Patient Fall Detection Using 3D Position Tracking

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Solution Overview

Problem

Current patient monitoring systems in healthcare facilities face challenges in accurately detecting patient falls in bathrooms and tracking bathroom usage, as they often rely on accelerometers that increase costs and complexity, and may generate false positives, while also failing to account for unattended patient bathroom use which affects sanitation and caregiver response times.

Innovation Solution

A high-accuracy locating system using transceivers and patient ID tags that communicate via ultra-wideband signals or time difference of arrival techniques to determine patient location in 3D space without accelerometers, detecting falls based on elevation changes relative to a reference plane and initiating alerts for prolonged bathroom stays or excessive usage, thereby improving patient safety and sanitation monitoring.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If accelerometers are included in tracking tags to monitor patient movement, then patient fall detection capability is improved, but device complexity and cost increase

Engineering Contradiction:
Improvepatient fall detection capabilityVSAvoidtag complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent extracts the fall detection function from the patient-worn tag and relocates it to the facility infrastructure. The tag only needs to contain a simple transceiver, while the complex processing is performed by ceiling-mounted transceivers and a central server, thereby simplifying the tag design and reducing its complexity

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The patent introduces ceiling-mounted transceivers as intermediaries between the patient tag and the fall detection function. These transceivers receive signals from the tag, calculate the patient's position and elevation, and send this information to the server, which performs the actual fall detection analysis

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If accelerometers are used to detect patient falls, then fall detection is enabled, but false positive signals increase due to normal arm movements

Engineering Contradiction:
Improvefall detection accuracyVSAvoidfalse positive rate
Core Design Contradiction:
ReliabilityVSLoss of information

Solution Approach 1:

The patent transitions from monitoring acceleration (1D temporal change) to monitoring 3D spatial position, particularly the vertical elevation dimension. By tracking the patient's position in three-dimensional space using ceiling-mounted transceivers, the system can distinguish between normal arm movements (which maintain relatively stable elevation) and actual falls (which cause significant elevation changes)

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Object-affected harmful factors

If bathroom door is kept closed to maintain privacy, then patient privacy is protected, but caregiver visibility and response time to falls are reduced

Engineering Contradiction:
Improvepatient privacy protectionVSAvoidfall detection timeliness
Core Design Contradiction:
Object-affected harmful factorsVSReliability

Solution Approach 1:

The patent replaces the mechanical visual monitoring system (caregivers needing to see into the bathroom) with an electronic sensing system. The transceivers and server continuously monitor the patient's position electronically, enabling fall detection without requiring the door to be open for visual inspection

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

4Device complexity

If traditional tracking systems are used without bathroom usage tracking, then system simplicity is maintained, but sanitation monitoring capability is lost

Engineering Contradiction:
Improvesystem simplicityVSAvoidbathroom usage information
Core Design Contradiction:
Device complexityVSLoss of information

Solution Approach 1:

The patent makes the tracking system universal by enabling it to perform multiple functions: fall detection and bathroom usage monitoring. The same transceiver infrastructure and positioning algorithms are used for both purposes, so no additional hardware is needed - the system simply gains enhanced functionality

Inventive Principle:
Principle #6Universality (Multi-functionality)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system provides accurate patient fall detection and bathroom usage tracking within one foot of the patient's location, reducing false alarms and enabling timely caregiver intervention and targeted housekeeping, enhancing both patient safety and facility sanitation.

Implementation Method 1

transceivers and patient ID tags that communicate via ultra-wideband signals or time difference of arrival techniques to determine patient location in 3D space

Methodology Applied
Scientific EffectUltra-wideband signal transmission: Electromagnetic Propulsion

Implementation Method 2

transceivers and patient ID tags that communicate via ultra-wideband signals or time difference of arrival techniques to determine patient location in 3D space

Methodology Applied
Scientific EffectTime difference of arrival: Time of Flight

Data Source

PatentUS11030874B2Bathroom clean monitoring in a healthcare facility
Publication Date: 2021.06.08 HILL ROM SERVICES INC
  • US11030874B2 patent drawing
  • US11030874B2 patent drawing
  • US11030874B2 patent drawing

AI summary

A patient fall detection system includes a computer and multiple transceivers mounted at fixed locations in a healthcare facility. The transceivers are electronically coupled to the computer. A patient identification tag is worn by a patient and includes a tag transceiver. The high-accuracy locating system monitors a location of the patient ID tag via signals from the tag transceiver to determine whether a patient has entered a bathroom. The computer monitors at least one of an elevation of the patient ID tag in the bathroom, an elevation drop of the patient ID tag in the bathroom, or a time that the patient ID tag has been in the bathroom to determine whether the patient has fallen.