Fever detection apparatus

• US 9,924,879 B2
• Filed: 05/21/2012
• Issued: 03/27/2018
• Est. Priority Date: 05/26/2011
• Status: Active Grant

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Van Den Heuvel, Teun, Muehlsteff, Jens
• Primary Examiner(s): Cheng, Jacqueline
• Assistant Examiner(s): PORTILLO, JAIRO H
• Application Number:
  US14/117,633
• Publication Number:
  US 20140088443A1
• Time in Patent Office: 2,136 Days
• Field of Search: None
• CPC Class Codes: A61B 5/0008 Temperature signals
• 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 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• 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 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 5/6824 Arm or wrist
• 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 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence

Abstract

The invention relates to a fever detection apparatus for detecting fever of a living being. A heart rate providing unit (3) provides a heart rate value and a peripheral physiological value providing unit (3) provides a peripheral physiological value, wherein a heart rate characteristics determination unit (4) determines heart rate characteristics from the heart rate value and a peripheral characteristics determination unit (5) determines peripheral characteristics from the peripheral physiological value. A fever detection unit (6) detects fever depending on the heart rate characteristics and the peripheral characteristics. Since the heart rate characteristics and the peripheral characteristics are influenced by fever, the fever detection apparatus can be used to reliably and preferentially unobtrusively detect fever.

Claims

1. A fever detection apparatus for detecting fever of a living being, the fever detection apparatus comprising:

a pulse oximeter configured to measure;

a plurality of heart rate values being indicative of the heart rate of the living being measured over time, and

a plurality of peripheral blood perfusion values being indicative of a blood perfusion in the periphery of the living being measured over time,

at least one processor programmed to;

determine temporal heart rate characteristics including a temporal pattern from the heart rate values measured over time,

determine temporal peripheral blood perfusion characteristics including a temporal pattern from the peripheral blood perfusion values measured over time,

detect a fever of the living being depending on the temporal heart rate characteristics and the temporal peripheral blood perfusion characteristics; and

a display configured to display an indication of the fever when the fever is detected.

2. The fever detection apparatus as defined in claim 1, wherein the pulse oximeter is further programmed to:

measure a plurality of skin temperature values being indicative of a skin temperature of the living being; and

the at least one processor is further programmed to;

determine a temporal skin temperature pattern from the skin temperature values measured over time; and

detect a fever of the living being depending on the temporal skin temperature pattern.

3. The fever detection apparatus as defined in claim 1, wherein the at least one processor is further programmed to apply predefined fever detection rules to the temporal heart rate pattern and the peripheral blood perfusion pattern.

4. The fever detection apparatus as defined in claim 3, wherein the fever detection rules are predefined such that fever is detected if the heart rate value increases and the peripheral blood perfusion value decreases in a same time interval.

5. The fever detection apparatus as defined in claim 4, wherein the at least one processor is further programmed to determine a heart rate gradient from the heart rate values measured over time and a peripheral blood perfusion gradient from the peripheral blood perfusion values measured over time.

6. The fever detection apparatus as defined in claim 5, wherein the fever detection rules are predefined such that fever is detected, if the heart rate gradient is positive indicating a heart rate increase and the peripheral blood perfusion gradient is negative indicating an decrease of the peripheral blood perfusion value within a same time interval.

7. The fever detection apparatus as defined in claim 6, wherein the fever detection rules are predefined such that fever is detected if an absolute peripheral blood perfusion gradient is larger than a peripheral threshold and an absolute heart rate gradient is larger than a heart rate threshold.

8. The fever detection apparatus as defined in claim 4, wherein the at least one processor is programmed to:

measure an initial heart rate value and an actual heart rate value and an initial peripheral blood perfusion value and an actual peripheral blood perfusion value, and

determine a heart rate change based on the provided initial and actual heart rates and a peripheral blood perfusion change based on the provided initial and actual peripheral blood perfusion values,

wherein the fever detection rules are predefined such that fever is detected, if the heart rate change indicates an increase of the heart rate and the peripheral change indicates a decrease of the peripheral blood perfusion value in a same time interval.

10. The fever detection apparatus as defined in claim 1, wherein the at least one processor is further programmed to apply predefined fever recovery rules to the temporal peripheral blood perfusion pattern and the temporal heart rate pattern for detecting recovery from fever, wherein the fever recovery rules being predefined such that recovery from fever is detected, if the peripheral blood perfusion value increases and the heart rate decreases in a same time interval.

11. The fever detection apparatus as defined in claim 1, wherein the fever detection apparatus further comprises a sensor configured to monitor a further measured property of the living being or a property of the surrounding of the living being, the measured property including at least one of ambient temperature, respiratory rate, physical activity type, physical activity level, body posture, body movement, and a position of the pulse oximeter;

wherein, the at least one processor is further programmed to detect fever depending on the peripheral blood perfusion value, the heart rate and the property provided by the sensor.

9. The fever detection apparatus as defined in claim wherein the at least one processor is further programmed to apply predefined fever probability rules to the temporal peripheral blood perfusion pattern and the temporal heart rate pattern for determining a fever property value being indicative of the probability of having fever.

12. A non-transitory computer readable medium storing instructions for performing a fever detection method for detecting fever of a living being, the fever detection method comprising:

with a pulse oximeter,

measuring a plurality of heart rate values being indicative of the heart rate of the living being measured over time;

measuring a plurality of skin temperature values being indicative of a skin temperature of the living being;

measuring a plurality of peripheral blood perfusion values being indicative of a blood perfusion in the periphery of the living being measured over time;

with at least one processor,

determining a temporal heart rate pattern from the heart rate values measured over time;

determining a temporal skin temperature pattern from the skin temperature values measured over time;

determining a temporal blood perfusion pattern from the peripheral blood perfusion values measured over time; and

detecting a fever of the living being depending on the temporal heart rate pattern, the temporal skin temperature pattern and the temporal blood perfusion pattern based on at least one when the heart rate value increases and the peripheral blood perfusion value decreases in a same time interval; and

detecting recovery from fever when the peripheral blood perfusion value increases and the heart rate decreases in a same time interval.

13. A fever detection apparatus for detecting fever of a living being, the fever detection apparatus comprising:

a pulse oximeter configured to measure a plurality of heart rate values being indicative of the heart rate of the living being measured over time a plurality of peripheral blood perfusion values being indicative of the peripheral blood perfusion of the living being measured over time and a plurality of skin temperature values being indicative of a skin temperature of the living being measured over time;

at least one processor programmed to;

measure heart rate values over time;

determine a temporal heart rate gradient of the heart rate values measured over time;

measure peripheral blood perfusion values over time;

determine a temporal peripheral blood perfusion pattern from the peripheral blood perfusion value measured over time;

measure skin temperature values over time;

determine a temporal skin temperature gradient of the skin temperature values measured over time; and

apply predefined fever detection rules to the temporal heart rate gradient, the temporal peripheral blood perfusion pattern, the temporal skin temperature gradient to detect a fever of the living being; and

a display configured to display an indication of the fever when the fever is detected.

14. The fever detection apparatus as defined in claim 13, wherein the fever detection rules are predefined such that fever is detected, if the heart rate gradient is positive indicating a heart rate increase and the skin temperature gradient is negative indicating a decrease of the skin temperature within a same time interval.

15. The fever detection apparatus as defined in claim 14, wherein the fever detection rules are predefined such that fever is detected, if an absolute peripheral skin temperature gradient is larger than a skin temperature threshold and an absolute heart rate gradient is larger than a heart rate threshold.

16. The fever detection apparatus as defined in claim 13, wherein the at least one processor is further programmed to:

measure an initial heart rate value and an actual heart rate value, and an initial skin temperature value and an actual skin temperature value, and

determine a heart rate change based on the provided initial and actual heart rates and a skin temperature change based on the provided initial and actual skin temperature values,

wherein the fever detection rules are predefined such that fever is detected, if the heart rate change indicates an increase of the heart rate and the skin temperature change indicates a decrease of the skin temperature value in a same time interval.

17. The fever detection apparatus as defined in claim 13, wherein the at least one processor is further programmed to apply predefined fever probability rules to the skin temperature gradient and the heart rate gradient for determining a fever property value being indicative of the probability of having fever.

18. The fever detection apparatus as defined in claim 13, wherein the at least one processor is further programmed to apply predefined fever recovery rules to the skin temperature gradient and the heart rate gradient for detecting recovery from fever, the fever recovery rules being predefined such that recovery from fever is detected if the skin temperature value increases and the heart rate decreases in a same time interval.

19. The fever detection apparatus as defined in claim 13, wherein the fever detection apparatus further comprises a sensor configured to monitor at least one property of ambient temperature, respiratory rate, physical activity type, physical activity level, body posture, body movement, and a position of the pulse oximeter;

and

the at least one processor is further programmed to detect fever depending on the skin temperature value, the heart rate and the property monitored by the sensor.