Body-worn monitor for measuring respiration rate

• US 8,740,807 B2
• Filed: 09/14/2009
• Issued: 06/03/2014
• Est. Priority Date: 09/14/2009
• Status: Active Grant

• Current Assignee: Sotera Wireless Incorporated
• Original Assignee: Sotera Wireless Incorporated
• Inventors: Banet, Matt, McCombie, Devin, Dhillon, Marshal
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): WEARE, MEREDITH H
• Application Number:
  US12/559,435
• Publication Number:
  US 20110066039A1
• Time in Patent Office: 1,723 Days
• Field of Search: 600/484, 600529-543
• US Class Current: 600/536
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• 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 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/681 Wristwatch-type devices
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• 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

Abstract

The invention provides a multi-sensor system that uses an algorithm based on adaptive filtering to monitor a patient'"'"'s respiratory rate. The system features an impedance pneumography sensor and a motion sensor (e.g., an accelerometer) configured to attach to the patient'"'"'s torso and measure therefrom a motion signal. The system further comprises a processing system, configured to operably connect to the impedance pneumography sensor and motion sensor, and to determine a respiration rate value by applying filter parameters obtained from the impedance pneumography sensor signals to the motion sensor signals.

Claims

1. A system for monitoring a patient'"'"'s respiratory rate, comprising:

a sensor unit configured to be mounted on the patient'"'"'s torso and configured to measure thoracic electrical impedance indicative of respiration, comprising;

a first connector operably connected to an impedance pneumography circuit and configured to connect directly to a first electrode attached to the patient;

a first cable operably connected to the impedance pneumography circuit and configured to connect a second electrode attached to the patient;

an impedance pneumography circuit configured to receive electrical signals from the first and second electrodes and process them to generate an impedance pneumography signal therefrom;

a motion sensor configured to measure breathing-induced movements of the torso, and to generate a motion signal therefrom;

a processing system configured to receive the impedance pneumography and motion signals and collectively process them to determine the patient'"'"'s respiratory rate, the collective processing comprising (i) filtering the motion signal using filter parameters selected to remove noise components while retaining signal components indicative of respiration, (ii) filtering the impedance pneumography signal using filter parameters selected to remove noise components while retaining signal components indicative of respiration, (iii) derivatizing the filtered impedance pneumography signal, (iv) determining an initial respiratory rate from the derivatized impedance pneumography signal, (v) adaptively filtering the filtered motion signal using filter parameters determined from the initial respiratory rate, and (vi) determining a final respiratory rate from the adaptively filtered motion signal; and

a transceiver system configured to receive a value for respiratory rate from the processing system and transmit it to a remote system.

2. The system of claim 1, further comprising a housing configured to cover the impedance pneumography circuit and the motion sensor.

3. The system of claim 2, wherein the housing comprises the first connector.

4. The system of claim 3, wherein the first connector comprises an opening configured to receive a metal snap comprised by the first electrode.

5. The system of claim 2, further comprising an ECG circuit connected to the first and second electrodes.

6. The system of claim 5, wherein the housing is further configured to cover the impedance pneumography circuit, motion sensor, and ECG circuit.

7. The system of claim 2, wherein the impedance pneumography circuit further comprises an analog-to-digital converter configured to generate a digital impedance pneumography signal.

8. The system of claim 7, wherein the motion sensor further comprises an analog-to-digital converter configured to generate a digital motion signal.

9. The system of claim 8, wherein the housing is further configured to cover the processing system.

10. The system of claim 9, wherein the transceiver system is further configured to transmit the respiratory rate as a digital data stream to the remote system.

11. The system of claim 10, wherein the system for monitoring a patient'"'"'s respiratory rate further comprises the remote system comprising a flexible band configured to attach to a portion of the patient.

12. The system of claim 11, wherein the remote system is further comprised to be worn on the patient'"'"'s wrist.

13. The system of claim 12, wherein the remote system comprises a display configured to display the patient'"'"'s respiratory rate.

14. The system of claim 13, wherein the display comprises a touchpanel interface.

15. The system of claim 10, wherein the remote system comprises a wireless transceiver configured to transmit the patient'"'"'s respiratory rate to a remote computer.

16. The system of claim 15, wherein the wireless transceiver is configured to operate on a protocol based on at least one of 802.11, 802.15.4, and a cellular protocol.

17. The system of claim 16, wherein the remote computer is comprised by a hospital network.

18. The system of claim 16, wherein the remote computer is a portable computer.

19. The system of claim 1, wherein the transceiver system comprises a serial data transceiver.

20. The system of claim 19, wherein the serial data transceiver is a CAN transceiver.