Body-worn pulse oximeter

• US 10,085,658 B2
• Filed: 11/27/2013
• Issued: 10/02/2018
• Est. Priority Date: 06/17/2009
• Status: Active Grant

• Current Assignee: Sotera Wireless Incorporated
• Original Assignee: Sotera Wireless Incorporated
• Inventors: Moon, Jim, McCombie, Devin, Dhillon, Marshal, Banet, Matt
• Primary Examiner(s): Winakur, Eric
• Assistant Examiner(s): Liu, Chu Chuan (JJ)
• Application Number:
  US14/092,173
• Publication Number:
  US 20140088385A1
• Time in Patent Office: 1,770 Days
• Field of Search: 600310, 600322, 600323, 600324, 600333, 600334, 600340, 600473, 600476, 600500, 600503, 600508, 600509, 356 41
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1118 Determining activity level
• 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 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/681 Wristwatch-type devices
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• 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

The invention provides a body-worn system that continuously measures pulse oximetry and blood pressure, along with motion, posture, and activity level, from an ambulatory patient. The system features an oximetry probe that comfortably clips to the base of the patient'"'"'s thumb, thereby freeing up their fingers for conventional activities in a hospital, such as reading and eating. The probe secures to the thumb and measures time-dependent signals corresponding to LEDs operating near 660 and 905 nm. Analog versions of these signals pass through a low-profile cable to a wrist-worn transceiver that encloses a processing unit. Also within the wrist-worn transceiver is an accelerometer, a wireless system that sends information through a network to a remote receiver, e.g. a computer located in a central nursing station.

Claims

1. A system for monitoring a patient, comprising:

an oximetry sensor comprising a photodetector and a first light source and a second light source, the photodetector configured to generate a first signal by detecting a first radiation emitted by the first light source after the first radiation irradiates the patient, and a second signal by detecting a second radiation emitted by the second light source after the second radiation irradiates the patient;

an ECG system comprising a housing configured to be positioned on the patient'"'"'s chest, a differential amplifier circuit within the housing configured to operably connect to at least two electrodes and to generate therefrom an ECG signal, and a first motion sensor within the housing configured to generate therefrom a first motion signal;

an oscillometric blood pressure monitoring system comprising a pump and a cuff, the oscillometric blood pressure monitoring system configured to be positioned on the patient'"'"'s upper arm and to generate therefrom an oscillometric blood pressure signal;

a second motion sensor configured to be positioned on the patient'"'"'s arm above the elbow and to generate therefrom a second motion signal;

a third motion sensor configured to be positioned on the patient'"'"'s arm at the wrist and to generate therefrom a third motion signal;

a processing unit configured to be worn on the patient'"'"'s body and operably connected to the oximetry sensor and configured to receive therefrom the first and second signals, to the ECG system and configured to receive therefrom the ECG signal and the first motion signal, to the oscillometric blood pressure monitoring system and configured to receive therefrom the oscillometric blood pressure signal, to the second motion sensor and configured to receive therefrom the second motion signal, and to the third motion sensor and configured to receive therefrom the third motion signal,

the processing unit comprising a processor configured to process;

i) the first and second signals to determine a value for oxygen saturation;

ii) the second and third motion signals to determine a blood pressure calibration value compensating for hydrostatic forces due to arm height;

iii) the first motion signal to determine the patient'"'"'s torso orientation with respect to gravity;

iv) the ECG signal, oscillometric blood pressure signal, and at least one of the first and second signals to determine a patient specific relationship between mean arterial blood pressure and pulse transit time; and

v) the blood pressure calibration value, the patient'"'"'s torso orientation, the patient specific relationship, the ECG signal, and at least one of the first and second signals to determine a blood pressure measurement for the patient.

2. The system of claim 1, wherein the processing unit is configured to be worn on the patient'"'"'s wrist, and the third motion sensor is a component within the processing unit.

3. The system of claim 1, wherein the first and second motion signals, the oscillometric blood pressure signal, and the ECG signal are received as CAN protocol data comprising a header that indicates the component from which the data originates.

4. The system of claim 1, wherein the first, second, and third motion sensors are three axis accelerometers.

5. The system of claim 1, wherein the processing unit comprises a touchpanel display.

6. The system of claim 5, wherein the touchpanel display is configured to render a first user interface that displays information describing oxygen saturation, a second user interface that displays information describing blood pressure, and a third user interface that displays information describing ECG signals.

7. The system of claim 1, wherein the processing unit further comprises a barcode scanner.

8. The system of claim 7, wherein the processing unit is further configured to render a user interface corresponding to a medical professional after the barcode scanner scans a barcode.

9. The system of claim 1, wherein the processing unit comprises a speaker.

10. The system of claim 9, wherein the processing unit is further configured to communicate using a voice over internet protocol (VOIP).