SYSTEMS AND METHODS FOR MONITORING A SUBJECT AT REST

• US 20110144455A1
• Filed: 02/25/2011
• Published: 06/16/2011
• Est. Priority Date: 08/31/2007
• Status: Abandoned Application

• Current Assignee: Sleep Number Corporation
• Original Assignee: BAM Labs, Inc. (Sleep Number Corporation)
• Inventors: Della Torre, Marco Kenneth, Rifredi, Richard V., Zhovnirovsky, Yuri, Young, Steven J.
• Application Number:
  US13/035,397
• Publication Number:
  US 20110144455A1
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/168 Fluid filled sensor housings
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/1117 Fall detection
• 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 5/4815 Sleep quality
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• 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 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface

Abstract

Disclosed herein are methods and devices for monitoring a subject at rest. One such device comprises a sensing unit having a fluid-filled bladder configured to be placed under a substrate on which the subject lays and a sensor in fluid communication with the bladder. The sensor is configured to sense pressure variations within the bladder generated by a heart beat, respiration and body weight of the subject and to generate signals indicative of the pressure variations. A processor is configured to receive the signals and to determine and generate output indicative of the subject'"'"'s heart beat and respiration and presence on the substrate. An external device is configured to display one or more of the output.

Claims

1. A device for monitoring a subject at rest comprising:

a sensing unit having a fluid-filled bladder configured to be placed under a substrate on which the subject lays and a sensor in fluid communication with the bladder, wherein the sensor is configured to sense pressure variations within the bladder generated by one or more of a heart beat, respiration and body weight of the subject and to generate signals indicative of the pressure variations;

a processor configured to receive the signals and to determine and generate output indicative of one or more of the subject'"'"'s heart beat and respiration and presence on the substrate; and

an external device configured to display one or more of the output.

2. The device of claim 1, wherein the subject is a patient in a medical facility, the substrate is a mattress and the external device is operable to be monitored by personnel of the medical facility, the external device configured to display output for a plurality of patients each associated with a sensing unit.

3. The device of claim 2, wherein the external device comprises an alarm for alerting the personnel of output that is out of a predetermined range.

4. The device of claim 2, wherein the output generated by the processor further includes one or more of length of time on mattress, frequency of movement of patient on mattress and degree of movement by patient on the mattress, wherein frequency of movement is determined from number of changes in static pressure and degree of movement is determined from degree of change of static pressure and change of strength of one or more of heart beat and respiration.

5. The device of claim 4, wherein the external device is configured to generate an alarm based on the output, the alarm configured to generate an action by personnel to prevent pressure ulcers.

6. The device of claim 1, wherein the subject is a participant in a prison release program and the external device is operable to be monitored by personnel of the program, the external device configured to display output for a plurality of participants each associated with a sensing unit, the output including heart rate, respiration, and presence or absence in bed for each of the participants, wherein the output can be further analyzed to determine drug or alcohol abuse and compliance with curfews.

7. The device of claim 2 further comprising a database configured to store output over a period of time, wherein the stored output can be further analyzed to determine staffing requirements based on an amount of patient activity.

8. The device of claim 1 further comprising monitoring system software and a user interface, wherein the monitoring system software is configured to display the output in an arrangement based on user input through the user interface.

9. The device of claim 2, wherein the external device comprises a live view screen including a real-time status for each of the plurality of patients.

10. The device of claim 4, wherein the processor is further configured to calculate a sleep quotient based on the output for each of the plurality of patients.

11. A device for monitoring a subject comprising:

a sensing unit having a fluid-filled bladder configured to be placed on a substrate and a sensor in fluid communication with the bladder for generating signals in response to pressure variations within the bladder;

a processing unit configured to receive the signals from the sensor and to generate from the signals one or more of a heart rate, respiration rate and static pressure of the subject; and

means for providing to a user analyses based on one or more of the subject'"'"'s heart rate, respiration rate and static pressure, wherein the analyses includes an indication of the subject in bed or out of bed.

12. The device of claim 11, wherein the processing unit is further configured to receive signals from a plurality of sensing units and wherein the user is personnel of a medical facility.

13. The device of claim 11, wherein the subject has dementia.

14. A method for monitoring a subject comprising:

sensing with a sensor incident pressure waves generated by the subject resting on a monitoring device, wherein the monitoring device comprises a fluid-filled bladder configured to be placed on a substrate with the sensor in fluid communication with the bladder;

generating signals indicative of the incident pressure waves and sending the signals to a processor;

discriminating heart beat, respiration and static pressure of the subject from analysis of the signals and determining an individual fingerprint based on heart beat, respiration and static pressure for the subject;

determining if the subject is in an assigned bed, not in the assigned bed, or in a different bed based on the presence or absence of the individual fingerprint; and

communicating the determination to an external device.

15. A device for preventing pressure ulcers in subjects comprising:

a sensing unit having a fluid-filled bladder configured to be placed on a substrate and a sensor in fluid communication with the bladder for generating signals in response to pressure variations within the bladder, wherein the pressure variations are generated from a heart rate, respiration rate and body weight of the subject;

a processing unit configured to receive the signals from the sensor and to determine from the signals a baseline heart rate, respiration rate and static pressure and to determine changes in strength of each of the heart rate, respiration rate and static pressure; and

means for providing to a user analyses based on the changes, wherein the analyses includes an indication of a need for a user action to prevent a pressure ulcer on the subject.

16. The device of claim 15, wherein the means for providing analysis comprises monitoring software program, a display and a user interface, the monitoring software program configured to receive data from the user through the user interface that the action has been completed.

17. A method of preventing pressure ulcers comprising:

sensing with a sensor incident pressure waves generated by the subject resting on a monitoring device, wherein the monitoring device comprises a fluid-filled bladder configured to be placed on a substrate with the sensor in fluid communication with the bladder;

generating signals indicative of the incident pressure waves and sending the signals to a processor;

determining a baseline heart rate, respiration and static pressure of the subject from the signals;

determining an amount of time the subject is resting on the monitoring device;

determining data indicating amount of movement and degree of movement of the subject while the subject is resting based on changes in static pressure of the bladder, changes in strength of heart beat and changes in strength of respiration;

determining if the subject requires an action by a user to prevent a pressure ulcer based on the data; and

communicating the required action to the user.

18. A portable biosensing device for use by a subject at home, the device comprising:

a bladder configured to be filled with a fluid and placed on a substrate;

a sensor in fluid communication with the bladder and configured to generate signals in response to pressure variations within the bladder, wherein the pressure variations are generated from a heart rate, respiration rate and body weight of the subject resting on the fluid-filled bladder;

a means for filling the bladder with fluid;

a processor configured to receive the signals from the sensor and determine the subject'"'"'s heart rate and respiration rate; and

a database for storing the heart rate and respiration rate data.

19. The portable biosensing device of claim 18, wherein the subject is a discharged patient, the device further comprising communication means for communicating the stored data to a physician.

20. The portable biosensing device of claim 18, wherein the subject has an in-home care giver, the device further comprising a display with which the in-home care giver can monitor the subject.

21. The portable biosensing device of claim 20, wherein the processor is further configured to determine if a subject is in or out of bed.

22. The portable biosensing device of claim 18, wherein the subject is an infant, the device further comprising a display with which a parent of the infant can monitor the infant'"'"'s heart rate and respiration.

23. The portable biosensing device of claim 18, wherein the processor is configured to calculate a sleep quotient for the subject from the subject'"'"'s heart rate, respiration and changes in static pressure.