System and method for patient monitoring

• US 20090099480A1
• Filed: 05/23/2008
• Published: 04/16/2009
• Est. Priority Date: 05/24/2007
• Status: Abandoned Application

• Current Assignee: Stryker Corporation
• Original Assignee: Stryker Corporation
• Inventors: Salgo, Peter, Golden, Robert
• Application Number:
  US12/154,559
• Publication Number:
  US 20090099480A1
• Time in Patent Office: Days
• US Class Current: 600/595
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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 5/1116 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 5/6887 mounted on external non-worn devices, e.g. non-medical devices
• CPC Class Codes: A61B 5/6892 Mats
• 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: G01G 19/44 for weighing persons
• CPC Class Codes: G01G 23/3735 using a digital network
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

The present invention relates to a patient monitoring system for automatically monitoring patient parameters over time while the patient occupies a bed. The patient monitoring system may include a sensing system positioned underneath a patient and separated from the patient by at least one layer of material, the sensing system comprising a plurality of sensor cells, the sensor cells automatically collecting sensor data related to the patient parameters. The patient monitoring system may further include an interface for receiving the collected sensor data from the sensing system and a monitoring engine receiving the collected sensor data from the interface. Calculation components may be provided for determining the patient parameters from the collected sensor data.

Claims

1. A patient monitoring system for automatically monitoring patient parameters over time while the patient occupies a bed, the patient monitoring system comprising:

a sensing system positioned underneath a patient and separated from the patient by at least one layer of material, the sensing system comprising a plurality of sensor cells, the sensor cells automatically collecting sensor data related to the patient parameters;

an interface for receiving the collected sensor data from the sensing system; and

a monitoring engine located remotely from the patient, the monitoring engine receiving the collected sensor data from the interface and comprising calculation components for determining the patient parameters from the collected sensor data.

2. The patient monitoring system of claim 1, said patient monitoring system further comprising a display monitor, and wherein the monitoring system includes a pressure distribution determination component, wherein said collected sensor data include discrete pressure values associated with the location of said sensor cells, wherein the interface is configured to integrate the discrete pressure values, and said monitoring engine is configured to generate and display a visual representation of the integrated pressure values on said display monitor in real time.

3. The patient monitoring system of claim 2, wherein the monitoring engine comprises alarm components for transmitting an alarm signal to indicate when the patient begins to develop a bedsore.

4. The monitoring system of claim 1, wherein the monitoring engine comprises an activity determination component for determining a level of patient activity from the collected sensor data.

5. The monitoring system of claim 1, wherein the monitoring engine comprises a position determination component for determining a patient position based on the collected sensor data.

6. The monitoring system of claim 1, wherein the monitoring engine comprises a weight determination component for monitoring a patient weight based on collected sensor data.

7. The monitoring system of claim 1, further comprising a cover for protecting the sensing system.

8. The monitoring system of claim 7, wherein the cover for protecting the sensing system is a removable waterproof cover.

9. The monitoring system of claim 1, wherein said sensing system contains sensing elements arranged in rows and columns and the sensing system contains between 250 and 350 sensor cells.

10. The monitoring system of claim 1, wherein said sensing system has a thickness of about ⅛

inch.

11. The monitoring system of claim 1, wherein said sensor cell scans at a rate of about 15 times per second or more.

12. The pressure distribution measuring system of claim 1, wherein said sensor cell scans at a rate of about 25 times per second or more.

13. The monitoring system of claim 1, wherein the interface is connected to a standard USB port.

14. The monitoring system of claim 1, wherein the interface includes wireless transmission components.

15. The monitoring system of claim 1, wherein the monitoring engine functions in conjunction with at least one of a bedside patient monitoring system, a handheld PDA, and a nursing station computer.

16. A patient monitoring system for automatically and remotely monitoring patient parameters over time for multiple patients, while each of the patients occupies a bed, the patient monitoring system comprising:

multiple sensing systems, each sensing system positioned underneath a patient and separated from the patient by at least one layer of material, each sensing system comprising a plurality of sensor cells, the sensor cells automatically collecting sensor data related to the patient parameters;

multiple interfaces, each of the multiple interfaces for receiving the collected sensor data from the sensing system; and

a monitoring engine located remotely from the patients, the monitoring engine receiving the collected sensor data from the multiple interfaces and comprising calculation components for determining the patient parameters for the multiple patients from the collected sensor data.

17. The patient monitoring system of claim 16, further comprising a display monitor, wherein the monitoring system provides a pressure distribution determination component, wherein each sensor cell measures a discrete pressure value, the interface collects and integrates the pressure values from the sensor cells, and the monitoring engine displays a visual representation of the integrated pressure values on the display monitor in real time.

18. The patient monitoring system of claim 17, wherein the monitoring engine comprises alarm components for transmitting an alarm signal to indicate when the patient begins to develop a bedsore.

19. The monitoring system of claim 16, wherein the monitoring engine comprises an activity determination component for determining a level of patient activity from the collected sensor data.

20. The monitoring system of claim 16, wherein the monitoring engine comprises a position determination component for determining a patient position based on the collected sensor data.

21. The monitoring system of claim 16, wherein the monitoring engine comprises weight determination component for monitoring a patient weight based on collected sensor data.

22. The monitoring system of claim 16, further comprising a cover for protecting the sensing system.

23. The monitoring system of claim 22, wherein the cover for protecting the sensing system is a removable waterproof cover.

24. The monitoring system of claim 16, further comprising multiple monitoring engines, wherein at least one monitoring engine is located at a patient site and at least one monitoring engine is located on a handheld computing device.

25. The monitoring system of claim 16, wherein the monitoring engine is located remotely from the patient and the interface wirelessly transmits the collected sensor data to the monitoring engine.

26. A patient monitoring method for automatically and remotely monitoring patient parameters over time for multiple patients, while each of the patients occupies a bed, the patient monitoring method comprising:

providing multiple sensing systems positioned such that each sensing systems is disposed underneath a patient and is separated from the patient by at least one layer of material, each sensing system comprising a plurality of sensor cells;

automatically collecting sensor data related to the patient parameters from said plurality of sensor cells of each sensing system at a remote monitoring engine operatively connected to said multiple sensing systems; and

calculating patient parameters using the collected sensor data with calculation components of the monitoring engine.

27. The monitoring method of claim 26, further comprising implementing the sensor cells for measuring a pressure value at multiple locations underneath the patient.

28. The monitoring method of claim 27, further comprising comparing the measured pressure values to threshold values to determine if the threshold values have been exceeded.

29. The monitoring method of claim 28, further comprising generating an alarm if the threshold pressure values have been exceeded.

30. The monitoring method of claim 26, further comprising determining activity patterns from the collected sensor data.

31. The monitoring method of claim 30, further comprising determining if the activity pattern exceeds an activity threshold.

32. The monitoring method of claim 31, further comprising generating an alarm if the activity threshold has been exceeded.

33. The monitoring method of claim 26, further comprising determining a patient position from the collected sensor data.

34. The monitoring method of claim 33, further comprising comparing the patient position to dangerous patient positions.

35. The monitoring method of claim 34, further comprising generating an alarm if the patient position is a dangerous patient position.

36. A patient monitoring method for automatically monitoring patient parameters over time for a patient while the patient occupies a bed, the patient monitoring method comprising:

providing a sensing system positioned underneath the patient and separated from the patient by at least one layer of material, the sensing system comprising a plurality of sensor cells, the sensor cells automatically collecting sensor data related to the patient parameters;

providing a monitoring engine operatively connected to said sensing system for receiving and processing the collected sensor data; and

calculating patient parameters with calculation components of the monitoring engine.

37. The monitoring method of claim 36, further comprising implementing the sensor cells for measuring a pressure value at multiple locations underneath the patient.

38. The monitoring method of claim 37, further comprising comparing the measured pressure values to threshold values to determine if the threshold values have been exceeded.

39. The monitoring method of claim 38, further comprising generating an alarm if the threshold pressure values have been exceeded.

40. The monitoring method of claim 36, further comprising determining activity patterns from the collected sensor data.

41. The monitoring method of claim 40, further comprising determining if the activity pattern exceeds an activity threshold.

42. The monitoring method of claim 41, further comprising generating an alarm if the activity threshold has been exceeded.

43. The monitoring method of claim 36, further comprising determining a patient position from the collected sensor data.

44. The monitoring method of claim 43, further comprising comparing the patient position to dangerous patient positions.

45. The monitoring method of claim 44, further comprising generating an alarm if the patient position is a dangerous patient position.

46. A patient monitoring system for automatically monitoring patient parameters over time while the patient occupies a bed, the patient monitoring system comprising:

a sensing system positioned underneath a patient and separated from the patient by at least one layer of material, the sensing system comprising a plurality of sensor cells, the sensor cells automatically collecting sensor data related to the patient parameters; and

a monitoring engine operatively connected to said sensing system, the monitoring engine comprising calculation components for determining the patient parameters from the collected sensor data, wherein said collected sensor data include discrete pressure values measured by said sensor cells and associated with the locations of said plurality of sensor cells.

47. The patient monitoring system of claim 46, said patient monitoring system further including a display monitor and an interface operatively connected to the sensor cells and the monitoring engine, said interface configured to integrate the collected discrete pressure values and provide the integrated pressure values to the monitoring engine, wherein said calculation components include a pressure distribution determination component, and wherein the monitoring engine is adapted to generate and display a visual representation of the integrated pressure values on said display monitor in real time.

48. The patient monitoring system of claim 46, wherein the monitoring engine comprises alarm components for transmitting an alarm signal to indicate the development of a bedsore at one of the locations.