US20030050536A1 - Patient monitor with configurable voice alarm - Google Patents
Patient monitor with configurable voice alarm Download PDFInfo
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- US20030050536A1 US20030050536A1 US09/951,081 US95108101A US2003050536A1 US 20030050536 A1 US20030050536 A1 US 20030050536A1 US 95108101 A US95108101 A US 95108101A US 2003050536 A1 US2003050536 A1 US 2003050536A1
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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
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/02141—Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits
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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
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/486—Bio-feedback
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6824—Arm or wrist
Definitions
- the invention generally relates to apparatus for monitoring medical patients; and more particularly to such apparatus which include an audible alarm.
- a patient with heart disease may be connected to an electrocardiograph and a blood pressure monitor.
- Such monitors have sensors attached to the patient, analyze the signals from the sensors, and display the physiological information to the medical personnel.
- the cardiac waveform is displayed on a graphical display device or printed out on paper.
- Blood pressure monitors will have numerical displays indicating the systolic pressure, diastolic pressure and possibly other parameters, such as mean arterial pressure.
- audible alarms are often provided in the event that the physiological parameters exceed reasonable limits for a particular patient.
- the systolic and diastolic blood pressures can be compared to threshold values for each parameter. When a given threshold is exceeded, an audible alarm is activated in the monitor to alert the medical personnel.
- Indicator lights also are used to indicate an abnormal condition.
- Alarms also are provided to indicate a malfunction of the monitoring equipment, such as a low battery charge for portable equipment or the sensor signal being lost as occurs when the sensor detaches from the patient.
- Such audible alarms typically produce a relatively loud piercing sound so as to be heard over other sounds in the area of monitoring. As a consequence, the audible alarms may agitate the patient which in certain medical conditions is very undesirable. Furthermore, the patient may be agitated unnecessarily when the alarm indicates a relatively non-critical event, such as a loose sensor lead.
- an audible alarm such as produced by a piezoelectric annunciator or buzzer does not provide an indication of the exact condition for which the alarm is being sounded.
- the same annunciator may be used to indicate a number of events, such as the physiological parameters going out of bounds, a low battery, or a loose electrical sensor.
- the medical personnel cannot determine the nature of the alarm condition from the sound and thus, cannot determine whether an immediate response is required or whether the alarm condition can be remotely deactivated, such as from a nurse's station.
- a patient monitor has one or more audio messages stored in a memory.
- a predefined condition such as an usual physiological characteristic of the patient
- an audio message associated with that condition is played back through a loudspeaker.
- the end user is able to replace each prerecorded audio message.
- the end user is able to store voice messages in the native language and dialect spoken where the monitor is used.
- the patient monitor incorporating the audio messaging system has circuitry which senses a physiological characteristic of a medical patient and produces a control signal indicating an occurrence of a predefined event.
- An audio input device such as a microphone for example, and a loudspeaker are provided.
- An audio processor has an input connected to the audio input device and has an output connected to the loudspeaker.
- a control input is coupled to the circuitry for receiving the control signal.
- a memory is included to store an audio message related to the event.
- the audio processor has a first operating mode in which a signal produced by the user is received at the input and stored in the memory as the audio message. In a second operating mode of the audio processor responds to receipt of the control signal by retrieving the stored audio message from the memory and generating a signal at the output.
- FIG. 1 is a block diagram of an apparatus for monitoring blood pressure of a medical patient.
- FIG. 2 is a flowchart of a process for configuring the apparatus with voice messages to be emitted upon an occurrence of an alarm condition associated with each message.
- the present invention will be described in the context of an automatic blood pressure measuring apparatus. However it is understood that the invention can be applied to a wide variety of types of patient monitors in which an alarm is desired to alert medical personnel.
- the apparatus may detect other physiological characteristics of a medical patient such as temperature, oxygen saturation level of blood, cardiac activity, or brain activity.
- the pressure transducer output is coupled to a band pass filter 25 which in turn is connected to an amplifier 26 .
- the filter 25 and amplifier 26 are designed to reject the d.c. component of pressure signal produced by the transducer 24 and yet amplify the blood pressure oscillations, as will be described.
- the band pass filter 25 passes those signals having frequency components in a range from one to ten Hertz and strongly rejects other frequency components.
- the amplifier 26 magnifies low level signals from the filter 25 .
- the output signal from the amplifier 26 corresponds to the oscillations, or the a.c. component, of the pressure in the cuff 12 . This filters out the component of the transducer signal due to the inflation pressure of the cuff.
- the pressure sensing apparatus and method has been used in previous blood pressure monitors and are well known to those skilled in the art.
- the output of the amplifier 26 is connected to one input of a multiplexer 27 which has another input to which the output of the pressure transducer 24 is directly connected.
- the multiplexer 27 selects one of the two input signals which is coupled to an analog input 29 of a controller 28 that governs the operation of the blood pressure monitor 10 .
- the controller 28 is a computerized device which includes a conventional microprocessor and a memory which stores the software program that controls operation of the blood pressure monitor 10 and stores data used in the execution of that program.
- Input and output circuits interface the controller 28 to other components of the blood pressure monitor.
- an input/output port is provided for an operator interface 31 comprising a control panel 32 , with a plurality of pushbutton switches, and a display device 33 , such as a liquid crystal display or a cathode ray tube monitor.
- the output of the multiplexer 27 is connected to an input of an analog to digital converter within the controller 28 .
- a controller output is connected to operate the cuff inflation pump 16 .
- Another output of the controller 28 is coupled to a one input of an AND gate 30 .
- the AND gate 30 has another input connected to the overpressure switch 34 and has an output that is connected to control the deflation valve 20 .
- the overpressure switch 34 opens resulting in the output of the AND gate opening the deflation valve 20 to relieve that excessive cuff pressure.
- the blood pressure monitor 10 also includes an audio processor 36 which may be any of a number of commercially available voice recording and playback integrated circuits.
- the audio processor 36 may be a model ML2500BTA Analog-Storage Single-chip Record/Playback LSI manufactured by Oki Semiconductor, Sunnyvale, Calif. U.S.A.
- the audio processor 36 has an audio input connected to a microphone 38 and an audio output to which a loudspeaker 40 is connected.
- the term “microphone” refers to any device that converts and acoustical signal into an electrical signal
- the term “loudspeaker” refers to any device that converts an electrical signal into an acoustical signal.
- the audio processor 36 has an internal random access memory 37 for storage of a plurality of voice messages which are individually addressable by the controller 28 , as will be described. As such the audio processor 36 has address and control pins connected to the controller 28 . Unlike prior speech synthesis modules for patient monitors, the message storage locations can be programmed by the user with the desired message in a particular language that is understood by the attending medical personnel.
- the manufacturer programs the audio processor 36 with a set of default alarm messages in a particular language, English, for example.
- the end user of the monitor has the option of using the default messages or changing the messages either into another language or to other phrases that identify each alarm condition.
- the ability to change the configuration of the messages stored in the audio processor 36 is presented to the user upon initial power-up of the blood pressure monitor 10 .
- the controller 28 begins executing a software program, the initial steps of which are depicted in FIG. 2.
- the controller 28 transmits information to the display device 33 so that a main menu of operating modes is displayed to the user. One of these modes relates to changing the alarm messages.
- the program execution waits at step 52 for the user to enter a menu selection onto the control panel which then is interpreted by the controller at step 54 to determine whether the user has selected the change alarm message mode. If another mode is selected process branches to step 68 to go to the operating mode.
- step 54 the program execution branches from step 54 to step 56 , where the user is asked to enter a password into the control panel 33 , which prevents unauthorized personnel from changing the alarms messages.
- the entry then is authenticated at step 58 before proceeding further in this mode.
- step 60 When access to change the messages has been granted, the procedure advances to step 60 at which another menu containing a list of the various messages that can be programmed is shown on the display device 33 .
- the user is able to refer to the operating manual for the blood pressure monitor 10 to determine the default text of each of the alarm messages which has been programmed by the manufacturer.
- the control panel is employed to select one of the menu choices at step 62 and a determination is made at step 64 whether the user chose to exit the message changing mode. If that is not the case, process advances to step 70 .
- step 70 the user is asked, via a question presented on the display device 33 , whether the message for the selected alarm is to be changed. If so, the user is prompted at step 72 to press a button on the control panel 32 to start recording the new message. Thereafter at step 74 , the audio processor 36 begins digitizing and storing the audio signal from the microphone 38 . The digitized audio message is stored in the processor's memory 37 at a location assigned to the associated alarm condition. Thus, the user is able to customize each of the alarm messages to the native language of the country in which the equipment will be used, as well as into a particular dialect. The user is also afforded the opportunity to change the text of the message even though the language may not vary. Upon the completion of speaking the text of the new message, the user activates another button on the control panel 32 which signals the controller to terminate message recording at step 76 .
- the blood pressure monitor After configuration of the alarm messages, the blood pressure monitor is placed into service.
- the measurement of a patient's blood pressure is similar to that described in U.S. Pat. No. 4,360,029, the description of which is incorporated herein by reference.
- the cuff 2 is wrapped around the arm 14 of a patient and the attendant then activates a switch on the control panel 32 which commences the measurement operation.
- the controller 28 produces output signals which close the deflation valve 20 and activate the pump 16 to inflate the cuff 12 .
- the controller monitors the electrical signal from the pressure transducer 24 which indicates the pressure within the cuff 12 .
- the cuff is inflated to a predefined pressure which is known to occlude the flow of blood within the blood vessels of the arm 14 . Once this occlude pressure has been obtained, the controller 28 terminates operation of the pump 16 while maintaining the deflation valve 20 in a closed state.
- the controller 28 then begins a controlled deflation of the cuff 12 while periodically measuring the pressure therein.
- the controller gradually deflates the cuff in a series of steps and the nominal pressure at each step is referred to herein as the “deflation step pressure”.
- the instantaneous pressure at each step does not always equal the deflation step pressure, but oscillates slightly due to the force exerted on the cuff 12 by the blood pulsing through the patient's blood vessels.
- a plurality of pressure measurements are taken at each step to measure those pressure oscillations.
- the controller 28 applies a signal to the multiplexer 27 which responds by connecting the output from the amplifier 26 to the controller's analog input 29 .
- the controller receives a signal which corresponds to the blood pressure oscillations about the deflation step pressure in the cuff 12 .
- This signal is digitized by the controller circuits and the signal samples is stored in memory as an oscillation pressure measurement. After a predefined number of such measurements has been taken, the cuff is deflated to the next deflation step pressure and another set of measurements is acquired.
- the controller 28 commences analyzing the plurality of pressure oscillation measurements to determine the mean arterial pressure, the systolic pressure and the diastolic pressure of the patient using conventional techniques. Each of these values is compared to a corresponding threshold. An alarm condition exists when one of the thresholds is exceeded. In that event the controller 28 sends a playback command and the address of the message to the audio processor 36 . The audio processor 36 responds to those signals by accessing the corresponding digitized voice message in internal memory 37 and using that data to send an audio signal to the loudspeaker 40 .
Abstract
Description
- Not applicable.
- Not applicable.
- The invention generally relates to apparatus for monitoring medical patients; and more particularly to such apparatus which include an audible alarm.
- Medical patients, especially those in an intensive care facility, often are connected to equipment which continuously monitor specific physiological activity that is relevant to the particular malady of which the patient suffers. For example, a patient with heart disease may be connected to an electrocardiograph and a blood pressure monitor. Such monitors have sensors attached to the patient, analyze the signals from the sensors, and display the physiological information to the medical personnel. In the case of an electrocardiograph, the cardiac waveform is displayed on a graphical display device or printed out on paper. Blood pressure monitors will have numerical displays indicating the systolic pressure, diastolic pressure and possibly other parameters, such as mean arterial pressure.
- Rather than requiring that medical personnel constantly monitor the display of physiological information, audible alarms are often provided in the event that the physiological parameters exceed reasonable limits for a particular patient. For example, the systolic and diastolic blood pressures can be compared to threshold values for each parameter. When a given threshold is exceeded, an audible alarm is activated in the monitor to alert the medical personnel. Indicator lights also are used to indicate an abnormal condition. Alarms also are provided to indicate a malfunction of the monitoring equipment, such as a low battery charge for portable equipment or the sensor signal being lost as occurs when the sensor detaches from the patient.
- Such audible alarms typically produce a relatively loud piercing sound so as to be heard over other sounds in the area of monitoring. As a consequence, the audible alarms may agitate the patient which in certain medical conditions is very undesirable. Furthermore, the patient may be agitated unnecessarily when the alarm indicates a relatively non-critical event, such as a loose sensor lead.
- Furthermore, the use of an audible alarm such as produced by a piezoelectric annunciator or buzzer does not provide an indication of the exact condition for which the alarm is being sounded. The same annunciator may be used to indicate a number of events, such as the physiological parameters going out of bounds, a low battery, or a loose electrical sensor. However, the medical personnel cannot determine the nature of the alarm condition from the sound and thus, cannot determine whether an immediate response is required or whether the alarm condition can be remotely deactivated, such as from a nurse's station.
- It has been proposed to provide a warning mechanism which produces a stored voice message indicating the nature of the alarm condition and even providing a message to soothe the patient to prevent agitation during this event. However, in order for medical equipment to be marketable worldwide, the alarm messages must be presented in the native language of the country in which the equipment will be used. If the medical personnel will not understand a message recorded in another language, then the alarm feature is useless. This leads to a requirement that the given medical monitor must be produced with a model for different languages and various dialects. This is especially unfeasible in the case of a relatively small nation with a unique language. Furthermore, different applications of a monitor in hospitals, clinics, or home settings may call for different message phrases for the same conditions. Different medical facilities using the same language also may refer to a given medical event by different phrases.
- Thus there is a need to be able to easily customize a patient monitor's voice messaging system for the particular location at which it is being used.
- A patient monitor has one or more audio messages stored in a memory. When the patient monitor detects an occurrence of a predefined condition, such as an usual physiological characteristic of the patient, an audio message associated with that condition is played back through a loudspeaker. To enable the patient monitor to be used throughout the world, the end user is able to replace each prerecorded audio message. Thus the end user is able to store voice messages in the native language and dialect spoken where the monitor is used.
- Specifically, the patient monitor incorporating the audio messaging system has circuitry which senses a physiological characteristic of a medical patient and produces a control signal indicating an occurrence of a predefined event. An audio input device, such as a microphone for example, and a loudspeaker are provided. An audio processor has an input connected to the audio input device and has an output connected to the loudspeaker. A control input is coupled to the circuitry for receiving the control signal. A memory is included to store an audio message related to the event. The audio processor has a first operating mode in which a signal produced by the user is received at the input and stored in the memory as the audio message. In a second operating mode of the audio processor responds to receipt of the control signal by retrieving the stored audio message from the memory and generating a signal at the output.
- FIG. 1 is a block diagram of an apparatus for monitoring blood pressure of a medical patient; and
- FIG. 2 is a flowchart of a process for configuring the apparatus with voice messages to be emitted upon an occurrence of an alarm condition associated with each message.
- The present invention will be described in the context of an automatic blood pressure measuring apparatus. However it is understood that the invention can be applied to a wide variety of types of patient monitors in which an alarm is desired to alert medical personnel. For example the apparatus may detect other physiological characteristics of a medical patient such as temperature, oxygen saturation level of blood, cardiac activity, or brain activity.
- With reference to FIG. 1, an automatic
blood pressure monitor 10 employs aninflatable cuff 12 shown wrapped around anarm 14 of a medical patient. Theinflatable cuff 12 is connected to apump 16 by a flexiblefirst tube 18. The first tube also connects to an electrically operateddeflation valve 20 and to a protective overpressure switch 34 which responds to excessive pressure being applied to thecuff 12. A flexiblesecond tube 22 couples thecuff 12 to apressure transducer 24 which produces an electrical signal at output that indicates the pressure within the cuff. - The pressure transducer output is coupled to a
band pass filter 25 which in turn is connected to anamplifier 26. Thefilter 25 andamplifier 26 are designed to reject the d.c. component of pressure signal produced by thetransducer 24 and yet amplify the blood pressure oscillations, as will be described. Specifically, theband pass filter 25 passes those signals having frequency components in a range from one to ten Hertz and strongly rejects other frequency components. Theamplifier 26 magnifies low level signals from thefilter 25. The output signal from theamplifier 26 corresponds to the oscillations, or the a.c. component, of the pressure in thecuff 12. This filters out the component of the transducer signal due to the inflation pressure of the cuff. The pressure sensing apparatus and method has been used in previous blood pressure monitors and are well known to those skilled in the art. - The output of the
amplifier 26 is connected to one input of amultiplexer 27 which has another input to which the output of thepressure transducer 24 is directly connected. Themultiplexer 27 selects one of the two input signals which is coupled to ananalog input 29 of acontroller 28 that governs the operation of theblood pressure monitor 10. - The
controller 28 is a computerized device which includes a conventional microprocessor and a memory which stores the software program that controls operation of theblood pressure monitor 10 and stores data used in the execution of that program. Input and output circuits interface thecontroller 28 to other components of the blood pressure monitor. For example, an input/output port is provided for anoperator interface 31 comprising acontrol panel 32, with a plurality of pushbutton switches, and adisplay device 33, such as a liquid crystal display or a cathode ray tube monitor. In addition, the output of themultiplexer 27 is connected to an input of an analog to digital converter within thecontroller 28. A controller output is connected to operate thecuff inflation pump 16. - Another output of the
controller 28 is coupled to a one input of an ANDgate 30. The ANDgate 30 has another input connected to theoverpressure switch 34 and has an output that is connected to control thedeflation valve 20. In the event of an excessive pressure in thecuff 12, theoverpressure switch 34 opens resulting in the output of the AND gate opening thedeflation valve 20 to relieve that excessive cuff pressure. - The blood pressure monitor10 also includes an
audio processor 36 which may be any of a number of commercially available voice recording and playback integrated circuits. For example, theaudio processor 36 may be a model ML2500BTA Analog-Storage Single-chip Record/Playback LSI manufactured by Oki Semiconductor, Sunnyvale, Calif. U.S.A. Theaudio processor 36 has an audio input connected to amicrophone 38 and an audio output to which aloudspeaker 40 is connected. As used herein, the term “microphone” refers to any device that converts and acoustical signal into an electrical signal, and the term “loudspeaker” refers to any device that converts an electrical signal into an acoustical signal. Theaudio processor 36 has an internalrandom access memory 37 for storage of a plurality of voice messages which are individually addressable by thecontroller 28, as will be described. As such theaudio processor 36 has address and control pins connected to thecontroller 28. Unlike prior speech synthesis modules for patient monitors, the message storage locations can be programmed by the user with the desired message in a particular language that is understood by the attending medical personnel. - When the blood pressure monitor10 is assembled, the manufacturer programs the
audio processor 36 with a set of default alarm messages in a particular language, English, for example. The end user of the monitor has the option of using the default messages or changing the messages either into another language or to other phrases that identify each alarm condition. The ability to change the configuration of the messages stored in theaudio processor 36 is presented to the user upon initial power-up of the blood pressure monitor 10. At that time, thecontroller 28 begins executing a software program, the initial steps of which are depicted in FIG. 2. Atstep 50, thecontroller 28 transmits information to thedisplay device 33 so that a main menu of operating modes is displayed to the user. One of these modes relates to changing the alarm messages. The program execution waits atstep 52 for the user to enter a menu selection onto the control panel which then is interpreted by the controller atstep 54 to determine whether the user has selected the change alarm message mode. If another mode is selected process branches to step 68 to go to the operating mode. - When the user desires to change the alarm messages, the program execution branches from
step 54 to step 56, where the user is asked to enter a password into thecontrol panel 33, which prevents unauthorized personnel from changing the alarms messages. The entry then is authenticated atstep 58 before proceeding further in this mode. - When access to change the messages has been granted, the procedure advances to step60 at which another menu containing a list of the various messages that can be programmed is shown on the
display device 33. The user is able to refer to the operating manual for the blood pressure monitor 10 to determine the default text of each of the alarm messages which has been programmed by the manufacturer. Then the control panel is employed to select one of the menu choices atstep 62 and a determination is made atstep 64 whether the user chose to exit the message changing mode. If that is not the case, process advances to step 70. - At
step 70, the user is asked, via a question presented on thedisplay device 33, whether the message for the selected alarm is to be changed. If so, the user is prompted atstep 72 to press a button on thecontrol panel 32 to start recording the new message. Thereafter atstep 74, theaudio processor 36 begins digitizing and storing the audio signal from themicrophone 38. The digitized audio message is stored in the processor'smemory 37 at a location assigned to the associated alarm condition. Thus, the user is able to customize each of the alarm messages to the native language of the country in which the equipment will be used, as well as into a particular dialect. The user is also afforded the opportunity to change the text of the message even though the language may not vary. Upon the completion of speaking the text of the new message, the user activates another button on thecontrol panel 32 which signals the controller to terminate message recording atstep 76. - The procedure then returns to step60 where the user is prompted to select another item from the message change menu.
- After configuration of the alarm messages, the blood pressure monitor is placed into service. The measurement of a patient's blood pressure is similar to that described in U.S. Pat. No. 4,360,029, the description of which is incorporated herein by reference.
- In summary, the cuff2 is wrapped around the
arm 14 of a patient and the attendant then activates a switch on thecontrol panel 32 which commences the measurement operation. Periodically, thecontroller 28 produces output signals which close thedeflation valve 20 and activate thepump 16 to inflate thecuff 12. As the cuff is being inflated, the controller monitors the electrical signal from thepressure transducer 24 which indicates the pressure within thecuff 12. The cuff is inflated to a predefined pressure which is known to occlude the flow of blood within the blood vessels of thearm 14. Once this occlude pressure has been obtained, thecontroller 28 terminates operation of thepump 16 while maintaining thedeflation valve 20 in a closed state. - The
controller 28 then begins a controlled deflation of thecuff 12 while periodically measuring the pressure therein. In the preferred embodiment of the present invention, the controller gradually deflates the cuff in a series of steps and the nominal pressure at each step is referred to herein as the “deflation step pressure”. - The instantaneous pressure at each step does not always equal the deflation step pressure, but oscillates slightly due to the force exerted on the
cuff 12 by the blood pulsing through the patient's blood vessels. A plurality of pressure measurements are taken at each step to measure those pressure oscillations. At this time thecontroller 28 applies a signal to themultiplexer 27 which responds by connecting the output from theamplifier 26 to the controller'sanalog input 29. Thus the controller receives a signal which corresponds to the blood pressure oscillations about the deflation step pressure in thecuff 12. This signal is digitized by the controller circuits and the signal samples is stored in memory as an oscillation pressure measurement. After a predefined number of such measurements has been taken, the cuff is deflated to the next deflation step pressure and another set of measurements is acquired. - When the
cuff 12 has been fully deflated, thecontroller 28 commences analyzing the plurality of pressure oscillation measurements to determine the mean arterial pressure, the systolic pressure and the diastolic pressure of the patient using conventional techniques. Each of these values is compared to a corresponding threshold. An alarm condition exists when one of the thresholds is exceeded. In that event thecontroller 28 sends a playback command and the address of the message to theaudio processor 36. Theaudio processor 36 responds to those signals by accessing the corresponding digitized voice message ininternal memory 37 and using that data to send an audio signal to theloudspeaker 40. - The foregoing description was primarily directed to a preferred embodiment of the invention. Although some attention was given to various alternatives within the scope of the invention, it is anticipated that one skilled in the art will likely realize additional alternatives that are now apparent from disclosure of embodiments of the invention. Accordingly, the scope of the invention should be determined from the following claims and not limited by the above disclosure.
Claims (18)
Priority Applications (3)
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US09/951,081 US6537214B1 (en) | 2001-09-13 | 2001-09-13 | Patient monitor with configurable voice alarm |
JP2002266180A JP2003204944A (en) | 2001-09-13 | 2002-09-12 | Patient monitor having configurable voice alarm device |
EP02256323A EP1293161A3 (en) | 2001-09-13 | 2002-09-12 | Patient monitor with configurable voice alarm |
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US09/951,081 US6537214B1 (en) | 2001-09-13 | 2001-09-13 | Patient monitor with configurable voice alarm |
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US6537214B1 US6537214B1 (en) | 2003-03-25 |
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US09/951,081 Expired - Lifetime US6537214B1 (en) | 2001-09-13 | 2001-09-13 | Patient monitor with configurable voice alarm |
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US20150374244A1 (en) * | 2013-02-08 | 2015-12-31 | K-Healthwear Co., Ltd. | Apparatus for continuously and automatically measuring pulse wave and method for measuring blood pressure |
US9330681B2 (en) * | 2014-07-16 | 2016-05-03 | International Business Machines Corporation | Voice signal modulation service for geographic areas |
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US6822564B2 (en) * | 2002-01-24 | 2004-11-23 | Masimo Corporation | Parallel measurement alarm processor |
US7355512B1 (en) | 2002-01-24 | 2008-04-08 | Masimo Corporation | Parallel alarm processor |
US7927313B2 (en) * | 2004-05-27 | 2011-04-19 | Baxter International Inc. | Medical device configuration based on recognition of identification information |
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US10959639B2 (en) * | 2009-06-26 | 2021-03-30 | T&W Engineering A/S | EEG monitoring apparatus and method for presenting messages therein |
US20150374244A1 (en) * | 2013-02-08 | 2015-12-31 | K-Healthwear Co., Ltd. | Apparatus for continuously and automatically measuring pulse wave and method for measuring blood pressure |
WO2014201445A1 (en) * | 2013-06-14 | 2014-12-18 | Segars California Partners, Lp | Patient care device with audible alarm sensing and backup |
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Also Published As
Publication number | Publication date |
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JP2003204944A (en) | 2003-07-22 |
US6537214B1 (en) | 2003-03-25 |
EP1293161A2 (en) | 2003-03-19 |
EP1293161A3 (en) | 2003-05-28 |
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