The present invention relates generally to a method and apparatus for controlling a warming therapy device (e.g., incubator, warmer, etc.). More particularly, the present invention relates to a method and apparatus for monitoring the conditions of a medical patient disposed on a warming therapy device, and controlling various aspects of the warming therapy device associated therewith.
Infant care units, such as warming therapy devices (e.g., incubators, warmers, etc.) that includes various systems for controlling the temperature and humidity to facilitate the development of a premature infant, are known. Such devices conventionally include an infant support surface for supporting an infant, as well as means of protecting the infant, such as a hood or canopy which covers the infant support surface.
In some cases, conventional warming therapy devices include control panels for monitoring the status of the infant, and for controlling various aspects of the device (e.g., temperature, air flow, humidity, etc.). Such control panels typically comprise an Light Emitting Diode (LED) or Liquid Crystal Display (LCD) type displays, which convey only alphanumeric information (e.g., temperature values, humidity values), and are often time not intuitive to first time users. Conventional control panels for warming therapy devices do not include detailed display monitors (such as computer-type displays), touch-screen displays, or other features common in the field of computers.
Accordingly, there is presently a need for an apparatus for monitoring and controlling a warming therapy device which is intuitive and suitable for an infant patient environment.
An exemplary embodiment of the present invention comprises an apparatus including a warming therapy device and at least one monitor coupled to the warming therapy device for displaying information related to a medical patient, wherein the monitor operates to display at least one medical patient temperature level, and at least one resuscitation indicator on a single display screen.
An exemplary embodiment of the present invention also comprises a touch screen apparatus including a first display portion for displaying a first set of information related to a medical patient, a second display portion for displaying menu information, and a third display portion for displaying a second set of information related to a medical patient.
An exemplary embodiment of the present invention also comprises a method for monitoring a medical patient, including, displaying a first set of information related to a medical patient on a first portion of a computer monitor, displaying menu information on a second portion of a computer monitor, and displaying a second set of information related to a medical patient on a third portion of a computer monitor.
An exemplary embodiment of the present invention also comprises a computer system including at least one monitor, at least one processor, and at least one memory coupled to the at least one processor, wherein the at least one memory includes at least one program stored thereon, the at least one program being capable of performing the steps of displaying a first set of information related to a medical patient on a first portion of the at least one monitor, displaying menu information on a second portion of the at least one monitor, and displaying a second set of information related to a medical patient on a third portion of the at least one monitor.
An exemplary embodiment of the present invention also comprises a computer readable medium having embodied therein a computer program for processing by a machine, the computer program including a first code segment for displaying a first set of information related to a medical patient on a first portion of a computer monitor, a second code segment for displaying menu information on a second portion of the computer monitor, and a third code segment for displaying a second set of information related to a medical patient on a third portion of the computer monitor.
An exemplary embodiment of the present invention also comprises a computer monitor apparatus including a first display portion for displaying an image representative of a medical patient, a second display portion for displaying a first set of information related to a medical patient, wherein the second display portion comprises a substantially circular display which substantially surrounds the first display portion.
An exemplary embodiment of the present invention also comprises an apparatus including a warming therapy device, and at least one monitor coupled to the warming therapy device for displaying information related to a medical patient, wherein the monitor operates to display at least one medical patient temperature level, and at least one CPAP indicator on a single display screen.
The present invention relates generally to a method and apparatus for controlling a warming therapy device (e.g., incubator, warmer, etc.), and in particular to an interface for displaying various conditions of a medical patient disposed on the warming therapy device, and for permitting-control of various medical monitors and devices. As described below, the interface may comprise a touch screen Graphical User Interface (GUI) in certain exemplary embodiments.
The GUI presents a completely new holistic approach to the control and monitoring of an infant patient disposed on or in the warming therapy device. In certain exemplary embodiments, the GUI may comprise a full-color touch screen display which allows for customization of the displayed information according to the user's needs. For example the arrangement of data on the GUI may follow the current medical application, which can include, but is not limited to, processes such as thermo-regulation (i.e., temperature control), thermo-monitoring (i.e., temperature monitoring), phototherapy, respiratory support, resuscitation, noise control, audio stimulation, weighing, etc. Short and long-term trends may also be displayed on the GUI, and combined for further analysis. The GUI may also include a series of alarms, as well as an alarm log, which may be combined with the short and long-term trend information for analysis, and future prevention of similar events.
The GUI is intended to represent a patient and the patient's environment on the GUI, and to place the measured values and indicators relating to the patient and the patient's environment at locations on the GUI that correspond to their physical location. For example, a mattress temperature value may be represented on a bottom portion of the GUI (under the representation of the patient), which corresponds to the location of the mattress in the warming therapy device relative to the patient. One goal of the present invention is to make the use of the GUI more intuitive to first time users, and more effective to repeat users. Another goal is to make the GUI better suited for a infant patient environment (e.g., Neonatal Intensive Care Unit (NICU)) in that its appearance is less foreign (and less threatening) to visiting parents, while still remaining effective and professional.
The following abbreviations are used herein, and are defined as follows:
bpm—beats per minute, unit for pulse rate.
CPAP—Continuous Positive Airway Pressure; used to keep airways open.
FiO2—Fractional Inspired O2 concentration.
GUI—Graphical User Interface.
KPa—KiloPascals, Unit of pressure (1 KPa=0.145038 PSI).
LPM—Liters Per Minute, Unit of gas flow.
MIB—Medical Information Bus.
nCPAP—Nasal CPAP.
NICU—Neonatal Intensive Care Unit.
PEEP—Positive End Expiratory Pressure; pressure applied to the patient airway during expiration.
PIP—Peak Inspiratory Pressure; the pressure limit of the gas possible to deliver.
PSI—Pounds per Square inch; unit of gas pressure (1 PSI=6.8947 KPa).
Trendelenburg—a position in which a patient's body is laid flat on the back with the head lower than the pelvis.
The GUI 200 also includes an APGAR portion 203 for assisting the caregiver in performing an APGAR examination. The APGAR portion 203 includes a timer which may be started or stopped by selection of the ‘play/pause’ radio button, and which may be reset by selection of the ‘reset’ radio button 231. Preferably, an audible alarm sounds at 1, 5 and 10 minute intervals during the APGAR examination.
The GUI 200 also includes an alarm control portion 204 for controlling various alarms. The alarm control portion 204 includes an ‘Alarm Reset’ radio button 240, which, when selected, resets all the alarms controlled from the GUI 200. The alarm control portion 204 includes an ‘All Alarms’ radio button 241, which, when selected, displays an additional dialog box or window (not shown) with a description of all the alarms controlled from the GUI 200. The GUI 200 also includes an alarm display portion 205 for displaying an indicator of one or more alarms. For example, if the patient's FiO2 is low, the alarm display portion 205 will display the text “FiO2 Low” and so forth.
The GUI 200 also includes a main menu portion 206 for allowing the caregiver to perform various functions. The main menu portion 206 includes an Alarm icon 260, a Therapy Settings icon 261, a Trends/Review icon 262, a Procedures icon 263, a System Setup icon 264, a View icon 265, a Work Light icon 266, a Night Light icon 267, a Bed Adjustment icon 268, and a Screen Lock icon 269. Although not shown in
If the caregiver selects the Alarm icon 260, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the alarm settings (e.g., which alarms are active, audio options, etc.). This dialog box (and all the other dialog boxes described below) may be configured to disappear or be removed from the GUI 200 if there is no activity in the GUI for a certain period of time (e.g., 5 seconds). Controls available from the Alarm dialog box may include radio buttons, softkeys or other equivalent means for controlling various alarms related to conditions such as patient temperature, mattress temperature, oxygen levels, humidity levels, etc. The Alarm dialog box may also permit the disabling of all alarms, the display of all current alarms and alarm levels, the display of historical alarms and alarm levels and alarm volume controls.
If the caregiver selects the Therapy Settings icon 261, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the therapy settings (e.g., mattress heating, heated air circulation, resuscitation settings, etc.). Controls available from the Therapy Settings dialog box may include radio buttons, softkeys or other equivalent means for controlling temperature, air flow and humidity within the warming therapy device, mattress temperature, radiant heater temperature, oxygen levels, resuscitation processes, and nCPAP processes. The Therapy Settings dialog box may also permit the enabling or disabling of a Kangaroo Mode®, wherein a parent or caregiver removes the medical patient from the warming therapy device but remains in close proximity.
If the caregiver selects the Trends/Review icon 262, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the trends and review settings (e.g., select trends to monitor, display trends, display current values, etc.). Controls available from the Trends/Review dialog box may include radio buttons, softkeys or other equivalent means for displaying various trends.
If the caregiver selects the Procedures icon 263, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the procedures settings (e.g., weight measurements, phototherapy procedures, etc.). Controls available from the Procedures dialog box may include radio buttons, softkeys or other equivalent means for performing various procedures such as weighing, the patient, performing phototherapy on the patient (to reduce or eliminate bilirubin), and performing audio stimulation (e.g., playing music or soothing sounds for the patient). The Procedures dialog box may also permit the setting of various timers for the above-referenced procedures.
If the caregiver selects the System Setup icon 264, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the system settings (e.g., screen settings, trend settings, view settings, color settings, alarm settings, etc.). Controls available from the System Setup dialog box may include radio buttons, softkeys or other equivalent means for controlling current date and time, language, display brightness, display and editing of patient demographic information, enabling or disabling APGAR displays and controls, setting of units of measurement (e.g., ounces, pounds, kilograms, etc.), enabling or disabling locking of the touch screen, and enabling or disabling tilt and height adjustment controls. The System Setup dialog box may also permit control of trend default levels (e.g., for display in the Trends/Review dialog box), defaults views (e.g., for display in the View dialog box), default alarms and levels (e.g., for display in the Alarm dialog box), and default therapies and levels (e.g., for display in the Therapy Settings dialog box). The System Setup dialog box may also permit the assignment of various colors to different parameters, to make on-screen identification easier. For example, the caregiver may assign the color red to a patient temperature display, and the color blue to an oxygen level display. The System Setup dialog box may also permit the saving of data to an external data storage medium (e.g., Universal Serial Bus (USB) Drive, or the like), and the loading of data from an external data storage medium. The System Setup dialog box may also permit calibration of the oxygen sensors.
If the caregiver selects the View icon 265, the view setting is changed. Each time the user select the View icon 265, the view setting is changed as between three (3) different views. These views may comprise: (1) a Portrait View (7.2-8.4 inches wide by 9.6-11.2 inches high), (2) a Landscape View (9.6-11.2 inches wide by 7.2-8.4 inches high), and (3) a Split Screen View (two screens side by side with each being 4.5 inches wide by 3.25 inches high). In this manner, the caregiver can selection the View icon 265 multiple times to cycle through the various view settings. The Split Screen View allows the caregiver to display the main display portion 207 (described below), along with a resuscitation display portion 350, discussed below (See
If the caregiver selects the Work Light icon 266, the work light (not shown) associated with the warming therapy device 100 is switched ‘on’ and ‘off.’ For example, if the work light is ‘on’ when the caregiver selects the Work Light icon 266, the light will be turned ‘off.’ Similarly, if the work light is ‘off’ when the caregiver selects the Work Light icon 266, the light will be turned ‘on.’
If the caregiver selects the Night Light icon 267, the night light (not shown) associated with the warming therapy device 100 is switched ‘on’ and ‘off.’ For example, if the night light is ‘on’ when the caregiver selects the Night Light icon 266, the light will be turned ‘off.’ Similarly, if the night light is ‘off’ when the caregiver selects the Night Light icon 266, the light will be turned ‘on.’
If the caregiver selects the Bed Adjustment icon 268, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the configuration settings for the warming therapy device (e.g., change the height of the mattress tray assembly 140, tilt the mattress tray assembly, etc.).
If the caregiver selects the Screen lock icon 269, the screen lock for the GUI 200 is switched ‘on’ and ‘off.’ For example, if the screen lock is ‘on’ when the caregiver selects the Screen Lock icon 269, the lock will be turned ‘off.’ Similarly, if the screen lock is ‘off’ when the caregiver selects the Screen lock icon 269, the lock will be turned ‘on.’ A graphical indicator (a lock with an open or closed clasp in
The GUI 200 also includes a main display portion 207 which includes various displays and radio buttons. For example, the main display portion 207 includes a patient monitoring portion 270 which can display information such as: (1) oxygen levels, (2) patient temperature, (3) air temperature, (4) humidity, and (5) mattress temperature. The patient monitoring portion 270 is preferably laid out in a circular or oval pattern as shown in
The main display portion 207 also includes an air temperature portion 273 which includes “On” and “Off” radio buttons for selectively circulating heated air under the hood 145. The air temperature portion 273 also includes a radio button (e.g., “Set 33.0”) for setting the temperature of the circulated air, and a display showing the actual temperature of the air inside the hood 145. As shown in
The main display portion 207 also includes a mattress temperature portion 274 which includes a radio button (e.g., “Set 36.5”) for setting the temperature of a heated mattress, and a display showing the actual temperature at the mattress. As shown in
The main display portion 207 also includes an oxygen level portion 275 which includes a radio button (e.g., “Set 21”) for setting the oxygen level, and a display showing the actual oxygen level inside the hood 145. As shown in
Finally, the main display portion 207 includes a humidity level portion 276 which includes a radio button (e.g., “Set 30”) for setting the humidity level, and a display showing the actual humidity level inside the hood 145. As shown in
The main display portion 207 of the GUI 200 also includes a heater power portion 280, a CPAP portion 290, a heart rate portion 300, and a resuscitation portion 310, which will be described below.
The heater power portion 280 includes a radio button in the shape of a thermometer with a (triangular) indicator along one side, and a display showing the heater power (e.g., 25%, 50%, 100%, etc.). The caregiver may touch the radio button to change the power level of the radiant heater head 120. For example, if the caregiver moves the triangular indicator halfway Up the thermometer, the radiant heater head 120 will be at approximately 50% power. The heater power portion 280 also includes a graphical indicator (represented by an oval with several straight lines emanating therefrom in
The CPAP portion 290 includes an “On/Off” radio button for selectively displaying a CPAP meter 291. The CPAP meter 291 displays the CPAP level and the PIP level, and may be used for monitoring airway pressure as is known in the art. The ability to display gauges, levels and values associated with CPAP processes on the GUI 200′ substantially eliminates the need for one or more separate analog display gauges and meters, as is the case in many conventional warming therapy devices. This, in turn, allows a significant reduction in the overall space requirements for the devices.
The heart rate portion 300 includes an oxygen saturation (SpO2) display and a pulse display. The oxygen saturation display shows the oxygen saturation of the patient's blood in percentage, and the pulse display shows the patient's pulse in beats per minute (bpm). The oxygen saturation and pulse levels of the patient may be measured by either or both of the “Skin 1” and “Skin 2” probes discussed above, or by other means known to those of ordinary skill in the art. The heart rate portion 300 also includes a graphical indicator (represented by a heart in
The resuscitation portion 310 is minimized in
The resuscitation portion 310′ includes a tank pressure display 312′, a wall pressure display 313′, a FiO2 display 314′, and a flow display 315′. The resuscitation portion 310′ also includes a suction “On/OF” radio button 316′, and a flow “On/Off” radio button 317′. The resuscitation portion 310′ also includes a CPAP meter 318′ and a blood pressure meter 319′. The tank pressure display 312′ displays the pressure for one or more gas tanks (e.g., Air and Oxygen) in kilopascals (kPa). The wall pressure display 313′ displays the wall pressure for one or more gas tanks (e.g., Air and Oxygen) in kilopascals (kPa). The FiO2 display 314′ displays the FiO2 concentration as a percentage (e.g., 40% as shown in
The GUI 400 includes a patient information portion 401, which can display various personal information associated with the patient, such as name, weight, sex, and age. Although not shown, the patient information portion 401 can also display the current date and time for reference purposes, and a battery level indicator.
The GUI 400 also includes a main menu portion 406 for allowing the caregiver to perform various functions. The main menu portion 406 includes an Alarm icon 460, a Therapy Settings icon 461, a Trends/Review icon 462, a Procedures icon 463, a System Setup icon 464, a Timer icon 465 (that allows a user to configure a general purpose timer), a Bed Adjustment icon 468, and a Patient Profile icon 466 (that allows a user to enter Admit, Discharge and/or Transfer information pertaining to the patient). Although not shown in
If the caregiver selects the Alarm icon 460, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the alarm settings (e.g., which alarms are active, audio options, etc.). This dialog box (and all the other dialog boxes described below) may be configured to disappear or be removed from the GUI 200 if there is no activity in the GUI for a certain period of time (e.g., 5 seconds). Controls available from the Alarm dialog box may include radio buttons, softkeys or other equivalent means for controlling various alarms related to conditions such as patient temperature, mattress temperature, oxygen levels, humidity levels, etc. The Alarm dialog box may also permit the disabling of all alarms, the display of all current alarms and alarm levels, the display of historical alarms and alarm levels and alarm volume controls.
If the caregiver selects the Therapy Settings icon 461, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the therapy settings (e.g., mattress heating, heated air circulation, resuscitation settings, etc.). Controls available from the Therapy Settings dialog box may include radio buttons, softkeys or other equivalent means for controlling temperature, air flow and humidity within the warming therapy device, mattress temperature, radiant heater temperature, oxygen levels, resuscitation processes, and nCPAP processes. The Therapy Settings dialog box may also permit the enabling or disabling of a Kangaroo Mode®, wherein a parent or caregiver removes the medical patient from the warming therapy device but remains in close proximity.
If the caregiver selects the Trends/Review icon 462, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the trends and review settings (e.g., select trends to monitor, display trends, display current values, etc.). Controls available from the Trends/Review dialog box may include radio buttons, softkeys or other equivalent means for displaying various trends.
If the caregiver selects the Procedures icon 463, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the procedures settings (e.g., weight measurements, phototherapy procedures, etc.). Controls available from the Procedures dialog box may include radio buttons, softkeys or other equivalent means for performing various procedures such as weighing the patient, performing phototherapy on the patient (to reduce or eliminate bilirubin), and performing audio stimulation (e.g., playing music or soothing sounds for the patient). The Procedures dialog box may also permit the setting of various timers for the above-referenced procedures.
If the caregiver selects the System Setup icon 464, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the system settings (e.g., screen settings, trend settings, view settings, color settings, alarm settings, etc.). Controls available from the System Setup dialog box may include radio buttons, softkeys or other equivalent means for controlling current date and time, language, display brightness, display and editing of patient demographic information, enabling or disabling APGAR displays and controls, setting of units of measurement (e.g., ounces, pounds, kilograms, etc.), enabling or disabling locking of the touch screen, and enabling or disabling tilt and height adjustment controls. The System Setup dialog box may also permit control of trend default levels (e.g., for display in the Trends/Review dialog box), defaults views (e.g., for display in the View dialog box), default alarms and levels (e.g., for display in the Alarm dialog box), and default therapies and levels (e.g., for display in the Therapy Settings dialog box). The System Setup dialog box may also permit the assignment of various colors to different parameters, to make on-screen identification easier. For example, the caregiver may assign the color red to a patient temperature display, and the color blue to an oxygen level display. The System Setup dialog box may also permit the saving of data to an external data storage medium (e.g., Universal Serial Bus (USB) Drive, or the like), and the loading of data from an external data storage medium. The System Setup dialog box may also permit calibration of the oxygen sensors.
If the caregiver selects the Timer icon 465, a separate dialog box or window is displayed (not shown) which allows the caregiver to configure and engage a general purpose timer. Controls available from the System Setup dialog box may include radio buttons, softkeys or other equivalent means for entering a start tine for the countdown timer, starting the timer, and stopping the timer. For various applications, such as ‘Kangaroo Care’ (i.e., wherein a parent or caregiver removes the medical patient from the warming therapy device but remains in close proximity), APGAR assessment, resuscitation, feeding, etc. it is necessary to closely monitor the time when the activity was started. Depending on the user's preference, the timer may comprise a countdown timer or a timer starting at zero (0) and counting up.
If the caregiver selects the Patient Profile icon 466, a separate dialog box or window is displayed (not shown) which allows the caregiver to enter Admit, Discharge and/or Transfer information pertaining to the patient. Controls available from the System Setup dialog box may include radio buttons, softkeys or other equivalent means for entering patient name, age, gender, race, birth date, etc.
If the caregiver selects the Bed Adjustment icon 468, a separate dialog box or window is displayed (not shown) which allows the caregiver to manipulate the configuration settings for the warming therapy device (e.g., change the height of the mattress tray assembly 140, tilt the mattress tray assembly, etc.). Controls available from the System Setup dialog box may include radio buttons, softkeys or other equivalent means for adjusting bed height and tilt, and adjusting hood height and tilt.
The GUI 400 also includes a main display portion 407 which includes various displays and radio buttons. For example, the main display portion 407 includes a patient monitoring portion 470 which can display information such as: (1) oxygen levels, (2) patient temperature, (3) air temperature, (4) humidity, and (5) mattress temperature. The patient monitoring portion 470 is preferably laid out in a circular or oval pattern as shown in
The main display portion 407 also includes an air temperature portion 473 which includes a display showing the actual temperature of the air inside the hood of the warming therapy device (e.g., hood 145 in device 100 shown in
The main display portion 407 also includes a mattress temperature portion 474 which includes a display showing the actual temperature at the mattress (e.g., mattress 111 in
The main display portion 407 also includes an oxygen level portion 475 which includes a display showing the actual oxygen level inside the warming therapy device (e.g., hood 145 in device 100 shown in
Finally, the main display portion 407 includes a humidity level portion 476 which includes a display showing the actual humidity level inside the warming therapy device (e.g., hood 145 in device 100 shown in
The main display portion 407 of the GUI 400 also includes a volume control portion 480, a nCPAP portion 490, a heart rate portion 500, a resuscitation portion 510, and a phototherapy portion 520, which will be described below.
The volume control portion 480 includes a display showing the current volume level (e.g, 24). The caregiver may touch the volume control portion to change the volume level, or mute the volume level. For example, the caregiver may slide their finger across the volume control portion 480 from left to right to raise the volume level, and from right to left to lower the volume level. The volume control portion 480 also includes a graphical indicator (represented by a speaker with sound waves emanating therefrom in
The nCPAP portion 490 includes a radio button for selectively displaying additional nCPAP information. For example, selection of the radio button may expand the nCPAP portion 490, and correspondingly minimize other portions of the GUI 400, as shown in
The heart rate portion 500 includes an oxygen saturation (SpO2) display and a pulse display. The oxygen saturation display shows the oxygen saturation of the patient's blood in percentage, and the pulse display shows the patient's pulse in beats per minute (bpm). The oxygen saturation and pulse levels of the patient may be measured by means known to those of ordinary skill in the art. The heart rate portion 500 also includes a graphical indicator (represented by a heart in
The resuscitation portion 510 includes a radio button for selectively displaying additional resuscitation information. For example, selection of the radio button may expand the resuscitation portion 510, and correspondingly minimize other portions of the GUI 400, as shown in
The phototherapy portion 520 includes a radio button for selectively displaying additional phototherapy information. For example, selection of the radio button may expand the phototherapy portion 520, and correspondingly minimize other portions of the GUI 400 (not shown, but similar to the displays shown in
Although exemplary embodiments of the present invention have been described above for use in procedures involving infants, those of ordinary skill in the art will realize that the exemplary embodiments of the present invention may be used for other types of operations and procedures, including for children and adults.
Although the invention has been described in terms of exemplary embodiments, it is not limited thereto. Rather, the appended claims should be construed broadly to include other variants and embodiments of the invention which may be made by those skilled in the art without departing from the scope and range of equivalents of the invention. This disclosure is intended to cover any adaptations or variations of the embodiments discussed herein.
This application claims priority to U.S. Provisional Patent Application No. 61/005,510, filed Dec. 5, 2007, the entire contents of which are incorporated by reference, as if fully set forth herein.
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