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1. 发明授权

US10555676B2 Method for generating alarms/alerts based on a patient's posture and vital signs 有权
公开(公告)号：US10555676B2
公开(公告)日：2020-02-11
申请号：US12469236
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 , G16H50/50 , G16H15/00 , A61B5/021 , A61B5/11 , A61B5/00 , G08B21/04 , A61B5/02 , A61B5/022 , A61B5/0402 , G16H50/20 , A61B5/01 , A61B5/024 , A61B5/0245 , A61B5/04 , A61B5/0404 , A61B5/0452 , A61B5/0456 , A61B5/08 , A61B5/145
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.

2. 发明授权

US08738118B2 Cable system for generating signals for detecting motion and measuring vital signs 有权
标题翻译：用于产生用于检测运动和测量生命体征的信号的电缆系统
公开(公告)号：US08738118B2
公开(公告)日：2014-05-27
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： A61B5/02
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。

3. 发明授权

US08602997B2 Body-worn system for measuring continuous non-invasive blood pressure (cNIBP) 有权
标题翻译：用于测量连续非侵入性血压（cNIBP）的身体磨损系统
公开(公告)号：US08602997B2
公开(公告)日：2013-12-10
申请号：US12650370
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
CPC分类号： A61B5/0225 , A61B5/02125 , A61B5/02133 , A61B5/02416 , A61B5/0452 , A61B5/7239
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。

4. 发明授权

US08545417B2 Body-worn monitor for measuring respiration rate 有权
标题翻译：用于测量呼吸速率的身体佩戴监护仪
公开(公告)号：US08545417B2
公开(公告)日：2013-10-01
申请号：US12559422
申请日：2009-09-14
申请人： Matt Banet , Devin McCombie , Marshal Dhillon
发明人： Matt Banet , Devin McCombie , Marshal Dhillon
IPC分类号： A61B5/08
CPC分类号： A61B5/0816 , A61B5/0002 , A61B5/0205 , A61B5/02416 , A61B5/0402 , A61B5/0535 , A61B5/0809 , A61B5/1116 , A61B5/1118 , A61B5/113 , A61B5/681 , A61B5/6823 , A61B5/6824 , A61B5/6826 , A61B5/721 , A61B5/7239 , A61B5/746 , A61B2562/0219
摘要： The invention provides a multi-sensor system that uses an algorithm based on adaptive filtering to monitor a patient's respiratory rate. The system features a first sensor which is selected from the group consisting of an impedance pneumography sensor, an ECG sensor, and a PPG sensor; and a motion sensor (e.g., an accelerometer) configured to attach to the patient's torso and measure therefrom a motion signal. The system further comprises (iii) a processing system, configured to operably connect to the first and motion sensors, and to determine a respiration rate value by applying filter parameters obtained from the first sensor signals to the motion sensor signals.
摘要翻译：本发明提供一种多传感器系统，其使用基于自适应滤波的算法来监测患者的呼吸频率。该系统具有从由阻抗气象传感器，ECG传感器和PPG传感器组成的组中选择的第一传感器; 以及运动传感器（例如，加速度计），其被配置为附接到患者的躯干并从其测量运动信号。系统还包括（iii）处理系统，被配置为可操作地连接到第一和运动传感器，并且通过将从第一传感器信号获得的滤波器参数应用于运动传感器信号来确定呼吸速率值。

5. 发明申请

US20110066007A1 BODY-WORN MONITOR FOR MEASURING RESPIRATION RATE 审中-公开
公开(公告)号：US20110066007A1
公开(公告)日：2011-03-17
申请号：US12559429
申请日：2009-09-14
申请人： Matt Banet , Devin McCombie , Marshal Dhillon
发明人： Matt Banet , Devin McCombie , Marshal Dhillon
IPC分类号： A61B5/08 , A61B5/00
CPC分类号： A61B5/0816 , A61B5/0002 , A61B5/0205 , A61B5/02416 , A61B5/0402 , A61B5/0535 , A61B5/0809 , A61B5/1116 , A61B5/1118 , A61B5/113 , A61B5/681 , A61B5/6823 , A61B5/6824 , A61B5/6826 , A61B5/721 , A61B5/7239 , A61B5/746 , A61B2562/0219
摘要： The invention provides a multi-sensor system that uses an algorithm based on adaptive filtering to monitor a patient's respiratory rate. The system features a first sensor selected from the following group: i) an impedance pneumography sensor featuring at least two electrodes and a processing circuit configured to measure an impedance pneumography signal; ii) an ECG sensor featuring at least two electrodes and an ECG processing circuit configured to measure an ECG signal; and iii) a PPG sensor featuring a light source, photodetector, and PPG processing circuit configured to measure a PPG signal. Each of these sensors measures a time-dependent signal which is sensitive to respiratory rate and, during operation, is processed to determine an initial respiratory rate value. An adaptive digital filter is determined from the initial respiratory rate. The system features a second sensor (e.g. a digital 3-axis accelerometer) that attaches to the patient's torso and measures an ACC signal indicating movement of the chest or abdomen that is also sensitive to respiratory rate. This second signal is processed with the adaptive filter to determine a final value for respiratory rate.

6. 发明申请

US20100298653A1 METHOD FOR MEASURING PATIENT MOTION, ACTIVITY LEVEL, AND POSTURE ALONG WITH PTT-BASED BLOOD PRESSURE 有权
标题翻译：用于测量患者运动，活动水平和基于PTT的血压的姿势的方法
公开(公告)号：US20100298653A1
公开(公告)日：2010-11-25
申请号：US12469127
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： A61B5/00 , 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为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。

7. 发明申请

US20100298652A1 SYSTEM FOR CALIBRATING A PTT-BASED BLOOD PRESSURE MEASUREMENT USING ARM HEIGHT 有权
标题翻译：使用ARM HEAD校准基于PTT的血压测量系统
公开(公告)号：US20100298652A1
公开(公告)日：2010-11-25
申请号：US12469115
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： A61B5/00 , A61B5/11 , A61B5/022
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为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。

8. 发明授权

US11607152B2 Optical sensors for use in vital sign monitoring 有权
公开(公告)号：US11607152B2
公开(公告)日：2023-03-21
申请号：US13292923
申请日：2011-11-09
申请人： Jim Moon , Devin McCombie , Matt Banet , Marshal Dhillon
发明人： Jim Moon , Devin McCombie , Matt Banet , Marshal Dhillon
IPC分类号： A61B5/11 , A61B5/00 , A61B5/1455 , A61B5/25 , A61B5/022 , A61B5/0245 , A61B5/08 , A61B5/0205
摘要： The invention provides a body-worn system that continuously measures pulse oximetry and blood pressure, along with motion, posture, and activity level, from an ambulatory patient. The system features an oximetry probe that comfortably clips to the base of the patient's thumb, thereby freeing up their fingers for conventional activities in a hospital, such as reading and eating. The probe secures to the thumb and measures time-dependent signals corresponding to LEDs operating near 660 and 905 nm. Analog versions of these signals pass through a low-profile cable to a wrist-worn transceiver that encloses a processing unit. Also within the wrist-worn transceiver is an accelerometer, a wireless system that sends information through a network to a remote receiver, e.g. a computer located in a central nursing station.

9. 发明授权

US10085657B2 Body-worn pulse oximeter 有权
公开(公告)号：US10085657B2
公开(公告)日：2018-10-02
申请号：US12559392
申请日：2009-09-14
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： A61B5/1455 , A61B5/0245 , A61B5/00 , A61B5/021 , A61B5/022 , A61B5/0452 , A61B5/11
摘要： The invention provides a body-worn system that continuously measures pulse oximetry and blood pressure, along with motion, posture, and activity level, from an ambulatory patient. The system features an oximetry probe that comfortably clips to the base of the patient's thumb, thereby freeing up their fingers for conventional activities in a hospital, such as reading and eating. The probe secures to the thumb and measures time-dependent signals corresponding to LEDs operating near 660 and 905 nm. Analog versions of these signals pass through a low-profile cable to a wrist-worn transceiver that encloses a processing unit. Also within the wrist-worn transceiver is an accelerometer, a wireless system that sends information through a network to a remote receiver, e.g. a computer located in a central nursing station.

10. 发明授权

US09775529B2 Body-worn pulse oximeter 有权
公开(公告)号：US09775529B2
公开(公告)日：2017-10-03
申请号：US12559386
申请日：2009-09-14
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： A61B5/1455 , A61B5/0245 , A61B5/00 , A61B5/021 , A61B5/022 , A61B5/0452 , A61B5/11
CPC分类号： A61B5/0245 , A61B5/021 , A61B5/022 , A61B5/02225 , A61B5/0452 , A61B5/1116 , A61B5/1118 , A61B5/14551 , A61B5/14552 , A61B5/681 , A61B5/6824 , A61B5/6826 , A61B5/6838 , A61B5/721 , A61B5/7239 , A61B5/746
摘要： The invention provides a body-worn system that continuously measures pulse oximetry and blood pressure, along with motion, posture, and activity level, from an ambulatory patient. The system features an oximetry probe that comfortably clips to the base of the patient's thumb, thereby freeing up their fingers for conventional activities in a hospital, such as reading and eating. The probe secures to the thumb and measures time-dependent signals corresponding to LEDs operating near 660 and 905 nm. Analog versions of these signals pass through a low-profile cable to a wrist-worn transceiver that encloses a processing unit. Also within the wrist-worn transceiver is an accelerometer, a wireless system that sends information through a network to a remote receiver, e.g. a computer located in a central nursing station.

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