Retrofittable aspiration prevention mechanism for patients

• US 8,617,098 B2
• Filed: 03/16/2012
• Issued: 12/31/2013
• Est. Priority Date: 10/10/2006
• Status: Active Grant

• Current Assignee: Allen Gerber
• Original Assignee: Allen Gerber
• Inventors: Gerber, Allen
• Primary Examiner(s): BERDICHEVSKY, AARTI
• Application Number:
  US13/422,974
• Publication Number:
  US 20120191038A1
• Time in Patent Office: 655 Days
• Field of Search: 604/65, 604/66, 604/67
• US Class Current: 604/67
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/1071 measuring angles, e.g. using goniometers A61B5/1123 takes precedence
• CPC Class Codes: A61B 5/4238 stomach
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6847 mounted on an invasive device
• CPC Class Codes: A61B 5/6871 Stomach
• CPC Class Codes: A61G 2203/42 for inclination
• CPC Class Codes: A61G 7/015 divided into different adjustable sections, e.g. for Gatch position
• CPC Class Codes: A61G 7/018 Control or drive mechanisms
• CPC Class Codes: A61J 15/0003 Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• CPC Class Codes: A61J 15/0076 Feeding pumps A61M1/00, A61M5/142, A61M25/1018 take precedence
• CPC Class Codes: A61J 15/0084 for sensing parameters related to the patient
• CPC Class Codes: A61J 2200/30 Compliance analysis for taking medication
• CPC Class Codes: A61J 2205/70 Audible labels, e.g. for pre-recorded info or messages
• CPC Class Codes: A61M 2039/085 external enteral feeding tubes feeding tubes inside the stomach or intestines A61J15/00

Abstract

A device is employed that can be retrofit onto existing feed pumps to remediate the problem of fluid aspiration in patients being fed through a feeding tube from the pump. In one embodiment the feeding pump is plugged into the device which is plugged into a power outlet. A patient angle sensor triggers power cutoff to the pump and stoppage of fluid flow. The angle sensor and operating program may be part of a smart phone. Power to the pump may be shut off due to a BLUETOOTH® signal from the smart phone to a BLUETOOTH® controlled power strip into which the pump is plugged to receive power.

Claims

1. A device to prevent aspiration of gastric fluids by a patient being fed or medicated through a gastric tube connected to a feeding pump, said device comprising:

an angle sensor capable of being affixed to an external portion of a chest of the patient, said sensor providing an angular electrical signal indicative of the sensor'"'"'s angular position;

an electrical control circuit that receives said angular signal and compares it to a threshold angle, said electrical control circuit generating a wireless control signal when the angular signal indicates a position of the sensor lower than the threshold; and

a power switch that controllably supplies power to the feeding pump, said power switch receiving said wireless control signal and turning off power to the feeding pump in response to receipt of the wireless control signal, whereby material in the gastric tube is caused to stop flowing.

2. The device of claim 1 wherein the wireless control signal is communicated to an electronic medical record system and is associated with the patient'"'"'s medical record.

3. The device of claim 1 wherein the angle sensor and the electrical control circuit are separate units and the angular signal is wirelessly transmitted to the electrical control circuit from the angle sensor.

4. The device of claim 1 wherein said electrical control circuit further generates a secondary control signal when the angular signal indicates a position close to, but above the threshold angle to sound an alarm that warns of impending aspiration, and the angular threshold and the position close to, but above the threshold are set based on individual instructional protocols.

5. The device of claim 4 wherein the angular threshold is 30°

and position close to, but above the threshold angle is 35°

.

6. The device of claim 1 wherein the patient is reclining in a bed with a head part that is angularly adjustable by a bed position control circuit, wherein said electrical control circuit further generates a secondary control signal when the angular signal indicates a position close to, but above the threshold angle, said secondary signal causing said bed position control circuit to cause the head part of the bed to rise in an effort to keep the angular signal from reaching the threshold angle.

7. The device of claim 6 wherein the secondary control signal received by the bed position control circuit is a wireless signal.

8. The device of claim 1 wherein the electrical control circuit includes memory and a display, and wherein the electrical control circuit keeps track of the time during which the pump is off by measuring the time and accumulating it in the memory, said electrical control circuit further displays the accumulated off time on the display.

9. The device of claim 8 wherein said electrical control circuit further generates a secondary control signal when the angular signal indicates a position close to, but above the threshold angle, and the electrical control circuit further keeps track of times when the wireless control signal and the secondary control signal are generated and accumulates them in the memory, said electrical control circuit further displays the accumulated control signal times on the display.

10. The device of claim 1 wherein said angle sensor and control circuit are applications running on a microprocessor of a smart phone that includes an accelerometer/inclinometer device.

11. The device of claim 10 wherein said wireless control signal is a BLUETOOTH®

signal generated by said smart phone and said power switch is controllable by receipt of said BLUETOOTH®

signal.

12. The device of claim 10 wherein said smart phone is affixed to the patient by at least one of placing it in a breast pocket of a garment worn on the upper body of the patient, using VELCRO®

to attach it to a garment worn on or a strap located about the chest of the patient and taping it to the chest of the patient or a garment worn on the upper body of the patient.

13. The device of claim 10 wherein said smart phone further includes a mobile telephone circuit and wherein said electrical control application invokes the telephone circuit upon generation of the wireless control signal, said special application causing the telephone circuit to dial a pre-assigned number and to deliver a prerecorded message when the dialed number answers.

14. The device of claim 10 wherein said smart phone further includes an alarm and wherein said control circuit application generates a secondary control signal when the angular signal indicates a position close to, but above the threshold angle, said secondary signal causing said alarm to activate.

15. The device of claim 14 wherein the alarm is at least one of an audible alarm and a vibration alarm.

16. A device to prevent aspiration of gastric fluids by a patient being fed or medicated through a gastric tube connected to a feeding pump, said device comprising:

a smart phone that includes a microprocessor and an accelerometer/inclinometer device, said smart phone running an inclinometer application on its microprocessor that provides an angular electrical signal indicative of the phone'"'"'s angular position, said smart phone being attachable to an external portion of a chest of the patient, said smart phone further running an electrical control application on its microprocessor that receives said angular signal and compares it to a threshold angle, said electrical control application invoking a wireless control signal when the angular signal indicates a position of the sensor lower than the threshold angle; and

a power switch that controllably supplies power to the feeding pump, said power switch receiving said wireless control signal and turning off power to the feeding pump in response to receipt of the wireless control signal, whereby material in the gastric tube is caused to stop flowing.

17. The device of claim 16 wherein the wireless control signal is communicated to an electronic medical record system and is associated with the patient'"'"'s medical record.

18. The device of claim 16 wherein said smart phone further includes a mobile telephone circuit and wherein said electrical control application invokes the telephone circuit upon generation of the wireless control signal, said electrical control application causing the telephone circuit to dial a pre-assigned number and to deliver a prerecorded message when the dialed number answers.

19. The device of claim 16 wherein said wireless control signal is a BLUETOOTH®

signal generated by said smart phone and said power switch is controllable by receipt of said BLUETOOTH®

signal.

20. The device of claim 16 wherein said smart phone is affixed to the patient by at least one of placing it in a breast pocket of a garment worn on the upper body of the patient, using VELCRO®

to attach it to a garment worn on, or a strap located about, the chest of the patient and taping it to the chest of the patient or a garment worn on the upper body of the patient.

21. The device of claim 16 wherein said electrical control application further generates a secondary control signal when the angular signal indicates a position close to, but above the threshold angle.

22. The device of claim 21 wherein the angular threshold is 30°

and position close to, but above the threshold angle is 35°

.

23. The device of claim 16 wherein said smart phone further includes an alarm and wherein said electrical control application generates a secondary control signal when the angular signal indicates a position close to, but above the threshold angle, said secondary signal causing said alarm to activate to warn the patient or attending staff of impending aspiration of gastric fluids and or pump shut off.

24. The device of claim 23 wherein the alarm is at least one of an audible alarm and a vibration alarm.

25. The device of claim 16 wherein when the patient is reclining in a bed with a head part that is angularly adjustable by a bed position control circuit, said electrical control application further generates a secondary control signal when the angular signal indicates a position close to, but above the threshold angle, said secondary signal causing said bed position control circuit to cause the head part of the bed to rise in an effort to keep the angular signal from reaching the threshold angle.

26. The device of claim 25 wherein the secondary control signal received by the bed position control circuit is a wireless signal.

27. The device of claim 16 wherein the smart phone includes memory and a display, and wherein the electrical control application keeps track of the time during which the pump is off by measuring the time and accumulating it in the memory, said electrical control application further displays the accumulated off time on the display.

28. The device of claim 27 wherein said electrical control application further generates a secondary control signal when the angular signal indicates a position close to, but above the threshold angle, and the electrical control application further keeps track of the times when the wireless control signal and the secondary control signal are generated and accumulates them in the memory, said electrical control application further displays the accumulated control signal times on the display.