Method and apparatus for monitoring the baroreceptor reflex of a user

• US 9,451,905 B2
• Filed: 12/07/2012
• Issued: 09/27/2016
• Est. Priority Date: 12/20/2011
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Op Den Buijs, Jorn, Schonenberg, Maartje Helena, Pauws, Steffen Clarence
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US14/367,243
• Publication Number:
  US 20140358017A1
• Time in Patent Office: 1,390 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/02444 Details of sensor A61B5/02427 takes precedence
• CPC Class Codes: A61B 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/6891 Furniture
• CPC Class Codes: A61B 5/7267 involving training the classification device
• CPC Class Codes: G08B 21/0492 Sensor dual technology, i.e. two or more technologies collaborate to extract unsafe condition, e.g. video tracking and RFID tracking
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients

Abstract

There is provided an apparatus for use in monitoring the baroreceptor reflex in a user, the apparatus comprising a processor configured to process a signal output by a first sensor that is attached to or located proximate to a bed to determine when the user moves from a lying position on the bed to a sitting position, and to provide an indication of the baroreceptor reflex of the user by processing the signal to determine the change in the heart rate of the user that occurs as a result of moving from the lying position to the sitting position.

Claims

1. An apparatus for use in monitoring the baroreceptor reflex in a user, the apparatus comprising:

one or more sensors configured to generate output signals conveying information related to a position of the user and information related to a heart rate of the user;

a processor configured to;

determine, based on output signals, when the user moves from a lying position on a bed to a sitting position;

determine a heart rate when the user is lying, determine a heart rate when the user is sitting, and calculate a change between the heart rates of the user that occurs as a result of moving from the lying position to the sitting position; and

provide an indication of the baroreceptor reflex of the user based on the calculated change in the heart rate of the user; and

a display configured to display the indication of the baroreceptor reflex of the user.

2. The apparatus of claim 1, wherein the processor is configured to calculate the change in the heart rate of the user that occurs as a result of moving from the lying position to the sitting position as the change in the heart rate determined while the user is in the lying position on the bed to a maximum heart rate that occurs as a result of moving from the lying position to the sitting position.

3. The apparatus of claim 1, wherein the one or more sensors is configured to be attached to the bed and wherein the output signals represent movement of the user on the bed.

4. The apparatus of claim 1, wherein the one or more sensors comprise one or more of:

a strain sensor, a strain gauge, a pressure sensor, a piezoelectric sensor, a resistive force sensor, a load cell, an electret foil sensor, a sensor for optically sensing movement-induced changes in a part of the bed, a camera, and/or a Doppler radar sensor.

5. The apparatus of claim 1, further comprising:

an array of sensors adapted to be placed at different locations in the bed, configured to generate output signals conveying information related to the position of the user, and wherein

the processor is further configured to determine when the user moves from the lying position on the bed to the sitting position based on the output signals from the array of sensors.

6. The apparatus of claim 1, further comprising:

one or more additional sensors configured to generate additional output signals conveying information related to the position of the user, the one or more additional sensors being located proximate to the bed, and wherein

the processor is further configured to;

determine when the user moves to a standing position;

determine the change in the heart rate of the user that occurs as a result of moving from the sitting position to the standing position; and

provide an indication of the baroreceptor reflex of the user based on the change in the heart rate of the user.

7. The apparatus of claim 6, wherein the processor is configured to determine the change in the heart rate of the user that occurs as a result of moving from the sitting position to the standing position as the change in the heart rate determined while the user is in the sitting position to a maximum heart rate that occurs as a result of moving from the sitting position to the standing position.

8. The apparatus of claim 6, wherein the processor is further configured to determine the change in the heart rate determined while the user is in the lying position on bed to a maximum heart rate that occurs as a result of moving from the lying position to the standing position.

9. The apparatus of claim 6, wherein the processor is configured to activate the one or more additional sensors responsive to determining that the user has moved from the lying position on the bed to the sitting position.

10. The apparatus of claim 6, wherein the one or more additional sensors is configured to be located near the bed and the one or more additional sensors is configured to measure the movements of the user while the user is in a standing position.

11. The apparatus of claim 10, wherein the one or more additional sensors comprise one or more of a camera, a Doppler radar sensor, a sensor for optically sensing movement-induced changes in a mat near the bed, a strain sensor, a strain gauge, a pressure sensor, a piezoelectric sensor, a resistive force sensor, a load cell, and/or an electret foil sensor.

12. The apparatus of claim 6, wherein the processor is configured to calibrate the additional output signals by the one or more additional sensors when the user is in a sitting position on the bed using the heart rate determined from the output signals by the one or more sensors when the user is in the sitting position.

13. The apparatus of claim 1, wherein the processor is further configured to determine a respiration rate of the user based on the output signals by the one or more sensors.

14. A method of monitoring the baroreceptor reflex in a user, the method comprising:

receiving, from one or more sensors, output signals conveying information related to a position of the user and information related to a heart rate of the user;

determining, with a processor, based on the output signals when the user moves from a lying position on a bed to a sitting position;

determining a heart rate when the user is lying, determining a heart rate when the user is sitting, and calculating a change between the heart rates of the user that occurs as a result of moving from the lying position to the sitting position;

providing an indication of the baroreceptor reflex of the user based on the calculated change in the heart rate of the user; and

displaying, with a display, the indication of the baroreceptor reflex of the user.

15. The method of claim 14, wherein the display is further configured to display an alert indicating that the heart rate of the user is abnormal.