Consciousness monitoring

• US 8,823,527 B2
• Filed: 08/25/2010
• Issued: 09/02/2014
• Est. Priority Date: 09/03/2009
• Status: Active Grant

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Husen, Sri Andari, Feddes, Bastiaan, Falck, Thomas, Baggen, Constant Paul Marie Jozef, Barroso, Andre Melon, Johnson, Mark Thomas, Lambert, Nicolaas, Van Acht, Victor Martinus Gerardus
• Primary Examiner(s): Tweel, Jr., John A
• Application Number:
  US13/390,520
• Publication Number:
  US 20120161969A1
• Time in Patent Office: 1,469 Days
• Field of Search: 340/573.1, 340/575, 340/576, 600/544, 600/545, 607/108
• US Class Current: 340/573.1
• 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 5/16 Devices for psychotechnics using teaching or educational appliances G09B1/00 - G09B7/00; Testing reaction times ; Devices for evaluating the psychological state
• CPC Class Codes: G08B 21/06 indicating a condition of sleep, e.g. anti-dozing alarms

Abstract

A method for automatically monitoring consciousness of a person and triggering an alarm if the monitored person is not in a state of full consciousness is provided. The method comprises the steps: monitoring at least one aspect of the behavior of the person (S1); analyzing whether the monitored behavior of the person corresponds to an expected behavior for a state of full consciousness or not (S2, S2′); triggering an alarm if the analysis results in that the detected behavior does not correspond to the expected behavior (S3).

Claims

1. A method for automatically monitoring consciousness of a person and triggering an alarm if the monitored person is not in a state of full consciousness;

the method comprising the steps;

monitoring at least one aspect of active behavior of the person;

detecting at least one environmental stimulus;

analyzing whether the monitored active behavior of the person in response to detecting the at least one environmental stimulus responds with an expected behavior for a state of full consciousness or not;

triggering an alarm if the analysis results in that the monitored active behavior does not correspond to the expected behavior.

2. The method according to claim 1, wherein the step of analyzing is performed to discern between exactly two states, namely a state of full consciousness and a state corresponding to not full consciousness.

3. The method according to claim 1, wherein the analysis is responsive to detecting naturally occurring acoustic signals in an environment around the person.

4. The method according to claim 1, wherein in response to the analyzing determining that the monitored behavior does not correspond to the expected behavior for a full state of consciousness:

subjecting the person to an artificial intentional stimulus;

analyzing whether the monitored behavior of the person in response to the artificial intensional stimulus corresponds to the expected state of behavior for the state of full consciousness or not and

wherein the alarm is triggered of the analysis of the monitored behavior of the person to the environmental stimulus and to the artificial intentional stimulus does not correspond to the expected behavior for a full state of consciousness.

5. The method according to claim 1, wherein the person is subjected to at least one artificial intentional stimulus and the response of the person to the at least one intentional stimulus is measured.

6. The method according to claim 5, wherein response times of responses to subsequent stimuli are analyzed and tracked over time.

7. The method according to claim 1, wherein the person is subjected to an artificial intentional stimulus only if the monitored behavior of the person in response to the at least one environmental stimulus does not correspond to an expected behavior for a state of full consciousness.

14. The method according to claim 1, wherein the natural environmental stimulus includes one or more of:

a change in lighting level in an environment of the person;

a change in acoustic noise level in the environment of the person;

a noise, not caused by the consciousness monitoring, occurring in the environment of the person.

19. The monitoring and alarming unit according to claim 14, further including both the detector and the stimulation unit and wherein the processor is further configured to:

in response to judging that the person is not in the state of full consciousness after a preselected plural number of natural environmental stimuli, controlling the stimulation unit to apply the artificial intentional stimulus; and

in response to judging from the analyzed response to the artificial intentional stimulus that the person is not in the state of full consciousness, triggering an alarm to summon a medical professional to evaluate the state of consciousness of the person.

8. A monitoring and alarming device for automatically monitoring consciousness of a person and outputting an alarm if the monitored person is not in a state of full consciousness, the device comprising:

at least one sensor configured to sense at least one aspect of the behavior of a person;

a detection unit configured to detect environmental stimuli;

a processing unit configured to;

monitor a signal from the at least one sensor,

in response to the detection unit detecting an environmental stimulus, analyze whether the sensed behavior indicates

a response to the detected environmental stimulus and to judge from the sensed behavior whether the person is in a state of full consciousness or not, and

trigger an alarm in response to judging that the monitored person is not in the state of full consciousness.

9. The monitoring and alarming device according to claim 8, wherein the processing unit is configured to discern between exactly two states, namely a state of full alert consciousness and a state corresponding to less than full consciousness.

10. The monitoring and alarming device according to claim 8, comprising at least one stimulation device configured to provide an artificial intentional stimulus to the person being monitored.

11. The monitoring and alarming device according to claim 8, wherein the processing unit is configured to:

in response to judging from the sensed behavior that the person is not in the state of full consciousness, provide an artificial intentional stimulus to the person;

judge from the sensed behavior of the person in response to the artificial intentional stimulus whether the person is in the state of full consciousness; and

wherein the alarm is triggered in response to judging from the sensed behavior of the person to the environmental stimulus and to the artificial intentional stimulus that the person is not in the full state of consciousness.

12. The monitoring and alarming device according to claim 10, wherein the at least one sensor comprises at least one motion sensor which senses patient movement.

13. The monitoring and alarming device according to claim 12, further including:

a patient unit configured to be attached to a patient, the patient unit including the at least one motion detector and the stimulation device.

15. The monitoring and alarming device according to claim 8, wherein the natural environmental stimulus includes one or more of:

a change in lighting level in an environment of the person;

a change in acoustic noise level in the environment of the person;

a noise, not caused by the monitoring and alarming device, occurring in the environment of the person.

16. A monitoring and alarming device for automatically monitoring consciousness of a person and outputting an alarm if the monitored person is not in a state of full consciousness, the device comprising:

a sensor unit configured to sense at least one aspect of the behavior of a person;

at least one of;

a detector configured to detect an occurrence of a natural environmental stimulus, and

a stimulation unit configured to apply an artificial intentional stimulus to the person;

a computer processor configured to;

analyze the sensed aspect of the behavior and judge whether the person is in a state of full consciousness,

in response to judging that the person is not in a state of full consciousness, at least one of (i) receive an input from the detector that the natural, environmental stimulus has been received and (ii) control the stimulation unit to apply the artificial stimulus to the person,

analyze the behavior of the person in response to the stimulus and judge whether the person is in the state of full consciousness, and

in response to judging from the analysis of the response to the stimulus that the person is not in the state of full consciousness, triggering an alarm.

17. The monitoring and alarming unit according to claim 16, wherein the sensor includes a microphone and the computer processor is configured to determine that the person is in the state of full consciousness in response to the microphone hearing the voice of the person.

18. The monitoring and alarming unit according to claim 16, wherein the natural environmental stimulus includes one or more of:

a change in lighting level in an environment of the person;

a change in acoustic noise level in the environment of the person;

a noise, not caused by the monitoring and alarming device, occurring in the environment of the person.

20. The monitoring and alarming device according to claim 16, wherein the sensor unit is further configured to sense heart rate, blood pressure, respiration rate, and temperature such that the monitoring and alarming device monitors the heart rate, the blood pressure, the respiration rate, the temperature, and the state of consciousness of the person.