Abstract:
An integrated and movable video and/or still camera is integrated into a warming therapy device to allow caregivers to point the camera in an area of interest in which they are interested in recording or displaying the patient located on a support surface. The system may include an audio recording device.

Description:
CROSS-REFERENCE TO RELATED APPLICATIONS 
       [0001]    This application claims the benefit of U.S. Provisional applications 61/789,202 filed Mar. 15, 2013 and 61/835,525 filed Jun. 14, 2013. 
     
    
     BACKGROUND 
       [0002]    This disclosure relates to the field of various infant warming devices that are used to provide heat support to premature infants who cannot sustain their own body temperature. In the treatment of infants, and particularly those born prematurely, it is necessary to provide heat to the infant during the care and treatment of the infant and to minimize heat loss from the infant&#39;s body. An apparatus for providing such heat will be referred to in this disclosure as an infant warming device. In general such an apparatus comprises a flat planar surface on which the infant rests while various procedures are carried out. There are normally protective guards that surround the infant and some type of overhead heater directing radiant energy toward the infant. It should be understood that these infant warming devices might have other descriptive names, such as, for example, an infant care device, or an infant care center, patient care center, an infant incubator, or a combination device, and this disclosure anticipates any of those other names. This disclosure will use the term infant warming device. 
         [0003]    Above and beyond these basic functions of an infant warming device there are many other functions that can be useful for infant care. This disclosure will describe one of those. 
         [0004]    Infant Warming devices currently only have integrated fixed lens cameras. The use of a fixed lens limits where the center of interest is on the video and the display. In infant care there are frequently situations in which caregivers are extremely interested in viewing a localized area on the infant bed or mattress. The use of a moveable integrated camera would allow the clinician to select the region of interest for viewing and playback and to control the focus. 
         [0005]    There is a need then for a system that enables the caregiver to move and focus the camera. 
         [0006]    There are many reasons it would be valuable to have a video camera and the ability to display, record and playback the image videoed. It would be a great teaching and learning tool for caregivers in how to perform procedures on patients. Reviewing real experiences of a code or infant resuscitation could benefit care quality with staff learning from their own or others good and bad performance. 
         [0007]    The recorded record could be used to defend the actions of caregivers in litigation cases. It could be used to record messages for playback to communicate between staff or staff and parents. It could be used to allow distant parents or other patient relatives to view the patient infant from a long distance through the Internet. It could be used to record infant motion over a long time and then play back at high speed looking for seizure episodes. It would even be possible to add the ability to have the machine scan the recording looking for motion that is indicative of seizure episodes based upon appropriate algorithms. It would allow remote viewing of the patient by remote caregivers who could prompt caregivers attending the patient in real time. It could allow caregivers to view the patient during crowded rounds by displaying the video feed remotely or on the infant care device display. 
       BRIEF SUMMARY 
       [0008]    This need can be met by incorporating into the warming therapy device an integrated video and/or still camera and audio recording device that is moveable within the infant warming device to enable the clinician to point the camera to the area of interest in which they are interested in recording or displaying on the patient located on support surface. Although this could alternately be accomplished by creating on on-screen display of areas of interest on the patient or patient support surface and then manipulate the image digitally to show the region of interest however this would occur with a loss of resolution that is not experienced in the moveable camera. The described moveable integrated camera could also stream the video out of the infant warming device and be displayed and viewed remotely by a clinician who requests different angles of the patient or a close up view. 
         [0009]    This need can be met by an infant warming device including a patient bed, supporting sidewalls, and associated warming mechanisms, including at least: a vertical column structure mounted on the infant warming device and supporting a radiant heater head; and a movable camera and audio recording device mounted either in or below the radiant heater head. 
     
    
     
       DESCRIPTION OF DRAWINGS 
         [0010]    There are disclosed in the drawings and detailed description to follow various embodiments of the solution proposed herein. It should be understood, however, that the specific embodiments given in the drawings and entailed description do not limit the disclosure. On the contrary, they provide the foundation for discerning the alternative forms, equivalents, and modifications that will be encompassed in the scope of the eventual claims. 
           [0011]      FIG. 1  is a view of an infant warming center that can include the inventive concept described in this disclosure. 
           [0012]      FIG. 2  is an alternate view of an infant warming center that can include the inventive concept described in this disclosure. 
           [0013]      FIG. 3  is an alternate view of an infant warming center that can include the inventive concept described in this disclosure. 
           [0014]      FIG. 4  is a view illustrating the location of the movable video or still camera. 
           [0015]      FIG. 5  is a more detailed view illustrating the location of the movable video or still camera above the integrated touch screen. 
           [0016]      FIG. 6  is an illustration of a video display of an infant patient in an infant warming center. 
       
    
    
     DETAILED DESCRIPTION 
       [0017]    Referring now to  FIGS. 1 ,  2 , and  3 , several views of an infant warming center that can include the inventive concept to be described in this disclosure. The center includes an infant bed  80  that underlies an infant positioned thereon. The infant bed has a surrounding sidewall  70  and rides upon a patient support mechanism  140 . The patient bed and surrounding sidewalls may enclose a heated mattress. A vertical column structure mounted on the infant warming center supports a radiant heater head  10 , containing a radiant heater  170  ( FIG. 3 ), with that radiant heater. The radiant heater assembly is designed to optimize the heat focused on the infant. The vertical column structure may have a user interface/display  30  which can act as a display for the images recorded by the camera. The column may include a resuscitation module  50 . The infant warming device&#39;s main computer controller may reside in the vertical column structure or may reside in the patient support mechanism. Handles  60 ,  90 , are used to move the infant warming device around as it can be moved on flat surfaces via legs  110  with attached wheels and controlled with footswitches  130 . On the rear side of the column is a location for carrying a remote gas supply tank  100 . Under the patient support mechanism  140  is a cantilever cover  160  and turret cover  180  for shrouding the rotation mechanisms, with a cantilever arm  190  that supports the patient support, vertical column, and supports a storage enclosure  150 . 
         [0018]    One implementation of the proposal is shown in  FIG. 4 . A movable camera can be located in the heater head or the top of the vertical column. The system would also include an audio recording device for recording any sounds or messages along with the video content. The camera may be aimed at the bed or out toward the front of the infant warming device at the caregiver. The aim would be selected by the operator to either give a view of the patient or the caregiver. One reason for focusing on the caregiver is to video recorded message to communicate at a later time with the parents or for a live communication with the parents who might be at a different location. The movable camera could be a still camera, a video camera, or a composite video still camera. The described moveable integrated camera could also stream the video out of the device and be displayed and viewed remotely by a clinician who requests different angles of the patient or a close up view. 
         [0019]    In one embodiment of this system the combined movable camera and audio recording system would be displayed as a real time video of the patient on the on-device display  30 . 
         [0020]    In another embodiment of the system the combined movable camera and audio recording system would allow on-device display of pre-recorded audio and video. 
         [0021]    In another embodiment of the system he combined movable camera and audio recording system would allow on device display of pre-recorded audio and video messages. 
         [0022]      FIG. 5  is a more detailed view illustrating the location of the movable video and/or still camera above the integrated touch screen. 
         [0023]    As envisioned the infant warming device would have storage and playback capability built in and have the ability to transmit the image stream from the movable camera through a cable or wireless feed to a hospital information system. The device could also continuously display the image on the infant warming device screen as illustrated in  FIG. 6 ; which allows the visualization of the infant from across the room where the care giver might be attending another patient. The live image might also be displayed at a central nursing station or to various locations within the hospital. 
         [0024]    As mentioned, the proposal includes output for hardwire and wireless connection to a hospital information system. It also includes connection through USB or similar connection for downloading onto storage media such as memory stick or DVD. 
         [0025]    Having the video camera built into the infant warming device provides a number of advantages over other systems where the camera is independent. The camera can be located in an ideal location that always has an unobstructed view of the patient. The camera aim never needs to be adjusted if the bed is moved as is the case with a camera mounted to a wall or ceiling 
         [0026]    The camera can be controlled directly at the patient bed so it can be turned on even after a caregiver is already involved with the infant during a procedure or CODE situation and might not be able to leave the bedside. There are no wires or cords needed to connect the camera to a recording or viewing system. The camera can be optimized since the distance between the camera and the patient is fixed. 
         [0027]    There are many reasons it would be valuable to have a video camera and the ability to display, record and playback the image videoed, and to record audio messages as well. It would be a great teaching and learning tool for caregivers in how to perform procedures on patients. Reviewing real experiences of a code or infant resuscitation could benefit care quality with staff learning from their own or others good and bad performance. The recorded record could be used to defend the actions of caregivers in litigation cases. It could be used to record audio messages for playback to communicate between staff or staff and parents. It could be used to allow distant parents or other patient relatives to view the patient infant from a long distance through the Internet. It could be used to record infant motion over a long time and then play back at high speed looking for seizure episodes. It would even be possible to add the ability to have the machine scan the recording looking for motion that is indicative of seizure episodes based upon appropriate algorithms. It would allow remote viewing of the patient by remote caregivers who could prompt caregivers attending the patient in real time. It could allow caregivers to view the patient during crowded rounds by displaying the video feed remotely or on the infant warming device display. 
         [0028]    Although certain embodiments and their advantages have been described herein in detail, it should be understood that various changes, substitutions and alterations could be made without departing from the coverage as defined by the appended claims. Moreover, the potential applications of the disclosed techniques is not intended to be limited to the particular embodiments of the processes, machines, manufactures, means, methods and steps described herein. As a person of ordinary skill in the art will readily appreciate from this disclosure, other processes, machines, manufactures, means, methods, or steps, presently existing or later to be developed that perform substantially the same function or achieve substantially the same result as the corresponding embodiments described herein may be utilized. Accordingly, the appended claims are intended to include within their scope such processes, machines, manufactures, means, methods or steps.