This disclosure relates to systems and methods for sensing biometrics and other subject-specific information of one or more subjects using multiple sensors that are not in contact with the subjects.
Sensors have been used to detect heart rate, respiration and presence of a single subject using ballistocardiography and the sensing of body movements using noncontact methods, but are often not accurate at least due to their inability to adequately distinguish external sources of vibration and distinguish between multiple subjects. In addition, the nature and limitations of various sensing mechanisms make it difficult or impossible to accurately determine a subject's biometrics, presence, weight, location and position on a bed due to factors such as air pressure variations or the inability to detect static signals.
Disclosed herein are implementations of systems for measuring data specific to a subject using gravity. One such system comprises a substrate on which a subject lies, the substrate having multiple legs extending from the substrate to a floor to support the substrate, and load sensor assemblies. Each load sensor assembly is associated with a respective leg and comprises a cap configured to receive a load from the substrate, a base configured to provide contact with the floor, the base and cap configured to fit together to maintain alignment of the cap to the base while allowing vertical movement of the cap, a load cell between the base and the cap, one of the base and cap configured to translate the load to the load cell and a printed circuit board that processes and outputs data from the load cell, wherein a combination of all load sensor assemblies receive an entire load to which the substrate is subjected.
Another embodiment of a system for measuring data specific to a subject using gravity comprises a substrate on which a subject rests, the substrate having multiple legs extending from the substrate to a floor to support the substrate, at least two load sensor assemblies, each load sensor assembly associated with a respective leg configured to measure a static load and changes in load on the substrate through the leg, a controller and communication means from each of the at least two load sensor assemblies to the controller, wherein the controller processes output from each of the at least two load sensor assemblies.
The disclosure is best understood from the following detailed description when read in conjunction with the accompanying drawings. It is emphasized that, according to common practice, the various features of the drawings are not to-scale. On the contrary, the dimensions of the various features are arbitrarily expanded or reduced for clarity.
Disclosed herein are implementations of systems and methods employing gravity and motion to determine biometric parameters and other person-specific information for single or multiple subjects at rest and in motion on one or multiple substrates. The systems and methods use multiple sensors to sense a single subject's or multiple subjects' body motions against the force of gravity on a substrate, including beds, furniture or other objects, and transforms those motions into macro and micro signals. Those signals are further processed and uniquely combined to generate the person-specific data, including information that can be used to further enhance the ability of the sensors to obtain accurate readings. The sensors are connected either with a wire, wirelessly or optically to a host computer or processor which may be on the internet and running artificial intelligence software. The signals from the sensors can be analyzed locally with a locally present processor or the data can be networked by wire or other means to another computer and remote storage that can process and analyze the real-time and/or historical data.
The sensors are designed to be placed under, or be built into a substrate, such as a bed, couch, chair, exam table, floor, etc. The sensors can be configured for any type of surface depending on the application. Additional sensors can be added to augment the system, including light sensors, temperature sensors, vibration sensors, motion sensors, infrared sensors and sound sensors as non-limiting examples. Each of these sensors can be used to improve accuracy of the overall data as well as provide actions that can be taken based on the data collected. Example actions might be: turning on a light when a subject exits a bed, adjusting the room temperature based on a biometric status, alerting emergency responders based on a biometric status, sending an alert to another alert based system such as: Alexa, Google Home or Ski for further action.
The data collected by the sensors can be collected for a particular subject for a period of time, or indefinitely, and can be collected in any location, such as at home, at work, in a hospital, nursing home or other medical facility. A limited period of time may be a doctor's visit to assess weight and biometric data or can be for a hospital stay, to determine when a patient needs to be rolled to avoid bed sores, to monitor if the patient might exit the bed without assistance, and to monitor cardiac signals for atrial fibrillation patterns. Messages can be sent to family and caregivers and/or reports can be generated for doctors.
The data collected by the sensors can be collected and analyzed for much longer periods of time, such as years or decades, when the sensors are incorporated into a subject's personal or animal's residential bed. The sensors and associated systems and methods can be transferred from one substrate to another to continue to collect data from a particular subject, such as when a new bed frame is purchased for a residence or retrofitted into an existing bed or furniture.
The highly sensitive, custom designed sensors detect wave patterns of vibration, pressure, force, weight, presence and motion. These signals are then processed using proprietary algorithms which can separate out and track individual source measurements from multiple people, animals or other mobile or immobile objects while on the same substrate.
These measurements are returned in real-time as well as tracked over time. Nothing is attached to the subject. The sensors can be electrically or optically wired to a power source or operate on batteries or use wireless power transfer mechanisms. The sensors and the local processor can power down to zero or a low power state to save battery life when the substrate is not supporting a subject. In addition, the system may power up or turn on after subject presence is detected automatically.
The system is configured based on the number of sensors. Because the system relies on the force of gravity to determine weight, sensors are required at each point where an object bears weight on the ground. For other biometric signals fewer sensors may be sufficient. For example, a bed with four wheels or legs may require a minimum of four sensors, a larger bed with five or six legs may require five for six sensors, a chair with four legs would may require sensors on each leg, etc. The number of sensors is determined by the needed application. The unique advantage of multiple sensors provides the ability to map and correlate a subject's weight, position and bio signals. This is a clear advantage in separating out a patient's individual signals from any other signals as well as combining signals uniquely to augment the signals for a specific biosignal.
The system can be designed to configure itself automatically based on the number of sensors determined on a periodic or event-based procedure. A standard configuration would be four sensors per single bed with four legs to eight leg sensors for a multiple person bed. The system would automatically reconfigure for more or less sensors. Multiple sensors provide the ability to map and correlate a subject's weight, position and bio signals. This is necessary to separate multiple subjects' individual signals.
Some examples of the types of information that the disclosed systems and methods provide are dynamic center of mass and center of signal locations, accurate bed exit prediction (timing and location of bed exit), the ability to differentiate between two or more bodies on a bed, supine/side analysis, movement vectors for multiple subjects and other objects or animals on the bed, presence, motion, position, direction and rate of movement, respiration rate, respiration condition, heart rate, heart condition, beat to beat variation, instantaneous weight and weight trends, and medical conditions such as heart arrhythmia, sleep apnea, snoring, restless leg, etc. By leveraging multiple sensors that detect the z-axis and other axes of the force vector of gravity, and by discriminating and tracking the center of mass or center of signal of multiple people as they enter and move on a substrate, not only can the disclosed systems and methods determine presence, motion and cardiac and respiratory signals for multiple people, but they can enhance the signals of a single person or multiple people on the substrate by applying the knowledge of location to the signal received. Secondary processing can also be used to identify multiple people on the same substrate, to provide individual sets of metrics for them, and to enhance the accuracy and strength of signals for a single person or multiple people. For example, the system can discriminate between signals from an animal jumping on a bed, another person sitting on the bed, or another person lying in bed, situations that would otherwise render the signal data mixed. Accuracy is increased by processing signals differently by evaluating how to combine or subtract signal components from each sensor for a particular subject.
Additional sensor types can be used to augment the signal, such as light sensors, temperature sensors, accelerometers, vibration sensors, motion sensors and sound sensors.
As illustrated in
The long-term collected data can be used in both a medical and home setting to learn and predict patterns of sleep, illness, etc. for a subject. As algorithms are continually developed, the long-term data can be reevaluated to learn more about the subject. Sleep patterns, weight gains and losses, changes in heart beat and respiration can together or individually indicate many different ailments. Alternatively, patterns of subjects who develop a particular ailment can be studied to see if there is a potential link between any of the specific patterns and the ailment.
The data can also be sent live from the local controller 18 or the off-site controller 21 to a connected device 19, which can be wirelessly connected for wired. The connected device 19 can be, as examples, a mobile phone or home computer. Devices can subscribe to the signal, thereby becoming a connected device 19.
As illustrated in
The load sensor assemblies 20 can be incorporated into the top, bottom or any portion of the legs 14 of the substrate 10. For aesthetic reasons, the cap 22 can have a perimeter 25 sized and shaped to be identical to a perimeter of a leg 14, with the base 24 fitting within the cap 22. Alternatively, the base 24 can have a perimeter sized and shaped to be identical to the perimeter of the leg 14, with the cap 22 fitting within the base 24. As illustrated in
The load sensor assemblies 20 can also be incorporated into the castors of wheels, i.e., between the legs 14 and the castors of substrates that are on wheels, such as hospital beds.
As illustrated in
The load sensor assemblies can be arranged in the floor 16 on which the substrate 10 sits or on which the substrate 10 is positioned, as illustrated in
To provide for a larger footprint for use with heavy loads, particularly in hospital and other medical facilities, each load sensor assembly 60 can have multiple load cells 26 positioned on the base 24 with the cap 22 configured with a cell contact surface 28 configured to translate the load through the respective leg 14 equally to each of the multiple load cells 26, as illustrated in
In addition, or alternative to the load sensor assemblies described, other types of sensors can be used. Other types of sensors can be used in a combination with load cells to enhance the accuracy and quality of data, in cases where higher resolution is needed, or when the application of load cells is not possible or practical based on the characteristics of the substrate. For example, when it is not practical to place more than four legs at the corners of a bed, yet signal acquisition is desired near the middle of the bed. Additional sensors can also be substituted for load cells in cases where the additional information provided by load cells is not required.
One or more accelerometers 70 can be used with the system 1. Accelerometers measure acceleration forces, which can be static, like the continuous force of gravity, or may be dynamic, sensing movement or vibrations. This acceleration is caused by tilt with respect to the earth. The substrate “tilts” due to blood flow, physical movement and respiration of the subject. The output from the accelerometers can be analyzed in the same way that the output from the load sensor assemblies can be used. The accelerometer(s) can be placed anywhere in or on the legs as described with respect to the load sensor assemblies 20 or can be placed anywhere on the substrate 10 itself. However, when the accelerometer 70 is used in a leg 14 of the substrate 10, flex material 72 is positioned under the accelerometer 70 as illustrated in
One or more piezoelectric sensors can be used with the system. The piezoelectric sensor uses the piezoelectric effect to measure changes in pressure, acceleration, temperature, strain or force by converting them to an electrical charge. Similar algorithms can be applied to the output from the piezoelectric sensors to obtain data pertaining to the subject or subjects on the substrate. Piezoelectric sensors are typically sheet-like, such that the piezoelectric sensors can be placed directly under the substrate or can be placed between the substrate and the subjects, as examples.
In addition to or alternative to one or more of the load sensor assemblies 20 previously described, a knife edge sensor assembly 100 can be used, as illustrated in
In addition to or alternative to one or more of the load sensor assemblies previously described, an optical encoder sensor assembly 110 can be used, illustrated in
The template 112 may be formed of fine, fixed size openings 114. The finer slits in the template 112 increases resolution of the light passing through, providing for more sensitive measurements. A combination of templates 112 may be used in the assembly 110 to provide both large signals and fine signals, illustrated in
In addition to or alternative to one or more of the load sensor assemblies previously described, a polarized sensor assembly 130 can be used. The polarized sensor assembly 130 is illustrated in
One or more of any combination of the sensor assemblies described herein can be used in the systems herein. Each of the sensor assemblies can be powered with any means known to those skilled in the art. Conventional electrical power may be used to power the sensor assemblies, or each sensor assembly may have a battery. In one example shown in
An example of a configuration of the load sensor assemblies 20 for use with a substrate 10 on which one subject 12 is designed to rest is illustrated in
Examples of data determinations that can be made using the systems herein are described. The algorithms are dependent on the number of sensors and each sensor's angle and distance with respect to the other sensors. This information is predetermined. Software algorithms will automatically and continuously maintain “empty weight” calibration with the sensors so that any changing in weight due to changes in a mattress or bedding is accounted for.
The load sensor assemblies herein utilize macro signals and micro signals and process those signals to determine a variety of data, described herein. Macro signals are low frequency signals and are used to determine weight and center of mass, for example. The strength of the macro signal is directly influence by the subject's proximity to each sensor.
Micro signals are also detected due to the heartbeat, respiration and to movement of blood throughout the body. Micro signals are higher frequency and can be more than 1000 times smaller than macro signals. The sensors detect the heart beating and can use this amplitude data to determine where on the substrate the heart is located, thereby assisting in determining in what direction and position the subject is laying. In addition, the heart pumps blood in such a way that it causes top to bottom changes in weight. There is approximately seven pounds of blood in a human subject, and the movement of the blood causes small changes in weight that can be detected by the sensors. These directional changes are detected by the sensors. The strength of the signal is directly influenced by the subject's proximity to the sensor. Respiration is also detected by the sensors. Respiration will be a different frequency than the heart beat and has different directional changes than those that occur with the flow of blood. Respiration can also be used to assist in determining the exact position and location of a subject on the substrate. These bio-signals of heart beat, respiration and directional movement of blood are used in combination with the macro signals to calculate a large amount of data about a subject, including the relative strength of the signal components from each of the sensors, enabling better isolation of a subject's bio-signal from noise and other subjects.
As a non-limiting example, the cardiac bio-signals in the torso area are out of phase with the signals in the leg regions. This allows the signals to be subtracted which almost eliminates common mode noise while allowing the bio-signals to be combined, increasing the signal to noise by as much as a factor of 3 db or 2× and lowering the common or external noise by a significant amount. By analyzing the phase differences in the 1 hz to 10 hz range (typically the heart beat range) the angular position of a person laying on the bed can be determined. By analyzing the phase differences in the 0 to 0.5 hz range, it can be determined if the person is supine or laying on their side, as non-limiting examples.
Because signal strength is still quite small, the signal strength can be increased to a level more conducive to analysis by adding or subtracting signals 200, resulting in larger signals. The signal deltas 202 are combined in signal 204 to increase the signal strength for higher resolution algorithmic analysis, as illustrated in
The systems 1 herein can cancel out external noise that is not associated with the substrate 10. External noise 210, such as the beat of a bass or the vibrations caused by an air conditioner, register as the same type of signal on all sensor assemblies 20 and is therefore canceled out when deltas are combined during processing. This is illustrated in
Using superposition analysis, two subjects can be distinguished on one substrate. Superposition simplifies the analysis of the signal with multiple inputs. The usable signal equals the algebraic sum of the responses caused by each independent sensor acting alone. To ascertain the contribution of each individual source, all of the other sources first must be turned off, or set to zero. This procedure is followed for each source in turn, then the resultant responses are added to determine the true result. The resultant operation is the superposition of the various sources. By using signal strength and out-of-phase heart rates, individuals can be distinguished on the same substrate.
The systems 1 and sensor assemblies 20 herein provide the ability to provide dynamic center of mass location and movement vectors for the subject, while eliminating those from other subjects and inanimate objects or animals on the substrate. By leveraging multiple sensor assemblies that detect the z-axis of the force vector of gravity, and by discriminating and tracking the center of mass of multiple subjects as they enter and move on a substrate, not only can presence, motion and cardiac and respiratory signals for the subject be determined, but the signals of a single or multiple subjects on the substrate can be enhanced by applying the knowledge of location to the signal received. By analyzing the bio-signal's amplitude and phase in different frequency bands, the center of mass for a subject can be obtained using multiple methods, examples of which include:
DC weight;
AC low band analysis of signal, center of mass and back supine respiratory identification of subject;
AC mid band analysis of signal center of mass and cardiac identification of subject; and
AC upper mid band identification of snorer or apnea events.
The systems 1 and sensor assemblies 20 can be used to detect presence and location X, Y, theta, back and supine positions of a subject on a substrate. Such information is useful for calculating in/out statistics for a subject such as: period of time spent in bed, time when subject fell asleep, time when subject woke up, time spent on back, time spent on side, period of time spent out of bed. The sensor assemblies can be in sleep mode until the presence of a subject is detected on the substrate, waking up the system.
Macro weight measurements can be used to measure the actual static weight of the subject as well as determine changes in weight over time. Weight loss or weight gain can be closely tracked as weight and changes in weight can be measured the entire time a subject is in bed every night. This information may be used to track how different activities or foods affect a person's weight. For example, excessive water retention could be tied to a particular food. In a medical setting, for example, a two-pound weight gain in one night or a five-pound weight gain in one week could raise an alarm that the patient is experiencing congestive heart failure. Unexplained weight loss or weight gain can indicate many medical conditions. The tracking of such unexplained change in weight can alert professionals that something is wrong.
Center of mass can be used to accurately heat and cool particular and limited space in a substrate 10, with the desired temperature tuned to the specific subject 12 associated with the center of mass, without affecting other subjects on the substrate 10. Certain mattresses are known to provide heating and/or cooling. As non-limiting examples, a subject can set the controller 18 to actuate the substrate to heat the portion of the substrate under the center of mass when the temperature of the room is below a certain temperature. The subject can set the controller 18 to instruct the substrate to cool the portion of the substrate under the center of mass when the temperature of the room is above a certain temperature.
These macro weight measurements can also be used to determine a movement vector of the subject. Subject motion can be determined and recorded as a trend to determine amount and type of motion during a sleep session. This can determine a general restlessness level as well as other medical conditions such as “restless leg syndrome” or seizures.
Motion detection can also be used to report in real time a subject exiting from the substrate. Predictive bed exit is also possible as the position on the substrate as the subject moves is accurately detected, so movement toward the edge of a substrate is detected in real time. In a hospital or elder care setting, predictive bed exit can be used to prevent falls during bed exit, for example. An alarm might sound so that a staff member can assist the subject exit the substrate safely. Alternatively, the legs 14 of the substrate 10 can be configured to lower on the side of the substrate 10 in which the subject 12 is exiting, so that the subject 12 can exit more easily. The legs 14 may be telescoping, for example, so that they increase and decrease in length. The legs 14 may be controlled by the controller 18 that receives the signals from the sensor assemblies 20 and processes the signals, sending programmed instructions to an actuator that lowers the legs 14 on the appropriate side, as illustrated in
The systems 1 and sensor assemblies 20 can be used to determine actual positions of the subject on the substrate, such as whether the subject is on its back, side, or stomach, and whether the subject is aligned on the substrate vertically, horizontally, with his or her head at the foot of the substrate or head of the substrate, or at an angle across the substrate. The sensors can also detect changes in the positions, or lack thereof. In a medical setting, this can be useful to determine if a subject should be turned to avoid bed sores. In a home or medical setting, firmness of the substrate can be adjusted based on the position of the subject. For example, in
Controlling external devices such as lights, ambient temperature, music players, televisions, alarms, coffee makers, door locks and shades can be tied to presence, motion and time, for example. As one example, the controller 18 can collect signals from each load sensor assembly 20, determine if the subject is asleep or awake and control at least one external device based on whether the subject is asleep or awake. The determination of whether a subject is asleep or awake is made based on changes in respiration, heart rate and frequency and/or force of movement. As another example, the controller 18 can collect signals from each load sensor assembly 20, determine that the subject previously on the substrate has exited the substrate and change a status of the at least one external device in response to the determination. As another example, the controller 18 can collect signals from each load sensor assembly 20, determine that the subject has laid down on the substrate and change a status of the at least one external device in response to the determination.
A light can be automatically dimmed or turned off by instructions from the controller 18 to a controlled device when presence on the substrate is detected. Electronic shades can be automatically closed when presence on the substrate is detected. The light can automatically be turned on when bed exit motion is detected or no presence is detected. Electronic shades can be opened when motion indicating bed exit or no presence is detected. If a subject wants to wake up to natural light, shades can be programmed to open when movement is sensed indicating the subject has woken up. Waking up can be detected by increased movement, more rapid heartbeat, etc. Sleep music can automatically be turned on when presence is detected on the substrate. Predetermined wait times can be programmed into the controller 18, such that the lights are not turned off or the sleep music is not started for ten minutes after presence is detected, as non-limiting examples.
The controller 18 can be programmed to recognize patterns detected by the load sensor assemblies 20. The patterned signals may be in a certain frequency range that falls between the macro and the micro signals. For example, a subject may tap the substrate three times with his or her hand, creating a pattern. This pattern may indicate that the substrate would like the lights turned out. A pattern of four taps may indicate that the subject would like the shades closed, as non-limiting examples. Different patterns may result in different actions. The patterns may be associated with a location on the substrate. For example, three taps near the top right corner of the substrate can turn off lights while three taps near the base of the substrate may result in a portion of the substrate near the feet to be cooled. Patterns can be developed for medical facilities, in which a detected pattern may call a nurse.
While the figures all illustrate the use of the sensor assemblies with a bed as a substrate, it is contemplated that the sensor assemblies can be used with chairs such as desks, where a subject spends extended periods of time. A wheel chair can be equipped with the sensors to collect signals and provide valuable information about a patient. The sensors may be used in an automobile seat and may help to detect when a driver is falling asleep or his or her leg might go numb. Furthermore, the bed can be a baby's crib, a hospital bed, or any other kind of bed.
Implementations of controller 18 and/or controller 21 (and the algorithms, methods, instructions, etc., stored thereon and/or executed thereby) can be realized in hardware, software, or any combination thereof. The hardware can include, for example, computers, intellectual property (IP) cores, application-specific integrated circuits (ASICs), programmable logic arrays, optical processors, programmable logic controllers, microcode, microcontrollers, servers, microprocessors, digital signal processors or any other suitable circuit. In the claims, the term “controller” should be understood as encompassing any of the foregoing hardware, either singly or in combination.
Further, in one aspect, for example, controller 18 and/or controller 21 can be implemented using a general purpose computer or general purpose processor with a computer program that, when executed, carries out any of the respective methods, algorithms and/or instructions described herein. In addition or alternatively, for example, a special purpose computer/processor can be utilized which can contain other hardware for carrying out any of the methods, algorithms, or instructions described herein.
The word “example,” “aspect,” or “embodiment” is used herein to mean serving as an example, instance, or illustration. Any aspect or design described herein as using one or more of these words is not necessarily to be construed as preferred or advantageous over other aspects or designs. Rather, use of the word “example,” “aspect,” or “embodiment” is intended to present concepts in a concrete fashion. As used in this application, the term “or” is intended to mean an inclusive “or” rather than an exclusive “or”. That is, unless specified otherwise, or clear from context, “X includes A or B” is intended to mean any of the natural inclusive permutations. That is, if X includes A; X includes B; or X includes both A and B, then “X includes A or B” is satisfied under any of the foregoing instances. In addition, the articles “a” and “an” as used in this application and the appended claims should generally be construed to mean “one or more” unless specified otherwise or clear from context to be directed to a singular form.
While the disclosure has been described in connection with certain embodiments, it is to be understood that the disclosure is not to be limited to the disclosed embodiments but, on the contrary, is intended to cover various modifications and equivalent arrangements included within the scope of the appended claims, which scope is to be accorded the broadest interpretation so as to encompass all such modifications and equivalent structures as is permitted under the law.
This application claims priority to and the benefit of U.S. Provisional Application Patent Ser. No. 62/742,613, filed Oct. 8, 2018 and U.S. Provisional Application Patent Ser. No. 62/804,623, filed Feb. 12, 2019, the entire disclosure of which is hereby incorporated by reference.
Number | Date | Country | |
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62804623 | Feb 2019 | US | |
62742613 | Oct 2018 | US |