MX2014013947A - Configurable, portable patient monitoring system. - Google Patents

Configurable, portable patient monitoring system.

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Publication number
MX2014013947A
MX2014013947A MX2014013947A MX2014013947A MX2014013947A MX 2014013947 A MX2014013947 A MX 2014013947A MX 2014013947 A MX2014013947 A MX 2014013947A MX 2014013947 A MX2014013947 A MX 2014013947A MX 2014013947 A MX2014013947 A MX 2014013947A
Authority
MX
Mexico
Prior art keywords
monitor
patient
screen
monitoring system
docking station
Prior art date
Application number
MX2014013947A
Other languages
Spanish (es)
Other versions
MX348292B (en
Inventor
Bruce Qualey
Scott Britt
Nityanand Shetty
Original Assignee
Spacelabs Healthcare Llc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Spacelabs Healthcare Llc filed Critical Spacelabs Healthcare Llc
Publication of MX2014013947A publication Critical patent/MX2014013947A/en
Publication of MX348292B publication Critical patent/MX348292B/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/083Measuring rate of metabolism by using breath test, e.g. measuring rate of oxygen consumption
    • A61B5/0836Measuring rate of CO2 production
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
    • A61B5/7445Display arrangements, e.g. multiple display units
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/339Displays specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/7405Details of notification to user or communication with user or patient ; user input means using sound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B3/00Audible signalling systems; Audible personal calling systems
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B5/00Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B7/00Signalling systems according to more than one of groups G08B3/00 - G08B6/00; Personal calling systems according to more than one of groups G08B3/00 - G08B6/00
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04Constructional details of apparatus
    • A61B2560/0443Modular apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04Constructional details of apparatus
    • A61B2560/0443Modular apparatus
    • A61B2560/045Modular apparatus with a separable interface unit, e.g. for communication
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04Constructional details of apparatus
    • A61B2560/0456Apparatus provided with a docking unit
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/082Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Cardiology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • General Physics & Mathematics (AREA)
  • Pulmonology (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Emergency Medicine (AREA)
  • Obesity (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

A system for patient monitoring includes a plurality of components including a monitor and display assembly, optional stand-alone displays, optional stand-alone monitors, one or more modules, and at least one patient parameter measuring device. The display includes a flat glass front with a blackened border that appears continuous but allows the passage of light during alarm situations. The display functions as a touchscreen and includes a portion for alarm volume control. The system also includes a docking station for the monitor and display assembly and capnography and/or multigas pods for attachment to the monitor and display assembly. The monitor and display assembly, docking station, and pods enhance portability of the system. The monitor and display assembly, module(s), and patient parameter measuring device(s) are all interconnected via Dual Serial Bus (DSB) interfaces.

Description

CONFIGURABLE, PORTABLE PATIENT MONITORING SYSTEM FIELD OF THE INVENTION The present specification generally refers to hospital-based patient monitoring systems. More particularly, the present specification relates to a configurable patient monitoring system comprising a monitor and screen assembly, optional independent screens, optional independent monitors, one or more modules, and a plurality of devices for measuring patient parameters.
BACKGROUND OF THE INVENTION A patient monitoring system is an electronic medical device that measures the different vital signs of a patient, collects and processes all measurements as data, and then displays the data graphically and / or numerically on a viewing screen. The graphical data is continuously displayed as data channels on a time axis (waveforms). Patient monitoring systems are positioned near hospital beds, usually in critical care units, where they continuously monitor the patient's status by means of measuring devices attached to the patient and can be seen by the hospital staff. Some patient monitoring systems can only be seen on a local screen, while others can be linked to a network and thus display the data in other locations, such as central monitoring or nursing stations.
Portable patient monitoring systems are available for use by Emergency Medical Services (EMS) personnel. These systems usually include a defibrillator along with the monitor. Other portable units, such as Holter monitors, are worn by the patients for a particular period of time and then returned to the doctor for the evaluation of the measured and collected data. Current patient monitoring systems are capable of measuring and displaying a variety of vital signs, including, pulse oximetry (Sp02), electrocardiography (ECG, Electrocardiograph), invasive blood pressure (IBP, Invasive Blood Pressure), non-invasive blood pressure (NIBP, Non-Invasive Blood Pressure), mixed venous oxygen saturation (Sv02), bispectral index (BISx), and respiration. Patient monitoring systems are able to measure and display maximum, minimum and average values and frequencies, such as pulse and respiratory rate.
The collected data can be transmitted through fixed wired connections or wired data communication. The energy to the patient monitoring systems can be supplied through a main power line or through batteries. While current patient monitoring systems are effective in monitoring patient conditions and notifying changes to medical personnel, they are not without certain drawbacks and limitations.
Patient monitoring systems are usually equipped with audio and visual alarms to notify medical personnel of changes in patient status. The alarm parameters can be set by the medical staff. Audible nurse alarms can often be too loud and distract other patients and staff. Bright, flashing visual nurse alarms can also distract other patients. Conversely, the more subtle visual nurse alarms may be too difficult to visualize, which may be a result of visual clutter on the monitoring system screen or because the visual alarm is not sufficiently differentiated from other information in the screen. In addition, it can be difficult for nurses to silence an active alarm, delaying care at patient. The typical user interface for alarm control is operated by means of traditional push buttons or in many cases a touch screen or keyboard.
Therefore, there is a need for a better alarm mechanism in patient monitoring systems, in which audible and visual alarms are easily recognized by nurses while not bothering patients at the same time. In addition, there is a need for an alarm mechanism in which an assistance nurse can quickly silence the alarm and then focus on the patient's needs.
Current patient monitoring systems are traditionally grouped into an integrated package that includes the screen, enclosure, and electronics. This limits flexibility and prevents users from customizing the monitoring system to their specific needs and available space. Therefore, there is a need for a modular patient monitoring system in which the individual components are discrete and can be connected in different configurations. Specifically, there is a need for a monitor that does not have an integrated screen and can be connected to a generic commercial or common screen (COTS, Commercial Off-The-Shelf). Such a monitoring system would enable users to position the screen and monitor in the most efficient manner, thus releasing valuable area in the patient's vicinity.
BRIEF DESCRIPTION OF THE INVENTION The present specification is directed towards a configurable patient monitoring system comprising a plurality of non-integrated components that include a screen, a monitor, one or more modules, and at least one device for measuring patient parameters. A variety of patient parameters can be monitored and parameter measurement devices are connected to the system via dual serial bus (DSB, Dual Serial Bus) interface connectors and DSB cables.
In one embodiment, the present specification is directed to a display device for use in patient monitoring systems, comprising: a housing having a front face and defining an enclosure, wherein said enclosure comprises a first opening in a right side of said housing and a second opening on a left side of said housing; a touch screen mounted on the front of said housing, wherein said touch screen comprises a flat piece of glass having a central screen area and a black edge extending along a left, right, top edge, and lower of said crystal; a processor to determine an alarm state; and, light sources within said touch screen which are activated by said processor during the alarm state, wherein said light sources are configured to pass through said black edge and at the same time pass through said first aperture. and second opening.
In one embodiment, the display device further comprises a single prominent capacitive button, programmable along the edge of said touch screen. In one embodiment, the button comprises a capacitive piece of metal. In another embodiment, the display device includes a section of the touch screen programmed to control the alarm light.
In one mode, the alarm lights are configurable by a user to define the minimum level of alarm lights that can be activated independently of the on-screen alarm and / or audio alarm display.
In one embodiment, the black edge of the display device is screen printed on the back of the glass. In another embodiment, the black border of the display device comprises an ink that is screen-printed or sprayed onto a masked edge area at the back of the glass. In another mode, the black edge of the display device It contains small openings that make the edge appear continuous and uniform but allow light to pass through them.
In one embodiment, the light sources that emit the light that passes through the black edge are the same light sources that emit the light that passes through the first aperture and the second aperture.
In one embodiment, the light sources that emit the light that passes through the black edge are different from the light sources that emit the light that passes through the first aperture and the second aperture.
In another mode, the alarm lights are configured as a single nurse light through the top of the screen. Additionally or optionally, in one embodiment, another nurse alarm light is positioned on the back to provide full nurse light visibility from any angle or position.
In another embodiment, the present specification is directed to a system for monitoring patients, comprising: at least one patient monitor that allows communication with external devices, wherein said patient monitor is in electronic communication with and directs at least one screen, and where said screen comprises: a housing having a front and defining an enclosure, wherein said enclosure comprises a first opening on a right side of said housing and a second opening on a left side of said housing; a touch screen mounted on the front of said housing, wherein said touch screen comprises a flat piece of glass having a central screen area and a black border extending along a left, right, top edge, and lower of said crystal; at least one module for providing measurements of a plurality of patient parameters, wherein said module is in electronic communication with said patient monitor and wherein said module comprises at least one interface for communicating electronically with at least one parameter measurement device of the patient; a processor to determine an alarm state; and, light sources within said touch screen which are activated by said processor during the alarm state, wherein said light sources are configured to pass through said black edge and to pass through said said edge at the same time. first opening and second opening; and at least one dual serial bus (DSB) interface to enable electronic communication between the patient monitor, the module, and / or the device's parameter measurement device. patient.
The present specification is also directed to a system for patient monitoring, comprising: at least one patient monitor that allows communication with external devices, wherein said patient monitor is in electronic communication with and directs at least one screen, and wherein said screen comprises: a housing having a front and a rear part; a touch screen mounted on the front of said housing, wherein said touch screen comprises a flat piece of glass having a central screen area and a black border extending along a left, right, top edge, and bottom of said glass, further wherein said monitor is fixedly attached to said rear part of said screen; at least one module for providing measurements of a plurality of patient parameters, wherein said module is in electronic communication with said patient monitor and wherein said module comprises at least one interface for communicating electronically with at least one parameter measurement device of the patient; a processor to determine an alarm state; and, light sources within said touch screen which are activated by said processor during the alarm state, wherein said light sources are configured to pass through said black border; and at least one dual serial bus (DSB) interface to enable electronic communication between the patient monitor, the module, and / or the patient parameter measurement device.
In one embodiment, said at least one light source is positioned proximate said upper edge of said front face of said display device. In one embodiment, the touch screen comprises an area corresponding to said light source for controlling the alarm volume level. In one embodiment, said area comprises a first portion for decreasing said level of alarm volume and a second portion for increasing said level of alarm volume.
In one embodiment, said at least one light source is positioned on said rear face of said screen.
In one embodiment, said at least one patient monitor comprises a removable internal chassis for mounting a plurality of circuit boards.
In one embodiment, said at least one patient monitor comprises a handle attached to said patient monitor and wherein said further comprises a high and a low position, a reference point for balancing said patient monitor perpendicular to the floor when said monitor of patients is carried using said handle and a shock absorber to retard the downward movement of said handle when said handle is released from the high position.
In one embodiment, said at least one patient monitor comprises lithium ion batteries and a microcontroller to monitor the conditions of charge, discharge and elevated temperature of said batteries. In one embodiment, said at least one patient monitor is capable of operating 8 hours with battery power while monitoring ECG, NIBP every 15 minutes and taking a log every 15 minutes.
In one embodiment, said at least one patient monitor has a Sabic Lexan EXL plastic housing. In one embodiment, said at least one patient monitor weighs less than 4.08 kilograms (9 pounds).
The present specification is also directed to a docking station having a receiving surface for receiving a monitor and display device of a patient monitoring system, said monitor and display device having a first connector and a first plurality of medical receptacles. monitor for the transmission of digital information and energy, said docking station comprises: a second plurality of receptacles; a second connector positioned on said receiving surface of said coupling station to pair with said first connector of said display monitor device; a board of circuits to control said transmission of digital information and energy; a molded recess for adjusting an external shape of a lower portion of said monitor and display device; at least one latching mechanism for securely holding said monitor and display device in place and, a release button for decoupling said latching mechanism for removal of said monitor and display device from said coupling station; wherein, when said monitor and display device is securely mounted in said coupling station by means of said engagement mechanism, said first connector is in electrical communication with said second connector, further wherein said circuit board transfers said transmission of digital information and energy from said first plurality of receptacles, through said first and second connectors, and said second plurality of receptacles.
In one embodiment, said second plurality of receptacles comprises Ethernet connection, DVI for external display, USB, serial ports, audio / IR alert / external nurse receiver, power port and synchronous data link control (SDLC, Synchronous Data Link Control).
In one embodiment, said docking station covers said first plurality of receptacles in said monitor and display device when said monitor and display device is coupled in the docking station.
In one embodiment, said monitor and display device further comprises a first plurality of holes and said coupling station further comprises a second plurality of holes, said first and second plurality of orifices aligning when said monitor and display device is mounted thereon. docking station.
In one embodiment, said molded recess further comprises an outward bevel to guide the monitor and display device into position during engagement and at least one stump configured to comfortably fit into at least one corresponding aperture in said monitor and display device for further guiding the placement of said monitor and display device in said docking station.
In one embodiment, the docking station further comprises at least one stump configured to fit into at least one corresponding opening in said monitor and display device to further guide the positioning of said monitor and display device in said monitoring station. coupling In one embodiment, said release button is backlit when the monitor and display device is engaged in the docking station.
The present specification is also directed to an externally mountable compartment for joining a monitor of a patient monitoring system, said compartment comprising: a plurality of pogo pins for pairing with connectors on said monitor; at least one guide journal for matching said compartment with said monitor; a latch mechanism for connecting and removing said compartment to and from said monitor; a button for actuating said latch mechanism; and, a plurality of receptacles on one side of said compartment.
In one embodiment, said compartment is a side stream or multigas capnography compartment.
In one mode, the pogo pins enable the compartment to receive energy from said monitor and enable communication between said compartment and said monitor.
In one embodiment, said receptacles comprise inlet and ejection ports.
The aforementioned and other embodiments of the present invention will be described in greater depth in the drawings and the detailed description that is provided below.
BRIEF DESCRIPTION OF THE DRAWINGS These and other objects and advantages of the present specification will become more fully apparent from the following detailed description when read in conjunction with the accompanying drawings with like reference numerals indicating corresponding parts, wherein: Figure 1 is a block diagram representing one embodiment of an exemplary configuration of the components of the patient monitoring system of the present specification, illustrating the use of dual serial bus (DSB) cables to connect patient measurement devices. parameters of the patient to the monitor.
Figure 2A is an oblique side view illustration of a modality of a monitor and display assembly of the patient monitoring system.
Figure 2B is an oblique side view illustration of a monitor mode and a portion of the screen of a monitor and display assembly, representing a rechargeable battery partially removed from the monitor.
Figure 2C is a side view illustration of a modality of a monitor and screen assembly illustrating a handle in a high position; Figure 2D is a rear view illustration of a modality of a monitor and screen assembly representing a plurality of receptacles.
Figure 3 is a front view illustration of a monitor and display assembly mode of the patient monitoring system that represents a red alarm light on the front of the screen.
Figure 4 is an oblique interior view illustration of a modality of a monitor and display assembly with circuit boards mounted on a removable internal chassis.
Figure 5 is an oblique front view illustration of one embodiment of a quick release assembly.
Figure 6 is an oblique front view illustration of an exemplary control module embodiment of the patient monitoring system.
Figure 7A is an oblique front view illustration of a docking station mode of the patient monitoring system.
Figure 7B is a side view illustration of a modality of a docking station of the patient monitoring system.
Figure 7C is a back view illustration of a monitor and screen assembly of the patient monitoring system coupled to a docking station.
Figure 8 is a diagrammatic illustration of an exemplary coupling station PCBA (Printed Circuit Board Assembly).
Figure 9A is an oblique side view illustration of a modality of a side stream or multigas capnography compartment of the patient monitoring system.
Figure 9B is an oblique back view illustration of a monitor and display assembly mode of the patient monitoring system that represents a sidestream or multigas connected capnography compartment.
Figure 10 is an oblique back view illustration of a monitor and display assembly mode of the patient monitoring system depicting the monitor and screen assembly coupled to a docking station and a sidestream or multigas coupled capnography compartment .
DETAILED DESCRIPTION OF THE INVENTION In one embodiment, the present specification is directed to a configurable patient monitoring system comprising a plurality of non-integrated components that include a screen and monitor assembly, optional additional independent screens, optional additional independent monitors, one or more modules, and at least one device for measuring patient parameters. A variety of patient parameters can be monitored and parameter measurement devices are connected to the system via dual serial bus (DSB) connectors and DSB cables.
The DSB interface comprises a first serial protocol and a second serial protocol, wherein the first protocol is a universal serial bus (USB), Firewire, or Ethernet protocol and the second serial protocol is a serial protocol of low power (LPS, Low Power Serial). The DSB interface manages the power distribution within the system by providing 5 V via the USB or 3.3 V protocol via the LPS protocol to the connected devices. Within the DSB interface, each component of the patient monitoring system is a DSB central (Host), DSB device, or both a central DSB and DSB device. A DSB exchange is in communication with and can supply battery operation and charging power to a connected DSB device and additionally contains a switched auxiliary voltage supply (AVS, Auxiliary Voltage Supply) that can provide up to 15 W of power to the attached DSB devices for battery recharge or other high energy needs. The DSB exchange recognizes the power requirements of the attached devices and switches the power delivery accordingly. The DSB interface is presented in greater detail in the pending United States Patent Application Number 13 / 300,478, entitled "Dual Serial Bus Interface", filed on November 18, 2011 and signed by the Applicant of the present invention, which is incorporated herein by reference.
Monitor and Display Assembly In one embodiment, the patient monitoring system includes a combined monitor and screen assembly, where the monitor is fixed securely and immovably to the back of the screen and the screen is directed by the monitor.
In one mode, the monitor interfaces with the modules and allows communication with external devices.
The monitor is similar to a CPU tower and provides a coupling for a module and parameter recorders. In one mode, the monitor contains a bay that provides power and communication for a private Spacelabs module. In one modality, the monitor can support both current and old modules and also patient parameter cables from the user-side device (FED, Front-End Device). In one mode, the monitor contains four USB ports to interface with devices including, but not limited to, keyboards, mice, barcode scanners, and removable disk drives. A patient-driven activity center (PWH, Patient Worn Hub), a small, portable stand-alone monitor described in co-pending US Patent Application Number 13 / 300,526, entitled "Self-Contained Patient Monitor", (Monitor Autonomous of Patients) filed on November 18, 2011, and assigned to the Applicant of the present invention, which is incorporated herein by reference, may also be connected. The PWH can also communicate wirelessly with the monitor. In these scenarios, the monitor acts as the central DSB and the PWH is the DSB device.
In addition, third-party devices can be connected to the monitor via Device Interface Cables, which translate the output of the third-party device to the protocol embedded in the DSB connector. The Cable Device interface has a DSB connector on one end and a cable connector on the other end to interface with the central (host) and the third party device, respectively. The Device Interface Cable is described in greater detail together with the PWH in the application referenced directly in the previous paragraph.
In one mode, the monitor contains a DVI port to allow the connection of an independent external display. The monitor also contains an Ethernet port for communication with other monitors and hospital infrastructures.
In one mode, the monitor contains an alarm relay output for an external nurse alert. This port is used for communication with an external display as described above. In one mode, a port is used to carry the signal to activate the alarm lights and the audio alarm, eliminating the need for two discrete cables and two discrete ports. In one modality, the monitor contains an additional nurse alert port that can be used with an independent external nurse alert (not on a screen). The monitor also contains a synchronous data link control (SDLC) port. For communication with the bays of the module of expansion that allow the user to use more modules through a device. In one mode, the monitor contains a serial port for touch screen communication, software updates and data logging. In one embodiment, the power is supplied to the monitor and display assembly by means of a DC power input. In one embodiment, the monitor and display assembly includes an equipotential terminal to ground the monitor. The monitor and display assembly also contains a rechargeable battery that is used in the event of power interruption to backup the module data, energize external nurse alerts, and energize the infrared (IR) receiver.
In one mode, the monitor uses "smart" lithium-ion batteries to provide long battery life and safety. The design provides a common form factor interlocking insertion of incompatible batteries. A built-in microcontroller monitors the conditions of charge, discharge and high temperature.
Thermal and current fuses are also provided as redundant safety features. One mode uses the Inspired Energy NI2040HD24 Smart Battery that includes a rechargeable lithium-ion battery and a battery management module. The battery consists of 9 cells rechargeable lithium-ion batteries of size 18650, assembled in a configuration of 3 in series / 3 parallel (3S 3P). Each cell has an average voltage of 3.6 V and a typical capacity of 2.4 Ah giving a battery pack of 10.8 V and 7.2 Ah. The battery is able to communicate with the exchange or the charger through a common system management bus (SMBus). The protection is provided for excess load, excess discharge and short circuit. For redundancy, passive safety devices are integrated into the package to protect against overcurrent and excess temperature, and secondary overvoltage is implemented with a logic fuse and controller.
In one mode, the monitor can run for 8 hours with battery power while monitoring ECG, NIBP every 15 minutes and takes a log every 15 minutes.
In one modality, the monitor uses dynamic network access (DNA, Dynamic NetWork Access) to provide laboratory, pharmacy, graphics, intranet, and hospital information system (HIS, Hospital Information System) applications at the bedside. Medical staff is able to access this information using a Citrix client application that runs on the monitor. This requires a Citrix server to host the application to serve the monitors. Nurses and doctors can review information from multiple sources without leaving the patient's care area. Concise and complete electronic patient records are created effortlessly. In one modality, the monitor includes data reorganization (da ta shuffle) and barcode scanner support for rapid identification and transfer, free of patient information errors. With the DNA option, instant access to patient information is ensured through the network. This results in ensuring optimal patient safety while simultaneously maximizing caregiver efficiency. In one modality, the special feature Full Bed Review (Full Bed Review) provides the nurse or physician the ability to view, control, review, and remotely record patient data for any other bed in network or telemetry without leaving the patient's bedside In one embodiment, the special feature of remote view / alarm monitoring (Remate Viéw / Alarm Wa tch) allows the caregiver to see any parameter for any patient monitored in the network from any headend. During an alarm state, waveforms and numeric data can be saved and recorded for later review. In one modality, the special Alarm Limit Review feature provides the caregiver with an instant view of the alarm limits of the header for all active parameters for viewing or printing. In one modality, the special feature of the Clinical Event Interface (ICS) instantly transmits alarms and waveforms personal communication devices for immediate viewing, resulting in faster response times. In one modality, flexport interfaces with the patient's link data from independent devices, consolidation waveforms, data, and alarms within the monitor. The information is then integrated directly into the trends of the monitor for its output to HIS or CIS applications.
In one embodiment, the monitor and display assembly includes a compartment connection port for the addition of a capnography or multigas compartment as described below.
In one embodiment, the monitor circuit boards are all mounted on the removable internal chassis. The chassis can be removed from the enclosure while the monitor is still fully functional. Each circuit board is individually accessible to allow service personnel to easily troubleshoot all circuit boards / components and replace any board / components without having to disassemble completely the monitor.
In one embodiment, the monitor and display assembly includes a printer slot to expand the capabilities of the monitor. In one mode, the printer accepts 50 mm paper.
In one embodiment, the monitor and display assembly includes a handle that can rotate in up and down directions. When the handle is released or released, it gradually falls to its low position by default. In one embodiment, a rotational damper delays the downward movement of the handle (with the release, from its high position) such that the handle is not flogged in the monitor and display assembly. This allows the silent use of the handle and the monitor and screen assembly without disturbing the patients. According to one embodiment, the handle also has a stopping functionality at a predetermined reference point at which the monitor and screen assembly is balanced enabling the screen to be perpendicular to the floor when worn using the handle. This functionality allows the monitor and screen assembly to be quite comfortable to hold and walk with, using the handle, as it does not get in the way of the user's leg or impose uncomfortable forces on his arm / hand.
In one embodiment, Sage Lexan EXL plastic is used to house the monitor and screen assembly to allow the monitor and screen assembly to support unintentional dropping, chemical cleaning and excessive heat. In one embodiment, the monitor and display assembly weighs less than 4.08 kilograms (9 pounds).
In one modality, the screen includes a touch screen of 30.7 centimeters (12.1 inches) and is capable of representing up to eight waveforms. In one mode, the monitor and screen assembly contains speakers for audio alarms.
In one embodiment, the external display contains integrated visual alarm lights located on the front and back of the monitor and display assembly. These alarm lights are larger than the current visual alarms, providing a better visual indicator to the medical staff during alarm situations. In one mode, the alarm lights flash red, yellow, and cyan to indicate high, medium, and low priority alarms, respectively. The alarm lights are configurable by a user to define the minimum level of alarm lights that can be activated regardless of the on-screen alarm display and / or audio alarm. A piece of continuous, flat glass occupies the entire front of the screen and fits within a band metal that wraps the outer sides of the screen, like a frame, to give robustness. The glass piece does not contain any bevels and is duplicated as a touch screen and as the lens and medium of light scattering for the visual alarm, resulting in a reduced parts count. The flat touch-screen glass also provides a continuous surface presented on the front. This makes cleaning easier since there are no edges as found in typical bevel implementations that provide slits for the accumulation of contaminants. In one embodiment, the metal band extends slightly out past the touch screen to protect the crystal if it is dropped on your face. It should be appreciated by those experienced in the art that the metal band / frame with the flat bevel touch screen brings a contemporary look to the monitor and display assembly. In other words, the monitor and display assembly looks similar to consumer electronics such as flat-screen TVs and cell phones. This can help to facilitate and acclimatize the patient and the patient's family since the screen looks similar to an electronic home and family device. The screen monitor assembly also has soft edges as part of the design to make it look less industrial and more friendly and accessible A light source behind the glass transmits appropriate wavelengths of light to indicate alarms. In one embodiment, the black border is screen-printed on the back of the glass around the perimeter. In one embodiment, the black border comprises an ink that is screen-printed or sprayed onto a masked edge area that gives the appearance of a continuous and uniform black border but allows light to pass through when the alarm is activated, producing a visual alarm .
In another embodiment, the edge area used for the visual alarm contains small openings that make the edge appear continuous and uniform but allow light to pass through. This provides a clean, flat modern appearance that shows no indication of alarm until an alarm actually occurs.
In one modality, nurse alarm signals, including flash rates for the screen and audio for audible alarms, are directed and controlled by the monitor.
In one embodiment, the external display contains an ambient light sensor that detects the brightness level of the environment and adjust the brightness of the screen accordingly. In a darker or poorly lit environment, the sensor Ambient light will automatically dim the screen and alarm lights. This is particularly beneficial for cases in which the patient is sleeping, since the dimmer lights will be less likely to bother the patient. In a lighter or well-lit environment, the ambient light sensor will automatically brighten the screen. This feature can be deactivated by means of a button on the screen.
In one embodiment, the external display contains a capacitive button on the front of the touch screen that can be programmed by the user to perform a variety of functions. In different modalities, the button is a metal plate or other conductive material that uses any touch sensitive and / or commonly used technology. The button is large and is positioned prominently in comparison to a smaller touch screen button so that you can easily access it. In one mode, the button is located on the upper edge of the front of the screen. In another mode, the button is located at the bottom edge of the screen. In another mode, the button is located on the left edge of the screen. In another mode, the button is located on the right edge of the screen. In addition, the button is easier to find because it is not obscured by the clutter of other buttons or user interface items.
The circuits in the monitor detect when the button is touched by an operator and the monitor executes the programmed function.
In one mode, the button is programmed to suspend the alarm when it is touched. This allows the medical staff to quickly silence an alarm and reset the alarm indications, so that they can attend to the patient's needs and prevent discomfort to other patients in the area. Because alarms are produced in response to critical events, it is important that the means to silence and / or reset them are easy to find and quick to activate. In another mode, the button is programmed to admit the patient when touched. In another mode, the button is programmed to start NIBP measurement when it is touched. In another mode, the button is programmed to return the screen to its home screen when it is touched. In yet another mode, the button is programmed to print the screen when it is touched. The button would be mainly programmed to suspend the alarm to simplify the action required by a nurse to silence an alarm. However, someone experienced in the field will understand that the button could be programmed to perform a variety of functions not limited to those listed above.
In another embodiment, the screen contains or includes a section of the touch screen programmed for the control of the alarm light.
In one mode, the external display contains a backlight power button on the side with a power symbol that is green when the monitor and display assembly is turned on.
The screen is housed with a metal band and a powder coating finish. The back of the monitor and display assembly contains a mounting pattern for standard Video Electronics Standards Association (VESA) 75mm mounts.
External Display and Alarm Indicators In one embodiment, the patient monitoring system includes one or more optional independent screens as disclosed in U.S. Patent Application Number 13 / 300,462, entitled "Configurable Patient Monitoring System," (Configurable Patient Monitoring System) ), filed on November 18, 2011 and assigned to the applicant of the present invention, which claims priority of the Provisional Patent Application of the United States Number 61 / 415,799, entitled "Patient Monitoring System with Dual Serial Bus (DSB) Interface ", (Patient Monitoring System with Dual Serial Bus Interface (DSB)) and presented on November 19, 2010, both of which are incorporated herein by reference in its entirety Display In one embodiment, the patient monitoring system includes one or more optional independent monitors as disclosed in U.S. Patent Application Number 13 / 300,462, entitled "Configurable Patient Monitoring System," (Configurable Patient Monitoring System) , filed on November 18, 2011 and assigned to the applicant of the present invention, which claims priority of the United States Provisional Patent Application Number 61 / 415,799, entitled "Patient Monitoring System with Dual Serial Bus (DSB) Interface", (Patient Monitoring System with Dual Series Bus Interface (DSB)) and presented on November 19, 2010, both of which are incorporated herein by reference in their entirety.
Coupling Station In one embodiment, the monitor and display assembly is enabled for portability using a docking station that provides a quick undocking of a single button of the monitor assembly and screen while still maintaining patient monitoring for transport / emergency scenarios . The docking station allows flexibility and ease of use of the monitor and display assembly with respect to connection and disconnection of power, Ethernet, external display and other devices for measuring external patient parameters. In one embodiment, receptacles such as Ethernet connection, DVI for external display, USB, serial ports, audio / IR alert / external nurse receiver, power port and SDLC are duplicated at the docking station. In addition, the docking station allows for greater portability of the patient monitoring system in the hospital setting, where space is often limited and messy with other medical equipment. In one embodiment of the present invention, the patient cables are always attached to the patient, when the monitor and screen assembly is coupled and when it is uncoupled. Therefore, the wires do not need to be removed from the patient or the monitor and display assembly and remain connected to the patient in such a way that the patient can be continuously monitored.
In one embodiment, all external signals are routed to a single docking connector located at the bottom of the monitor and display assembly and pareo connector at the top of the docking station. These signals are activated when the monitor and display assembly is coupled and remain inactive when uncoupled so that voltages are absent in the matching connector pins when the monitor and display assembly is not engaged (to prevent accidental electrical discharge). to the users when the connector pins are exposed in an uncoupled scenario).
In one embodiment, the docking station is structurally contoured, along with a standard 4-hole VESA mounting pattern doubling, to allow the same external wall, roller and fixed mounts to be used with the monitor and display assembly for work with the docking station. In one embodiment, the contoured feature on the back of the docking station is designed to cover the plurality of receptacles / ports on the back of the monitor and display assembly, when coupled, in such a way that receptacles are prevented from connect more than once. The contoured feature also comprises ventilation to allow the monitor and screen assembly to have air intakes in the bottom without obstruction when coupled.
In one embodiment, the docking station has a hollow molded around the edge of the perimeter that conforms to the external shape of the monitor and screen assembly around the bottom of the monitor and screen assembly. This hollow molded into the coupling has a light outward bevel that helps guide the monitor and screen assembly into position as a first coarse adjustment. In one embodiment, two large domed guide dies are engaged with the additional placement of the monitor and screen assembly in the coupling and seat the monitor and display assembly exactly, smoothly pairing the monitor and display assembly and station connectors coupling.
In one embodiment, the docking station has a prominent button on the front that disengages the latch and is used to uncouple the monitor and screen assembly. In one embodiment, the docking station button is backlit when the monitor and display assembly is coupled to allow easy recognition of its location in a dark room.
Module The patient monitoring system of the present invention also includes a module that provides measurements of a plurality of patient parameters. Many types of modules exist and can be used, depending on which patient parameters are needed.
In one modality, the patient monitoring system includes a command module. The control module can measure NIBP, IBP, ECG, SpC > 2, cardiac output, and adult and neonatal temperature and includes a stop button to manually override the NIBP measurements. The control module is communicated via the synchronous data link control (SDLC) port with and derives energy from the patient monitor. In addition, the control module contains internal memory to allow the module to be carried with the patient during transport and to be connected in a separate monitor and screen assembly or independent monitor without losing data. In one embodiment, the command module is the core of the patient monitoring system, which provides processing power for all basic physiological parameters. Caregivers are able to select from a variety of settings to adjust the monitoring needs of specific patients or care units in the hospital. In another modality, the command module includes three levels of arrhythmia monitoring (basic, multiple standard view, and advanced multiple view) as well as 12-lead ECG diagnostic analysis and reports with or without measurement and interpretation. In addition, the command module also includes ST segment analysis and event review or Varitrend 4 for review of breathing events, heart rate, and neonatal Sp02.
In one modality, the patient monitoring system includes a capnography module that measures CO2 at the end of breathing, inspired minimum C02, and respiratory rate to help assess the respiratory status of any adult, child, or infant patient. Routine calibrations are not required because the module automatically compensates for the environmental barometric pressure. In one embodiment, the capnography module is flexible in that it combines mainstream and sidestream monitoring modes in a single unit. Sidestream monitoring includes a low sampling rate of 50 ml / min which is ideal for smaller patients. In addition, the capnography module enables the user to obtain waveform data, numerical values (kPa, m Hg, or%), inspired minimum C02 values, and respiration rates of the respiratory tract. This data can be additionally displayed, incorporated into trends, and / or provided to graphic applications.
In one modality, the patient monitoring system includes a bispectral index module (BISx) which measures the level of awareness and sedation of patients in the operating room and critical care environments, eliminating the need for bulky independent systems . This type of module is used to prevent patients' awareness during surgery by notifying clinicians when additional medication is needed. The analysis of BISx is calculated from frequency, energy, and phase in the entire frequency range of the EEG and is presented as an index number between 1 and 100. The adult and pediatric sensors work with the same module, which move easily from one monitor to another.
In one modality, the patient monitoring system includes a mixed venous oxygen saturation module (SVO2) that measures SVO2 and central venous oxygen saturation (Scv02) to assess oxygen delivery and consumption balance. Venous oxygen saturation is increasingly used in critically ill patients, often as part of an early therapy protocol aimed at a target and in septicemia detection to aid in the evaluation of cardiovascular and respiratory compromise. Catheter placement in venous monosurgery is less invasive than in arterial monorrhoea, making it available for more patients.
The Scv02 probe can be placed on an existing 16 cm or 20 cm centerline, reducing or eliminating the need to exchange central venous catheters in order to provide continuous monitoring of ScvC > 2.
In one modality, the patient monitoring system includes an EEG module which measures and shows the activity of brain waves. In one modality, this model also includes a channel for the monitoring, measurement and visualization of electro-iogra (EMG) of the electrical activity of the muscles. Data storage options include two, eight, or 24 hours or snapshots. The data can be shown as an analogous motion waveform or as a spectral density array (DSA, Density Spectral Array). A number of trends are available, including magnitude trends, energy ratio trends, and frequency selection trends. The integrated electrosurgical protection ensures patient safety. In one embodiment, the module is enclosed by two pieces of sheet metal.
Capnoqrafía / Multigas compartment In one embodiment, the patient monitoring system includes an externally mounted laterally mounted side stream or capnography compartment that can be attached to the back of the monitor and screen assembly. Therefore, capnography or multigas functions can be added to any monitor and display assembly that is configured to accept such an externally mountable compartment. In one mode, the compartment receives power from the monitor and display assembly and communicates through pogo pins. Large guide posts in the lower part of the compartment allow the blind part of the monitor and display assembly to be blind. According to one embodiment, the guide journals have ball stem ends that provide a positive locking and retaining force to the monitor and screen assembly when fully engaged. The monitor has gold immersion contact pads to allow power, ground and signal contacts that are hollowed out with a smaller diameter so that the user can not touch live voltages present in the contact pins. In one embodiment, a push button in the compartment provides a mechanical actuation of the latching mechanism to connect and remove the compartment of the monitor and display assembly. Those skilled in the art will appreciate that the modular configuration of the compartment allows users to selectively equip the monitor and display assemblies with either capnography or multigas based on needs.
The present invention is directed to multiple modalities. The following disclosure is provided in order to enable a person skilled in the art to practice the invention. The language used in this specification should not be construed as a general rejection of any other specific modality or used to limit claims beyond the meaning of the terms used in this document. The general principles defined in this document can be applied to other modalities and applications without departing from the spirit and scope of the invention. Also, the terminology and phraseology used are for the purpose of describing exemplary modalities and should not be considered as limiting. Therefore, the present invention should be granted the broadest scope encompassing numerous alternatives, modifications and equivalents consistent with the principles and features disclosed. For the purpose of clarity, the details related to the technical material known in the technical fields related to the invention have not been described in detail so as not to obscure the present invention unnecessarily.
It should be appreciated that electronic communication between devices can be effected by the transmission and receipt of data between applications that run any of the devices or computer systems. Each application is configured to receive, transmit, recognize, interpret, and process such a request for data and information. It should also be appreciated that the system described in this document has receivers and transmitters capable of receiving and transmitting data, at least one processor capable of processing programmatic instructions, memory capable of storing the programmatic instructions, and software comprised of a plurality of programmatic instructions for carry out the processes described in this document.
Figure 1 is a block diagram representing one embodiment of an exemplary configuration of the components of the patient monitoring system 100, illustrating the use of DSB 120 cables to connect the patient parameter measurement devices 115 to the patient monitoring assembly. monitor and screen 102. In this mode, the module 106 is connected to the monitor 102 by means of a DSB cable 116, which is directly connected to a DSB connector in the module bay (not shown).
Patients are often transported between hospital care areas. It is common practice to provide monitoring of parameters such as ECG, SpC »2, NIBP, capnography and other parameters even during transport, especially for critically ill patients. Therefore, in accordance with one aspect of the present specification, the patient monitoring system comprises a combined monitor and screen assembly enabled for portability and general compactibility. The monitor and display assembly utilizes a docking station that is configured for one-touch button coupling and uncoupling of the monitor and display assembly. Also, in one embodiment, an externally mountable capnography or multigas compartment can be attached to the back of the coupled or decoupled monitor thereby providing general modularity of design for portability.
Figure 2A is an oblique side view illustration of a modality of a monitor and display assembly 200 of the patient monitoring system. The assembly 200 includes a monitor 205 fixed operatively and immovably from the back of a screen 210. In one embodiment, the screen 210 includes a front alarm area 220 proximate the upper edge of the front of the screen 210. In one embodiment, the front alarm area 220 also functions as a touch screen that allows the user to control the alarm volume, as discussed with reference to Figure 3. The monitor and display assembly 200 also includes a power button 250. In the embodiment shown, the power button 250 is positioned on the lower right side of the screen 210. In one embodiment, a user can turn the assembly 200 on or off by pressing the power button 250 for 3 seconds . In one embodiment, the power button 250 is illuminated with a green backlight to indicate the power status. In one embodiment, the assembly 200 includes a progress bar (not shown) just below the power button 250. The progress bar is filled to indicate the start-up process to the user.
In one embodiment, the monitor 205 of the monitor and display assembly 200 includes a printer slot 230 for the addition of a printer to expand the capabilities of the monitor and display assembly 200. In one embodiment, the printer accepts 50 m paper. In one embodiment, monitor 205 of monitor and display assembly 200 includes a battery compartment cover 240 that covers the rechargeable battery compartment.
Figure 2B is an oblique side view illustration of a monitor mode 205 and a portion of the screen 210 of a monitor and display assembly 200, which represents a rechargeable battery 245 partially removed from the monitor 205. The power button 250 is positioned on the side lower right of the screen 210. In the embodiment shown, the cover of the battery compartment 240 has been opened and the battery 245 has partially slid out of the monitor 205. In one embodiment, the battery 245 comprises ion batteries. lithium "smart" as described above.
Figure 2C is a side view of a modality of a monitor and display assembly 200 illustrating a handle 260 in an upward position. In one embodiment, the monitor and display assembly 200 comprises a monitor 205 fixedly attached, and in communication with, a display 210. In one embodiment, the monitor 205 is fixedly attached to the back of the display 210 by middle of a set of screws. The handle 260, in one embodiment, can rotate to the up and down positions. When the handle 260 is released or released, it gradually drops to its low position by default (not shown). In one embodiment, a rotational damper retards the downward movement of the handle 260 (with the release, from its high position) such that the handle 260 is not flogged on the monitor 205. This allows the silent use of the handle 260 and the monitor and screen 200 assembly without disturbing patients. According to one embodiment, the handle 260 has a predetermined reference point in which the monitor and display assembly 200 is balanced by enabling the screen 210 to be perpendicular to the floor when worn using the handle 260. This allows the monitor and screen assembly 200 to be quite comfortable to hold and walk with it, using the handle 260, since it is not get in the way of the user's leg or impose uncomfortable forces on his arm / hand.
In the embodiment shown, Figure 2C shows the right side of the monitor and display assembly 200 and also represents the power button 250, the printer slot 230, and the battery compartment cover 240. The left side of the monitor and display assembly 200 includes a slot for inserting a module (shown in Figures 9B and 10).
Figure 2D is a rear view illustration of a modality of a monitor and display assembly 200 representing a plurality of receptacles. The screen portion 210 includes a rear warning light 225 to allow visibility of the visual alarms from the back of the assembly 200. The assembly includes a set of ventilation holes 226, 229 at the top and bottom of the monitor 205. The back of the monitor 205 includes 75 standard VESA mounting holes 290 for assembling the assembly 200. In one embodiment, the monitor 205 also includes a connection port 280 for a capnography or multigas compartment, as described with reference to Figures 9A, 9B, and 10. In one embodiment, the assembly 200 includes an equipotential terminal 279 for grounding the monitor 205.
In one embodiment, the assembly 200 includes a plurality of receptacles through the lower rear surface of the monitor 205. In different embodiments, these receptacles include an alarm relay output for the nurse alert 271, an SDLC port 272, a DVI port for video output 273, 4 USB ports 274, a serial port 275, an Ethernet port 276, and an input port for DC 277 power.
In one embodiment, the screen includes an area of the touch screen for controlling the alarm volume. Figure 3 is a front view illustration of another embodiment of the patient monitoring system representing an external display 304 with a red alarm light 310 on the front of the screen 304. In the embodiment shown, the glass is treated in such a way that it allows the transmitted light to pass through. A black border is silk-screened on the back of the glass around the perimeter. The black border comprises an ink that is screen-printed or sprayed onto an edge area Masked that gives the appearance of a continuous and uniform black border but allows light to pass through when the alarm is activated, producing a visual alarm. Therefore, the black border of the screen 304 appears uniform and continuous until an alarm occurs. Once the alarm is activated, a light source incorporated in the body of the display 304 transmits light at an appropriate wavelength to the glass covering the front of the display 304 to indicate alarms. In another embodiment, the crystal contains small openings that allow the transmitted light to pass through. The screen 304 includes an active touch screen area 309 near the top that allows control of the alarm volume. In one embodiment, during an active alarm state, a visual alarm bar 310 lights up near the top of the screen 304. In one embodiment, the visual alarm bar 310 flashes during an active alarm state. In another embodiment, the visual alarm bar 310 remains solidly illuminated during an active alarm state. In one embodiment, the lighting is provided by LEDs behind the glass. In one mode, a red light means a high priority alarm. The screen is also capable of transmitting a yellow light which means a medium priority alarm and a light which means a low priority alarm. The Alarm lights are configurable by a user to define the minimum level of alarm lights that can be activated regardless of the on-screen alarm display and / or audio alarm.
In one embodiment, the visual alarm bar 310 includes a bell-shaped icon with sound waves emanating from 311 (as depicted) or any other similar icon used to notify medical personnel of an alarm state. The bell icon 311 is positioned in the center of the visual alarm bar 310. The visual alarm bar 310 also includes a minus 312 icon with a decrease bar 314 between the minus 312 icon and the bell icon 311 positioned on one side of the bell icon 311 and a plus icon 313 with a magnification bar 315 between the plus icon 313 and the screen icon 311 positioned on the opposite side of the bell icon 311. In other different embodiments, the icon of less can be any other icon that conveys a diminishing meaning, such as an arrow pointing downwards, and the most icon can be any other icon that conveys a magnifying meaning, such as an arrow pointing upwards. In the mode that is represented, the minus 312 icon is positioned to the left of the bell icon 311 and the plus icon 313 is positioned to the right of the bell icon 311. In another mode, the icon positions are reversed. In one mode, the minus 312 icon and the plus 313 icon are illuminated in green. In one embodiment, the minus 312 icon and the plus 313 icon light up when the visual warning bar 310, which includes the bell icon 311, the decrease bar 314, and the magnification bar 315, is illuminated (in other words, when the active alarm state starts). In another embodiment, only the components of the bell icon 311, the decrease bar 314, and the magnification bar 315 of the visual alarm bar 310 light up when an active alarm is initiated and a user must press anywhere in the alarm area. 309 visual alarm touch screen to display the minus 312 icon and the plus 313 icon, allowing volume control.
When there is no active alarm, the visual alarm bar 310 appears off. During an active alarm state, the visual alarm bar 310 lights up in a specific color corresponding to the current alarm level. A user can decrease the alarm volume by pressing anywhere in the touch screen area 309 that is on the minus 312 icon, the decrease bar 314, or on the bell icon part 311 that is on the same side than the minus 312 icon. A user can continue to decrease the alarm volume by repeatedly pressing that area. A user can increase the alarm volume by pressing anywhere in the touch screen area 309 that is on the plus icon 313, the magnifying bar 315, or on the part of the bell icon 311 that is on the same side as the plus icon 313. A user can continue to increase the alarm volume by repeatedly pressing that area.
Figure 4 is an oblique interior view illustration of an embodiment of the internal components of a monitor 440 of a monitor and display assembly where the 445 monitor boards 440 are all mounted on a removable internal chassis 450. The chassis 450 can be removed from the monitor and display assembly enclosure while the 440 monitor is still fully functional. Each 445 circuit board is individually accessible to allow service personnel to easily troubleshoot all circuit boards / components and replace any board / component without having to completely disassemble the 440 monitor.
Figure 5 is an oblique front view illustration of one embodiment of a quick release assembly 501 that allows for quick disengagement of a monitor and display assembly from a fixed mount - such as those in a wall, anesthesia machine, table , etc. The lever 505 is slides on pin 510 and allows finger pressure to release the pin. This allows easy uncoupling of assemblies from the front of the monitor and display assembly.
Figure 6 is an oblique front view illustration of a mode of a control module 660 of the patient monitoring system. In one embodiment, the control module can measure NIBP, IBP, ECG, SpC > 2, cardiac output, and adult and neonatal temperature and includes a stop button to manually override the NIBP measurements. In one mode, the control module communicates via the SDLC port with and derives power from the Spacelabs Healthcare monitors. In one embodiment, the control module contains internal memory to allow the module to be carried with the patient during transport and connected to a separate monitor without losing data. In one embodiment, the module is enclosed by two pieces of sheet metal. In one embodiment, the module measures 5.6 centimeters (2.2 inches) wide by 11.4 centimeters (4.5 inches) high by 17.8 centimeters (7.0 inches) thick. In other modalities, the module measures 4.8 to 6.4 centimeters (1.9 to 2.5 inches) wide by 8.9 by 14.0 centimeters (3.5 to 5.5 inches) high by 12.7 to 22.9 centimeters (5.0 to 9.0 inches) thick.
Figures 7A and 7B are different front view illustrations of a mode of the docking station 700 that allows the uncoupling of a single button of a monitor and display assembly. Figure 7C shows a rear view illustration of the monitor and display assembly 715 coupled to the station 700. Referring to Figures 7A to 7C simultaneously, a plurality of receptacles 705 is replicated such as Ethernet connection, DVI for external display, USB, serial ports, audio / IR alert / external nurse receiver, power port and synchronous data link control (SDLC) on docking station 700. A contoured feature 710 covers the receptacles on the back of the monitor and screen assembly 715, when coupled, in such a way that receptacles are prevented from connecting more than once. All external signals are routed to a single docking connector (not visible in the figures) which is located at the bottom of the monitor and screen assembly 715 and pairing connector 725 on the receiving surface of the docking station 700. These signals become active when the monitor is coupled and remain inactive when uncoupled so that voltages are absent on the pins of the matching connector 725 when the monitor and display assembly 715 is not engaged.
According to one embodiment, a plurality of holes 730, in contoured feature 710, allow the ventilation holes in the lower part to be unobstructed when engaged. In one embodiment, the coupling station 700 is structurally contoured, together with a standard 4-hole VESA 735 mounting pattern duplication, to allow the same external wall, roller and fixed assemblies to be used with the monitor assembly and screen 715 for working with the docking station 700. In one embodiment, a molded gap 740 around the perimeter edge of the docking station 700 conforms to the external shape of the monitor and screen assembly 715 around the lower part of the assembly monitor and display 715. The molded recess 740 in the docking station 700 has a light outward bevel that helps guide the monitor and display assembly 715 into position as a first coarse adjustment. In one embodiment, two large domed guide dies 745 are engaged with the additional placement of the monitor and screen assembly 715 in the coupling 700. The guide dies 745 help to seat the monitor and display assembly 715 accurately and smoothly couple the connector of the monitor and screen assembly with the docking station connector 725.
One embodiment of the docking station 700 comprises a button 750 on the front that disconnects the latch and is used to uncouple the monitor and screen assembly 715. Optionally, the button 750 is backlit when the monitor and screen assembly 715 is coupled to allow easy recognition of your location in a dark room.
Figure 8 shows an illustration of a block diagram of a printed circuit board assembly (PCBA) 800 of the exemplary docking station where the connector 820 is paired with a corresponding connector in the lower part of the assembly of monitor and screen, when coupled, and routes all external signals from the monitor and display assembly to the plurality of receptacles 850 replicated in the docking station. In one embodiment, an AC / DC receptacle Brick 851 transfers DC power into the monitor and display assembly via the connector 820. In one embodiment, the 820 connector provides serial communication to the monitor and display assembly via the port. serial 852. In one embodiment, SDLC and power communicate from connector 820 to a Flexport SDU 853. In one embodiment, a Y-DVI video signal is communicated from connector 820 to a 1-channel DVI video port 854 In one modality, the information of external nurse alert is communicated from connector 820 to a nurse alert port 855. In one embodiment, four Y-USB signals are communicated from connector 820 to four separate USB ports 856, 857, 858, 859. In one embodiment , a Y-Ethernet signal is communicated from the 820 connector to an Ethernet 860 port.
Figures 9A and 9B show a modality of a side stream or multigas capnography compartment 955 that is externally mountable to be attached to the rear of the monitor and display assembly 900. In one embodiment, the compartment 955 receives power from the assembly. monitor and screen 900 and also communicates through a plurality of pogo 915 pins. Pins 915 provide a larger area for ground contact, allowing the pogo pins to be required to pair connectors that are provided on the back of the assembly. of monitor and screen. Large guide posts 920 in the lower part of the compartment allow the rear part of the monitor and screen assembly 900 to be blindly paired. According to one embodiment, the guide posts 920 have ball stem ends 925 providing a locking force and positive retention to the monitor and screen assembly when fully engaged. According to one modality, the monitor and screen assembly has gold immersion contact pads to allow power, ground and signal contacts. The contact pads are incorporated into small diameter recesses in such a way that the user can not touch live voltages present in the contact pins. In one embodiment, a push button 930 in the compartment provides a mechanical actuation of the latching mechanism 935 for connecting and removing the compartment 955 of the monitor and display assembly 900. The receptacles, such as the inlet port 940 and the ejection port 945 are provided on one side of compartment 955. Those skilled in the art will appreciate that the modular configuration of compartment 955 allows users to selectively equip the monitor and display assemblies with either capnography or multigas based on the needs.
Figure 9B depicts a module 960 inserted on the left side of the monitor 905 of the monitor and display assembly 900.
Figure 10 is a rear view of the monitor and screen assembly 1000 coupled to the docking station 1020, for portability, and also has an externally mounted capnography or multigas compartment 1055, according to one embodiment. Figure 10 it also represents a module 1060 inserted on the left side of the monitor 1005 of the monitor and display assembly 1000.
The above examples are only illustrative of the many applications of the system of the present invention. Although only a few embodiments of the present invention have been described herein, it should be understood that the present invention could be incorporated into many other specific forms without departing from the spirit and scope of the invention. Therefore, the present examples and embodiments should be considered as illustrative and not restrictive, and the invention may be modified within the scope of the appended claims.

Claims (20)

NOVELTY OF THE INVENTION Having described the present invention as above, it is considered as a novelty and, therefore, the content of the following is claimed as property: CLAIMS
1. A patient monitoring system, comprising: at least one patient monitor that allows communication with external devices, wherein said patient monitor is in electronic communication with and directs at least one screen, and wherein said screen comprises: a housing having a front and a back; a touch screen mounted on the front of said housing, wherein said touch screen comprises a flat piece of glass having a central screen area and a black border extending along a left, right, top edge, and bottom of said glass, further wherein said monitor is fixedly attached to said rear part of said screen; at least one module for providing measurements of a plurality of patient parameters, wherein said module is in electronic communication with said monitor. patients and wherein said module comprises at least one interface for communicating electronically with at least one device for measuring patient parameters; a processor to determine an alarm state; and, light sources within said touch screen which are activated by said processor during the alarm state, wherein said light sources are configured to pass through said black edge; Y at least one dual serial bus interface (DSB) to enable electronic communication between the patient monitor, the module, and / or the patient parameter measurement device.
2. The patient monitoring system according to claim 1, characterized in that at least one light source is positioned proximate said upper edge of said front face of said display device.
3. The patient monitoring system according to claim 2, characterized in that said touch screen comprises an area corresponding to said light source for controlling the alarm volume level.
4. The patient monitoring system according to claim 3, characterized in that said area comprises a first portion for decreasing said level of alarm volume and a second portion for increasing said volume. alarm volume level.
5. The patient monitoring system according to claim 1, characterized in that at least one light source is positioned on said back face of said screen.
6. The patient monitoring system according to claim 1, characterized in that said at least one patient monitor comprises a removable internal chassis for mounting a plurality of circuit boards.
7. The patient monitoring system according to claim 1, characterized in that said at least one patient monitor comprises a handle attached to said patient monitor and wherein said handle further comprises a high and a low position, a reference point for balancing said patient monitor perpendicular to the floor when said patient monitor is worn using said handle and, a shock absorber for slowing the downward movement of said handle when said handle is released from the high position.
8. The patient monitor system according to claim 1, characterized in that said at least one patient monitor comprises lithium ion batteries and a microcontroller to monitor the conditions of charge, discharge and excess temperature of said batteries.
9. The patient monitoring system according to claim 8, characterized in that said at least one patient monitor is capable of operating 8 hours with battery power while monitoring ECG, NIBP every 15 minutes and taking a record every 15 minutes.
10. The patient monitoring system according to claim 9, characterized in that said at least one patient monitor weighs less than 4.08 kilograms (9 pounds).
11. A docking station having a receiving surface for receiving a monitor and display device of a patient monitoring system, said monitor and display device having a first connector and a first plurality of monitor receptacles for the transmission of digital information and energy, said coupling station comprises: to. a second plurality of receptacles; b. a second connector positioned on said receiving surface of said coupling station to pair with said first connector of said display monitor device; c. a circuit board to control said transmission of digital information and energy; d. a molded recess for adjusting an external shape of a lower portion of said monitor and display device; and. at least one latch mechanism for securely holding said monitor and display device in place; Y F. a release button for decoupling said latching mechanism for removal of said monitor and display device from said coupling station; wherein, when said monitor and display device is securely mounted in said coupling station by means of said engagement mechanism, said first connector is in electrical communication with said second connector, further wherein said circuit board transfers said transmission of digital information and energy from said first plurality of receptacles, through said first and second connectors, and said second plurality of receptacles.
12. The docking station according to claim 11, characterized in that said second plurality of receptacles comprises Ethernet connection, DVI for external display, USB, serial ports, audio / IR alert / external nurse receiver, power port and Synchronous data link control (SDLC).
13. The docking station according to claim 11, characterized in that said docking station covers said first plurality of receptacles in said monitor and display device when said monitor and display device is coupled in the docking station.
14. The docking station according to claim 11, characterized in that said monitor and screen device further comprises a first plurality of holes and said coupling station further comprises a second plurality of holes, said first and second plurality of orifices aligning when said monitor and screen device is mounted on said docking station.
15. The docking station according to claim 11, characterized in that said molded recess further comprises an outward bevel to guide the monitor and display device to its position during engagement.
16. The docking station according to claim 11 further comprises at least one stump configured to fit into at least one corresponding opening in said monitor and display device to further guide the positioning of said device. of monitor and screen in said docking station.
17. The docking station according to claim 11, characterized in that said release button is backlit when said monitor and display device is coupled in said docking station.
18. An externally mountable compartment for joining a monitor of a patient monitoring system, said compartment comprising: to. a plurality of pogo pins to pair with connectors on said monitor; b. at least one guide journal for matching said compartment with said monitor; c. a latch mechanism for connecting and removing said compartment to and from said monitor; d. a button for actuating said latch mechanism; Y, and. a plurality of receptacles on one side of said compartment.
19. The compartment according to claim 18, characterized in that said compartment is a side stream or multigas capnography compartment.
20. The compartment according to the claim 18, characterized in that said plurality of pogo pins enables the compartment to receive energy from said monitor to enable communication between said compartment and said monitor.
MX2014013947A 2012-05-15 2013-05-15 Configurable, portable patient monitoring system. MX348292B (en)

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IN2014DN10627A (en) 2015-09-11
MX348292B (en) 2017-06-05
CA2873755A1 (en) 2013-11-21
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KR102120502B1 (en) 2020-06-08
WO2013173520A2 (en) 2013-11-21
BR112014028640A2 (en) 2017-06-27
GB201421959D0 (en) 2015-01-21
GB2518999A (en) 2015-04-08
JP2018057914A (en) 2018-04-12
GB2518999B (en) 2018-08-15
EP2850604A2 (en) 2015-03-25
AU2013262812B2 (en) 2017-02-23
CN104471623A (en) 2015-03-25
AU2013262812B9 (en) 2017-03-09
WO2013173520A3 (en) 2014-02-06
JP6408117B2 (en) 2018-10-17
JP2015519955A (en) 2015-07-16
EP2850604A4 (en) 2016-08-10
BR112014028640A8 (en) 2021-06-08
AU2013262812A1 (en) 2015-01-22
WO2013173520A9 (en) 2014-08-14

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