Systems and methods for intelligent medical vigilance with alert cause indication

• US 8,698,635 B2
• Filed: 11/12/2009
• Issued: 04/15/2014
• Est. Priority Date: 12/04/2003
• Status: Expired due to Fees

• Current Assignee: Hoana Medical, Inc.
• Original Assignee: Hoana Medical, Inc.
• Inventors: Sullivan, Patrick K., Glei, Matthew S., Embree, Paul M., Hebsur, Shashidhar B., Epperson, Nicholas C.
• Primary Examiner(s): Nguyen, Tai T
• Application Number:
  US12/617,652
• Publication Number:
  US 20100052917A1
• Time in Patent Office: 1,615 Days
• Field of Search: 340/573.1, 340/573.5, 340/575, 340/576, 340/511, 340/539.12, 600/300, 600/484, 600/537
• US Class Current: 340/573.1
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• 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 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• 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 5/02455 provided with high/low alarm devices
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/18 for vehicle drivers or machine operators
• CPC Class Codes: A61B 5/6892 Mats
• CPC Class Codes: A61B 5/6893 Cars
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61G 12/00 Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food service or tea-tables, trolleys or wagons A47B31/00; Prescription lists
• CPC Class Codes: B60W 2040/0872 Driver physiology
• CPC Class Codes: G08B 21/02 Alarms for ensuring the safety of persons
• 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
• CPC Class Codes: G16H 40/20 : for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

An intelligent medical vigilance system that observes and analyzes, and, only in the event of a clinically significant negative condition, notifies and reports the event to the care staff utilizing the hospital'"'"'s existing nurse call system. The device includes a bedside unit connected to a pad or coverlet with a sensor array (placed under the patient) and also to an existing hospital nurse call system via an interface. The bedside unit is a wall-mounted unit with a display that becomes active when an alarm condition is enabled. Vigilance alarms are suspended if a patient is detected out of bed. An unable-to-measure alert is provided if the system is unable to reliably monitor. An alert message is generated and maintained on the display screen to inform a responding caregiver of the time and reason for any alarm.

Claims

1. A method for monitoring physiology of a person, comprising:

placing adjacent the person a plurality of sensors configured to detect physiological parameters of the person;

detecting one or more physiological parameters of the person with said sensors;

converting the detected physiological parameters into signals;

analyzing the signals to determine if they satisfy at least one alert condition;

activating an alert when at least one alert condition is satisfied;

generating an alert message on a display to provide an indication of a cause of the alert;

maintaining the alert message on the display until the display is cleared by a user;

analyzing the signals to determine if they satisfy at least one unable-to-measure condition which indicates that at least some of the signals may be unreliable; and

providing an unable-to-measure alert when at least one of the unable-to-measure conditions is satisfied.

3. The method of claims 1 or 2, wherein the display is placed in a room with the person being monitored.

4. The method of claims 1 or 2, wherein the alert message provides an indication of a type of alert, parameter values which trigged the alert, and a time of day the alert was activated.

5. The method of claims 1 or 2, wherein a plurality of said alert messages are maintained simultaneously on the display in priority order.

6. The method of claims 1 or 2, wherein the alert message provides an indication of a first alert cause when multiple alerts of a same type occur before the display is cleared by the user.

7. The method of claims 1 or 2, wherein multiple alert messages are generated and maintained on the display when multiple alerts of a same type occur before the display is cleared by the user.

8. The method of claims 1 or 2, wherein the alert message remains unchanged when multiple alerts of a same type occur before the display is cleared by the user.

9. The method of claims 1 or 2, further comprising sounding an audible tone when a new alert message is generated on the display.

10. The method of claim 1, wherein the unable-to-measure conditions are selected from the group consisting of excessive motion by the person, low signal amplitude, sensor disconnection, sensor failure, and patient parameters outside operational limit.

11. The method of claim 1, further comprising:

placing a second plurality of sensors on a bed to detect the presence thereon or absence therefrom of the person;

detecting one or more signals from said second plurality of sensors;

analyzing the signals from the second plurality of sensors to determine whether the patient is in the bed; and

wherein at least one of the unable-to-measure conditions comprises the presence of an in-bed determination with the absence of a signal from the sensors configured to detect physiological parameters.

12. The method of claim 1, wherein the unable-to-measure alert is provided only when the at least one unable-to-measure condition persists for a predetermined minimum period of time.

13. The method of claim 1, wherein the unable-to-measure alert comprises a sequence of dashes on the display.

2. A method for monitoring physiology of a person, comprising:

placing adjacent the person a plurality of sensors configured to detect physiological parameters of the person;

detecting one or more physiological parameters of the person with said sensors;

converting the detected physiological parameters into signals;

analyzing the signals to determine if they satisfy at least one alert condition;

activating an alert when at least one alert condition is satisfied;

generating an alert message on a display to provide an indication of a cause of the alert;

maintaining the alert message on the display until the display is cleared by a user;

placing a second plurality of sensors on a bed to determine the presence thereon or absence therefrom of the person;

detecting one or more signals from said second plurality of sensors;

analyzing the signals from the second plurality of sensors to determine whether the person is in bed, out of bed, or attempting to exit the bed; and

activating a bed exit alarm when the signals from the second plurality of sensors indicate that the person is out of bed or is attempting to exit the bed.

14. The method of claim 2, further comprising generating an alert message on the display to provide an indication of the time of day when the bed exit alarm was activated.

15. The method of claim 14, further comprising generating a new alert message on the display each time the bed exit alarm is activated.

16. The method of claim 14, further comprising maintaining said alert message on the display, but automatically deactivating the bed exit alarm, if the condition that caused the bed exit alarm is resolved.

17. The method of claim 2, further comprising temporarily disabling the bed exit alarm when the person is removed from the bed under supervision.

18. The method of claim 17, wherein the bed exit alarm is automatically re-enabled upon expiration of a predetermined period of time.

19. The method of claim 17, wherein the bed exit alarm is disabled by pressing a button.

20. The method of claim 19, wherein the bed exit alarm is enabled if the button is pressed again prior to the expiration of a predetermined period of time.

21. Apparatus for monitoring physiology of a person, comprising:

one or more physiological sensors configured to detect physiological parameters of a person and generate corresponding electrical signals;

a processor configured to analyze the signals from the sensors to determine if the signals satisfy at least one alert condition;

an alarm system in communication with the processor for activating an alert when at least one alert condition is satisfied;

a display in communication with the processor;

the processor being configured to generate an alert message on the display to provide an indication of a cause of the alert and to maintain the alert message on the display until the display is cleared by a user;

one or more bed exit sensors adapted to be disposed on a bed to determine whether the person is in bed, out of bed, or attempting to exit the bed and to generate corresponding electrical signals;

the processor being configured to analyze the signals from the bed exit sensors to determine whether the person is in bed, out of bed, or attempting to exit the bed and to generate an alert message on the display when the signals from the bed exit sensors indicate that the person is out of bed or is attempting to exit the bed, said alert message providing an indication of the time of day when the person exited the bed or attempted to exit the bed and being maintained on the display until the display is cleared by the user.

23. The apparatus of claims 21 or 22, wherein the alert message provides an indication of a type of alert, parameter values which trigged the alert, and a time of day the alert was activated.

24. The apparatus of claims 21 or 22, wherein a plurality of said alert messages are maintained simultaneously on the display in priority order.

25. The apparatus of claims 21 or 22, wherein the alert message provides an indication of a first alert cause when multiple alerts of a same type occur before the display is cleared by the user.

26. The apparatus of claims 21 or 22, wherein the processor generates and maintains multiple alert messages on the display when multiple alerts of a same type occur before the display is cleared by the user.

27. The apparatus of claims 21 or 22, wherein the alert message remains unchanged when multiple alerts of a same type occur before the display is cleared by the user.

28. The apparatus of claim 21, wherein a new alert message is generated each time the person exits the bed or attempts to exit the bed, and a plurality of said messages are maintained simultaneously on the display in chronological order.

22. Apparatus for monitoring physiology of a person, comprising:

one or more physiological sensors configured to detect physiological parameters of a person and generate corresponding electrical signals;

a processor configured to analyze the signals from the sensors to determine if the signals satisfy at least one alert condition;

an alarm system in communication with the processor for activating an alert when at least one alert condition is satisfied;

a display in communication with the processor;

the processor being configured to generate an alert message on the display to provide an indication of a cause of the alert and to maintain the alert message on the display until the display is cleared by a user;

wherein the processor is housed in a bedside unit connected to the physiological sensors and to an existing alarm system of the user.

29. The apparatus of claim 22, wherein an alarm is generated in an existing nurse call system of the user when said at least one alert condition is satisfied.

30. The apparatus of claim 22, wherein the sensors comprise an array of piezoelectric films disposed in the person'"'"'s bed under a bottom sheet.

31. The apparatus of claim 22, wherein the display is housed in bedside unit and becomes active when an alert condition is satisfied.