Information processing system for counting coughs or evaluating other activities of a patient

• US 5,197,490 A
• Filed: 04/19/1990
• Issued: 03/30/1993
• Est. Priority Date: 04/19/1990
• Status: Expired due to Fees

• Current Assignee: Clinical Technologies Associates Incorporated (Novo Nordisk A/S)
• Original Assignee: CTA Bio Services Incorporated
• Inventors: Albala, Bruce J., Steiner, Solomon S., Feldstein, Robert
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Getzow, Scott M.
• Application Number:
  US07/510,936
• Time in Patent Office: 1,076 Days
• Field of Search: 128/721, 128/671, 128/782, 128/715, 128/773
• US Class Current: 600/595
• CPC Class Codes: A61B 5/0017 transmitting optical signals transmission by light H04B10/00
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1123 Discriminating type of movement, e.g. walking or running A61B5/1116, A61B5/112 take precedence
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/6892 Mats

Abstract

A system using audio and visual information to count coughs or evaluate other discrete information, including respiration and heart rate, relating to a patient in a fixed location such as a bed is disclosed. The system provides movement- and sound-based information derived from the patient'"'"'s activities to a storage device and subsequently to a signal processing apparatus. One embodiment of the invention includes a pressure transducer, a video camera, a directional microphone, and a videocassette recorder (VCR) having two audio channels. Signals obtained from the transducer and microphone are transmitted to the two audio channel inputs of the VCR, while movement of the patient is recorded using the video camera connected to the video channel input of the VCR. Part or all of the information stored using the VCR may be transmitted to signal processing equipment and frequency filtered to determine the presence and number of coughs, and any remaining information (e.g. the video data) may be used to confirm the count. Because various conditions manifest themselves in movements having different frequency characteristics, the present system, as appropriately modified, also can be used to determine the presence of symptoms such as restlessness and thereby evaluate the effectiveness of medicines such as sedatives and hypnotics.

Claims

1. A system for counting coughs emitted by a patient recumbent upon a mattress, comprising:

a. an air mattress positionable beneath the mattress for sensing pressure changes caused by the emitted coughs;

b. a pressure transducer connectable to the air mattress for converting the pressure changes to a first series of electrical signals;

a microphone remote from the patient for sensing sounds caused by the emitted coughs and converting the sounds to a second series of electrical signals; and

d. a recorder having first and second inputs for receiving the first and second series of electrical signals, respectively.

2. A system according to claim 1 further comprising:

a. hollow tubing for connecting the air mattress to the pressure transducer;

b. an infrared video camera having an auto diaphragm and associated light source for sensing video information related to the patient'"'"'s movement; and

c. a third input to the recorder for receiving the sensed video information.

3. A system according to claim 2 further comprising:

a. an encoder interposable between the pressure transducer and recorder for encoding the first series of electrical signals;

b. means for decoding the encoded first series of electrical signals; and

c. means for signal processing at least one series of signals selected from the group comprising;

i. The first series of electrical signals;

ii. The second series of electrical signals;

iii. The encoded first series of electrical signals; and

iv. The decoded first series of electrical signals.

4. A system according to claim 1 further comprising:

a. an encoder interposable between the pressure transducer and recorder for encoding the first series of electrical signals;

b. means for decoding the encoded first series of electrical signals; and

c. means for signal processing at least one series of signals selected from the group comprising;

i. The first series of electrical signals;

ii. The second series of electrical signals;

iii. The encoded first series of electrical signals; and

iv. The decoded first series of electrical signals.

5. A system for acquiring desired information regarding a monitored condition of a patient comprising:

(a) a pressure responsive sensing system activated by the presence of said patient at a monitoring location for producing signals indicative of said presence;

(b) a sound sensing system for sensing the sounds emitted by the patient to produce signals indicative of the monitored condition; and

(c) an information acquisition system for receiving and storing the signals form said pressure responsive sensing system and said sound sensing system to permit determination of desired information regarding the monitored condition of said patient when the patient is present at said patient monitoring location.

6. The system according to claim 5 wherein said monitored condition corresponds to the coughing emitted by said patient at the patient monitoring location.

7. The system according to claim 5 wherein said pressure responsive sensing system includes a pressure transducer and a system for transmitting changes in pressure caused by said patient to said transducer, said pressure transducer producing signals indicative of the presence of the patient at the monitoring location and of the monitored condition of the patient.

8. The system according to claim 5 wherein said information acquisition system comprises a video tape recorder.

9. A system for acquiring desired information regarding a monitored condition of a patient comprising:

(a) a presence sensing system for producing a presence signal indicative of the presence of said patient at a patient monitoring location;

(b) a monitoring system for producing monitoring signals indicative of the monitored condition of said patient, said monitoring system including a sound sensor for generating audio monitoring signals corresponding to sounds emitted by the patient; and

(c) an information acquisition system for receiving and storing said presence signal and said audio monitoring signals to permit determination of desired information regarding the monitored condition of the patient when the patient is present at said patient monitoring location.

10. The system according to claim 9 wherein said sounds emitted by the patient are indicative of the respiratory condition of the patient.

11. The system according to claim 9 wherein said sounds emitted by the patient are indicative of the physiological condition of the patient.

12. The system according to claim 9 wherein said presence sensing system includes a pressure responsive sensor responsive to pressure produced by said patient when said patient is at said patient monitoring location for producing said presence signal.

13. The system according to claim 12 wherein said monitoring system senses the monitored condition of said patient by sensing sounds emitted by said patient.

14. The system according to claim 12 wherein said pressure responsive sensor isnot in contact with said patient.

15. The system according to claim 9 wherein said system includes a pressure responsive sensor responsive to variations in pressure caused by the presence of said patient at said monitoring location for producing said presence signal and said monitoring signals indicative of the monitored condition of the patient.

16. The system according to claim 15 wherein said pressure responsive sensor is not in contact with said patient.

17. The system according to claim 15 wherein said pressure sensor includes an inflatable bladder and a pressure transducer connected thereto.

18. The system according to claim 9 wherein said monitored condition is the coughing emitted by the patient.

19. The system according to claim 9 wherein the information acquisition system comprises a video tape recorder.

20. The system according to claim 19, further including a video camera connected to said video tape recorder for video monitoring of the patient.

21. The system according to claim 9 wherein said information acquisition system encodes the signals generated by said monitoring system.

22. A system for acquiring desired information regarding a monitored condition of a patient comprising:

(a) a presence sensing system including a pressure sensor spaced part from the patient for producing a presence signal indicative of the presence of the patient at a monitored location;

(b) a sound sensor for generating audio signals corresponding to sounds emitted by the patient; and

(c) an information acquisition system for receiving said presence and said audio signals to permit determination therefrom of desired information regarding the monitored condition of the patient when the patient is present at said patient monitoring location.

23. The system according to claim 22 wherein said pressure sensing system includes an inflatable bladder and a pressure transducer connected thereto.

24. The system according to claim 22 wherein said monitored condition is the coughing emitted by the patient.

25. The system according to claim 22 wherein said information acquisition system comprises a video tape recorder.

26. The system according to claim 25, further including a video camera connected to said video tape recorder for video monitoring of the patient.

27. A method for acquiring desired information regarding a monitored condition of a patient comprising the steps of:

(a) producing a first signal indicative of the presence of the patient at a monitoring location;

(b) sensing sounds emitted by the patient which are indicative of the monitored condition and generating corresponding audio signals; and

(c) acquiring and storing said first signal and said audio signals to permit determination therefrom of desired information regarding the monitored condition of the patient when the patient is present at said patient monitoring location.

28. The method of claim 27 wherein the step of producing said first signal corresponds to sensing pressure variations induced by the presence of said patient at said monitoring location.

29. The method of claim 27 wherein said sensing of audio signals provides information as to the coughs emitted by the patient.

30. A method of acquiring desired information regarding a monitored condition of a patient comprising the steps of:

(a) measuring a first pressure change at a location that is spaced apart from the patient to generate a signal indicative of the presence of said patient at a monitoring location;

(b) measuring a second pressure change associated with said monitored condition of said patient and generating signals corresponding thereto, said first and second pressure changes being measured by monitoring the changes in pressure in an inflatable bladder having a transducer connected thereto; and

(c) acquiring and storing said signals corresponding to said fist and second pressure changes to permit the determination of desired information regarding the monitored condition of said patient.

31. The method of claim 30 wherein the step of measuring said second pressure changes provides signals indicative of coughs emitted by the patient.

32. The method of claim 30 further including the steps of sensing sounds emitted by the patient to produce audio signals further indicative of said monitored condition and acquiring and storing said audio signals along with said signals corresponding to said first and second pressure changes.