Patent Application
20080251077
In modern medical facilities such as hospitals, there is typically a need to supply medical gases to various points of use, for example patient rooms, operating rooms, examination rooms, and the like. Commonly, the medical gases are centrally stored, and then distributed to various points of use by a network of gas conduits. Typically, the supply of gases in such facilities is monitored by measuring the gas pressure (or liquid level, for gases stored in liquid form) at the storage container (e.g., pressure cylinder or tank). When the available amount falls below a predefined minimum level, additional quantities are ordered to replenish the gas supplies.
However, this approach is only suitable for managing the global (i.e., system-wide) usage of medical gases, and does not provide measurements of gas consumption at specific points of use. Conventionally, the localized management of medical gases is performed by manually setting flow rates at each point of use, and then manually collecting the flow rate data. However, these manual approaches are tedious and time-consuming.
Additionally, such conventional approaches do not provide the ability to detect and isolate gas leaks. Leaks can occur for various reasons, such as equipment not being connected properly, valves being left open, cracks in pipes, etc.
Therefore, there is a need for improved techniques for the management of medical gases.
One embodiment of the invention provides a method for monitoring the use of medical gases, comprising: receiving, from a flow sensor fixed to a medical gas conduit, a wireless signal indicating the presence of a flow of gas through the conduit, wherein the conduit carries gas to a gas outlet; determining whether a medical device is properly connected to the outlet; and if not, generating an alert communicating the existence of a potential leak at the gas outlet.
Another embodiment of the invention provides a method for monitoring the use of medical gases, comprising: receiving a plurality of wireless signals, each coming from one of a plurality of flow sensors, wherein each flow sensor is configured to measure the flow rate of gas through one of a plurality of gas outlets, wherein the gas flowing to the plurality of gas outlets is supplied by a gas delivery system fluidly coupled to at least one gas source; determining, based on the plurality of wireless signals, the total amount of gas used at the plurality of gas outlets; determining, based on one or more measurements of the at least one gas source, the amount of gas that has been removed from the at least one gas source; determining whether the total amount of gas used at the plurality of gas outlets differs, by a predetermined margin, from the amount of gas that has been removed from the at least one gas source; and if so, generating an alert communicating the existence of a potential leak in the gas delivery system.
Yet another embodiment of the invention provides a computer-readable storage medium storing instructions which when executed by a processor, performs a method, comprising: receiving, from a flow sensor fixed to a medical gas conduit, a wireless signal indicating the presence of a flow of gas through the conduit, wherein the conduit carries gas to a gas outlet; determining whether a medical device is properly connected to the outlet; and if not, generating an alert communicating the existence of a potential leak at the gas outlet.
Yet another embodiment of the invention provides a computer-readable storage medium storing instructions which when executed by a processor, performs a method, comprising: receiving a plurality of wireless signals, each coming from one of a plurality of flow sensors, wherein each flow sensor is configured to measure the flow rate of gas through one of a plurality of gas outlets, wherein the gas flowing to the plurality of gas outlets is supplied by a gas delivery system fluidly coupled to at least one gas source; determining, based on the plurality of wireless signals, the total amount of gas used at the plurality of gas outlets; determining, based on one or more measurements of the at least one gas source, the amount of gas that has been removed from the at least one gas source; determining whether the total amount of gas used at the plurality of gas outlets differs, by a predetermined margin, from the amount of gas that has been removed from the at least one gas source; and if so, generating an alert communicating the existence of a potential leak in the gas delivery system.
Yet another embodiment of the invention provides a system, comprising: a medical facility, comprising: a plurality of locations configured for patient care, each comprising at least one gas fixture, wherein each gas fixture is configured to connect to and supply medical gases to at least one medical device; at least one medical gas source; at least one wireless receiver; a plurality of gas conduits, configured to distribute medical gases from the at least one gas source to each of the gas fixtures. In addition, the system further comprises a plurality of wireless sensors disposed on the plurality of gas fixtures, each comprising: a flow sensor configured to measure a flow of gas through the gas fixture on which it is disposed, a connection sensor configured to determine whether a medical device is properly connected to the gas fixture on which it is disposed, and a wireless transmitter configured to transmit a wireless signal to the at least one wireless receiver, wherein the wireless signal includes data indicating whether a flow of gas is detected and whether a medical device is properly connected. In addition, the system further comprises a gas management application, configured to receive the data included in the wireless transmissions, and to selectively generate alerts communicating the existence of a potential leaks at the gas fixtures based on the received data.
Yet another embodiment of the invention provides a system, comprising: a medical facility, comprising: a plurality of locations configured for patient care, each comprising at least one gas fixture, wherein each gas fixture is configured to connect to and supply medical gases to at least one medical device; a medical gas storage facility, comprising a flow meter configured to measure a total gas flow rate from the storage facility; at least one wireless receiver; and a plurality of gas conduits configured to distribute medical gases from the at least one gas storage facility to each of the gas fixtures. In addition, the system further comprises a plurality of wireless sensors disposed on the plurality of gas fixtures, each comprising: a flow sensor configured to measure a flow of gas through the gas fixture on which it is disposed, a connection sensor configured to determine whether a medical device is properly connected to the gas fixture on which it is disposed, and a wireless transmitter configured to transmit a wireless signal to the at least one wireless receiver, wherein the wireless signal includes data indicating whether a flow of gas is detected and whether a medical device is properly connected. In addition, the system further comprises a gas management application, configured to receive the data included in the wireless transmissions, and to selectively generate an alert communicating the existence of a potential leak in the plurality of gas conduits based on the received data.
For a further understanding of the nature and objects of the present invention, reference should be made to the following detailed description, taken in conjunction with the accompanying drawings, in which like elements are given the same or analogous reference numbers and wherein:
Embodiments of the present invention generally provide methods and systems for managing a medical gas system by using wireless sensors located at the point of use. In one embodiment, a wireless sensor is fixed to a gas outlet, and is configured to detect any flow of gas, and to detect whether the gas outlet is connected to a medical device. The signal from the wireless device is transmitted to a remote server. If the data carried by the signal (either by itself or in combination with other data) indicates that gas is flowing through the gas outlet, and that no device is connected to the gas outlet, the server generates an alert of a localized leak. In one embodiment, the wireless sensor is configured to transmit the gas flow rate passing through the gas outlet. This data may be used to calculate the total gas used at that point of use. The total gas may then be used to determine when a patient has received a prescribed amount of gas, and/or to calculate a bill for the expense of the gas. In another embodiment, wireless sensors may be fixed to all gas outlets in a medical gas system. By summing the gas flow rate at all gas outlets, and comparing to the gas flow rate measured at a central gas storage facility, it may be determined whether there any leaks in the medical gas system. In another aspect of the invention, the total gas usage for all gas outlets may be compared to a predefined reorder point in order to determine if the gas supply must be replenished.
It is contemplated that any of the foregoing embodiments (and other embodiments disclosed herein) may be done separately or collectively (in any combination) in a given system.
In the following, reference is made to embodiments of the invention. However, it should be understood that the invention is not limited to specific described embodiments. Instead, any combination of the following features and elements, whether related to different embodiments or not, is contemplated to implement and practice the invention. Furthermore, in various embodiments the invention provides numerous advantages over the prior art. However, although embodiments of the invention may achieve advantages over other possible solutions and/or over the prior art, whether or not a particular advantage is achieved by a given embodiment is not limiting of the invention. Thus, the following aspects, features, embodiments and advantages are merely illustrative and are not considered elements or limitations of the appended claims except where explicitly recited in a claim(s). Likewise, reference to “the invention” shall not be construed as a generalization of any inventive subject matter disclosed herein and shall not be considered to be an element or limitation of the appended claims except where explicitly recited in a claim(s).
One embodiment of the invention is implemented as a program product for use with a networked computer system such as, for example, the networked system 200 shown in
In general, the routines executed to implement the embodiments of the invention, may be part of an operating system or a specific application, component, program, module, object, or sequence of instructions. The computer program of the present invention typically is comprised of a multitude of instructions that will be translated by the native computer into a machine-readable format and hence executable instructions. Also, programs are comprised of variables and data structures that either reside locally to the program or are found in memory or on storage devices. In addition, various programs described hereinafter may be identified based upon the application for which they are implemented in a specific embodiment of the invention. However, it should be appreciated that any particular program nomenclature that follows is used merely for convenience, and thus the invention should not be limited to use solely in any specific application identified and/or implied by such nomenclature.
As shown, room 110 includes the gas fixtures 115, which are not connected to any medical equipment, and are not releasing any gas (assuming no leaks). Also shown is a room 120, which includes gas fixtures 125 that are providing gas to a connected medical device (e.g., a ventilator). Thus, in the cases of room 110 and room 120, the medical gas system is functioning properly. However, in room 120, determining how much gas has been consumed may require manual readings of any measuring devices included in (or connected to) the gas fixtures 125, according to a conventional approach. Such localized measurements may be required, for instance, to bill a patient for his individual gas usage. Localized measurements may also be required for some medical gases, for example nitric oxide, which are administered to patients in specific amounts as part of therapeutic treatment.
As shown, room 130 includes the gas fixtures 135 which are providing a flow of gas, but which are not connected to any medical devices. Thus, in the case of room 130, there is a gas leak that may only be detected by manual inspection of the gas fixtures 135. In some cases, such leaks may be small, and may thus escape detection by a casual inspection. Such leaks can lead to the waste of medical gases, and thus result in unnecessary cost. Additionally, leaks of some gases (e.g., oxygen) can potentially lead to explosions, while leaks of other gases may lead to toxic conditions.
The room 140 illustrates an example in which a medical device is properly connected to the gas fixtures 145, but is receiving an abnormal flow of gas. This situation may arise, for example, if the controls of the device are not set properly, or if the device malfunctions. Detection of an abnormal gas flow may prevent harm to patients or medical equipment. However, the abnormal gas flow may only be detected on manual inspection of the medical device.
The gas distribution system 150 may include pipes, tubes, conduits, valves, and the like. As illustrated, the gas distribution system 150 may also include a system leak 155. Such leaks may occur at any point in the gas distribution system 150. If the system leak 155 occurs in a location that is usually hidden from view (e.g., inside a wall cavity, in a maintenance duct, etc.), or of the system leak 155 is small, it may be not be noticed, and thus result in an ongoing waste of medical gases. Additionally, such leaks may cause gases to accumulate in hidden locations until they result in explosions or other dangerous conditions.
As described, there are situations which arise in medical gas systems that may result in waste of medical gases. Such situations are costly, and sometimes dangerous. Accordingly, embodiments of the invention provide techniques for detecting these situations. In various embodiments, one or more measuring and communication (i.e., transmitting and/or receiving) devices are fixed to the points of use (e.g., the gas fixtures 115, 125, 135, 145) of a medical facility. In a particular embodiment, one or more of the communication devices are wireless. The communication devices may communicate with a computer system (such as the server 170) configured to make various determinations, including the detecting leaks, monitoring and measuring flow rates, and calculating consumption costs of various gases. Embodiments of the invention are described below.
Referring now to
In one embodiment, the base station 260 communicates with a central server 210 (which may be the server 170 of
A workstation 230 may be used to access the central server 210 over the network 250 and to access the gas management application 226. In one embodiment, processing in the workstation computer 230 may be performed by a processing unit 232. The processing unit 232 may process programs in a memory 240 including an operating system 242 for the workstation computer 230. In addition, the processing unit 232 may also process data 244 and other programs such as a web browser 246 and a patient monitor 248. The web browser 246 may be used to access web applications on the central server 210, such as the gas management application 226. Thus, the web browser 246 may be used to remotely monitor and manage a medical gas system. The patient monitor 248 may be used, for example, to enable a doctor or nurse to monitor the amount of a medical gas administered to a patient as part of a prescribed treatment regimen. Such data and programs may also be stored in a storage device 236 such as a hard drive or other computer-readable medium (e.g., a compact disc or read-only memory). The workstation computer 230 may utilize an input/output interface 234 to request and/or receive data from the network 250. Internal components of the workstation computer 230 may communicate via a data bus 238.
In one embodiment, the wireless sensor 270 may include a connection sensor 320 and a flow meter 330, each connected to a wireless transponder 310. The connection sensor 320 may be configured to detect when a medical gas device 370 is properly connected to the gas connector 364. The connection sensor 320 may operate by any technique known in the art suitable for detecting a proper connection, e.g., electrical contact sensors, pressure switches, optical sensors, magnetic switches, radio-frequency identification (RFID) sensors, and the like.
In one embodiment, the flow meter 330 may be configured to measure the rate of flow of gases passing through a conduit or through the flow meter 330. In another embodiment, the flow meter 330 may instead be configured to detect the presence of a gas flow, without measuring the rate of the flow. In yet another embodiment, the flow meter 330 may be consist of two components, one configured to measure the rate of flow of gases, and another to detect the presence of a gas flow. It is contemplated that the flow meter 330 may be configured in a variety of manners as suited to the intended use.
As shown, the wireless transponder 310 is configured to transmit a wireless signal 280 to a base station 260. The wireless signal 280 may be based on the data generated by the connection sensor 320 and a flow meter 330. That is, the wireless signal 280 may include data describing the flow of gas through the wireless sensor 270 (e.g., the flow rate of gas), and the connection status of the gas connector 364 (e.g., properly connected to a medical device). In one embodiment, the flow rate data generated by the flow meter 330 may be transmitted to the server 210, and then processed by an application for the management of a gas system (e.g., gas management application 226 illustrated in
In one embodiment, the wireless transponder 310 may be configured to receive wireless signals 280 from the base station 260, with such signals including commands for the operation of the wireless sensor 270 (e.g., to activate the sensor, to run a diagnostic test, etc.). Additionally, the wireless sensor 270 may be configured to control other components of the gas management system. For example, the wireless sensor 270 may be configured to actuate a control valve 362 in response to commands received via wireless signals 280. This action may be performed if a patient has completed a prescribed treatment by receiving a given amount of medical gases.
Of course, the example illustrated in
At step 420, it is determined whether there is any gas flow detected. This step may be based on data collected, for example, by a flow meter 330 included in a wireless sensor 270. If no gas flow is detected (e.g., gas fixtures 115 shown in
The method 400 continues at step 440, where the gas flow rate is measured (e.g., by flow meter 330). Next, at step 442, it is determined whether the measured flow rate is within a predefined range of normal operating flow rates. The predefined range may be based, for example, on the types of medical devices known to be used with the medical gas system. If the measured flow rate is outside the predefined range (e.g., gas fixtures 145 shown in
The method 400 continues at step 450, where the measured flow rate is used to calculate a total amount of gas used at that particular point of use over a given time period. The calculated amount may be used, for example, for billing a patient for his individual gas usage. Next, at step 452, it is determined whether the calculated amount is equal to (or greater than) a required amount that is prescribed for the patient located at the particular point of use. As is known in the art, a doctor may prescribe a treatment regimen which may include administering a required amount of medical gas to a patient over a period of time. If the patient has received the required amount of gas, the method 400 continues to step 454, where an alert of completed treatment is sent to the central server.
Once the processing of the data from all the wireless sensors of the medical gas system has been completed at step 410, the method 400 continues at step 460, where a sum is calculated of the flow rates measured at step 440. Thus, the calculated sum represents the cumulative total of the gas flows measured at each point of use. Next, at step 462, the calculated sum is compared to a global flow rate, as measured at a central gas storage location (e.g., gas storage facility 160 illustrated in
The method 400 continues at step 470, where the calculated sum of flow rates is used to calculate a total amount of gas used globally (i.e., for the entire system) over a given time period. Next, at step 472, the global amount of gas used is evaluated to determine if it has reached a predefined reordering level. The reordering level may be set such that, taking into account the current consumption rate and the average time required by suppliers to replenish the gas supply, the new gas supply will arrive shortly before the old gas supply runs out. If the global amount of gas used has not reached the reordering level, the method 400 ends. Otherwise, the method 400 continues to step 474, where a reorder alert may be sent. In addition, step 474 may include sending a replenishment order to the supplier using, for example electronic data interchange (EDI) or web technologies to transmit the order. After step 474, the method 400 ends.
As shown, the display screen 500 includes a room status summary 510, a system status summary 540, and a set of control buttons 550. The control buttons 550 may enable the user to perform typical functions in the GUI, such as entering data, modifying settings, cancelling commands, etc. The room status summary 510 provides a user with a summary of the status of points of use of a medical gas system. As shown, the room status summary 510 includes a “PATIENT ROOM” column 520, which identifies a particular point of use. In this example, the “PATIENT ROOM” column 520 indicates that the rows 530, 532, 534, 536 correspond to the rooms 110, 120, 130, 140 shown in
The room status summary 510 also includes a “FLOW DETECTED” column 522, a “LOCAL LEAK” column 524, an “ABNORMAL FLOW” column 526, a “COMPLETED TREATMENT” column 528, and a “BILL FOR GAS USAGE” column 529. These columns generally correspond to the steps of method 400, as described above. In this example, the specific column values correspond to the situations illustrated in
As shown, the system status summary 540 includes a “SYSTEM LEAK” warning 542. If the sum of the flow rates detected at each room is less than the flow rate measured at a central storage point, there is a possibility of a leak in the gas distribution system (e.g., leak 155). If so, the “SYSTEM LEAK” warning 542 would indicate an alert. The system status summary 540 also includes a “REORDER” warning 544, indicating whether the total gas consumed over a period of time has reached a reordering point.
Preferred processes and apparatus for practicing the present invention have been described. It will be understood and readily apparent to the skilled artisan that many changes and modifications may be made to the above-described embodiments without departing from the spirit and the scope of the present invention. The foregoing is illustrative only and that other embodiments of the integrated processes and apparatus may be employed without departing from the true scope of the invention defined in the following claims.
