Patient monitoring system, device, and method

Abstract

To disclose various patient monitoring systems, devices, and methods for monitoring physiological parameters of a patient.SOLUTION: The present disclosure relates to an electrocardiogram (ECG) device including a disposable part and a reusable part that are configured to removably engage with each other. The disclosure also describes a sphygmomanometer attached to a blood pressure cuff and configured to supply air to the blood pressure cuff. The sphygmomanometer may include an air inlet configured to allow ambient air to enter an interior of a housing and configured to prevent liquid from entering the housing. The sphygmomanometer can dynamically control operating characteristics of an air pump within the sphygmomanometer. The disclosure further describes a patient monitoring device configured to be attachable to a patient and a detachable cradle. Moreover, the disclosure describes a charging station for supplying electric power to one or more physiological devices.SELECTED DRAWING: Figure 1C

Description

[Technical Field]

[0001] (Incorporated by reference to priority application) This application is a continuation of U.S. Provisional Application No. 62 / 923,157, filed October 18, 2019. U.S. Provisional Application No. 62 / 888,271, filed August 16, 2009, and U.S. Provisional Application No. 62 / 888,271, filed April 23, 2019 U.S. Provisional Application No. 62 / 837195, filed April 17, 2019, and U.S. Provisional Application No. 62 Priority is claimed based on application no. 835,386. Current application data sheet All of the above applications, and all other applications, which identify a foreign or domestic priority claim in All applications are incorporated herein by reference under 37 CFR 1.57.

[0002] (Technical field) The present disclosure generally relates to systems, methods, and devices for monitoring physiological information of a patient. Regarding. [Background technology]

[0003] Description of Related Art Hospitals, nursing homes, and other patient care facilities typically contain numerous sensors, devices, and / or monitors to monitor patient physiological status such as blood oxygen saturation, respiratory rate, pulse rate, and blood pressure. Such devices include, for example, acoustic sensors, electroencephalograms (EEGs), These may include EEG sensors, electrocardiogram (ECG) devices, blood pressure monitors, pulse oximeters, and the like. In a medical environment, various sensors / devices (such as those mentioned above) are connected to the patient and require cables. and connected to one or more patient monitors. Patient monitors typically measure blood oxygen saturation. and processing for acquiring and analyzing physiological parameters of a medical patient, such as blood pressure, respiratory rate, etc. Clinicians, including doctors, nurses, and other healthcare professionals, Physiological parameters obtained from patient monitors are used to diagnose illnesses and prescribe treatments. Clinicians also use physiological parameters to monitor patients in various clinical situations. and decide whether to increase the level of care provided to patients. Summary of the Invention

[0004] configured to transmit at least one signal in response to electrical activity of the wearer's heart. The electrocardiogram (ECG) device includes a disposable part and a device that mates mechanically and electrically with the disposable part. and a reusable portion configured to be placed on the body of the wearer. a base configured to be attached to the at least one mechanical connector portion; a base, a plurality of cables and corresponding external ECG electrodes secured to the wearer's body; and configured to output one or more signals responsive to electrical activity of the wearer's heart. a first plurality of electrical connectors, the first plurality of electrical connectors configured with external ECG electrodes; a first plurality of electrical cables, each of which is associated with one of the plurality of cables; The reusable part may include a connector for connecting the reusable part to the base of the disposable part. at least one mechanical connector portion configured to be removably secured to at least one a cover including one mechanical connector portion; and a second plurality of electrical connectors, each electrically connected to one of the first plurality of electrical connectors of the disposable part. a second plurality of electrical connectors configured to connect the external EC of the disposable part to the Transmitting at least one signal responsive to the one or more signals output by the G electrode. and an output connector port configured to receive the disposable a first internal ECG electrode at least partially disposed within the base; configured to output one or more signals responsive to electrical activity of the wearer's heart. a first internal ECG associated with one of the first plurality of electrical connectors; and wherein the output connector port is connected to the first internal ECG electrode of the disposable part. transmitting at least one signal responsive to the one or more signals output by the electrodes. Each of the plurality of cables in the disposable part is further configured to: The base can be soldered to each of the external ECG electrodes. The detachable portion may be configured to be fastened to the wearer's body. The disposable portion can be secured to the skin of the wearer's body, and the reusable portion can be secured to the When mechanically and electrically mated with the disposable part, the reusable part contacts the skin. The disposable part may further include a flexible circuit. a first plurality of conductive strips configured to electrically connect to the plurality of cables; a first plurality of electrical connectors in the disposable part and a second plurality of conductive strips; The connector includes the second plurality of conductive strips of the flexible circuit. The flexible circuit has a small area spaced apart from the first and second plurality of conductive strips. The reusable portion may further include at least one additional conductive strip. a cover operatively disposed on the flexible circuit of the disposable part; The reusable portion is electrically connected to at least one additional conductive strip. The disposable portion can be determined to be a certified product. Each of the conductive strips can be soldered to one of the plurality of cables. The disposable part may include a first inner part at least partially disposed within the base. a central ECG electrode for transmitting one or more signals responsive to the electrical activity of the wearer's heart; and configured to output a signal associated with one of the first plurality of electrical connectors. and a first internal ECG electrode. the one or more signals output by the first internal ECG electrode of the disposable part; The device may be further configured to transmit at least one signal responsive to the The flexible circuit has a first opening and a first conductive ring disposed along the first opening. and wherein the first conductive ring is electrically connected to a portion of the first internal ECG electrode. and the one of the first plurality of electrical connectors is configured to connect to the The disposable portion is electrically coupled to a conductive ring. a second internal ECG electrode partially disposed on the first internal ECG electrode and spaced apart from the first internal ECG electrode; The device may further include an ECG electrode, the second internal ECG electrode serving as a ground electrode. and one of the first plurality of electrical connectors is configured to connect to the second internal E The flexible circuit has a second opening and a second opening along the second opening. a second conductive ring disposed adjacent the first opening, The second conductive ring is spaced from the mouth and electrically connected to a portion of the second internal ECG electrode. The base of the disposable part further comprises a plurality of pin supports. and each of a plurality of pin supports is adapted to allow the reusable portion to mate with the disposable portion. When the flexible circuit is reusable, one of the second plurality of conductive strips of the flexible circuit is connected to the reusable configured to be placed in electrical contact with one of the second plurality of electrical connectors of the Each of the plurality of pin supports is flexible. Each of the pin supports may not be straight. The plurality of pin supports may be formed on an upper surface of the base of the disposable part. The at least one cover of the reusable part may extend above the The mechanical connector portion may include at least one groove. At least one mechanical connector portion of the base includes at least one groove, configured to be removably secured within the at least one groove of the reusable portion. The cover may include at least one clip. The at least one groove may be a first groove disposed at a first end of the cover and a second groove disposed at an opposite side of the first end of the cover; and a second groove disposed at an end of the at least one clip. The base includes a first clip disposed at a first end of the base and a second clip disposed at a first end of the base. and a second clip disposed at a second end opposite the first end. The reusable part includes a circuit board including a processor and a memory, and a part of the circuit board. electrically connected and disposed between the second plurality of electrical connectors of the reusable part; and a plurality of resistors connected to the circuit board to protect the circuit board from sudden changes in voltage. Each of the plurality of resistors has a low resistance and a large capacitance. The base of the disposable part may further include a first opening. The reusable part may further include a first temperature sensor, The connector aligns with the first opening of the disposable part when the reusable part is mated with the disposable part. The reusable device is configured to measure the temperature of the wearer. a lower portion of the reusable portion that is in contact with the disposable portion when the reusable portion is mated with the disposable portion; a second opening configured to align with the first opening of the base of the The reusable part may further include a housing, a portion of the reusable portion extending through a second opening in the lower portion of the reusable portion; The disposable part can be connected to the base. and a first substrate configured to be secured to the skin of the wearer, The first opening in the base provides a connection between the first substrate and the housing of the reusable part. The first substrate may include a thermally conductive material. The disposable part may include a second substrate disposed between the first substrate and the base. and the housing of the reusable part is adapted to allow the reusable part to be attached to the disposable part. The second substrate is configured to contact a portion of the second substrate when mated. The reusable portion may include a polyethylene film. a second temperature sensor spaced apart from the first temperature sensor in at least one of the vertical and horizontal directions; In preparation for the second, the internal temperature of the reusable part may be measured. The temperature sensor cannot be located within the housing of the reusable part. The reusable part may further include a circuit board including a processor, said processor comprising: a corrected temperature sensor for the wearer based on temperature data received from the first and second temperature sensors; The cover may be configured to determine the temperature of the body that has been exposed to the air. The reusable part may include a frame connected to the output connector port. In some variations, the disposable part may also include a reusable cable. The usable part also does not include a power source, and the reusable part is connected to an external power source by the cable. The cable is configured to receive power from the patient when the patient is in a The patient monitor may be configured to electrically connect to an external power source. In some variations, the disposable part does not include a processor. The reusable part is adapted to be fitted to the wearer when the reusable part is mated with the disposable part. The device may further comprise a motion sensor configured to measure the acceleration of the The reusable part may be configured to have the second plurality of reusable parts bend when the reusable part is placed on a flat surface. The electrical connectors may be configured so that none of the electrical connectors contact the flat surface.

[0005] The electrocardiogram (ECG) device may include a disposable portion. a base configured to be placed on the body of a person; a plurality of cables and a corresponding external ECG an electrode secured to the wearer's body and adapted to generate an electrical signal responsive to the wearer's cardiac activity; an external ECG electrode configured to detect a first plurality of conductive strips and a second plurality of conductive strips, each of the first plurality of conductive strips a second plurality of conductive strips electrically connected to each of the plurality of cables; The head is configured to transmit electrical signals responsive to electrical activity of the wearer's heart. In some variations, the disposable part may include a flexible circuit that contains a battery. In some variations, the disposable part does not include a processor. At least one hand is configured to secure the base to the skin of the wearer's body. The at least one substrate may further comprise a thermally conductive material. The disposable part may include a base at least partially disposed within the base. and at least one internal ECG electrode, The electrodes can be electrically connected to the flexible circuit. The flexible circuit can include at least One opening and arranged along the at least one opening, and the at least one at least one conductive electrode configured to electrically connect to a portion of the internal ECG electrode of The at least one internal ECG electrode may further comprise a conductive ring. The at least one opening may include two openings. The at least one conductive ring may include two conductive rings. The base may include a plurality of pin supports, each of the plurality of pin supports Each of the flexible circuit strips is configured to support one of the second plurality of conductive strips. Each of the plurality of pin supports is flexible. Each of the plurality of pin supports must not be straight. Each of the cables may be arcuate. Each of the plurality of cables can be fixed to the flexible circuit. a first plurality of conductive strips of the first conductive strip; The plurality of cables can be soldered to the external ECG electrodes. The plurality of cables, the external ECG electrodes, and the flexible circuit are integrally formed. can be done.

[0006] The blood pressure monitoring device, which is attached to a blood pressure cuff and supplies air, comprises a housing including an internal portion, and a housing. configured to allow fluid communication between the interior of the housing and the interior of the blood pressure cuff. a port configured to allow ambient air to enter the interior of the housing; and an air intake configured to prevent liquid from entering the interior of the housing. The air intake defines a nonlinear path for ambient air to enter the interior of the housing. The air intake may be a serpentine air intake through which ambient air enters the interior of the housing. The air intake may define a passage through which ambient air enters the interior of the housing. The inlet may define a serpentine passageway through which liquid enters the interior of the housing. The housing may include a waterproof membrane configured to prevent the first side from The air intake may further include a first inner wall and a second inner wall. a first opening in a side and a second opening in a first interior wall of the housing; The first opening cannot be aligned with the second opening. The first opening and the second opening may be vertically spaced apart from each other. The housing may include an upper surface and a lower surface opposite the upper surface, and the blood pressure monitoring device may include The device may be configured to be positioned near the blood pressure cuff when secured. The first opening may be positioned closer to the lower surface than the second opening. The first opening has a slit width extending along a portion of the width of the first side portion and a a slit having a slit height extending along a portion of the height of the first side; The slit width may be greater than the slit length. The first inner wall may be the first end of the housing. The interior may be configured to divide into a first portion and a second portion, the first a portion disposed between the first side of the housing and the second portion of the interior The first opening, the first portion, and the second opening may be configured to The housing may define a first opening within the first portion of the interior. The second opening may further include a second inner wall disposed between the first opening and the second opening. The second inner wall is configured to at least partially diverge the first portion of the interior. The housing may have an upper inner surface and a lower inner surface opposite to the upper inner surface. The first opening may be at a first height relative to a lower surface of the housing. The second opening may be disposed at a first position relative to the lower surface of the housing. The second inner wall can be disposed at a height of 2. The second inner wall can be disposed at a height of 2. The housing may extend from the lower surface to a third height relative to the lower surface of the housing. The height may be greater than at least one of the first and second heights. The third height may be greater than both the first and second heights. The height may be greater than the first height and less than the second height. The second opening in the second inner wall is a first opening at a fourth height relative to the lower surface of the housing. and a second surface at a fifth height relative to the lower surface of the housing, The fifth height is greater than the fourth height, and the third height is greater than the fourth height. The second opening of the second inner wall may have a height greater than the fifth height. a first surface at a fourth height relative to the lower surface of the housing; and a second surface at a fifth height relative to the lower surface, the fifth height being greater than the fourth height. and the third height is greater than both the fourth height and the fifth height. It can be made easier.

[0007] A blood pressure monitor configured to be detachably attached at positions approximately symmetrical with respect to the width of the blood pressure cuff. wherein the blood pressure cuff is in a first orientation when worn on the right arm and in a second orientation when worn on the left arm. The blood pressure monitor is configured to be worn in a second direction opposite to the first direction, and the blood pressure monitor is Regardless of whether the blood pressure cuff is attached in the first or second orientation, a housing configured to be in fluid communication with the cuff and including an interior; and a first port, a first prong of the blood pressure monitor when the blood pressure cuff is worn in the first orientation; and fix the blood pressure cuff in the second direction. a first prong receiving and securing the first prong to the interior of the housing and the second prong within the first prong; between the first fluid passage and at least one of the second fluid passages in the second prong. a first port and a second port configured to allow fluid communication of When the blood pressure cuff is worn in the first orientation, the second prong of the blood pressure monitor and fixes the blood pressure cuff to the blood pressure monitor when the blood pressure cuff is worn in the second orientation. a second port configured to receive and secure the first prong of the The first and second ports may be disposed along a bottom surface of the housing. The first and second ports may be spaced apart from each other and aligned. The first and second ports may extend from the lower surface into the interior of the housing. The blood pressure cuff may include a first prong and a second prong. The housing may include a bladder in fluid communication with the blood pressure cuff. The housing may be configured to inflate and deflate the bladder. by moving air through the first port through one of the first and second fluid passages. The bladder may be inflated by a pressure of 1000 W. The ... flowing through the first port into the interior of the housing The blood pressure monitor may be configured to deflate the bladder. a valve disposed within the interior of the housing adjacent to the first or When the second prong is secured within the first port, the valve is in a first position. and neither the first nor the second prong is secured within the first port. When the valve is in the first position, the valve may be in the second position. When the valve is in the second position, a flow path through the first port can be opened. When the first prong is in the When received and secured within the port of the housing, the first fluid The second prong can block fluid communication between the second port and the passageway. When received and secured within the housing, the second fluid passageway is provided between the interior of the housing and the second fluid passageway. The fluid communication can be blocked by a fixed end of the second port. This can be inhibited by the cap.

[0008] A blood pressure monitor configured to be detachably attached at positions approximately symmetrical with respect to the width of the blood pressure cuff. a housing including an interior; and a first port, wherein the blood pressure cuff is connected to the first port. a first prong of the blood pressure monitor being received and secured when the blood pressure monitor is worn in the correct orientation; a second prong of the blood pressure monitor that is attached to the second prong when the device is attached in the second orientation; and a first fluid passage in the first prong and a second fluid passage in the second prong. the prongs, and at least one of the second fluid passages in the prongs. a first port and a second port configured as follows: and receiving and fixing the second prong of the blood pressure monitor when the blood pressure monitor is worn in the orientation of a blood pressure cuff adapted to receive the first prong of the blood pressure monitor when the blood pressure cuff is worn in the second orientation; and a second port configured to receive and secure the first and second ports. The second port may be disposed along the bottom surface of the housing. and the second ports may be spaced apart and aligned with one another relative to the width of the sphygmomanometer. The first and second ports extend from the lower surface into the interior of the housing. The blood pressure cuff may include a first and second fluid communication means for communicating with the first and second prongs. The housing may include a bladder in fluid communication with the blood pressure cuff. The housing may be configured to inflate and deflate the first and second ladders. and by moving air through the first port through one of the second fluid passages. configured to inflate the bladder, and further configured to inflate the first port; The bladder is collected by allowing the flow of the fluid through the port into the interior of the housing. The front of the housing adjacent to the first port may be configured to contract. a valve disposed within the interior, wherein the first or second prong is When secured within the port, the valve is in a first position, and the first and second When none of the prongs are secured within the first port, the valve is in the second position. When the valve is in the first position, the first port and when the valve is in the second position, opening a flow path through the first port. The first prong is received and secured within the second port. and obstructing fluid communication between the interior of the housing and the first fluid passage. When the second prong is received and secured within the second port, the housing Fluid communication between the interior and the second fluid passage can be blocked. can be inhibited by a cap secured to the end of the second port. When the blood pressure cuff is worn in the first orientation, it is fixed to the right arm of the user, and When the cuff is worn in the second orientation, it can be secured to the user's left arm. The orientation of the blood pressure cuff may be opposite to the first orientation. Regardless of whether they are mounted in the first and second orientations, the first and second fluid passages The blood pressure cuff may be configured to be in fluid communication with the bladder via either

[0009] configured to be removably secured to a user in first and second orientations, and is removably attached at a position approximately symmetrical with respect to the width of the blood pressure cuff. The blood pressure cuff is configured to have a first end, a second end opposite the first end, a first side, a second side opposite the first side, and the a length extending between first and second ends, and a width of the blood pressure cuff extending between the first and second ends; and the width is less than the length and the length is adapted to expand and contract. and a first blood pressure cuff configured to: the blood pressure cuff is fixed in the port of the blood pressure monitor when the blood pressure cuff is in the second orientation. a first prong configured to be secured within a second port of the bra; a first prong including a first fluid passageway in fluid communication with an interior of the blood pressure cuff; and the blood pressure cuff is secured within the second port of the blood pressure monitor when the blood pressure cuff is in the first orientation. The blood pressure monitor is configured to be secured within a first port of the blood pressure monitor when in the second orientation. a second prong including a second fluid passageway in fluid communication with the interior of the bladder; a second prong, the first prong extending from the first end of the blood pressure cuff to a second prong; and the second prong is positioned a distance of 1 mm from the first end of the blood pressure cuff. a second distance, the first and second distances being equal, and the first prong is the second prong is positioned a third distance from the first side of the blood pressure cuff, a fourth distance from the first side of the blood vessel, the third and fourth distances being unequal. A pressure cuff is disposed between the first end and the first and second prongs. a mounting portion and a second mounting portion disposed near the second end. the second attachment portion is in contact with the front of the blood pressure cuff when the blood pressure cuff is in the first and second orientations. The mounting portion may be configured to be fixed to the first mounting portion. The first and second attachment portions may be located on opposite surfaces of the blood pressure cuff. The blood pressure cuff is a protective device for the blood pressure monitor that allows the blood pressure monitor to be verified as a certified product. a near field communication (NFC) tag configured to electronically interact with an NFC reader; The NFC tag may further include one of the first and second prongs. The NFC tag may be disposed in proximity to at least one of the first and second processors. The first and second prongs may be disposed between the first and second prongs. each having a first end operably connected to a portion of the blood pressure cuff; a second end opposite said first end, a reduced cross-sectional area between said first and second ends, and a remaining cross-sectional area. The area of ​​the reduced cross-section is smaller than the remaining cross-section, and the reduced cross-section is A seal member may be configured to be received within the first port of the blood pressure monitor. The reduced cross-sectional area and the remaining cross-sectional area include a circular shape, and the reduced cross-sectional area Each of the first and second prongs may include a diameter smaller than the cross-sectional area. The first and second prongs may include at least a partially rounded end. Each of the tabs may include an end having a flat surface and a rounded perimeter. When the blood pressure cuff is secured to the user in the first orientation, the cuff is secured to the user's right arm. and the blood pressure cuff, when secured to the user in the second orientation, The second orientation may be the opposite of the first orientation. The blood pressure cuff may be configured to detect whether the blood pressure cuff is worn in the first or second orientation. a bladder of the blood pressure cuff through either the first or second fluid passageway, regardless of whether the and the blood pressure device.

[0010] The physiological monitoring device is attached to the user's arm by a caregiver through an assembly. a device configured to be removably secured to the physiological monitoring device and the user's arm; The physiological monitor may include a first end, a cradle, and a a second end opposite the first end, a first side, and a second side opposite the first side and a first cable extending outward from the first end and adapted to electrically connect to the first cable. a first connector port configured to be movably mounted to the first side; and a first locking tab movable between an extended position and a stowed position. The dollar includes a base and first and second side walls connected to opposite sides of the base. a rear wall connected to the base and the first and second side walls; and the physiological monitor. a first opening in the rear wall configured to receive the first connector port of the physiological monitoring device is secured to the cradle and the first locking tab is adapted to receive the first locking tab of the physiological monitoring device when in the extended position. and a second opening in the first side wall configured to define a second opening in the rear wall. After the first opening receives the first connector port, the cradle a monitoring device for securing the first locking tab within the second opening in the first side wall; The cradle may be configured to pivot about the rear wall. a collar projecting at least partially from the rear wall around the opening in the first opening, said collar comprising configured to receive and secure the first connector port of the physiological monitoring device. The cradle may have a first end and a second end opposite the first end. the rear wall is disposed at the first end of the cradle, and the collar may extend from the rear wall in a direction away from the second end of the cradle. The collar is configured to support the physiological monitoring device when the physiological monitoring device is secured to the cradle. The collar may be configured to surround a portion of the periphery of the first connector port. When the physiological monitoring device is secured in the cradle, the first connector port The physiological saline solution may be configured to enclose more than 50% but less than 100% of the circumference of the tissue. The first locking tab of the biological monitoring device is configured to lock the first locking tab to a portion of the first side wall. and a beveled end configured to move through the second opening and be secured within the second opening. The first locking tab moves through the portion of the first side wall. and the first side wall contacts the beveled end, moving the first locking tab from the extended position. The physiological monitoring device can be moved toward the storage position. and a lower surface opposite the upper surface, wherein when the physiological monitoring device is secured to the cradle, the lower surface faces the cradle, and the beveled end surface of the first locking tab is The physiological monitoring device can be oriented in a direction opposite to the top surface of the housing. a first button coupled to the first locking tab and movable relative to the first side; and wherein movement of the first button moves the first locking tab between the extended and retracted positions. The first side wall of the cradle can be moved between the and when secured to a physiological monitoring device, the first button of the physiological monitoring device. It can include a first recessed notch configured to align and provide access. The first concave notch may include a half-moon shape. a second lock movably mounted to the side and movable between an extended position and a retracted position; a second locking tab coupled to the second locking tab and movable relative to the second side; a button, wherein movement of the second button moves the second locking tab between an extended position and a retracted position. The cradle may further include a second button for moving the cradle between the first position and the second position. The physiological monitoring device is secured to the cradle, and the second locking tab is When in the extended position, the second locking tab of the physiological monitoring device is adapted to receive the second locking tab. The second side wall may further include a third opening configured as follows: the cradle has a first opening in the rear wall that receives the first connector port. the physiological monitoring device is inserted into the third opening of the second side wall by the second locking tab. The first side may be configured to pivot about the rear wall to secure the first side. The second opening in the wall can be aligned with the third opening in the second side wall. The first sidewall of the cradle is configured to secure the cradle to the physiological monitoring device. and aligning with and providing access to the first button of the physiological monitoring device when the device is in use. the second side wall of the cradle includes a first recessed notch configured to When the cradle is secured to the physiological monitoring device, a second recessed cutout configured to align with and provide access to the second button; The first recessed cutout of the first sidewall may be formed in a recessed shape similar to the second recessed cutout of the second sidewall. The cradle can be aligned with the recessed notch of the base, the first and second a front wall connected to the two side walls, the front wall being opposite the rear wall, and the rear wall The cradle extends from the base and has a front one or more legs configured to secure the cradle to the user's arm; The cradle may further include an RFID tag, and The physiological monitor is configured to determine whether the cradle is a certified product. The device may further include an RFID reader.

[0011] The assembly includes a physiological monitor and a device attached to the physiological monitor and a part of the user's body. and a cradle configured to releasably secure the physiological The biological monitoring device has a first end, a second end opposite the first end, a first side, and a second side opposite the first side and extending outward from the first end and a first connector port configured to electrically connect to a cable; a first lock movably mounted to the side of the lock and movable between an extended position and a retracted position; The cradle may include a base and two opposite sides of the base. and a first and second sidewalls connected to the base and the first and second sidewalls. a rear wall in which the physiological monitoring device is secured to the cradle and the first a locking tab adapted to receive the first locking tab of the physiological monitoring device when the locking tab is in the extended position; and a first opening in the first sidewall configured to receive the first opening. The rear wall supports the first end of the physiological monitoring device and a rear locking tab for securing the first locking tab within the first opening in the first side wall; It may be configured to pivot about the wall.

[0012] a physiological monitoring device configured to removably secure the physiological monitoring device to the user's arm; The cradle is configured to include a base, a first side wall, a second side wall, and a rear wall. The physiological monitor may include a portion of the physiological monitor that moves relative to the portion of the physiological monitor. a first locking tab movably mounted to the first locking tab and movable between an extended position and a stowed position. The first sidewall may be connected to the base and extend from the base. The first side wall is configured to allow the physiological monitoring device to be secured to the cradle and to be mounted on the front side wall. the first locking tab of the physiological monitoring device when the first locking tab is in the extended position; The second side may include a first opening configured to receive a tab. A wall may be connected to and extend from the base. The second side wall may include: The rear wall may be located opposite the first side wall. and the second side wall. a first end of a physiological monitoring device, the physiological monitoring device being in front of the first side wall; a first locking tab pivotably disposed about the rear wall to secure the first locking tab within the first opening; It can be configured as follows.

[0013] a physiological monitor configured to be removably secured to the cradle; a cradle configured to be secured to a portion of a user's body, said physiological monitoring device The device has a first end, a second end opposite the first end, a first side, and a first a second side portion opposite the first side portion, the second side portion being movably mounted relative to the first side portion and having an extended position; a first locking tab movable between a stowed position and a retracted position, the first locking tab being in the extended position when in the extended position; a locking mechanism for locking the first locking mechanism within the opening of the cradle; a first button coupled to the tab and movable relative to the first end, the first button moving the first locking tab in the extended position to the retracted position. and a device that can be moved out of the opening of the cradle by do.

[0014] A charging station for powering a physiological monitoring device, the charging station receiving power from a power source. a charging bay including a charging port configured to receive a and a tray movably mounted relative to the charging bay, the tray including: The device is configured to be fixed and moveable between a first position and a second position, In the first position, the charging device is spaced apart from the charging port, and in the second position, the charging device is close to the charging port. and arranged so that the physiological monitoring device can be electrically connected to the charging port. and a tray for storing the physiological monitor. The indicator may include an indicator configured to indicate When electrically connected to the charging port of the charging station, The indicator may be configured to indicate the charging status of the physiological monitoring device. the charging station when a biological monitoring device is electrically connected to the charging port. The physiological monitoring device may be configured to indicate whether the physiological monitoring device is a certified product. The charging bay may include a first display including the indicator. a side wall, a second side wall opposite the first side wall, and a rear wall connected to the first and second side walls; and a bottom panel connected to the first side wall, the second side wall, and the rear wall, A power port is located on the bottom panel, and the tray is connected to the first and second terminals of the charging bay. The tray can be movably mounted on the first and second side walls. a first arm extending outward from and along the first side; a second arm extending outward from and along the side of the base; The first side of the base is opposite the second side of the base and the first arm is in front of the first arm. the second arm is at least partially supported by the first side wall, and the second arm is attached to the second side wall; The base of the tray has a rear end and a bottom end. a front end opposite the rear end, the rear end of the tray being spaced apart from the first and second arms When the arm is at least partially supported by the first and second side walls, the charging and configured to be positioned near the rear wall of the station, the base of the tray comprising: an opening of a size and shape that matches the size and shape of the charging port; is configured to be positioned closer to the front end of the tray than to the rear end of the tray. The opening in the base of the tray may include a rounded shape. The charging port has a base that protrudes outward from the lower panel and is When the tray is in the second position, the opening of the tray is disposed around the base. The bottom panel may further include one or more prongs connected to the bottom panel. The one or more prongs are configured to bias the tray toward the first position. The one or more prongs may be attached to one or more of the lower panels. The one or more prongs may be at least partially disposed within the plurality of openings. The prong includes two prongs, and the two prongs can be spaced apart from each other. When the tray is in the second position, it compresses the one or more prongs. Each of the one or more prongs may be connected to the bottom panel. a straight portion configured to contact the tray and a curved portion configured to contact the tray. The one or more prongs may include a first prong adjacent to the first side wall. and a second prong adjacent to the second side wall. The base further includes one or more legs extending from the base, the one or more legs being The tray may be configured to contact one or more of the prongs. One or more legs extend in a first direction from the base and support the first and second legs of the tray. Two arms may extend from the base in a second direction opposite the first direction. Each of the one or more legs of the tray may have a peripheral wall and a support defined therein. a hollow interior having a respective one of said one or more prongs, said hollow interior being The first and second arms may be configured to receive at least a portion of the first and second arms. Each of the first and second resistors has a first portion connected to the base and a second portion connected to the first portion. and a second portion having a first end and a second end, the first end being angled relative to the base and extending forward. The second portion may be angled relative to the first portion. The first side wall has a first end connected to the rear wall and a second end opposite the first end. and two ends, and the first sidewall is adjacent to the second end, and the physiological monitor a first guide configured to allow a first locking tab of the viewing device to slide therein; The first guide recess may be a first guide recess extending from the surface of the first side wall. and the first guide recess is defined by three or less walls. At least one of the walls defining the first guide recess may be inclined. The first side wall of the charging bay may extend from the second end of the first side wall to a third end. a first stem wall extending toward the second side wall, and the first stem wall The first sidewall may include a first guide recess adjacent to the second end. a first locking recess for locking the tray in the second position; and configuring the first locking tab of the physiological monitoring device to be locked at a certain time. The first lock recess can be located closer to the lower panel than the first guide recess. The first locking recess can be disposed close to the first sidewall surface. the first guide recess is recessed from the surface of the first side wall to a second depth; The second depth may be smaller than the first depth. The first locking recess may be defined by four walls. The second side wall can be spaced apart from the first guide recess. The second side wall is connected to the rear wall. a third end portion of the second end portion and a fourth end portion opposite the third end portion, the sidewall includes a second guide recess adjacent the fourth end, the second guide recess a second locking tab of the physiological monitoring device configured to slide therethrough; The second guide recess is recessed from the surface of the second side wall to a third depth. and the second guide recess may be defined by three or fewer walls. At least one of the walls defining the second guide recess may be inclined. The second side wall has a fourth end extending from the fourth end of the second side wall toward the first side wall. a second stem wall, the second stem wall including the second guide recess; The second side wall further includes a second locking recess adjacent to the fourth end, The second locking recess is adapted to capture the second locking tab of the physiological monitoring device. The second lock recessed portion may be configured to be closer to the second guide recessed portion than the second lock recessed portion. The second locking recess may be located near the bottom panel. the second guide recess is recessed at a third depth from the surface, and the second guide recess is recessed at a fourth depth from the surface. The second depth may be smaller than the third depth. The first locking recess may be defined by four walls. The power source may be spaced apart from the second guide recess. The charging station includes a power cable configured to connect to the wall outlet. The device may further include a connector port configured to receive an end of a cable. The power source may include a battery located within a portion of the charging station. a base and a charging frame configured to be removably secured to the base; the charging frame includes the charging bay, and the battery is connected to the charging slot. The base of the station may be positioned within the base.

[0015] A charging station for powering one or more physiological monitoring devices is provided. A plurality of frames configured to be removably secured can be included. Each of the plurality of frames is configured to receive power from a power source. One or more charging bays including charging ports and one or more trays. Each of the one or more trays can be connected to one of the one or more charging bays. a charging bay disposed within the charging bay and movably mounted relative to the charging bay, and Each one of the physiological monitoring devices is fixed and adapted to move between a first position and a second position. In the first position, each of the one or more trays has a charging port. In the second position, the vehicle is spaced from the charging port, and in the third position, the vehicle is positioned adjacent to the charging port, thereby and electrically connecting the one or more physiological monitoring devices to the charging port. are.

[0016] Monitor one or more vital signs of a patient and manage sensor cables in the patient environment The system for measuring a physiological parameter is attached to a first portion of the patient. a first sensor configured to acquire physiological information associated with the first sensor; and a second portion of the patient connected to the first cable and attached to the second portion of the patient to measure a second physiological parameter. a second sensor configured to acquire physiological information related to the patient; and configured to be attached to a third portion of the subject and connected to the second sensor by a second cable. and transmitting a signal related to the first and second physiological parameters via the second cable. and a patient monitor configured to receive the physiological information. The first sensor may include an electrocardiogram (ECG) device. The second sensor may include: The ECG device may include a blood pressure monitor configured to be attached to the patient's chest. and the blood pressure device is configured to be attached to the patient's arm. The second sensor has a first connector port and a second connector port. The first connector port may be configured to connect to the first cable. the second connector port may be configured to connect to the second cable. The second sensor may be configured to receive the information acquired by the first sensor. The physiological information is passed to the patient monitor without being processed by the second sensor. The second sensor may further include a bypass bus configured as follows: The physiological information obtained by the second sensor is combined with the physiological information from the first sensor. The first computer may be configured to transmit the first and second information to the patient monitor simultaneously with the first and second information. The connector port and the second connector port are disposed on a first side of the second sensor. The system may further include a step of: The device may further include a third sensor that may be configured to acquire the A third sensor is attached to a third portion of the patient and connected to the patient monitor by a third cable. The patient monitor may be configured to connect to a first end, a second end opposite the first end, a second end of the side, a first connector port disposed at the first end, and a The first connector port may include a second connector port disposed on the first connector port. may be configured to connect to the third sensor via the third cable. The second connector port is connected to the second sensor via the second cable. The second connector port may be configured to connect to the second cable. a first female connector configured to connect to a fourth sensor via a fourth cable; and a second female connector configured to connect to the fourth The sensor may be an acoustic sensor. The third sensor may be an optical sensor. The second sensor may be a blood pressure monitor. The system may include a sensor for detecting the patient's skin. and a portion of one of the first cable or the second cable. The at least one cable management prong may further comprise: One cable management prong is configured to secure the base to the patient's skin surface. a stem extending outward from the base; and a spring extending outward from the stem. A cable of a size and shape to receive and secure one part of a second cable. and one or more arms having a shape of the base. The base may further include a release liner disposed on the adhesive. The base may be square. The stem may be spaced apart from the plane of the base. The stem may extend from a central portion of the base. The central portion of the base can be inwardly spaced from at least two side portions of the base. The stem may include a first height and a first width, The base may include a second height and a second width, the first height being the height of the one or more arms is greater than the first width and the first width is less than the second width. Each of the arms may extend in a first direction generally perpendicular to a side of the stem. Each of the one or more arms extends in a second direction different from the first direction. Each of the one or more arms may extend outward from the stem. The one or more may extend and be at least partially curved with a substantially constant radius of curvature. The one or more arms may be curved away from the base. The arms may include a C-shape. The one or more arms may at least partially The patient monitor may include a cross section that is substantially circular. a wireless transceiver configured to transmit the physiological information received from the It is possible.

[0017] Monitor one or more vital signs of a patient and manage sensor cables in the patient environment The system for measuring a physiological parameter is attached to a first portion of the patient. a first sensor configured to acquire physiological information associated with the patient; and a second sensor configured to acquire physiological information associated with the patient. and a first cable connected to the first sensor. a second physiological probe including a first connector port and a second connector port configured a second sensor configured to acquire physiological information related to the second parameter; and configured to connect to the second connector port of the second sensor via a cable. and receiving from the second sensor the physiological parameters related to the first and second physiological parameters. and configured to receive biological information from the patient, and further configured to be attached to a third portion of the patient. and a patient monitor configured to receive the second sensor. The physiological information acquired by the first sensor is not processed by the second sensor. , and may further comprise a bypass bus configured to pass to the patient monitor. The second sensor converts the physiological information obtained by the second sensor into the and transmitting the physiological information from one sensor to the patient monitor simultaneously. The first connector port and the second connector port of the second sensor can be may be disposed on a first side of the second sensor. one or more cables configured to be secured to a portion of one of the first or second cables; The first sensor may be attached to an ECG device. and the second sensor measures physiological information related to the patient's blood pressure. It can be configured as follows.

[0018] The non-invasive blood pressure monitor comprises an inflatable cuff, a pressure transducer, an air pump, and a plurality of air paths connecting an inflatable cuff, the pressure transducer, and the air pump; and an acoustic filter disposed along at least one of the air paths. The non-invasive blood pressure monitor further includes an air manifold that connects the plurality of air paths. The acoustic filter may be disposed between the air pump and the air manifold. The acoustic filter may be disposed between the pressure transducer and the air manifold. The acoustic filter may be integrated with the air manifold. The air manifold may include the acoustic filter cavity. The acoustic filter cavity has a plurality of ports feeding into the acoustic filter cavity, and The acoustic filter cavity may have a size at least five times the size of the plurality of ports. The acoustic filter may comprise a low pass filter. may include one or more stubs branching off from one of the plurality of air paths. The one or more stubs can be straight. The stubs may be closed-ended. The acoustic filter includes two opposing stubs. The one or more stubs may have a folded configuration. The one or more stubs may be made of a plurality of sections joined together at one or more angles. The acoustic filter may include one or more box-shaped cavities. The acoustic filter may include a surface attached to one of the plurality of air paths. The acoustic filter may include a box-shaped cavity having a plurality of stubs. The non-invasive blood pressure monitor may include a box-shaped cavity attached to one of the airways. The present invention relates to a housing having two or more parts and a mating interface between the two or more parts. The non-invasive blood pressure monitor may further include a gasket provided on the face. The acoustic filter may further include a noise attenuation material within the housing. The fundamental frequency produced by an air pump when operating at or above 50% of its maximum operating speed It may have a passband that excludes numbers.

[0019] The non-invasive blood pressure monitor comprises an inflatable cuff, a pressure transducer, and first and second air pumps. and a control circuit for independently controlling one or more operating characteristics of said first and second air pumps. and a processor configured to: The one or more operating characteristics may include a speed of the first or second air pump. The one or more operating characteristics of the first and second air pumps are The first and second air pumps may include a stroke length of the first and second air pumps. the one or more operating characteristics include a stroke phase of the first or second air pump; The non-invasive blood pressure monitor can measure the sound generated by the first and second air pumps. determining one or more characteristics of the acoustic noise; and and independently adjusting the one or more operating characteristics of the first and second air pumps. The non-invasive blood pressure monitor may be configured to output a signal from a microphone. a signal to detect the acoustic noise generated by the first and second air pumps; The non-invasive blood pressure monitor may be configured to determine one or more of the following characteristics: The microphone may be incorporated into the non-invasive blood pressure monitor. and detecting the sounds generated by the first and second air pumps using signals output from the The non-invasive method may be configured to determine the one or more characteristics of the resonant noise. The sphygmomanometer uses the current from the air pump to measure the pressure by the first and second air pumps. and determining the one or more characteristics of the acoustic noise generated by the The one of the acoustic noises generated by the first and second air pumps can be Alternatively, the plurality of characteristics may include loudness. The one or more characteristics of the acoustic noise generated may include a beat frequency. The one or both of the acoustic noises generated by the first and second air pumps may be The plurality of characteristics may include frequency components. to reduce an acoustic annoyance metric based on the one or more characteristics of the noise. further configured to adjust the one or more operating characteristics of the first and second air pumps. The acoustic discomfort metric may be a function of the acoustic discomfort level generated by the first and second air pumps. The non-invasive method may be based on the one or more characteristics of the acoustic noise. The sphygmomanometer measures the beat frequency of the acoustic noise generated by the first and second air pumps. controlling the speed of the first or second air pump to set the wave number to a desired value; The non-invasive blood pressure monitor may be configured to measure the pressure generated by the first air pump. The frequency components of the acoustic noise generated by the second air pump and the frequency components of the acoustic noise generated by the second air pump the first or second air so as to achieve a desired relationship between the frequency components of the noise The non-invasive blood pressure monitor may be configured to control the speed of the first pump. The frequency components of the acoustic noise generated by the first air pump are to be harmonically related to the frequency components of the acoustic noise generated by the amplifier. The non-invasive device may be configured to control the speed of the first or second air pump. The sphygmomanometer is configured to measure the acoustic noise generated by the first air pump and the acoustic noise generated by the second air pump. to increase destructive interference between the acoustic noise generated by the pump and the The stroke phase of one or the second air pump may be controlled.

[0020] A non-invasive blood pressure monitor comprises an inflatable cuff, a pressure transducer, and one or more air pumps. and a first inflation step for providing the inflatable cuff during a non-measured portion of the inflation phase. the expansion rate is greater than the second expansion rate provided during the measurement portion of said expansion phase. and a processor configured to control the one or more air pumps. The non-invasive blood pressure monitor includes first and second air pumps, and the process a pressure adjusting mechanism for adjusting the pressure of the first air pump and the second air pump during a non-measuring portion of the inflation phase; The processor may be configured to turn on both the inflation pump and the inflation pump. and subsequently turning off the second air pump during the measurement portion of the phase. The processor may detect plethysmog in the output signal from the pressure transducer. After a rough waveform is detected, the one or more air pumps are inflated from the first inflation rate to the The processor may be configured to control the transition between the expansion rate of blood and the expansion rate of blood. based at least in part on a predetermined minimum number of cardiac cycles for performing a pressure measurement, The predetermined minimum number of cardiac cycles may be 15 or less. The processor may determine the pulse rate based at least in part on the patient's pulse rate. The processor may be configured to determine a second inflation rate. The second expansion rate may be determined based at least in part on the The maximum inflation pressure can be determined based on the envelope of a plurality of plethysmographic waveforms. The processor continues to inflate the inflatable cuff until a threshold air pressure is reached. The pressure transducer may be configured to provide an expansion ratio of 1. and configured to provide the first inflation rate until a plethysmographic waveform is detected at the output of the The second expansion rate may be an active expansion rate during the measurement portion of the expansion phase. The target inflation rate can be set to a target inflation rate that is automatically controlled per cardiac cycle. The target inflation rate can be set to the inflation pressure increase of the tire. The target inflation rate can be changed over the course of a minute. The pressure can be slowed during specified diastolic or systolic pressure measurement zones. Alternatively, the systolic pressure measurement zone may include a plurality of plethysmographic waves at the output of the pressure transducer. The diastolic or systolic pressure measurement zones can be identified using an envelope of the shape based at least in part on inflection points within the envelopes of the plurality of plethysmographic waveforms. The non-invasive blood pressure monitor can identify a plurality of pulses at the output of the pressure transducer. based on the envelope of the retinal waveform, to terminate the measurement portion of the expansion phase. The non-invasive blood pressure monitor may be configured as follows: the measured portion of the expansion phase based at least in part on an inflection point in the envelope. The non-invasive blood pressure monitor may be configured to terminate the inflation phase. The blood pressure measurement value and a reliability metric may be determined upon completion of the measurement portion. The reliability metric can be calculated by the reliability metric detected during the measurement portion of the expansion phase. a plurality of plethysmographic waveforms at the output of said pressure transducer; the smoothness of the envelope of the waveform or the period corresponding to one or more of said plethysmographic waveforms. The non-invasive blood pressure monitor may include a display of the patient's movement during the measurement. and a measuring device for measuring the cumulative running time of each of said at least two air pumps. The non-invasive blood pressure monitor may further include a clock or counter for measuring the blood pressure. and determining whether the at least two processors are suitable for the operational task so as to reduce disparity in cumulative execution time. The air pump can be configured to select.

[0021] For purposes of summarizing the disclosure, certain aspects, advantages and novel features of the invention are described herein. In accordance with certain embodiments of the invention disclosed herein, such It is to be understood that not all advantages may be achieved. An invention disclosed herein may be modified in any way without necessarily achieving other advantages that may be taught or suggested herein. embodied in a manner that achieves or optimizes one advantage or group of advantages taught in the document It can be executed. [Brief explanation of the drawings]

[0022] Various embodiments will now be described with reference to the accompanying drawings. Although the present disclosure is illustrated and described by way of example, it is not intended to limit the scope of the disclosure. In the drawings, like elements are numbered like. [Figure 1A] FIG. 1A illustrates a perspective view of a patient monitoring system according to an embodiment of the present disclosure. [Figure 1B] FIG. 1B shows another perspective view of the patient monitoring system of FIG. 1A. [Figure 1C] FIG. 1C shows a schematic diagram of the patient monitoring system of FIG. 1A according to an embodiment of the present disclosure. [Figure 1D] FIG. 1D shows another schematic diagram of the patient monitoring system of FIG. 1C according to an embodiment of the present disclosure. [Figure 2A] FIG. 2A shows a perspective view of an ECG device. [Figure 2B] FIG. 2B shows a perspective view of the disposable portion of the ECG device of FIG. 2A. [Figure 2C] FIG. 2C shows a perspective view of the reusable portion of the ECG device of FIG. 2A. [Figure 2D] FIG. 2D shows a schematic diagram of the ECG device of FIG. 2A. [Figure 2E] FIG. 2E shows the dock for the disposable part of the ECG device shown in FIG. 2B. [Figure 2F] FIG. 2F shows an exploded top perspective view of the dock of FIG. 2E. [Figure 2G] FIG. 2G shows an exploded bottom perspective view of the dock of FIG. 2E. [Figure 2H] FIG. 2H shows a side view of the dock of FIG. 2E. [Figure 2I] FIG. 2I shows a top view of the flexible circuit of the dock of FIG. 2E. [Figure 2J] FIG. 2J shows a top perspective view of the hub of the reusable portion of the ECG device shown in FIG. 2C. [Figure 2K] FIG. 2K shows a top perspective view of the hub of the reusable portion of the ECG device shown in FIG. 2C. [Figure 2L] FIG. 2L shows a bottom perspective view of the hub of FIGS. 2J through 2K. [Figure 2M] FIG. 2M shows a bottom perspective view of the hub of FIGS. 2J through 2K. [Figure 2N] FIG. 2N shows a side view of the hub of FIGS. 2J to 2K. [Figure 2O] FIG. 2O shows an exploded top perspective view of the hub of FIGS. 2J and 2K. [Figure 2P] FIG. 2P shows an exploded bottom perspective view of the hub of FIGS. 2J and 2K. [Figure 2Q] FIG. 2Q shows an exploded view of a portion of the hub of FIGS. 2J and 2K according to an embodiment of the present disclosure. [Figure 2R] FIG. 2R illustrates a perspective view of the hub and dock of the ECG device of FIG. 2A according to an embodiment of the present disclosure, and further illustrates how the hub and dock mate. [Figure 2S]FIG. 2S illustrates a side cross-sectional view of the ECG device of FIG. 2A, showing the relative position of the temperature sensor with respect to the patient, according to an embodiment of the present disclosure. [Figure 2T] FIG. 2T illustrates a side cross-sectional view of the ECG device of FIG. 2A, showing the relative positions of the internal electrodes of the ECG device with respect to the patient, according to an embodiment of the present disclosure. [Figure 2U] FIG. 2U shows a block diagram illustrating a method for collecting physiological data using the ECG of FIG. 2A according to an embodiment of the present disclosure. [Figure 3A] FIG. 3A shows a perspective view of another embodiment of an ECG device. [Figure 3B] FIG. 3B shows a perspective view of the disposable portion of the ECG device of FIG. 3A. [Figure 3C] FIG. 3C shows a perspective view of the reusable portion of the ECG device of FIG. 3A. [Figure 3D] FIG. 3D shows a schematic diagram of the ECG device of FIG. 3A. [Figure 3E] FIG. 3E shows the dock for the disposable part of the ECG device shown in FIG. 3B. [Figure 3F] FIG. 3F shows an exploded top perspective view of the dock of FIG. 3E. [Figure 3G] FIG. 3G shows an exploded bottom perspective view of the dock of FIG. 3E. [Figure 3H] FIG. 3H shows a side view of the dock of FIG. 3E. [Figure 3I] FIG. 3I shows a top view of the flexible circuit of the dock of FIG. 3E. [Figure 3J] FIG. 3J shows a top perspective view of the hub of the reusable portion of the ECG device shown in FIG. 3C. [Figure 3K] FIG. 3K shows a top perspective view of the hub of the reusable portion of the ECG device shown in FIG. 3C. [Figure 3L] FIG. 3L shows a bottom perspective view of the hub of FIGS. 3J to 3K. [Figure 3M] FIG. 3M shows an exploded top perspective view of the hub of FIGS. 3J and 3K. [Figure 3N] FIG. 3N shows an exploded bottom perspective view of the hub of FIGS. 3J and 3K. [Figure 3O]FIG. 3O illustrates a perspective view of the hub and dock of the ECG device of FIG. 3A according to an embodiment of the present disclosure, and further illustrates how the hub and dock mate. [Figure 3P] FIG. 3P illustrates a side cross-sectional view of the ECG device of FIG. 3A on a patient according to an embodiment of the present disclosure, showing the relative position of the temperature sensor with respect to the patient. [Figure 3Q] FIG. 3Q illustrates a side cross-sectional view of the ECG device of FIG. 3A on a patient according to an embodiment of the present disclosure, showing the relative positions of the internal electrodes of the ECG device with respect to the patient. [Figure 3R] FIG. 3R shows a block diagram illustrating a method of collecting physiological data using the ECG of FIG. 3A according to an embodiment of the present disclosure. [Figure 4A] 4A-4D show various views of an ECG packaging device according to an embodiment of the present disclosure. [Figure 4B] 4A-4B illustrate various views of an ECG packaging device according to an embodiment of the present disclosure. [Figure 4C] 4A-4C show various views of an ECG packaging device according to an embodiment of the present disclosure. [Figure 4D] 4A-4D show various views of electrodes according to embodiments of the present disclosure. [Figure 4E] FIG. 4E illustrates an alternative configuration of the ECG packaging device of FIG. 4A according to an embodiment of the present disclosure. [Figure 5A] FIG. 5A shows a perspective view of a blood pressure monitor. [Figure 5B] FIG. 5B shows a perspective view of the sphygmomanometer. [Figure 5C] FIG. 5C shows a top view of the sphygmomanometer of FIGS. 5A-5B. [Figure 5D] FIG. 5D shows a bottom view of the sphygmomanometer of FIGS. 5A-5B. [Figure 5E] FIG. 5E shows a side view of the sphygmomanometer of FIGS. 5A-5B. [Figure 5F] FIG. 5F shows another side view of the sphygmomanometer of FIGS. 5A-5B. [Figure 5G] FIG. 5G shows a front view of the sphygmomanometer of FIGS. 5A-5B. [Figure 5H] FIG. 5H shows a rear view of the sphygmomanometer of FIGS. 5A-5B. [Figure 5I] FIG. 5I shows a perspective view of a blood pressure cuff. [Figure 5J] FIG. 5J shows an enlarged view of a portion of the blood pressure cuff of FIG. 5I. [Figure 5K] FIG. 5K shows the blood pressure cuff of FIG. 5I secured to the blood pressure monitor of FIGS. 5A-5B. [Figure 5L] FIG. 5L illustrates a blood pressure cuff secured to a blood pressure monitor in a first orientation according to an embodiment of the present disclosure. [Figure 5M] FIG. 5M illustrates the blood pressure cuff of FIG. 5I secured in a second orientation to a blood pressure monitor according to an embodiment of the present disclosure. [Figure 5N] FIG. 5N shows a perspective view of a portion of the blood pressure cuff of FIG. 5I according to an embodiment of the present disclosure. [Figure 5O] FIG. 5O shows a perspective view of a portion of the blood pressure cuff of FIG. 5I according to an embodiment of the present disclosure. [Figure 5P] FIG. 5P illustrates a cross section of the sphygmomanometer of FIGS. 5A-5B according to an embodiment of the present disclosure. [Figure 5Q] FIG. 5Q illustrates a cross section of the sphygmomanometer of FIGS. 5A-5B according to an embodiment of the present disclosure. [Figure 5R] FIG. 5R shows an enlarged view of a portion of the cross-sectional view shown in FIG. 5Q. [Figure 5S] FIG. 5S illustrates an exploded perspective view of the sphygmomanometer of FIGS. 5A-5B according to an embodiment of the present disclosure. [Figure 5T] FIG. 5T illustrates an exploded perspective view of the sphygmomanometer of FIGS. 5A-5B according to an embodiment of the present disclosure. [Figure 5U] FIG. 5U illustrates a perspective view of the sphygmomanometer of FIGS. 5A-5B with portions removed according to an embodiment of the present disclosure. [Figure 5V] FIG. 5V illustrates a perspective view of the sphygmomanometer of FIGS. 5A-5B with portions removed according to an embodiment of the present disclosure. [Figure 5W] FIG. 5W shows a cross-sectional view of the sphygmomanometer of FIGS. 5A-5B according to an embodiment of the present disclosure. [Figure 5X] FIG. 5X illustrates a cross-sectional view of the sphygmomanometer of FIGS. 5A-5B according to an embodiment of the present disclosure. [Figure 5Y]FIG. 5Y illustrates another perspective view of the sphygmomanometer of FIGS. 5A-5B with portions removed according to an embodiment of the present disclosure. [Figure 5Z] FIG. 5Z shows an exploded view of the valve of the blood pressure monitor. [Figure 5AA] FIG. 5AA shows an exploded view of the valve of the blood pressure monitor. [Figure 6A] FIG. 6A illustrates a perspective view of one embodiment of a blood pressure monitor assembly according to aspects of the present disclosure. [Figure 6B] FIG. 6B shows another perspective view of the blood pressure monitor assembly of FIG. 6A. [Figure 6C] FIG. 6C shows a side view of the sphygmomanometer assembly of FIG. 6A. [Figure 6D] FIG. 6D shows an enlarged view of a portion of the sphygmomanometer assembly shown in FIG. 6C. [Figure 6E] FIG. 6E shows an exploded view of the sphygmomanometer assembly of FIG. 6A. [Figure 6F] FIG. 6F shows a perspective view of the blood pressure monitor assembly of FIG. 6A. [Figure 6G] FIG. 6G shows a perspective view of the blood pressure monitor assembly of FIG. 6A. [Figure 6H] FIG. 6H shows a perspective view of the blood pressure monitor assembly of FIG. 6A. [Figure 6I] FIG. 6I shows a perspective view of the blood pressure monitor assembly of FIG. 6A. [Figure 6J] FIG. 6J shows a top view of the sphygmomanometer of FIGS. 6F to 6I. [Figure 6K] FIG. 6K shows a bottom view of the sphygmomanometer of FIGS. 6F to 6I. [Figure 6L] FIG. 6L shows a side view of the sphygmomanometer of FIGS. 6F to 6I. [Figure 6M] FIG. 6M shows another side view of the sphygmomanometer of FIGS. 6F to 6I. [Figure 6N] FIG. 6N shows a front view of the sphygmomanometer of FIGS. 6F to 6I. [Figure 6O] FIG. 6O shows a rear view of the sphygmomanometer of FIGS. 6F to 6I. [Figure 6P] FIG. 6P shows an enlarged perspective view of a portion of the sphygmomanometer of FIGS. 6F to 6I shown in FIG. 6F. [Figure 6Q]FIG. 6Q shows an enlarged perspective view of a portion of the sphygmomanometer of FIGS. 6F to 6I shown in FIG. 6H. [Figure 6R] FIG. 6R shows an enlarged view of a portion of the housing of the sphygmomanometer of FIGS. 6F to 6I shown in FIG. 6M. [Figure 6S] FIG. 6S shows a perspective view of the cradle of the assembly of FIG. 6A. [Figure 6T] FIG. 6T shows a perspective view of the cradle of the assembly of FIG. 6A. [Figure 6U] FIG. 6U shows a top view of the cradle of the sphygmomanometer of FIGS. 6S to 6T. [Figure 6V] FIG. 6V shows a bottom view of the cradle of the sphygmomanometer of FIGS. 6S to 6T. [Figure 6W] FIG. 6W shows a side view of the cradle of the sphygmomanometer of FIGS. 6S to 6T. [Figure 6X] FIG. 6X shows another side view of the cradle of the sphygmomanometer of FIGS. 6S to 6T. [Figure 6Y] FIG. 6Y shows a front view of the cradle of the blood pressure monitor of FIGS. 6S to 6T. [Figure 6Z] FIG. 6Z shows a rear view of the cradle of the blood pressure monitor of FIGS. 6S to 6T. [Figure 7A] FIG. 7A illustrates an exploded view of another embodiment of a sphygmomanometer assembly according to aspects of the present disclosure. [Figure 7B] FIG. 7B shows a perspective view of the blood pressure monitor assembly of FIG. 7A. [Figure 7C] FIG. 7C shows a perspective view of the blood pressure monitor assembly of FIG. 7A. [Figure 7D] FIG. 7D shows a top view of the sphygmomanometer of FIGS. 7B to 7C. [Figure 7E] FIG. 7E shows a bottom view of the sphygmomanometer of FIGS. 7B to 7C. [Figure 7F] FIG. 7F shows a side view of the sphygmomanometer of FIGS. 7B to 7C. [Figure 7G] FIG. 7G shows another side view of the sphygmomanometer of FIGS. 7B to 7C. [Figure 7H] FIG. 7H shows a front view of the sphygmomanometer of FIGS. 7B to 7C. [Figure 7I]FIG. 7I shows a rear view of the sphygmomanometer of FIGS. 7B to 7C. [Figure 7J] FIG. 7J shows an enlarged view of a portion of the blood pressure monitor diagram shown in FIG. 7G. [Figure 7K] FIG. 7K illustrates a cross-sectional view of the sphygmomanometer of FIGS. 7B to 7C according to an embodiment of the present disclosure. [Figure 7L] FIG. 7L shows an enlarged perspective view of the cross section shown in FIG. 7K according to an embodiment of the present disclosure. [Figure 7M] FIG. 7M shows another enlarged perspective view of the cross section shown in FIG. 7K according to an embodiment of the present disclosure. [Figure 7N] FIG. 7N shows a perspective view of the cradle of the assembly of FIG. 7A. [Figure 7O] FIG. 7O shows a perspective view of the cradle of the assembly of FIG. 7A. [Figure 7P] FIG. 7P shows a top view of the cradle of FIGS. 7N to 7O. [Figure 7Q] FIG. 7Q shows a bottom view of the cradle of FIGS. 7N to 7O. [Figure 7R] FIG. 7R shows a side view of the cradle of FIGS. 7N to 7O. [Figure 7S] FIG. 7S shows another side view of the cradle of FIGS. 7N to 7O. [Figure 7T] FIG. 7T shows a front view of the cradle of FIGS. 7N to 7O. [Figure 7U] FIG. 7U shows a rear view of the cradle of FIGS. 7N to 7O. [Figure 7V] FIG. 7V illustrates the cradle of FIGS. 7N-7O connected to an exemplary blood pressure cuff according to an embodiment of the present disclosure. [Figure 8A] FIG. 8A shows a perspective view of a patient monitor assembly with cables connected, according to an embodiment of the present disclosure. [Figure 8B] FIG. 8B shows another perspective view of the patient monitor assembly of FIG. 8A without the cables connected. [Figure 8C] FIG. 8C shows an exploded view of the patient monitor assembly of FIG. 8B. [Figure 8D] FIG. 8D shows a top view of the patient monitor assembly of FIG. 8B. [Figure 8E] FIG. 8E shows a bottom view of the patient monitor of FIG. 8D. [Figure 8F] FIG. 8F shows a side view of the patient monitor of FIG. 8D. [Figure 8G] FIG. 8G shows another side view of the patient monitor of FIG. 8D. [Figure 8H] FIG. 8H shows a front view of the patient monitor of FIG. 8D. [Figure 8I] FIG. 8I shows a rear view of the patient monitor of FIG. 8D. [Figure 8J] FIG. 8J shows a perspective view of the cradle of the assembly of FIG. 8B. [Figure 8K] FIG. 8K shows a top view of the cradle of FIG. 8J. [Figure 8L] FIG. 8L shows a bottom view of the cradle of FIG. 8J. [Figure 8M] FIG. 8M shows a side view of the cradle of FIG. 8J. [Figure 8N] FIG. 8N shows another side view of the cradle of FIG. 8J. [Figure 8O] FIG. 8O shows a front view of the cradle of FIG. 8J. [Figure 8P] FIG. 8P shows a rear view of the cradle of FIG. 8J. [Figure 8Q] FIG. 8Q shows an enlarged view of a portion of the patient monitor shown in FIG. 8G. [Figure 8R] FIG. 8R illustrates an enlarged perspective view of the patient monitor shown in FIG. 8Q with portions removed, according to an embodiment of the present disclosure. [Figure 8S] FIG. 8S shows an enlarged perspective view of the patient monitor shown in FIG. 8Q with portions removed, according to an embodiment of the present disclosure. [Figure 8T] FIG. 8T shows a top view of the enlarged view of FIG. 8R. [Figure 8U] FIG. 8U shows a perspective view of a locking tab assembly of a patient monitor according to an embodiment of the present disclosure. [Figure 8V] FIG. 8V shows a bottom view of the locking tab assembly of FIG. 8U. [Figure 9A] 9A-9C show various views of cable management prongs according to an embodiment of the present disclosure. [Figure 9B] 9A and 9B show various views of cable management prongs according to an embodiment of the present disclosure. [Figure 9C] 9A-9C show various views of cable management prongs according to an embodiment of the present disclosure. [Figure 10A] FIG. 10A illustrates a perspective view of a charging station according to an embodiment of the present disclosure. [Figure 10B] FIG. 10B shows a top view of the charging station of FIG. 10A. [Figure 10C] FIG. 10C shows a bottom view of the charging station of FIG. 10A. [Figure 10D] FIG. 10D shows a side view of the charging station of FIG. 10A. [Figure 10E] FIG. 10E shows a front view of the charging station of FIG. 10A. [Figure 10F] FIG. 10F shows a rear view of the charging station of FIG. 10A. [Figure 10G] FIG. 10G shows a top perspective view of the frame of the charging station of FIG. 10A. [Figure 10H] FIG. 10H shows another top perspective view of the frame of FIG. 10G. [Figure 10I] FIG. 10I shows a bottom perspective view of the frame of FIG. 10G. [Figure 10J] FIG. 10J shows an exploded view of the frame of FIG. 10G. [Figure 10K] FIG. 10K shows another exploded view of the frame of FIG. 10G. [Figure 10L] FIG. 10L shows a cross section through a portion of the frame of FIG. 10G. [Figure 11A] FIG. 11A shows a perspective view of a charging cradle with two patient monitors placed therein, according to an embodiment of the present disclosure. [Figure 11B] FIG. 11B shows a perspective view of a charging cradle with two patient monitors placed therein, according to an embodiment of the present disclosure. [Figure 11C] FIG. 11C shows a perspective view of a medical monitoring hub according to an embodiment of the present disclosure. [Figure 11D]FIG. 11D illustrates a perspective view of the charging cradle of FIGS. 11A-11B without two patient monitors disposed therein, according to an embodiment of the present disclosure. [Figure 11E] FIG. 11E illustrates a perspective view of the charging cradle of FIGS. 11A-11B without two patient monitors placed therein, according to an embodiment of the present disclosure. [Figure 11F] FIG. 11F shows a bottom view of the charging cradle of FIGS. 11D to 11E. [Figure 11G] FIG. 11G shows a top view of the charging cradle of FIGS. 11D to 11E. [Figure 11H] FIG. 11H shows an exploded perspective view of the charging cradle of FIGS. 11D to 11E. [Figure 11I] FIG. 11I shows another exploded perspective view of the charging cradle of FIGS. 11D to 11E. [Figure 11J] FIG. 11J shows a perspective view of the tray of the charging cradle of FIGS. 11D to 11E. [Figure 11K] FIG. 11K shows a front view of the tray of FIG. 11J. [Figure 11L] FIG. 11L shows an enlarged view of a portion of the charging cradle of FIG. 11H according to an embodiment of the present disclosure. [Figure 11M] FIG. 11M shows a side view of the charging cradle of FIGS. 11D-11E according to an embodiment of the present disclosure and further illustrates the rotational ability of the tray of the charging cradle. [Figure 11N] FIG. 11N illustrates a side view of the charging cradle of FIGS. 11D-11E according to an embodiment of the present disclosure, further illustrating the rotational ability of the tray of the charging cradle. [Figure 12] FIG. 12 is a block diagram of an exemplary embodiment of a non-invasive blood pressure monitor. [Figure 13A] FIG. 13A shows an exemplary embodiment of an acoustic filter that can be provided in a sphygmomanometer. [Figure 13B] FIG. 13B shows another exemplary embodiment of an acoustic filter that can be provided in a sphygmomanometer. [Figure 13C] FIG. 13C illustrates an additional exemplary embodiment of an acoustic filter that may be provided in a sphygmomanometer. [Figure 13D] FIG. 13D illustrates yet another exemplary embodiment of an acoustic filter that can be provided in a sphygmomanometer. [Figure 14A] FIG. 14A is a flowchart of an exemplary embodiment of a method for using an air pump controller to improve the audible sound emitted by a non-invasive blood pressure monitor. [Figure 14B] FIG. 14B is a flowchart of an exemplary embodiment of a method for reducing the time required for a non-invasive blood pressure monitor to perform a blood pressure measurement. [Figure 14C] FIG. 14C illustrates an exemplary embodiment of a method for dynamically controlling cuff inflation using a sphygmomanometer. [Figure 14D] FIG. 14D illustrates an exemplary embodiment of a method for performing pump frequency relationship control in a sphygmomanometer with multiple air pumps. [Figure 14E] FIG. 14E illustrates how the target inflation rate of the blood pressure cuff can be adjusted during blood pressure measurement based on the envelope of the oscillometric signal generated by the sphygmomanometer. DETAILED DESCRIPTION OF THE INVENTION

[0023] The present disclosure relates to various devices, systems, and methods for monitoring one or more physiological parameters of a patient. The system and method are described.

[0024] The present disclosure will now be described with reference to the accompanying drawings, in which like numerals refer throughout: The following description is merely exemplary in nature and does not necessarily imply any change to the disclosure, its application, or the like. The steps within the methods are not intended to limit the use in any way. It should be understood that the steps may be performed in a different order without changing the logic. The devices, systems, and / or methods disclosed herein may include several novel features. and no one of them is solely responsible for its desired attributes or Essential for implementing the disclosed devices, systems, and / or methods.

[0025] (Patient monitoring system overview) The present disclosure relates to a patient monitor (hereinafter referred to as a "patient monitor") attached to a patient and one or more physiological sensors. (also referred to as "user interface monitor" and "vital sign monitor" in the specification) This paper describes a patient monitoring system that can be used with various sensors connected to the patient monitor. collect physiological data from the device, and The information may be processed and / or displayed on the screen of a patient monitor. The patient monitor may transmit such data or information to a patient monitor remote from the patient. In some cases, the patient monitor may include a wireless transmitter or transceiver capable of transmitting It should be a standalone unit that can present a wealth of physiological information (via a screen) to the caregiver. The patient monitoring system and / or its various components (e.g., sensors / device) can minimize the total amount of cables in the system. One or more sensors / devices in a monitoring system may be connected to one or more sensors / devices in the system. The patient monitor can be connected indirectly through another device in the system. For example, If an ECG device, a blood pressure monitor, and a patient monitor are included, the ECG device can be connected directly to the blood pressure monitor. and indirectly to the patient monitor via a single cable connecting the blood pressure monitor to the patient monitor. Additionally, the blood pressure monitor can receive input data from an ECG device (e.g. and (without processing the incoming ECG device data by the sphygmomanometer processor) may include a bypass feature that allows the signal to pass directly to the output cable that connects to the patient monitor. Such an "indirect" cable connection between the ECG machine and the patient monitor Improved cable management for the entire patient monitoring system, reducing the length of cables required This becomes possible.

[0026] 1A-1B show a patient monitoring system 100. The patient monitoring system 100 111. The patient monitoring system 100 includes an acoustic sensor 150, an ECG device 110, a blood pressure monitor 600 ( In the specification, "blood pressure sensor" or "blood pressure device" or "blood pressure measuring device" or "blood pressure monitoring device" ), optical sensor 140, and / or patient monitor 130 (also referred to herein as " This may include a "user interface monitor" and a "vital signs monitor" Additionally, additional sensors and / or devices other than those shown in Figures 1A-1B may be incorporated into the system. The sensors / monitors 110, 120, 130, 140, and and / or 150, cables 103, 105, 107, 114, and / or blood pressure caps Any of the filters 121 can be reusable, disposable, or resposable. Resposable devices include devices that are partly disposable and partly reusable. For example, the acoustic sensor 150 may be attached to a disposable contact surface that contacts the skin of the patient 111. This may include electronic devices that are reusable except for certain components (such as adhesives). As described in more detail in, the ECG device 110 includes a reusable portion and a disposable portion. It is possible.

[0027] As shown in FIGS. 1A-1B, an ECG device 110 includes multiple electrodes 112 connected to the electrodes 112. and connects to a blood pressure monitor 120 via a cable 105. As shown in the figure, the blood pressure monitor 120 can be connected to a patient monitor via a cable 107. The system 100 can be connected to a patient monitor 130. For example, the system 100 may include additional sensors that can and an acoustic sensor 109 which can be connected to a patient monitor 130 using cables 109 and 110, respectively. The ECG device 110 may include a sensor 150 and / or an optical sensor 140. The blood pressure monitor 120 may be fixed to the arm and / or the chest of the patient 111. The patient monitor 130 may be attached to a blood pressure cuff 121 that may be adjusted. For example, a securing strap may be provided that can be secured around a portion of the patient monitor 130 and the forearm. The acoustic sensor 150 can be fixed to the forearm of the patient 111 via the cap 131. The optical sensor 140 can be fixed to the patient's 111 finger, e.g. It can be secured to the index finger of the patient 111.

[0028] The electrocardiograph (ECG) device 110 of the system 100 monitors the electrical activity of the heart of the patient 111. The ECG device 110 can be used to monitor the heart rate. 2. The device 110 may include one or more cables 114 that may be coupled to one , two, three, four, five, six, or seven or more cables 114 and / or corresponding power cables. The ECG device 110 may include electrodes 112. The ECG device 110 is further illustrated in FIGS. 2A through 2U. , as described in more detail below.

[0029] The blood pressure monitor 120 of the system 100 is used in conjunction with a blood pressure cuff 121 to measure the blood pressure of the patient 111. The blood pressure cuff 121 (also referred to herein as the "cuff") can measure pressure data. The cuff 121 may be inflatable and / or deflatable. , electronically actuated (e.g., via intelligent cuff inflation and / or timed The cuff may be an oscillometric cuff that acquires blood pressure information of the patient 111 (based on an interval between pulses). Such blood pressure data can be transferred via cable 35 to patient monitor 130. Sphygmomanometer 120 is further shown in Figures 5A through 5AA and described in more detail below. As described below, the blood pressure monitor 120 is illustrated in more detail below with reference to FIGS. 12 through 14E. The device may have the properties and / or functions as described in.

[0030] The optical sensor 140 collects physiological information indicative of one or more blood parameters of the patient 111. The system may include one or more light emitters and one or more detectors for obtaining the These parameters include oxygen, carbon monoxide, methemoglobin, total hemoglobin, glucose , protein, glucose, lipids, their percentages (e.g., concentration or saturation), etc. The optical sensor 140 may also include an optical plethysmograph. It is used to obtain blood pressure, plethysmographic variability metrics, pulse rate, blood perfusion metrics, etc. Oxygen saturation (SpO2), pulse rate, plethysmographic waveform, perfusion index pleural variability index (PVI), methemoglobin (MetHb), carboxyhemoglobin (CHE) Information such as cohemoglobin (CoHb), total hemoglobin (tHb), and glucose is transmitted by the optical sensor. The data relating to such information can be obtained from the cable 109. The optical sensor 140 can transmit, for example, pulse It may be an oximeter.

[0031] Acoustic sensor 150 (also referred to as "acoustic respiration sensor" or "respiration sensor") of system 100 ) may comprise an acoustic transducer such as a piezoelectric element. The patient monitor 130 can be connected via 103. The acoustic sensor 150 detects the patient's Detects respiratory and other biological sounds and provides signals reflective of these sounds to a patient monitor The acoustic sensor 150 may reflect one or more respiratory parameters of the patient 111. These parameters can be measured by a piezoelectric sensor or other device that captures physiological information related to the , e.g., respiratory rate, inspiratory time, expiratory time, inspiratory-to-expiratory ratio, inspiratory flow rate, expiratory flow rate, tidal volume, Volume, apnea duration, breath sounds, rales, rhonchi, stride, and reduction in airflow or airflow Additionally, in some cases, the respiratory sensor 1 may include changes in respiratory sounds, such as changes in 50, or another lead (not shown) of the respiration sensor 150, may be used to measure heart rate (e.g., to aid in heartbeat detection), heart sounds (e.g., S1, S2, S3, S4, and murmurs), and and other abnormalities such as changes in heart sounds from normal to murmurs or split sounds indicating fluid overload. In some implementations, for additional heart sound detection, A second acoustic respiration sensor may be provided on the patient's 111 chest.

[0032] The acoustic sensor 150 is connected to the optical sensor 140 on the fingertip, the optical sensor attached to the patient's ear, and the to generate an excitation waveform that can be detected by a sensor, ECG device 110, or another acoustic sensor. The rate of the excitation waveform can be adjusted by the patient monitor 130 and / or blood pressure device 130. From this velocity, the processor calculates the blood pressure The processor may output and display the blood pressure measurements. The processor also uses the blood pressure measurement to determine whether to trigger the blood pressure cuff 121. You can decide whether to

[0033] As shown in FIGS. 1A-1B, a patient monitoring system 100 includes physiological sensors connected to each other and to and / or various cables that connect to the patient. As discussed above, the patient monitor 130 is advantageously connected to each of the various sensors 110, 120, 140, and / or 150. to collect various physiological data of the patient 111, process such data, and and / or information related to such data is not accessible to patients and / or caregivers. As shown, such a cable can be conveniently displayed on a display screen. 103 connected to one or more cables 114, an acoustic sensor 150, , a cable 105 connected to an ECG device 110, a cable 106 connected to a blood pressure monitor 120, and cable 107, and / or cable 109 connected to pulse oximeter 140. All such sensors / devices in the system 100 and the sensors / devices With all those cables connecting sensors / devices, cable management becomes difficult. Advantageously, the system 100 and its various components (sensors / devices) ) to effectively manage the various cables by directing, structuring, and / or can be designed.

[0034] For example, it may be useful to transmit data from each of the various sensors to the patient monitor 130. While this is advantageous, such transmissions may be provided indirectly via other sensors / devices in the system 100. As shown, the system 100 includes an ECG device 110, a blood pressure monitor 120, and and, if a patient monitor 130 is included, connecting the ECG device 110 directly to the patient monitor 130. Instead of connecting to the patient's chest (such a cable would span the gap between the patient's chest and arm), 1A to 1B ). 1, a blood pressure device 120 can be secured to the upper arm of a patient 111 via a cable 105. Furthermore, an ECG device 110 can be attached to the chest of a patient 111. and a patient monitor 130 is attached to the arm (e.g., wrist or lower arm) of the patient 111. Such an indirect connection allows for shorter cable lengths when By reducing the length of the cable connecting the sensor / device, the discomfort and discomfort to the monitored patient can be reduced. confusion, patient behavior, and / or interacting with, engaging with, assessing, and / or treating the patient. Reduce or eliminate problems associated with cabling, including interfering with a caregiver's ability to provide treatment can be eliminated.

[0035] FIG. 1B illustrates a system 100 as shown in FIG. 1A, but in which the system 100 is configured to monitor a patient 111. Advantageously, the connection techniques discussed above with reference to FIG. 1A are used in system 100 The system 100 is equally applicable when the patient 111 is immobilized on the right side. , one or more cable management prongs (described in more detail below with reference to Figures 9A to 9C) The cable management prongs may include cable management prongs 900 for supporting the patient. The cables 103, 105, 107, and / or Alternatively, it can be fixed to any part of 109.

[0036] FIG. 1C shows a schematic diagram of the system 100. FIG. 1C shows a schematic diagram of the system 100, in which one or more patient monitors 130 are used. 1 illustrates a method for obtaining information from a number of physiological sensors or monitors. 130 connects (via cable or wirelessly) to one or more physiological sensors; As discussed above, various physiological information about the monitored patient can be obtained. The patient monitor 130 receives information from one or more physiological sensors of the system 100. Physiological information may be stored, processed, transmitted, transmitted without processing, displayed, and / or displayed without processing. The patient monitor 130 is a processing device and therefore can be configured to The patient monitor 130 may include components necessary to perform the functions of the device. For example, the patient monitor 130 may include: One or more processors (e.g., specific physiological parameters and / or or one, two, three, or four processors capable of dedicated processing of physiological information, etc. ), memory devices, storage devices, input / output devices, and communication connections, all in one The devices may be connected via one or more communication buses.

[0037] As shown, the patient monitoring system 100 includes an ECG device 110 and / or a blood pressure monitor 120. Also, as shown, the ECG device 110 and / or the blood pressure monitor 120 may include , can be connected to a patient monitor 130 and transmit physiological information to the patient monitor 130. Each of the ECG device 110 and / or the blood pressure monitor 120 is connected to the blood pressure monitor 120 via a cable (or wirelessly). Alternatively, the ECG device 110 and the blood One or both of the pressure gauges 120 can be indirectly connected to the patient monitor 130. For example, the ECG device 110 is directly connected to the blood pressure monitor 120 (using a cable 105 or the like), Next, connect the blood pressure monitor 120 directly to the patient monitor 130 (such as with cable 107). As discussed above, the communication between the ECG device 110 and the patient monitor 130 can be Such an "indirect" connection may occur, for example, when multiple physiological sensors / devices are attached to the patient 111. Cables are used to connect the various physiological sensors to each other and to the patient monitor 130. As discussed above, such an "indirect" connection can be beneficial when: The length and / or amount of cable in close proximity to the patient being monitored can be reduced, thereby This reduces patient discomfort and reduces the potential for "snagging" or cable dislodgement. and therefore, among other things, improves the patient's athletic performance.

[0038] In some cases, the cable 103 may be connected to a connector port on a blood pressure monitor 120 or a patient monitor 110. 30 connector ports. Alternatively, the cable 105 may be connected to a connector port of the blood pressure monitor 120 or a connector port of the patient monitor 130. Advantageously, this can be configured to connect to either of the connector ports. This provides flexibility for connecting systems 100 that do not include a blood pressure monitor 120. Additionally, in some cases, the blood pressure monitor 120 may have one or more connector ports at its end. This further allows the system 100 to monitor the patient in the configuration shown in FIGS. 1A-1B. 111, the blood pressure monitor 120 and ECG device 110 and / or acoustic sensor 1 50. 2C, 5A and 107 may include identical connectors at their ends. 8A, connector end 105 of cable 105, 107, and / or 103. a, 107a, and / or 103a can be the same. The monitor 130 is connected to one end of the connectors at such ends of the cables 103, 105, and 107. and one or more identical connector ports configured to electrically connect to the Advantageously, such a configuration allows the cables 103, 105 and / or 107 is electrically connected to either a blood pressure monitor 120 or a patient monitor 130, and system 1 For example, such a configuration can provide flexibility in the configuration of the ECG device. and / or a blood pressure monitor 120, a patient monitor 130, and / or an acoustic sensor. In one non-limiting example, The ECG device 110 is secured to the chest of the patient being monitored, and the blood pressure monitor 120 is secured to the patient's arm (e.g. For example, the acoustic sensor 150 is fixed to the patient's biceps and / or upper arm, and the acoustic sensor 150 is fixed to the patient's neck. The optical sensor 140 is fixed to a finger (e.g., index finger) of the patient, and the patient monitor 1 30 is fixed to a portion of the patient's arm (eg, the patient's forearm).

[0039] As shown in FIG. 1C, the ECG device 110 is directly connected to the blood pressure monitor 120 via a cable 105. The blood pressure monitor 120 can be directly connected to the patient monitor 130 via a cable 107. The blood pressure monitor 120 processes and stores the physiological information received from the ECG device 110. or otherwise pass the signal to the patient monitor 130 without modification. The blood pressure monitor 120 may include, for example, a blood pressure monitor 120 that receives physiological information from the ECG device 110. The system may include a bypass bus configured to transmit information without processing it. Additionally, the blood pressure monitor 120 may also measure its own blood pressure along with the information received from the ECG device 110. The physiological information acquired from the component can be transmitted. Such transmission of information may be simultaneous or asynchronous with the transmission of physiological information from ECG device 110. Alternatively, the blood pressure monitor 120 may be connected to the blood pressure monitor 120 via a cable 107 (for example). The physiological information received from the ECG device 110 may be processed or transmitted to the patient monitor 130. can be configured to process only part of the

[0040] As discussed above, the patient monitoring system 100 may include an ECG device 110 and / or a blood In addition to or as an alternative to the pressure gauge 120, a sensor may be included. The sensor may also be configured to connect directly or indirectly to a patient monitor 130. For example, the patient monitoring system 100 can communicate with the patient via cable 103 (or wirelessly). The monitor 130 may include an acoustic sensor 150 connectable thereto. The patient monitoring system 100 may be connected to a patient monitor 130 via a cable 109 (or wirelessly). The optical sensor 140 can include an acoustic sensor 150 and an optical sensor 140. 0 is connected to a patient monitor 130 independent of the ECG device 110 and the blood pressure monitor 120. Although shown as such, one or both of the acoustic sensor 150 and the optical sensor 140 may be EC The device 110 may be configured to alternatively connect to one of the blood pressure monitor 120 and the blood pressure monitor 120. For example, the acoustic sensor 150 can be directly connected to the blood pressure monitor 120 via the cable 103. , can be indirectly connected to a patient monitor 130. For example, the system 100 can The sensor 150 includes a blood pressure monitor 120, but does not include an ECG device 110, and the cable 105 One end connects to a blood pressure monitor 120 to which the ECG device 110 might otherwise be connected. The blood pressure monitor 120 processes the physiological information received from the acoustic sensor 150. The present invention may further include a bypass bus configured to transmit the above signals without requiring the signal to be transmitted. As described above with respect to the ECG device 110, the blood pressure monitor 120 receives the signal from the acoustic sensor 150. The patient monitor 100 may also incorporate physiological information acquired from its own measurement components, along with the information received from the patient monitor 100. 30. The physiological information transmitted by the blood pressure monitor 120 can be transmitted to the acoustic sensor 150. Alternatively, the blood pressure monitor 120 may transmit physiological information simultaneously. and processing or partially processing the physiological information received from the acoustic sensor 150 before The blood pressure monitor 120 may include an ECG device 110 and / or an acoustic sensor 150. and configured to transmit the physiological information received from the patient monitor 130 without processing it. Alternatively, the blood pressure monitor 120 may include multiple bypass buses. Each of the bypass buses includes a bus that connects the ECG device 110 and / or the acoustic sensor 150. The blood pressure monitor 120 may be dedicated to one of the ECG device 110 and / or The acoustic sensor 150 is connected to one or more cables that connect to the blood pressure monitor 120. The connector may include a plurality of connector ports and / or connectors configured in a

[0041] The patient monitor 130 includes one or more ECG devices 110, a blood pressure monitor 120, an acoustic sensor 132, and a The physiological information received from the optical sensor 140 and / or the optical sensor 150 is transmitted to the external patient monitor 16. 0. The external patient monitor 160 may be configured to transmit, for example, Stations, clinician equipment, pagers, cell phones, computers, multi-patient monitoring systems systems, hospital or facility information systems, etc. Those skilled in the art will recognize that many other computer systems The patient monitor 13 includes a system, a server, a processing node, a display device, a printer, and a link. 0 and / or receive physiological information from the patient monitor 130. You will understand.

[0042] FIG. 1D shows in schematic form details of the patient monitoring system 100 and the patient monitor 130. As noted above, the patient monitoring system 100 is connected indirectly or directly to a patient monitor 130. The ECG device 110, the blood pressure monitor 120, the acoustic sensor 150, and / or the optical sensor The patient monitor 130 may include one or more of the following: or may include one or more additional sensors 180 that may be directly connected. The ECG device 110, the blood pressure monitor 120, the acoustic sensor 150, the optical sensor 140, and / or Optional additional sensors 180 may transmit physiological data to the sensor interface of the patient monitor 130. The sensor interface 132 can transmit the received physiological data to the sensor interface 132. The data can be passed to the processing and memory block 134. 4 includes one or more ECG devices 110, a blood pressure monitor 120, an acoustic sensor 150, an optical sensor sensor 140, and / or any additional sensors 180 into a representation of the physiological parameter. The processing and memory may include one or more processors configured to: The reblock 134 is used for dedicated processing of data from different ones of the physiological sensors mentioned above. It can contain multiple independent processors for processing and memory blocks. 34 is a third processor for dedicated processing of data from the ECG device 110 and / or the blood pressure monitor 120. a first processor, a second processor for dedicated processing of data from the acoustic sensor 150; and / or a third processor for dedicated processing of data from the optical sensor 140. The processing and memory block 134 displays the received physiological parameters. The device manager may further process the device to: Contains a memory buffer to hold this data for processing over a period of time The memory buffer can be RAM, flash, or other solid-state memory, magnetic or optical disk-based memory, combinations thereof, or the like. As discussed above, the patient monitor 130 may include a wireless transceiver 136. The wireless transceiver 136 can receive physiological information from the physiological sensors and and / or parameters from one or more processors and / or instrument managers. The wireless transceiver 136 can transmit the received physiological data wirelessly. , to an external device (such as external patient monitor 160) via wireless protocol 170. Wireless protocols include Wi-Fi (registered trademark) (802.11x), Bluetooth Tooth (registered trademark), ZigBee (registered trademark), cellular phone, infrared, RFID, Satellite transmission, proprietary protocols, or a combination thereof may be used.

[0043] In some cases, one or more ECG devices 100 may be incorporated into the system 100. 10, a blood pressure monitor 120, an acoustic sensor 150, and / or an optical sensor 140 are included in the patient monitor 1. 30. In some cases, the system 100 may include one or more ECG devices 110, blood pressure monitors 120, acoustic sensors 150, and / or The optical sensor 140 does not have an independent power source and requires power from the patient monitor 130 to operate. For example, one or more ECGs may be incorporated into the system 100. The device 110, the blood pressure monitor 120, the acoustic sensor 150, and / or the optical sensor 140 If no electrical and / or direct electrical connection is made with the patient monitor 130, and / or It can be configured to be in a non-operational mode until such a connection is made. As will be described, the patient monitor 130 may be connected to a charging station 1000 and / or a charging crane. It can be configured to charge from an external power source such as the USD 1100.

[0044] (Calculation of physiological parameters) One or more of the devices discussed above may be used to enable independent determination of specific physiological data. In some cases, the processed data from each device can be correlated or refined. In some cases, processed data from multiple devices can be collected. The data can be aggregated to determine specific physiological conditions. ,Independent data sources can be used in determining alerts.

[0045] (cardiac parameters) Cardiac activity is measured by an ECG device 110, an optical sensor 140, a blood pressure monitor 120, and an acoustic sensor 130. 50. In some cases, the cardiac Activity can be used to improve the accuracy of parameters related to cardiac activity, for example ,parameters can be averaged from various sources.,Furthermore, the bias of the parameters can be The difference can be used to determine the confidence level, possibly derived from a particular system. Certain parameters derived from the system are given higher priority than if they were derived from another system. For example, cardiac parameters may be obtained from the ECG device 110 in some cases. Therefore, the parameters derived from the ECG device 110 may have the highest priority. If there is a discrepancy between the derived parameters and the parameters derived from the optical sensor 140 In this case, the parameters derived from the ECG device 110 can be used for further processing. In some cases, parameters derived from the ECG device 110 may carry a higher weight. Additionally, in some cases, cardiac parameters derived from optical sensor 140 may be may have a higher priority than cardiac parameters derived by the pressure gauge 120. In some cases, the parameters derived by the blood pressure monitor 120 may be derived by the acoustic sensor 150. The cardiac parameters may have a higher priority than the parameters provided by the Cardiac parameters may also include cardiac strain. The tension can be a parameter derived from the ECG device 110 or a parameter derived from the optical sensor 140. The cardiac strain can be determined based on either the optical sensor 140 or the It can be modulated by the oxygen saturation (SpO2) value derived from the

[0046] (breathing rate) In some cases, respiration rate measurements are taken from three different sources: an acoustic sensor 150, an optical The electrical signals can be determined from the electrochemical sensor 140 and the ECG device 110 (e.g., impedance). Yes, the combined respiratory rate can be determined from these three different sources. As explained above for cardiac parameters, respiratory rate from an independent source is prioritized. In some embodiments, the acoustic sensors 1 may be averaged or weighted according to their position. The respiratory rate derived from the impedance of the ECG device 110 is higher than the respiratory rate derived from the impedance of the ECG device 110. The respiration rate has a higher priority than the next respiration rate derived from the optical sensor 140. As discussed above, priorities affect weights and alarm management conditions. can be determined.

[0047] (ECG function) The collected ECG data is used for ST / QT segment analysis, beat classification, and arrhythmia detection. It can be used.

[0048] (temperature function) The temperature measurements are taken from one or more temperature sensors in the ECG device 110, as described below. In some cases, wireless sensors can be used to determine the temperature. For wireless sensors, see the publication entitled "System and Method for Patient Fall Detection." In the specification of U.S. Patent Application Publication No. 2018 / 0103874 filed on October 12, 2017 No. 6,239,999, the disclosure of which is incorporated herein by reference in its entirety. Wireless sensors can be used to detect patient orientation and falls. In some cases, the functionality of the wireless sensor may be different from that described below. As such, since the ECG device 110 includes an accelerometer and / or a gyroscope, 110. Thus, in some cases, the ECG device 110 As described in detail in U.S. Patent Application Publication No. 2018 / 0103874, It can detect body temperature and patient orientation, including fall detection. If both the ECG device 110 and the additional sensor are used, the temperature reading from the additional sensor will be may have higher priority than the temperature reading.

[0049] (Posture / Fall Source) In some cases, multiple devices may contain accelerometers and gyroscopes to measure motion data. For example, a patient monitor 130, a blood pressure monitor 120, an ECG device 110, and All of the above wireless sensors may include an accelerometer and / or a gyroscope. The wireless sensor communicates with the patient via Bluetooth or an alternative wireless communication protocol. The ECG device 110 and the wireless monitor 130 may be connected to the ECG device 110 as discussed above. The functionality of the sensors can be fused into a single device. In some cases, the ECG device 11 Wireless sensors may be used alone when 0 is not available or required. These devices are placed at various locations on the patient's body, so accelerometers and gyroscopes The scope data can be used to determine the overall patient orientation. The movement data from the monitor 130 provides an indication of wrist movement. The data provides an indication of arm movement. The movement data from the ECG device 110 and wireless sensors The data can provide motion data from the patient's chest and / or back. The data may include, for example, whether the patient is walking, exercising, lying down, or having a fall. Therefore, the collected motion data can be used to determine whether Thus, information regarding the patient's posture can be provided.

[0050] (Alarm priority) In some cases, the interaction between devices can determine the priority of an alarm. For example, when the blood pressure monitor 120 is measuring blood pressure, it receives a reading from the optical sensor 140. Therefore, while the blood pressure monitor 120 is measuring (inflating / deflat- ing the cuff), , the alarm corresponding to the optical sensor 140 can be suspended or muted. Now you can use the following order to prioritize alerts from highest to lowest priority: 1) fatal arrhythmia, 2) apnea, 3) SpO2, 4) cuff overpressure / time, 5 ) cardiac analysis, 6) heart rate, 7) respiratory rate, 8) NIBP, and 9) body temperature.

[0051] (calibration) In some cases, features from the acoustic sensor 150 include blood pressure, such as systolic, mean, and diastolic pressure. The correlation can be used for calibration purposes. Furthermore, the waveforms derived from the optical sensor 140 and the ECG device 110 can be Features from the derived waveform can be used to determine pulse arrival times. The arrival time can be used to determine the pulse transit time, which is achieved by using an acoustic sensor. Based on these pulse parameters, the pulse rate can be calculated from the waveform derived from 50. , a measure of blood pressure can be obtained, which can be calculated using blood pressure measurements obtained from a sphygmomanometer 120. , can be calibrated periodically or over a specified period of time.

[0052] (ECG device) An electrocardiogram (ECG) is a widely accepted medical device that detects electronic impulses traveling through a patient's heart. It is a non-invasive technique that is being adopted. In many cases, it can be used to treat problems that may be related to the patient's heart. It can be used to detect problems or abnormal conditions. Body temperature is also a widely accepted indicator of a patient's health. If the body temperature is too low or too high, the patient's metabolic rate and organ function will be affected. This may adversely affect the patient's ECG and cause tissue damage. By collecting and monitoring patient and temperature data, caregivers can prevent infection, cardiac arrest, stroke, and other The present invention can detect and / or prevent harmful conditions, such as ionizing radiation and other types of conditions.

[0053] 2A shows an ECG device 110 (also referred to herein as an "ECG sensor"). The G device 110 may be positioned on the patient's chest, back, arms, legs, neck, head, or other part of the patient's body. 1A-1B show a patient 111 wearing a tunable ... 1A-1B, 2A, and 5A show an ECG device 110 attached to a The G device 110 can be connected to a blood pressure monitor 120 via a cable 105. For example, The connector 105a of the cable 105 is connected to a connector port 516 of the blood pressure monitor 120. In some cases, the connector 105a may be connected to the connector 105b of the cable 107. In this case, the ECG device 110 connects the connector 105a to the connector 7a. by connecting to a connector port on the patient monitor 130, such as connector port 832 (FIG. 8I). This allows direct connection to the patient monitor 130. This allows, for example, a blood pressure monitor 12 0 is not included in the system 100, it is advantageous to have flexibility in connecting the ECG device 110 In some variations, the cable 105 may be connected to the connector port 25 0 and is permanently fixed to the ECG device 110 (see FIGS. 2A and 20 to 2P). For example, one end of the cable 105 can be permanently wired to a circuit board of the ECG device 110. In this case, it cannot be removably fixed like connector 105a.

[0054] The ECG device 110 is capable of detecting electrical signals responsive to the patient's cardiac activity, Such signals and / or physiological parameters responsive to such signals may be monitored by other patient monitors. The detected signals and / or physiological Parameters can be communicated to other patient monitoring systems via wired or various wireless communication protocols. For example, as discussed above, the ECG device 110 interacts with and / or comprises devices / sensors 120, 130, 140, and / or 150 can be used together.

[0055] The ECG device 110 collects raw physiological data (e.g., a pulse responsive to, among other things, the patient's cardiac activity). raw temperature data, raw ECG data) to measure physiological parameters (e.g., Have the functional and / or computational capabilities to calculate the time, heart rate, accurate body temperature, etc. In this regard, the ECG device 110 may be configured to receive raw, unprocessed electrical signals or physiological data. The data and / or processed and calculated physiological parameters may be used in conjunction with the methods discussed elsewhere herein. Other patient monitoring devices and / or systems (e.g., blood pressure monitor 120 and / or patient The signal can be transmitted to a monitor 130.

[0056] As shown in FIGS. 2A to 2D, the ECG device 110 includes a disposable part 203 (referred to herein as a a disposable device) and a reusable portion 205 (also referred to herein as a "reusable device"); The disposable part 203 can include a dock 204 (also referred to herein as a "bench"). (also referred to as "source"), one or more external electrodes 112, and one or more cables 114. The one or more external electrodes 112 may include one or more cables 114. The external electrode 112 can be coupled to the dock 204 via the Bonding is described in more detail below.

[0057] The external electrodes 112 detect electrical signals from the patient 111 that are responsive to the patient's cardiac activity. The electrodes 112 can be attached to various parts of the patient 111, including the chest, head, arms, wrists, legs, ankles, etc. The electrodes 112 may be positioned in a variety of locations. For example, the electrodes 112 may be connected to external electrodes 112 or to multiple substrates. 111 (e.g., to the patient's skin) to facilitate repositioning of the electrode 112. The substrate may include a substrate configured to connect the external electrode 112 and the patient. The electrical conductivity between the substrate 111 and the substrate can be improved. The substrate can be waterproof. The substrate can be, for example, a silicone adhesive. Each of the outer electrodes 112 is Electrodes 112 are placed on the patient's body as described in more detail below with reference to Figures 4A to 4E. and / or a design that can be used to provide instructions to the user or caregiver during placement ( may include proprietary designs, etc.

[0058] The electrical signals collected by the electrodes 112 are transmitted to the dock 204 via the cable 114. One end of the cable 114 can be coupled to the external electrode 112, and the cable The other end of the cable 114 can be coupled to the dock 204. For example, soldered to the poles 112 and / or the electrical circuitry of the dock 204 (as described below) The cable 114 may be soldered to a flexible circuit such as a flexible circuit 225. The length of the cable 114 may be adjusted to allow placement of the external electrodes 112 at various locations on the patient 111. The cases shown in Figures 2A to 2B can sometimes be modified to provide flexibility to caregivers. The length of the cable 114 is exemplary and is not intended to limit the scope of the present disclosure. isn't it.

[0059] 2C shows a perspective view of the reusable device 205. The reusable device 205 is attached to the hub 20 6 (also referred to herein as a "cover"), cable 105, and / or connector 105a The hub 206 can be connected to the master via the cable 105 and the connector 105a. Electrical connection to other devices and / or systems, including multiparameter patient monitoring systems (MPMS) Additionally or alternatively, the hub 206 may transmit electrical signals to other devices. For example, the hub 206 may transmit the brute force signal to the device and / or system. Wi-Fi (registered trademark), Near Field Communication (NFC (registered trademark)) using different types of wireless communication technologies to transmit electrical signals (e.g., patient temperature and / or a wireless transmitter or transceiver configured to wirelessly transmit a signal related to cardiac activity; In some variations, the reusable device 205 may include a cable or connectors are not included.

[0060] The hub 206 can be of various shapes and / or sizes. For example, the hub 206 shown in FIG. As shown, the hub 206 may be rectangular in shape and / or have rounded ends and / or The hub 206 may be shaped to mate with the dock 204. For example, the hub 206 can facilitate mechanical and / or electrical mating with the dock 204. The dock 204 may be sized and / or shaped to accommodate the Explain in detail.

[0061] FIG. 2D shows a schematic diagram of the ECG device 110. As mentioned above, the ECG device 110 The disposable device 203 and the reusable device 205 can be included. , one or more sensors for detecting and transmitting electrical signals from the patient 111 via cable 114 The dock 204 may include a dock 204 coupled to the outer electrode 112 of the Receives an electrical signal from the external electrode 112 (e.g., via the flexible circuit 225) and The external electrode 112 can be transmitted to the available device 205. For example, the dock 204 can be positioned in various locations relative to the patient's The external electrode 112 may be positioned near, adjacent to, and / or on the heart. can be placed in various locations on the patient's chest.

[0062] The external electrodes 112 allow a caregiver to attach the electrodes 112 to the patient to ensure accurate ECG data is collected. and / or securing the glove to the body part of the subject. For example, as shown in Figures 2A-2B and 4D, In particular, the outer electrode 112 may refer to, for example, another electrode or electrodes 112. It may include a label portion 112a that may indicate the name, number, or other identifier of the electrode 112. (See "RA", "V1", "V3", and "LL" in Figure 4D). As such, the external electrode 112 may be connected to another electrode 112, multiple electrodes 112, or the like, in the disposable part 203 of the ECG device 110. other electrodes 112 and / or dock 204, and It may include a position indicator 112b that may indicate positioning and / or placement. For example, if the ECG device 110 includes four electrodes 112, each of the electrodes 112 is , each other electrode 112 of the disposable part 203 on the user's body (e.g., chest), cable 11 4, and / or graphically illustrating the proper placement of a particular electrode 112 relative to the dock 204. As another example, the ECG device 11 If the device includes two electrodes 112, each of the electrodes 112 is connected to a part of the user's body (e.g., the chest). ) to other electrodes 112, cables 114, and / or docks 204 of the disposable part 203 on Unique placement indicators 11 that graphically indicate the proper placement of a particular electrode 112 relative to the The color of some of the unique placement indicators 112b may be different from the color of the cable 11 4 and / or the actual color of the electrodes 112. The unique placement indicators 112b implement the shape of a particular electrode and / or associated cable. The electrodes and / or docks are distinguished by the inclusion of lines and other electrodes and / or docks are distinguished by the inclusion of dotted lines. In some variations, the unique position indicator 112b may include a The shape of a particular electrode and / or associated cable may match the color of the associated cable 114. While the body is depicted on the electrode 112, the design of the body is not limited and may be varied. It can be sized and / or shaped in various ways. A square or other shape can be placed on the electrode 112, and the placement indicator 112b It can be shown in it.

[0063] As shown in FIGS. 2A-2B, the graphics on the electrode 112 (shown enlarged in FIG. 4D) ) can be oriented in a particular direction when coupled to the dock 204 by the cable 114. For example, as shown, each electrode may have a unique label portion 112a, body, and / or unique location. Indicator 112b is oriented "upside down" when viewed as shown in these figures. For example, the unique label portion 112a of each electrode, the body, and / or the unique orientation may be The position indicator 112b indicates that the lower part of the body is closer to the dock 20 than the upper part of the body (e.g., the head). 4 and / or so that the dots are When the disposable part 203 is viewed in the direction toward the label 204, the unique label part 112a appears "upside down." (See FIG. 2B.) Such an orientation and / or configuration allows the disposable part 2 03 to the packaging device 400 described below. For example, Such an orientation and / or configuration allows a user (e.g., a caregiver) to Alternatively, when the dock 204 is removed from the package device 400, the electrodes 112 are attached to the patient's body. and / or conveniently determine the order in which the dock 204 is properly positioned and / or secured. This allows visualization (see Figure 4B).

[0064] The disposable device 203 may include one or more external electrodes 112. For example, The disposable device 203 may include one, two, three, four, five, six, seven, or eight or more external 2A-2B, the disposable device 203 may include a distal electrode 112. , four external electrodes 112. As another example, the disposable device 203 may include two The outer electrodes 112 may be included.

[0065] The dock 204 of the disposable device 203 may include one or more internal electrodes 211. For example, the dock 204 can be one, two, three, four, five, six, seven, or eight For example, as shown in FIGS. 2F to 2G, The dock 204 can include two internal electrodes 211. As another example, the dock 204 can include , may include one internal electrode 211. In some cases, one of the internal electrodes 211 may be , configured as a ground or reference electrode.

[0066] The total number of electrodes (including both external and internal electrodes) is 2, 3, 4, 5, 6, 7, 8, 9 , 10, 11, or 12 or more. For example, the disposable device 203 may have four The cable 114 may include four outer electrodes 112, four cables 114, and two inner electrodes 211. In another example, the disposable device 203 may include two external electrodes 112, two cables 114, and , and two internal electrodes 211. In another example, the disposable device 203 may include: It may include two outer electrodes 112, two cables 114, and one inner electrode 211. In yet another example, the disposable device 203 may include four external electrodes 112, four cables, and In yet another example, the disposable battery may include a cable 114 and not include an internal electrode 211. The device 203 includes one outer electrode 112, one cable 114, and one inner electrode 2. In yet another example, the disposable device 203 may include two external electrodes 11. 12, may include two cables 114 and may not include an internal electrode 211. The number of external electrodes 112 coupled to the dock 204 of the device 203 and the number of external electrodes 112 accommodated within the dock 204 The number of internal electrodes 211 included in the disposable device 203 of the ECG device 110 may vary. may vary in

[0067] As mentioned above, FIG. 2D shows a schematic diagram of an ECG device 110. As shown, a reusable The functional device 205 includes a processor 207, a memory 208, one or more temperature sensors 20 9, and / or a motion sensor 210. The memory 208 may be programmable PROM (Programmable Read Only Memory), Erasable Programmable Read Only Memory (EPR OM), Electrically Erasable Programmable Read-Only Memory (EEPROM), Static Run static random access memory (SRAM), or dynamic random access memory (DRAM), etc. The memory 208 may store various types of physiological data associated with the patient 111. For example, the memory 208 may store patient data (raw and / or processed). storing raw and / or processed physiological data relating to the body temperature and electrical activity of the heart; Data relating to the electrical activity of the heart can be used to determine the rhythm and / or activity of the heart. As further described below, the memory 208 may, among other things, be disposable. on the disposable device 203 to enable verification that the device 203 is a certified product. For example, the disposable device 203 may be used in combination with a reusable memory. The disposable device 203 can be verified as a certified product by the function 205. To do this, a PROM, EPROM, EROM, or It may include EPROM, SRAM, and / or DRAM.

[0068] As discussed above, the reusable device 205 may include a motion sensor 210. The motion sensor 210 detects static (e.g., gravity) and / or dynamic acceleration forces (e.g., The force caused by the movement or vibration of the sensor 210 can be measured. The motion sensor 210 can be used to measure one or both of the dynamic acceleration forces and the ECG. The motion or relative position of the device 110 can be calculated. Accelerometers (e.g., charge-mode piezoelectric accelerometers, voltage-mode piezoelectric accelerometers), DC response acceleration Accelerometers (e.g., capacitive accelerometers, piezoresistive accelerometers), Microelectromechanical Systems (MEMS) ) Gyroscope, Hemispherical Resonator Gyroscope (HRG), Vibrating Structure Gyroscope Dynamically Tuned Gyroscope (VSG), Dynamically Tuned Gyroscope (DTG), Fiber Optic Gyroscope The motion sensor 210 can measure acceleration in one, two, or three dimensions. Using the calculated position and movement data, the caregiver can measure the ECG device. 110 positions or motion vectors can be mapped. The sensor 210 may be used to measure the position and / or movement of the ECG device 110. It is possible to collect useful data.

[0069] The motion sensor 210 may be and / or include a three-dimensional (3D) accelerometer. The motion sensor 210 can be used in conjunction with the "Patient-Worn Wireless Physiological Device" application filed on August 31, 2016. No. 15 / 253,536 (now U.S. Pat. No. 10,226,626) entitled "A Novel Sensor for Detecting and Reducing Electrical and Electronic Components," 187) and / or The disclosure of which is incorporated herein by reference in its entirety. The term 3D accelerometer as used herein includes its broad meaning as known to those skilled in the art. Measurements from the speedometer can be used to determine the patient's orientation. related to the patient's linear acceleration relative to gravity along three axes (e.g., three mutually orthogonal axes) For example, one axis called "roll" can measure and output a signal that reflects the movement of the patient's body. and / or longitudinally extending through the patient's body (e.g., along the length and / or height of the patient). Therefore, roll reference measurements can be used to determine whether the patient is in a prone position ( Determine whether the patient is lying flat (e.g., face down), supine (e.g., face up), or on their side. The other reference axis of the accelerometer is called "pitch." The pitch axis is the axis of rotation of the patient's hips. The position can correspond to a location around the joint (e.g., between the patient's hips and / or (Axis extending through the hip joint). Pitch measurements are useful when determining whether the patient is sitting or lying down. The third reference axis of the accelerometer is called "yaw." can correspond to the horizontal plane in which the patient is positioned. When in bed, the patient generally It can be supported by a surface structure that fixes the patient's orientation relative to the yaw axis. In certain embodiments, the yaw measurement is used to determine the patient's orientation while in bed. The three axes along which an accelerometer can measure linear acceleration are called "X", "Y", and "Z". The accelerometer can provide acceleration information along three axes, ranging from inertial acceleration to local acceleration. In some embodiments, acceleration information corresponding to the acceleration of gravity can be provided. The accelerometer may be a three-axis accelerometer, the output of which includes three signals: Each may represent acceleration measured along a particular axis. The output of the accelerometer may be 8 bits. The output signal may be 12-bit, 16-bit, or any other suitable size. The output of the accelerometer can be in analog or digital form. 110 is used to determine the position, orientation, and / or movement of the patient to which it is attached. It is possible.

[0070] The motion sensor 210 may additionally or alternatively be a gyroscope and / or The motion sensor 210 may include a gyroscope. U.S. Patent Application No. 15 / 253,536 (currently pending) entitled "Patient-Worn Wireless Physiological Sensor" Gyros similar or identical to those described in U.S. Pat. No. 10,226,187 The present disclosure is incorporated herein by reference in its entirety. The gyroscope has an angular resolution of 2 degrees and a sensor resolution of 1 degree. It can be a 3-axis digital gyroscope with drift adjustment. The term 3-axis gyroscope as used in this document has its broad meaning known to those skilled in the art. The gyroscope measures three orthogonal axes, corresponding to the pitch, yaw, and roll measurements. When attached to a patient, the ECG device 110 or a portion thereof (e.g., a dock) 204) (see above) Those skilled in the art will appreciate that many other gyroscopes can be used in conjunction with ECG sensors without departing from the scope of this disclosure. It will be appreciated that accelerometers and geometries may be used in the device 110. In certain embodiments, The gyroscope is a single hardware component that can be called an inertial measurement unit (IMU). In some embodiments, the IMU also senses, among other things, Signal sampling, buffering, sensor calibration, and sensor fusion processing of the inertial data In other embodiments, the processor may include an embedded processor for processing the In yet another embodiment, the sensed inertial data can be used to perform these functions. The ECG device 110 components are minimally processed and the patient monitor 114 is then used for further processing. 130, thereby transmitting the The complexity, power consumption, and cost of such disposable components, or the ECG device 110 that may include them, This minimizes costs.

[0071] Incorporating a motion sensor 210 into the ECG device 120 provides many advantages. For example, the ECG device 110 may detect patient movement that exceeds a threshold value when the motion sensor 210 detects patient movement that exceeds a threshold value. may be configured to stop collecting and / or transmitting physiological data upon detecting As another example, if the motion sensor 210 detects patient movement above a threshold, the ECG The device 110 may collect physiological data responsive to the patient's cardiac activity and / or the patient's temperature data. As another example, if the motion sensor 210 exceeds a threshold, the collection, processing, and / or transmission of the motion information may be stopped. Upon detecting the patient's acceleration and / or angular velocity, the ECG device 110 can measure the patient's cardiac activity and and / or stop collecting, processing, and / or transmitting physiological data responsive to temperature data. This allows for noisy, inaccurate and / or spurious physiological data to be processed and transmitted. and / or be trusted (e.g., by caregivers assessing the patient's health status) Advantageously, this can be reduced or prevented.

[0072] As discussed above, the reusable device 205 includes one or more temperature sensors 209. For example, the reusable devices 205 may include one, two, three, four, five, or The ECG device 1 may include six or more temperature sensors 209. The temperature sensors 209 may be 10 is located and / or in the vicinity of the patient 111. The temperature sensor 209 can measure the temperature of the skin of the patient 111. Alternatively, the temperature sensor 209 may measure the ambient temperature, e.g., the temperature outside the reusable device 205. and / or inside the reusable device 205 (on or near the circuit board of the reusable device 205). The temperature of the patient 111 can be measured by the temperature sensor 209. The acquired temperature data can be used to determine the core body temperature of the patient 111. The sensor 209 can be in electronic communication with the processor 207 and transmits the temperature data to the processor. In one embodiment, the temperature sensor 209 can transmit the temperature to an infrared temperature sensor 207. The sensor may be in a reusable device 205 and / or for a disposable device 203. The placement and / or arrangement of the temperature sensors 209 may be determined by the user, as discussed in more detail below. Modifications can be made to facilitate thermal communication between the skin and the temperature sensor 209 .

[0073] The processor 207 can receive raw temperature data from the temperature sensor 209 . Additionally, the processor 207 receives raw ECG data from the disposable device 203. For example, the processor 207 may The disposable device is connected to the disposable part 203 via contact between the connector and one or more electrical connectors of the disposable part 203. As another example, the processor 207 may receive raw ECG data from the device 203. The conductive strip 244 of the flexible circuit 225 of the disposable device 203 and the conductive strip 244 of the flexible circuit 225 of the reusable device 206 Able to receive raw ECG data from disposable device 203 via contact with conductor pin 253 After receiving the raw ECG and temperature data, the processor 207 performs data processing to Physiological parameters corresponding to body temperature and / or ECG can be calculated. The dynamic parameters may be stored in memory 208 or may be transmitted to different sensor systems, patient monitoring systems, etc. For example, the physiological parameters can be transmitted to a blood pressure monitor 120 and / or or to the patient monitor 130. The data stored in the memory 208 may be The ECG device 110 may be connected to other different sensor systems or patient monitoring systems. If connected (wired or wirelessly) to any system or device, such other system If necessary, raw temperature data and raw ECG data can be transmitted to the device. The data may be stored in memory 208 before being processed by processor 207. The processor 207 periodically retrieves the raw temperature and / or ECG data and collectively stores the raw data. Alternatively, the processor 207 may process and / or transmit the data. When receiving raw ECG and temperature data from memory 208, the raw data is automatically read from memory 208. The search can be dynamic (eg, continuous).

[0074] FIG. 2E shows a top perspective view of the dock 204 of the disposable device 203. The base (also referred to herein as the "base") may include a body 216 and a laminate structure 221. The body 216 includes one or more pin supports 219, one or more pin supports 220, a wall 255 extending along and / or around the exterior and / or periphery of the body 216; and an opening 223 in the wall 255. The wall 255 may include a portion of the body 216. and / or extending along and / or around the length of wall 255. The height may vary along the

[0075] The dock 204 of the disposable part 203 is connected to one or more of the hubs 206 of the reusable part 205. configured to fasten (e.g., removably fasten) to a mechanical connector portion of For example, the body 216 may include one or more mechanical connector portions. The mechanical connector may include one or both of the mechanical connector portions 217 and 218. Portion 217 may be, for example, a clip 217 that may be configured to bend and / or flex. As will be explained in more detail below, clip 217 may be used as a mechanical connector portion. 218 (see FIG. 2H). ). The mechanical connector portion 218 may extend outward from a portion of the body 216. For example, the mechanical connector portion 218 can extend above the height of the wall 255. The mechanical connector portion 218 extends in a direction toward the mechanical connector portion 217. The connector may include one or more protrusions 241 that allow for a mechanical connector (see FIG. 2H). Portions 217, 218 may assist in the coupling between the dock 204 and the hub 206. For example, mechanical connector portions 217, 218 may be connected to corresponding mechanical connectors on hub 206. hub 206 in place. As such, mechanical connector portions 217, 218 are mounted within grooves 251, 252 in hub 206. The mechanical connector portions 217, 218 and the hub 206 can be removably fastened. Interaction with corresponding mechanical connector portions provides electrical connectivity between the dock 204 and the hub 206. The dock 204 of the disposable part 203 can be one, two, or The hub 206 may include three, four or more mechanical connector portions and / or , one, two, three, four or more mechanical connector portions.

[0076] The mechanical connector portions 217, 218 extend upward from the outer edge of the body 216, as shown in FIG. 2E. The mechanical connector may extend in the direction of the arrow and / or adjacent to or adjacent to the wall 255. The portions 217, 218 can be positioned opposite each other (see Figures 2E and 2H). In some variations, the dock 204 may have fewer than two mechanical connector portions or more than two. For example, in some variations, the dock 204 may include a mechanical connector portion. 217, 218.

[0077] The pin supports 219, 220 of the dock 204 of the disposable part 203 A plurality of electrical connectors may be supported and / or operatively arranged. The support 219, 220 is connected to the conductive strip 245 of the flexible circuit 225 of the dock 204. , 244. The dock 204 may be configured to support and / or operably support one, 2, 3, 4, 5, 6, 7, 8, 9, or 10 or more pin supports 219 and / or 220. The pin supports 219, 220 may be attached to the top surface of the body 216. For example, the slits may extend through openings or slits formed in the slits. As shown, the body 216 is connected to an upper frame 224 having one or more slits 236. a lower frame 227 which may include one or more pin supports 219, 220; One or more pin supports 219, 220 may be included to assemble the body 216. When the wire is inserted, it extends from the lower frame 227 through the slits 236 and 237 in the upper frame 224. The slits 236, 237 formed on the upper surface of the main body 216 may be rectangular or The pin supports 219, 220 may be arcuate and / or The upper portion of the pin supports 219, 220 may include an upward portion, a peak, and a downward portion. In place, the upper surface of the body 216 (e.g., the upper frame 224 and / or the lower frame Extending upward at an angle to and / or beyond the surface of the frame 227 The top of the pin supports 219, 220 can terminate at an apex from which The lower portions of the pin supports 219, 220 are angled toward the top surface of the body 216 at another predetermined angle. Such a configuration of the pin supports 219, 220 allows the pins When a downward force is applied to the supports 219, 220, they act like springs. If necessary, the pin supports 219, 220 may have no downwardly facing portions. The pin supports 219, 220 may be flexible and / or resilient.

[0078] The pin support 219 corresponds to and / or associates with the electrical connector of the disposable part 203. For example, the pin support 219 can support one or more external electrodes 112 and and / or flexibility to carry electrical signals associated with one or more internal electrodes 211 Corresponding to and / or associated with conductive strips 244 of circuit 225 (see FIGS. 2F and 2I) For example, as shown in FIG. 2E, the dock 204 can be equipped with four external electrodes 1 12 (via cable 114) and transmitting electrical signals from the two internal electrodes 211 operatively positioning six conductive strips 244 of flexible circuit 225; and / or may have six pin supports 219 supporting it.

[0079] Like pin support 219, pin support 220 is connected to the electrical connector of disposable part 203. For example, the pin support 220 may be 4 and the memory 208 of the hub 206. 2F and 2I) of the conductive strips 245 of the conductive circuit 225 (see FIGS. 2F and 2I). The flexible circuit 225 can store information related to the disposable portion 203. The memory (PROM, EPROM, EEPROM, M, SRAM, and / or DRAM memory, etc. The conductive strips 245 of the flexible circuit 225 can be coupled to such a memory. Advantageously, the pin support 220 supports the conductive pins (conductive pins 25) of the hub 206. 4, etc.) to support and / or operably position the conductive strip 245. This allows the hub 206 to determine if the dock 204 is a certified product. It can be determined.

[0080] As discussed above, the dock 204 is configured so that a portion of the cable 114 is internal to the dock 204. A portion of the body 216 has one or more openings 223 configured to allow entry therethrough. The body 216 may include one or more openings 223 in the wall 255. The dock 204 can be one, two, three, four, five, six, seven, or eight or more. The opening 223 may include an opening 223 that is coupled to the outer electrode 112. It may be sized and / or shaped to receive a portion of the cable 114. Opening 2 23 can be formed on the side of the body 216. For example, as shown in FIG. 2E, an opening The portion 223 may be formed on the front (or "end") of the body 216. The mouths 223 may be formed on different sides or portions of the body 216. The number of external electrodes 112 and / or cables 114 coupled to the dock 204 may be For example, as shown in FIG. 2B, the dock 204 of the disposable device 203 corresponds to 4 In this regard, the dock 204 may include four external electrodes 112. Four cables 114 are coupled to the poles 112. 2E shows four openings 223, four cable 1 Although fourteen and four outer electrodes 112 are shown, different numbers of electrodes 112, openings 223 may be used. and / or the cable 114 may be implemented as part of the disposable portion 203. The portion 223 may be sized to fit closely with the cable 114. This can be advantageous as the dock 204 can be water resistant and / or waterproof. Such a configuration also ensures the integrity of the connection between the cable 114 and the opening 223. For example, the opening 223 and the cable 114 can be The tight fit between the flexible circuit 225 (e.g., conductive strip 243) The other end of the cable 114 is inadvertently or intentionally pulled, causing the end of the cable 114 to This reduces the possibility of the part being cut off.

[0081] 2F and 2G show exploded perspective views of the dock 204 of the disposable part 203. 04 includes an upper frame 224, a flexible circuit 225, one or more internal electrodes 211, a lower A frame 227 and one or more substrates (also referred to herein as "membranes") 228, 22 9, 230, 231, 242, and / or 239. Advantageously, the components shown in Figures 2F and 2G are folded 110. The upper and lower frames 224, 227 together form the body 216 and and / or defined, as discussed above with reference to FIG. 2E. 224 may include the wall 255 discussed above.

[0082] The upper frame 224 is mounted so that the upper frame 224 rests on the lower frame 227. The upper frame 224 can be connected to the lower frame 227. 24. The recess 235 may include a recess 235 formed in the upper surface of the recess 235. The casing 220 may include an opening 238 (see FIGS. 2F-2G) formed in the bottom thereof.

[0083] The lower frame 227 may include an opening 232 and one or more openings 233. The openings 232 in the lower frame 227 allow the upper frame 224 to be inserted into the lower frame 227 when the upper frame 224 is in place. The recess 235 in the frame 224 may correspond to and / or align with the recess 235 in the frame 224. At 227, opening 232 receives recess 235, which extends through opening 232. and / or extend below opening 232. As discussed below, this allows for reusable A portion of the functional device 205 and the temperature sensor 209a can be located near the substrate 230. Advantageously, this results in increased thermal communication between the user's skin and the temperature sensor 209a. It is possible.

[0084] As discussed above, the dock 204 may include pin supports 219, 220. In FIG. 2F, the pin supports 219, 220 are formed on a lower frame 227. The upper frame 224 supports the pin supports 219 and 220 of the lower frame 227. The upper frame includes slits 236 and 237 that can receive the respective When the frame 224 is placed on the lower frame 227, the pin supports 219, 220 are The frame 224 may extend through and / or over the slits 236, 237. do.

[0085] A flexible circuit 225 is disposed between the upper frame 224 and the lower frame 227 and / or For example, the flexible circuit 225 may be It can be sandwiched between upper frame 224 and lower frame 227 during assembly. The lower frame 227 is flexible when securing the reusable part 205 to the disposable part 203. Electrical communication between the circuit 225 and the circuit board and / or flexible circuit of the reusable portion 205 is achieved. operatively positioning the flexible circuit 225 and / or portions thereof to facilitate communication; For example, the pin support 219 of the lower frame 227 can be used with the reusable portion 205. When mated with the disposable portion 203, the conductive strip 244 connects the conductor of the reusable portion 205. Activating the conductive strips 244 of the flexible circuit 225 to contact the pins 253 Additionally or alternatively, the pin support 220 of the lower frame 227 may be When the reusable part 205 and the disposable part 203 are mated, the conductive strip 245 The conductive strips of the flexible circuit 225 are then attached to the reusable portion 205 so that they contact the conductive pins 254 of the reusable portion 205. Trip 245 may be operably positioned. Such contact advantageously: The flexible circuit 225 transmits information and / or data from the disposable device 203 to the reusable device 205. Further details of the flexible circuit 225 are provided below. Provided to.

[0086] As shown in FIG. 2F, the internal electrode 211 is formed by an upper frame 224 and a lower frame 227. The inner electrode 211 may be at least partially disposed and / or positioned between the inner electrode 211 and the inner electrode 211. The inner electrode 211 can be removably coupled to the flexible circuit 225. 233, and the opening 233 can be located within the inner electrode 211 (and / or its Part of the dimensions can be adjusted to accommodate.

[0087] As discussed above, the dock 204 (also referred to herein as the "base") of the disposable part 203 The dock 204 may include a substrate 228, The substrate 228 may include one or more of the following: 229, 230, 231. The dock 204 may include an upper and / or lower frame 22 The substrate 228 may be configured to surround the upper and / or lower frames 227. An opening of a size and / or shape that matches the size and / or shape of the surrounding area of ​​the room 224, 227. It may include a mouth part (see Figures 2F to 2G).

[0088] The substrate 229 connects the substrate 228 and / or the lower frame 227 to the substrate 230 and / or the substrate The substrate 229 may include an adhesive material configured to secure the substrate 229 to the substrate 231. For example, it can be a double-sided adhesive layer. The opening 229a can be used to assemble the dock 204, When the hub 206 is mated with the dock 204, the recess 235 and / or the housing 297 It can be sized and / or shaped to allow contact with a portion of the substrate 230 The opening 229b is a size that allows the internal electrode 211 to contact the substrate 231. The size and / or shape can be varied, as will be described in more detail below.

[0089] Substrate 230 may be secured (e.g., glued) to substrate 229, as discussed above. As shown, the substrate 230 corresponds to the size and / or shape of the internal electrode 211. The number of openings 230a may vary depending on the size and / or shape of the internal The openings 230a can accommodate one or more internal electrodes 211. As discussed above, the opening in the substrate 229 229a is recessed portion 235 and / or recess 235a when dock 204 is assembled and mated with hub 206. The housing 297 is sized and / or configured to allow contact with a portion of the substrate 230. Advantageously, the substrate 230 is shaped to provide a good seal between the patient's skin and the housing 29. 7. The heat transfer device according to claim 1, further comprising a heat transfer material configured to transfer heat between the heat transfer material and the heat transfer element. As discussed above, the housing 297 may include a thermally conductive material and may be The substrate 230 can accommodate the sensor 209a. Advantageously minimizing or eliminating electrical interference between the patient's skin and portions of the dock 204 The substrate 230 may include, for example, polyethylene (P E) It can be made into a film.

[0090] The dock 204 includes one or more electrodes 211 that enhance electrical conductivity between the patient's skin and the internal electrodes 211. For example, the dock 204 may include one or more boards 231. The number of the electrodes can correspond to the number of the internal electrodes. (e.g., the underside of the substrate 230). adjacent to the opening 230a of the substrate 230 so that the lower part of the For example, the substrate 231 may be a substrate The substrate 231 can be shaped to cover the opening 230a when secured to the substrate 231. The substrate 231 may include an adhesive material. The substrate 231 may include a conductive material. The substrate 231 may include, for example, a hydrogel. The substrate 231 may include a hydrogel patch. The substrate 231 can be connected to other substrates 228, 229, 230, 242, and / or may have an area smaller than any or all of 239.

[0091] The substrate 242 is adapted to contact the user's skin when the dock 204 is secured to the user. The substrate 242 may be the bottom layer of the dock 204 configured as follows: For example, the substrate 242 may include a material configured to support the dock 2. 04 includes a material configured to allow for releasable fastening to the skin of a user. Additionally or alternatively, the substrate 242 may be waterproof. The substrate 242 may comprise, for example, a silicone adhesive. The substrate 242 may include a silicone adhesive that bonds the layers together. , may include one or more openings 242a aligned with one or more substrates 231. Advantageously, the openings 242a are spaced apart from one another, thus separating the substrates 231. Such separation between the substrates 231 is important so that the two internal The electrodes 211 (if both are included) are electrically isolated from each other and / or from the two substrates 23 1 independently makes electrical contact with the patient's skin. When secured to the skin of the user, the substrate 231 and the substrate 242 around the one or more openings 242a and the portion of the substrate 231 are in contact with and fixed to the skin. Alternatively, a plurality of openings 242a may be arranged.

[0092] The substrate 239 is configured to be secured to one or more of the above substrates and further includes a dock 2 04 to a user. Substrate 239 can cover substrates 242 and / or 231. As shown, the substrate 239 may be attached to one or more of the substrates to aid in the removal of the substrate 239 from the substrate. The device may include a tab 239a configured to:

[0093] FIG. 2H shows a side view of the dock 204 of the disposable part 203. As discussed above, the dock The lock 204 is a mechanical connector that can be secured to the mechanical connector portion of the hub 206. The connector may include one or both of the mechanical connector portions 217, 218. 18 may each include protrusions 240, 241. The protrusions 240, 241 The end connected to a part of the block 204 (such as the body 216) and the other end are mechanically can be located at the free (e.g., cantilevered) ends of the connector portions 217, 218 The protrusions 240 and 241 are fitted to the protrusions 251a and 252a in the grooves 251 and 252 of the hub 206. Engage (see FIGS. 2J-2K) to removably secure the hub 206 to the dock 204 When the hub 206 mates with the dock 204, the hub 206 provides a mechanical connection. The protrusions 240, 241 can be at least partially disposed between the portions 217, 218. The engagement between the hub 206 and the projections 251a, 252a in the grooves 251, 252 The locking mechanism 204 can be prevented from moving horizontally and / or vertically while engaged with the locking mechanism 204.

[0094] 2H and 2J-2K, the hubs 206 are spaced apart from one another within grooves 252. The protrusions 252a may include two protrusions 252a. The protrusions 252a may be tapered. (FIG. 2J). Hub 206 may include a protrusion 251a extending across the width of groove 252. The mechanical connector portion 217 can be a flexible clip. Connector portion 217 can have a non-linear cross section (FIG. 2H). As another example, the mechanical connector portion 217 may have an S-shape. 17 can be curved in multiple directions from the first end to the second end. Depending on the configuration, especially if the mechanical connector portion 217 is made of a rigid plastic material, Advantageously, the mechanical connector portion 217 is able to bend without breaking. The target connector portion 217 may have one or more ribs 217a on its top plate. This allows the user to move (e.g., bend) the mechanical connector portion 217. This can assist in detaching a portion of the hub 206 from the dock 204.

[0095] 2I shows a top view of the flexible circuit 225. The flexible circuit 225 has multiple conductive surfaces. For example, the flexible circuit 225 may include conductive strips and / or strips. The conductive strips 24 may include strips 243, 244, 245, and / or 246. 3 electrically connects to a cable 114 which itself electrically connects to an external electrode 112 In this regard, the conductor strip 243 can be connected to the outside via the cable 114. The cable 114 can receive electrical signals from the electrodes 112. The strip 243 can be soldered to the conductive strip 246 (referred to herein as " A conductive ring (also referred to as a "conductive ring") is disposed around and / or within the opening 247, as shown in FIG. 2I. The conductive ring 246 is in contact with the inner electrode 211 and The opening 247 is capable of receiving an electrical signal from the inner electrode 211. and form contact between the conductive strip 246 and the internal electrode 211, thereby The flexible circuit 225 can receive ECG data from the internal electrodes 211 .

[0096] Conductive strip 245 connects dock 204 to memory 208 of reusable device 205. The conductive strips 245 of the flexible circuit 225 can be used to establish electrical communication. The conductive strip may be disposed adjacent to (e.g., on) the support 220. The pin support 220 supports the hub 206 when mating with the dock 204. 206 so that the conductive pin 254 (see FIGS. 2L to 2M) contacts the conductive strip 245. The memory 208 of the reusable device 205 can be oriented in a conductor strip conductor. Contact between 245 and conductive pin 254 transmits electrical signals and / or information from disposable device 203. 208 of the reusable device 205. Advantageously, conductive strip 245 may be utilized to ensure that disposable part 203 is certified. For example, the reusable part 205 may be The disposable portion 203 is electrically and / or mechanically mated to the conductive strip 245 and the conductor When contact is made between the pins 254, the reusable portion 205 is disposable. By analyzing the information contained within the memory of the flexible circuit 225, the disposable portion 203 As discussed above, it is possible to determine whether a flexible circuit 2 is a certified product. 25 memories are configured to store information such as PROM, EPROM, EEPR The memory may be OM, SRAM, and / or DRAM. , a reusable device that may occur if an uncertified product is fixed to it. Such a determination may additionally or alternatively prevent damage to the The proper functioning of the available devices 205 can be ensured.

[0097] In some cases, the memory of the flexible circuit 225 stores information about the disposable portion 203, such as For example, the number of outer and / or inner electrodes 112, 211 included in a particular disposable part 203. In such a case, the reusable portion 205 may be encoded with the electronic signature of the disposable portion 203. electrically and / or mechanically coupled, resulting in a connection between the conductive strip 245 and the conductive pin 254 When contact is made between the reusable portion 205 and the It is possible to determine the processing scenarios to be measured and / or implemented. If so, determine the number of outer and / or inner electrodes 112, 211 included in a particular disposable part 203. After determining the number of processors, the processor 207 of the reusable part 205 may be configured to execute a more or less complex and / or A physiological assessment should be performed on the physiological parameters related to the patient's cardiac activity. It can be determined that there is.

[0098] Conductive strip 244 receives electrocardiogram data from outer electrode 112 and inner electrode 211. The conductor strips 243, 246 can be in electronic communication with each other so that the conductor strips 243, 246 can be in electronic communication with each other. Conductive strips 244 of circuitry 225 may be disposed on pin supports 219 . When the hub 206 is mated with the dock 204, the conductive pins 253 (see FIG. 2L) of the hub 206 2M) can contact the conductive strip 244. The pin support 219 can be oriented so that the conductor strip 244 and the conductor pin 253 are The contact causes electrical current to flow from the processor 207 of the reusable device 205 to the disposable device 203. The processor 207 of the reusable device 205 can then transmit a signal via conductor pin 2 53 and receives electrical signals from the disposable device 203 via conductive strip 244. The number of conductive strips 244 is the total number of conductive strips 243 and 246. Each of the conductive strips 243 and 246 can be The flexible circuit 225 may be associated with a different one of the conductive strips 244 .

[0099] 2J to 2K show various perspective views of the hub 206 of the reusable portion 205. 6 is, among other components described in detail below, a cable exit (herein (also referred to herein as "output connector port") 250, which includes one or more mechanical connector portions. One or more mechanical connector parts allow the reusable part 205 to be used. The one or more mechanical connector portions may be, for example, The grooves 251 and 252 may be the same or different grooves in the hub 206. For example, as shown in FIGS. 2J and 2K, grooves 251 , 252 may be located on opposite ends of the hub 206. As shown, the grooves 251, 252 are in contact with the protrusions 240, 241 of the mechanical connector portions 217, 218. The dock 204 and the hub 206 can be removably secured together and can be interconnected. The grooves 251 and 252 are adapted to engage with the protrusions 240 and 241, respectively. As discussed above, the grooves 251, 252 may be sized and / or shaped. , may include protrusions 251a, 252a that can engage with protrusions 240, 241. In some variations, the mechanical connector portions 217, 218 are snap-fit. It can be fixed in the grooves 251, 252.

[0100] The reusable portion 205, when secured, may be connected to one or more electrical connectors of the disposable portion 203. The electrical connector may include one or more electrical connectors configured to connect to For example, referring to FIGS. 2L to 2N, the hub 206 may have conductor pins when mated with the dock 204. The electrodes 253 and 254 are connected to the conductive strips 244 and 245, respectively. and one or more conductive pins 253, 254 disposed adjacent to the underside of the hub 206. The contact between the pins 253, 254 and the strips 244, 245 and capable of transmitting information and / or electrical signals from the disposable device 203 to the reusable device 205. As discussed above, contact between the conductive strip 244 and the conductive pin 253 This allows the transmission of electrical signals between the dock 204 and the processor 207 of the reusable device 205. The contact between the conductive strip 245 and the conductive pin 254 allows the dock 204 (e.g., memory of the flexible circuit 225) and memory 208 of the reusable device 205. This allows for the transmission of information between

[0101] The reusable portion 205 is configured such that the bottom of the reusable portion 205 is placed on a flat surface. In this case, the conductive pins 253 and 254 can be configured not to come into contact with a flat surface. This allows the reusable part 205 or a part thereof to be recharged when a high voltage is applied to a flat surface. This is advantageous because it minimizes the risk of "short circuits" and / or damage to the The defibrillator is used on the patient, and the lower part of the reusable part 205 is placed on the patient's surface. In this case, the reusable portion 205 is configured such that the conductive pins 253, 254 are spaced apart from the surface. Referring to FIG. 2L, the hub 206, e.g., the lower frame of the hub 206, The hub 206 includes one or more bumps 291, 292 that protrude outward from the surface of the hub 206. The one or more bumps 291, 293 may be connected to the conductive pins 253, 254. 4. The bump 2 may include a cavity sized and / or shaped to receive a portion of the bump 2. The numbers 91 and 293 can correspond to the numbers of the conductive pins 253 and 254. For example, The hub 206 may have one, two, three, four, five, six, seven, or eight or more bumps 29. 1 and / or 293. In some variations, the hub 206 may include two each sized and / or shaped to receive a different one of the conductive pins 253. In some variations, the bump 293 includes two cavities. The height of bumps 291, 293 (measured from the underside of hub 206) is The length of the conductive pins 253 and 254 is greater than the length of the conductive pins 253 and 254 that pass through the cavity. Prevent the tips of 253, 254 from contacting the surface on which the reusable portion 206 is placed. Additionally or alternatively, the hub 206 may have a lower surface (e.g., a lower surface of the hub 206) that is One or more stubs 295 extending outward from the surface of the lower frame 257 of 206 For example, the hub 206 may include one, two, three, four or more stubs. 295. As another example, the hub 206 may include a plurality of bumps 291 (FIG. 2L). The stubs 295 may include two stubs 295 arranged outside the stubs 295 (from 2M to 2M). Several stubs 295 may be aligned with one another along the underside of the hub 206. The plurality of stubs 295 extend beyond the lower surface of the hub by a distance greater than the extension of the conductive pins 253, 254. hub 206). The tips of the conductive pins 253 and 254 come into contact with the surface on which the reusable part 206 is disposed. Additionally or alternatively, as discussed below, hub 206 may The housing 297 may extend beyond the underside of the hub 206. Therefore, the conductive pins 253, 254 extend a distance longer than the length that they extend beyond the lower surface. As a result, the tips of the conductive pins 253 and 254 are in contact with the reusable portion 206. In some cases, the bottom of the hub 206 may be When placed on a surface (such as a flat surface), one or more stubs 295 and housing 2 97 contacts the surface, and the conductive pins 253 and 254 do not contact the surface. 97, stub 295, bumps 291, 293, and / or other portions of hub 206 may be electrically conductive. For example, the housing 297, stub 295, bumps 291, 293, and / or other portions of hub 206 comprise boron nitride. It is possible.

[0102] 2O to 2P show exploded perspective views of the hub 206 of the reusable device 205. 6 (also referred to herein as the "cover") is made up of an upper frame 256 and a lower frame 257 The hub 206 may include one or more resistors 258, a circuit board 259, and a conductive Body pin 253, conductor pin 254, one or more temperature sensors 209a, 209b, 209 c, 209d, housing 297, flexible circuit 299, and cable exit 250. The bumps 291 and / or 293 of the lower frame 257 may be located within the cavity 263. and / or a cavity 264. The cavities 263, 264 may accommodate the conductive pins 253 and 254. 3, 264, when the conductive pins 253, 254 are received by the cavities 263, 264, It can be dimensioned and sized to form a water-tight seal.

[0103] The hub 206 may include a recess 261. The recess 261 may be, for example, a recess in the lower frame. The recess 261 can be formed in the upper surface of the lower frame 257 (FIG. 2O). and recessed outward (e.g., downward) from the underside of the lower frame 257 (FIG. 2P). The recess 261 can extend from the opening formed at the end or bottom of the recess 261. The recess 261 may include a recess 260. The recess 261 may be configured to allow the dock 204 to be attached to the hub 206 when the dock 204 is attached to the hub 206. The recess 261 is inserted into the dock 204 (FIG. 2F) so that the recess 235 of the dock 204 can receive the recess 261. shaped, sized, and / or positioned relative to the upper and / or lower surfaces of the tube 206. As will be described in more detail below, recess 261 can accommodate temperature sensor 209a. The housing 297 can receive the , recess 261 and opening 258 and / or 23 so that contact can be made with substrate 230. 2. The recess 235 of the dock 204 adjacent to the do.

[0104] FIG. 2Q shows an exploded view of a portion of the assembly shown in FIGS. 2O through 2P. As discussed above, The reusable portion 205 is adapted to receive the patient's body temperature (e.g., through the skin) and / or the reusable portion 205. One or more temperature sensors 2 that can be used to measure the ambient temperature inside or outside the 05 For example, the hub 206 may include a temperature sensor 209a and one or more As shown, the temperature sensors 209b, 209c, and 209d can be The sensors 209a, 209b, 209c, and 209d can be coupled to a flexible circuit 299. The flexible circuit 299 can be bonded to the circuit board 259. The data from the plurality of temperature sensors 209a, 209b, 209c, and 209d is input to the circuit board. The temperature sensor 209a can transmit the temperature signal to the temperature sensor 259 on the circuit board 259. 209b, 209c, 209d adjacent to and / or close to the other side. As shown, the temperature sensor 209a can be coupled to the end of a flexible circuit 299. The temperature sensor 209a is connected to the reusable part 205 when the reusable part 205 is mated with the disposable part 203. Sometimes, the device can be configured to be placed close to the patient's skin. Additionally, the hub 206 may include a housing 297. The housing 297 may include a temperature sensor. The temperature sensor 209a can be configured to receive the temperature sensor 209a. 269 ​​can be fixed to a portion of the housing 297. The pad 269 is 209a can be configured to adhere to a portion of the housing. A thermally conductive material may be included.

[0105] As discussed elsewhere herein, the housing 297 is part of the lower frame 257. and / or extending through the dock 204 of the disposable part 203 and contacting the patient's skin. In such a configuration, the housing can contact the substrate of the dock. 297 provides a contact between the patient's skin and the temperature sensor 209a housed within the housing 297. The housing 297 provides thermal conduction but not electrical conduction. The housing 297 may include materials that minimize or inhibit conduction. The thermal communication between the skin of the subject and the temperature sensor 209a is facilitated, while at the same time being shielded from electrical interference. Advantageously, this makes it possible to minimize or eliminate damage and / or interference that may be caused. In one example, the housing 297 may be coated with boron nitride and / or The plastic may contain

[0106] In addition to temperature sensor 209a, reusable portion 205 includes temperature sensors 209b, 209c , and 209d. 209c and 209d are coupled to the flexible circuit 299 and are spaced apart from the temperature sensor 209a. One or more of the temperature sensors 209b, 209c, and 209d can be to sense the temperature within the interior of the reusable portion 205 (e.g., the interior of the hub 206). For example, the temperature sensors 209b, 209c, and 209d can be mounted on the circuit board 25. 9 and / or resistor 258. In some cases, the temperature data measured by the temperature sensor 209a may be stored in the reusable part 205. Advantageously, one temperature sensor 209a or by incorporating multiple temperature sensors 209b, 209c, and 209d together, The processor 207 can more accurately determine the patient's core body temperature. The sensor 207 receives the temperature signal from the temperature sensor 209a to more accurately determine the patient's temperature. In order to adjust the temperature data obtained, among the temperature sensors 209b, 209c, and 209d The hub 206 may utilize temperature data from one or more of the When the temperature sensors 209b, 209c, and 209d are included, the temperature sensors 209b, 209 c, and 209d for collecting temperature data at various locations within the interior of the hub 206. They can be spaced apart from each other.

[0107] The circuit board 259 may include a processor 207 and a memory 208. 259 includes the outer electrode 112, the inner electrode 211, and one or more temperature sensors 209a, 209b, 209c, and 209d, and are operatively coupled to receive electrocardiogram data and temperature data. The hub 206 includes one or more connectors coupled to the circuit board 259 and / or the conductive pins 253. The hub 206 may include a plurality of resistors 258. The hub 206 may include one, two, three, four, five, The number of resistors 258 may include one, six, seven, eight or more resistors 258. , corresponding to the number of conductive pins 253 and / or the total number of external and internal electrodes 112, 211. The resistor 258 can be disposed between the circuit board 259 and the conductive pin 253. Resistor 258 may be used to, for example, keep reusable device 205 in a defibrillator. When placed on or near a patient, high voltage may be accidentally and / or Circuit board due to short circuit or arc that may be caused when suddenly introduced Preventing or reducing damage to 259 (or other components of reusable device 205) For example, resistor 258 may be configured to pass electrical signals related to the electrical activity of the user's heart. However, high voltages may be passed through the circuit board 259 and / or other components of the reusable device. Resistor 258 can be a large-capacity, low-resistance resistor that prevents the 259 and / or directly soldered to conductive pins 253. In this example, the hub 206 is configured to isolate each of the one or more resistors 258. For example, the hub 206 may include one or more walls 268 surrounding the resistor 25. The number of walls 268 may be one less than eight. This is advantageous as it allows the sections to be isolated from each other.

[0108] The reusable portion 205 may be configured to recycle heat generated by the reusable portion 205 or a portion thereof. a heat sink configured to transfer heat to an ambient environment outside the usable portion 205; This allows for temperature control within the reusable part 205. For example, in FIG. Referring to FIG. 1, the hub 206 of the reusable portion 205 has a top surface or adjacent surface of the hub 206. The heat sink 279 may include a heat sink 279 disposed thereon. or a plurality of circuit boards 259, flexible circuits 299, temperature sensors 209a, 209b, 20 9c, 209d, resistor 258, and / or other components to radiate heat generated by the hub 2 Advantageously, the heat sink 279 can transfer heat to the ambient environment outside the heat sink 279. It can be said that:

[0109] FIG. 2R shows a top perspective view of the hub 206 and the dock 204. 4. The dock 204 is shown as As discussed, the hand is connected via engagement between the mechanical connector portions 217, 218, 252, 251. The dock 204 and the hub 206 can be removably secured to the dock 204 and the hub 206. When secured in this manner, the conductive pins 253, 254 (see Figures 2L to 2M) of the hub 206 , can be engaged with pin supports 219, 220, respectively. As discussed above, , the conductive strips 244, 245 of the flexible circuit 225 are attached to the pin supports 219, 220. Therefore, the dock 204 and the hub 206 can be supported in such a manner. Once secured, the conductive strips 244, 245 are connected to the conductive pins 253, 254 of the hub 206. The conductive strips 244, 245 and the conductive pins 253, 254 can be connected to each other. The contact between the disposable device 203 and the dock 204 transmits electrical signals and / or information back to the disposable device 203. The available devices 205 can be transmitted to the hub 206. With the block 206 so secured, the housing 297 (FIGS. 2L-2M) and recess 235 (FIG. 2R). The recess 235 can be aligned with the housing 297 and / or the recess. 261. The housing 297 then becomes the substrate of the laminate structure 221, as discussed elsewhere herein. can be contacted with one of

[0110] FIG. 2S shows a cross-sectional view of the ECG device 110 placed on a patient, showing the ECG device 110 in contact with the patient's skin. FIG. 2S illustrates, among other things, the relative position of the circuit board 259, the flexible The circuit 299, the recess 261, the housing 297, the pad 269, the temperature sensor 209a, and One or more optional temperature sensors 209b, 209c, 209d are shown. As shown: The temperature sensor 209a is secured to and / or attached to the pad 269 and the bottom of the housing 297. In this regard, the temperature sensor 209a may be located on the pad 269, the housing and indirectly contacting the patient's skin via one or more substrates of the dock 204. It is possible.

[0111] FIG. 2T shows a cross-sectional view of the ECG device 110 placed on a patient, with the patient's skin 2T shows the relative position of the inner electrode 211 with respect to the flexible substrate 211. conductive circuit 225, conductive strip 244, pin support 219, conductive pin 253, and resistor As shown, the reusable portion 205 and the disposable portion 203 are mated together. When the conductive pin 253 is pressed down, the conductive pin 253 can contact and / or depress the pin support 219. Also as shown, the internal electrode 211 can be in indirect contact with the patient's skin. For example, the substrate 231 can be placed between the internal electrode 211 and the patient's skin. As discussed above, the substrate patch 231 transmits electrical signals from the patient's heart to the internal electrode 211. Communication can be facilitated.

[0112] FIG. 2U illustrates a method 27 for determining a patient's physiological parameters using an ECG device 110. 2 shows a block diagram of a reusable device 205. In step 271, the reusable device 205 203, which mechanically couples the reusable device to the disposable device. The connection between the reusable device 205 and the disposable device 203 can sometimes occur. The connections are supported by conductive pins 253, 254 and pin supports 219, 220. This can be established through contact between the conductive strips 244, 245. Contact between the pins 253, 254 and the conductive strips 244, 245 allows for the reusable device When the hub 206 of the disposable device 205 is removably attached to the dock 204 of the disposable device 203 In step 272, the reusable device 205 The power provided by the reusable device 205 can be used to power the device 203. External and internal electrodes 112, 211 can be supplied for collecting electroencephalographic data. In some variations, the disposable portion 203 does not include a power source and is used to collect electrocardiogram data. It relies entirely on reusable devices 205.

[0113] In step 273, the disposable device 203 receives power from the reusable device 205. At step 274, the disposable device 203 is connected to one or more external electrodes 112 and / or Alternatively, one or more internal electrodes 211 may be used to collect live ECG data from the patient. In step 275, the raw signal collected by the outer electrode 112 and / or the inner electrode 211 is The ECG data can be transmitted to the reusable device 205. The raw ECG data can be As discussed above, the raw ECG data can be transmitted via a flexible circuit 225. , automatically or manually depending on user input, to switch from disposable device 203 to reusable device 20 5. The raw ECG data can be transmitted continuously or with a predetermined delay. It is possible.

[0114] In step 276, the reusable device 205 can collect raw temperature data. The raw temperature data can be collected by the temperature sensor 209a. The data can be collected simultaneously or non-simultaneously from the raw ECG data. The disposable device 205 is configured to collect and / or transmit raw ECG data. Regardless of whether the temperature sensor 209b is connected to the sensor, raw temperature data can be collected. 9c, 209d, or 209e simultaneously with temperature data collected from one or more of the Instead, raw temperature data can be collected from the temperature sensor 209a. As such, the processor 207 of the reusable part 205 is connected to at least one temperature sensor 209a. based on a comparison of temperature data from one or more temperature sensors 209b, 209c, 209d. The patient's temperature can be determined using the

[0115] Caregivers are encouraged to make decisions about which physiological data to collect in different situations. The ECG device 110 may be configured to The device can be configured to collect and process temperature-related physiological data in various situations. For example, the ECG device 110 may detect EC signals related to irregular cardiac activity and / or physical conditions. When the G signal is detected, the temperature of the patient can be measured. The ECG device 110 detects the patient's ECG status when the variation in the ECG signal over a predetermined period of time exceeds a threshold. In another example, the ECG device 110 may be configured to measure body temperature. Collecting ECG data from a patient when a measured value exceeds or falls below a threshold that may indicate an abnormal condition. Other parameters related to different patient parameters and / or conditions can be configured to collect data. 1. An ECG device for collecting ECG and / or temperature data using information of the type 10 can be triggered.

[0116] In step 277, the reusable device 205 (e.g., the processor 207) Signal processing is performed on the G and temperature data to determine physiological responses related to the patient's cardiac activity and temperature. In step 278, the ECG device 110 is reused. The enabling device 205 can communicate physiological parameters via wired or various wireless communication protocols. It may be transmitted to other patient monitoring systems and / or devices.

[0117] In some variations, the ECG device 110 is waterproof or water resistant. The available device 205 and / or the disposable device 203, when secured together, This can be configured to prevent water from entering the inside of the reusable device 2. 05 and / or the disposable device 203 and / or its components (temperature sensor 209, Minimizing or preventing damage to the internal electrodes 211 and / or circuit board 259, etc. can be done.

[0118] The ECG device 110 can be divided into separable reusable and disposable parts 205, 203. provides many advantages over conventional ECG devices. For example, such segmentation allows: A portion of the ECG device 110 (e.g., the reusable portion 205) may be used to measure the performance of the device 200 on a given patient. After use, it can be reused and replaced with another part of the device 200 (e.g., disposable part 20 3) can be disposed of after such use. As discussed above, the disposable portion By removably securing the reusable portion 205 to the patient's The disposable part 203 can be fixed to the patient. and providing a platform onto which the reusable part 205 can be attached. Such division allows for, among other things, the circuit board 259, the flexible circuit 299, the temperature sensor More expensive and / or fragile components such as sensors 209a, 209b, 209c, and 209d The element is contained within the reusable portion 205 while being constructed in a cheaper and / or more durable manner. Components (such as electrodes 112, cables 114, laminated structures 221, and docks 204, among others) This allows the disposable portion 203 to be housed in the disposable portion 203. The reusable portion 203 can be secured to the patient independently of the reusable portion 205. The usable portion 205 can be connected to other physiological monitoring devices (e.g., blood pressure monitor 120 and / or The reusable part 205 and the disposable part 203 are connected to the patient monitor 130 or the like. It can be difficult to simultaneously secure the device to the patient (e.g., various cables in the patient's environment). In such a situation, it may be advantageous to This allows the caregiver to secure the disposable part 203 (e.g., the electrodes 112 and the dock 204) to the patient. Following such fixation, the caregiver may attach the reusable portion 205 to the disposable portion 203. In some variations, the reusable portion 205 can be fixed to the disposable portion 20 3. In some variations, the disposable part 203 may include a processor and / or a power supply. In some variations, the disposable portion 203 is reusable. Until the disposable portion 205 is secured to the disposable portion 203, electrical signals responsive to the patient's cardiac activity are Do not collect.

[0119] FIG. 3A illustrates another embodiment of an ECG device 310 (also referred to herein as an "ECG sensor"). The ECG device 310 may be attached to the patient's chest, back, arms, legs, neck, head, or other part of the patient's body. The ECG device 310 can be attached to different parts of the patient 111, such as the Collect one or more types of patient physiological data and communicate that data to other monitoring systems or The physiological data can be transmitted to the device via wires or various wireless communication protocols. The information can be transmitted via a network to other monitoring systems or devices. For example, As such, the ECG device 310 may be used in conjunction with a blood pressure monitor (e.g., blood pressure monitor 120) and other blood pressure monitors discussed herein. and / or interact with various other physiological devices and / or systems, such as patient monitors 120. All of the above description with reference to ECG device 110 and FIGS. 1A to 1D This part can be applied to the ECG device 310.

[0120] The ECG device 310 collects raw physiological data (e.g., a pulse responsive to, among other things, the patient's cardiac activity). raw temperature data, raw ECG data) to measure physiological parameters (e.g., It may have functional and / or computational capabilities to calculate (e.g., heart rate, accurate body temperature readings, etc.) In this regard, the ECG device 310 may be configured to receive raw, unprocessed electrical signals or physiological data. and / or process and calculate physiological parameters as discussed elsewhere herein. and other patient monitoring devices and / or systems (e.g., blood pressure monitors 120 and / or patient monitors). 130).

[0121] 3A to 3D, the ECG device 310 includes a disposable part 303 (referred to herein as a a disposable device) and a reusable portion 305 (also referred to herein as a "reusable device"); The disposable part 303 may include a dock 304 (also referred to herein as a "bench"). (also referred to as "source"), one or more external electrodes 312, and one or more cables 314. The one or more external electrodes 312 may include one or more cables 314. The external electrodes 312 and / or The cable 314 may be connected to one or more external electrodes such as those described with respect to the ECG device 110. 112 and / or cable 114. For simplicity, these The description of the components will not be repeated.

[0122] 3C shows a perspective view of the reusable device 305. The reusable device 305 is attached to the hub 30 6 (also referred to herein as a "cover"), cable 105, and / or connector 105a The hub 306 can be connected to the master via the cable 105 and the connector 105a. Electrical connection to other devices and / or systems, including multiparameter patient monitoring systems (MPMS) Additionally or alternatively, the hub 306 may transmit electrical signals to other devices. For example, the hub 306 may transmit the brute force signal to the device and / or system. Wi-Fi (registered trademark), Near Field Communication (NFC (registered trademark)) using different types of wireless communication technologies to transmit electrical signals (e.g., patient temperature and / or a wireless transmitter or transceiver configured to wirelessly transmit a signal related to cardiac activity; In some variations, the reusable device 305 may include a cable or connectors are not included.

[0123] The hub 306 can be of various shapes and / or sizes. For example, the hub 306 shown in FIG. As shown, the hub 306 may be rectangular in shape and / or have rounded edges and / or The hub 306 may be shaped to mate with the dock 304. For example, the hub 306 may facilitate mechanical and / or electrical mating with the dock 304. The hub 306 and the dock 304 may be sized and / or shaped to allow for easy connection. Mating is described in more detail below.

[0124] FIG. 3D shows a schematic diagram of an ECG device 310. As discussed above, the ECG device 310 can include disposable devices 303 and reusable devices 305. 03 is connected to one or more external electrodes 312 and is transmitted from the patient 111 via a cable 314. The dock 304 can detect and transmit electrical signals from the external electrodes 312. After receiving the signal (e.g., via the flexible circuit 325), transmit it to the reusable device 305 The external electrode 312 can be positioned at various positions relative to where the dock 304 is placed. For example, the device may be positioned in a location close to, adjacent to, and / or above the patient's heart. The dock 304 can be placed on the patient's chest, and external electrodes 305 can be attached to various locations on the patient's chest. 12 can be placed.

[0125] The external electrodes 312 are similar to or identical to the external electrodes 112 of the ECG device 110 and are The electrodes 312 must be properly positioned and / or secured to the patient's body parts to obtain accurate ECG data. color matching and / or graphics to advantageously assist in collecting data 2A to 2B and 4D, as well as the ECG. The discussion above with reference to device 110 is equally applicable to the external electrodes 312 of ECG device 310. and for the sake of brevity will not be repeated here.

[0126] The disposable device 303 may include one or more external electrodes 312. For example, The disposable device 303 may include one, two, three, four, five, six, seven, or eight or more external 3A-3B, the disposable device 303 may include a distal electrode 312. , four external electrodes 312. As another example, the disposable device 303 may include two The outer electrodes 312 may include two outer electrodes 312 .

[0127] The dock 304 of the disposable device 303 may include one or more internal electrodes 311. For example, the dock 304 can be configured with 1, 2, 3, 4, 5, 6, 7, or 8 The inner electrodes 311 may include the above-mentioned internal electrodes 311. As another example, the inner electrodes 311 shown in FIGS. Thus, the dock 304 may include two internal electrodes 311. The block 304 may include one internal electrode 311 .

[0128] The total number of electrodes (including both external and internal electrodes) is 2, 3, 4, 5, 6, 7, 8, 9 , 10, 11, or 12 or more electrodes. For example, the disposable device 303 can be , four outer electrodes 312, four cables 314, and two inner electrodes 311. In another example, the disposable device 303 may include two external electrodes 312, two cables, and 314, and two internal electrodes 311, and in another example, the disposable device 303 The device includes two outer electrodes 312, two cables 314, and one inner electrode 311. In yet another example, the disposable device 303 may include four external electrodes 312, four In yet another example, the cable 314 may be included, but the inner electrode 311 may not be included. The disposable device 303 includes one outer electrode 312, one cable 314, and one inner electrode. In yet another example, the disposable device 303 may include two external electrodes 311. The pole 312 may include two cables 314 and may not include an internal electrode 311. and various combinations of external electrodes 311, 312 may be used without departing from the scope of the present disclosure. The number of external electrodes 312 coupled to the dock 304 of the disposable device 303 and The number of internal electrodes 311 housed within the dock 304 determines the disposability of the ECG device 310. Various examples of the device 303 may vary.

[0129] As shown in FIG. 3D, the reusable device 305 of the ECG device 310 includes a processor 307 , memory 308 , temperature sensor 309 , and / or motion sensor 310 . The memory 308 may be an erasable programmable read only memory (EPROM), an electrically erasable Removable Programmable Read-Only Memory (EEPROM), Static Random Access Memory It can be static random access memory (SRAM), dynamic random access memory (DRAM), etc. The memory 308 stores various types of physiological data (raw and / or For example, the memory 308 may store the patient's temperature and heart rate. The device may store raw and / or processed physiological data relating to the electrical activity of Data relating to the electrical activity of the heart can represent the rhythm and / or activity of the heart. As further described below, the memory 308 stores, among other things, the information that the disposable device 303 In combination with the memory on the disposable device 303 to enable verification of certified products. For example, a disposable device 303 may be used with a reusable portion 305 to verify whether the disposable device 303 is a certified product. PROM, EPROM, EEPROM, S that can be read by the readable unit 305 It may include RAM and / or DRAM.

[0130] As discussed above, the reusable device 305 may include a motion sensor 310. The motion sensor 310 may be the same as the motion sensor 210 of the ECG device 110. Therefore, the above discussion regarding the motion sensor 110 of the ECG device 110 is equally applicable. and for the sake of brevity I won't repeat it here.

[0131] As discussed above, the reusable device 305 may include a temperature sensor 309. The temperature sensor 309 measures the temperature of the patient at and / or near where the ECG device 310 is located. The temperature sensor 309 can measure the temperature of the skin of the patient 111. Additionally or alternatively, the temperature sensor 309 can measure the ambient temperature, e.g. For example, the temperature outside the reusable device 305 and / or the temperature inside the reusable device 305 (e.g. , the temperature of the reusable device 305 (at or near the circuit board). The temperature data collected from the patient 111 by the sensor 309 determines the core body temperature of the patient 111. The temperature sensor 309 is electronically connected to the processor 307. The temperature data can be transmitted to the processor 307. In the reusable device 30, the temperature sensor 309 may be an infrared temperature sensor. Positioning and / or arrangement of temperature sensors 309 within and / or relative to the disposable device 303 The thermal sensor 309 facilitates thermal communication between the user's skin and the temperature sensor 309, as discussed in more detail below. The amount of change can be varied to make

[0132] The processor 307 may receive raw temperature data from the temperature sensor 309 . Additionally, the processor 307 receives raw ECG data from the disposable device 303. For example, the processor 307 may be configured to The disposable device is connected to the disposable part 303 via contact between the connector and one or more electrical connectors of the disposable part 303. As another example, the processor 307 may receive raw ECG data from the device 303. The conductive strip 344 of the flexible circuit 325 of the disposable device 303 and the conductive strip 344 of the flexible circuit 325 of the reusable device 305 Raw ECG data can be received from the disposable device 203 via contact with the conductor pin 353 After receiving the raw ECG and temperature data, the processor 307 performs data processing to Physiological parameters corresponding to body temperature and / or ECG can be calculated. The dynamic parameters may be stored in memory 308 or may be transmitted to different sensor systems, patient monitoring systems, etc. For example, the physiological parameters can be transmitted to a blood pressure monitor 120 and / or or to the patient monitor 130. The data stored in the memory 308 may be After being stored for a certain period of time, the ECG device 310 may be connected to other, different sensor systems or patient monitoring systems. If connected (wired or wirelessly) to any other system or device, If necessary, raw temperature data and raw ECG data can be transmitted to the device. The data can be stored in memory 308 before being processed by processor 307. The sensor 307 periodically retrieves raw temperature and / or ECG data and collects the raw data in bulk. Alternatively, the processor 307 may process and / or transmit the 8, the raw data is automatically read from memory 308. The search can be performed (e.g., continuously).

[0133] FIG. 3E shows a top perspective view of the dock 304 of the disposable device 303. The base (also referred to herein as the "base") may include a body 316 and a laminate structure 321. The body 316 includes one or more pin supports 319, one or more pin supports 320, a wall 355 extending along and / or around the exterior and / or periphery of the body 316; and an opening 323 in the wall 355. The wall 355 may include a portion of the body 316. It may extend along and / or around the portion and / or the length of the wall 355 The height can vary along the

[0134] The dock 304 of the disposable part 303 is connected to one or more of the hubs 306 of the reusable part 305. configured to fasten (e.g., removably fasten) to a mechanical connector portion of For example, the body 316 may include one or more mechanical connector portions. The mechanical connector may include one or both of the mechanical connector portions 317 and 318. Portion 317 may be, for example, a clip that may be configured to bend and / or flex. As will be described in more detail below, clip 317 may be attached to mechanical connector portion 318. The device may include a protrusion 340 that may extend in a direction toward the device (see FIG. 3H). The mechanical connector portion 318 can extend outwardly from a portion of the body 316. For example, the mechanical connector portion 318 can extend above the height of the wall 355. The functional connector portion 318 may extend in a direction toward the mechanical connector portion 317. The mechanical connector portion 3 may include one or more protrusions 341 (see FIG. 3H). 17, 318 can assist in the coupling between the dock 304 and the hub 306. For example, mechanical connector portions 317, 318 may be connected to corresponding mechanical connector portions of hub 306. 306 in place. For example, as discussed below, The mechanical connector portions 317, 318 are then removed into grooves 351, 352 in the hub 306. The mechanical connector portions 317, 318 and the corresponding portions of the hub 306 can be fixed. Interaction with the mechanical connector portion of the dock 304 and the hub 306 allows electrical communication between the dock 304 and the hub 306. The dock 304 of the disposable part 303 can be one, two, three, or four or more mechanical connector portions, and / or the hub 306 may include one , two, three, four or more mechanical connector portions.

[0135] Mechanical connector portions 317, 318 extend upward from the outer edge of body 316, as shown in FIG. 3E. The mechanical connector may extend in the direction of the arrow and / or adjacent or proximate to the wall 355. The portions 317, 318 can be positioned opposite each other (see Figures 3E and 3H). In some variations, the dock 304 may have less than two mechanical connector portions or more than two. For example, in some variations, the dock 304 may include a mechanical connector portion. 317, 318.

[0136] The pin supports 319, 320 of the dock 304 of the disposable part 303 A plurality of electrical connectors may be supported and / or operatively arranged. The support 319, 320 is connected to the conductive strip 344 of the flexible circuit 325 of the dock 304. , 345. 0 can extend through an opening or slit formed in the top surface of the body 316. For example, as described below, the body 316 may include one or more slits 336 and / or or an opening 337; and one or more pin supports 319, 3 20 and a lower frame 327. One or more pins When the main body 316 is assembled, the supports 319 and 320 are separated from the lower frame 327 by the upper frame. can extend through slits 336 and openings 337 (respectively) in arm 324. The slits 336 and / or openings 337 formed on the upper surface of the body 316 are rectangular or approximately rectangular. The pin supports 319, 320 may be arcuate and / or upwardly The upper portions of the pin supports 319, 320 may include a downward portion, a peak, and a downward portion. At a predetermined position, the upper surface of the body 316 (e.g., the upper frame 324 and / or the lower frame 3 27) and / or may extend upward at an angle to the surface of the The tops of the pin supports 319, 320 may terminate in vertices from which the pin supports The lower portions of the support members 319 and 320 are angled downward toward the upper surface of the main body 316 at another predetermined angle. Such a configuration of the pin supports 319, 320 allows the pin supports 319, 320, when a downward force is applied, they act like a spring. If desired, the pin supports 319, 320 may not have downwardly facing portions. The pin supports 319, 320 may be flexible and / or resilient.

[0137] The pin support 319 corresponds to and / or associates with the electrical connector of the disposable part 303. For example, the pin support 319 can be connected to one or more external electrodes 312 and and / or flexibility to carry electronic signals associated with one or more internal electrodes 311 Corresponding to and / or associated with conductive strips 344 of circuit 325 (see FIGS. 3F and 3I). For example, as shown in FIG. 3E, the dock 304 can be equipped with four external electrodes 3 12 (via cable 314) and a flexible cable 316 that carries electronic signals from the two internal electrodes 311. six conductive strips 344 of the conductive circuit 325. The pin supports 319 may be provided.

[0138] Like pin support 319, pin support 320 is connected to the electrical connector of disposable part 303. For example, the pin support 320 may be 4 and the memory 308 of the hub 306. 3F and 3I) of the conductive strips 345 of the conductive circuit 325 (see FIGS. 3F and 3I). The flexible circuit 325 can store information related to the disposable portion 303. The memory (PROM, EPROM, EEPROM, , SRAM, and / or DRAM memory, etc. The conductive strips 345 of the flexible circuit 325 can be coupled to such a memory. Advantageously, the pin support 320 supports the conductive pins (conductive pins 354) of the hub 306. ) This allows the hub 306 to determine whether the dock 304 is a certified product. It is possible.

[0139] As discussed above, the dock 304 is configured such that a portion of the cable 314 is internal to the dock 304. A portion of the body 316 has one or more openings 323 configured to allow entry therethrough. The body 316 may include one or more openings 323 in the wall 355. The dock 304 can be one, two, three, four, five, six, seven, or eight or more. The opening 323 may include an opening 323 that is coupled to the outer electrode 312. It may be sized and / or shaped to receive a portion of the cable 314. 23 can be formed on the side of the body 316. For example, as shown in FIG. 3E, an opening The portion 323 may be formed on the front (or "end") of the body 316. The mouth 323 may be formed on different sides or portions of the body 316. The number of external electrodes 312 and / or cables 314 coupled to the dock 304 may be For example, as shown in FIG. 3B, the dock 304 of the disposable device 303 corresponds to 4 3E shows four openings 323, four cables, and four external electrodes 312. Although four external electrodes 312 are shown, a different number of electrodes 312, openings 314, and 23 and / or cable 314 can be mounted in the disposable part 303. 3 can be sized to fit closely with the cable 314. Such a configuration It may be advantageous for the dock 304 to be water resistant and / or waterproof. Additionally or alternatively, such a configuration may reduce the connection between cable 314 and opening 323. For example, the opening 323 and the cable 31 The tight fit between the flexible circuit 325 (e.g., conductive strip 34) and the portion of the flexible circuit 325 (e.g., conductive strip 34) allows for a secure connection between the flexible circuit 325 and the portion of the conductive strip 34. 3) is accidentally or intentionally pulled on the other end of the cable 314 connected to the cable This reduces the possibility that the end of 314 will be cut off.

[0140] 3F and 3G show exploded perspective views of the dock 304 of the disposable part 303. 4 includes an upper frame 324, a flexible circuit 325, one or more internal electrodes 311, a substrate 3 28, a substrate 329, a lower frame 327, one or more adhesives 322, a substrate 330, and and substrate 331. Advantageously, the components shown in Figures 3F and 3G can be folded. 310. The upper and lower frames 324, 327 together form the body 316 and / or or defined, as discussed above with reference to FIG. 3E. 24 may include wall 355, also discussed above.

[0141] The upper frame 324 is mounted so that the upper frame 324 rests on the lower frame 327. The upper frame 324 can be connected to the lower frame 327. 24. The recess 335 may include a recess 335 formed in the upper surface of the recess 335. The insulating layer 330 may include an opening 338 (see FIGS. 3F-3G) formed in the bottom of the insulating layer 330 .

[0142] The lower frame 327 may include an opening 332 and one or more openings 333. The openings 332 in the lower frame 327 allow the upper frame 324 to be inserted into the lower frame 327 when the upper frame 324 is in place. The recess 335 in the frame 324 may correspond to and / or align with the recess 335 in the frame 324. At 327, opening 332 receives recess 335, which extends through opening 332. and / or extend below opening 332. As discussed below, this allows for reusable A portion of the functional device 305 and the temperature sensor 309 are disposed near the substrate 330 and / or 331. Advantageously, this allows for thermal communication between the user's skin and the temperature sensor 309. can be increased.

[0143] As discussed above, the dock 304 may include pin supports 319, 320. In FIG. 3F, pin supports 319, 320 are formed on a lower frame 327. The upper frame 324 supports the pin supports 319 and 320 of the lower frame 327. Each of the slits 336 and / or openings 337 may accommodate When the upper frame 324 is placed on top of the lower frame 327, the pin support 319, 320 through slits 336 and / or openings 337 in the upper frame 324 and / or can extend thereover.

[0144] A flexible circuit 325 is disposed between the upper frame 324 and the lower frame 327 and / or For example, the flexible circuit 325 may be It can be sandwiched between upper frame 324 and lower frame 327 during assembly. The lower frame 327 is flexible when securing the reusable part 305 to the disposable part 303. Facilitates electrical communication between the circuit 325 and the circuit board or flexible circuit of the reusable portion 305 The flexible circuit 325 and / or portions thereof can be operatively positioned so that the flexible circuit 325 is operatively positioned such ... For example, the pin supports 319 of the lower frame 327 may be reusable with conductive strips 344. 3. The conductive strips 330 of the flexible circuit 325 are then attached to the conductive pins 353 of the flexible circuit 325 so as to contact the conductive pins 353 of the flexible circuit 305. 44 can be operably positioned. The pin support 320 is electrically conductive when the reusable portion 205 and the disposable portion 303 are mated. The flexible circuit is then attached to the reusable portion 305 so that the strip 345 contacts the conductive pins 354 of the reusable portion 305. The conductive strips 345 of 325 can be operatively positioned. Therefore, the flexible circuit 325 is used to transmit and receive information between the disposable device 303 and the reusable device 305. Further details of the flexible circuit 325 are available at These are explained below.

[0145] As shown in FIG. 3F, the internal electrode 311 is formed by an upper frame 324 and a lower frame 327. The inner electrode 311 may be at least partially disposed and / or positioned between the inner electrode 311 and the inner electrode 311. The inner electrode 311 can be removably coupled to the flexible circuit 325. The inner electrode 311 has an opening 333, and the opening 333 can be located within the inner electrode 311 (and / or its Part of the dimensions can be adjusted to accommodate.

[0146] As discussed above, the dock 304 of the disposable part 303 may include a laminate structure 321. Also, as discussed, the laminate structure 321 includes substrates 328, 329, 330, and and / or 331. For example, substrate 328 may The foam membrane or ring may be attached to the upper and / or lower frame 32 when assembling the dock 304. The substrate 328 may be configured to surround the upper and / or lower frames 327. An opening of a size and / or shape that matches the size and / or shape of the surrounding area of ​​the frame 324, 327. The substrates 329, 330, and 331 may include a thermal and / or may be made of a material that can provide electrical insulation or electrical conductivity. 8, 329, 330, 331 can be made of different materials or the same material. 9 and / or 330 can be, for example, a polyethylene (PE) film.

[0147] Referring to Figures 3F to 3G, adhesive 322 is applied to the underside of the lower frame 327. The lower frame 327 can be bonded to a substrate 330. The substrate 330 can be a substrate 331. One or more openings 334 may be formed in the substrate 330. The substrate 330 may include one, two, three, four, or more openings 334. The number of openings 334 can correspond to the number of internal electrodes 311. The substrate 33 can be dimensioned to accommodate one or more internal electrodes 311. 0 may be used to separate the dock 304 and the patient 1, for example, in the area outside and / or around the opening 334. The opening 334 allows the inner electrode 311 to be electrically isolated from the , raw ECG data without the electrical impedance or isolation provided by the substrate 330. It will be possible to collect.

[0148] The substrate 331 may provide thermal and / or electrical conductivity between the dock 304 and the patient 11. The substrate 331 can be the only substrate between the internal electrode 311 and the patient 111. The opening 333 in the lower frame 327 and the opening 334 in the base plate 330 advantageously allow The internal electrode 311 is electrically connected to the patient 111 without unwanted electrical resistance and / or impedance. The substrate 331 may include, for example, a hydrogel. It can be done.

[0149] FIG. 3H shows a side view of the dock 304 of the disposable part 303. As discussed above, the dock The block 304 may include one or both of the mechanical connector portions 317, 318. The mechanical connector portions 317, 318 may include protrusions 340, 341, respectively. The protrusions 340 and 341 are connected to a part of the dock 304 (such as the main body 316). The free (e.g., cantilevered) mechanical connector portions 317, 318, such as the opposite ends of the connector portions, The projections 340, 341 can be positioned in the grooves 352, 351 of the hub 306. (see FIGS. 3J through 3K) to removably secure the hub 306 to the dock 304. When the hub 306 mates with the dock 304, the hub 306 forms a mechanical connection. The protrusion 340 may be at least partially disposed between the connector portions 317, 318. The engagement between 341 and grooves 352, 351 occurs while the hub 306 is mated with the dock 304. Horizontal and / or vertical movement can be prevented.

[0150] 31 shows a top view of the flexible circuit 325. The flexible circuit 325 has multiple conductive surfaces. For example, the flexible circuit 325 may include conductive strips and / or strips. Conductor 343 may include loops 343, 344, 345, and / or 346. It can be electrically connected to a cable 314 which itself connects to an external electrode 312. In this respect, the conductor strip 343 is electrically connected to the external electrode 312 via the cable 314. The cable 314 has corresponding conductive strips 343 that can receive signals. Conductive strip 346 (also referred to herein as "conductive ring") may be soldered. ) can be formed around and / or within the opening 347, as shown in FIG. 3I. The conductive ring 346 is in contact with the internal electrode 311 and transmits electrical signals from the internal electrode 311. The opening 347 receives the upper part of the internal electrode 311 and is connected to the conductive strip. Contact is made between the lip 346 and the inner electrode 311, thereby allowing the flexible circuit 325 to ECG data can be received from the internal electrodes 311 .

[0151] Conductive strip 345 connects dock 304 to memory 308 of reusable device 305. The conductive strips 345 of the flexible circuit 325 can be used to establish electrical communication. The conductive strip may be disposed adjacent to (e.g., on) the support 320. The pin support 320 supporting the hub 306 and the dock 304 supports the hub 306. 306 is oriented so that the conductive pin 354 (see FIG. 3L) contacts the conductive strip 345. The memory 308 of the reusable device 305 can be formed by a conductive strip 345 and a conductive Contact with pins 354 allows electrical signals and / or information to be reused from disposable device 303 can be coupled to conductor pin 354 for transmission to memory 308 of device 305 Advantageously, conductive strip 345 may be utilized to determine whether disposable part 303 is a certified product. For example, the reusable part 305 may be able to verify whether the disposable part 3 03, and the conductive strip 345 and the conductive pin 354 are electrically and / or mechanically mated to the When contact is made between the reusable portion 305 and the flexible circuit 32 of the disposable portion 303, By analyzing the information contained in the memory of the device, the disposable part 303 can be determined to be a certified product. As discussed above, the memory of the flexible circuit 325 can determine whether PROM, EPROM, EEPROM, SRAM, and and / or DRAM memory. Such determination may result in the To prevent damage to the reusable device 305 that may occur if a product is fastened to it. Such a determination may additionally or alternatively result in the reusable device 305 This can ensure the proper functioning of the

[0152] Conductive strip 344 receives electrocardiogram data from outer electrode 312 and inner electrode 311. The conductor strips 343, 346 can be in electronic communication with each other so that the conductor strips 343, 346 can be in electronic communication with each other. Conductive strips 344 of circuitry 325 may be disposed on pin supports 319 . When the hub 306 is mated with the dock 304, the conductive pins 353 of the hub 306 (see FIG. 3L) ) can contact the conductive strip 344. The connection between the conductive strip 344 and the conductive pin 353 can be oriented. The contact transmits an electronic signal from the disposable device 303 to the processor 307 of the reusable device 305. The processor 307 of the reusable device 305 can transmit the and can receive electronic signals from the disposable device 303 via conductive strip 344. The number of conductive strips 344 corresponds to the total number of conductive strips 343, 346. Each of the conductive strips 343 and 346 can be made flexible. The conductive strips 344 of the electrical circuit 325 may be associated with different ones of the conductive strips 344 .

[0153] 3J to 3L show various perspective views of the hub 306 of the reusable portion 305. As such, hub 306 contains, among other components described in more detail below, cables An outlet (also referred to herein as an "output connector port") 350, which may include one or more mechanical connectors. One or more mechanical connector parts may be included to allow for reusability. The disposable portion 305 can be mated with the disposable portion 303. One or more mechanical connectors The portions can be, for example, grooves 351 and 352. The grooves 351 and 352 are formed on the hub 30. 6 can be formed on the same or different sides. For example, as shown in Figures 3J and 3K As such, grooves 351, 352 may be located on opposite ends of hub 306. As discussed above, the grooves 351, 352 are adapted to accommodate the protrusions 317, 318 of the mechanical connector portions 317, 318. 40, 341, respectively, and the dock 304 and hub 306 can be removed. The grooves 351 and 352 are connected to the protrusions 340 and 341, respectively. The connector may be sized and / or shaped to engage with the connector. The portions 317, 318 snap into and / or within the grooves 351, 352, The protrusions 340, 341 can be engaged with the grooves 351, 352.

[0154] The reusable portion 305, when secured, may be connected to one or more electrical connectors of the disposable portion 303. The electrical connector may include one or more electrical connectors configured to connect to For example, referring to FIG. 3L, when hub 306 is mated with dock 304, conductive pins 353 , 354 can contact the conductive strips 344, 345, respectively. 306 includes one or more conductive pins 353, 354 disposed adjacent to the underside of the Contact between the pins 353, 354 and the strips 344, 345 allows information and / or an electrical signal can be transmitted from the disposable part 303 to the reusable part 305. As discussed above, contact between the conductive strip 344 and the conductive pin 353 allows the dock 3 This allows the transmission of electrical signals between the reusable part 305 and the processor 307 of the reusable part 305. Contact between the body strip 345 and the conductive pins 354 activates the memory (e.g., For example, the transfer of information between the memory of the flexible circuit 325 and the memory 308 of the reusable portion 305. Belief becomes possible.

[0155] The hub 306 may include a recess 361. The recess 361 may be, for example, a recess in the lower frame. The recess 361 can be formed in the upper surface of the lower frame 357. 3L and 3N), extending outward (e.g., downward) from the underside of the lower frame 357. The recess 361 may have an opening formed at the end or bottom of the recess 361. The recess 361 may include a recess 360 for allowing the dock 304 to fit into the hub 306 when the dock 304 is mated with the hub 306. The hub 304 (FIG. 3E) is secured to the recess 361 so that the recess 335 of the hub 304 (FIG. 3E) can receive the recess 361. The recess 361 may be shaped, sized, and / or located on the underside of the 306. The temperature sensor 309 may receive and / or house a temperature sensor 309. The temperature sensor 309 may include: It can be located below the recess 361 and / or at a predetermined distance from the opening 360. As described above, the recess 361 extends through the opening in the dock 304 and is The recess 361 in the dock 304 can be in contact with the heat transfer The recess may include a material that provides a low electrical conductivity but minimizes or inhibits electrical conduction. Portion 361 facilitates thermal communication between the patient's skin and temperature sensor 309, and simultaneously provides electrical It is possible to minimize or eliminate the damage and / or interference that may result from the interference. As an example, the recess 361 may be coated with boron nitride and / or can include plastics containing it.

[0156] 3M and 3N show various exploded perspective views of the hub 306 of the reusable device 305. The cover 306 (also referred to herein as the "cover") is attached to the upper frame 356 and the lower frame 358. 357. The hub 306 may include one or more resistors 358, a circuit board 35 9, the conductor pin 353, the conductor pin 354, the temperature sensor 309, and the cable outlet 350. The lower frame 357 may further include an opening 363 and / or an opening 364 (or , also referred to herein as "cavities"). The openings 363, 364 may be formed in the lower frame. Extending through frame 357, the conductive pins 353 and 354 are received therein. The openings 363 and 364 allow the conductor pins 353 and 354 to pass through the openings 363 and 364. Determine dimensions and size so that a watertight seal is formed when received by It is possible.

[0157] The circuit board 359 may include a processor 307 and a memory 308. 359 is operatively coupled to the outer electrode 312, the inner electrode 311, and the temperature sensor 309. , ECG data, and temperature data. Hub 306 includes a circuit board 359 and / or The hub 3 may include one or more resistors 358 coupled to the body pins 353. 06 includes one, two, three, four, five, six, seven, or eight or more resistors 358. The number of resistors 358 can be determined depending on the number of conductive pins 353 and / or the number of external electrodes and internal electrodes. The resistors 358 can be connected to the circuit board 35. 9 and the conductor pin 353. The resistor 358 may be, for example, a resistor When using the reusable device 305, if the reusable device 305 is placed on or near a patient, the conductor pin 3 The potential for high voltage to be accidentally and / or suddenly introduced via 53 A short circuit or arc may occur on the circuit board 359 (or other components of the reusable device 305). For example, resistor 358 can be used to prevent or reduce damage to the user's It passes electronic signals related to the electrical activity of the heart, but high voltages are present on the circuit board 359 and / or is a large-capacity, low-resistance resistor that prevents the passage of current through other components of the reusable device. Resistor 358 may be soldered directly to circuit board 359 and / or conductive pins 353. In FIG. 3M, the hub 306 can be mounted on one or more resistors 368. The casings may include one or more walls 368 configured to separate each other.

[0158] FIG. 3O shows a top perspective view of the hub 306 and the dock 304. 4. The dock 304 is shown as As discussed, the hand is connected via engagement between mechanical connector portions 317, 318, 352, 351. The dock 304 and the hub 306 can be removably secured to the dock 304 and the hub 306. When fixed in this manner, the conductive pins 353 and 354 (see FIG. 3L) of the hub 306 are 3E). Thus, the conductive strips 344, 345 of the flexible circuit 325 are connected to the pin supports 319, 3 20. Therefore, the dock 304 and the hub 306 can be supported by such a When secured in this manner, the conductive strips 344, 345 are secured to the conductive pins 353, 355 of the hub 306. 4. The conductive strips 344, 345 and the conductive pins 353, 35 4 to transmit electronic signals and / or information to the dock 304 of the disposable device 303. from the hub 306 of the reusable device 305. And when hub 306 is so secured, recess 335 and recess 361 can be aligned. (See Figures 3N to 3O.) Recess 335 is sized and configured to receive recess 361. The opening 360 of the recess 361 (see FIG. 3N) and the recess 33 By aligning the five openings 338 (see FIGS. 3F to 3G), the openings 360, 338 A clear space and / or area may be defined below the temperature sensor 309. In such a configuration The recess 261 is formed on the substrate 33 when the reusable and disposable parts 305, 303 are mated. 4. The openings 338, 360 can be vertically aligned, for example. Cut.

[0159] 3P and 3Q show cross-sectional views of an ECG device 310 positioned on the skin of a patient; The relative positions of the temperature sensor 309 and the internal electrode 311 with respect to the patient's skin are shown, respectively.

[0160] The temperature sensor 309 may be positioned a distance D1 from the outer surface of the patient's skin. The distance D1 is, for example, equal to the distance between the bottom of the temperature sensor 309 and the bottom surface of the substrate 331. In this regard, the temperature sensor 309 is not in direct contact with the patient's skin. The opening 360 of the recess 361 (see FIG. 3N) and the opening 338 of the recess 335 are , a temperature sensor 309 may be enabled to collect temperature data from the patient.

[0161] As shown in FIG. 3Q, the inner electrode 311 is positioned a distance D2 from the outer surface of the patient's skin. The distance D2 is the distance between the bottom of the internal electrode 311 and the bottom surface of the substrate 331. In this regard, the internal electrode 311 is in direct contact with the patient's skin. For example, the substrate 331 is placed between the internal electrode 311 and the patient's skin. The substrate 331 can facilitate the transmission of electrical signals from the patient's heart to the internal electrode 311. The laminate structure 321 may include a conductive material that facilitates connection to the ECG device 110 and the 2F through 2G, including a release liner similar to or identical to release liner 239 discussed above. It can be done.

[0162] The distance D2 and the distance D1 may be the same or different. For example, if D2 is set to be closer to D1 than D1, In another example, D2 can be greater than D1.

[0163] FIG. 3R illustrates a method 37 for determining a patient's physiological parameters using an ECG device 310. 3 shows a block diagram representing the reusable device 305. In step 371, the reusable device 305 303, which mechanically couples the reusable device to the disposable device. The connection between the reusable device 305 and the disposable device 303 can sometimes occur. The connections are made to the conductive pins 353, 354 and pin supports 319, 320 as discussed above. Thus, contact is established between the conductive strips 344, 345 supported by the The connections between the conductive pins 353, 354 and the conductive strips 344, 345 can be The contact is made by attaching the hub 306 of the reusable device 305 to the dock 304 of the disposable device 303. In step 372, the reusable device 305 The disposable device 303 can be powered by the power provided by the reusable device 305. can be supplied to the external and internal electrodes 312, 311 to collect electrocardiogram data. In some variations, the disposable portion 303 does not include a power source and is used to collect electrocardiogram data. The system is entirely dependent on the reusable device 305 for this purpose.

[0164] In step 373, the disposable device 303 receives power from the reusable device 305. At step 374, the disposable device 303 is provided with one or more external electrodes 312 and / or Alternatively, one or more internal electrodes 311 may be used to collect raw ECG data from the patient. In step 375, the raw signal collected by the outer electrode 312 and / or the inner electrode 311 is The ECG data can be transmitted to the reusable device 305. The raw ECG data can be As discussed above, the raw ECG data can be transmitted via a flexible circuit 325. , automatically or manually depending on user input, to switch from disposable device 303 to reusable device 30 5. The raw ECG data can be transmitted continuously or with a predetermined delay. It is possible.

[0165] In step 376, the reusable device 305 may collect raw temperature data. The raw temperature data can be collected by the temperature sensor 309. can be acquired simultaneously or non-simultaneously from the raw ECG data. The functional device 305 determines whether the disposable device is collecting and / or transmitting raw ECG data. Regardless of whether the temperature is high or low, raw temperature data can be collected.

[0166] Caregivers are encouraged to make decisions about which physiological data to collect in different situations. The ECG device 310 may be configured to The device can be configured to collect and process temperature-related physiological data in various situations. For example, the ECG device 310 may detect EC associated with irregular cardiac activity and / or physical conditions. When the G signal is detected, the temperature of the patient can be measured. The ECG device 310 detects the patient's ECG status when the variation in the ECG signal over a predetermined period of time exceeds a threshold. In another example, the ECG device 310 may be configured to measure body temperature. Collecting ECG data from a patient when a measured value exceeds or falls below a threshold that may indicate an abnormal condition. Other parameters related to different patient parameters and / or conditions can be configured to collect data. ECG device 3 to collect ECG and / or temperature data using the type of information 10 can be triggered.

[0167] In step 377, the reusable device 305 (e.g., the processor 307) Signal processing is performed on the G and temperature data to determine physiological responses related to the patient's cardiac activity and temperature. In step 378, the ECG device 310 is reused. The enabling device 305 can communicate physiological parameters via wired or various wireless communication protocols. It may be transmitted to other patient monitoring systems and / or devices.

[0168] In some variations, the ECG device 310 is waterproof or water resistant. The usable device 305 and / or the disposable device 303, when secured together, The reusable device can be configured to prevent water from entering the device. 305 and / or the disposable device 303 and / or its components (temperature sensor 309 , the internal electrode 311, and / or the circuit board 359, etc. This can be done.

[0169] In some variations, other portions of the ECG device 310 are made of a material with high thermal conductivity, such as boron nitride. For example, the dock 304 and / or The hub 306 can be made of plastic with a boron nitride coating. In some variations, a portion of the ECG device 310 (e.g., the dock 304 and / or The dock 304 and hub 306 may include materials that provide thermal isolation. 06 can be manufactured using coated glass fiber.

[0170] (ECG package) 4A to 4C illustrate a device used to secure and / or package portions of the ECG device 110. A packaged device 400 (also referred to herein as an "ECG packaged device") that can be used For example, the disposable part 203 of the ECG device 110 may be secured and / or packaged. For caging, a packaging device 400 can be used. ECG device 110 or a portion thereof is shown, and ECG device 310 or a portion thereof (e.g., , disposable part 303) are secured and / or packaged in a similar or identical manner to the device 4 It should be understood that the ECG device 11 can interact with the ECG device 11. The following description of the disposable device 203 of the ECG device 310 is not intended to be construed as limiting the scope of the present invention. The same is applicable to the device 303.

[0171] Referring to FIG. 4A, the packaging device 400 includes a body placement indicator portion 410 and One or more disposable device securing portions, e.g., dock securing portion 420 and / or power The package device 400 may include a pole fixing portion 440. 4C. As shown, the opening 450 allows for bending and / or flexing of the device 400. , can extend along the centerline axis 470 of the device 400. In such a configuration, By bending the device 400 as shown in FIG. 4C, the device 400 can be split in half and then repositioned upright. and / or partially upright. As shown, one half has a body alignment indicator. The other half may include an electrode fixing portion 410 and / or a dock fixing portion 420. A constant portion 440 may be included.

[0172] The dock securing portion 420 secures (e.g., secures) the dock 204 of the disposable device 203. The dock fixing portion 420 can be configured to fix the dock to the positioning indicator. indicator 422 and one or more prongs 424, e.g., 1, 2, 3, 4, 5, or can include six or more prongs 424. In one example, the dock securing portion 420 can be , two markers arranged opposite each other around the position indicator 422 (see FIG. 4A). The one or more prongs 424 may include one or more prongs 424. It may be formed from and / or integral with other parts of the Ring 424 may be flexible and / or resilient. The prongs 424 of the dock 204 connect the prongs 424 to the surface 401 of the device 400. The device 400 is configured to bend away from the surface 401 so that it can be fixed between the For example, as shown in FIG. 4B, one or more prongs 424 may be The thickness of the laminate structure 211 of the dock 204, which may include one or more substrates as discussed The surface 401 may be configured to bend while moving away from the surface 401 by an amount equal to or greater than the length of the surface 401 .

[0173] The electrode fixing portion 440 is configured to fix one or more electrodes 110 of the disposable portion 203 of the ECG device 110. 12 can be configured to be fixed (e.g., removably fixed) to the electrode. The fixed portion 440 may include one or more electrodes 112 configured to indicate placement of the electrode(s). may include multiple placement indicators 442. One or more placement indicators 442 is a unique graph showing one particular arrangement of one or more electrodes 112. For example, one or more sequences may be included. Each of the position indicators 442 corresponds to a respective electrode, as shown in FIG. 4D and discussed above. 112. It can be done.

[0174] The electrode fixing portion 440 has one or more prongs 444, e.g., 1, 2, 3, 4, 5 , or 6, 7, or 8 or more prongs 444. has one or more pairs of prongs 444, e.g., one, two, three, four, five, or six. One or more pairs of prongs 444 may be attached to the attachment. It may be formed from and / or integral with other parts of the device 400. The prongs 444 may be bendable and / or resilient. Alternatively, the plurality of prongs 444 may connect a portion of the electrode 112 to the prongs 444 and the surface 444 of the device 400. 400. The device 400 is configured to bend away from the surface 401 so that it can be secured between the surface 401 and the device 400. For example, as shown in FIG. 4B, one or more prongs 444 may be Dimensioned to fit the thickness of the electrode 112 (e.g., the thickness of the laminate structure 221 of the electrode 112). can be configured to bend away from the surface 401 by a distance that is determined by The number of prongs 444 corresponds to the number of electrodes 112 on the disposable part 203 of the ECG device 110. For example, the electrode fixing portion 440 can fix each electrode 1 of the disposable device 203 to 12, each electrode 112 may include a pair of prongs 444, with each electrode 112 having two prongs. Each of the pair of prongs 444 is fixed to the position indicator 442. They can be positioned facing each other around the circumference (see Figure 4A).

[0175] The packaging device 400 includes a cable 114 for the disposable part 203 of the ECG device 110. The device may include one or more features that can hold and / or secure the device. For example, device 400 may include a prong 446 and a surface 401 of device 400, which may be a portion of cable 114. a surface of the device 400 so as to be at least partially received and / or secured between the One or more cable fixing plates that can be configured to bend away from 401 For example, as shown in FIG. 4B, one or more prongs may be included. The cable 446 is spaced from the surface 401 by an amount equal to or greater than the dimension (e.g., diameter) of the cable 114. The one or more prongs 446 may be configured to bend apart. It may be formed from and / or integral with other parts of the 00. The prongs 446 may be bendable and / or resilient. A plurality of prongs 446 may be disposed on the electrode fixing portion 440. For example, one or more The prong(s) 446 may be adjacent to one or more prongs 444 and / or Such a configuration allows one or more electrodes 112 to be positioned between the electrodes. When secured by one or more prongs 444, a portion of the cable 114 is Advantageously, the prongs 446 can be secured within one or more of the prongs 446 (see Figures 4A to 4C). The device 400 is one, two, three, four, five, six, seven, eight, nine, ten, eleven One or twelve or more cable fixing prongs 446 or cable fixing prongs 446 For example, the device 400 may include a group of prongs for each number of electrodes 112. For example, the device 400 may include two, three, or four groups for each number of electrodes 112. Each group may include four prongs 446. In some variations, the prongs within each group may One or more prongs of the long 446 may be used to prevent a portion of the cable 114 from being inadvertently removed. 4. The prongs 446 are oriented opposite the prongs 446 to reduce or prevent contact. See A to 4C).

[0176] In addition to or as an alternative to one or more cable securing prongs 446, device 40 0 is sized and / or shaped to receive and / or secure a portion of the cable 114 For example, the device 400 may include one, two, The cable 11 may include three or more notches 452. The number of notches 452 may vary depending on the cable 11. 4 and / or may correspond to the number of electrodes 112. The notches 452 are shown in FIGS. As shown in FIG. 1, the notch 452 can be positioned adjacent to the opening 450. and an opening disposed at an end of the channel. The channel may include a cable 1 14, and the opening may have a size and / or shape smaller than the cross section of the cable 1 14. Such a structure may have a cross section that is sized and / or shaped to match the cross section of the This configuration allows a portion of the cable 114 to pass through the channel without moving out of the notch 452. , allowing the nozzle 450 to be at least partially retained within the opening. The portion of the device 400 that contacts the cable 114 may be positioned within and / or through the opening of the cutout 452. The hose may be bent to allow placement through the hose.

[0177] The device 400 may include a visual representation of the body and one or more electrodes 112 and / or docks. One or more body parts that can show the proposed placement on each body of 204 The body placement indicator portion 410 may include a placement indicator. For example, as shown in FIG. 4A, the body placement indicator portion 410 can be configured with different unique One or more electrode body placement indicators that may correspond to the electrodes 112 and placement indicators 442. Additionally or alternatively, a body placement indicator 474 may be included. Portion 410 includes a dock body placement indicator 472 that may correspond to placement indicator 422. One or more electrode body placement indicators 474 and a dock body placement indicator 476 may be included. The placement indicator 472 provides guidance to the caregiver regarding proper placement of the dock 204 and electrodes 112. This can advantageously serve to provide quick instructions. A placement order indicator may indicate the order in which each of the three components should be placed and / or secured to the patient. Indicators 460, 462, 464, 466, and 468 may be included.

[0178] 4A to 4D show a disposable part 20 including four electrodes 112 and four cables 114. 3, while a different number of electrodes may be used. The packaging device 400 may be configured differently to secure the cable 112 and the cable 114. For example, as shown in FIG. 4E, the package device 400 may include two electrodes 1 12 and configured to fix the disposable part 203 having two cables 114. For example, the device 400 may have two position indicators 442, two pairs of prongs 44, 4, one or more prongs 446 for each cable 114, two notches 452; Two electrode body placement indicators 474, a dock body placement indicator 472, and one Or, multiple placement order indicators 460, 462, 464 may be included.

[0179] (blood pressure monitor) 5A through 5AA illustrate a blood pressure monitor 120 (also referred to herein as a "blood pressure device" and a "blood pressure monitoring device"). 1 shows various views and embodiments of a blood pressure monitor (also referred to herein as a "sphygmomanometer" or "blood pressure monitor"). Although referred to as a "blood pressure device," device 120 may measure other parameters in addition to or as an alternative to blood pressure. For example, the blood pressure device 120 may measure and / or monitor blood pressure during a patient's exhalation. The concentration or partial pressure of carbon dioxide (CO2) can be measured and / or monitored. As another example, as described above, the blood pressure monitor 120 may include an accelerometer and a The blood pressure monitor 120 may include, for example, a non-invasive blood pressure monitor. 12 to 14E, and features as described in more detail below. It can have the characteristics and / or functions.

[0180] 5A to 5H show various views of the blood pressure monitor 120. The blood pressure monitor 120 includes a housing 50. 2. As shown in Figures 1A-1B, 5C-5D, and 5F, and further described below. As will be described, the blood pressure monitor 120 may be configured to measure the blood pressure of a patient, for example, by fastening a blood pressure cuff 121. The blood pressure cuff 121 may be configured to be secured to the arm of the person 111. and / or otherwise secured to the arm of the patient 111, and 0 may be, for example, a blood pressure monitor 120 connected to one or more ports of the blood pressure monitor 120, as further described below. The pressure cuff 121 is secured to the blood pressure cuff 121 via a fastening between the cuff and one or more prongs of the pressure cuff 121. As will be described in detail below, the blood pressure monitor 120 is connected to a cuff 121. , can be configured to inflate and / or deflate the cuff 121. As will be explained later, the blood pressure monitor 120 supplies air to the cuff 121 to occlude the aorta. The cuff 121 can be inflated to a sufficiently high pressure level. As will be explained in more detail below with reference to Figures 12 to 14E, Additionally, blood pressure can be estimated by the sphygmomanometer 120 .

[0181] As shown in FIGS. 1A-1B and 5A, the blood pressure monitor 120 includes one or more physiological sensors. and / or ECG device 110 and / or a monitor such as patient monitor 130. each of which is described in more detail elsewhere herein. For example, the cable 105 and the connector 105a are connected to the connector port 5 of the blood pressure monitor 120. 16 (see FIGS. 1A-1B and 5A), and can be connected to an ECG device 110 ( 1A to 1B and 2A). Additionally or alternatively, the cable The cable 107 is connected to a connector port 514 (see FIGS. 1A to 1B and 5A) of the blood pressure monitor 120. and can be connected to a patient monitor 130 (see FIGS. 1A-1B and 8A). For example, the cable 107 and connector 107a may be connected to the patient monitor 130. It can be connected to the female connector port 832 (see Figures 8A and 8I). In this example, cable 107 is permanently secured to blood pressure monitor 120 at connector port 514. For example, the end of the cable 107 is permanently wired to the circuit board of the blood pressure monitor 120. In this case, the connectors 105a and / or 107a may be removably fixed. As mentioned above, the blood pressure monitor 120 receives the ECG signal from the ECG device 110. A bypass bus allows physiological data to be passed to the patient monitor 130 without processing. For example, the bypass bus of the blood pressure monitor 120 may include the cable 105 and The physiological data received by the connector port 516 via the connector 105a is The connector port 514 is connected to the cable 107 and the connector 107a via the connector The data can be passed to the patient monitor 130 via port 433 without any processing.

[0182] The blood pressure monitor 120 includes a plurality of sensors that enable the blood pressure monitor 120 to perform its physiological measurement and / or monitoring functions. The cuff 121 (FIG. 5I) may include various electronic components to enable the device to be used in various ways. ) should contain few or no electronic components and / or functionality. For example, in some cases, the only electronic components in the cuff 121 are connected to the blood pressure monitor 120. Provides near field communication (NFC) and / or is related to near field communication (NFC) This is described in more detail below. and / or the cuff 121 is adapted to measure blood pressure when the cuff 121 and the blood pressure monitor 120 are secured to the patient. The pressure gauge 120 can be configured so that it does not come into contact with the patient. The pressure gauge 120 can be "reusable" and the cuff 121 can be "disposable". In some variations, the blood pressure monitor 120 may include a label portion 521, for example, on the top surface of the blood pressure monitor 120. (Figures 5A to 5B).

[0183] As will be described in more detail below, the blood pressure monitor 120 and cuff 121 may include a removable Various features can be included to allow for fastening. Therefore, while the blood pressure monitor 120 is removed from the patient 111 and / or the cuff 121, the cuff 12 Advantageously, the device 111 can remain attached to the patient 111 for inspection or repair. This is especially useful if the housing needs to be temporarily removed. can be used to remove the cuff without risking damage to the blood pressure monitor 120 (or its various components). 121 and / or the area of ​​the patient 111 adjacent to the cuff 121 can be cleansed.

[0184] 5B to 5H show various views of the blood pressure monitor 120. As shown, the blood pressure monitor 120 (and and / or housing 502) has a first end 510, a second end opposite the first end 510, The device may include an end 512, a first side 513, and a second side 515. Although references to "end" or "side" are made, such terms are not intended to be limiting. rather, they are used merely for convenience in distinguishing particular features of the blood pressure monitor 120. Therefore, the term "end" is used for the first and second ends 510, 512. However, it should be understood that such ends 510, 512 may represent "sides" of the blood pressure monitor 120. I want to be understood.

[0185] A connector port 516 can extend from the first end 510 and, as discussed above, 105a and the cable 105. The connector port 516 may protrude outward from a portion of the first end 510. The connector port 516 may be wider and / or taller than the first end 510. The first end 510 may additionally or alternatively have a small width and / or height. For example, the connector 514 may include a connector port 514 that may be spaced apart from a connector port 516 . Also, as discussed above, connector port 514 can be connected to cable 107. Also, as discussed above, one end of the cable 107 may have a connector port 514. For example, the cable 107 can be fixed to the blood pressure monitor 120 in a non-removable manner. One end of the connector port 514 can be wired to the circuit board of the blood pressure monitor 120. The connector port 514 can protrude outward from the first end 510. The first end 510 may extend outwardly from the first end 510 a distance greater than the port 516. (See FIGS. 5C to 5D). The connector port 514 may have a circular cross section, a conical cross section, and / or a The connectors may have cross sections of the same or different shapes or combinations of shapes. The connector port 514 is connected to the first end 510 of the connector port 514. 514, tapering to a second end of the connector port 514 opposite the first end of the connector. The connector port 514 may have a cross section that increases (or decreases). The cross-sectional area can be increased at the second end of port 514 (see Figures 5C-5D). The connector port 516 can be located in the center of the first end 510. The connector 514 is positioned on either side of the connector port 516 along the first end 510. As will be described in detail below, the blood pressure monitor 120 may include a housing 502 and one or more ports capable of providing fluid communication between the bladder of the cuff 121. For example, the blood pressure monitor 120 may include one or more of the ports 570, 572 (FIG. 5D). can include both, each of which is described in more detail below.

[0186] Figures 5I to 5M show the cuff with and without the blood pressure monitor 120 attached. 121. As shown, the cuff 121 comprises a first portion 540 and a second portion The second portion 542 may include a tapered or partially tapered portion, as shown. The cuff 121 may have a width W1 and a length L1. (See FIG. 5L). Width W1 can extend between sides 545 and 547. The length L1 can extend between the ends 541 and 543. The width W1 can be The first portion 540 is fixed to the attachment portion of the second portion 542. The second portion 542 may include an attachment portion 544 configured to The adhesive portion should be on the surface opposite to the attachment portion 544 of the cuff 121. For example, the attachment portion 544 can be attached to a hook-and-loop fastener of the attachment portion of the second portion 542. Hook and loop fasteners that can be removably fastened to hook and loop fasteners The first portion 540 of the cuff 121 may include a bladder layer (referred to herein as a "bladder"). ) when the cuff 121 is secured to the patient. The device may include a bladder layer 543 (see FIG. 5X) or the like that may be configured to contact the patient. The bladder 543 can be expanded and contracted as further discussed elsewhere herein. The cuff 121 can be configured to contract, for example, at the first portion 540. The blood pressure monitor 120 may include a fixing portion that can facilitate removable fixing of the blood pressure monitor 120. For example, the cuff 121 may be one or more prongs that can be secured to a portion of the blood pressure monitor 120. For example, the cuff 121 may be attached to one or more ports of the blood pressure monitor 120. configured to accept and / or secure in the The prongs 550, 552 may include one or both of the prongs 550, 552. The prongs 550, 552 may be spaced apart from one another. The prongs may be equally spaced from end 541 and / or end 543 of 121. 550 can be spaced a first distance from the first side 545 of the cuff 121, the ring 552 may be spaced a second distance from the second side 547 of the cuff 121; The first and second distances so described may be equal. The prongs 552 may be spaced a first distance from the first side 545 of the cuff 121. can be spaced a second distance from the first side 545 of the cuff 121, such that The first and second distances described need not be equal. The prongs 552 may be spaced a first distance from the second side 547 of the cuff 121. and a second distance from the second side 547 of such a first The width W1 of the cuff 121, the length of the prongs 550, 555, and the second distance W2 may be equal. 2 and / or the width and / or length of the blood pressure monitor 120. When the blood pressure monitor 120 is fixed to the cuff 121 (for example, when the ports 570 and 571 of the blood pressure monitor 120 are 2), the blood pressure monitor 120 is attached to the cuff 121. Within the width W1 (for example, when the end of the blood pressure monitor 120 is located at the side 545, 547 or the side 545 , 547) (FIGS. 5L to 5M reference).

[0187] Advantageously, the prongs 550, 552 are spaced apart from each other and / or from the ends 541, 543 and / or The spacing and / or placement relative to the sides 545, 547 may vary depending on the device 120 and / or The cuff 121 may be oriented, for example, on the arm of the patient 111 in a first orientation (e.g., FIG. 5L) or a second orientation (e.g., For example, the device 120 may be configured to have a width W1 of the cuff 121, whether or not it is secured to a wall (FIG. 5M). Such first and second directions can be configured to be symmetrically arranged with respect to each other. The prongs 550, 552, 553, 554, 555, 556, 557, 558, 559, 560, 561, 562, 563, 564, 565, 566, 567, 568, 569, 570, 571, 572, 573, 574, 57 552 to each other and / or to the ends 541, 543 and / or to the sides 545, 547 The spacing and / or arrangement of the prongs 550 may be such that the prongs 550 are secured to the ports 570 or 572. and / or prong 552 is connected to port 570 or port Whether or not the device 120 is fixed to the port 572, the device 120 is symmetrical with respect to the width W1. 1A-1B, the device can be configured to be positioned such that the patient When fixed to either the right arm or the left arm of the subject 111, the cuff 121 and the blood pressure monitor 120 are symmetrically Furthermore, both prongs 550 and 552 can be assembled. By embedding the connectors, the connectors are provided with increased stability when fastened to the ports 570, 572 of the device 120. As will be described in more detail below, the prongs 550, 552 may be attached to the cuff 121. The bladder 543 may include a fluid passageway in fluid communication with the bladder 543 .

[0188] 5N through 5O show optional components that can be secured to other portions of the cuff 121 during assembly. If the cuff 121 includes such a support 560, the support 560 60 can include prongs 550, 552. The prongs 550, 552 The support 550, 552 has fluid passages 550a, 552a that can extend along the length of the support 550, 552. The support 560 may include a base 554 of a support 560 (see FIG. 5O). The body 560 may include one or more bumps 553 extending from the underside of the base 554. One or more bumps 553 may be provided to connect the fluid passages 550a, 552, as shown in FIG. For example, the support 560 may be arranged around the base 55 of the support 560. 4. The substrate 550 may include one, two, three, or more bumps 553 extending from the underside of the substrate 550. The one or more bumps 553 are spaced apart from one another relative to the fluid passages 550a, 552a. Such a bump 553 can be used when using the blood pressure monitor 120 with the cuff 121. When the bladder 543 is in place, it does not cover the fluid passages 550a, 552a (see FIG. 5X). For example, one or more bumps 553 may be provided to The surface of the ladder 543 is spaced from the fluid passages 550a and 552a, and the surface of the body 554 is fluid-communicating. A gap can be provided between the ends of the channels 550a, 552a. 5J, the cuff 121 is partially attached so that only the prongs 550 and 552 are visible. Can be welded.

[0189] The blood pressure monitor 120 and cuff 121 are configured to allow the blood pressure monitor 120 to: It may include Near Field Communication (NFC) structures and / or functionality, i.e., among other things: The cuff 121 is a licensed product and is not intended to store information and / or data. The blood pressure monitor 120 is attached to the cuff 121. The purpose of this is to determine the size of the cuff 121 and / or determine the lifespan of the cuff 121. For example, in some cases, the blood pressure monitor 120 may be configured to measure the size of the attached cuff 121. After detection via NFC (as described below), the blood pressure monitor 120 detects that particular cuff Determine the specific expansion rate and / or profile specific to the 121. For example, A constant inflation rate and / or profile may be used with a smaller cuff 121 (e.g., for infants or neonates). The cuff 121 may be different for a larger patient (e.g., adult). The device 120 may include an NFC reader that transmits radio frequencies, and the cuff 121 may include an NFC reader that transmits radio frequencies. NFC tags (e.g., stickers or labels) that can be attached to a part or interior portion of a device. For example, the blood pressure monitor 120 may include a radio frequency (RF) transmitting R The cuff 121 may include an FID reader mounted within a portion or inner portion of the cuff 121. Include an RFID tag (e.g., in the form of a sticker or label) that can be attached The RFID tag can be attached to the exterior surface of the cuff 121, for example, in close proximity to the prongs 550, 552. Alternatively, the RFID tag may be placed within the inner portion of the cuff 121. For example, if the cuff 121 includes a support 560, the RFID tag may be attached to the support. The holder 560 can be placed in a recess 548 (see FIGS. 5J and 5N). is located close to the prongs 550, 552, for example, between the prongs 550, 552. As shown in FIG. 5J, the cuff 121 can be attached to the blood pressure monitor 120. The device may include a placement indicator 546 that may be configured to indicate a suitable placement. The placement indicator 546 may be configured to correspond to the size and / or shape of the sphygmomanometer 120 (e.g., the circumference of the sphygmomanometer 120). The stencil may have a size and / or shape that matches the stencil.

[0190] The blood pressure monitor 120 (e.g., the housing 502) is connected to the ambient air outside the housing 502. The device may include one or more intake ports that may allow fluid communication between the device and the intake port. As discussed elsewhere in this document, ambient air may also be drawn into such intake openings in the housing 502. one or more devices capable of creating suction to draw air into and / or through the device Such an intake may include, for example, a pump 522 in the housing 502. Located in various locations on the housing 502, such as on the sides, ends, and / or top or bottom The housing 502 may be one, two, three, four, five, six or more. For example, the housing 502 may include air intakes at the sides 513, 515 and / or or may include an air intake located along one of the ends 510, 512. .

[0191] 5P to 5Q show cross sections of the blood pressure monitor 120. FIGS. 5P to 5R show the suction Further shown is an air inlet 580. The air inlet 580 enters an interior 588 of the blood pressure monitor 120 and / or The vents may be configured so that the exiting air travels a non-linear path. This prevents liquid from entering the sphygmomanometer 120, which may cause damage to its internal components. This is advantageous because it can prevent entry into section 588.

[0192] The housing 502 includes an opening 581 in a portion of the first end 512 of the housing 502. As shown in FIG. 5H, opening 581 can be a slot having a width greater than its height. The opening 581 can include a slit at one end of the first end 512 of the housing 502. The housing 502 can extend along the first end 512 (or first The outer wall (defined by the end 512) may include an inner wall 582 spaced apart from the outer wall (defined by the end 512). Referring to 5Q through 5R, the interior wall 582 separates the interior 588 of the housing 502 into a first portion 5 88a and second portion 588b. Thus, first portion 588a is defined by first end 512 and / or opening 581. The first portion 588a can be brought into contact with the wall of the housing through the opening 581. The inner wall 582 can be in fluid communication with the outer periphery of the ring 502. The inner wall 582 includes an opening 583. The opening 583 is formed between the first and second portions 588a and 588b. The opening 583 may be square, rectangular, or circular, among others. The opening 583 may include a square or rectangular shape with rounded corners. This is possible (see Figure 5P).

[0193] As shown in FIG. 5R, opening 581 is positioned a distance D1 from the bottom of housing 502. The upper portion 583a of the opening 583 is spaced a distance D3 from the lower portion of the housing 502. The openings 583 can be spaced apart by a distance of 1 mm, and the lower portions 583b of the ... As shown, the housing 502 can be positioned at a distance D2 from the high It may have a length H1.

[0194] The air intake 580 may be defined (or "formed") by an opening 581. When housing 502 includes inner wall 582, intake 580 includes openings 581 and 583. Furthermore, the lower part of the housing 502 may be defined (or "formed") by The arrangement of the openings 581, 583 provides access to the interior 588 (e.g., the second portion 588b). The air flow path through the opening 581 can be selected to be non-linear. and openings 583 may be misaligned with one another. D1 may be different (e.g., smaller) than one or both of the distances D2, D3, and / or The distance between the axis extending through the center of the mouth 583 and the bottom of the housing 502 is different (e.g., Such a configuration allows the internal components of the blood pressure monitor 120 to be Advantageously inhibiting (e.g., preventing) potentially damaging liquids from entering the interior 588 At the same time, this configuration allows air to enter the interior 588 (e.g., the second portion 5 88b) is still accessible.

[0195] With continued reference to Figures 5P through 5R, the housing 502 may include an interior wall 586. The inner wall 586 can extend from the lower inner surface of the housing 502. 86 extends upward from the lower inner surface (e.g., toward the upper inner surface of the housing 502). The inner wall 588 may partially define a first portion 588a of the interior 588. 586 has a tip or end located a distance D4 from the bottom of the housing 502. (See FIG. 5R.) Distance D4 is different from distance D1, distance D2, and / or distance D3. For example, distance D4 can be greater than distance D1, distance D2, and / or distance D3. The inner wall 586 can be formed such that the tip or end of the inner wall 586 is in contact with the opening 583. The upper and lower portions 583a, 583b may extend to be disposed (vertically) between them. For example, distance D4 can be greater than distance D2 but less than distance D3.

[0196] In some variations, the housing 502 includes a wall 587 adjacent the opening 581. , which is from the lower surface or part of the housing 502 to the upper surface or part of the housing 502 The tip or end of the wall 587 may extend in the direction of the arrow, as shown in FIG. The height of the housing 50 can be higher (e.g., vertically) than the height of the mouth 581. 2, air flows through opening 581 and over and / or around wall 587 to an opening capable of receiving wall 587 to allow flow into first portion 588a of opening 588; Notch 58 extends along a portion of the width of portion 581 (e.g., along first end 512). It can contain 9.

[0197] The air intake 580 is formed by an opening 581 in the first end 512 and an opening 583 in the inner wall 582. Additionally, the air intake 580 may be defined (or "formed") by an inner wall 582, 86, wall 587, and / or notch 589. Such a configuration can create a non-linear air flow path to the interior 588. For example, such a configuration may allow for winding, serpentine, and / or As discussed below, this allows the air to flow in a serpentine pattern. Advantageously, fluid is allowed to pass through and exit the interior 588 of the sphygmomanometer 120. may be inhibited or prevented.

[0198] The housing 502 can be formed from multiple components. For example, from FIG. Referring to FIG. 5T, the housing 502 may be formed from an upper portion 502a and a lower portion 502b. During assembly, the membrane or gasket 502c may be configured to prevent, for example, liquid from entering the housing 50 2 to provide a seal to prevent air from entering the interior 588 of the 2b. As shown, the inner wall 582 and / or the opening 5 83 can be formed from the upper portion 502a. Also as shown, the inner wall 586 and / or Alternatively, 587 can be formed from the lower portion 502b. Referring to Figures 5R to 5S, The interior wall 582 separates the first interior portion 588a from the second interior portion 588b except for the opening 583. to form a seal (e.g., air and / or liquid cannot pass around gasket 502c). As shown in the figure, the gasket 502c is formed from a part of the upper part 502a, a part of the lower part 502b. The opening 581 can be formed between a part of the upper portion 502a and a part of the lower portion 502b. (See Figures 5H and 5R.) Ports 570, 572 are , can be formed from the lower portion 502b (FIGS. 5S to 5T). For example, port 570, 572 is inserted from the lower inner surface of the housing 502 (for example, the lower portion 502b) to the housing 50 2 can extend upwardly toward the upper inner surface (eg, upper portion 502a).

[0199] 5U to 5V show the top portion of the blood pressure monitor 120 removed to better illustrate the internal components. 5W to 5X show the blood pressure monitor 120 with the top portion 502a removed (e.g., with the top portion 502a removed). 5V shows a cross-sectional view of the sphygmomanometer 120 taken along a line through the manifolds 570 and 572. The upper portion 520c of the holder 520 (described below), the pump 522, and the sphygmomanometer 120 are 5U except that the flexible circuit 524 has been removed. one or more pumps 522, a manifold 520, one or more discharge valves 526, and Ports 570, 572 may be included. As described in more detail below, one or more Port 572 accepts prongs 550 and 552 and is fixed in it. Port 572 provides a connection between the interior of the housing (e.g., manifold 520) and the brace of cuff 121. This allows fluid communication with the interior 549 of the casing 543. Thus, prongs 550, 552 are in fluid communication with interior 549 of bladder 543 of cuff 121. The fluid passages 550a, 552a may include fluid passages 550a, 552a.

[0200] One or more pumps 522 generate suction to draw ambient air through the intake 580, etc. The air can be drawn into and / or through the intake of any of the housings 502. Alternatively, multiple pumps 522 may pump air into manifold 520 (e.g., via inlet 520a). Advantageously, the blood pressure monitor 120 may include multiple pumps. This allows for a reduction in the height of the device 120 (e.g., housing 502) while providing the same pumping capacity. One or more release valves 526 allow air to flow out of the manifold. 520, for example, to the interior 588 of the housing 502. can.

[0201] Manifold 520 is secured in port 572 with one of prongs 550, 552 secured within port 572. When the prongs 550 and 552 are in contact with one of the fluid passages 550a and 552a, the manifold The holder 520 may include an opening 520d that may allow fluid communication between the holder 520 and the interior of the holder 520. The sphygmomanometer 120 may include openings 5 ​​to allow or prevent such fluid communication. For example, the blood pressure monitor 120 may include a valve configured to open and close the blood pressure monitor 120. , including a valve 530 disposed within the manifold 520 adjacent to the opening 520d. 5Z and 5AA, the valve 530 includes a body 531, a seal ring 53 2, and bias member 533. The body 531 may include a stem 531a, a base The stem 531 may include a stem 531b and a head 531c. 33 and / or via biasing member 533. The stem 531 may include a cross pattern shape or another shape. The base 531b can be circular. The head 531c has a cylindrical shape. and may have one or more openings 531e and one opening 531f. For example, the head 531c may have one, two, three, or four or more openings 531e. The one or more openings 531e may extend along the height of the valve 530. about an axis extending (e.g., about an axis extending along the length of stem 531a) The opening 531f can be aligned with an axis extending along the length of the valve 531. For example, an axis extending through the center of the opening 531f can be The axis of passage and / or the height of the valve 530 or body 531 can be parallel. The opening 531f can be oriented perpendicular to the opening 531e. For example, The axis extending through the center of the opening 531e is aligned with the axis extending through the center of the opening 531f. The body 531 can be perpendicular to the sealing ring 532. The recess 531d may be of a size and / or shape as described in detail below. Thus, valve 530 allows air to flow through openings 531e, 531f. The interior of the manifold 520 is provided with fluid passages 550a, 552 of the prongs 550, 552. a, and / or the interior 549 of the bladder 543 of the cuff 121. can.

[0202] The valve 530 is configured to move to open and close the flow path through the opening 520d of the manifold 520. FIG. 5W shows a first valve 530 covering opening 520d. 5X shows a cross section of the blood pressure monitor 120 when it is in the position shown in FIG. 5W. The cuff 121 secures the prongs 550 and 552 within the ports 572 and 570, respectively. 5X further shows that the valve 530 is fixed to the blood pressure monitor 120 through the opening 5 20d. Unless and / or when one of the longs 550, 552 is secured within the port 572 The valve 530 can be configured to be in the second position until the valve 530 is in the second position. If you look at it, one of the prongs 550 and 552 is fixed in port 572. , the valve 530 moves from a first position (FIG. 5W) to a second position (FIG. 5X) (e.g., As discussed above, the valve 530 may have one or more openings 531. When the valve 530 is in the first position (FIG. 5W), the opening 531f can be formed in the opening 531e. For example, when the valve 530 is in the first position (FIG. 5W), the opening 531e can be closed. At some point, fluid communication between opening 531e and the interior of manifold 520 is obstructed or prevented. When the valve 530 is in the second position (FIG. 5X), the opening 531e allows In such a second position, the interior of manifold 520 can be in fluid communication. Air passes through openings 531e, 531f, and fluid passageway 550a to the bra of cuff 121. In addition, in such a second position, the air can flow into the interior 549 of the duct 543. For example, air may be drawn from the interior 549 of the bladder 543 of the cuff 121 through the fluid passage 550a, the opening 5 31f, and can flow in the opposite direction through openings 531e into the interior of manifold 520. Cut.

[0203] As described above, the valve 530 can include a sealing ring 532. When in the position (FIG. 5W), the seal ring 532 seals the manifold around the opening 520d. The surface of the valve 520 can be contacted. Furthermore, the valve 530 can be in the second position (FIG. 5X). At some point, the seal ring 532 is pressed against the surface of the manifold 520 around the opening 520a. Each of the ports 572, 570 can be spaced apart from the prongs 550, 552. The seal rings 572a, 570 are receivable by the recessed portions 550b, 552b of the a (see Figures 5W to 5X and 5N). 550b, 552b may include an annular recess around the periphery of the prongs 550, 552. can.

[0204] In some cases, only one of the ports 572, 570 of the blood pressure monitor 120 may be used to When the prongs 572, 570 receive and / or secure the prongs 550, 552, the housing The inside of the prong 502 (for example, the inside of the manifold 520) and the inside of the prongs 550, 552 The fluid passages 550a and 552a are configured to allow fluid communication between them. For example, referring to FIGS. 5V to 5X, blood pressure monitor 120 includes both ports 570 and 572. However, only port 572 is configured to allow such fluid communication. The blood pressure monitor 120 is attached to the end of the port 570 by a cap 523 (see FIG. 5V and 5Y). In such a case, port 570 provides fluid communication However, it may be possible to provide a more stable and / or more secure fixation with the cuff 121. For example, the blood pressure monitor 120 and the cuff 121 may be configured as two types shown in FIG. 5L or 5M. Regardless of whether it is locked in either orientation, either prong 550, 552 must be 572, and the interior 549 of the bladder 543 and the interior 588 of the housing 502 are connected to each other. Furthermore, regardless of the orientation so described, port 57 2, the other of the two prongs 550, 552 is fixed in the port 570. This can provide stability to the blood pressure monitor 120 on the cuff 121.

[0205] As will be further described below with reference to FIGS. 12 through 14E, the blood pressure monitor 120 includes a cuff 12 The air pressure sensor may include one or more pressure transducers configured to detect air pressure within the air intake duct. The blood pressure monitor 120 can include, for example, one or two pressure transducers. The transducer may be coupled to and / or located in close proximity to the circuit board 521. may be positioned adjacent and / or in close proximity to the manifold 520 of the sphygmomanometer 120. For example, the manifold 520 may be located in close proximity to or adjacent to a pressure transducer. The lower portion 520b of the manifold 520 may include one or more openings. In some cases, other parts of the manifold 520 and / or other parts of the sphygmomanometer 120 may be connected to the manifold 520. It may be beneficial to separate or partially separate such openings in the manifold 520. For example, such an opening may be partially separated from the inlet 520a, which may be in fluid communication with the pump 522. It may be beneficial to separate the sphygmomanometer 120 into the lower portion 520b of the manifold 520. and / or extending upward from the lower portion 520b of the manifold 520. The towers 527 may include one or more extending towers 527. The towers 527 may be hollow. The tower 527 may be, for example, cylindrical. , from the lower portion 520b of the manifold 520 upward to the upper portion 520c of the manifold 520 The tower 527 can extend from the inside of the tower 527 to the manifold. The casing 527 may include a notch 527a that may provide fluid communication between the casing 527 and the casing 520. The notch 527a allows air to flow from the tower 527 into the manifold 520, The opposite is also possible by extending the tower 527 beyond a part of the end (for example, the top end of the tower 527). Advantageously, the air passages may be sized and / or shaped to provide air flow paths. Tower 527 may be configured to connect the opening in lower portion 520b and the flow path to the pressure transducer, e.g., airflow and / or that interfere with the ability of the or isolated from the inlet 520a of the pump 520a where there is a possibility of large fluctuations in the pressure gradient. It can be used to partially isolate.

[0206] The blood pressure monitor 120 may be configured to monitor blood pressure, e.g., the blood pressure monitor 120 is in an operational ("on") mode. One or more light emitting diode (LED) indicators capable of indicating the status of the pressure gauge 120. The LED indicators can be located on the side of the circuit board 521, for example, as shown in FIG. 1 and / or facing the top 502a of the housing 502 of the blood pressure monitor 120. In FIG. 5V, the blood pressure monitor 120 may be coupled to a side that displays an LED indicator. It may include a surrounding and / or encircling light pipe or tube 593. Tube 593 directs light emitted from the LED indicator through housing 592 of monitor 120. The light beam may be focused and / or directed toward an upper portion of the sphygmomanometer 120, such as an upper portion 502a of the sphygmomanometer 120. In some variations, the sphygmomanometer 120 (e.g., the upper portion 502a) is transparent, thereby This allows the light from the LED indicator to be seen from outside the housing 502. The tube 593 may be opaque, e.g., opaque. The light tube 502 allows light from the LED indicator to pass through so that it can be seen from the top. An opening is formed in its upper portion (such as upper portion 502a) that is aligned with the axis of the light tube 592 (such as the axis of the light tube 592). ) to prepare for.

[0207] 6A to 6Z show a blood pressure monitor assembly that also includes an alternatively designed blood pressure monitor 602 and cradle 604. 6 shows various views and aspects of device 600. Meanwhile, device 602 is referred to herein as a "sphygmomanometer." Although referred to as a "blood pressure device," device 602 may measure other parameters in addition to or instead of blood pressure. For example, the device 602 may measure and / or monitor the patient's exhaled breath. The concentration or partial pressure of carbon dioxide (CO2) in the The blood pressure monitor 602 includes features and functions as described in more detail below with reference to Figures 12 through 14E. and / or functions.

[0208] As shown in FIGS. 6A to 6E, the blood pressure monitor assembly 600 includes a blood pressure monitor 602 and a blood pressure monitor 602. The cradle 604 may include a cradle 604 configured to secure to the The blood pressure monitor assembly 600 can be configured to be secured to the arm of the patient 111. For example, blood pressure monitor assembly 600 may include a blood pressure cuff (such as cuff 737 shown in FIG. 7V) that is secured to the patient's arm. The blood pressure cuff may be wrapped around the arm of the patient 111 or otherwise secured to the patient. The blood pressure monitor assembly 600 can be secured to the arm of the person 111, for example, by a cradle 604. The blood pressure cuff 737 can be secured via a securement between the cuff and the blood pressure cuff. The ladle 604 may have adhesive or hook-and-loop fasteners (e.g., Velcro®) on its underside. ) that can be secured to a portion of the cuff 737.

[0209] The blood pressure monitor assembly 600 is connected to a cuff 737 (see FIG. 7V) and supplies air to the cuff to inflate it. The device may be configured to induce tension and / or deflate the cuff 737. For example, the blood pressure monitor assembly 600 may include a cap on the blood pressure device 602 (or the housing of the blood pressure device 602). 737 and air pressure hose 637 (see FIG. 6A). It may include pressure openings or connection points 670 (see FIG. 6F), as described in more detail below. Thus, the cradle 604 is positioned between the air pressure hose 637 and the opening 670 of the blood pressure monitor 602. and / or a port or ports capable of connecting and / or facilitating the connection of For example, as described in more detail below, the cradle 604 may be pneumatically An outward port 672a that can be connected to a hose 637 and an opening in the blood pressure device 602 6A and 6W to 6X. The connection between the outward port 672a and the air pressure hose 637 is a snap fit. , press fit, friction fit, or another type of fixation. FIG. 6A shows the end of pneumatic hose 637 connecting to port 672a. The end of 637 connects to port 672a via an adapter or other type of intermediate connector. The blood pressure device 602 supplies air to the cuff 737 to make the cuff 737 It can be inflated to a pressure level high enough to occlude the artery. As will be explained in more detail below with reference to Figures 12 to 14E, Thus, the blood pressure can be estimated by the blood pressure monitor 602.

[0210] The blood pressure monitor 602 is configured to prevent debris and / or liquid from passing through the opening 670 and entering the interior of the blood pressure monitor 602. To prevent entry, cover and / or For example, as shown in Figure 6N, The pressure device 602 may cover the opening 670 when the pressure device 602 is not in use and / or A cover 679 may be included that may be sealed, so that when not in use For example, cover 67 can prevent fluid communication between the ambient air and the interior of the blood pressure device. 9 seals the opening 670 when the blood pressure device 602 is not connected to the cradle 604. The flap may be operable to open and / or close. The flap may be movable, flexible, and / or resilient. Unless and / or until the device is at least partially inserted into the blood pressure device 602, For example, the blood pressure device 602 may be secured to the cradle 604. If so, port 672b is at least partially inside blood pressure device 602 to allow blood pressure may be in fluid communication with conduits, manifolds, pumps, and / or valves within the device 602 Thus, the flap can be at least partially tucked inside the blood pressure device 602. As another example, the cover 679 can be rigid and can accommodate the controls of the blood pressure device 602. can be electronically and / or mechanically controlled by a controller and / or processor For example, the cover 679 does not cover or only partially covers the opening 670. a rigidity that allows the opening 670 to be moved from a position where the opening 670 is covered and / or sealed The cover 679 may be a plate having a size and / or shape of the opening 670. In some cases, the blood pressure device 602 may be of a matching size and / or shape. Controlling the behavior (e.g., movement) of the cover 679 based on its interaction with the ladle 604 It is possible.

[0211] As discussed elsewhere herein, the blood pressure device 602 and cradle 604 include a short-range Near Field Communication (NFC) capabilities (e.g., RFID) may be included, among other things: That is, the pressure device 602 and / or the cradle 604 The device 602 verifies the authenticity of the component and transfers the data (e.g., The data measured and / or collected by the cradle 604 is transferred to and / or stored in the cradle 604. (This can be done by determining the size of the cuff to which the cradle 604 is attached and The purpose of this is to determine the lifespan of the device 602 and / or cradle 604. For example, Thus, the blood pressure device 602 may include an RFID reader that transmits radio frequencies, In addition, the cradle 604 is attached to a part of the cradle 604 (for example, a step). Such NFC structures and functions may include RFID tags (in the form of cards or labels). This allows the blood pressure device 602 to adjust the movement of the cover 679 based on its proximity to the cradle 604. The blood pressure device 602 can be fully connected to the RFID tag of the cradle 604. minute, and the RFID reader in the blood pressure device 602 receives a confirmation signal from the RFID tag. When the blood pressure device 602 is turned on, the blood pressure device 602 can automatically open the cover 679 to expose the opening 670. For example, the range between the RFID reader and the tag can be determined by the distance between the blood pressure monitor 602 and the cradle 604. You can choose to have the cover 679 automatically open when brought within a certain distance. Such distances can be 1 inch, 2 inches, 3 inches, 4 inches, 5 inches, 6 inches. inch, 7 inch, 8 inch, 9 inch, 10 inch, 11 inch, 12 inch, 1 foot 1 ft, 1.5 ft, or 2 ft, or any value therebetween, or Any range of values ​​is possible, limited by any combination of the values ​​of Alternatively, values ​​outside the range may be used.

[0212] The blood pressure monitor 602 may be connected to one or more devices, such as the ECG device 110 and / or the patient monitor 130. A number of physiological sensors and / or monitors can be connected, each of which , which are described in more detail elsewhere herein. For example, the cable 105 and connector 105a can be connected to a connector port 616 (see FIG. 6B) of the blood pressure device 602. and can be connected to an ECG device 110 (see FIG. 2A). Specifically, cable 107 connects to connector port 614 (see FIG. 6A) of blood p...

Claims

1. 1. An assembly for a caregiver to secure a physiological monitoring device to a user's arm, comprising: a first end, a second end opposite the first end, a first side, and a second side opposite the first side; a first connector port extending outward from the first end and configured to electrically connect to a first cable; a physiological monitor including a first locking tab movably mounted to the first side and movable between an extended position and a stowed position; a cradle configured to removably secure the physiological monitoring device to the user's arm, a base having first and second side walls connected opposite to one another and a rear wall, the first and second side walls connected to the rear wall; a first opening in the rear wall configured to receive the first connector port of the physiological monitoring device; a cradle to which the physiological monitor is secured and including a second opening in the first side wall configured to receive the first locking tab of the physiological monitor when the first locking tab is in the extended position; the cradle is configured to allow the physiological monitoring device to pivot about the rear wall to secure the first locking tab within the second opening in the first side wall after the first opening in the rear wall receives the first connector port.

2. 10. The assembly of claim 1, wherein the cradle further comprises a collar projecting from the rear wall at least partially around the first opening, the collar configured to receive and secure the first connector port of the physiological monitoring device.

3. 3. The assembly of claim 2, wherein the cradle includes a first end and a second end opposite the first end, the rear wall is disposed at the first end of the cradle, and the collar extends from the rear wall in a direction away from the second end of the cradle.

4. 118. The assembly of claim 112 or 3, wherein the collar is configured to surround a portion of a periphery of the first connector port when the physiological monitoring device is secured to the cradle.

5. 5. The assembly of claim 4, wherein the collar is configured to encircle greater than 50% but less than 100% of a perimeter of the first connector port when the physiological monitoring device is secured to the cradle.

6. 2. The assembly of claim 1, wherein the first locking tab of the physiological monitoring device includes a beveled end configured to allow the first locking tab to move through a portion of the first side wall and be secured within the second opening.

7. 7. The assembly of claim 6, wherein as the first locking tab moves past the portion of the first side wall, the first side wall contacts the beveled end, moving the first locking tab from the extended position toward the stowed position.

8. 7. The assembly of claim 6, wherein the physiological monitor includes an upper surface and a lower surface opposite the upper surface, the lower surface facing the cradle when the physiological monitor is secured to the cradle, and the beveled end surface of the first locking tab faces away from the upper surface of the housing.

9. 2. The assembly of claim 1, wherein the physiological monitor further includes a first button coupled to the first locking tab and movable relative to the first side, wherein movement of the first button moves the first locking tab between the extended and retracted positions.

10. 10. The assembly of claim 9, wherein a first side wall of the cradle includes a first recessed cutout configured to align with and provide access to the first button of the physiological monitor when the cradle is secured to the physiological monitor.

11. The assembly of claim 10 , wherein the first recessed cutout comprises a half-moon shape.

12. the physiological monitoring device a second locking tab movably mounted to the second side and movable between an extended position and a retracted position; a second button coupled to the second locking tab and movable relative to the second side, wherein movement of the second button moves the second locking tab between an extended position and a retracted position; The cradle includes: a third opening in the second side wall configured to receive the second locking tab of the physiological monitor when the physiological monitor is secured to the cradle and the second locking tab is in the extended position; 10. The assembly of claim 9, wherein the cradle is configured to allow the physiological monitor to pivot about the rear wall to secure the second locking tab within the third opening in the second side wall after the first opening in the rear wall receives the first connector port.

13. 13. The assembly of claim 12, wherein the second opening in the first side wall is aligned with the third opening in the second side wall.

14. the first sidewall of the cradle includes a first recessed notch configured to align with and provide access to the first button of the physiological monitor when the cradle is secured to the physiological monitor; 13. The assembly of claim 12, wherein the second side wall of the cradle includes a second recessed notch configured to align with and provide access to the second button on the physiological monitor when the cradle is secured to the physiological monitor.

15. 15. The assembly of claim 14, wherein the first recessed notch in the first side wall is aligned with the second recessed notch in the second side wall.

16. 2. The assembly of claim 1, wherein the cradle further comprises a front wall connected to the base and the first and second side walls, the front wall being opposite the rear wall and having a lower height than the rear wall.

17. 10. The assembly of claim 1, wherein the cradle further comprises one or more legs extending from the base and configured to secure the cradle to an arm of the user.

18. 10. The assembly of claim 1, wherein the cradle further includes an RFID tag, and the physiological monitor further comprises an RFID reader configured to determine whether the cradle is a certified product.

19. an optical sensor configured to measure at least one of a pulse rate and a blood oxygen saturation of the subject and to be secured to a finger of the subject; an electrocardiogram (ECG) device configured to be secured to the subject's chest, a plurality of electrodes for measuring the electrical activity of the subject's heart; one or more temperature sensors for measuring the subject's body temperature; a physiological monitor assembly configured to be secured to an arm of the subject; the physiological monitor assembly includes a physiological monitor configured to receive one or more signals from the optical sensor indicative of at least one of the pulse rate and blood oxygen saturation, and one or more signals from the ECG device indicative of the electrical activity and the temperature of the subject; the physiological monitoring device a housing having a first end, a second end opposite the first end, a first side, and a second side opposite the first side; a locking tab movably mounted to the first side and movable between an extended position and a retracted position; a cradle configured to removably secure the physiological monitoring device to the subject's arm, a base having first and second side walls connected opposite to one another and a rear wall, the first and second side walls connected to the rear wall; an opening in the first side wall configured to receive the locking tab of the physiological monitor when the physiological monitor is secured to the cradle and the locking tab is in the extended position.

20. 20. The system of claim 19, wherein the locking tab of the physiological monitoring device comprises a beveled end configured to allow the locking tab to pass through a portion of the first side wall of the cradle and be secured within an opening in the first side wall.

21. 21. The system of claim 20, wherein as the locking tab passes through a portion of the first side wall, the first side wall contacts the angled end, moving the locking tab from the extended position toward the stowed position.

22. the locking tab is a first locking tab of the physiological monitoring device; the physiological monitor further includes a second locking tab movably mounted to the second side and movable between an extended position and a stowed position; 20. The system of claim 19, wherein the cradle further comprises an opening in the second side wall configured to receive the second locking tab of the physiological monitor when the physiological monitor is secured to the cradle and the second locking tab is in the extended position.

23. the physiological monitoring device a first button coupled to the first locking tab and movable relative to the first side wall, the first button moving to move the first locking tab between its extended position and its retracted position; 23. The system of claim 22, further comprising: a second button coupled to the second locking tab and movable relative to the second side wall, the movement causing the second locking tab to move between its extended position and its retracted position.

24. an optical sensor configured to be secured to a finger of the subject; an electrocardiogram (ECG) device configured to be secured to the subject's chest; a physiological monitor assembly configured to be secured to an arm of the subject; the physiological monitor assembly includes a physiological monitor configured to receive one or more signals from each of the optical sensor and the electrocardiogram device indicative of a physiological condition of the subject; the physiological monitoring device Housing and a locking tab movably mounted relative to the housing and movable between an extended position and a retracted position; a cradle configured to removably secure the physiological monitoring device to an arm of a subject, a base having first and second side walls connected opposite to one another and a rear wall, the first and second side walls connected to the rear wall; a cradle including the base, an opening in one of the first side wall, the second side wall, and the rear wall, the opening configured to receive the locking tab of the physiological monitoring device when the physiological monitoring device is secured to the cradle and the locking tab is in the extended position.

25. 25. The system of claim 24, wherein the electrocardiogram device is configured to determine at least one of posture and movement of the subject.

26. 25. The system of claim 24, wherein the electrocardiogram device includes one or more temperature sensors configured to determine a body temperature of the subject.

27. 25. The system of claim 24, wherein the physiological monitor further includes a display screen configured to display information representative of or related to the physiological condition.

28. 25. The system of claim 24, wherein the physiological monitoring device is configured to wirelessly transmit information representative of or related to the physiological condition to one or more computing devices.

29. 25. The system of claim 24, wherein the locking tab of the physiological monitor comprises a beveled end configured to allow the locking tab to pass through a portion of the cradle proximate the opening and be secured within the opening of the cradle.

30. 30. The system of claim 29, wherein as the locking tab passes through a portion of the cradle, the portion of the cradle contacts an angled end of the locking tab, moving the locking tab from the extended position toward the stowed position.

31. the locking tab is a first locking tab of the physiological monitoring device; the first locking tab is movably mounted relative to a first portion of the housing; the physiological monitor further comprising a second locking tab movably mounted to the second portion of the housing, the second locking tab being movable between an extended position and a retracted position; the opening of the cradle is a first opening of the cradle; 25. The system of claim 24, wherein the cradle further includes a second opening configured to receive the second locking tab of the physiological monitor when the physiological monitor is secured to the cradle and the second locking tab is in the extended position.

32. the physiological monitoring device a first button coupled to the first locking tab and movable relative to the first portion of the housing, the first button moving to move the first locking tab between its extended position and its retracted position; 32. The system of claim 31, further comprising: a second button coupled to the second locking tab and movable relative to the second portion of the housing, the movement causing the second locking tab to move between its extended and retracted positions.

33. the housing has a first end, a second end opposite the first end, a first side, and a second side opposite the first side; the first locking tab is movably mounted to the first side of the housing and the second locking tab is movably mounted to the second side of the housing; 32. The system of claim 31, wherein the first opening of the cradle is located in the first sidewall and the second opening of the cradle is located in the second sidewall.

34. the physiological monitor assembly further comprising a strap; the cradle includes one or more legs extending from the base, each of the one or more legs forming a loop; 25. The system of claim 24, wherein the strap is configured to pass through the loop and secure to the arm, thereby securing the cradle to the arm.

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