Wireless fetal monitoring system

• US 9,717,412 B2
• Filed: 11/04/2011
• Issued: 08/01/2017
• Est. Priority Date: 11/05/2010
• Status: Expired due to Fees

• Current Assignee: Gary and Mary West Health Institute
• Original Assignee: Gary and Mary West Health Institute
• Inventors: Saldivar, Enrique, Raghavan, Srinivas, Mehregany, Mehran, Shah, Mitul, Roham, Masoud
• Primary Examiner(s): SIRIPURAPU, RAJEEV P
• Application Number:
  US13/290,002
• Publication Number:
  US 20120232398A1
• Time in Patent Office: 2,097 Days
• Field of Search: 600453
• CPC Class Codes: A61B 5/0011 Foetal or obstetric data
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/02411 of foetuses
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/02444 Details of sensor A61B5/02427 takes precedence
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/033 Uterine pressure
• CPC Class Codes: A61B 5/391 of genito-urinary organs
• CPC Class Codes: A61B 5/4356 Assessing uterine contractions A61B5/033 takes precedence
• CPC Class Codes: A61B 8/0866 involving foetal diagnosis; pre-natal or peri-natal diagnosis of the baby
• CPC Class Codes: A61B 8/4227 characterised by straps, belts, cuffs or braces
• CPC Class Codes: A61B 8/4472 Wireless probes
• CPC Class Codes: A61B 8/488 involving Doppler signals
• CPC Class Codes: A61B 8/565 involving data transmission via a network

Abstract

A wireless fetal and maternal monitoring system includes a fetal sensor unit adapted to receive signals indicative of a fetal heartbeat, the sensor optionally utilizing a Doppler ultrasound sensor. A short-range transmission unit sends the signals indicative of fetal heartbeat to a gateway unit, either directly or via an auxiliary communications unit, in which case the electrical coupling between the short-range transmission unit and the auxiliary communications unit is via a wired connection. The system includes a contraction actuator actuatable upon a maternal uterine contraction, which optionally is a EMG sensor. A gateway device provides for data visualization and data securitization. The gateway device provides for remote transmission of information through a data communication network. A server adapted to receive the information from the gateway device serves to store and process the data, and an interface system to permits remote patient monitoring.

Claims

1. A wireless fetal and maternal monitoring system comprising:

a fetal sensor unit adapted to provide signals indicative of a fetal heartbeat,

a contraction sensor adapted to provide signals indicative of a maternal uterine contraction upon a maternal uterine contraction,

a digitization and control unit, the digitization and control unit adapted to receive the signals indicative of a fetal heart rate and the signals indicative of a maternal uterine contraction, the digitization and control unit including a heart rate calculation system to calculate the fetal heart rate, a fetal heart rate register for storing the calculated fetal heart rate, a microcontroller configured to refresh per fetal heartbeat the fetal heart rate register, a maternal uterine contraction register to store the signals indicative of maternal uterine contraction, the digitization and control unit providing data fusion by transmitting at least the calculated fetal heart rate from the fetal heart rate register and data based on the signals indicative of the maternal uterine contraction from the maternal uterine contraction register;

a short-range transmission unit adapted to receive from the digitization and control unit the fused data signals and to retransmit the signals,

a microphone comprising a maternal heartbeat sensor, and

a processor including a comparator and a flag memory to eliminate as an erroneous measure a first sensed beat period by comparison to a second sensed beat period and to set a flag in the flag memory.

2. The wireless fetal and maternal monitoring system of claim 1 wherein the fetal sensor unit includes an ultrasound sensor.

3. The wireless fetal and maternal monitoring system of claim 2 wherein the ultrasound sensor is a Doppler ultrasound sensor.

4. The wireless fetal and maternal monitoring system of claim 1 wherein the fetal sensor unit is a sound sensor.

5. The wireless fetal and maternal monitoring system of claim 4 wherein the sound sensor includes a sensor array.

6. The wireless fetal and maternal monitoring system of claim 5 wherein the sensor array is a MEMS microphone array.

7. The wireless and maternal monitoring system of claim 5 wherein the sensor array is a directional sensor array.

8. The wireless fetal and maternal monitoring system of claim 1 wherein the fetal sensor unit includes an ECG sensor.

9. The wireless fetal and maternal monitoring system of claim 1 wherein the short range transmission unit utilizes the BLUETOOTH®

standard.

10. The wireless fetal and maternal monitoring system of claim 1 wherein the short range transmission unit operates at a specific absorption rate (SAR) of less than or equal to 0.1 watts/kg.

11. The wireless fetal and maternal monitoring system of claim 1 wherein the short range transmission unit operates at a specific absorption rate (SAR) of less than or equal to 0.05 watts/kg.

12. The wireless fetal and maternal monitoring system of claim 1 wherein the short range transmission unit operates at a specific absorption rate (SAR) of less than or equal to 0.01 watts/kg.

13. The wireless fetal and maternal monitoring system of claim 1 further including an auxiliary communication receiver and transmitter adapted for wearing by the maternal user for receiving transmissions from the short-range transmission.

14. The wireless fetal and Maternal monitoring system of claim 13 wherein the transmissions between the short range transmission unit and the auxiliary communication unit are via a wired connection.

15. The wireless fetal and maternal monitoring system of claim 13 wherein the transmissions between the short range transmission unit and the auxiliary communication unit is wireless.

16. The wireless fetal and maternal monitoring system of claim 13 wherein the auxiliary communication unit is adapted to be worn on a neck.

17. The wireless fetal and maternal monitoring system of claim 1 wherein the contraction sensor is a tocodynamometer sensor.

18. The wireless fetal and maternal monitoring system of claim 1 wherein the contraction sensor includes a button.

19. The wireless fetal and maternal monitoring system of claim 1 wherein short-range transmission unit utilizes the Class 3 BLUETOOTH®

standard.

20. The wireless fetal and maternal monitoring system of claim 1 further including a pack adapted to contain one or more of the wireless fetal and maternal monitoring system, a blood pressure device, a glucometer, a reagent dip stick, a cell phone gateway and a wireless hub.

21. The wireless fetal and maternal monitoring system of claim 1 further including a motion sensor.

22. The wireless fetal and maternal monitoring system of claim 1 further including a sensor unit adapted to provide maternal heart rate data.

23. The wireless fetal and maternal monitoring system of claim 1 wherein the data fusion includes data based on signals indicative of a second fetal heart rate.

24. The wireless fetal and maternal monitoring system of claims 1 further including a gateway device, the gateway device including a display to provide for data visualization.

25. The method for measuring fetal and maternal physiological parameters of claim 1 wherein the comparison is of a heartbeat period with a previously stored heartbeat period.

26. The method for measuring fetal and maternal physiological parameters of claim 1 wherein the signal is eliminated if the measured heartbeat period differs from the stored heartbeat period by more than +/−

25%.

27. The method for measuring, fetal and maternal physiological parameters of claim 1 wherein the previously stored heart rate is a fetal heartrate.

28. The wireless fetal and maternal monitoring system of claim 1 including a pulse oximeter.