Patient Communication Input Filtering for Intentional Gesture Detection

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Solution Overview

Problem

Current hospital communication systems fail to effectively interpret and respond to the minimal intentional gestures of critically ill or incapacitated patients, particularly those on mechanical ventilation, due to background noise and unintentional movements, limiting their ability to summon caregivers or communicate.

Innovation Solution

The development of methods and systems that utilize signal processing to differentiate between intentional and unintentional inputs from various sensors, such as touch, pressure, and audio, by applying filters based on frequency and time domain analysis, allowing patients to control devices like nurse call systems or speech generators.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If standard nurse call switches are provided, then patients can summon caregivers, but critically ill patients who are too weak or on mechanical ventilation cannot activate them

Engineering Contradiction:
Improveability to activate nurse callVSAvoidcommunication effectiveness
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The patent replaces mechanical switches with sensor-based detection systems that can sense minimal intentional gestures (such as eye movements, head movements, or other subtle body movements) and convert them into communication signals, enabling patients who cannot physically activate mechanical switches to still communicate effectively

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

Solution Approach 2:

The system introduces an intermediary processing layer that detects candidate inputs from sensors, classifies them as intentional or unintentional, and generates appropriate signals. This intermediary layer bridges the gap between the patient's limited physical capabilities and the communication system's requirements

Inventive Principle:
Principle #24Intermediary (Mediator)

2Ease of operation

If sensors are used to detect minimal gestures, then communication capability is improved, but false detection of unintentional movements increases

Engineering Contradiction:
Improvecommunication capabilityVSAvoidgesture detection accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The system employs a classification process that analyzes sensor inputs and provides feedback to distinguish intentional gestures from unintentional movements. By evaluating patterns and characteristics of detected movements, the system can differentiate between deliberate communication attempts and random physiological movements

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent changes the parameters of detection by using multiple sensors and analyzing multiple characteristics of movements (such as duration, amplitude, frequency, and pattern) rather than relying on a single threshold, thereby improving the accuracy of intentional gesture detection

Inventive Principle:
Principle #35Parameter changes

3Difficulty of detecting and measuring

If multiple sensors are deployed to detect various inputs, then detection capability is improved, but differentiation between intentional and unintentional inputs becomes more difficult

Engineering Contradiction:
Improveinput detection capabilityVSAvoidsignal processing complexity
Core Design Contradiction:
Difficulty of detecting and measuringVSDevice complexity

Solution Approach 1:

The patent segments the signal processing task into distinct stages: candidate input detection, classification as intentional or unintentional, and signal generation. This segmentation allows each stage to focus on a specific aspect of the problem, managing complexity while maintaining comprehensive detection capabilities

Inventive Principle:
Principle #1Segmentation

Data Source

PatentUS9595171B2Methods and systems for augmentative and alternative communication
Publication Date: 2017.03.14 THE UNIVERSITY OF IOWA RESEARCH
  • US9595171B2 patent drawing
  • US9595171B2 patent drawing
  • US9595171B2 patent drawing

AI summary

Methods and systems for augmentative and alternative communication are disclosed. An example method can comprise receiving a candidate input, classifying the candidate input as an intentional input, and generating a signal in response to the intentional input.