Wearable wireless device applicable to the hand or foot, wireless system including the device and method for reducing the risk of different critical situations of hypoxia and/or bradycardia

• US 9,955,877 B2
• Filed: 12/04/2015
• Issued: 05/01/2018
• Est. Priority Date: 03/10/2015
• Status: Active Grant

• Current Assignee: Apn Intelectual Property LLC
• Original Assignee: Apn Intelectual Property LLC
• Inventors: Delia, Diego Alejandro
• Primary Examiner(s): Heller, Tammie K
• Application Number:
  US14/959,383
• Publication Number:
  US 20160262637A1
• Time in Patent Office: 879 Days
• CPC Class Codes: A61B 2503/04 Babies, e.g. for SIDS detection
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61B 5/6825 Hand
• CPC Class Codes: A61B 5/6829 Foot or ankle
• CPC Class Codes: A61B 5/7271 Specific aspects of physiological measurement analysis A61B5/316, A61B5/349 and A61B5/374 take precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/7455 characterised by tactile indication, e.g. vibration or electrical stimulation
• 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

Abstract

A wearable, wireless, non-invasive device applicable to the hand or foot, a wireless system, and a method for reducing the risk of different critical situations of hypoxia and/or bradycardia possibly occurring in victims of sudden infant death syndrome (SIDS), Pierre Robin Sequence patients, preterm babies, and adults, and for the prevention of the sleep apnea, is based on use of a sensor and a computing algorithm sufficient to reduce false alarms and save lives. The device is worn on the hand or foot of a user. Part of the device may be placed on the proximal phalange of a finger or a foot, or even in the palm. The electronics of the device may be placed inside gloves or booties of different sizes to accommodate the hands or feet of different wearers. The device measures blood oxygen saturation and heart rate through a sensor that is preferably a pulse oximeter.

Claims

1. A method of reducing false alarms in a wearable pulse-oximeter-based device applicable to a hand or a foot of a user, said device comprising (i) a pulse-oximeter sensor designed to measure and output blood oxygen saturation and heart rate values, intended to reduce critical situations of hypoxia and/or bradycardia that may happen in SIDS episodes, and designed to deliver electrical stimulus to the user with a timing pattern and an intensity pattern in order to cause a reaction of the user when a) said device stops measuring heart rate values or blood oxygen saturation values, b) heart rate measurement generates values below a first corresponding predefined limit level, or c) blood oxygen saturation measurement generates values below a second predefined limit level, (ii) a block section for housing elements forming the pulse-oximeter sensor comprising a blood oxygen saturation sensor and a heart rate meter, (iii) a measurement and display driver circuit, and (iv) a display;

the device further comprising (v) a pair of electrodes designed for delivering current stimulus to the user, wherein the current stimulus is generated by an electrical stimulus generator, (vi) a control and alarm-generating circuit storing an algorithm, and (vii) a power supply, said method comprising;

receiving said blood oxygen saturation by said blood oxygen saturation sensor and said heart rate values by said heart rate meter in said block section,

carrying out checking routines in said control and alarm-generating circuit, based on user predefined parameters and said algorithm, to verify correct placement of the device on the body of the user and a normal operation of the device and setting delays in the current stimulus delivered to the user when measuring low heart rate or blood oxygen saturation values to avoid false alarming,

measuring a first lapsed time (t1), by way of a first timer, from a moment said heart rate measurements fall below a first user-settable limit, said first lapsed time (t1) having a first predefined time limit (T1), wherein the first timer stops measuring when t1=T1,

measuring a second lapsed time (t2), by way of a second timer, from a moment said pulse-oximeter sensor is still operational but does not pick up any heart rate values and the measured heart rate is zero, said second lapsed time (t2) having a second predefined time limit (T2), wherein the second timer stops measuring when t2=T2,

measuring a third lapsed time (t3), by way of a third timer, from a moment said blood oxygen saturation measurements fall below a second user-settable limit, said third lapsed time (t3) having a third predefined time limit (T3), wherein the third timer stops measuring when t3=T3,

measuring a fourth lapsed time (t4) by ways of a fourth timer, from a moment said pulse-oximeter sensor is still operational but does not pick up any blood oxygen saturation values at all and the oxygen saturation is zero, said fourth lapsed time (t4) having a fourth predefined time limit (T4), wherein the fourth timer stops measuring when t4=T4,

determining that the pulse-oximeter sensor is still operational but does not pick up any heart rate values, and

determining that the pulse-oximeter sensor is still operational but does not pick up any blood oxygen saturation values at all.

2. The method according to claim 1, wherein:

the device measures blood oxygen saturation values, checks if the measured blood oxygen saturation value is below a predetermined limit, and if this is not verified, turns both of the third and fourth timers OFF, and measures again the blood oxygen saturation,

the device measures blood oxygen saturation values, checks if the measured blood oxygen saturation value is below the predetermined limit, and, if this is confirmed, turns the third timer ON and checks with the algorithm for correct operation of the device by checking if the fourth timer is turned ON,

if the fourth timer is OFF, checks if the third lapsed time (t3) of the third timer is equal or greater than its third time limit T3, and if this is not verified, the device measures again blood oxygen saturation,

if the third lapsed time (t3) of the third timer is equal to the third time limit (T3), the device delivers an electrical stimulus to the user,

if the fourth timer is turned ON, the third lapsed time (t3) of the third timer is added to the fourth lapsed time (t4) of the fourth timer, and

if a value resulting from adding both the third and fourth lapsed times (t3+t4) is equal or greater than the fourth predefined time limit, the device delivers an electrical stimulus to the user and turns both the third and fourth timers OFF, but if the value resulting from adding both the third and fourth lapsed times (t3+t4) is smaller than the fourth predefined time limit (T4), the device measures again the blood oxygen saturation.

3. The method according to claim 2, wherein:

after delivering a first electrical stimulus, the device sends out a first alarm, waits 10 seconds, and checks if a heart rate value or a blood oxygen saturation value was measured, and, if the heart rate value or the blood oxygen saturation value was not measured, the device delivers a second electrical stimulus to the user, activates the second timer, and waits another 10 seconds before checking again for existence of a measured heart rate value or a blood oxygen saturation value,

after delivering a first electrical stimulus, the device sends out a first alarm, waits 10 seconds, and checks of a heart rate value or a blood oxygen saturation value was measured, and, if a heart rate value or a blood oxygen saturation value was measured, the device checks if the heart rate is below a safe value and if the blood oxygen saturation value is also below a safe value, and, if any of these situations are confirmed, the device delivers a second electrical stimulation, sends out a second alarm, and returns to measurement of a heart rate value or a blood oxygen saturation value.

4. The method according to claim 3, wherein:

after the second electrical stimulation, the device delivers further stimulus signals increasing a discharge current in preset current steps until reaching a maximum preset safety limit, and

said safety limit is selected according to an age and a weight of the user.

5. The method according to claim 4, wherein a total stimulus signal current range is 0.01 mA to 5.0 mA, and a maximum operation time is 3 minutes.

6. The method according to claim 1, further comprising wirelessly transmitting alarms to devices selected from a group formed by smartphones, tablets, PCs, and Internet interfaces communicating with cloud services.

7. The method according to claim 1, further comprising measuring human body temperature.

8. The method according to claim 1, wherein the device is housed in a ring in which the electrical stimulus is delivered to a finger of the user, or housed in a hand glove in which the electrical stimulus is delivered to a hand palm, or housed in a foot bootie in which the electrical stimulus is delivered to a foot plant, or housed in a wrist band in which the electrical stimulus is delivered to a user'"'"'s wrist.