Healthcare associated infections are a major problem in the healthcare industry. When a surgical patient contracts a healthcare associated infection at a hospital, the patient usually requires a longer stay in the hospital because the recovery time is increased, resulting in a large increase in the cost to the hospital and the patient. Some patients, such as the elderly and small children, are more prone to the risk of infection in a hospital.
Bacterial infections are the most common healthcare associated infections. Bacteria can increase recovery time for not only surgical patients but also any patient who has non-intact skin, such as wounds, burns, and ulcers. Therefore, it is important to prevent bacterial infections by providing effective treatment to non-intact skin both in and out of hospitals.
Modular wound disinfection systems and methods using non-ionizing electromagnetic radiation are provided. Non-intact skin (e.g., a wound) can be treated using a modular wound disinfection system and method using non-ionizing electromagnetic radiation from, for example, light emitting devices (LEDs) of the modular wound disinfection system to inhibit bacterial infections. Non-ionizing radiation refers to radiation that has insufficient energy to cause ionization. That is, the radiation applied by the described systems is not intended to remove an electron from an atom or molecule; however, heat may be generated.
A modular wound disinfection system can be a modular system for applying LED treatment to a wound of a patient. In some cases, a modular system for applying LED treatment to a wound of a patient includes a plurality of LED modules. Each of the LED modules includes at least one LED and allows for consecutive abutment with another LED module. The consecutive abutment may be possible with respect to one or more sides of the LED module. The system also includes a controller coupled to the plurality of LED modules and that controls operation of each LED of the plurality of LED modules.
In some cases, the system includes an electrical connector strip. In such implementations, each of the plurality of LED modules has an electrical terminal so that the electrical connector strip can couple the controller to the plurality of LED modules via attachment to the electrical terminal on each of the plurality of LED modules. In some cases, each of the plurality of LED modules further includes an attachment mechanism that, in operation with a corresponding mechanism at the electrical connector strip or simply in contact with a region of the electrical connector strip, provides secure contact of the electrical terminal for that LED module to the electrical connector strip. In some cases, an LED module includes a wireless communication device to couple to the controller.
In some cases, each of the plurality of LED modules further includes one or more sensors. The one or more sensors can include, but are not limited to, a skin-contact sensor, a light sensor, a temperature sensor, and a combination thereof. The controller can use the feedback from the one or more sensors to ensure that the proper dose is able to be applied.
The skin-contact sensor can be used for sensing whether an LED module is in an appropriate position with respect to the patient's skin. The controller can receive a signal from the skin-contact sensor (e.g., via the electrical connector strip or via the wireless communication device) to determine whether the LED module is in the appropriate position and to cause that LED module to turn off when that LED module is not in the appropriate position to emit the light to the surface of the patient's wound. This automatic turn-off can help avoid light accidentally hitting the patient's eyes (or the eyes of another person in the vicinity). In some cases, the skin-contact sensor is a resistive sensor. In some cases, the skin-contact sensor is a capacitive sensor. In some cases, the skin-contact sensor senses position of the module (with respect to the patient's skin) based on a magnetic field created by a magnetic adhesive that can be provided for releasable attachment of an LED module to a bandage.
The light sensor can be part of the LEDs of the LED module. The light sensor can be used for sensing whether an appropriate amount/dose (e.g., illuminance or irradiance) of light is being irradiated. In some cases, the light sensor can be used to detect whether the LED module is in appropriate position. In some cases, an infrared or ultrasonic sensor may be provided. Such a sensor can be used to confirm distance between the LED module and the skin surface.
The temperature sensor can be used to detect the temperature of the LEDs of the LED module. The controller can receive the temperature information from the temperature sensor and determine whether the temperature of the LEDs of the LED module is within an appropriate temperature range (or in some cases below a particular threshold). In some cases, the temperature can be correlated to energy output of the LEDs (and therefore be used to adjust the power to the LEDs and the corresponding dosage). In some cases, the temperature sensor is used as a safety mechanism to ensure that the temperature does not go to unsafe levels.
A method for applying LED light treatment to a wound of a patient can include initiating operation of an LED system, receiving an indication of a number of LED modules coupled via an electrical connector strip to a controller, determining an appropriate current and voltage according to the number of LED modules, determining dose parameters for a therapy based on received input parameters, and controlling operation of the LED modules according to the dose parameters.
Treatment can be delivered according to the therapy. One or more of the described modular systems delivers the appropriate dose of LED light. In some cases, the method includes operating the LEDs for a predetermined period of time. The predetermined period of time may be predetermined based on the type of the patient's wound. Sensors of the modular system provide feedback mechanisms to indicate whether the appropriate dose was applied as well as to trigger safety measures such as stopping/interrupting application of the LED treatment. In some cases, the method further includes determining whether one or more safety criteria is satisfied. In some cases, the method further includes in response to the safety criteria not being satisfied, ceasing operation of the LED system, and in response to the safety criteria being satisfied, continuing operation until the therapy is complete. In some cases, the safety criteria include temperature and positioning. For example, in some cases, the method includes receiving a measurement of temperature from a temperature sensor; and, in response to the measured temperature being above a predetermined temperature, ceasing operation of one or more of the LED modules. In some cases, this ceasing of operation can help avoid a burn or other harm to the patient. As another example, in some cases, the method includes receiving a signal from a sensor indicating that an LED module is not in position (e.g., via a skin-contact sensor or a reflectance sensor); and in response to receiving the signal indicating the LED module is not in position, ceasing operation of the one or more LED modules. This ceasing of operation can help avoid accidental light irradiation in a person's eyes.
An LED module suitable for the described modular systems for providing LED light treatment to a wound of a patient can include an array of LEDs and a package body that allows for consecutive abutment with other ones of the LED modules and electrical attachment to an electrical connector. In addition, the LED module includes one or more electrical terminals exposed at a surface opposite the direction of irradiation and which are in position to electrically connect to the electrical connector when the LED module is attached to the electrical connector.
This Summary is provided to introduce a selection of concepts in a simplified form that are further described below in the Detailed Description. This Summary is not intended to identify key features or essential features of the claimed subject matter, nor is it intended to be used to limit the scope of the claimed subject matter.
Modular wound disinfection systems and methods using non-ionizing electromagnetic radiation are provided. Non-intact skin (e.g., a wound) can be treated using a modular wound disinfection system and method using non-ionizing electromagnetic radiation from, for example, LEDs of the modular would disinfection system to inhibit bacterial infections.
Non-ionizing radiation refers to radiation that has insufficient energy to cause ionization. That is, the radiation applied by the described systems is not intended to remove an electron from an atom or molecule; however, heat may be generated.
A modular wound disinfection system can be a modular system for applying LED treatment to a wound of a patent. The system is considered a modular system because certain components of the system are independently usable and able to be configurable on an as-needed basis such that more or fewer components are easily assembled. The modular wound disinfection system can be provided as a kit in which the components are packaged together. In some cases, certain components of the modular wound disinfection system are packaged separately and may even incorporate existing medical supplies or equipment.
A modular wound disinfection system can include at least a controller component and a plurality of LED modules. The LED modules may be packaged together. In some cases, LED modules are be reusable (or at least portions of the LED module are reusable). The reusable portions may be cleaned/disinfected/sterilized according to applicable hospitable standards. When being used to apply LED treatment to a wound, one or more of the LED modules can be applied. The LED modules support the modular capability of the system by being interchangeable and configurable on an as-needed basis. The controller may be a separate component or incorporated as part of one or more of the LED modules.
As used herein, placement in consecutive abutment means that the LED modules are positioned in contact with one another in such a way that the LED modules do not change position in a plane parallel to the surface of the patient's skin. This helps provide coverage of a wound regardless of wound size while using one or more modules. Consecutive abutment may be accomplished through a variety of attachment mechanisms to secure the LED modules in consecutive abutment or may be held in place in at least one plane by friction and/or shape.
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In some cases, the electrical terminals 402 of the electrical connector strip 400 may be a male-ended plug, a female ended jack, or some variation between a male-ended plug and a female-ended jack, depending on the configuration of the electrical terminals 408 of the LED modules 410. For example, if electrical terminals 408 of the LED modules 410 are provided with an attachment mechanism in the form of female-ended jacks, the corresponding attachment mechanisms 404 of the electrical connector strip 400 will be male-ended plugs. Conversely, if electrical terminals 408 of the LED modules 410 are provided with an attachment mechanism in the form of male-ended plugs, the attachment mechanisms 404 of the electrical connector strip 400 will be female-ended jacks. Other examples of attachment mechanisms (for LED module and/or electrical connector strip) include, but are not limited to hybrid male/female terminals.
In some cases, the electrical connector strip 400 provides communication between the plurality of LED modules 410 and a controller as well as power. In some cases, such as those in which a controller is included within each individual LED module 410, the electrical connector strip 400 may only provide power to the plurality of LED modules 410. In some cases, the electrical strip connector 400 may also provide a means for communicating between controllers. In some cases, such as those in which a battery is provided with each of the plurality of LED modules 410, the electrical strip connector 400 may only provide a means for communicating between the controllers.
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In the illustrated example, the attachment mechanism 510 includes a snap attachment (e.g., in the form of an eyelet/post) is shown. In this illustrated example, the package body has a male cylindrical body that is raised in a plane perpendicular to main body of the LED module and a snap fastener around the male cylindrical body, where the one or more electrical terminals 508 are exposed within the male cylindrical body. In some cases, the snap attachment is in the form of a stud or socket. In other cases, the electrical terminal 508 may be in a block shape, with prongs, or any other shape/configuration that is suitable for providing an electrical connection to an LED module. Of course, the attachment mechanism 510 may be any type of attachment mechanism suitable for attaching LED module to an electrical connector such that electrical terminal(s) 508 can make electrical connection to conductive line(s) of the electrical connector. Examples of attachment mechanisms include, but are not limited to, a snap fastener, a spring fastener, a buckle, a button, a screw, a cable tie, a screw and nut, a bolt and nut, a hook and loop fastener, a pin lock, a latch, a threaded rod, and a rivet.
The sides (e.g., sides 511A, 511B, 511C, 511D) of the LED module 500 can be configured for ease of consecutive abutment, for example, as illustrated in
In some cases, the consecutive abutment can be facilitated by an attachment mechanism (e.g., by a pre-tapped hole, screws, and a bar attaching to each LED module placed in consecutive abutment) that is attached to the LED module 500.
For example, as illustrated in
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Indicator lights 522, 524, 526, 528 of LED module 500B may indicate whether the corresponding sensors are measuring acceptable readings and/or indicate whether the LEDs of the LED module 500B are emitting light based on those readings. Each of the indicator lights 522, 524, 526, 528 of LED module 500B may represent different indications. For instance, indicator light 522 may indicate whether LED module 500B is receiving power or emitting light. In an example implementation, indicator light 522 may indicate, through a red indicator light, that the LEDs of the LED module 500B are not emitting light and indicate through a green indicator light that the LEDs of the LED module 500B are emitting light.
Indicator light 524 may indicate whether a temperature of the LEDs is within a predetermined acceptable range or below a predetermined temperature (e.g., where a temperature above the predetermined temperature may cause injury to the patient). Indicator light 526 may indicate whether the LED module 500B is in position for LEDs to appropriately emit light to the wound of the patient. For instance, indicator light 524 may indicate, through a red indicator light, that the temperature sensor is measuring is too high of a temperature (and it is therefore unsafe to continue to apply LED light treatment from the LEDs of the LED module 500B) and that the LEDs of the LED module 500B are not emitting light. The indicator light 524 may indicate, through a yellow indicator light, that the temperature the temperature sensor is measuring is almost too high (and it is therefore almost unsafe to continue to apply LED light treatment from the LEDs of the LED module 500B) and that the LEDs of the LED module 500B are still emitting light. The indicator light 524 may indicate, through a green indicator light, that the temperature the temperature sensor is measuring an acceptable temperature (and it is therefore safe to continue to apply LED light treatment from the LEDs of the LED module 500B) and that the LEDs of the LED module 500B are emitting light.
The indicator light 526 may indicate, through a red indicator light, that LED module 500B is not in position (e.g., based on a contact sensor) and indicate, through a green indicator light, that the LED module 500B is in position.
The indicator light 528 may indicate, through a red indicator light, that the light sensor is not detecting light from the LEDs of the LED module 500B and indicate, through a green indicator light, that the light sensor is detecting light from the LEDs of the LED module 500B.
Of course, depending on the number of sensors, more or fewer indicator lights can be part of an LED module (e.g., through different colored indicator lights or through more or fewer indicator lights. In addition, in some cases, instead of or in addition to indicator lights at the LED module, one or more of the indicator lights may be on the electrical connector strip (e.g., as illustrated in
It should be noted that in some cases, each LED module may include a tracking device (e.g., GPS tracking device) so that each LED module can be found and identified. In other words, each LED module may include its own module number and be able to be tracked and found wherever the LED module is located (e.g., within a hospital).
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It should be noted that LED modules do not have to be the square shape shown in
LEDs in the LED array 800 may be controlled together or in two or more groupings.
For the emitting/receiving configuration,
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A method for applying LED light treatment to a wound of a patient can include initiating operation of an LED system comprising a plurality of LED modules, receiving an indication of a number of the plurality of LED modules coupled via an electrical connector strip to a controller, determining an appropriate current and voltage according to the number of the plurality of LED modules, determining dose parameters for a therapy based on received input parameters, and controlling operation of the plurality of LED modules according to the dose parameters.
Treatment can be delivered according to the therapy by one or more of the described modular systems. In some cases, the method includes operating the plurality of LEDs for a predetermined period of time. The predetermined period of time may be predetermined based on a type of the patient's wound. Sensors of the modular system provide feedback mechanisms to indicate whether the appropriate dose was applied as well as to trigger safety measures such as stopping application of the LED treatment. In some cases, the method further includes determining whether one or more safety criteria is satisfied. In some cases, the method further includes in response to the safety criteria not being satisfied, ceasing operation of the LED system, and in response to the safety criteria being satisfied, continuing operation until the therapy is complete. In some cases, the safety criteria include temperature and positioning. For example, in some cases, the method includes receiving a measurement of temperature from a temperature sensor; and, in response to the measured temperature being above a predetermined temperature, ceasing operation of one or more of the LED modules. In some cases, this ceasing of operation can help avoid a burn or other harm to the patient. As another example, in some cases, the method includes receiving a signal from a sensor indicating that an LED module is not in position (e.g., via a skin-contact sensor or a reflectance sensor); and in response to receiving the signal indicating the LED module is not in position, ceasing operation of the one or more LED modules. This ceasing of operation can help avoid accidental light irradiation in a person's eyes.
The treatment is delivered (1108) to the wound of the patient via the LED modules under the control of the controller. In this example, the controller also determines (1110) whether a temperature of the LEDs is stable/acceptable and whether the light is being delivered correctly. As previously discussed, this determination may be made from information received by the controller from temperature sensors, light sensors, and/or contact sensors. If the controller determines that any of these factors are unacceptable, the controller readjusts (1112) the current and/or notifies the staff (e.g., through an indicator light) of the unacceptable factors so that treatment may continue to be delivered (1108) to the wound of the patient. While the controller determines that all of these factors are acceptable, the controller may determine (1114) whether the LED light treatment is complete. This determination may be a time-based determination, which may be based on the input parameters, or based on some other measured determination (e.g., the intensity of the LED light being emitted for the type of wound of the patient). If the controller determines that the LED light treatment is complete, the process is stopped (1116). If the treatment is not complete, the process returns to continue delivering (1108) treatment to the wound of the patient.
During treatment, sensors may be continuously checked for acceptable readings/measurements. In other cases, the sensors may be periodically checked. As can be seen in this example, the distance between the LED module and the wound of the patient is measured (1206) continuously, as is the skin conductance. The LED module is also checked (1208) continuously to ensure the LED module is in contact with the wound of the patient. This may be accomplished by a contact sensor. If the LED module is not in contact with the wound of the patient, treatment is stopped (1210) and/or staff is notified. The position of the LED module is also checked (1212) for a change. This may be accomplished through a light sensor. If the position of the LED module is changed, the light output of the LEDs is readjusted (1214). In this example, as long as acceptable readings from the sensors are measured, the LED modules will treat (1216) the wound of the patient for 120 minutes. At the end of the 120 minutes, the controller will shut down the LED modules and wait (1218) 4 to 6 hours before initiating (1202) treatment again. It should be understood that the length of time for treatment and the shutdown are specific examples and other implementations may utilize different lengths of time.
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A method for applying LED light treatment to a wound of a patient can, at a minimum, include initiating operation of at least one LED of an LED array of an LED module for a predetermined period of time; during the predetermined period of time, receiving a signal from a light sensor that indicates light reflected from a surface of the patient's wound; in response to the signal from the light sensor indicating that an appropriate dose of light is not being irradiated, adjusting operation of the at least one LED of the LED array of the LED module; and in response to the signal from the light sensor indicating the appropriate dose of light is being irradiated, continue operation of the at least one LED of the LED array of the LED module for the predetermined period of time.
In some cases, the method further includes receiving a signal from a skin-contact sensor that indicates whether the LED module is in position for the LED array of the LED module to emit light to the surface of the patient's wound, wherein the initiating operation of the at least one LED of the LED array of the LED module is performed in response to the signal from the skin-contact sensor indicating that the LED module is in position for the LED array of the LED module to emit the light to the surface of the patient's wound. Here, a controller performing the method can cease operation of the at least one LED of the LED array of the LED module in response to receiving a subsequent signal from the skin-contact sensor indicating that the LED module is not in the position.
In some cases, the method alternatively or further includes receiving a measurement of temperature from a temperature sensor; and in response to the measured temperature being above a predetermined temperature, ceasing or adjusting operation of the at least one LED of the LED array of the LED module.
Kits for use in practicing certain methods described herein are also provided. In certain embodiments, a kit may include one or more of: a plurality of LED modules, one or more lengths of electrical connector strips, clear adhesive bandages, magnetic tape, and, in certain cases, a computer-readable storage medium that when executed by a processor of a controller can perform any of the methods described above for dosing and controlling the LED modules. In certain embodiments, the kits will further include instructions for practicing the subject method or means for obtaining the same (e.g., a website URL directing the user to a webpage which provides the instructions), where these instructions may be printed on a substrate, where substrate may be one or more of: a package insert, the packaging, containers and the like. In the subject kits, the one or more components are present in the same or different containers, as may be convenient or desirable. In an example implementation, a kit includes a plurality of LED modules; and one or more lengths of electrical connector strips; and, optionally, clear adhesive bandages; and, optionally, magnetic tape. An LED module for providing LED light treatment to a wound of a patient (and which can be included in the kit) can include an array of LEDs; and a package body that allows for consecutive abutment with at least one other LED module and electrical attachment to an electrical connector. Such an LED module can further include one or more electrical terminals exposed at a surface of the package body on an opposite side to a side providing irradiation and which are in position to electrically connect to the electrical connector when the LED module is attached to the electrical connector.
It should be understood that as used herein, in no case do the terms “storage media,” “computer-readable storage media” or “computer-readable storage medium” consist of transitory carrier waves or propagating signals.
Although the subject matter has been described in language specific to structural features and/or acts, it is to be understood that the subject matter defined in the appended claims is not necessarily limited to the specific features or acts described above. Rather, the specific features and acts described above are disclosed as examples of implementing the claims and other equivalent features and acts are intended to be within the scope of the claims.
This application claims the benefit of U.S. Provisional Application Ser. No. 62/846,907, filed May 13, 2019.
Number | Date | Country | |
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62846907 | May 2019 | US |