GB2393072A - Wireless physiological monitoring system - Google Patents

Wireless physiological monitoring system Download PDF

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Publication number
GB2393072A
GB2393072A GB0218731A GB0218731A GB2393072A GB 2393072 A GB2393072 A GB 2393072A GB 0218731 A GB0218731 A GB 0218731A GB 0218731 A GB0218731 A GB 0218731A GB 2393072 A GB2393072 A GB 2393072A
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Prior art keywords
data
host
wireless communication
communication link
wireless
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GB0218731A
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GB0218731D0 (en
GB2393072A8 (en
Inventor
Angus James Cameron
Ross Keith Maxwell
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Individual
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Individual
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Priority to GB0218731A priority Critical patent/GB2393072A/en
Publication of GB0218731D0 publication Critical patent/GB0218731D0/en
Publication of GB2393072A publication Critical patent/GB2393072A/en
Publication of GB2393072A8 publication Critical patent/GB2393072A8/en
Withdrawn legal-status Critical Current

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    • 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
    • A61B5/20Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
    • A61B5/202Assessing bladder functions, e.g. incontinence assessment
    • A61B5/205Determining bladder or urethral pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/20Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
    • A61B5/207Sensing devices adapted to collect urine
    • A61B5/208Sensing devices adapted to collect urine adapted to determine urine quantity, e.g. flow, volume
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/42Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems
    • 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
    • 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

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

Abstract

The invention relates to a system for monitoring a patient's physiological signals and associated devices. Signals are transmitted wirelessly between the battery powered data acquisition subsystem (which also stores the data for later transmission if the wireless link is unavailable) and the host system which has a standard Microsoft Windows Graphical User Interface. The system also allows transmission of control signals from the host system to the data acquisition sub-system. Bluetooth technology, utilised for the digital transmission and encryption of data, will also form the foundation for the automatic detection of host proposed for the system. It has application in ambulatory or static studies in hospitals, clinics or elsewhere, providing wireless connectivity of medical devices allowing systems to be configured and located to suit patients and care staff. Embodiments detail a urine flowmeter, a urodynamics system, a gastro-intestinal motility system and an ano-rectal manometry system.

Description

DESCRIPTION
Wireless Physiological Monitoring System The invention relates to a system for monitoring a patient's physiological signals and the signals from associated devices. The signals are transmitted by wireless means between the data acquisition subsystem and the host system which has a Graphical User Interface (GUI) The system also allows for control signals to be sent from the host system to the data acquisition sub-system.
Similar wired systems are well known but suffer from the disadvantages that: À the equipment is hard wired so there are often many cables which represent a physical and electrical hazard cables become contaminated as the area is often not clean the whole equipment has to be located very near the patient À the equipment is often bulky and space is often limited (em. in operating theatres, x-ray rooms) À several people are needed to administer the equipment for the study so the patient has an "audience" for often intimate examinations which leads to stress induced erroneous results À all those involved need to be in close proximity to the patient so are, for example exposed to x-rays, contamination etc Existing wireless systems suffer from the following problems: À transmission can be unreliable (especially for infra-red methods) À data is not secure À signals are prone to interference with consequent loss of data À the transmission system can cause interference with other equipment (e.g. in operating theatres) Current systems, hard wired and wireless, static and ambulatory, suffer from lacking user-friendliness with many settings to be made, cables to connect and using uniquely configured software instead of common software formats with which the user would be familiar. l An object of this invention is to overcome the above listed problems.
Unlike some existing developments, which are only designed for "care in the community", with data logged over a long period of time (data delay / loss being less critical) this invention mill also allow use for specific hospital applications and give real time monitoring. It provides wireless connectivity of medical devices allowing systems to be configured and located to suit patients and care staff rather than being dictated by cable lengths. The data acquisition unit derives its power from batteries. It |
interfaces to other ancilliary devices as required.. This invention includes a standard Microsoft Windows Graphic User Interface to further facilitate easy use.
Accordingly, this invention utilises new communications technology applied to ambulatory or static studies with application in hospitals and r.linics although the principles can used elsewhere.
The attached figures 1 to 4 show possible configurations of the invention.
FIGURE 1 shows a system diagram of the generic system. Data from the subject(4), is collected, conditioned and transmitted by the data acquisition unit (3) via wireless link(2) to the host system(l). The user(5) and host system can be located locally or remotely. Data can be transferred between patient ancilliary devices(6) also.
The following figures are three embodiments of the invention which are described with reference to the appropriate features.
FIGURE 2 shows a specific application for a urine flowmeter.
This allows the patient to pass urine into a receptacle(7) in a private cubicle with the results being observed by staff (e.g. doctor(5), nurse(8) , assistant(9)), analysed and stored remotely on the host system(1). Data is transmitted by a wireless radio link(2) and is also stored in the data acquisition sub-system(3) for later transmission if the wireless link is unavailable. The host system in this case is a Personal Computer (PC) with Graphic User Interface (GUI) which may be interfaced to other systems for onward transmission. Bluetooth technology is utilised for the digital transmission and encryption of the data. This will also form the foundation for the automatic detection of host proposed for the system of figure 4.
FIGURE 3 shows a specific application for a urodynamics system This allows the host system(l) (which may again be a PC with GUI) to be located remotely so, for example, if the patient is being studied in conjunction with a simultaneous x-ray investigation, a commonly used technique for studying urinary incontinence and obstruction, personnel(5) (8(10) can be in a safe area not exposed to x-rays yet able to see and control the study. Similar transmission methodology is used to that described for figure 2 above.
FIGURE 4 shows a specific application for a Gastro-Intestinal Motility for monitoring of patients within the laboratory or clinic (static study) and for ambulatory study over an extended period with the patient undergoing activity away from the laboratory or clinic. The Bluetooth functionality allows the ambulatory system (which is a mobile data acquisition unit(3)) to automatically detect when within range of an eligible host system(1)
l and automatically transfer data from the data acquisition subsystem to the host via the wireless link(2).
These are only three examples but the generic approach is patented utilising any wireless protocol required.
Key to Figures: (1) Host (2) Wireless Link (3) DAQ
(4) Patient (5) Doctor (6) Ancillary Equipment (7) Receptacle (IJrine) (8) Nurse (9) Technician Assistant (10) Radiologist (11) Limit of Reception Range (12) Flowscales

Claims (1)

  1. Wireless Physiological Monitoring System 1) A physiological monitoring system where signals are transmitted via wireless link to and from a host system.
    2) A system as claimed in claim 1 where the host system has a graphical user interface.
    3) A system as claimed in claim 1 where the host is a personal computer. 4) A system as claimed in claim 1 where the signals to and from the patient ancilliary devices are also transmitted via wireless link.
    5) A system as claimed in claim 1 where the wireless link uses Bluetooth data transmission standard 6) A system as claimed in claim 1 where the data to be transmitted is buffered or stored to allow transmission / retransmission in the event of interruption of the wireless link for any reason.
    7) A system as claimed in claim 1 where the wireless link uses RS232 data transmission standard 8) A system as claimed in claim 1 where the wireless link uses USE data transmission standard 9) A system as claimed in claim 1 where the wireless link uses firewire data transmission standard lO)A system as claimed in claim 1 where the wireless link uses infra-
    red data transmission 11)A system as claimed in claim 1 where the wireless link uses ultrasonic data transmission 12)A system as claimed in claim 1 where the wireless link uses any other data transmission standard 13)A system as claimed in claims 1 to 6 where the system is used for the acquisition of urological (urodynamic) pressure, volume and flowrate data.
    14)A system as claimed in claims 1 to 6 and claim 13 where the system is also used to acquire electrical physiological signals such as electromyographic data.
    15)A system as claimed in claims 1 to 6 where the system is used to record urine flow (mictiometry).
    16)A system as claimed in claims 1 to 6 where the system is used for the acquisition of data from the gastro-intestinal tract.
    l7)A system as claimed in claims 1 to 6 and claim 14 where the system is used for the acquisition of data from the ano-rectal region (manometry). 18)A system as claimed in claims 1 to 6 where the signals are conditioned and processed in a unit before transmission.
    l9)A system as claimed in claim 1 where the signals are transmitted separately
    20)A system as claimed in claim 18 where the signals are converted from analogue to digital before transmission 21)A system as claimed in claim 20 where the signals are converted to data streams.
    22)A system as claimed in claim 21 where the data is buffered (or stored) for resend if the link is unavailable at any time.
    23)A system as claimed in claims 1 to 6 and claim 22 where the data acquisition unit is static 24)A system as claimed in claims 1 to 6 and claim 22 which permits the data to be acquired in an ambulatory mode (that is with the subject free to move around carrying the data acquisition system) and the data acquisition system storing the data in memory for later transmission to a host system.
    25)A system as claimed in claim 24 but permitting the stored data to be transmitted to the host system when the radio wireless link can be established.
    26)A system as claimed in claims 1 to 6 where the host can interface to other systems.
    27)A system as claimed in claim 26 where the interface is via network or modem.
    28)A system as claimed in claim 27 where the interface is Ethernet.
    29)A system as claimed in claim 26 where the interface is Bluetooth.
    30)A system as claimed in claim 24 or claim 25 where the ambulatory system can communicate with any host system within range.
    Amendments to the claims have been filed as follows Wireless Physiological Monitoring System 1) A physiological monitoring system comprising a data acquisition unit to acquire physiological signal data about the physiological condition of a patient, a wireless communication link between the data acquisition unit and a host system to transmit the physiological signal data 2) A system as claimed in claim 1 where the host system has a graphical user interface 3) A system as claimed in claim 1 where the host system includes a personal computer 4) A system as claimed in claim 1 where the host system comprises a web browser 5) A system as in any preceding claim which incorporates a wireless communication link from the host system to the data acquisition unit 6) A system as claimed in claim 5 where ancillary devices are controlled by the host system by means of a wireless communication link 7) A system as claimed in any preceding claim where the signals are conditioned and processed in a data acquisition unit before wireless transmission 8) A system as claimed in any preceding claim where the physiological signal values are converted from analogue to digital values before transmission from the data acquisition unit 9) A system as claimed in any preceding claim where the physiological signal values are converted to data streams 10) A system as claimed in any preceding claim where the wireless communication link uses radio frequency signals 11) A system as in claim 10 where the wireless communication link uses radio signals operating on a plurality of radio frequencies 12) A system as claimed in any preceding claim where the wireless communication link uses RS232 data transmission standard 13) A system as claimed in any preceding claim where the wireless communication link uses USB data transmission standard 14) A system as claimed in any preceding claim where the wireless communication link uses firewire data transmission standard 15) A system as claimed in any preceding claim where the wireless communication link uses infra-red data transmission 16) A system as claimed in any preceding claim where the wireless communication link uses ultrasonic data transmission 17) A system as claimed in any preceding claim where the wireless communication link uses any other data transmission standard 18) A system as claimed in any preceding claim where the transmission power of the wireless communication link is varied as the transmission path conditions of the wireless communication link change 19) A system as claimed in any preceding claim where the data transmitted by the wireless communication link is buffered or stored in memory 20) A system as in claim 1 where the host system communicates with the data acquisition unit to confirm satisfactory reception of transmitted data 21) A system as in claim 5 where the data acquisition unit communicates with the host system to confirm satisfactory reception of transmitted data
    22) A system as in claim 20 where the buffered or stored data is deleted from memory after satisfactory transmission 23) A system as in claim 21 where the buffered or stored data is deleted from memory after satisfactory transmission 24) A system as in claim 20 where the buffered or stored data is retransmitted to the host system until it has been satisfactorily received by the host system 25) A system as in claim 21 where the buffered or stored data is retransmitted to the data acquisition unit until it has been satisfactorily received by the data acquisition unit 26) A system as claimed in any preceding claim where the system is used to record urine flow (mictiometry) data 27) A system as claimed in any preceding claim where the physiological monitoring system is used for the acquisition of urological data 28) A system as in any preceding claim where the urological data being recorded is the bladder (vesical) pressure 29) A system as in any preceding claim where the urological data being recorded is the urethral pressure 30) A system as in any preceding claim where the urological data being recorded is the abdominal pressure 31) A system as in any preceding claim where the detrusor pressure is calculated from the bladder and abdominal pressures 32) A system as in any preceding claim where the urethral closure pressure is calculated from the urethral and bladder pressures 33) A system as in any preceding claim where the urological data being recorded includes an electro-myography signal 34) A system as in any preceding claim where the urological data being recorded is volume of fluid filling the bladder 35) A system as in any preceding claim where a wireless communication link is used to allow the host system to control the rate of filling of the bladder with fluid 36) A system as in any preceding claim where a wireless communication link is used to allow the host system to control the rate of withdrawal of a catheter used to measure pressure or other physiological signal 37) A system as in any preceding claim where the system is used for the acquisition of physiological data from the gastrointestinal tract 38) A system as in claim 37 where the data being recorded is pressure 39) A system as in claim 37 where the data being recorded is the pH value 40) A system as in claim 37 where the data being recorded is electrical activity 41) A system as in claim 37 where a wireless communication link is used to control the rate of filling of the rectum 42) A system as claimed in any preceding claim where the data acquisition unit is static 43) A system as claimed in any preceding claim where the data acquisition is made from an ambulant patient 44) A system as claimed in any preceding claim where the host system can interface to other systems 45) A system as claimed in claim 44 where the interface is via a network or modem 46) A system as claimed in any preceding claim where there is a plurality of host systems such that the data acquisition unit can transfer acquired data through one or more of the host systems
GB0218731A 2002-08-13 2002-08-13 Wireless physiological monitoring system Withdrawn GB2393072A (en)

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Application Number Priority Date Filing Date Title
GB0218731A GB2393072A (en) 2002-08-13 2002-08-13 Wireless physiological monitoring system

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GB2393072A true GB2393072A (en) 2004-03-17
GB2393072A8 GB2393072A8 (en) 2005-09-12

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2401285A (en) * 2003-03-17 2004-11-03 Marc Russell Personal data storage
WO2006001690A1 (en) * 2004-06-25 2006-01-05 Dijkman Holding B.V. Device for measuring data relating to urine production of a patient
WO2006051464A1 (en) * 2004-11-12 2006-05-18 Koninklijke Philips Electronics, N.V. Method for automatic association of medical devices to a patient and concurrent creation of a patient record
DE102005008627A1 (en) * 2005-02-25 2006-08-31 Raumedic Ag Sensor system for measuring, transmitting, processing and displaying physiological parameters of patient, has expansion module connected via wireless telemetry path to sensor or additional sensor
WO2012164127A1 (en) * 2011-05-27 2012-12-06 Servicio Andaluz De Salud Anorectal manometry device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU690901B2 (en) * 1993-05-28 1998-05-07 Fred Bergman Healthcare Pty Ltd Improvements in or relating to the prevention reduction or management of incontinence and other distressing dangerous or potentially dangerous conditions
EP1262144A1 (en) * 1996-01-17 2002-12-04 CME Telemetrix Inc. Spread spectrum telemetry of physiological signals
US20030065252A1 (en) * 2001-10-02 2003-04-03 Fischer-Zoth Gmbh Portable handheld hearing screening device and method with internet access and link to hearing screening database
US20030088161A1 (en) * 2001-11-07 2003-05-08 Stengel Keith A Mobile neurological signal data acquisition system and method
JP2003157323A (en) * 2001-11-19 2003-05-30 Ntt Docomo Kansai Inc Health care support method, health care support system, central apparatus, computer program and recording medium
WO2003057025A2 (en) * 2002-01-07 2003-07-17 Widemed Ltd. Self-adaptive system for the analysis of biomedical signals of a patient

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6155974A (en) * 1997-08-01 2000-12-05 Sony Corporation Wireless multiplexed brain wave monitoring system and method

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU690901B2 (en) * 1993-05-28 1998-05-07 Fred Bergman Healthcare Pty Ltd Improvements in or relating to the prevention reduction or management of incontinence and other distressing dangerous or potentially dangerous conditions
EP1262144A1 (en) * 1996-01-17 2002-12-04 CME Telemetrix Inc. Spread spectrum telemetry of physiological signals
US20030065252A1 (en) * 2001-10-02 2003-04-03 Fischer-Zoth Gmbh Portable handheld hearing screening device and method with internet access and link to hearing screening database
US20030088161A1 (en) * 2001-11-07 2003-05-08 Stengel Keith A Mobile neurological signal data acquisition system and method
JP2003157323A (en) * 2001-11-19 2003-05-30 Ntt Docomo Kansai Inc Health care support method, health care support system, central apparatus, computer program and recording medium
WO2003057025A2 (en) * 2002-01-07 2003-07-17 Widemed Ltd. Self-adaptive system for the analysis of biomedical signals of a patient

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2401285A (en) * 2003-03-17 2004-11-03 Marc Russell Personal data storage
WO2006001690A1 (en) * 2004-06-25 2006-01-05 Dijkman Holding B.V. Device for measuring data relating to urine production of a patient
WO2006051464A1 (en) * 2004-11-12 2006-05-18 Koninklijke Philips Electronics, N.V. Method for automatic association of medical devices to a patient and concurrent creation of a patient record
DE102005008627A1 (en) * 2005-02-25 2006-08-31 Raumedic Ag Sensor system for measuring, transmitting, processing and displaying physiological parameters of patient, has expansion module connected via wireless telemetry path to sensor or additional sensor
WO2012164127A1 (en) * 2011-05-27 2012-12-06 Servicio Andaluz De Salud Anorectal manometry device

Also Published As

Publication number Publication date
GB0218731D0 (en) 2003-09-24
GB2393072A8 (en) 2005-09-12

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