The present invention relates to a wireless optical pulsimetry system for a healthcare environment, particularly to one which can real-time monitor location and physiological information of users and which can alarm when abnormality of the information occurs.
The heart rate is an important sign which reflects human physiological states. In the past, the method of monitoring heart rate is to use electrocardiogram analysis or pulse detection. Since electrocardiogram analysis can provide more information of cardiac activities that helps doctors to find the root cause of a disease, it is a dominant diagnostic tool used widely in hospitals. In most cases, pulse rate is equivalent to the heart rate calculated from electrocardiogram. Therefore using a blood oximetry or a blood pressure monitor to measure the pulse rate is a good substitute for using electrocardiogram to evaluate personal heath.
There are many wireless medical devices developed in recent years, such as wireless blood pressure monitor, wireless oximetry, wireless electrocardiographic machine, etc. By combining the wireless technology with miniaturized technology, medical devices become portable. A patient who wears a wireless medical device would no longer be restrained in a specific area nearby the medical equipment. That means it extends the range of his activity. The wireless medical device can transmit patients' physiological information to hospital via wireless and internet for diagnosis. In general, 2.4 GHz radio band (ISM band, Industrial, Scientific and Medical) is used for wireless communication in different protocol (WiFi, Bluetooth, Zigbee, etc.).
Telemedicine, which is defined as transmitting physiological data from local medical device to remote monitor via wireless and internet, has been developed for several years. One of the advantages of the telemedical device is to first line screen for abnormal patients. The early detection of the patients' condition is always a major concern in healthcare facilities to prevent from deterioration in patients. A controversy in such a case is that there was no enough medical devices to real-time monitor vital signs, such as electrocardiography device (EKG), on a large scale due to its high costs. Compared to EKG, the human pulse rate detection by plethysmographic sensor becomes popular and cheap in recent years. For that matter, developing a pulse detection system can make it possible to real-time monitor patients' health on a large scale with a reasonable cost.
In accordance with the present invention, a wireless optical pulsimetry system is used for real-time monitoring human pulse rates on a large scale. In most healthcare facilities, patient monitors are only allocated for a small portion of patients since it is hard for nurses to keep tracking of all patients who are ambulatory in the facility. In the present invention, anyone who wears a pulse sensor can be monitored anywhere in the healthcare facilities within wireless optical pulsimetry system coverage. A ring-like optical finger probe is designed for long-term wearing. A flexible coiled cable makes the pulse sensor fit for any size of user's hand. In the present invention, the wireless optical pulsimetry system can automatically update and display the pulse rate and location information of users on a monitoring computer for reducing caretakers' workload. The wireless optical pulsimetry system can easily integrate with other Zigbee-base wireless medical devices, such as a multi vital signs recorder described in the present invention. In contrast to the past, the wireless optical pulsimetry system in the present invention is more applicable for long-term and large-scale vital sign monitoring.
According to the present invention, there is provided a wireless optical pulsimetry system for a healthcare environment comprising:
a pulse sensor for measuring a pulse rate of a user to transmit a pulse signal;
a USB receiver for receiving the pulse signal wirelessly from one or more pulse sensors and transmitting localization information of a user who wears the pulse sensor to a monitoring computer by transmitting means; and
a monitoring software running on the monitoring computer for displaying the pulse rate and the localization information of a user by display means.
According to the present invention, preferably the pulse sensor comprises:
an optical finger probe is used for collecting a pulsatile signal of the user;
a 4-stage pulsatile signal amplifier circuit for amplifying the pulsatile signal obtained from the optical finger probe;
a microprocessor for processing the pulsatile signal, calculating a pulse rate from the pulsatile signal, and transmitting the pulse rate; and
a wireless transceiver module for receiving the pulse rate from the microprocessor and for wireless transmitting the pulse rate to the USB receiver.
According to the present invention, preferably the optical finger probe comprises:
a coiled cable is retractable and flexible for fitting different hand sizes of the user;
a soft tip worn on a finger of the user as a ring for measuring the pulsatile signal of the user; and
a adaptor for fixing the coiled cable on the pulse sensor.
According to the present invention, preferably the soft tip comprises:
an optical sensing apparatus functioning as a plethysmographic sensor consisting of light emitting and detecting elements;
a well providing a space for the optical sensing apparatus embedded;
a strap with bulged stripe for adjusting the ring size of the soft tip;
a plastic buckle for fixing the strap;
a latch for tying up the strap overhung; and
a curved structure for fitting a shape of the finger to enhance the contact between the optical sensing apparatus and the finger.
According to the present invention, preferably the optical sensing apparatus provides real-time pulsatile signal to the 4-stage pulsatile signal amplifier circuit by means of sensing infrared absorption changes due to vascular volume change in the finger.
According to the present invention, preferably collecting of pulse rate wirelessly from one or more pulse sensors is based on Zigbee technology.
According to the present invention, preferably frame data of the Zigbee technology includes a sensor number of the pulse sensor and the pulse rate data.
According to the present invention, preferably the transmitting means comprises:
a pulse sensor for sending the pulse rate to any USB receiver in its wireless coverage;
a USB receiver for receiving the pulse rate from the pulse sensor and using an embedded wireless signal strength indicator to estimate the distance between the pulse sensor and the USB receiver; and
a USB extender or wireless repeater for transmitting the information from the USB receiver to the monitoring computer.
According to the present invention, preferably the display means comprise:
a display software for displaying the pulse rate data, location information, movement of the pulse sensor, status of a wireless signal, and profile of the user;
an adjustable audible and visual alarm for raising the user attention when the pulse rate data exceeds a pre-set limit or; and
a naming function device for setting the localization information of the USB receiver.
According to the present invention, preferably the healthcare environment includes a hospital, nursing home, home, or other healthcare facilities.
According to the present invention, the wireless optical pulsimetry system for a healthcare environment further comprises a first-line screening function used in healthcare environments for finding a user with abnormal pulse rate data that might be caused by complex physiological abnormality.
According to the present invention, the wireless optical pulsimetry system for a healthcare environment further comprises a multi vital signs recorder for collecting and transmitting multiple vital signs to the monitoring computer.
According to the present invention, preferably the wireless optical pulsimetry system is a real-time wireless optical pulsimetry system for monitoring the user in a real-time manner.
The wireless optical pulsimetry system for a healthcare environment of the present invention, as shown in
The advantages of the wireless optical pulsimetry system for a healthcare environment of the present invention are that (1) it helps caretakers to screen high risk patients by audio or visual alarm. Then, the screened patients can be examined and diagnosed in detail, and (2) it can increase the safety of the patients and decrease the workload in a routine vital sign measurement; moreover, it changes traditional healthcare procedure. (3) The portable design of the device would not restrain users from walking or other location changes. (4) The design of wireless roaming achieves non-interrupt and real-time sensing for the pulse signal. (5) Within the wireless optical pulsimetry system coverage, careless indoor areas, such as toilet or basement, can receive the pulse signals from the pulse sensor to monitor. (6) A forbidden area can be set in the software. The system will alarm if users enter the preset forbidden area. (7) Different alarm limit can be set in the software for each user. (8) An emergency button on the pulse sensor provides users an additional way to call for help. (9) Using Zigbee, a power saving protocol of wireless communication, pulse sensor can continuously works for more than 5 days with a 550 mAh Li-Polymer battery. (10) All data collected in this system can be saved in the monitoring computer for reference.
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The advantages and non-obviousness of the present invention are as follows:
1. The monitoring of pulse rate of the users or patients is in real-time manner. For every 3 seconds, a pulse rate of each patient is displayed on the monitoring computer continuously.
2. The wireless optical pulsimetry system of the present invention can save energy of the secondary battery and can work and last for at least 5 days because it uses Zigbee technology.
3. The frame data of the Zigbee technology includes a sensor number of the USB receiver and the pulse rate data of the patients only.
4. The location information of each of the patients can be known by the monitoring computer.
5. The wireless optical pulsimetry system of the present invention can save labours.
Finding of location of a user is by sensing a highest strength of one of the receivers. For example, receiver (a) has a strength of 2.1, receiver (b) has a strength of 3.7 and receiver (c) has a strength of 0.5 for user RR. From the strength data of the user RR, we know that user RR is located near receiver (b) which shows a highest strength of 3.7.