Medical data collection system and method of use thereof
11076789 · 2021-08-03
Assignee
Inventors
Cpc classification
A61B5/7285
HUMAN NECESSITIES
A61B5/7282
HUMAN NECESSITIES
A61B5/08
HUMAN NECESSITIES
A61B5/72
HUMAN NECESSITIES
A61B5/0816
HUMAN NECESSITIES
A61B2562/164
HUMAN NECESSITIES
A61B2562/182
HUMAN NECESSITIES
A61B5/1115
HUMAN NECESSITIES
A61B5/24
HUMAN NECESSITIES
A61B5/0245
HUMAN NECESSITIES
International classification
A61B5/24
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
A61B5/08
HUMAN NECESSITIES
Abstract
The subject of the invention is a system for collecting medical data such as heart rate, breathing frequency, intracranial pressure, apnea and others, and method of use thereof. The present invention provides a unique way of collecting medical data, in particular in their acquisition from a plurality of measuring elements.
Claims
1. A medical data collection system comprising: a control unit, and a plurality of measuring elements separate from the control unit, wherein the measuring elements are connected in series through a first data signal path, wherein the control unit comprises a trigger and the trigger is connected to each measuring element via a trigger signal path, which is independent of the first data signal path, wherein the trigger provides a trigger impulse to effect simultaneous transmission of data packages from the measuring elements to adjacent ones of the measuring elements throughout the first data signal path.
2. The medical data collection system according to claim 1, wherein each of the plurality of measuring elements comprises a piezoelectric and capacity sensor of vital functions.
3. The medical data collection system according to claim 2, wherein the patient vital functions are selected from a group of vital functions comprising heartbeat, respiration, apnea, peristalsis and twitches of a patient's head related to intracranial pressure.
4. The medical data collection system according to claim 1, wherein each of the plurality of measuring elements comprises a computing unit for processing signals for the measuring elements.
5. The medical data collection system according to claim 1, wherein the plurality of measuring elements is a first chain of measuring elements, the system further comprising a second chain of measuring elements independent of the first chain.
6. The medical data collection system according to claim 5, wherein the measuring elements of the second chain are connected in series through a second data signal path independent of the first data signal path.
7. The medical data collection system according to claim 1, wherein the measuring elements are non-implantable.
8. The medical data collection system according to claim 1, wherein the trigger is provided as a single circuit or a software part of the control unit.
9. The medical data collection system according to claim 1, wherein the data packages are transmitted through the measuring elements in a cascading manner.
10. The medical data collection system according to claim 1, wherein the data packages are received and transmitted through one or more of the measuring elements.
11. The medical data collection system according to claim 10, wherein receiving and transmitting of one or more parts of one of the data packages is performed simultaneously.
12. The medical data collection system according to claim 11, wherein at least one of the measuring elements receives part of the data package from another one of the measuring elements and at the same time, transmits a previously received part of the data package to another one of the measuring elements.
13. The medical data collection system according to claim 1, wherein all the data packages are the same size to ensure optimal transmission of the data packages.
14. The medical data collection system according to claim 1, wherein one or both of the data signal path and the trigger path are wireless.
15. The medical data collection system according to claim 1, wherein the measuring elements are adapted to be placed directly on a bed frame or inserted into a pad for placement between a mattress and the bed frame, or in the mattress, or between the mattress and the patient.
16. The medical data collection system according to claim 1, wherein one or more of the measuring elements has data storage memory for collecting the data package from at least one of the other measuring elements.
17. A method of medical data collection in a data collection system comprising a plurality of measuring elements A.sub.k, wherein the plurality of measuring elements A.sub.k are connected in series through a data signal path, wherein a control unit comprises a trigger, wherein the trigger is connected to each of the plurality of measuring elements A.sub.k through a trigger signal path, and wherein the method comprises the following steps: a) the trigger initiating the data collection by transmitting a time-synchronizing impulse to each of the plurality of measuring elements A.sub.k, wherein k is an interval [1,N], b) a measuring element A.sub.N transmitting a data package to a measuring element A.sub.N-1, c) measuring elements A.sub.2 to A.sub.N-1 simultaneously receiving data packages from measuring elements A.sub.k+1 and transmitting data packages to measuring elements A.sub.k−1, and d) a measuring element A.sub.1 receiving a data package from the measuring element A.sub.2 and transmitting a data package to the control unit.
18. The method of medical data collection in a data collection system according to claim 17, further comprising the steps of: measuring elements A.sub.2 to A.sub.N-2 simultaneously receiving data packages from a measuring element A.sub.k+2 and transmit previously received data packages to the measuring element A.sub.k−1, the measuring element A.sub.1 receiving a data package from the measuring element A.sub.2 and transmitting a previously received data package to the control unit, a cascade of receiving and transmitting data packages continuing until the data package from the measuring element A.sub.N is transmitted to the control unit by the measuring element A.sub.1.
19. The method of medical data collection in a data collection system according to claim 17, wherein the transmitted data includes information about a patient's vital functions.
20. A medical data collection system comprising: a control unit, and a plurality of multi-sensor non-implantable measuring elements separate from the control until, each measuring element comprising a piezoelectric transducer for measuring slow changes in vital functions of a patient and a comparator capacitor for measuring fast changes in the vital functions without need for a physical connection to the patient, wherein the measuring elements are connected in series through a data signal path, wherein the control unit comprises a trigger and the trigger is connected to each measuring element via a trigger signal path, which is independent of the data signal path, to simultaneously transmit a data package from each one of the measuring elements to an adjacent one of the measuring elements all at one time through the data signal path based on a synchronized trigger impulse from the trigger, and wherein the trigger path carries only the trigger impulse.
21. A method of medical data collection in a data collection system comprising a control unit and a plurality of measuring elements, wherein the plurality of measuring elements are connected in series through a data signal path, wherein the control unit comprises a trigger and the trigger is connected to each of the plurality of measuring elements via a trigger signal path, which is independent of the data signal path, to simultaneously transmit a data package from the plurality of measuring elements through the data signal path based on a synchronized trigger impulse from the trigger, and wherein the method comprises the following steps: a) initiating the data collection from the plurality of measuring elements by transmitting a first synchronized trigger impulse from the trigger to the plurality of measuring elements, b) transmitting a first data package from at least one of the plurality of measuring elements to a successive one of the plurality of measuring elements by transmitting a second synchronized trigger impulse from the trigger to the plurality of measuring elements, c) repeating the transmitting step until the first data package is received by a closest one of the measuring elements to the control unit, and d) transmitting the data package from the closest one of the measuring elements to the control unit to the control unit.
22. The method of medical data collection in a data collection system according to claim 21, wherein the plurality of measuring elements simultaneously receive data packages from a preceding one of the measuring elements and transmit previously received data packages to a successive one of the measuring elements, and wherein a cascade of receiving and transmitting data packages continues until the data package from the first data package is transmitted to the control unit by the closest one of the measuring elements to the control unit.
Description
DESCRIPTION OF DRAWINGS
(1)
(2)
(3)
(4)
DETAILED DESCRIPTION OF EXEMPLARY EMBODIMENTS
(5)
(6) Measuring elements A.sub.N, B.sub.N are independent from each other. However, all measuring elements A.sub.N in the first chain 4 are connected to series circuit (or more preciously to the daisy chain network/scheme). The measuring element A.sub.N 7 is connected to the measuring element A.sub.N-1 via the data signal path 8 and the measuring element A.sub.N-1 is connected to the A.sub.N-2 via the data signal path a. Such connection continues through each measuring element A.sub.k. At the end, the measuring element A.sub.2 6 is connected to the measuring element A.sub.1 5 via the data signal path 8 and the measuring element 5 A.sub.1 is connected to the control unit 1 via the data signal path 8. Thus, the control unit 1 and the plurality of measuring elements A.sub.k form a serial connection. Such arrangement requires securing appropriate ending. An end element 13 is thus the representation of blanking of the measuring element A.sub.N 7. The measuring element A.sub.N Z only measures and transmits the data, but receives none.
(7) Every measuring element A.sub.k, B.sub.k provides data package. The idea of medical data collection system is to collect each data package from each measuring element A.sub.k, B.sub.k in control unit 1. When the trigger 2 transmits the time-synchronizing pulse through the trigger signal path 3 to each measuring element A.sub.k, the data collection procedure is initiated and the control unit 1 is ready to collect the data packages from the measuring element A.sub.1 5. Each measuring element A.sub.k starts to both receive and transmit the data packages. Since the measuring element A.sub.N 7 is at the beginning of the measuring element series, it does not receive any data package but immediately starts to transmit its own data package to the measuring element A.sub.N-1. While the measuring element A.sub.N-1 is receiving the data package from the measuring element A.sub.N 7 in the place X+1 of its data storage memory, it is simultaneously transmitting its own data package from the place X of its data storage memory to the measuring element A.sub.N-2. Once the measuring element A.sub.N-1 finishes the transmission of its own data package to the measuring element A.sub.N-2 and receives the entire data package from the measuring element A.sub.N 7, it starts transmitting the data package originally from the measuring element A.sub.N 7 to the measuring element A.sub.N-2. Each measuring element A.sub.k performs the same procedure. Thus, this cascade procedure leads to collecting of all data packages in the control unit 1.
(8) The measuring elements B.sub.k in the second chain 9 form the same serial connection as described above. The data collection procedure is also initiated by the time-synchronizing impulse from the trigger 2 and the cascade procedure of data package collection is performed from the measuring element B.sub.N 12 via all measuring elements B.sub.k to the measuring element B.sub.2 11 and the measuring element B.sub.1 10 which finally transmits data packages to the control unit 1.
(9) In another embodiment, each measuring element has X.sub.N places in its data storage memory. The collection of data packages proceeds in the following process. The trigger 2 transmits a time-synchronizing pulse which initiates the collection of data packages. The measuring element A.sub.N 7 transmits its data packages to the place X−1 of the data storage memory of the measuring element A.sub.N-1. Once the measuring element A.sub.N-1 receives the entire data package from the measuring element A.sub.N 7, it starts transmitting its own data package from the place X of its data storage memory and also the data package from the place X−1 of the data storage memory (i.e. the data package previously received from the measuring element A.sub.N 7). The transmission could be either simultaneous or step-by-step. Said transmission continues towards the measuring element A.sub.1 5 which has generally N places in the data storage memory. These N places are gradually filled by the incoming/receiving data package. In the final step, the data packages are transmitted from the measuring element A.sub.1 5 to the control unit 1.
(10) In the preferred embodiment, the data packages should have the same size. The same size of data packages ensures optimal time of data package transmission and receiving. However, this does not limit the present invention, since it is obvious to the person skilled in the art that the transmitting and receiving time could be optimized by utilizing additional software in each measuring element. In addition, the present embodiment is only illustrative and should not be considered the only solution of the technical problem. Person skilled in the art could implement the present invention in the range of application and thus use other embodiments such as connection of bed sensors, sensors of vital functions, bed exit sensors, brake sensors, bed tilt sensors or any other sensors relating to the medical data or condition collection sensors.
(11) In addition, it is clear to the person skilled in the field of invention that the data collection system is not limited by two chains. It should be noted that the number of chains is not limited. Furthermore, it is obvious that in some applications, the connection via both the trigger signal path 3 and the data signal path 8 could be wireless.
(12) In yet another embodiment, the data package could be divided into smaller entities. In such case, the receiving and transmitting of one or more parts of the data package could be performed simultaneously. The measuring element A.sub.k can receive part of the data package from the measuring element A.sub.k+1 and in the same time transmit the received part of the data package to the measuring element A.sub.k−1 before the whole data package of the measuring element A.sub.k+1 is stored in the A.sub.k.
(13) Using the system described above provides other positive effects, for example the data transmitted from each measuring element do not need additional overhead data. The overhead data can be for example packet header, packet footer, packet checksum, server bits and so on. The data package can in some embodiments comprise a checksum, parity bits or cyclic redundancy checks to detect errors that occur during transmission.
(14) This method is preferably used on measuring elements for measuring patient's vital functions such as are heartbeat, respiration, apnea, peristalsis or twitches of the patient's head related to the intracranial pressure. This data can be considered data associated with patient's vital functions.
(15) Such system can be used with the highest efficiency on multi-sensor measuring elements, e.g., the one described in detail below. The measuring element for monitoring patient's vital functions according to
(16) The piezoelectric transducer 21 utilized here for the purpose of measuring vital functions is a component for generating sound, namely an electro-acoustic transducer used in watches or as a siren. The piezoelectric transducer has suitable mechanical-deformative properties for measuring vital functions, which means that springs and additional members transferring their deformations caused by movements associated with patient's vital functions to the measuring element are not necessary. Thereby low production costs, higher measuring accuracy, and simplicity of the entire measuring element 5 are achieved. A semiconductor component and a circuit utilized for measuring capacity in touchscreen displays (charge transfer technology/method) are utilized in measuring capacity with this component and another measuring (static) electrode 17. A specific exemplary embodiment is described below.
(17) In the exemplary embodiment, the measuring element 25 is on the side of the piezoelectric transducer 8 covered by, for example, a plastic diaphragm which protects the measuring element 25 against water and dust and at the same time also removes the mechanical resonance oscillation of the measuring element 25. The measuring element 22 is on the side opposite of the piezoelectric transducer 21 covered by for example plastic foil which ensures the minimum height of the entire measuring element 25. The plastic film may be replaced by any flexible or movable cover which ensures the transfer of forces to the piezoelectric transducer 21 without its stiffness significantly affecting the resulting force being transmitted to the piezoelectric transducer 1. The measuring element 25 for monitoring patient's vital functions may be adapted for insertion into the pad. The pad can be stored, for example, between the mattress and the bed frame, in the mattress or between the mattress and the patient's body. The measuring element may also be adapted for a direct placement on the bed frame and for detachable locking, for example, with a riveting knob.
(18) The piezoelectric transducer 21 consists of the piezoelectric element 14 made out of piezoceramics, the first electrode 28 and the second electrode 15. Piezoceramics are for example piezoceramic materials based on lead zirconate titanate [Pb[Zr.sub.xTi.sub.1-x]O.sub.3 with 0≤x≤1] or sodium bismuth titanate [NaBi(TiO.sub.3).sub.2] or other piezoceramic material. By using such material, the required electromechanical properties are achieved, namely generation of charge in range of 130-930 pC/N. The piezoelectric element 14 is located between the first electrode 28 made, for example, out of silver, optionally from alloys with similar electrical properties, and the second electrode 15. The piezoelectric transducer 21 may have different shapes, such as a shape of circle, a triangle, square, or other shapes. A preferred shape is the circular shape, which ensures the most uniform decomposition of forces. The shape of the piezoelectric transducer 21 is usually a circular shape delimited in its height dimension by two parallel planes. Preferably, form modification of the piezoelectric transducer 21 can be utilized, when its center is pressed in the direction of axis perpendicular to one of the delimiting planes and a board-like shape emerges, where the center is located in one plane and the borders of the piezoelectric transducer 21 lie in the parallel way. The board-like shape is best illustrated by the shape of the second electrode 15 (or the entire piezoelectric transducer 21) in
(19) The comparator capacitor 22 consists of the first comparator electrode 29, the first comparator electrode 29 can be made, for example, of brass, aluminum, copper. The first comparator electrode 29 is located on the plating 16 for electrical connection with the ground. The comparator capacitor 22 further consists of a second comparator electrode 18. The second comparator electrode 18 is located on the printed circuit board 20 and forms an electrode with higher electrical potential. The dielectric of the comparator capacitor 22 is formed by an air gap. On the opposite side of the printed circuit board 20 opposite of the second comparator electrode 18 is located the shielding electrode 30 of the comparator capacitor 22. The shielding electrode 30 of the comparator capacitor 22 has the same electrical potential as the comparator electrode 18 and together they can form ta shielding capacitor 27 which provides resistance to external influences for example by the approximation of metal material.
(20) The computing unit 23 of the measuring element combines piezoelectric voltage measurement and capacity measurement functions, for example, by means of charge transfer technology. The piezoelectric element 14 is connected to the computing unit 23 of the measuring element through a charge amplifier. Furthermore, the measuring capacitor 26, the comparator capacitor 22, the shielding capacitor 27 and the sampling capacitor 24 are connected to the computing unit 23 of the measuring element. The use of the measuring capacitor 26 and the comparator capacitor 22 causes resistance to changes in the measuring conditions such as temperature or humidity.
(21) Furthermore, a method for monitoring patient's vital functions according to the above-mentioned exemplary embodiment is described. Heartbeat, breath and other vital functions of the patient, for example peristalsis, generate forces transmitted to the measuring element 25 for monitoring patient's vital functions. With respect to the construction of the measuring element 25, it is ensured that the vital functions of the patient are measurable without the need for permanent connection of the measuring element 25 with the patient's body, for example by means of gluing or implanting. The measuring element 25 is capable of measuring patient's vital functions in contact with the skin of the patient, but also in contact with patients clothing, mediated through the mattress on which the patient is placed, or through the pad in which the measuring element 25 for monitoring vital functions may be located. The measuring capacitor 26 and the comparator capacitor 22 are used to measure slowly changing forces generated by, for example, breathing. During breathing, due to the applied forces, deflection of the central portion of the second electrode 15 (and therefore to the entire piezoelectric transducer 21) occurs, and thus also change in the air gap between the second electrode 15 and the measuring electrode 17. Due to the construction where the piezoelectric transducer 21 is attached to the board by one of the electrodes, a non-mediated deflection of the piezoelectric transducer 21 without the need for additional force transmitting components is enabled. The size of the air gap between the first comparator electrode 29 and the second comparator electrode 18 is independent of the action of the forces. The change in the capacity of the measuring capacitor 26 is dependent both on the varying air gap size and on the change of permittivity of the air gap. The change in the capacity of the comparator capacitor 22 is dependent only on change in permittivity of the air gap. The capacity of the measuring capacitor 26 and the capacity of the comparator capacitor 22 ratio will remove the dependence of the capacitance change on dielectric permittivity and thereby the independence of changing the measuring conditions.
(22) Capacity changes are evaluated for example by charge transfer technology. The charge transfer technology operates on the principle of charging the capacitor and subsequent transfer of the accumulated charge into the sampling capacitor 24, wherein the number of accumulated charge transfers into the sampling capacitor is counted, until the voltage at the sampling capacitor 24 reaches the same value as the stable reference voltage. It is clear to a person skilled in the art that other methods of measuring capacity can be utilized, for example, the resonance method. In order to measure fast-changing forces caused for example by pulse, a direct piezoelectric effect of the piezoelectric material is used, where by deformation of the piezoelectric material due to external forces, a charge which is through the charge amplifier transferred to the computing unit 23 of the measuring element is generated where the voltage is evaluated. The output data are then transmitted via the data wire 8 to the control unit 1. The computing unit 23 of the measuring element can be provided as a microprocessor, its location on the printed circuit board 20 ensures a protection of the signal because the distance of the transmitted non-digital signal is very small.
LIST OF REFERENCE SIGNS
(23) 1 . . . main control unit 2 . . . trigger 3 . . . trigger signal path 4 . . . first chain 5 . . . measuring element A1 6 . . . measuring element A2 7 . . . measuring element AN 8 . . . data signal path 9 . . . second chain 10 . . . measuring element B1 11 . . . measuring element B2 12 . . . measuring element BN 13 . . . end element 14 . . . piezoelectric element 15 . . . second electrode 16 . . . plating 17 . . . measuring electrode 18 . . . second comparator electrode 19 . . . shielding electrode of the measuring capacitor 20 . . . printed circuit board 21 . . . piezoelectric transducer 22 . . . comparator capacitor 23 . . . computing unit of the measuring element 24 . . . sampling capacitor 25 . . . measuring element 26 . . . measuring capacitor 27 . . . shielding capacitor 28 . . . first electrode 29 . . . first comparator electrode 30 . . . shielding electrode of the comparator capacitor