least one conversion function varies with at least one parameter selected from the group consisting of a weight, a body structure, an organ geometry, an age, a nutritional status, a general health condition, medications administered to the subject, a tissue mechanical property, a geometry of the supporting surface and a mechanical property of the supporting surface.

224. The method of claim 223, wherein said tissue mechanical property is selected from the group consisting of a Young modulus, a Poisson'"'"'s ratio, a shear modulus, a bulk modulus, a Lamé

coefficients, a tangent elastic modulus, a plurality of hyper-elastic material model invariants and a plurality of coefficients which characterize a phenomenological function describing experimental stress-strain data.

225. The method of claim 221, further comprising integrating said internal stress over a first predetermined period, thereby obtaining a pressure dose index, PDI.

226. The method of claim 225, further comprising normalizing said PDI, using a reference pressure dose.

227. The method of claim 218, wherein said alerting is selected from the group consisting of audio-alerting, visual-alerting and a combination of audio-alerting and visual-alerting.

228. The method of claim 217, further comprising displaying a risk status for each of said predetermined locations.

229. The method of claim 217, further comprising transmitting information to a remote location.

230. The method of claim 229, wherein said remote location is a nursing control center.

231. The method of claim 229, wherein said transmitting information is via a telemetry apparatus.

232. The method of claim 229, wherein said transmitting information is via a telemedicine apparatus.

233. A method of characterizing a risk of ulcers onset on a subject, the method comprising:

inputting interfacial stress applied on the subject;

converting said interfacial stress into internal stress, using at least one conversion function; and

using said internal stress for calculating a plurality of dose indices and a risk parameter, α

, being a combination of said plurality of dose indices, thereby characterizing the risk of the ulcers onset.

234. The method of claim 233, wherein said plurality of dose indices are selected from the group consisting of a pressure dose index, PDI, a temperature dose index, TDI and a humidity dose index, HDI.

235. The method of claim 233, wherein said at least one conversion function varies with at least one parameter selected from the group consisting of a weight, a body structure, an organ geometry, an age, a nutritional status, a general health condition, medications administered to the subject, a tissue mechanical property, a geometry of the supporting surface and a mechanical property of the supporting surface.

236. The method of claim 235, wherein said tissue mechanical property is selected from the group consisting of a Young modulus, a Poisson'"'"'s ratio, a shear modulus, a bulk modulus, a Lamé

coefficients, a tangent elastic modulus, a plurality of hyper-elastic material model invariants and a plurality of coefficients which characterize a phenomenological function describing experimental stress-strain data.

237. The method of claim 234, further comprising integrating said internal stress over a first predetermined period, thereby obtaining said PDI.

238. The method of claim 234, further comprising integrating a temperature over a second predetermined period, thereby obtaining said TDI.

239. The method of claim 234, further comprising integrating a humidity over a third predetermined period, thereby to obtain said HDI.