Ambulatory patient monitoring system

• US 5,568,814 A
• Filed: 06/20/1994
• Issued: 10/29/1996
• Est. Priority Date: 11/12/1991
• Status: Expired due to Term

• Current Assignee: Protocol Systems Inc
• Original Assignee: Protocol Systems Inc
• Inventors: Gallant, Stuart L., Palmer, Walter E., Caron, Paul R.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US08/262,925
• Time in Patent Office: 862 Days
• Field of Search: 128/672, 128/680, 128/700, 128/708, 128/908
• US Class Current: 600/485
• 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: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
• CPC Class Codes: A61B 5/335 using integrated circuit memory devices
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61B 7/045 Detection of Korotkoff sounds A61B5/0225 takes precedence; measuring blood pressure A61B5/021
• CPC Class Codes: Y10S 128/90 Blood pressure recorder
• CPC Class Codes: Y10S 128/908 Patient protection from electric shock

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.

Claims

1. An ambulatory patient monitoring system for measuring and storing a plurality of diagnostic parameter values useful for clinical evaluation of a patient, comprising:

an ambulatory patient monitoring device including a portable power supply;

microprocessor means coupled to said portable power supply for controlling the measurement and storage of 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, each of said memory devices being electrically erasable;

means for erasing said semiconductor memory devices of said nonvolatile memory means;

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;

signal conditioning means coupled to said microprocessor means for providing said diagnostic parameters thereto; and

input means coupled to a patient for sensing diagnostic parameters therefrom, said input means having an output coupled to said signal conditioning means.

2. The ambulatory patient monitoring system of claim 1, wherein said monitoring device includes an inflatable cuff affixable to such a patient, and wherein said system further comprises means for supplying fluid to an inflatable cuff affixable to a patient coupled to said microprocessor means, said fluid-supply means being actuated responsive to an inflatable command control signal produced by and sent from said microprocessor means;

and

means for deflating said inflatable cuff coupled to said microprocessor means, said deflating means being responsive to a deflate command signal produced by and sent from said microprocessor means.

3. An ambulatory patient monitoring system for measuring and storing a plurality of blood pressure values useful for clinical evaluation of a patient, comprising:

an ambulatory patient monitoring device including a portable power source and means for noninvasively monitoring and measuring the patient'"'"'s blood pressure by an auscultatory method and an oscillometric method, and means for selectably calculating such blood pressure values by the auscultatory method and the oscillometric method;

microprocessor means coupled to said portable power source for controlling the measurement and storage of 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, said stopping and starting means including clock means for generating a periodic interrupt signal to restart said microprocessor means;

signal conditioning means coupled to said microprocessor means for providing said diagnostic parameters thereto; and

input means coupled to a patient for sensing diagnostic parameters therefrom, said input means having an output coupled to said signal conditioning means.

4. The ambulatory patient monitoring system of claim 3, wherein said monitoring device includes an external monitoring unit with means for transmitting a gating signal, and the system further comprises an optical interface coupled to said microprocessor means for receiving a gating signal optically transmitted from said external monitoring unit.

5. The ambulatory patient monitoring system of claim 4 wherein said external monitoring unit is an ECG monitoring unit and said gating-signal-transmitting means sends a gating signal when the ECG monitoring unit monitors occurrence of an R-wave, thereby improving the accuracy of said blood pressure measurement methods.

6. The ambulatory patient monitoring system of claim 3, wherein said monitoring device includes an inflatable cuff affixable to such a patient, and wherein said system further comprises means for supplying fluid to an inflatable cuff affixable to a patient, said fluid supply means being coupled to said microprocessor means and being actuated responsive to an inflate command control signal produced by and sent from said microprocessor means;

and

means for deflating said inflatable cuff coupled to said microprocessor means, and deflating means being responsive to a deflate command signal produced by and sent from said microprocessor means.

7. The ambulatory patient monitoring system of claim 6 wherein said monitoring device includes (1) an audio transducer affixable to such patient for noninvasively monitoring and measuring the patient'"'"'s blood pressure by the auscultatory method, and (2) a pressure transducer fluidly coupled to said inflatable cuff for noninvasively monitoring and measuring the patient'"'"'s blood pressure by the oscillometric method.

8. The ambulatory patient monitoring system of claim 6, wherein said monitoring device includes an external monitoring unit with means for transmitting a gating signal, and the system further comprises an optical interface coupled to said microprocessor means for receiving a gate signal optically transmitted from an external monitoring unit.

9. The ambulatory patient monitoring system of claim 8 wherein said external monitoring unit is an ECG monitoring unit and said gating-signal-transmitting means sends a gating signal when the ECG monitoring unit monitors occurrence of an R-wave, thereby improving the accuracy of said blood pressure measurement methods.