Systems, devices and methods for the prevention and treatment of pressure ulcers, bed exits, falls, and other conditions
First Claim
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1. A mesh network for patient monitoring comprising:
- a plurality of wireless nodes including;
a patient-worn sensor;
a server; and
a plurality of relay antennas for receiving signals from the patient-worn sensor and from other relay antennas, one or more of the relay antennas in communication with the server for receiving and processing data from the patient-worn sensor;
wherein the patient-worn sensor comprises at least one sensor configured to detect patient orientation data;
wherein in response to activation of the patient-worn sensor, the patient-worn sensor is configured to;
automatically join the mesh network by communicating with a relay antenna proximate the patient-worn sensor; and
automatically output a human perceptible notification indicating that the patient-worn sensor has joined the mesh network; and
wherein the plurality of relay antennas are configured to automatically define communication pathways from the patient-worn sensor to the server via the mesh network by a process wherein;
each respective wireless node in the mesh network has at least one neighboring wireless node defined based on a signal strength of communications between the respective wireless node and one or more other wireless nodes;
each pair of neighboring wireless nodes are separated by a logical communication distance of one hop;
each respective wireless node is configured to communicate with its respective neighboring wireless node or nodes to determine a total logical distance, based on a number of hops, between the respective wireless node and the server along at least one potential communication pathway, wherein a total logical distance of one hop is defined between the server and each wireless node that neighbors the server, a total logical distance of two hops is defined between the server and each wireless node that neighbors a wireless node that neighbors the server, and so on; and
the plurality of wireless node are configured to collectively select, from the potential communication pathways, at least one communication pathway between each respective wireless node and the server based at least on the total logical distance of each respective potential communication pathway.
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Abstract
Methods, systems and devices for monitoring patient orientation, direction, altitude and location to determine the need for turns as well as to detect impending or actual bed exits or falls. A patient-worn sensor communicates with at least one host server through a mesh network of relay antennae to provide data representative of various patient characteristics. The sensor comprises one or more of an accelerometer, a magnetometer and an altimeter, along with optional other sensors. Various user interfaces are provided for managing patient care using the information developed by algorithms processed at the server based on data received from the patient sensors.
139 Citations
13 Claims
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1. A mesh network for patient monitoring comprising:
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a plurality of wireless nodes including; a patient-worn sensor; a server; and a plurality of relay antennas for receiving signals from the patient-worn sensor and from other relay antennas, one or more of the relay antennas in communication with the server for receiving and processing data from the patient-worn sensor; wherein the patient-worn sensor comprises at least one sensor configured to detect patient orientation data; wherein in response to activation of the patient-worn sensor, the patient-worn sensor is configured to; automatically join the mesh network by communicating with a relay antenna proximate the patient-worn sensor; and automatically output a human perceptible notification indicating that the patient-worn sensor has joined the mesh network; and wherein the plurality of relay antennas are configured to automatically define communication pathways from the patient-worn sensor to the server via the mesh network by a process wherein; each respective wireless node in the mesh network has at least one neighboring wireless node defined based on a signal strength of communications between the respective wireless node and one or more other wireless nodes; each pair of neighboring wireless nodes are separated by a logical communication distance of one hop; each respective wireless node is configured to communicate with its respective neighboring wireless node or nodes to determine a total logical distance, based on a number of hops, between the respective wireless node and the server along at least one potential communication pathway, wherein a total logical distance of one hop is defined between the server and each wireless node that neighbors the server, a total logical distance of two hops is defined between the server and each wireless node that neighbors a wireless node that neighbors the server, and so on; and the plurality of wireless node are configured to collectively select, from the potential communication pathways, at least one communication pathway between each respective wireless node and the server based at least on the total logical distance of each respective potential communication pathway.
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2. A method for evaluating a bed exit by a person using a wearable sensor device comprising at least one magnetometer and an at least one accelerometer, the method comprising the steps of:
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affixing to the person the wearable sensor device comprising the at least one magnetometer and the at least one accelerometer; collecting, by the at least one magnetometer of the wearable sensor device, direction data indicating a direction of the person; collecting, by the at least one accelerometer of the wearable sensor device, acceleration data indicating at least an orientation of the person; receiving, at a processor, from the at least one magnetometer and the at least one accelerometer of the wearable sensor device, the direction data and the acceleration data indicating the direction and orientation of the person; comparing, by the processor, the direction and orientation of the person indicated by the direction data and the acceleration data with predefined bed-exit parameters corresponding with a bed exit state; wherein the predefined bed-exit parameters corresponding with a bed exit state include an upright orientation of the person'"'"'s torso, and the comparison step includes determining whether the acceleration data indicates an upright orientation of the person'"'"'s torso; and determining, by the processor, based at least on the comparison, a bed exit state of the person. - View Dependent Claims (4, 5, 6, 7, 8, 9, 11)
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3. A method for evaluating a bed exit by a person using a wearable sensor device comprising at least one magnetometer and an at least one accelerometer, the method comprising the steps of:
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affixing to the person the wearable sensor device comprising the at least one magnetometer and the at least one accelerometer; collecting, by the at least one magnetometer of the wearable sensor device, direction data indicating a direction of the person; collecting, by the at least one accelerometer of the wearable sensor device, acceleration data indicating at least an orientation of the person; receiving, at a processor, from the at least one magnetometer and the at least one accelerometer of the wearable sensor device, the direction data and the acceleration data indicating the direction and orientation of the person; comparing, by the processor, the direction and orientation of the person indicated by the direction data and the acceleration data with predefined bed-exit parameters corresponding with a bed exit state; wherein the predefined bed-exit parameters corresponding with a bed exit state specify a direction orthogonal to a support surface on which the person is supported; and wherein the comparison step includes determining that the direction data collected by the at least one magnetometer of the wearable sensor device indicates a direction of the person orthogonal to the support surface; and determining, by the processor, based at least on the comparison, a bed exit state of the person.
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10. A method for evaluating a bed exit by a person using a wearable sensor device, the method comprising:
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affixing to the person the wearable sensor device comprising at least one sensor; collecting, by the at least one sensor, sensor data indicating a direction and an orientation of the person; comparing, by the processor, the direction and orientation of the person indicated by the collected sensor data with predefined bed-exit parameters corresponding with a bed exit state; and determining a bed exit probability based at least on the comparison of the direction and orientation of the person indicated by the collected sensor data with the predefined bed-exit parameters corresponding with a bed exit state; comparing the determined bed exit probability with a bed exit probability threshold; and determining a bed exit state based on the comparison of the determined bed exit probability with the bed exit probability threshold.
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12. A method for evaluating a bed exit by a person using a wearable sensor device comprising at least one magnetometer and an at least one accelerometer, the method comprising the steps of:
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affixing to the person the wearable sensor device comprising the at least one magnetometer and the at least one accelerometer; collecting, by the at least one magnetometer of the wearable sensor device, direction data indicating a direction of the person; collecting, by the at least one accelerometer of the wearable sensor device, acceleration data including static acceleration data indicating the orientation of the person and dynamic acceleration data indicating a movement of the person relative to a support surface; receiving, at a processor, from the at least one magnetometer and the at least one accelerometer of the wearable sensor device, the direction data and the acceleration data indicating the direction and orientation of the person; comparing, by the processor, the direction, orientation, and movement of the person indicated by the direction data, the static acceleration data, and the dynamic acceleration data with predefined bed-exit parameters corresponding with a bed exit state; and determining, by the processor, based at least on the comparison, a bed exit state of the person.
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13. A system for evaluating a bed exit by a person, comprising:
a wearable sensor device configured to be worn by the person or secured to an article worn by the person, the wearable sensor device comprising; at least one magnetometer configured to generate magnetometer data indicating a direction of the person; at least one accelerometer configured to generate accelerometer data indicating an orientation of the person; and a processor configured to; receive the magnetometer data indicating the direction of the person from the at least one magnetometer; receive the accelerometer data indicating the orientation of the person from the at least one accelerometer; compare the direction and orientation of the person indicated by the magnetometer data and orientation data with predefined bed-exit parameters corresponding with a bed exit state; wherein the predefined bed-exit parameters corresponding with a bed exit state include an upright orientation of the person'"'"'s torso, and the comparison step includes determining whether the acceleration data indicates an upright orientation of the person'"'"'s torso; and identify, based at least on the comparison, a bed exit state of the person.
Specification