Patient temperature and heartbeat rate monitoring system

• US 4,686,998 A
• Filed: 11/12/1985
• Issued: 08/18/1987
• Est. Priority Date: 11/12/1985
• Status: Expired due to Fees

• Current Assignee: Mediscan Research Limited Mediscan Technology Incorporated
• Original Assignee: Mediscan Research Limited
• Inventors: Robbins, Adam
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Shay, David
• Application Number:
  US06/797,164
• Time in Patent Office: 644 Days
• Field of Search: 128/639, 128/670, 128/903, 128/736, 128/702, 128/706, 307/65, 307/68, 322/9 R, 322/21, 322/22, 322/68
• US Class Current: 600/483
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: G01K 1/024 for remote indication
• CPC Class Codes: G01K 13/20 Clinical contact thermometers for use with humans or animals
• CPC Class Codes: G01K 7/22 the element being a non-linear resistance, e.g. thermistor G01K7/26 takes precedence
• CPC Class Codes: Y10S 128/903 Radio telemetry

Abstract

Hospital patient temperatures and heartbeat rates are monitored by providing each patient with a battery powered transmitter containing a reference resistance and to which two sensor electrodes are connected. The first electrode includes a thermistor and is positioned in thermal contact with the patient'"'"'s skin over the axillary artery. The second electrode is positioned in contact with the patient'"'"'s skin proximate to the fourth intercostal left parasternal area of the patient'"'"'s chest. A receiver, carried by a nurse, includes a magnetic actuator for closing a reed switch in a transmitter unit to activate the generation of data signals from that transmitter. The transmitter, when actuated provides an output of modulated, sequential data signals. The data signals are of a duration corresponding to a reference temperature, actual patient temperature, transmitter battery level, and patient heartbeat rate. The receiver includes demodulator circuitry and a microprocessor to provide numerical indicia quantitatively indicative of actual patient temperature and heartbeat rate. The microprocessor compares the demodulated data signals to allowable limits associated with each signal.

Claims

1. A patient temperature and heartbeat rate monitoring system comprising a plurality of transmitters one for each patient to be monitored, and a receiver,

wherein each transmitter is comprised of sensor means for sensing patient temperature and heartbeat rate and for providing an actual temperature input which has a voltage level proportional to actual patient temperature, a reference temperature input which has a voltage level proportional to a predetermined reference temperatre, and a heartbeat rate input which has a frequency corresponding to heartbeat rate, low pass filter means coupled to said sensor means and receiving said heartbeat rate input for isolating an electrical heartbeat signal having a frequency equal to heartbeat rate, phase lock loop means for receiving said heartbeat signal and for providing a harmonic heartrate signal at a phase controlled frequency which is an upper harmonic of said heartbeat signal, multiplexing means coupled to receive said actual temperature input and said reference temperature input from said sensor means and coupled to receive said heartrate signal from said phase lock loop means, voltage controlled oscillator means coupled to provide an input and receive an output from said multiplexing means, frequency dividing means connecting to receive an input from said voltage controlled oscillator means through said multiplexing means and to provide an output to said multiplexing means, whereby said actual temperature input and said reference temperature input are provided by said sensor means to said voltage controlled oscillator means through said multiplexing means to produce a voltage controlled output signal of frequency proportional to voltage level, and said voltage controlled output signal is provided as an input to said frequency dividing means in sequence with said heartrate signal through said multiplexing means, and said frequency dividing means produces clock and data signals to said multiplexing means of frequency proportional to and stepped down from that of the existing input to said frequency dividing means to sequentially gate each of said voltage level inputs through said multiplexing means to said voltage controlled oscillator means, and said clock and data signals are sequentially at a frequency proportional to voltage level of said reference temperature input, voltage level of said actual temperature input and frequency of said heartbeat rate input, and modulating means for transforming said clock and data signals of said dividing means into radio frequency signals,

and wherein said receiver is comprised of demodulating means for sensing said radio frequency signals and for reproducing said clock and data signals, and signal processing means for producing a visual display from said reproduced clock and data signals.

6. A patient temperature and heartbeat rate monitoring system according to claim 1 wherein each transmitter includes a transmitter battery and a means for generating a data signal input of a voltage proportional to said transmitter battery voltage as an input to said multiplexing means and to said voltage controlled oscillator means in sequence with said reference temperature input and said actual temperature input.

7. A patient temperature and heartrate monitoring system according to claim 1 wherein said receiver includes display means coupled to said signal processing means for producing a visible numeric display, said signal processing means in said receiver includes means for separately converting the duration of said clock and data signals to numerical values of patient temperature and patient heartrate and for providing said numerical values to said display means, and said receiver includes manually actuable mode selection means for controlling said display means to selectively and alternatively display numerical values of patient temperature and patient heartrate.

8. A patient temperature and heartrate monitoring system according to claim 7 wherein said receiver also includes means for generating test signals of predetermined duration coupled to said signal processing means, and manually actuable test selection means for directing said test signals to said signal processing means and for concurrently suppressing said reproduced clock and data signals.

2. A patient temperture and heartbeat rate monitoring system comprising a plurality of transmitters, one associated with each patient to be monitored, and a receiver,

each transmitter comprising:

reference temperature resistor means,

a first electrode for securement to the skin of a patient to be monitored in electrical contact therewith,

a thermistor mounted on said first electrode adapted to be in thermal contact with the skin of said patient,

a second electrode for securement to the skin of said patient,

means for applying voltage to said reference temperature resistor means to produce a reference temperature input which is at a voltage level proportional to the value of said reference temperature resistor means and for applying voltage and to said thermistor to produce an actual temperature input which is at a voltage level proportional to the temperature of said patient,

means connected to said first and second electrodes for monitoring voltage differential therebetween and for producing heartbeat signals at a frequency proportional to the heartbeat rate of said patient as a heartbeat rate input,

transducer means comprised of low pass filter means coupled to said means for monitoring voltage differential between said first and second electrodes for isolating an electrical heartbeat signal having a frequency equal to heartbeat rate, phase lock loop means for receiving said heartbeat signal and for providing a harmonic heartrate signal at a phase controlled frequency which is an upper harmonic of said heatbeat signal, multiplexing means, voltage controlled oscillator means coupled to provide an input to and receive an output from said multiplexing means, and frequencey dividing means connected to receive an input from said voltage controlled oscillator means through said multiplexing means and to provide an output to said multiplexing means, whereby said voltage levels of said reference temperature input and said actual temperature input are provided by said reference temperature resistor means and said thermistor to said voltage controlled oscillator means through said multiplexing means to produce a voltage controlled output signal of frequency proportional to voltage level, and said voltage controlled output signal is provided as an input to said frequency dividing means through said multiplexing means, and said heartrate signal is also provided as an input to said frequency dividing means through said multiplexing means, and said frequency dividing means produces a clock output to said multiplexing means for frequency proportional to and stepped down from that of the existing input to said frequency dividing means to sequentially gate said reference temperature input and said actual temperature input through said multiplexing means to said voltage controlled oscillator means, and said clock output is also connected to said multiplexing means to sequentially gate said output signal and said heartrate signal through said multiplexing means to said frequency dividing means, and

modulating means for receiving said clock output from said frequency dividing means to modulate a carrier signal to generate radio signals corresponding to said reference temperature, actual temperature and patient heartbeat rate,

said receiver comprising;

demodulating means for demodulating said radio signals to produce data signals corresponding to said reference temperature, actual temperature and heartbeat rate, and

signal processing means for converting said data signals to indicia indicative of patient temperature and heartbeat rate.

9. A patient temperature and pulse rate monitoring system according to claim 2 wherein said means for applying voltage includes separate conductors each connected to one side of each of said reference temperature resistor means and said thermistor, and a ground conductor connected to the opposite sides of said reference temperature resistor means and said thermistor and to an electrical ground.

10. A patient temperature and heartrate monitoring system according to claim 9 wherein said ground conductor is electrically connected to said first electrode and said means for monitoring voltage differential between said first and second electrodes includes said ground conductor and a heartbeat signal conductor electrically isolated from said first electrode and electrically connected to said second electrode.

11. A patient temperature and heartrate monitoring system according to claim 10 wherein said conductor connected to said one side of said thermistor and said ground conductor are comprised of a twisted pair of insulated wires and said heartbeat signal conductor is comprised of an insulated, braided shield surrounding said twisted pair of wires.

12. A patient temperature and heartrate monitoring system according to claim 10 wherein said first and second electrodes both include patient contact surfaces covered with electrode gel.

3. A patient temperature and heartbeat rate monitoring system comprising a plurality of transmitters, one associated with each patient to be monitored, and a receiver,

each transmitter comprising:

reference temperature resistor means,

a first electrode for securement to the skin of a patient to be monitored in electrical contact therewith,

a thermistor mounted on said first electrode in thermal contact with the skin of said patient,

a second electrode for securement to the skin of said patient,

means for applying voltage to said reference temperature resistor means to produce a reference temperature input which is at a voltage level proportional to the value of said reference temperature resistor means and for applying voltage to said thermistor to produce an actual temperature input which is at a voltage level proportional to the temperature of said patient,

means connected to said first and second electrodes for monitoring voltage differential therebetween and for producing heartbeat signals at a frequency proportional to the heartbeat rate of said patient as a heartbeat rate input,

transducer means comprising low pass filter means coupled to said means for monitoring voltage differential between said first and second electrodes for isolating an electrical heartbeat signal having a frequency equal to heartbeat rate, phase lock loop means for receiving said heartbeat signal and for providing a harmonic heartrate signal at a phase controlled frequency which is an upper harmonic of said heartbeat signal, multiplexing means, voltage controlled oscillator means coupled to provide an input to and receive an output from said multiplexing means, and frequency dividing means connected to receive an input from said voltage controlled oscillator means through said multiplexing means and to provide an output to said multiplexing means, whereby said voltage levels of said reference temperature input and said actual temperature input are provided by said reference temperature resistor means and said thermistor to said voltage controlled oscillator means through said multiplexing means to produce a voltage controlled output signal of frequency proportional to voltage level, and said voltage controlled output signal is provided as an input to said frequency dividing means through said multiplexing means, and said heartrate signal is also provided as an input to said frequency dividing means through said multiplexing means, and said frequency dividing means produces a clock output to said multiplexing means of frequency proportional to and stepped down from that of the existing input to said frequency dividing means to sequentially gate said reference temperature input and said actual temperature input through said multiplexing means to said voltage controlled oscillator means, and said clock output is also connected to said multiplexing means to sequentially gate said voltage controlled output signal and said heartrate signal through said multiplexing means to said frequency dividing means and,

modulating means for receiving said clock output from said frequency dividing means to modulate a carrier signal to generate radio signals corresponding to said reference temperature actual temperature and patient heartbeat rate,

said receiver comprising;

demodulating means for demodulating said radio signals to produce envelope signals corresponding to said reference temperature, actual temperature and patient heartbeat rate, and

microprocessor means coupled to receive inputs from said demodulating means to convert said envelope signals to numeric data signals indicative of patient temperature and heartbeat rate.

4. A patient temperature and heartbeat rate monitoring system according to claim 3 wherein each of said transmitters is powered by a self contained battery, and said means for producing said actual temperature input and said reference temperature input includes means for generating an electrical transmitter battery level signal proportional to the voltage level of said battery, and said modulating means provides a radio frequency transmitter battery level signal, and said demodulating means provides a transmitter battery envelope signal of duration proportional to said transmitter battery level signal, and said microprocessor means includes means for suppressing said numeric data signals when the duration of said transmitter battery envelope signal is less than a predetermined minimum value.

5. A patient temperature and heartbeat monitoring system according to claim 4 wherein said transmitter includes a normally open magnetically operable switch for activating said means for producing said actual temperature input and said reference temperature input, and said receiver includes a magnet for closing the magnetically operable switch of a transmitter when brought into close proximity thereto.