Physiological measurement instrument

• US 8,854,060 B2
• Filed: 11/01/2010
• Issued: 10/07/2014
• Est. Priority Date: 11/06/2009
• Status: Active Grant

• Current Assignee: Biotronik SE & Company KG
• Original Assignee: Biotronik VI Patent AG (Biotronik SE & Company KG)
• Inventors: Diebold, Michael, Philipp, Jens, Finnberg, Thomas
• Primary Examiner(s): He, Amy
• Application Number:
  US12/917,183
• Publication Number:
  US 20110109329A1
• Time in Patent Office: 1,436 Days
• Field of Search: 324/679, 324/658, 356/614, 374/E13.001, 374/185, 600300-301, 600309-310, 600/347, 600322-326, 600354-365, 600/509, 600/513, 600/547, 600/549, 128/905, 128/920, 340/539.12, 340/573.1, 333/124
• US Class Current: 324/679
• CPC Class Codes: A61B 2560/0456 Apparatus provided with a docking unit
• CPC Class Codes: A61B 2560/0462 Apparatus with built-in sensors
• CPC Class Codes: A61B 2560/0468 Built-in electrodes
• CPC Class Codes: A61B 2562/0257 Proximity sensors
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/681 Wristwatch-type devices
• CPC Class Codes: G01B 11/002 for measuring two or more coordinates
• CPC Class Codes: G01B 11/026 by measuring distance between sensor and object G01B11/0608 takes precedence
• CPC Class Codes: G01B 21/04 by measuring coordinates of points
• CPC Class Codes: G01B 7/023 for measuring distance between sensor and object G01B7/082 and G01B7/102 take precedence
• CPC Class Codes: G01K 1/02 Means for indicating or recording specially adapted for thermometers
• CPC Class Codes: G01K 13/20 Clinical contact thermometers for use with humans or animals
• CPC Class Codes: G01R 27/2605 Measuring capacitance capacitive sensors G01D5/24

Abstract

A physiological measurement instrument is disclosed, having a detector, implemented as one or more sensors, for measuring values of one or more physiological measured parameters associated with a body of a human or animal subject, and for detecting values of a physical parameter that indicates an operating position of the measurement instrument relative to the body, and an operating-position-determining unit that receives and analyzes output signals from the detector, to determine the operating position of the measurement instrument.

Claims

1. A physiological measurement instrument capable of detecting and measuring values of one or more physiological measurement parameters associated with a body of a human or animal subject, the measurement instrument comprising:

a. a detector, implemented as one or more sensors, for use in detecting values of the measurement parameters, the values indicating an operating position of the measurement instrument wherein the operating position is relative to the body, or to a certain location of the measurement instrument;

b. an operating-position-determination unit that receives and analyzes output signals from the detector, to determine the operating position of the measurement instrument wherein the operating position is relative to the body, or to a certain location of the measurement instrument, wherein;

(1) the operating-position-determination unit comprises a comparator that compares the detected values against a standard to determine the operating position of the measurement instrument, wherein the standard is a predetermined threshold value or a comparative parameter, and

(2) the operating-position-determining unit produces a multi-valued output signal for differentiation of a first operating position at the body, a second operating position in a charging station, and a third operating position located away from both the first and second operating positions; and

c. a multi-part fastener for attaching to the body of the subject, in which the fastener has contact areas that make contact with one another when the fastener is in a closed state but do not make contact with one another when the fastener is in an open state, and in which the detector determines the contact state of the fastener.

2. The measurement instrument according to claim 1, wherein the detector is capable of detecting an absolute value and a time-varying value of a position-dependent variable.

3. The measurement instrument according to claim 1, wherein the operating-position-determining unit produces an index value, which expresses a probability of the measurement instrument being in one of several predetermined operating positions.

4. The measurement instrument according to claim 1, wherein the detector has a capacitive sensor system for detection of the proximity of the measurement instrument to the body on a capacitive basis.

5. The measurement instrument according to claim 1, further comprising a radio antenna for emitting a radio signal, wherein the detector is capable of detecting a complex impedance of the antenna.

6. The measurement instrument according to claim 1, wherein the detector comprises a temperature sensor.

7. The measurement instrument according to claim 1, wherein the detector comprises an optical sensor system, located in an area of the measurement instrument that faces the body when the measurement instrument is in operation, for optical detection of either a neighboring body section or a section of a charging station.

8. The measurement instrument according to claim 1, wherein the detector further comprises either an optical sensor system, for detection of periodic physiological signals such as a pulse rate, or an acoustic sensor system for detection of periodic physiological signals such as a pulse rate or heart sounds.

9. The measurement instrument according to claim 1, wherein the detector is capable of detecting physiological electrical potentials, such as cardiac action potentials or muscle action potentials, as an indicator of proximity of the measurement instrument to a body section.

10. The measurement instrument according to claim 1, further comprising multiple detectors for detecting values of different physical parameters, wherein the operating-position-determining unit is capable of combined evaluation of output signals of the multiple detectors for supplying an output signal representing the operating position of the measurement instrument relative to the body.

11. The measurement instrument according to claim 1, further comprising multiple detectors for use in detecting values of a physical parameter in different sections of the measurement instrument, wherein the operating-position-determining unit is capable of combined analysis of output signals of the multiple detectors for supplying an output signal representing the operating position of the measurement instrument relative to the body.

12. A physiological measurement instrument capable of detecting and measuring values of one or more physiological measurement parameters associated with a body of a human or animal subject, the measurement instrument including:

a. a detector defined by one or more sensors, the detector being configured to detect values of the measurement parameters, the values indicating an operating position of the measurement instrument wherein the operating position is relative to the body, or to a certain location of the measurement instrument;

b. an operating-position-determination unit configured to receive output signals from the detector and determine the operating position of the measurement instrument therefrom, wherein;

(1) the operating position is relative to the body, or to a certain location of the measurement instrument,

(2) the operating-position-determination unit includes a comparator that compares the output signals against a standard to determine the operating position of the measurement instrument, the standard being a predetermined threshold value or a comparative parameter,

(3) the operating-position-determining unit produces a multi-valued output signal for differentiation of a first operating position located at a certain body area, a second operating position located in a charging station, and a third operating position located away from both the first and second operating positions, wherein the certain body area is the right half of the body, the left half of the body, or one of the extremities; and

c. a multi-part fastener configured to attach to the body of the subject, wherein;

(1) the fastener has contact areas that make contact with one another when the fastener is in a closed state but do not make contact with one another when the fastener is in an open state, and

(2) the detector determines the contact state of the fastener.

13. A physiological measurement instrument for detecting and measuring values of physiological parameters associated with a human or animal body, the measurement instrument including:

a. a detector having one or more sensors configured to measure values of the physiological parameters; and

b. an operating-position-determination unit configured to;

(1) compare the measured values against one or more standards, and

(2) determine from the comparison at least one of;

(a) the location of the measurement instrument relative to at least one operating position, and

(b) the location of the measurement instrument upon at least one of the operating positions,

wherein one of the operating positions is the body;

(3) generate a multi-valued output signal, wherein different values of the output signal define the measurement instrument'"'"'s location at the following operating positions;

(a) on the body, and

(b) at a measurement instrument charging station, and

(c) away from both the body and the measurement instrument charging station; and

c. further including an antenna configured to emit a radio signal, wherein the detector is configured to measure a complex impedance of the antenna.

14. The measurement instrument of claim 13 wherein:

a. the detector includes several different sensors configured to measure values of different physiological parameters,

b. the operating-position-determination unit is configured to determine the location of the measurement instrument relative to the body.

15. The measurement instrument of claim 13 wherein the detector includes a capacitive sensor configured to generate an output signal indicative of the proximity of the measurement instrument.

16. The measurement instrument of claim 13 wherein the detector includes a temperature sensor.

17. The measurement instrument of claim 13 wherein the detector includes at least one of:

a. an optical sensor system, and

b. an acoustic sensor system, configured to detect periodic physiological parameters.

18. The measurement instrument of claim 13 wherein the detector includes an electrical action potential sensor configured to detect physiological electrical potentials.

19. A physiological measurement instrument for detecting and measuring values of physiological parameters associated with a human or animal body, the measurement instrument including:

a. a detector having one or more sensors configured to measure values of the physiological parameters; and

b. an operating-position-determination unit configured to;

(1) compare the measured values against one or more standards, and

(2) determine from the comparison at least one of;

(a) the location of the measurement instrument relative to at least one operating position, and

(b) the location of the measurement instrument upon at least one of the operating positions,

wherein one of the operating positions is the body, and

c. generate an output signal defining a probability that the measurement instrument is in one of several predetermined operating positions.

20. The measurement instrument of claim 19 wherein:

a. the measurement instrument further includes an antenna thereon configured to emit a radio signal, and

b. the detector is configured to measure a complex impedance of the antenna.

21. The measurement instrument of claim 19 wherein the measurement device further includes a fastener configured to:

a. attach the measurement instrument adjacent to the body, and

b. generate an output signal indicative of attachment.

22. The measurement instrument of claim 19 wherein the output signal defines:

a. a probability that the measurement instrument is at a first operating position located at the body, and

b. a probability that the measurement instrument is a second operating position located away from the body.

23. The measurement instrument of claim 19 wherein the output signal defines:

a. a probability that the measurement instrument is at a first operating position located at the body;

b. a probability that the measurement instrument is a second operating position in a charging station; and

c. a probability that the measurement instrument is a third operating position located away from both the first and second operating positions.

24. The measurement instrument of claim 19 wherein the detector includes an optical sensor system situated on the measurement instrument to face the body when the measurement instrument is located on the body.

25. The measurement instrument of claim 19 wherein the detector includes at least one of:

a. an optical sensor system, and

b. an acoustic sensor system,

configured to detect periodic physiological parameters.

26. A physiological measurement instrument for detecting and measuring values of physiological parameters associated with a human or animal body, the measurement instrument including:

a. a detector having one or more sensors configured to measure values of the physiological parameters, the sensors including an optical sensor system situated on an area of the measurement instrument that faces the body when the measurement instrument is located thereon, and

b. an operating-position-determination unit configured to;

(1) compare the measured values against one or more standards, and

(2) determine from the comparison at least one of;

(a) the location of the measurement instrument relative to at least one operating position, and

(b) the location of the measurement instrument upon at least one of the operating positions,

wherein one of the operating positions is the body;

the measurement instrument being configured to generate a multi-valued output signal, wherein different values of the output signal define the measurement instrument'"'"'s location at the following operating positions;

(1) on the body, and

(2) at a measurement instrument charging station, and

(3) away from both the body and the measurement instrument charging station.

27. The measurement instrument of claim 26 wherein:

a. the measurement instrument further includes an antenna thereon configured to emit a radio signal, and

b. the detector is configured to measure a complex impedance of the antenna.

28. The measurement instrument of claim 26 wherein the measurement device further includes a fastener configured to:

a. attach the measurement instrument adjacent to the body, and

b. generate an output signal indicative of attachment.