Portable, multi-channel, physiological data monitoring system

• US 4,784,162 A
• Filed: 09/23/1986
• Issued: 11/15/1988
• Est. Priority Date: 09/23/1986
• Status: Expired due to Fees

• Current Assignee: Integrated Medical Technologies Incorporated (Becton, Dickinson & Co)
• Original Assignee: Integrated Medical Technologies Incorporated (Becton, Dickinson & Co)
• Inventors: Bornn, Robert, Ricks, Robert D., Hurt, David B.
• Primary Examiner(s): Jaworski, Francis J.
• Assistant Examiner(s): MANUEL, GEORGE C
• Application Number:
  US06/910,457
• Time in Patent Office: 784 Days
• Field of Search: 128/903, 128/671, 128/782, 128/774, 128/731, 128/733, 128/668
• US Class Current: 600/484
• 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 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/6805 Vests

Abstract

A data monitoring system which simultaneously monitors, transmits by radio an records data relating to a plurality of physiological parameters comprises a portable sensor unit which is worn by the patient and includes a plurality of sensors attached to the patient'"'"'s body each of which monitors a physiological parameter and generates a corresponding electrical signal, a circuit pack which converts the signals into a series stream of digital data and a transmitter which periodically transmits the data. A base station includes both a receiver which receives the transmitted data and reconverts it to a digital signal and a data processing unit which records the data.

Claims

1. A data monitoring system for gathering physiological data from a subject, the system comprising

(a) a portable sensing unit comprising

(i) a first plurality of sensors, each of the sensors of the first plurality being adapted for attachment to the subject for monitoring the value of a physiological parameter of the subject and for generating a signal corresponding to that value;

(ii) a multiplexer which receives the analog signals from the first plurality of sensors and sequentially forwards the analog signals to an analog-to-digital converter;

(iii) an analog-to-digital converter which receives the sequentially forwarded analog signals from the multiplexer as an input signal and converts the input signal to a corresponding first binary data word which is provided in parallel to a serial encoder;

(iv) a second plurality of sensors, each of the sensors of the second plurality being adapted for attachment to the subject for monitoring the value of a physiological parameter of the subject and for generating an electrical signal corresponding to that value;

(v) means for converting the electrical signals generated by the second plurality of sensors into a corresponding second binary data word which is provided in parallel to the serial encoder;

(vi) a serial encoder which receives the first and second binary data words and converts them to a serial digital data stream; and

(vii) a digital telemetry transmitter which receives the serial digital data stream and transmits the serial digital data stream by low-power radio signals; and

(b) a base station comprising

(i) a receiver which receives the radio signal and reconverts it to a digital data signal; and

(ii) a data processing unit which receives the reconverted digital data signal for storage and/or analysis and review.

2. A data monitoring system as in claim 1 wherein the first binary data word includes at least one bit which identifies the first word as corresponding to the first plurality of sensors, and wherein the second binary data word includes at least one bit which identifies the second word as corresponding to the second plurality of sensors.

3. A data monitoring system as in claim 1 wherein the digital data stream is transmitted uncompressed.

4. A data monitoring system as in claim 1 wherein the second plurality of sensors includes means for generating a signal corresponding to the subject'"'"'s heart rate, comprising

(a) ECG electrode means attached to the subject for developing an electrical signal corresponding to the subject'"'"'s heart rate;

(b) an R-wave detector responsive to the electrical signal from the ECG electrode means to provide one pulse per peak electrical QRS complex; and

(c) a counter which monitors the pulsed output of the R-wave detector and provides a corresponding binary signal to the electrical signal conversion means.

5. A data monitoring system as in claim 1 wherein the second plurality of sensors includes means for sensing body position of the subject comprising

(a) a first body position transducer which generates an output corresponding to the vertical position of the subject;

(b) a second body position transducer which generates an output corresponding to the rotational position of the subject; and

(c) a priority encoder which receives the output from the first and second body position sensors, the output of the second transducer receiving highest priority, and provides a corresponding binary weighted output code to the electrical signal conversion means.

6. A data monitoring system as in claim 1 wherein the first plurality of sensors includes means for sensing breadth sound comprising

(a) an electret microphone for generating a signal representative of the subject'"'"'s breadth sound;

(b) means responsive to the output of the electret microphone for full scale presentation of the breadth sound signal amplitude; and

(c) a capacitor for capturing the peak wave form of the breadth sound signal, the discharge of the capacitor serving as an input to the multiplexer.

7. A data monitoring system as in claim 1 wherein the first plurality of sensors includes means for sensing subject activity comprising

(a) an activity transducer for generating an output signal corresponding to the activity level of the subject;

(b) means for comparing the activity transducer output signal with a reference signal and for providing a tracking signal corresponding to the difference between the output signal and the reference signal;

(c) a non-retriggerable one-shot responsive to the tracking signal to clock out a corresponding digital signal; and

(d) a counter which monitors the digital signal, the output of the counter being provided to the multiplexer via a digital-to-analog converter.

8. A data monitoring system as in claim 1 wherein the first plurality of sensors includes means for sensing the respiration of the subject comprising a respiratory transducer adapted for attachment to the subject'"'"'s body, the output of the respiratory transducer being applied to a capacitor and boot strap amplifier, the output of the bootstrap amplifier being applied to a gain block having a predetermined gain, the output of the gain block being provided to the multiplexer via an autonull loop.