# Patent

## Title
Multi-site infrared thermometer

## Abstract

Disclosed in this specification is an infrared thermometer with multiple probes for use at a variety of bodily sites. The thermometer automatically detects which of the multiple probes is currently attached, loads a predetermined program from memory that corresponds to the current probe, and thereafter obtains a temperature measurement from a patient using infrared radiation emitted therefrom. Each of the probes is comprised of an infrared target which provides a substantially consistent sources of infrared radiation for the thermometer to measure.

## Background
CROSS-REFERENCE TO RELATED APPLICATION
This application is a continuation-in-part of co-pending U.S. patent application U.S. Ser. No. 10/989,631, filed on Nov. 16, 2004.


FIELD OF THE INVENTION
This invention relates, in one embodiment, to an infrared thermometer with multiple disposable probes. The thermometer automatically detects Which of the multiple probes is currently attached, loads a predetermined program from memory that corresponds to the current probe, and thereafter obtains a temperature measurement from a patient using infrared radiation conducted or emitted therefrom.
BACKGROUND OF THE INVENTION
It has been a longstanding objective in the art to rapidly and accurately measure the temperature of a patient. The core temperature of a mammal may be approximately measured in a number of ways. For example, typical temperature measuring techniques use specialized probes such as oral, rectal, axillary, and/or tympanic probes to measure the temperature of a specific area of the body. The body's “core temperature” may then be extrapolated from such a measurement. Reference may be had to U.S. Pat. No. 6,292,685 to Pompei (Temporal Artery Temperature Detector). Each of the aforementioned probes is useful under different circumstances. For example, axillary probes are particularly useful in conjunction with neonates, whereas tympanic infrared probes are widely used on adults.
The use of tympanic infrared probes on adults has proven to be particularly useful. One of the primary advantages of such probes is their speed—a typical infrared probe can measure the temperature of the tympanic membrane in less than one second. In contrast, a mercury oral thermometer often takes several minutes to provide a proper measurement. Examples of tympanic infrared probes include U.S. Pat. Nos. 5,159,936 to Yelderman et al. (Noncontact Infrared Tympanic Thermometer) and U.S. Pat. No. 6,609,823 to Kraus et al. (Infrared Radiation Thermometer with Variable Exterior Probe Head for Conforming to Body Cavity). Such tympanic infrared thermometers are readily commercially available. For example, the Braun Pro4000, available from Welch Allyn, provides such an infrared probe, complete with a disposable, sanitary cover.
The use of infrared axillary probes is also known in the art. Reference may be had to U.S. Pat. Nos. 5,874,736; 5,893,833; 6,045,257; 6,056,435; 6,241,384; 6,299,347; 6,402,371; and 6,499,877 to Pompei et al.
Unfortunately, other bodily sites are not so suitable for infrared temperature measurement. For such other sites, traditional thermometers, which require long equilibration times, are often used to measure temperatures. Traditional thermometers include those materials, both liquid and solid, that expand or otherwise change their physical confirmation when heated. Examples include mercury and ethanol based thermometers. It would be a significant advantage if medical personnel could quickly measure body temperature at multiple locations using infrared technology. It would be a further advantage if medical personnel could use a single infrared thermometer to obtain temperature measurements at multiple sites.
U.S. Pat. No. 6,789,936 to Kraus et al. (Infrared Thermometer for Performing Temperature Measurements at Different Sites) provides a device capable of measuring body temperature using either temporal or tympanic probes. Although Kraus discusses the desirability of obtaining infrared temperature readings from other bodily sites, obtaining such measurements has proven problematic. The device of Kraus is deficient in that it does not describe a mechanism or method for enabling an infrared temperature reading from the sites most commonly used by healthcare professionals, particularly oral, rectal and axillary sites. Conversions to derive readings similar to these sites are discussed but such conversions are found to work only in general and are not sufficiently accurate for individual subjects.
Additional background references that are of some importance, while not material to the present claims, include U.S. Pat. Nos. 5,169,234 to Bohm (Infrared Temperature Sensor); U.S. Pat. No. 6,129,673 to Fraden (Infrared Thermometer); U.S. Pat. No. 6,347,243 to Fraden (Probe Cover for Infrared Thermometer); U.S. Pat. No. 6,390,671 to Tseng (Probe Cover with Film Insert); U.S. Pat. No. 6,447,160 to Fraden (Blackbody Cavity for Calibration of Infrared Thermometers); U.S. Pat. No. 6,527,439 to Bellifemine (Infrared Thermometer); U.S. Pat. No. 6,709,154 to Janotte (Radiation Thermometer and Radiation Sensor with Several Sensor Elements, Method for Determining Temperature); U.S. Pat. No. 6,742,927 to Bellifemine (Infrared Thermometer); U.S. Pat. No. 6,751,497 to Fraden (Infrared Thermometer); and U.S. Pat. No. 7,048,437 to Bellifermine (Infrared Thermometer and Waveguide for Infrared Thermometer).
Therefore, an infrared thermometer is desired which permits the user to rapidly measure body temperature at multiple sites using a single device,
Furthermore, an infrared thermometer is desired which automatically detects what type of probe is connected to the thermometer and thereafter loads a program that permits the thermometer to properly interpret data from such a probe.
SUMMARY OF THE INVENTION
The invention comprises, in one form thereof, a kit comprising an infrared thermometer and at least two probes for use with the thermometer. The probes are each equipped with keying features that mate with one or more switches on the thermometer and permit the thermometer to properly identify which of the probes is currently attached.
An advantage of the present invention is that the probes are especially configured to provide a substantially consistent source of infrared radiation to the sensor, regardless of where the probe is disposed.



BRIEF DESCRIPTION OF THE DRAWINGS
The present invention is disclosed with reference to the accompanying drawings, wherein:
FIG. 1 is a schematic depiction of an infrared (IR) thermometer assembly for use with the present invention;
FIG. 2 is a schematic depiction of an IR thermometer wherein a different probe is used;
FIG. 3 is a more detailed view of the terminus of one probe for use with the present invention;
FIG. 4A to 4F are illustrations of various probes for use with this invention;
FIG. 5A and 5B are depictions of an infrared target configuration for use with the present invention;
FIGS. 6A and 6B are illustrations of two infrared thermometers which have been configured for long term use; and
FIG. 7 is a flow diagram of one process of the invention.



Corresponding reference characters indicate corresponding parts throughout the several views. The examples set out herein illustrate several embodiments of the invention but should not be construed as limiting the scope of the invention in any manner.
DETAILED DESCRIPTION
FIG. 1 is a schematic depiction of infrared (IR) thermometer assembly 100. Assembly 100 is comprised of infrared thermometer 104 and probe 102. Infrared thermometer 104 is similar to prior art infrared thermometers and may be used in an analogous manner. For example, when in use on a patient, probe 102 is disposed over infrared sensor 124. The probe 102 is then placed at a bodily location for which probe 102 is specifically configured. In the embodiment depicted in FIG. 1 probe 102 is a tympanic probe configured to receive temperature readings from within a patient's ear. Once the probe is suitably disposed, activation button 118 is pressed and a temperature reading is obtained. Infrared radiation 114 passes through infrared transparent aperture 106 and strikes infrared sensor 124. Infrared opaque wall 108 helps reduce the exposure of sensor 124 to the environment, thus reduces background noise and other interference, Infrared sensor 124 generates a signal that corresponds to the amount of infrared radiation received. This signal is processed by processor 112 in accordance with certain instructions (e.g. a program) contained within data storage device 126. In this manner, a patient's temperature is calculated based upon the aforementioned signal and is thereafter displayed in digital display 120. As would be appreciated by one skilled in the art, a different probe may require an alternate program to properly calculate a patient's temperature. A similar device is disclosed in U.S. Pat. No. 6,789,936 to Kraus et al. (Infrared Thermometer for Performing Temperature Measurements at Different Sites).
The device of Kraus permits a program to be automatically loaded into the processor based upon which one of two probes is disposed over the infrared sensor and which one of two switches is depressed. In the embodiment depicted in FIG. 1, probe 102 is comprised of a first key 116. As used herein, the term “key” refers to any suitable structural feature of a probe for selectively activating one or more switches located on the thermometer. When probe 102 is securely in its proper position over sensor 124, first switch 110 is depressed by first key 116, but second switch 112 is not depressed. When first switch 110 is depressed, but second switch 112 is not so depressed, then a first program is loaded from data storage device 126 into processor 112. This first program contains the instructions necessary for processor 122 to properly calculate the patient's temperature using probe 102. A probe other than probe 102 may require a different program to properly read the patient's temperature. Such a second probe is illustrated in FIG. 2.
FIG. 2 is a depiction of assembly 200 which is substantially similar to assembly 100 of FIG. 1 except in that probe 202 has replaced probe 102. Probe 202 is an oral or rectal probe configured to receive temperature readings from within a patient's mouth or rectum. Probe 202 is comprised of second key 204. When probe 202 is securely in its proper position over sensor 124, first switch 110 is not depressed, but second switch 112 is depressed by second key 204. When first switch 110 is not depressed, but second switch 112 is depressed, then a second program is loaded from data storage device 126 into processor 112. This second program contains the instructions necessary for processor 122 to properly calculate the patient's temperature using probe 202.
The device of Kraus permits two probes to be automatically detected using the aforementioned switches. In the present invention, other switch configurations, beyond those taught by Kraus, are also possible that permit more than two probes. For example, when neither switch 110 nor switch 112 are depressed, then a third program may be loaded. When both switch 110 and switch 112 are depressed, then a fourth program may be loaded. Should three or more switches be present, a multiplicity of probes may be automatically detected by selectively depressing certain combinations of switches.
While the device of Kraus permits the detection of multiple probes, its use has been limited by the applicability of infrared technology to other bodily sites. For example, infrared temperature measurements are adaptable to measuring temperature at the tympanic membrane, at the axilla, or at the temporal region, but are poorly suited to measure temperature orally or rectally. For an infrared sensor to accurately measure the temperature at a specific bodily site a substantially consistent source of infrared radiation should be provided. The properties of the tympanic membrane inherently provide such a substantially consistent environment, thus tympanic probes have found widespread acceptance in the medical industry. The axilla may also provide a similarly consistent environment, if the medical practitioner can avoid disrupting the thermal equilibrium of the axilla during placement of the thermometer and if the effects of ambient infrared radiation and emmissivity are accounted for. The temporal region can potentially provide a substantially consistent source of infrared radiation, but such temporal probes likewise require a fair amount of skill on the part of the medical practitioner and proper conditioning of the temporal site. In contrast, the oral and rectal environments do not provide a substantially consistent source of infrared radiation due to difficulty of access and variable surface conditions from subject to subject. In one aspect of the present invention, a probe is provided that is adapted to measure temperature both orally and rectally by providing an indirect source of infrared radiation—radiation from a target of known infrared properties. Such a target may receive thermal energy from the patient by direct conductance or by transmission of infrared radiation through the air. The underlying principle of such a target is illustrated in FIG. 3.
FIG. 3 is a depiction of distal end 300 of one probe for use with the present invention. The probe illustrated in FIG. 3 depicts an infrared target 302 that advantageously provides a substantially consistent source of infrared radiation for the sensor 124 (see FIG. 1) to measure. Distal end 300 is comprised of infrared opaque wall 108 which surrounds and encloses lumen 304. Wall 108 helps protect the sensor 124 from infrared noise that may be present in the environment. Wall 108 may be made of any suitable infrared opaque material. For example, wall 108 may be comprised of a material selected from the group consisting of treated paper, plastic, and a polished metal. The paper is preferably treated so as to make it more rigid, add a moisture barrier, and to control infection. Suitable plastics include polyethylene, polypropylene, and starched based polymers. Suitable metals include aluminum, gold, and gold plated substrates.
Referring again to FIG. 3, distal end 300 terminates in infrared transparent aperture 106. In one embodiment, aperture 106 is a simple hole that permits target 302 to be in direct contact with the outside environment. In another embodiment, shown in FIG. 4A, aperture 106 includes a physical membrane that permits the transmission of thermal radiation to target 302, but prevents contamination of target 302 with debris. Suitable membranes are known in the art. For example, such a membrane may be comprised of polyethylene, polypropylene, starched based polymers, and the like. Reference may be had to U.S. Pat. No. 6,390,671 to Tseng (Probe Cover with Film Insert).
Referring again to FIG. 3, disposed within lumen 304 is infrared target 302. Target 302 is disposed near aperture 106 such that thermal radiation 114 passes through aperture 106 and heats target 302 by conduction. In this manner, target 302 absorbs thermal radiation. Target 302 thereafter emits infrared radiation 306 that passes through lumen 304 and is later detected by sensor 124. Target 302 is ally suitable high emmissivity material. As used in this specification, the term “emmissivity” is given the same meaning as defined and claimed in U.S. Pat. No. 7,037,083 to O'Neil (Radiation Shielding Coating). In one embodiment, the emmissivity of the target 302 is at least about 0.8 In another embodiment, the emmissivity of the target 302 is at least about 0.9. In yet another embodiment, the emmissivity of the target is at least about 0.95. Target 302 may be comprised of any suitable material known in the art. In one embodiment, target 302 consists of a material selected from the group consisting of plastic, cellulose paper, fabric, metal foil, and combinations thereof. Examples of suitable metals include aluminum, brass, copper, gold, and the like. Man-y probes may be constructed in accordance with the aforementioned teachings. Some of these probes are illustrated in FIGS. 4A to 4F.
FIGS. 4A to 4F are depictions of various probes for use with the present invention. Each of these probes find particular utility in particular circumstances.
FIG. 4A is a tympanic probe for use with the present invention. A tympanic probe is any probe configured to be disposed with an ear. Tympanic probes typically have a proximal end 401 and a distal end 403, wherein the diameter of the proximal end 401 is greater than the diameter of the distal end 403. In the embodiment depicted in FIG. 4A, thermal radiation is transmitted to target 302 through the air. Radiation 400 thereafter is emitted by target 302 and travels to sensor 124 (see FIG. 1).
FIG. 4B is a temporal probe for use with the present invention. A temporal probe is any probe configured to obtain a temperature measurement from the temple region of a mammal. Temporal probes may have a variety of configurations, only one of which is illustrated in FIG. 4B. In the embodiment depicted in FIG. 4B, proximal end 401 has a diameter which is less than the diameter of distal end 403. In FIG. 4B target 302 is in direct contact with the region whose temperature is to be measured and thus conducts thermal energy from such region to target 302. Radiation 402 thereafter is emitted by target 302 and travels to sensor 124 (see FIG. 1).
FIG. 4C is a depiction of a probe that is suitable for use as an oral, rectal or axillary probe. An oral probe is any probe configured to obtain a temperature measurement from the mouth, and in particular from the sublingual region of the mouth. Such probes may also be suitable for obtaining both rectal and axillary temperature measurements. In the embodiment depicted in FIG. 4C, aperture 106 is a simple hole. Target 302 protrudes through aperture 106 and is in direct contact with the environment. Thermal radiation from the environment is absorbed by target 302 and is thereafter emitted as radiation 404.
FIG. 4D is a simple probe wherein the proximal end 401 has the same diameter as the distal end 403. In the embodiment depicted in FIG. 4D, target 302 is configured to be in direct contact with the environment and the energy passes through aperture 106 by conductance. Target 302 is disposed within the lumen of the probe. Thermal radiation passes through aperture 106 and is absorbed by target 302. Radiation 406 is thereafter emitted by target 302 and detected by sensor 124 (see FIG. 1).
FIG. 4E is a bottom view of a probe suitable for use as an axillary probe. FIG. 4F is a side view of the probe of FIG. 4E. The probe illustrated in FIG. 4E is a substantially flat or planar surface that is configured to be disposed on the skin of a mammal, such as, for example, in a patient's axilla. Thermal energy is then transferred from the environment to target 302 and is thereafter emitted as radiation 408 that is detected by sensor 124 (see FIG. 1). In one embodiment, waveguide 410 (see FIG. 4F) facilitates the transfer of the infrared radiation along the length of the lumen,
In each of the aforementioned probes, it is preferred that the target 302 have certain properties. For example, is it preferred that target 302 have a relatively high emmissivity. Moreover, it is preferred that such probes be disposable. Disposable probes are advantaged in that they help maintain a sanitary environment. Additionally, it is also preferred that target 302 be adapted to quickly absorb infrared radiation upon exposure to such radiation. One factor that influences the rate of heating of target 302 is the mass of target 302. It is preferred that target 302 be of relatively low mass. In one embodiment, target 302 has a mass less than about 1.00 milligrams. In another embodiment, target 302 has a mass less than about 5.0 milligrams. In yet another embodiment, target 302 has a mass less than about 10.0 milligrams. In one embodiment, the high emmissivity target 302 is disposed within a supporting material to help reduce the mass of such target. Reference may be had to FIGS. 5A and 5B.
FIGS. 5A and 5B are depictions of an infrared target configuration for use with the present invention. As shown in FIG. 5A, the target 302 is disposed within supporting material 500. The surface of supporting material 500 is configured to be disposed on a patient's body, for example on the patient's arm, for a prolonged period of time. The surface of supporting material 500 is shown in more detail in FIG. 5B.
FIG. 5B is an end view of one target 302 for use with the present invention. In the embodiment depicted, target 302 is disposed within supporting material 500 such that the area of supporting material 500 is greater than the area of target 302. Supporting material 500 may be any suitable material known in the art. For example, supporting material 500 may be polyethylene, polypropylene, starched based polymers, aluminum, gold plating, and the like. A configuration such as that shown in FIG. 5 is particularly well suited for use with probes that have a large surface area, such as those illustrated in FIG. 4B and FIG. 4E. With such a configuration, a low mass target 302 can be used in those situations where a large surface area is to be covered by the probe. The target can be configured such that it insulates a section of covered skin from the effects of ambient conditions while providing a target measurement area of known emmissivity that can be measured using an infrared thermometer. A further configuration may include an infrared transparent window fixed a given distance above the target (not shown). This window would provide further isolation of the target from ambient effects while allowing the target to be read by an infrared thermometer.
FIG. 6A and FIG. 61 show two infrared thermometers configured to be disposed on a patient for a prolonged period of time. For example, and with reference to FIG. 6A, probe 602 is configured to be adhesively attached to a patient's arm for a period of at least an hour. Infrared radiation from the patient is transferred to target 302. Such transmission may be direct conductance or by indirection transfer of infrared radiation through the air. In one embodiment, probe 602 is disposable. Infrared thermometer 608 is removably connected to probe 602 and receives emitted infrared radiation from target 302. Probe 602 may remain attached to the patient and provide continual monitoring of the patient's current temperature, simply by glancing at display 606. The configuration of probe 602 is detected by infrared thermometer 608 using the keying features previously discussed.
FIG. 6B shows an alternative assembly that uses infrared thermometer 608. Thermometer 608 is connected to probe 610 and such a probe is detected using the keying features previously discussed. In the embodiment depicted in FIG. 61B, probe 610 is a tympanic probe configured to be inserted into the ear of a patient. Probe 610 is further comprised of attachment mechanism 600 which, in the embodiment depicted, is generally in the shape of an ear. Such a configuration helps hold probe 610 in position when it is disposed in a patient's ear. Infrared thermometer 608 is removably attached to probe 610. The temperature is displayed on display 608.
FIG. 7 is a flow diagram of process 700 for use with the present invention. Process 700 is initiated by the execution of step 702 wherein a probe is connected to an infrared thermometer, thus producing an infrared thermometer assembly. This connection takes place such that a key or keying feature on the probe mates with a switch on the thermometer. In step 704, the thermometer uses this keying feature to detect the identity of the probe. For example, the thermometer might detect that the currently attached probe is a #25 tympanic probe. In step 706 the thermometer queries a data storage device located in the thermometer for a program that corresponds to the currently identified probe. This program allows the thermometer to properly interpret emitted radiation from the probe (see step 714). In step 708 the user of the thermometer places the probe at the correct bodily site. For example, of the probe is a tympanic probe, then the user places the probe in the ear canal of the patient. In step 710 the infrared target, located within the probe, is exposed to the patient and allowed to come to thermal equilibrium with the bodily site it is exposed to. This target thereafter emits radiation that is proportional to the temperature of the bodily site to which it was previously exposed. In step 712 of process 700, an infrared sensor, disposed in the thermometer, measures the emitted radiation from the target. In step 714 the signal thus measured is processed by the thermometer in accordance with the program that was loaded in step 706. In this manner, the temperature of the aforementioned bodily site is calculated. This temperature is this displayed in step 716 to a user of the assembly.
In one embodiment, a kit is provided which comprises an infrared thermometer and at least two probes for use with the thermometer. The probes are each equipped with keying features that mate with one or more switches on the thermometer and permit the thermometer to properly identify which of the probes is currently attached. The probes are selected from the group consisting of a tympanic probe, an oral probe, a rectal probe, an axillary probe, and a temporal probe, provided that the two probes are selected from different groups. For example, the kit may comprise one tympanic probe and one oral probe. In another embodiment, at least three probes are provided which are selected from different groups. Any suitable number of probes may be so provided. In yet another embodiment, two probes or more probes are provided which are members of the same group, but which are structurally different. For example, the kit may comprise one adult tympanic probe and one neonate tympanic probe.
While the invention has been described with reference to preferred embodiments, it will be understood by those skilled in the art that various changes may be made and equivalents may be substituted for elements thereof to adapt to particular situations without departing from the scope of the invention. Therefore, it is intended that the invention not be limited to the particular embodiments disclosed as the best mode contemplated for carrying out this invention, but that the invention will include all embodiments falling within the scope and spirit of the appended claims.

## Claims

1. An infrared thermometer kit comprising
a. an infrared thermometer comprised of
i. an infrared sensor for sensing infrared radiation from an infrared target disposed within a probe;
ii. a processor for processing a signal from said infrared sensor based upon a current program and determining a temperature of a mammal;
iii. a display for displaying said temperature;
iv. a data storage device for storing a multiplicity of programs for determining said temperature of said mammal based upon said signal from said infrared sensor; and
v. a switch for loading said current program from said multiplicity of programs;

b. a first probe configured to be removably connected to said infrared thermometer, wherein
i. said first probe is comprised of a first key for activating said switch, thus loading a first program from said multiplicity of programs;
ii. said first probe is comprised of a first infrared target that absorbs thermal radiation, said first infrared target being used for receiving thermal radiation from said mammal, wherein said first program contains parameters specific to said first infrared target, and wherein said first infrared target has an emissivity of greater than about 0.8; and
iii. said first probe is selected from the group consisting of a tympanic probe, an oral probe, a rectal probe, an axillary probe, and a temporal probe;

c. a second probe configured to be removably connected to said infrared thermometer, wherein,
i. said second probe is comprised of a second key for activating said switch, thus loading a second program from said multiplicity of programs;
ii. said second probe is comprised of a second infrared target that absorbs thermal radiation, said second infrared target being used for receiving thermal radiation from said mammal, wherein said second program contains parameters specific to said second infrared target, and wherein said second infrared target has an emissivity of greater than about 0.8;
iii. said second probe is selected from the group consisting of a tympanic probe, an oral probe, a rectal probe, an axillary probe, and a temporal probe; and

d. said first and second probe are selected from different groups.

2. The infrared thermometer kit as recited in claim 1, wherein said mammal is a human being.

3. The infrared thermometer kit as recited in claim 1, wherein said first infrared target and said second infrared target each have a mass of less than about 10 milligrams.

4. The infrared thermometer kit as recited in claim 1, wherein said first infrared target and said second infrared target each have an emissivity of greater than about 0.9.

5. The infrared thermometer kit as recited in claim 1, wherein said first infrared target and said second infrared target are comprised of a material selected from the group consisting of plastic, cellulose paper, fabric, metal, and combinations thereof.

6. The infrared thermometer kit as recited in claim 1, further comprising a third probe selected from the group consisting of a tympanic probe, an oral probe, a rectal probe, an axillary probe, and a temporal probe, wherein said first probe, said second probe, and said third probe are each selected from different groups.

7. The infrared thermometer kit as recited in claim 6, wherein
a. said third probe is comprised of a third key for activating said switch, thus loading a third program from said multiplicity of programs; and
b. said third probe is comprised of a third infrared target that absorbs thermal radiation, wherein said third program contains parameters specific to said third infrared target, and wherein said third infrared target has an emissivity of greater than about 0.8.