Activity monitor for ambulatory subjects

• US 4,353,375 A
• Filed: 04/26/1977
• Issued: 10/12/1982
• Est. Priority Date: 04/26/1977
• Status: Expired due to Term

• Current Assignee: United States Department Of Health And Human Services (Government of the United States of America)
• Original Assignee: United States Department Of Health And Human Services (Government of the United States of America)
• Inventors: Smith, Bruce M., Colburn, Theodore R.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US05/790,988
• Time in Patent Office: 1,995 Days
• Field of Search: 128/2 S, 128/2 N, 128/2 R, 128/2.05 P, 128/2.05 T, 128/2.06 A, 128/782, 35/22 R, 340/279
• US Class Current: 600/595
• CPC Class Codes: A61B 5/1118 Determining activity level

Abstract

Disclosed is a monitor apparatus which can be worn by a patient and will provide an indication of activity levels over a number of subsequent time periods. A transducer which is energized by the ambulatory subject'"'"'s movement, provides an activity pulse into a temporary memory. At the end of a standard timing interval, for example fifteen (15) minutes, a digital code word representative of the total number of activity pulses in that standard timing interval is fed into a solid state memory. The temporary memory is then reset and counts the activity pulses over the next standard timing interval. In this manner, activity levels for any number of sequential time intervals can be recorded without hindering the patient'"'"'s movement. A contol logic circuit, which is externally triggered, causes the permanent memory to sequentially readout the activity levels of subsequent standard timing intervals for use in studying the activity levels of ambulatory subjects.

Claims

1. A self-contained single unit physiological monitoring system for monitoring physiological responses, said system comprising:

transducer means for converting each physiological response to an electrical pulse output;

timer/control means for providing standard timing interval signals;

memory means electrically connected to said timer/control means and said transducer means, for recording a number of said pulse outputs over a standard timing interval and for storing said number of pulse outputs over more than one standard timing interval; and

case means, mountable on a subject, for mounting said transducer means, said timer/control means, and said memory means.

2. A physiological monitoring system according to claim 1 wherein said transducer means comprises:

transducer/amplifier means for providing an electrical signal in response to the monitored physiological response; and

count limiting means, responsive to said transducer/amplifier means, for providing a fixed pulse output when said electrical signal exceeds a predetermined threshold level.

3. A physiological monitoring system according to claim 2 wherein said timer/control means further provides a single count interval signal and said count limiting means, in response to said single count interval signal, provides a maximum of one pulse output for each single count interval signal.

4. A physiological monitoring system according to claim 1 wherein said memory means comprises:

event counter means, responsive to said transducer means pulse output, for summing pulse outputs over said standard timing interval and providing an output representative of said sum;

addressable memory means, responsive to said event counter means output, for storing at an address said output representative of a sum of pulse outputs during a standard timing interval; and

addressing means, responsive to said standard timing interval signal, for sequentially shifting the address in said addressable memory means wherein said sum of pulse outputs for a standard timing signal is stored.

5. A physiological monitoring system according to claim 1 wherein said timer/control means comprises:

timer means for providing standard timing interval signals; and

control means, responsive to said timer means and external commands, for providing standard time intervals to said memory means and for controlling readout of said memory means.

6. An activity monitor for recording periodic activity levels of a subject, said monitor comprising:

timer means for providing an oscillator output, a standard timing interval signal, and a single count interval signal;

transducer/amplifier means for providing an electrical signal in response to the subject activity;

count limiting means, responsive to said transducer/amplifier means, for providing a fixed pulse output when said electrical signal exceeds a predetermined threshold level;

event counter means, responsive to said pulse output, for summing pulse outputs during a standard timing interval and providing an output representative of said sum;

addressable memory means, responsive to said even counter means output, for storing at an address said output representative of a sum of pulse outputs during a standard timing interval; and

addressing means, responsive to said standard timing interval signal, for sequentially shifting the address in said addressable memory means wherein said sum of pulse outputs for a standard timing signal is stored.

7. An activity monitor for recording periodic activity levels of a subject according to claim 6 wherein said addressable memory means includes external readout means for providing an output indicative of the sum of pulses at a specified address in said memory means.

8. An activity monitor for recording periodic activity levels of a subject according to claim 7 wherein said activity monitor further comprises a control means for selectively addressing said memory means in response to an external input and for activating said external readout means.

9. An activity monitor for recording periodic activity levels of a subject according to claim 8 wherein said transducer/amplifier means comprises:

piezoelectric means for providing an electrical output in response to movement of the means; and

amplifier means for amplifying the piezoelectric means output.

10. An activity monitor for recording periodic activity levels of a subject according to claim 9 where said count limiting means comprises a monostable multivibrator for providing a fixed duration output pulse in response to the output of said amplifier means exceeding a predetermined threshold level.

11. An activity monitor for recording periodic activity levels of a subject according to claim 9 wherein said count limiting means comprises:

dual J-K flip-flop means, responsive to said single count interval signal and said oscillator output, for providing a single output pulse if and only if said amplifier means output exceeds said threshold level at least once during said single count interval.

12. An activity monitor for recording periodic activity levels of a subject according to claim 11 wherein said timer means comprises:

oscillator means for producing an oscillator output;

counter means, responsive to said oscillator output, for counting pulses in said oscillator output and for providing a standard timing interval signal and a single count interval signal.

13. A self-contained method of monitoring physiological responses on a subject comprising the steps of:

measuring said physiological response on said subject;

providing on said subject an electrical output indicative of said measured physiological response;

providing a fixed pulse output if said electrical output exceeds a predetermined threshold value;

summing on said subject the fixed pulse outputs over a predetermined time period; and

automatically recording on said subject the sum of fixed pulse outputs for a plurality of said predetermined time periods.

14. The method of claim 13 wherein said step of measuring said physiological response includes the step of measuring the activity level of a human subject.

15. A method of recording periodic activity levels of an ambulatory subject on said subject without limiting mobility of said subject, said method comprising the steps of:

providing on said subject a standard timing interval signal;

providing on said subject an electrical signal in response to activity of said subject;

providing on said subject a fixed pulse output when said electrical signal exceeds a predetermined threshold level;

summing on said subject said pulse outputs during a standard timing interval defined by said standard timing interval signal and providing an output representative of said sum;

automatically storing on said subject at an addressable location said output representative of a sum of pulse outputs during a standard timing interval; and

sequentially shifting said addressable location after each standard timing signal such that a plurality of outputs representative of a sum of pulse outputs during a standard timing interval can be stored.

16. Apparatus for monitoring physiological motor activity comprising a miniaturized capsule adapted to be affixed to and worn by the person being monitored, said capsule containing:

(a) a motion sensing means sensitive to linear and rotational movements of said capsule,

(b) electronic scaling means in circuit with said motion sensing means for providing an output of pulses corresponding in number to units of motor activity, each unit of which comprises a predetermined plurality of said movements, as registered by said motion sensing means,

(c) an integrated electronic accumulator connected to said scaling means for accumulating said output of pulses from said scaling means,

(d) multi-cell random-access-memory means connected to said accumulator, and

(e) a quartz crystal oscillator and a frequency divider means cooperatively functioning to provide timing pulses at timed intervals to said accumulator whereby to effect the delivery repetitively by said accumulator of the output of pulses relating to the number of units of activity accumulated thereon during the immdiately preceding timed interval to said memory means.

17. Apparatus for monitoring physiological motor activity, according to claim 16, wherein said apparatus further comprises electronic addressing counter means for directing the data as to number of units of activity to successive cells of said memory means.

18. Apparatus for monitoring physiological motor activity, according to claim 17 wherein said apparatus additionally comprises means for transferring data from said memory means to an external permanent storage means.

19. A self-contained single unit physiological monitoring system for monitoring physiological events, said system comprising:

transducer means for converting each physiological event to an electrical pulse output;

timer means for providing standard timing interval signals;

accumulator means connected to said transducer means for accumulating a number corresponding to said pulse outputs in one standard timing interval;

memory means connected to said accumulator means for receiving and storing a series of said numbers corresponding to said pulse outputs from a series of said standard timing intervals;

control means connected to said timer means, said accumulator means, and said memory means for directing successive numbers corresponding to said pulse outputs to successive locations in said memory means; and

case means, mountable on a subject, for mounting said transducer means, said timer means, said accumulator means, said memory means, and said control means.

20. A self-contained single unit physiological monitoring system for monitoring physiological events, said system comprising:

transducer means for converting each physiological event to an electrical pulse output;

timer means for providing standard timing interval signals;

accumulator means connected to said transducer means for accumulating a number corresponding to said pulse outputs in one standard timing interval;

memory means connected to said accumulator means for receiving and storing a first number corresponding to said pulse outputs at the end of a first standard timing interval and then a subsequent number corresponding to said pulse outputs at the end of a subsequent timing interval;

control means connected to said timer means, accumulator means, and said memory means for directing said first number corresponding to said pulse outputs to a first location in said memory means and directing said subsequent number corresponding to said pulse outputs to a subsequent location in said memory means; and

case means, mountable on a subject, for mounting said transducer means, said timer means, said accumulator means, and said control means.