IP Library Granted Patent US 11,344,254
Granted Patent B2
US 11,344,254 · App. 15/405,412 · Granted May 31, 2022

Estimating hydration using capillary refill time

Inventors: Richard Howard Weitzel (Aloha, OR); Steven D. Baker (Beaverton, OR); Richard Allen Sunderland (Clive, IA); Matthew Lee Hansen (Portland, OR); David Clark Sheridan (Beaverton, OR)
Assignees: Welch Allyn, Inc.; Oregon Health & Science University
A61B5/4875A61B5/0053A61B5/0059A61B5/01A61B5/02422A61B5/6826A61B5/6829A61B5/7278A61B5/742A61B5/746
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Quick Facts
Patent No.
US 11,344,254
App. No.
15/405,412
Granted
May 31, 2022
Kind
B2
Abstract

An example system for estimating a hydration level of an individual can include: a mechanism configured to apply mechanical pressure to a digit of the individual; an light detector configured to sense the light from the digit; and a controller programmed to perform functions including: send a first signal to the mechanism to apply the mechanical pressure to the digit; send a second signal to the mechanism to release the mechanical pressure on the digit; determine a capillary refill time based upon a third signal from the light detector indicating an amount of time for capillaries of the individual to refill with blood; and estimate the hydration level of the individual based upon the capillary refill time and one or more additional parameters.

Claims (58)

1. A system for determining a hydration level of an individual, the system comprising:

a mechanism configured to apply mechanical pressure to a digit of the individual;

a light detector configured to sense a light from the digit; and

a controller programmed to perform functions comprising:

send a first signal to the mechanism to apply the mechanical pressure to the digit;

send a second signal to the mechanism to release the mechanical pressure on the digit;

determine a capillary refill time based upon a third signal from the light detector indicating an amount of time for capillaries of the individual to refill with blood;

access an algorithm that is trained on clinically reviewed capillary refill waveforms, with each of the clinically reviewed capillary refill waveforms having undergone multiple clinical reviews by clinicians;

use the algorithm to estimate a percentage of dehydration based upon dehydrated and rehydrated weights; and

calculate a percentage of dehydration of the individual by application of the algorithm, with inputs to the algorithm including the capillary refill time and one or more additional parameters.

2. The system of claim 1 , further comprising

at least one sensor configured to sense a presence of the digit; and

a light source configured to direct the light into the digit.

3. The system of claim 2 , wherein the controller is further programmed to perform functions comprising:

receive a signal from the at least one sensor indicating the presence of the digit; and

determine when to release the mechanical pressure based upon a desired pressure.

4. The system of claim 1 , wherein the digit is a finger or toe of the individual.

5. The system of claim 1 , wherein the one or more additional parameters includes a temperature of the digit.

6. The system of claim 1 , wherein the one or more additional parameters includes a pulse rate of the individual.

7. The system of claim 1 , further comprising a light-emitting diode positioned to emit the light into the digit.

8. The system of claim 1 , wherein the light detector is configured to sense an intensity of the light that is transmitted through the digit or the light that is reflected from the digit.

9. The system of claim 1 , further comprising a display configured to show a score associated with the hydration level of the individual.

10. The system of claim 1 , wherein the system is programmed to provide an alert based upon the hydration level of the individual.

11. A system for determining a hydration level of an individual, the system comprising:

a mechanism configured to apply mechanical pressure to a digit of the individual;

at least one sensor configured to sense a presence of the digit;

a light source configured to direct light into the digit;

a light detector configured to sense the light from the digit;

a temperature detector configured to sense a temperature of the digit; and

a controller programmed to perform functions comprising:

send a first signal to the mechanism to apply the mechanical pressure to the digit;

send a second signal to the mechanism to release the mechanical pressure on the digit;

determine a capillary refill time based upon a third signal from the light detector indicating an amount of time for capillaries of the individual to refill with blood;

access an algorithm that is trained on clinically reviewed capillary refill waveforms, with each of the clinically reviewed capillary refill waveforms having undergone multiple clinical reviews by clinicians;

use the algorithm to estimate a percentage of dehydration based upon dehydrated and rehydrated weights; and

calculate a percentage of dehydration of the individual by application of algorithm, with inputs to the algorithm including the capillary refill time and one or more additional parameters, the one or more additional parameters including the temperature of the digit.

12. The system of claim 11 , wherein the controller is further programmed to perform functions comprising:

receive a signal from the at least one sensor indicating a presence of the digit; and

determine when to release the mechanical pressure based upon a desired pressure.

13. The system of claim 11 , wherein the light detector is configured to sense an intensity of the light that is transmitted through the digit or the light that is reflected from the digit.

14. The system of claim 11 , further comprising a display configured to who a score associated with the hydration level of the individual.

15. The system of claim 11 , wherein the system is programmed to provide an alert based upon the hydration level of the individual.

16. A method for determining a hydration level of an individual, the method comprising:

causing a mechanical pressure to be applied to a digit of the individual;

injecting a light into the digit of the individual;

detecting the light from the digit of the individual;

determining a capillary refill time based upon the detecting of the light;

accessing an algorithm that is trained on clinically reviewed capillary refill waveforms, with each of the clinically reviewed capillary refill waveforms having undergone multiple clinical reviews by clinicians;

using the algorithm to estimate a percentage of dehydration based upon dehydrated and rehydrated weights; and

calculating a percentage of dehydration of the individual by applying the algorithm, with inputs to the algorithm including the capillary refill time and one or more additional parameters.

17. The method of claim 16 , further comprising:

determining a presence of the digit; and

determining when to release the mechanical pressure based upon a desired pressure.

18. The method of claim 16 , further comprising:

measuring a temperature of the digit; and

using the temperature as one of the one or more additional parameters.

19. The method of claim 16 , further comprising displaying a score associated with the hydration level of the individual.

20. The method of claim 16 , further comprising providing an alert based upon the hydration level of the individual.

Assignments (4)
RELEASE OF SECURITY INTEREST AT REEL/FRAME 050260/0644 Recorded Dec 14, 2021
From: JPMORGAN CHASE BANK, N.A.
To: BREATHE TECHNOLOGIES, INC.; HILL-ROM SERVICES, INC.; ALLEN MEDICAL SYSTEMS, INC.; WELCH ALLYN, INC.; HILL-ROM, INC.; VOALTE, INC.; BARDY DIAGNOSTICS, INC.; HILL-ROM HOLDINGS, INC.
Reel/Frame 058517/0001 →
SECURITY AGREEMENT Recorded Sep 4, 2019
From: HILL-ROM HOLDINGS, INC.; HILL-ROM, INC.; HILL-ROM SERVICES, INC.; ALLEN MEDICAL SYSTEMS, INC.; ANODYNE MEDICAL DEVICE, INC.; VOALTE, INC.; WELCH ALLYN, INC.
To: JPMORGAN CHASE BANK, N.A.
Reel/Frame 050260/0644 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 27, 2019
From: HANSEN, MATTHEW; SHERIDAN, DAVID
To: OREGON HEALTH & SCIENCE UNIVERSITY
Reel/Frame 050178/0583 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 24, 2017
From: WEITZEL, RICHARD HOWARD; BAKER, STEVEN D.; SUNDERLAND, RICHARD ALLEN
To: WELCH ALLYN, INC.
Reel/Frame 041062/0333 →
Continuity (3)
Provisional Application 62286043 · Jan 22, 2016
Provisional Application 62324941 · Apr 20, 2016
Related Publication 20170209091A1 · Jul 27, 2017