Dynamic automated adjustment of alarm threshold levels

• US 10,413,254 B2
• Filed: 07/08/2016
• Issued: 09/17/2019
• Est. Priority Date: 07/08/2016
• Status: Active Grant

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Sarkela, Mika, Coffeng, Rene Johannes, Uutela, Kimmo, Jarvela, Liisa-Maria
• Primary Examiner(s): Wang, Quan-Zhen
• Assistant Examiner(s): Black-Childress, Rajsheed O
• Application Number:
  US15/205,514
• Publication Number:
  US 20180008207A1
• Time in Patent Office: 1,166 Days
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61B 5/7405 using sound
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes 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
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

In the present invention, a system and associated method is provided for monitoring vital parameters of a patient. The monitoring system includes sensors disposed on the patient and operably connected to a monitor. The parameters that are sensed by the sensors are transmitted to the monitor and compared with alarm thresholds stored within the monitor. The alarm thresholds stored within the monitor are modified by inputs supplied to the monitor regarding the particular condition(s) of the patient being monitored to provide more accurate alarm determinations for the patient. The dynamic adjustment of the alarm threshold during monitoring can be based on a set of proactive inputs to prevent and/or limit the occurrence of unnecessary or clinically irrelevant alarm conditions or a set of reactive inputs that follow immediately after an alarm event is detected, to enable medical personnel to appropriately respond to sensed alarm condition(s).

Claims

1. A method for dynamically adjusting the alarm limit settings of a monitoring device operable to provide information on data obtained from sensors operably connected to the device, the method comprising the steps of:

a. providing the device including a central processing unit configured to receive incoming data signals from sensors concerning multiple physiological parameters of a patient and to directly compare the incoming data signals to a predetermined alarm threshold for the each of the physiological parameters to determine an alarm condition based on one or more of the alarm thresholds, a user interface operably connected to the central processing unit and electronic storage media operably connected to the central processing unit and adapted to store proactive inputs and reactive inputs from a user for use in the determination of an alarm condition;

b. inputting at least one proactive input into the electronic storage media;

c. inputting at least one reactive input into the electronic storage media;

d. altering the alarm threshold for each individual physiological parameter in response to the at least one proactive input;

e. determining the existence of an alarm condition based on a comparison of the incoming data signals and the altered threshold; and

f. verifying the alarm condition by employing the at least one reactive input with the patient.

2. The method of claim 1 wherein the step of altering the alarm threshold comprises raising or lowering the alarm threshold for a predetermined time period.

3. The method of claim 2 wherein the predetermined time period is a selected period of time following a procedure on the patient.

4. The method of claim 2 wherein the predetermined time period is selected from daylight or nighttime hours, or a combination thereof.

5. The method of claim 1 wherein the step of altering the alarm threshold comprises lowering the alarm threshold for each individual physiological parameter relating to a condition for which the patient is being treated.

6. The method of claim 1 wherein the step of altering the alarm limits comprises raising or lowering the alarm threshold in relation to historical movement data for the patient.

7. The method of claim 1 wherein the step of altering the alarm limits comprises raising or lowering the alarm threshold in relation to a distance of medical personnel in relation to the patient.

8. The method of claim 1 wherein the step of altering the alarm limits comprises raising or lowering the alarm threshold in relation to a treatment being actively provided to the patient.

9. The method of claim 1 wherein the step of verifying the alarm condition by employing the at least one reactive input comprises soliciting a response from the patient after determining the existence of the alarm condition.

10. The method of claim 9 wherein the step of soliciting a response from the patient comprises actively querying the patient.

11. The method of claim 10 wherein the step of actively querying the patient comprises prompting the patient to provide an audible response.

12. The method of claim 9 wherein the step of soliciting a response from the patient comprises indirectly querying the patient.

13. The method of claim 9 further comprising the step of providing a primary alarm indication concurrently with soliciting a response from the patient.

14. The method of claim 13 further comprising the step of providing a secondary alarm indication if no response is received from the patient.

15. The method of claim 14 wherein the primary alarm indication is a visual-only indication.

16. The method of claim 14 wherein the secondary alarm indication is an audio-visual indication.

17. A monitoring device operable to provide information on data obtained from sensors operably connected between a patient and the device, the device comprising:

a) a central processing unit configured to receive incoming data signals from a sensors connected to the central processing unit concerning multiple physiological parameters of the patient and to compare the incoming data signals to a predetermined alarm threshold for each individual physiological parameter to determine an alarm condition; and

b) electronic storage media operably connected to the central processing unit and selectively operable to store one or more proactive inputs concerning the adjustment of the alarm threshold for each individual physiological parameter and to store one or more reactive inputs used to verify a determined alarm condition, wherein the central processing unit is configured to automatically employ the one or more proactive inputs to alter the alarm threshold for each individual physiological parameter for determining a corresponding alarm condition without adjusting the data signals for the physiological parameters, and to automatically employ the one or more reactive inputs to verify any alarm condition determined relative to a physiological parameter.

18. The monitoring device of claim 17 further comprising a location sensor on medical personnel monitoring the patient and wherein the central processing unit is configured to alter the value of the alarm threshold for each individual physiological parameter in response to the a position of the location sensor.

19. The monitoring device of claim 17 wherein the central processing unit is configured to automatically solicit a response from the patient in a form contained in the reactive input upon the determination of an alarm condition by the central processing unit.

20. A medical monitoring device for providing information about a patient operably connected to the device, the device comprising:

a) an electronic storage medium in which values for alarm thresholds for a number of physiological parameters to be monitored are stored;

b) a central processing unit operably connected to the electronic storage medium and configured to receive incoming data signals concerning the parameters of the patient and to compare the incoming data signals to the alarm limits for the parameters to determine an alarm condition;

c) one or more sensors operably connected to the central processing unit and adapted to be connected to the patient to obtain and transmit the incoming data signals on the parameters to be monitored from the patient to the central processing unit; and

d) a display operably connected to the central processing unit, the display including a display screen and a user interface configured to enable a number of proactive inputs and a number of reactive inputs to be stored in the electronic storage medium, wherein the central processing unit is configured to dynamically alter the alarm threshold for at least one physiological parameter in response to the proactive inputs and subsequently verify any detected alarm condition concerning a physiological parameter by employing the reactive inputs.