Multiple parameter monitoring system for hospital patients

• US 4,966,154 A
• Filed: 02/04/1988
• Issued: 10/30/1990
• Est. Priority Date: 02/04/1988
• Status: Expired due to Fees

• Current Assignee: TPR Systems Incorporated
• Original Assignee: Jonni Cooper
• Inventors: Cooper, Jonni, Adams, Tello
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US07/152,272
• Time in Patent Office: 999 Days
• Field of Search: 128/671, 128/723, 128/384, 128/385, 128/670, 128/644, 128/736, 128/700
• 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 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses

Abstract

A multiple parameter monitoring system for ambulatory human patients utilizes a separate harness to be removably worn by each patient. The harness is adapted to engage the chest of the patient and incorporates a first ECG data sensing device engaging the patient to produce first and second analog voltages having variable magnitudes which are measurements of the body MCL1 and MCL6 data respectively; a second respiratory amplitude sensing device to produce a first analog signal having a variable magnitude which is a measurement of the respiratory amplitude of the patient; and a third temperature sensing device engaging the patient to produce a second analog signal which is a measurement of the temperature of the patient.

Claims

1. Apparatus adapted for use in a multiple parameter monitoring system for ambulatory human patients, said apparatus comprising:

a separate harness to be removably worn by each patient, said harness being adapted to engage the chest of the patient and incorporating

first ECG data sensing means for engaging the patient to produce first and second analog voltages having variable magnitudes which are measurements of the body MCL 1 and MCL 6 data respectively, said first means including MCL 1 and MCL 6 electrodes and a ground electrode, the first analog voltage appearing between the MCL 1 and ground electrodes, the second analog voltage appearing between the MCL 6 and ground electrodes;

second respiratory sensing means for engaging the patient to produce a first analog signal having a variable magnitude which is a measurement of the respiratory amplitude of the patient, said second means including two additional spaced electrodes for engaging the patient and exhibiting a respiratory impedance therebetween; and

third temperature sensing means for engaging the patient to produce a second analog signal which is a measurement of the temperature of the patient, said third means including a temperature responsive impedance element.

2. The apparatus of claim 1, further including an electronic module securable to the harness and provided with fourth means responsive to the first analog signal to produce a third analog voltage having a variable magnitude which is proportional to the respiratory resistance, said fourth means including an impedance to voltage converter.

3. The apparatus of claim 2, wherein the module includes fifth means responsive to the second analog signal to produce a fourth analog voltage having a variable magnitude which is proportional to the temperature, said fifth means including another impedance to voltage converter.

4. The apparatus of claim 3, further including signal conditioners, wherein the first, second, third and fourth analog voltages are normalized by said signal conditioners.

5. The apparatus of claim 4, wherein the module includes sixth means responsive to the first, second, third and fourth analog voltages to obtain sampled values thereof, the first and second voltages being sampled at a first fixed rate, the third voltage being sampled at a second and lower fixed rate, and the fourth voltage being sampled at a third and still lower fixed rate, the timing of the sampling operation being so controlled that only one voltage is sampled at a time.

6. The apparatus of claim 5, wherein the module includes seventh means responsive to the sixth means to convert the sampled voltages to digital equivalents and thereafter to multiplex these equivalents as a serial signal.

7. The apparatus of claim 6, wherein the module includes a transmitter system for producing a carrier wave of selected frequency, the system including eighth means responsive to the seventh means to frequency modulate said carrier wave with the multiplexed serial signal and to transmit the frequency modulated wave.

8. The apparatus of claim 7, further including a monitoring station spaced apart from all mobile patients and including ninth means responsive to the eighth means to receive the transmitted wave.

9. The apparatus of claim 8, wherein the station includes tenth means responsive to the ninth means to demodulate the wave and extract the series signal therefrom.

10. The apparatus of claim 9, wherein the station includes eleventh means responsive to the tenth means to convert the series signal into the individual parallel digital equivalents.

11. The apparatus of claim 10, wherein the station includes a computer responsive to the digital equivalents to cause the first and second analog voltages and first and second analog signals to be displayed visually.

12. The apparatus of claim 11, wherein each of the first and second analog voltages and first and second analog signals has preselected maximum and minimum parameter limits and wherein the station includes an alarm device controlled by the computer to produce an alarm signal whenever any of the analog voltages and signals falls below the preselected minimum parameter limits or exceeds the preselected maximum parameter limits.

13. The apparatus of claim 1, wherein the harness includes a belt encircling the chest of the patient and having front and rear sections, a first strap extending over one shoulder of the patient and connected between the front and rear sections, and a second strap extending over the other shoulder of the patient and connected between the front and rear sections.

14. The apparatus of claim 13, wherein the first and second straps are joined at the front section of the belt and are separated at the rear section of the belt.

15. The apparatus of claim 14, wherein the second means is disposed in the belt.

16. The apparatus of claim 15, wherein the third means is disposed in the belt.

17. The apparatus of claim 16, wherein the first means is disposed in the belt and straps.

18. The apparatus of claim 17, wherein the first means includes a reference electrode in one strap, an MCL1 electrode in the other strap, and an MCL6 electrode in the belt.

19. The apparatus of claim 18, wherein one of the straps contains a pouch adapted to receive removably an electronic module.