公开(公告)号：US20120190949A1

公开(公告)日：2012-07-26

申请号：US13432976

申请日：2012-03-28

申请人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet ,  Jim Moon

发明人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet ,  Jim Moon

IPC分类号： A61B5/0205 ,  A61B5/0402 ,  A61B5/1455 ,  A61B5/11 ,  A61B5/08

CPC分类号： A61B5/0205 ,  A61B5/0022 ,  A61B5/0059 ,  A61B5/01 ,  A61B5/02028 ,  A61B5/02055 ,  A61B5/021 ,  A61B5/02125 ,  A61B5/022 ,  A61B5/02416 ,  A61B5/02438 ,  A61B5/0245 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/0404 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/0816 ,  A61B5/11 ,  A61B5/1114 ,  A61B5/1116 ,  A61B5/1117 ,  A61B5/1118 ,  A61B5/1123 ,  A61B5/145 ,  A61B5/6824 ,  A61B5/721 ,  A61B5/7246 ,  A61B5/7257 ,  A61B5/7278 ,  A61B5/742 ,  A61B5/746 ,  A61B2562/0219 ,  G06F19/00 ,  G08B21/0446 ,  G08B21/0453 ,  G16H15/00 ,  G16H50/20 ,  G16H50/50

摘要： The invention provides a body-worn monitor that measures a patient's vital signs (e.g. blood pressure, SpO2, heart rate, respiratory rate, and temperature) while simultaneously characterizing their activity state (e.g. resting, walking, convulsing, falling). The body-worn monitor processes this information to minimize corruption of the vital signs by motion-related artifacts. A software framework generates alarms/alerts based on threshold values that are either preset or determined in real time. The framework additionally includes a series of ‘heuristic’ rules that take the patient's activity state and motion into account, and process the vital signs accordingly. These rules, for example, indicate that a walking patient is likely breathing and has a regular heart rate, even if their motion-corrupted vital signs suggest otherwise.

摘要翻译： 本发明提供了一种身体穿戴的监测器，其同时表征其活动状态（例如休息，行走，抽搐，下垂），测量患者的生命体征（例如血压，SpO2，心率，呼吸频率和温度）。 身体佩戴的监视器处理这些信息，以最大限度地减少运动相关文物对生命体征的破坏。 软件框架基于预设或实时确定的阈值生成警报/警报。 该框架还包括一系列“启发式”规则，将患者的活动状态和动作考虑在内，并相应地处理生命体征。 例如，这些规则表明，步行患者可能会呼吸并具有规律的心率，即使运动损伤的生命体征另有所示。

公开(公告)号：US08180440B2

公开(公告)日：2012-05-15

申请号：US12469182

申请日：2009-05-20

申请人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet ,  Jim Moon

发明人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet ,  Jim Moon

IPC分类号： A61B5/0205

CPC分类号： A61B5/0205 ,  A61B5/0022 ,  A61B5/0059 ,  A61B5/01 ,  A61B5/02028 ,  A61B5/02055 ,  A61B5/021 ,  A61B5/02125 ,  A61B5/022 ,  A61B5/02416 ,  A61B5/02438 ,  A61B5/0245 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/0404 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/0816 ,  A61B5/11 ,  A61B5/1114 ,  A61B5/1116 ,  A61B5/1117 ,  A61B5/1118 ,  A61B5/1123 ,  A61B5/145 ,  A61B5/6824 ,  A61B5/721 ,  A61B5/7246 ,  A61B5/7257 ,  A61B5/7278 ,  A61B5/742 ,  A61B5/746 ,  A61B2562/0219 ,  G06F19/00 ,  G08B21/0446 ,  G08B21/0453 ,  G16H15/00 ,  G16H50/20 ,  G16H50/50

摘要： The invention provides a body-worn monitor that measures a patient's vital signs (e.g. blood pressure, SpO2, heart rate, respiratory rate, and temperature) while simultaneously characterizing their activity state (e.g. resting, walking, convulsing, falling). The body-worn monitor processes this information to minimize corruption of the vital signs by motion-related artifacts. A software framework generates alarms/alerts based on threshold values that are either preset or determined in real time. The framework additionally includes a series of ‘heuristic’ rules that take the patient's activity state and motion into account, and process the vital signs accordingly. These rules, for example, indicate that a walking patient is likely breathing and has a regular heart rate, even if their motion-corrupted vital signs suggest otherwise.

摘要翻译： 本发明提供了一种身体穿戴的监测器，其同时表征其活动状态（例如休息，行走，抽搐，下垂），测量患者的生命体征（例如血压，SpO2，心率，呼吸频率和温度）。 身体佩戴的监视器处理这些信息，以最大限度地减少运动相关文物对生命体征的破坏。 软件框架基于预设或实时确定的阈值生成警报/警报。 该框架还包括一系列“启发式”规则，将患者的活动状态和动作考虑在内，并相应地处理生命体征。 例如，这些规则表明，步行患者可能会呼吸并具有规律的心率，即使运动损伤的生命体征另有所示。

公开(公告)号：US20100298659A1

公开(公告)日：2010-11-25

申请号：US12469213

申请日：2009-05-20

申请人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet ,  Gunnar Trommer ,  Jim Moon

发明人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet ,  Gunnar Trommer ,  Jim Moon

IPC分类号： A61B5/00 ,  A61B5/11 ,  A61B5/02

CPC分类号： A61B5/0205 ,  A61B5/0022 ,  A61B5/0059 ,  A61B5/01 ,  A61B5/02028 ,  A61B5/02055 ,  A61B5/021 ,  A61B5/02125 ,  A61B5/022 ,  A61B5/02416 ,  A61B5/02438 ,  A61B5/0245 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/0404 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/0816 ,  A61B5/11 ,  A61B5/1114 ,  A61B5/1116 ,  A61B5/1117 ,  A61B5/1118 ,  A61B5/1123 ,  A61B5/145 ,  A61B5/6824 ,  A61B5/721 ,  A61B5/7246 ,  A61B5/7257 ,  A61B5/7278 ,  A61B5/742 ,  A61B5/746 ,  A61B2562/0219 ,  G06F19/00 ,  G08B21/0446 ,  G08B21/0453 ,  G16H15/00 ,  G16H50/20 ,  G16H50/50

摘要： The invention provides a body-worn monitor that measures a patient's vital signs (e.g. blood pressure, SpO2, heart rate, respiratory rate, and temperature) while simultaneously characterizing their activity state (e.g. resting, walking, convulsing, falling). The body-worn monitor processes this information to minimize corruption of the vital signs by motion-related artifacts. A software framework generates alarms/alerts based on threshold values that are either preset or determined in real time. The framework additionally includes a series of ‘heuristic’ rules that take the patient's activity state and motion into account, and process the vital signs accordingly. These rules, for example, indicate that a walking patient is likely breathing and has a regular heart rate, even if their motion-corrupted vital signs suggest otherwise.

摘要翻译： 本发明提供了一种身体穿戴的监测器，其同时表征其活动状态（例如休息，行走，抽搐，下垂），测量患者的生命体征（例如血压，SpO2，心率，呼吸频率和温度）。 身体佩戴的监视器处理这些信息，以最大限度地减少运动相关文物对生命体征的破坏。 软件框架基于预设或实时确定的阈值生成警报/警报。 该框架还包括一系列“启发式”规则，将患者的活动状态和动作考虑在内，并相应地处理生命体征。 例如，这些规则表明，步行患者可能会呼吸并具有规律的心率，即使其运动损伤的生命体征另有所示。

公开(公告)号：US20100298657A1

公开(公告)日：2010-11-25

申请号：US12469192

申请日：2009-05-20

申请人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet

发明人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet

IPC分类号： A61B5/0205 ,  A61B5/11

CPC分类号： A61B5/0205 ,  A61B5/0022 ,  A61B5/0059 ,  A61B5/01 ,  A61B5/02028 ,  A61B5/02055 ,  A61B5/021 ,  A61B5/02125 ,  A61B5/022 ,  A61B5/02416 ,  A61B5/02438 ,  A61B5/0245 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/0404 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/0816 ,  A61B5/11 ,  A61B5/1114 ,  A61B5/1116 ,  A61B5/1117 ,  A61B5/1118 ,  A61B5/1123 ,  A61B5/145 ,  A61B5/6824 ,  A61B5/721 ,  A61B5/7246 ,  A61B5/7257 ,  A61B5/7278 ,  A61B5/742 ,  A61B5/746 ,  A61B2562/0219 ,  G06F19/00 ,  G08B21/0446 ,  G08B21/0453 ,  G16H15/00 ,  G16H50/20 ,  G16H50/50

摘要： The invention provides a body-worn monitor that measures a patient's vital signs (e.g. blood pressure, SpO2, heart rate, respiratory rate, and temperature) while simultaneously characterizing their activity state (e.g. resting, walking, convulsing, falling). The body-worn monitor processes this information to minimize corruption of the vital signs by motion-related artifacts. A software framework generates alarms/alerts based on threshold values that are either preset or determined in real time. The framework additionally includes a series of ‘heuristic’ rules that take the patient's activity state and motion into account, and process the vital signs accordingly. These rules, for example, indicate that a walking patient is likely breathing and has a regular heart rate, even if their motion-corrupted vital signs suggest otherwise.

摘要翻译： 本发明提供了一种身体穿戴的监测器，其同时表征其活动状态（例如休息，行走，抽搐，下垂），测量患者的生命体征（例如血压，SpO2，心率，呼吸频率和温度）。 身体佩戴的监视器处理这些信息，以最大限度地减少运动相关文物对生命体征的破坏。 软件框架基于预设或实时确定的阈值生成警报/警报。 该框架还包括一系列“启发式”规则，将患者的活动状态和动作考虑在内，并相应地处理生命体征。 例如，这些规则表明，步行患者可能会呼吸并具有规律的心率，即使其运动损伤的生命体征另有所示。

公开(公告)号：US20100298654A1

公开(公告)日：2010-11-25

申请号：US12469137

申请日：2009-05-20

申请人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet

发明人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet

IPC分类号： A61B5/0205 ,  A61B5/11

CPC分类号： A61B5/0205 ,  A61B5/0002 ,  A61B5/0006 ,  A61B5/0024 ,  A61B5/0082 ,  A61B5/02028 ,  A61B5/021 ,  A61B5/02125 ,  A61B5/022 ,  A61B5/02225 ,  A61B5/02416 ,  A61B5/0285 ,  A61B5/0295 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/0408 ,  A61B5/04085 ,  A61B5/0428 ,  A61B5/044 ,  A61B5/0452 ,  A61B5/0816 ,  A61B5/1116 ,  A61B5/1117 ,  A61B5/1118 ,  A61B5/1122 ,  A61B5/1123 ,  A61B5/14551 ,  A61B5/447 ,  A61B5/681 ,  A61B5/6823 ,  A61B5/6824 ,  A61B5/6826 ,  A61B5/7207 ,  A61B5/7239 ,  A61B5/7257 ,  A61B5/746 ,  A61B2560/0261 ,  A61B2562/0219

摘要： The invention provides a system and method for measuring vital signs (e.g. SYS, DIA, SpO2, heart rate, and respiratory rate) and motion (e.g. activity level, posture, degree of motion, and arm height) from a patient. The system features: (i) first and second sensors configured to independently generate time-dependent waveforms indicative of one or more contractile properties of the patient's heart; and (ii) at least three motion-detecting sensors positioned on the forearm, upper arm, and a body location other than the forearm or upper arm of the patient. Each motion-detecting sensor generates at least one time-dependent motion waveform indicative of motion of the location on the patient's body to which it is affixed. A processing component, typically worn on the patient's body and featuring a microprocessor, receives the time-dependent waveforms generated by the different sensors and processes them to determine: (i) a pulse transit time calculated using a time difference between features in two separate time-dependent waveforms, (ii) a blood pressure value calculated from the time difference, and (iii) a motion parameter calculated from at least one motion waveform.

摘要翻译： 本发明提供了一种用于从患者测量生命体征（例如SYS，DIA，SpO2，心率和呼吸频率）和运动（例如活动水平，姿势，运动程度和手臂高度）的系统和方法。 该系统的特征在于：（i）第一和第二传感器被配置成独立地产生指示患者心脏的一个或多个收缩特性的时间相关波形; 和（ii）至少三个运动检测传感器，其位于前臂，上臂和身体位置之外，而不是患者的前臂或上臂。 每个运动检测传感器产生至少一个时间相关的运动波形，其指示位于患者身上的位置的运动。 通常佩戴在患者身上并具有微处理器的处理部件接收不同传感器产生的与时间有关的波形，并处理它们以确定：（i）使用两个不同时间的特征之间的时间差计算的脉冲传播时间 依赖的波形，（ii）根据时间差计算的血压值，以及（iii）从至少一个运动波形计算出的运动参数。

公开(公告)号：US20100298651A1

公开(公告)日：2010-11-25

申请号：US12469107

申请日：2009-05-20

申请人： Jim Moon ,  Devin McCombie ,  Marshal Dhillon ,  Matt Banet

发明人： Jim Moon ,  Devin McCombie ,  Marshal Dhillon ,  Matt Banet

IPC分类号： A61B5/00 ,  A61B5/0402 ,  A61B5/11

CPC分类号： A61B5/0205 ,  A61B5/0002 ,  A61B5/0006 ,  A61B5/0024 ,  A61B5/0082 ,  A61B5/02028 ,  A61B5/021 ,  A61B5/02125 ,  A61B5/022 ,  A61B5/02225 ,  A61B5/02416 ,  A61B5/0285 ,  A61B5/0295 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/0408 ,  A61B5/04085 ,  A61B5/0428 ,  A61B5/044 ,  A61B5/0452 ,  A61B5/0816 ,  A61B5/1116 ,  A61B5/1117 ,  A61B5/1118 ,  A61B5/1122 ,  A61B5/1123 ,  A61B5/14551 ,  A61B5/447 ,  A61B5/681 ,  A61B5/6823 ,  A61B5/6824 ,  A61B5/6826 ,  A61B5/7207 ,  A61B5/7239 ,  A61B5/7257 ,  A61B5/746 ,  A61B2560/0261 ,  A61B2562/0219

摘要： The invention provides a system and method for measuring vital signs (e.g. SYS, DIA, SpO2, heart rate, and respiratory rate) and motion (e.g. activity level, posture, degree of motion, and arm height) from a patient. The system features: (i) first and second sensors configured to independently generate time-dependent waveforms indicative of one or more contractile properties of the patient's heart; and (ii) at least three motion-detecting sensors positioned on the forearm, upper arm, and a body location other than the forearm or upper arm of the patient. Each motion-detecting sensor generates at least one time-dependent motion waveform indicative of motion of the location on the patient's body to which it is affixed. A processing component, typically worn on the patient's body and featuring a microprocessor, receives the time-dependent waveforms generated by the different sensors and processes them to determine: (i) a pulse transit time calculated using a time difference between features in two separate time-dependent waveforms, (ii) a blood pressure value calculated from the time difference, and (iii) a motion parameter calculated from at least one motion waveform.

摘要翻译： 本发明提供了一种用于从患者测量生命体征（例如SYS，DIA，SpO2，心率和呼吸频率）和运动（例如活动水平，姿势，运动程度和手臂高度）的系统和方法。 该系统的特征在于：（i）第一和第二传感器被配置成独立地产生指示患者心脏的一个或多个收缩特性的时间相关波形; 和（ii）至少三个运动检测传感器，其位于前臂，上臂和身体位置之外，而不是患者的前臂或上臂。 每个运动检测传感器产生至少一个时间相关的运动波形，其指示位于患者身上的位置的运动。 通常佩戴在患者身上并具有微处理器的处理部件接收不同传感器产生的与时间有关的波形，并处理它们以确定：（i）使用两个不同时间的特征之间的时间差计算的脉冲传播时间 依赖的波形，（ii）根据时间差计算的血压值，以及（iii）从至少一个运动波形计算出的运动参数。

公开(公告)号：US11589754B2

公开(公告)日：2023-02-28

申请号：US12469137

申请日：2009-05-20

申请人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet

发明人： Devin McCombie ,  Marshal Dhillon ,  Matt Banet

IPC分类号： A61B5/0205 ,  A61B5/021 ,  A61B5/02 ,  A61B5/00 ,  A61B5/022 ,  A61B5/024 ,  A61B5/0285 ,  A61B5/11 ,  A61B5/25 ,  A61B5/30 ,  A61B5/282 ,  A61B5/316 ,  A61B5/318 ,  A61B5/339 ,  A61B5/349 ,  A61B5/0295 ,  A61B5/08 ,  A61B5/1455

摘要： The invention provides a system and method for measuring vital signs (e.g. SYS, DIA, SpO2, heart rate, and respiratory rate) and motion (e.g. activity level, posture, degree of motion, and arm height) from a patient. The system features: (i) first and second sensors configured to independently generate time-dependent waveforms indicative of one or more contractile properties of the patient's heart; and (ii) at least three motion-detecting sensors positioned on the forearm, upper arm, and a body location other than the forearm or upper arm of the patient. Each motion-detecting sensor generates at least one time-dependent motion waveform indicative of motion of the location on the patient's body to which it is affixed. A processing component, typically worn on the patient's body and featuring a microprocessor, receives the time-dependent waveforms generated by the different sensors and processes them to determine: (i) a pulse transit time calculated using a time difference between features in two separate time-dependent waveforms, (ii) a blood pressure value calculated from the time difference, and (iii) a motion parameter calculated from at least one motion waveform.

公开(公告)号：US09339209B2

公开(公告)日：2016-05-17

申请号：US12762952

申请日：2010-04-19

申请人： Matt Banet ,  Marshal Dhillon ,  Devin McCombie

发明人： Matt Banet ,  Marshal Dhillon ,  Devin McCombie

IPC分类号： A61B5/08 ,  A61B5/05 ,  A61B5/113 ,  A61B5/0402 ,  A61B5/1455 ,  A61B5/00

CPC分类号： A61B5/0816 ,  A61B5/0002 ,  A61B5/0008 ,  A61B5/0205 ,  A61B5/0402 ,  A61B5/0809 ,  A61B5/113 ,  A61B5/14551 ,  A61B5/7239 ,  A61B5/7257 ,  A61B2562/0219

摘要： The invention provides a system for measuring respiratory rate (RR) from a patient. The system includes an impedance pneumography (IP) sensor, connected to at least two electrodes, and a processing system that receives and processes signals from the electrodes to measure an IP signal. A motion sensor (e.g. an accelerometer) measures at least one motion signal (e.g. an ACC waveform) describing movement of a portion of the patient's body to which it is attached. The processing system receives the IP and motion signals, and processes them to determine, respectfully, frequency-domain IP and motion spectra. Both spectra are then collectively processed to remove motion components from the IP spectrum and determine RR. For example, during the processing, an algorithm determines motion frequency components from the frequency-domain motion spectrum, and then using a digital filter removes these, or parameters calculated therefrom, from the IP spectrum.

公开(公告)号：US09215986B2

公开(公告)日：2015-12-22

申请号：US12650383

申请日：2009-12-30

申请人： Matt Banet ,  Marshal Dhillon ,  Devin McCombie

发明人： Matt Banet ,  Marshal Dhillon ,  Devin McCombie

IPC分类号： A61B5/021 ,  A61B5/0225 ,  A61B5/024 ,  A61B5/11 ,  A61B5/1455 ,  A61B5/00 ,  A61B5/0295 ,  A61B5/0402 ,  A61B5/0452

CPC分类号： A61B5/02125 ,  A61B5/0022 ,  A61B5/02133 ,  A61B5/0225 ,  A61B5/02416 ,  A61B5/0295 ,  A61B5/0402 ,  A61B5/0452 ,  A61B5/1118 ,  A61B5/14551 ,  A61B5/6824 ,  A61B5/721 ,  A61B5/7239 ,  A61B5/742

摘要： The present invention provides a technique for continuous measurement of blood pressure based on pulse transit time and which does not require any external calibration. This technique, referred to herein as the ‘Composite Method’, is carried out with a body-worn monitor that measures blood pressure and other vital signs, and wirelessly transmits them to a remote monitor. A network of body-worn sensors, typically placed on the patient's right arm and chest, connect to the body-worn monitor and measure time-dependent ECG, PPG, accelerometer, and pressure waveforms. The disposable sensors can include a cuff that features an inflatable bladder coupled to a pressure sensor, three or more electrical sensors (e.g. electrodes), three or more accelerometers, a temperature sensor, and an optical sensor (e.g., a light source and photodiode) attached to the patient's thumb.

摘要翻译： 本发明提供了一种基于脉冲传播时间连续测量血压并且不需要任何外部校准的技术。 这种技术在本文中被称为“复合方法”，是用身体穿戴式监视器进行的，该监视器测量血压和其他生命体征，并将其无线传输到远程监视器。 通常放置在患者右臂和胸部的身体穿戴传感器网络连接到身体佩戴的监视器，并测量依赖于时间的ECG，PPG，加速度计和压力波形。 一次性传感器可以包括具有连接到压力传感器的可充气气囊，三个或更多个电传感器（例如电极），三个或更多个加速度计，温度传感器和光学传感器（例如，光源和光电二极管）的袖带， 附在病人的拇指上。

公开(公告)号：US09161700B2

公开(公告)日：2015-10-20

申请号：US12650374

申请日：2009-12-30

申请人： Matt Banet ,  Marshal Dhillon ,  Devin McCombie

发明人： Matt Banet ,  Marshal Dhillon ,  Devin McCombie

IPC分类号： A61B5/021 ,  A61B5/0225 ,  A61B5/024 ,  A61B5/11 ,  A61B5/1455 ,  A61B5/00 ,  A61B5/0295 ,  A61B5/0402 ,  A61B5/0452

CPC分类号： A61B5/02125 ,  A61B5/0022 ,  A61B5/02133 ,  A61B5/0225 ,  A61B5/02416 ,  A61B5/0295 ,  A61B5/0402 ,  A61B5/0452 ,  A61B5/1118 ,  A61B5/14551 ,  A61B5/6824 ,  A61B5/721 ,  A61B5/7239 ,  A61B5/742

摘要： The present invention provides a technique for continuous measurement of blood pressure based on pulse transit time and which does not require any external calibration. This technique, referred to herein as the ‘Composite Method’, is carried out with a body-worn monitor that measures blood pressure and other vital signs, and wirelessly transmits them to a remote monitor. A network of body-worn sensors, typically placed on the patient's right arm and chest, connect to the body-worn monitor and measure time-dependent ECG, PPG, accelerometer, and pressure waveforms. The disposable sensors can include a cuff that features an inflatable bladder coupled to a pressure sensor, three or more electrical sensors (e.g. electrodes), three or more accelerometers, a temperature sensor, and an optical sensor (e.g., a light source and photodiode) attached to the patient's thumb.