Umbilical probe system

• US 8,727,980 B2
• Filed: 03/10/2011
• Issued: 05/20/2014
• Est. Priority Date: 03/10/2011
• Status: Active Grant

• Current Assignee: MedicalCue, Inc.
• Original Assignee: MedicalCue, Inc.
• Inventors: Coelho, Peter
• Primary Examiner(s): Thomson, William
• Assistant Examiner(s): SORIANO, BOBBY GILES
• Application Number:
  US13/044,943
• Publication Number:
  US 20120232357A1
• Time in Patent Office: 1,167 Days
• Field of Search: 600300-301
• US Class Current: 600/301
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 2503/045 Newborns, e.g. premature baby monitoring
• CPC Class Codes: A61B 5/0075 by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy A61B5/0071 takes precedence
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• 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 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/0275 using tracers, e.g. dye dilution
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/72 Signal processing specially adapted for physiological signals or for diagnostic purposes character recognition, recognising digital ink, document-oriented image-based pattern recognition G06V30/00; recognition or understanding of postal images G06V30/424
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

An umbilical probe sensing system is described which includes an automated system for accurately obtaining physiological information from an infant in real time. The system may also automatically guide a healthcare provider with a recommended course of treatment for infant resuscitation based on the detected and monitored physiological data. Moreover, the automated system may also provide a real time record of the infant'"'"'s physiological parameters and resuscitation treatment performed by a healthcare team.

Claims

1. A method for treating a neonatal infant, comprising:

providing a processor having a user interface;

securing an umbilical probe sensing assembly to tissue of an umbilical stump and/or cord of the infant such that one or more sensors integrated within the assembly contact the tissue and wherein the assembly is removably securable to the umbilical stump and/or cord;

detecting one or more physiological parameters from the infant via the one or more sensors wherein the parameters are sent to the processor;

providing a recommended course of treatment to a healthcare provider via the user interface, wherein the course of treatment is changed when the infant is determined to be distressed based upon one or more physiological parameters detected by the sensors.

2. The method of claim 1 wherein securing comprises placing a base of the assembly into contact against a skin surface adjacent to the umbilical stump.

3. The method of claim 1 wherein securing comprises securing the assembly into contact with the umbilical stump upon birth of the infant.

4. The method of claim 1 wherein securing comprises securing one or more securement members onto a first portion of the umbilical stump.

5. The method of claim 4 further comprising securing a second portion of the umbilical stump or cord with additional securement members such that a length of the umbilical stump or cord between the first and second portions is taut.

6. The method of claim 1 wherein securing comprises inhibiting necrosis of the umbilical stump by securing the assembly at a clamping pressure below a crushing pressure sufficient to cause necrosis.

7. The method of claim 1 wherein detecting one or more physiological parameters comprises detecting a heart rate, ECG waveform, oxygen saturation, weight, or carbon dioxide level of the infant.

8. The method of claim 1 wherein detecting further comprises detecting additional physiological parameters via additional sensors separate from the assembly.

9. The method of claim 1 further comprising prompting the user with the changed course of treatment via an alarm on the interface.

10. The method of claim 1 further comprising securing an umbilical vein catheter to the assembly.

11. The method of claim 1 wherein determining whether the infant is distressed comprises detecting via the one or more sensors whether at heart rate of the infant is below 100 beats per minute.

12. The method of claim 11 further comprising determining whether breathing of the infant is labored via an oxygen saturation level detected by the one or more sensors.

13. The method of claim 12 wherein the changed course of treatment comprises prompting the user to provide positive pressure ventilation via the interface.

14. The method of claim 13 further comprising further detecting via the one or more sensors whether the heart rate of the infant is below 60 beats per minute.

15. The method of claim 14 wherein the changed course of treatment comprises prompting the user to provide intubation to the infant.

16. The method of claim 15 further comprising calculating and displaying a size of an intubation tube for the infant via the processor.

17. The method of claim 14 wherein the changed course of treatment comprises coordinating chest compressions via the interface.

18. The method of claim 1 further comprising calculating and displaying a dosage of a drug via the processor for administration to the infant based upon a detected weight of the infant.

19. The method of claim 17 wherein coordinating chest compressions comprises providing a metronome.

20. The method of claim 13 wherein prompting comprises providing a metronome.

21. The method of claim 1 wherein the course of treatment is changed when the infant is determined to be improving based upon one or more physiological parameters detected by the sensors.