US3898981A - Respiration monitoring apparatus - Google Patents

Abstract

Apparatus for monitoring the respiration of a patient through utilization of a force responsive transducer, which ideally is a capacitor transducer constructed from alternate layers of conductive and nonconductive materials that are flexible such that when placed beneath a patient or a resilient patient support, such as a mattress, the distance between the plates of the transducer changes for the purpose of producing electrical responses that upon amplification energize indicator means, such as a visual alarm or an audible alarm. The transducer is responsive to the vertical, reciprocating forces and motions caused by respiration and along with the associated circuitry, is sufficiently sensitive to energize an alarm upon sensing a cessation of respiration.

Description

United States Patent Basham 1*Aug. 12, 1975 [54] RESPIRATION MONITORING APPARATUS 3,631,438 12/1971 Lewin 128/DIG. 29 X 3,632,443 l/1972 Kodera et al. 307/88 ET X [75] Inventor: Raymmd Basham, Wmth, 3,727,606 4/1973 Sielaff 128/2 5 3,736,436 5/1973 Crites 307/88 ET 3,760,794 9/1973 Basham 128/2 R [73] Ass'gnee' az fiiy Fort 3,809,828 5/197'4 l-laugsjaa et al 179 111 E x Notice: The portion of the term of this Primary ExaminerKyle L. Howell patent subsequent to Sept. 18, Attorney, Agent, or FirmRichards, Harris & 1990, has been disclaimed. Medlock [22] F1led: Aug. 17, 1973 ABSTRACT [21] Appl' 389268 Apparatus for monitoring the respiration of a patient Related Application Data through utilization of a force responsive transducer, [63] continuatiomimpan of Ser No i 983 Sept 1 which ideally is a capacitor transducer constructed 1971 Pat. No. 3,769,794 which is Q from alternate layers of conductive and nonconduc- Cominuatiomimpan f Sen No 97737, 14, tive materials that are flexible such that when placed 1970, abandoned. beneath a patient or a resilient patient support, such as a mattress,- the distance between the plates of the [52] US. Cl. 128/2 R; 128/2 S; l28/DIG. 29; transducer changes for the purpose of producing elec- 179/1 1 1 E; 307/88 ET trical responses that upon amplification energize indi- [51] Int. Cl.A61B 5/08 or means, u h as a vi l alarm or an audible [58] Field of Search 128/2 S, DIG. 29, 2.08, alarm. The transducer is responsive to the vertical, re-

128/2 R, 2 N; 179/111 E; 307/88 ET ciprocating forces and motions caused by respiration and along with the associated circuitry, is sufficiently [56] References Cited sensitive to energize an alarm upon sensing a cessation UNITED STATES PATENTS of resplratlon' 2,755,796 7/1956 Boucke l28/DIG. 29 X 6 Claims, 12 Drawing Figures PATENTED AUG 1 2 i975 SHEET PATENTED AUGI 2 1975SHEET 3 30V. AC.

PATENTEU AUBI 2191s SHEET 5l 306 TEFLON (1 l l' 508 I I FIG. /0

212 FIG.

316 329% *Zv (\J ASSEMBLY TEFLON AND MYLAR W MOUNT ASSEMBLY 330 IN FIXTURE \V cLAMP ASSEMBLY BETWEEN ELECTRODES FIG. /2 w coNNEcT ELECTRODES TO SUPPLY w HEAT T0 TEMPERATURE \ll COOL ASSEMBLY WHILE MAINTAINING CHARGE RESPIRATION MONITORING APPARATUS This application is a continuation-in-part of US. ap plication Ser. No. 176,983, filed Sept. 1, 1971, now Pat. No. 3,760,794 which was a continuation-in-part of US. application Ser. No. 97,737 filed Dec. 14, 1970, now abandoned.

This invention relates in general to patient monitoring apparatus, particularly to apparatus adapted to monitor respiration for the purpose of providing an alarm upon cessation of respiration.

A number of different types of methods and apparatus have been proposed in the past for the purpose of monitoring respiration. However, the previously known apparatus and methods have not yet received widespread acceptance due to a number of severely limiting disadvantages. One previously known method utilizes the connection of electrodes directly to the skin of a patient to sense electrical resistance changes during respiration in the skin surrounding the expanding and retracting chest cavity. Connecting electrodes directly to the patient is often irritating to the patient, whose skin frequently rejects the saline solution commonly used to produce satisfactory contact between the electrode and the patient. And in addition, such method can be dangerous if a large voltage is applied inadvertently or accidentally across electrodes secured to a patient. A number of accidents of this type have been reported. In addition, devices have been proposed for sensing force of motion cessation that include the use of a photoelectric cell, but such devices lack that degree of sensitivity leading to successful operation.

The invention provides improved respiration monitoring apparatus that accurately sense respiration and cessation of respiration without need for direct attachment to the body.

The invention provides respiration monitoring apparatus that utilizes a capacitor transducer for accurately sensing respiration and cessation of respiration.

The invention also provides apparatus for respiration monitoring that utilizes electrical responses from a capacitor transducer, that amplifies such responses, and that transmits the responses to either an audible or visual indicator and circuit means to notify a patients attendant that respiration has ceased.

The invention comprises respiration monitoring apparatus, the apparatus including a force responsive transducer, which ideally is a capacitor transducer with movable plates, adapted for placement beneath a patient or a patient support such as a mattress. The transducer senses changes in the forces and movements caused by patient respiration. By suitably amplifying the electrical responses generated with the transducer, these responses may be fed to indicator means that provide either a visual or an audible warning that signifies when the electrical responses cease due to cessation of respiration. The indicator means are ideally a lamp, for visual warning and an audible device such as a speaker, for audible warning, to signify the cessation of electrical response. Such apparatus and method are sufficiently sensitive and accurate to sense cessation in the generally vertical, reciprocating forces generated by patient breathing. Hence, should this bodily function cease, the visual and audible alarms are energized.

In one embodiment a memory device is provided that continuously indicates that temporary cessation had occurred in the event that the patient recovers and begins breathing again.

For a more complete understanding of the present invention and for further objects and advantages thereof, reference may now be had to the following description taken in conjunction with the accompanying drawings in which:

FIG. 1 is a perspective view of respiration monitoring apparatus positioned relative to a patient lying in a conventional hospital bed in accordance with the principles of my invention.

FIG. 2 is, a perspective view of a force responsive transducer, with portions thereof separated to show the construction thereof.

FIG. 3 is an electrical schematic diagram showing a preferred circuit for energizing both a visual and an audible alarm to indicate cessation of respiration.

FIG. 4 is an electrical schematic diagram of an amplifier circuit shown in block form in FIG. 3.

FIG. 5 is an electrical schematic diagram of a lamp switching circuit shown in block form in FIG. 3.

FIG..6 is an electrical schematic diagram of an audio switching circuit shown in block form in FIG. 3.

FIG. 7 illustrates in more detail the manner in which electrical connections are made to the transducer.

FIG. 8 is an electrical schematic diagram of an alternative warning system incorporating a memory device.

FIG. 9 is an electrical schematic diagram of a rate meter for indicating the rate of respiration of a patient.

FIG. 10 is a schematic in section of an alternate embodiment of a force responsive transducer using a electret of a synthetic resin polymer sheet.

FIG. 11 is a schematic of a circuit and charging fixture for developing an electrostatic charge in a synthetic resin polymer sheet.

FIG. 12 is a block diagram flow chart illustrating the steps of charging a synthetic resin polymer sheet for use in an electret force responsive transducer.

Referring initially to FIG. 1 of the drawing, the numeral ll designates a force responsive transducer inserted between the mattress l3 and springs (not shown), generally under the shoulder region of apatient 15 in a reposed position in aconventional hospital bed 17. The forceresponsive transducer 11 is connected by acoaxial cable 19 with aconsole 21, which is in turn connected bymulti-line conductor 23 andplug 24 with awall socket 25 associated with a 1 10 volt alternating current source. As shown in FIG. 1, theconsole 21 has exposed on its exterior anaudible alarm 27 and twovisual alarms 29, 31, the operation and function of which will be explained subsequently.

Referring to FIG. 2, the forceresponsive transducer 11 is preferably a capacitor transducer comprised of layers of flexible, alternately conductive and nonconductive material as follows. The exterior of thecapacitor 33 is of a nonconductive material such as preferably a vinyl or also an acrylic or cellulose, the lower side of such covering material having aflap 35 adapted to fold over and bond to the upper cover. As shown in FIG. 2 the next material from the top is preferably a flexibleconductive sheet 37 of suitable material such as sheet steen that is adjacent a nonconductive sheet ofmaterial 39 that in turn lies adjacent aconductive sheet 41 on top of anonmetallic sheet 43 adjacent an exteriorconductive sheet 45 that is covered bymaterial 33, as previously explained. Thesheets 39, 41 and 43 are secured in this instance with anonconductive strip 46. The outerconductive sheets 37 and 45 not only provide the reference plates to establish capacitance with respect to theinner plate 41 but also shield the inner plate from stray electric fields.

Thecoaxial cable 19 leading from the transducer to theconsole 21 has itscenter conductor 19A connected to theconductive sheet 41 as illustrated in FIG. 7. Theshield 19B ofcable 19 is connected to the two outerconductive sheets 37 and 45 as illustrated byconnection 19B. At the console theshield 19B is grounded as illustrated at 47. An example of a satisfactory conductive material is sheet steel metal of about 0.003 inch thickness, while a satisfactory nonconductive material is acrylic having a thickness of approximately 0.003 of an inch. The alternate layers of conductive and nonconductive material may be approximately 6 inches square. Hence, the composite transducer has the characteristics of flexibility and pliability for the purpose of accurately sensing force changes upon themattress 13.

Referring initially to FIG. 3, which is a schematic diagram of a preferred circuit means, the numeral 1 l designates the variable capacitor transducer illustrated in FIGS. 2 and 7. Thecable conductor 19A is connected with thejuncture 49 of aresistor 50 and a protective network 53 that comprises in this instance a biasing resistor 55 connected in parallel withdiodes 57, 59, which are in turn connected with thejuncture 61 of twosource resistors 63 and 65, 65 being connected withground 47 as shown.

Resistor 50 is connected with the gate 67 of a field effect transistor 69 having itsdrain 71 connected with a' volt source received from a 110 volt AC source, as will be explained in connection with FIG. 4. Thesource 73 of the transistor 69 is connected in series with thesource resistor 63.

Thejuncture 61 betweensource resistors 63 and 65 is connected with acapacitor 75, in turn connected in series with an ammplifier circuit means 77 that feeds first alamp switching circuit 79 for selective activation of twolamps 29, 31 (see also FIG. 1) or other suitable visual indicators, and second anaudio switching circuit 85 that drives a speaker 27 (see also FIG. 1).

Describing the FIG. 3 circuit operationally, the field effector transistor 69 is connected in a source follower configuration with theresistors 63 and 65, which are connected with the source, in this instance thevariable capacitor 1 1. Theresistor 63 supplies the bias to regulate the gate cut-off point on the field effect transistor. The voltage developed acrossresistor 65 is supplied back to thecapacitor 1 1 through resistor 55, and polarizes the capacitor transducer in such a way that it will act upon this voltage but will produce a variable voltage that is inversely proportional to the change in the capacitance of the transducer. This variable voltage is then sensed throughresistor 50 by the gate 67 of the field effect source follower. The output of the field effect source follower is transmitted to thejuncture 61 ofresistors 63, 65, which are connected throughcapacitor 75 to the amplifier. In operation each time pressure is applied to thecapacitor transducer 11, a signal appears at the output of theamplifier circuit 77. The resulting amplified signal is applied to thelamp switching circuit 79. Therespiration lamp 29 responds to cyclic breathing pressure applied through themattress 13 to the transducer. This lamp is adapted to flash each time there is breathing motion applied to the capacitance transducer by the mattress. So long as the cyclic mattress motion caused by patient breathing continues, therespiration lamp 29 will continue to light cyclically.

In the event of respiration failure of the patient, the respiration lamp will extinguish and after a period of time determined by the setting ofadjustableresistor 225, thealarm lamp 31 will switch on. This in turn applies an AC signal into theaudio switching circuit 85, which in turn closes the switching circuit in order to excite an audible alert device that can be a-buzzer, but preferably is a solid state transistor signaling device that gives an audible alarm simultaneous with theemergency lamp.

Referring to FIG. 4, for an explanation of a preferred amplifier circuit, thedrain 71 of the field effect transistor 69 is connected at thejuncture 87 of aresistor 89 which is connected in series with thecollector 91 of atransistor 93. The base'95 of thetransistor 93 is con-.

nected with thejuncture 94 between the output of capacitor and a resistor 97, thecollector 91 being connected with thejuncture 99 betweenresistors 89 and 97. Theemitter 98 oftransistor 93 is connected to ground. Thejuncture 99 is connected with acapacitor 101 connected in series with aresistance 103, which in turn is connected at thejuncture 105 of aresistor 107 and thebase 109 of atransistor 111.

Thejuncture 105 and thebase 109 oftransistor 111 are connected with adiode 1 13 through ajuncture l 15 leading to acapacitor 1 17. Aresistor 1 19 is connected with ground and with thejuncture 121 betweencapacitor 1 17 and a capacitor 123, which is in turn connected with thejuncture 125 betweenresistance 127 and thecollector 129 oftransistor 1 1 1, such juncture also connectingresistors 107 and 127 as shown.Resistor 127 is connected at a terminal 139 and thus across an unregulated 35 volts (DC). Theconductor 132 and terminal 134 define the output of the amplifier circuit.

The 35 volt source is derived typically from aplug 24 of a 110 volt AC source that is connected across the primary 133A of a transformer 133, the secondary 135 that in turn is connected through a rectifier, which in this instance is adiode 137 connected between thejuncture 139 between resistor'127 andcapacitor 141 connected to ground as shown.

A regulator circuit comprises atransistor 143 having itsemitter 145 connected at ajuncture 147 betweenresistor 149 and aconductor 151 leading to thejuncture 87 betweenresistor 89 and the field effect transistor 69. Thecollector 153 oftransistor 143 is connected with the 35 volt unregulated supply viaconductor 155,

and itsbase 157 is connected with thejuncture 159 ofj a resistor 161 and thecollector 163 of atransistor 165. Theopposite terminal 167 ofresistor 161 is connected with the conductor and thus the 35 volt unregulated source. Thebase 169 of transistor is connected to thejuncture 171 betweenresistors 149 and 173. Theemitter 175 oftransistor 165 is connected with the cathode of aZener diode 177, the anode of such diode being connected to ground and toresistor 173 as shown. In addition, the cathode of theZener diode 177 is connected with thejuncture 179 between aresistor 181 and theemitter 175 oftransistor 165. Theresistor 181 is connected atterminal 183 with theconductor 155 leading to the 35 volt source.

The regulator circuit shown is of conventional form, using a 15 volt Zener diode as a reference and a voltagedivider device transistor 165 which in turn controls the base of thetransistor 143, the output of the regulator then being the reference voltage difference in'the voltage divider defined byresistors 149 and 173for setting pled. Transistor '1 11 has a low pass filter of the negative feed-back type connected between the collector and the base oftransistor 1 1 1. This filter consists ofcapacitors 1 17, 123 andresistors 119. This network provides a necessary frequency feed-back in order to give the amplifier relatively low frequency roll off so that any signals above and higher than the frequency of normal respiration signals are rejected, and the gain of the amplifier is thus extreme for such signals.

.A preferred lamp switching circuit is illustrated in FIG. 5 with theoutput 134 of the amplifier circuit being connected in series with aresistor 185 and acapacitor 187, which isconnected at thejuncture 189 between aconductor 191 anda'resistor 193 leading toground 47.Conductor 191 leads to thejuncture 195 between aresistor 197 and adiode 199, also connected with'ground. The output ofresistor 197 is connected with thegate 200 of a silicon controlledrectifier 201 having itsanode 203 connected in series with thelamp 29, which is connected with the 30volt source 204 as shown, thecathode 205 of the rectifier being connected with ground.

Theanode 203 ofrectifier 201 is connected through ajuncture 209 with aresistor 207 in turn connected through ajuncture 2 11 between acapacitor 213 that is grounded as shown. Thediode 215 is connected in series with aresistor 217, which is connected with thejuncture 219 between acapacitor 221, connected with ground, and aresistor 223 connected in series with a variable ,resistor 225 connected to the 30 volt AC source applied to theconductor 227.

Thegate 228 of a silicone controlledrectifier 229 is connected with thejuncture 219 betweencapacitor 221 andresistors 217, 223, while thecathode 231 is connected to ground and theanode 233 is connected withthelamp 31 and with alamp 29 throughconductor 227. Anoutput conductor 235 leads from thejuncture 237 betweenlamp 31 and theanode 233 of the rectifier operationally, the respirationlamp switching circuit 79 comprises the silicon controlledrectifier 201 that switches thelamp 29 on each time there is a respiration signal from thetransducer 11. Theanode 203 of therectifier 201 is connected to thecapacitor 213 in order to maintain a charge on this capacitor so that theemergency lamp 31 will remain off during the time that the charge is maintained.Each'time rectifier 201 is energized and therespiration lamp 29 is turned on there is a negative voltage appearing at theanode 203 of therectifier 201, and this in turn maintains a negative charge oncapacitor 213.

With respect torectifier 229, the emergency lamp switching rectifier, would normally keep theemergency light 31 energized if it were not for the negative charge maintained on thecapacitor 213. Failure of patient respiration or a failure of therespiration lamp 29 would no longer maintain a negative charge oncapacitor 213, and thus, theemergency lamp 31 would be excited. As a consequence, that in the event of failure of therespiration light 29, the instrument will give alarm. Such a malfunction energizes theemergency lamp 31 and the audible alarm (as explained subsequently) so that the patient attendant would know that there was either an emergency or there had been a failure of the instrument. Any failure in the circuitry described thusfar will energizelamp 31; this in turn tends to make the whole instrument essentially fail safe.

A preferred audio switching circuit is illustrated in FIG. 6, in which aresistor 239 is connected with theoutput 235 of the lamp switching circuit and with ajuncture 241 betweenresistor 239 and acapacitor 245 connected to ground. Theresistor 243 is connected with thejuncture 244 between aresistor 247 and thebase 249 of aitransistor 251, having itscollector 253 connected with thejuncture 255 between aresistor 257 and aresistor 259, and itsemitter 261 connected to ground as shown.Resistor 247 andresistor 257 are connected with ajuncture 263 leading to the 35 volt DC source. I

Resistor 259 is connected with thejuncture 265 between a base 267 of atransistor 269 and aresistor 271 connected in series with acapacitor 273 connected with ground. Thecollector 275 oftransistor 269 is connected to the'speaker 27 connected with the 35 volt DC source atjunction 263, while theemitter 279 of the transistor is connectd to ground.

operationally, the output of the emergency switch devices (transistor) 229 of FIG. 5charges capacitor 245 throughlam'p 31. When thelamp 31 is switched on, it produces a negative charge oncapacitor 245 that biases thetransistor 251 in the cut-off condition so that its collector is at its maximum voltage. Under these conditions a positive bias is supplied to the base oftransistor 269, which switches on the transistor and in turn causes current to flow through an audible alert device such asspeaker 27. When theemergency lamp 31 is in the'off condition, there is no charge applied to thecapacitor 245, such thattransistor 251 is biased in the forward direction throughresistor 247. This in turn drops the base current to zero intransistor 269, which in turn cuts off this transistor to prevent current flow to the audio alert device.

In hospitals, where a plurality of the devices of the present invention may be employed simultaneously to monitor the breathing of a plurality of newborn babies respectively, means are needed to allow an attendant nurse to know if "a given baby has experienced temporary cessation of breathing but has subsequently recov ered. For example, while the nurse is attending to one baby, a baby behind her may experience temporary cessation of breating causing thelamp 31 of its associated monitor to be energized and itsalarm 27 to sound. By the time the nurse turns around, breathing may be restored causing themonitor lamp 31 to turn off and thealarm 27 to terminate its sounding. Thus, the nurse will not be able to know which baby had temporary problems from observing the monitors employed.

Referring to FIG. 8, there will be described a circuit arrangement incorporating a memory device which will retain evidence of cessation of breathing if it occurs by the baby being monitored by a given monitor. This circuitry is a modification of that of FIG. 5 with additional components employed. In this respect,transistor 281 is substituted for silicon controlledrectifier 229 and thelamp 31 removed from the position shown in FIG. 5. The lamp is connected as shown at 31 in FIG. 8 to a silicon controlledrectifier 283 which is employed for memory purposes. The remainder of the circuitry if F IG. 8 comprises atransistor 285, aunij unction transistor 287, atransistor 289 and acapacitor 297.Transistor 287 andcapacitor 297 form an oscillator. Normally when a patient is breathing,transistor 281 is in a nonconductive state,transistor 285 is conducting,unijunction transistor 287 is off or in a non-conducting state, silicon controlledrectifier 283 is off or in a nonconducting state andtransistor 289 is conducting. Thus,lamp 31 is off and the sound oraudible alarm 27 coupled between the silicon controlledrectifier 283 andtransistor 289 also is off. When transistor 28] is off, a positive bias is applied to the base oftransistor 285 maintaining it in a conductive state. The resulting low potential from the collector oftransistor 285 maintains thetransistor 287 in a nonconducting state. Thetransistor 289 is biased to a conducting state throughresistor 295.

When a patient stops breathing,transistor 281 becomes conductive thereby causingtransistor 285 to become nonconductive. This causes the oscillator to begin oscillating for the production of positive pulses which are applied to the gate of silicon controlledrectifier 283 and negative pulses which are applied to the base oftransistor 289. The first positive pulse applied to the gate of silicon controlledrectifier 283 renders it in a continuous conduction state while each negative pulse applied to the base oftransistor 289 renders it temporarily nonconducting. Thus, since silicon controlledrectifier 283 is on andtransistor 289 is turned on and off, lamp 31' periodically is energized to flash on and off. As the lamp 31' flashes on and off, a negative pulse periodically is applied to thesound alarm 27 by way ofcapacitor 291 to periodically turn the sound alarm on and off also. If the patient begins to breath againtransistor 281 is turned off,transistor 285 turned on which terminates oscillation ofoscillator 287. Thus,transistor 289 becomes conductive continuously again. Silicon controlledrectifier 283 also remains in a conductive condition thereby continuously energizing thelamp 31 providing a memory or continuous record to allow the attendant to know from an inspection of thelamp 31 that the patient had a temporary cessation of breathing. In order to return the lamp 31' and silicon controlledrectifier 283 to their normal conditions, the attendant merely has to temporarilyclose switch 293 to ground the anode circuit of the silicon controlledrectifier 283 in order to place the rectifier in its normal nonconducting state.

Referring to FIG. 9, there is disclosed circuitry and a device which may be employed as a visual indicator of breathing in addition to thelamp 29. This circuitry comprises a rate meter and may be coupled to the amplifier of FIG. 4 atterminal 134. In the circuitry of FIG. 9,transistor 301 normally is off but is turned on each time respiration occurs.Transistor 303 nonnally is on when there is no respiration but becomes nonconductive whentransistor 301 becomes conducting. Acapacitor 305 is charged throughtransistor 303 when it is conducting andtransistor 301 is off. Whentransistor 301 conducts, thecapacitor 305 is discharged throughdiode 307 andtransistor 301. When this occurs,transistor 303 is cut off by the fact that its base is more negative than its emitter. When transistor 30] turns off,transistor 303 simultaneously turns on in order to charge thecapacitor 305 and the charging current is measured acrossresistor 309 by way of anintegrator comprising capacitors 311 and 313 andvariable resistor 315, the latter of which is adjusted or calibrated whereby the respiration rate of the patient may be measured. TheZener diode 319 is provided in order to regulate the voltage that is supplied to thecapacitor 305 in order that the voltage supplied to it is a very accurate reference voltage.

From the above apparatus and operational descriptions, it should be apparent that I have provided an invention having significant advantages. By placing the force responsive transducer beneath the patient as shown in FIG. 1, the respiration of the patient may be sensitively monitored. The transducer is sensitive to the generally vertical, reciprocating motions transmitted to themattress 13 by the patients respiration. As a consequence, should the patients respiration be interrupted, the visual and audible alarms associated with the console will be energized for the purpose of alerting the patients attendant. For the first time an apparatus has been provided that possesses sufficient sensitivity to monitor accurately respiration without requiring direct attachment to the patient.

Referring to FIG. 10, there is shown an alternate embodiment of the force responsive transducer 1 l including electricallyconductive sheets 300 and 302 as electrodes of a transducer with an electricallyconductive sheet 304 as a center electrode. Folded around thecenter electrode 304, between theelectrodes 300 and 302, is a charged syntheticresin polymer film 306, for example a charged film of Teflon.

As explained with reference to the transducer of FIG. 2, theouter electrodes 300 and 302 are interconnected to asingle line 308 and. thecenter electrode 304 is singly connected to aline 310, with both thelines 308 and 310 forming theelectrical conductor 19 connected as shown in FIG. 3.

Enclosing the structure of FIG. 10 is the covering material as illustrated in FIG. 2, such as avinyl material 33. In a typical embodiment of the transducer of FIG. 10, each of theelectrodes 300, 302 and 304 are flexible steel sheets and thefilm 306 is Teflon having a thickness of 2 mils and a volume resistivity greater than 10 ohm-centimeters, a dielectric strength of 430 volts/mil, and a dielectric constant of 2. Typically, thefilm 306 is approximately 5 inches by 10 inches and when folded around theelectrode 304 provides a transducer approximately 5 inches square.

The syntheticresin polymer film 306 carries a permanent electrical polarization or high voltage between opposite surfaces thereof. Thus, the surface of thefilm 306 juxtaposition theelectrodes 300 and 302 may contain a positive polarity and the surface juxtaposition the center electrode 304 a negative polarity to provide an electric field across the film.

In operation of the transducer of FIG. 10, it is placed to respond to the respiration rate of a patient. The normal breathing motion of the patient produces a varying applied force against theelectrodes 300 and 302. An increasing force causes theelectrodes 300, 302 and 304 to be moved nearer the electricallypolarized film 306 and thereby moving an electrical conductor through an electric field and a current flows in the electrodes and through theconductor 19 to the circuitry of FIG. 3. The current flow in theconductor 19 varies with the force applied to theelectrodes 300 and 302 which in turn varies with the respiration rate of a patient.

Referring to FIG. 11, there is shown circuitry and a fixture for developing an electrostatic charge in the syntheticresin polymer film 306. Avoltage source 312 is connected to anelectrode 314 and to a current limitingresistor 316. Theresistor 316 is in series with ameter 318 having'one terminal connected to anelectrode 320. Adjacent theelectrode 314 is aplastic sheet 322, for example, a 2 mil thick film of Mylar. Similarly, a plastic sheet'324 is adjacent theelectrode 320. Between theplastic sheets 322 and 324 is the syntheticresin polymer film 306. Aclamp mechanism 326 is illustrated incontact withthe electrode 314 to apply a pressure thereto to sandwich theresin polymer film 306 tightly between theplastic sheets 322 and 324 during the charging operation.

Referring to FIG. 12, there is shown a flow chart of a process for charging a synthetic resin polymer film with the system of FIG. 8. Initially, theplastic sheets 322 and 324 are fastened tometal plate electrodes 314 and 320, respectively, and theresin polymer film 306 assembled between the plastic sheets to form a sandwich configuration in astep 328. Typically, the plastic I clamped between theelctrodes 314 and 320 the entire assembly is connected to thevoltage supply 312 as during thestep 336. Next, the assembly is placed in an oven and heated to a predetermined temperature in a range from 275F. to 325F. during astep 334. This heating raises the temperature of thepolymer film 306 such that the material more readily accepts a polarized condition. This polarizes an electrostatic charge on thepolymer film 306 through theplastic sheets 322 and 324 to a level as determined by htesource 312 and theresistor 316. For example, thesource 312 provides a 2500 volt potential across theelectrodes 314 and 320 at a current as indicated by themeter 318 of 50 micro amperes.

To maintain a polarized condition on the syntheticresin polymer film 306, a volume resistivity on the order of 10 ohm-centimeters is required. To provide the desired polarized condition to thepolymer film 306, theplastic sheets 322 and 324 have a volume resistivity of l ohm-centimeters. These plastic sheets function to isolate the porousresin polymer film 306 from theelectrodes 314 and 320 when in a heated condition for charging.

Following thestep 336, the entire assembly, while connected to thesource 312, is cooled to ambient temperature during astep 338. This cooling step, with the source connected, sets the electrostatic charge on thefilm 306.

While the invention has been shown in several of its forms, it should be apparent to those skilled in the art that it is not so limited but is susceptible to various changes and modifications without departing from the spirit thereof. The specific form of force responsive transducer is not limited specifically to the capacitor transducer shown and described, and the configuration of the capacitortransducer itsef may be varied widely within the broad scope of the invention. In addition, the

inventionis not limited in its broadest sense to the specific form of circuitry shown by way of preferred embodiment, since there are alternate circuit configurations capable of producing intended, satisfactory result.

What is claimed is:

'1.:A system for monitoring a respiration rate of a patient, comprising in combination:

transducer means comprising: two electrically conductive plate electrodes, a center electrode positioned between two said plate electrodes, and

a single synthetic resin'polymer sheet having a volume resistivity to maintain an electrostatic charge thereon covering the center electrode between the plate electrodes to thereby develop a current flow in said plate electrode and said center electrode varying with the patients respiration rate,

circuit means responsive to the varying current flow in the two plate electrodes and the center electrode and generating an output voltage when the current flow is constant, and

alarm means actuated by said output voltage of said circuit means.

2. A system for monitoring the respiration rate of a patient as set forth inclaim 1 wherein said synthetic resin polymer sheet has a volume resistivity not less than 10 ohm-centimeters.

3. A system for monitoring the respiration rate of a patient as set forth inclaim 1 wherein the single resin polymer sheet extends beyond the outer edge dimensions of the center electrode.

4. A system for monitoring the respiration of a patient comprising:

a flexible force responsive means for placement beneath a patient or patient support for sensing the respiration of a patient,

said means comprising:

three layers of flexible sheets of electrically conductive material,

a synthetic resin, electrostatically charged, flexible sheet located between adjacent sheets of conductive material to form alternate layers with the electrically conductive sheets of material,

said flexible layers of electrically conductive material being sensitive to changes in forces applied thereto and caused by the respiration of a patient,

an electrical conductor connected to the center sheet of conductive material,

an electrical conductor connected to the outer sheets of conductive material, and

flexible nonconductive material surrounding and covering said outer layers of flexible sheets of conductive material, and monitor means coupled to said responsive means for monitoring the respiration of a patient.

5. A system for monitoring the respiration of a patient comprising:

transducer means capable of sensing force changes applied thereto and caused by the respiration of a patient,

said transducer being a thin, flexible, pad-like member, comprising:

a plurality of thin flexible layers of electrically conductive material including two outer layers,

thereto and caused by the respiration of a patient, and r monitor means coupled to said transducer means to monitoring the respiration of a patient.

6. The system ofclaim 5 including the combination therewith of a memory system comprising:

a lamp indicator means, a,

circuitry means coupled to said transducer means for periodically energizing said lamp indicator means to cause said lamp indicator means to flash on and off when respiration ceases, v

said circuitry means including means for continuously energizing said lamp indicator means if respiration begins following cessation therof.

Claims (6)

1. A system for monitoring a respiration rate of a patient, comprising in combination: transducer means comprising: two electrically conductive plate electrodes, a center electrode positioned between two said plate electrodes, and a single synthetic resin polymer sheet having a volume resistivity to maintain an electrostatic charge thereon covering the center electrode between the plate electrodes to thereby develop a current flow in said plate electrode and said center electrode varying with the patient''s respiration rate, circuit means responsive to the varying current flow in the two plate electrodes and the center electrode and generating an output voltage when the current flow is constant, and alarm means actuated by said output voltage of said circuit means.

2. A system for monitoring the respiration rate of a patient as set forth in claim 1 wherein said synthetic resin polymer sheet has a volume resistivity not less than 1018 ohm-centimeters.

3. A system for monitoring the respiration rate of a patient as set forth in claim 1 wherein the single resin polymer sheet extends beyond the outer edge dimensions of the center electrode.

4. A system for monitoring the respiration of a patient comprising: a flexible force responsive means for placement beneath a patient or patient support for sensing the respiration of a patient, said means comprising: three layers of flexible sheets of electrically conductive material, a synthetic resin, electrostatically charged, flexible sheet located between adjacent sheets of conductive material to form alternate layers with the electrically conductive sheets of material, said flexible layers of electrically conductive material being sensitive to changes in forces applied thereto and caused by the respiration of a patient, an electrical conductor connected to the center sheet of conductive material, an electrical conductor connected to the outer sheets of conductive material, and flexible nonconductive material surrounding and covering said outer layers of flexible sheets of conductive material, and monitor means coupled to said responsive means for monitoring thE respiration of a patient.

5. A system for monitoring the respiration of a patient comprising: transducer means capable of sensing force changes applied thereto and caused by the respiration of a patient, said transducer being a thin, flexible, pad-like member, comprising: a plurality of thin flexible layers of electrically conductive material including two outer layers, a synthetic resin, electrostatically charged, thin flexible layer located between adjacent layers of conductive material to form alternate layers with the conductive material, two electrical conductors connected to certain ones of said conductive layers to form a transducer having two plate means, one of which includes the outer conductive layers of material electrically connected together, the other plate means being located between said outer conductive layers of material, flexible nonconducting material surrounding and covering said outer conductive layers, and said flexible layers of electrically conductive material being sensitive to changes in forces applied thereto and caused by the respiration of a patient, and monitor means coupled to said transducer means for monitoring the respiration of a patient.

6. The system of claim 5 including the combination therewith of a memory system comprising: a lamp indicator means, circuitry means coupled to said transducer means for periodically energizing said lamp indicator means to cause said lamp indicator means to flash on and off when respiration ceases, said circuitry means including means for continuously energizing said lamp indicator means if respiration begins following cessation therof.

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