Vital signs monitoring system

• US 5,010,890 A
• Filed: 11/02/1987
• Issued: 04/30/1991
• Est. Priority Date: 08/11/1983
• Status: Expired due to Fees

• Current Assignee: Hampshire Chemical Corp. (Dow, Inc.)
• Original Assignee: Vitacomm Limited
• Inventors: Uphold, James D., Pfohl, Robert L.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Getzow, Scott M.
• Application Number:
  US07/116,287
• Time in Patent Office: 1,275 Days
• Field of Search: 128/668, 128/670, 128/687, 128/689, 128/700, 128/709, 128/715, 128/736, 128/773, 128/774, 128/903, 128/904, 128/908
• US Class Current: 600/528
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: A61B 2562/0204 Acoustic sensors
• CPC Class Codes: A61B 5/0017 transmitting optical signals transmission by light H04B10/00
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 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 7/023 for introduction into the body, e.g. into the oesophagus oesophageal ECG probes A61B5/285

Abstract

A vital signal monitoring system for monitoring the vital signs of a patient, particulary prior to and during anesthesiology, during and after operational procedures, includes first sensor unit including a microphone for mounting on the patient'"'"'s chest for picking up breath and heart sounds with a filter and automatic gain control circuit, second sensor unit including a microphone for positioning beneath the blood pressure cuff for picking up the blood flow sounds with a filter and automatic gain control circuit, both connected into a system of electronic components with selection means for selecting either of these sound systems and transmitting the sounds by way of an audio IR transmitter to a portable audio IR receiver carried by a monitoring physician, including an earphone for monitoring the selected sounds. Each sensor unit also includes a thermistor for measuring the patient'"'"'s external temperature. This system is combined into a patient monitoring system including an esophageal stethoscope for monitoring a patient'"'"'s vital signs during surgery with the system including electronics processing circuitry and a microprocessor unit programmed to initiate test procedures, control multiple vital signs displays and for initiating one or more alarms in response to deviation from normal vital signs conditions. The overall system includes a switch selector bank permitting the monitoring physician to select one of the three sensing systems to monitor with the portable receiver enabling the attending physician to move freely about an operating room during the monitoring procedures.

Claims

1. A portable patient vital signs monitoring system comprising, in combination:

first sensing means to be attached to a patient'"'"'s body for sensing a first physiological condition represented by heart and lung sounds and for generating a first electrical signal corresponding thereto;

second sensing means to be attached to a patient'"'"'s body for sensing a second physiological condition and for generating a second electrical signal corresponding thereto;

elongated conductor means connected to said first and second sensing means for conducting said signals away from the patient'"'"'s body;

a remotely located monitoring unit including control means connected to said conductor means for receiving said first and second signals from said conductor means and for processing said signals;

said monitoring unit including an IR transmitter having emitter means for omnidirectional transmission of said processed first and second signals; and

a remote portable, IR receiver to be worn on an operator'"'"'s body for receiving said processed first and second signals and for converting said received signals into audible form.

2. A monitoring system according to claim 1 wherein:

said second sensing means comprises a first flexible housing means defining a sound chamber having a microphone therein for placement in engagement with a surface of skin of a body over a vein for sensing blood flow sounds when blood flow is restricted in said vein.

3. A monitoring system according to claim 2 wherein:

said first flexible housing means comprises a generally rectangular cupped housing member defining said sound chamber having an open end; and

an acoustic diaphragm covering the open end of said housing for engagement with said skin for sensing blood flow sounds in said vein.

4. A monitoring system according to claim 2 wherein:

said first sensing means comprises sound chamber means for mounting on the chest of a patient and a microphone disposed in said chamber.

5. A monitoring system according to claim 4 wherein:

said sound chamber means is defined by a second housing having an open end; and

an acoustic diaphragm covering said open end.

6. A monitoring system according to claim 5 wherein:

said second housing has a generally frusto conical shape with a height to diameter ratio of less than one.

7. A monitoring system according to claim 6 wherein:

said second housing includes strap means for attachment to an arm.

8. A monitoring system according to claim 7 wherein:

said second housing is cooperative in combination with an inflatable blood pressure cuff and is positionable under and engageable by said cuff for sensing said blood flow sounds in a vein when the vein is restricted by the inflatable blood pressure cuff.

9. A monitoring system according to claim 8, including a thermistor mounted along the peripheral edge of said second housing for engagement with a patient'"'"'s body for sensing the external temperature of a patient;

and

said monitoring unit including means for monitoring the temperature sensed by the thermistor.

10. A monitoring system according to claim 6 wherein:

said second housing includes a thermistor mounted on the periphery thereof for sensing the external temperature of a patient; and

said monitoring unit including means for monitoring temperature.

11. A vital signs monitoring system according to claim 10 wherein:

said second sensing means comprises a generally rectangular elastic second housing means having an open side; and

an acoustic diaphragm covering said open side for mounting on an arm in contact with a skin area over a brachial artery and a microphone communicating with said chamber for sensing said blood pressure sounds.

12. A monitoring system according to claim 11 further comprising an esophageal stethoscope having means for sensing vital signs, and said monitoring unit including display means responsive to vital signs sensed by said stethoscope for displaying visual means indicative of vital signs sensed by said stethoscope.

13. A monitoring system according to claim 1 wherein:

said first and second sensing means comprises an esophageal stethoscope having means for sensing said physiological conditions, and said monitoring unit including display means responsive to vital signs sensed by said stethoscope for displaying visual means indicative of said vital signs.

14. A portable patient monitoring system according to claim 1 wherein:

said means for processing said signals includes means for comparing said first and said second signals to a norm and generating an audible signal in response to a deviation therefrom.

15. A portable patient monitoring system for monitoring the vital signs of a patient comprising, in combination:

first sensing means to be attached to a patient'"'"'s body for sensing a first physiological condition represented by heart and lung sounds and for generating a first electrical signal corresponding thereto;

second sensing means to be attached to a patient'"'"'s body for sensing a second physiological condition and for generating a second electrical signal corresponding thereto;

elongated conductor means connected to said first and second sensing means for conducting said signals away from the patient'"'"'s body;

a remotely located monitoring unit including control means connected to said conductor means for receiving said first and second signals from said conductor means and for processing said signals;

said monitoring unit including a generally box-like housing having an upper surface, an IR transmitter in said housing and having emitter means on said upper surface for omnidirectional transmission of said processed first and second signals; and

a remote portable, IR receiver to be worn on an operator'"'"'s body for receiving said processed first and second signals and for converting said received signals into audible form.

16. A portable patient monitoring system according to claim 15 wherein:

said means for processing said signals includes means for comparing said first and said second signals to norm and generating an audible signal in response to a deviation therefrom.

17. A portable patient monitoring system for monitoring the vital signs of a patient comprising, in combination:

first sensing means to be attached to a patient'"'"'s body for sensing a first physiological condition represented by heart and lung sounds and for generating a first electrical signal corresponding thereto;

second sensing means to be attached to a patient'"'"'s body for sensing a second physiological condition and for generating a second electrical signal corresponding thereto;

elongated conductor means connected to said first and second sensing means for conducting said signals away from the patient'"'"'s body;

a remotely located monitoring unit including control means connected to said conductor means for receiving said first and second signals from said conductor means and for processing said signals;

said monitoring unit including a generally box-like housing having an upper surface, an IR transmitter in said housing, and an omnidirectional antenna on said upper surface for omnidirectional transmission of said processed first and second signals; and

a remote portable, IR receiver to be worn on an operator'"'"'s body for receiving said processed first and second signals and for converting said received signals into audible form.

18. A portable patient monitoring system according to claim 17 wherein:

said means for processing said signals includes means for comparing said first and said second signals to a norm and generating an audible signal in response to a deviation therefrom.

19. A portable patient monitoring system according to claim 17 wherein:

said omnidirecitonal antenna has a generally semi-spherical configuration and extends upward above said upper surface.

20. A portable patient vital signs monitoring system comprising, in combination:

sensing means to be attached to a patient'"'"'s body for sensing a physiological condition and for generating an electrical signal corresponding thereto;

elongated conductor means connected to said sensing means for conducting said signal away from the patient'"'"'s body;

a remotely located monitoring unit including control means connected to said conductor means for receiving said signal from said conductor means and for processing said signal;

said monitoring unit including an IR transmitter having omnidirectional emitter means for omnidirectional transmission of said signal; and

a remote portable, IR receiver to be worn on an operator'"'"'s body for receiving said signal and for converting said received signal into audible form.

21. A monitoring system according to claim 20 wherein:

said sensing means comprises an esophageal stethoscope having means therein for sensing physiological conditions, and said monitoring unit including display means responsive to physiological conditions sensed by said stethoscope for displaying visual means indicative of said physiological conditions sensed by said stethoscope.

22. A monitoring system according to claim 20 wherein:

said sensing means comprises and esophageal stethoscope having means for sensing said physiological condition, and said monitoring unit includes display means responsive to physiological conditions sensed by said stethoscope for displaying visual means indicative of said vital signs.

23. A portable patient monitoring system according to claim 20 wherein:

said monitoring unit including a generally box-like housing having an upper surface, an IR transmitter in said housing and having said emitter means on and extending above said upper surface for omnidirectional transmission of said signal.

24. A portable patient monitoring system according to claim 20 wherein:

said sensing means comprises first sensing means to be attached to a patient'"'"'s body for sensing a first physiological condition represented by heart and lung sounds and for generating a first electrical signal corresponding thereto, second sensing means to be attached to a patient'"'"'s body for sensing a second physiological condition and for generating a second electrical signal corresponding thereto;

said elongated conductor means connected to said first and second sensing means for conducting said signals away from the patient'"'"'s body;

said remotely located monitoring unit including control means connected to said conductor means for receiving said first and second signals from said conductor means and for processing said signals;

said monitoring unit including a generally box-like housing having an upper surface, an IR transmitter in said housing, and an omnidirectional antenna on and extending above said upper surface for omnidirectional transmission of said processed first and second signals.

25. A portable patient monitoring system according to claim 24 wherein:

said omnidirectional antenna has a generally semi-spherical configuration extending upward above said upper surface.