The present disclosure relates to swelling of a patient's limb. More particularly, the present disclosure relates to tracking and monitoring swelling increases or decreases of the patient's limb.
One implementation of the present disclosure is a system for monitoring and tracking swelling of a patient's limb, according to some embodiments. The system can include a dressing, an imaging device, and processing circuitry. The dressing is positioned on a patient's limb over a wound and includes a pattern indicator. The imaging device is configured to obtain an image of the dressing and the pattern indicator. The processing circuitry is configured to obtain an initial image of the pattern indicator, obtain one or more subsequent images of the pattern indicator at later times, and determine a swelling change of the patient's limb using the initial image and the one or more subsequent images.
In some embodiments, the processing circuitry and the imaging device are components of a smartphone.
In some embodiments, the processing circuitry is configured to perform an image analysis technique to determine a baseline dimension of the pattern indicator using the initial image of the pattern indicator. In some embodiments, the processing circuitry is configured to perform the image analysis technique to determine one or more subsequent dimensions of the pattern indicator using the one or more subsequent images of the pattern indicator obtained at later times. In some embodiments, the processing circuitry is configured to determine relative increase or decrease amounts between the baseline dimension of the pattern indicator and the one or more subsequent dimensions of the pattern indicator.
In some embodiments, the processing circuitry is configured to determine a relative increase or decrease in at least one of a circumference, diameter, or volume of the patient's limb using the relative increase or decrease amounts.
In some embodiments, the pattern indicator includes a grid and a reference indicator. The grid may be configured to expand or contract with swelling increases or decreases of the patient's limb. The reference indicator may be fixedly coupled with the grid. The reference indicator can be a rigid member that does not expand or contract with swelling increases or decreases of the patient's limb.
In some embodiments, the processing circuitry is configured to calibrate any of the initial image or the one or more subsequent images using image data of the reference indicator to account for a relative orientation or position between the imaging device and the pattern indicator.
In some embodiments, the processing circuitry is configured to generate progress data of multiple values of the swelling change of the patient's limb using the initial image and multiple subsequent images. The processing circuitry can generate a progress report using the progress data and provide the progress report to at least one of the patient via a display screen or a healthcare professional via a remote system.
In some embodiments, the progress report includes at least one of a current value of a circumference, diameter, or volume of the patient's limb, a current value of a dimension of the pattern indicator, historical values of the circumference, diameter, or volume of the patient's limb, historical values of the dimension of the pattern indicator, or a graph showing swelling changes of the patient's limb over time.
In some embodiments, the system further includes a display screen. The processing circuitry can be configured to periodically prompt the patient to capture a new image of the pattern indicator via the display screen.
In some embodiments, the processing circuitry is configured to alert the patient or a healthcare professional in response to the swelling increasing by a predetermined amount or more.
In some embodiments, the system further includes a negative pressure wound therapy (NPWT) unit and a tubular member. The NPWT unit can be configured to draw a negative pressure within the dressing through the tubular member.
Another implementation of the present disclosure is a controller for monitoring and tracking swelling of a patient's limb, according to some embodiments. The controller includes processing circuitry configured to obtain an initial image of a pattern indicator positioned at the patient's limb using an imaging device. The processing circuitry can be configured to obtain one or more subsequent images of the pattern indicator at later times using the imaging device. The processing circuitry can also be configured to determine a swelling change of the patient's limb using the initial image and the one or more subsequent images. The processing circuitry can also be configured to provide a report to at least one of the patient or a healthcare provider including the swelling change of the patient's limb.
In some embodiments, the controller is a patient's smartphone with a mobile application installed on the processing circuitry. The processing circuitry and the imaging device may be components of the patient's smartphone.
In some embodiments, the processing circuitry is configured to perform an image analysis technique to determine a baseline dimension of the pattern indicator using the initial image of the pattern indicator. The processing circuitry can also be configured to perform the image analysis technique to determine one or more subsequent dimensions of the pattern indicator using the one or more subsequent images of the pattern indicator obtained at later times. The processing circuitry can also be configured to determine relative increase or decrease amounts between the baseline dimension of the pattern indicator and the one or more subsequent dimensions of the pattern indicator.
In some embodiments, the processing circuitry is configured to determine a relative increase or decrease in at least one of a circumference, diameter, or volume of the patient's limb using the relative increase or decrease amounts.
In some embodiments, the pattern indicator includes a grid configured to expand or contract with swelling increases or decreases of the patient's limb. The pattern indicator can also include a reference indicator fixedly coupled with the grid. The reference indicator may be a rigid member that does not expand or contract with swelling increases or decreases of the patient's limb.
In some embodiments, the processing circuitry is configured to calibrate any of the initial image or the one or more subsequent images using image data of the reference indicator to account for a relative orientation or position between the imaging device and the pattern indicator.
In some embodiments, the processing circuitry is configured to generate progress data of multiple values of the swelling change of the patient's limb using the initial image and multiple subsequent images. The processing circuitry can also be configured to generate a progress report using the progress data and provide the progress report to at least one of the patient via a display screen or a healthcare professional via a remote system.
In some embodiments, the progress report includes at least one of a current value of a circumference, diameter, or volume of the patient's limb, a current value of a dimension of the pattern indicator, historical values of the circumference, diameter, or volume of the patient's limb, historical values of the dimension of the pattern indicator, or a graph showing swelling changes of the patient's limb over time.
In some embodiments, the processing circuitry is configured to periodically prompt the patient to capture a new image of the pattern indicator via a display screen.
In some embodiments, the processing circuitry is configured to alert the patient or a healthcare professional in response to the swelling increasing by a predetermined amount or more.
Another implementation of the present disclosure is a method for monitoring and tracking swelling of a patient's limb, according to some embodiments. The method can include obtaining an initial image of a pattern indicator positioned at the patient's limb using an imaging device. The method can also include obtaining one or more subsequent images of the pattern indicator at later times using the imaging device. The method can also include determining a swelling change of the patient's limb using the initial image and the one or more subsequent images. The method can also include providing a report to at least one of the patient or a healthcare provider including the swelling change of the patient's limb.
In some embodiments, the method further includes performing an image analysis technique to determine a baseline dimension of the pattern indicator using the initial image of the pattern indicator. The method can also include performing the image analysis technique to determine one or more subsequent dimensions of the pattern indicator using the one or more subsequent images of the pattern indicator obtained at later times. The method can also include determining relative increase or decrease amounts between the baseline dimension of the pattern indicator and the one or more subsequent dimensions of the pattern indicator.
In some embodiments, the method further includes determining a relative increase or decrease in at least one of a circumference, diameter, or volume of the patient's limb using the relative increase or decrease amounts.
In some embodiments, pattern indicator includes a grid and a reference indicator. The grid can be configured to expand or contract with swelling increases or decreases of the patient's limb. The reference indicator can be fixedly coupled with the grid. The reference indicator can be a rigid member that does not expand or contract with swelling increases or decreases of the patient's limb.
In some embodiments, the method further includes calibrating any of the initial image or the one or more subsequent images using image data of the reference indicator to account for a relative orientation or position between the imaging device and the pattern indicator.
In some embodiments, the method further includes generating progress data of multiple of the swelling change of the patient's limb using the initial image and multiple subsequent images. The method can also include generating a progress report using the progress data and providing the progress report to at least one of the patient via a display screen or a healthcare professional via a remote system.
In some embodiments, the progress report includes at least one of a current value of a circumference, diameter, or volume of the patient's limb, a current value of a dimension of the pattern indicator, historical values of the circumference, diameter, or volume of the patient's limb, historical values of the dimension of the pattern indicator, or a graph showing swelling changes of the patient's limb over time.
In some embodiments, the method further includes periodically prompting the patient to capture a new image of the pattern indicator via a display screen.
In some embodiments, the method further includes alerting the patient or a healthcare professional in response to the swelling increasing by a predetermined amount or more.
Those skilled in the art will appreciate that the summary is illustrative only and is not intended to be in any way limiting. Other aspects, inventive features, and advantages of the devices and/or processes described herein, as defined solely by the claims, will become apparent in the detailed description set forth herein and taken in conjunction with the accompanying drawings.
The disclosure will become more fully understood from the following detailed description, taken in conjunction with the accompanying figures, wherein like reference numerals refer to like elements, in which:
Before turning to the FIGURES, which illustrate the exemplary embodiments in detail, it should be understood that the present application is not limited to the details or methodology set forth in the description or illustrated in the FIGURES. It should also be understood that the terminology is for the purpose of description only and should not be regarded as limiting.
Referring generally to the FIGURES, systems and methods for monitoring and tracking swelling or healing of a patient's limb or body part are shown. The systems and methods described herein can be performed using a patient's smartphone that is loaded with a mobile application to configure the patient's smartphone to perform the functionality described herein. The system can also include a dressing and a therapy system configured to draw a negative or vacuum pressure at a wound over which the dressing is positioned to facilitate or improve healing of the wound. The dressing may include a pre-placed grid or other pattern indicator that is positioned on the dressing or underneath an outer layer of the dressing. The grid may be viewable from an exterior of the dressing. The system can also include an imaging device (e.g., a camera of the smartphone) that can be directed towards (e.g., orthogonally) the dressing to capture an image of the grid. An initial image of the grid can be captured. Subsequent images of the dressing and the grid can be captured at a later time (e.g., periodically over a future time period). The smartphone may perform an image analysis technique to compare the subsequent images to the initial image, or to a previously obtained image. The image analysis technique can use deformations (e.g., expansions or contractions) of the grid to determine an increase or decrease amount in swelling (e.g., changes in diameter of the patient's limb, changes in circumference of the patient's limb, etc.). Such increases or decreases in swelling can be recorded and tracked over time and used by the smartphone to generate a progress report, which can be provided to the patient (e.g., via a display screen of the smartphone) or can be provided to a healthcare professional (e.g., via a remote system).
The systems and methods described herein can also facilitate determining alerts or warnings in response to swelling increases. For example, if an estimated circumference or diameter or volume of the patient's limb increases by a threshold amount or more (e.g., as set by a healthcare provider), the smartphone may provide an alert to the patient and/or to a healthcare professional via a remote system. The healthcare professional may then schedule a time for an in-person visit with the patient.
The systems and methods described herein can additional be used to monitor or predict swelling progression for surgical scheduling purposes. For example, the smartphone may track swelling reduction over time, determine a trend (e.g., perform a regression technique to obtain an equation of a linear trendline) and predict a time at which swelling will be sufficiently low to perform surgery. In some embodiments, the smartphone provides the trend to a remote healthcare system which can use the trend to determine a time at which swelling will be sufficiently low or reduced to perform a surgery.
It should be understood that while the systems and methods described herein are related to swelling applications of a patient's limb, the systems and methods can also be applied to other body parts. For example, the grid or the pattern indicator can also be provided to a patient's stomach or waistline to track bloating increases or decreases, weight loss, muscle changes, etc.
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The dressing 110 can include a dressing layer 112 (e.g., a foam layer, a set of different foam layers, absorbing layers, etc.), a wound drape 114, and a coupler 120. The wound drape 114 may cover the dressing layer 112 and define the sealed inner volume of the dressing 110. The coupler 120 facilitates fluidly coupling the sealed inner volume of the dressing 110 with the NPWT device 108 through the tubular member 144. The NPWT device 108 can include a pump configured to draw a negative or vacuum pressure at the wound site of the patient's limb 160 through the tubular member 144 to facilitate improved healing and to remove wound exudate from the wound site (e.g., through the tubular member 144).
When a patient undergoes NPWT, or as a patient's wound heals, swelling may reduce or increase, depending on healing progression. For example, for a wound at a patient's knee, a patient's upper limb 116 may reduce or increase in diameter and/or circumference due to swelling. Similarly a patient's lower limb 117 may reduce or increase in diameter and/or circumference due to swelling as the wound healing progresses or deteriorates. Advantageously, the systems and methods described herein can be used to automatically monitor, track, and report swelling reductions or increases, thereby monitoring healing progression of the wound. For example, in the application where the patient has a wound at their knee, it may be desirable to monitor and track swelling at the patient's upper limb 116 and at the patient's lower limb 117.
The dressing 110 can include one or more reference points, reference indicators, printed grids, patterns, visual indicators, colored patterns, lines, etc., shown as pattern indicators 118. The pattern indicators 118 may be printed onto the wound drape 114, the dressing 110, the dressing layer 112, etc. In some embodiments, the pattern indicators 118 are positioned on a portion of the dressing 110 that is configured to deform (e.g., elastically stretch, etc.) as diameter and/or circumference of the patient's limb 160 changes over time (e.g., due to increased or decreased swelling). In this way, the pattern indicators 118 can deform as the diameter and/or circumference (or other dimension) of the patient's limb 160 decreases due to reduced swelling (or increases due to increased swelling).
The pattern indicators 118 can be positioned proximate or at a portion of the patient's limb 160 for which swelling monitoring and tracking is desired. For example, the pattern indicators 118 may be positioned at the patient's upper limb 116 (e.g., shown as a first pattern indicator 118a) and at the patient's lower limb 117 (e.g., shown as a second pattern indicator 118b) so that swelling at the patient's upper limb 116 and lower limb 117 can be tracked and monitored over time.
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Referring generally to the FIGURES, it should be understood that while the systems and methods herein are described as including a grid pattern, any of the systems, methods, dressings, etc., herein may have different patterns other than a grid. For example, the pattern indicator 118 may be a sticker, a grid, a predetermined shape (e.g., a square, a circle, etc.), a set of lines, etc. In another example, the pattern indicator can be a white square with a black shape to provide contrast therebetween, which can be monitored and tracked to determine healing or swelling changes. Similarly, while the reference indicator 204 is described herein as a rigid red square, the reference indicator 204 may have other shapes (e.g., a polygon, a circle, a star, etc.), or other colors or materials (e.g., a neon color, a reflective material, a limb green or bright yellow color, etc.). Additionally, while the pattern indicators described herein are described as being a component of the dressing, the pattern indicators may be additional components that are placed and adhered to the dressing or the patient's skin.
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The memory 126 (e.g., memory, memory unit, storage device) may include one or more devices (e.g., RAM, ROM, Flash memory, hard disk storage) for storing data and/or computer code for completing or facilitating the various processes, layers and modules described in the present disclosure. The memory 126 may be or include volatile memory or non-volatile memory, and may include database components, object code components, script components, or any other type of information structure for supporting the various activities and information structures described herein. According to an exemplary embodiment, the memory 126 is communicably connected to the processor 124 via the processing circuitry 122 and includes computer code for executing (e.g., by the processing circuit or the processor) the one or more processes described herein.
The controller 104 of the smartphone 102 is configured to communicate with the imaging device 106 of the smartphone 102, a display screen 128 of the smartphone 102, or a remote system 138, according to some embodiments. The memory 126 includes an image processor 132, a swelling estimator 134, a progress tracker 136, and a reporting manager 130. The image processor 132 is configured to obtain image data from the imaging device 106 and perform an image analysis technique to determine a dimension of the pattern indicator 118. The swelling estimator 134 is configured to use analysis results of the image processor 132 and/or the dimension of the pattern indicator 118 to determine different swelling estimations or to determine different properties or dimensions of a patient's limb (e.g., a diameter, a circumference, etc.). The progress tracker 136 is configured to obtain and store the dimension from the swelling estimator 134 and generate progress data, according to some embodiments. The progress data can be provided to the reporting manager 130 where it is used to generate a report, an alert, or a reminder.
The image processor 132 may be configured to obtain image data from the imaging device 106 and perform an image analysis or processing technique. The image data may be generated when a patient directs the smartphone 102 towards the pattern indicator 118 (e.g., at an approximately orthogonal orientation) and captures an image. The image processor 132 can be configured to use the image data and generate a point cloud at intersections of lines (e.g., grid lines) of the pattern indicator 118. The image processor 132 may use the reference indicator 204 (e.g., a rigid reference square, one or more rigid reference squares or points, etc.) to compensate for or account for relative orientation and/or position or distance between the imaging device 106 and the pattern indicator 118. In some embodiments, the image processor 132 is configured to determine a relative orientation and/or position between the imaging device 106 and the pattern indicator 118 for baseline image data. The image processor 132 can use the relative orientation and/or position between the imaging device 106 and the pattern indicator 118 of the baseline image data as a reference relative orientation and/or position. Subsequently obtained image data can be skewed, normalized, etc., or otherwise calibrated using newly determined relative orientation and/or position between the imaging device 106 and the pattern indicator 118 (e.g., by determining relative position of corners of the reference indicator 204).
For example, when the image processor 132 obtains baseline image data (e.g., of a baseline image), the image processor 132 can obtain a baseline relative orientation θref and a baseline relative position pref between the imaging device 106 and the pattern indicator 118. Subsequently or newly captured image data may be processed by the image processor 132 to determine relative orientation θnew and relative position pnew between the imaging device 106 and the pattern indicator 118. If the relative orientation θnew and the relative position pnew of the newly captured image data does not match the baseline orientation θref and the baseline relative position pref, the image processor 132 can be configured to calibrate, modify, adjust, etc., the newly captured image data so that the relative orientation θnew and the relative position pnew are equal to or the same as the baseline relative orientation θref and the baseline relative position pref. The calibrated image data can then be used by the image processor 132 to obtain analysis results and/or a dimension of the pattern indicator 118.
In some embodiments, the image processor 132 is configured to calibrate the baseline image data and all newly captured image data to have an orthogonal relative orientation θ⊥ and predetermined distance pd. For example, if the image processor 132 obtains image data and determines (using the detected position and/or skew of the reference indicator 204) that the relative orientation θ and the relative position or distance p of the newly captured image data does not match the orthogonal relative orientation θ⊥ and predetermined distance pd, the image processor 132 can modify, adjust, calibrate, etc., the image data so that the relative orientation θ of the image data and the relative position p of the image data matches or is equal to the orthogonal relative orientation θ⊥ and the predetermined distance pd. The image processor 132 can then use the calibrated image data to generate the analysis results and/or the dimension.
In some embodiments, the image processor 132 is configured to analyze the image data (calibrated image data, baseline image data, newly captured image data, etc.) and determine a dimension dim of the pattern indicator 118. In some embodiments, the image processor 132 does not adjust or calibrate the image data directly, but uses the relative position p and/or the relative orientation θ⊥ to adjust or determine a calibration for the dimension.
The dimension dim can be a width of one or more of the cells of the pattern indicator 118, a height of one or more of the cells of the pattern indicator 118, a size of one or more of the cells of the pattern indicator 118, an average width of one or more cells of the pattern indicator 118, an average height of one or more of the cells of the pattern indicator 118, an average size of one or more of the cells of the pattern indicator 118, etc. In some embodiments, the dimension dim is provided to the swelling estimator 134 for use in determining swelling changes, or other dimension changes of the patient's limb (e.g., diameter, circumference, etc.).
The image processor 132 can be configured to use a point cloud generation technique to generate multiple points at intersections of different lines of the pattern indicator 118. The image processor 132 can also generate points for the reference indicator 204 (e.g., four vertices or points for the four corners of the reference indicator 204 if the reference indicator 204 is a square). The image processor 132 can therefore obtain relative orientation and/or relative position of the pattern indicator 118 relative to the imaging device 106. The image processor 132 can use the generated point cloud to determine the dimension dim of the pattern indicator 118. The image processor 132 can output analysis results from the point cloud generation technique and/or the dimension dim to the swelling estimator 134.
The swelling estimator 134 is configured to use the dimension dim and/or the analysis results to determine or more swelling properties, or one or more properties of the patient's limb at which the pattern indicator 118 is located, according to some embodiments. For example, the swelling estimator 134 can be configured to use the dimension dim of the pattern indicator 118 to estimate a diameter D of the patient's limb, a circumference C of the patient's limb, a volume V of the patient's limb, etc. In some embodiments, the swelling estimator 134 uses a known size of the pattern indicator 118, or known values of the dimension dim of the pattern indicator 118 to estimate the diameter D, circumference C, volume V, etc.
The swelling estimator 134 can also be configured to use changes in the dimension Δdim to determine changes in the diameter ΔD, the circumference ΔC or changes in the volume ΔV. For example, if the dimension dim changes by a specific amount, the swelling estimator 134 can be configured to use a function, a set of equations, a relationship, a graph, etc., and known properties or dimensions of the patient's limb or the pattern indicator 118 in combination with the dimension dim or the change in the dimension Δdim (between subsequently captured image data, or between baseline image data and currently captured image data, etc.) to determine the changes in the diameter ΔD, changes in the circumference ΔC, or changes in the volume ΔV of the patient's limb.
The swelling estimator 134 can store initial known values of any of a verity of dimensions of the patient's limb. For example, the swelling estimator 134 can store known initial values of the circumference, the volume, the diameter, etc., of the patient's limb. These values can be obtained by performing a manual measurement technique of the patient's limb to obtain values of the circumference, the volume, the diameter, etc., of the patient's limb. These values may be provided to the smartphone 102 via the remote system 138 or through the display screen 128.
The progress tracker 136 is configured to obtain any of the dimension dim, the change in the dimension Δdim (e.g., between subsequently captured image data, between baseline image data and currently captured image data, etc.), a currently estimated diameter D of the patient's limb, a currently estimated circumference C of the patient's limb, a currently estimated volume V of the patient's limb, a change in any of the diameter ΔD, the circumference ΔC, the volume ΔV, etc., of the patient's limb. In some embodiments, the progress tracker 136 is configured to estimate changes in different dimensions or measurements of the patient's limb. For example, the progress tracker 136 may obtain currently estimated values of the diameter D, the circumference C, or the volume V of the patient's limb and estimate changes (e.g., between the currently estimated values of the diameter D, the circumference C, or the volume V and previously estimated values of the diameter D, the circumference C, or the volume V or between the currently estimated values of the diameter D, the circumference C, or the volume V and the initial or baseline values of the diameter D, the circumference C, or the volume V) in any of the diameter D, the circumference C, or the volume V of the patient's limb. In some embodiments, the progress tracker 136 is configured to estimate or calculate percentage changes in any of the circumference, the diameter, the volume, the dimension, etc., of the patient's limb relative to baseline or reference or initial values.
The progress tracker 136 can also obtain and store values of the dimension dim over time. The progress tracker 136 can store any of the values described herein as time-series data with a corresponding time and/or date at which the values are obtained. In some embodiments, the progress tracker 136 is configured to provide any of the stored data to the reporting manager 130 as progress data.
The reporting manager 130 is configured to use the progress data provided by the progress tracker 136 to generate a report, an alert, or a reminder, according to some embodiments. The reporting manager 130 can provide the report to a display screen 128 so that the display screen 128 of the smartphone 102 operates to provide the report to a patient 140. In some embodiments, the reporting manager 130 is configured to provide the report to a remote system 138 so that the remote system 138 can provide the report to a healthcare professional 142. In this way, the healthcare professional 142 can monitor and track swelling or healing progress of the patient 140. The reporting manager 130 may communicate with the remote system 138 via a cellular network, the Internet, etc. The reporting manager 130 can provide the report, the alert, or the reminder to the remote system 138 or the display screen 128 in response to a request, at periodic time intervals, in response to the progress data indicating increased swelling, etc.
The smartphone 102 can be used by the patient 140 to obtain periodic image data of the pattern indicator 118. For example, the reporting manager 130 can check the progress data to determine if new image data should be obtained. If the progress data indicates that new image data should be obtained (e.g., every day, every other day, twice a day, etc.), the reporting manager 130 can operate the display screen 128 to provide a reminder to the patient 140 to capture image data of the pattern indicator 118. Image data, analysis results, dimensions of the pattern indicator 118, swelling parameters or dimensions (e.g., diameter, circumference, volume, etc.) can be obtained at scheduled times of day, and may be stored in the progress tracker 136 with associated date and time.
The reporting manager 130 and/or the progress tracker 136 can also analyze the progress data to identify any alert conditions. For example, the alert conditions may be any conditions that indicate an increase in swelling (e.g., a significant increase in diameter, circumference, volume, etc., of the patient's limb). In response to determining that the progress data indicates an increase in swelling, the reporting manager 130 can provide the alert any of the patient 140 (e.g., by operating the display screen 128 to provide a visual and/or an aural alert), or the healthcare professional 142 (e.g., by providing the alert to the remote system 138).
The patient 140 can use the smartphone 102 to periodically capture the image data so that the progress tracker 136 can compile the progress data. The progress data may indicate swelling trends, healing progression, changes in the different dimensions of the patient's limb, etc.
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Process 900 includes providing a swelling indicator on a limb of a patient, the swelling indicator including a printed pattern configured to change with changes in swelling and a reference indicator (step 902), according to some embodiments. Step 902 can be performed by a caregiver by providing a wound dressing (e.g., the dressing 110) at a wound site (e.g., at a knee of a patient's limb). The printed pattern can be a grid with intersecting lines. The reference indicator can be a rigid member that does not deform or change as the printed pattern stretches or changes due to swelling reduction or increase. The swelling indicator can be printed onto a layer of the wound dressing so that captured images of the patient's limb include the swelling indicator. The swelling indicator may be positioned proximate a portion of the patient's limb where swelling tracking is desired.
Process 900 includes capturing an initial image of the swelling indicator (step 904), according to some embodiments. Step 904 can be performed by the patient using a smartphone, an imaging device, a personal computer device, etc. For example, the patient may direct or point the smartphone towards the swelling indicator and operate the smartphone to capture the initial image of the swelling indicator. In other embodiments, step 904 is performed by a caregiver to capture the initial image. The initial image may be captured with the smartphone positioned a predetermined distance (e.g., 12 inches, etc.) from the swelling indicator and at a substantially orthogonal or perpendicular orientation relative to the patient's limb.
Process 900 includes determining a baseline value of a dimension of the printed pattern using the initial image (step 906), according to some embodiments. Step 906 can be performed by processing circuitry of the smartphone, or more particularly by the image processor 132. Step 906 can include generating a point cloud at intersections of lines of the printed pattern. The point cloud can be part of an image analysis technique. Step 906 can be performed by determining a width or a height of one or more cells of the printed pattern (e.g., the width w0). In some embodiments, steps 904 and 906 are optional. For example, if the reference indicator is a known dimension (such as a 1 cm×1 cm red square), and the printed pattern of the swelling indicator is a grid with known dimensions in a recently pre-placed location, capturing the initial image and determining the baseline value using the initial image may be optional.
Process 900 includes capturing subsequent images of the swelling indicator (step 908) and determining new values of the dimension of the printed pattern using the subsequent images (step 910), according to some embodiments. Steps 908 and 910 can be performed similarly to steps 904 and 906. For example, the subsequent images of the swelling indicator (step 908) and the new values of the dimensions of the printed pattern (step 910) can be obtained or the steps performed at a time after the steps 904 and 906 are performed (e.g., a day later, a time interval later, etc.).
Process 900 includes calibrating the new values of the dimension based on a determined relative orientation and/or relative position (step 912), according to some embodiments. The relative orientation and/or the relative position may be a relative orientation and/or position of an imaging device that is used to capture the images of the swelling indicator, and the swelling indicator or limb of the patient. The new values of the dimension can be calibrated to account for differences in the relative orientation and/or position of the imaging device relative to the patient's limb for different images. In some embodiments, step 912 is performed to calibrate different calculated swelling values (e.g., circumference, diameter, volume, etc.) of the patient's limb. Step 912 can be performed by the smartphone, the processing circuitry thereof (e.g., smartphone 102 and/or processing circuitry 122) or, more particularly, by the image processor 132 using any of the techniques described in greater detail above with reference to
Process 900 includes comparing each of the new values of the dimension to the baseline value of the dimension to determine changes to the dimension (step 914), according to some embodiments. Step 914 can be performed by the smartphone (e.g., the smartphone 102), processing circuitry of the smartphone, or more particularly by the swelling estimator 134 or the progress tracker 136. Step 914 can include determining a difference between the new values of the dimension and the baseline value, or determining percent changes (e.g., total percent increase or total percent decrease) of the new values relative to the baseline values.
Process 900 includes determining a change in at least one of a circumference, a diameter, or a volume of the limb of the patient (step 916), according to some embodiments. Step 916 can be performed by the swelling estimator 134 and/or the progress tracker 136. Step 916 may include determining an increase or decrease amount of any of the circumference, the diameter, or the volume of the limb of the patient, a current value of any of the circumference, the diameter, or the volume of the limb of the patient, a percent increase (e.g., relative to a baseline or initial value or relative to a previous value) of any of the circumference, the diameter, or the volume of the limb of the patient, etc. The change in any of the circumference, the diameter, or the volume of the limb can be estimated using changes in the dimension of the swelling indicator. For example, as swelling at the patient's limb reduces, a width of the swelling indicator may also decrease (e.g., if a width-wise direction of the swelling indicator is parallel with or aligned with a circumferential direction of the patient's limb). This decrease in width of the swelling indicator can thereby be used to estimate or calculate a decrease in the circumference, a decrease in the diameter, a decrease in the volume, etc., of the patient's limb.
Process 900 includes determining a current circumference or diameter of the limb of the patient using initial circumference or diameter values and the changes in circumference or diameter (step 918), according to some embodiments. Step 918 can also include determining a current volume of the limb of the patient. Step 919 may include using the changes in any of the circumference, diameter, or volume of the limb and the initial circumference, diameter, or volume of the limb to determine the current circumference diameter, or volume of the limb (e.g., by adding or subtracting the changes to the initial values) or may include directly estimating any of the current circumference, diameter, or volume of the patient's limb using currently captured image data. The reference indicator may be a known size (e.g., a 1 cm by 1 cm square) and can be used to determine actual size or dimension values of the patient's limb as opposed to relative values (e.g., relative decreases or increases between subsequently captured images, or between a currently captured image and an initial or baseline image).
Process 900 includes generating a report indicating swelling changes (step 920), according to some embodiments. The report can include graphs, time-series data, total percent swelling reduction (e.g., quantified in any of circumference, diameter, volume, etc., of the patient's limb), relative swelling reduction (e.g., percent reduction or absolute reduction between subsequent time-series data points of any of the circumference, diameter, volume, dimension of the pattern, etc.), patient information, alert statuses, therapy information, etc. Step 920 can be performed based on progress data that is obtained and stored over time as additional and subsequent images of the printed pattern are obtained, and as new values of the dimension of the printed pattern, or any of the circumference, the diameter, or the volume (or changes therein) of the limb of the patient are obtained. Step 920 can be performed by the reporting manager 130 of the smartphone 102.
Process 900 includes providing the report to at least one of a local display screen or a remote system (step 922), according to some embodiments. The local display screen may be the display screen 128 (e.g., a user interface or a display screen of the smartphone). The remote system may be the remote system 138 (e.g., a remote caregiver system, a hospital system, a remote server, a webpage, etc.) where a healthcare or medical professional or a caregiver can view the report.
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Referring particularly to
Referring particularly to
In some embodiments, the predetermined amount is an increase or a decrease amount that is set by a clinician or a healthcare professional. If the dimension (e.g., the circumference, the diameter, the volume, a dimension of the pattern indicator or grid, etc.) increases by more than the predetermined increase amount, this may indicate an undesired increase in swelling and the patient can be alerted (e.g., via the display screen 128 or via an aural alert of the smartphone 102) and a healthcare professional may also be alerted (e.g., via the remote system 138). If the dimension (e.g., the circumference, the diameter, the volume, a dimension of the pattern indicator or grid, etc.) decreases by more than the predetermined decrease amount, this may indicate that a substantial swelling reduction has occurred and the healthcare professional may be notified via the remote system 138 and/or the patient can be notified via the display screen 128. It should be understood that while the amount 1104 is shown as a decrease or an increase between consecutive time-steps or measurements, the amount 1104 may also be an increase or a decrease amount of a current data point (e.g., a current value of the circumference of the patient's limb) relative to a baseline data point (e.g., an initial or baseline value of the circumference of the patient's limb).
Referring particularly to
Referring now to
The graph 1208 may be any of graph 1000 or graph 1100. In some embodiments, the graph 1208 is a graphical representation illustrating different changes to the patient's limb or swelling changes (e.g., increases or decreases) over time. For example, the graph 1208 may be a graphical representation of any of the dimension, the circumference, the diameter, or the volume over time. The menus 1210 may be user-selectable and may show different dimensions or properties of the patient's limb over time. For example, the menus 1210 can include different selectable options of the dimension of the pattern indicator over time, the circumference of the patient's limb over time, the diameter of the patient's limb over time, the volume of the patient's limb over time, or a change of any of the dimension, the diameter, the circumference, or the volume over time. The progress report 1200 may also include any captured images that are obtained by the imaging device 106 in order to generate, estimate, calculate, etc., the healing progress data 1204.
Advantageously, the systems and methods described herein can be used to automatically track and monitor healing progression of swelling reduction of a patient's limb. The systems and methods can be implemented by use of a patient's smartphone loaded with a mobile application. This provides an automatic and improved monitoring system, and facilitates ease of measurement of swelling of the patient's limb. Other techniques require manual measurement, dunking of the patient's limb, etc., to determine swelling changes. The systems and methods described herein are advantageous because they provide a more automatic approach to quantifying, tracking, and monitoring swelling of a patient's limb over time.
As utilized herein, the terms “approximately”, “about”, “substantially”, and similar terms are intended to have a broad meaning in harmony with the common and accepted usage by those of ordinary skill in the art to which the subject matter of this disclosure pertains. It should be understood by those of skill in the art who review this disclosure that these terms are intended to allow a description of certain features described and claimed without restricting the scope of these features to the precise numerical ranges provided. Accordingly, these terms should be interpreted as indicating that insubstantial or inconsequential modifications or alterations of the subject matter described and claimed are considered to be within the scope of the invention as recited in the appended claims.
It should be noted that the term “exemplary” as used herein to describe various embodiments is intended to indicate that such embodiments are possible examples, representations, and/or illustrations of possible embodiments (and such term is not intended to connote that such embodiments are necessarily extraordinary or superlative examples).
The terms “coupled,” “connected,” and the like, as used herein, mean the joining of two members directly or indirectly to one another. Such joining may be stationary (e.g., permanent) or moveable (e.g., removable, releasable, etc.). Such joining may be achieved with the two members or the two members and any additional intermediate members being integrally formed as a single unitary body with one another or with the two members or the two members and any additional intermediate members being attached to one another.
References herein to the positions of elements (e.g., “top,” “bottom,” “above,” “below,” etc.) are merely used to describe the orientation of various elements in the figures. It should be noted that the orientation of various elements may differ according to other exemplary embodiments, and that such variations are intended to be encompassed by the present disclosure.
Also, the term “or” is used in its inclusive sense (and not in its exclusive sense) so that when used, for example, to connect a list of elements, the term “or” means one, some, or all of the elements in the list. Conjunctive language such as the phrase “at least one of X, Y, and Z,” unless specifically stated otherwise, is otherwise understood with the context as used in general to convey that an item, term, etc. may be either X, Y, Z, X and Y, X and Z, Y and Z, or X, Y, and Z (i.e., any combination of X, Y, and Z). Thus, such conjunctive language is not generally intended to imply that certain embodiments require at least one of X, at least one of Y, and at least one of Z to each be present, unless otherwise indicated.
It is important to note that the construction and arrangement of the elements of the systems and methods as shown in the exemplary embodiments are illustrative only. Although only a few embodiments of the present disclosure have been described in detail, those skilled in the art who review this disclosure will readily appreciate that many modifications are possible (e.g., variations in sizes, dimensions, structures, shapes and proportions of the various elements, values of parameters, mounting arrangements, use of materials, colors, orientations, etc.) without materially departing from the novel teachings and advantages of the subject matter recited. For example, elements shown as integrally formed may be constructed of multiple parts or elements. It should be noted that the elements and/or assemblies of the components described herein may be constructed from any of a wide variety of materials that provide sufficient strength or durability, in any of a wide variety of colors, textures, and combinations. Accordingly, all such modifications are intended to be included within the scope of the present inventions. Other substitutions, modifications, changes, and omissions may be made in the design, operating conditions, and arrangement of the preferred and other exemplary embodiments without departing from scope of the present disclosure or from the spirit of the appended claims.
This application is a U.S. National Stage entry of International Patent Application No. PCT/IB2021/061336, filed on Dec. 8, 2021, which claims the benefit of priority to U.S. Provisional Application No. 63/134,685, filed on Jan. 7, 2021, which is incorporated herein by reference in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2021/061446 | 12/8/2021 | WO |
Number | Date | Country | |
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63134685 | Jan 2021 | US |