US2021361958A1PendingUtilityA1

Systems, apparatus, and methods for documenting code blue scenarios

Assignee: LOS ANGELES BIOMEDICAL RES INST HARBOR UCLA MEDICAL CTPriority: Apr 4, 2014Filed: Aug 4, 2021Published: Nov 25, 2021
Est. expiryApr 4, 2034(~7.7 yrs left)· nominal 20-yr term from priority
Inventors:Ruey-Kang Chang
A61B 5/1135A61M 2230/205A61B 5/01A61M 2209/088A61H 2230/30A61M 2205/3368A61H 2230/405A61H 2230/00A61M 2230/50A61H 2230/208A61M 2230/65A61M 2205/583A61H 31/005A61B 5/113A61M 2205/60A61H 2230/65A61M 2205/3569G16H 40/63A61M 2205/581A61B 2560/0242G16H 40/67A61B 5/6823A61H 2230/50A61M 2230/06A61M 16/022A61M 2230/30A61M 2205/8206A61M 2205/3375A61B 5/08A61H 2201/1619A61H 2201/5084A61H 2230/505A61H 2201/5058A61M 2230/04A61B 2560/0412A61H 2031/002A61H 2230/305A61H 2201/5043A61M 2205/3584A61M 2205/332A61B 5/021A61H 2201/501A61B 5/4848A61N 1/3904A61B 5/0205A61B 2560/0493A61H 2201/5007A61M 2205/505A61M 2230/40A61M 2205/6072A61H 31/00A61H 2201/5048A61M 2230/63A61M 2210/10A61H 2201/5097A61M 2205/502A61H 2230/207A61H 2230/065A61M 2205/52A61B 2560/0214A61B 5/024G16H 15/00A61M 2205/584A61M 2205/3561A61M 2205/3592A61H 2230/06A61M 2205/05A61H 2230/045A61B 2560/0475A61M 2230/42A61M 2205/3553A61N 1/3937A61B 5/02055A61B 5/6833A61M 16/04
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Claims

Abstract

An apparatus may be configured for providing feedback to caregivers during a code blue scenario when adhered to the chest of a subject undergoing resuscitation by sensing and transmitting information associated with the code blue scenario. Such information may include one or more of vital signs of the subject during resuscitation, information associated with chest movements of the subject during resuscitation, and audio information from an environment of the subject during resuscitation. One or more processors may generate real-time feedback for communication to the caregivers during the code blue scenario based on the sensed and transmitted information.

Claims

exact text as granted — not AI-modified
What is claimed is: 
     
         1 . An apparatus configured to provide feedback to caregivers for a code blue scenario, the apparatus comprising:
 an enclosure configured to be adhered to a chest of a subject;   a sensor bank at least partially disposed within the enclosure, the sensor bank being configured to provide signals conveying information associated with the code blue scenario, the information including vital signs of the subject, information associated with chest movements of the subject, and/or audio information from an environment surrounding the subject;   a feedback interface coupled with the enclosure, the feedback interface configured to provide real-time feedback to the caregivers for the code blue scenario, the real-time feedback comprising a recommendation to begin resuscitation, and/or adjustments that should be made to ongoing resuscitation; and   one or more processors operatively coupled with the sensor bank and the feedback interface, the one or more processors configured by computer program instructions to generate the real-time feedback based on the information in the signals from the sensor bank.   
     
     
         2 . The apparatus of  claim 1 , wherein the feedback interface comprises a display screen, one or more indicator lights, and/or a speaker, and wherein the feedback interface is configured to provide the real-time feedback to the caregivers via the display screen, the one or more indicator lights, and/or the speaker. 
     
     
         3 . The apparatus of  claim 2 , wherein the feedback interface comprises the speaker, and wherein the feedback interface is configured to provide the real-time feedback to the caregivers using voice feedback provided through the speaker. 
     
     
         4 . The apparatus of  claim 2 , wherein the feedback interface comprises the display screen, and wherein the feedback interface is configured to visually provide the real-time feedback to the caregivers with the display screen. 
     
     
         5 . The apparatus of  claim 1 , wherein the feedback interface comprises Bluetooth components configured to communicate the real-time feedback to the caregivers via one or more computing platforms remote from the enclosure. 
     
     
         6 . The apparatus of  claim 1 , wherein the one or more processors are configured such that generating the real-time feedback based on the information in the signals from the sensor bank comprises a machine-learning analysis of the information in the signals from the sensor bank by a trained machine-learning model, the machine-learning model trained using prior physiological data from prior signals and corresponding prior real-time feedback, the machine-learning analysis comprising determining which future actions taken by caregivers during resuscitation would improve a likelihood of recovery from the code blue scenario by the subject, and generating the real-time feedback based on the predictions. 
     
     
         7 . The apparatus of  claim 1 , wherein the one or more processors are further configured to populate an electronic code blue sheet based on the signals from the sensor bank, the electronic code blue sheet comprising a user interface configured to automatically display recorded code blue events chronologically with time stamps, provide zoomable views of vital signs, and/or facilitate playback of verbal communication for the code blue scenario. 
     
     
         8 . The apparatus of  claim 1 , wherein the one or more processors are configured such that the real-time feedback comprises adjustments that should be made to ongoing resuscitation, the adjustments comprising recommended changes to one or more of a compression rate, a compression depth, a pause between compressions, or a compression interval of cardiopulmonary resuscitation (CPR) chest compressions performed on the subject during the code blue scenario. 
     
     
         9 . The apparatus of  claim 1 , wherein the one or more processors are configured such that generating the real-time feedback comprises determining time elapsed since collapse of the subject, the time elapsed since collapse determined to be at least one minute responsive to the information in the signals from the sensor bank indicating ventricular fibrillation and no respiratory movement. 
     
     
         10 . The apparatus of  claim 1 , wherein the sensor bank includes:
 a heart rate sensor configured to provide a signal conveying information associated with a heart rate of the subject;   a cardiac rhythm sensor configured to provide a signal conveying information associated with a cardiac rhythm of the subject;   a respiration sensor configured to provide a signal conveying information associated with a respiration of the subject;   a chest movement sensor configured to provide a signal conveying information associated with chest movements caused by artificial respiration provided to the subject;   a temperature sensor configured to provide a signal conveying information associated with a temperature of the subject;   a blood pressure sensor configured to provide a signal conveying information associated with a blood pressure of the subject;   an oxygen saturation sensor configured to provide a signal conveying information associated with an oxygen saturation of the subject;   a chest compression sensor configured to provide a signal conveying information associated with chest compressions performed on the subject;   a cardioversion and/or defibrillation sensor configured to provide a signal conveying information associated with cardioversion procedures and/or defibrillation procedures performed on the subject; and/or   a verbal communication sensor configured to provide a signal conveying information associated with verbal communication in an environment of the subject.   
     
     
         11 . A method for providing feedback to caregivers with a feedback apparatus for a code blue scenario, the apparatus comprising an enclosure, a sensor bank, a feedback interface, and one or more processors configured by computer program instructions, the method comprising:
 configuring the enclosure to be adhered to a chest of a subject, wherein the sensor bank is at least partially disposed within the enclosure, and wherein the feedback interface is coupled with the enclosure;   providing signals with the sensor bank that convey information associated with the code blue scenario, the information including vital signs of the subject, information associated with chest movements of the subject, and audio information from an environment surrounding the subject;   generating real-time feedback for the caregivers based on the information in the signals from the sensor bank with the one or more processors, the real-time feedback comprising adjustments that should be made to ongoing resuscitation; and   providing the real-time feedback to the caregivers for the code blue scenario with the feedback interface.   
     
     
         12 . The method of  claim 11 , wherein the feedback interface comprises a display screen, one or more indicator lights, and/or a speaker, and wherein the real-time feedback is provided to the caregivers via the display screen, the one or more indicator lights, and/or the speaker. 
     
     
         13 . The method of  claim 12 , wherein the feedback interface comprises the speaker, and wherein the method comprises providing the real-time feedback to the caregivers using voice feedback provided through the speaker. 
     
     
         14 . The method of  claim 12 , wherein the feedback interface comprises the display screen, and wherein the method comprises visually providing the real-time feedback to the caregivers with the display screen. 
     
     
         15 . The method of  claim 1 , wherein the feedback interface comprises Bluetooth components configured to communicate the real-time feedback to the caregivers via one or more computing platforms remote from the enclosure. 
     
     
         16 . The method of  claim 13 , wherein generating the real-time feedback based on the information in the signals from the sensor bank comprises a machine-learning analysis of the information in the signals from the sensor bank with a machine-learning model, the method further comprising training the machine-learning model using prior physiological data from prior signals and corresponding real-time feedback, the machine-learning analysis comprising determining which future actions taken by caregivers would improve a likelihood of recovery from the code blue scenario by the subject, and generating the real-time feedback based on the predictions. 
     
     
         17 . The method of  claim 11 , further comprising populating an electronic code blue sheet based on the signals from the sensor bank, the electronic code blue sheet comprising a user interface configured to automatically display recorded code blue events chronologically with time stamps, provide zoomable views of vital signs, and/or facilitate playback of verbal communication for the code blue scenario. 
     
     
         18 . The method of  claim 11 , wherein the real-time feedback comprises adjustments that should be made to ongoing resuscitation, the adjustments comprising recommended changes to one or more of a compression rate, a compression depth, a pause between compressions, or a compression interval of cardiopulmonary resuscitation (CPR) chest compressions performed on the subject during the code blue scenario. 
     
     
         19 . The method of  claim 11 , wherein generating the real-time feedback based on the information in the signals from the sensor bank comprises determining time elapsed since collapse of the subject, the time elapsed since collapse determined to be at least one minute responsive to the information in the signals from the sensor bank indicating ventricular fibrillation and no respiratory movement. 
     
     
         20 . The method of  claim 11 , further comprising:
 generating, with a heart rate sensor of the sensor bank, a signal conveying information associated with a heart rate of the subject;   generating, with a cardiac rhythm sensor of the sensor bank, a signal conveying information associated with a cardiac rhythm of the subject;   generating, with a respiration sensor of the sensor bank, a signal conveying information associated with a respiration of the subject;   generating, with a chest movement sensor of the sensor bank, a signal conveying information associated with chest movements caused by artificial respiration provided to the subject;   generating, with a temperature sensor of the sensor bank, a signal conveying information associated with a temperature of the subject;   generating, with a blood pressure sensor of the sensor bank, a signal conveying information associated with a blood pressure of the subject;   generating, with an oxygen saturation sensor of the sensor bank, a signal conveying information associated with an oxygen saturation of the subject;   generating, with a chest compression sensor of the sensor bank, a signal conveying information associated with chest compressions performed on the subject;   generating, with a cardioversion and/or defibrillation sensor of the sensor bank, a signal conveying information associated with cardioversion procedures and/or defibrillation procedures performed on the subject; and/or   generating, with a verbal communication sensor of the sensor bank, a signal conveying information associated with verbal communication in an environment of the subject.

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