Ambulatory patient monitoring system having multiple monitoring units and optical communications therebetween
First Claim
1. An ambulatory patient monitoring system including a carrying pouch coupled to a patient, comprising:
- a. first portable monitoring means for independently measuring and storing a predetermined first diagnostic parameter of a first patient, said first portable monitoring means including;
(1) a first power supply, (2) first control means coupled to said power supply for controlling said independent measurement and storage of said first diagnostic parameter, (3) means for sensing said first diagnostic parameter having an output coupled to said first control means, (4) first optical interface means coupled to said first control means for providing for digital communication external thereto, and (5) first memory means coupled to said first control means for storing a multiplicity of measurements of said first diagnostic parameter;
b. at least a second portable monitoring means for measuring and storing a predetermined second diagnostic parameter, said second diagnostic parameter being a different physiological parameter than said first diagnostic parameter, said second portable monitoring means including;
(1) a second power supply, (2) second control means coupled to said second power supply for generating a first control signal to initiate said measurement of said second diagnostic parameter, (3) means for sensing said second diagnostic parameter having an output coupled to said second control means, (4) second memory means coupled to said second control means for storing a multiplicity of measurements of said second diagnostic parameter, and (5) second optical interface means coupled to said second control means for digital communication with at least said first monitoring means, said first control signal being generated by said second control means at one of a plurality of predetermined variable repetition rates, said variable repetition rates being actuated by said second control means for predetermined time intervals, said second monitoring means being (1) operable independent of said first monitoring means for measuring said second diagnostic parameter of a second patient, and (2) positionable within said carrying pouch with said second optical interface in optical alignment with said first optical interface of said first monitoring means for measuring said second diagnostic parameter of said first patient responsive to both said first control signal and a second control signal generated by said first control means of said first monitoring means, said second control signal being transmitted by said first optical interface means to said second optical interface means responsive to a predetermined characteristic of said first diagnostic parameter being identified by said first control means; and
c. computing means selectively couplable to both said first and second monitoring means for transferring data there between and selectively displaying said first and second diagnostic parameters, said computing means including at least a pair of serial interface ports, said computing means including means for input of (1) said variable repetition rates and said time intervals for transfer to said second control means, and (2) said first diagnostic parameter characteristic to said first control means.
3 Assignments
0 Petitions
Accused Products
Abstract
An ambulatory patient monitoring system (100) is provided for measuring and storing predetermined diagnostic parameters of a patient. The monitoring system includes a personal type computer (120) which may be selectively coupled to the portable portion (102) of system (100). Portable portion (102) may include one or more monitoring modules, such as ECG monitoring unit (110) and blood pressure monitoring unit (210). When ECG monitoring unit (110) and blood pressure monitoring unit (210) are disposed in side-by-side relationship and with respective optical interfaces (50, 254) in optical alignment, the two units operate in concert. ECG monitoring unit (110) supplies an R-wave gating signal to blood pressure monitoring unit (210) for establishing a window in which the receipt of a Korotkoff sound is expected. Additionally, the ECG unit (110) may trigger the blood pressure unit (210) to take a reading responsive to unit (110) identifying a predetermined abnormality in the ECG signal. Alternately, ECG monitoring unit (110) and blood pressure monitoring unit (210) may be used independently of one another as separate monitoring devices.
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Citations
24 Claims
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1. An ambulatory patient monitoring system including a carrying pouch coupled to a patient, comprising:
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a. first portable monitoring means for independently measuring and storing a predetermined first diagnostic parameter of a first patient, said first portable monitoring means including;
(1) a first power supply, (2) first control means coupled to said power supply for controlling said independent measurement and storage of said first diagnostic parameter, (3) means for sensing said first diagnostic parameter having an output coupled to said first control means, (4) first optical interface means coupled to said first control means for providing for digital communication external thereto, and (5) first memory means coupled to said first control means for storing a multiplicity of measurements of said first diagnostic parameter;b. at least a second portable monitoring means for measuring and storing a predetermined second diagnostic parameter, said second diagnostic parameter being a different physiological parameter than said first diagnostic parameter, said second portable monitoring means including;
(1) a second power supply, (2) second control means coupled to said second power supply for generating a first control signal to initiate said measurement of said second diagnostic parameter, (3) means for sensing said second diagnostic parameter having an output coupled to said second control means, (4) second memory means coupled to said second control means for storing a multiplicity of measurements of said second diagnostic parameter, and (5) second optical interface means coupled to said second control means for digital communication with at least said first monitoring means, said first control signal being generated by said second control means at one of a plurality of predetermined variable repetition rates, said variable repetition rates being actuated by said second control means for predetermined time intervals, said second monitoring means being (1) operable independent of said first monitoring means for measuring said second diagnostic parameter of a second patient, and (2) positionable within said carrying pouch with said second optical interface in optical alignment with said first optical interface of said first monitoring means for measuring said second diagnostic parameter of said first patient responsive to both said first control signal and a second control signal generated by said first control means of said first monitoring means, said second control signal being transmitted by said first optical interface means to said second optical interface means responsive to a predetermined characteristic of said first diagnostic parameter being identified by said first control means; andc. computing means selectively couplable to both said first and second monitoring means for transferring data there between and selectively displaying said first and second diagnostic parameters, said computing means including at least a pair of serial interface ports, said computing means including means for input of (1) said variable repetition rates and said time intervals for transfer to said second control means, and (2) said first diagnostic parameter characteristic to said first control means. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. An ambulatory patient monitoring system for measuring and storing a plurality of diagnostic parameter values, comprising:
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a portable power supply; microprocessor means coupled to said portable power supply for determining said diagnostic parameter values; nonvolatile memory means coupled to said microprocessor means for storing both said plurality of diagnostic parameter values and a control algorithm, said nonvolatile memory being formed by a plurality of electrically programmable, electrically erasable semiconductor memory devices, said memory devices being all substantially simultaneously electrically erasable; random access memory means coupled to said microprocessor means for temporary storage of said control algorithm, said microprocessor means transferring said control algorithm (1) from said nonvolatile memory means to said random access memory means preceding electrical erasure of said nonvolatile memory means, and (2) back to said nonvolatile memory means subsequent to said erasure thereof; and
,sensor means coupled to said microprocessor means for providing measurement data thereto, said microprocessor means calculating said diagnostic parameter values from said measurement data. - View Dependent Claims (16)
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17. An ambulatory patient monitoring system for measuring and storing a plurality of diagnostic parameter values powered by a portable power source, comprising:
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microprocessor means coupled to said portable power source for determining said diagnostic parameter values; memory means coupled to said microprocessor means for storing said plurality of diagnostic parameter values; means for stopping and starting operation of said microprocessor means to thereby conserve power from said portable power source; and
,sensor means coupled to said microprocessor means for providing measurement data thereto, said microprocessor means calculating said diagnostic parameter values from said measurement data. - View Dependent Claims (18, 19, 20, 21, 22, 23)
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24. An ambulatory patient monitoring system, comprising:
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at least two monitoring units releasably secured to a patient for measuring different diagnostic parameters, each of said monitoring units comprising; a. a portable power source; b. microprocessor means coupled to said portable power source for controlling the measurement and storage of predetermined diagnostic parameters; c. memory means coupled to said microprocessor means for storing said predetermined diagnostic parameters; d. optical interface means coupled to said microprocessor means for communicating with another of said monitoring unit, said optical interface of a first of said at least two monitoring units optically transmitting a control signal representing detection of a predetermined characteristic of a first diagnostic parameter measured by said first monitoring unit to a second of said at least two monitoring units, said control signal being received by said optical interface of said second monitoring unit for initiating a measurement by said second monitoring unit of a second diagnostic parameter; e. signal conditioning means coupled to said microprocessor means for providing said diagnostic parameters thereto; and
,f. input means coupled to a patient for sensing diagnostic parameters therefrom, said input means having an output coupled to said signal conditioning means.
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Specification