The subject disclosure relates to a method and apparatus for limb circumference measurement.
Healthcare professionals sometimes use tape measurements and/or calipers to measure arm and leg circumference. This can be inaccurate and prone to user error (for example, accuracy and errors may depend upon the person performing the measurement and/or the location on the limb where the device is applied).
Reference will now be made to the accompanying drawings, which are not necessarily drawn to scale, and wherein:
The subject disclosure describes, among other things, illustrative embodiments for measurement of limb circumference (and/or diameter). Other embodiments are described in the subject disclosure.
One or more aspects of the subject disclosure include a sleeve (for example, in the form of a sock or a cuff) that fits around a limb of a patient. The sleeve can be radially expandable and the sleeve can have therein and/or thereon elastic members that measure a circumference (and/or diameter) of the sleeve at a plurality of locations (thereby determining the circumference (and/or diameter) of the limb at the plurality of locations).
The electronics unit 104 comprises a microcontroller unit (MCU), a communication module (COM), a display (e.g., an organic light-emitting diode (OLED)), and a battery. The MCU can be capable of processing multiple analog channels (in this example, eight would be used). In another example, the MCU can work in conjunction with an analog multiplexer chip. In other examples, higher or lower number of analog channels can be used. Along with the MCU, multiple internal resistors are connected in series with the conductive knit fabric strips (e.g., one resistor per strip), in order to create a voltage divider. The COM can be of any desired communication protocol, for example, BLE (Bluetooth Low Energy), WIFI, and/or LTE (Long-Term Evolution). The COM can transmit the measurements from the MCU to a remote device (e.g., a mobile or a stationary device) and/or to the cloud (e.g., via the Internet) for further analysis, display and/or storage. The display of the electronics unit 104 can show calculated circumference values (e.g., in response to triggers from the MCU). The battery (BAT), can power the MCU, the display, and COM, as well as provide the voltage differential between each high and ground pole of a respective conductive knit fabric strip, along the voltage divider with the internal resistors.
As the leg morphology changes, each conductive knit fabric strip will expand or compress around the leg. As the conductive knit fabric strips change in dimension, they will report different resistance values. The MCU will interpret these resistance value changes into changes in circumference at the location of each conductive knit fabric strip. The multiple circumference values along the length of the sock can give insight into the limb's morphology changes in response to (for example) swelling, leg movements, or other differential measurements. Increasing the number of conductive knit fabric strips can give higher resolution representations of leg morphology.
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In one embodiment, the monitor 510 can provide the ability for a clinician to view data from a specific measurement device (e.g., selected from a plurality of measurement devices), pulled from the server 506 in real-time and/or through storage 508. In one embodiment, the monitor 510 can be used for visualization of the data in graph/table form.
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In one specific example, using a multiple layer configuration (e.g., with elastic conductive strips on one side and conductive threads on another side) may be useful where a very small gap is provided between each end (or pole) of a particular elastic conductive strip (thus rendering the running of the conductive threads through the gap as difficult).
As the arm morphology changes, each elastic conductive strip will expand or compress around the arm. As the elastic conductive strips change in dimension, they will report different resistance values. The electronics will interpret these resistance value changes into changes in circumference at the location of each elastic conductive strip. The multiple circumference values along the length of the arm can give insight into the limb's morphology changes in response to (for example) swelling, arm movements, or other differential measurements. Increasing the number of elastic conductive strips can give higher resolution representations of arm morphology.
In various embodiments, n number of measurement elements can be used to collect data from n number of locations along a limb. In one specific example, n can be an integer between 2 and 50 (inclusive). In one specific example, the distance between each of the n number of adjacent measurement elements along the device can be a known or fixed distance (e.g., 0.5 inch). In another example, a device can be provided in multiple sizes (e.g., child and adult or small, medium and large). In one specific example, the spacing between measurement elements across sizes can be constant, with the number of measurement elements being higher for larger sizes (e.g., a child size device can be 5 inches long, use 5 measurement elements and have each adjacent measurement element spaced 1 inch apart, while the corresponding adult size device can be 10 inches long, use 10 measurement elements and have each adjacent measurement element spaced 1 inch apart). Decreasing the spacing between adjacent measurement elements can increase measurement resolution.
As described herein, various embodiments provide a device for measuring body parts such as, for example: fingers (e.g., circumference and/or diameter); arms (e.g., circumference and/or diameter); legs (e.g., circumference and/or diameter); feet (e.g., circumference and/or diameter); and/or toes (e.g., circumference and/or diameter). In one specific example, a circumference and/or diameter of the upper arm in the area of the triceps/biceps can be measured. In another specific example, a circumference and/or diameter of the lower arm in the area of the forearm can be measured. In another specific example, a circumference and/or diameter of the upper leg in the area of the thigh can be measured. In another specific example, a circumference and/or diameter of the lower leg in the area of the calf can be measured. In another specific example, a circumference and/or diameter of the neck can be measured.
As described herein, various embodiments provide a device comprising a number of elastic members, whereby stretching of each elastic member changes electrical properties which can be measured by the device.
As described herein, various embodiments provide a sleeve, a sock, a cuff, or the like to fit over a body part and elastic resistors (and/or other elastic material) supported by the sleeve, sock, cuff, or the like (in or on) that can be stretched and the stretching can be measured via changes to electrical properties so that the body part can be measured, such as a circumference of a calf or arm to detect swelling. The measurements can be provided to a display on the device, to a nurse's or doctor's tablet and/or to the cloud. In one example, resistance measurements can be used. In other examples, other electrical (and/or mechanical) properties that change when a material is stretched can be measured and used for the circumference (and/or diameter) determinations.
In one embodiment, the elastic members are removable (and/or disposable) so that a number of uses and age of material does not affect the measurement capabilities (e.g., does not affect the accuracy or repeatability of the measurements). In one embodiment, the sleeve, sock, cuff, or the like and the elastic resistors can be adjustable to fit smaller or larger body parts, such as elastic resistors which can be adjusted as to a point of connection to the sleeve, sock, cuff, or the like (e.g., point of connection on the elastic resistor and/or point of connection on the sleeve, sock, cuff, or the like).
As described herein is a limb measurement tool that, in various embodiments, uses multiple fixed (or predetermined) locations to give an accurate measurement of, for example, arm or leg circumference (and/or diameter).
By using a series of elastic resistors an ability to gather accurate measurement of arm or leg circumference (and/or diameter) is provided. The resistors can be placed inside a compressed sleeve that is placed on a patient's arm or leg. In one specific example, the patient puts the sleeve on his or her arm or leg and presses a button on the device, which calculates the measurement and then transmits the measurement securely into the cloud and/or to an electronic health record associated with the patient.
In another embodiment, a sleeve may be of a planar form, such that the sleeve can be rolled around the limb to form a cylindrical shape (similar to a typical blood pressure cuff). In one specific example, the rolled sleeve may be maintained in the cylindrical form using hook-and-loop fasteners, clips, snaps or the like.
In various embodiments, one or more statistical metrics can be calculated and/or output (e.g., to a display and/or to a storage). The storage can be, for example, on the cloud and/or in an electronic health record associated with the patient.
In another embodiment, the statistical metric can be output via an audio speaker.
In one example, the statistical metric comprises one of an arithmetic mean of first and second values (e.g., first and second circumference values and/or first and second diameter values), a range of the first and second values (e.g., first and second circumference values and/or first and second diameter values), or both.
In one example, the statistical metric comprises one of an arithmetic mean of a set of values (e.g., a set of circumference values and/or a set of diameter values), a mode of the set of values (e.g., a set of circumference values and/or a set of diameter values), a median of the set of values (e.g., a set of circumference values and/or a set of diameter values), a range of the set of values (e.g., a set of circumference values and/or a set of diameter values), or any combination thereof.
As described herein, various embodiments provide a method of continuously measuring limb circumference to monitor signs of inflammation.
In one embodiment, the electronic components used to sample from the multiple channels of elastic measurement elements can comprise analog multiplexers and/or shift registers.
In one embodiment, developer debugging may be provided (e.g., via a server such as server 506 of
Communication device 800 can comprise a wireline and/or wireless transceiver 802 (herein transceiver 802), a user interface (UI) 804, a power supply 814, a location receiver 816, a motion sensor 818, an orientation sensor 820, and a controller 806 for managing operations thereof. The transceiver 802 can support short-range or long-range wireless access technologies such as Bluetooth®, ZigBee®, WiFi, DECT, or cellular communication technologies, just to mention a few (Bluetooth® and ZigBee® are trademarks registered by the Bluetooth® Special Interest Group and the ZigBee® Alliance, respectively). Cellular technologies can include, for example, CDMA-1X, UMTS/HSDPA, GSM/GPRS, TDMA/EDGE, EV/DO, WiMAX, SDR, LTE, as well as other next generation wireless communication technologies as they arise. The transceiver 802 can also be adapted to support circuit-switched wireline access technologies (such as PSTN), packet-switched wireline access technologies (such as TCP/IP, VoIP, etc.), and combinations thereof.
The UI 804 can include a depressible or touch-sensitive keypad 808 with a navigation mechanism such as a roller ball, a joystick, a mouse, or a navigation disk for manipulating operations of the communication device 800. The keypad 808 can be an integral part of a housing assembly of the communication device 800 or an independent device operably coupled thereto by a tethered wireline interface (such as a USB cable) or a wireless interface supporting for example Bluetooth®. The keypad 808 can represent a numeric keypad commonly used by phones, and/or a QWERTY keypad with alphanumeric keys. The UI 804 can further include a display 810 such as monochrome or color LCD (Liquid Crystal Display), OLED (Organic Light Emitting Diode) or other suitable display technology for conveying images to an end user of the communication device 800. In an embodiment where the display 810 is touch-sensitive, a portion or all of the keypad 808 can be presented by way of the display 810 with navigation features.
The display 810 can use touch screen technology to also serve as a user interface for detecting user input. As a touch screen display, the communication device 800 can be adapted to present a user interface with graphical user interface (GUI) elements that can be selected by a user with a touch of a finger. The touch screen display 810 can be equipped with capacitive, resistive or other forms of sensing technology to detect how much surface area of a user's finger has been placed on a portion of the touch screen display. This sensing information can be used to control the manipulation of the GUI elements or other functions of the user interface. The display 810 can be an integral part of the housing assembly of the communication device 800 or an independent device communicatively coupled thereto by a tethered wireline interface (such as a cable) or a wireless interface.
The UI 804 can also include an audio system 812 that utilizes audio technology for conveying low volume audio (such as audio heard in proximity of a human ear) and high volume audio (such as speakerphone for hands free operation). The audio system 812 can further include a microphone for receiving audible signals of an end user. The audio system 812 can also be used for voice recognition applications. The UI 804 can further include an image sensor 813 such as a charged coupled device (CCD) camera for capturing still or moving images.
The power supply 814 can utilize common power management technologies such as replaceable and rechargeable batteries, supply regulation technologies, and/or charging system technologies for supplying energy to the components of the communication device 800 to facilitate long-range or short-range portable applications. Alternatively, or in combination, the charging system can utilize external power sources such as DC power supplied over a physical interface such as a USB port or other suitable tethering technologies.
The location receiver 816 can utilize location technology such as a global positioning system (GPS) receiver capable of assisted GPS for identifying a location of the communication device 800 based on signals generated by a constellation of GPS satellites, which can be used for facilitating location services such as navigation. The motion sensor 818 can utilize motion sensing technology such as an accelerometer, a gyroscope, or other suitable motion sensing technology to detect motion of the communication device 800 in three-dimensional space. The orientation sensor 820 can utilize orientation sensing technology such as a magnetometer to detect the orientation of the communication device 800 (north, south, west, and east, as well as combined orientations in degrees, minutes, or other suitable orientation metrics).
The communication device 800 can use the transceiver 802 to also determine a proximity to a cellular, WiFi, Bluetooth®, or other wireless access points by sensing techniques such as utilizing a received signal strength indicator (RSSI) and/or signal time of arrival (TOA) or time of flight (TOF) measurements. The controller 806 can utilize computing technologies such as a microprocessor, a digital signal processor (DSP), programmable gate arrays, application specific integrated circuits, and/or a video processor with associated storage memory such as Flash, ROM, RAM, SRAM, DRAM or other storage technologies for executing computer instructions, controlling, and processing data supplied by the aforementioned components of the communication device 800.
Other components not shown in
The communication device 800 as described herein can operate with more or less of the circuit components shown in
Upon reviewing the aforementioned embodiments, it would be evident to an artisan with ordinary skill in the art that said embodiments can be modified, reduced, or enhanced without departing from the scope of the claims described below. Other embodiments can be used in the subject disclosure.
It should be understood that devices described in the exemplary embodiments can be in communication with each other via various wireless and/or wired methodologies. The methodologies can be links that are described as coupled, connected and so forth, which can include unidirectional and/or bidirectional communication over wireless paths and/or wired paths that utilize one or more of various protocols or methodologies, where the coupling and/or connection can be direct (e.g., no intervening processing device) and/or indirect (e.g., an intermediary processing device such as a router).
The machine may comprise a server computer, a client user computer, a personal computer (PC), a tablet, a smart phone, a laptop computer, a desktop computer, a control system, a network router, switch or bridge, or any machine capable of executing a set of instructions (sequential or otherwise) that specify actions to be taken by that machine. It will be understood that a communication device of the subject disclosure includes broadly any electronic device that provides voice, video or data communication. Further, while a single machine is illustrated, the term “machine” shall also be taken to include any collection of machines that individually or jointly execute a set (or multiple sets) of instructions to perform any one or more of the methods discussed herein.
The computer system 900 may include a processor (or controller) 902 (e.g., a central processing unit (CPU)), a graphics processing unit (GPU, or both), a main memory 904 and a static memory 906, which communicate with each other via a bus 908. The computer system 900 may further include a display unit 910 (e.g., a liquid crystal display (LCD), a flat panel, or a solid state display). The computer system 900 may include an input device 912 (e.g., a keyboard), a cursor control device 914 (e.g., a mouse), a disk drive unit 916, a signal generation device 918 (e.g., a speaker or remote control) and a network interface device 920. In distributed environments, the embodiments described in the subject disclosure can be adapted to utilize multiple display units 910 controlled by two or more computer systems 900. In this configuration, presentations described by the subject disclosure may in part be shown in a first of the display units 910, while the remaining portion is presented in a second of the display units 910.
The disk drive unit 916 may include a tangible computer-readable storage medium 922 on which is stored one or more sets of instructions (e.g., software 924) embodying any one or more of the methods or functions described herein, including those methods illustrated above. The instructions 924 may also reside, completely or at least partially, within the main memory 904, the static memory 906, and/or within the processor 902 during execution thereof by the computer system 900. The main memory 904 and the processor 902 also may constitute tangible computer-readable storage media.
Dedicated hardware implementations including, but not limited to, application specific integrated circuits, programmable logic arrays and other hardware devices can likewise be constructed to implement the methods described herein. Application specific integrated circuits and programmable logic array can use downloadable instructions for executing state machines and/or circuit configurations to implement embodiments of the subject disclosure. Applications that may include the apparatus and systems of various embodiments broadly include a variety of electronic and computer systems. Some embodiments implement functions in two or more specific interconnected hardware modules or devices with related control and data signals communicated between and through the modules, or as portions of an application-specific integrated circuit. Thus, the example system is applicable to software, firmware, and hardware implementations.
In accordance with various embodiments of the subject disclosure, the operations or methods described herein are intended for operation as software programs or instructions running on or executed by a computer processor or other computing device, and which may include other forms of instructions manifested as a state machine implemented with logic components in an application specific integrated circuit or field programmable gate array. Furthermore, software implementations (e.g., software programs, instructions, etc.) including, but not limited to, distributed processing or component/object distributed processing, parallel processing, or virtual machine processing can also be constructed to implement the methods described herein. Distributed processing environments can include multiple processors in a single machine, single processors in multiple machines, and/or multiple processors in multiple machines. It is further noted that a computing device such as a processor, a controller, a state machine or other suitable device for executing instructions to perform operations or methods may perform such operations directly or indirectly by way of one or more intermediate devices directed by the computing device.
While the tangible computer-readable storage medium 922 is shown in an example embodiment to be a single medium, the term “tangible computer-readable storage medium” should be taken to include a single medium or multiple media (e.g., a centralized or distributed database, and/or associated caches and servers) that store the one or more sets of instructions. The term “tangible computer-readable storage medium” shall also be taken to include any non-transitory medium that is capable of storing or encoding a set of instructions for execution by the machine and that cause the machine to perform any one or more of the methods of the subject disclosure. The term “non-transitory” as in a non-transitory computer-readable storage includes without limitation memories, drives, devices and anything tangible but not a signal per se.
The term “tangible computer-readable storage medium” shall accordingly be taken to include, but not be limited to: solid-state memories such as a memory card or other package that houses one or more read-only (non-volatile) memories, random access memories, or other re-writable (volatile) memories, a magneto-optical or optical medium such as a disk or tape, or other tangible media which can be used to store information. Accordingly, the disclosure is considered to include any one or more of a tangible computer-readable storage medium, as listed herein and including art-recognized equivalents and successor media, in which the software implementations herein are stored.
Although the present specification describes components and functions implemented in the embodiments with reference to particular standards and protocols, the disclosure is not limited to such standards and protocols. Each of the standards for Internet and other packet switched network transmission (e.g., TCP/IP, UDP/IP, HTML, HTTP) represent examples of the state of the art. Such standards are from time-to-time superseded by faster or more efficient equivalents having essentially the same functions. Wireless standards for device detection (e.g., RFID, NFC), short-range communications (e.g., Bluetooth®, WiFi, Zigbee®), and long-range communications (e.g., WiMAX, GSM, CDMA, LTE) can be used by computer system 900. In one or more embodiments, information regarding use of services can be generated including services being accessed, media consumption history, user preferences, and so forth. This information can be obtained by various methods including user input, detecting types of communications (e.g., video content vs. audio content), analysis of content streams, and so forth. The generating, obtaining and/or monitoring of this information can be responsive to an authorization provided by the user. In one or more embodiments, an analysis of data can be subject to authorization from user(s) associated with the data, such as an opt-in, an opt-out, acknowledgement requirements, notifications, selective authorization based on types of data, and so forth.
The illustrations of embodiments described herein are intended to provide a general understanding of the structure of various embodiments, and they are not intended to serve as a complete description of all the elements and features of apparatus and systems that might make use of the structures described herein. Many other embodiments will be apparent to those of skill in the art upon reviewing the above description. The exemplary embodiments can include combinations of features and/or steps from multiple embodiments. Other embodiments may be utilized and derived therefrom, such that structural and logical substitutions and changes may be made without departing from the scope of this disclosure. Figures are also merely representational and may not be drawn to scale. Certain proportions thereof may be exaggerated, while others may be minimized. Accordingly, the specification and drawings are to be regarded in an illustrative rather than a restrictive sense.
Although specific embodiments have been illustrated and described herein, it should be appreciated that any arrangement which achieves the same or similar purpose may be substituted for the embodiments described or shown by the subject disclosure. The subject disclosure is intended to cover any and all adaptations or variations of various embodiments. Combinations of the above embodiments, and other embodiments not specifically described herein, can be used in the subject disclosure. For instance, one or more features from one or more embodiments can be combined with one or more features of one or more other embodiments. In one or more embodiments, features that are positively recited can also be negatively recited and excluded from the embodiment with or without replacement by another structural and/or functional feature. The steps or functions described with respect to the embodiments of the subject disclosure can be performed in any order. The steps or functions described with respect to the embodiments of the subject disclosure can be performed alone or in combination with other steps or functions of the subject disclosure, as well as from other embodiments or from other steps that have not been described in the subject disclosure. Further, more than or less than all of the features described with respect to an embodiment can also be utilized.
Less than all of the steps or functions described with respect to the exemplary processes or methods can also be performed in one or more of the exemplary embodiments. Further, the use of numerical terms to describe a device, component, step or function, such as first, second, third, and so forth, is not intended to describe an order or function unless expressly stated so. The use of the terms first, second, third and so forth, is generally to distinguish between devices, components, steps or functions unless expressly stated otherwise. Additionally, one or more devices or components described with respect to the exemplary embodiments can facilitate one or more functions, where the facilitating (e.g., facilitating access or facilitating establishing a connection) can include less than every step needed to perform the function or can include all of the steps needed to perform the function.
In one or more embodiments, a processor (which can include a controller or circuit) has been described that performs various functions. It should be understood that the processor can be multiple processors, which can include distributed processors or parallel processors in a single machine or multiple machines. The processor can be used in supporting a virtual processing environment. The virtual processing environment may support one or more virtual machines representing computers, servers, or other computing devices. In such virtual machines, components such as microprocessors and storage devices may be virtualized or logically represented. The processor can include a state machine, application specific integrated circuit, and/or programmable gate array including a Field PGA. In one or more embodiments, when a processor executes instructions to perform “operations”, this can include the processor performing the operations directly and/or facilitating, directing, or cooperating with another device or component to perform the operations.
The Abstract of the Disclosure is provided with the understanding that it will not be used to interpret or limit the scope or meaning of the claims. In addition, in the foregoing Detailed Description, it can be seen that various features are grouped together in a single embodiment for the purpose of streamlining the disclosure. This method of disclosure is not to be interpreted as reflecting an intention that the claimed embodiments require more features than are expressly recited in each claim. Rather, as the following claims reflect, inventive subject matter lies in less than all features of a single disclosed embodiment. Thus the following claims are hereby incorporated into the Detailed Description, with each claim standing on its own as a separately claimed subject matter.
This application is a continuation of U.S. application Ser. No. 15/656,527, filed Jul. 21, 2017. All sections of the aforementioned application(s) and/or patent(s) are incorporated herein by reference in their entirety.
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Number | Date | Country | |
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20200337596 A1 | Oct 2020 | US |
Number | Date | Country | |
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Parent | 15656527 | Jul 2017 | US |
Child | 16925062 | US |