System and method for determining a vital sign of a subject

• US 9,980,666 B2
• Filed: 02/05/2014
• Issued: 05/29/2018
• Est. Priority Date: 02/15/2013
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Bresch, Erik, Muehlsteff, Jens
• Primary Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US14/173,117
• Publication Number:
  US 20140235976A1
• Time in Patent Office: 1,574 Days
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/1127 using markers
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take 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

Abstract

A system for determining a vital sign of a subject releases the likelihood of generating and outputting false alarms. The system includes a vital sign processor that processes the vital sign information signal measured by a sensor attached to a subject to obtain a vital sign of said subject. An image analysis unit detects motion of a marker attached to the sensor from image data obtained by an imaging unit from at least an imaging region containing the sensor. An alarm unit generates and outputs an alarm signal based (1) on the measured vital sign information signal and/or the obtained vital sign and (2) the detected motion of said marker.

Claims

1. A system for determining a vital sign of a subject comprising:

a sensor configured to be attached to a subject and generate a vital sign information signal indicative of a vital sign of the subject,

a vital sign processor configured to process a vital sign from the vital sign information signal,

an image analysis processor configured to detect motion of a marker attached to said sensor from image data obtained by a camera, and

an alarm processor configured to generate and output an alarm signal in response to;

the vital sign fulfilling a first condition and,

the detected motion of said marker fulfilling a second condition.

2. The system as claimed in claim 1,

wherein said alarm processor is configured to use as the first condition at least one of a lower and an upper threshold of a level of the vital sign.

3. The system as claimed in claim 1,

wherein said alarm processor is configured to use as the second condition a motion threshold indicating the intensity, frequency and/or pattern of the motion of said marker.

4. The system as claimed in claim 1,

wherein said alarm processor comprises a communication interface for communicating said alarm signal to an alarm device for indicating an alarm.

5. The system as claimed in claim 1, wherein the marker is one of a passive marker comprising a graphical pattern and an active marker configured to emit light.

6. The system as claimed in claim 5,

wherein said marker is a passive marker comprising a graphical pattern, wherein said graphical pattern is configured to contain information about the subject and/or the sensor and wherein said image analysis processor is configured to determine said information about the subject and/or the sensor from said graphical pattern.

7. The system as claimed in claim 5,

wherein said marker is an active marker configured to emit light, wherein said active marker is configured to emit light containing information about the subject and/or the sensor and wherein said image analysis processor is configured to determine said information about the subject and/or the sensor from said emitted light.

8. The system as claimed in claim 5,

wherein said image analysis processor is configured to detect a location of said marker and one or more additional markers attached to one or more further sensors and/or to the subject'"'"'s body from said image data;

and

wherein said alarm processor is configured to generate and output the alarm signal in response to detecting that one of the sensors is not attached or is attached incorrectly or to a wrong portion of the subject'"'"'s body or is attached to a wrong subject.

9. The system as claimed in claim 5,

wherein said alarm processor is configured to generate and output an alarm signal if the marker cannot be detected in said imaging region.

10. A system for determining a vital sign of a subject comprising:

a plethysmographic sensor attachable to the subject and comprising a light source that emits light in a first direction onto skin covered by said sensor, and in a second direction away from the skin,

an imaging unit configured to detect the light from the light source emitted in the second direction away from the skin,

a vital sign processor configured to process a vital sign information signal measured by the plethysmographic sensor to obtain a vital sign of said subject,

an image analysis unit configured to detect motion of said plethysmographic sensor from image data obtained by the imaging unit, and

an alarm unit configured to generate and output an alarm signal based on the measured vital sign information signal and/or the vital sign processed from the measured vital sign information signal and on the detected motion of said plethysmographic sensor.

11. The system as claimed in claim 10,

wherein said alarm unit is configured to generate and output the alarm signal in response to the measured vital sign information signal and/or the vital sign fulfilling a first condition, wherein said first condition is adapted based on the detected motion of said sensor.

12. The system as claimed in claim 10,

wherein said alarm unit is configured to generate the alarm signal in response to the measured vital sign information signal and/or the vital sign fulfilling a first condition, wherein the output of said alarm signal is suppressed if the detected motion of said sensor fulfills a second condition.

13. The system as claimed in claim 10, further including a sensor housing that carries the light source, at least a part of the sensor housing being made from a translucent material such that the light emitted in at least the second direction passes therethrough.

14. A plethysmographic sensor comprising:

one light source configured to emit light;

a sensor housing designed such that the light emitted from the one light source is emitted out of the housing in a first direction and in a second direction away from the first direction, light emitted in the second direction being transmitted to a motion detector displaced from the plethysmographic sensor;

a light detector configured to receive the light emitted in the first direction after intersection with a patient, the light detector being mounted to the housing.

15. A system for determining a vital sign of a subject comprising:

a plethysmographic sensor configured to generate a vital sign information signal, the sensor comprising a light source configured to emit light in a first direction toward a subject and a light detector configured to receives the light transmitted in the first direction after interaction with the subject and generate the vital sign information signal, wherein said plethysmographic sensor is designed such that light from the light source is also emitted in a second direction away from the subject,

an imager configured to detect the light emitted in the second direction and generate image data,

at least one processor configured to;

process said vital sign information signal from said plethysmographic sensor to obtain a vital sign,

determine motion of said plethysmographic sensor from the image data generated by the imager, and

generate and output an alarm signal based on a combination of (1) the measured vital sign information signal and/or the obtained vital sign and (2) the determined motion of said plethysmographic sensor.

16. The system as claimed in claim 15,

wherein the at least one processor is further configured to generate and output the alarm signal in response to the vital sign information signal and/or the vital sign fulfilling a first condition, wherein said first condition is adapted based on the detected motion of said plethysmographic sensor.

17. The system as claimed in claim 15,

wherein the at least one processor is further configured to generate an alarm signal if the vital sign information signal and/or the vital sign fulfills a first condition, wherein the output of said alarm signal is suppressed if the detected motion of said marker fulfills a second condition.

18. A system for determining a vital sign of a subject, the system comprising:

a plethysmographic sensor configured to be worn by the subject, the plethysmographic sensor including;

a light source configured to emit light in at least a first direction and a second direction, the second direction being different from the first direction,

a light detector configured to receive the light emitted in the first direction and generate a detector signal indicative of the received light;

an imager configured to detect the light emitted by the light source in the second direction and generate image data;

at least one processor configured to;

determine physiological information from the detector signal;

determine motion of the plethysmographic sensor from the image data;

generate and output an alarm based on a combination of the physiological information and the plethysmographic motion.

19. The system as claimed in claim 18, wherein the first direction is toward the subject and further including a housing, the light source and the light detector being supported by the housing such that the light emitted in the first direction interacts with the subject before being detected by the light detector.

20. The system as claimed in claim 19, wherein the light source and the imager are disposed relative to each other such that the light in the second direction is detected directly by the imager without interacting with the subject.