Patent Application
20160198983
The invention generally relates to methods and devices for supporting and palpating a subject.
Rapid, accurate, and cost-effective medical diagnosis, evaluation, and monitoring are important in patient care. Relatively recent requirements include the capability for local, remote, and in-transit patient assessments. Patients and victims of chemical or biological weapons may pose a health risk to medical personnel responsible for examination and diagnosis. Recent threats of world-wide viral epidemics, and chemical and biological acts of terrorism may require rapid correlation and identification of disease outbreaks and vectors, and a means of reducing particular dangers in the use of highly-trained medical personnel for exposure to wide numbers of patients during disease and injury screening, such as in a mass casualty situation.
The present invention relates to a subject pose determining method comprising:
placing a subject onto a surface of a platform, said platform having a first radio-frequency transceiver located at a first location on said surface and a second radio-frequency transceiver located at a second location on said surface, wherein said subject is a human being;
placing a first radio-frequency transponder onto an upper extremity of said subject;
placing a second radio-frequency transponder onto a lower extremity of said subject;
transmitting a first radio-frequency signal from said first radio-frequency transceiver to said first radio-frequency transponder on said upper extremity of said subject, resulting in said first radio-frequency transponder sending a second radio-frequency signal to said first radio-frequency transceiver;
transmitting a third radio-frequency signal from said second radio-frequency transceiver to said second radio-frequency transponder on said lower extremity of said subject, resulting in said second radio-frequency transponder sending a fourth radio-frequency signal to said second radio-frequency transceiver;
receiving by said first radio-frequency transceiver said second radio-frequency signal;
receiving by said second radio-frequency transceiver said fourth radio-frequency signal; and
determining a pose of said subject based on said receiving said second radio-frequency signal and said receiving said fourth radio-frequency signal.
The present invention relates to a palpation method, comprising:
placing a subject horizontally onto a transducer array disposed on a surface of a support device, said transducer array disposed between said support device and said subject, said transducer array comprising a plurality of piezoelectric transducers, wherein said subject is a human being;
sending a first signal to at least one piezoelectric transducer of said plurality of piezoelectric transducers, each piezoelectric transducer of said at least one piezoelectric transducer in direct contact with a portion of external tissue of said subject, resulting in said each piezoelectric transducer actuating and exerting a first force against said portion of external tissue; and
receiving from said each piezoelectric transducer a second signal in response to said exerting said first force against said portion of external tissue, said second signal resulting from a second force exerted by said portion of external tissue against said each piezoelectric transducer in response to said each piezoelectric transducer exerting said first force.
The present invention relates to a palpation device, comprising:
a platform configured to support a subject;
a transducer array disposed on a surface of said platform, said transducer array disposed between said platform and said subject, said transducer array comprising a plurality of piezoelectric transducers;
a first radio-frequency transceiver located at a first location on said surface, said first radio-frequency transceiver configured to receive radio-frequency signals from a first radio-frequency transponder;
a second radio-frequency transceiver located at a second location on said surface radio-frequency transceiver configured to receive radio-frequency signals from a second radio-frequency transponder; and
a control system operably coupled to said first radio-frequency transceiver and said second radio-frequency transceiver, said control system coupled to said transducer array and configured to direct each piezoelectric transducer of said plurality of piezoelectric transducers to actuate, said control system configured to receive data from said first radio-frequency transducer and said second radio-frequency transducer, said data relating to said radio-frequency signals from said first radio-frequency transponder, said data relating to said radio-frequency signals from said second radio-frequency transponder.
The features of the invention are set forth in the appended claims. The invention itself, however, will be best understood by reference to the following detailed description of illustrative embodiments when read in conjunction with the accompanying drawings.
Although certain embodiments of the present invention will be shown and described in detail, it should be understood that various changes and modifications may be made without departing from the scope of the appended claims. The scope of the present invention will in no way be limited to the number of constituting components, the materials thereof, the shapes thereof, the relative arrangement thereof, etc., and are disclosed simply as examples of embodiments. The features and advantages of the present invention are illustrated in detail in the accompanying drawings, wherein like reference numerals refer to like elements throughout the drawings. Although the drawings are intended to illustrate the present invention, the drawings are not necessarily drawn to scale.
The support device 100 may comprise a sensor array 110 disposed on the surface 115. The sensor array 110 may comprise a plurality of sensor units 120. The sensor array 110 may comprise a transducer array, wherein each sensor unit 120 of the plurality of sensor units comprises a transducer. Each sensor unit 120 of the plurality of sensor units 120 may comprise a piezoelectric transducer. The piezoelectric transducers described herein may be configured such that the piezoelectric transducers transmit an electrical voltage signal when pressure is applied to the transducer, wherein the piezoelectric transducer may behave as a piezoelectric sensor capable of measuring the applied pressure. The piezoelectric transducer described herein may be configured such that a portion of the transducer is moved upon receiving an electrical voltage signal, wherein the piezoelectric transducer may behave as a piezoelectric actuator or piston which may apply a directional force through movement of the portion of the piezoelectric transducer. The range of movement of the piezoelectric transducer may be in a range from about 0 centimeters (cm) to about 2 cm, for example, about 1 cm.
The sensor array 110 may comprise a plurality of sensor units 120, wherein the number of sensor units 120 may be in a range between about 2 and about 500 sensor units, such as about 450 sensor units. The sensor units 120 may be hingedly interconnected or attached in a manner such that the sensor array 110 comprises a single sheet or grid, where the sheet is flexible due to the hinged connection between adjacent sensor units 120. The sheet may be sufficiently flexible so as to essentially conform to an exterior surface of a subject laying on the sensor array 121. The sensor units 120 may comprise square or octagonal surfaces which may be allow for arranging the sensor units 120 into a sensor sheet in a tessellated or grid pattern.
The support device 100 may comprise at least one control system 130, operably coupled to the sensor array 110, sensor units 120 of the sensor array 110, and components of the support device 100 (vide infra), where the control system may be physically coupled to the support device 100 or may be wirelessly coupled such as through a wireless telecommunication connection. The control system 130 may be configured such that the control system may receive, detect, and process signals (such as electrical, light, sound, etc.) received from the sensor array 110, sensor units 120, and components of the support device 100. The control system 130 may convert the received signals into data representative of the signals, and to analyze the representative data, where the data may be stored in a memory storage device or transmitted by the control system to an external computer system or display screen. The control system 130 may direct the activation and operation of components of the support device 100, such as receiving signals from and transmitting signals to the sensor units 120 and other components, where a user may interact with the control system 130, through wired or wireless communication devices, to direct or control components of the support device 130. For example, where the plurality of sensor units 120 comprises a plurality of piezoelectric transducers, the control system 130 may direct at least one piezoelectric transducer of the plurality of piezoelectric transducers to actuate by sending a signal to each piezoelectric transducer of the at least one piezoelectric transducer. The control system 130 may automatically control the components of the support device 100 through an algorithm stored in memory of the control system 130 and based on data received from RF transceivers 140, RF transponders, the sensor array 110, commands from a user through wired or wireless communication, and combinations of these. Data relating to the location of each sensor unit 120 of the sensor array 110 may be stored in the control system 130 such that the control system 130 may direct the actuation of individual or groups of sensor units 120 based on commands received directing sensor unit actuation in a desired location on the support device 130.
The control system 130 may comprise a communication device for transmitting data, sending commands, receiving commands from a remote location, or a combination of these. The communication device may be a wired device such as a telephone line, cable line, etc. or wireless telecommunications device such as a wireless telephone, satellite telephone, shortwave radio, etc.
The support device 100 may further comprise at least one radio-frequency (RF) transceiver 140 configured such that the at least one RF transceiver may receive and transmit RF signals. Each of the at least one RF transceivers 140 may be operably coupled to an antenna. The radio-frequency transceivers described herein may transmit and receive RF signals through the antenna. In some embodiments, the at least one RF transceiver 140 comprises at least two RF transceivers 140. In some embodiments, the at least one RF transceiver 140 comprises a plurality of RF transceivers such as 2, 4, 6, 8, 10, and 12 RF transceivers. The at least one RF transceiver 140 may be disposed on the platform 105. The at least one RF transceiver 140 may be configured such that the at least one RF transceiver may transmit a first radio-frequency signal to at least two radio-frequency transponders, where the at least two radio-frequency transponders are configured such that the at least two radio-frequency transponders may receive the first radio-frequency signal and transmit a second radio frequency signal in response to receiving the first radio-frequency signal, and wherein the at least one RF transceiver 140 is configured such that the at least one RF transceiver 140 receives the second radio-frequency signal. Each radio-frequency transponder may, for example, be a radio-frequency identification (RFID) tag known in the art and capable of receiving at least one RF signal from a RF transceiver and then transmitting a second RF signal in response to receiving the first RF signal. The RFID tag may comprise a microchip encoded with an algorithm capable of deciphering received RF signals and directing the RFID tag to transmit an appropriate RF signal in response, such as an RF signal comprising data identifying the RFID tag.
The at least one RF transceiver 140 may be operably connected to the control system 130, where the at least one RF transceiver 140 may transmit signals to the control system 130 and receive signals from the control system 130, where the control system 130 may transform the received signals into data and analyze and/or store the data, where the data may represent information relating to locations of the at least two radio frequency transponders in relation to the at least one RF transceiver 140 (such as distance and direction from the at least one RF transceiver 140), information identifying each of the at least two radio frequency transponders, or a combination of these.
The control system 130 may comprise a computer system configured such that the control system 130 may analyze data relating to signals received by the control system 130, such as signals received from the sensor array, RF transceivers 140, external computer systems, users, combinations of these, etc. The computer system may analyze the data based on receiving commands from a user. The computer system may have a computer program stored therein, where the compute program may be configured such that the computer system may analyze the data from the RF transceivers 140 based on receiving remote commands from a user, such as commands sent through a wired or wireless telecommunication system. The control system 130 may be configured such that the control system 130 may direct at least one sensor unit 120 of the plurality of sensor units 120 of the sensor array 110 to actuate based on the data received from RF transceivers 140, where the received data may represent the pose of a subject laying on the support device 100. The term “pose”, as used herein, is defined as the posture of a subject's body and extremities with respect to the support device on which the subject's body is disposed. For example, a subject may have a pose where the subject is laying essentially horizontally on their back on a support device and where the subject's head is located at one end of the support device and the subject's feet are located a second end. In another example, a subject may have a pose where the subject is laying on their side on a support device with the subject's knees pulled up to the subject's chest, where the subject's head is located at one end of the support device and the subject's feet are location in the middle of the support device. Is it understood that in addition to the examples above of poses a subject may have while disposed on the support devices disclosed herein, there exists a large number of possible poses of a subject, all of which are intended to be included within the scope of the disclosure.
For example, a physician at a remote location, examining a patient lying on a support device as described herein where each sensor unit comprises a piezoelectric transducer, may send commands to the controller to palpate an upper extremity of the patient by determining the location of the patients upper extremity. The control system (or computer system therein) may analyze data received from the RF transceivers and determine the location of the patient's upper extremity (vide infra). Base on the analyzed data, the controller may then direct the actuation of sensor units in contact with the upper extremity of the subject, where the number of sensor units to be actuated may be dictated by a preset value, a command from the user, or a combination of these.
Thus the present invention discloses a process for supporting computer infrastructure, integrating, hosting, maintaining, and deploying computer-readable code into the computer system 90, wherein the code in combination with the computer system 90 is capable of performing a method for determining a pose of a subject as described herein and for performing palpation methods as described herein.
Step 205 comprises placing a first RF transponder onto an upper extremity of the subject. The first RF transponder may be configured such that the first RF transponder may receive a first RF signal and send a second RF signal in response to receiving said first radio frequency signal. For example, the first RF transponder may comprise an RFID tag as described above, where the tag may be placed on an upper extremity of a subject. An upper extremity as used herein is defined as a portion of a subject's body above the subject's waist, such as shoulder, arm, neck, head, wrist, chest, combinations of these, etc. The first RF transponder may comprise a microchip encoded with identifying data which identifies the first RF transponder as a transponder which is attached to an upper extremity. The first RF transponder may be placed directly onto the skin or hair of the subject, or may be placed on clothing covering the upper extremity, for example, using adhesive, straps, clips, fasteners, etc. The second RF signal transmitted by the first RF transponder may comprise a signal corresponding to the identifying data, such as data which identifies the first RF transponder as one which is located on an upper extremity of a subject, such that receiving a signal from the first transponder indicates that the first transponder and upper extremity are in close proximity to an RF transceiver receiving the signal from the first transponder.
Step 210 comprises placing a second radio-frequency transponder onto a lower extremity of the subject. The second RF transponder may be configured such that the second RF transponder may receive a third RF signal and send a fourth RF signal in response to receiving the third radio frequency signal. For example, the second RF transponder may comprise an RFID tag as described above, where the tag may be placed on a lower extremity of a subject. The term lower extremity as used herein is defined as a portion of a subject's body below the subject's waist, such as the subject's leg, knee, foot, hip, stomach, buttocks, combinations of these, etc. The second RF transponder may comprise a microchip encoded with identifying data which identifies the second RF transponder as a transponder which is attached to a lower extremity. The second RF transponder may be placed directly onto the skin or hair of the subject, or may be placed on clothing covering the lower extremity, for example, using adhesive, straps, clips, fasteners, etc. The fourth RF signal transmitted by the second RF transponder may comprise a signal corresponding to identifying data, such as data which identifies the second RF transponder as one which is located on a lower extremity of a subject, such that receiving a signal from the second transponder indicates that the second transponder and lower extremity are in close proximity to the RF transceiver receiving the signal from the second transponder.
Each of the RF transponders described herein may have a transmission range or distance, where a response RF signal sent by the RF transponder may be detected by a RF transceiver 140 near the RF transponder. As used herein, the term “near” is defined as within the transmission range of the RF transponder to which the term “near” refers. For example, a RF transponder having a transmission range of about 10 cm may transmit a RF signal, where a RF transceiver located within 10 cm of the RF transponder is described as being near the RF transponder and may detect the RF signal. Ranges of transmission may depend on signal amplitude and frequency. Signal frequencies may range from about 30 kilohertz (kHz) to about 300 kHz, such as about 125 kHz or about 134 kHz. In another example, signal frequencies may range from about 3 megahertz (MHz) to about 30 MHz, such as about 13.56 MHz. Those skilled in the art will recognize that, in general, lower frequencies result in shorter transmission ranges. Ranges of transmission for RF transponders described herein may be from about 0 cm to about 100 cm, such as from about 0 cm to about 50 cm.
Each RF transponder described herein may comprise a computer microchip capable of being programmed and storing data, where the data may comprise information such as information about the particular RF transponder, the location of the transponder (such as on an upper extremity, lower extremity, etc.), patient information (such as name, address, government issued identification numbers, medical conditions, blood type, etc.), or a combination of these. For example, the stored data may comprise a number or series of numbers corresponding to a patient, the RF transponder, a body extremity, a combination of these, etc. The data stored within the microchip of each RF transponder may be sent to a RF transceiver as an RF signal in response to receiving a RF signal from an RF transceiver. An RF signal received by the transponder from an RF transceiver may serve as a means to provide power to the RF transponder, a means to transmit at least one command to the RF transponder, or both.
Commands sent via an RF signal by a transceiver to a RF transponder may include a command to transmit an appropriate response signal indicating which RF transceiver signal was received by the RF transponder. For example, a first RF transponder receiving a first RF signal from a first RF transceiver may be commanded by the first RF signal to transmit a second RF signal, and the first RF transponder receiving a third RF signal from a second RF transceiver may be commanded to by the third RF signal to transmit a fourth RF signal, where the second RF signal and the fourth RF signal are different. The second and fourth RF signals in this example may, for example, be used to identify which RF transceiver commanded the first RF transponder to transmit each of the second and fourth RF signals RF signal using date in each of the second and fourth RF signals. Commanding the first RF transponder may be accomplished through data transmitted in each of the first and third RF signals or by the frequency of each of the first and third signals, where the frequency of each received RF signal by the first transponder commands the first transponder to transmit an RF signal having a predetermined frequency. A computer microchip in the first transponder may be utilized to analyze each received RF signal to determine an appropriate RF signal to transmit in response, such as by using an algorithm programmed into the computer microchip.
Referring again to
Step 220 comprises transmitting the third RF signal from the second RF transceiver to the second RF transponder on the lower extremity of the subject, resulting in the second RF transponder sending the fourth RF signal to the second RF transceiver. The control system described above may direct the second RF transceiver to transmit the third signal. The third RF signal may have an appropriate amplitude and frequency such that the second RF transponder must be near the second RF transceiver to receive the third RF signal, such as in a range from about 0 cm to about 50 cm of the second RF transceiver. For example, the third RF signal may comprise data indicating that the second RF transponder is located on a lower extremity of the subject. Thus, a RF signal received from the second RF transponder by the second RF transceiver indicates a close proximity of the second RF transponder (attached to a lower extremity) to the second RF transceiver (located at the second location on the platform) and that, based on the received data, the second RF transponder is located on a lower extremity of the subject, indicating that the subject's lower extremity is located in close proximity to the second location on the platform.
Step 225 comprises receiving, by the first RF transceiver, the second RF signal. Step 230 comprises receiving, by the second RF transceiver, the fourth RF signal.
Step 235 comprises determining a pose of the subject based on receiving the second RF signal and receiving the fourth RF signal. Receiving the second RF signal by the first RF transceiver indicates that the first RF transponder on the subject's upper extremity is near the first RF transceiver located at the first location on the platform. Receiving the fourth RF signal by the second RF transceiver indicates that the second RF transponder on the subject's lower extremity is near the second RF transceiver located at the second location on the platform. Thus, the subject's pose with respect to two locations on the platform may be determined, such as the subject's upper body is located at the first end of the platform and the subject's lower body is located at the second end of the platform.
The determination may allow a user remotely accessing the platform and support devices described herein to determine a subject's pose on the platform before operating other sensors and analyzing data received from different sensor unit locations on the sensor array. For example, a physician monitoring data wirelessly received from the sensor array for a patient lying on the array in a location remote from the physician, may need to know whether the signals received originate from an upper extremity or a lower extremity. The determination described above may allow such a user to make the determination without being required to directly see the patient. In another example, a nurse wirelessly monitoring a patient lying in another area of a hospital wing on an array of a support device as described here, may wish to determine if the patient is still in a correct pose for proper administration of intravenous fluids the patient is receiving. The determination described above may allow such a user to make the determination without having to leave a nurse monitoring station. Similarly, a medical technician flying a medical evacuation helicopter may need to determine a patient has remained in a secure pose while being transported in the helicopter. Such a user may be able to make the determination without looking away from the controls of the aircraft or leaving the pilot's seat using the method described herein.
The platform further may further comprise a computer system, such as the computer system described above for example, operably coupled to the first radio-frequency transceiver and the second radio-frequency transceiver. The computer system may be part of the control system described above. The computer system may be physically connected to the transceivers, or may be wirelessly coupled to the transceivers such as through a wireless telecommunication connection, for example. Determining a pose of the subject may include receiving data from the first and second radio-frequency transceivers by the computer system, where the data corresponds to the second and fourth radio-frequency signals. The computer may then analyze the received data and determine, based on the analyzing that the first radio-frequency transponder on the upper extremity of the subject is located near the first radio-frequency transceiver disposed on the first end, and that the second radio-frequency transponder on the lower extremity of the subject is located near the second radio-frequency transceiver disposed on the second end. Analyzing may comprise comparing the received data to known values stored in memory representing identifying information for each transponder, such as a serial number, signal frequency, location on the platform, etc.
Step 300 comprises placing a subject onto a transducer array disposed on a surface of a support device. The support device may be a support device such as described above and may support a subject, such as in an essentially horizontal pose. As described herein, the support device may function as a palpation device for performing a palpation method (vide infra). The support device may comprise at least two RF transceivers as described above. The transducer array may be disposed between the support device and the subject, where the transducer array may comprise a plurality of piezoelectric transducers, such as the sensor array described above comprising a plurality of sensor units each comprising a piezoelectric transducer. For example, a patient may be made to lay down on the sensor array of a gurney comprising the support device described above, where the patient's full weight rests on the transducer array.
Step 305 comprises sending a first signal to at least one piezoelectric transducer of the plurality of piezoelectric transducers, where the at least one piezoelectric transducer is in direct contact with a portion of external tissue of the subject, resulting in the at least one piezoelectric transducer actuating and exerting a first force against the portion of external tissue. For example, the first signal may be sent by a user using a control system such as is described above, where the first signal may direct the at least one piezoelectric transducer to actuate and press against the tissue of the subject resting against the at least one piezoelectric transducer. The at least one piezoelectric transducer may comprise two or more transducers, such as 10, 20, 30, or all transducers in the array, for example. The numbers of piezoelectric transducers used may be determined by the size of the area a user wishes to palpate.
Step 310 comprises receiving from the at least one piezoelectric transducer a second signal in response to exerting the first force against the portion of external tissue, where the second signal results from a second force exerted against the at least one piezoelectric transducer in response to the at least one piezoelectric transducer exerting the first force. For example, when the at least one piezoelectric transducer exerts the first force against the tissue of a subject, the tissue may have a particular density and pliability or hardness. The resistance of the subject's tissue to indentation by the at least one transducer is a resistive force directed back against the transducer, generating the second signal transmitted from the piezoelectric transducer. The second signal may be received by a user, such as through a control system coupled to the transducer array, where the control system may be configured as described above.
The method of
For example before sending the first signal in step 305, a first command may be received by the communication device, such as from a user, external computer system, or a control system transmitting commands to the communication device for directing the operation of the transducer array. Commands received by the communication device may comprise wired communications, wireless communications, or combination of these. The communication device may relay the first remote command to the control system, resulting in the control system directing the at least one piezoelectric transducer to actuate, where directing comprises sending the first signal to the at least one piezoelectric transducer.
Step 320 of
The foregoing description of the embodiments of this invention has been presented for purposes of illustration and description. It is not intended to be exhaustive or to limit the invention to the precise form disclosed, and obviously, many modifications and variations are possible. Such modifications and variations that may be apparent to a person skilled in the art are intended to be included within the scope of this invention as defined by the accompanying claims.
This application is a continuation application claiming priority to Ser. No. 14/156,672, filed Jan. 16, 2014, which is a continuation of Ser. No. 13/739,077, filed Jan. 11, 2013, U.S. Pat. No. 8,641,645, issued Feb. 4, 2014, which is a continuation of Ser. No. 12/014,842, filed Jan. 16, 2008, U.S. Pat. No. 8,372,018, issued Feb. 12, 2013.
| Number | Date | Country | |
|---|---|---|---|
| Parent | 14156672 | Jan 2014 | US |
| Child | 15078100 | US | |
| Parent | 13739077 | Jan 2013 | US |
| Child | 14156672 | US | |
| Parent | 12014842 | Jan 2008 | US |
| Child | 13739077 | US |
