Patient monitoring and treatment systems and methods

Patent metadata

Field	Value
Publication number	US-12089985-B2
Application number	US-201816013627-A
Country	US
Kind code	B2
Filing date	Jun 20, 2018
Priority date	Jun 23, 2017
Publication date	Sep 17, 2024
Grant date	Sep 17, 2024

Abstract

The disclosed non-invasive blood pressure systems and methods measure a patient's blood pressure without restricting blood flow. Other sensors, such as physiological sensors, sensors that sense data about the NIBP system components, and/or environment sensors sense data that is combined with the NIBP signal. The combined NIBP and sensor signals are used to measure a patient's non-invasive blood pressure.

First claim

The invention claimed is:

1. A non-invasive blood pressure (NIBP) monitoring system, comprising:
a housing configured to be adhered to a patient;
an emitter configured to emit ultrasound toward blood flowing through a vessel of the patient, the ultrasound emission comprising grating lobes separated by an angle;
a receiver configured to detect a reflection of the ultrasound from the blood;
a sensor configured to detect a temperature of the NIBP monitoring system;
a transceiver configured to transmit data; and
a processor configured to:
determine a velocity at which the blood flows by analyzing the reflection of the ultrasound;
determine a depth between the receiver and the vessel;
determine, using triangulation with the angle and the depth, a pulse wave velocity (PWV) that corresponds to a rate at which a pulse travels through the vessel;
in response to determining the velocity and determining the PWV, determine a blood pressure as a function of the velocity and the PWV;
in response to determining that the temperature exceeds a threshold, cease the analyzing of the reflection and the determining of the blood pressure and disable the transceiver; and
in response to determining that the temperature ceases to exceed the threshold, resume the analyzing of the reflection and the determining of the blood pressure and activate the transceiver.

2. The NIBP monitoring system of claim 1 , further comprising:
a battery configured to supply power to the emitter and the transceiver,
wherein the disabling comprises disabling the emitter, the transceiver, and the battery when the temperature exceeds the threshold, and
wherein the activating comprises activating the emitter, the transceiver, and the battery when the temperature ceases to exceed the temperature.

3. The NIBP monitoring system of claim 1 , wherein the disabling comprises disabling the emitter, the transceiver, and the processor when the temperature exceeds the threshold, and
wherein the activating comprises activating the emitter, the transceiver, and the processor when the temperature ceases to exceed the temperature.

4. The NIBP monitoring system of claim 1 , wherein NIBP patch is affixed to the patient by an adhesive when the patient is in motion.

5. The NIBP monitoring system of claim 1 , wherein the processor is further configured to:
control the blood pressure to be determined when the NIBP monitoring system operates in a power mode in response to power received wirelessly from a computing device; and
control the blood pressure to be determined when the NIBP monitoring system operates in a low-power mode in response to the power not being received wirelessly from the computing device.

6. The NIBP monitoring system of claim 1 , wherein the determining the blood pressure is performed without calibration.

7. The NIBP monitoring system of claim 1 , wherein the determining the PWV is performed by computing, without restriction of flow of the blood, the PWV.

8. The non-invasive blood pressure (NIBP) monitoring system of claim 1 , wherein the processor is further configured to:
operate the NIBP monitoring system in a low-power mode.

9. A system, comprising:
an emitter configured to emit ultrasound, the ultrasound emission comprising grating lobes separated by an angle;
a receiver configured to generate a signal by detecting a reflection of the ultrasound from blood in a vessel of a patient without restricting the vessel of the patient;
a sensor configured to detect a temperature of a device that includes the emitter and the receiver;
a transceiver configured to transmit data to a computing device; and
a processor configured to:
determine a velocity of the blood in the vessel;
determine a depth between the receiver and the vessel;
determine, using triangulation with the angle and the depth, a pulse wave velocity (PWV) for the vessel by using the signal to analyze movement of the blood through the vessel over an interval of time;
in response to determining the velocity and determining the PWV, determine a blood pressure as a function of the velocity and the PWV;
in response to the temperature exceeding a threshold, cease the analyzing of the reflection and the determining of the blood pressure and temporarily disable the transceiver, and
in response to the temperature ceasing to exceed the threshold, resume the analyzing of the reflection and the determining of the blood pressure and activate the transceiver.

10. The system of claim 9 , wherein the disabling comprises disabling the emitter and the transceiver when the temperature exceeds the threshold, and
wherein the activating comprises activating the emitter and the transceiver when the temperature ceases to exceed the temperature.

11. The system of claim 9 , further comprising:
a battery configured to supply power to the emitter and the transceiver,
wherein the disabling comprises disabling the emitter, the transceiver, and the battery when the temperature exceeds the threshold, and
wherein the activating comprises activating the emitter, the transceiver, and the battery when the temperature ceases to exceed the temperature.

12. The system of claim 9 , wherein the processor is further configured to:
control the data to be transmitted in response to power received wirelessly from the computing device and a current induced in the device by the power; and
control the data being transmitted to cease in response to the power not being received wirelessly from the computing device.

13. The system of claim 9 , further comprising:
a housing configured to be adhered to the patient; and
a patch that includes the housing, the emitter, the receiver, the sensor, the transceiver, and the processor.

14. The system of claim 9 , wherein the data includes a notice indicating the blood pressure.

15. The system of claim 9 , wherein the processor is further configured to determine a cardiac condition of the patient or vessel dynamics of the patient in response to the PWV being determined without restriction of flow of the blood.

16. The system of claim 9 , further comprising:
an amplifier configured to amplify the signal; and
an analog-to-digital (ADC) configured to convert the signal,
wherein the data transmitted by the transceiver includes the signal that is amplified and converted.

17. A method comprising:
emitting, by an emitter of a device, ultrasound toward blood flowing through a vessel of a patient, the ultrasound emission comprising grating lobes separated by an angle;
detecting, by a receiver, a reflection of the ultrasound from the blood;
detecting, by a sensor, a temperature of the device;
transmitting, by a transceiver, data to a computing device; and
determining, by a processor, a velocity at which the blood flows by analyzing the reflection of the ultrasound;
determining a depth between the receiver and the vessel;
determining, by the processor and using triangulation with the angle and the depth, a pulse wave velocity (PWV) that corresponds to a rate at which a pulse travels through the vessel;
in response to determining the velocity and determining the PWV, determining, by the processor, a blood pressure as a function of the velocity and the PWV;
in response to determining that the temperature exceeds a threshold:
ceasing the analyzing of the reflection and the determining of the blood pressure, and
disabling the transceiver or the processor; and

in response to determining that the temperature ceases to exceed the threshold:
resuming the analyzing of the reflection and the determining of the blo

Assignees

• Stryker Corp

Inventors

• Siedenburg Clinton T
• Lounsbery Arthur T
• Smith Mitchell A
• Walker Robert G

Classifications

• A61B5/349

  Detecting specific parameters of the electrocardiograph cycle · CPC title

• A61H2230/405

  used as a control parameter for the apparatus · CPC title

• A61H2230/255

  used as a control parameter for the apparatus · CPC title

• A61H2230/208

  used as a control parameter for the apparatus · CPC title

• A61H2230/045

  used as a control parameter for the apparatus · CPC title