Medical monitoring system

• US 5,002,060 A
• Filed: 06/14/1989
• Issued: 03/26/1991
• Est. Priority Date: 06/16/1988
• Status: Expired due to Fees

• Current Assignee: Dror Nedivi
• Original Assignee: Dror Nedivi
• Inventors: Nedivi, Dror
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Getzow, Scott M.
• Application Number:
  US07/366,373
• Time in Patent Office: 650 Days
• Field of Search: 128/670, 128/671, 128/700, 128/715, 128/716, 128/721, 128/722, 128/687, 128/689, 381/92, 381/94, 381/170, 381/174, 310/329
• US Class Current: 600/484
• 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: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3576 with non implanted data transmission devices, e.g. using external transmitter or receiver

Abstract

A monitoring system adapted simultaneously to monitor cardiac and respiratory, rates and characteristics and substantial changes in temperature of a living body. The system uses sensors which are passive and non-invasive, and remotely completely located off the living body. The system is adapted to distinguish the desired signals from the undesired environmental noise. Analog and microcomputer component process the signals in order to provide an alarm accompanied with displayed indication of any irregularities in the cardiac and respiratory, rates and characteristics; and substantial changes in temperature of the living body. The system also includes device to transmit said displayed data and alarm to a remote location as desired. An optional device to record said transmitted data is provided.

Claims

1. A monitoring system adapted to detect and analyze both respiration and heart beat of an individual comprising:

sensor means adapted to detect respiration and heart beat signals, that are non-invasive, passive and remotely located off the body of the individual;

said sensor means connected to the inputs of filter amplifiers having inputs connected to said sensor means to produce analog processed signals from said respiration and heart beat signals;

said processed signals constitute the input to means for converting said analog signals into digital form with an analog to digital converter (A/D converter);

means for applying the resulting digitized signals to a digital signal processor means which carries out analysis of said digitized signals;

said analysis yields filtered data that is a digital representation of said heart beat and respiration signals produced by the heart beat and the respiration of said monitored individual;

means for further processing data to produce an alarm upon irregularities in either the rate or characteristics of the heart beat or respiration, or drastic change in body temperature that is derived from heart beat rate, and means for indicating the cause of the alarm;

said system including means to transmit the alarm signal and indication of the cause of the alarm to any desired location; and

means to record and store data concerning said irregularities for future use.

2. A monitoring system as in claim 1, wherein said digital signal processing is carried out by fast transform methods, preferably FFT (Fast Fourier Transform);

said analyzed data is applied to a microcomputer, that performs further processing of said analyzed data, and compares characteristics of said signals from the individual, against data, concerning the same characteristics, that were recorded from said individual prior to monitoring, processed and internally stored by said system in preset operation;

said preset operation can be carried out so that any changes exceeding a predetermined range which has been fixed at an earlier time, preferably during the preset operation, between a continuous data flow and preset data internally stored during said preset operation, will cause an alarm accompanied by a displayed indication of said change that caused the alarm.

3. A monitoring system as in claim 1 wherein said sensor means to detect heart beat signals, is adapted to pick up the vibrations produced by the heart beat of the monitored individual within the frequency range of 60 to 120 Hertz, and is adapted to be attached to a bed or a mattress on which said monitored individual lies.

4. A monitoring system as in claim 1 wherein said sensor means for detecting heart beat signals is a piezoelectric acoustic pick up, in which an acoustic sensitive element comprises a mechanical arm that is attached to a fixed point at one end, is mechanically coupled to a piezoelectric element at it'"'"'s middle and has a small weight mounted to it'"'"'s other end;

said arm having a mechanical resonance of about 85 Hertz;

wherein said sensor means is assembled into a small container attached to a bed or a mattress;

and wherein heart beat vibrations are picked up by the relative motion of said container against the mechanical arm which tends to stay still due to its moment of inertia.

5. A monitoring system as in claim 1 wherein said sensor means to detect respiration is a directional microphone.

6. A monitoring system as in claim 5 wherein said sensor means to detect respiration is a directional microphone consisting of two capactive microphones;

one is mounted at the focus of a parabolic reflector so that it will pick up respiration vibration signals from one direction only, while the other is mounted at the back of the reflector and has omni-directional characteristics for picking up background noise.

7. A monitoring system as in claim 1 wherein the signals from each of said sensor means are each lead to said filter amplifiers whose outputs are lead to a summing amplifier the output of which constitutes the input of an analog to digital converter.

8. A monitoring system as in claim 1 having a differential amplifier that is utilized to differentiate between the signals picked up from the individual and the background noise.

9. A monitoring system as in claim 2 wherein said microcomputer:

is adapted to provide a continuous reading of processed heart beat and respiration signals, and comprises means to transmit said reading and said alarm signal and an indication of the cause of the alarm, to a desired location; and

means to record and store said reading.