US20130158339A1 - System and Method of Infant Care Control and Workflow - Google Patents
System and Method of Infant Care Control and Workflow Download PDFInfo
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- US20130158339A1 US20130158339A1 US13/328,831 US201113328831A US2013158339A1 US 20130158339 A1 US20130158339 A1 US 20130158339A1 US 201113328831 A US201113328831 A US 201113328831A US 2013158339 A1 US2013158339 A1 US 2013158339A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G11/00—Baby-incubators; Couveuses
- A61G11/009—Baby-incubators; Couveuses with hand insertion windows, e.g. in the walls
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16Z—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
- G16Z99/00—Subject matter not provided for in other main groups of this subclass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G11/00—Baby-incubators; Couveuses
- A61G11/001—Baby-incubators; Couveuses with height-adjustable elements
- A61G11/003—Baby-incubators; Couveuses with height-adjustable elements height-adjustable heater
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G11/00—Baby-incubators; Couveuses
- A61G11/001—Baby-incubators; Couveuses with height-adjustable elements
- A61G11/004—Baby-incubators; Couveuses with height-adjustable elements height-adjustable light source
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/10—General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
- A61G2203/16—Touchpads
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/10—General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
- A61G2203/20—Displays or monitors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/46—General characteristics of devices characterised by sensor means for temperature
Definitions
- the present disclosure is related to the field of infant care. More specifically, the present disclosure is related to systems and methods of infant care control and workflow.
- An embodiment of an infant care station in accordance with one embodiment discloses herein includes at least one physiological sensor disposed to connect to the patient.
- An auxiliary data sensor is operable by the user to obtain physiological data from the patient.
- a graphical display is operable to visually present data.
- a processor is communicatively connected to the at least one physiological sensor and the at least one auxiliary data sensor and the graphical display. The processor operates the graphical display to present a trend graph in conjunction with the intermittently obtained physiological data from the patient.
- An infant care station in accordance with an embodiment as disclosed herein is operable to create a microenvironment about a patient.
- An environmental control device is operable to change an environmental condition within the microenvironment.
- An auxiliary sensor is operable by a user to intermittently obtain auxiliary data.
- a graphical display is operable to visually present data.
- a processor is communicatively connected to the auxiliary sensor, environmental control device, and the graphical display. The processor is selectively communicative with the auxiliary sensor. The processor operates the graphical display to present the intermittently obtained auxiliary data. The processor operates the environmental control device based upon at least the intermittently obtained auxiliary data.
- a microenvironment for the infant with an infant care station.
- Environmental data is sensed from at least one environmental sensor disposed within the microenvironment.
- the microenvironment is controlled based upon the sensed environmental data.
- Physiological data is sensed from the infant in the microenvironment provided by the infant care station.
- An auxiliary sensor is selectively connected to the infant care station.
- Auxiliary data is intermittently obtained with the auxiliary sensor.
- the obtained auxiliary data is presented on a graphical display.
- the microenvironment is controlled based upon the obtained auxiliary data.
- FIG. 1 is perspective view in accordance with an embodiment of an infant care station disclosed herein.
- FIG. 2 is a system diagram in accordance with an embodiment of an infant care system as disclosed herein.
- FIG. 3 is a flow chart of a method in accordance with the method of caring for an infant as disclosed herein.
- FIG. 1 is a perspective view of an embodiment of infant care station 10 in accordance with that disclosed herein.
- the infant care station 10 includes a generally horizontal surface 12 that is configured to support an infant patient 14 .
- the infant care station 10 is generally any of a variety of devices that define a microenvironment 16 about the infant patient 14 .
- Some non-limiting examples of the infant care station 10 may be an infant warmer, an incubator, or a hybrid warmer/incubator.
- the infant care station 10 depicted in FIG. 1 is exemplarily a hybrid warmer/incubator.
- the microenvironment 16 is defined by at least one wall 18 .
- the at least one wall 18 may be movable such as to permit the clinician 20 to have access to the infant patient 14 .
- the wall 18 may include one or more arm ports 22 through which the clinician 20 may reach to access the infant patient 14 .
- a canopy 24 is positioned above the microenvironment 16 and is movable along at least one rail 26 .
- a variety of alternative mechanisms are available to one of ordinary skill in the art such as to secure the canopy 24 in a position movably above the microenvironment 16 .
- the microenvironment 16 is therefore a space about the infant patient 14 that is defined by the infant care station 20 .
- the infant care station 20 operates to control one or more environmental conditions within the microenvironment 16 .
- environmental conditions include temperature, humidity, oxygen concentration, and light.
- Embodiments of the infant care station 10 that operate as a warmer or a hybrid warmer/incubator include a convective heater 28 .
- the convective heater 28 is operated by a processor (not depicted), as described further herein, of the infant care station 10 to warm ambient air and deliver the warm ambient air to the microenvironment 16 to control the temperature of the microenvironment 16 about the infant patient 14 .
- Embodiments of the infant care station 10 that are an incubator or a hybrid warmer/incubator include the canopy 24 .
- a radiant warmer 30 is disposed in the canopy 24 , The radiant warmer 30 operates to direct radiant heat energy at the infant patient 14 to provide effective warming and thermal management of the infant patient 14 .
- the radiant warmer 30 is operated by the processor (not depicted) of the infant care station 10 in order to achieve the intended warming function of the infant patient 14 .
- both the convective heater 28 and the radiant warmer 30 are operated to maintain the temperature of the infant patient 14 and the microenvironment 16 .
- the infant care station 10 can control the environmental qualities of the microenvironment 16 in more ways than just the temperature of the microenvironment 16 . Rather, embodiments of the infant care station 10 , and as discussed in further detail herein, can control other environmental conditions of the microenvironment, including the oxygen concentration in the microenvironment 16 , a humidity level within the microenvironment 16 , and/or the lighting of the microenvironment 16 .
- the infant care station 10 can include a source of oxygen, exemplarily a cylinder of compressed oxygen gas, or a connection to a wall supply of oxygen in a medical care facility. Such oxygen from the oxygen supply can be applied to the microenvironment 16 through the convective heater 28 .
- a humidifier (not depicted) can also provide humidity to the warmed medical gas (e.g. air or oxygen enriched air) supplied to the microenvironment 16 by the convective heater 28 .
- the warmed medical gas e.g. air or oxygen enriched air
- one or more light sources in the canopy 24 can control the light in the microenvironment 16 .
- the infant care station 10 includes a plurality of sensors that are configured to monitor various conditions within the microenvironment.
- embodiments of the infant care station 10 may include a microenvironment temperature sensor 32 , humidity sensor 34 , oxygen sensor 36 , and/or light sensor 38 .
- oxygen sensor 36 , and light sensor 38 may be located in various positions about the microenvironment 16 , as would be recognized by one of ordinary skill in the art for these particular environmental conditions of the microenvironment 16 .
- the sensed temperature, humidity, oxygen, and/or light from the respective sensors ( 32 - 38 ) are provided to the processor (not depicted) of the infant care station 10 and used by the processor to control the environmental conditions maintained within the microenvironment 16 about the infant patient 14 .
- the infant care station through the processor operates to control the environmental conditions of the microenvironment in a variety of ways.
- the processor operates as an environmental control device in response to one or more of the environment sensors.
- the microenvironment is controlled to maintain set values for environmental conditions in the microenvironment. These are both of closed loop control of the microenvironment.
- the environmental conditions of the microenvironment are controlled in an open loop control wherein an environmental control device (e.g. heater, light source, oxygen source, or humidifier) is operated at a fixed level independent from any measured conditions.
- an environmental control device e.g. heater, light source, oxygen source, or humidifier
- the convective heater could be operated at 50% or 75% of maximum strength.
- the infant care station 10 further includes at least one physiological sensor 40 that is operable to obtain physiological data from the infant patient 14 .
- physiological sensors include an electrocardiographic (ECG) electrode or a blood oxygenation (SpO2) sensor.
- ECG electrocardiographic
- SpO2 blood oxygenation
- the physiological sensor 40 is a thermometer or other temperature sensor that may be configured to secure to the skin of the infant patient 14 .
- Embodiments of the infant care station 10 include a plurality of physiological sensors 40 in the manner as described above, or as otherwise recognized by one of ordinary skill in the art.
- the temperature sensor 32 , humidity sensor 34 , oxygen sensor 36 , light sensor 38 , and physiological sensor 40 all operate in a continuous or generally continuous manner to monitor conditions of the microenvironment 16 and/or of the infant patient 14 .
- the continued or generally continuous measurements are provided to the aforementioned processor of the infant care station 10 and may be used by the processor to operate one or more of the convective heaters 28 , radiant warmer 30 , or other components of the infant care station.
- the infant care station 10 further includes a graphical display 42 .
- the graphical display 42 is operated by the processor to present information regarding the microenvironment 16 and the infant patient 14 , or other operations of the infant care station 10 .
- the processor uses the information obtained from the temperature sensor 32 , humidity sensor 34 , oxygen sensor 36 , light sensor 38 , and physiological sensor 40 in order to present some or all of this data to the clinician 20 on the graphical display 42 .
- the graphical display 42 is touch-sensitive display, such that the graphical display 42 also operates as a user input device.
- a separate user input device (not depicted) is provided on the infant care station 10 . While the graphical display 42 is depicted as being located on the canopy 24 , it is to be recognized that in alternative embodiments, the graphical display 42 and any associated user input device may be located in other locations on the infant care station 10 .
- the infant care station 10 is further configured with one or more auxiliary data sensors that operate in addition to the temperature sensor 32 , humidity sensor 34 , oxygen sensor 36 , light sensor 38 , and physiological sensor 40 as described above.
- Embodiments of the infant care station 10 may include one or more external environment sensors. These external environment sensors may exemplarily be one or more of an external temperature sensor 44 , ambient light sensor 46 , and draft sensor 48 . These external environment sensors are examples of auxiliary data sensors that monitor the conditions outside of the infant care station 10 , and more specifically, the environmental conditions outside of the microenvironment 16 . While the external temperature sensor 44 , ambient light sensor 46 , and draft sensor 48 are depicted as being located on the canopy 24 , it is to be recognized that in alternative embodiments, these sensors may be located in other positions on the infant care station outside of the microenvironment 16 .
- the external temperature sensor 44 is exemplarily, but not limited to, a thermometer.
- the ambient light sensor 46 is exemplarily, but not limited to, a photovoltaic cell and the draft sensor 48 is exemplarily, but not limited to, an anemometer.
- the environmental data obtained from the external environment sensors is further provided to the processor (not depicted) of the infant care station 10 such that the infant care station 10 uses this external environment data to further manage the microenvironment 16 .
- Such management of the environmental conditions within the microenvironment 16 may control the operations of the convective heater 28 or radiant warmer 30 in response to a differential temperature between the microenvironment temperature and the temperature measured outside of the microenvironment. Further, these responses can be provided by the processor and to mitigate the detection of a draft about the infant care station 10 , including, but not limited to, management of the convective heater 28 , radiant warmer 30 , or lowering of the canopy 24 .
- Embodiments of the infant care station 10 further include at least one microenvironment data connection 50 , and/or at least one external data connection 52 .
- Such data connections 50 and 52 are exemplarily a USB or similar data connection; however, it will be recognized by alternative types of data connections may be used within the scope of the present disclosure.
- Non-limiting examples of other data connections can include a device as disclosed further herein integrally connected to the infant care station, or a wireless, exemplarily an RF data connection.
- the microenvironment data connection 50 and the external data connection 52 provide further connection points for at least one auxiliary data sensor, which may exemplarily be a physiological sensor, including, but not limited to, a thermometer probe 54 or an electronic tape measure 56 ; however, it will be recognized that alternative physiological sensors may be used in other embodiments.
- the temperature probe 54 and electronic tape measure 56 are exemplarily physiological sensors that are intermittently used and further require active operation by the clinician 20 to obtain the physiological data.
- the temperature probe 54 is a digital thermometer that is used by the clinician 20 to intermittently obtain an axillary temperature of the infant patient 14 .
- the infant care station 10 may include a temperature sensor as described above that is secured to the skin of the patient and provides a continuous or generally continuous measurement of patient skin temperature, other more specific intermittent temperature measures can be clinically important, and such physiological data values can be intermittently updated for the infant patient 14 with clinician measurements.
- the advantage of the temperature probe 54 being connected to the infant care station 10 through the microenvironment data connection 50 is that the temperature probe 54 remains in the microenvironment 16 and its use therefore can be performed with minimal impact on the microenvironment 16 .
- the digital temperature obtained by the temperature probe 54 can be directly provided to the processor (not depicted) of the infant care station 10 such that the processor can store the measured axillary temperature, and such axillary temperature can be used in the operation of the infant care station 10 .
- the temperature probe 54 may be alternatively used by the clinician 20 to measure temperature at a different location of the infant patient 14 , including, but not limited to, a rectal thermometer.
- the electronic tape measure 56 is shown as being exemplarily connected to the external data connection 52 ; however, it is to be recognized that this is intended to be merely exemplary of the fact that the infant care station 10 may include data connections within and external to the microenvironment, and that the physiological sensors may be connected to any of such data connections.
- the electronic tape measure 56 enables the clinician 20 to intermittently obtain anatomical measurements of the infant patient 14 , including, but not limited to, patient length and head circumference.
- the electronic tape measure 56 records these measurements as a digital value and provides these digital values to the processor of the infant care station 10 through the data connection 52 .
- FIG. 2 is a system diagram in accordance with an embodiment of an infant care system 100 .
- the infant care system 100 includes an infant care station 102 , a non-limiting embodiment of which is depicted and described above with respect to FIG. 1 .
- the infant care station 102 includes a processor 104 which is exemplarily a central processing unit (CPU) or other type of controller as known in the art.
- Computer readable code is stored either locally at the processor 104 , or the processor 104 is communicatively connected to a non-transient computer readable medium 106 , exemplarily non-volatile memory, that stores the computer readable code that when accessed and executed by the processor 104 , causes the processor 104 to carry out the functions and operations as disclosed herein.
- such computer readable code may include data analysis algorithms for collecting, processing, and outputting data received by the processor 104 , and operational or control algorithms used by the processor to control the functions of the infant care station 102 .
- the infant care station 102 can include at least one physiological sensor 108 that obtains physiological data from the infant patient and at least one microenvironmental sensor 110 configured to obtain environmental data from the microenvironment provided by the infant care station 102 .
- the physiological sensor 108 and the microenvironmental sensor 110 operate continuously or generally continuously to provide physiological and environmental data to the processor 104 .
- the processor 104 uses at least one analysis algorithm, exemplarily obtained from the computer readable medium 106 in order to process the physiological data and the environmental data.
- the processed physiological data and environmental data is provided to a data store 112 , which is exemplarily volatile or non-volatile computer memory that locally stores the processed data at the infant care station 102 for further use of the processed data at the infant care station 102 as described herein.
- the processed data at the data store 112 may exemplarily be physiological data and/or environmental data after basic processing such as digitization, filtering, and other signal processing or otherwise may be processed data that has been processed by more advanced algorithms such as to refine the saved physiological data or environmental data into specified values.
- the data store 112 is further connected externally of the infant care station 102 to a data network 114 .
- the data network 114 is exemplarily the network of the medical care facility within which the infant care station 102 is used.
- the data network 114 provides a communicative connection between the infant care station 102 and an electronic medical record (EMR) 116 of the infant patient that may be stored on an EMR server 118 of the medical care facility.
- EMR electronic medical record
- the infant care station 102 can push the processed physiological and environmental data out to be recorded at the remotely stored EMR of the infant patient 116 , while retaining some or all of the processed data locally at the data store 112 for later access and local use by the processor 104 and the infant care station 102 .
- the analysis algorithms as applied by the processor 104 to the attained physiological data from the physiological sensor 108 and the obtained environmental data from the microenvironmental sensor 110 further produce processed data that is suitable for presentation by a graphical display 120 of the infant care station 102 .
- the presented processed data can include instantaneous or moving average values of the physiological data and environmental data, but furthermore the processor 104 can operate the graphical display 120 to present trends of changes in the physiological data and/or environmental data over time. Such trend graphs may require the processor 104 to access the locally stored processed data at the data store 112 .
- the graphical display 120 presents the processed data to the clinician for review and analysis of the conditions of the infant patient and the microenvironment by the clinician 122 .
- the clinician 122 enters further data and commands to the infant care station 102 through a user input device 124 , which data and commands are provided back to the processor 104 .
- the graphical display 120 and user input device 124 may be exemplarily referred to as a user interface 126 , and as such may be provided by a separate device, or may be provided by a combined device, exemplarily a touch sensitive display.
- one or more auxiliary sensors 128 are communicatively connected to the processor 104 .
- the one or more auxiliary sensors are communicatively connected to the processor 104 through one or more data connections 130 .
- the data connection 130 is a universal service bus (USB) formatted connector that receives a similar adapter as connected to the auxiliary sensor 128 .
- USB universal service bus
- one or more auxiliary sensors 128 are hard wired to the infant care station 102 and processor 104 , such that the auxiliary sensors 128 are formed as an integral part of the infant care station 102 .
- the auxiliary sensors 128 further include a wireless communication transmitter, exemplarily operating the Bluetooth RF wireless communication protocol and transmit the obtained data to a receiver 134 that is communicatively connected to the processor 104 .
- the one or more auxiliary sensors 128 obtain data beyond that which is obtained by the physiological sensor 108 and environmental sensor 110 .
- auxiliary sensors include, but are not limited to, a physiological auxiliary sensor 136 , exemplarily a thermometer; an anatomical auxiliary sensor 138 , exemplarily an electronic tape measure; or an external environmental sensor 140 , exemplarily an external temperature sensor, ambient light sensor, or draft senor.
- the at least one auxiliary sensor 128 is configured to intermittently obtain the auxiliary data obtained by the specific sensor.
- the auxiliary sensor 128 is configured to be operable by the clinician 122 in order to acquire the auxiliary data.
- auxiliary sensor 128 may be a digital thermometer that is used by the clinician 122 to obtain an axillary or rectal temperature of the infant patient and the measured digital temperature is communicated from the auxiliary sensor 128 to the processor 104 .
- the auxiliary sensor 128 is an electronic tape measure and the clinician 122 operates the electronic tape measure to measure a length and/or a head circumference of the infant patient and such electronically obtained anatomical measurements are communicated to the processor 104 .
- the processor 104 receives the auxiliary data from the at least one auxiliary sensor 128 and processes the auxiliary data according to one or more analysis algorithms as obtained from the computer readable medium 106 , or stored locally at the processor 104 .
- the processor 104 creates a time stamp that is associated to the received auxiliary data.
- the processor 104 sends the processed auxiliary data to the data store 112 for local storage of the auxiliary data, along with the time stamp, if available.
- the data store 112 also pushes the auxiliary data out to the network 114 for storage at the infant patient EMR 116 .
- the processor 104 further operates the graphical display 120 in order to modify the trend graphs of the physiological data obtained from the physiological sensor 108 and the environmental data obtained from the microenvironmental sensor 110 in order to overlay the obtained auxiliary data on the trend presentations.
- the incorporation of the auxiliary data values into the trend graphs presented by the graphical display 20 further may use the time stops created at each receipt of auxiliary data. With the time stamps, the processor 104 can cause the auxiliary data values to be presented with temporal indications relative to the trend graphs on the graphical display 120 .
- the processor 104 may operate the graphical display 120 to present a trend of the microenvironment temperature as obtained by the microenvironmental sensor 110 exemplarily over the previous seven days.
- the processor 104 overlays the intermittently acquired auxiliary data of measured patient axillary temperature and the intermittently obtained external temperature data. Therefore, the clinician 122 observing the presentation of this data on the graphical display 120 can relate the trends of the continuously or generally continuously obtained microenvironment temperature with the intermittently obtained axillary temperature and external temperature.
- the continuously monitored skin temperature of the infant patient obtained by the physiological sensor 108 can be trended over exemplarily the previous fourteen days and the intermittently obtained auxiliary data of the infant patient's length, head size, and axillary temperature can be overlaid over the patient's skin temperature trend graph.
- the above examples are intended to be merely exemplary of the types of presentations of data that may occur within the scope of the present disclosure, and are not intended to be limiting upon the scope of the disclosure.
- the infant care station 102 includes one or more microenvironment control devices 142 that are operated to control environmental conditions maintained within the microenvironment of the infant care station 102 .
- Embodiments of the infant care station 102 and infant care system 100 further use the auxiliary data to provide refined operation of the microenvironment control devices 142 .
- the microenvironment control devices 142 exemplarily include an oxygen source 144 , a heater 146 , which may exemplarily be one or more of a convective heater and a radiant warmer, a humidifier 148 , and/or a light source 150 .
- the processor 104 operates the microenvironment control devices 142 which account for the additionally collected auxiliary data. More specifically, the auxiliary data is used by the control algorithms executed by the processor 104 in operating the microenvironment control devices 142 .
- the auxiliary data that is intermittently obtained is the axillary temperature of the patient.
- the intermittently obtained axillary temperature is used by the processor 104 to modify the control algorithm used to operate the heater 146 to control the temperature of the microenvironment.
- the auxiliary data is a length and a head circumference of the infant patient, and the processor 104 uses the obtained measurement auxiliary data to modify the control algorithms exemplarily the control algorithms used to operate the oxygen source 144 for providing oxygen to the microenvironment.
- the auxiliary data is an external temperature or a draft detection outside of the microenvironment and the auxiliary data is used by the processor 104 to modify the control algorithm used to operate the heater 146 or humidifier 148 in a manner such as to control the environmental conditions within the microenvironment.
- the differential temperature between a target temperature of the microenvironment and a measured external temperature outside of the microenvironment may exemplarily be used by the processor 104 in controlling the operation of the heater 146 .
- the auxiliary data may be an ambient light intensity external to the microenvironment and this auxiliary data is used by the processor 104 to modify the control algorithms used by the processor 104 to operate the light source 150 to illuminate the microenvironment. Similar to the example above, the differential in the ambient and the target illumination may be used by the processor 104 in order to modify the operation of the light source 150 or to implement or recommend a light control response, exemplarily tinting or covering the microenvironment.
- the auxiliary data can be used either independently, or in conjunction with other data from the infant patient's EMR or the physiological sensor, to classify the infant patient, or make a recommendation as to patient condition.
- one or more of the patient's auxiliary temperature, head circumference, and length can be used to determine if the infant patient is a feeder/grower or an extremely low birth weight (ELBW) patient.
- the processor 104 does not automatedly modify the operation of one or more microenvironment control devices 142 based upon the received auxiliary data from the at least one auxiliary sensor 128 . Rather, the processor 104 may operate the graphical display 120 in order to present one or more recommendations for modifications to the operation of the microenvironment control devices 142 to be selected or enacted by the clinician 122 . The processor 104 may operate the graphical display 120 to identify the recommendations and/or provide a user interface 126 within which the clinician 122 can make such selections or modifications to the operation of the microenvironment control devices 142 . The processor 104 , exemplarily through the data store 112 , can further push recommended and/or enacted images to the operation of the microenvironment control devices including, but not limited to a time stamped notation of such operational changes.
- the processor 104 operates the user interface 126 in order to prompt or otherwise solicit the clinician 122 to enter additional information with the user input device 124 such as to perform noting and charting tasks at the bedside of the infant patient.
- the user interface 126 can be operated by the processor 104 to receive notes and other inputs, including time stamps of other events that occur in the treatment of an infant patient.
- Non-limiting examples of such events that can be noted in this manner include diaper changes, bed linen changes, kangaroo care start and end times, phototherapy start and end times, distribution of meds, and feeding events.
- Still further examples of the types of events that can be documented by the clinician through the user interface of the infant care station 102 include tests performed and/or the results of such tests.
- Non-limiting examples of such tests can be an APGAR score or a hearing test.
- the processor 104 receives these additional data inputs that are indicative of the treatment or condition of the infant patient and can further use these inputs to control the operation of the microenvironment control devices, and can push the entered inputs to the network 114 for storage on the EMR of the infant patient 116 .
- the processor 104 can access the information stored on the EMR of the infant patient 116 through the network 114 and present the accessed patient data to the clinician with the user interface 126 and the clinician 122 can add, delete, and edit information within the infant patient's EMR, such that the clinician 122 can perform charting and data entry tasks at the infant patient's bedside using the infant care station 104 .
- FIG. 3 is a flow chart in accordance with an embodiment of a method 200 of providing care for an infant.
- the method starts at 202 where a microenvironment is provided for the infant patient with an infant care station.
- Embodiments of the infant care station that may be used to provide the microenvironment are disclosed above with respect to FIGS. 1 and 2 ,
- the infant patient is disposed within the microenvironment provided by the infant care station in order to receive the therapeutic support provided by such a microenvironment.
- environmental data is sensed from at least one environmental sensor that is disposed within the microenvironment.
- any of a variety of environmental sensors may be used, including, but not limited to, an oxygen sensor, a thermometer, a humidity sensor, or a light sensor.
- One or more of these environmental sensors can be disposed within the microenvironment in order to sense environmental data that is representative of an environmental condition within the microenvironment.
- the microenvironment as provided by the infant care station is controlled based upon the sensed environmental data of the at least one environmental sensor.
- the infant care station uses the sensed environmental data to control the operation of one or more environmental control devices in order to achieve or maintain a target environmental condition within the microenvironment.
- physiological data is sensed from the infant patient by the infant care station while the infant patient is in the microenvironment provided by the infant care station.
- the physiological data sensed from the infant may include an infant skin temperature, an infant ECG, or an infant SpO2, although these are intended to be merely exemplarily and not intended to be limiting on the scope of physiological data that can be sensed from the infant patient.
- the physiological data is sensed continuously or generally continuously from the infant patient when the infant patient is in the microenvironment provided by the infant care station.
- an auxiliary sensor is selectively connected to the infant care station at 210 .
- the auxiliary sensor can be any of a variety of physiological, anatomical, or environmental sensors and can be selectively connected to the care station by a physical or wireless communicative connection.
- the auxiliary sensor is used to intermittently obtain auxiliary data.
- the obtained auxiliary data is physiological data, exemplarily an axillary temperature, anatomical data, exemplarily patient length, or environmental data, exemplarily external temperature outside of the microenvironment.
- the auxiliary sensor intermittently obtains the auxiliary data such as by selective operation of the auxiliary sensor by a clinician.
- some embodiments of the auxiliary sensor may require the manipulation or use by the clinician in order to obtain the auxiliary data, such as is with a thermometer or an electronic tape measure.
- the sensed physiological data from 208 and the obtained auxiliary data from 212 are presented on a graphical display.
- the continuously or generally continuously sensed physiological data from 208 is presented as a trend or graph over time, while the intermittently obtained auxiliary data is presented as individual measurement values as obtained in points in time along the graph or trend of the sensed physiological data.
- the infant care station operates to control the microenvironment provided by the infant care station based upon the obtained auxiliary data.
- the intermittently obtained auxiliary data can be used by the infant care station to modify the way in which one or more of the microenvironment control devices are operated such as to modify one or more of the environmental conditions within the microenvironment and that such modifications can be made in response to the intermittently obtained auxiliary data.
- a newly obtained value of the auxiliary data is used to replace a previously obtained value for the auxiliary data used in an algorithm executed by a processor to operate a device that controls an environmental condition of the microenvironment.
- the infant care station operates in connection with an information network in order to store the obtained auxiliary data in the electronic medical record (EMR) of the infant patient.
- EMR electronic medical record
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Abstract
An infant care system creates a microenvironment about an infant patient. An environmental control device is operable to change an environmental condition within the microenvironment. An auxiliary sensor is operable to intermittently obtain auxiliary data. A processor operates the environmental control device based upon at least the intermittently obtained auxiliary data.
Description
- The present disclosure is related to the field of infant care. More specifically, the present disclosure is related to systems and methods of infant care control and workflow.
- Infants, and particularly neonates, require particular medical diligence and care. As a form of medical assistance, neonates are placed within a microenvironment that is designed to provide one or more environmental conditions that are advantageous to the neonate beyond the ambient conditions. Infant care stations provide this microenvironment for infant patients under the operation and control of a clinician upon observation of the condition of the infant patient.
- An embodiment of an infant care station in accordance with one embodiment discloses herein includes at least one physiological sensor disposed to connect to the patient. An auxiliary data sensor is operable by the user to obtain physiological data from the patient. A graphical display is operable to visually present data. A processor is communicatively connected to the at least one physiological sensor and the at least one auxiliary data sensor and the graphical display. The processor operates the graphical display to present a trend graph in conjunction with the intermittently obtained physiological data from the patient.
- An infant care station in accordance with an embodiment as disclosed herein is operable to create a microenvironment about a patient. An environmental control device is operable to change an environmental condition within the microenvironment. An auxiliary sensor is operable by a user to intermittently obtain auxiliary data. A graphical display is operable to visually present data. A processor is communicatively connected to the auxiliary sensor, environmental control device, and the graphical display. The processor is selectively communicative with the auxiliary sensor. The processor operates the graphical display to present the intermittently obtained auxiliary data. The processor operates the environmental control device based upon at least the intermittently obtained auxiliary data.
- In accordance with an embodiment of a method of caring for an infant patient, a microenvironment is provided for the infant with an infant care station. Environmental data is sensed from at least one environmental sensor disposed within the microenvironment. The microenvironment is controlled based upon the sensed environmental data. Physiological data is sensed from the infant in the microenvironment provided by the infant care station. An auxiliary sensor is selectively connected to the infant care station. Auxiliary data is intermittently obtained with the auxiliary sensor. The obtained auxiliary data is presented on a graphical display. The microenvironment is controlled based upon the obtained auxiliary data.
- The drawings illustrate the best mode presently contemplated of carrying out the invention. In the drawings:
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FIG. 1 is perspective view in accordance with an embodiment of an infant care station disclosed herein. -
FIG. 2 is a system diagram in accordance with an embodiment of an infant care system as disclosed herein. -
FIG. 3 is a flow chart of a method in accordance with the method of caring for an infant as disclosed herein. -
FIG. 1 is a perspective view of an embodiment ofinfant care station 10 in accordance with that disclosed herein. Theinfant care station 10 includes a generallyhorizontal surface 12 that is configured to support aninfant patient 14. Theinfant care station 10 is generally any of a variety of devices that define amicroenvironment 16 about theinfant patient 14. Some non-limiting examples of theinfant care station 10 may be an infant warmer, an incubator, or a hybrid warmer/incubator. - The
infant care station 10 depicted inFIG. 1 is exemplarily a hybrid warmer/incubator. Themicroenvironment 16 is defined by at least onewall 18. The at least onewall 18 may be movable such as to permit theclinician 20 to have access to theinfant patient 14. Alternatively, thewall 18 may include one ormore arm ports 22 through which theclinician 20 may reach to access theinfant patient 14. Acanopy 24 is positioned above themicroenvironment 16 and is movable along at least onerail 26. However, it will be understood that a variety of alternative mechanisms are available to one of ordinary skill in the art such as to secure thecanopy 24 in a position movably above themicroenvironment 16. Themicroenvironment 16 is therefore a space about theinfant patient 14 that is defined by theinfant care station 20. Theinfant care station 20, as discussed herein, operates to control one or more environmental conditions within themicroenvironment 16. Non-limiting examples of environmental conditions include temperature, humidity, oxygen concentration, and light. - Embodiments of the
infant care station 10 that operate as a warmer or a hybrid warmer/incubator include aconvective heater 28. Theconvective heater 28 is operated by a processor (not depicted), as described further herein, of theinfant care station 10 to warm ambient air and deliver the warm ambient air to themicroenvironment 16 to control the temperature of themicroenvironment 16 about theinfant patient 14. - Embodiments of the
infant care station 10 that are an incubator or a hybrid warmer/incubator include thecanopy 24. A radiant warmer 30 is disposed in thecanopy 24, The radiant warmer 30 operates to direct radiant heat energy at theinfant patient 14 to provide effective warming and thermal management of theinfant patient 14. Like theconvective heater 28, the radiant warmer 30 is operated by the processor (not depicted) of theinfant care station 10 in order to achieve the intended warming function of theinfant patient 14. In some embodiments of theinfant care station 10, both theconvective heater 28 and the radiant warmer 30 are operated to maintain the temperature of theinfant patient 14 and themicroenvironment 16. - While not explicitly depicted in the
infant care station 10 ofFIG. 1 , theinfant care station 10 can control the environmental qualities of themicroenvironment 16 in more ways than just the temperature of themicroenvironment 16. Rather, embodiments of theinfant care station 10, and as discussed in further detail herein, can control other environmental conditions of the microenvironment, including the oxygen concentration in themicroenvironment 16, a humidity level within themicroenvironment 16, and/or the lighting of themicroenvironment 16. In such embodiments, theinfant care station 10 can include a source of oxygen, exemplarily a cylinder of compressed oxygen gas, or a connection to a wall supply of oxygen in a medical care facility. Such oxygen from the oxygen supply can be applied to themicroenvironment 16 through theconvective heater 28. Furthermore, a humidifier (not depicted) can also provide humidity to the warmed medical gas (e.g. air or oxygen enriched air) supplied to themicroenvironment 16 by theconvective heater 28. Furthermore, one or more light sources (not depicted) in thecanopy 24 can control the light in themicroenvironment 16. - The
infant care station 10 includes a plurality of sensors that are configured to monitor various conditions within the microenvironment. In accordance with the above disclosed environmental conditions of themicroenvironment 16 that may be controlled by theinfant care station 10, embodiments of theinfant care station 10 may include amicroenvironment temperature sensor 32,humidity sensor 34,oxygen sensor 36, and/orlight sensor 38. It is to be understood that the disclosedtemperature sensor 32,humidity sensor 34.oxygen sensor 36, andlight sensor 38 may be located in various positions about themicroenvironment 16, as would be recognized by one of ordinary skill in the art for these particular environmental conditions of themicroenvironment 16. The sensed temperature, humidity, oxygen, and/or light from the respective sensors (32-38) are provided to the processor (not depicted) of theinfant care station 10 and used by the processor to control the environmental conditions maintained within themicroenvironment 16 about theinfant patient 14. - In some embodiments as disclosed herein, the infant care station, through the processor operates to control the environmental conditions of the microenvironment in a variety of ways. In one embodiment, the processor operates as an environmental control device in response to one or more of the environment sensors. In another embodiment, the microenvironment is controlled to maintain set values for environmental conditions in the microenvironment. These are both of closed loop control of the microenvironment. In an alternative embodiment, the environmental conditions of the microenvironment are controlled in an open loop control wherein an environmental control device (e.g. heater, light source, oxygen source, or humidifier) is operated at a fixed level independent from any measured conditions. In a non-limiting example, the convective heater could be operated at 50% or 75% of maximum strength.
- The
infant care station 10 further includes at least onephysiological sensor 40 that is operable to obtain physiological data from theinfant patient 14. While a variety of physiological sensors may be used in various embodiments, as recognized by one of ordinary skill in the art, two non-limiting examples of such physiological sensors includes an electrocardiographic (ECG) electrode or a blood oxygenation (SpO2) sensor. In another exemplarily embodiment, thephysiological sensor 40 is a thermometer or other temperature sensor that may be configured to secure to the skin of theinfant patient 14. Embodiments of theinfant care station 10 include a plurality ofphysiological sensors 40 in the manner as described above, or as otherwise recognized by one of ordinary skill in the art. - In embodiments, the
temperature sensor 32,humidity sensor 34,oxygen sensor 36,light sensor 38, andphysiological sensor 40 all operate in a continuous or generally continuous manner to monitor conditions of themicroenvironment 16 and/or of theinfant patient 14. The continued or generally continuous measurements are provided to the aforementioned processor of theinfant care station 10 and may be used by the processor to operate one or more of theconvective heaters 28, radiant warmer 30, or other components of the infant care station. - In some embodiments, the
infant care station 10 further includes agraphical display 42. Thegraphical display 42 is operated by the processor to present information regarding themicroenvironment 16 and theinfant patient 14, or other operations of theinfant care station 10. In embodiments, the processor uses the information obtained from thetemperature sensor 32,humidity sensor 34,oxygen sensor 36,light sensor 38, andphysiological sensor 40 in order to present some or all of this data to theclinician 20 on thegraphical display 42. In still further embodiments, thegraphical display 42 is touch-sensitive display, such that thegraphical display 42 also operates as a user input device. In alterative embodiments, a separate user input device (not depicted) is provided on theinfant care station 10. While thegraphical display 42 is depicted as being located on thecanopy 24, it is to be recognized that in alternative embodiments, thegraphical display 42 and any associated user input device may be located in other locations on theinfant care station 10. - The
infant care station 10 is further configured with one or more auxiliary data sensors that operate in addition to thetemperature sensor 32,humidity sensor 34,oxygen sensor 36,light sensor 38, andphysiological sensor 40 as described above. - Embodiments of the
infant care station 10 may include one or more external environment sensors. These external environment sensors may exemplarily be one or more of anexternal temperature sensor 44, ambientlight sensor 46, anddraft sensor 48. These external environment sensors are examples of auxiliary data sensors that monitor the conditions outside of theinfant care station 10, and more specifically, the environmental conditions outside of themicroenvironment 16. While theexternal temperature sensor 44, ambientlight sensor 46, anddraft sensor 48 are depicted as being located on thecanopy 24, it is to be recognized that in alternative embodiments, these sensors may be located in other positions on the infant care station outside of themicroenvironment 16. Theexternal temperature sensor 44 is exemplarily, but not limited to, a thermometer. The ambientlight sensor 46 is exemplarily, but not limited to, a photovoltaic cell and thedraft sensor 48 is exemplarily, but not limited to, an anemometer. The environmental data obtained from the external environment sensors is further provided to the processor (not depicted) of theinfant care station 10 such that theinfant care station 10 uses this external environment data to further manage themicroenvironment 16. Such management of the environmental conditions within themicroenvironment 16, may control the operations of theconvective heater 28 or radiant warmer 30 in response to a differential temperature between the microenvironment temperature and the temperature measured outside of the microenvironment. Further, these responses can be provided by the processor and to mitigate the detection of a draft about theinfant care station 10, including, but not limited to, management of theconvective heater 28, radiant warmer 30, or lowering of thecanopy 24. - Embodiments of the
infant care station 10 further include at least onemicroenvironment data connection 50, and/or at least oneexternal data connection 52.Such data connections - The
microenvironment data connection 50 and theexternal data connection 52 provide further connection points for at least one auxiliary data sensor, which may exemplarily be a physiological sensor, including, but not limited to, athermometer probe 54 or anelectronic tape measure 56; however, it will be recognized that alternative physiological sensors may be used in other embodiments. Thetemperature probe 54 andelectronic tape measure 56 are exemplarily physiological sensors that are intermittently used and further require active operation by theclinician 20 to obtain the physiological data. Exemplarily, thetemperature probe 54 is a digital thermometer that is used by theclinician 20 to intermittently obtain an axillary temperature of theinfant patient 14. While theinfant care station 10 may include a temperature sensor as described above that is secured to the skin of the patient and provides a continuous or generally continuous measurement of patient skin temperature, other more specific intermittent temperature measures can be clinically important, and such physiological data values can be intermittently updated for theinfant patient 14 with clinician measurements. The advantage of thetemperature probe 54 being connected to theinfant care station 10 through themicroenvironment data connection 50 is that thetemperature probe 54 remains in themicroenvironment 16 and its use therefore can be performed with minimal impact on themicroenvironment 16. Furthermore, the digital temperature obtained by thetemperature probe 54 can be directly provided to the processor (not depicted) of theinfant care station 10 such that the processor can store the measured axillary temperature, and such axillary temperature can be used in the operation of theinfant care station 10. It is to be further recognized, that thetemperature probe 54 may be alternatively used by theclinician 20 to measure temperature at a different location of theinfant patient 14, including, but not limited to, a rectal thermometer. - The
electronic tape measure 56 is shown as being exemplarily connected to theexternal data connection 52; however, it is to be recognized that this is intended to be merely exemplary of the fact that theinfant care station 10 may include data connections within and external to the microenvironment, and that the physiological sensors may be connected to any of such data connections. Theelectronic tape measure 56 enables theclinician 20 to intermittently obtain anatomical measurements of theinfant patient 14, including, but not limited to, patient length and head circumference. Theelectronic tape measure 56 records these measurements as a digital value and provides these digital values to the processor of theinfant care station 10 through thedata connection 52. -
FIG. 2 is a system diagram in accordance with an embodiment of aninfant care system 100. Theinfant care system 100 includes aninfant care station 102, a non-limiting embodiment of which is depicted and described above with respect toFIG. 1 . Theinfant care station 102 includes aprocessor 104 which is exemplarily a central processing unit (CPU) or other type of controller as known in the art. Computer readable code is stored either locally at theprocessor 104, or theprocessor 104 is communicatively connected to a non-transient computerreadable medium 106, exemplarily non-volatile memory, that stores the computer readable code that when accessed and executed by theprocessor 104, causes theprocessor 104 to carry out the functions and operations as disclosed herein. As non-limiting examples to the computer readable code stored on the computerreadable medium 106, such computer readable code may include data analysis algorithms for collecting, processing, and outputting data received by theprocessor 104, and operational or control algorithms used by the processor to control the functions of theinfant care station 102. - As disclosed above with respect to
FIG. 1 , theinfant care station 102 can include at least onephysiological sensor 108 that obtains physiological data from the infant patient and at least one microenvironmental sensor 110 configured to obtain environmental data from the microenvironment provided by theinfant care station 102. Thephysiological sensor 108 and the microenvironmental sensor 110 operate continuously or generally continuously to provide physiological and environmental data to theprocessor 104. Theprocessor 104 uses at least one analysis algorithm, exemplarily obtained from the computerreadable medium 106 in order to process the physiological data and the environmental data. The processed physiological data and environmental data is provided to adata store 112, which is exemplarily volatile or non-volatile computer memory that locally stores the processed data at theinfant care station 102 for further use of the processed data at theinfant care station 102 as described herein. The processed data at thedata store 112 may exemplarily be physiological data and/or environmental data after basic processing such as digitization, filtering, and other signal processing or otherwise may be processed data that has been processed by more advanced algorithms such as to refine the saved physiological data or environmental data into specified values. - The
data store 112 is further connected externally of theinfant care station 102 to adata network 114. Thedata network 114 is exemplarily the network of the medical care facility within which theinfant care station 102 is used. Thedata network 114 provides a communicative connection between theinfant care station 102 and an electronic medical record (EMR) 116 of the infant patient that may be stored on anEMR server 118 of the medical care facility. Thus, from thedata store 112, theinfant care station 102 can push the processed physiological and environmental data out to be recorded at the remotely stored EMR of theinfant patient 116, while retaining some or all of the processed data locally at thedata store 112 for later access and local use by theprocessor 104 and theinfant care station 102. - The analysis algorithms as applied by the
processor 104 to the attained physiological data from thephysiological sensor 108 and the obtained environmental data from the microenvironmental sensor 110 further produce processed data that is suitable for presentation by agraphical display 120 of theinfant care station 102. The presented processed data can include instantaneous or moving average values of the physiological data and environmental data, but furthermore theprocessor 104 can operate thegraphical display 120 to present trends of changes in the physiological data and/or environmental data over time. Such trend graphs may require theprocessor 104 to access the locally stored processed data at thedata store 112. Thegraphical display 120 presents the processed data to the clinician for review and analysis of the conditions of the infant patient and the microenvironment by theclinician 122. Theclinician 122 enters further data and commands to theinfant care station 102 through auser input device 124, which data and commands are provided back to theprocessor 104. Thegraphical display 120 anduser input device 124 may be exemplarily referred to as auser interface 126, and as such may be provided by a separate device, or may be provided by a combined device, exemplarily a touch sensitive display. - As described above with respect to
FIG. 1 , one or moreauxiliary sensors 128 are communicatively connected to theprocessor 104. In one embodiment, the one or more auxiliary sensors are communicatively connected to theprocessor 104 through one ormore data connections 130. In one embodiment, thedata connection 130 is a universal service bus (USB) formatted connector that receives a similar adapter as connected to theauxiliary sensor 128. It will be recognized by one of ordinary skill in the art that alternative types of removably securable physical data connections may be used within the present disclosure. In still further embodiments, one or moreauxiliary sensors 128 are hard wired to theinfant care station 102 andprocessor 104, such that theauxiliary sensors 128 are formed as an integral part of theinfant care station 102. In a still further embodiment, theauxiliary sensors 128 further include a wireless communication transmitter, exemplarily operating the Bluetooth RF wireless communication protocol and transmit the obtained data to areceiver 134 that is communicatively connected to theprocessor 104. - The one or more
auxiliary sensors 128 obtain data beyond that which is obtained by thephysiological sensor 108 and environmental sensor 110. Such auxiliary sensors include, but are not limited to, a physiologicalauxiliary sensor 136, exemplarily a thermometer; an anatomicalauxiliary sensor 138, exemplarily an electronic tape measure; or an externalenvironmental sensor 140, exemplarily an external temperature sensor, ambient light sensor, or draft senor. - In embodiments, the at least one
auxiliary sensor 128 is configured to intermittently obtain the auxiliary data obtained by the specific sensor. In still further embodiments, theauxiliary sensor 128 is configured to be operable by theclinician 122 in order to acquire the auxiliary data. In a non-limiting example,auxiliary sensor 128 may be a digital thermometer that is used by theclinician 122 to obtain an axillary or rectal temperature of the infant patient and the measured digital temperature is communicated from theauxiliary sensor 128 to theprocessor 104. In a still further embodiment, theauxiliary sensor 128 is an electronic tape measure and theclinician 122 operates the electronic tape measure to measure a length and/or a head circumference of the infant patient and such electronically obtained anatomical measurements are communicated to theprocessor 104. - The
processor 104 receives the auxiliary data from the at least oneauxiliary sensor 128 and processes the auxiliary data according to one or more analysis algorithms as obtained from the computerreadable medium 106, or stored locally at theprocessor 104. In embodiments, theprocessor 104 creates a time stamp that is associated to the received auxiliary data. Theprocessor 104 sends the processed auxiliary data to thedata store 112 for local storage of the auxiliary data, along with the time stamp, if available. Thedata store 112 also pushes the auxiliary data out to thenetwork 114 for storage at theinfant patient EMR 116, Theprocessor 104 further operates thegraphical display 120 in order to modify the trend graphs of the physiological data obtained from thephysiological sensor 108 and the environmental data obtained from the microenvironmental sensor 110 in order to overlay the obtained auxiliary data on the trend presentations. The incorporation of the auxiliary data values into the trend graphs presented by thegraphical display 20, further may use the time stops created at each receipt of auxiliary data. With the time stamps, theprocessor 104 can cause the auxiliary data values to be presented with temporal indications relative to the trend graphs on thegraphical display 120. - In a non-limiting example, the
processor 104 may operate thegraphical display 120 to present a trend of the microenvironment temperature as obtained by the microenvironmental sensor 110 exemplarily over the previous seven days. Within thegraphical display 120, theprocessor 104 overlays the intermittently acquired auxiliary data of measured patient axillary temperature and the intermittently obtained external temperature data. Therefore, theclinician 122 observing the presentation of this data on thegraphical display 120 can relate the trends of the continuously or generally continuously obtained microenvironment temperature with the intermittently obtained axillary temperature and external temperature. In an alternative example, the continuously monitored skin temperature of the infant patient obtained by thephysiological sensor 108 can be trended over exemplarily the previous fourteen days and the intermittently obtained auxiliary data of the infant patient's length, head size, and axillary temperature can be overlaid over the patient's skin temperature trend graph. The above examples are intended to be merely exemplary of the types of presentations of data that may occur within the scope of the present disclosure, and are not intended to be limiting upon the scope of the disclosure. - As described above, the
infant care station 102 includes one or moremicroenvironment control devices 142 that are operated to control environmental conditions maintained within the microenvironment of theinfant care station 102. Embodiments of theinfant care station 102 andinfant care system 100, as disclosed herein, further use the auxiliary data to provide refined operation of themicroenvironment control devices 142. Themicroenvironment control devices 142 exemplarily include anoxygen source 144, aheater 146, which may exemplarily be one or more of a convective heater and a radiant warmer, ahumidifier 148, and/or alight source 150. Theprocessor 104 operates themicroenvironment control devices 142 which account for the additionally collected auxiliary data. More specifically, the auxiliary data is used by the control algorithms executed by theprocessor 104 in operating themicroenvironment control devices 142. - In one non-limiting embodiment, the auxiliary data that is intermittently obtained is the axillary temperature of the patient. The intermittently obtained axillary temperature is used by the
processor 104 to modify the control algorithm used to operate theheater 146 to control the temperature of the microenvironment. In a further non-limiting embodiment, the auxiliary data is a length and a head circumference of the infant patient, and theprocessor 104 uses the obtained measurement auxiliary data to modify the control algorithms exemplarily the control algorithms used to operate theoxygen source 144 for providing oxygen to the microenvironment. In another non-limiting embodiment, the auxiliary data is an external temperature or a draft detection outside of the microenvironment and the auxiliary data is used by theprocessor 104 to modify the control algorithm used to operate theheater 146 orhumidifier 148 in a manner such as to control the environmental conditions within the microenvironment. In one such embodiment, the differential temperature between a target temperature of the microenvironment and a measured external temperature outside of the microenvironment may exemplarily be used by theprocessor 104 in controlling the operation of theheater 146. In a still further non-limiting embodiment, the auxiliary data may be an ambient light intensity external to the microenvironment and this auxiliary data is used by theprocessor 104 to modify the control algorithms used by theprocessor 104 to operate thelight source 150 to illuminate the microenvironment. Similar to the example above, the differential in the ambient and the target illumination may be used by theprocessor 104 in order to modify the operation of thelight source 150 or to implement or recommend a light control response, exemplarily tinting or covering the microenvironment. - In a still further embodiment, the auxiliary data can be used either independently, or in conjunction with other data from the infant patient's EMR or the physiological sensor, to classify the infant patient, or make a recommendation as to patient condition. In a non-limiting example, one or more of the patient's auxiliary temperature, head circumference, and length can be used to determine if the infant patient is a feeder/grower or an extremely low birth weight (ELBW) patient.
- In still further embodiments, the
processor 104 does not automatedly modify the operation of one or moremicroenvironment control devices 142 based upon the received auxiliary data from the at least oneauxiliary sensor 128. Rather, theprocessor 104 may operate thegraphical display 120 in order to present one or more recommendations for modifications to the operation of themicroenvironment control devices 142 to be selected or enacted by theclinician 122. Theprocessor 104 may operate thegraphical display 120 to identify the recommendations and/or provide auser interface 126 within which theclinician 122 can make such selections or modifications to the operation of themicroenvironment control devices 142. Theprocessor 104, exemplarily through thedata store 112, can further push recommended and/or enacted images to the operation of the microenvironment control devices including, but not limited to a time stamped notation of such operational changes. - In still further embodiments, the
processor 104 operates theuser interface 126 in order to prompt or otherwise solicit theclinician 122 to enter additional information with theuser input device 124 such as to perform noting and charting tasks at the bedside of the infant patient. Theuser interface 126 can be operated by theprocessor 104 to receive notes and other inputs, including time stamps of other events that occur in the treatment of an infant patient. Non-limiting examples of such events that can be noted in this manner include diaper changes, bed linen changes, kangaroo care start and end times, phototherapy start and end times, distribution of meds, and feeding events. Still further examples of the types of events that can be documented by the clinician through the user interface of theinfant care station 102 include tests performed and/or the results of such tests. Non-limiting examples of such tests can be an APGAR score or a hearing test. Theprocessor 104 receives these additional data inputs that are indicative of the treatment or condition of the infant patient and can further use these inputs to control the operation of the microenvironment control devices, and can push the entered inputs to thenetwork 114 for storage on the EMR of theinfant patient 116. In still further embodiments, theprocessor 104 can access the information stored on the EMR of theinfant patient 116 through thenetwork 114 and present the accessed patient data to the clinician with theuser interface 126 and theclinician 122 can add, delete, and edit information within the infant patient's EMR, such that theclinician 122 can perform charting and data entry tasks at the infant patient's bedside using theinfant care station 104. -
FIG. 3 is a flow chart in accordance with an embodiment of amethod 200 of providing care for an infant. The method starts at 202 where a microenvironment is provided for the infant patient with an infant care station. Embodiments of the infant care station that may be used to provide the microenvironment are disclosed above with respect toFIGS. 1 and 2 , The infant patient is disposed within the microenvironment provided by the infant care station in order to receive the therapeutic support provided by such a microenvironment. - Next, environmental data is sensed from at least one environmental sensor that is disposed within the microenvironment. As disclosed above, any of a variety of environmental sensors may be used, including, but not limited to, an oxygen sensor, a thermometer, a humidity sensor, or a light sensor. One or more of these environmental sensors can be disposed within the microenvironment in order to sense environmental data that is representative of an environmental condition within the microenvironment.
- At 206, the microenvironment as provided by the infant care station is controlled based upon the sensed environmental data of the at least one environmental sensor. The infant care station uses the sensed environmental data to control the operation of one or more environmental control devices in order to achieve or maintain a target environmental condition within the microenvironment.
- At 208, physiological data is sensed from the infant patient by the infant care station while the infant patient is in the microenvironment provided by the infant care station. The physiological data sensed from the infant may include an infant skin temperature, an infant ECG, or an infant SpO2, although these are intended to be merely exemplarily and not intended to be limiting on the scope of physiological data that can be sensed from the infant patient. In some embodiments, the physiological data is sensed continuously or generally continuously from the infant patient when the infant patient is in the microenvironment provided by the infant care station.
- Next, an auxiliary sensor is selectively connected to the infant care station at 210. As disclosed above, the auxiliary sensor can be any of a variety of physiological, anatomical, or environmental sensors and can be selectively connected to the care station by a physical or wireless communicative connection. At 212, the auxiliary sensor is used to intermittently obtain auxiliary data. In some embodiments, the obtained auxiliary data is physiological data, exemplarily an axillary temperature, anatomical data, exemplarily patient length, or environmental data, exemplarily external temperature outside of the microenvironment. The auxiliary sensor intermittently obtains the auxiliary data such as by selective operation of the auxiliary sensor by a clinician. As such, some embodiments of the auxiliary sensor may require the manipulation or use by the clinician in order to obtain the auxiliary data, such as is with a thermometer or an electronic tape measure.
- Next, at 214 the sensed physiological data from 208 and the obtained auxiliary data from 212 are presented on a graphical display. As disclosed above, in one embodiment, the continuously or generally continuously sensed physiological data from 208 is presented as a trend or graph over time, while the intermittently obtained auxiliary data is presented as individual measurement values as obtained in points in time along the graph or trend of the sensed physiological data.
- At 216, the infant care station operates to control the microenvironment provided by the infant care station based upon the obtained auxiliary data. As noted above, the intermittently obtained auxiliary data can be used by the infant care station to modify the way in which one or more of the microenvironment control devices are operated such as to modify one or more of the environmental conditions within the microenvironment and that such modifications can be made in response to the intermittently obtained auxiliary data. In one non-limiting example, a newly obtained value of the auxiliary data is used to replace a previously obtained value for the auxiliary data used in an algorithm executed by a processor to operate a device that controls an environmental condition of the microenvironment.
- At 218, the infant care station operates in connection with an information network in order to store the obtained auxiliary data in the electronic medical record (EMR) of the infant patient. By directly causing the auxiliary data to be recorded in the infant patient's EMR, the infant care station can facilitate the maintenance of proper and accurate medical records of the infant patient during the treatment and care of the infant patient.
- This written description uses examples to disclose the invention, including the best mode, and also to enable any person skilled in the art to practice the invention, including making and using any devices or systems and performing any incorporated methods. The patentable scope of the invention is defined by the claims, and may include other examples that occur to those skilled in the art. Such other examples are intended to be within the scope of the claims if they have structural elements that do not differ from the literal language of the claims, or if they include equivalent structural elements with insubstantial differences from the literal languages of the claims.
Claims (20)
1. An infant care station comprising:
at least one physiological sensor disposed to connect to the patient and continuously obtain physiological data from the patient;
at least one auxiliary data sensor operable by a user to intermittently obtain physiological data from the patient;
a graphical display operable to visually present data;
a processor communicatively connected to the at least one physiological sensor, the at least one auxiliary data sensor, and the graphical display, and operates the graphical display to present a trend graph in conjunction with the intermittently obtained physiological data from the patient.
2. The infant care system of claim 1 , further comprising a data storage device, upon which at least one trend graph is stored and the processor accesses the data storage device to present the at least one trend graph on the graphical display.
3. The infant care system of claim 1 , wherein the processor operates to calculate a trend graph from the continuously obtained physiological data from the at least one physiological sensor and the processor operates the graphical display to present the calculated trend graph.
4. The infant care system of claim 3 , further comprising:
a user input device connected to the processor, the user input device configured to receive data inputs indicative of the patient condition from a user;
wherein the processor is communicatively connected to a computer readable medium upon which an electronic medical record (EMR) of the patient is stored and the processor operates to store the received data inputs indicative of the patient condition from the user in the EMR.
5. The infant care system of claim 4 , wherein the processor further operates to store the continuously obtained physiological data and the intermittently obtained physiological data in the EMR.
6. The infant care system of claim 1 , wherein the at least one auxiliary data sensor is communicatively connected to the processor by a universal service bus (USB) connection.
7. The infant care system of claim 1 , wherein the at least one auxiliary data sensor is an electronic tape measure operable by a user to produce patient measurement data, and the processor is communicatively connected to a computer readable medium upon which an electronic medical record (EMR) of the patient is stored and the processor operates to store the received patient measurement data in the EMR.
8. The infant care system of claim 1 , wherein the at least one auxiliary data sensor is a thermometer operable to produce patient temperature data, and the processor is communicatively connected to a computer readable medium upon which an electronic medical record (EMR) of the patient is stored and the processor operates to store the received patient temperature data in the EMR,
9. The infant care system of claim 8 further comprising:
a microenvironment defined to receive a patient; and
at least one environmental control device communicatively connected to the processor and operable to change at least one environmental condition within the microenvironment;
wherein the processor operates the at least one environmental control device based upon the received patient temperature data from the at least one auxiliary data sensor.
10. The infant care system of claim 9 , wherein the at least one environmental control device is at least one of a heater, a humidifier, and an oxygen source.
11. An infant care station operable to create a microenvironment about a patient, the infant care station comprising:
an environmental control device operable to change an environmental condition within the microenvironment;
an auxiliary sensor operable by a user to intermittently obtain auxiliary data;
a graphical display operable to visually present data; and
a processor communicatively connected to the auxiliary sensor, environmental control device, and the graphical display, and the processor is selectively communicative with the auxiliary sensor, the processor operates the graphical display to present the intermittently obtained auxiliary data, and the processor operates the environmental control device based upon at least the intermittently obtained auxiliary data.
12. The infant care station of claim 11 , further comprising:
an environmental sensor operable to continuously obtain environmental data from the microenvironment; and
a physiological sensor configured to connect to the patient and operable to continuously obtain physiological data from the patient;
wherein the environmental sensor and physiological sensor are communicatively connected to the processor, the processor operates the graphical display to present a trend graph of at least one of the environmental data and the physiological data in conjunction with the intermittently obtained auxiliary data, and the processor operates the environmental control device based upon the environmental data obtained from the environmental sensor and the intermittently obtained auxiliary data.
13. The infant care station of claim 12 , wherein the auxiliary sensor is an axillary thermometer and the auxiliary data is axillary temperature, and the physiological sensor is an infant skin thermometer and the physiological data is patient skin temperature, wherein the processor calculates a trend in the patient skin temperature, and the processor further operates the graphical display to present the calculated trend in the patient skin temperature and the intermittently obtained auxiliary temperature.
14. The infant care station of claim 12 , wherein the auxiliary sensor is an external environment sensor, operable to obtain external environment data, and the processor operates the environmental control device based upon the auxiliary data and the external environment data.
15. The infant care station of claim 11 , wherein the processor is communicatively connected to an electronic medical record (EMR) server upon which an EMR of the infant patient is stored, and the processor operates to store the auxiliary data in the EMR of the infant patient.
16. The infant care station of claim 15 , further comprising:
a user input device communicatively connected to the processor, and the processor receives event data entered by a clinician into the user input device;
wherein the processor operates to store the event data in the EMR of the infant patient.
17. A method of caring for an infant, the method comprising:
providing a microenvironment for the infant with an infant care station;
sensing environmental data from at least one environmental sensor disposed within the microenvironment;
controlling the microenvironment based upon the sensed environmental data;
Sensing physiological data from the infant in the microenvironment provided by the infant care station;
selectively connecting an auxiliary sensor to the infant care station;
intermittently obtaining auxiliary data with the auxiliary sensor;
presenting the obtained auxiliary data on a graphical display; and
controlling the microenvironment based upon the obtained auxiliary data.
18. The method of claim 17 , further comprising:
storing the obtained auxiliary data in an electronic medical record (EMR) of the infant patient.
19. The method of claim 18 , wherein the EMR is stored at a location remote to the infant care station, and communicatively connected to the infant care station.
20. The method of claim 19 , further comprising:
receiving at least one clinician input of event data with the infant care station;
controlling the microenvironment based upon the received event data; and
storing the received event data in the EMR of the infant patient.
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US14/818,948 US9861545B2 (en) | 2011-12-16 | 2015-08-05 | System and method of infant care control and workflow |
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Also Published As
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US9861545B2 (en) | 2018-01-09 |
CN103156744A (en) | 2013-06-19 |
US20150335510A1 (en) | 2015-11-26 |
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