Body function measuring apparatus
Patent References 2553603 Probe and system for detecting probe dislodgement Patient sensor continuity detector Apparatus for detecting probe dislodgement Temperature control system for cutaneous gas monitor Apparatus for measuring cardiac output Temperature-responsive pacifier assembly Method for controlling the temperature of an incubator Electronic clinical thermometer Method for controlling the operating parameters of an incubator InventorsAssigneeApplicationNo. 09539096 filed on 03/30/2000US Classes:600/549, Temperature detection600/300, DIAGNOSTIC TESTING600/301, Via monitoring a plurality of physiological data, e.g., pulse and blood pressure600/306, Measurement of skin parameters600/307, Determining rate of fluid loss from body surface600/316, Glucose600/329, Using a fluorescing material600/346, Sweat analysis600/347, Blood glucose600/372, Structure of body-contacting electrode or electrode inserted in body600/384, Attached to one of the body`s extremities600/393, Plural electrodes carried on single support600/474, Temperature detection600/481, Cardiovascular600/506, By detecting electrical impedance of body portion600/509, Detecting heartbeat electric signal600/529, Respiratory600/537, Thermistor-type transducer generating electric signal in response to breath flow600/544, Detecting brain electric signal600/546, Detecting muscle electrical signal600/547, Measuring electrical impedance or conductance of body portion600/587, Measuring anatomical characteristic or force applied to or exerted by body600/595, Body movement (e.g., head or hand tremor, motility of limb, etc.)374/29, HEAT FLUX MEASUREMENT374/43, DETERMINATION OF INHERENT THERMAL PROPERTY (E.G., HEAT FLOW COEFFICIENT)374/110, Plural spaced temperature function374/112, Difference or gradient128/897, MISCELLANEOUS128/898, Methods607/29Testing condition of energy sourceExaminersPrimary: Hindenburg, MaxAssistant: Hoekstra, Jeffrey G. Attorney, Agent or FirmInternational ClassesA61B 5/00A61B 5/05 A61B 5/04 A61B 6/00 A61B 5/02 A61B 5/08 A61B 5/103 A61B 5/117 A61B 19/00 G01K 17/00 G01K 3/00 G01N 25/20 A61N 1/00 DescriptionTECHNICAL FIELDThe present invention relates, in general, to the measurement of body functions with sensors in contact with the skin of a human being and, in particular, to a unit which, in addition to measuring a body function, provides an indication when thesensor in contact with the skin becomes dislodged from the skin. Although the present invention will be described in connection with skin temperature measurement, it will be apparent that the present invention has broader application. BACKGROUND OF THE INVENTION Many probes are in use today to measure or monitor a function of the body with which the probe is in contact or to control or influence a body state or condition. For example, a signal representative of the skin temperature of an infant in anincubator can be used to display the of the infant and can be used to control the incubator heater to regulate the thermal environment of the incubator. In such an application, it is important that intimate contact between the skin and the probe contactsurface which carries the temperature sensor be established and maintained. Should the probe become dislodged, resulting in a total or partial loss of contact, the temperature indication will be incorrect and the control of the incubator heater will beother than what is desired, quite possibly leading to dangerous consequences. Many loose probe indicators have been suggested or put into actual use. Some are based on using the signals representative of the body function being measured to detect a loose probe condition. Others are based on directly measuring somecharacteristic of the contact, such as impedance, which changes as the contact changes. Yet others incorporate in the probe special sensors, for example optical sensors, which detect changes in the position of the probe relative to the .[.skim.]. .Iadd.skin. .Iaddend.Generally, the operation and reliability of the prior art loose probe indicators have not been sufficiently satisfactory. SUMMARY OF THE INVENTION Body function measuring apparatus, constructed in accordance with the present invention, includes a housing and first and second identical sensors spaced apart in the housing and adapted for contact with generally the same area of skin fordeveloping first and second body function signals, respectively. This skin temperature measuring apparatus also includes means responsive to the first body function signal and the second body function signal for developing an indication of the bodyfunction at the skin with which the first sensor and the second sensor are in contact and detecting a difference between the rate of change of the first body function signal and the rate of change of the second body function signal which exceeds apredetermined threshold representing a difference in the proximity of the first sensor to the skin and the proximity of the second sensor to the skin. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a bottom view of the sensor portion of body function measuring apparatus constructed in accordance with the present invention. FIG. 2 is a functional block diagram of the signal processing portion of body function measuring apparatus constructed in accordance with the present invention. FIG. 3 is a circuit block diagram of the signal processing portion of body function measuring apparatus constructed in accordance with the present invention. DETAILED DESCRIPTION OF THE INVENTION Referring to FIG. 1, body function measuring apparatus, constructed in accordance with the present invention, includes a housing 10 and first and second identical sensors 12 and 14 spaced apart in the housing and adapted for contact withgenerally the same area of skin for developing first and second body function signals, respectively. When the body function measuring apparatus of the present invention is adapted for measuring body temperature, first and second identical sensors 12 and14 are identical thermistors. The first and second signals developed by sensors 12 and 14, respectively, are conducted by wires 15 and 16 to a connector 17 which is adapted for connection to a unit for displaying a reading of the body function beingmeasured or to control apparatus for controlling the environment of an incubator or both. From this point on, the present invention will be described as applied for skin temperature measurements, although, as indicated above, the present invention hasbroader application. Preferably, first thermistor 12 and second thermistor 14 are mounted on a flexible substrate 18 which has first and second lands 18a and 18b on which first thermistor 12 and second thermistor 14, respectively, are mounted. A neck 16e extendsbetween first land 18a and second land 18b and has a width narrower than the width of the first land and the second land. The flexibility of substrate 18 and its configuration, namely the arrangement of neck 18c extending between first land 18a and second land 18b, enhances the freedom of movement away from the skin of one or the other of thermistors 12 and 14 whenthe particular thermistor is in partial, rather than full, contact with the skin. A condition of partial contact with the skin of either of the thermistors is likely to lead to incorrect temperature indications. By improving the chances of a partiallyloose thermistor to move further away from the skin, the relative proximities of the thermistors to the skin will lead to a quicker and more accurate indication of a loose probe condition. Skin temperature measuring apparatus, constructed in accordance with the present invention, also includes means responsive to the first temperature signal developed by thermistor 12 and the second temperature signal developed by thermistor 14 fordeveloping an indication of the temperature of the skin with which the first thermistor and the second thermistor are in contact and detecting a difference between the rate of change of the first temperature signal and the rate of change of the secondtemperature signal which exceeds a predetermined threshold representing a difference in the proximity of first thermistor 12 to the skin and the proximity of second thermistor 14 to the skin. Referring to FIG. 2, which is a functional block diagram ofthe signal processing portion of skin temperature measuring apparatus constructed in accordance with the present invention, the first temperature signal T1 is representative of the temperature of the skin with which the first thermistor 12 and thesecond thermistor 14 are in contact and is provided as one output. Second temperature signal T2 is inverted by an inverter 20. The first temperature signal T1 and the inverted second temperature signal T2 are differentiated by differentiating circuits 22 and 24, respectively, to develop signalsrepresentative of the rate of change of the first temperature signal and the rate of change of the second temperature signal, respectively. The differentiated first temperature signal and the differentiated second temperature signal are combined in asumming circuit 26 to develop, as a second output, a signal representative of the difference between the rate of change of the first temperature signal and the rate of change of the second temperature signal which, if exceeding a predetermined threshold,represents a difference in the proximity of first thermistor 12 to the skin and the proximity of second thermistor 14 to the skin. Skin temperature measuring apparatus, constructed in accordance with the present invention, preferably also includes means responsive to first temperature signal T1 and second temperature signal T2for detecting a difference between thefirst temperature signal and the second temperature signal which exceeds a predetermined threshold representing a failure of one of first thermistor 12 and second thermistor 14. As shown in FIG. 2, the inverted second temperature signal T2 iscombined with the first temperature signal T1 in a summing circuit 28 to develop, as a third output, a signal representative of the difference between first temperature signal T1 and second temperature signal T2. The functions described in connection with FIG. 2 can be implemented by either hardware of software, each of which are represented by the circuit block diagram of FIG. 3. First temperature signal T1, developed by first thermistor 12, issupplied to a temperature indicator/controller 30 which provides a visual indication of the temperature of the skin with which thermistor 12 is in contact and also serves as a control of the temperature of the space within an incubator hood. First temperature signal T1 and second temperature signal T2, developed by second thermistor 14, are supplied to a differential circuit 32 which develops a signal representative of the difference, if any, between first temperaturesignal T1 and second temperature signal T2. If there is a and this difference exceeds a first predetermined threshold "A", for example ten degrees, indicative of a failure of either first thermistor 12 or second thermistor 14, an output isdeveloped on a line "Y" and an indication of this difference or failure is provided by a failure indicator 34. If there is a difference between first temperature signal T, and second temperature T2 and this difference is less than the firstpredetermined threshold "A" but greater than a second predetermined threshold "B", an output is developed on a line "N" and the combination of a level sensing circuit 36 and a differentiating circuit 38 develop a signal representative of the differencebetween the rate of change of the first temperature signal T1 and the rate of change of the second temperature signal T2 which, if exceeding a predetermined third threshold "C", represents a difference in the proximity of first thermistor 12 tothe skin and the proximity of second thermistor 14 to the skin, namely a loose probe condition. The loose probe condition is indicated by a loose probe indicator 40. It should be noted that, although a loose probe condition produces a difference between in the first temperature signal T1 and the second temperature signal T2, determining the difference between the rate of change of the firsttemperature signal T1 and the rate of change of the second temperature signal T2 provides a more reliable indication of a loose probe condition. Certain effects, such as thermistors and other sensors wearing over time, produce a differencebetween the first temperature signal T1 and the second temperature signal T2, so that a difference between the first temperature signal T1 and the second temperature signal T2 is not necessarily due to partial or complete probedislodgement. Such effects, however, would not produce an appreciable, if any, difference between the rate of change of the first temperature signal T1 and the rate of change of the second temperature signal T2. In contrast, the differencebetween the first temperature signal T1 and the second temperature signal T2, with a threshold for this difference set sufficiently high, is useful for identifying a failure of .[.of.]. the thermistors which would cause a significantdifference between the first temperature signal T1 and the second temperature signal T2. While there have been described preferred embodiments of the present invention, it should be obvious to those skilled in the art that various modifications and changes can be made without departing from the true spirit and scope of the invention. Field of SearchDIAGNOSTIC TESTINGTemperature detection Via monitoring a plurality of physiological data, e.g., pulse and blood pressure Cardiovascular Measurement of skin parameters Detecting blood vessel pulsation Determining rate of fluid loss from body surface By detecting electrical impedance of body portion Glucose Detecting heartbeat electric signal Using a fluorescing material Respiratory Sweat analysis Thermistor-type transducer generating electric signal in response to breath flow Blood glucose Detecting brain electric signal Structure of body-contacting electrode or electrode inserted in body Detecting muscle electrical signal Attached to one of the body`s extremities Measuring electrical impedance or conductance of body portion Plural electrodes carried on single support Temperature detection Measuring anatomical characteristic or force applied to or exerted by body Incubators Body movement (e.g., head or hand tremor, motility of limb, etc.) HEAT FLUX MEASUREMENT DETERMINATION OF INHERENT THERMAL PROPERTY (E.G., HEAT FLOW COEFFICIENT) Plural spaced temperature function Difference or gradient MISCELLANEOUS Methods Testing condition of energy source |
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