Estimation and monitoring of patient torso angle

• US 9,836,942 B2
• Filed: 02/25/2016
• Issued: 12/05/2017
• Est. Priority Date: 04/24/2015
• Status: Active Grant

• Current Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Original Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Inventors: Wiggermann, Neal, Lachenbruch, Charles A., Receveur, Timothy J.
• Primary Examiner(s): HUNNINGS, TRAVIS R
• Application Number:
  US15/053,436
• Publication Number:
  US 20160314672A1
• Time in Patent Office: 649 Days
• CPC Class Codes: A61B 5/1071 measuring angles, e.g. using goniometers A61B5/1123 takes precedence
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/1117 Fall detection
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: G08B 21/0446 worn on the body to detect changes of posture, e.g. a fall, inclination, acceleration, gait
• CPC Class Codes: G08B 21/0461 integrated or attached to an item closely associated with the person but not worn by the person, e.g. chair, walking stick, bed sensor
• CPC Class Codes: G08B 25/08 using communication transmission lines G08B13/19658, G08B21/0286, G08B25/016 take precedence
• CPC Class Codes: G08B 3/10 using electric transmission; using electromagnetic transmission

Abstract

A person support apparatus supports a person in a laying-down or a seated position. One or more body-mounted sensors detect changes in the position of the person relative to a reference. A control system receives output from the body-mounted sensor or sensors through a remote coupling. The control system uses patient position information obtained from the body-mounted sensors to determine whether the person has experienced a change-in-position and/or a change-in-activity event. Alternatively or in addition, the position of the person situated on a person support apparatus is detected using one or more sensors that are not body-mounted, but rather are coupled to the person support apparatus or to another component of a patient support system. The patient position information is used to estimate the patient'"'"'s torso angle. The estimated torso angle is used to assess the patient'"'"'s condition.

Claims

1. A method for monitoring the body position of a person supported by a person support apparatus, comprising, with a control module communicatively coupled to the person support apparatus:

monitoring body position signals from a sensor mounted to the person, the body position signals indicating a position of the person relative to a direction of gravity;

monitoring bed status signals from one or more bed status sensors of the person support apparatus, the bed status signals indicating an operational status of the person support apparatus; and

determining, based on the body position signals and the bed status signals, whether the person has experienced an event warranting attention; and

deriving, from the body position signals, an indication of movement of the person'"'"'s torso along the length of the person support apparatus over time, and determining whether the event has occurred based on the amount of movement of the person'"'"'s torso along the length of the person support apparatus over time.

4. The method of claim 1, further comprising deriving, from the body position signals, an indication of the location of the person'"'"'s body as a whole relative to a zone of a support surface of the person support apparatus and determining, based on the location of the person'"'"'s body as a whole, whether the event has occurred.

5. The method of claim 1, further comprising deriving, from the body position signals, an indication of the person'"'"'s level of physical activity and determining, based on the person'"'"'s level of activity, whether the event has occurred.

6. The method of claim 1, further comprising monitoring reference signals from a reference sensor mounted to the person support apparatus, comparing the body position signals to the reference signals, and using the difference between the reference signals and the body position signals to determine whether the event has occurred.

7. The method of claim 6, further comprising receiving, by a remote coupling, the body position signals and the reference signals at a receiver mounted to the person support apparatus.

8. The method of claim 1, further comprising receiving, by a remote coupling, the body position signals at a receiver mounted to the person support apparatus.

2. A method for monitoring the body position of a person supported by a person support apparatus, comprising, with a control module communicatively coupled to the person support apparatus:

monitoring body position signals from a sensor mounted to the person, the body position signals indicating a position of the person relative to a direction of gravity;

monitoring bed status signals from one or more bed status sensors of the person support apparatus, the bed status signals indicating an operational status of the person support apparatus;

determining, based on the body position signals and the bed status signals, whether the person has experienced an event warranting attention;

deriving, from the body position signals, an angle of the person'"'"'s torso relative to the direction of gravity;

determining, from the bed status signals, an angle of a head section of the person support apparatus relative to horizontal, and determining, based on the angle of the person'"'"'s torso and the angle of the head section of the person support apparatus, whether the event has occurred.

3. A method for monitoring the body position of a person supported by a person support apparatus, comprising, with a control module communicatively coupled to the person support apparatus:

monitoring body position signals from a sensor mounted to the person, the body position signals indicating a position of the person relative to a direction of gravity;

monitoring bed status signals from one or more bed status sensors of the person support apparatus, the bed status signals indicating an operational status of the person support apparatus;

determining, based on the body position signals and the bed status signals, whether the person has experienced an event warranting attention;

deriving, from the body position signals, a degree of lateral rotation of the person'"'"'s torso;

determining, from the bed status signals, a status of a rotation therapy provided by a support surface of the person support apparatus, and determining, based on the lateral rotation of the person'"'"'s torso and the status of the rotation therapy, whether the event has occurred.

9. A body position monitor for a person supported by a bed, the body position monitor being embodied in a control unit of the bed to detect patient change in position events by:

receiving a body position signal from a body-mounted position sensor, the body-mounted position sensor being coupled to a body portion of a person supported by the person support apparatus and being remotely coupled to the bed, the patient position signal indicating a position of the body portion relative to the bed;

receiving a bed position signal from the bed, the bed position signal indicating a position of a section of the bed supporting the body portion of the person; and

determining whether the person has experienced a change in position event warranting attention based on the body position signal and the bed position signal, wherein the body position monitor is configured to receive a plurality of body position signals from the body-mounted sensor over time, and determine from the body position signals whether the person has experienced the change in position event.

10. The body position monitor of claim 9, wherein the body position monitor is configured to determine from the body position signals whether the person has slid down along the length of the bed.

11. The body position monitor of claim 9, wherein the body position monitor is configured to determine from the body position signals and the bed position signals whether the person has rolled onto the person'"'"'s side independently of any turning or rotation therapy feature of the bed.

12. The body position monitor of claim 9, wherein the body position monitor is configured to determine from the body position signals and the bed position signals whether the person has fallen out of the bed.

13. A body position monitor for a person supported by a bed, the body position monitor being embodied in a control unit of the bed to detect patient change in position events by:

receiving a body position signal from a body-mounted position sensor, the body-mounted position sensor being coupled to a body portion of a person supported by the person support apparatus and being remotely coupled to the bed, the patient position signal indicating a position of the body portion relative to the bed;

receiving a bed position signal from the bed, the bed position signal indicating a position of a section of the bed supporting the body portion of the person; and

determining whether the person has experienced a change in position event warranting attention based on the body position signal and the bed position signal, wherein the body position monitor is configured to receive a plurality of body position signals from a plurality of body-mounted position sensors coupled to a plurality of different body portions of the person, and determine from the body position signals and the bed position signals whether the person has assumed a position relative to the bed that warrants attention.

14. A body position monitor for a person supported by a bed, the body position monitor being embodied in a control unit of the bed to detect patient change in position events by:

receiving a body position signal from a body-mounted position sensor, the body-mounted position sensor being coupled to a body portion of a person supported by the person support apparatus and being remotely coupled to the bed, the patient position signal indicating a position of the body portion relative to the bed;

receiving a bed position signal from the bed, the bed position signal indicating a position of a section of the bed supporting the body portion of the person; and

determining whether the person has experienced a change in position event warranting attention based on the body position signal and the bed position signal, wherein the body position monitor is configured to receive a plurality of body position signals from a plurality of body-mounted position sensors coupled to a plurality of different body portions of the person, and determine from the body position signals and the bed position signals whether the person'"'"'s level of activity relative to the bed warrants attention.

15. A person support system comprising:

a person support apparatus to support a person in a plurality of positions including a horizontal position;

a receiver mounted to the person support apparatus to receive person position signals from a body-mounted sensor, the body-mounted sensor being mounted to the person and remotely coupled to the receiver; and

a control module to receive bed status signals from the person support apparatus, the bed status signals indicating an operational status of the person support apparatus, derive from the person position signals an indication of the position of the person relative to the person support apparatus, and control operation of the person support apparatus based on the derived position of the person relative to the person support apparatus and the bed status signals; and

a plurality of receivers mounted to the person support apparatus at different locations, wherein the control module is configured to derive from the person position signals received at the plurality of receivers the indication of the position of the person relative to the person support apparatus.

16. The person support system of claim 15, wherein the plurality of receivers receive person position signals from a plurality of body-mounted sensors mounted to different parts of the person, and the control module derives the indication of the person'"'"'s position relative to the bed based on the person position signals from the plurality of body-mounted sensors.

17. The person support system of claim 16, further comprising a plurality of reference sensors coupled to the bed at different locations, wherein the receivers receive reference signals from the reference sensors and the control module uses the reference signals to determine the position of the person.

18. A person support system comprising:

a person support apparatus to support a person in a plurality of positions including a horizontal position;

a receiver mounted to the person support apparatus to receive person position signals from a body-mounted sensor, the body-mounted sensor being mounted to the person and remotely coupled to the receiver; and

a control module to receive bed status signals from the person support apparatus, the bed status signals indicating an operational status of the person support apparatus, derive from the person position signals an indication of the position of the person relative to the person support apparatus, and control operation of the person support apparatus based on the derived position of the person relative to the person support apparatus and the bed status signals, wherein the control module is configured to determine whether the person has experienced a change in position relative to the bed that warrants attention based on the person position signals and adjust a turning or rotation therapy provided by the bed in response to the person'"'"'s change in position.