Wireless patient monitoring system

• US 7,889,069 B2
• Filed: 04/01/2005
• Issued: 02/15/2011
• Est. Priority Date: 04/01/2005
• Status: Active Grant

• Current Assignee: Integra Lifesciences Corporation (Integra LifeSciences Holdings Corporation)
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Rosenberg, Miki, Fifolt, Douglas A.
• Primary Examiner(s): Bugg; George A
• Assistant Examiner(s): Fan; Hongmin
• Application Number:
  US11/097,499
• Publication Number:
  US 20060220839A1
• Time in Patent Office: 2,146 Days
• Field of Search: 340/539.12, 340/539.11, 340/539.13, 340/573.1, 340/573.4, 600/300, 600/301
• US Class Current: 340/539.12
• 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 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period

Abstract

A device and method for monitoring a patient having a sensing device taking sensor data continuously and a transmitter located on the patient and internally powered. The transmitter is normally in a power-down state and powered-up for transmitting the sensor data. A receiver is located remote from the patient and receives the sensor data transmitted wirelessly from the transmitter. The transmission is typically a burst and can also be initiated on a command. For the burst, the sensor data is accumulated over a first period. The transmitter can transmit the sensor data over a second period of time. The second period of time is shorter than the first period of time. Once the transmission is complete, transmitter can be powered down. A further step displays the sensor data at the receiver in pseudo real-time. The display is shifted by a sum of the first and the second period of time.

Claims

1. A device for monitoring a patient, comprising:

a sensing device disposed at least one of on and in the patient and taking sensor data continuously;

a transmitter located on the exterior of the patient, internally powered, normally in a power-down state and powered-up for transmitting the sensor data, said transmitter comprising a first memory for temporarily storing sensor data;

a first link between the sensing device and the transmitter wherein the transmitter receives the sensor data from the sensing device and the first link comprises at least one of a wire and a wireless link;

a receiver, located remote from the patient, receiving the sensor data transmitted wirelessly from the transmitter and the transmission is at least one of a burst, and upon a command; and

wherein a confirmation signal is transmitted from the receiver to the transmitter to acknowledge receipt of the sensor data;

the confirmation signal instructs the transmitter to erase or overwrite the first memory temporarily storing the sensor data.

2. The device of claim 1, wherein the sensing device comprises a unique sensing device ID and the sensing device is identified by the transmitter using the unique sensing device ID.

3. The device of claim 2, further comprising a central server, located remote from the patient and the receiver, wherein the sensor data is encoded with the unique sensing device ID and the encoded sensor data is transmitted to the receiver and to the central server.

4. The device of claim 1, wherein the first link further comprises a power link to provide power to the sensing device from the transmitter, wherein the power link provides power by at least one of a direct connection and an induced connection.

5. The device of claim 1, wherein the transmitter further comprises an alarm sending an alarm signal upon failure to receive the confirmation signal.

6. The device of claim 1, wherein the transmitter provides an instruction to the sensing device.

7. The device of claim 1, further comprising a central server, located remote from the receiver, receiving the sensor data from the receiver, and at least one of storing, analyzing, and displaying the sensor data and the receiver transmits the sensor data to the central server on at least one of continuously, at an interval, and upon a command.

8. The device of claim 1, wherein the receiver at least one of, stores, analyzes, and displays the sensor data.

9. The device of claim 8, wherein the receiver transmits the analyzed sensor data to a central server.

10. The device of claim 1, wherein the transmitter comprises a unique transmitter ID and the transmitter is identified by the receiver using the unique transmitter ID.

11. The device of claim 10, wherein the sensing device comprises a unique sensing device ID and the sensing device is identified by the transmitter using the unique sensing device ID,

wherein the sensor data is encoded with the unique sensing device ID and the unique transmitter ID and the encoded sensor data is transmitted to the receiver.

12. The device of claim 1, further comprising:

a second sensing device implanted in the patient, taking second sensor data at least one of continuously, at an interval, and upon a command, comprising a unique second sensing device ID and the second sensing device is identified by the transmitter using the unique second sensor device ID, wherein the second sensor data is encoded with the unique second sensing device ID; and

a second link between the second sensing device and the transmitter wherein the transmitter receives the second sensor data from the second sensing device and the second link comprises at least one of one of a wire and a wireless link;

wherein the sensing device comprises a unique sensing device ID, the sensing device is identified by the transmitter using the unique sensing device ID, and the sensor data is encoded with the unique sensing device ID, and

wherein the encoded sensor data and the encoded second sensor data are transmitted to the receiver.

13. The device of claim 1, further comprising:

a second sensing device implanted in a second patient, taking second sensor data at least one of continuously, at an interval, and upon a command;

a second transmitter located outside the second patient, internally powered, transmitting the second sensor data to the receiver on at least one of continuously, at an interval, and upon a command and comprises a unique second transmitter ID and the second transmitter is identified by the receiver using the unique second transmitter ID; and

a second link between the second sensing device and the second transmitter wherein the second transmitter receives the second sensor data from the second sensing device and the second link comprises at least one of one of a wire and a wireless link.

14. The device of claim 1, wherein the transmitter compresses the sensor data prior to transmitting to the receiver and wherein the receiver decompresses the compressed sensor data.

15. The device of claim 7, further comprising a notification, sent from the receiver to the central server upon a met condition.

16. The device of claim 1, wherein the transmitter comprises a first memory temporarily storing the sensor data prior to the transmission to the receiver, wherein the sensor data is compressed prior to transmission and decompressed by the receiver.

17. A method of monitoring a patient, comprising the steps of:

acquiring sensor data from a sensing device at least one of on and in the patient;

linking the sensor data to a transmitter by at least one of continuously, at an interval and upon a command, said transmitter having a first memory;

temporarily storing the sensor data in the first memory;

powering the transmitter internally;

locating the transmitter on the exterior of the patient;

powering the transmitter down in a normal state;

powering the transmitter up and transmitting the sensor data stored in the first memory from the transmitter to a receiver by at least one of a burst and upon command;

receiving a confirmation signal sent from the receiver to the transmitter to acknowledge receipt of the sensor data;

erasing or overwriting the sensor data stored in the first memory upon receipt of the confirmation signal; and

disposing the receiver remote from the transmitter.

18. The method of claim 17, further comprising the steps of:

communicating the sensor data from the receiver to a central server; and

at least one of storing, analyzing, and displaying the sensor data at the central server.

19. The method of claim 17, further comprising the steps of:

identifying the sensing device with a unique sensing device ID; and

optionally, encoding the sensor data with the unique sensing device ID.

20. The method of claim 17, further comprising the step of powering the sensing device from the transmitter using a power link, comprising the steps of:

optionally, transmitting energy over a wire from the transmitter to the sensing device; and

optionally, inducing energy through induction coils in the transmitter and the sensing device.

21. The method of claim 17, further comprising the step of issuing an alarm upon failure to receive the confirmation signal.

22. The method of claim 17, further comprising the step of providing an instruction from the transmitter to the sensing device.

23. The method of claim 17, further comprising the step of at least one of:

storing the sensor data at the receiver;

analyzing the sensor data at the receiver; and

displaying the sensor data at the receiver.

24. The method of claim 22, wherein the communicating step includes communicating the analyzed sensor data to a central server.

25. The method of claim 17, further comprising the step of identifying the transmitter with a unique transmitter ID.

26. The method of claim 17, further comprising the step of compressing the sensor data prior to the transmitting step.

27. The method of claim 26, further comprising the step of decompressing the sensor data prior to analysis.

28. The method of claim 18, further comprising the step of communicating a notification to the central server.

29. The method of claim 17, further comprising the steps of:

accumulating the sensor data over a first time;

transmitting the sensor data from the transmitter to the receiver over a second time, shorter than the first time;

powering off the transmitter; and

displaying the sensor data at the receiver in pseudo real-time shifted by a sum of the first and the second times.

30. The method of claim 29, further comprising the steps of:

compressing the sensor data prior to the transmitting step; and

decompressing the sensor data prior to the displaying step.