The present disclosure relates generally to medical devices and, more particularly, to improved interconnects between a sensor and a monitor.
This section is intended to introduce the reader to various aspects of art that may be related to various aspects of the present disclosure, which are described and/or claimed below. This discussion is believed to be helpful in providing the reader with background information to facilitate a better understanding of the various aspects of the present disclosure. Accordingly, it should be understood that these statements are to be read in this light, and not as admissions of prior art.
In the course of treating a patient, a medical monitoring device may be used by a clinician. The device or monitor may be connected to a sensor disposed on or in the patient. The device may include a connection port for connecting the sensor to the device via a sensor cable. Often times, the sensor may be coupled to the device or monitor via a relatively short sensor cable (e.g., three feet in length). For ease of use, the sensor cable may be mated to an extension cable that spans from a plug of the sensor cable (that normally plugs into the connection port of the device) to the connection port of the medical monitoring device. The extension cable may enable the patient to move freely without disconnecting the sensor from the medical monitoring device. Because the sensor cable may be relatively short, a head or sensor interconnect of the extension cable, which receives the sensor cable's plug, may often be located in the patient's bed. Further, the head of the extension cable may include protrusions and/or other irregular geometries. As such, the patient may experience discomfort when he or she rolls on top of the head of the extension cable. Additionally, the protrusions may catch on sheets or other articles in and/or adjacent to the patient's bed, causing the sensor to fall off the patient and/or the sensor cable to unplug. Therefore, there is a need for an improved configuration of the head of the extension cable that does not discomfort the patient and does not cause the sensor cable to unplug or detach from the patient unintentionally.
Advantages of the disclosed techniques may become apparent upon reading the following detailed description and upon reference to the drawings in which:
One or more specific embodiments of the present techniques will be described below. In an effort to provide a concise description of these embodiments, not all features of an actual implementation are described in the specification. It should be appreciated that in the development of any such actual implementation, as in any engineering or design project, numerous implementation-specific decisions must be made to achieve the developers' specific goals, such as compliance with system-related and business-related constraints, which may vary from one implementation to another. Moreover, it should be appreciated that such a development effort might be complex and time consuming, but would nevertheless be a routine undertaking of design, fabrication, and manufacture for those of ordinary skill having the benefit of this disclosure.
When introducing elements of various embodiments of the present invention, the articles “a,” “an,” “the,” and “said” are intended to mean that there are one or more of the elements. The terms “comprising,” “including,” and “having” are intended to be inclusive and mean that there may be additional elements other than the listed elements. The term “metric” refers to a specific set of analyzed data, and the term “widget” refers to a collection of related metrics. The term “component” refers to a computer-related entity, either a combination of hardware and software, software, or software in execution. The term “end user” is intended to be a layperson who would not typically possess the programming or software engineering knowledge that a specialist (e.g., programmer, software developer, IT technician) would posses.
A clinician may use a medical monitoring device, such as a pulse oximeter, to monitor certain physiological parameters of a patient. The physiological parameters may be obtained using a sensor disposed either externally on or internally within the patient. Examples of monitored physiological parameters may include body temperature, pulse rate, respiration rate, blood pressure, blood oxygenation, or electrical activity or any other physiological parameter. Signals from the sensor may be sent to the monitoring device via an electrical or optical conductor, such as a sensor cable, by connecting a plug of the sensor cable to a connection port of the monitoring device. In addition, signals from the monitoring device may pass through the electrical or optical conductor to the sensor. Some sensors may require power that is provided via the monitoring device.
A medical monitoring device may be used in a variety of settings, which may include operating rooms, intensive care units, recovery rooms, general care floors, and examination rooms. Depending on the particular circumstances, the sensor may be attached to the patient and in electrical communication with the monitoring device for an extended period of time. As such, because a sensor cable (used to couple the sensor to the monitoring device) is often relatively short (e.g., three feet in length), an extension cable may be required as an interconnect between the plug of the sensor cable and the connection port of the monitoring device to facilitate relatively free movement for the patient in the patient's bed. However, a bulky and/or irregularly shaped connection between the extension cable and the sensor cable may cause discomfort to the patient because the connection is often configured such that a head or sensor interconnect of the extension cable that receives the plug of the sensor cable is in the patient's bed, causing the patient to lie, or roll, on top of the head. In other words, odd geometries of the extension cable's head or sensor interconnect may cause discomfort to the patient for the same reason. Additionally, irregular protrusions from the extension cable's head may catch or snag on sheets or other articles adjacent to the head, causing the sensor cable to unplug or detach from the patient.
In certain embodiments below, the head or sensor interconnect of the extension cable includes a port (e.g., a sensor port) configured to receive and couple to the plug of the sensor cable. The port is configured to electrically couple the sensor cable to the extension cable, while the extension cable is coupled to the connection port of the monitoring device. Further, the head may include a lid (e.g., latching door) that couples to a body of the head and secures the plug of the sensor cable within the port of the extension cable. The body of the head may include a top side, a bottom side (disposed opposite the top side), and two parallel sides disposed opposite each other between the top and bottom sides along a longitudinal axis of the head. The lid is configured to span all or a portion of one or more sides (excluding the bottom side) of the body of the head of the extension cable along the longitudinal axis. The lid may be attached to the body via a hinge. A hinge point for the hinge is disposed below the top side of the body (e.g., along the sides between the top side and bottom side). The lid may be configured such that it includes a smooth top and two smooth sides. Further, the top and two sides of the lid may fit over the body of the head of the extension cable such that the top of the lid is smooth and in plane with the top of the body and the sides of the lid are smooth and in plane with the respective sides of the body that the sides of the lid are configured to cover. As such, the top, bottom, and sides of the body, along with the top and sides of the lid in a closed position, are substantially smooth, with no major protrusions. Additionally, in certain embodiments, the top, bottom, and sides of the body, along with the top and sides of the lid in the closed position, are substantially flat, or a subset of the above referenced sides are flat, with no major protrusions. In particular, the top side of the body, along with the top side of the lid, may form a continuous flat and/or smooth surface when the lid is in the closed position. Thus, the patient may come in to contact with (e.g., roll on top of) the head of the extension cable without experiencing substantial discomfort. Additionally, the head of the extension cable may come into contact with sheets or other articles adjacent to the head of the extension cable without the sensor unplugging and/or detaching from the patient.
Additionally, the body may include an angled side disposed between the top side, the bottom side, and the two sides of the body and opposite the cable portion of the extension cable. The bottom side may extend axially farther than the top side along the longitudinal axis, wherein the angled side may be angled such that it is coupled to the ends of both the top side and the bottom side, in addition to the ends of the two sides of the body. In other words, the top side may be axially offset from the bottom side. The lid may include an adjacent angled side (i.e., relative to the angled side of the body of the head) between the top and two sides of the lid, such that the angled side of the lid fits over the angled side of the body. The angled side of the body may partially surround and partially enclose the port (e.g., the angled side is outside the port of the body) of the head of the extension cable, such that the plug of the sensor cable is housed within the port of the body and a portion of the angled side (e.g., side portions) of the lid fits over a portion of the plug. As such, the angled side of the lid may be configured to enable the sensor cable to pass through an opening in the angled side. The angled side may include a U-shape or have a recessed cutout that fits over the sensor cable such that the side portions of the angled side may retain the plug within the port of the body while also the U-shape or recessed cutout enables the sensor cable to extend out of the port and beyond the angled side.
In certain embodiments, the disclosed medical monitoring devices, systems, and methods may be used in conjunction with monitoring of any appropriate physiological parameter, such as, but not limited to temperature, pulse rate, respiration rate, blood pressure, blood oxygenation, or electrical activity. The present techniques may also be used on devices used to treat any patient connected to any medical device.
One embodiment of a medical monitoring system 10, in this case a pulse oximetry system, is depicted in
Furthermore, to upgrade conventional operation provided by the monitor 14 to provide additional functions, the monitor 14 may be coupled to a multi-parameter patient monitor 24 via a cable 26 connected to a sensor input port or via a cable 28 connected to a digital communication port. In addition to the monitor 14, or alternatively, the multi-parameter patient monitor 24 may be configured to calculate physiological parameters and to provide a central display 30 for information from the monitor 14 and from other medical monitoring devices or systems. In some embodiments, the multi-parameter monitor 24 may be primarily configured to display and/or to determine some or all of the same physiological parameters as the monitor 14. The multi-parameter monitor 24 may include various input components 32, such as knobs, switches, keys and keypads, buttons, etc., to provide for operation and configuration of the multi-parameter monitor 24. In addition, the monitor 14 and/or the multi-parameter patient monitor 24 may be connected to a network to enable the sharing of information with servers or other workstations.
The sensor 12 may be any sensor suitable for detection of any physiological parameter. The sensor 12 may include optical components (e.g., one or more emitters and detectors), acoustic transducers or microphones, electrodes for measuring electrical activity or potentials (such as for electrocardiography), pressure sensors, motion sensors, temperature sensors, etc. In one embodiment, the sensor 12 may be configured for photo-electric detection of blood and tissue constituents. For example, the sensor 12 may be a pulse oximetry sensor, such as those available from Nellcor-Puritan Bennett. As shown in
Regardless of the configuration of the sensor 12, the sensor cable 13 (and the sensor 12) may be coupled to the monitor 14 via the extension cable 15, as discussed above. The sensor cable 13 may be directly coupled to the extension cable 15 by fitting the plug 17 of the sensor cable 13 into the head 16 (e.g., sensor interconnect) of the extension cable 15.
As shown in
As shown in the illustrated embodiment, the body 36 of the head 16 may extend along a longitudinal axis 45 and include the end 39, the port 40, a top side 46, a bottom side 47, and two sides 48, 49 (e.g., parallel sides), wherein the two sides 48, 49 are disposed between the top side 46 and the bottom side 47. The top side 46 and the bottom side 47 of the body 36 may be substantially parallel to one another, and in plane with directions 50, 52. The bottom side 47 may extend farther from the end 39 of the body 36 than does the top side 46 (e.g., the top side 46 is axially offset from the bottom side 47) along the longitudinal axis 45, as indicated by arrows 100 and 102, respectively. The length of the bottom side 47 along the longitudinal axis 45, indicated by arrow 100, may be greater than the length of the top side 46 along the longitudinal axis 45, indicated by arrow 102. This may enable the angled side 44 of the lid 38 to fit over the port 40 of the body 36. In other words, a slope generated by the different lengths of the bottom side 47 and the top side 46 of the body 36 as described above may enable the angled side 44 of the lid to fit over the port 40 of the body 36 at the angle 43. The two sides 48, 49 of the body 36 may be substantially parallel to one another, and in plane with directions 50, 51. The lid 38 disposed on the body 36 may include a top side 53 and two sides 54, 55, in addition to the angled side 44 as discussed above. The angled side 44 of the lid 38 in the illustrated embodiment may be disposed over the port 40 the body 36 of the head 16 (and, thus, over the plug 17 of the sensor cable 13 received within the port 40) and opposite the cable portion 19 of the extension cable 15. The hinge 41 is located in a plane defined by directions 50 and 51 at the hinge point 42, wherein the hinge point 42 is located below the top side 46 and above the bottom side 47 of the body 36. Generally, the hinge point 42 may be located closer to the top side 46 than the bottom side 47. For example, the hinge point 42 may be located a quarter, a third, or half of the distance between the top side 46 and the bottom side 47 starting from the top side 46 of the body 36, or any distance therebetween. Further, the hinge point 42 is generally located away from the port 40 of the body 36. In the illustrated embodiment, the hinge point 42 is approximately half way between the port 40 of the body 36 and the cable portion 19 of the extension cable 15 along direction 50. In general, the hinge point 42 may be located approximately half way or more toward the end 39 of the body 36 from the port 40. In some embodiments, as will be discussed in detail later, the lid 38 may extend closer to the end 39 of the extension cable 15, wherein the hinge point 42 is also located closer to the end 39. For example, the hinge point 42 may be located approximately halfway between the port 40 of the body 36 and the cable portion 19 of the extension cable 15 from the port 40, approximately two thirds the distance, approximately three fourths the distance, approximately at the cable portion 19, or any distance therebetween, measured starting from the port 40 of the body 36.
Focusing on the connection between the sensor cable 13 and the extension cable 15, the angled side 44 of the lid 38 includes angled side portions 56 which partially cover the port 40 of the body 36 and the plug 17 residing within the port 40. As such, attempts to pull the plug 17 (e.g., in direction 50) via the sensor cable 13 out of the port 40 will cause a portion of the plug 17 to contact the angled side portions 56 of the angled side 44 of the lid 38. By pulling either the sensor cable 13 or the extension cable 15 away from the connection between the same, a normal force 57 is generated from the pulling force on the angled side 44 by the plug 17, wherein the normal force 57 is perpendicular to the angled side 44 (i.e., the normal force 57 is angled at angle 43 with respect to the longitudinal axis 45 that extends through the hinge 41). Because the normal force 57 is not directed in line with the hinge 41 (i.e., the normal force 57 is directed at angle 43 to the longitudinal axis 45), a torque 58 is generated about the hinge 41 connecting the lid 38 to the body 36 of the head 16. As such, a sufficient normal force 57 generated by pulling the plug 17 against the angled side 44 may lift the lid 38 via the torque 58 exerted on the hinge 41, enabling the removal or disconnection of the plug 17 from the head 16. Further, the configuration of the angled side 44 may enable the hinge 41 to be located below the top 46 and above the bottom 47 of the body 36 of the head 16 of the extension cable 15, allowing for a generally smoother geometry of the head 16 to minimize potential pressure points.
Additionally, the angled side 44 of the lid 38 of the present embodiment may be configured such that the normal force 57 must reach a certain threshold to provide enough torque 58 to open the lid 38. In other words, the smaller the angle 43 of the angled surface 44 is with respect to the direction the plug 17 is pulled from the port 40 (e.g., direction 50 or along longitudinal axis 45), the greater the normal force 57 required to open the lid 38 and, additionally, the greater the force required to be exerted to disconnect the extension cable 15 from the sensor cable 13. Accordingly, the angled side 44 may be angled at angle 43 from the longitudinal axis 45. The angle 43 may be in the range of greater than zero up to approximately 90 degrees, greater than zero up to approximately 45 degrees, approximately 10-35 degrees, or approximately 20-25 degrees, and all sub ranges therebetween, depending on the desired normal force 57 threshold. As such, the pulling force exerted to exceed the normal force 57 threshold to pull the plug 17 of the sensor cable 13 out of the port 40 of the head 16 of the extension cable 15 may range from approximately 10-30 pounds force (lbf.) (approximately 44.5 to 133.5 newtons) depending on the configuration.
In the closed position with the extension cable 15 coupled to the sensor cable 13 (e.g., in the illustrated embodiment of
Additionally, the head 16 may be configured such that normal forces 57 generated by ordinary maneuvers by the patient may not disconnect the plug 17 of the sensor cable 13 from the port 40 of the head 16 of the extension cable 15. Thus, the extension cable 15 may remain electrically coupled to the sensor cable 13 unless an unordinary maneuver occurs. For example, if the patient falls from the patient's bed and the cables experiences tension in the range of forces discussed above, the cables may disconnect without damage to the head 16 of the extension cable 15 and/or plug 17 of the sensor cable 13. However, if the patient simply rolls over and the cables experience tension below the range of forces discussed above, the cables may remain coupled.
Turning now to
In certain embodiments discussed above, the lid 38 is illustrated covering only a portion of the body 36 of the head 16 of the extension cable 15 (e.g., the embodiment in
Different embodiments of the hinge 41 are illustrated in
Additionally, in accordance with an embodiment, the spring 66 may be disposed about the cylindrical bearing 64 discussed above and contact a portion of the lid 38, wherein the cylindrical bearing 64 is not configured to be a part of the lid 38. The spring 66 may be configured to be in compression such that rotation of the lid 38 about the cylindrical bearing 64 may increase the compression and, thus, the spring force in the spring 66. As such, the spring 66 may be included to at least partially determine the normal force 55 threshold as discussed above for opening the lid 38. In other words, a greater spring force required to rotate the lid 38 about the cylindrical bearing 64 may require a greater normal force 55 and, thus, a greater pulling force on the plug 17 to separate the extension cable 15 from the sensor cable 13.
In certain embodiments, the hinge 41 may include snap-on bearing elements 84 as shown in
While the disclosure may be susceptible to various modifications and alternative forms, specific embodiments have been shown by way of example in the drawings and have been described in detail herein. However, it should be understood that the embodiments provided herein are not intended to be limited to the particular forms disclosed. Rather, the various embodiments may cover all modifications, equivalents, and alternatives falling within the spirit and scope of the disclosure as defined by the following appended claims.
This application claims the benefit of Provisional Application Ser. No. 61/927,089, filed Jan. 14, 2014, entitled “SENSOR INTERCONNECT FOR MEDICAL MONITORING DEVICES”, which is incorporated by reference herein in its entirety.
Number | Name | Date | Kind |
---|---|---|---|
5851178 | Aronow | Dec 1998 | A |
6541756 | Schulz et al. | Apr 2003 | B2 |
7195512 | Jenkinson | Mar 2007 | B2 |
20020103423 | Chin et al. | Aug 2002 | A1 |
20080076980 | Hoarau | Mar 2008 | A1 |
20080076995 | Hoarau | Mar 2008 | A1 |
20080076996 | Hoarau | Mar 2008 | A1 |
Number | Date | Country |
---|---|---|
1945099 | Jan 2012 | EP |
2005052385 | Mar 2005 | JP |
2005110816 | Apr 2005 | JP |
2006061566 | Mar 2006 | JP |
2007117641 | May 2007 | JP |
2007167183 | Jul 2007 | JP |
2007167184 | Jul 2007 | JP |
2007190122 | Aug 2007 | JP |
Entry |
---|
Faisst, Karin, et al.; “Intrapartum Reflectance Pulse Oximetry: Effects of Sensor Location and Fixation Duration on Oxygen Saturation Readings,” Journal of Clinical Monitoring, 1997, vol. 13, pp. 299-302. |
Izumi, Akio, et al.; “Accuracy and Utility of a New Reflectance Pulse Oximeter for Fetal Monitoring During Labor,” Journal of Clinical Monitoring, 1997, vol. 13, pp. 103-108. |
“Smaller Product, Tighter Tolerances Pose Dispensing Challenges for Medical Device Manufacturer,” Adhesives Age, pp. 40-41, Oct. 1997. |
Rhee, Sokwoo, et al.; “The Ring Sensor: a New Ambulatory Wearable Sensor for Twenty-Four Hour Patient Monitoring,” Proceedings of the 20th annual International Conference of the IEEE Engineering in Medicine and Biology Society, 1998, vol. 20, No. 4, pp. 1906-19. |
Yang, Boo-Ho, et al.; “A Twenty-Four Hour Tele-Nursing System Using a Ring Sensor,” Proceedings of the 1998 IEEE International Conference on Robotics & Automation, Leaven, Belgium, May 1998; pp. 387-392. |
Ferrell, T.L., et al.; “Medical Telesensors,” SPIE, 1998, vol. 3253, pp. 193-198. |
Yang, Boo-Ho, et al.; “Development of the ring sensor for healthcare automation,” Robotics and Autonomous Systems 30 (2000) pp. 273-281. Received May 21, 1999. |
Rhee, Sokwoo, et al.; “Artifact-Resistant, Power-Efficient Design of Finger-Ring Plethysmographic Sensor—Part I: Design and Analysis,” Proceedings of the 22nd Annual EMBS International Conference, Chicago, Illinois; Jul. 23-28, 2000; pp. 2792-2795. |
Rhee, Sokwoo, et al.; “Artifact-Resistant, Power-Efficient Design of Finger-Ring Plethysmographic Sensor—Part II: Prototyping and Benchmarking,” Proceedings of the 22nd Annual EMBS International Conference, Chicago, Illinois; Jul. 23-28, 2000; pp. 2796. |
Schulz, Christian Eric; “Design of a Pulse Oximetry Sensor Housing Assembly,” California State University Master's Thesis, UMI Dissertation Services, UMI No. 1401306, May 2000. |
Yokota, Nakaura, Takahashi, et al.; “Pilot Model of a Reflectance-Type Pulse Oximeter for Pre-hospital Evaluation,” Journal of the Japanese Society of Emergency Medicine, KKanto Region, vol. 21, pp. 26-27. |
Gisiger, P.A., et al.; “OxiCarbo®, a single sensor for the non-invasive measurement of arterial oxygen saturation and CO2 partial pressure at the ear lobe,” Sensor and Actuators, 2001, vol. B-76, pp. 527-530. |
Rhee, Sokwoo, et al.; “Artifact-Resistant Power-Efficient Design of Finger-Ring Plethysmographic Sensors,” IEEE Transactions on Biomedical Engineering, Jul. 7, 2001, vol. 48, No. 7, pp. 795-805. |
Maletras, Francois-Xavier, et al.; “Construction and calibration of a new design of Fiber Optic Respiratory Plethysmograph (FORP),” Optomechanical Design and Engineering, Proceedings of SPIE, 2001, vol. 4444, pp. 285-293. |
Earthrowl-Gould, T., et al.; “Chest and abdominal surface motion measurement for continuous monitoring of respiratory function,” Proc. Instn Mech Engrs, 2001, V215, Part H; pp. 515-520. |
Shaltis, Phillip, et al.; “Implementation and Validation of a Power-Efficient, High-Speed Modulation Design for Wireless Oxygen Saturation Measurement Systems,” IEEE, 2002, pp. 193-194. |
Warren, Steve, et al.; “Wearable Sensors and Component-Based Design for Home Health Care,” Proceedings of the Second Joint EMBS/BMES Conference, Houston, Texas; Oct. 23-26, 2002; pp. 1871-1872. |
Matsui, A., et al.; “Pulse Oximeter,” Neonatal Care, 2003, vol. 16, No. 3, pp. 38-45. |
Nakagawa, M., et al.; “Oxygen Saturation Monitor,” Neonatal Monitoring, 2003, vol. 26, No. 5, pp. 536-539. |
Urquhart, C., et al.; “Ear probe pulse oximeters and neonates,” Anaesthesia, 2005, vol. 60, p. 294. |
Bentley, David J. et al.; “Measure Pressure with Thin Film”; Paper Film & Foil Converter; May 1, 2003. |
CFW, Sure Code 1500 Printer, Jun. 25, 2008, 4 Pages. http://www.cfw.com.my/fujifilm.htm. |
Paul Benjamin Crilly et al., an integrated pulse oximeter system for telemedicine applicaitons, IEE Instrumentation and measurement, technology conference, ottawa canada, May 19-21, 1997, p. 102-104. |
Marc Dekock, M.D., Pulse oximetry probe adhesive disks: a potential for infant aspiration, Anesthesiology, V 89, No. 6. Dec. 1998, pp. 1603 & 1604. |
A. Irie, Kitasato University Child and Mother Clinic, Respiration monitors-pulse oximeters, Neonatal care, 2002, vol. 15, No. 12. |
Number | Date | Country | |
---|---|---|---|
20150200491 A1 | Jul 2015 | US |
Number | Date | Country | |
---|---|---|---|
61927089 | Jan 2014 | US |