The subject matter described herein relates to pressure sensing pads or mats, methods of making such pads, a pressure sensing system that uses the pad and a pressure map display for reporting the pressure distribution sensed by the pad. One example application for the pad is to monitor interface pressure between the mattress of a hospital bed and an occupant of the bed.
Occupants of hospital beds may be confined to the bed for a lengthy time, which can increase the risk that the patient will develop pressure ulcers. Even a patient who occupies the bed for a shorter time can develop pressure ulcers if conditions conducive to pressure ulcer development are present. Such conditions include bed linens which become moist due to patient perspiration, or simply a patient's inherent predisposition to develop pressure ulcers.
In order to reduce the risk of pressure ulcers it is desirable to monitor interface pressure, which is the pressure at the patient-mattress interface, and to take corrective action if the interface pressure is excessively high at a particular site on the patient's body and/or if a constant pressure has been exerted on the body site for too long. Other conditions may also indicate the need to take corrective action. Example corrective actions include moving the patient or adjusting the contour of the mattress until the interface pressure is more satisfactorily distributed over the patient's body.
For a bed whose mattress includes inflatable bladders, pressure monitoring may be accompished by measuring the pressure of the fluid (typically air) inside the bladders. The pressure inside the bladders is referred to as intrabladder pressure and varies monotonically with the amount of weight imposed on the bladder. However because the quantity of independent bladders is typically small, such a monitoring technique suffers from lack of adequate resolution. Alternatively, an array of sensors interposed between the patient and the mattress can be employed to measure interface pressure. Such sensor arrays may be in the form of pads or mats with embedded pressure sensors. Despite the existence of such pads practitioners of the art continue to seek ways to improve them.
The present invention may comprise one or more of the features recited in the appended claims and/or one or more of the following features or combinations thereof. A pressure sensing pad comprises a piezoresistive layer, a top electrically conductive layer comprising a plurality of electrically conductive top strips extending in a first direction along the top side of the piezoresistive layer and defining one or more top interstrip spaces between each neighboring pair of top strips, a bottom electrically conductive layer comprising a plurality of electrically conductive bottom strips extending in a second direction, nonparallel to the first direction, along the bottom side of the piezoresistive layer and defining a bottom interstrip space between each neighboring pair of bottom strips, and top and bottom adhesive layers holding the respective top and bottom strips against the piezoresistive layer so as to inhibit relative displacement of the strips relative to the piezoresistive layer and relative to each other. In one embodiment the pad also includes a cover that occupies the top and bottom interstrip spaces so as to provide additional electrical insulation between neighboring top strips, to provide additional electrical insulation between neighboring bottom strips, and to provide insulation between the strips and the environment external to the mat.
A method of manufacturing the pressure sensor pad includes the steps of providing a sheet of piezoresistive material having a first side and a second side, arranging a first set of electrically conductive strips along one of the sides so that the strips extend longitudinally in a first direction and are laterally spaced from each other, applying an adhesive to hold the first strips to the piezoresistive sheet, arranging a second set of electrically conductive strips along the other side of the piezoresistive sheet so that the strips extend longitudinally in a second direction which is nonparallel to the first direction and are laterally spaced from each other, and applying an adhesive to hold the second strips to the piezoresistive sheet.
A pressure sensing system comprises a sensor mat comprised of: 1) a first set of electrically conductive strips extending in a first direction with each strip spaced from its neighboring strip or strips, 2) a second set of electrically conductive strips extending in a second direction nonparallel to the first direction with each strip spaced from its neighboring strip or strips such that the first and second strips define a sensor array with sensor nodes at notional intersections of the first and second strips, and 3) a piezoresistive material separating the first and second strips so that electrical resistance at each node is a function of pressure applied at the node. The pressure sensing system also includes a source of electrical excitation connected to the first strips so as to excite the first strips in a predetermined sequence, a detector in communication with the second strips for detecting electrical attributes present at the second strips, and means responsive to the electrical attributes for reporting pressure distribution on the mat.
A pressure map display for displaying a pressure distribution of an object resting on a pressure sensing mat includes cells arranged in a pattern corresponding to pressures exerted on sensor nodes of the pressure sensing mat. Each cell is adapted to display a visually discernible feature that corresponds to a range of pressure at sensing nodes of the mat.
The foregoing and other features of the various embodiments of the pressure sensing pad, method of manufacture, pressure sensing system, and pressure map display described herein will become more apparent from the following detailed description and the accompanying drawings in which:
The sensing pad 22 includes a piezoresistive layer 30 (not shown in
Pad 22 also includes a top electrically conductive layer 40 comprising a plurality of electrically conductive top strips 42 extending in a first direction D1 along the top side 32 of the piezoresistive layer 30 and defining a top interstrip space 44 between each neighboring pair of top strips. The width of the top spaces is ST. The pad also includes a bottom electrically conductive layer 50 comprising a plurality of electrically conductive bottom strips 52 extending in a second direction D2 along bottom side 34 of the piezoresistive layer 30 and defining a bottom interstrip space 54 between each neighboring pair of bottom strips. The width of the bottom spaces is SB. Second direction D2 is nonparallel to first direction D1.
As seen in
Pad 22 also includes top and bottom electrically nonconductive adhesive layers 46, 56 holding the respective top and bottom electrically conductive strips 42, 52 against the piezoresistive layer 30 to inhibit relative displacement of the strips relative to the piezoresistive layer and relative to each other. As seen best in
Electrically conductive strips 42, 52 may be metallic or may be strips of electrically conductive fabric. In an embodiment seen in
Depending on the exact nature of the specific materials used in manufacture of the pad, the pad may have elastic or stretch properties or may be substantially inelastic or non-stretchable.
Pad 22 may also include an electrically nonconductive cover 70 having a top side or panel 72 that covers top strips 42 and a bottom side or panel 74 that covers bottom strips 52. As seen in
Strips 42, 52 of top and bottom electrically conductive layers 40, 50 cross each other at notional intersections 80. The intersections are referred to herein as “notional” because the intervening piezoresistive layer 30 prevents actual contact between the strips of one electrically conductive layer and those of the other electrically conductive layer. Each notional intersection is a sensor node and is also designated herein with reference numeral 80. As seen in
If desired, adhesive layers 46, 56 may be absent or substantially absent in at least some of the dead zones 84 as seen in the upper right corner of
In operation, a load 24 applied to the pad exerts pressure on the piezoresistive layer. In most applications of interest the load, for example the weight of a hospital patient, is a spatially varying load, and the pressure exerted on the piezoresistive layer is a corresponding spatially varying pressure. The resistance of the piezoresistive layer at each node 80 depends on the pressure exerted at that node. The differences in resistance from node to node cause differences in electrical behavior. As explained in more detail below, these differences can be detected and interpreted to reveal how the pressure is distributed on the pad.
A method of manufacturing a sensor pad can be explained with reference to
The method may also include covering the subassembly with a cover 70. In one embodiment the cover comprises a first cover panel 72 that is diposed along first side 32 of the subassembly and a second cover panel 74 that is disposed along second side 34 of the subassembly. The first and second cover panels are secured to each other, for example by stitching, at perimeters of the panels to enclose the subassembly. In one variant of the method of manufacture the step of disposing first cover panel 70 along first side 32 is carried out before the adhesive 46 used to hold the first strips 42 to the piezoresistive sheet 30 has cured, and the step of disposing second cover panel 72 along second side 34 is carried out before the adhesive 56 used to hold the second strips to the piezoresistive sheet has cured. As a result when the adhesive cures it holds the cover or cover panels to the piezoresistive material in the interstrip spaces 44, 54. In a related variant of the method, the step of disposing the first cover panel along the first side of the piezoresistive sheet is followed by smoothing the first cover panel against first side (i.e. against the first side of the piezoresistive sheet and the first conductive strips) and the step of disposing the second cover panel along the second side of the piezoresistive sheet is followed by smoothing the second cover panel against second side (i.e. against the second side of the piezoresistive sheet and the second conductive strips) to help ensure that the first and second cover panels 72, 74 occupy spaces 44, 46 between neighboring conductive strips and adhere to the piezoresistive sheet.
The above described method yields the construction already described in which notional intersections between the first and second sets of strips each define a sensor node 80 bordered at least in part by one or more nonsensing connective zones 82 and one or more dead zones 84. The method can be extended to also include removing the dead zones to promote attributes such as vapor transport or stretchability as already mentioned.
The method of manufacture also includes attaching electrical leads 60, 62 to the conductive strips.
The steps of the foregoing method need not be carried out in the order described unless a step is inherently a prerequisite for another step.
Pressure sensing system 100 also includes a source of electrical excitation 106 such as 5 volt DC voltage source VDC connected to the first strips by leads 60 so that the excitation source can excite the first strips in a predetermined sequence. The system shown in
The pressure sensing system also includes a detector 110 in communication with second strips 52 for detecting an electrical attribute present at the second strips, and one or more means responsive to the detected electrical attribute for reporting or recording pressure distribution on the mat. Example means for reporting or recording the pressure distribution include a visual display 112 presented on display monitor 114, and a patient specific record, such as one of the records Pi, contained in an electronic medical records database 116.
In operation switch 108 applies the voltage of the voltage source to strips 42 in the predetermined temporal sequence, for example the switch may apply the voltage to top strip 42A at time t1, to top strip 42B at time t2, to top strip 42C at time t3, etc. as described above. Detector 110 continually detects the voltage present at bottom strips 52 (i.e. at strips 52A, 52B, 52C, etc.) Because the resistance at each node 80 depends on pressure exerted at the node, the detector will, in general, detect different voltages at any one of strips 52A, 52B, 52C, etc. at times t1, t2, t3, etc. depending on which strip 42 is being excited by switch 108 at that time. For example, at t1 switch 108 excites strip 42A and so the voltage detected at strip 52A indicates the pressure being exerted at node (52A, 42A), the voltage detected at strip 52B indicates the pressure being exerted at node (52B, 42A), the voltage detected at strip 52C indicates the pressure being exerted at node (52C, 42A) and so forth. At time t2 switch 108 excites strip 42B and so the voltage detected at strip 52A indicates the pressure being exerted at node (52A, 42B), the voltage detected at strip 52B indicates the pressure being exerted at node (52B, 42B), the voltage detected at strip 52C indicates the pressure being exerted at node (52C, 42B) and so forth. At later times t3, etc., switch 108 applies the 5 volt excitation to successive top strips 42 and so the voltage detected at each of strips 52 corresponds to the pressure being exerted at the node defined by the excited top strip and each of the bottom strips. Each voltage detected at strips 52 can be converted to a pressure reading by one of the calibration relationships of
Continuing to refer to
At subsequent times t3, t4, etc., switch 108 applies the input excitation voltage to successive top strips 42 (i.e. 42C, 42D) and detects output voltage at each of strips 52. A syncronization signal communicated over communication path 82 (
Referring principally to
Referring additionally to
As seen in table 2 the same example can also be thought of as having six states, one of which is a null or baseline state. Display cells corresponding to nodes at which the pressure is less than or equal to a minimum pressure boundary PB0 are not activated (e.g. do not display a color). Due to their nonactive or null states, these cells are not individually depicted in
Referring to
The example of
Referring to
Referring to
Although this disclosure refers to specific embodiments, it will be understood by those skilled in the art that various changes in form and detail may be made without departing from the subject matter set forth in the accompanying claims.
Number | Date | Country | |
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61770609 | Feb 2013 | US |