Combined physiological sensor systems and methods

• US 9,138,183 B2
• Filed: 02/03/2011
• Issued: 09/22/2015
• Est. Priority Date: 02/03/2010
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: McKenna, Edward M., Chen, Bo, Li, Youzhi, Addison, Paul Stanley
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): Archer, Marie
• Application Number:
  US13/020,704
• Publication Number:
  US 20110190600A1
• Time in Patent Office: 1,692 Days
• Field of Search: 600300-301, 600363-365, 600372-374, 600377-379, 600382-384, 600386-394, 600/481, 600/485, 600500-503, 600/508, 600515-519, 600529-531, 600544-547, 600/549, 600587-595, 128920-925
• US Class Current: 1/1
• 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 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/02433 for infrared radiation
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/165 Evaluating the state of mind, e.g. depression, anxiety
• CPC Class Codes: A61B 5/6814 Head
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7257 using Fourier transforms
• CPC Class Codes: A61B 5/726 using Wavelet transforms

Abstract

A combined physiological sensor and methods for detecting one or more physiological characteristics of a subject are provided. The combined sensor (e.g., a forehead sensor) may be used to detect and/or calculate at least one of a pulse blood oxygen saturation level, a regional blood oxygen saturation level, a respiration rate, blood pressure, an electrical physiological signal (EPS), a pulse transit time (PTT), body temperature associated with the subject, a depth of consciousness (DOC) measurement, any other suitable physiological parameter, and any suitable combination thereof. The combined sensor may include a variety of individual sensors, such as electrodes, optical detectors, optical emitters, temperature sensors, and/or other suitable sensors. The sensors may be advantageously positioned in accordance with a number of different geometries. The combined sensor may also be coupled to a monitoring device, which may receive and/or process one or more output signals from the individual sensors to display information about the medical condition of the subject. In addition, several techniques may be employed to prevent or limit interference between the individual sensors and their associated input and/or output signals.

Claims

1. A physiological sensor device, comprising:

a flexible structure capable of being applied to a subject;

a first electrode disposed on the structure for receiving a first electrical signal associated with the subject, wherein the first electrode is disposed on the structure at a location such that when the structure is applied to the subject, the first electrode is positioned over the horizontal center of the forehead of the subject;

a second electrode disposed on the structure for receiving a second electrical signal associated with the subject, wherein the second electrode is disposed on the structure at a location such that when the structure is applied to the subject, the second electrode is positioned on a side of the forehead of the subject;

a third electrode disposed on the structure for receiving a third electrical signal associated with the subject, wherein the third electrode is disposed on the structure at a location such that when the structure is applied to the subject, the third electrode is positioned on the side of the forehead of the subject at a position further away from the horizontal center of the forehead than the position of the second electrode;

a fourth electrode disposed on the structure for receiving a fourth electrical signal associated with the subject, wherein the fourth electrode is disposed on the structure at a location such that when the structure is applied to the subject, the fourth electrode is positioned over a temple of the subject on the same side of the subject'"'"'s head with respect to the horizontal center as the second electrode and the third electrode; and

an optical detector disposed on the structure at a location between the second electrode and the third electrode for receiving an optical signal transmitted into the subject.

2. The device of claim 1 further comprising an optical emitter disposed on the structure for transmitting the optical signal into the subject.

3. The device of claim 2, wherein the optical detector is a first optical detector capable of receiving an optical signal transmitted into the forehead of the subject, the optical emitter is a first optical emitter capable of transmitting the optical signal into the forehead of the subject, and the optical signal is a first optical signal, the device further comprising:

a second structure capable of being applied to an earlobe of the subject, wherein the second structure is coupled to the flexible structure;

a second optical emitter disposed on the second structure for transmitting a second optical signal into the earlobe of the subject; and

a second optical detector disposed on the second structure for receiving the second optical signal transmitted into the earlobe of the subject.

4. The device of claim 2, wherein the optical detector is a first optical detector disposed near the optical emitter, the device further comprising a second optical detector disposed on the structure at a distance from the emitter for receiving the optical signal transmitted into the subject.

5. The device of claim 4 further comprising a temperature sensor disposed on the structure for detecting a temperature of the subject.

6. The device of claim 1, wherein the optical detector is disposed on the structure at a location such that the optical detector is positioned over highly perfused tissue of the subject, when the structure is applied to the subject.

7. The device of claim 1 wherein the first electrode, the second electrode, the third electrode, and the fourth electrode are disposed on the structure at substantially equally spaced intervals.

8. The device of claim 1, wherein the device is configured to rout output signals from the first electrode, the second electrode, the third electrode, the fourth electrode, and the optical detector via interconnects to a shared cable connected to monitoring circuitry.

9. The device of claim 1 further comprising processing circuitry, wherein the processing circuitry is configured to:

receive the first electrical signal, the second electrical signal, the third electrical signal, the fourth electrical signal, and the optical signal; and

calculate at least one of a pulse blood oxygen saturation level, a regional blood oxygen saturation level, a respiration rate, blood pressure, an electrical physiological signal, a pulse transit time, body temperature, and a depth of consciousness measurement.

10. A physiological sensor device, comprising:

a flexible structure capable of being applied to a subject;

a first electrode disposed on the structure for receiving a first electrical signal associated with the subject, wherein the first electrode is disposed on the structure at a location such that when the structure is applied to the subject, the first electrode is positioned over the horizontal center of the forehead of the subject;

a second electrode disposed on the structure for receiving a second electrical signal associated with the subject, wherein the second electrode is disposed on the structure at a location such that when the structure is applied to the subject, the second electrode is positioned on a side of the forehead of the subject;

a third electrode disposed on the structure for receiving a third electrical signal associated with the subject, wherein the third electrode is disposed on the structure at a location such that when the structure is applied to the subject, the third electrode is positioned on the side of the forehead of the subject at a position further away from the horizontal center of the forehead than the position of the second electrode;

a fourth electrode disposed on the structure for receiving a fourth electrical signal associated with the subject, wherein the fourth electrode is disposed on the structure at a location such that when the structure is applied to the subject, the fourth electrode is positioned over a temple of the subject;

an optical emitter disposed on the structure for transmitting an optical signal into the subject;

a first optical detector disposed on the structure near the optical emitter at a location between the second electrode and the third electrode for receiving an optical signal transmitted into the subject;

a second optical detector disposed on the structure at a distance from the emitter for receiving the optical signal transmitted into the subject, wherein the first optical detector is disposed in a location between the optical emitter and the second optical detector; and

a temperature sensor disposed on the structure for detecting a temperature of the subject, wherein the temperature sensor is disposed in a location between the first optical detector and the second optical detector in order to substantially isolate the temperature sensor from any heat generated by the optical emitter.