Bed occupant monitoring system

• US 7,825,814 B2
• Filed: 01/22/2008
• Issued: 11/02/2010
• Est. Priority Date: 07/17/2002
• Status: Expired due to Fees

• Current Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Original Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Inventors: Inkster, D. Robert, Lokhorst, David M.
• Primary Examiner(s): Pham; Toan N
• Assistant Examiner(s): MCNALLY, KERRI L
• Application Number:
  US12/017,605
• Publication Number:
  US 20080132808A1
• Time in Patent Office: 1,015 Days
• Field of Search: 340/573.1, 600/301
• US Class Current: 340/573.1
• CPC Class Codes: A61B 2562/0233 Special features of optical sensors or probes classified in A61B5/00
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 2562/223 Optical cables therefor
• 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 5/11 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 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/113 occurring during breathing
• 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 5/6892 Mats
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: G08B 21/0446 worn on the body to detect changes of posture, e.g. a fall, inclination, acceleration, gait
• CPC Class Codes: G08B 21/0453 worn on the body to detect health condition by physiological monitoring, e.g. electrocardiogram, temperature, breathing detecting, measuring or recording for diagnostic purposes A61B5/00
• CPC Class Codes: G08B 21/0461 integrated or attached to an item closely associated with the person but not worn by the person, e.g. chair, walking stick, bed sensor
• CPC Class Codes: G08B 21/22 responsive to presence or absence of persons

Abstract

The invention provides a bed occupant monitoring system comprising a pressure sensitive member attached to a support member for supporting a bed occupant, the pressure sensitive member comprising a plurality of pressure sensors. Each of the pressure sensors is configured to provide a reflected wave energy pressure signal by reflecting incident wave energy with an intensity which varies with a pressure applied to the sensor. A pair of fibers are coupled to each pressure sensor, each pair of fibers comprising an input fiber and an output fiber. The fibers are coupled to interface electronics comprising a wave energy source coupled to the input fiber of each of the pairs of fibers for providing the applied light energy, and, a wave energy detector coupled to the output fiber of each of the pairs of fibers for converting the scattered light energy into an electrical signal.

Claims

1. A bed occupant monitoring system comprising:

a first grouping of spaced-apart fiber-optic pressure sensors configured to generate first light output in response to pressure applied to a first portion of a mattress,

a second grouping of spaced-apart fiber-optic pressure sensors configured to generate second light output in response to pressure applied to a second portion of the mattress spaced from the first portion of the mattress, and

electronics, spaced from the first and second groupings of fiber-optic pressure sensors, including;

at least one first light source to provide light energy to the first grouping of fiber-optic pressure sensors,

at least one first light sensor to detect the first light output from the first grouping of fiber-optic pressure sensors and generate a first electrical signal indicative of pressure applied to one or more of the pressure sensors in the first grouping of fiber-optic pressure sensors,

at least one second light source to provide light energy to the second grouping of fiber-optic pressure sensors,

at least one second light sensor to detect the second light output from the second grouping of fiber-optic pressure sensors and generate a second electrical signal indicative of pressure applied to one or more of the pressure sensors in the second grouping of fiber-optic pressure sensors, and

circuitry to determine a total pressure applied to the mattress, determine a first pressure applied to the first portion of the mattress, and determine a second pressure applied to the second portion of the mattress, from the first and second electrical signals, and send the first pressure, second pressure, and total pressure to a remote monitoring station.

2. The system of claim 1, wherein each pressure sensor includes an input optical fiber configured to provide light energy from the electronics to the pressure sensor and an output optical fiber configured to return light energy from the pressure sensor to the electronics.

3. The system of claim 2, wherein the input and output optical fibers are non-coupled.

4. The system of claim 2, wherein each of the input optical fibers of the first grouping of pressure sensors is coupled to the at least one first light source and each of the output optical fibers of the first grouping of pressure sensors is coupled to the at least one first light sensor.

5. The system of claim 4, wherein each of the input optical fibers of the second grouping of pressure sensors is coupled to the at least one second light source and each of the output optical fibers of the second grouping of pressure sensors is coupled to the at least one second light sensor.

6. The system of claim 2, wherein the electronics includes the at least one first light source and the at least one second light source each coupled to an input fiber and the at least one first light sensor and the at least one second light sensor each coupled to an output optical fiber.

7. The system of claim 2, wherein each pressure sensor includes compressible material adjacent the input and output optical fibers.

8. The system of claim 7, wherein the compressible material is configured to support a bed occupant and the compressible material is configured to reflect incident wave energy provided by the input optical fiber.

9. The system of claim 1, including a third grouping of spaced-apart fiber-optic pressure sensors configured to generate third light output in response to pressure applied to a third portion of a mattress spaced from the first and second portions of the mattress.

10. The system of claim 9, wherein the third grouping of spaced-apart fiber-optic pressure sensors is positioned between the first and second groupings of spaced-apart fiber-optic pressure sensors.

11. The system of claim 10, comprising a third light source coupled to the third grouping of fiber-optic pressure sensors and a third light sensor coupled to the third grouping of fiber-optic pressure sensors.

12. The system of claim 1, wherein the electronics are configured to process the light output of the pressure sensors in the first grouping of fiber-optic pressure sensors substantially simultaneously such that pressure applied to any of the pressure sensors in the first grouping modifies the first electrical signal.

13. The system of claim 1, wherein the electronics are configured to produce a third signal including an indicator of at least one of a plurality of possible states including a first state representative of no bed occupant, a second state representative of a bed occupant being positioned in a central portion of the mattress, and a third state representative of a bed occupant being positioned near an edge of the mattress.

14. The system of claim 1, wherein the electronics includes circuitry for comparing the first and/or second electrical signals to a predetermined threshold, a comparer to determine if the first and/or second electrical signals are below the predetermined threshold, a threshold crossing detector configured to reset a timer when the first and/or second electrical signals cross the predetermined threshold, and an alarm signal generator configured to generate an alarm signal if the timer is not reset for a predetermined time period and the first and/or second electrical signals are below the predetermined threshold.

15. A bed occupant monitoring system comprising:

a support member configured to support at least a portion of a person,

a plurality of spaced-apart groups of optical pressure sensors, each group configured to sense pressure applied to a different area of the support member, each group having a first end proximate a portion of the support member and a second end spaced from the first end, and

electronics coupled to the second end of each group and spaced from the first end of each group, the electronics including a microprocessor configured to generate output signals corresponding to light intensities received from at least one of the pressure sensors, each of the output signals being representative of a sum of a time derivative of pressure values sensed by the pressure sensors of one of the groups of pressure sensors.

16. The system of claim 15, wherein each pressure sensor includes an optical fiber pair, each optical fiber pair includes an input fiber and an output fiber, each of the input and output fibers have a first end spaced from the support member and a second end operably coupled to a portion of the support member, the first ends of the input and output fibers are substantially adjacent one another and the second ends of the input and output fibers are substantially adjacent one another, and the electronics are coupled to the first ends of the input and output fibers of each optical fiber pair and spaced from the second ends of the input and output fibers.

17. The system of claim 16, comprising a user interface operably coupled to the electronics to configure a bodily movement threshold determiner for differences in weights and movement patterns of different bed occupants.

18. The system of claim 15, wherein the electronics includes a bodily movement threshold determiner configured to determine whether output signals have remained below a bodily movement threshold for a period of time sufficient to activate an alarm.

19. The system of claim 18, wherein the determiner determines whether one of the output signals includes a pulmonary alarm indicative of suspension of pulmonary activity.

20. A bed occupant monitoring system comprising:

a mattress adapted to support at least a portion of a bed occupant,

a pressure sensitive member coupled to the mattress and arranged to lie below a top surface of the mattress, the pressure sensitive member including a plurality of spaced-apart pressure sensors configured to send pressure signals corresponding to pressure applied to the pressure sensitive member,

electronics operably coupled to the pressure sensors to receive the pressure signals and configured to analyze at least one of magnitude, frequency and variations in the pressure signals over time to determine at least one of heart rate, bodily movement, and pulmonary activity of the bed occupant and differentiate the signals as being representative of heart rate, pulmonary activity, and bodily movement, and

a user interface operably coupled to the electronics and configured to transmit input signals to the electronics, the input signals being indicative of differences in at least one of a threshold value relating to the at least one of heart rate, bodily movement, and pulmonary activity, and a time period relating to the at least one of heart rate, bodily movement, and pulmonary activity, and to graphically indicate the signals representative of heart rate, pulmonary activity or bodily movement.

21. The system of claim 20, wherein the user interface enables adjustment by a user of at least one of a pulmonary activity threshold, a pulmonary activity time period, a bodily movement threshold, a bodily movement time period, a heart rate threshold, and a heart rate time period.

22. The system of claim 21, wherein the electronics are configured to generate an alarm indicative of a change in at least one of the heart rate, bodily movement, and pulmonary activity of the bed occupant.