Physiological measurement device

• US 10,335,033 B2
• Filed: 11/21/2018
• Issued: 07/02/2019
• Est. Priority Date: 03/25/2002
• Status: Expired due to Term

• Current Assignee: Masimo Corporation
• Original Assignee: Masimo Corporation
• Inventors: Al-Ali, Ammar
• Primary Examiner(s): Winakur, Eric F
• Application Number:
  US16/198,057
• Publication Number:
  US 20190090748A1
• Time in Patent Office: 223 Days
• CPC Class Codes: A61B 2560/0214 of power generation or supply
• CPC Class Codes: A61B 2562/222 Electrical cables or leads therefor, e.g. coaxial cables or ribbon cables
• CPC Class Codes: A61B 2562/227 Sensors with electrical connectors
• CPC Class Codes: A61B 5/0004 characterised by the type of physiological signal transmitted
• CPC Class Codes: A61B 5/0015 characterised by features of the telemetry system
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0024 for multiple sensor units attached to the patient, e.g. using a body or personal area network
• CPC Class Codes: A61B 5/0026 characterised by the transmission medium
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• 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 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6826 : Finger
• CPC Class Codes: A61B 5/6831 : Straps, bands or harnesses
• CPC Class Codes: A61B 5/6838 : Clamps or clips
• CPC Class Codes: A61B 5/72 : Signal processing specially adapted for physiological signals or for diagnostic purposes character recognition, recognising digital ink, document-oriented image-based pattern recognition G06V30/00; recognition or understanding of postal images G06V30/424
• CPC Class Codes: A61B 5/7228 : Signal modulation applied to the input signal sent to patient or subject; demodulation to recover the physiological signal modulation H03C
• 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 5/7425 : Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• CPC Class Codes: A61B 5/7445 : Display arrangements, e.g. multiple display units
• CPC Class Codes: A61B 5/7475 : User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: G08B 21/0453 : worn on the body to detect health condition by physiological monitoring, e.g. electrocardiogram, temperature, breathing detecting, measuring or recording for diagnostic purposes A61B5/00
• CPC Class Codes: H04W 4/70 : Services for machine-to-machine communication [M2M] or machine type communication [MTC]
• CPC Class Codes: Y10S 128/903 : Radio telemetry

Abstract

A sensor interface is configured to receive a sensor signal. A transmitter generates a transmit signal. A receiver receives the signal corresponding to the transmit signal. Further, a monitor interface is configured to communicate a waveform to the monitor so that measurements derived by the monitor from the waveform are generally equivalent to measurements derivable from the sensor signal.

Claims

1. A pulse oximetry system comprising:

a portable patient monitoring device comprising;

a pulse oximetry sensor configured to be attached to a digit of a patient, the pulse oximetry sensor including at least;

a light emitter configured to emit light into a tissue site of the digit of the patient; and

a light detector configured to output a sensor signal responsive to at least a portion of the emitted light after attenuation by tissue of the tissue site;

a housing configured to be secured to a lower arm of the patient, wherein the housing comprises;

a top surface;

a bottom surface opposite the top surface; and

a side surface that forms at least a partial perimeter of the housing and joins the top surface and the bottom surface;

a strap mountable to the housing, the strap configured to secure the housing to the lower arm of the patient such that the bottom surface of the housing is flush with the lower arm of the patient;

a cable extending from the pulse oximetry sensor and configured to electrically convey the sensor signal, wherein;

the cable connects with the housing at a position on the side surface of the housing,

the side surface of the housing runs perpendicular to the long axis of the lower arm of the patient when the housing is secured to the lower arm of the patient,

the position is located at a mid-section of a width of the housing, and

the cable is configured to extend from the side surface of the housing along a path perpendicular to the side surface of the housing;

one or more signal processors configured to;

cause activation of the light emitter to emit light;

receive the sensor signal from the light detector;

determine, based at least in part on the sensor signal, measurements of physiological parameters including at least oxygen saturation and pulse rate; and

generate a transmit signal including information indicative of the measurements of the physiological parameters;

a signal transmitter configured to wirelessly transmit the transmit signal to a receiver computing system; and

a battery configured to power the portable patient monitoring device including at least the one or more signal processors and the signal transmitter; and

the receiver computing system configured to;

receive, by a signal receiver of the receiver computing system, the transmit signal from the portable patient monitoring device; and

cause display, on a display of the receiver computing system, of the measurements of the physiological parameters of the patient.

2. The pulse oximetry system of claim 1, wherein the one or more signal processors comprise at least:

a front-end processor configured to;

receive the sensor signal from the light detector; and

process the sensor signal to generate a conditioned signal by at least one of;

amplification, filtering, analog to digital conversion, buffering, data rate modification, digital filtering, adaptive filtering, smoothing, averaging, or frequency transforming; and

a signal processor configured to;

receive the conditioned signal from the front-end processor;

derive, from the conditioned signal, information indicative of the physiological parameters; and

provide the information indicative of the physiological parameters to the signal transmitter as the transmit signal.

3. The pulse oximetry system of claim 2, wherein the housing houses at least the battery.

4. The pulse oximetry system of claim 1, wherein the receiver computing system is further configured to:

adapt or process the transmit signal to be usable by the receiver computing system for displaying measurements of oxygen saturation and pulse rate on the display of the receiver computing system.

5. The pulse oximetry system of claim 1, wherein the receiver computing system comprises:

a multi-parameter patient monitor including at least the display; and

a receiver device comprising the signal receiver and a housing including a plug that is compatible with a sensor port of the multi-parameter patient monitor.

6. The pulse oximetry system of claim 5, wherein the receiver device is configured to:

adapt or process the transmit signal to a monitor-compatible signal that is compatible with the sensor port of the multi-parameter patient monitor.

7. The pulse oximetry system of claim 1, wherein the transmit signal further includes raw data indicative of the sensor signal from the light detector.

8. The pulse oximetry system of claim 1, wherein the portable patient monitoring device further comprises:

a multiplexer configured to generate a single digital word or bit stream based at least in part on the sensor signal; and

an encoder configured to encode the single digital word or bit stream to generate a baseband signal,

wherein the signal transmitter is further configured to modulate the baseband signal with a carrier to generate the transmit signal.

9. The pulse oximetry system of claim 8, wherein the baseband signal comprises at least one of:

a single signal, multiple related signal components including in-phase signals, or multiple related signal components including quadrature signals.

10. The pulse oximetry system of claim 8, wherein the signal transmitter is further configured to transmit on multiple frequency channels.

11. The pulse oximetry system of claim 1, wherein the measurements of the physiological parameters comprise real time measurements.

12. The pulse oximetry system of claim 1, wherein the transmit signal includes at least waveform data.

13. The pulse oximetry system of claim 1, wherein the physiological parameters further include perfusion index.

14. A portable patient monitoring device comprising:

a pulse oximetry sensor configured to be attached to a digit of a patient, the pulse oximetry sensor including at least;

a light emitter configured to emit light into a tissue site of the digit of the patient; and

a light detector configured to output a sensor signal responsive to at least a portion of the emitted light after attenuation by tissue of the tissue site;

a housing configured to be secured to a lower arm of the patient, wherein the housing comprises;

a top surface;

a bottom surface opposite the top surface; and

a side surface that forms at least a partial perimeter of the housing and joins the top surface and the bottom surface;

a strap mountable to the housing, the strap configured to secure the housing to the lower arm of the patient such that the bottom surface of the housing is flush with the lower arm of the patient;

a cable extending from the pulse oximetry sensor and configured to electrically convey the sensor signal, wherein;

the cable connects with the housing at a position on the side surface of the housing,

the side surface of the housing runs perpendicular to the long axis of the lower arm of the patient when the housing is secured to the lower arm of the patient,

the position is located at a mid-section of a width of the housing, and

the cable is configured to extend from the side surface of the housing along a path perpendicular to the side surface of the housing;

one or more signal processors configured to;

cause activation of the light emitter to emit light;

receive the sensor signal from the light detector;

determine, based at least in part on the sensor signal, measurements of physiological parameters including at least oxygen saturation and pulse rate; and

generate a transmit signal including information indicative of the measurements of the physiological parameters;

a signal transmitter configured to wirelessly transmit the transmit signal to a receiver computing system configured to cause display of the measurements of the physiological parameters including at least oxygen saturation and pulse rate on a display of the receiver computing system; and

a battery configured to power the portable patient monitoring device including at least the one or more signal processors and the signal transmitter.

15. The portable patient monitoring device of claim 14, wherein the one or more signal processors comprise at least:

a front-end processor configured to;

receive the sensor signal from the light detector; and

process the sensor signal to generate a conditioned signal by at least one of;

amplification, filtering, analog to digital conversion, buffering, data rate modification, digital filtering, adaptive filtering, smoothing, averaging, or frequency transforming; and

a signal processor configured to;

receive the conditioned signal from the front-end processor;

derive, from the conditioned signal, information indicative of the physiological parameters; and

provide the information indicative of the physiological parameters to the signal transmitter as the transmit signal.

16. The portable patient monitoring device of claim 15, wherein the housing houses at least the battery.

17. The portable patient monitoring device of claim 14, wherein the receiver computing system is further configured to adapt or process the transmit signal to be usable by the receiver computing system for displaying measurements of oxygen saturation and pulse rate on a display of the receiver computing system.

18. The portable patient monitoring device of claim 14, wherein the receiver computing system comprises a multi-parameter patient monitor and a receiver device that is compatible with a sensor port of the multi-parameter patient monitor and configured to receive the receive the transmit signal and provide the information indicative of the measurements of the physiological parameters to the multi-parameter patient monitor via the sensor port.

19. The portable patient monitoring device of claim 18, wherein the receiver device is configured to adapt or process the transmit signal to a monitor-compatible signal that is compatible with the sensor port of the multi-parameter patient monitor.

20. The portable patient monitoring device of claim 14, wherein the transmit signal further includes raw data indicative of the sensor signal from the light detector.

21. The portable patient monitoring device of claim 14 further comprising:

a multiplexer configured to generate a single digital word or bit stream based at least in part on the sensor signal; and

an encoder configured to encode the single digital word or bit stream to generate a baseband signal,

wherein the signal transmitter is further configured to modulate the baseband signal with a carrier to generate the transmit signal.

22. The portable patient monitoring device of claim 21, wherein the baseband signal comprises at least one of:

a single signal, multiple related signal components including in-phase signals, or multiple related signal components including quadrature signals.

23. The portable patient monitoring device of claim 22, wherein the signal transmitter is further configured to transmit on multiple frequency channels.

24. The portable patient monitoring device of claim 23, wherein the measurements of the physiological parameters comprise real time measurements.

25. The portable patient monitoring device of claim 24, wherein the transmit signal includes at least waveform data.

26. The portable patient monitoring device of claim 14, wherein the physiological parameters further include perfusion index.

27. A method of gathering physiological data from a patient, the method comprising:

providing a portable patient monitoring device according to claim 14;

affixing the portable patient monitoring device to the patient; and

activating the portable patient monitoring device to commence gathering of physiological data from the patient.

28. The method of claim 27 further comprising:

enabling the portable patient monitoring device to communicate with the receiver computing system; and

causing display of the measurements of the physiological parameters.