THERAPY SYSTEM WITH A PATIENT INTERFACE FOR OBTAINING A VITAL STATE OF A PATIENT

• US 20160262625A1
• Filed: 10/31/2014
• Published: 09/15/2016
• Est. Priority Date: 11/01/2013
• Status: Abandoned Application

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: LAWRENSON, MATTHEW JOHN, NOLAN, JULIAN CHARLES
• Application Number:
  US15/032,071
• Publication Number:
  US 20160262625A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2560/0242 adapted to measure environmental factors, e.g. temperature, pollution
• CPC Class Codes: A61B 5/0077 Devices for viewing the surface of the body, e.g. camera, magnifying lens
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/6803 Head-worn items, e.g. helmets, masks, headphones or goggles
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks

Abstract

The present invention relates to a therapy system comprising: a patient interface (16) for delivering a flow of breathable gas to a patient (10), wherein the patient interface (16) comprises a detection unit (24) for detecting reflected light from a skin area (22) of the patient (10) and generating an image signal from the detected light; a processing unit (26) for processing the image signal; and an evaluation unit (28) for deriving information on a vital state of the patient (10) based on an evaluation of a development of the image signal over time; wherein the processing unit (26) is configured to identify a blood vessel of the patient (10) within the skin area (22) and to determine a size measure for the blood vessel, and wherein the evaluation unit (28) is configured to evaluate a development of the determined size measure over time to derive information on the vital state of the patient (10).

Claims

1. A therapy system comprising:

a patient interface for delivering a flow of breathable gas to a patient, wherein the patient interface comprises a detection unit for detecting reflected light from a skin area of the patient;

a processing unit for processing the image signal; and

an evaluation unit for deriving information on a vital state of the patient based on an evaluation of a development of the image signal over time;

wherein the detection unit is configured to generate an image signal from the detected light and in that the processing unit is configured to identify a blood vessel of the patient within the skin area and to determine a size measure for the blood vessel, and wherein the evaluation is configured to evaluate a development of the determined size measure over time to derive information on the vital state of the patient.

2. The therapy system according to claim 1, wherein the processing unit is configured to amplify a signal portion of the image signal being indicative of at least one of a movement and a change in color in the skin area.

3. The therapy system according to claim 1, wherein the evaluation unit is configured to derive information on the vital state of the patient including at least one vital parameter being indicative of:

a minimum, maximum or average diameter of the blood vessel during at least one heartbeat of the patient;

a blood pressure and/or change of the blood pressure over time of the patient;

a heart rate of the patient;

an apnea-hypopnea-index of the patient;

a rate of flow of blood of the patient; and

a variation of the rate of flow of blood.

4. The therapy system according to claim 1, wherein the processing unit is configured to derive from the image signal an image sequence including at least one image of the skin area, wherein the therapy system further comprises a storage unit for storing previously recorded image sequences of the skin area, and wherein the evaluation unit is configured to derive the information on the vital state of the patient by comparing the at least one image of the skin area with at least one image of the previously recorded image sequences of the skin area.

5. The therapy system according to claim 4, wherein the processing unit is configured to track the skin area within the image sequence and/or the previously recorded image sequences by applying an image matching algorithm.

6. The therapy system according to claim 1, wherein the patient interface further comprises an orientation sensor for measuring an orientation of the detection unit relative to the skin of the patient.

7. The therapy system according to claim 6, wherein the patient interface further comprises an actuator for adjusting a position and/or alignment of the detection unit relative to the skin area of the patient based on the orientation measured by the orientation sensor.

8. The therapy system according to claim 1, further comprising a temperature sensor for measuring a body temperature and/or an ambient temperature, wherein the evaluation unit is configured to correct the evaluation of the development of the image signal based on the body temperature and/or the ambient temperature.

9. The therapy system according to claim 1, further comprising a database interface for communicating with a database including information on a vital state of reference patients;

wherein the evaluation unit is configured to derive information on the vital state of the patient including at least one comparison parameter being indicative of a relation of the vital state of the patient to the vital state of the reference patients.

10. Therapy device comprising:

a pressure generator for generating a pressurized flow of breathable gas for delivery to a patient interface;

a data interface for receiving an image signal from a detection unit that is configured to detect reflected light from a skin area of the patient and to generate the image signal from the detected light;

a processing unit for processing the image signal; and

an evaluation unit for deriving information on a vital state of the patient based on an evaluation of a development of the image signal over time;

wherein the processing unit is configured to identify a blood vessel of the patient within the skin area and to determine a size measure for the blood vessel, and wherein the evaluation unit is configured to evaluate a development of the determined size measure over time to derive information on the vital state of the patient.

11. Therapy device according to claim 10, further comprising a control unit that is configured to adjust the settings of the pressure generator based on the derived information on the vital state of the patient.

12. Method for obtaining information on a vital state of a patient, comprising:

detecting reflected light from a skin area of the patient and generating an image signal from the detected light by means of a detection unit that is comprised in a patient interface for delivering a flow of breathable gas to the patient;

processing the image signal; and

evaluating the image signal for deriving information on the vital state of the patient based on an evaluation of a development of the image signal over time;

wherein

the processing includes identifying a blood vessel of the patient within the skin area and determining a size measure for the blood vessel, and wherein the evaluating includes evaluating a development of the determined size measure over time.

13. Computer program comprising program code means for causing a computer to carry out the steps of the method as claimed in claim 12 when said computer program is carried out on the computer.