Systems and methods for the predictive assessment and neurodevelopment therapy for oral feeding

• US 9,662,266 B2
• Filed: 01/21/2014
• Issued: 05/30/2017
• Est. Priority Date: 04/26/2012
• Status: Active Grant

• Current Assignee: Cardinal Health 200 LLC (Cardinal Health, Inc.)
• Original Assignee: Innara Health, Inc.
• Inventors: Aron, Kenneth, Stalling, David L., Kean, John, Ingling, Allen
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Morales, Jon Eric C
• Application Number:
  US14/160,270
• Publication Number:
  US 20140134585A1
• Time in Patent Office: 1,225 Days
• Field of Search: 600590
• CPC Class Codes: A61B 5/0053 by applying pressure, e.g. compression, indentation, palpation, grasping, gauging
• CPC Class Codes: A61B 5/038 Measuring oral pressure
• CPC Class Codes: A61B 5/4064 Evaluating the brain A61B5/031, A61B5/369, A61B5/14553 take precedence
• CPC Class Codes: A61B 5/6896 Toys
• CPC Class Codes: A61H 9/0007 Pulsating
• CPC Class Codes: A61J 17/001 Baby-comforters
• CPC Class Codes: A61N 1/3606 adapted for a particular treatment
• CPC Class Codes: A61N 1/36067 Movement disorders, e.g. tremor or Parkinson disease stimulating motor muscle A61N1/36003
• CPC Class Codes: A61N 1/36103 Neuro-rehabilitation; Repair or reorganisation of neural tissue, e.g. after stroke
• CPC Class Codes: A61N 1/3611 Respiration control stimulating respiratory organs A61N1/3601
• CPC Class Codes: A61N 1/3615 Intensity
• CPC Class Codes: A61N 1/36171 Frequency
• CPC Class Codes: A61N 1/36178 Burst or pulse train parameters
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

The present disclosure relates to a therapeutic system and methods of using the therapeutic system. In particular, the present disclosure relates to a system for improving an oral feeding ability of a patient including an assessment device to contact a patient and collect data related to an oral feeding ability of the patient, a computing device containing a processor to execute an assessment and therapy application, and the assessment and therapy application to receive the data related to the oral feeding ability, predict one or more areas of neurological muscle activity that need further development, and develop a neurological therapy treatment for improving the one or more areas of neurological muscle activity that need further development.

Claims

1. A system for improving an oral feeding ability of a patient, the system comprising:

an assessment device to contact a patient and collect data related to an oral feeding ability of the patient;

a computing device containing a processor to execute an assessment and therapy application; and

the assessment and therapy application to;

receive the data related to the oral feeding ability;

predict one or more areas of neurological muscle activity that need further development while receiving the data related to the oral feeding ability;

wherein the assessment device determines that the patient has one of a weak NNS suck pressure less than or equal to ten cmH2O and an appropriate NNS suck pressure in a range of fifteen-twenty cmH2O; and

develop a neurological therapy treatment for improving the one or more areas of neurological muscle activity that need further development.

2. The system of claim 1, wherein the oral feeding ability is improved by prophylactic feeding, wherein the assessment application determines a burst profile based on a pulse generated by the patient to reinforce a non-nutritive suck.

3. The system of claim 2, wherein the assessment application is in an “

always on”

mode of operation.

4. The system of claim 1, wherein the oral feeding ability is improved by “

Reactive”

pulse training, wherein the system analyzes a patient performance during a therapy stimulus and a moderate stimulus.

5. The system of claim 4 wherein the system assesses and develops a therapy for treating a sucking action and a swallowing action of the patient, the system further comprising:

a nutritive bottle mechanism to provide a nutritive bolus to the patient; and

a transducer to detect the swallowing action of the patient.

6. The system of claim 5, wherein the bolus has a fixed-volume.

7. The system of claim 5, wherein the system further assess patient breathing and simulates breast feeding, the system further comprising an adaptive-flow fluid pump to mimic a flow of breast milk, wherein the pump varies and adapts a volume of the bolus as a function of patient effort.

8. The system of claim 7, wherein the patient effort is defined by a pressure and a nutritive suck activity of the patient, such that the patient must exert greater effort to increase the volume of the bolus.

9. The system of claim 1, wherein the one or more areas of neurological muscle activity that need further development include a regularity and number of individual sucks in individual non-nutritive suck (NNS) bursts, an organization of collective suck bursts, an intensity of effort, and an absence of NNS activity.

10. A method for improving an oral feeding ability of a patient, the method comprising:

contacting a patient with an assessment device to collect data related to an oral feeding ability of the patient;

executing an assessment and therapy application on a processor of a computing device in communication with the assessment device; and

at the assessment and therapy application executing on the processor;

receiving the data related to the oral feeding ability;

the assessment and therapy application executing on the processor determining that the patient has one of a weak NNS suck pressure less than or equal to ten cmH2O and an appropriate NNS suck pressure in a range of fifteen-twenty cmH2O;

predicting one or more areas of neurological muscle activity that need further development while receiving the data related to the oral feeding ability; and

developing a neurological therapy treatment for improving the one or more areas of neurological muscle activity that need further development.

11. The method of claim 10, further comprising improving the oral feeding ability by prophylactic feeding by:

determining a burst profile based on a pulse generated by the patient to reinforce a non-nutritive suck, at the assessment application.

12. The method of claim 11, wherein the assessment application is in an “

always on”

mode of operation.

13. The method of claim 10, further comprising:

improving the oral feeding by “

Reactive”

pulse training; and

analyzing a patient performance during a therapy stimulus and a moderate stimulus.

14. The method of claim 13, further comprising assessing and developing a therapy for treating a sucking action and a swallowing action of the patient by:

providing a nutritive bolus to the patient with a nutritive bottle mechanism; and

using a transducer to detect the swallowing action of the patient.

15. The method of claim 14, wherein the bolus has a fixed-volume.

16. The method of claim 15, further comprising assessing patient breathing and simulating breast feeding by:

an adaptive-flow fluid pump to mimic a flow of breast milk, wherein the pump varies and adapts a volume of the bolus as a function of patient effort.

17. The method of claim 16, wherein the patient effort is defined by a pressure and a nutritive suck activity of the patient, such that the patient must exert greater effort to increase the volume of the bolus.

18. The method of claim 10, wherein the one or more areas of neurological muscle activity that need further development include a regularity and number of individual sucks in individual non-nutritive suck (NNS) bursts, an organization of collective suck bursts, an intensity of effort, and an absence of NNS activity.