Warning apparatus for indicating a threat of impending shock

• US 4,013,067 A
• Filed: 05/22/1975
• Issued: 03/22/1977
• Est. Priority Date: 06/26/1974
• Status: Expired due to Term

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Kresse, Heinz, Reichenberger, Helmut
• Primary Examiner(s): Pinkham, Richard C.
• Assistant Examiner(s): Hum, Vance Y.
• Application Number:
  US05/579,801
• Time in Patent Office: 670 Days
• Field of Search: 128/2 R, 128/2 A, 128/2 V, 128/2 L, 128/2.05 R, 128/2.05 D, 128/2.05 M, 128/2.05 P, 128/2.05 N, 128/2.05 F, 128/DIG. 29, 128/2.05 V , 128/2.05 T, 356/39, 356/41, 73/DIG. 11, 340/279
• US Class Current: 600/479
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/1106 to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/6826 Finger

Abstract

A warning apparatus for indicating the threat of impending shock, which includes a photoelectric pulse pickup or receiver adapted to be applied onto the skin of a patient. The pulse pickup or receiver is a combined reflective and transmissive receiver, and the pulse pickup has a signal comparison arrangement associated therewith which compares the signal obtained from a reflective and transmissive measurement with predetermined signal threshold or boundary values, and which will generate an output signal for initiation of an alarm when the output signal of the pulse pickup exceeds the boundary value imparted thereto.

Claims

1. In a warning apparatus for indicating the threat of impending shock in a patient, including photoelectric pulse pickup means adapted to be applied to the skin of said patient and comprising at least one light transmitter and at least two light receivers, said light transmitter comprising substantially a light source, said light receivers converting incident light into corresponding electrical signals, said receivers comprising combined reflection and transmission receivers;

signal comparison means having at least one threshold discriminator set to predetermined critical threshold values corresponding to upper and lower boundary values and being operatively connected to said pulse pickup means for comparing simultaneously signals obtained from a reflection and transmission measurement with said boundary values and to generate an output signal; and

alarm means responsive to said output signal for initiating an alarm when the signals compared by said comparison means with said boundary values exceed or fall below said boundary values, said signals from said pickup means comprising simultaneous transmissive and reflective signals dependent on the physiological characteristics of a patient related to impending shock conditions.

2. A warning apparatus as claimed in claim 1, said signal comparison means comprising a delay element for initiation of the alarm, said delay element retarding initiation of said alarm for a predetermined time period during which the output signals of said pulse pickup means exceed or fall below the boundary values associated therewith.

3. A warning apparatus as claimed in claim 2, said predetermined time period being of a duration of about 5 seconds.

4. A warning apparatus as claimed in claim 1, comprising means for obtaining the speed of amplitude changes of the reflective and transmissive signals being operatively connected to said signal comparison means so as to generate an output signal upon exceeding predetermined speed limit values;

an AND-element for said output signal and for the reflective and transmissive signals of said pulse pickup means, said AND-element generating a signal for initiating an alarm upon the output signal and the reflective and transmissive signals exceeding or falling below the boundary values associated therewith.

5. A warning apparatus as claimed in claim 1, comprising pulse frequency measuring means for measuring the blood pulse frequency from said reflective and transmissive signals being connected with said signal comparison means;

and an AND-element being connected to said pulse frequency measuring means for initiating an alarm signal upon the pulse frequency, the differentiated pulse frequency after differentiation thereof, and the amplitudes of the reflective and transmissive signals exceeding or falling below the boundary values associated therewith.

6. A warning apparatus as claimed in claim 1, said pulse pickup means comprising a light transmitter and a first light receiver for reflected light adjacent thereto;

and a second light receiver for transmitted light located opposite said light transmitter.

7. A warning apparatus as claimed in claim 6, said pulse pickup means comprising hinged clamping arms means, said light transmitter and said first light receiver being located on one arm and said second light receiver being located on a second arm of said hinged clamping arm means.

8. In a warning apparatus for indicating the threat of impending shock in a patient, including photoelectric pulse pickup means adapted to be applied to the skin of said patient and comprising at least one light transmitter and at least two light receivers, said light transmitter comprising substantially a light source, said light receivers converting incident light with corresponding electrical signals, and receivers comprising combined reflection and transmission receivers;

signal comparison means having at least one threshold discriminator set to predetermined critical threshold values corresponding to upper and lower boundary values and being operatively connected to said pulse pickup means for comparing signals obtained from a reflection and transmission measurement with said boundary values and to generate an output signal; and

alarm means responsive to said output signal for initiating an alarm when the signals compared by said comparison means with said boundary values exceed or fall below said boundary values, said signal comparison means comprising a proportionality former for producing a proportionality signal from said reflective signal and said transmissive signal; and

a boundary value indicator being connected to said proportionality former and generating an output signal upon said proportionality signal exceeding or falling below a predetermined boundary value.