WIRELESS SENSOR SYSTEM, FOR USE IN A PHOTOTHERAPY SYSTEM, CAPABLE OF HARVESTING ENERGY
20190224496 ยท 2019-07-25
Inventors
Cpc classification
A61B5/0059
HUMAN NECESSITIES
A61B5/14546
HUMAN NECESSITIES
A61B5/0075
HUMAN NECESSITIES
A61B5/02055
HUMAN NECESSITIES
A61B5/0002
HUMAN NECESSITIES
A61B5/02438
HUMAN NECESSITIES
A61B5/4836
HUMAN NECESSITIES
A61B5/1455
HUMAN NECESSITIES
A61B5/01
HUMAN NECESSITIES
International classification
A61B5/1455
HUMAN NECESSITIES
A61B5/145
HUMAN NECESSITIES
A61B5/01
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
Abstract
A sensor system, for use in a phototherapy system for treatment of neonatal jaundice, designed to harvest energy from the phototherapy system. The sensor system is wirelessly connected to the phototherapy system and provides measurements of the total serum bilirubin levels of the infant. The continuous measurement of the total serum bilirubin allows the phototherapy system to personalize the treatment of each infant, minimizing any unwanted side effects of the phototherapy. The energy harvesting performed by the sensor removes the need to manually replace or recharge batteries, which may disturb the infant during treatment, and may enable the sensor system to operate without an energy storage device, such as a battery, altogether.
Claims
1. A phototherapy system comprising: a phototherapy device comprising a phototherapy light source: a sensor system for a phototherapy system, comprising: a Total serum bilirubin (TSB) sensor for contacting with the skin, the sensor comprising a light source and a light detector; a wireless communication unit for communicating sensor data; and an energy harvesting device for harvesting energy received from the phototherapy device for powering the sensor and wireless communication unit; and a controller for controlling the phototherapy light source.
2. A system as claimed in claim 1, wherein the sensor system has a skin contacting surface which comprises adhesive material.
3. A system as claimed in claim 1, wherein the sensor system further comprises at least one sensor for measuring a vital sign, preferably, body temperature, heart rate and SpO2.
4. A system as claimed in claim 1, wherein the energy harvesting device comprises a photovoltaic device for harvesting energy from the light output of the phototherapy light source.
5. A system as claimed in claim 4, comprising a housing wherein the sensor is provided at one location of the housing over a sensor aperture, and the photovoltaic device is provided at another location of the housing.
6. A system as claimed in claim 4, wherein the photovoltaic device is for converting phototherapy light with a wavelength in the range of 460-490 nm.
7. A system as claimed in claim 1, wherein the phototherapy device further comprises a transmitter inductor coil, wherein the energy harvesting device comprises a receiver inductor coil for harvesting energy by inductive energy transfer from the transmitter inductor coil.
8. A system as claimed in claim 1, wherein the phototherapy device further comprises a second light source, wherein the energy harvesting device is for harvesting energy from the light output of the second light source.
9. A system as claimed in claim 8, wherein the second light source comprises a visible or infrared light source.
10. A system as claimed in claim 1, wherein the controller is adapted to adjust the phototherapy settings in dependence on the sensor system output.
11. A sensing method, comprising: harvesting external energy received from a phototherapy system; powering a sensor and a wireless communication unit using the harvested energy, wherein the sensor comprises a Total serum bilirubin (TSB) sensor for contacting with the skin and wherein the sensor comprises a light source and a light detector.
12. A method as claimed in claim 11, wherein harvesting external energy comprises: harvesting energy from phototherapy light of the phototherapy system; or harvesting energy from light provided by the phototherapy system in addition to phototherapy light; or harvesting energy from the phototherapy system by wireless inductive energy transfer.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0038] Examples of the invention will now be described in detail with reference to the accompanying drawings, in which:
[0039]
[0040]
[0041]
[0042]
[0043]
[0044]
[0045]
[0046]
DETAILED DESCRIPTION OF THE EMBODIMENTS
[0047] The invention provides a sensor system for a phototherapy system which includes a sensor, comprising a light source and a light detector, a wireless communication unit and an energy harvesting device for harvesting energy received from the phototherapy device.
[0048]
[0049] The sensor system 10 may have a skin contacting surface 18 which comprises an adhesive surface and may be adapted to measure the total serum bilirubin level.
[0050] When treating a condition such as neonatal jaundice, a key indicator of the effectiveness of the treatment is the level of bilirubin in the infant's blood, known as total serum bilirubin (TSB). Using a wireless sensor to measure the TSB allows for the sensor to be placed at any point on the infant's body, minimizing the discomfort to the infant and eliminating the risk that the infant will become tangled in wires during treatment. Adapting the sensor system to include an energy harvesting device, to harvest energy from the phototherapy system, allows the sensor system to operate for a long period of time without needing to replace or recharge the batteries. In some cases, the sensor system may be able to operate without an energy storage device, such as a battery.
[0051] In addition to the TSB sensor, the sensor system may include sensors for vital signs, such as body temperature, heart rate and SpO2.
[0052] In order to achieve an accurate measurement of the TSB, the measurement site must be covered in order to prevent contact by the phototherapeutic light. TSB is measured by irradiating the skin of the patient with white light and then collecting the light reflected by the skin, which is then analyzed by a spectrometer. By subtracting the interfering components, based on known spectral properties of the skin, from the reflected light the TSB can be measured. Phototherapeutic light is known to alter several of the known spectral properties of the skin, leading to less accurate measurements of the TSB if the measurement site is exposed. By ensuring that the sensor 12 is in contact with the skin, the reflected light can be effectively collected without the phototherapeutic light contacting the measurement site and interfering with the TSB measurements. This risk is further minimized if the skin contacting surface 18 comprises an adhesive material, fixing the sensor to the infant's skin. The sensor system may also be attached to the infant's skin by way of a disposable plaster, surgical tape or the like.
[0053] The energy harvesting device 16 used to harvest energy from the phototherapeutic system may comprise a photovoltaic device. The photovoltaic device may contain a photodiode operated in photovoltaic mode. In other words, the energy harvesting device may be adapted to convert the phototherapy light into electric energy. The phototherapy light may have a wavelength in the range of 460-490 nm.
[0054] Phototherapeutic light is abundant in this system and so adapting the energy harvesting device 16 to harvest energy from the phototherapeutic light enables the sensor system to be used at any point within the phototherapy system. In addition, the phototherapy system does not have to supply additional power to the sensor system as the phototherapeutic light will always be operational during treatment thereby providing the power source for the sensor. This gives an energy efficient system. Phototherapeutic light, for treating neonatal jaundice, commonly possesses a wavelength in the range of 460-490 nm. This blue light induces the conversion of bilirubin into lumirubin which may be excreted by the body without needing to be processed by the liver. Adapting the energy harvesting device 16 to harness light of this wavelength will maximize the efficiency of the sensor system 10.
[0055] The sensor system may comprise a housing 20, wherein the sensor 12 is provided at one location over a sensor aperture, and the energy harvesting device 16, for example a photovoltaic device, is provided at another location of the housing. The housing may be small so as to minimize discomfort to the infant. Further examples of housing designs are shown in
[0056]
[0057] In this design, the housing 20 has been elongated in order to spatially separate the sensor 12 and the energy harvesting device 16. This enables the sensor and energy harvesting device to be positioned at separate points on the infant's body to allow for optimal positioning of the sensor whilst maintaining sufficient exposure of the energy harvesting device to the energy source. The housing 20 may be partially constructed from a flexible material so as to not restrict the movement of the infant and to minimize discomfort. An example of this would be during single phototherapy where the infant is illuminated by a single light source, shining on its back. The sensor section may need to be placed on the infant's chest due to a variety of reasons or limitations. As the energy harvesting device is spatially separated from the sensor, it may be fixed close to the infant's back so as to receive sufficient exposure to the light. The flexible material allows for the housing to shape itself to the infant, who otherwise may be restricted to an uncomfortable position.
[0058]
[0059] The advantages of this embodiment are much the same as in the embodiment shown in
[0060]
[0061] In this embodiment, the sensor system 10 may harvest energy from the phototherapeutic light 45 that is abundant throughout the phototherapy system and does not require an additional source to harvest energy from. The wireless connection 45 between the controller 44 and the sensor system means that the placement of the sensor system is not restricted by wires and the risk of the infant becoming tangled in said wires is eliminated. In addition, the wireless connection between the sensor system and controller allows the sensor system to communicate sensor data to the controller. The controller may then use this data to evaluate the level of treatment needed by the patient.
[0062] By harvesting energy from the phototherapy system, the sensor does not need to be exposed to external light, for example, and can thus be fully contained within the phototherapy system, for example blanket.
[0063] If the data returned by the sensor system indicates that the TSB is above a predetermined threshold, the controller may increase the intensity of the light source 42 or activate additional phototherapeutic light sources, known as double, or triple, phototherapy. If the data indicates that the TSB is below a predetermined threshold, the controller may decrease the intensity of the light source or deactivate additional light sources that were previously active, returning to a single, or double, phototherapy mode. A predetermined threshold may be used to switch off the phototherapy light source completely when treatment is no longer necessary. The light source may also operate on a duty cycle, meaning that it may be active for a given percentage of the treatment time and inactive for the remainder. The duty cycle may be altered by the controller in a similar manner to the intensity. A combination of these methods means that therapeutic effectiveness is maintained by the system whilst minimizing unnecessary side effects. The initial level of treatment may be automatically selected by the system at the beginning of the therapy based on the measured TSB level.
[0064] In some embodiments, the controller 44 may also comprise a user interface for informing the caregiver of the TSB measurements or for allowing the caregiver to manually control the level of treatment provided by the phototherapy system. In a further embodiment, the controller may communicate with a separate user interface such as a bedside patient monitor, a tablet computer, a smartphone, a computer in a nurse room as used in a neonatal intensive care unit or any other connected device of the caregiver in order to perform these functions at a remote location.
[0065] The user interface may provide information to the caregiver, such as the current TSB level, the TSB level trend and/or the TSB level as a function of time. The trend of the TSB level could be shown as increasing or decreasing and may be combined with an indication of the speed at which it is increasing or decreasing. The user interface may also display a recommendation to the caregiver to change the settings of the phototherapy device in order to optimize treatment. This recommendation may be accompanied by a visible or audible alarm intended to alert the user that more preferable settings are available.
[0066]
[0067] In this arrangement, the energy harvesting device 16 may harvest energy to power the sensor system 10 from the second light source 48. The second light source may be arranged so that the intensity of the light 50 is not affected by the data supplied to the controller 44 from the sensor system. This prevents the sensor system from losing power from insufficient light exposure and it may operate regardless of the level of treatment being given or the area of the body being treated.
[0068] In some or other embodiments, the energy harvesting device 16 may harvest energy from both the phototherapy light 45 and the light 50 produced by the second light source 48.
[0069]
[0070] An alternating electromagnetic field is established by the transmitter inductor coil. Electromagnetic coupling with the receiver inductor coil enables energy transfer between the coils.
[0071] In this design, the transmitter inductor coil 52 may be large so as to ensure that the transmitter inductor coil and the receiver inductor coil may be inductively coupled when the sensor system 10 is placed at any point in the phototherapy system 40, or at any point within an inductive coupling region associated with the transmitter coil. The inductive coupling between the transmitter inductor coil and the receiver inductor coil may be weak; however, the sensor system does not require a large amount of power to operate.
[0072]
[0073] The wireless connection 46 allows the sensor system to communicate sensor data to the controller, which may use the data to decide the level of treatment necessary for the infant and adjust the light source 42 accordingly. In addition, the wireless connection allows the infant to move freely within the blanket without the danger of becoming tangled in wires. Attaching the sensor to the skin of the infant means that the TSB levels measured by the sensor system will be more accurate. This means that the infant will receive the correct level of treatment, minimizing unnecessary side effects.
[0074] In further embodiments, the phototherapy system 40 may be adapted in a similar manner to the systems shown in
[0075]
[0076] In step 80, the sensor system harvests energy from the phototherapy system through an energy harvesting device.
[0077] In step 84, the harvested energy is used to power a sensor and a wireless communications unit. The sensor comprises a light source and a light detector, for application to the skin, and the wireless communications unit is for communicating the sensor data.
[0078] The sensor information may then be used to control the phototherapy system in order to deliver an optimum phototherapy treatment.
[0079] The energy harvesting of step 80 may comprise harvesting energy from phototherapy light of the phototherapy system, or from additional light provided by the phototherapy system in addition to the phototherapy light, or using wireless inductive energy transfer.
[0080] The energy harvesting in the examples above is based on electromagnetic waves or fields. In further embodiments, energy harvesting may also be performed through wireless transmission methods other than resonant inductive coupling or photoelectric harvesting (as described above), such as capacitive coupling, microwave radiation or the like. However, other energy transfer methods may be used which do not require electromagnetic interaction. These may be based on thermal, mechanical or electrical properties. Some methods may require physical (but not electrical) contact and others enable transmission through air and therefore enable more freedom in the spacing of components. All of these options are possible and intended to fall within the broad term external energy.
[0081] For example, the energy harvesting may be performed by a piezoelectric device, a thermoelectric device, a pyroelectric device or the like.
[0082] The sensor in the examples above is adapted to measure a total serum bilirubin (TSB) level of a patient, such as an infant. However, the sensor may be adapted to measure alternate, or additional, indicators from a patient's skin.
[0083] For example, in a phototherapy system adapted to treat neonatal jaundice, as described above, the sensor may be adapted to measure the melanin content of the skin in addition, or alternatively, to the TSB level. In this way, it is possible to monitor a change in melanin level due to phototherapeutic treatment, thereby allowing the caregiver, or phototherapy system, to adjust the phototherapy device to prevent the over production of melanin in the infant.
[0084] Other variations to the disclosed embodiments can be understood and effected by those skilled in the art in practicing the claimed invention, from a study of the drawings, the disclosure, and the appended claims. In the claims, the word comprising does not exclude other elements or steps, and the indefinite article a or an does not exclude a plurality. The mere fact that certain measures are recited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage. Any reference signs in the claims should not be construed as limiting the scope.