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APPARATUS AND METHOD FOR MONITORING CONTACT PRESSURE BETWEEN BODY PARTS AND CONTACT SURFACES

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FIELD OF INVENTION

The present invention generally relates to the monitoring of contact force between the exterior surface of a body part and another surface. Specifically, the present invention concerns the generation of a profile for the 10 pressure applied to the outer surface of a body part, such as a weight bearing surface, in order to detect a non-uniform distribution of pressure which can result in excessive irritation or pain to the body part.

BACKGROUND OF THE INVENTION

It is well known that the goals of medicine include both the prevention and the treatment of illness and injury. Since some form of pain to the body often accompanies illnesses and injuries, treatment may include 20 protocols that help suppress or eliminate such pain. Thus, the focus of treatment is mostly directed to this primary pain associated with the trauma of the illness or injury, itself.

However, it is not unusual during the course of treat- 25 ment for the patient to be subjected to conditions that are not ordinary in day-to-day life. For example, severe injury or prolonged illness can often result in the confinement of the patient to a bed or to a wheel chair. Some injuries, such as broken bones, and even some 30 illnesses, are treated by the application of a support cast to a portion of the body to immobilize and support the body portions during convalescence. In the case of loss of limbs or amputation, treatment may include the provision of an appliance, such as a prosthesis, which may 35 be attached to the body. In each of these cases, a contact surface of the object bears against an exterior surface portion of a body part either due to the weight of the body against the support surface or due to the weight of the item against the body part. The force of gravity 40 therefore creates a pressure which is distributed over the area or contact with this pressure having a magnitude dependent upon such parameters as the area and contour of the contacting surfaces, the weight of the object or the person, the orientation of the contact sur- 45 faces to the direction of gravitational force, friction between the surfaces, etc.

Typically, these contact forces are not uniformly distributed over the contacting surface areas so that some localized areas experience a greater pressure than 50 other areas. Areas of greater pressure over small surface areas tend to traumatize the body part, and this trauma can produce aggravating pain to the individual. Indeed, this trauma can be to such an extent as to ulcerate the skin to produce sores which are not only painful but 55 also which may become infected. Further, swelling of the body part approximate to the area of trauma can even increase pressure which only serves to exacerbate the pain and the risk of sores;

For example, when a person is confined to an article 60 of furniture, such as a bed or wheel chair, bed sores may develop on the legs and torso due to the weight of the person against the support surface of the article of furniture. Different pressures may result in a cast due to swelling or shrinkage of a body part confined therein so 65 that portions of the exterior surface of the body part may be subjected to greater pressures and abrasion than other portions; this can again result in pain or ulcer

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ation. A prosthesis is usually mounted by receiving the stump of a limb in a socket of the prosthesis so that pressure exists between a surface of the stump and the socket of the prosthesis. Changes in the body weight and musculature of the person resulting from use of the prosthesis may effect the fit of the prosthesis on the stump which again cause hot spots leading to pain and ulceration of the exterior surface of the stump.

Heretofore, it has not been known to monitor the force profile of pressure over the exterior surface of the body part which contacts a surface of another object, and apparatus to monitor this pressure distribution to provide a force profile is not known to the inventors. There has been a long felt need, though, for an apparatus method which can measure the pressure distribution to produce a force profile of the contacting surfaces either so, that a better fit of a cast or a prosthesis may be had or so that potential hot spots can be identified at an early stage thereby allowing medical personnel to alter the contour or the orientation of the contact surfaces in an effort to help reduce or eliminate the excessive pressure in the localized area. The present invention is directed to the provision of such apparatus and method.

SUMMARY OF THE INVENTION

It is an object of the present invention to provide a new and useful apparatus and method for the monitoring of pressure between a contact surface and the exterior surface of a body part which forcibly bears against the contact surface and to generate a force profile corresponding to the distribution of pressure between the two contacting surfaces.

Another object of the present invention is to provide apparatus which can be used to monitor the force distribution between a contact surface and an exterior surface of a body part so as to detect localized areas on the exterior surface of a body part which are being subjected to excessive forces.

A further object of the present invention is to provide apparatus and methodology which may be triggered to produce one or more "snap shots" of the force profile of force distribution between a contact surface and the exterior surface of a body part at a selected moment or upon the occurrence of a triggering event.

Still a further object of the present invention is to provide a method for achieving a better fit between a prosthesis, and particularly an artificial limb such as an artificial leg, onto the stump of an amputee.

To accomplish these objects, an apparatus and method is provided to monitor pressure at a plurality of locations along the exterior surface of a body part to produce a force profile corresponding to the distribution of force caused by pressure of the body part against the contact surface. In its broad form, the apparatus according to the present invention includes a plurality of pressure sensors which are organized in an array such that the sensors may be interposed between the exterior surface of the body part and the contact surface of selected locations at which pressure is to be monitored. Each of these pressure sensors is selected to respond to pressure between the surfaces to produce a force signal proportional to the pressure between the surfaces at the location of the sensor. A monitor communicates with the array of sensors and receives the force signal produced by each respective sensor. This monitor then generates an output signal indicative of the pressure sensed by a respective sensor according to its location. A controller communicates with the monitor in order to receive and process the output signals in order to produce a force profile corresponding to the magnitude and location of the pressure exerted by the contact surface on the body part.

Preferably, the controller is a computer which can produce a read signal operative to instruct the monitor to provide the output signals to the computer as a read event. Correspondingly, the monitor includes circuitry, such as multiplexing circuitry, so that it can individually address each of the sensors in the array and so that it can individually access each sensor to receive a specific force signal corresponding to the location to that sensor. Preferably, the array of sensors is organized in a row and column format, and the monitor operates to consecutively communicate the output signals to the controller, for example for each sensor in a row.

One or more switches may be provided so that a read event occurs when both switch active signal is present and the controller has signaled for a read event. The data for each read event is then correlated to the specific switch that was active during the read event. To this end, the controller includes a memory for storing pressure data from each of the sensors doing each read event with the pressure data being correlated to the location of the respective sensor. Since the output signals of the monitor are normally digital signals, an analog to digital converter is provided to convert the analog force signals to digital force signals.

The pressure sensors are preferably mounted on at least one strip of flexible substrate material that is adapted to be disposed between the contact surface and the exterior surface of the body part so as to conform to the shape of the body part. A plurality of such strips may be spaced apart from one another along the surface to define the array, and each strip may accordingly define a column in the array of sensors. Alternately, the sensors may be mounted on a single sheet of material as a two dimensional array.

According to the methodology of the present invention a force profile is produced by the steps of interposing a plurality of pressure sensors at selected locations between the exterior surface of a body part and a contact surface at selected locations and then monitoring the pressure sensed by each of the pressure sensors in response to pressure forces between the exterior of the body part and the contact surface in order to generate an output signal corresponding to the force of pressure sensed by each sensor. These output signals are then received and stored as a read event after which the pressure data correlated to the location of each sensor may be displayed as a force profile which corresponds to the magnitude and location of the pressure exerted by the contact surface on the body part.

As with the above described apparatus, the broad methodology includes the positioning of the sensors in an array of rows and columns, and the step of monitoring the array may occur by scanning the sensors in each row, with each row then being consecutively scanned. The preferred methodology includes providing switches to initiate a read event. Where the methodology is used to fit an artificial leg to a stump, switches are provided at the heel, ball and toe portions of the prosthesis while the array of sensors is disposed within the socket of the prosthesis. Accordingly, the method includes the step of initiating a read event upon the consecutive actuation of the switches as the heel, ball and toe portion of the prosthesis strikes a walking surface

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while the person employs the prosthesis thereby generating an individual force profile corresponding to the heel strike, the ball strike and the toe strike. These and other objects of the present invention will 5 become more readily appreciated and understood from a consideration of the following detailed description of the preferred embodiment when taken together with the accompanying drawings, in which:

10 BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a diagrammatic view showing the structure of the pressure monitor apparatus according to the broad form of the invention;

FIG. 2 is a perspective view of a patient on a bed with 15 use of the present invention being diagrammatically shown therewith;

FIG. 3 shows use of the present invention in monitoring pressure between a persons lower arm and an orthopedic cast;

20 FIG. 4 is a side view partially broken away, of an artificial leg as is known in the prior art;

FIG. 5 is a side view of the leg shown in FIG. 4 having attached thereto, in diagrammatic form, the preferred embodiment of the present invention used to

25 monitor pressure between the leg stump and the artificial leg;

FIG. 6 is a perspective view, partially broken away, of the monitoring apparatus shown in FIG. 5;

FIG. 7 is a top plan view of a pressure sensor strip 30 according to one exemplary embodiment of the present invention;

FIG. 8 is a cross-sectional view taken about lines 8—8 of FIG. 7; and

FIG. 9 is a diagrammatic view of the preferred em35 bodiment of the present invention as used in fitting artificial legs.

DETAILED DESCRIPTION OF THE
EXEMPLARY EMBODIMENTS

40 The present invention is directed to pressure monitoring apparatus and systems specifically adapted for monitoring the force of pressure of a body part against a contact surface such as an article of furniture (bed, chairs, wheel chairs, etc.), orthopedic casts and prosthe

45 ses (such as artificial limbs). Pressure is monitored at a plurality of locations to create a force profile corresponding to the distribution of pressure, usually from weight caused by gravity, between the body part and the contact surface. This force may be the weight of the

50 body on the contact surface, which serves as a support for the body, or it can be the weight of an item on the body part.

In its broad form as is shown in FIG. 1, pressure monitoring apparatus 10 includes a plurality of pressure

55 sensors 20 which are organized in an array which, as is shown in FIG. 1, can be an mXn matrix having m rows and n columns designated, respectively, Ri-Rm and Ci-C„. Pressure sensors 20 can be maintained in the array by being supported, for example, on a thin sheet

60 22 of flexible material and generate a force signal proportional to the pressure detected by the sensor. A microcomputer 30 is used to monitor the array of pressure sensors 20 and, to this end, has associated therewith a keyboard input 32 a display 34 and a memory means

65 36. Further, as desired, microcomputer 30 can drive a printer 38 all as is known in the art.

Microcomputer 30 accesses the array of pressure sensors 20 by means of multiplexing circuitry which

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includes a column multiplexer 48 and row multiplexers sure sensor sheet 22 is disposed between the torso of 41-46. It should be appreciated that, while FIG. 1 patient 70 and the upper surface of bed 72. Sheet 22 is shows six multiplexers 41-46, it should be appreciated connected to microcomputer 30 by means of interface that, in this exemplary embodiment, there is a row mul- circuitry 74 that includes the row multiplexers 41-46 (or tiplexer provided for each column in the array. Each 5 such other number of row multiplexers as needed) as row multiplexer is operative to access each of the sen- well as column multiplexer 48. Further, interface cirsors in its column by row position. Thus, for example, cuitry 74 contains a power supply which produces a row multiplexer 41 accesses the sensors in column Ci so voltage signal which is modulated by each of pressure that the output of multiplexer 41 on line 51 corresponds sensors 20 proportionately to the force sensed thereby, to the row position of selected pressure sensor in col- 10 Interface circuitry 74 is connected to the array of presumn Cj. The selection of the row position for each of sure sensors by means of a cable harness 76 which is the columns is controlled by microcomputer 30 over electrically connected to the array of sensors by means command line 60. Thus, microcomputer 30 requests an of electrical connector 78. The command lines as well access to the selected row so that each of multiplexers as data line 64 are included within cable harness 80. 41-46 provides the pressure signal from the pressure 15 Keyboard input 32 may be used to command misensor having that row position in the specific column crocomputer 30 to execute a read event or otherwise to accessed by the respective row multiplexers 41-46. This program microcomputer 30 to automatically execute data is provided, then, on output lines 51-56 which one or more read events at a selected time or times. It respectively correspond to each of row multiplexers should be fully understood that the manner of executing 41-46. Thus, data lines 51-56 each carry a force signal 20 a read event and the order in which data is received corresponding to a set of pressure sensors in a given from each of pressure sensors 20 may be fully controlled row. by the programming of microcomputer 30. The force

A column multiplexer 48 is provided to multiplex profile of a read event may be displayed on display data lines 51-56 so as to select a specific data line 51-56 screen 34 or may be output in hard form by means of as commanded by microcomputer 30 over command 25 printer 38, all as is known in the art. line 62. Thus, a force signal may be presented on data FIG. 3 shows another example of use of pressure line 64. Pressure data on data line 64 accordingly corre- sensors 20 on sheet 22 wherein here sheet 22 is wrapped sponds to a specific pressure sensor in the array as con- around the lower portion of an arm 90 of a patient weartrolled by the row selected by multiplexers 41-46 and ing a cast 92. In FIG. 3 it may be appreciated that presthe column selected by multiplexer 48. Since pressure 30 sure sensors on sheet 22 monitor the pressure between sensors 20 are typically analog devices, the pressure the exterior surface of the forearm and cast 92 which data signal or force signal on data line 64 is an analog may change over time due to an increase or decrease in signal which is proportional to the pressure sensed by swelling or atrophy of the arm. This pressure can be each of sensors 20. This signal is supplied to an analog to monitored in order to determine any excess pressures digital converter 66 which then supplies a digital force 35 which may cause discomfort or injury to the patient, signal to microcomputer 30 by way of data line 68. With reference to FIGS. 2 and 3, it may be seen that

From the foregoing, it may now be seen that mi- pressure sensors 20 can be used to monitor the distribu

crocomputer 30 may receive from the array of pressure tion of weight of a bed ridden patient on a bed to idensensors 20 force signals corresponding to the force of tify any areas of excess pressure that might result in

pressure monitored by each of sensors 20 by executing 40 ulceration of the skin.

a "read event" which may be defined as a scan of the As noted above, this technique could also be used for

array of pressure sensors to derive a force profile corre- other articles of furniture such as wheel chairs and the

lated to the location of each pressure sensor and the like. These excess pressures can be used to generate a

respective force detected thereby. Here, for example, signal, for example, to notify nursing personnel of a

microcomputer 30 may command each of row multi- 45 need to redistribute the weight of the bed ridden person

plexers 41-46 to provide pressure data from the first or otherwise adjust the contour of the support surface,

row after which microcomputer 30 then commands The monitoring can be performed periodically, on demultiplexer 48 to supply the analog signal from each of mand, upon the occurrence of a selected event or at any

lines 51-56, consecutively. The microcomputer may other time within normal system design,

store this pressure information, digitilized by analog to 50 The present invention finds particular utility, as an

digital computer 66, in memory 38 with this data being aide in fitting prosthetic devices on stump portions of a

correlated to each sensor in row Ri. Microcomputer 30 limb. This pressure monitoring apparatus is shown in

may then command multiplexers 41-46 to supply data 'FIGS. 5-9 as it is used to fit an artificial leg, shown in

from row R.2 and again read this data by commanding FIG. 4. Turning, then, to FIG. 4, it may be seen that a

multiplexer 48 to read data on data lines 51-56. This 55 prior art artificial leg 100 includes a lower foot portion

process repeats for each row Ri-Rm. At the completion 101 having a heel portion 102, a ball portion 103 and a

of the read event, memory 36 has stored pressure data toe portion 104 at a distal end thereof. A socket portion

corresponding to each of the sensors as it existed at the 106 is located oppositely foot portion 101 and includes

time of the read event. This array of data thus comprises a socket 107 adapted to receive the distal end of leg

a force profile for the pressure distribution across the 60 stump 108 of the human body. A cushioning pad 109 is

array of sensors 20 on sheet 22. This data can be dis- located between the bottom wall of the socket and the

played in a variety of formats; the data may also be distal end portion of stump 108.

interpolated to give pressure estimates between sensor Monitoring the fit between the stump and the artific

locations. ial leg 100 is best shown in FIGS. 5 and 6. Here, it may

As shown in FIG. 2 this pressure monitoring appara- 65 be seen that the pressure monitoring apparatus includes

tus has advantages in monitoring the pressure between a interface circuitry 74 which may be contained in a hous

body part and a contact surface. In FIG. 2, it may be ing 75 that is strap mounted onto a portion of stump 108

seen that a patient 70 is reclining on a bed 72, and pres- by means of fastening strap 112. Wiring 121-126 inter

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