The present disclosure relates generally to medical monitors and, more particularly, to visual displays for medical monitors.
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 field of healthcare, caregivers (e.g., doctors and other healthcare professionals) often desire to monitor certain physiological characteristics of their patients. Accordingly, a wide variety of devices have been developed for monitoring many such characteristics of a patient. Such devices provide doctors and other healthcare personnel with the information they need to provide the best possible healthcare for their patients. As a result, such monitoring devices have become an indispensable part of modern medicine.
Medical monitoring devices, for example, pulse oximetry monitors, typically include a screen display that presents a variety of information such as a pulse rate, arterial oxygen saturation, a wavefom, and so forth. Traditionally, the presented information tracks a current patient state and is usually updated after a certain time interval, for example, every few seconds. In addition to monitoring a patient's physiological characteristics, a pulse oximeter or other patient monitor may alert a caregiver when certain physiological conditions are recognized. For example, a normal range for a particular physiological parameter of a patient may be defined by setting low and/or high threshold values for the physiological parameter, and an alarm may be generated when a detected value of the physiological parameter is outside the normal range. Medical monitor screen displays typically have a small footprint, that is, the display may be sized to fit into a small desktop monitor or similar device. Accordingly, certain alarms and visuals of interest may not be quickly and easily noticed or read.
Advantages of the disclosed techniques may become apparent upon reading the following detailed description and upon reference to the drawings in which:
a illustrates a third medical monitor display screen, in accordance with an embodiment of the present technique;
b illustrates a fourth medical monitor display screen, in accordance with an embodiment of the present technique;
One or more 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.
In certain medical monitoring devices, a display may be used to present patient-related information such as pulse, arterial oxygen saturation (SpO2), waveforms (e.g., plethysmographs , electrocardiograms, electroencephalograms), and so forth. Some measurements, for example, a low pulse value, may require the attention of a clinician. It would be advantageous for the clinician to readably visualize information, such as the pulse rate, from various locations within the patient's room, including the patient's bedside. Accordingly, the disclosed embodiments include visualization systems and techniques that aid in attracting the attention of a clinician and that provide for increased readability and accessibility of medical information.
With this in mind, and turning now to the figures,
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 the visualization of information from the monitor 14 and from other medical monitoring devices or systems. The multi-parameter monitor 24 includes a processor that may be configured to execute code. The a multi-parameter monitor 24 may also include various input components 32, such as knobs, switches, keys and keypads, buttons, etc., to provide for operation and configuration of the a multi-parameter monitor 24. In addition, the monitor 14 and/or the multi-parameter 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 LLC. As shown in
In one embodiment, the sensor 12 may include a sensor body 34 having an emitter 36 for emitting light at certain wavelengths into a tissue of a patient and a detector 38 for detecting the light after it is reflected and/or absorbed by the blood and/or tissue of the patient. In such an embodiment where the sensor 12 is a pulse oximetry sensor or other photo-electric sensor, the emitter 36 may be configured to emit one or more wavelengths of light, e.g., red and infrared (IR), such as through light emitting diodes (LEDs) or other light sources. The detector 38 may include photo-detectors for detecting the wavelengths of light reflected or transmitted through blood or tissue constituents of a patient and converting the intensity of the received light into an electrical signal.
In certain embodiments, the sensor 12 may be a wireless sensor 12. Accordingly, the wireless sensor 12 may establish a wireless communication with the patient monitor 12 and/or the multi-parameter patient monitor 24 using any suitable wireless standard. By way of example, the wireless module 26 may be capable of communicating using one or more of the ZigBee standard, WirelessHART standard, Bluetooth standard, IEEE 802.11x standards, or MiWi standard.
Turning to
In certain embodiments, a plurality of audible and visual alarms may be configured based on certain patient events and measurement thresholds. For example, a SpO2 alarm may be configured to activate when the patient's measured SpO2 is outside of certain threshold values (e.g., upper and lower threshold values). A clinician may configure the threshold values depending on any number of factors such as patient age (e.g., neonate, child, adult), clinical condition (e.g., infarction, cardiac arrest, respiratory illness), clinical history, and so forth. Any number of alarms may be configured, for example, alarms that activate based on heart rate, temperature, respiration rate, blood pressure, expiratory CO2, and so forth. Certain alarms may include system alarms configured to activate based on system events and measurements. Accordingly, system events and measurements such as sensor cable 16 disconnections, low sensor 12 battery power, loss of wireless signal, and so forth, may be used to activate the system alarms. The activation of one or more alarms may in turn initiate certain audible tones and visualizations as described in greater detail with respect to
Additionally or alternatively, a measurement within normal range (i.e., at or within of the alarm upper and lower thresholds), may be displayed less prominently in order to increase visibility of the alarm measurement 50. Accordingly, the measurement 52 may be may be displayed less prominently, for example, by reducing the font size, increasing the font opacity (i.e., making the displayed value more transparent), changing the color, changing the font type, and/or changing the font style. For example, the font height may decrease from an initial height of approximately 10%, 20%, 30%, 40% of the screen 40 height to a vertical height of approximately 5%, 10%, 15%, 20% of the screen 40 height. In certain embodiments, the font width may decrease proportionally in order to maintain the same font aspect ratio. In other embodiments, the font aspect ratio may change in order to increase the noticeability of the alarm and improve readability. In certain embodiments, the font type, font style, and font color may also change. Other enhanced or enlarged displays may include, for example, a video display, an image display, or a 3-dimensional (3D) display. Such displays may be enlarged to cover a larger area of the screen 40 and/or enhanced by changing colors, changing aspect ratios, displaying textual annotations, and so forth.
The display of enhanced or enlarged measurements such as the SpO2 measurement 50 and heart rate measurement 52 increases the readability and noticeability of the alarm condition. Indeed, by presenting visualizations such as those depicted in
In certain embodiments, the SpO2 measurement 50 is displayed with the enhanced visibility properties (e.g., larger font size) until the currently measured SpO2 value returns to a normal level. That is, the display 40 will continue to display the SpO2 measurement 50 at the larger font size, different font type, different font style, and/or different font color until the SpO2alarm is no longer active. It is to be understood while the enhanced visibility properties of the SpO2measurement 50 may stay the same during alarm activation, the displayed value (e.g., 80) will change in accordance to changes in the measured SpO2 value. In other embodiments, the font size, font type, and font color of the SpO2 measurement 50 may dynamically change while the alarm is still active. For example, the font size of the SpO2 measurement 50 may cycle back and forth between a small font size and a large font size at a periodic time interval (e.g., 500 milliseconds, 1, 2, 3, 4, 10 seconds). The periodic cycling (i.e., flashing) of the font size may aid in procuring the attention of the clinician as well as in increasing situational awareness. Situational awareness is increased because the clinician is made aware that the alert condition still exists as long as the periodic cycling of the font size is still ongoing. Indeed, the disclosed techniques include a number of such dynamic visualizations, including those described in more detail with respect to
a and 4b depict embodiments of certain visualizations presented by the display screen 40 when multiple alarms, such as a heart rate alarm and the SpO2 alarm, have been activated. Accordingly, the display screen 40 may alternately present a more prominent heart rate measurement 54 as depicted in
In the depicted embodiments of
b depicts an embodiment of visualizations presented by the display screen 40 after the presentation of the visualizations of
Indeed, the visualizations depicted in
As mentioned above, in one embodiment, other measurements that are currently being presented by the display screen 40, such as the heart rate measurement 52 and the SpO2 measurement 56, may be presented less prominently. Accordingly, the measurements 52 and 56 may include a reduced font size, an increased font opacity, a different font type, a different font style, and/or a different color. For example, the font height may decrease from an initial height of approximately 10%, 20%, 30%, 40% of the screen 40 height to a vertical height of approximately 5%, 10%, 15%, 20% of the screen 40 height. In certain embodiments, the font width may decrease proportionally in order to maintain the same font aspect ratio. In other embodiments, the font aspect ration may change so as to improve readability and noticeability. Additionally, the font type, font style, opacity, and color may also change.
In certain embodiments, the waveform 58 is displayed with the enhanced visibility properties (e.g., larger waveform size) until the alarm value returns to a normal level. That is, the display 40 will continue to display the waveform 58 at the larger size, color, and/or line thickness while the waveform alarm is still active. It is to be understood while the waveform 58 may be displayed more prominently throughout the existence of the active alarm, the actual waveform shape will change in accordance to changes in the measured waveform values. In other embodiments, the larger size, color, and/or line thickness of the waveform 58 may periodically change while the alarm is still active. For example, the size, color, and/or line thickness of the waveform 58 may cycle back and forth between the smaller waveform 42 depicted in
Turning to
An individual alarm may have more than one alarm visualization. For example, the SpO2 alarm may be configured by the clinician to include a plethysmographic waveform visualization (e.g., waveform 58) as well as a numeric text visualization (e.g., SpO2 measurement 50). Accordingly, a list of all active visualizations 65 is determined (block 64) by determining the list of configured visualizations corresponding to each active alarm. In certain embodiments, the clinician is able to configure a list of alarm visualizations. That is, the clinician may configure an order of appearance for all alarm visualizations included in the patient monitoring system 10. For example, the first specified visualization may be the waveform 58, followed by the SpO2 measurement 50, followed by the heart rate measurement 54, and so forth. Accordingly, the list of all current visualizations 65 may be prioritized and re-ordered (block 66) to correspond to the clinician's specified ordering.
The list of all active alarms 63 and all active visualizations 65 may then be used such that for each active alarm visualization (block 68), the visualization is first displayed (block 70), for example, for a given time interval (e.g., 1, 2, 3, 4, 5 seconds). That is, the logic 60 can iterate through each active alarm, and within each active alarm, present the active visualizations associated with the alarm. For example, suppose that there are two active alarms, alarm A and alarm B. Alarm A may include three active visualizations 1, 2, and 3, while alarm B may include two active visualizations, 3 and 4. Accordingly, visualization 1 may first be presented, followed by visualization 2, followed by visualization 3, followed by visualization 4, followed by visualization 5. As mentioned above with respect to
The embodiments described above have been shown by way of example, and it should be understood that these embodiments may be susceptible to various modifications and alternative forms. It should be further understood that the claims are not intended to be limited to the particular forms disclosed, but rather to cover all modifications, equivalents, and alternatives falling within the spirit and scope of this disclosure.