Systems, apparatus, and methods for documenting code blue scenarios

• US 9,743,882 B2
• Filed: 04/04/2014
• Issued: 08/29/2017
• Est. Priority Date: 04/04/2014
• Status: Active Grant

• Current Assignee: Los Angeles Biomedical Research Institute At Harbor-Ucla Medical Center (University of California)
• Original Assignee: Los Angeles Biomedical Research Institute At Harbor-Ucla Medical Center (University of California)
• Inventors: Chang, Ruey-Kang
• Primary Examiner(s): Thomson, William
• Assistant Examiner(s): STEINBERG, AMANDA L
• Application Number:
  US14/245,858
• Publication Number:
  US 20150282758A1
• Time in Patent Office: 1,243 Days
• CPC Class Codes: A61B 2560/0214 of power generation or supply
• CPC Class Codes: A61B 2560/0242 adapted to measure environmental factors, e.g. temperature, pollution
• CPC Class Codes: A61B 2560/0412 Low-profile patch shaped housings
• CPC Class Codes: A61B 2560/0475 Special features of memory means, e.g. removable memory cards
• CPC Class Codes: A61B 2560/0493 controlled by voice
• 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 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• 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 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/4848 Monitoring or testing the effects of treatment, e.g. of medication
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6833 Adhesive patches
• CPC Class Codes: A61H 2201/501 connected to external computer devices or networks
• CPC Class Codes: A61H 2201/5043 Displays
• CPC Class Codes: A61H 2201/5048 Audio interfaces, e.g. voice or music controlled
• CPC Class Codes: A61H 2201/5058 Sensors or detectors
• CPC Class Codes: A61H 2201/5084 : Acceleration sensors
• CPC Class Codes: A61H 2201/5097 : wireless
• CPC Class Codes: A61H 2230/00 : Measuring physical parameters of the user
• CPC Class Codes: A61H 2230/06 : Heartbeat rate
• CPC Class Codes: A61H 2230/207 : partial O2-value
• CPC Class Codes: A61H 2230/30 : Blood pressure A61H2230/04 takes precedence
• CPC Class Codes: A61H 2230/50 : Temperature
• CPC Class Codes: A61H 2230/65 : Impedance, e.g. skin conductivity; capacitance, e.g. galvanic skin response [GSR]
• CPC Class Codes: A61H 31/005 : with feedback for the user
• CPC Class Codes: A61M 16/04 : Tracheal tubes catheters in general A61M25/00
• CPC Class Codes: A61M 2205/3553 : remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3584 : using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/502 : User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2230/04 : Heartbeat characteristics, e.g. ECG, blood pressure modulation
• CPC Class Codes: A61M 2230/205 : partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/30 : Blood pressure A61M2230/04 takes precedence
• CPC Class Codes: A61M 2230/42 : Rate
• CPC Class Codes: A61M 2230/50 : Temperature
• CPC Class Codes: A61N 1/3937 : Monitoring output parameters
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16Z 99/00 : Subject matter not provided for in other main groups of this subclass

Abstract

An apparatus may be configured for documenting a code blue scenario when adhered to the chest of a subject undergoing resuscitation by sensing and transmitting information associated with the code blue scenario. Such information may include one or more of vital signs of the subject during resuscitation, information associated with chest movements of the subject during resuscitation, and audio information from an environment of the subject during resuscitation. A computing platform that is separate and distinct from the apparatus may provide code blue documentation conveying information related to the vital signs of the subject and derived from the audio information from the environment of the subject during resuscitation.

Claims

1. An apparatus configured for documenting a code blue scenario when adhered to the chest of a subject undergoing resuscitation, the apparatus comprising:

an enclosure configured to withstand compressive forces applied to the subject'"'"'s chest from chest compressions during resuscitation of the subject such that components disposed within the enclosure are protected from mechanical damage;

a sensor bank at least partially disposed within the enclosure, the sensor bank being configured to provide signals conveying information associated with a code blue scenario, the information including vital signs of the subject during resuscitation and audio information from an environment surrounding the subject during resuscitation, the sensor bank including;

a heart rate sensor configured to provide a signal conveying information associated with a heart rate of the subject during resuscitation;

a chest movement sensor configured to provide a signal conveying information associated with chest movements caused by artificial respiration provided to the subject during resuscitation;

a chest compression sensor configured to provide a signal conveying information associated with chest compressions performed on the subject during resuscitation; and

a verbal communication sensor configured to provide a signal conveying information associated with verbal communication in an environment of the subject during resuscitation; and

one or more hardware processors at least partially disposed within the enclosure, the one or more hardware processors being configured by machine-readable instructions to;

receive a signal from the heart rate sensor conveying information associated with the heart rate of the subject during resuscitation;

receive a signal from the chest movement sensor conveying information associated with chest movements caused by artificial respiration provided to the subject during resuscitation;

receive a signal from the chest compression sensor configured to provide a signal conveying information associated with chest compressions performed on the subject during resuscitation;

receive a signal from the verbal communication sensor configured to provide a signal conveying information associated with verbal communication in an environment of the subject during resuscitation; and

provide information from the signals received from the sensors to populate an electronic code blue sheet, the electronic code blue sheet being a user interface configured to automatically display recorded code blue events chronologically with time stamps, provide zoomable views of vital signs, and facilitate playback of the verbal communication.

2. The apparatus of claim 1, wherein the information conveyed by signals provided by the sensor bank further includes information associated with chest movements of the subject during resuscitation.

3. The apparatus of claim 1, wherein the enclosure is further configured to removably adhere to the subject'"'"'s chest.

4. The apparatus of claim 1, further comprising a power supply disposed within the enclosure, the power supply being configured to provide electrical power to one or more components of the apparatus.

5. The apparatus of claim 4, wherein the power supply is configured to provide electrical power to one or more components of the apparatus responsive to one or both of the apparatus being removably adhered to a subject'"'"'s chest or an adhesive cover being removed from the enclosure.

6. The apparatus of claim 1, wherein the sensor bank includes one or more of:

a cardiac rhythm sensor configured to provide a signal conveying information associated with a cardiac rhythm of the subject during resuscitation;

a respiration sensor configured to provide a signal conveying information associated with a respiration of the subject during resuscitation;

a temperature sensor configured to provide a signal conveying information associated with a temperature of the subject during resuscitation;

a blood pressure sensor configured to provide a signal conveying information associated with a blood pressure of the subject during resuscitation;

an oxygen saturation sensor configured to provide a signal conveying information associated with an oxygen saturation of the subject during resuscitation;

or

a cardioversion and/or defibrillation sensor configured to provide a signal conveying information associated with cardioversion procedures and/or defibrillation procedures performed on the subject during resuscitation.

7. The apparatus of claim 1, wherein the audio information from the environment includes voice commands issued during resuscitation of the subject.

8. The apparatus of claim 1, wherein the audio information from the environment includes a vocal indication of a vital sign of the subject during resuscitation.

9. The apparatus of claim 1, further comprising an electronic storage disposed within the enclosure, the electronic storage being configured to store and provide access to information conveyed by the signals provided by the sensor bank.

10. The apparatus of claim 1, further comprising one or more processors disposed within the enclosure, the one or more processors being configured to execute computer program instructions, the computer program instructions including a time stamping component, the time stamping component being configured to:

time stamp signals provided by the sensor bank;

or

time stamp information conveyed by the signals provided by the sensor bank.

11. The apparatus of claim 1, further comprising a communications interface disposed within the enclosure, the communications interface being configured to transmit one or both of:

signals provided by the sensor bank;

or

information conveyed by the signals provided by the sensor bank.

12. A system configured for documenting code blue scenarios, the system comprising:

one or more physical processors configured to receive information from an apparatus configured for documenting a code blue scenario when adhered to the chest of a subject undergoing resuscitation by sensing and transmitting information associated with the code blue scenario, the information including vital signs of the subject during resuscitation and audio information from an environment of the subject during resuscitation, the one or more physical processors being disposed at a location other than the apparatus, the one or more physical processors being further configured to execute computer program instructions, the computer program instructions comprising;

a code blue documentation component configured to provide code blue documentation that conveys information related to the vital signs of the subject during resuscitation and the audio information from the environment of the subject during resuscitation, wherein the apparatus comprises;

an enclosure configured to withstand compressive forces applied to the subject'"'"'s chest from chest compressions during resuscitation of the subject such that components disposed within the enclosure are protected from mechanical damage;

a sensor bank at least partially disposed within the enclosure, the sensor bank being configured to provide signals conveying information associated with a code blue scenario, the information including vital signs of the subject during resuscitation and audio information from an environment surrounding the subject during resuscitation, the sensor bank including;

a heart rate sensor configured to provide a signal conveying information associated with a heart rate of the subject during resuscitation;

a chest movement sensor configured to provide a signal conveying information associated with chest movements caused by artificial respiration provided to the subject during resuscitation;

a chest compression sensor configured to provide a signal conveying information associated with chest compressions performed on the subject during resuscitation; and

a verbal communication sensor configured to provide a signal conveying information associated with verbal communication in an environment of the subject during resuscitation; and

one or more hardware processors at least partially disposed within the enclosure, the one or more hardware processors being configured by machiner-readable instructions to;

receive a signal from the heart rate sensor conveying information associated with the heart rate of the subject during resuscitation;

receive a signal from the chest movement sensor conveying information associated with chest movements caused by artificial respiration provided to the subject during resuscitation;

receive a signal from the chest compression sensor configured to provide a signal conveying information associated with chest compressions performed on the subject during resuscitation;

receive a signal from the verbal communication sensor configured to provide a signal conveying information associated with verbal communication in an environment of the subject during resuscitation; and

provide information from the signals received from the sensors to populate an electronic code blue sheet, the electronic code blue sheet being a user interface configured to automatically display recorded code blue events chronologically with time stamps, provide zoomable views of vital signs, and facilitate playback of the verbal communication.

13. The system of claim 12, wherein the apparatus is further configured to be removably adhered to a subject'"'"'s chest.

14. The system of claim 12, wherein a given one of the one or more processors are disposed within a personal computing platform that is physically separate and distinct from the apparatus.

15. The system of claim 12, wherein a given one of the one or more processors are disposed within a server that is remotely located from the apparatus.

16. The system of claim 12, wherein the code blue documentation is provided for presentation via a personal computing platform.

17. The system of claim 12, wherein the code blue documentation is provided as an electronic document.

18. The system of claim 12, wherein the code blue documentation is provided as an electronic medical record.

19. The system of claim 12, wherein the code blue documentation is provided as a printed record for a conventional paper record.

20. The system of claim 12, wherein the code blue documentation includes one or more of:

one or more vital signs of the subject during resuscitation presented as a function of time;

one or more actions taken by a code blue team during the code blue scenario, the code blue team including one or more healthcare providers;

or

information based on the audio information from the environment of the subject during resuscitation presented as a function of time.

21. The system of claim 20, wherein the one or more vital signs presented by the code blue documentation includes one or more of a heart rate of the subject during resuscitation, a cardiac rhythm of the subject during resuscitation, a respiration of the subject during resuscitation, chest movements performed by the subject during resuscitation, a temperature of the subject during resuscitation, a blood pressure of the subject during resuscitation, or an oxygen saturation of the subject during resuscitation.

22. The system of claim 20, wherein the one or more actions taken by the code blue team during the code blue scenario includes one or more of chest compressions performed on the subject during resuscitation, cardioversion procedures and/or defibrillation procedures performed on the subject during resuscitation, medications administered to the subject during resuscitation, endotracheal intubation and artificial respiration provided to the subject during resuscitation, vascular access procedures provided to the subject during resuscitation, surgical procedures provided to the subject during resuscitation, laboratory test results associated with the subject obtained during resuscitation, or results from point-of-care devices associated with the subject obtained during resuscitation.

23. The system of claim 20, wherein the information based on the audio information from the environment of the subject during resuscitation includes one or more of verbal commands issued by a leader of the code blue team, verbal responses to commands issued by a leader of the code blue team, chest compressions performed on the subject during resuscitation, cardioversion procedures and/or defibrillation procedures performed on the subject during resuscitation, verbal assessments of a status of the subject during resuscitation, verbal assessments of a vital sign of the subject during resuscitation, medications administered to the subject during resuscitation, endotracheal intubation and artificial respiration provided to the subject during resuscitation, vascular access procedures provided to the subject during resuscitation, surgical procedures provided to the subject during resuscitation, laboratory test results associated with the subject obtained during resuscitation, or results from point-of-care devices associated with the subject obtained during resuscitation.

24. The system of claim 12, wherein the computer program instructions further comprise a voice interpretation component configured to interpret one or both of a vital sign of the subject during resuscitation presented as a function of time or an action taken by a code blue team during the code blue scenario, the interpretation being based on audio information from the environment surrounding the subject during resuscitation, the code blue team including one or more healthcare providers.

25. A method for documenting code blue scenarios, the method comprising:

utilizing an apparatus configured for documenting a code blue scenario when adhered to the chest of a subject undergoing resuscitation, the apparatus comprising;

an enclosure configured to withstand compressive forces applied to the subject'"'"'s chest from chest compressions during resuscitation of the subject such that components disposed within the enclosure are protected from mechanical damage;

a sensor bank at least partially disposed within the enclosure, the sensor bank being configured to provide signals conveying information associated with a code blue scenario, the information including vital signs of the subject during resuscitation and audio information from an environment surrounding the subject during resuscitation, the sensor bank including;

a heart rate sensor configured to provide a signal conveying information associated with a heart rate of the subject during resuscitation;

a chest movement sensor configured to provide a signal conveying information associated with chest movements caused by artificial respiration provided to the subject during resuscitation;

a chest compression sensor configured to provide a signal conveying information associated with chest compressions performed on the subject during resuscitation; and

a verbal communication sensor configured to provide a signal conveying information associated with verbal communication in an environment of the subject during resuscitation; and

one or more hardware processors at least partially disposed within the enclosure, the one or more hardware processors being configured by machine-readable instructions to;

receive a signal from the heart rate sensor conveying information associated with the heart rate of the subject during resuscitation;

receive a signal from the chest movement sensor conveying information associated with chest movements caused by artificial respiration provided to the subject during resuscitation;

receive a signal from the chest compression sensor configured to provide a signal conveying information associated with chest compressions performed on the subject during resuscitation;

receive a signal from the verbal communication sensor configured to provide a signal conveying information associated with verbal communication in an environment of the subject during resuscitation; and

provide information from the signals received from the sensors to populate an electronic code blue sheet, the electronic code blue sheet being a user interface configured to automatically display recorded code blue events chronologically with time stamps, provide zoomable views of vital signs, and facilitate playback of the verbal communication.