Patient monitoring system and method

• US 9,788,791 B2
• Filed: 06/01/2006
• Issued: 10/17/2017
• Est. Priority Date: 06/07/2005
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Brauers, Andreas, Such, Olaf, Muehlsteff, Jens, Reiter, Harald
• Primary Examiner(s): Weston, Tiffany
• Assistant Examiner(s): TRAN, THO Q
• Application Number:
  US11/915,751
• Publication Number:
  US 20080208063A1
• Time in Patent Office: 4,156 Days
• Field of Search: 600484, 600535, 600587, 600534, 600393, 600595, 434247
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 2562/182 Electrical shielding, e.g. using a Faraday cage
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/6892 Mats

Abstract

The present invention relates to a patient monitoring system for monitoring cardio pulmonary performance or the like by means of capacitive measurement. Further the invention relates to a method for monitoring cardio pulmonary performance or the like by means of a capacitive measurement. In order to provide a reliable technique for monitoring cardio pulmonary performance or the like, which technique is particularly suitable for home use, a patient monitoring system (1) for monitoring cardio pulmonary performance or the like by means of capacitive measurement is suggested, said system (1) comprising a number of electrodes (2) arranged in the form of a matrix (3), said electrodes (2) being adapted to be integrated with a bed (4) or the like, each electrode (2) being individually selectable, means (5) for determining a number of electrodes (2) depending on the position of the patient on the bed (4) or the like, said means (5) being adapted to determine the number of electrodes (2) by determining the capacitance of a number of electrodes (2), and means (5) for selecting a number of said determined electrodes (2) for carrying out a capacitive measurement.

Claims

1. A patient monitoring system for monitoring cardio pulmonary performance by means of capacitive measurement, said system comprising:

a plurality of electrodes arranged in the form of a matrix, the plurality of electrodes being adapted to be integrated with a bed, each electrode of the plurality of electrodes being individually selectable to perform a capacitive measurement, wherein a sensitivity of each electrode of the plurality of electrodes in the matrix is calibrated to filter out parasitic signals from measured cardiopulmonary electrical signals,

a dielectric comprised of an elastic composition, the dielectric having a first side facing the plurality of electrodes and a second side on which one or more counter electrodes are arranged, the second side being opposite the first side, wherein a stress is detected in the dielectric if a patient is situated on the bed, the stress affecting a capacitance between an electrode of the plurality of electrodes and the one or more counter electrodes, and

a computer system programmed by computer-readable instructions that, when executed, cause the computer system to;

determine a capacitance between each electrode of the plurality of electrodes and the one or more counter electrodes;

determine suitable electrodes from the plurality of electrodes based on increases in the capacitances between each electrode of the plurality of electrodes and the one or more counter electrodes;

select a subset of the suitable electrodes for cardio pulmonary performance monitoring, wherein the selection is based on a suitable electrode being within a predetermined distance from at least one other suitable electrode, the selected subset of the suitable electrodes comprising two or more electrodes; and

monitor, via the selected subset of the suitable electrodes, cardio pulmonary performance of the patient, wherein the monitoring comprises one or more of electrocardiogram-based monitoring, electromyogram-based monitoring, electroencephalogram-based monitoring, or bio-impedance measurement-based monitoring.

2. The patient monitoring system as claimed in claim 1, wherein the computer system is further caused to detect, with a bridge circuit, the increases in the capacitances between each electrode of the plurality of electrodes and the one or more counter electrodes.

3. The patient monitoring system as claimed in claim 1, wherein determining the capacitance comprises:

supplying, with a voltage supply, a voltage signal to the plurality of electrodes.

4. The patient monitoring system as claimed in claim 1, comprising a shielding adapted to be located between the patient and the dielectric.

5. The patient monitoring system as claimed in claim 1, wherein (i) the body of the patient or (ii) an object placed on the dielectric acts as the one or more counter electrodes.

6. The patient monitoring system as claimed in claim 1, wherein the dielectric comprises a textile bed sheet.

7. The patient monitoring system as claimed in claim 1, wherein responsive to the patient being situated on the bed, a distance between an electrode of the plurality of electrodes and the one or more counter electrodes is reduced thereby causing an increase in the capacitance between the electrode of the plurality of electrodes and the one or more counter electrodes.

8. A method for monitoring cardio pulmonary performance by means of a capacitive measurement with a system, the system comprising one or more processors, said method comprising the steps of:

arranging a plurality of electrodes in the form of a matrix, the plurality of electrodes being adapted to be integrated with a bed, each electrode of the plurality of electrodes being individually selectable to perform a capacitive measurement,

disposing a dielectric comprised of an elastic composition, the dielectric having a first side facing the plurality of electrodes and a second side on which one or more counter electrodes are arranged, the second side being opposite the first side, wherein a stress is detected in the dielectric if a patient is situated on the bed, the stress affecting a capacitance between an electrode of the plurality of electrodes and the one or more counter electrodes,

supplying, with a voltage supply, a voltage signal to the plurality of electrodes to determine a capacitance between each electrode of the plurality of electrodes and the one or more counter electrodes,

determining, with the one or more processors, suitable electrodes from the plurality of electrodes based on increases in the capacitances between each electrode of the plurality of electrodes and the counter electrode,

filtering, with the one or more processors, out parasitic signals from measured cardiopulmonary electrical signals by calibrating a sensitivity of each electrode of the suitable electrodes

selecting, with the one or more processors, a subset of the suitable electrodes for cardio pulmonary performance monitoring, wherein the selection is based on a suitable electrode being within a predetermined distance from at least one other suitable electrode, the selected subset of the suitable electrodes comprising two or more electrodes; and

monitoring, with the selected subset of the suitable electrodes, cardio pulmonary performance of the patient, wherein the monitoring comprises one or more of electrocardiogram-based monitoring, electromyogram-based monitoring, electroencephalogram-based monitoring, or bio-impedance measurement-based monitoring.

9. The method of claim 8, wherein the dielectric comprises a textile bed sheet.

10. The method of claim 8, wherein responsive to the patient being situated on the bed, a distance between an electrode of the plurality of electrodes and the one or more counter electrodes is reduced thereby causing an increase in the capacitance between the electrode of the plurality of electrodes and the one or more counter electrodes.

11. A patient monitoring system comprising:

a plurality of electrodes arranged for forming a matrix, each electrode being individually selectable to perform a capacitive measurement, wherein a sensitivity of each electrode in the matrix is calibrated to filter out parasitic signals from measured cardiopulmonary electrical signals;

a dielectric comprised of an elastic composition, the dielectric having a first side facing the plurality of electrodes and a second side on which one or more counter electrodes are arranged, the second side being opposite the first side,

wherein a stress is detected in the dielectric if a patient is situated on the dielectric, the stress affecting a capacitance between an electrode of the plurality of electrodes and the one or more counter electrodes, and

a computer system programmed by computer-readable instructions that, when executed, cause the computer system to;

determine a capacitance between each electrode of the plurality of electrodes and the one or more counter electrodes;

determine suitable electrodes from the plurality of electrodes based on increases in the capacitances between each electrode of the plurality of electrodes and the counter electrode; and

select a subset of the suitable electrodes for cardio pulmonary performance monitoring, wherein the selection is based on a suitable electrode being within a predetermined distance from at least one other suitable electrode, the selected subset of the suitable electrodes comprising two or more electrode wherein the cardio pulmonary performance monitoring comprises one or more of electrocardiogram-based monitoring, electromyogram-based monitoring, electroencephalogram-based monitoring, or bio-impedance measurement-based monitoring.

12. The patient monitoring system of claim 11, wherein the plurality of electrodes are integrated as part of a bed.

13. The patient monitoring system of claim 11, wherein the computer system is further caused to detect, with a bridge circuit, the increases in the capacitances between each electrode of the plurality of electrodes and the one or more counter electrode.

14. The patient monitoring system of claim 11, further comprising:

a voltage supply that supplies a voltage signal to the plurality of electrodes to determine a capacitance between each electrode of the plurality of electrodes and the one or more counter electrodes.

15. The patient monitoring system of claim 11, further comprising a shielding adapted to be located between the patient and the dielectric.

16. The patient monitoring system of claim 11, wherein the dielectric comprises a textile bed sheet.

17. The patient monitoring system of claim 11, wherein responsive to the patient being situated on the bed, a distance between an electrode of the plurality of electrodes and the one or more counter electrode, is reduced thereby causing an increase in the capacitance between the electrode of the plurality of electrodes and the one or more counter electrodes.