# US 12,112,566 B2 · System and method for using a video monitoring system to prevent and manage decubitus ulcers in patients

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- Number: US 12,112,566 B2
- Document ID: US12112566B2
- Status: Granted
- Kind: B2
- Application number: 16/454,248
- Filed: 2019-06-27
- Published: 2024-04-11
- Granted: 2024-10-08
- Earliest claimed: 2010-07-29
- Assignees: CareView Communications, Inc.
- Applicants: CareView Communications, Inc.
- Inventors: Steven Gail Johnson; Matthew Cameron Clark; Stephen Ecker; Kyle Brook Johnson; Richard Craig Kuether
- Web page: https://patentgrep.com/patent/US12112566B2

## CPC

- G06V 40/103: {Static body considered as a whole, e.g. static pedestrian or occupant recognition}
- G06T 7/73: using feature-based methods
- G06V 20/40: in video content (extracting overlay text G06V20/62; video retrieval G06F16/70; processing of video elementary streams in video servers H04N21/234; processing of video elementary streams in video clients H04N21/44)
- G06V 20/52: Surveillance or monitoring of activities, e.g. for recognising suspicious objects (recognising microscopic objects G06V20/69)
- H04N 7/18: Closed-circuit television [CCTV] systems, i.e. systems in which the video signal is not broadcast
- G06T 2207/10016: Video; Image sequence
- G06T 2207/10024: Color image
- G06T 2207/30196: Human being; Person
- G06T 2207/30201: Face
- G06T 2207/30232: Surveillance
- G06V 20/44: {Event detection}
- G06V: IMAGE OR VIDEO RECOGNITION OR UNDERSTANDING
- G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- H04N: PICTORIAL COMMUNICATION, e.g. TELEVISION

## Abstract

A video monitoring system captures image frames of a patient in various positions. The captured image frames are analyzed by the system for changes in a patient's position or movement, frames in which the system detects one or both of patient movement and repositioning are retained. The system analyzes an area of interest within each image frame that corresponds to an area in the camera's view field with the patient. Sequential image frames are compared for motion, only frames without motion, where the patient is still, are analyzed.

## Claims

### Claim 1

A method for using a video monitoring system, the method comprising:
receiving patient repositioning schedule at the video monitoring system, the patient repositioning schedule comprising a plurality of patient positions;
receiving a plurality of image frames from a surveillance camera at the video monitoring system, each of the plurality of image frames containing a patient on a support structure;
overlaying one or more pixel lines on the plurality of image frames at a plurality of vertical positions based on a position of the patient, the one or more pixel lines described as pixels at given horizontal positions within the plurality of vertical positions of the plurality of image frames;
determining median horizontal positions of the one or more pixel lines based on pixels having above average luminance;
detecting a patient repositioning event with the video monitoring system based on at least one image frame of the plurality of image frames;
determining whether the patient repositioning event is in compliance with the patient repositioning schedule with the video monitoring system by determining which of the plurality of patient positions the patient exhibits based on the median horizontal positions of the one or more pixel lines; and
issuing an alert with the video monitoring system based on the patient repositioning event not being in compliance with the patient repositioning schedule.

### Claim 2 (depends on 1)

The method of claim 1, wherein detecting the patient repositioning event comprises detecting a transition from a first patient position of the plurality of patient positions to a second patient position of the plurality of patient positions.

### Claim 3 (depends on 1)

The method of claim 1, further comprising time stamping and storing at least some of the plurality of image frames in memory, wherein the patient is shown in each of the plurality of patient positions in the at least some of the plurality of image frames.

### Claim 4 (depends on 1)

The method of claim 1, further comprising monitoring the time in which the patient remains in a first patient position and detecting the patient repositioning event are each performed by comparing at least one attribute of different image frames of the plurality of image frames between the different image frames.

### Claim 5 (depends on 1)

The method of claim 1, wherein each of the plurality of patient positions on the support surface is either of a recumbent position or a seated position.

### Claim 6 (depends on 1)

The method of claim 1, wherein the plurality of patient positions comprise a left side position, a right side position, and a back side position.

### Claim 7 (depends on 1)

The method of claim 1, wherein the patient repositioning schedule is one or more of entered, updated, or verified at the video monitoring system by a user.

### Claim 8 (depends on 1)

The method of claim 1 further comprising resolving the alert by detecting a self-repositioning event of the patient that is in compliance with the patient repositioning schedule.

### Claim 9 (depends on 1)

The method of claim 1 wherein monitoring the position of the patient on the support surface further comprises: detecting a location of a face of the patient relative to a rest of the patient's body; determining a position of the face relative to a remainder of a head of the patient; and determining the position of the patient by based on a position and/or orientation of features of the face.

### Claim 10 (depends on 1)

The method of claim 1 wherein monitoring the position of the patient on the support surface further comprises:
detecting position and orientation of the patient's shoulders; and
determining the position of the patient based on the position and orientation of the patient's shoulders.

### Claim 11 (depends on 1)

The method of claim 1 wherein monitoring the position of the patient on the support surface further comprises identifying parts of the patient's body based on the median horizontal positions of the one or more pixel lines.

### Claim 12

A system for video monitoring, the system comprising:
a video camera configured to generate a plurality of image frames of a patient on a support structure;
an interface; and
a data processing system having a processor connected with memory and configured to:
receive a patient repositioning schedule, the patient repositioning schedule comprising a plurality of patient positions;
receive the plurality of image frames from the video camera;
overlay one or more pixel lines on the plurality of image frames at a plurality of vertical positions based on a position of the patient, the one or more pixel lines described as pixels at given horizontal positions within the plurality of vertical positions of the plurality of image frames;
determine median horizontal positions of the one or more pixel lines based on pixels having above average luminance;
detect a patient repositioning event based on at least one image frame of the plurality of image frames;
determine whether the patient repositioning event is in compliance with the patient repositioning schedule by determining which of the plurality of patient positions the patient exhibits based on the median horizontal positions of the one or more pixel lines; and
issue an alert based on the patient repositioning event not being in compliance with the patient repositioning schedule.

### Claim 13 (depends on 12)

The system of claim 12, wherein the data processing system data is configured to detect the patient repositioning event by detecting a transition from a first patient position of the plurality of patient positions to a second patient position of the plurality of patient positions.

### Claim 14 (depends on 12)

The system of claim 12, wherein the data processing system data is configured to time stamp and store at least some of the plurality of image frames in the memory, wherein the patient is shown in each of the plurality of patient positions in the at least some of the plurality of image frames.

### Claim 15 (depends on 12)

The system of claim 12, wherein the data processing system data is configured to monitor the time in which the patient remains in a first patient position and detect the patient repositioning event by comparing at least one attribute of different image frames of the plurality of image frames between the different image frames.

### Claim 16 (depends on 12)

The system of claim 12, wherein the plurality of patient positions comprise a left side position, a right side position, and a back side position.

### Claim 17 (depends on 12)

The system of claim 12, wherein the data processing system data is configured to resolve the alert by detecting a self-repositioning event of the patient that is in compliance with the patient repositioning schedule.

### Claim 18 (depends on 12)

The system of claim 12, wherein the data processing system data is configured to:
detect a location of a face of the patient relative to a rest of the patient's body;
determine a position of the face relative to a remainder of a head of the patient; and
determine the position of the patient by based on a position and/or orientation of features of the face.

### Claim 19 (depends on 12)

The system of claim 12, wherein the data processing system data is configured to
detect position and orientation of the patient's shoulders; and
determine the position of the patient based on the position and orientation of the patient's shoulders.

### Claim 20 (depends on 12)

The system of claim 12, wherein the data processing system data is configured to identify parts of the patient's body based on the median horizontal positions of the one or more pixel lines.