The detection of the presence of fluids, including biological fluids, can be helpful when treating various human issues. For example, a person wearing a gauze may want to know whether or not bleeding underneath the gauze has recommenced. In another example relating to plastic surgery, patients in post-surgery often wear tightly fitting gowns that help facilitate healing and the flow of fluid from openings made during surgery. It may be desirable to monitor for the flow of fluid from these openings to ensure that the amount flowing is correct or within expected parameters. For example, it may be desirable to detect the presence of urine for the detection of incontinence issues.
It is with these and other concerns that various examples of the presently disclosed subject matter are described herein.
The detailed description is set forth with reference to the accompanying figures. The use of the same reference numbers in different figures indicates similar or identical items or features.
Examples of the present disclosure comprises systems, apparatuses, and methods for detecting and quantifying a fluid. To detect a fluid, various examples of the presently disclosed subject matter include a fluid sensor. The sensor includes electrodes that are energized using various forms of current/voltage at various frequencies (depending on the particular application). The capacitance between the electrodes is measured, providing an output of the presence of a fluid, and in some examples, the type, an amount, and/or a flowrate of the fluid. The electrodes are sheathed within an impermeable, or only slightly permeable, shield to reduce the probability that the fluid, or other fluids, enter the interstitial space between the electrodes, which potentially may cause shorts or erroneous readings. In some examples, the electrode is geometrically designed to minimize effects of movement of the wearer of the fluidic sensor.
In some examples, the electrode includes a first lead and a second lead, each of the leads connected to a capacitance measurement device. The capacitance measurement device energizes the electrodes. Fluid proximate to the electrode modifies the capacitance of the electrode. The changing capacitance of the electrode is determined by a change of a resonance frequency of a resister/capacitor/inductor (RLC) circuit, which the electrode is part of. The presence of a liquid proximate to the outer surface of the protective shield changes the capacitance of the electrodes, providing an indication of the presence of a liquid. The electrode within the shield may be placed in a garment, brief, pad, bandage, or other material.
Examples of conditions or pathologies where various examples of the presently disclosed subject matter may be used include, but are not limited to, spontaneous cerebrospinal fluid leak, amniotic fluid leakage, lymphorrhagia, exuding wounds (lymph, blood, purulent wound, and the like), diarrhea, vomiting, excessive tear secretion for a person in a coma, excessive secretion of saliva for a person in a coma, various types of urinary diseases and conditions, and excessive sweating at night a sign of low blood sugar. In the context of using a leakage detector for testing for the presence of blood, examples include, but are not limited to, fibroids (such as non-cancerous growths that develop in or around the womb and can cause heavy or painful periods), endometriosis where the tissue that lines the womb (endometrium) is found outside the womb, such as in the ovaries and fallopian tubes, adenomyosis when tissue from the womb lining becomes embedded in the wall of the womb, pelvic inflammatory disease (PID), endometrial polyps, cancer of the womb (in which a common symptom is abnormal bleeding, especially after the menopause), polycystic ovary syndrome (PCOS), blood clotting disorders such as Von Willebrand disease, an underactive thyroid gland (hypothyroidism), and diabetes. It should be understood that the aforementioned conditions and pathologies are merely examples and are not intended as limitations of the scope of the presently disclosed subject matter.
When used in electrical or electronic circuits where the capacitor is a single, solid unit that stabilizes the electrodes within, the movement of the capacitor has minimal to no effect on the on the capacitance change with respect to surrounding dielectric distribution. However, having a solid piece metal or other material encapsulating a capacitor may make the use of the capacitor uncomfortable or noticeable when used in a garment, brief, gauze or other material worn by a person. Having a flexible, yet accurate, capacitor can be useful in the context of the sensor 100 when worn by a moving human. However, as noted above, the movement of the electrodes 102A and 102B with respect to each other (and other sensors not illustrated) can affect the capacitance measured.
To alleviate issues relating to the flexing, twisting, or other deformations of the sensor 100 when a user moves, the electrodes 102A and 102B are shaped to provide a countering effect to the deformation. Illustrated in
Returning to
The sensor 100 further includes a textile support 110. The textile support 110 may be a polymer, plastic, natural fiber, or combinations thereof, upon which an outer surface of the sensor 100 is affixed. The sensor 100 may be permanently or temporarily affixed to the textile support 110 using glue, adhesive, hook and loop fasteners, a snap fastener, a rubber band, and the like. The presently disclosed subject matter is not limited to any particular manner in which the sensor 100 is affixed to the textile support 110. The textile support 110 provides for the ability of the sensor 100 to be affixed to a garment, brief, gauze, or other fabric or material worn by a user of the sensor 100.
To affix the textile support 110 to a garment, brief, gauze, or other fabric or material worn by a user of the sensor 100, the textile support 110 may further include garment attachments 112A and 112B. The garment attachments 112A and 112B may be of various materials to allow the textile support 110 to be affixed, either permanently or temporarily, to the material worn by the user. The garment attachments 112A and 112B may include, but are not limited to, glue, adhesive, and/or hook and loop fasteners, snap fasteners, rubber band, and the like. The presently disclosed subject matter is not limited to any particular manner in which the textile support 110 is attached, either permanently or temporarily, to a material or the number or locations of the garment attachments 112A and 112B, as other methods or materials of attachment may be used and are considered to be within the scope of the presently disclosed subject matter. To apply a current or voltage, at various amperages, voltages, and/or frequencies, to measure capacitance, leads 114A and 114B are provided. As illustrated in
Within an inner space between the electrodes 402A-402D is a fluid region 404. The fluid region 404 is an area configured to receive at least a portion of a fluid. As noted above, the fluid may be urine, sweat, blood, diarrhea, or other bodily fluids. The fluid region 404 provides a space of definable area that may be used to generate a more accurate detection and measurement of bodily fluid. The fluid region 404 may be an absorbent material or adsorbent material, such as a clay or silica (gel) desiccant, or other types of materials such as sodium polyacrylate and other superabsorbent polymers such as, but not limited to, polyacrylamide copolymer, ethylene maleic anhydride copolymer, cross-linked carboxymethylcellulose, polyvinyl alcohol copolymers, cross-linked polyethylene oxide, and starch grafted copolymer of polyacrylonitrile. It should be noted that the presently disclosed subject matter is not limited to absorbent or adsorbent materials, and the use of one or the other in the following description is merely for purposes of illustration and not for limitation. The fluid region 404 may have the absorbent encased within a permeable membrane or material that allows the movement of the fluid into the absorbent. The electrodes of the sensors 402A-402D have leads 406A-406D connected to their respective electrodes. The leads 406A-406D provide an electrical connection between a monitoring or measuring system and the electrodes of the sensors 402A-402D.
When the absorbent in the fluid region absorbs fluid, the impedance of the electrodes 402A-402D begins to change. The reason for this is that the fluid affects the impedance between of the electrodes 402A-402D. A “dry” absorbent, i.e. one that has not absorbed a fluid, has different properties than a “wet” absorbent, i.e. one that has absorbed a fluid. These differing properties changes the dielectric properties that are measured by the sensor composed of electrodes 402A-402D. Thus, the impedance measured using the electrodes 402A-402D changes as the absorbent in the fluid region 404 absorbs fluid. Thus, if measured at a certain rate, the change in impedance may provide the ability to both detect the presence of an absorbed fluid as well as the rate of adsorption. The rate of adsorption may correlate to a flow rate (or volumetric flow rate) of the fluid.
For example, the sensor apparatus 400 may be affixed to an adult brief in an area likely to receive fluid should urine be expelled by a user while the adult brief is being word. A small droplet of urine may be absorbed by the absorbent in the fluid region 404. The electrodes 402A-402D may be used to detect a slight change in impedance when compared to a release of urine that saturates the absorbent in the fluid region 404. Further, the electrodes 402A-402D may be used to detect the range of change of the impedance as the absorbent goes from a “dry” condition to a saturated or at least wet condition, thus giving data that can be used to determine a rate of change (and thus flow rate) of the fluid.
As shown in
In some examples, the monitoring unit 506 may output power at various frequencies to characterize the fluid(s) absorbed into the fluid region. Various fluids may cause the absorbent to have different dielectric changes. Thus, the use of different frequencies may not only be used to detect the type of fluid absorbed, but also the manner in which the fluid was absorbed (i.e. a fast discharge or slow discharge). In some examples, a timestamp may be generated to provide a beginning time and end time for discharge. A timestamp may be generated by detecting when the capacitance begins to change and when the capacitance change ends (or when the fluid is fully absorbed (saturated) into the absorbent material. In the example illustrated in
A monitoring unit 604, which may be constructed and operate in a manner similar to the monitoring unit 506 of
The local monitoring system 606 is in communication with the remote monitoring system 608 through a network 610. The network 610 may be various types of networks, including, but not limited to, a cellular network or a wireless local network based on IEEE 802.11 standards. These and other type of networks are considered to be within the scope of the presently disclosed subject matter. The remote monitoring system 608 may be a web-based service accessible through an Internet interface or may be a service accessible through other secure connections.
The remote monitoring system 608 stores data or facilitates the storage of data in a cloud based storage system and can also perform calculations. In some examples, the remote monitoring system 608 can receive data from the monitoring unit 604 and perform calculations such as, but not limited to, one or more fluid properties using the fluid properties sensor and a volume of fluid using the sensor apparatus. The remote monitoring system 608 further provides a communication link between the local monitoring system 606 and a remote user interface 612. In various examples, the remote user interface 612 may be a device used by a medical practitioner or caregiver that is monitoring or providing medical treatment to a user wearing the sensor apparatus 602. The remote user interface 612 may be configured to illustrate data transmitted from the local monitoring system 606. The remote user interface 612 may also be configured to perform other functions, such as accepting inputs from the caregiver to alter the functionality of the sensor apparatus 602 (such a changing power, frequency, and the like). The remote user interface 612 may be provided as an application on a device, as illustrated in
In
The remote user interface 612 may also include additional controls that allow the caregiver to modify the operation of the sensor apparatus 602. For example, the remote user interface 612 may include a modify sensor settings 704 interface. The modify sensor settings 704, when a selection is detected by the mobile device 702, may allow the caregiver to send instructions to the monitoring unit 604 to modify how the monitoring unit 604 operates, such as the frequency of voltage, power, current, detection times, and other settings. Further, the modify sensor settings 704 may further modify the output of the local monitoring system 606 to receive additional data. For example, the local monitoring system 606 may be a mobile communication device used and worn by the user. The caregiver, if wanting additional information, may request that the mobile communication device send information relating to the movement of the user as tracked by sensors located in the local monitoring system 606 (e.g. gyroscopes in cellular phones).
The process 800 commences at operation 802, where patient data is instantiated. In some examples, the patent data includes information entered from a patient file, such as the patient identification and other health information. The patient data may also include the creation of a user profile for the patient so that a caregiver or medical practitioner can readily access the patient data using the user profile.
The process 800 continues to operation 804, where data acquisition commences. The commencement of data acquisition includes various operations. Using
The process 800 continues to operation 806, where a leak, discharge, or presence of fluid is detected. The capacitance of the sensor apparatus 602 has changed to a degree indicating that a fluid has been absorbed by the sensor apparatus 602.
The process 800 continues to operation 808, where the volume and/or flowrate of the absorbed fluid is calculated. In some examples, the volume of the fluid may be determined using the change of capacitance. In further examples, the flowrate of the fluid may be determined using the rate of change of the capacitance of the sensor apparatus 602. It should be noted that other methods of estimating the volume and flowrate of fluids may be used and are considered to be within the scope of the presently disclosed subject matter.
The process 800 continues to operation 810, where the patient data from operation 802 is updated. The updating of patient data may be provided to a caregiver or medical practitioner on the remote user interface 612, whereby the view may see both current (i.e. real-time) and historical data.
The process 800 continues to operation 812, where a determination is made as to whether or not to continue acquisition of data from the sensor apparatus 602. If the determination is to cease acquisition, the process 800 ends at operation 814. If the determination is to continue acquisition, the sensor apparatus 602 may be changed to a new sensor apparatus 602 and the process continues to operation 816.
The process 800 continues to operation 816, where a determination is made as to whether or not parameters of the monitoring unit 604 (or other components) are to be modified. This may be done by various personnel, including caregivers and medical practitioners that may want to see additional or different data from the monitoring unit 604 (such as an increase of the frequency of the capacitance measurement).
If the determination at operation 816 is to not modify parameters, the sensor apparatus 602 may be changed to a new sensor apparatus 602 and the process may continue to operation 804. If the determination at operation 816 is to modify the parameters, the local monitoring unit 604 (for example) is updated, the sensor apparatus 602 may be changed to a new sensor apparatus 602 and the process may continue to operation 804.
As discussed below, the local monitoring system 606 can comprise memory 902 including an operating system (OS) 904 and one or more standard applications 906. The standard applications 906 may include applications that provide for communication with the network 610. The OS 904 varies depending on the manufacturer of the local monitoring system 606. The OS 904 contains the modules and software that support basic functions of the local monitoring system 606, such as scheduling tasks, executing applications, and controlling peripherals. In some examples, the OS 904 can enable a detection module 907 that detects a change in capacitance of a sensor apparatus 602 that indicates the presence of a fluid, a capacitance measurement module 908 that receives data from the sensor apparatus 602 to determine a volume of a fluid, and a volume flow estimator module 909 that determines a flow rate of a fluid. The OS 904 can also enable the local monitoring system 606 to send and retrieve other data and perform other functions.
The local monitoring system 606 can also comprise one or more processors 910 and one or more of removable storage 912, non-removable storage 914, transceiver(s) 916, output device(s) 918, and input device(s) 920. In various implementations, the memory 902 can be volatile (such as random access memory (RAM)), non-volatile (such as read only memory (ROM), flash memory, etc.), or some combination of the two.
In some implementations, the processor(s) 910 can be one or more central processing units (CPUs), graphics processing units (GPUs), both CPU and GPU, or any other combinations and numbers of processing units. The local monitoring system 606 may also include additional data storage devices (removable and/or non-removable) such as, for example, magnetic disks, optical disks, or tape. Such additional storage is illustrated in
Non-transitory computer-readable media may include volatile and nonvolatile, removable and non-removable tangible, physical media implemented in technology for storage of information, such as computer readable instructions, data structures, program modules, or other data. The memory 902, removable storage 912, and non-removable storage 914 are all examples of non-transitory computer-readable media. Non-transitory computer-readable media include, but are not limited to, RAM, ROM, electronically erasable programmable ROM (EEPROM), flash memory or other memory technology, compact disc ROM (CD-ROM), digital versatile discs (DVD) or other optical storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other tangible, physical medium which can be used to store the desired information and which can be accessed by the local monitoring system 606. Any such non-transitory computer-readable media may be part of the local monitoring system 606 or may be a separate database, databank, remote server, or cloud-based server.
In some implementations, the transceiver(s) 916 include any transceivers known in the art. In some examples, the transceiver(s) 916 can include wireless modem(s) to facilitate wireless connectivity with other components (e.g., between the local monitoring system 606 and a wireless modem that is a gateway to the Internet), the Internet, and/or an intranet. Specifically, the transceiver(s) 416 can include one or more transceivers that can enable the local monitoring system 606 to send and receive data using the network 610. Thus, the transceiver(s) 916 can include multiple single-channel transceivers or a multi-frequency, multi-channel transceiver to enable the local monitoring system 606 to send and receive video calls, audio calls, messaging, etc. The transceiver(s) 916 can enable the local monitoring system 606 to connect to multiple networks including, but not limited to 2G, 3G, 4G, 5G, and Wi-Fi networks. The transceiver(s) can also include one or more transceivers to enable the local monitoring system 606 to connect to future (e.g., 6G) networks, Internet-of-Things (IoT), machine-to machine (M2M), and other current and future networks.
The transceiver(s) 916 may also include one or more radio transceivers that perform the function of transmitting and receiving radio frequency communications via an antenna (e.g., Wi-Fi or Bluetooth®). In other examples, the transceiver(s) 916 may include wired communication components, such as a wired modem or Ethernet port, for communicating via one or more wired networks. The transceiver(s) 916 can enable the local monitoring system 606 to facilitate audio and video calls, download files, access web applications, and provide other communications associated with the systems and methods, described above.
In some implementations, the output device(s) 918 include any output devices known in the art, such as a display (e.g., a liquid crystal or thin-film transistor (TFT) display), a touchscreen, speakers, a vibrating mechanism, or a tactile feedback mechanism. Thus, the output device(s) can include a screen or display. The output device(s) 918 can also include speakers, or similar devices, to play sounds or ringtones when an audio call or video call is received. Output device(s) 918 can also include ports for one or more peripheral devices, such as headphones, peripheral speakers, or a peripheral display.
In various implementations, input device(s) 920 include any input devices known in the art. For example, the input device(s) 920 may include a camera, a microphone, or a keyboard/keypad. The input device(s) 920 can include a touch-sensitive display or a keyboard to enable users to enter data and make requests and receive responses via web applications (e.g., in a web browser), make audio and video calls, and use the standard applications 906, among other things. A touch-sensitive display or keyboard/keypad may be a standard push button alphanumeric multi-key keyboard (such as a conventional QWERTY keyboard), virtual controls on a touchscreen, or one or more other types of keys or buttons, and may also include a joystick, wheel, and/or designated navigation buttons, or the like. A touch sensitive display can act as both an input device 920 and an output device 918.
The capacitance sensor 1006 may operate in a manner similar to the sensor 100 of
The fluid properties sensor 1004 may be used, among other functions, to provide a baseline or calibration of the capacitance sensor 1006. In some examples, properties of the fluid or fluids effecting the capacitance detected by the capacitance sensor 1006 may be needed or useful to determine qualitative or quantitative measurements. Further, because of the relative size of the capacitance sensor 1006, the effect of fluid absorbed proximate to the capacitance sensor 1006 may not provide a reliable indication of the liquid absorption. For example, fluid may be absorbed in one area of the capacitance sensor 1006 but not in another portion. In another example, the fluid absorbed may have difference properties (such as clarity, density, and the like).
In these and other examples, the fluid properties sensor 1004 may be used as means to calibrate or provide additional information. In some examples, the fluid properties sensor 1004 may be a permittivity sensor whereby the area proximate to the fluid properties sensor 1004 may configured to be saturated. In this example, the fluid properties sensor 1004 may be used to determine the permittivity of the fluid being absorbed. Because the permittivity is based on a saturated condition, the permittivity may be used to calculate the overall absorption occurring with respect to the capacitance sensor 1006, as the fluid properties sensor 1004 can provide the saturated baseline to which the measured capacitance of the capacitance sensor 1006 may be compared to. In this example, the capacitance sensor 1006 may be used to detect a volume of absorbed fluid and the fluid properties sensor 1004 may be used to detect a property of the fluid. The properties include, but are not limited to, electrical, optical, density, capacitance, impedance, temperature, and the like.
In another example, the fluid properties sensor 1004 may be an optical sensor that measures the clarity of the absorbed liquid. This may be useful in examples in which the type of fluid being absorbed may be needed. For example, in plastic surgery, a tight fitting garment is used to compress the body area after liposuction. It is not unusual, and desired, to allow liquid such as saline solution, to drain from the openings for the liposuction. However, in some examples, the area may become infected. In a case in which the liquid is infectious, the liquid will have different optical characteristics. Thus, the fluid properties sensor 1004 that uses an optical sensor may detect an infectious drainage rather than a typical saline drain. In these and other examples, the fluid properties sensors 1004 may be integrated into and communicate with a monitoring unit that controls data acquisition.
A monitoring unit 1104, which may be constructed and operate in a manner similar to the monitoring unit 506 of
The local monitoring system 1106 is in communication with the local user interface 1112. The local user interface 1112 may be various types of devices including, but not limited to, smart phones, mobile phones, cell phones, tablet computers, portable computers, laptop computers, personal digital assistants (PDAs), electronic book devices, or any other portable electronic devices that can generate, request, receive, transmit, or exchange voice, video, and/or digital data.
The local monitoring system 1106 or other components, such as the local user interface 1112 may store data or facilitates the storage of data locally or in a cloud based storage system and can also perform calculations. In some examples, the local monitoring system 1106 can receive data from the monitoring unit 1104 and perform calculations such as, but not limited to, one or more fluid properties using the fluid properties sensor and a volume of fluid using the sensor apparatus. In various examples, the local user interface 1112 may be a device used by a medical practitioner, a user, or caregiver that is monitoring or providing medical treatment to a user wearing the sensor apparatus 1102. The local user interface 1112 may be configured to illustrate data in a display transmitted from the local monitoring system 1106. The local user interface 1112 may also be configured to perform other functions, such as accepting inputs from the caregiver to alter the functionality of the sensor apparatus 1102 (such a changing power, frequency, and the like). The local user interface 1112 may be provided as an application on a device, as illustrated in
The presently disclosed examples are considered in all respects to be illustrative and not restrictive. The scope of the disclosure is indicated by the appended claims, rather than the foregoing description, and all changes that come within the meaning and range of equivalents thereof are intended to be embraced therein.