WO2013144407A1 - Dispositif de surveillance de nouveau-nés - Google Patents

Dispositif de surveillance de nouveau-nés Download PDF

Info

Publication number
WO2013144407A1
WO2013144407A1 PCT/ES2013/070197 ES2013070197W WO2013144407A1 WO 2013144407 A1 WO2013144407 A1 WO 2013144407A1 ES 2013070197 W ES2013070197 W ES 2013070197W WO 2013144407 A1 WO2013144407 A1 WO 2013144407A1
Authority
WO
WIPO (PCT)
Prior art keywords
newborn
tray
horizontal
load cell
upper tray
Prior art date
Application number
PCT/ES2013/070197
Other languages
English (en)
Spanish (es)
Inventor
Carlos MATÍAS CASADO
Manuel MATÍAS VEGA
Manuel MATÍAS CASADO
Arturo MORGADO ESTÉVEZ
Rafael BIENVENIDO BÁRCENA
Original Assignee
Servicio Andaluz De Salud
Universidad De Cádiz
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 Servicio Andaluz De Salud, Universidad De Cádiz filed Critical Servicio Andaluz De Salud
Publication of WO2013144407A1 publication Critical patent/WO2013144407A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, 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
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2503/00—Evaluating a particular growth phase or type of persons or animals
    • A61B2503/04—Babies, e.g. for SIDS detection
    • A61B2503/045—Newborns, e.g. premature baby monitoring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0252—Load cells
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases

Definitions

  • the invention is framed within the field of medicine, and more particularly within the field of neonatology.
  • the object of the invention is a newborn monitoring device designed to minimize false alarms that occur due to the child's own movements.
  • Neonatology is universal. An increasing percentage of newborns, especially premature infants, is controlled by non-invasive methods, such as pulse oximetry, which, under ideal conditions, continuously reports on the state of oxygen saturation and the newborn's heart rate, with limits selected in each case for alarms.
  • pulse oximetry which, under ideal conditions, continuously reports on the state of oxygen saturation and the newborn's heart rate, with limits selected in each case for alarms.
  • the present invention describes a new monitoring device that minimizes the false alarms of the pulse oximeter caused by the movements of the newborn.
  • This device combines the information of the pulse oximeter with the information received from load cells capable of detecting the movements of the neonate, so that the alarm will only jump when the pulse oximeter signal is lost and, simultaneously, no movements of the newborn are detected. This not only prevents false alarms due to the movements of the newborn, but also strengthens the reliability of the alarms that occur, since they will involve both an abnormal pulse oximeter signal and the immobility of the newborn.
  • the most basic version of the device of the invention comprises, in addition to the usual pulse oximeter suitable for the neonate, the following elements: a horizontal upper tray, at least one load cell and an alarm means. These elements are described in more detail below.
  • This cell is arranged so that the upper horizontal tray rests on it to detect the pressure changes produced by the movements of the newborn.
  • This cell therefore, should have sufficient sensitivity to detect small pressure changes caused by kicking, position changes, etc. of the newborn.
  • a single load cell or more than one may be used, for example two.
  • This alarm means may comprise a light and / or acoustic indicator that immediately warns the responsible personnel, such as an LED or similar.
  • the alarm means is connectable to a means of monitoring the condition of the newborn, such as a computer or the like equipped with software suitable for alarm management. In this case, the alarm could be given, additionally or alternatively, by means of a message that is displayed on the computer screen.
  • the device has a horizontal lower tray arranged in parallel under said upper tray, the load cell being coupled between said lower tray and the upper tray.
  • the load cell could be arranged in any position between both trays, although preferably it is coupled in a side of the lower and upper trays, which are normally rectangular.
  • This device preferably further comprises additional support for the upper tray disposed in the central area between the lower horizontal tray and the upper horizontal tray.
  • this additional support may have a roller in the contact area with the upper tray.
  • the device further comprises stops whose lower end is fixed to the lower tray, for example in its corners, and whose upper end limits the amplitude of the movements of the upper tray in case the vertical force exerted on the tray is too high in order to avoid breakage or damage.
  • the neonatology rooms usually have scales with which babies weigh. However, weighing the baby on a scale external to the incubator obviously implies removing the infant from the incubator. This action, which in a healthy baby should not have any consequences, as long as it is done with the appropriate measures, in the most critical cases it may be even more extreme of the condition, or the use advised against. Therefore, the device of the invention preferably further comprises a processing means adapted to translate the received signal from the load cells by weight. It is understood that this processing means could be the monitoring medium itself mentioned above, although another possibility is that it is a processing unit independent of said monitoring means, for example a microcontroller, a microprocessor, a PSD, an ASIC , an FPGA, or others.
  • the processing means is further adapted to calculate the water balance of the newborn.
  • the device further comprises a small screen or viewfinder showing in real time the baby's weight and / or the calculated water balance.
  • the above-mentioned alarm means may be adapted to jump when the water balance of the infant in a given period is different from zero.
  • FIG. 1 shows a perspective view of an example of a monitoring device according to the present invention.
  • Fig. 2 shows a profile view of the example device of Fig. 1.
  • Fig. 3 shows an elevation view of the device example of the
  • the device (1) comprises two horizontal rectangular trays, the upper horizontal tray (2) and the lower horizontal tray (3). Although not shown in this figure, the infant is arranged in a cradle or incubator on the upper horizontal tray (2), either independent or integrated into the upper tray (2). Between the upper tray (2) and the lower tray (3) there is at least one load cell (4), in this example two, which detects the movements of the neonate located on the upper tray (2).
  • this example of device (1) has an additional support (5) arranged in the central area of the upper (2) and lower trays (3) and equipped with a roller (6) to minimize friction with the tray (2 ) upper, as well as stops (7) fixed to the corners of the lower tray (3) that limit the downward movement of the upper tray (2) in case the vertical force exerted on it is too high.
  • the device (1) of the invention further comprises a pulse oximeter adapted for use with a neonate in terms of size and technical characteristics.
  • the weighing medium can consist of a viewfinder located in the device itself, or it can be integrated in a computer or similar to the one to which the load cells are connected, appearing in that case the weight of the newborn on the computer screen.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pulmonology (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Dentistry (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

Selon l'invention, un dispositif de surveillance de nouveau-nés conçu pour minimiser les fausses alarmes générées en raison des mouvements propres d'un enfant comprend un sphygmo-oxymètre adapté au nouveau-né. Ledit dispositif est caractérisé en ce qu'en outre il comprend un plateau supérieur horizontal conçu pour porter un berceau dans lequel est posé le nouveau-né, au moins une cellule de charge sur laquelle repose le plateau supérieur horizontal pour détecter les changements de pression engendrés par les mouvements du nouveau-né; et un moyen d'alarme configuré pour sauter lorsqu'un signal inadéquat du sphygmo-oxymètre est généré simultanément à l'absence de mouvement du nouveau-né.
PCT/ES2013/070197 2012-03-26 2013-03-26 Dispositif de surveillance de nouveau-nés WO2013144407A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ES201230333U ES1076877Y (es) 2012-03-26 2012-03-26 Dispositivo de monitorizacion de neonatos
ESU201230333 2012-03-26

Publications (1)

Publication Number Publication Date
WO2013144407A1 true WO2013144407A1 (fr) 2013-10-03

Family

ID=45952731

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/ES2013/070197 WO2013144407A1 (fr) 2012-03-26 2013-03-26 Dispositif de surveillance de nouveau-nés

Country Status (2)

Country Link
ES (1) ES1076877Y (fr)
WO (1) WO2013144407A1 (fr)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2397768B1 (es) 2012-06-18 2014-01-21 Tecatel, S.L. Terminal multimedia con medida de parámetros vitales
JP6316299B2 (ja) * 2012-09-28 2018-04-25 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 患者の健康状態の評価のためのシステム及び方法

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040100376A1 (en) * 2002-11-26 2004-05-27 Kimberly-Clark Worldwide, Inc. Healthcare monitoring system
US20090234916A1 (en) * 1999-04-16 2009-09-17 Cardiocom, Llc Downloadable Datasets for a Patient Monitoring System
US20100191136A1 (en) * 2009-01-26 2010-07-29 Wolford Danette K System, pad and method for monitoring a sleeping person to detect an apnea state condition
EP2392303A1 (fr) * 2010-06-07 2011-12-07 Hill-Rom Services, Inc. Prédiction d'un état critique d'une personne sur un appareil de support

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090234916A1 (en) * 1999-04-16 2009-09-17 Cardiocom, Llc Downloadable Datasets for a Patient Monitoring System
US20040100376A1 (en) * 2002-11-26 2004-05-27 Kimberly-Clark Worldwide, Inc. Healthcare monitoring system
US20100191136A1 (en) * 2009-01-26 2010-07-29 Wolford Danette K System, pad and method for monitoring a sleeping person to detect an apnea state condition
EP2392303A1 (fr) * 2010-06-07 2011-12-07 Hill-Rom Services, Inc. Prédiction d'un état critique d'une personne sur un appareil de support

Also Published As

Publication number Publication date
ES1076877Y (es) 2012-08-07
ES1076877U (es) 2012-05-07

Similar Documents

Publication Publication Date Title
ES2770581T3 (es) Indicador de inclinación de la cama
Duke et al. Pulse oximetry: technology to reduce child mortality in developing countries
US9706950B2 (en) Accelerometer and wireless notification system
US20140323818A1 (en) Wireless Physiological Monitoring Device
ES2869855T3 (es) Dispositivo portátil, inalámbrico, no invasivo que puede aplicarse al dedo de la mano para reducir el riesgo de síndrome de muerte súbita del lactante y reducir el riesgo de apnea, ritmo cardíaco más lento y paro cardíaco en todos los grupos de edad
US20170231555A1 (en) Device for monitoring physiological parameters
WO2009027556A2 (fr) Procédé pour obtenir la fréquence cardiaque et la fréquence respiratoire sur des balances électroniques pèse-personnes
JP2019524409A (ja) 医療モニタリングのためのシステム及び方法
WO2013144407A1 (fr) Dispositif de surveillance de nouveau-nés
Schondelmeyer The frequency of physiologic monitor alarms in a children’s hospital
KR20120066868A (ko) 실시간 호흡 및 심박 측정을 통한 사용자의 건강상태 결정 장치 및 방법
Akhir et al. Conceptual framework for SIDS alert system
TWM521450U (zh) 睡眠檢測系統
KR200420523Y1 (ko) 링거 잔량 및 소요시간 표시기
CN204072065U (zh) 一种临床医用生命体征警报器
Kozniewski et al. Wheelchair pressure monitoring alert system for the reduction of the occurrence of pressure sores
CN110037872A (zh) 一种多功能儿科护理床以及使用方法
BR202021000720U2 (pt) Dispositivo de acionamento de emergência médica para bebês
CN210071092U (zh) 一种轮椅体重秤
US20240081655A1 (en) Systems and methods for predicting and preventing cases of sudden unexpected infant death caused by sudden unexpected postnatal collapse
CN216091121U (zh) 一种多功能病床
ES2507891B1 (es) Anillo con medición automática de constantes vitales y localización
Francis et al. Pediatric Pulse Oximeter for Low Resource Countries
KR102688458B1 (ko) 무호흡 상태의 미숙아를 깨우는 기능이 포함된 인큐베이터
ES1296683U (es) Sistema de contencion mecanica

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 13769115

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 13769115

Country of ref document: EP

Kind code of ref document: A1