Medical module including automated dose-response record system

Abstract

An automated dose-response record system including a module for housing waste-heat producing electronic and electromechanical medical equipment including at least one physiologic monitor, and including a system to measure, temporally correlate and record dose and response events.

What is claimed is: 
     
         1 . An automated dose-response record system of a data consolidation module for creating a timely and actionable remote healthcare record, the automated dose-response record system comprising:
 a housing configured to house electronic and electromechanical medical equipment;   a machine vision digital camera and a sensor positionable to detect dose events and to generate images;   processing circuitry in electrical communication with at least one item of the electronic and electromechanical medical equipment and in communication with the machine vision digital camera and the sensor, the processing circuitry configured to receive dose event data from the machine vision digital camera and the sensor; and   a physiologic monitor configured to, with the machine vision digital camera and the sensor, detect response events;   wherein the processing circuitry is in electrical communication with the physiologic monitor and the machine vision digital camera and the sensor to receive response event data based on the detected response events;   wherein the processing circuitry and software are configured to:
 interpret the images using one or both of machine learning (ML) and artificial intelligence (AI); 
 add timestamps or other indicators of time to one or more of the dose event data and the response event data; 
 temporally correlate dose event data and response event data; and 
 automatically transmit the temporally correlated dose event data and response event data to a remote display to be used for remote supervision, remote monitoring, or remote consultation. 
   
     
     
         2 . The automated dose-response record system of  claim 1 , wherein dose event data produced by the electronic and electromechanical medical equipment, mounted in or on or near the data consolidation module, is automatically consolidated by the processing circuitry. 
     
     
         3 . The automated dose-response record system of  claim 1 , wherein the machine vision digital camera is configured to generate the dose event data, wherein the dose event data includes data representing at least one of: medication administration, intravenous (IV) fluid administration, inhalation gases administration, mechanical ventilation, pneumoperitoneum insufflation, and electrosurgical use. 
     
     
         4 . The automated dose-response record system of  claim 1 , wherein the machine vision digital camera is configured to generate the dose event data, wherein the dose event data includes video observation of a patient with AI and/or ML analysis of the video observation to produce dose event data that includes data indicative of at least one of: intubation, mask ventilation, pulmonary percussion, airway suctioning, feeding, repositioning the patient, and assisting the patient. 
     
     
         5 . The automated dose-response record system of  claim 1 , wherein the response event data includes data indicative of at least one of: output of the physiologic monitor, a urine output monitor, a blood loss monitor, laboratory tests, and stress tests. 
     
     
         6 . The automated dose-response record system of  claim 5 , wherein the response event data includes physiologic data generated by the physiologic monitor and the sensor including at least one of: an electrocardiogram, pulse oximetry, blood pressure, temperature, end-tidal CO2, expired gases, respiratory rate, hemoglobin, hematocrit, cardiac output, central venous pressure, pulmonary artery pressure, brain activity monitor, sedation monitor, urine output, blood loss, blood electrolytes, blood glucose, blood coagulability, train-of-four relaxation monitor data, intravenous (IV) extravasation monitor data, body weight, and other suitable physiologic data. 
     
     
         7 . The automated dose-response record system of  claim 1 , wherein the response event data generated by the machine vision digital camera include data indicative of at least one of: smiling, grimacing, lacrimation (tearing), coughing, skin color changes, remote plethysmography, movement, restlessness, getting out of bed without assistance, changes in breathing pattern, and changes in moods. 
     
     
         8 . The automated dose-response record system of  claim 7 , wherein remote plethysmography (rPPG) is used to remotely monitor vital signs including one or more of: heart rate, respiration rate, blood oxygenation saturation, and temperature using visible light and Red Green Blue (RBG) cameras or using near-infrared light (NIR) and NIR cameras. 
     
     
         9 . The automated dose-response record system of  claim 7 , wherein remote plethysmography (rPPG) is used to remotely measure blood components including one or more of: blood glucose and hemoglobin levels using visible light and Red Green Blue (RBG) cameras or using near-infrared light (NIR) and NIR cameras. 
     
     
         10 . The automated dose-response record system of  claim 7 , wherein light sources configured to emit visible light or near-infrared light (NIR) are attached to a movable arm configured to position the light sources directly above a head of a patient while the patient is laying supine on a surgical table or a hospital bed, optimizing a digital image by optimizing lighting for a Red Green Blue (RBG) camera or NIR camera. 
     
     
         11 . The automated dose-response record system of  claim 1 , wherein at least one of the machine vision digital camera and the sensor is mounted to the housing by a movable arm configured to position the machine vision digital camera and sensor directly in front of a face of a patient when the patient is laying supine on a surgical table or hospital bed, optimizing the images by optimizing a view of the machine vision digital camera or sensor of the face and an angle of the images. 
     
     
         12 . The automated dose-response record system of  claim 1 , wherein the machine vision digital camera is positionable to document activities on a surgical field and a surgical procedure with processing circuitry and software configured to document dose events based on images generated by the machine vision digital camera. 
     
     
         13 . The automated dose-response record system of  claim 1 , wherein the response event data recorded by the machine vision digital camera includes AI recognition and identification of patient moods. 
     
     
         14 . The automated dose-response record system of  claim 1 , wherein the processing circuitry and software are configured to provide automatic data entry into an electronic medical record. 
     
     
         15 . The automated dose-response record system of  claim 1 , including AI software configured to analyze the temporally correlated dose events and response events to identify expected and unexpected responses, and wherein the processing circuitry and software are configured to report the expected and unexpected responses to a clinician and to the remote display as a clinical decision support service. 
     
     
         16 . The automated dose-response record system of  claim 1 , wherein the processing circuitry and software are configured to structure and organize consolidated data from the electronic and electromechanical medical equipment and the machine vision digital camera to populate a database for subsequent analytics. 
     
     
         17 . The automated dose-response record system of  claim 1 , wherein the processing circuitry and software are configured to add timestamps or other indicators of time to the images so that unrelated data can be temporally correlated during subsequent analysis. 
     
     
         18 . An automated dose-response record system of a data consolidation module for creating a timely and actionable remote healthcare record, the automated dose-response record system comprising:
 a housing configured to house electronic and electromechanical medical equipment configured to produce dose event data;   a physiologic monitor, a machine vision digital camera, and a response sensor, one or more of which are configured to generate response event data based on observed response events;   processing circuitry and software in communication with the electronic and electromechanical medical equipment to receive the dose event data therefrom, and the processing circuitry in communication with one or more of the physiologic monitor, the machine vision digital camera, and the response sensor, the processing circuitry and software configured to:
 receive the response event data; 
 interpret images from the machine vision digital camera using one or both of ML and AI; 
 interpret the dose event data; 
 add timestamps to the dose event data and the response event data; 
 temporally correlate the dose event data and the response event data using the timestamps; and 
 automatically transmit the temporally correlated dose event data and the response event data to a remote display configured for remote supervision, remote monitoring, or remote consultation. 
   
     
     
         19 . The automated dose-response record system of  claim 18 , wherein the dose event data produced by the electronic and electromechanical medical equipment is automatically consolidated by the processing circuitry and software. 
     
     
         20 . The automated dose-response record system of  claim 18 , comprising:
 at least one of a dose machine vision digital camera and a dose sensor configured to generate the dose event data, and wherein the dose event data includes data representing at least one of: medication administration, intravenous (IV) fluid administration, inhalation gases administration, mechanical ventilation, pneumoperitoneum insufflation, and electrosurgical use.   
     
     
         21 . The automated dose-response record system of  claim 18 , comprising:
 at least one dose machine vision digital camera configured to generate the dose event data, and wherein the dose event data includes video observation of a patient with AI and/or ML analysis of the video observation to produce dose event data that includes data indicative of at least one of: intubation, mask ventilation, pulmonary percussion, airway suctioning, feeding, repositioning the patient, and assisting the patient.   
     
     
         22 . The automated dose-response record system of  claim 18 , comprising:
 at least one of a dose machine vision digital camera and a dose sensor configured to generate the response event data, and wherein the response event data also includes data indicative of at least one of:   output of the physiologic monitor, a urine output monitor, a blood loss monitor, laboratory tests, and stress tests.   
     
     
         23 . The automated dose-response record system of  claim 22 , wherein the response event data includes physiologic data generated by at least one of a physiologic monitor and a sensor including at least one of: an electrocardiogram, pulse oximetry, blood pressure, temperature, end-tidal CO2, expired gases, respiratory rate, hemoglobin, hematocrit, cardiac output, central venous pressure, pulmonary artery pressure, brain activity monitor, sedation monitor, urine output, blood loss, blood electrolytes, blood glucose, blood coagulability, train-of-four relaxation monitor data, intravenous (IV) extravasation monitor data, body weight, and other suitable physiologic data. 
     
     
         24 . The automated dose-response record system of  claim 18 , including at least one machine vision digital camera configured to generate the response event data, and wherein the response event data generated by the machine vision digital camera include data indicative of at least one of: smiling, grimacing, lacrimation (tearing), coughing, skin color changes, remote plethysmography, movement, restlessness, getting out of bed without assistance, changes in breathing pattern, and change in mood. 
     
     
         25 . The automated dose-response record system of  claim 24 , wherein remote plethysmography (rPPG) is used to remotely monitor vital signs including one or more of heart rate, respiration rate, blood oxygenation saturation, and temperature using visible light and Red Green Blue (RBG) cameras or using near-infrared light (NIR) and NIR cameras. 
     
     
         26 . The automated dose-response record system of  claim 24 , wherein remote plethysmography (rPPG) is used to remotely measure blood components including one or more of blood glucose and hemoglobin levels using visible light and Red Green Blue (RBG) cameras or using near-infrared light (NIR) and NIR cameras. 
     
     
         27 . The automated dose-response record system of  claim 24 , wherein light sources configured to emit visible light or near-infrared light (NIR) are attached to a movable arm configured to position the light sources directly above a head of a patient when the patient is laying supine on a surgical table or a hospital bed, optimizing a digital image by optimizing lighting for a Red Green Blue (RBG) camera or NIR camera. 
     
     
         28 . The automated dose-response record system of  claim 18 , wherein the machine vision digital camera is mounted to the housing by a movable arm configured to position the machine vision digital camera directly in front of a face of a patient when the patient is laying supine on a surgical table or hospital bed, optimizing the images by optimizing a view of the machine vision digital camera of the face of the patient and an angle of the images. 
     
     
         29 . The automated dose-response record system of  claim 18 , including at least one machine vision digital camera positionable to document activities on a surgical field and a surgical procedure with processing circuitry and software configured to document the dose event data based on the images generated by the machine vision digital camera. 
     
     
         30 . The automated dose-response record system of  claim 18 , including at least one machine vision digital camera configured to generate the response event data, wherein the response event data generated by the machine vision digital camera includes AI recognition and identification of patient moods. 
     
     
         31 . The automated dose-response record system of  claim 18 , wherein the processing circuitry and software are configured to provide automatic data entry into an electronic medical record. 
     
     
         32 . The automated dose-response record system of  claim 18 , including AI software configured to analyze the temporally correlated dose event data and response event data to identify expected and unexpected responses, and configured to report the identified unexpected response to a clinician and to a remote display as a clinical decision support service. 
     
     
         33 . The automated dose-response record system of  claim 18 , wherein the processing circuitry and software is configured to structure and organize consolidated data from the electronic and electromechanical medical equipment and the machine vision digital camera to populate a database for subsequent analytics. 
     
     
         34 . The automated dose-response record system of  claim 18 , wherein the processing circuitry and software are configured to add timestamps or other indicators of time to the response event data and the dose event data so that unrelated data can be temporally correlated during subsequent big data analytics. 
     
     
         35 . An automated dose-response record system that includes a system to measure, timestamp, and record dose and response events, the automated dose-response record system comprising:
 at least one machine vision optical sensor positionable to generate dose event data based on observed dose events and to generate response event data based on observed response events;   processing circuitry and software in communication with the at least one machine vision optical sensor to receive the dose event data based and the response event data, the processing circuitry and software configured to:
 timestamp the dose event data and the response event data; 
 correlate, temporally, the dose event data and the response event data using the timestamps; 
 store, automatically, the timestamped dose event data and response event data in memory, an electronic record, or a database; and 
 analyze temporally correlated dose event data and response event data using artificial intelligence.