TECHNOLOGIES FOR DETERMINING A CONDITION OF A PATIENT USING LC RESONATOR DATA
20210212636 ยท 2021-07-15
Inventors
Cpc classification
A61B2562/164
HUMAN NECESSITIES
A61B5/08
HUMAN NECESSITIES
A61B5/1115
HUMAN NECESSITIES
A61B5/0205
HUMAN NECESSITIES
A61B5/0015
HUMAN NECESSITIES
A61G2203/70
HUMAN NECESSITIES
International classification
A61B5/00
HUMAN NECESSITIES
A61B5/08
HUMAN NECESSITIES
A61B5/11
HUMAN NECESSITIES
Abstract
A flexible mat may be configured to be placed between a patient and a patient support apparatus. The flexible mat may be used for determining a condition of a patient based on LC resonator data. The flexible mat may include a set of one or more LC resonators. Each LC resonator may include a capacitor and an inductor and may be configured to oscillate at a frequency associated with a present capacitance of the capacitor. The flexible mat may also include circuitry configured to measure an oscillation frequency of at least one of the LC resonators. The circuitry may also be configured to convert the measured oscillation frequency to digital frequency data which may be indicative of the measured oscillation frequency. The circuitry may also be configured to determine, based on the frequency data, at least one of a position, a heart rate, or a respiration rate of the patient.
Claims
1. A flexible mat configured to be placed between a patient and a patient support apparatus, for determining a condition of a patient based on LC resonator data, the flexible mat comprising: a set of one or more LC resonators, wherein each LC resonator includes a capacitor and an inductor and is configured to oscillate at a frequency associated with a present capacitance of the capacitor; and circuitry to: measure an oscillation frequency of at least one of the LC resonators; convert the measured oscillation frequency to digital frequency data that is indicative of the measured oscillation frequency; and determine, based on the frequency data, at least one of a position, a heart rate, or a respiration rate of the patient.
2. The flexible mat of claim 1, wherein to obtain frequency data from at least one of the LC resonators comprises to obtain frequency data from a plurality of LC resonators and wherein to determine, based on the obtained frequency data, a position of the patient comprises to: convert the frequency data to capacitance data for each LC resonator; determine a difference in capacitance between capacitors of multiple LC resonators; and determine the position of the patient as a function of the difference in the capacitance.
3. The flexible mat of claim 2, wherein to determine a difference in capacitance between capacitors of multiple LC resonators comprises to determine a difference in capacitance between adjacent capacitors.
4. The flexible mat of claim 1, wherein the circuitry is further to determine a difference in capacitance of one of the capacitors over time.
5. The flexible mat of claim 1, wherein the circuitry is further to determine whether the patient is located on the patient support apparatus.
6. The flexible mat of claim 1, wherein the circuitry is further to determine whether the heart rate satisfies a reference heart rate.
7. The flexible mat of claim 1, wherein the circuitry is further to determine whether the respiration rate satisfies a reference respiration rate.
8. The flexible mat of claim 1, wherein the circuitry is further to provide data indicative of the position, heart rate, or respiration rate of the patient to another device.
9. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data from each of multiple LC resonators having a set of capacitors formed by two arrays of conductive plates on opposite sides of a dielectric sheet.
10. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data from each of eight LC resonators.
11. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data from multiple LC resonators, each having a set of capacitive plates configured as a single ended grounded sensor.
12. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data from multiple LC resonators, each having a set of capacitive plates configured as a differential grounded sensor.
13. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data from multiple LC resonators, each having a set of capacitive plates configured as a single ended floating sensor.
14. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data from multiple LC resonators, each having a set of capacitive plates configured as a differential floating sensor.
15. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data indicative of a shift in a resonant frequency of one or more of the LC resonators.
16. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data indicative of a change in a distance between two plates of a capacitor of one of the LC resonators.
17. The flexible mat of claim 1, wherein to obtain frequency data comprises to obtain frequency data indicative of a change in an electric field between adjacent capacitive plates on the same side of a dielectric sheet.
18. A patient bed comprising: a frame having a support deck; a mattress; and a flexible mat located between the support deck and the mattress, wherein the flexible mat comprises: a set of one or more LC resonators, wherein each LC resonator includes a capacitor and an inductor and is configured to oscillate at a frequency associated with a present capacitance of the capacitor; and circuitry to: measure an oscillation frequency of at least one of the LC resonators; convert the measured oscillation frequency to digital frequency data that is indicative of the measured oscillation frequency; and determine, based on the frequency data, at least one of a position, a heart rate, or a respiration rate of the patient.
19. The patient bed of claim 18, wherein to obtain frequency data from at least one of the LC resonators comprises to obtain frequency data from a plurality of LC resonators and wherein to determine, based on the obtained frequency data, a position of the patient comprises to: convert the frequency data to capacitance data for each LC resonator; determine a difference in capacitance between capacitors of multiple LC resonators; and determine the position of the patient as a function of the difference in the capacitance.
20. A method comprising: measuring, by a flexible mat located between a patient and a patient support apparatus and having a set of one or more LC resonators, wherein each LC resonator includes a capacitor and an inductor and is configured to oscillate at a frequency associated with a present capacitance of the capacitor, an oscillation frequency of at least one of the LC resonators; converting, by the flexible mat, the measured oscillation frequency to digital frequency data that is indicative of the measured oscillation frequency; and determining, by the flexible mat and based on the frequency data, at least one of a position, a heart rate, or a respiration rate of the patient.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0013] The detailed description particularly refers to the accompanying figures in which:
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DETAILED DESCRIPTION
[0027] While the concepts of the present disclosure are susceptible to various modifications and alternative forms, specific embodiments thereof have been shown by way of example in the drawings and will be described herein in detail. It should be understood, however, that there is no intent to limit the concepts of the present disclosure to the particular forms disclosed, but on the contrary, the intention is to cover all modifications, equivalents, and alternatives consistent with the present disclosure and the appended claims.
[0028] References in the specification to one embodiment, an embodiment, an illustrative embodiment, etc., indicate that the embodiment described may include a particular feature, structure, or characteristic, but every embodiment may or may not necessarily include that particular feature, structure, or characteristic. Moreover, such phrases are not necessarily referring to the same embodiment. Further, when a particular feature, structure, or characteristic is described in connection with an embodiment, it is submitted that it is within the knowledge of one skilled in the art to effect such feature, structure, or characteristic in connection with other embodiments whether or not explicitly described. Additionally, it should be appreciated that items included in a list in the form of at least one of A, B, and C can mean (A); (B); (C); (A and B); (A and C); (B and C); or (A, B, and C). Similarly, items listed in the form of at least one of A, B, or C can mean (A); (B); (C); (A and B); (A and C); (B and C); or (A, B, and C).
[0029] The disclosed embodiments may be implemented, in some cases, in hardware, firmware, software, or any combination thereof. The disclosed embodiments may also be implemented as instructions carried by or stored on a transitory or non-transitory machine-readable (e.g., computer-readable) storage medium, which may be read and executed by one or more processors. A machine-readable storage medium may be embodied as any storage device, mechanism, or other physical structure for storing or transmitting information in a form readable by a machine (e.g., a volatile or non-volatile memory, a media disc, or other media device).
[0030] In the drawings, some structural or method features may be shown in specific arrangements and/or orderings. However, it should be appreciated that such specific arrangements and/or orderings may not be required. Rather, in some embodiments, such features may be arranged in a different manner and/or order than shown in the illustrative figures. Additionally, the inclusion of a structural or method feature in a particular figure is not meant to imply that such feature is required in all embodiments and, in some embodiments, may not be included or may be combined with other features.
[0031] Referring now to
[0032] The upper frame carries the support deck 6 and a set of siderails 11. The illustrative deck 6 includes a leg section 12, a thigh section 13, a seat section 14, and a head and torso section 15, as shown in
[0033] The patient support surface 3 (e.g., mattress), in the illustrative embodiment, is configured to support a person (e.g., a patient) thereon and move with the deck 6 between the various configurations. Further, in the illustrative embodiment, the patient support surface 3 includes a leg portion, a thigh portion, a seat portion, and a head and torso portion, which are each supported on corresponding sections 12, 13, 14, 15 of the deck 6.
[0034] Referring to
[0035] In some embodiments, a caregiver bed or patient support apparatus control graphical user interface (GUI) 22 is located on an outboard side of one of the siderails 11. The GUI 22 may include bed position adjustment controls, such as head up and down controls, leg up and down controls, chair positioning controls, Trendelenburg and reverse Trendelenburg controls, and bed up and down controls. In some embodiments, one or more of the above controls are manual (e.g., physical) controls, such as buttons, levers, or switches, rather than graphical controls on the GUI 22.
[0036] Referring to
[0037] The mat 5 may, in addition or alternatively to the alignment provided by the snug fit, include fasteners to fix and/or align the mat 5 on the deck 6. The fasteners, in some embodiments, include at least one of a hook and loop fasteners (e.g., Velcro) and straps to fix the mat 5 to the frame or deck 6. The mat 5 may be sized and otherwise adapted to occupy a predetermined position and orientation on the deck 6 so that the location of at least its frame characteristic sensors are in a predetermined location relative to the frame and support deck 6. At least some of the sensors of the mat 5 may be at selected positions relative to the longitudinal axis (i.e., length) of the bed 1 so the key alignment is in the longitudinal direction. The mat 5 may therefore be dimensioned so that it is held in place along that longitudinal axis by virtue of being adjacent to the footboard and headboard at the respective foot and head ends of the bed 1.
[0038] As described above, the illustrative mat 5 includes multiple different sensors, including sensors 17, 19, 20 for sensing one or more conditions of a patient and a bed or frame sensor 18 for sensing a condition of the frame or bed 1. The sensor 17 is a capacitive or piezo-electric pressure sensing array 17 at the head end of the mat 5, in some embodiments. The sensor 17 is used to monitor one or more of a respiratory rate, a heart rate, and a sleep condition of a patient on a mattress above the mat 5. The sensor 19 is used to monitor the position of the patient. As described herein, in some embodiments, the sensor 19 may also perform some of the sensing functions (e.g., respiratory rate and/or heart rate sensing) of the sensor 17 (e.g., in lieu of the sensor 17). The sensor 20 may include an incontinence detection antenna for communication with a moisture detection element placed on the upper surface of the mattress. The sensor 18 includes an accelerometer for monitoring the head of bed (HOB) angle of the head of the bed frame, in some embodiments.
[0039] The data processor 21 is in communication with each of the sensors 17, 18, 19, 20 on the mat 5 and with one or more locations (e.g., compute devices) remote from the mat 5 and the bed 1 on which the mat 5 is placed. The data processor 21 may include wireless and/or wired communication circuitry that communicatively couples the data processor 21 to the remote location(s) (e.g., compute device(s)). The remote location(s) may include at least one of a hospital information network, nurse station computer monitor, ward status board, hallway alarm, call light, and/or a mobile device (e.g., computer, phone, pager, etc.).
[0040] The mat 5 and its associated sensors and electronics is powered by a power line 23 for wired connection to a power socket 24 (e.g., in the wall of the hospital ward or room in which the bed 1 is located), in the illustrative embodiment. The sensors are therefore in wired communication with the power source accessed via the power line 23. Alternatively or additionally, the mat 5 may include a transmitter which may be detectably connected to the bed power and communication by which to provide a wireless power source for one or more of the sensors. A battery may also be provided on the mat 5 as a primary or back-up power source, if desired. That battery may be charged by the transmitter or some other wireless charging system.
[0041] Referring now to
[0042] Referring now to
[0043] Referring briefly to
[0044] The LC resonators 700 used in the mat 5 (e.g., in the circuitry 600 of the sensor 19) have a narrow-band architecture that provides protection from electromagnetic interference (EMI) and greatly reduces the noise floor compared to typical RC (resistor-capacitor) circuits. A change in the capacitance of the capacitor 704 (e.g., the capacitive sensor 604, which is formed by plates 63, 64, as described above) changes the frequency of oscillation (resonant frequency) of the LC resonator. Referring back to
[0045] In operation, for each LC resonator, the capacitance to digital converter 602 outputs (e.g., to a microcontroller 620, which may be connected to or embodied as the data processor 21) a digital value that is proportional to frequency (e.g., represents a measurement of the resonant frequency of each LC resonator). The frequency measurement may be converted (e.g., by the microcontroller 620) to an equivalent capacitance. The microcontroller 620 may detect differences between resonant frequencies (or capacitance values) of the LC resonators over time and between the LC resonators to determine whether a patient is present on the bed 1 or has left the bed 1, the location of the patient on the bed 1, the heart rate, and/or the respiration rate of the patient. Referring briefly to
[0046] Referring now to
[0047] In more detail, the illustrative sensor 19 includes an array of eight upper capacitive plates 63 formed from an electrically conductive fabric, such as nickel/copper (NiCu) coated nylon. Each plate 63 illustratively has a width of about 85 millimeters, a length of about 710 millimeters, and a thickness of about 0.13 millimeters. Adjacent plates 63 are spaced apart with a gap of about 15 millimeters between them. The illustrative sensor 19 also includes eight lower capacitive plates 64, similar to the upper capacitive plates 63. Each lower capacitive plate 64 is aligned below a corresponding one of the upper capacitive plates 63. A relatively thin dielectric sheet 65, which may be formed from any dielectric material (e.g., polyurethane (PU)), is illustratively positioned between the upper capacitive plates 63 and the lower capacitive plates 64, such that each pair of upper and lower capacitive plates 63, 64 forms a capacitor. The dielectric sheet 65 illustratively has a thickness of about 320 micrometers and extends substantially across the length and width of the sensor 19. Pairs of wires 66, in the illustrative embodiment, are connected to each capacitor, with a first wire being connected to the upper capacitive plate 63 and the second wire being connected to the lower capacitive plate 64 of each capacitor.
[0048] The capacitive plates 63, 64 and the dielectric sheet 65 are enclosed between a polyurethane top cover 67 and a similar bottom cover 68. The top cover 67 and the bottom cover 68 may be welded together at the edges. Each capacitor (e.g., pair of upper plate 63 and lower plate 64) is connected to the CDC 602 (shown in
[0049] In addition to causing a change in capacitance due to the weight of the human body pressing plates 63, 64 closer together, the human body 1300 also affects the ability of an electromagnetic field to pass from one plate to an adjacent plate in the same horizontal plane. Referring now to
[0050] Referring now to
[0051] As indicated in block 1606, the mat 5 measures an oscillation frequency (e.g., resonant frequency) of each LC resonator and converts the measured oscillation frequency to digital frequency data (e.g., convert an analog value to a digital value) indicative of the measured oscillation frequency of each LC resonator. In obtaining frequency data, and as indicated in block 1608, the mat 5 obtains frequency data from multiple LC resonators, each having a capacitor formed by conductive plates (e.g., plates 63, 64) on opposite sides of a dielectric sheet (e.g., the dielectric sheet 65). As indicated in block 1610, in obtaining frequency data, the mat 5 obtains frequency data from multiple LC resonators having capacitors formed by two arrays of conductive plates (e.g., an array of upper plates 63 and an array of lower plates 64) on opposite sides of a dielectric sheet (e.g., the dielectric sheet 65). In some embodiments, the mat 5 may obtain frequency data from each of eight LC resonators, as indicated in block 1612.
[0052] As indicated in block 1614, in obtaining the frequency data, the mat 5 obtains frequency data from one or more LC resonators that each have conductive plates configured as a single ended grounded sensor (e.g., the single ended grounded sensor 800). Additionally or alternatively, and as indicated in block 1616, the mat 5 may obtain frequency data from one or more LC resonators that each have conductive plates configured as a differential grounded sensor (e.g., the differential grounded sensor 900). In some embodiments, and as indicated in block 1618, the mat 5 may obtain frequency data from one or more LC resonators that each have a set of capacitive plates configured as a single ended floating sensor (e.g., the single ended floating sensor 1000). Additionally or alternatively, the mat 5 may obtain frequency data from one or more LC resonators that each have a set of capacitive plates configured as a differential floating sensor (e.g., the differential floating sensor 1100), as indicated in block 1620.
[0053] Referring now to
[0054] Subsequently, and as indicated in block 1630, the mat 5 determines, based on the obtained frequency data, a condition of a patient associated with the patient support apparatus 1 (e.g., hospital bed). In doing so, the mat 5 converts the frequency data (e.g., from block 1604) to capacitance data (e.g., any data indicative of a capacitance) for each LC resonator of the mat 5, as indicated in block 1632. As described above, with reference to
[0055] In block 1640, the mat 5 determines a position of the patient (e.g., by comparing capacitance data of the multiple LC resonators and locations of their corresponding capacitors in the mat 5). Additionally, the mat 5 may determine a change in position of the patient (e.g., by comparing position data from block 1640 to earlier or subsequent position data), as indicated in block 1642. Relatedly, the mat 5 may determine whether the patient is no longer on the mat 5 (e.g., determine whether the LC resonators have an oscillation frequency consistent with the plates 63, 64 no longer being pressed closer together by the weight of a patient), as indicated in block 1644. As indicated in block 1646, the mat 5 may identify a time-varying capacitance associated with one or more of the LC resonators that is consistent with a heart rate (e.g., in terms of frequency and amplitude), and identify it as such. In doing so, and as indicated in block 1648, the mat 5 may determine whether the identified heart rate satisfies one or more reference heart rates (e.g., is within a reference range of heart rates that are defined as being normal for bed rest). Similarly, the mat 5 may identify a time-varying capacitance associated with one or more of the LC resonators that is consistent with a respiration rate (e.g., in terms of frequency and amplitude), and identify it as such, as indicated in block 1650. As indicated in block 1652, the mat 5 may determine whether the identified respiration rate satisfies one or more reference respiration rates (e.g., is within a range of respiration rates that are defined as normal for a patient on bed rest).
[0056] Subsequently, and referring now to
[0057] While certain illustrative embodiments have been described in detail in the drawings and the foregoing description, such an illustration and description is to be considered as exemplary and not restrictive in character, it being understood that only illustrative embodiments have been shown and described and that all changes and modifications that come within the spirit of the disclosure are desired to be protected. There exist a plurality of advantages of the present disclosure arising from the various features of the apparatus, systems, and methods described herein. It will be noted that alternative embodiments of the apparatus, systems, and methods of the present disclosure may not include all of the features described, yet still benefit from at least some of the advantages of such features. Those of ordinary skill in the art may readily devise their own implementations of the apparatus, systems, and methods that incorporate one or more of the features of the present disclosure.