The disclosure relates to systems, methods, and devices for patient identification and prescription retrieval, particularly during a dialysis treatment.
During dialysis treatment, arterial and venous access needles are typically inserted into a patient such that blood can be drawn from the patient through the arterial access needle, flown through a dialyzer to filter the blood, and then returned to the patient through the venous access needles. In some cases, the venous access needles may become dislodged. In the case that such an event goes unnoticed, an arterial access needle can continue to draw blood from the patient while the dislodged venous access needle does not return blood to the patient.
Additionally, prior to treatment the care technician must prepare the dialysis machine and the patient for dialysis treatment. Preparation involves disinfecting a wetness detector, setting up the dialysis machine with concentrates, priming the bloodlines, creating a blood connection with the patient, disinfect the ID card, insert the ID card, and confirming the treatment parameters. The described preparation also assumes that the ID card is not lost, damaged, or forgotten, otherwise the care technician must input the treatment parameters individually. The current dialysis preparation procedure is time consuming and prone to human error, resulting in a longer preparation time.
This disclosure describes systems, methods and devices that can identify a patient using a biometric feature of the patient. Furthermore, the systems, methods and devices disclosed are configured to retrieve and upload a prescription of the identified patient for dialysis treatment.
In one aspect, a device that allows for patient identification comprises a housing, a biometric sensor coupled to the housing, the biometric sensor being configured to detect a biometric feature of a patient, and a signal transmitter configured to transmit data related to the detected biometric feature to a medical treatment machine for carrying out a medical treatment on the patient, wherein the patient identification device is configured to be secured to the patient during the dialysis treatment.
In another aspect, a method comprises reading biometric information using a biometric sensor of a device connected to a patient; processing biometric data, related to the biometric information using a control unit, in a manner such that the processed biometric data can be used to identify the patient, identifying the patient based on the processed data, and transmitting prescription data of the patient to a medical treatment machine to carry out a medical treatment on the patient.
In a further aspect, a method comprises reading biometric information using a biometric sensor of a device connected to a patient, processing biometric data related to the biometric information using a control unit, in a manner such that the processed biometric data can be used to identify the patient, identifying the patient based on the processed data, retrieving prescription data assigned to the patient identity from a cloud database, and transmitting prescription data of the patient to a medical treatment machine to carry out a medical treatment on the patient.
In another aspect, a medical treatment system comprises a medical treatment machine for carrying out a medical treatment on a patient, the medical treatment machine comprising a signal receiver and a processor or a control unit, and the treatment system further comprising a device that allows for patient identification, the device comprising a housing, a biometric sensor, coupled to the housing, the biometric sensor being configured to detect a biometric feature of a patient, and a signal transmitter configured to transmit data related to the detected biometric feature to a medical treatment machine for carrying out a medical treatment on the patient; wherein the patient identification device is configured to be secured to the patient during the dialysis treatment.
Embodiments may include one or more of the following features.
In some embodiments, the device may have a signal transmitter that is wireless signal transmitter. In certain embodiments, the device may further comprise a signal receiver for receiving signals from the medical treatment machine. In certain embodiments, the device has a biometric sensor that creates biometric data related to a detected biometric feature of the patient. In certain embodiments, the data transmitted by the signal transmitter is or derives from the biometric data. In some embodiments, the biometric feature of the patient is a fingerprint. In an alternative embodiment, the biometric feature is an iris. In certain embodiments, the biometric feature is a heat signature. In some embodiments, the device comprises a control unit configured to process the biometric data in a manner, such that the processed biometric data can be used to identify the patient. In certain embodiments, the device is configured to transmit the processed biometric data to a signal receiver of the medical treatment machine using the signal transmitter. In certain embodiments, the device is a medical device used in extracorporeal dialysis treatment. In certain embodiments, the device is reusable. In some embodiments, the reusable medical device is a wetness detector. In an alternative embodiment, the reusable medical device is a blood pressure cuff. In some embodiments, the sensor extends along the outer surface of a housing. In certain embodiments, the sensor is a finger print reader and is positioned so the patient can place a finger on the sensor during the treatment. In certain embodiments, the sensor is connected to the processor, control unit, and power source of the wetness sensor. In certain embodiments, the device is a bracelet.
In some embodiments, the method further comprises confirming the identity of the patient. In certain embodiments, confirming the patient's identity requires physical or verbal action by the operator of the medical treatment machine or the patient. In some embodiments, the device comprises a microphone. In certain embodiments, processing the biometric data and identifying the patient, are executed on the device, using a control unit of the device. In certain embodiments, identifying the patient includes, identifying the patient from the processed biometric data, retrieving the prescription data assigned to the patient from a memory of the device, and producing a transmittable signal containing at least the prescription data. In certain embodiments, processing the biometric data includes, transmitting the biometric data from the device to the medical treatment machine, and processing the biometric data using a control unit of the medical treatment machine. In some embodiments, identifying the patient includes, identifying the patient using the processed biometric data and transmitting the patient identity to a signal receiver of the device. In certain embodiments, transmitting the prescription data of the patient comprises, retrieving the prescription assigned to the patient from a memory of the device and transmitting a signal from the device to the medical treatment machine, containing at least the prescription data.
In some embodiments, the method further comprises confirming the identity of the patient. In certain embodiments, confirming the identity of the patient requires physical or verbal action by the operator of the medical treatment machine or the patient. In certain embodiments, the device comprises a microphone. In certain embodiments, processing the biometric data comprises transmitting biometric data from the device to the dialysis machine, processing the biometric data using a control device of the medical treatment machine. In certain embodiments, identifying the patient includes identifying the patient using the processed biometric data and transmitting the identity of the patient from the medical treatment machine to the cloud database. In certain embodiments, processing the biometric data comprises processing the biometric data using a control unit of the device. In certain embodiments, identifying the patient includes identifying the patient using a memory of the device, transmitting the identity of the patient from the device to the medical treatment machine, and transmitting the identity of the patient from the medical treatment machine to the cloud database.
In some embodiments, the device is in electronic communication with the medical treatment machine. In certain embodiments, the device identifies a patient using the biometric data and a memory of the device. In certain embodiments, the device further comprises a signal receiver and the medical treatment machine further comprises a signal transmitter. In certain embodiments, the system further comprises a data storage location in which patient data can be stored, retrieved, and transmitted. In certain embodiments, the data storage location is a memory of the device. In certain embodiments, the data storage location is a cloud database that is in wireless communication with the medical treatment machine. In certain embodiments, the medical treatment machine uses a single transmitter of the medical treatment machine to transmit a signal containing the identity of the patient to the cloud database. In certain embodiments, the medical treatment device uses a signal receiver of the medical treatment device to receive a signal from the cloud database containing prescription data of the patient. In certain embodiments, the device uses the signal transmitter to send a signal containing prescription data to the electronically coupled medical treatment machine.
These systems, methods, and devices may streamline part of the dialysis setup process, allowing clinicians and nurses to attend to additional patients. Furthermore, the systems, methods, and devices disclosed may reduce human error in treatment parameter input and allow for a detailed digital record of a patient's healthcare.
The details of one or more embodiments of the invention are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the invention will be apparent from the description and drawings, and from the claims.
Access to a circulatory system of the patient may require puncturing the skin of a patient using a needle, a catheter, or other devices to form an access. Procedures that can require access to the circulatory system can include dialysis, blood filtration, hemofiltration, blood donation, blood detoxification, apheresis, cardiac catheterizations, among other dialysis treatment procedures. During a dialysis treatment using a dialysis machine, the needle can place the circulatory system in fluid communication with an extracorporeal system. Blood circulates through the extracorporeal system and undergoes filtering within the extracorporeal system. Over the access site, a medical wetness sensor is placed. The medical wetness sensor is used to ensure that fluids within the extracorporeal system do not leak. The medical wetness sensor is designed to determine if a leak occurs at the access site. On the wetness sensor, a device for sensing and reading biometric information is used to identify the patient and upload a prescription of the patient to the dialysis machine, prior to treatment.
The dialysis machine 106 further comprises a processor 110 and a signal receiver 112 for receiving signals from connected devices, such as the wetness device 102, and processing data sent in the received signal. The connected devices may be wirelessly connected to the dialysis machine 106. The processor 110 is configured to receive biometric information, process the biometric information such that it could be compared to known biometric data, and determine an identification match based on the comparison. The dialysis system may also comprise a signal transmitter 118 that is capable of transmitting processed or unprocessed data.
The medical wetness device 102 is attached to the patient 104 using gauze. The wetness device 102 may be placed over a venous needle or an arterial needle (not shown) and is capable of detecting medical wetness, such as blood. In some embodiments, an arterial needle inserted into an arterial access site of the patient 104 places the circulatory system of the patient 104 in fluid communication with the arterial line 120 and thus the extracorporeal blood circuit. Similarly, a venous needle (not shown) inserted into a venous access site places the circulatory system of the patient in fluid communication with the venous line 122 and thus the extracorporeal blood circuit. The arterial needle and the venous needle 112 typically inserted into a forearm of the patient 104, but other access sites can be used.
The wetness sensing device 102 shown in
As shown in
The control circuitry can detect electrical continuity between the first and second electrical conductors 608, 610 by transmitting electrical test signals through the first and second electrical conductors 608, 610. For example, the control circuitry can transmit the test signals through one of the first and second electrical conductors 608, 610 and determine whether the test signals propagate through the other electrical conductor.
The control circuitry of the wetness device 102 is configured to detect a presence or an absence of a medical fluid electrically connecting the first and second electrical conductors 608, 610. In the absence of medical fluid, such as blood, the control circuitry can detect that the first and second electrical conductors 608, 610 do not form a closed electrical loop. In the presence of medical fluid, the control circuitry of the wetness device 102 can detect that the first and second electrical conductors 608, 610 form a closed electrical loop (e.g., are electrically continuous). In particular, the medical fluid can contact both the end portions of the first electrical conductor 608 and the end portions of the second electrical conductor 610 to form the closed electrical loop. In the presence of the medical fluid, the electrical test signal transmitted through the first and second electrical conductors 608, 610 indicate electrical continuity between the first electrical conductor 608 and the second electrical conductor 610.
The control circuitry of the wetness device 102 can determine that an electrical resistance below a predetermined threshold indicates that the first and second electrical conductors 608, 610 form the closed electrical loop or are electrically continuous. Electrical resistances below a threshold between, for example, 500 Kohms and 1 Mohm can indicate electrical continuity between the first and second electrical conductors that could occur in the presence of medical fluid.
In response to detecting electrical continuity through the first and second electrical conductors 608, 610, the control circuitry of the wetness device 102 can generate an electrical signal indicating the presence of medical fluid along the inner surface of the base 612. Similarly, in response to detecting electrical isolation between the first and second electrical conductors 608, 610 (e.g., the first and second electrical conductors 608, 610 are not electrically connected), the control circuitry can generate an electrical signal indicating the absence of medical fluid along the inner surface 612. In some cases, in response to detecting the electrical isolation, the control circuitry can simply not transmit an electrical signal. The first and second electrical conductors 608, 610 are thus configured to cause the control circuitry of the wetness device 102 to generate a signal indicating the absence or presence of medical fluid on the inner surface.
The control circuitry can include a wireless transceiver 614, which can, based on the electrical signal, generate a wireless signal indicating the absence of medical fluid or the presence of medical fluid. The wireless signal can be transmitted to a wireless transceiver of an extracorporeal system, a dialysis machine, or other treatment device (e.g., the wireless receiver 112 of
The control circuitry receives power from a power source 604 to execute various electrical operations. The control circuitry can use the power to transmit the test signals to detect an absence or presence of electrical continuity that can be caused by the absence or presence of medical fluid on the inner surface of the base 612. The control circuitry of the biometric sensor 204 may also receive power from power source 604. In some implementations, the power source 604 is removably housed in the housing 605. An upper housing portion may be removable from the lower housing portion so that the power source 604 can be removed and inserted. As a result, the power source 604 can be replaceable in an event that the power source 604 does not have sufficient power to energize the control circuitry of the wetness device 102 and the biometric sensor 204.
While in the absence of medical fluid, the wetness sensing device 102 can operate in an idle state in which the control circuitry transmits the electrical test signals without generating the electrical signal and the wireless signal. The idle state has a reduced power requirement, as the control circuitry does not operate the wireless transceiver 614 during the idle state.
After patient identification, the wetness sensing device 102 is primarily used to sense medical wetness. In response to detecting leakage of blood, the wetness device 102 can transmit wireless signals to alert external systems of the leak. The wetness sensing device 102 includes a wireless transceiver 306 (shown in
The patient and dialysis machine are prepared for dialysis treatment by connecting the venous and arterial bloodlines to the patient and to the dialysis machine. A first layer of gauze is wrapped around the needle and the wetness sensor is placed above the first layer of gauze. The coupled sensor is secured by wrapping additional gauze around the housing of the wetness sensor, but leaving at least the biometric sensor exposed. The patient scans the desires biometric feature onto the biometric sensor 802, producing biometric information related to the biometric feature. The biometric information is processed into biometric data. The biometric information gathered by the biometric sensor, is changed into biometric data using a processor and is compared to a known packet of biometric data assigned to a patient identity. If the measured biometric data is significantly similar to the control biometric data, the patient identity is confirmed 806 within the biometric sensor and a user confirmation is prompted 808. If the user confirmation is rejected, the device returns to step 802 and prepares to measure a biometric feature. Otherwise, the user confirms the patient identity and the coupled device retrieves the patient prescription assigned to the patient identity from the memory of the biometric sensor 810. The memory may also include additional patient data for example, previous treatment data, additional biometric data, medication allergies, or other information useful for dialysis treatment. The coupled device then sends the patient prescription to a wirelessly connected dialysis machine 812 configured to upload the prescription based on the transmitted prescription data 814.
In
The venous and arterial bloodlines are connected to the patient and to the dialysis machine. A first layer of gauze is wrapped around the needle and the wetness sensor is placed above the first layer of gauze. The coupled sensor is secured by wrapping additional gauze around the housing of the wetness sensor, but leaving at least the biometric sensor exposed. The patient scans the desires biometric feature onto the biometric sensor, producing biometric information related to the biometric feature 902. The biometric information is transmitted from the coupled sensor using the signal transmitter and is received by the dialysis machine using the signal receiver of the dialysis machine. The biometric information is processed into biometric data using the processor of the dialysis machine and is transmitted back to the coupled sensor using a signal transmitter of the dialysis treatment device 904. The coupled sensor receives the biometric data using the signal receiver of the coupled sensor and compares the biometric data with a known packet of biometric data assigned to a patient identity. If the measured biometric data is significantly similar to the known packet of biometric data, the patient identity is confirmed within the sensor 908 and a user confirmation is prompted 910. If the user rejects the identity, the sensor returns to step 902 and prepares to read a biometric feature of a patient. If the used confirms the identity, the coupled sensor retrieves the patient prescription assigned to the patient identity from the memory of the biometric sensor and sends the patient prescription to a wirelessly connected dialysis machine 912. The memory of the biometric sensor may also store additional patient data for example, previous treatment data, additional biometric data, medication allergies, or other information useful for dialysis treatment. The dialysis machine is configured to upload the prescription 914 based on the transmitted prescription data.
The electronic cloud 1008 is configured to store patient data, including the prescription for a dialysis treatment. The patient data can be retrieved from the cloud 1008 and transmitted to a connected device, such as the dialysis machine 1006. In some embodiments, the cloud 1008 is capable of identifying a patient using biometric data and retrieving the prescription of the identified patient.
The wetness sensor with a biometric sensor 1002 is wirelessly connected to the dialysis machine 1006. The processor 1010 of the dialysis machine 1006, may be configured to receive raw biometric information and process the biometric information such that it could be compared to known biometric data. Alternatively, the processor 1010 of the dialysis machine 1006 may be configured to receive and transmit processed data or identification data, acting as a pathway from the sensor 1002 and the electronic cloud 1008. The dialysis machine 1006 may also comprise a signal transmitter 1018 that is capable of transmitting unprocessed data, processed data, or identification data to the cloud 1008. Similarly, the electronic cloud 1008 is configured to receive unprocessed biometric information, processed biometric data, or identification data. Regardless of the received signal, the electronic cloud 1008 sends the prescription data for an identification match to the dialysis machine 1006, unless no identity match was found. In the case that the electronic cloud 1008 receives unprocessed biometric information, the electronic cloud 1008 will process the biometric information into biometric data, compare the newly processed biometric data to known biometric data, identify the patient, retrieve the prescription data of the identified patient, and return the prescription data and the identified patient data to the dialysis machine 1006. In the case that the electronic cloud receives processed biometric data the electronic cloud 1008 will compare the processed biometric data to known biometric data, identify the patient, retrieve the prescription data of the identified patient, and return the prescription data and the identified patient data to the dialysis machine 1006. In the case that the electronic cloud 1008 receives information data, the electronic cloud 1008 will retrieve the prescription data of the identified patient in the identification data, and return the prescription data to the dialysis machine 1006.
In some embodiments the biometric sensor may be coupled to a reusable device.
The biometric sensor embodied in the described figures is finger print scanner, designed to measure a fingerprint as the biometric feature. The biometric sensor may also be configured to sense other biometric features, including but not limited to a heat signature or an iris. A heat signature is an infrared signal emitted by all humans due to their emitted heat, specifically from blood vessels. Capillaries create a pattern beneath a person's skin, unique to individuals. The pattern of the heat emitted by the capillaries or larger blood vessels can be used as a unique biometric identifier. The biometric sensor may also be configured to sense proximate RFID chips, using the signal receiver. For example, the RFID chips could be housed in a clinician ID card, a patient ID card, or a blood pressure cuff.
The patient and dialysis machines are prepared for dialysis treatment, such that the venous and arterial bloodlines are connected to the patient and to the dialysis machine. A first layer of gauze is wrapped around the needle and the wetness sensor is placed above the first layer of gauze. The coupled sensor is secured by wrapping additional gauze around the housing of the wetness sensor, but leaving at least the biometric sensor exposed. The patient scans the desires biometric feature onto the biometric sensor, producing biometric information related to the biometric feature 1302. The biometric information can be processed into biometric data. The biometric information gathered by the biometric sensor is changed into biometric data using a processor and is compared to a known packet of biometric data assigned to a patient identity 1304. If the measured biometric data is significantly similar to the control biometric data, the patient identity is confirmed within the sensor 1306 and a user confirmation is prompted 1308. The user confirms the identity and identity information is sent to the dialysis machine 1310. Alternatively, the patient identity can be confirmed within the coupled device and transmitted to the dialysis treatment device for confirmation. The confirmed identity data is transmitted to the cloud database 1312. The cloud database receives the confirmed patient identification data and retrieves the patient prescription data 1314. The cloud database may also store additional patient data for example, previous treatment data, additional biometric data, or other information useful for dialysis treatment. The cloud database transmits at least the prescription data to the dialysis machine and the dialysis machine is able to upload the prescription based 1316 on the transmitted prescription data.
The patient and dialysis machines are prepared for dialysis treatment, such that the venous and arterial bloodlines are connected to the patient and to the dialysis machine. A first layer of gauze is wrapped around the needle and the wetness sensor is placed above the first layer of gauze. The coupled sensor is secured by wrapping additional gauze around the housing of the wetness sensor, but leaving at least the biometric sensor exposed. The patient scans the desires biometric feature onto the biometric sensor, producing biometric information related to the biometric feature 1402. The biometric information is transmitted from the coupled device using the signal transmitter and is received by the dialysis machine using the signal receiver of the dialysis machine 1404. The biometric information is processed into biometric data using the processor of the dialysis treatment and returns the biometric data to the sensor. The sensor receives the biometric data and compares the biometric data with a known packet of biometric data assigned to the patient identification. If the measured biometric data is significantly similar to the control biometric data, the patient identity is confirmed within the sensor 1408 and a user confirmation is prompted 1410. The confirmed identity data is transmitted to the dialysis machine and the dialysis machine transmits the confirmed identity data to the cloud database 1412. The cloud database receives the confirmed patient identification data and retrieves the patient prescription data 1414. The cloud database may also store additional patient data for example, previous treatment data, additional biometric data, or other information useful for dialysis treatment. The cloud database transmits at least the prescription data to the dialysis machine 1416. The dialysis machine is able to upload the prescription based on the transmitted prescription data 1418.
A number of embodiments of the invention have been described. Nevertheless, it will be understood that various modifications may be made without departing from the spirit and scope of the invention. The exemplary embodiments in
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