JP7422751B2 - 患者モニターシステム - Google Patents
患者モニターシステム Download PDFInfo
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- JP7422751B2 JP7422751B2 JP2021519863A JP2021519863A JP7422751B2 JP 7422751 B2 JP7422751 B2 JP 7422751B2 JP 2021519863 A JP2021519863 A JP 2021519863A JP 2021519863 A JP2021519863 A JP 2021519863A JP 7422751 B2 JP7422751 B2 JP 7422751B2
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Description
本出願は、開示全体が参照により本明細書に組み込まれている2018年10月12日に出願した米国仮出願第62/744,988号、名称「SYSTEM FOR TRANSMISSION OF SENSOR DATA USING DUAL COMMUNICATION PROTOCOL」の利益を主張するものである。
図1に示されているように患者に複数のセンサーが取り付けられるときに、センサーをケーブルでつなぐとその管理が煩雑で難しい場合がある。たとえば、センサー用のケーブルは、繰り返し使用した後、絡まり破損することがある。さらに、センサーは患者健康モニターにつながれているので、患者は健康モニターの近くに配置されなければならず、患者の動きが制限されることもある。より長いケーブルが必要な場合、センサーおよびケーブルは、一緒に交換されなければならない。同様に、センサーがモニターにつながれていると患者を運ぶことが非常に難しい場合があるが、それというのも、運んでいる最中に患者をモニターの近くに留まらせる必要があるか、またはセンサーを取り外すことが必要になって結果として測定を喪失することになるからである。
図1は、ケーブル130を介してセンサー140A、140B、140C、140Dに結合したコンピューティングデバイス106を含むセンサーシステム100の一例を例示しており、センサーは患者110に取り付けられている。コンピューティングシステム106は、様々な生理学的パラメータを表示することができるディスプレイ108を備えることができる。センサー140A、140B、140C、140Dは、患者110から様々なタイプの生理学的データを収集し、ケーブル130を介してコンピューティングシステム106にデータを伝送することができる。センサー140A、140B、140C、140Dのいくつかの例は、限定はしないが、Rainbowアコースティックモニタリングセンサー(RAM)、O3 Regional Oximetryセンサー、SpO2センサー、血圧センサー、ECGセンサー、および同様のものを含む。
図3Aは、再使用可能モジュール250および使い捨てモジュール220を含むセンサーアセンブリ202の一例の正面斜視図を例示している。上で説明されているように、再使用可能モジュール250は、コンピューティングデバイス206とのワイヤレス接続を確立することができるペアリングデバイスとすることができる。使い捨てデバイス220は、ドック222と、ドック222をセンサー240(図示せず)に結合するケーブル230とを備えることができる。
図6Aは、可撓性回路320の斜視図を例示している。可撓性回路320は、各々先端部602と本体部608とを含み得る1つまたは複数の細長部材600を備えることができる。電気接点228は、1つまたは複数の細長部材600上に配設され得る。細長部材600は、本体部608から遠位に延在し得る。先端部602は、可撓性回路320の細長部材600の遠位端に配置され得る。細長部材600は、図6Aに示されているように、平坦であるか、またはアーチ形であってよい。細長部材600は、支持体360およびカバー318との相互作用によりアーチ形になり得る。細長部材600は、1つもしくは複数の実質的に平坦な部分および/または1つもしくは複数のアーチ形の部分を含むことができる。1つまたは複数の先端部602の各々は、可撓性回路320の1つまたは複数の細長部材600の各々に対応することができる。細長部材600のいくつかは、電気接点228を有していなくてもよい。可撓性回路320は、同じまたは異なる数の細長部材600および先端部602を備えることができる。可撓性回路320は、可撓性回路320をドック222に結合する1つまたは複数の開口部604を備えることができる。
図7A~図7Iは、センサーアセンブリ202の使い捨てモジュール220の取り付け機構の様々な例を例示している。
混んでいる病院の臨床医に課される時間的要求、ならびに患者および患者モニタリングデバイスの数を考えた場合、コンピューティングデバイス206(たとえば、モバイル患者モニタリング表示デバイス)と再使用可能モジュール250との間の接続を確立するための手作業によるインタラクティブな操作は、大きな負担になり得る。場合によっては、ペアリングデバイスとの接続を確立するために患者モニターデバイスを手作業でインタラクティブに操作するのに時間がかかると、特に緊急性の高い状況では、患者の健康を損なうことすらあり得る。少なくとも前述の理由から、ベッドサイド患者モニター、中央モニタリングステーション、および他のデバイスなどの、コンピューティングデバイス206に、近くの再使用可能モジュール250の存在を検出し、再使用可能モジュール250とのワイヤレス通信204を確立する機能を持たせることは有利である。
図10A~図10Dは、再使用可能モジュール250と使い捨てモジュール220のドック222とを嵌合するプロセスを例示している。使い捨てモジュール220のドック222は、図10Aに示されているように、患者の手首に取り付けることができる。ドック222は、再使用可能モジュール250の脚部326に対応するスロット328(図3Bを参照)を含むハウジング300を備えることができる。
図11Aは、再使用可能モジュール250とコンピューティングデバイス206との間でワイヤレス通信を確立し、センサーアセンブリ202を使用して患者生理学的パラメータを決定し、コンピューティングデバイス206を使用して生理学的パラメータを表示する方法1100を例示している。
上で説明されているように、コンピューティングデバイス206は、電話、タブレット、腕時計、および同様のものなどのモバイルデバイス1300であってよい。モバイルデバイス1300は、Bluetoothまたは同様のものなどの、ワイヤレス通信プロトコルを介して再使用可能モジュール250とのワイヤレス通信を確立することができるモバイルアプリケーションを備えることができる。
本明細書で説明されているものと異なる多くの変更形態は、本開示から明らかになるであろう。たとえば、実施形態に応じて、本明細書で説明されているアルゴリズムのうちのどれかの特定の活動、事象、または機能は、異なる順序で実行されてよく、追加されるか、マージされるか、または完全に省略され得る(たとえば、説明されているすべての活動または事象がアルゴリズムの実施に必要とは限らない)。さらに、いくつかの実施形態において、活動または事象は、たとえば、逐次的ではなくマルチスレッド処理、割り込み処理、またはマルチプロセッサもしくはプロセッサコアを通じて、または他の並列アーキテクチャ上で同時実行され得る。それに加えて、異なるタスクまたはプロセスは、一緒に機能することができる異なるマシンおよび/またはコンピューティングシステムによって実行され得る。
106 コンピューティングデバイス
108 ディスプレイ
110 患者
130 ケーブル
140A、140B、140C、140D センサー
202 センサーアセンブリ
202A、202B、202C、202D センサーアセンブリ
204 ワイヤレス通信
206 コンピューティングデバイス
208 ディスプレイ
220 使い捨てモジュール
220A 使い捨てモジュール
220B 使い捨てモジュール
222 ドック
222A ドック
222B ドック
224 バッテリ
226 メモリ
228 電気接点
230 ケーブル
230A ケーブル
240 センサー
240A センサー
240B センサー
242 放射体
244 検出器
250 再使用可能モジュール
250A 再使用可能モジュール
250B 再使用可能モジュール
250C 再使用可能モジュール
252 アンテナ
254 プロセッサ
256 メモリ
258 電気接点
300 ハウジング
300A ハウジング
300B ハウジング
302 ストラップループ
304 リテーナ
304A リテーナ部材
304B リテーナ部材
306 ケーブルリテーナ
308 ストラップ
310 ファスナー
310a 電気接点
310b 電気接点
314 バッテリ回路
316 支持プレート
318 カバー
320 可撓性回路
322 溝
324 突起部
326 脚部
328 スロット
330 ガスケット
331 陥凹部
332 開口部
340 センサー
360 支持体
362 開口部
500 伸長部
600 細長部材
602 先端部
604 開口部
606 電気接点
608 本体部
700 第1のストラップ
700A ストラップ
700B ストラップ
700C ストラップ
702 第2のストラップ
704 開口部
706 ファスナー
706A ファスナー
706B ファスナー
708 伸長部
708A エクステンダ
710 フック
712 手袋
800 ドングル
802 本体部
804 コネクタ
806 ケーブル
808 溝
850 ホルダ
940 スロット
1100 方法
1150 方法
1200 方法
1300 モバイルデバイス
1302 ペアリングボタン
1304 画面
1308 ホームボタン
1310 数値パラメータ
1312 履歴ボタン
1314 グラフ
Claims (20)
- 患者から生理学的データを収集するように構成されている使い捨て非侵襲センサーアセンブリであって、前記生理学的データは前記患者の生理学的状態を示し、
ドックと、
前記ドックの第1の端から延在して患者の手首に巻き付け、前記第1の端とは反対側の前記ドックの第2の端のループを通して使い捨て非侵襲センサーアセンブリを固定するように構成されているストラップと、
前記ドックの第3の端から延在して、患者の指先と結合するように構成されているセンサー要素を備えるケーブルと、
バッテリと、
を備える使い捨て非侵襲センサーアセンブリと、
前記ドックに取り外し可能に結合されており、前記使い捨て非侵襲センサーアセンブリから前記患者の前記生理学的データを受信するように構成されている再使用可能送信機アセンブリであって、
プロセッサと、
患者モニターとのワイヤレス通信を確立するように構成されているワイヤレス通信モジュールと、
を備える再使用可能送信機アセンブリとを具備し、
前記使い捨て非侵襲センサーアセンブリの前記ドック、前記ストラップ、及び前記ケーブルは、単一の本体部に一体化されており、
前記ドックは、湾曲した支持体と、前記支持体によって支持される第1の電気接点を備える可撓性回路を備え、前記再使用可能送信機アセンブリは、前記再使用可能送信機アセンブリが前記ドックに結合されたときに、前記第1の電気接点と係合するように構成された第2の電気接点を備え、
前記可撓性回路は、前記第1の電気接点が前記支持体によって支持された状態において1つまたは複数のアーチ形部分を有し、前記支持体は、前記アーチ形部分の曲率を定め、前記第1の電気接点は、少なくとも部分的に前記アーチ形部分に位置する、患者モニターシステム。 - 前記再使用可能送信機アセンブリは、前記プロセッサ及び前記ワイヤレス通信モジュールに電力を供給するための電源を含まない請求項1に記載の患者モニターシステム。
- 前記再使用可能送信機アセンブリは、前記使い捨て非侵襲センサーアセンブリの前記バッテリから受電する請求項1に記載の患者モニターシステム。
- 前記センサー要素は、一つ以上の放射体及び一つ以上の検出器を備える請求項1に記載の患者モニターシステム。
- 前記一つ以上の放射体及び前記一つ以上の検出器は、光学系のものである請求項4に記載の患者モニターシステム。
- 前記一つ以上の放射体は、発光ダイオード(LED)である請求項4に記載の患者モニターシステム。
- 前記ワイヤレス通信モジュールは、少なくとも第1のワイヤレス通信プロトコルを使用して、前記再使用可能送信機アセンブリを前記患者モニターに関連付け、前記ワイヤレス通信モジュールは、少なくとも第2のワイヤレス通信プロトコルを使用して、前記ワイヤレス通信モジュールと前記患者モニターとの間でデータを伝送する請求項1に記載の患者モニターシステム。
- 前記第1のワイヤレス通信プロトコルは、近距離無線通信(NFC)である請求項7に記載の患者モニターシステム。
- 前記第2のワイヤレス通信プロトコルは、Bluetooth(登録商標)である請求項7に記載の患者モニターシステム。
- 前記再使用可能送信機アセンブリと前記患者モニターとの間の前記ワイヤレス通信は、少なくとも、前記患者モニターから前記再使用可能送信機アセンブリに伝送されるペアリング信号、及び前記再使用可能送信機アセンブリから前記患者モニターに伝送される識別情報に基づく請求項1に記載の患者モニターシステム。
- 前記患者モニターは、前記再使用可能送信機アセンブリが前記患者モニターから所定の距離内に持ち込まれたときに前記ペアリング信号を前記再使用可能送信機アセンブリに伝送する請求項10に記載の患者モニターシステム。
- 前記ペアリング信号及び前記識別情報は、第1のワイヤレス通信プロトコルを介して伝送される請求項10に記載の患者モニターシステム。
- 前記識別情報は、前記再使用可能送信機アセンブリに固有であり、前記再使用可能送信機アセンブリに関連付けられているRFIDタグである請求項10に記載の患者モニターシステム。
- 前記識別情報は、前記患者モニターから前記再使用可能送信機アセンブリへの前記ペアリング信号の前記伝送に応答して前記再使用可能送信機アセンブリから前記患者モニターに伝送される請求項10に記載の患者モニターシステム。
- 前記識別情報の前記伝送は、自動的に行われる請求項14に記載の患者モニターシステム。
- 患者から生理学的データを収集するように構成されている使い捨て非侵襲センサーアセンブリであって、前記生理学的データは前記患者の生理学的状態を示し、
ドックと、
前記ドックの第1の端から延在して患者の手首に巻き付け、前記第1の端とは反対側の前記ドックの第2の端のループを通して使い捨て非侵襲センサーアセンブリを固定するように構成されているストラップと、
前記ドックの第3の端から延在して、患者の指先と結合するように構成されているセンサー要素を備えるケーブルと、
バッテリと、
を備える使い捨て非侵襲センサーアセンブリと、
前記ドックに取り外し可能に結合されており、前記使い捨て非侵襲センサーアセンブリから前記患者の前記生理学的データを受信するように構成されている再使用可能送信機アセンブリであって、
プロセッサと、
患者モニターとのワイヤレス通信を確立するように構成されているワイヤレス通信モジュールと、
を備える再使用可能送信機アセンブリと、
を具備し、
前記ドックは、湾曲した支持体と、前記支持体によって支持される第1の電気接点を備える可撓性回路を備え、前記再使用可能送信機アセンブリは、前記再使用可能送信機アセンブリが前記ドックに結合されたときに、前記第1の電気接点と係合するように構成された第2の電気接点を備え、
前記可撓性回路は、前記第1の電気接点が前記支持体によって支持された状態において1つまたは複数のアーチ形部分を有し、前記支持体は、前記アーチ形部分の曲率を定め、前記第1の電気接点は、少なくとも部分的に前記アーチ形部分に位置する、患者モニターシステム。 - 前記プロセッサは、前記再使用可能送信機アセンブリにより受信した前記生理学的データを処理し、前記患者モニターに表示されるように構成された生理学的パラメータを生成するように構成される請求項16に記載の患者モニターシステム。
- 前記第1の端には、ケーブルホルダが設けられており、
前記ケーブルホルダは、前記ケーブルが患者の肘の方に向かったあと前記患者の手の方に向かうようなループ状に延びるように前記ケーブルを固定する、請求項16に記載の患者モニターシステム。 - 前記支持体は、複数の支持体を備え、
前記第1の電気接点は、対応する前記複数の支持体によって支持される複数の第1の電気接点を備え、
前記第2の電気接点は、前記複数の第1の電気接点とそれぞれ係合するように構成された複数の第2の電気接点を備える、請求項16に記載の患者モニターシステム。 - 前記可撓性回路は、前記再使用可能送信機アセンブリが前記ドックに結合されたときに、前記可撓性回路が前記バッテリから前記再使用可能送信機アセンブリに送電するように、前記バッテリと接触している、請求項19に記載の患者モニターシステム。
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