Methods and apparatus for monitoring patient conditions

• US 9,028,407 B1
• Filed: 12/13/2013
• Issued: 05/12/2015
• Est. Priority Date: 12/13/2013
• Status: Active Grant

• Current Assignee: Medical Defense Technologies, L.L.C., Safer Care LLC
• Original Assignee: Safer Care LLC
• Inventors: Bennett-Guerrero, Elliott
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): Archer, Marie
• Application Number:
  US14/105,552
• Time in Patent Office: 515 Days
• US Class Current: 600/301
• CPC Class Codes: A61B 2505/01 Emergency care
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 2562/24 Hygienic packaging for medical sensors; Maintaining apparatus for sensor hygiene
• CPC Class Codes: A61B 2562/242 Packaging, i.e. for packaging the sensor or apparatus before use
• CPC Class Codes: A61B 2562/247 Hygienic covers, i.e. for covering the sensor or apparatus during use
• 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 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• 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 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/1071 measuring angles, e.g. using goniometers A61B5/1123 takes precedence
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1117 Fall detection
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/42 Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems A61B1/00, A61B5/4857, A61B5/486, A61B5/4866, A61B5/4869 take precedence
• CPC Class Codes: A61B 5/4809 Sleep detection, i.e. determining whether a subject is asleep or not
• CPC Class Codes: A61B 5/6813 Specially adapted to be attached to a specific body part A61B5/6802 takes precedence
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/683 : Means for maintaining contact with the body A61B5/6802 takes precedence
• CPC Class Codes: A61B 5/6833 : Adhesive patches
• CPC Class Codes: A61B 5/743 : Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/744 : Displaying an avatar, e.g. an animated cartoon character
• 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: G01B 3/56 : Gauges for measuring angles or tapers, e.g. conical calipers

Abstract

Some embodiments are directed to an apparatus for monitoring patient orientation. A reusable sensor is configured to detect inclination angles of an anterior region of the patient. An elongated disposable attachment device is configured for removable attachment to both the sensor and the patient'"'"'s anterior region such that the direction of elongation of the attachment device extends along the patient'"'"'s sternum. The attachment device includes a sensor attachment portion configured for removable attachment to the sensor such that the sensor is prevented from direct contact with the patient, and a patient attachment portion configured for removable attachment to the patient'"'"'s anterior region.

Claims

1. An apparatus for monitoring patient orientation, comprising:

a reusable sensor configured to detect inclination angles of an anterior region of the patient; and

an elongated disposable attachment device having a first end and a second end, a distance between the first end and the second end defining a length of the elongated disposable attachment device, the length of the elongated disposable attachment device being greater than a maximum width of the elongated disposable attachment device that is perpendicular to a first direction between the first end and the second end of the elongated disposable attachment device, the elongated disposable attachment device configured for removable attachment to both the sensor and the patient'"'"'s anterior region such that the first direction of the attachment device extends along a longitudinal axis of a sternum of the patient, the attachment device including;

a sensor attachment portion configured for removable attachment to the sensor such that the sensor is prevented from direct contact with the patient,

a patient attachment portion configured for removable attachment to the patient'"'"'s anterior region, and

a first connector attached to the sensor attachment portion and a second connector attached to the patient attachment portion, the first connector and the second connector being configured to detachably mate to each other.

2. The apparatus for monitoring patient orientation according to claim 1, wherein the sensor attachment portion is elongated and opposite ends of the elongated sensor attachment portion comprise the first and second ends of the elongated disposable attachment device, respectively, and the patient attachment portion includes two separate, physically distinct and non-integral attachment portions that are each individually removably attachable to locations adjacent the opposite ends of the elongated sensor attachment portion.

3. The apparatus for monitoring patient orientation according to claim 2, wherein at least a part of the sensor attachment portion is hollow and configured for disposing the sensor therein.

4. The apparatus for monitoring patient orientation according to claim 2, wherein the sensor attachment portion defines a sealable pouch that is configured for disposing the sensor therein.

5. The apparatus for monitoring patient orientation according to claim 4, wherein the pouch is defined at an upper surface of the sensor attachment portion.

6. The apparatus for monitoring patient orientation according to claim 1, wherein the sensor is an accelerometer.

7. The apparatus for monitoring patient orientation according to claim 1, further including a sensor sheath that houses the sensor and that is insertable into the sensor attachment portion.

8. The apparatus for monitoring patient orientation according to claim 7, further comprising a controller that is spaced apart from and physically unconnected with the sensor, and a transmitter that wirelessly transmits signals between the sensor and the controller, the sensor sheath housing the transmitter.

9. The apparatus for monitoring patient orientation according to claim 8, wherein the controller includes an indicator that enables viewing of the incline angles detected by the sensor.

10. The apparatus for monitoring patient orientation according to claim 8, wherein the controller controls the sensor to vary the frequency of incline measurements.

11. The apparatus for monitoring patient orientation according to claim 8, wherein the controller provides an alarm indication if the sensor detects certain incline angles.

12. The apparatus for monitoring patient orientation according to claim 11, wherein the controller provides an alarm indication if the sensor detects that the patient'"'"'s incline angle falls below a certain angle.

13. The apparatus for monitoring patient orientation according to claim 12, wherein the controller provides an alarm indication if the sensor detects that the patient'"'"'s incline angle falls below 30 degrees.

14. The apparatus for monitoring patient orientation according to claim 11, wherein the controller provides an alarm indication if the sensor detects that the patient'"'"'s incline angle indicates that the patient is attempting to stand.

15. The apparatus for monitoring patient orientation according to claim 11, wherein the controller provides an alarm indication if the sensor detects that the patient'"'"'s incline angle exceeds a certain angle.

16. The apparatus for monitoring patient orientation according to claim 8, wherein the controller is configured to monitor the patient conditions, including at least one of heart rate, respiratory rate, respiratory depth, GI motility, sleep analysis, and seizure detection.

17. The apparatus for monitoring patient orientation according to claim 16, wherein the controller is configured to control an aspect of sensing of at least one of the monitored conditions based on at least one of another of the monitored conditions.

18. The apparatus for monitoring patient orientation according to claim 17, wherein the controller is configured to affect the frequency of monitoring of patient incline based on data of at least one of the other monitored conditions.

19. The apparatus for monitoring patient orientation according to claim 18, wherein the controller is configured to reduce the frequency of monitoring of patient incline if data of at least one heart rate, respiratory rate, and respiratory depth indicates that the patient is asleep.

20. The apparatus for monitoring patient orientation according to claim 1, wherein the sensor attachment portion comprises a pouch configured to fully encapsulate the sensor.

21. An apparatus for monitoring patient orientation, comprising:

a reusable sensor configured to detect inclination angles of an anterior region of the patient; and

an elongated disposable attachment device having a first end and a second end, a distance between the first end and the second end defining a length of the elongated disposable attachment device, the length of the elongated disposable attachment device being greater than a maximum width of the elongated disposable attachment device that is perpendicular to a first direction between the first end and the second end of the elongated disposable attachment device, the elongated disposable attachment device configured for removable attachment to both the sensor and the patient'"'"'s anterior region such that the first direction of the attachment device extends along a longitudinal axis of a sternum of the patient, the attachment device including;

a sensor attachment portion configured for removable attachment to the sensor such that the sensor is prevented from direct contact with the patient, and

a patient attachment portion configured for removable attachment to the patient'"'"'s anterior region,

wherein the sensor at attachment portion is configured to connect to the reusable sensor such that the reusable sensor has an alignment having a fixed relationship to the first direction, and,

wherein the patient attachment portion is configured for removable attachment to skin of the patient at the sternum of the patient.

22. The apparatus for monitoring patient orientation according to claim 21, wherein the maximum width of the elongated disposable attachment device is less than a width of the sternum of the patent that is perpendicular to the longitudinal axis of the sternum of the patient.

23. The apparatus for monitoring patient orientation according to claim 22, wherein the length of the elongated disposable attachment device is greater than at least half of a length of the sternum along the longitudinal axis of the sternum.

24. The apparatus for monitoring patient orientation according to claim 21, wherein the sensor attachment portion comprises a sealable encasement that is configured to dispose the sensor therein.

25. The apparatus for monitoring patient orientation according to claim 21,

wherein the sensor attachment portion defines a sensor housing that is configured to dispose the sensor therein to fully encapsulate the sensor,

wherein a first end of the sensor housing comprises a pivoting arm to open the sensor housing to facilitate insertion of the sensor into the sensor housing, and

wherein the battery receiver is disposed within the sensor housing at a second end of the sensor housing, opposite the first end of the sensor housing.

26. An apparatus for monitoring patient orientation, comprising:

a reusable sensor configured to detect inclination angles of an anterior region of the patient; and

an elongated disposable attachment device having a first end and a second end, a distance between the first end and the second end defining a length of the elongated disposable attachment device, the length of the elongated disposable attachment device being greater than a maximum width of the elongated disposable attachment device that is perpendicular to a first direction between the first end and the second end of the elongated disposable attachment device, the elongated disposable attachment device configured for removable attachment to both the sensor and the patient'"'"'s anterior region such that the first direction of the attachment device extends along a longitudinal axis of a sternum of the patient, the attachment device including;

a sensor attachment portion configured for removable attachment to the sensor such that the sensor is prevented from direct contact with the patient, and

a patient attachment portion configured for removable attachment to the patient'"'"'s anterior region,

wherein the sensor attachment portion defines a pouch that is configured to dispose the sensor therein to fully encapsulate the sensor, the pouch comprising a sealable opening to facilitate insertion of the sensor into the pouch.

27. The apparatus for monitoring patient orientation according to claim 26, wherein a first end of the pouch comprises a pivoting arm to open the pouch to facilitate insertion of the sensor into the pouch.

28. The apparatus for monitoring patient orientation according to claim 26, wherein the sensor attachment portion of the elongated disposable attachment device comprises a battery receiver configured to house a battery to provide power to the reusable sensor.

29. The apparatus for monitoring patient orientation according to claim 28,

wherein the sensor attachment portion comprises a sensor housing that is configured to dispose the sensor therein to encapsulate the sensor,

wherein the battery receiver is disposed within the sensor housing at a second end of the sensor housing, opposite the first end of the sensor housing.

30. The apparatus for monitoring patient orientation according to claim 29,

wherein the battery receiver comprises a first connector and the reusable sensor comprises a second connector,

wherein the first connector and the second connector are configured to mate with each other to supply power to the reusable sensor.