Tosense, Inc.

Sotera Wireless, Inc.

Baxter International Inc.

Baxter Healthcare Sa

Hti Ip, LLC

Reynolds & Reynolds Holdings, Inc.

Triage Wireless, Inc.

Hti, Ip, L.l.c.

Welch Allyn, Inc.

Networkcar

Verizon Patent and Licensing Inc.

Verizon Telematics Inc.

Ht1 Ip, LLC

Triage Data Networks

Networkcar.com

Matthew J Banet

Marshal Singh Dhillon

Susan Meeks Pede

Kenneth Robert Hunt

Larkin Hill Lowrey

Lauren Nicole Miller Hayward

Arthur Deptala

Jonas Dean Cochran

Diego Borrego

Bruce Davis Lightner

Henk Visser, Ii

Andrew S Terry

Chuck Myers

Jim Moon

Zhou Zhou

Devin B McCombie

Erik Tang

Mark Dhillon

James McCanna

Paul Washicko

Robert Kenneth Hunt

Michael James Thompson

Devin McCOMBIE

Gregory Kent Feld

Wade Williams

Charles Martin Link, Ii

Eric C Berkobin

Adolfo Meza-Guinea

Alan Wettig

Michael O'Brien

Robert James Kopotic

Adam Michael Fleming

David Edward Quinn

Isaac Henry

Donald Bernstein

Ervin Goldfain

Jim Cowart

James Cowart

Marshal Singh Dillon

Bruce Lightner

Larkin Lowrey

Brett George Morris

Randon Schultz

Robert Murad

The invention provides a sensor for measuring both impedance and ECG waveforms that is configured to be worn around a patient's neck. The sensor features 1) an ECG system that includes an analog ECG circuit, in electrical contact with at least two ECG electrodes, that generates an analog ECG waveform; and 2) an impedance system that includes an analog impedance circuit, in electrical contact with at least two (and typically four) impedance electrodes, that generates an analog impedance waveform. Also included in the neck-worn system are a digital processing system featuring a microprocessor, and an analog-to-digital converter. During a measurement, the digital processing system receives and processes the analog ECG and impedance waveforms to measure physiological information from the patient. Finally, a cable that drapes around the patient's neck connects the ECG system, impedance system, and digital processing system.

Body-worn sensor for characterizing patients with heart failure

The invention provides a neck-worn sensor (referred to herein as the 'necklace') that is a single, body-worn system that measures the following parameters from an ambulatory patient: heart rate, pulse rate, pulse oximetry, respiratory rate, temperature, thoracic fluid levels, stroke volume, cardiac output, and a parameter sensitive to blood pressure called pulse transit time. From stroke volume, a first algorithm employing a linear model can estimate the patient's pulse pressure. And from pulse pressure and pulse transit time, a second algorithm, also employing a linear algorithm, can estimate systolic blood pressure and diastolic blood pressure. Thus, the necklace can measure all five vital signs along with hemodynamic parameters. It also includes a motion-detecting accelerometer, from which it can determine motion-related parameters such as posture, degree of motion, activity level, respiratory-induced heaving of the chest, and falls.

Necklace-shaped physiological monitor

The invention provides a body-worn vital sign monitor that measures a patient's vital signs (e.g. blood pressure, SpO2, heart rate, respiratory rate, and temperature) while simultaneously characterizing their activity state (e.g. resting, walking, convulsing, falling) and posture (upright, supine). The monitor processes this information to minimize corruption of the vital signs and associated alarms/alerts by motion-related artifacts. It also features a graphical user interface (GUI) rendered on a touchpanel display that facilitates a number of features to simplify and improve patient monitoring and safety in both the hospital and home.

Body-worn vital sign monitor

The invention provides a multi-sensor system that uses an algorithm based on adaptive filtering to monitor a patient's respiratory rate. The system features a first sensor selected from the following group: i) an impedance pneumography sensor featuring at least two electrodes and a processing circuit configured to measure an impedance pneumography signal; ii) an ECG sensor featuring at least two electrodes and an ECG processing circuit configured to measure an ECG signal; and iii) a PPG sensor featuring a light source, photodetector, and PPG processing circuit configured to measure a PPG signal. Each of these sensors measures a time-dependent signal which is sensitive to respiratory rate and, during operation, is processed to determine an initial respiratory rate value. An adaptive digital filter is determined from the initial respiratory rate. The system features a second sensor (e.g. a digital 3-axis accelerometer) that attaches to the patient's torso and measures an ACC signal indicating movement of the chest or abdomen that is also sensitive to respiratory rate. This second signal is processed with the adaptive filter to determine a final value for respiratory rate.

Body-worn monitor for measuring respiration rate

The invention provides a neck-worn sensor that is a single, body-worn system that measures the following parameters from an ambulatory patient: heart rate, pulse rate, pulse oximetry, respiratory rate, temperature, thoracic fluid levels, stroke volume, cardiac output, and a parameter sensitive to blood pressure called pulse transit time. From stroke volume, a first algorithm employing a linear model can estimate the patient's pulse pressure. And from pulse pressure and pulse transit time, a second algorithm, also employing a linear algorithm, can estimate systolic blood pressure and diastolic blood pressure. Thus, the sensor can measure all five vital signs along with hemodynamic parameters. It also includes a motion-detecting accelerometer, from which it can determine motion-related parameters such as posture, degree of motion, activity level, respiratory-induced heaving of the chest, and falls.

Chest-based physiological monitor

The invention provides a body-worn system that continuously measures pulse oximetry and blood pressure, along with motion, posture, and activity level, from an ambulatory patient. The system features an oximetry probe that comfortably clips to the base of the patient's thumb, thereby freeing up their fingers for conventional activities in a hospital, such as reading and eating. The probe secures to the thumb and measures time-dependent signals corresponding to LEDs operating near 660 and 905 nm. Analog versions of these signals pass through a low-profile cable to a wrist-worn transceiver that encloses a processing unit. Also within the wrist-worn transceiver is an accelerometer, a wireless system that sends information through a network to a remote receiver, e.g. a computer located in a central nursing station.

Body-worn pulse oximeter

The invention provides a body-worn monitor featuring a processing system that receives a digital data stream from an ECG system. A cable houses the ECG system at one terminal end, and plugs into the processing system, which is worn on the patient's wrist like a conventional wristwatch. The ECG system features: i) a connecting portion connected to multiple electrodes worn by the patient; ii) a differential amplifier that receives electrical signals from each electrode and process them to generate an analog ECG waveform; iii) an analog-to-digital converter that converts the analog ECG waveform into a digital ECG waveform; and iv) a transceiver that transmits a digital data stream representing the digital ECG waveform (or information calculated from the waveform) through the cable and to the processing system. Different ECG systems, typically featuring three, five, or twelve electrodes, can be interchanged with one another.

A handheld device measures all vital signs and some hemodynamic parameters from the human body and transmits measured information wirelessly to a web-based system, where the information can be analyzed by a clinician to help diagnose a patient. The system utilizes our discovery that bio-impedance signals used to determine vital signs and hemodynamic parameters can be measured over a conduction pathway extending from the patient's wrist to a location on their thoracic cavity, e.g. their chest or navel. The device's form factor can include re-usable electrode materials to reduce costs. Measurements made by the handheld device, which use the belly button as a 'fiducial' marker, facilitate consistent, daily measurements, thereby reducing positioning errors that reduce accuracy of standard impedance measurements. In this and other ways, the handheld device provides an effective tool for characterizing patients with chronic diseases, such as heart failure, renal disease, and hypertension.

Handheld physiological sensor

A system and method for measuring vital signs and motion from a patient comprising a plurality of sensors, each comprising a processor and analog-to-digital converter configured to generate the physiologic data waveform(s) from the sensor as synchronized, separately resolvable digital data comprising a header indicating the sensor from which the digital data originates, and to transmit the physiologic data waveform(s) to a processing system via a cable comprising a terminal connector that reversibly mates with one of a plurality functionally equivalent of connectors to operably connect the sensor to the processing system. The processing system receive sthe physiologic data waveforms and determines therefrom one or more vital signs for the individual, which are transmitted to a remote vital sign monitor.

Cable system for generating signals for detecting motion and measuring vital signs

A method for estimating blood pressure of a care recipient includes establishing a pre-maneuver reference value of blood pressure and a companion nonreference value of blood pressure, subjecting the care recipient to a maneuver, establishing a post-maneuver reference value of blood pressure and a companion post-manuever nonreference value of blood pressure, establishing an operational post-maneuver nonreference value of blood pressure, and adjusting the operational value as a function of the pre-maneuver and post-maneuver values. An associated apparatus includes a sensor, a processor and a memory which contains instructions. The instructions, when executed, cause the processor to estimate blood pressure as a function of a pre-maneuver reference value of blood pressure, a companion pre-maneuver nonreference value of blood pressure, a post-maneuver reference value of blood pressure, a companion post-manuever nonreference value of blood pressure, and an operational value of blood pressure based on information sensed by the sensor.

Cuffless blood pressure determination with a patient specific, variable calibration

Neck-worn physiological monitor

Growing community of inventors

Kihei, HI, United States of America

Matthew J Banet