Assistance terminal for remotely monitoring a person connected to a medical assistance and monitoring device

• US 9,761,112 B2
• Filed: 02/14/2012
• Issued: 09/12/2017
• Est. Priority Date: 02/14/2011
• Status: Active Grant

• Current Assignee: La Federation Antadir
• Original Assignee: University Pierre et Marie Curie
• Inventors: Similowski, Thomas, Gonzalez-Bermejo, Jesus, Straus, Christian, Hurbault, Julien, Foret, Didier, Franckhauser, Nathalie, Rouault, Sylvie
• Primary Examiner(s): Tweel, Jr., John A.
• Assistant Examiner(s): Aziz, Adnan
• Application Number:
  US13/983,640
• Publication Number:
  US 20130328685A1
• Time in Patent Office: 2,037 Days
• Field of Search: 3405731, 34053911, 34053912, 34053917, 340679, 348143
• CPC Class Codes: A61B 2505/00 Evaluating, monitoring or diagnosing in the context of a particular type of medical care
• CPC Class Codes: A61B 5/0004 characterised by the type of physiological signal transmitted
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/486 Bio-feedback A61B5/375 takes precedence
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61G 12/002 Supply appliances, e.g. columns for gas, fluid, electricity supply vertical ducts or channels for receiving utility lines E04F17/08; installations of electric cables or lines, wall trunking H02G3/0431; structural combinations of lighting devices with other articles F21V33/0068; stands or trestles as supports for apparatus or articles F16M11/00; buildings for public purposes E04H3/08
• CPC Class Codes: A61G 2210/30 for intensive care
• CPC Class Codes: A61G 7/0515 covering the full bed length, e.g. from head board to foot board
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3375 Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3584 using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: G08B 21/187 Machine fault alarms
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

The invention relates to an assistance terminal (5, 6a, 6b) including a housing (5) and at least one terminal (6a, 6b) for remotely monitoring a person (1) connected to a medical assistance and/or monitoring device (3). According to the invention, the housing (5) comprises:

• • reception means (8) for receiving a signal from the medical device (3);
  • conditioning means (9) for conditioning the signal received by the reception means (8) of the housing (5);
  • storage means (10) for, in a learning phase prior to a phase of use of the terminal (5, 6a, 6b), storing a range of signals which are sent by the medical device (3), and which are received by the reception means (8) of the housing (5) and which are conditioned by the conditioning means (9);
  • comparison means (11) for, during the phase of use of the terminal (5, 6a, 6b), comparing a signal sent by the medical device (3), received by the reception means (8) and conditioned by the conditioning means (9), with the signals previously stored;
  • transmission means (12) for, during the phase of use, transmitting the signal, if the latter corresponds to a signal previously stored, to the remote terminal (6a, 6b); the terminal (6a, 6b) comprising means for playing back the signal to at least one person to notify him or her of the sending of said signal by the device.

Claims

1. An assistance terminal for remotely monitoring a person connected to a medical device that is a medical assistance and/or monitoring device, the assistance terminal comprising a housing and at least one remote terminal, the housing comprising:

reception means for receiving a signal from the medical device;

conditioning means for conditioning the signal received by the reception means of the housing;

storage means for, in a learning phase prior to a phase of use of the assistance terminal, storing a range of signals which are sent by the medical device, and which are received by the reception means of the housing and which are conditioned by the conditioning means;

comparison means for, during the phase of use of the assistance terminal, comparing a signal sent by the medical device, received by the reception means and conditioned by the conditioning means, with the signals previously stored;

transmission means for, during the phase of use, transmitting the signal to the at least one remote terminal, if the signal sent by the medical device corresponds to one of the signals previously stored;

the at least one remote terminal comprising signal playback means for playing back the signal to the person connected to the medical device or to another person to notify him or her of the sending of said signal by the medical device;

wherein the signal playback means comprise a nociceptive device for sending at least one nociceptive stimulus to the person connected to the medical device; and

wherein the signal playback means are arranged to control the nociceptive device so that said nociceptive device progressively increases an intensity of the nociceptive stimulus so as to progressively increase the degree of the nociceptive stimulus in order to be able to wake up the person connected to the medical assistance and/or monitoring device even if the person is in a deep sleep phase.

2. The assistance terminal as claimed in claim 1, in which the at least one remote terminal comprises a bracelet intended to be worn by the person connected to the medical assistance and/or monitoring device, and wherein the nociceptive device is mounted on the bracelet.

3. The assistance terminal as claimed in claim 2, in which the nociceptive device comprises means for generating electrical pulses to the person connected to the medical assistance and/or monitoring device.

4. The assistance terminal as claimed in claim 2, in which the signal playback means also comprise a vibratory device which is mounted on the bracelet.

5. The assistance terminal as claimed in claim 4, in which the signal playback means are arranged to control the nociceptive and vibratory devices so that vibrations are sent using the vibratory device and then electrical pulses are sent using the nociceptive device, instead of or in addition to the vibrations.

6. The assistance terminal as claimed in claim 1, in which the reception means comprise a camera, the transmission means being capable of transmitting a video signal generated by the camera.

7. The assistance terminal as claimed in claim 6, comprising a second terminal which comprises a video monitor receiving the video signal.

8. The assistance terminal as claimed in claim 7, in which the transmission means are arranged to transmit the signal to the at least one remote terminal then to the second terminal instead of or in addition to the transmission of the signal to the at least one remote terminal.

9. The assistance terminal as claimed in claim 1, in which the signal playback means of the remote terminal are arranged to deactivate the signal played back in response only:

to a detection by the medical device of an improvement in the clinical state of the person connected to the medical assistance and/or monitoring device and the sending by the medical device of a corresponding signal, or

to the repair of a malfunction of the medical device and the sending by the medical device of a corresponding signal.

19. The assistance terminal as claimed in claim 1, wherein the at least one nociceptive stimulus is in the form of electrical pulses.

10. An assistance terminal for remotely monitoring a person connected to a medical assistance and/or monitoring device, the assistance terminal comprising a housing and a remote terminal, the housing comprising:

a receiver that receives a signal from the medical device;

a conditioning circuit that conditions the signal received by the receiver;

memory storing a range of signals that are sent by the medical device in a learning phase prior to a phase of use of the terminal;

a processor that, during the phase of use of the terminal, compares a signal sent by the medical device, received by the receiver and conditioned by the conditioning circuit, with the range of signals previously stored in the memory;

a transmitter that, if the signal corresponds to an abnormal value requiring attention, transmits the signal to the remote terminal; and

the remote terminal is configured to send a nociceptive stimulus to the person connected to the medical assistance and/or monitoring device and to progressively increase an intensity of the nociceptive stimulus so as to progressively increase the degree of the nociceptive stimulus in order to be able to wake up the person connected to the medical assistance and/or monitoring device even if the person is in a deep sleep phase.

11. The assistance terminal according to as claimed in claim 10, wherein the receiver is a microphone.

12. The assistance terminal according to as claimed in claim 10, wherein the conditioning circuit comprises a preamplifier, an anti-aliasing filter, and an analogue-digital converter.

13. A method for monitoring a sleeping person connected to a medical assistance and/or monitoring device using the assistance terminal according to claim 10, comprising:

receiving a signal at the receiver from the medical device;

conditioning the signal received by the receiver with the condition circuit;

storing in memory a range of signals that are sent by the medical device in a learning phase prior to a phase of use of the terminal;

during the phase of use of the terminal, comparing signals sent by the medical device with the range of signals previously stored in the memory;

transmitting with the transmitter the signal to the remote terminal, if the signal corresponds to an abnormal value requiring intervention;

sending via the remote terminal a nociceptive stimulus to the sleeping person and progressively increasing an intensity of the nociceptive stimulus, nor more than a maximum value, until the sleeping person wakes up and intervenes.

14. The method according to claim 13, wherein the sleeping person is afflicted with Ondine'"'"'s curse.

15. The method according to claim 13, wherein the signals sent by the medical device are representative of the sleeping person'"'"'s breathing function.

16. The method according to claim 13, wherein the sleeping person is connected to a respirator and the signals sent by the medical device are representative of the sleeping person'"'"'s current respiratory condition.

17. An assistance terminal for remotely monitoring a person connected to a medical device that is a medical assistance and/or monitoring device, the assistance terminal comprising a housing and at least one remote terminal, the housing comprising:

reception means for receiving a signal from the medical device;

conditioning means for conditioning the signal received by the reception means of the housing;

storage means for, in a learning phase prior to a phase of use of the assistance terminal, storing a range of signals which are sent by the medical device, and which are received by the reception means of the housing and which are conditioned by the conditioning means;

comparison means for, during the phase of use of the assistance terminal, comparing a signal sent by the medical device, received by the reception means and conditioned by the conditioning means, with the signals previously stored;

transmission means for, during the phase of use, transmitting the signal to the at least one remote terminal, if the signal sent by the medical device corresponds to one of the signals previously stored;

the at least one remote terminal comprising signal playback means for playing back the signal to the person connected to the medical device or to another person to notify him or her of the sending of the signal by the medical device;

the signal playback means comprises a nociceptive device for sending at least one nociceptive stimulus to the person connected to the medical device, the nociceptive stimulus being different from vibration or thermal stimulus, wherein the signal playback means are arranged to control the nociceptive device so that said nociceptive device, progressively increases an intensity of the nociceptive stimulus.

18. An assistance terminal for remotely monitoring a person connected to a medical device that is a medical assistance and/or monitoring device, the assistance terminal comprising a housing and at least one remote terminal, the housing comprising:

reception means for receiving a signal from the medical device;

conditioning means for conditioning the signal received by the reception means of the housing;

storage means for, in a learning phase prior to a phase of use of the assistance terminal, storing a range of signals which are sent by the medical device, and which are received by the reception means of the housing and which are conditioned by the conditioning means;

comparison means for, during the phase of use of the assistance terminal, comparing a signal sent by the medical device, received by the reception means and conditioned by the conditioning means, with the signals previously stored;

transmission means for, during the phase of use, transmitting the signal to the at least one remote terminal, if the signal sent by the medical device corresponds to one of the signals previously stored;

the at least one remote terminal comprising signal payback means for playing back the signal to the person connected to the medical device or to another person to notify him or her of the sending of said signal by the medical device;

the signal playback means comprise a nociceptive device for sending at least one nociceptive stimulus to the person connected to the medical device,

wherein the signal playback means are arranged to control the nociceptive device so that said nociceptive device progressively increases an intensity of the nociceptive stimulus in order to be able to wake up the person connected to the medical assistance and/or monitoring device even if the person is in a deep sleep phase.

20. An assistance terminal for remotely monitoring a person connected to a medical device that is a medical assistance and/or monitoring device, the assistance terminal comprising a housing and at least one remote terminal, the housing comprising:

reception means for receiving a signal from the medical device;

conditioning means for conditioning the signal received by the reception means of the housing;

storage means for, in a learning phase prior to a phase of use of the assistance terminal, storing a range of signals which are sent by the medical device, and which are received by the reception means of the housing and which are conditioned by the conditioning means;

comparison means for, during the phase of use of the assistance terminal, comparing a signal sent by the medical device, received by the reception means and conditioned by the conditioning means, with the signals previously stored;

transmission means for, during the phase of use, transmitting the signal to the at least one remote terminal, if the signal sent by the medical device corresponds to one of the signals previously stored;

the at least one remote terminal comprising signal playback means for playing back the signal to the person connected to the medical device or to another person to notify him or her of the sending of said signal by the medical device;

wherein the signal playback means comprise a nociceptive device for sending at least one nociceptive stimulus to the person connected to the medical device; and

wherein the signal playback means are arranged to control the nociceptive device so that said nociceptive device progressively increases an intensity of the nociceptive stimulus,

wherein the signal playback means of the remote terminal are arranged to deactivate the signal played back in response only;

to a detection by the medical device of an improvement in the clinical state of the person connected to the medical assistance and/or monitoring device and the sending by the medical device of a corresponding signal, or

to the repair of a malfunction of the medical device and the sending by the medical device of a corresponding signal.