CA2173057C - Portable patient monitor reconfiguration system - Google Patents
Portable patient monitor reconfiguration system Download PDFInfo
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- CA2173057C CA2173057C CA002173057A CA2173057A CA2173057C CA 2173057 C CA2173057 C CA 2173057C CA 002173057 A CA002173057 A CA 002173057A CA 2173057 A CA2173057 A CA 2173057A CA 2173057 C CA2173057 C CA 2173057C
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- monitor
- docking station
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- portable monitor
- patient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/002—Monitoring the patient using a local or closed circuit, e.g. in a room or building
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
- A61B2560/04—Constructional details of apparatus
- A61B2560/0456—Apparatus provided with a docking unit
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
Abstract
A monitor system for substantially continuously acquiring medical data from a plurality of sensors adapted for attachment to a patient. The system is distributed over at least two geographically separate patient monitoring areas via a communication network. The system comprises a portable monitor adapted for coupling to the plurality of sensors, for substantially continuously receiving, processing and displaying patient data signals acquired from the plurality of sensors when said sensors are attached to said patient. The system also includes at least two monitor docking stations, with at least one docking station being located in each of the at least two patient monitoring areas and connected to one another for transmission of patient data therebetween via the communication network. Each docking station comprises; means for detachably coupling the portable monitor to the docking station; first transfer means for transferring patient data between the portable monitor and the docking station when the portable monitor is coupled to the docking station; and second transfer means for transferring monitor set-up information between the portable monitor and the docking station when the portable monitor is coupled to the docking station, said monitor set-up information controlling the operation of the portable monitor when it is coupled to the docking station.
Description
4~. 2173057 PORTABLE PATIENT MONITOR RECONFIGURATION SYSTEM
FIELD OF THE INVENTION
The present invention relates to medical systems, and in particular to portable patient monitoring systems for continuously collecting, storing, and displaying medical data.
BACKGROUND OF THE INVENTION
In hospitals and other health care environments, it is often necessary to continuously collect and analyze a variety of medical data from a patient. These data may include electrocardiogram, temperature, blood pressure, respiration, pulse and other parameters.
Patient monitoring systems have typically fallen into one of two general categories: multi-function monitoring, recording and displaying systems which process and collect all of the data desired, but are bulky and difficult to transport; and small, portable systems which are easy to transport, but process and collect fewer types of data and have limited storage capability. Initially (e.g., in an ambulance or an emergency room) a patient is connected to a simple, portable monitor to observe a limited number of medical attributes, such as EKG or non-invasive blood pressure.
As the patient moves to higher care facilities (e.g., an intensive care unit or operating room) it is desirable to augment these simple monitors to observe additional parameters. Generally, this is accomplished by disconnecting the patient from the simple monitor and connecting the patient to a monitoring system having more robust capabilities.
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The need for continuity of data collection and display is most pressing in emergency situations. During an emergency, the speed at which a patient is transferred from a bed to an operating room or intensive care unit may substantially impact the patient's chance of survival. It is important to provide the same level of monitoring in transport as at the stationary bedside. It is desirable from a clinical point of view to provide a continuous monitoring capability and data history availability which follows the patient.
Two major considerations in the design of transport monitoring systems are the ease and speed of system reconfiguration. It is undesirable to disconnect from the patient a set of sensors coupled to a fixed location monitoring system, and then attach a new set of sensors coupled to a portable monitor immediately prior to transportation or administration of critical procedures. It is equally undesirable to switch monitoring systems, from a fixed location monitoring system to a portable monitoring system for transport, due to disconnection/reconnect of the individual sensors.
US Patent 5,375,604, titled TRANSPORTABLE MODULAR
PATIENT MONITOR, assigned to the same Assignee as the present invention, describes a transportable patient monitoring system of the type including a docking station which both physically and electrically supports a transportable patient monitor.
Although the system described in the '604 patent is a vast improvement over the prior art, further improvement is desirable. In this regard, it is noted that patient care areas are geographically distributed throughout hospitals or other health care facilities.
Traditionally each of these areas is equipped with a patient monitor having fixed set-ups, e.g., a fixed ~i73U57 configuration (or set of configurations) in accordance with the users preference, and a fixed set of software applications. Examples of configuration items include physiological alarm limits, display screen layouts (such as waveform display priority, waveform size, display speed and brightness, etc) and speaker volume. Examples of software applications include: recall & edit of arrhythmia waveforms, remote view of other patient monitors and graphical calculators of hemodynamic parameters. Recently, portable monitoring systems are becoming more popular. However, these systems also have fixed configurations and use a fixed set of software applications.
While each area may be able and willing to use the same type of patient monitor, each typically has different set-up needs; the way that its monitors are configured and the types of software applications that they run. For example, an Operating Room (OR) may need a monitor with very bright display settings and a software application which analyzes cardiac arrhythmias. An Intensive Care Unit (ICU) may not need Arrhythmia analysis, but may need a software application to calculate drug dosages. In addition, the ICU may wish that its monitors be configured with low display intensity and have a different waveform priority.
It is desirable to have a patient monitoring system in which portable patient monitors can have variable set-ups, with variable monitor configuration and a variable set of software applications that can be run whenever the monitor is moved from one patient care area to another.
It would be desirable for such variable set-ups to easily occur when the monitor is moved from one patient monitoring area to another. Automatic reconfiguration of the monitor set-ups as defined at the new area would also be desirable.
It is an object of the present invention to provide such a reconfigurable portable patient monitoring system.
It is an additional object of the present invention to provide such a reconfigurable portable patient monitoring system wherein the steps required to reconfigure the system can be easily, quickly, and reliably performed, in order to reduce what can often be very precious time needed to prepare the patient and monitoring system for transport to an operating room or intensive care unit.
SIIMMARY OF THE INVENTION
A monitor system for substantially continuously acquiring medical data from a plurality of sensors adapted for attachment to a patient. The system is distributed over at least two geographically separate patient monitoring areas via a communication network.
The system comprises a portable monitor adapted for coupling to the plurality of sensors, for substantially continuously receiving, processing and displaying patient data signals acquired from the plurality of sensors when said sensors are attached to said patient. The system also includes at least two monitor docking stations, with at least one docking station being located in each of the at least two patient monitoring areas and connected to one another for transmission of patient data therebetween via the communication network. Each docking station comprises; means for detachably coupling the portable monitor to the docking station; first transfer means for transferring patient data between the portable monitor and the docking station when the portable monitor is coupled to the docking station; and second transfer means for transferring monitor set-up information between the portable monitor and the docking station when the portable monitor is coupled to the docking station, said monitor set-up information controlling the operation of the portable 5 monitor when it is coupled to the docking station.
An aspect of the invention provides a patient monitor system, comprising: a portable monitor including a signal processor and display adapted for coupling to a plurality of sensors attached to a patient, for continuous operation receiving, processing and displaying patient data signals received from the plurality of sensors, at least one of the processing and displaying operations of the patient data signals by the portable monitor being controllable so as to provide a selected one of a plurality of different patient data signal analyses or a selected one of a plurality of different patient data signal display operations, respectively; a communication network distributed over at least two geographically separate patient monitoring areas; and at least two docking stations, with at least one docking station being located in each of said at least two patient monitoring areas and connected to one another for transmission of patient data therebetween via said communication network; wherein each docking station comprises: means for detachably coupling the portable monitor to the docking station; first transfer means for transferring patient data between the portable monitor and the docking station when the portable monitor is coupled to the docking station; and second transfer means for transferring monitor set-up information to the portable monitor from the docking station when the portable monitor is coupled to the docking station, said monitor set-up information controlling at least one of the patient data signal processing operation or the patient data signal 5a displaying operation of the portable monitor so as to cause said portable monitor to provide a selected one of a plurality of different patient data signal analyses or a selected one of a plurality of different patient data signal display operations, respectively.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 illustrates in block diagram form a patient monitoring system constructed in accordance with the present invention;
Figure 2 illustrates an isometric view of the docking station platforms, patient monitor, recorder and other peripheral devices shown in Figure 1;
Figure 3 illustrates an exploded view of one of the docking station platforms shown in Figure 2;
Figure 4 illustrates an isometric front view of apparatus suitable for use as the wallbox shown in Figure 2;
Figures 5a-5e illustrate various scenarios of movement of the portable monitor of the system shown in Figure 2;
Figure 6 illustrates in functional block diagram form portions of the monitor and docking station shown in Figure 2; and Figures 7a-7d illustrate flow charts useful for understanding the operation of the monitor and docking station shown in Figure 2.
DETAILED DESCRIPTION OF THE EXEMPLARY EMBODIMENTS
An exemplary patient monitoring docking station system 100 including a docking station 111 for reconfiguring a portable monitor in accordance with the present invention is shown in Figure 1. A portable monitor 102 acquires physiological data signals from a plurality of sensors (not shown), which may include both invasive and non-irlvasive devices for collecting physiological data from a patient. The portable monitor 102 displays the physiological data, and transmits patient data signals to docking station 111 (It will be understood by one skilled in the art that the term "patient data", as used herein, may refer to the processed information derived from the signals produced by sensors attached to the patient. Thus "patient data"
in this sense may include, for example, red, green and blue raster-scan video signals to drive a slave display, or signals to provide status and control information to control peripheral devices). The docking station ill provides power and communications services to the portable monitor 102 while monitor 102 is mounted on the docking station. The mounting mechanism provides for rapid connection/disconnection of monitor 102 from docking station 111 (both mechanically and electrically) for transport. Preferably, the connection/disconnection is accomplished in a single step, so that the user can easily "pick-up and go" with monitor 102 to transport it to another location in the monitoring system, without handling any individual cables or connectors.
Docking station 111 includes three modular components. The first two components are monitor and peripheral docking station platforms 110' and 11011, respectively. A docking station platform which supports a portable monitor 102 is referred to as a monitor docking station 110' and a docking station platform which supports a peripheral device is referred to as a peripheral docking station 110''. Portable monitor 102 may be placed on docking station platform 110', which may be positioned in the patient area, for example, near the patient's bed or attached to the bedframe. Peripheral docking station 110" provides mechanical support and electrical connections for peripheral equipment such as a strip chart recorder 164 or other such devices.
Peripheral docking station 110" provides a means for these peripheral devices to communicate with local area networks and portable monitors 102. The peripheral docking station 110" is nearly identical in mechanical form and function to the monitor docking station 110';
however, it has a different electrical connector and is keyed in such a way as to prevent portable monitors from being connected to a peripheral docking station and vice versa. As used herein, the term portable devices is comprises portable monitors 102, recorders 164 or other devices which can be mounted on a docking station platform 110.
Docking station platforms 110 provide both mechanical support for portable monitor 102 and recorder 164, as well as connections to bedside display 120, a source of operating power 134, and a large format video display 124. Docking Station 111 can also communicate with local area networks (LANs) via couplings 170, 172 and 174, and, via the networks, may provide communications with a computer or an intelligent workstation 122. Docking station 111 provides a simple mechanism to connect portable monitoring devices with several devices and networks without the need to connect individual cables for each device or network. Data and power connectors on the docking station platform 110 and on the cases of the portable devices (102, 164) allow simultaneous physical and electrical couplings to be established.
The third component of the docking station is a power supply and network box 140 referred to herein as wallbox 140, and in an alternative embodiment shown in Figures 2 and 4, as a power supply and network box (PSN) 240. In the Figure 1 embodiment, wallbox 140 is physically included in docking station 111. In the Figure 2 (and 4) embodiment, wallbox 140 is physically separate from docking station platforms 110, and is coupled to docking station platforms 110 via connectors 110a and 110h of cable 110m, as shown in Figure 2. In either embodiment, the functions provided by wallbox 140 and PSN 240 are very similar, and throughout the description this should be kept in mind. Wallbox 140 provides power for operating monitor 102 and for charging a battery pack within (or attached to) monitor 102.
Wallbox 140 also provides communications links to networks and devices, both inside and outside of the room in which docking station 111 is located.
Eight multi-vendor ports (MVP) 130 are provided to connect serial devices to the portable monitor and remote stations on the network using a known communications interface, e.g., the RS-232 interface standard.
Portable monitor 102 is a self-contained, standalone monitoring system. Monitor 102 includes all of the processing electronics necessary to process, display and store patient data during transport. In the exemplary embodiment described herein, portable monitor 102 does not include a broad suite of network interfaces;
during transport, the exemplary monitor 102 does not have any connections to a central monitoring system or to communications networks. Portable monitor 102 has a rechargeable battery pack for use during transport.
Portable monitor is also capable of receiving power from an external power supply. Power may be received from wallbox 140 by way of docking station platform 110, and, ,,. 2 173057 92 P.7501 E 02 9 in the portable version of wallbox 140, i.e., PSN 240, it can be received using an electrical cable or by direct mounting of PSN 240 on the case of monitor 102.
The bedside display 120 may be a slave unit receiving signals for display from docking station 111.
Alternately, bedside display 120 may be an intelligent display unit, complete with a user interface.
Alternately, the bedside display may be an intelligent workstation 122 with a VGA display and conventional disk storage.
Figure 2 shows an isometric view of an exemplary embodiment of the invention, including a docking station platform 110, a PSN 240, and monitor assembly 100 of Figure 1. The docking station platform 110 is connected to PSN 240 by one or more cables 142. Portable monitor 102 is mounted on docking station platform 110', providing physical support, power, and communications.
Monitor 102 acquires physiological data signals from data acquisition pods 150 and 152. Pod 150 provides data from ECG, Sp02 and Temperature sensors. Pod 152 provides data from Invasive Blood Pressure, Cardiac Output and Temperature sensors. A Non-invasive Blood Pressure cartridge 160 and an End tidal C02 cartridge 162 collect additional patient data. Cartridges 160 and 162, and a battery pack 166 are individually attached to the case of portable monitor 102 for purposes of illustration. The recorder 164 is shown connected to the monitor system via mounting on docking station 110''. Note: Figure 2 is illustrative of multiple docking station platforms 110 in a specific patient monitoring area. In a hospital or other health care facility docking station platforms 110 will be distributed throughout the facility in geographically separate areas, yet they will all be connected to one another for transfer of patient data via wallboxes 140, PSN's 240 and the system communication networks.
Figure 3 shows an exploded view of an exemplary docking station platform 110 to which portable devices may be attached. Cable ilOm carries electrical signals from the PSN 240 to the portable device, through the docking station. Cable 268 conveys the signals on conductors 126 through 139 shown in Figure 1. The connector 110a at the docking station end of cable 110m is attached to a trolley 110g and the connector 1l0h at the other end of cable 110m is attached to the portable devices.
A docking station top cover 110b not only functions as a protective cover, but also as a guide for mounting the various portable devices thereon. Cover 110b provides initial alignment using tapered outer edges and smooth rounded outer surfaces. Once aligned, contours along the outside top cover funnel the portable device into accurate final alignment, using positioning keys 110f. Keys 110f comprise one of more shaped indentation in the surface of top cover 110b. Once positioned, locking rail snaps 110d, flexibly protruding from the left and right sides on top cover 110b, fix the device to the docking station. Docking station electrical connector 110a is then engaged with the corresponding electrical connector in the portable device by moving a lever arm 110c, which cams the docking station trolley 110g forward to mate with the corresponding connector in the portable device. The portable device is disengaged by moving lever arm 110c back to the initial position and release is accomplished by moving lever arm 110c an additional amount, using the reverse motion of the cam to retract the flexible locking snaps 110d from protruding from the sides of top cover 110b, thereby unlocking the portable device from the portable docking station.
Positioning keys 110f facilitate accurate alignment of the portable device and the docking station platform 110. In addition, these keys prevent inadvertent placement of a portable monitor on an peripheral docking station platform 110', or a peripheral device (i.e.
recorder) onto a monitor docking station platform 110''.
Many variations of the docking station mechanical configuration are possible. There may be different technologies used to transmit data between portable monitor 102 and docking station 111. Examples of these technologies include infra red and radio frequency transmission techniques. It is understood by one skilled in the art that several such technologies are possible to be used with or as a replacement for cable 110m.
A mounting adaptor 110e may be used to attach the docking station platform 110 in a variety of locations, including but not limited to: an intravenous (IV) pole (not shown), a shelf, a mounting arm or a bed frame.
When mounting the docking station platform 110 to a bed or IV pole, both of which are movable, it is desirable to provide a fixed position wallbox 140 for coupling the docking station with power, devices and networks outside of the room in which the docking station is located. A
PSN 240 mounted on a wall is suitable for this purpose.
Referring again to Figure 3, cable 110m provides power to the portable device as well as data communications links from portable device to external devices and networks, when portable devices are on docking station platform 110. Cable 11om may be a conventional connector which interfaces directly to a local area network (LAN). The network may use one of a variety of known LAN protocols, such as carrier sense multiple access with collision detection (CSMA/CD).
Additionally, the data may be output to a conventional 2i;3U57 patient monitoring system bedside display 120 and/or to a customized intelligent workstation 122. Docking station 111 electrically isolates electrical paths connected to the portable monitor 102.
Docking station 111 provides 12 volt DC power to the portable monitor 102 via cable 110m, for operating the device when it is mounted on the docking station platform 110. Portable monitor 102 includes a battery charger and a nickel-cadmium battery 166 (shown in Figure 1). The battery charger includes connectors and a switch to provide charge to the battery. The docking station 111 transmits a signal to the battery charger to activate the switch, so that the battery charger recharges battery 166 while the portable monitor 102 is mounted on the docking station.
The portable monitor 102 includes alarm processing for the physiological parameters monitored. The portable monitor 102 provides an alarm signal to the docking station 111 if any of these alarm conditions is present.
The docking station 111 includes a separate line within cable 110m for receiving alarm signals, if these signals are generated by the portable monitor while it is mounted on the docking station. An alarm output signal is received by docking station platform 110 and transmitted via line 126 to the wallbox 140 for closing relays to activate local alarm devices, such as a light or siren.
Docking station 111 may also receive from portable monitor 102 a synchronization signal which may be used to trigger a defibrillator. This signal may then output from the PSN 240.
Figure 4 shows a power supply network box 240. PSN
240 couples the docking station platform 110 to communications links which may include a plurality of ~.- ~113057 local area networks (LANs) or serial or parallel-bit data links. The PSN 240 includes buffer amplifiers to condition the docking station output signals for transmission over these LANs. In the secondary exemplary embodiment, the PSN 240 includes a network interface card (not shown) which provides two way communication between the portable device and other equipment connected to the LAN 174. This LAN 174 connects portable devices and bedside display 120 with remote stations for transferring patient data. The remote stations may be patient monitoring systems or computers. This LAN 174 is configured to produce message delays of less than 2 seconds. It is understood by one skilled in the art that a several LAN protocols may be used for LAN 174.
In the exemplary embodiment, PSN 240 provides a direct video connection to a bedside display 120 using a protocol such as the Electronics Industries Association's RS-232-C Interface Standard. When the portable monitor 102 is on the docking station platform 110, monitor 102 drives bedside display 120, using the RS-232-C link.
Alternatively, PSN 240 may include a second conventional interface card (not shown) for interfacing a second LAN
172 (referred to as the Device LAN), which may, for example, be a 10 Mbit/sec. CSMA/CD I,AN, to the PSN 240.
The Device LAN is used within a patient's room or operating room, or to distribute patient data via a central station. The Device LAN provides the main communications path to transfer patient data from the portable monitor 102 to a bedside display 120 within the same room in near real-time. This LAN is configured to maintain short delays and to allow a nominal 200 msec.
response time between devices.
PSN 240 includes a third interface card (not shown) and a separate connection 138 which provides a coupling to an additional LAN for connecting input and output "ftw- 2(75057 devices. This additional LAN may use a protocol such as High Level Datalink Control (HDLC) with device polling, for predictable response time. This additional LAN is referred to as the Micro LAN 170. The Micro LAN is used to connect input and output devices to the portable monitor 102 by way of the docking station 111. These devices (shown in Figure 1) may include keyboards 182, pointing devices 184, voice recognition 186 device, a bar code reader 188, a label printer 190, and a remote control 192. The remote control 192 may be either wired or infrared (IR). The wired remote control may'be more desirable in an operating room (OR) environment, because the OR lights may distort IR control signals.
Although in the exemplary embodiments three distinct LANs are used for connecting the docking station to remote stations, to local stations (i.e., those within the same room) and to I/O devices, it is understood by those skilled in the field of data communications that a variety of network configurations may be used to achieve a desired level of performance and reliability for these different types of traffic. In addition, the network configuration may be tailored to protect patients by isolating a device or class of devices on a separate LAN
to prevent accidental or unauthorized use. Smaller installations may implement a single local area network within a site to accommodate all of the patient monitoring traffic.
PSN 240 (and wall box 140) includes a de-multiplexer and a D/A converter (not specifically shown) which receives digital data from portable monitor 102 and generates a plurality of analog waveform signals from the digital data. The analog signals are sent to port 129.
Four analog output ports provide waveform data for transmission to external devices (e.g., displays, recorders). Thus, existing analog equipment may be connected to the portable monitor (which provides patient data in digital form in the exemplary embodiment) in order to display data collected by the monitor. By de-multiplexing inside the PSN 240 (as opposed to within the portable monitor 102 or the docking station platform 110), the electrical couplings between monitor 102 and docking station platform 110, and between docking station platform 110 and PSN 240 are simplified.
PSN box 240 detachably mounts to the wall, bed or some other support on a bracket 260. As shown in Figure 4, bracket 260 may be permanently attached to a wall or other permanent surface, using conventional fasteners driven through mounting holes 261.
In the exemplary embodiment, a plate (not specifically shown) on the back of PSN box 240 slides down into a channel 266 formed between grooves 262 and 264 of a bracket 260. Bracket 260 may be permanently attached to a wall or other permanent surface, using conventional fasteners driven through mounting holes 261.
PSN box 240 includes a plurality of connectors 244, 245, 246, 247, 248, 249 and 250 for receiving respective cables (not shown). The cables couple the PSN box 240 to networks and to power, as described above with reference to PSN 240 as shown in Figure 3. Connector 250 receives AC power from the room. Connectors 244 and 245 provide general purpose serial ports. Connector 246 provides serial and video connection to the bedside display 120.
Connector 247 provides connection to the LAN 174.
Connectors 248 and 249 provide connectors to peripheral docking stations ill. PSN box 240 also includes an enclosed chimney heat sink 242.
As shown in the forenoted US Patent 5, 375,604, PSN
240 can also be attached to monitor 102 in a "semi-permanent" manner. When PSN 240 is attached directly to monitor 102, the docking station platform 110 is not used.
The PSN Box 240 shown in Figure 4 is just one example of the mechanical and electrical configurations that are possible for PSN 240. Other configurations may include a version that mounts directly to portable monitor 102 or a version with fewer or more circuit boards and connectors. In the configuration shown in Figure 4, PSN box 240 takes over part of the functionality provided by the docking station 111 (i.e., the functionality of wallbox 140).
Although the exemplary PSN 240 shown in Figure 4 does not have as many ports as wallbox 140 shown in Figure 1, it is understood by one skilled in the art that a PSN box may be configured with the same number and types of ports as wallbox 140. Internally, PSN may include the same'configuration of network interface cards and electronics as wallbox 140. It is understood by one skilled in the art that PSN 240 may be constructed with additional interfaces as desired, or the suite of interfaces may be reduced in scope for use in smaller installations, such as the exemplary PSN 240.
The primary difference between wallbox 140 and PSN
box 240 is the mechanical packaging. In the configuration shown in Figure 4, PSN box 240 is a functionally limited version of wallbox 140.
Figures 5a-5e illustrate various scenarios of movement of portable monitor 102. Although Figure 2 illustrates only a single docking station 111 (comprising multiple platforms 110 connected to a common PSN 240), it must be remembered that in a health care facility, there are multiple docking stations 111 which are physically separate from one another and spread throughout the monitoring area. For example, they are typically located in geographically separate patient monitoring areas, such as different patient rooms and different patient beds in the emergency, operating and intensive care rooms.
Before a portable monitor 102 is connected, via a platform 110 to a PSN 240, it has set-ups consisting of the default set-ups programmed into its memories by the manufacturer, or set-ups that are currently being used.
Upon connection to a new PSN 240 upon arriving at a new patient monitoring area, set-up information comprising software application information and monitor configurations programmed into PSN memories 501 and 502, i.e., Random Access Memories (RAM), are loaded into RAM
memories 503 and 504 in monitor 102 via cable 268.
Monitor configurations comprise, i.e., waveform display priorities, waveform speed size, display brightness, monitor audio volume, etc, and monitor software application information comprising security keys needed to enable the running in monitor 102 of specific patient data processing software, or the software applications themselves.
Figure 5b illustrates monitor 102 during transport, i.e., it is separated from docking station 111. In this case, RAM's 503 and 504 in monitor 102 maintain its set-ups as determined in the ER.
Figure 5c illustrates monitor 102 after connection to the PSN 240 which is located in the Operating Room (OR). OR PSN 240 includes as one of its memories an EEPROM loaded with the OR software applications and monitor configurations. The set-ups are then transferred to monitor 102 upon its connection to its OR docking station 110, either automatically upon electrical connection to platform 110 or upon user activation of a set-up switch/pushbutton (not shown).
Figure 5d illustrates transport of monitor 102 to the Intensive Care Unit (ICU). Note, during transport, memories 503 and 504 in monitor 102 maintain the set-up information (monitor configuration and software applications) that were programmed into it at the OR.
Figure 5e illustrates the reconfiguration of monitor 102 set-ups upon its connection to docking station platform 110 at the ICU. Note that at the ICU, site specific set-ups (also stored in EEPROM's in the PSN 240 located at the ICU) are then transferred to memories 503 and 504 in monitor 102.
Figure 6 illustrates a functional block diagram of portions of monitor 102 and docking station 111 relevant to understanding of the present invention. Docking station 111 includes a non-volatile memory (NVRAM) which contains the site specific set-ups. Note, the software applications information may be keys (passwords) which control the type or number of software applications permitted (via a prepaid license) to be run on portable monitors 102. NVRAM 601 is preferably embodied as a removable EEPROM in PSN 240. Also shown are a power supply 602 and a device interface 603.
Monitor 102 is illustrated as the device connected to docking station platform 110. Monitor 102 also includes a non-volatile memory (NVRAM) which contains default set-up information provided by the manufacturer and a battery backed-up memory (BRAM) 612 which contains the current set-up information (monitor configurations and software licenses used by the monitor via its CPU
614). Also shown as part of monitor 102 is a battery 616, a power supply 618, a user interface 620 and a docking station interface 622 for interfacing with device interface 603 in docking station 111.
1%W ,23 73057 Figure 7a-7d illustrate flow charts useful for understanding the operation of the portable monitor reconfiguration system. As shown in Figure 7a the system works as a continuous loop of event identification and processing. The steady state condition 702 is where a monitor 102 is connected to a docking station 111 or when it is disconnected and running on battery power.
Basically, there are three different loops 704, 706, and 708, individually initiated upon detection of one of the following events: 1. just connected; 2. just disconnected; and 3. user request to change configuration. Based upon which event is detected, the flow charts of figures 7b,7c or 7d are implemented.
Figure 7b illustrates the process connection 704 flow chart. Step 710 asks if the docking station is initialized. If it is not initialized step, 712 initializes the docking station by copying the default set-ups from the monitor NVRAM to the docking station NVRAM. IF step 710 determines that the docking station is initialized, (and also at the conclusion of step 712), step 714 up-loads the set-ups from the docking station to the portable device. This is accomplished by copying the portable device configurations from the docking station NVRAM to the portable monitor BRAM and by copying the software license keys from the docking station NVRAM to the portable monitor BRAM. Next, as illustrated by step 716, the portable monitor is reconfigured by the data transferred to its RAM's. This entails re-initialization of its software controlled configurations with new configurations and enabling of software applications as specified by the software license keys now stored in its BRAM.
Figure 7c illustrates the process disconnection flow chart 706. Step 718 disables access to the docking station. Thereafter, steps 720 and 722 indicate that the portable monitor is directed to then continue to operate using the configuration and software applications whose licenses are stored in its BRAM.
Figure 7d indicates the process save request flow chart 708. Step 724 indicates that upon receiving a process save request, the configurations stored in the portable monitor BRAM are transferred to the docking station NVRAM.
it is understood by one skilled in the art that many variations of the embodiments described herein are contemplated. While the invention has been described in terms of exemplary embodiments, it is contemplated that it may be practiced as outlined above with modifications within the spirit and scope of the appended claims.
FIELD OF THE INVENTION
The present invention relates to medical systems, and in particular to portable patient monitoring systems for continuously collecting, storing, and displaying medical data.
BACKGROUND OF THE INVENTION
In hospitals and other health care environments, it is often necessary to continuously collect and analyze a variety of medical data from a patient. These data may include electrocardiogram, temperature, blood pressure, respiration, pulse and other parameters.
Patient monitoring systems have typically fallen into one of two general categories: multi-function monitoring, recording and displaying systems which process and collect all of the data desired, but are bulky and difficult to transport; and small, portable systems which are easy to transport, but process and collect fewer types of data and have limited storage capability. Initially (e.g., in an ambulance or an emergency room) a patient is connected to a simple, portable monitor to observe a limited number of medical attributes, such as EKG or non-invasive blood pressure.
As the patient moves to higher care facilities (e.g., an intensive care unit or operating room) it is desirable to augment these simple monitors to observe additional parameters. Generally, this is accomplished by disconnecting the patient from the simple monitor and connecting the patient to a monitoring system having more robust capabilities.
~, .
The need for continuity of data collection and display is most pressing in emergency situations. During an emergency, the speed at which a patient is transferred from a bed to an operating room or intensive care unit may substantially impact the patient's chance of survival. It is important to provide the same level of monitoring in transport as at the stationary bedside. It is desirable from a clinical point of view to provide a continuous monitoring capability and data history availability which follows the patient.
Two major considerations in the design of transport monitoring systems are the ease and speed of system reconfiguration. It is undesirable to disconnect from the patient a set of sensors coupled to a fixed location monitoring system, and then attach a new set of sensors coupled to a portable monitor immediately prior to transportation or administration of critical procedures. It is equally undesirable to switch monitoring systems, from a fixed location monitoring system to a portable monitoring system for transport, due to disconnection/reconnect of the individual sensors.
US Patent 5,375,604, titled TRANSPORTABLE MODULAR
PATIENT MONITOR, assigned to the same Assignee as the present invention, describes a transportable patient monitoring system of the type including a docking station which both physically and electrically supports a transportable patient monitor.
Although the system described in the '604 patent is a vast improvement over the prior art, further improvement is desirable. In this regard, it is noted that patient care areas are geographically distributed throughout hospitals or other health care facilities.
Traditionally each of these areas is equipped with a patient monitor having fixed set-ups, e.g., a fixed ~i73U57 configuration (or set of configurations) in accordance with the users preference, and a fixed set of software applications. Examples of configuration items include physiological alarm limits, display screen layouts (such as waveform display priority, waveform size, display speed and brightness, etc) and speaker volume. Examples of software applications include: recall & edit of arrhythmia waveforms, remote view of other patient monitors and graphical calculators of hemodynamic parameters. Recently, portable monitoring systems are becoming more popular. However, these systems also have fixed configurations and use a fixed set of software applications.
While each area may be able and willing to use the same type of patient monitor, each typically has different set-up needs; the way that its monitors are configured and the types of software applications that they run. For example, an Operating Room (OR) may need a monitor with very bright display settings and a software application which analyzes cardiac arrhythmias. An Intensive Care Unit (ICU) may not need Arrhythmia analysis, but may need a software application to calculate drug dosages. In addition, the ICU may wish that its monitors be configured with low display intensity and have a different waveform priority.
It is desirable to have a patient monitoring system in which portable patient monitors can have variable set-ups, with variable monitor configuration and a variable set of software applications that can be run whenever the monitor is moved from one patient care area to another.
It would be desirable for such variable set-ups to easily occur when the monitor is moved from one patient monitoring area to another. Automatic reconfiguration of the monitor set-ups as defined at the new area would also be desirable.
It is an object of the present invention to provide such a reconfigurable portable patient monitoring system.
It is an additional object of the present invention to provide such a reconfigurable portable patient monitoring system wherein the steps required to reconfigure the system can be easily, quickly, and reliably performed, in order to reduce what can often be very precious time needed to prepare the patient and monitoring system for transport to an operating room or intensive care unit.
SIIMMARY OF THE INVENTION
A monitor system for substantially continuously acquiring medical data from a plurality of sensors adapted for attachment to a patient. The system is distributed over at least two geographically separate patient monitoring areas via a communication network.
The system comprises a portable monitor adapted for coupling to the plurality of sensors, for substantially continuously receiving, processing and displaying patient data signals acquired from the plurality of sensors when said sensors are attached to said patient. The system also includes at least two monitor docking stations, with at least one docking station being located in each of the at least two patient monitoring areas and connected to one another for transmission of patient data therebetween via the communication network. Each docking station comprises; means for detachably coupling the portable monitor to the docking station; first transfer means for transferring patient data between the portable monitor and the docking station when the portable monitor is coupled to the docking station; and second transfer means for transferring monitor set-up information between the portable monitor and the docking station when the portable monitor is coupled to the docking station, said monitor set-up information controlling the operation of the portable 5 monitor when it is coupled to the docking station.
An aspect of the invention provides a patient monitor system, comprising: a portable monitor including a signal processor and display adapted for coupling to a plurality of sensors attached to a patient, for continuous operation receiving, processing and displaying patient data signals received from the plurality of sensors, at least one of the processing and displaying operations of the patient data signals by the portable monitor being controllable so as to provide a selected one of a plurality of different patient data signal analyses or a selected one of a plurality of different patient data signal display operations, respectively; a communication network distributed over at least two geographically separate patient monitoring areas; and at least two docking stations, with at least one docking station being located in each of said at least two patient monitoring areas and connected to one another for transmission of patient data therebetween via said communication network; wherein each docking station comprises: means for detachably coupling the portable monitor to the docking station; first transfer means for transferring patient data between the portable monitor and the docking station when the portable monitor is coupled to the docking station; and second transfer means for transferring monitor set-up information to the portable monitor from the docking station when the portable monitor is coupled to the docking station, said monitor set-up information controlling at least one of the patient data signal processing operation or the patient data signal 5a displaying operation of the portable monitor so as to cause said portable monitor to provide a selected one of a plurality of different patient data signal analyses or a selected one of a plurality of different patient data signal display operations, respectively.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 illustrates in block diagram form a patient monitoring system constructed in accordance with the present invention;
Figure 2 illustrates an isometric view of the docking station platforms, patient monitor, recorder and other peripheral devices shown in Figure 1;
Figure 3 illustrates an exploded view of one of the docking station platforms shown in Figure 2;
Figure 4 illustrates an isometric front view of apparatus suitable for use as the wallbox shown in Figure 2;
Figures 5a-5e illustrate various scenarios of movement of the portable monitor of the system shown in Figure 2;
Figure 6 illustrates in functional block diagram form portions of the monitor and docking station shown in Figure 2; and Figures 7a-7d illustrate flow charts useful for understanding the operation of the monitor and docking station shown in Figure 2.
DETAILED DESCRIPTION OF THE EXEMPLARY EMBODIMENTS
An exemplary patient monitoring docking station system 100 including a docking station 111 for reconfiguring a portable monitor in accordance with the present invention is shown in Figure 1. A portable monitor 102 acquires physiological data signals from a plurality of sensors (not shown), which may include both invasive and non-irlvasive devices for collecting physiological data from a patient. The portable monitor 102 displays the physiological data, and transmits patient data signals to docking station 111 (It will be understood by one skilled in the art that the term "patient data", as used herein, may refer to the processed information derived from the signals produced by sensors attached to the patient. Thus "patient data"
in this sense may include, for example, red, green and blue raster-scan video signals to drive a slave display, or signals to provide status and control information to control peripheral devices). The docking station ill provides power and communications services to the portable monitor 102 while monitor 102 is mounted on the docking station. The mounting mechanism provides for rapid connection/disconnection of monitor 102 from docking station 111 (both mechanically and electrically) for transport. Preferably, the connection/disconnection is accomplished in a single step, so that the user can easily "pick-up and go" with monitor 102 to transport it to another location in the monitoring system, without handling any individual cables or connectors.
Docking station 111 includes three modular components. The first two components are monitor and peripheral docking station platforms 110' and 11011, respectively. A docking station platform which supports a portable monitor 102 is referred to as a monitor docking station 110' and a docking station platform which supports a peripheral device is referred to as a peripheral docking station 110''. Portable monitor 102 may be placed on docking station platform 110', which may be positioned in the patient area, for example, near the patient's bed or attached to the bedframe. Peripheral docking station 110" provides mechanical support and electrical connections for peripheral equipment such as a strip chart recorder 164 or other such devices.
Peripheral docking station 110" provides a means for these peripheral devices to communicate with local area networks and portable monitors 102. The peripheral docking station 110" is nearly identical in mechanical form and function to the monitor docking station 110';
however, it has a different electrical connector and is keyed in such a way as to prevent portable monitors from being connected to a peripheral docking station and vice versa. As used herein, the term portable devices is comprises portable monitors 102, recorders 164 or other devices which can be mounted on a docking station platform 110.
Docking station platforms 110 provide both mechanical support for portable monitor 102 and recorder 164, as well as connections to bedside display 120, a source of operating power 134, and a large format video display 124. Docking Station 111 can also communicate with local area networks (LANs) via couplings 170, 172 and 174, and, via the networks, may provide communications with a computer or an intelligent workstation 122. Docking station 111 provides a simple mechanism to connect portable monitoring devices with several devices and networks without the need to connect individual cables for each device or network. Data and power connectors on the docking station platform 110 and on the cases of the portable devices (102, 164) allow simultaneous physical and electrical couplings to be established.
The third component of the docking station is a power supply and network box 140 referred to herein as wallbox 140, and in an alternative embodiment shown in Figures 2 and 4, as a power supply and network box (PSN) 240. In the Figure 1 embodiment, wallbox 140 is physically included in docking station 111. In the Figure 2 (and 4) embodiment, wallbox 140 is physically separate from docking station platforms 110, and is coupled to docking station platforms 110 via connectors 110a and 110h of cable 110m, as shown in Figure 2. In either embodiment, the functions provided by wallbox 140 and PSN 240 are very similar, and throughout the description this should be kept in mind. Wallbox 140 provides power for operating monitor 102 and for charging a battery pack within (or attached to) monitor 102.
Wallbox 140 also provides communications links to networks and devices, both inside and outside of the room in which docking station 111 is located.
Eight multi-vendor ports (MVP) 130 are provided to connect serial devices to the portable monitor and remote stations on the network using a known communications interface, e.g., the RS-232 interface standard.
Portable monitor 102 is a self-contained, standalone monitoring system. Monitor 102 includes all of the processing electronics necessary to process, display and store patient data during transport. In the exemplary embodiment described herein, portable monitor 102 does not include a broad suite of network interfaces;
during transport, the exemplary monitor 102 does not have any connections to a central monitoring system or to communications networks. Portable monitor 102 has a rechargeable battery pack for use during transport.
Portable monitor is also capable of receiving power from an external power supply. Power may be received from wallbox 140 by way of docking station platform 110, and, ,,. 2 173057 92 P.7501 E 02 9 in the portable version of wallbox 140, i.e., PSN 240, it can be received using an electrical cable or by direct mounting of PSN 240 on the case of monitor 102.
The bedside display 120 may be a slave unit receiving signals for display from docking station 111.
Alternately, bedside display 120 may be an intelligent display unit, complete with a user interface.
Alternately, the bedside display may be an intelligent workstation 122 with a VGA display and conventional disk storage.
Figure 2 shows an isometric view of an exemplary embodiment of the invention, including a docking station platform 110, a PSN 240, and monitor assembly 100 of Figure 1. The docking station platform 110 is connected to PSN 240 by one or more cables 142. Portable monitor 102 is mounted on docking station platform 110', providing physical support, power, and communications.
Monitor 102 acquires physiological data signals from data acquisition pods 150 and 152. Pod 150 provides data from ECG, Sp02 and Temperature sensors. Pod 152 provides data from Invasive Blood Pressure, Cardiac Output and Temperature sensors. A Non-invasive Blood Pressure cartridge 160 and an End tidal C02 cartridge 162 collect additional patient data. Cartridges 160 and 162, and a battery pack 166 are individually attached to the case of portable monitor 102 for purposes of illustration. The recorder 164 is shown connected to the monitor system via mounting on docking station 110''. Note: Figure 2 is illustrative of multiple docking station platforms 110 in a specific patient monitoring area. In a hospital or other health care facility docking station platforms 110 will be distributed throughout the facility in geographically separate areas, yet they will all be connected to one another for transfer of patient data via wallboxes 140, PSN's 240 and the system communication networks.
Figure 3 shows an exploded view of an exemplary docking station platform 110 to which portable devices may be attached. Cable ilOm carries electrical signals from the PSN 240 to the portable device, through the docking station. Cable 268 conveys the signals on conductors 126 through 139 shown in Figure 1. The connector 110a at the docking station end of cable 110m is attached to a trolley 110g and the connector 1l0h at the other end of cable 110m is attached to the portable devices.
A docking station top cover 110b not only functions as a protective cover, but also as a guide for mounting the various portable devices thereon. Cover 110b provides initial alignment using tapered outer edges and smooth rounded outer surfaces. Once aligned, contours along the outside top cover funnel the portable device into accurate final alignment, using positioning keys 110f. Keys 110f comprise one of more shaped indentation in the surface of top cover 110b. Once positioned, locking rail snaps 110d, flexibly protruding from the left and right sides on top cover 110b, fix the device to the docking station. Docking station electrical connector 110a is then engaged with the corresponding electrical connector in the portable device by moving a lever arm 110c, which cams the docking station trolley 110g forward to mate with the corresponding connector in the portable device. The portable device is disengaged by moving lever arm 110c back to the initial position and release is accomplished by moving lever arm 110c an additional amount, using the reverse motion of the cam to retract the flexible locking snaps 110d from protruding from the sides of top cover 110b, thereby unlocking the portable device from the portable docking station.
Positioning keys 110f facilitate accurate alignment of the portable device and the docking station platform 110. In addition, these keys prevent inadvertent placement of a portable monitor on an peripheral docking station platform 110', or a peripheral device (i.e.
recorder) onto a monitor docking station platform 110''.
Many variations of the docking station mechanical configuration are possible. There may be different technologies used to transmit data between portable monitor 102 and docking station 111. Examples of these technologies include infra red and radio frequency transmission techniques. It is understood by one skilled in the art that several such technologies are possible to be used with or as a replacement for cable 110m.
A mounting adaptor 110e may be used to attach the docking station platform 110 in a variety of locations, including but not limited to: an intravenous (IV) pole (not shown), a shelf, a mounting arm or a bed frame.
When mounting the docking station platform 110 to a bed or IV pole, both of which are movable, it is desirable to provide a fixed position wallbox 140 for coupling the docking station with power, devices and networks outside of the room in which the docking station is located. A
PSN 240 mounted on a wall is suitable for this purpose.
Referring again to Figure 3, cable 110m provides power to the portable device as well as data communications links from portable device to external devices and networks, when portable devices are on docking station platform 110. Cable 11om may be a conventional connector which interfaces directly to a local area network (LAN). The network may use one of a variety of known LAN protocols, such as carrier sense multiple access with collision detection (CSMA/CD).
Additionally, the data may be output to a conventional 2i;3U57 patient monitoring system bedside display 120 and/or to a customized intelligent workstation 122. Docking station 111 electrically isolates electrical paths connected to the portable monitor 102.
Docking station 111 provides 12 volt DC power to the portable monitor 102 via cable 110m, for operating the device when it is mounted on the docking station platform 110. Portable monitor 102 includes a battery charger and a nickel-cadmium battery 166 (shown in Figure 1). The battery charger includes connectors and a switch to provide charge to the battery. The docking station 111 transmits a signal to the battery charger to activate the switch, so that the battery charger recharges battery 166 while the portable monitor 102 is mounted on the docking station.
The portable monitor 102 includes alarm processing for the physiological parameters monitored. The portable monitor 102 provides an alarm signal to the docking station 111 if any of these alarm conditions is present.
The docking station 111 includes a separate line within cable 110m for receiving alarm signals, if these signals are generated by the portable monitor while it is mounted on the docking station. An alarm output signal is received by docking station platform 110 and transmitted via line 126 to the wallbox 140 for closing relays to activate local alarm devices, such as a light or siren.
Docking station 111 may also receive from portable monitor 102 a synchronization signal which may be used to trigger a defibrillator. This signal may then output from the PSN 240.
Figure 4 shows a power supply network box 240. PSN
240 couples the docking station platform 110 to communications links which may include a plurality of ~.- ~113057 local area networks (LANs) or serial or parallel-bit data links. The PSN 240 includes buffer amplifiers to condition the docking station output signals for transmission over these LANs. In the secondary exemplary embodiment, the PSN 240 includes a network interface card (not shown) which provides two way communication between the portable device and other equipment connected to the LAN 174. This LAN 174 connects portable devices and bedside display 120 with remote stations for transferring patient data. The remote stations may be patient monitoring systems or computers. This LAN 174 is configured to produce message delays of less than 2 seconds. It is understood by one skilled in the art that a several LAN protocols may be used for LAN 174.
In the exemplary embodiment, PSN 240 provides a direct video connection to a bedside display 120 using a protocol such as the Electronics Industries Association's RS-232-C Interface Standard. When the portable monitor 102 is on the docking station platform 110, monitor 102 drives bedside display 120, using the RS-232-C link.
Alternatively, PSN 240 may include a second conventional interface card (not shown) for interfacing a second LAN
172 (referred to as the Device LAN), which may, for example, be a 10 Mbit/sec. CSMA/CD I,AN, to the PSN 240.
The Device LAN is used within a patient's room or operating room, or to distribute patient data via a central station. The Device LAN provides the main communications path to transfer patient data from the portable monitor 102 to a bedside display 120 within the same room in near real-time. This LAN is configured to maintain short delays and to allow a nominal 200 msec.
response time between devices.
PSN 240 includes a third interface card (not shown) and a separate connection 138 which provides a coupling to an additional LAN for connecting input and output "ftw- 2(75057 devices. This additional LAN may use a protocol such as High Level Datalink Control (HDLC) with device polling, for predictable response time. This additional LAN is referred to as the Micro LAN 170. The Micro LAN is used to connect input and output devices to the portable monitor 102 by way of the docking station 111. These devices (shown in Figure 1) may include keyboards 182, pointing devices 184, voice recognition 186 device, a bar code reader 188, a label printer 190, and a remote control 192. The remote control 192 may be either wired or infrared (IR). The wired remote control may'be more desirable in an operating room (OR) environment, because the OR lights may distort IR control signals.
Although in the exemplary embodiments three distinct LANs are used for connecting the docking station to remote stations, to local stations (i.e., those within the same room) and to I/O devices, it is understood by those skilled in the field of data communications that a variety of network configurations may be used to achieve a desired level of performance and reliability for these different types of traffic. In addition, the network configuration may be tailored to protect patients by isolating a device or class of devices on a separate LAN
to prevent accidental or unauthorized use. Smaller installations may implement a single local area network within a site to accommodate all of the patient monitoring traffic.
PSN 240 (and wall box 140) includes a de-multiplexer and a D/A converter (not specifically shown) which receives digital data from portable monitor 102 and generates a plurality of analog waveform signals from the digital data. The analog signals are sent to port 129.
Four analog output ports provide waveform data for transmission to external devices (e.g., displays, recorders). Thus, existing analog equipment may be connected to the portable monitor (which provides patient data in digital form in the exemplary embodiment) in order to display data collected by the monitor. By de-multiplexing inside the PSN 240 (as opposed to within the portable monitor 102 or the docking station platform 110), the electrical couplings between monitor 102 and docking station platform 110, and between docking station platform 110 and PSN 240 are simplified.
PSN box 240 detachably mounts to the wall, bed or some other support on a bracket 260. As shown in Figure 4, bracket 260 may be permanently attached to a wall or other permanent surface, using conventional fasteners driven through mounting holes 261.
In the exemplary embodiment, a plate (not specifically shown) on the back of PSN box 240 slides down into a channel 266 formed between grooves 262 and 264 of a bracket 260. Bracket 260 may be permanently attached to a wall or other permanent surface, using conventional fasteners driven through mounting holes 261.
PSN box 240 includes a plurality of connectors 244, 245, 246, 247, 248, 249 and 250 for receiving respective cables (not shown). The cables couple the PSN box 240 to networks and to power, as described above with reference to PSN 240 as shown in Figure 3. Connector 250 receives AC power from the room. Connectors 244 and 245 provide general purpose serial ports. Connector 246 provides serial and video connection to the bedside display 120.
Connector 247 provides connection to the LAN 174.
Connectors 248 and 249 provide connectors to peripheral docking stations ill. PSN box 240 also includes an enclosed chimney heat sink 242.
As shown in the forenoted US Patent 5, 375,604, PSN
240 can also be attached to monitor 102 in a "semi-permanent" manner. When PSN 240 is attached directly to monitor 102, the docking station platform 110 is not used.
The PSN Box 240 shown in Figure 4 is just one example of the mechanical and electrical configurations that are possible for PSN 240. Other configurations may include a version that mounts directly to portable monitor 102 or a version with fewer or more circuit boards and connectors. In the configuration shown in Figure 4, PSN box 240 takes over part of the functionality provided by the docking station 111 (i.e., the functionality of wallbox 140).
Although the exemplary PSN 240 shown in Figure 4 does not have as many ports as wallbox 140 shown in Figure 1, it is understood by one skilled in the art that a PSN box may be configured with the same number and types of ports as wallbox 140. Internally, PSN may include the same'configuration of network interface cards and electronics as wallbox 140. It is understood by one skilled in the art that PSN 240 may be constructed with additional interfaces as desired, or the suite of interfaces may be reduced in scope for use in smaller installations, such as the exemplary PSN 240.
The primary difference between wallbox 140 and PSN
box 240 is the mechanical packaging. In the configuration shown in Figure 4, PSN box 240 is a functionally limited version of wallbox 140.
Figures 5a-5e illustrate various scenarios of movement of portable monitor 102. Although Figure 2 illustrates only a single docking station 111 (comprising multiple platforms 110 connected to a common PSN 240), it must be remembered that in a health care facility, there are multiple docking stations 111 which are physically separate from one another and spread throughout the monitoring area. For example, they are typically located in geographically separate patient monitoring areas, such as different patient rooms and different patient beds in the emergency, operating and intensive care rooms.
Before a portable monitor 102 is connected, via a platform 110 to a PSN 240, it has set-ups consisting of the default set-ups programmed into its memories by the manufacturer, or set-ups that are currently being used.
Upon connection to a new PSN 240 upon arriving at a new patient monitoring area, set-up information comprising software application information and monitor configurations programmed into PSN memories 501 and 502, i.e., Random Access Memories (RAM), are loaded into RAM
memories 503 and 504 in monitor 102 via cable 268.
Monitor configurations comprise, i.e., waveform display priorities, waveform speed size, display brightness, monitor audio volume, etc, and monitor software application information comprising security keys needed to enable the running in monitor 102 of specific patient data processing software, or the software applications themselves.
Figure 5b illustrates monitor 102 during transport, i.e., it is separated from docking station 111. In this case, RAM's 503 and 504 in monitor 102 maintain its set-ups as determined in the ER.
Figure 5c illustrates monitor 102 after connection to the PSN 240 which is located in the Operating Room (OR). OR PSN 240 includes as one of its memories an EEPROM loaded with the OR software applications and monitor configurations. The set-ups are then transferred to monitor 102 upon its connection to its OR docking station 110, either automatically upon electrical connection to platform 110 or upon user activation of a set-up switch/pushbutton (not shown).
Figure 5d illustrates transport of monitor 102 to the Intensive Care Unit (ICU). Note, during transport, memories 503 and 504 in monitor 102 maintain the set-up information (monitor configuration and software applications) that were programmed into it at the OR.
Figure 5e illustrates the reconfiguration of monitor 102 set-ups upon its connection to docking station platform 110 at the ICU. Note that at the ICU, site specific set-ups (also stored in EEPROM's in the PSN 240 located at the ICU) are then transferred to memories 503 and 504 in monitor 102.
Figure 6 illustrates a functional block diagram of portions of monitor 102 and docking station 111 relevant to understanding of the present invention. Docking station 111 includes a non-volatile memory (NVRAM) which contains the site specific set-ups. Note, the software applications information may be keys (passwords) which control the type or number of software applications permitted (via a prepaid license) to be run on portable monitors 102. NVRAM 601 is preferably embodied as a removable EEPROM in PSN 240. Also shown are a power supply 602 and a device interface 603.
Monitor 102 is illustrated as the device connected to docking station platform 110. Monitor 102 also includes a non-volatile memory (NVRAM) which contains default set-up information provided by the manufacturer and a battery backed-up memory (BRAM) 612 which contains the current set-up information (monitor configurations and software licenses used by the monitor via its CPU
614). Also shown as part of monitor 102 is a battery 616, a power supply 618, a user interface 620 and a docking station interface 622 for interfacing with device interface 603 in docking station 111.
1%W ,23 73057 Figure 7a-7d illustrate flow charts useful for understanding the operation of the portable monitor reconfiguration system. As shown in Figure 7a the system works as a continuous loop of event identification and processing. The steady state condition 702 is where a monitor 102 is connected to a docking station 111 or when it is disconnected and running on battery power.
Basically, there are three different loops 704, 706, and 708, individually initiated upon detection of one of the following events: 1. just connected; 2. just disconnected; and 3. user request to change configuration. Based upon which event is detected, the flow charts of figures 7b,7c or 7d are implemented.
Figure 7b illustrates the process connection 704 flow chart. Step 710 asks if the docking station is initialized. If it is not initialized step, 712 initializes the docking station by copying the default set-ups from the monitor NVRAM to the docking station NVRAM. IF step 710 determines that the docking station is initialized, (and also at the conclusion of step 712), step 714 up-loads the set-ups from the docking station to the portable device. This is accomplished by copying the portable device configurations from the docking station NVRAM to the portable monitor BRAM and by copying the software license keys from the docking station NVRAM to the portable monitor BRAM. Next, as illustrated by step 716, the portable monitor is reconfigured by the data transferred to its RAM's. This entails re-initialization of its software controlled configurations with new configurations and enabling of software applications as specified by the software license keys now stored in its BRAM.
Figure 7c illustrates the process disconnection flow chart 706. Step 718 disables access to the docking station. Thereafter, steps 720 and 722 indicate that the portable monitor is directed to then continue to operate using the configuration and software applications whose licenses are stored in its BRAM.
Figure 7d indicates the process save request flow chart 708. Step 724 indicates that upon receiving a process save request, the configurations stored in the portable monitor BRAM are transferred to the docking station NVRAM.
it is understood by one skilled in the art that many variations of the embodiments described herein are contemplated. While the invention has been described in terms of exemplary embodiments, it is contemplated that it may be practiced as outlined above with modifications within the spirit and scope of the appended claims.
Claims (10)
1. A patient monitor system, comprising:
a portable monitor including a signal processor and display adapted for coupling to a plurality of sensors attached to a patient, for continuous operation receiving, processing and displaying patient data signals received from the plurality of sensors, at least one of the processing and displaying operations of the patient data signals by the portable monitor being controllable so as to provide a selected one of a plurality of different patient data signal analyses or a selected one of a plurality of different patient data signal display operations, respectively;
a communication network distributed over at least two geographically separate patient monitoring areas; and at least two docking stations, with at least one docking station being located in each of said at least two patient monitoring areas and connected to one another for transmission of patient data therebetween via said communication network;
wherein each docking station comprises:
means for detachably coupling the portable monitor to the docking station;
first transfer means for transferring patient data between the portable monitor and the docking station when the portable monitor is coupled to the docking station; and second transfer means for transferring monitor set-up information to the portable monitor from the docking station when the portable monitor is coupled to the docking station, said monitor set-up information controlling at least one of the patient data signal processing operation or the patient data signal displaying operation of the portable monitor so as to cause said portable monitor to provide a selected one of a plurality of different patient data signal analyses or a selected one of a plurality of different patient data signal display operations, respectively.
a portable monitor including a signal processor and display adapted for coupling to a plurality of sensors attached to a patient, for continuous operation receiving, processing and displaying patient data signals received from the plurality of sensors, at least one of the processing and displaying operations of the patient data signals by the portable monitor being controllable so as to provide a selected one of a plurality of different patient data signal analyses or a selected one of a plurality of different patient data signal display operations, respectively;
a communication network distributed over at least two geographically separate patient monitoring areas; and at least two docking stations, with at least one docking station being located in each of said at least two patient monitoring areas and connected to one another for transmission of patient data therebetween via said communication network;
wherein each docking station comprises:
means for detachably coupling the portable monitor to the docking station;
first transfer means for transferring patient data between the portable monitor and the docking station when the portable monitor is coupled to the docking station; and second transfer means for transferring monitor set-up information to the portable monitor from the docking station when the portable monitor is coupled to the docking station, said monitor set-up information controlling at least one of the patient data signal processing operation or the patient data signal displaying operation of the portable monitor so as to cause said portable monitor to provide a selected one of a plurality of different patient data signal analyses or a selected one of a plurality of different patient data signal display operations, respectively.
2. The system of claim 1, wherein second transfer means transfers said set-up information from said docking station to said portable monitor upon initial coupling of said portable monitor to said docking station.
3. The system of claim 2, wherein second transfer means automatically transfers said set-up information provided from said docking station to said portable monitor upon initial coupling of said portable monitor to said docking station.
4. The system of claim 1, wherein each docking station includes a non-volatile memory for storing area specific set-up information which is specific to the patient monitoring area in which the docking station is physically located, said non-volatile memory being coupled to said second transfer means.
5. The system of claim 4, wherein said set-up information stored in said memory comprises monitor configuration information, including display controls, and, software application information enabling said monitor to process said patient data signals with a specific software application.
6. The system of claim 4, wherein said non-volatile memory comprises a removable electrically-erasable, programmable, read only memory (EEPROM) loaded with said area specific set-up information.
7. The system of claim 6, wherein said portable monitor also includes a battery-backed-up memory (BRAM) for storing set-up information currently used by the portable monitor.
8. The system of claim 6, wherein said set-up information stored in said memory comprises monitor configuration information, including display controls, and, software application information enabling said monitor to process said patient data signals with a specific software application.
9. The system of claim 1, wherein said portable monitor includes a non-volatile memory for storing default monitor information.
10. The system of claim 9, wherein said set-up information stored in said memory comprises monitor default configuration information, including default display controls, and, default software application information enabling said monitor to process said patient data signals with a specific software application in the event that said docking station does not transfer said set-up information to said monitor.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/414,887 US5640953A (en) | 1995-03-09 | 1995-03-31 | Portable patient monitor reconfiguration system |
| US08/414,887 | 1995-03-31 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2173057A1 CA2173057A1 (en) | 1996-10-01 |
| CA2173057C true CA2173057C (en) | 2007-07-03 |
Family
ID=23643416
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002173057A Expired - Fee Related CA2173057C (en) | 1995-03-31 | 1996-03-29 | Portable patient monitor reconfiguration system |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US5640953A (en) |
| EP (1) | EP0735498A1 (en) |
| JP (1) | JP3850483B2 (en) |
| CA (1) | CA2173057C (en) |
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| US11337872B2 (en) | 2017-06-27 | 2022-05-24 | Stryker Corporation | Patient support systems and methods for assisting caregivers with patient care |
| US11096850B2 (en) | 2017-06-27 | 2021-08-24 | Stryker Corporation | Patient support apparatus control systems |
| US11810667B2 (en) | 2017-06-27 | 2023-11-07 | Stryker Corporation | Patient support systems and methods for assisting caregivers with patient care |
| US11382812B2 (en) | 2017-06-27 | 2022-07-12 | Stryker Corporation | Patient support systems and methods for assisting caregivers with patient care |
| CN109269059A (en) * | 2018-10-31 | 2019-01-25 | 中国建筑科学研究院有限公司 | Exhaust duct detector and testing method |
| US11911325B2 (en) | 2019-02-26 | 2024-02-27 | Hill-Rom Services, Inc. | Bed interface for manual location |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4835372A (en) * | 1985-07-19 | 1989-05-30 | Clincom Incorporated | Patient care system |
| US4895161A (en) * | 1986-09-26 | 1990-01-23 | Marquette Electronics | Transportable data module and display unit for patient monitoring system |
| SE469763B (en) * | 1991-04-16 | 1993-09-06 | Boris Wallsten | COMPUTER INCLUDING AATMINSTONE TWO TO EACH OTHER ALLOWED CONNECTABLE PARTS |
| EP0553372B1 (en) * | 1992-01-29 | 1996-11-13 | Hewlett-Packard GmbH | Method and system for monitoring vital signs |
| JP3466612B2 (en) * | 1992-12-11 | 2003-11-17 | シーメンス メディカル ソリューションズ ユーエスエー インコーポレイテッド | Docking station for patient monitoring system |
| US5375604A (en) * | 1992-12-11 | 1994-12-27 | Siemens Medical Electronics, Inc. | Transportable modular patient monitor |
-
1995
- 1995-03-31 US US08/414,887 patent/US5640953A/en not_active Expired - Lifetime
-
1996
- 1996-02-07 EP EP96101821A patent/EP0735498A1/en not_active Withdrawn
- 1996-03-29 CA CA002173057A patent/CA2173057C/en not_active Expired - Fee Related
- 1996-04-01 JP JP07923696A patent/JP3850483B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| US5640953A (en) | 1997-06-24 |
| CA2173057A1 (en) | 1996-10-01 |
| JPH08280635A (en) | 1996-10-29 |
| JP3850483B2 (en) | 2006-11-29 |
| EP0735498A1 (en) | 1996-10-02 |
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| Date | Code | Title | Description |
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| EEER | Examination request | ||
| MKLA | Lapsed |
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