Wireless physiological monitoring

• US 8,805,527 B2
• Filed: 12/10/2008
• Issued: 08/12/2014
• Est. Priority Date: 05/18/2004
• Status: Active Grant

• Current Assignee: Natus Medical Incorporated
• Original Assignee: Natus Medical Incorporated
• Inventors: Mumford, John Robert, Kurtz, Ronald Leon
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Dinga, Roland
• Application Number:
  US12/332,105
• Publication Number:
  US 20090088608A1
• Time in Patent Office: 2,071 Days
• Field of Search: 607/60, 607/32, 600/509, 128/903, 128/904
• US Class Current: 607/60
• 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 5/4041 Evaluating nerves condition
• CPC Class Codes: A61N 1/0456 Specially adapted for transcutaneous electrical nerve stimulation [TENS]
• CPC Class Codes: A61N 1/0502 Skin piercing electrodes
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin

Abstract

Embodiments of the invention relate to a wireless physiological monitoring system. The system includes at least one wireless sensor and a monitoring device which are linked to one another of a wireless fashion for measuring physiological signals of a patient. The at least one wireless sensor is located on the patient and may comprise a wireless surface electrode assembly or a wireless needle assembly. The system may also comprise a wireless stimulator synchronized with the wireless sensor for performing certain diagnostic tests, such as nerve conduction velocity tests, for example. The wireless sensor preferably includes active, reference and common conductors. The common conductor can be used to measure the common mode voltage of the patient in the vicinity of the testing, and this voltage can then be subtracted from the measured active and reference voltages.

Claims

1. A wireless physiological monitoring system for measuring physiological signals from a patient, comprising:

a monitoring device, external to the patient, having a first transceiver;

at least one wireless sensor disposed on a measurement site on the patient for measuring a physiological signal, the at least one wireless sensor having a second transceiver for transmitting a corresponding wireless physiological signal to the first transceiver;

at least one wireless diagnostic stimulator having a third transceiver, the at least one wireless stimulator being adapted to provide a stimulation current to the patient in response to at least one of a command signal transmitted by the first transceiver of the monitoring device and manual actuation;

wherein the at least one wireless sensor includes a wireless adapter comprising;

the second transceiver;

a measurement module having an active conductor and a reference conductor for receiving voltages used to produce a differential voltage measurement indicative of the physiological signal, the measurement module further including a common conductor for receiving another voltage for removing common mode voltage from the differential measurement; and

a wireless needle assembly comprising the measurement module; and

wherein the second transceiver transmits the differential measurement as the wireless physiological signal.

2. The system of claim 1,

wherein the measurement module of the wireless needle assembly comprises:

a base having an electrical interface connected to the active, reference and common conductors, the base having a shape complementary to that of the wireless adapter for releasable attachment to the wireless adapter; and

a shaft which houses the active, reference and common conductors, wherein a first conductor is disposed centrally along the longitudinal axis of the shaft, a second conductor is disposed concentrically about the first conductor, a first insulator is disposed in between the first and second conductors, a third conductor is disposed concentrically about the second conductor, and a second insulator is disposed in between the second and third conductors.

3. The system of claim 2, wherein the measurement module of the wireless needle assembly comprises:

a base having an electrical interface connected to the active, reference and common conductors, the base having a shape complementary to that of the wireless adapter for releasable attachment to the wireless adapter;

a needle shaft comprising the active and reference conductors; and

a surface electrode comprising the common conductor.

4. The system of claim 3, wherein the measurement module of the wireless needle assembly comprises:

a base having an electrical interface connected to the active, reference and common conductors, the base having a shape complementary to that of the wireless adapter for releasable attachment to the wireless adapter;

a needle shaft comprising the active conductor; and

surface electrodes comprising the reference and common conductors, respectively.