Patient monitoring system

• US 5,738,102 A
• Filed: 07/31/1996
• Issued: 04/14/1998
• Est. Priority Date: 03/31/1994
• Status: Expired due to Term

• Current Assignee: Jerome H. Lemelson
• Original Assignee: Jerome H. Lemelson
• Inventors: Lemelson, Jerome H.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US08/690,028
• Time in Patent Office: 622 Days
• Field of Search: 607/18-21, 607/4, 128/670, 128/671, 128/696, 128/700, 128/715, 128/903, 128/701, 128/782
• US Class Current: 600/483
• 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: Y10S 128/903 Radio telemetry

Abstract

A system for monitoring and computer analyzing select physiological variables of a patient in real time in order to alert medical personnel to the need for medical treatment or automatically administering such treatment under computer control. Such physiological variables monitored by the system may include lung sounds, respiratory rate and rhythm, heart rate and rhythm, heart sounds, and body temperature. Coded signals relating to the physiological variables are produced and compared with reference versions of same by a decision computer in order to evaluate the patient'"'"'s condition. If the evaluation indicates medical treatment is needed, the decision computer activates a local and/or a remote alarm to alert medical personnel and/or activates one or more actuators for adminstering a medical treatment such as the injection or infusion of a drug.

Claims

1. A system for monitoring physiological variables of a patient and evaluating the patient'"'"'s condition from the information contained therein comprising:

a sensor for transducing select physiological variables used to detect the onset of a select physical malady in said patient and producing analog signals in accordance therewith;

circuitry for processing said analog signals and converting same to digital signals;

a signal analysis computer in proximity with said patient, said signal analysis computer is used for analyzing said digital signals by comparing same with reference signals corresponding to the same physiological variable and said signal analysis computer is used to detect the onset of said select physical malady in said patient and producing first code signals in accordance with the comparison;

a decision computer for processing the first code signals produced by the signal analysis computer, evaluating same to determine if the onset of a physical malady will affect the patient'"'"'s condition requiring medical treatment, and generating coded control signals indicative of the condition if such determination is made; and

a short wave transmitter for receiving said coded control signals and short wave transmitting said coded signals to a monitor station wherein medical personnel will be alerted as to the onset of said select physical malady by an alarm.

2. A system in accordance with claim 1 wherein said sensor is operable to sense select physiological variables including respiratory sounds produced by the patient'"'"'s breathing.

3. A system in accordance with claim 1 wherein said select physiological variables monitored by the system include an EKG waveform and further comprising an electronic display responsive to said code signals for displaying said waveform.

4. A system in accordance with claim 3 wherein said signal analysis computer produces code signals indicative of the patient'"'"'s heart rate and rhythm and further comprising a display controlled by said code signals for displaying information defining said rate and rhythm.

5. A system in accordance with claim 1 wherein said select physiological variables monitored by the system include heart sounds and further comprising a display controlled by said code signals for displaying information defining said sounds.

6. A system in accordance with claim 5 wherein said signal analysis computer produces code signals indicative of the magnitude and time relation of sounds produced by the closing of heart valves and further comprising a display controlled by said code signals for displaying information defining said magnitude and time relation of sounds.

7. A system in accordance with claim 5 wherein said signal analysis computer produces code signals indicative of the presence of a heart murmur resulting from valvular abnormalities.

8. A system in accordance with claim 1 further comprising an actuator operated by said decision computer for administering a medical material to the patient.

9. A system in accordance with claim 8 wherein the medical material administered by said actuator is effected by the injection of a medication.

10. A system in accordance with claim 1 further comprising a local alarm activated by said decision computer when said decision computer indicates a need for immediate medical treatment.

11. A system in accordance with claim 1 further comprising a speech signal generator controlled in its operation by said decision computer for verbally communicating information relating to the patient'"'"'s condition.

12. A system in accordance with claim 1 further comprising a monitor station remote from the patient and a radio receiver at said monitor station for receiving coded information relating to the patient'"'"'s condition from said short wave transmitter and an electronic display responsive to the received information for indicating the patient'"'"'s identity and location.

13. A system for monitoring the condition of a patient comprising:

a body sound sensor for transducing respiratory and heart sounds and producing audio signals in accordance therewith;

electronic circuitry for processing said audio signals and generating digital signals therefrom;

a signal analysis computer for analyzing said digital signals by electronically comparing said signals with reference signals corresponding to respiratory and heart sounds and producing code signals in accordance with the comparison;

a monitor station remote from said patient;

a decision computer for processing the code signals produced by the signal analysis computer, determining if the patient'"'"'s condition requires medical treatment, and generating coded control signals indicative of the determination; and

a short wave transmitter for transmitting said coded control signals to said monitor station wherein an alarm indicates that the patient'"'"'s condition requires medical treatment.

14. A system in accordance with claim 13 wherein said sound signal analysis computer produces coded signals indicative of the presence of select lung sounds including rales, wheezes, and rubs.

15. A system in accordance with claim 13 further comprising:

a heart signal sensor for generating EKG waveform signals and producing digital EKG signals in accordance therewith; and

a signal analyzing computer for analyzing said digital EKG signals by comparing said signals with reference versions of such signals and generating code signals in accordance with the comparison.

16. A system in accordance with claim 13 further comprising an actuator operated by code signals generated by said decision computer for administering a medical treatment to the patient and effecting a closed-loop control operation.

17. A system for monitoring physiological variables of a patient and evaluating the patient'"'"'s condition from the information contained therein comprising:

a sensor for transducing select physiological variables used to detect the onset of a select physical malady in the patient and producing analog signals in accordance therewith;

circuitry for processing said analog signals and converting same to digital signals;

a memory for receiving and storing said digital signals;

a signal analysis computer in proximity with said patient, said signal analysis computer is used for analyzing said digital signals by comparing same with reference signals corresponding to the same physiological variable and said signal analysis computer is used to detect the onset of said select physical malady and producing first code signals in accordance with the comparison;

a decision computer for processing the first code signals produced by the signal analysis computer, evaluating same to determine if the said physical malady will affect the patient'"'"'s condition requiring medical treatment, generating coded control signals indicative of the condition if such determination is made, and generating additional coded control signals used to identify the location of said patient;

a code generator responsive to said control signals output by said decision computer if such determination is made for generating code signals identifying the patient;

a short wave transmitter for receiving and short wave transmitting said identifying code signals; and

a short wave receiver for receiving said identifying code signals and means for intelligibly indicating the onset of the physical malady and the identity and location of the patient upon receipt of said identifying code signals.

18. A system in accordance with claim 17 wherein said identifying code signals indicate the location of the patient.

19. A system in accordance with claim 17 wherein said short wave receiver is at a remote monitor station.

20. A system in accordance with claim 18 further comprising means for intelligibly indicating the location of the patient upon receipt by said short wave receiver of code signals indicating the location of the patient.