Acute care treatment systems dashboard

• US 10,485,490 B2
• Filed: 11/11/2011
• Issued: 11/26/2019
• Est. Priority Date: 11/11/2010
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Freeman, Gary A., Johnson, Guy Robert
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Pahakis, Manolis
• Application Number:
  US13/294,947
• Publication Number:
  US 20120123223A1
• Time in Patent Office: 2,937 Days
• Field of Search: 600300-301, 705 2- 4
• CPC Class Codes: A61B 2505/01 Emergency care
• CPC Class Codes: A61B 2560/0456 Apparatus provided with a docking unit
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/4824 Touch or pain perception evaluation A61B5/4821 takes precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: A61N 1/3904 External heart defibrillators [EHD]
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3993 User interfaces for automatic external defibrillators
• CPC Class Codes: G06F 1/1632 External expansion units, e.g. docking stations
• CPC Class Codes: G06F 2203/04806 Zoom, i.e. interaction techniques or interactors for controlling the zooming operation
• CPC Class Codes: G06F 3/017 : Gesture based interaction, e.g. based on a set of recognized hand gestures interaction based on gestures traced on a digitiser G06F3/04883
• CPC Class Codes: G06F 3/04883 : for inputting data by handwriting, e.g. gesture or text
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/20 : for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A medical system according to embodiments of the present invention includes at least one sensor configured to monitor physiological status of a patient and to generate sensor data based on the physiological status, a user interface device, a processor communicably coupled to the user interface device, the processor configured to: present via the user interface device an array of two or more possible input elements, the input elements each comprising a class of patients or a diagnosis and treatment pathway; receive a selected input element based on a user selection among the two or more possible input elements; acquire the sensor data and process the sensor data to generate physiological data; and present via the user interface screen the physiological data according to a template that is customized for the selected input element.

Claims

1. A medical system for determining by a medical responder a diagnosis and treatment pathway in a pre-hospital or acute treatment setting, comprising:

at least one sensor configured to monitor physiological status of a patient and to generate sensor data based on the physiological status;

a user interface device;

a processor communicably coupled to the user interface device and the at least one sensor, the processor configured to;

cause the user interface device to present a first screen, the first screen displaying a first array of two or more input elements, the input elements each corresponding to a class of patients or the diagnosis and treatment pathway;

receive, from the medical responder, a selected input element based on a user selection among the first array of two or more input elements;

acquire the sensor data and process the sensor data to generate physiological data, the first screen also graphically displaying the physiological data;

cause the user interface device to modify the first screen to display a second screen upon the user selection among the first array of the two or more input elements,

the second screen displaying a second array of two or more input elements that are diagnosis or treatment pathway input elements for the diagnosis or treatment pathway for the selected input element,

the second screen also graphically displaying the physiological data in a manner that is both (a) different from that in which the first screen graphically displays the physiological data, and also (b) according to a customized template of the diagnosis or treatment pathway for the selected input element,

the second screen graphically displaying the physiological data in one or more of a size, scale, type, and position that differs from that in which the first screen graphically displays the physiological data;

wherein the processor is further configured to provide a differential diagnosis of the patient.

2. The medical system of claim 1, wherein at least one of the first and second screens graphically display the physiological data as a waveform.

3. The medical system of claim 1, wherein the selected input element is selected based on activation of one or more switches, wherein the user interface device comprises a user interface screen configured to display at least the first screen and the second screen, and the user interface screen is a heads up display.

4. The medical system of claim 1, wherein the user interface device is a touch-activated screen, and wherein the selected input element is selected based on touching the touch-activated screen.

5. The medical system of claim 1, wherein the at least one sensor comprises at least one or a combination of an ECG sensor, a Sp02 sensor, a NIR tissue perfusion sensor, a NIR pH sensor, an ultrasound sensor, a ventilation flow rate sensor, an EtC02 sensor, an invasive blood pressure sensor, a non-invasive blood pressure sensor, a blood glucose monitor, and an airway oxygen sensor.

6. The medical system of claim 4, wherein the processor is further configured to receive a caliper gesture signal generated by the touching of two points on the touch-activated screen at the same time with the same hand, and to overlay measurement data onto the physiological data upon receipt of the caliper gesture signal.

7. The medical system of claim 1, wherein the user interface device comprises a visual input device, and wherein the processor is further configured to recognize gestures received via the visual input device as indicating the selected input element.

8. The medical system of claim 1, wherein the user interface device comprises a user interface screen, and the user interface screen is integrated with a hands-free device, and wherein the first array or second array or both of two or more input elements comprises at least one or a combination of the following pathways:

a respiratory distress or dyspnea diagnosis and treatment pathway;

an altered mental status diagnosis and treatment pathway;

a cardiac distress diagnosis and treatment pathway;

a trauma diagnosis and treatment pathway; and

a pain or abnormal nerve sensation diagnosis and treatment pathway.

9. The medical system of claim 1, wherein the user interface device comprises a user interface screen, and the user interface screen is integrated with a wearable device, and wherein the first array or second array or both of two or more input elements comprises at least one or a combination of the following pathways:

a respiratory distress or dyspnea diagnosis and treatment pathway;

an altered mental status diagnosis and treatment pathway;

a cardiac distress diagnosis and treatment pathway;

a trauma diagnosis and treatment pathway; and

a pain or abnormal nerve sensation diagnosis and treatment pathway.

10. The medical system of claim 1, further comprising a mobile computing device.

11. The medical system of claim 10, wherein the processor is part of the mobile computing device.

12. The medical system of claim 10, wherein the mobile computing device is a tablet computer, a smart phone, a tablet/touch monitor, or USB touch monitor.

13. The medical system of claim 10, wherein the user interface device is part of the mobile computing device.

14. The medical system of claim 1, further comprising a defibrillator.

15. The medical system of claim 14, wherein the user interface device is part of the defibrillator.

16. The medical system of claim 10, wherein the mobile computing device comprises a protective housing, wherein the protective housing comprises a first mounting feature, the medical system further comprising a second mounting feature configured to interfit with the first mounting feature.

17. The medical system of claim 1, wherein the first or second array of two or more input elements comprises a respiratory distress or dyspnea diagnosis and treatment pathway.

18. The medical system of claim 17, wherein the at least one sensor is configured to monitor heart sounds of the patient.

19. The medical system of claim 17, wherein the at least one sensor is configured to monitor breathing sounds of the patient.

20. The medical system of claim 19, wherein the processor is further configured to differentiate between wheezing, crackles, rale, and stridor breathing sounds.

21. The medical system of claim 1, wherein the at least one sensor is a near infrared based sensor.

22. The medical system of claim 1, wherein the at least one sensor is configured to measure pH of either tissue or blood of the patient.

23. The medical system of claim 1, wherein the at least one sensor is an ECG sensor, and wherein the physiological data reflects heart rate variability.

24. The medical system of claim 1, wherein the at least one sensor is a blood glucose sensor, and wherein the physiological data reflects current glucose level.

25. The medical system of claim 1, wherein the user interface device is a heads up display.

26. The medical system of claim 1, wherein the user interface device includes a display projected onto a user'"'"'s glasses or face shield.

27. The medical system of claim 1, wherein the user interface device comprises a user interface screen, and wherein either the first array or the second array of two or more input elements comprises at least one or a combination of the following pathways:

a respiratory distress or dyspnea diagnosis and treatment pathway;

an altered mental status diagnosis and treatment pathway;

a cardiac distress diagnosis and treatment pathway;

a trauma diagnosis and treatment pathway; and

a pain or abnormal nerve sensation diagnosis and treatment pathway.

28. The medical system of claim 1, wherein the first array of two or more input elements comprises an acute care diagnosis or treatment pathway, wherein the selected input element corresponds to the acute care diagnosis or treatment pathway, and wherein the second array of two or more input elements comprises at least one or a combination of the following pathways:

a respiratory distress or dyspnea diagnosis and treatment pathway;

an altered mental status diagnosis and treatment pathway;

a cardiac distress diagnosis and treatment pathway;

a trauma diagnosis and treatment pathway; and

a pain or abnormal nerve sensation diagnosis and treatment pathway.

29. The medical system of claim 28, wherein the second array of two or more input elements comprises at least two of the following pathways:

a respiratory distress or dyspnea diagnosis and treatment pathway;

an altered mental status diagnosis and treatment pathway;

a cardiac distress diagnosis and treatment pathway;

a trauma diagnosis and treatment pathway; and

a pain or abnormal nerve sensation diagnosis and treatment pathway.

30. The medical system of claim 29, wherein the second array of two or more input elements comprises at least three of the following pathways:

a respiratory distress or dyspnea diagnosis and treatment pathway;

an altered mental status diagnosis and treatment pathway;

a cardiac distress diagnosis and treatment pathway;

a trauma diagnosis and treatment pathway; and

a pain or abnormal nerve sensation diagnosis and treatment pathway.

31. The medical system of claim 1,

wherein the processor is further configured to present on the user interface device the physiological data according to a first graphical display, and

wherein the processor is further configured to customize the presentation on the user interface of the physiological data based at least on the diagnosis or treatment pathway for the selected input element by presenting on the user interface device the physiological data according to a second graphical display that is different from the first graphical display in a manner that is based at least on the diagnosis or treatment pathway for the selected input element.

32. The medical system of claim 1, wherein the one or more of a size, scale, type and position is a position, and wherein a first position of the graphical display of the physiological data is at one of the top or the bottom of the first screen, and wherein a second position of the graphical display of the physiological data is at the other of the top or bottom of the second screen.

33. The medical system of claim 1, wherein the one or more of a size, scale, type and position is a type, and wherein a first type of the graphical display of the physiological data is an ECG waveform in the first screen, and wherein a second type of the graphical display of the physiological data is a carbon dioxide plot in the second screen.

34. The medical system of claim 2, the second screen graphically displaying the waveform in one or more of a size, scale, type, and position that differs from that in which the first screen graphically displays the physiological data.

35. The medical system of claim 34, wherein the one or more of a size, scale, type and position is a position, and wherein a first position of the graphical display of the physiological data is at one of the top or the bottom of the first screen, and wherein a second position of the graphical display of the physiological data is at the other of the top or bottom of the second screen.

36. The medical system of claim 1, wherein the processor is further configured to provide an automated differential diagnosis of the patient.