Ventilator-Initiated Prompt In Response To Proposed Setting Adjustment

• US 20120096381A1
• Filed: 10/13/2010
• Published: 04/19/2012
• Est. Priority Date: 10/13/2010
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Milne, Gary, Hensley, Kirk, Doyle, Peter R., Kimm, Gardner
• Application Number:
  US12/903,358
• Publication Number:
  US 20120096381A1
• Time in Patent Office: Days
• US Class Current: 715/771
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0063 Compressors
• CPC Class Codes: A61M 16/026 specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/60 for the operation of medical equipment or devices
• CPC Class Codes: G16H 40/63 for local operation

Abstract

This disclosure describes systems and methods for issuing a prompt in response to one or more proposed settings adjustments. Specifically, the prompt may include a projected impact of the one or more proposed settings adjustments on patient condition and/or patient treatment. The prompt may further provide an impact level and/or an alert associated with the projected impact. According to embodiments, one or more recommendations for alternative settings adjustments may be provided on the prompt or on an extension of the prompt. According to embodiments, a clinician may scroll through a plurality of potential settings adjustments until a desired impact level is displayed on the prompt (e.g., a positive impact level). According to still other embodiments, a plurality of proposed settings adjustments may be received. In this case, the projected impact displayed on the prompt may represent a combined projected impact of the plurality of proposed settings adjustments received.

Claims

1. A ventilator-implemented method for issuing a prompt in response to a proposed setting adjustment during ventilation of a patient, the method comprising:

receiving the proposed setting adjustment;

retrieving a patient diagnosis, at least some collected ventilatory data, and one or more current ventilatory settings; and

determining and displaying a projected impact of the proposed setting adjustment based on the one or more current ventilatory settings, the patient diagnosis, and the at least some collected ventilatory data.

2. The method of claim 1, further comprising:

determining and displaying an impact level of the projected impact, wherein the impact level comprises one of a positive impact level, a negative impact level, and an intermediate impact level based on the patient diagnosis and the at least some collected ventilatory data.

3. The method of claim 1, further comprising:

identifying a target ventilation change; and

determining and displaying one or more alternative settings adjustments to achieve the target ventilation change based on the patient diagnosis, the at least some collected ventilatory data, and the one or more current ventilatory settings.

4. The method of claim 1, further comprising:

receiving a plurality of proposed settings adjustments; and

determining and displaying a combined projected impact of the plurality of proposed settings adjustments.

5. The method of claim 4, wherein an indication is received upon receipt of the last of the plurality of proposed settings adjustments, and wherein the combined projected impact is determined after receiving the indication.

6. The method of claim 1, further comprising:

identifying a target ventilation change;

determining one or more alternative settings adjustments to achieve the target ventilation change based on the patient diagnosis and the at least some collected ventilatory data; and

displaying an icon for accessing the one or more alternative settings adjustments, wherein upon activating the icon the one or more alternative settings adjustments are displayed.

7. A ventilatory system for issuing a prompt in response to a proposed ventilatory setting adjustment during ventilation of a patient, comprising:

at least one processor; and

at least one memory, communicatively coupled to the at least one processor and containing instructions that, when executed by the at least one processor, perform a method comprising;

receiving a proposed setting adjustment;

retrieving at least some collected ventilatory data and one or more current ventilatory settings;

determining a projected impact of the proposed setting adjustment based on the one or more current ventilatory settings and the at least some collected ventilatory data;

determining one or more alternative settings adjustments, comprising;

identifying a target ventilation change; and

determining one or more alternative settings adjustments for achieving the target ventilation change based on the one or more current ventilatory settings and the at least some collected ventilatory data; and

displaying the prompt identifying the projected impact of the proposed setting adjustment and the one or more alternative settings adjustments.

8. The ventilatory system of claim 7, further comprising:

determining an impact level of the projected impact, wherein the impact level comprises one of a positive impact level, a negative impact level, and an intermediate impact level on the patient; and

displaying an indication of the impact level of the projected impact on the prompt.

9. The ventilatory system of claim 7, wherein the prompt further comprises an alert associated with the projected impact.

10. The ventilatory system of claim 7, further comprising retrieving patient data, wherein the patient data comprises at least one of:

a patient diagnosis, a patient disability, and a patient post-operative condition.

11. The ventilatory system of claim 10, wherein determining the projected impact of the proposed adjustment is further based on the patient data.

12. The ventilatory system of claim 10, wherein determining the one or more alternative settings adjustments to achieve the target ventilation change is further based on the patient data.

13. The ventilatory system of claim 7, wherein identifying the one or more alternative settings adjustments on the prompt comprises displaying an icon on the prompt for accessing the one or more alternative settings adjustments, and wherein upon activating the icon the one or more alternative settings adjustments are displayed as recommendations on an extended prompt.

14. A graphical user interface for displaying one or more prompts in response to receiving a proposed setting adjustment, the ventilator configured with a computer having a user interface including the graphical user interface for accepting the proposed setting adjustment and for displaying information, the graphical user interface comprising:

at least one window; and

one or more elements within the at least one window comprising at least one prompt element for communicating information regarding the proposed setting adjustment, wherein the at least one prompt element identifies a projected impact of the proposed setting adjustment.

15. The graphical user interface of claim 14, wherein the at least one prompt element identifies one or more recommendations, and wherein the one or more recommendations include at least one alternative settings adjustment.

16. The graphical user interface of claim 14, wherein the at least one prompt element further identifies an impact level of the projected impact of the proposed setting adjustment, and wherein the impact level is one of a positive impact level, a negative impact level, and an intermediate impact level on the patient.

17. The graphical user interface of claim 16, wherein the positive impact level is identified by a green color, the negative impact level is identified by a red color, and the intermediate impact level is identified by a yellow color.

18. The graphical user interface of claim 15, wherein the one or more recommendations are identified on the at least one prompt element by an icon, and wherein upon activating the icon the at least one alternative setting adjustment is displayed on an extended prompt element.

19. A ventilator processing interface for displaying one or more prompts in response to receiving a proposed setting adjustment, comprising:

means for accepting the proposed setting adjustment;

means for retrieving one or more current ventilatory settings and at least some collected ventilatory data;

means for determining a projected impact of the proposed setting adjustment; and

means for displaying a prompt comprising the projected impact.

20. The ventilator processing interface of claim 19, wherein the prompt further comprises one or more recommendations comprising one or more alternative setting adjustments.