Patient incontinence monitoring apparatus and method of use thereof

• US 6,774,800 B2
• Filed: 04/01/2002
• Issued: 08/10/2004
• Est. Priority Date: 03/30/2001
• Status: Expired due to Fees

• Current Assignee: Augmentech Incorporated
• Original Assignee: Augmentech Incorporated
• Inventors: Friedman, Mark B., Casciola, Randall W.
• Primary Examiner(s): Horsass, Jeffery
• Assistant Examiner(s): Lai, Anne V.
• Application Number:
  US10/113,164
• Publication Number:
  US 20020145525A1
• Time in Patent Office: 862 Days
• Field of Search: 340/604, 340/572.4, 340/572.5, 340/573.5, 604/361
• US Class Current: 340/573.5
• CPC Class Codes: A61B 2560/0285 Apparatus for single use
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/1113 Local tracking of patients, e.g. in a hospital or private home
• CPC Class Codes: A61B 5/202 Assessing bladder functions, e.g. incontinence assessment
• CPC Class Codes: A61B 5/447 specially adapted for aiding the prevention of ulcer or pressure sore development, i.e. before the ulcer or sore has developed
• CPC Class Codes: A61B 5/6804 Garments; Clothes
• CPC Class Codes: A61B 5/6808 Diapers
• CPC Class Codes: A61F 13/42 with wetness indicator or alarm

Abstract

A patient fluid discharge monitoring method and apparatus includes at least one article configured to be worn by a patient, the article having absorbent material and a RF tag received adjacent the absorbent material. The RF tag is excited with an excitation signal and the response of the RF tag to the excitation signal is detected. The detected response of the RF tag is compared to a predetermined response. The RF tag has a first detected response when the absorbent material has no fluid therein and a second detected response when the absorbent material has fluid therein.

Claims

1. A patient fluid discharge monitoring system comprising:

a liquid absorbent material configured to be positioned to receive fluid discharged from a patient; and

a first RF tag having one of (i) an inductor—

capacitor resonator formed on a flexible insulating substrate wherein the capacitor includes conductive areas in alignment on opposite sides of the substrate and (ii) an antenna coupled to an RFID tag, the first RF tag positioned in contact with or in spaced relation with the liquid absorbent material, the first RF tag configured to absorb a wireless excitation signal whereupon a change in the amount of discharged fluid received in the liquid absorbent material causes a change in the absorption of the energy of the wireless excitation signal by the first RF tag wherein said latter change is detectable remotely in the absence of detecting energy radiated by the first RF tag.

2. The system as set forth in claim 1, further including a remote transmitter for transmitting the wireless excitation signal and for detecting the change in the absorption of the energy of the wireless excitation signal by the first RF tag.

3. The system as set forth in claim 2, further including an alarm responsive to the change detected by the transmitter.

4. The system as set forth in claim 1, wherein:

at least one of the liquid absorbent material and the first RF tag includes a dry electrolyte;

in response to the discharged fluid combining with the dry electrolyte, said combination causes the change in the absorption of the wireless excitation signal; and

the change in absorption of the energy of the wireless excitation signal includes a change in a frequency of absorption of the energy of the first RF tag.

5. The system as set forth in claim 4, wherein:

at least one of the liquid absorbent material and the first RF tag includes a dry electrolyte;

in response to the discharged fluid combining with the dry electrolyte, said combination causes the change in the absorption of the excitation signal; and

the change in absorption of the energy of the wireless excitation signal includes reducing the absorption of the energy of the wireless excitation signal by the first RF tag at at least one frequency.

6. The system as set forth in claim 1, wherein the absorbent material is received in one of:

a diaper having the absorbent material and the first RF tag received between an inner lining and an outer cover, where at least part of the inner lining is fluid permeable; and

a pad having the absorbent material and the first RF tag received in a casing, where at least part of the casing is fluid permeable.

7. The system as set forth in claim 6, wherein the pad is one of an incontinence pad, a gauze or pad configured for application to bleeding or oozing wounds of a patient or a sterile pad of a bandage.

8. The system as set forth in claim 1, further including a second RF tag having one of (i) an inductor—

capacitor resonator formed on a flexible insulating substrate wherein the capacitor includes conductive areas in alignment on opposite sides of the substrate and (ii) an antenna coupled to an RFID tag, the second RF tag positioned in contact with or in spaced relation with the liquid absorbent material, the second RF tag configured to absorb a wireless excitation signal whereupon a change in the amount of discharged fluid received in the liquid absorbent material causes a change in the absorption of the energy of the wireless excitation signal by the second RF tag wherein said latter change is detectable remotely in the absence of detecting energy radiated by the second RF tag.

9. The system as set forth in claim 8, wherein the second RF tag is spaced from the first RF tag whereupon discharged fluid received in the absorbent material first causes the first RF tag to respond and change its absorption of the energy of the wireless excitation signal and then causes the second RF tag to respond and change its absorption of the energy of the wireless excitation signal.

10. The system as set forth in claim 1, wherein:

at least one of the liquid absorbent material and the RF tag includes a dry electrolyte; and

in response to the discharged fluid combining with the dry electrolyte, said combination shields the RF tag from the excitation signal whereupon the RF tag is not exposed to the wireless excitation signal.

11. A patient fluid discharge monitoring system comprising:

a liquid absorbent material configured to be positioned to receive fluid discharged from at least one of a urine discharge orifice and a fecal discharge orifice of a patient; and

a first RF tag positioned in contact with or in spaced relation with the liquid absorbent material, the first RF tag responsive to a wireless excitation signal in the absence of discharged fluid in the liquid absorbent material and responsive to the excitation signal in the presence of discharged fluid in the liquid absorbent material for causing at least one of (i) a unique change in the excitation signal and (ii) a change in a unique wireless response signal output by the first RF tag in response to the wireless excitation signal, wherein;

the first RF tag is formed on a flexible substrate;

the first RF tag includes two circuits, with each circuit responsive to the liquid absorbent material receiving discharged fluid for causing at least one of (i) the unique change in the excitation signal and (ii) the unique change in the wireless response signal output by the first RF tag in response to the excitation signal, the two circuits having a difference in the unique changes in the excitation signal caused thereby or a difference in the unique changes in the wireless response signal caused thereby; and

flexing of the substrate alters together the unique changes in the excitation signal or the unique changes in the wireless response signal caused by the circuits whereby the difference therebetween remains substantially the same.

12. A patient fluid discharge monitoring system comprising:

an article configured to be positioned adjacent a patient, the article including an absorbent material for absorbing fluid discharged by the patient;

an RF tag positioned adjacent the absorbent material, the RF tag having one of (i) an inductor—

capacitor resonator formed on a flexible insulating substrate wherein the capacitor includes conductive areas in alignment on opposite sides of the substrate and (ii) an antenna coupled to an RFID tag, the RF tag operative for absorbing a wireless excitation signal; and

a dry electrolyte adjacent at least part of the RF tag, wherein the the dry electrolyte and the RF tag are arranged whereupon in the absence of discharged fluid in the absorbent material, the RF tag exhibits a first characteristic absorption of the energy of the wireless excitation signal that is detectable remotely in the absence of detecting energy radiated by the RF tag and in the presence of discharged fluid combined with the dry electrolyte in the absorbent material, the RF tag exhibits a second characteristic absorption of the energy of the wireless excitation signal that is detectable remotely in the absence detecting energy radiated by the RF tag.

13. The system as set forth in claim 12, wherein the second characteristic absorption of the energy of the wireless excitation signal is a null.

14. The system as set forth in claim 12, further including a transmitter for generating the wireless excitation signal, for detecting a change between the first and second characteristic absorption'"'"'s of the energy of the energy wireless excitation signal, and for generating a signal as a function of said change.

15. The system as set forth in claim 12, wherein a change in the first and the second characteristic absorption'"'"'s of the energy of the wireless excitation signal includes a change in at least one frequency where the energy of the wireless excitation signal is absorbed.

16. The system as set forth in claim 12, wherein a change in the first and the second characteristic absorption'"'"'s of the energy of the wireless excitation signal includes a change in the amount of energy of the wireless excitation signal that is absorbed at at least one frequency.

17. A patient fluid discharge monitoring system comprising:

an article configured to be worn next to the skin of a patient, the article including an absorbent material for absorbing fluid discharged by the patient; and

an RF tag positioned adjacent the absorbent material, wherein the absorbent material and the RF tag are arranged whereupon in the absence of fluid in the absorbent material, the RF tag is responsive to a wireless excitation signal and in the presence of fluid in the absorbent material, the response of the RF tag to the excitation signal changes, wherein;

the RF tag is positioned in the article to provide a first delay between the first and second detected responses thereof when the article initially receives discharged fluid in the form of urine; and

the system further includes another RF tag positioned in the article to provide a second delay between the first and second detected responses thereof when the article initially receives discharged fluid in the form of moist fecal discharge.

18. The system as set forth in claim 17, wherein the article includes a moisture barrier arranged adjacent the other RF tag for avoiding discharged urine from causing the change from its first detected response to its second detected response.

19. A method of monitoring patient fluid discharge comprising the steps of:

(a) providing at least one article configured to be worn by a patient, the article having absorbent material and an RF tag adjacent the absorbent material, the RF tag having one of (1) an inductor—

capacitor resonator formed on a flexible insulating substrate wherein the capacitor includes conductive areas in alignment on opposite sides of the substrate and (2) an antenna coupled to an RFID tag;

(b) exciting the RF tag with an excitation signal;

(c) wirelessly detecting an absorption of energy of the excitation signal by the RF tag at at least one frequency in the absence of detecting energy radiated by the RF tag when patient discharged fluid is present in the absorbent material; and

(d) determining from the detected absorption of the energy of the excitation signal at the at least one frequency that patient discharged fluid is present in the absorbent material.

20. The method as set forth in claim 19, wherein the detected absorption of the excitation signal is a null.

21. The method as set forth in claim 19, further including generating an alarm in response to step (d).

22. The method as set forth in claim 19, wherein:

at least one of the absorbent material and the RF tag includes a dry electrolyte; and

in response to the discharged fluid combining with the dry electrolyte, the detected absorption of the energy of the excitation signal by the RF tag at the at least one frequency decreases.

23. The method as set forth in claim 19, wherein:

at least one of the absorbent material and the first RF tag includes a dry electrolyte; and

in response to the discharged fluid combining with the dry electrolyte, the at least one frequency of absorption of the energy of the excitation signal by the RF tag changes.

24. A patient fluid discharge monitoring system comprising:

a diaper having absorbent material received between a fluid impermeable cover and a fluid permeable lining;

a plurality of first RF tags each uniquely identifiable and each positioned near or adjacent at least one of the fluid impermeable cover and the absorbent material adjacent the fluid impermeable cover, the plurality of first RF tags distributed throughout the diaper and responsive to a wireless excitation signal for providing an indication of how much capacity of the absorbent material is available for receiving urine; and

at least one uniquely identifiable second RF tag positioned in the diaper near or adjacent the fluid permeable lining or in the absorbent material adjacent the fluid permeable lining in an area of the diaper configured to be positioned adjacent an anus of a patient when worn, the at least one second RF tag responsive to the wireless excitation signal for providing an indication of the absence and presence of feces near or adjacent the at least one second RF tag.

25. The system as set forth in claim 24, further including a moisture resistant barrier positioned in the diaper to avoid urine received in the absorbent material from contacting each second RF tag.

26. A patient fluid discharge monitoring system comprising:

a first liquid absorbent material configured to be positioned to receive fluid discharged from a patient; and

an RF tag having a magnetostrictive element biased in a magnetic field of a magnet, the RF tag positioned in contact with or in spaced relation with the first liquid absorbent material, wherein;

in response to receiving a wireless excitation signal in the absence of the discharged fluid in the liquid absorbent material, the RF tag re-radiates energy received from the wireless excitation signal as a first RF response signal; and

in response to receiving a wireless excitation signal in the presence of the discharged fluid in the liquid absorbent material, the RF tag re-radiates energy received from the wireless excitation signal as a second RF response signal.

27. The system as set forth in claim 26, wherein the second RF response signal is a null.

28. The system as set forth in claim 26, wherein:

the magnetostrictive element vibrates to produce the first RF response signal; and

the vibration of the magnetostrictive element is suppressed to produce the second RF response signal.

29. The system as set forth in claim 26, wherein:

the RF tag includes a second liquid absorbent material that expands into contact with the magnetostrictive element when the second liquid absorbent material is exposed to the discharged fluid; and

said contact suppresses vibration of the magnetostrictive element; and

the second RF response signal is the suppressed vibration of the magnetostrictive element in response to receiving the wireless excitation signal.