Compact technique for visualization of physiological clinical and bedside device data using fishbone representation for vitals

• US 9,603,536 B2
• Filed: 05/28/2015
• Issued: 03/28/2017
• Est. Priority Date: 06/10/2014
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Humphrys, John Francis, Abou-Hawili, Youssef
• Primary Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US14/723,512
• Publication Number:
  US 20150257716A1
• Time in Patent Office: 670 Days
• US Class Current: 1/1
• 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 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• 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: G05B 2219/23159 Display plurality of parameters simultaneously
• CPC Class Codes: G05B 2219/23165 Display of parameter plus permissable, allowable range
• CPC Class Codes: G05B 2219/2652 Medical scanner
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A patient'"'"'s vital sign measurements are displayed in a fishbone diagram defined by a horizontal line with a vertical line crossing it to form four compartments. The patient'"'"'s respiratory rate and heart rate are displayed in assigned compartments above the horizontal line separated by the vertical line and the patient'"'"'s oxygen saturation (SpO2) and temperature are displayed in assigned compartments below the horizontal line separated by vertical lines. Two diverging horizontal lines form a sideways “V” are connected with the right hand side of the horizontal line to define a fifth compartment in which the patient'"'"'s blood pressure is displayed.

Claims

1. A method for displaying a patient'"'"'s vital sign measurements, comprising:

displaying a horizontal line with one or more vertical crossing lines to define four or more compartments;

displaying the patient'"'"'s respiratory rate, heart rate, blood oxygen saturation, and temperature, each in an assigned one of the compartments;

displaying two diverging lines forming a sideways “

V”

connected with a right hand side of the horizontal line to define another compartment;

displaying the patient'"'"'s blood pressure in the compartment defined by the two diverging lines;

calculating an early detection index form the patient'"'"'s vital sign measurements;

displaying a second two diverging lines forming a sideways “

V”

connected with a left hand side of the horizontal line to define a further compartment; and

displaying the early detection index in the further compartment defined by the second two diverging lines.

2. The method for displaying a patient'"'"'s vital sign measurement according to claim 1, wherein the patient'"'"'s respiratory rate and heart rate are displayed in the compartments above the horizontal line and the patient'"'"'s blood oxygen saturation, and temperature are displayed in the compartments below the horizontal line.

3. The method for displaying a patient'"'"'s vital sign measurement according to claim 1, wherein an upward or downward pointing arrow is displayed in one or more of the compartments to indicate that a vital sign measurement displayed in the compartment is out of range.

4. The method for displaying a patient'"'"'s vital sign measurement according to claim 3, wherein

the arrow pointing downward indicates a vital sign value below a low limit, and

the arrow pointing upward indicates a vital sign value that is above a high limit.

5. The method for displaying a patient'"'"'s vital sign measurement according to claim 3, wherein the arrow is color coded to indicate a severity of how far a patient vital sign is above or below a defined alarm limit.

6. The method for displaying a patient'"'"'s vital sign measurement according to claim 1, wherein the patient'"'"'s respiration rate is displayed in the compartment above the horizontal line and to the left of the vertical line and the patient'"'"'s heart rate is displayed in the compartment that is above the horizontal line and to the right of the vertical line.

7. The method for displaying a patient'"'"'s vital sign measurement according to claim 1, wherein the patient'"'"'s blood oxygen saturation is displayed in the compartment below the horizontal line and to the left of the vertical line and the patient'"'"'s temperature is displayed in the compartment that is below the horizontal line and to the right of the vertical line.

8. A non-transitory computer-readable storage medium carrying software which controls one or more electronic data processing devices to control a display device to perform the method according to claim 1.

9. A patient vital sign device comprising:

one or more sensors which measure the patient'"'"'s vital signs;

a display device; and

one or more electronic data processing devices connected with the sensors and the display device and configured to control the display device to perform the method according to claim 1.

10. The patient vital sign monitoring and display system according to claim 9, wherein the display device is in at least one of:

a computer, a smart phone device, a web-enabled watch with a display face, a wearable electronic display, a PDA, a bedside monitor, and a video display screen.

11. A method for displaying a patient'"'"'s vital sign measurements, comprising:

displaying a horizontal line with one or more vertical crossing lines to define four or more compartments;

displaying the patient'"'"'s respiratory rate, heart rate, blood oxygen saturation, and temperature, each in an assigned one of the compartments;

displaying two diverging lines forming a sideways “

V”

connected with a right hand side of the horizontal line to define another compartment; and

displaying the patient'"'"'s blood pressure in the compartment defined by the two diverging lines, wherein an upward or downward pointing arrow is displayed in one or more of the compartments to indicate that a vital sign measurement displayed in the compartment is out of range, and wherein a length of the arrow shaft indicates a worsening condition of the vital sign over time.

12. A patient vital sign monitoring and display system comprising:

an input/output circuit configured to communicate with a communication network;

a display device; and

one or more computer processors connected with the input/output circuit and the display device wherein the one or more computer processors are configured to control the display device to generate a fishbone diagram defining a plurality of compartments and display patient vital sign measurements received from the input/output circuit or optionally from a user input device or from one or more physiological parameter sensors configured to measure a patient'"'"'s vital signs each in a consistent compartment of the fishbone diagram, wherein the one or more processors are further configured to;

determine when a vital sign measurement is above a preselected high limit or below a preselected low limit;

control the display device to display an upward arrow adjacent a vital sign measurement that is above the high limit and a downward arrow adjacent a vital sign measurement that is below the low limit and wherein the arrow has a length to indicate a time measurement of how long a vital signs is above or below a defined alarm limit or color to indicate how far the measured vital sign measurement is above or below the defined alarm limit.

13. The patient vital sign monitoring and display system according to claim 12, wherein the one or more computer processors is further configured to calculate an early detection index from the patient'"'"'s vital signs and control the display device to display the early detection index.

14. The patient vital sign monitoring and display system according to claim 12, wherein the fishbone diagram includes:

a horizontal line;

a vertical line intersecting the horizontal line to define four compartments; and

a sideways “

V”

connected with one end of the horizontal line to define a fifth compartment.

15. The patient vital sign monitoring and display system according to claim 14, wherein the one or more processors are further configured to control the display device to display:

a respiration rate measurement in a one of the compartments above the horizontal line and to the left of the vertical line;

a heart rate measurement in a one of the compartments above the horizontal line and to the right of the vertical line;

an SpO2 measurement in a one of the compartments below the horizontal line and to the left of the vertical line; and

a temperature measurement in a one of the compartments below the horizontal line and to the right of the vertical line.

16. The patient vital sign monitoring and display system according to claim 14, wherein one or more processors are further configured to control the display device to display a blood pressure measurement in the fifth compartment.

17. A patient vital sign monitoring and display system comprising:

one or more processors configured to;

receive vital sign measurements including a respiration rate measurement, a heart rate measurement, an SpO2 measurement, and a temperature measurement;

determine when a vital sign measurement is above a preselected high limit or below a preselected low limit;

control a display device to generate a fishbone diagram including a horizontal line, a vertical line crossing the horizontal line to define a first display area above the horizontal line and left of the vertical line, a second display area above the horizontal line and right of the vertical line, a third display area below the horizontal line and left of the vertical line, and a fourth display area below the horizontal line and right of the vertical line, and to display each of the respiration rate measurement the heart rate measurement, the SpO2 measurement, and the temperature measurement without identifying labels in an assigned one of the display areas consistently across a patient population and to display an upward arrow adjacent a vital sign measurement that is above the high limit and a downward arrow adjacent a vital sign measurement that is below the low limit and wherein the arrow has a length to indicate a time measurement of how long a vital sign is above or below a defined alarm limit or color to indicate how far the measured vital sign measurement is above or below the defined alarm limit.