U.S. patent number 3,857,383 [Application Number 05/307,485] was granted by the patent office on 1974-12-31 for multiphasic health screening method and module.
This patent grant is currently assigned to International Health Systems, Inc.. Invention is credited to Ethan J. Allen, Charles N. Dewey, Edmond L. Morgan, Irwin H. Sommerfeld.
United States Patent |
3,857,383 |
Sommerfeld , et al. |
December 31, 1974 |
MULTIPHASIC HEALTH SCREENING METHOD AND MODULE
Abstract
The individual or individuals to be tested are positioned
relative to a portable, multiphase module and are subjected to a
plurality of sequential health screening tests, most of which
require the individuals to provide an electrically transduced input
to a portion of the module, some of the inputs requiring electronic
sensors to be coupled to the individuals. Tests are sequentially
programmed in a random and/or predetermined mode. Test conditions
are initially monitored for acceptability and then are recorded by
one or more of a plurality of instruments. The module houses all
test equipment, controls and sequencing means, whereby a technician
can speedily obtain at low cost a health screening profile.
Inventors: |
Sommerfeld; Irwin H. (Mount
Prospect, IL), Morgan; Edmond L. (Des Plaines, IL),
Allen; Ethan J. (Northbrook, IL), Dewey; Charles N.
(Palatine, IL) |
Assignee: |
International Health Systems,
Inc. (Des Plaines, IL)
|
Family
ID: |
26712844 |
Appl.
No.: |
05/307,485 |
Filed: |
November 17, 1972 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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36132 |
May 11, 1970 |
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Current U.S.
Class: |
600/301;
128/906 |
Current CPC
Class: |
A61B
5/00 (20130101); Y10S 128/906 (20130101) |
Current International
Class: |
A61B
5/00 (20060101); A61b 005/00 () |
Field of
Search: |
;128/2R,2.5A,2.5R,2.6A,2.6R,2.1A,2.1R,2.1P,1R |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Kamm; William E.
Attorney, Agent or Firm: Silverman & Cass, Ltd.
Parent Case Text
This is a continuation of application Ser. No. 36,132 filed May 11,
1970, now abandoned.
Claims
What is sought to be protected by United States Letters Patent
is:
1. A semi-automatic, multiphasic health screening method for human
individuals comprising the steps of: orienting at least two
individuals adjacent to a multiphasic health screening module
having therein a plurality of different electronically operable
health parameter measuring test devices coupled to a common group
of test readout recorders, whereby the entire screening is
accomplished adjacent the module; electronically coupling each
individual to the one module by way of a plurality of sensors and
leads which transmit a plurality of different health parameters to
at least some of the test devices in the module; automatically
selecting a predetermined sequence of health screening tests to be
performed on each individual by use of the test devices said
selecting including the step of directing electrically which test
is being performed upon each individual, such that at any one time
a different test is being directed to each individual; performing
each selected test for a relatively short period of time, and only
once per individual by way of said automatically selecting;
encoding, at least in part by the readout recorders, the data
results from each test prior to advancing to the next test; and
automatically enabling the performing of the next of the
predetermined sequence of health tests and then accomplishing said
steps of performing and encoding.
2. The method according to claim 1 further including monitoring
electronically the data results prior to said encoding, and
enabling said encoding by at least a portion of the recorders
during said period of time and only after acceptable data has been
monitored.
3. The method according to claim 1 further including the steps of:
overriding said automatically selecting, electrically selecting on
demand a repeating of any of said health screening tests, and
repeating said steps of performing and encoding for any selected
test repeating.
4. The method according to claim 1 including programming
electronically said selecting and enabling in an automatic and
sequentially predetermined mode, and manually commencing and
terminating each said step of performing.
5. A multiphasic health screening module comprising: cabinetry, a
plurality of different medical testing means for measuring medical
health parameters housed within said cabinetry, a common electric
power input to said module and said testing means, a plurality of
test data recording means interconnected in common to at least some
of said plurality of testing means, means for coupling said testing
means to a plurality of individuals to be tested, central control
means, including a central control panel which interconnects said
testing means with said recording means and with said coupling
means, said central control means further including programmed
selecting means connected to said testing means and said recording
means, operation selection means also being on said central control
panel, said selecting means including interconnecting means which
defines a sequential, repetition-free mode of programmed testing by
said central control means, whereby a plurality of multiphasic
health screening tests can be obtained by means of said module only
in a sequentially programmed mode, and said control panel includes
direction control means interconnected to said coupling means, said
testing means and said recording means, for selectively directing a
test to a particular individual, while at the same time another
test can be directed to another particular individual, whereby a
plurality of individuals can be coterminously screened by said
module.
6. A module according to claim 5 wherein said recording means
include test output monitoring means for assisting in determining
the acceptability of test data output, and said selecting means
includes structure for enabling said monitoring means prior to the
enabling of a remainder of the recording means, and for enabling at
least a portion of such remainder upon a determination that
acceptable test data is being generated by way of a testing
means.
7. A module according to claim 5 wherein said testing means
selecting means includes means for repeating any desired test,
independent of the programmed sequential mode of testing.
8. A module according to claim 5 which includes electronic safety
and alarm means connected at least to said coupling means and said
selecting means and responsive to any abnormal electric parameter
being applied from the module to the coupling means to speedily
decouple said coupling means electrically and inhibit the testing
means in an alarm condition, and said selecting means having a
reset control for terminating the inhibit state after termination
of an alarm condition.
9. A semi-automatic, multiphasic health testing method for human
individuals comprising the steps of: orienting at least two
individuals adjacent to a modular console having therein a
plurality of different health parameter measuring instruments and
readout recording means; electrically coupling each individual to
the console by way of a plurality of sensors and leads which
transmit a plurality of different health parameters to at least
some of the test instruments in the console; selecting a
predetermined sequence of tests to be performed on each individual
by use of the test instruments; directing electrically which test
is being performed upon each individual, such that at any one time
a different test is being directed to each individual; performing
each selected test for a relatively short period of time, and only
once per individual by way of said selecting; encoding into the
readout recorders, the data results from each test prior to
advancing to the next test; advancing to the next of the
predetermined sequence of health tests and then accomplishing said
steps of directing, performing and encoding for such next test.
10. A multiphasic health screening apparatus comprising: cabinetry,
a plurality of different medical testing means and data recording
means housed within said cabinetry for measuring and recording
medical health parameters, means for coupling said testing means to
a plurality of individuals to be tested, central control means,
including a central control panel which interconnects said testing
means with said recording means and with said coupling means, said
central control means further including test selecting means
connected to said testing means and said recording means, and
including interconnecting means which defines a sequential,
repetition-free mode of testing by use of said central control
means, and said central control means includes direction control
means interconnected to said coupling means, said testing means and
said recording means, for selectively directing a test to a
particular individual, while at the same time another test can be
directed to another particular individual, whereby a plurality of
individuals can be coterminously screened by said apparatus.
Description
BACKGROUND OF THE INVENTION
Health screening per se is old in both method and apparatus.
Typical in the prior art of health screening is an individual's
annual physical examination. Dependent upon the individual, his
prior health background, his financial position, available time,
his doctor's laboratory facilities, etc., the physical examination
might be relatively simple, speedy and of minimal expense; or might
be complex, considerably time consuming, and proportionately
expensive.
At the present time, it is the opinion of many that health
screening reaches too small a segment of the population, is too
costly, too time consuming for both the individual and his doctor,
is too limited in its testing ambit and otherwise is deficient in
meeting the health needs of the general public. Such situation
obtains notwithstanding an increased awareness of a need and desire
for improved health screening procedures and equipment. Not only
has the medical profession been active in promoting this form of
preventative medicine, but governmental agencies, labor unions,
management, insurance companies, etc. all have encouraged the
development and use of improved, accurate yet economic health
screening facilities.
For the most part, individual doctors and small groups of doctors
of different professional specialities who share common physical
facilities, including laboratory equipment and technicians, find it
too expensive to maintain a complete, or multiphasic, health
screening facility. Moreover, even if many doctors were so
equipped, a large segment of the population might not avail
themselves of multiphasic health screening, because of apathy,
possibly augmented by time and cost considerations.
If, however, a multiphasic health screening facility could be
brought to the individual, such as to a factory site, an office
complex, a college dormitory, institutions which house the elderly,
etc. for a period of a few days, and thereby provide especially
convenient, speedy, low cost, yet professionally accurate health
screening data, then the health needs of the public would have
taken a forward step.
In recent times, hospitals have become equipped with patient
monitoring apparatus, by which one or a few patients, typically
those in intensive care, are electrically connected by electronic
sensors to selected pieces of equipment which continuously monitor
such parameters as heart rate, blood pressure and temperature. Such
on-line monitoring can also be coupled to remotely positioned
recording apparatus. Although such patient monitoring arrangements
provide a significant improvement in hospital care, they are not
adapted to meet the needs of multiphasic health screening.
The use of on-line monitoring has been considered for health
screening purposes; however, it introduces problems, not
necessarily medical in nature but in the form of inefficient data
processing. Existing health screening devices generate several
forms of data output, some of which are digital and easily suited
for direct recording in data processing equipment. However, other
outputs are graphic in nature, and yet still others do not provide
compatibility with conventional encoding and decoding formats.
Moreover, data processors are expensive, somewhat bulky and not
especially portable. Additionally, the ultimate task of decoding
the health information from many individuals could be a difficult
if not insurmountable task if on-line procedures were employed.
As a consequence, there has been and now exists an increasing need
for a health screening procedure and facility which is relatively
portable, yet sufficiently complete so as to encompass several
phases of health screening and thereby be "multiphasic;" while, at
the same time providing speedy, low cost screening, with a final
data output that is easily decoded and/or otherwise placed into the
hands of the individual's doctor almost immediately.
SUMMARY OF THE INVENTION
According to the invention, the deficiencies of the prior art are
overcome by a portable module which houses numerous pieces of
testing equipment, substantially all of which are connected to a
central control and sequencing panel, which enables the outputs
from the testing equipment to be shared by a common array of
recorders and encoders. A medical technician operates the module in
a semiautomatic mode so as to gather multiphasic data from one or
more individuals coupled to the module. Output data is
progressively accumulated and, at least in part, is transferred
onto a composite health form, which can be machine readable. As a
result, a multiphasic health profile or "base line" is derived in a
few minutes and almost immediately is available to a doctor.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view, partly broken away, of a major
portion of the subject module; and
FIG. 2 is a front view of the central control panel of the
module.
DESCRIPTION OF THE PREFERRED EMBODIMENT
With reference to FIG. 1, the subject multiphasic health screening
module is designated by the general reference number 10 and is
housed in portable cabinetry 12. The overall size may be
approximately seven feet long, five feet high and three feet deep;
however, the size and configuration could be varied depending upon
the extensiveness of the desired testing procedure and thus the
total amount and necessary configurations of individual testing
instruments mounted within the cabinetry. The disclosed embodiment
could be augmented by more test equipment; however, the invention
will be clear by the following disclosure.
To be positioned adjacent the cabinetry 12 would be one or more
seats for the individuals who are being tested. The term
"individual" is employed rather than "patient" to emphasize the
fact that the subject invention is designed primarily for use in an
otherwise non-medical environment by a technician. Reclining chairs
or chaise lounges provide suitable seating comfort, while enabling
the arms and legs of a test individual to be available for the easy
attachment of test sensing electrodes and elements. Both the module
and the seats are designed for transport in a small truck or small
van, such that the only set up time required would be that of
rolling the module and seats to any desired site and plugging the
module into a standard 115 volt wall socket.
On each side of the cabinetry 12 are electrical recepticals 14 for
connecting sensor leads (not shown). These leads would then be
coupled to the reclining test individual. The lower portion of the
cabinetry, as at 16, is provided with storage space for housing
some portions of the testing devices, as well as their sensors,
health forms, etc.
Projecting from the main body of the cabinetry is a desk-like shelf
18 for use by the operating technician and also for supporting
equipment, such as a vision tester 20, a pulmonary sensor 22, and
the ear phones 24 of an audiometer 26. A central portion 28 of the
shelf 18, is slidable, inward from the position illustrated, so as
to make accessible a tape recorder 30, which is mounted in a drawer
32, also illustrated in its forward position.
In the upper middle of the module 10 is a central control panel 34,
which is illustrated in greater detail in FIG. 2 and subsequently
will be discussed.
Above the control panel is an oscilloscope 36. Below and to the
left of the control panel is a strip chart recorder 38. The tape
recorder 30, the oscilloscope 36 and the strip chart recorder 38
are interconnected to the control panel and, to the extent desired,
with all the test equipment so as to be common output
recorders.
To the left of the control panel 34 is an electrocardiography
analyzer 40, which, when enabled via the control panel, is
selectively operable by its selector switch 42 for receipt of the
five standard ECG parameters, from respective sensors attached to
the test individual and connected into the receptical 14. If
desired, the more complete twelve lead ECG response could be
obtained by bypassing the selector switch 42 and/or augmenting it
by providing, in conjunction with the control panel, a switching
matrix, such as by relays, which would appropriately select the
various sensor leads and permit the responses to be transduced, as
by the strip chart recorder 38.
Above the ECG analyzer 40 is a phonocardiograph 44 for the
monitoring of heart sounds. To the right thereof, above the control
panel, in an ECG amplifier, having a meter scale 46 that advises
the technician of heart or pulse rate.
To the right of the oscilloscope is a galvanic skin response device
48. Below which is a blood pressure monitor 50. Above and to the
right thereof is a pulmonary function monitor 52, the sensor of
which 22 was previously mentioned. Adjacent thereto is the readout
portion 54 of an automatic height and weight recorder, not
illustrated, which would be placed on the floor next to the module
10.
Although not individually emphasized above, all of the above
mentioned equipment have a common power input, are controlled via
the control panel 34; to the extent necessary, have sensor
connections at the receptacles 14, and have selective access to the
output recorders 30, 36 and 38.
Considering next the control panel 34, shown in detail in FIG. 2,
at the right end thereof is a key operated power on-off switch 56,
which is connected to the 115 volt AC input line of the module.
Below the switch 56 is a progressive counter 58 which identifies
the test individual for purposes of correlation with the health
form and any other data and bookkeeping purposes. The counter can
be manually advanced and reset on demand; also, it can be connected
to a test sequence ON button 60, located at the top left of the
control panel, such that each time the test sequence is started for
an individual, by use of the ON button, the counter 58 is
advanced.
At the upper right of the array of control buttons is a WARNING
light 62, which signals an alarm condition, such as improper amount
of electric current, potential, etc. being applied to the sensing
leads connected to the receptacles 14, or a power surge into the
module, or a malfunction of any of the testing devices. The first
of these conditions is, of course, the most important with respect
to the safety of the test individual. Accordingly, not only will
the warning light be turned on, but also a highly sensitive, fast
acting safety switch will be activated to remove all electric power
from the receptacles 14. Activation of the alarm system can also
disable the "on" condition set by the ON button 60. In this event,
a RESET button 64 would have to be depressed after the alarm
condition was removed and before the ON button 60 again could be
effective in closing its associated switch. In a preferred
embodiment, each button in the control array would be connected to
its respective test device in such manner that a malfunction in a
test device would cause a lamp behind the button to flash on and
off. Of course, an audible alarm can be triggered in conjunction
with the above mentioned visual alarm and the automatic disabling
safety switches.
Below the RESET button 64 are LEFT CHAIR and RIGHT CHAIR select
buttons 66 and 68 which are respectively connected to the
receptacles 14 and to each of the test devices having leads
connectable to the receptacles 14. In the illustrated embodiment,
two individuals can be tested at a time; one in the left chair or
reclining seat, who is connectable to leads from the left side
receptacle, and one in the right seat, who is connectable to leads
from the right side receptacle 14. Accordingly, whenever a
particular test is to be performed on a particular individual, the
associated chair and test button both must be depressed to enable
their respective control switches.
A column 70 of readout control buttons respectively marked SCOPE,
TAPE, and CHART is provided for the selection of the desired
readout mode and its associated device, earlier referred to as the
oscilloscope 36, the tape recorder 30, and the strip chart recorder
38. One or more of these readout devices can be activated at any
one time. To conserve upon the use of tape and chart paper and,
more importantly, to avoid the recording of useless, or otherwise
undesired data, it is recommended that the scope first be enabled
alone so as to act as a preliminary monitor. When the test data, as
seen on the scope, appears stable and/or otherwise significant for
perminent recording, then the tape and/or chart devices would be
enabled by their respective control buttons. At the bottom of the
column 70 is a RESET button, which, as its name designates, is
connected to each of the above disclosed readout devices so that,
at the conclusion of the recording of a particular test, the
recording device or devices can be reset for the next test in the
sequence.
The remaining control buttons on the central control panel 34
define an array 72 in which each testing device and/or test
procedure is represented by a selection button which, in the
illustrated embodiment, comprises fifteen buttons, not including
the ON button 60, but including a REVIEW button 74. These buttons
and their respectively associated switches can be connected for two
different modes of operation -- random sequence selection or
predetermined sequence selection.
In the random sequence mode, the operating technician is free to
select any test after the completion of any test. To do this, the
technician would depress a first button, such as the GSR button, to
enable the galvanic skin response test to commence. At the
completion of this first test, the GSR button is again depressed to
inactivate the GSR device 48. Of course, during this test the
recording instruments 30, 36 and 38 also would have been
selectively activated and subsequently reset, and the technician
would have made appropriate data entry on the health form.
Thereafter, the testing procedure is free to commence again for any
desired test.
In the predetermined sequence select mode, the array of control
buttons would have its associated array of controlled switches
interconnected in a release and latch configuration, such that the
release of any specific one of the switches by its push button at
the end of a test would enable only the sequentially next push
button to be effective in latching its switch to enable the next
sequential test. Although the release and latch arrangement could
be connected to operate automatically as a step switch that is
automatically advanced, it would be preferred to retain the step
advancing control in the hands of the technician.
If the predetermined sequence control mode is employed, there may
develop a situation in which an already completed test should be
repeated, either because a review of the test results indicates a
possible inaccuracy or, more likely, because another intervening
test has indicated the possibility of some form of health
condition, such that a recheck of the prior test could provide some
additional or verifying data. In such circumstance, the REVIEW
button 74 would be selected and would disable the predetermined
sequence control and enable random selection of any test button and
its test procedure.
Quite possibly a hybrid of the random sequence and the
predetermined sequence control would be desired. For example, since
the MIX PHONO button calls for the phonocardiograph response to be
superimposed upon the response of a specific portion of the ECG
test procedure, it might provide more accurate data analysis if the
phonocardiograph, the mixed phonocardiograph, and the ECG tests
were sequentially obtained; hence, these three tests would be
connected by the control panel 34 and its switches in the
predetermined sequence mode, and the remaining tests would be
operable in the random sequence mode.
The health form, not illustrated, would be progressively filled in
by the technician as the sequential testing progressed and would be
reviewed by the technician at the end of the testing program or any
portion of it to ascertain if any test should be redone while the
test individual is still coupled to the sensors. As a result, as
soon as the last test and a review are completed, the health form,
the strip chart and the tape recorded data can all be put together
physically in a common envelope or the like and be ready for a
doctor's analysis; the entire testing procedure having been
completed in a relatively few minutes, and needless to say in a
manner which should cost a small amount compared to the prevalent
costs of multiphasic health screening examinations.
It is believed that those knowledgeable in the electronic equipment
oriented medical testing field will find the hereinabove
presentation more than sufficient to appreciate the teachings of
the invention and to practice same. Although specific electrical
control schematics have not been illustrated, the operational
description thereof should be enabling to those skilled in the
art.
* * * * *