[go: up one dir, main page]

WO2022183264A1 - Method and equipment for monitoring cardiac parameters based on ultrasound - Google Patents

Method and equipment for monitoring cardiac parameters based on ultrasound Download PDF

Info

Publication number
WO2022183264A1
WO2022183264A1 PCT/BR2022/050065 BR2022050065W WO2022183264A1 WO 2022183264 A1 WO2022183264 A1 WO 2022183264A1 BR 2022050065 W BR2022050065 W BR 2022050065W WO 2022183264 A1 WO2022183264 A1 WO 2022183264A1
Authority
WO
WIPO (PCT)
Prior art keywords
ultrasound
equipment
monitoring
parameters
blood flow
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/BR2022/050065
Other languages
French (fr)
Portuguese (pt)
Inventor
Jose Manoel Medeiros JUNIOR
Luis Augusto LUCHTENBERG
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2022183264A1 publication Critical patent/WO2022183264A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/06Measuring blood flow
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Definitions

  • the present invention is a method and equipment for monitoring cardiac parameters based on ultrasound for continuous monitoring of critical patients.
  • the equipment reveals a technology related to continuous monitoring of hemodynamic and cardiac parameters in patients using ultrasound systems, such as echocardiography, from a hardware system and associated software for continuous and automatic monitoring.
  • the present disclosure refers to an ultrasound device, system and method for determining cardiac and/or hemodynamic parameters in a non-invasive, automatic and autonomous way and, therefore, does not depend on ultrasound images and/or analysis of a qualified caregiver.
  • Cardiac monitoring can be provided by different techniques at various levels of invasiveness, e.g. invasive, minimally invasive and non-invasive. For example, angiography, angiography, cardiac catheterization, right heart catheterization, and left heart catheterization can be considered invasive or minimally invasive.
  • ultrasound-based techniques such as echocardiography can be considered a non-invasive method to determine cardiac and/or hemodynamic parameters.
  • the system does not require the involvement of a qualified healthcare professional to determine hemodynamic and/or cardiac parameters, rather, the device and method according to a preferred embodiment of the present disclosure, provide automatic and autonomous determination of cardiac and/or parameters hemodynamic.
  • Such information is exposed to the health worker or caregiver through a computer-readable memory, a computer monitor, a printout, a computer on a network or a user, among others.
  • the invention provides for a 'static scanning area', where the ultrasound scan is performed over a stationary or static, e.g. along the torso, chest, posterior side of the subject or the like. In this way, it is possible to perceive that the equipment needs a plurality of transducers, applied along the patient's torso.
  • EP3471624 describes a system and method for determining hemodynamic parameters related to a patient's heart.
  • the system comprises a transesophageal echocardiogram (TEE) probe including an ultrasound transducer comprising an array of piezoelectric elements and one or more processors operatively connected to the transesophageal echocardiogram (TEE) probe and/or other components.
  • the transesophageal echocardiogram (TEE) probe is configured to obtain a plurality of clinically relevant views of the patient's heart in a single position.
  • the system has an invasive parameter reading system, according to the use of transesophageal echocardiography (TEE). For this, it needs a technical operator to insert and monitor the patient during the use of the device. In addition, the equipment must be discarded after use.
  • the method and equipment for monitoring cardiac parameters based on ultrasound for continuous monitoring of critical patients presents an equipment for measuring blood flow within the heart, directly, through a non-invasive device that does not require continuous monitoring of technical operator and does not need to be removed or replaced over time.
  • Flow measurement is performed using a sectoral transducer, used in echocardiography equipment, which uses software and algorithms for continuous and non-punctual or momentary monitoring of hemodynamic parameters, at the bedside, using ultrasound/ echocardiogram, which, once positioned on the patient's chest, must function autonomously, without the assistance of an operator for the continuous evaluation of its parameters.
  • the equipment is developed through an echocardiogram probe installed in a mobile device, connected via cable or Wi-Fi with a touch screen monitor, running monitoring software with Java/DICOM programming language/DICOM images.
  • the present patent application consists of a method and equipment for monitoring cardiac parameters based on ultrasound for continuous monitoring of critical patients, which uses software (application) and algorithms (artificial intelligence) for continuous and non-punctual or momentary monitoring of hemodynamic parameters, at the bedside, using ultrasound/echocardiogram equipment, which, once positioned on the patient's chest, remains physically static, and must function autonomously, without the aid of an operator for the continuous assessment of the heart and its parameters, blood flows and movements.
  • software application
  • algorithms artificial intelligence
  • the hemodynamic parameters monitoring system consists of reading a patient's data through a sector transducer and echocardiography equipment, made in a non-invasive way, so that the echocardiogram transducer is positioned on the patient's chest, fixed with an appropriate accessory, preferably close to the heart, and the echocardiogram continuously reads the parameters of blood flow and movements inside the heart, where it is possible to accurately measure such parameters, such as flow velocity, flow volume, blood pressure and other parameters.
  • the continuous and automated monitoring system is performed by a software system and specific algorithms, developed specifically for the function established here, which evaluates parameters through formulas already existing in echocardiography, such as venous pressure and output heart rate, in addition to other parameters, however, without requiring a technical operator or complex interpretation of monitor data.
  • Such an invention solves the problem of demanding the presence of a specialist doctor to perform an ultrasound/echocardiogram exam in periods that he/she deems necessary.
  • the monitoring of hemodynamic parameters is performed by echocardiogram equipment and a sectoral transducer fixed to the chest, it is pre-analyzed by the algorithm system of the processing software, causing the data to be provided autonomously and automatically on a monitor, which presents the respective simplified data, directing the conduct or suggestion of treatment.
  • the software algorithm system receives the reading data from the sector transducer fixed to the chest through the echocardiography equipment, analyzes the complex hemodynamic parameters and processes the data, presenting the simplified data on a cardiac monitor, in addition to predict the direction of conducts and suggestion of treatment of the patient, or even suggest diagnoses of a patient.
  • the cardiac monitor will suggest conducts and/or diagnoses using echocardiography for automated analysis of hemodynamic parameters, continuously, remaining attached to the patient for the period that the doctor deems necessary - hours or days.
  • the sector transducer can be kept on the patient throughout the treatment period, not needing to be changed over time, so that patient monitoring is not interrupted, in addition to not generating material disposal if the patient needs long-term follow-up. In addition, monitoring is performed in real time, and after the equipment is turned off or the sector transducer is removed, monitoring is interrupted.
  • a patient who needs an assessment of their hemodynamic status, usually in a serious situation, will be coupled to an ultrasound/echocardiogram equipment, which will remain in their position continuously, their complex hemodynamic parameters being monitored and the respective data processed, for algorithm, for transmission on screens of a cardiac monitor, which presents simplified parameters and direction of conducts or treatment suggestion, or even suggest diagnoses of a patient. It is possible to access the parameters more completely in sub-screens/accessory windows. With different colors for each parameter and suggestion of conduct.
  • Such equipment can be used in person at your home, in order to monitor the same parameters remotely, continuously, but with a diagnostic purpose.
  • it can be used both in hospital and outpatient settings, with different purposes.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Radiology & Medical Imaging (AREA)
  • Data Mining & Analysis (AREA)
  • Epidemiology (AREA)
  • Databases & Information Systems (AREA)
  • Hematology (AREA)
  • Primary Health Care (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

The present invention patent document relates to a method and equipment for monitoring cardiac parameters based on ultrasound for the continuous monitoring of critical patients. The equipment incorporates technology related to the continuous monitoring of hemodynamic and cardiac parameters in patients using ultrasound systems, such as echocardiograms, using related hardware and software systems for continuous, automatic monitoring. The method and equipment for monitoring cardiac parameters based on ultrasound for the continuous monitoring of critical patients includes equipment for directly measuring blood flow in the heart using a non-invasive device that does not require continuous monitoring by a technician and does not have to be removed or swapped over time.

Description

MÉTODO E EQUIPAMENTO DE MONITORAMENTO DE PARÂMETROS CARDÍACOS BASEADO EM ULTRASSOM ULTRASOUND-BASED HEART PARAMETER MONITORING METHOD AND EQUIPMENT

[001] A presente invenção trata-se de um método e equipamento de monitoramento de parâmetros cardíacos baseado em ultrassom para acompanhamento contínuo de pacientes críticos. O equipamento revela uma tecnologia relacionada a monitoramento contínuo de parâmetros hemodinâmicos e cardíacos em pacientes usando sistemas de ultrassom, como ecocardiograma, a partir de sistema de hardware e software associados para monitorização contínua e automática. [001] The present invention is a method and equipment for monitoring cardiac parameters based on ultrasound for continuous monitoring of critical patients. The equipment reveals a technology related to continuous monitoring of hemodynamic and cardiac parameters in patients using ultrasound systems, such as echocardiography, from a hardware system and associated software for continuous and automatic monitoring.

[002] Atualmente, as soluções previstas no mercado apresentam uso de monitores cardíacos e multiparamétricos em UTI e centro cirúrgico e equipamentos de ultrassom ou ecocardiograma que dependem de um operador para fazer o exame. [002] Currently, the solutions provided on the market present the use of cardiac and multiparametric monitors in the ICU and surgical center and ultrasound or echocardiogram equipment that depend on an operator to perform the exam.

[003] Algumas soluções relacionadas à tecnologia são divulgadas no estado da técnica através do documento número EP2667783, por exemplo, que descreve um sistema, método e dispositivo para determinação automática e autónoma de parâmetros hemodinâmicos e cardíacos usando ultrassom. [003] Some solutions related to the technology are disclosed in the prior art through document number EP2667783, for example, which describes a system, method and device for automatic and autonomous determination of hemodynamic and cardiac parameters using ultrasound.

[004] A presente divulgação se refere a um dispositivo de ultrassom, sistema e um método para determinação de parâmetros cardíaco e/ou hemodinâmicos de forma não invasiva, automática e autónoma e, portanto, não depende de imagens de ultrassom e/ou análise de um cuidador qualificado. O monitoramento cardíaco pode ser fornecido por diferentes técnicas de vários níveis de invasividade, por exemplo, invasivo, minimamente invasivo e não invasivo. Por exemplo, angiografia, angiografia, cateterismo cardíaco, cateterismo cardíaco direito e cateterismo cardíaco esquerdo podem ser considerados invasivos ou minimamente invasivos. Alternativamente, técnicas baseadas em ultrassom, como ecocardiograma, pode ser considerado método não invasivo para determinar os parâmetros cardíacos e/ou hemodinâmicos. O sistema não requer o envolvimento de um profissional de saúde qualificado para determinar parâmetros hemodinâmicos e/ou cardíacos, em vez disso, o dispositivo e método de acordo com uma modalidade preferencial da presente divulgação, fornecem determinação automática e autónoma de cardíaca e/ou parâmetros hemodinâmicos. Tais informações são expostas ao funcionário de saúde o cuidador através de uma memória legível por computador, um monitor de computador, uma impressão, um computador em uma rede ou um usuário, entre outros. [004] The present disclosure refers to an ultrasound device, system and method for determining cardiac and/or hemodynamic parameters in a non-invasive, automatic and autonomous way and, therefore, does not depend on ultrasound images and/or analysis of a qualified caregiver. Cardiac monitoring can be provided by different techniques at various levels of invasiveness, e.g. invasive, minimally invasive and non-invasive. For example, angiography, angiography, cardiac catheterization, right heart catheterization, and left heart catheterization can be considered invasive or minimally invasive. Alternatively, ultrasound-based techniques such as echocardiography can be considered a non-invasive method to determine cardiac and/or hemodynamic parameters. The system does not require the involvement of a qualified healthcare professional to determine hemodynamic and/or cardiac parameters, rather, the device and method according to a preferred embodiment of the present disclosure, provide automatic and autonomous determination of cardiac and/or parameters hemodynamic. Such information is exposed to the health worker or caregiver through a computer-readable memory, a computer monitor, a printout, a computer on a network or a user, among others.

[005] Todavia, tal divulgação determina apenas o fluxo sanguíneo que passa pelos vasos (fluxo arterial), usando metodologia doppler do ultrassom, fazendo uma estimativa do fluxo sanguíneo que passa pelo coração do paciente, de modo que a estimativa se dá por fórmulas matemáticas que fazem um aproximação destes dados. Desta forma, a medição do fluxo sanguíneo que passa pelo coração não é precisa, podendo variar muito conforme cada paciente. [005] However, such disclosure only determines the blood flow that passes through the vessels (arterial flow), using ultrasound doppler methodology, making an estimate of the blood flow that passes through the patient's heart, so that the estimate is given by mathematical formulas that approximate these data. In this way, the measurement of blood flow through the heart is not accurate and can vary greatly according to each patient.

[006] Além disso, a invenção prevê uma 'área de varredura estática', onde a varredura de ultrassom é realizada sobre um local estacionário ou estático, por exemplo, ao longo do torso, tórax, lado posterior do sujeito ou semelhante. Desta forma, é possível perceber que o equipamento necessita de uma pluralidade de transdutores, aplicados ao longo do torso do paciente. [006] Furthermore, the invention provides for a 'static scanning area', where the ultrasound scan is performed over a stationary or static, e.g. along the torso, chest, posterior side of the subject or the like. In this way, it is possible to perceive that the equipment needs a plurality of transducers, applied along the patient's torso.

[007] O documento EP3471624 descreve um sistema e método para determinar os parâmetros hemodinâmicos relacionados ao coração de um paciente. O sistema compreende uma sonda de ecocardiograma transesofágico (TEE) incluindo um transdutor de ultrassom que compreende uma matriz de elementos piezoelétricos e um ou mais processadores operativamente conectados à sonda de ecocardiograma transesofágico (TEE) e/ou outros componentes. A sonda de ecocardiograma transesofágico (TEE) é configurada para obter uma pluralidade de visualizações clinicamente relevantes do coração do paciente em uma única posição. Todavia, o sistema apresenta sistema de leitura de parâmetros invasivo, conforme uso de ecocardiograma transesofágico (TEE). Para isso, necessita de um operador técnico para inserção e acompanhamento do paciente durante o uso do aparelho. Além disso, o equipamento deve ser descartado após utilização. [007] EP3471624 describes a system and method for determining hemodynamic parameters related to a patient's heart. The system comprises a transesophageal echocardiogram (TEE) probe including an ultrasound transducer comprising an array of piezoelectric elements and one or more processors operatively connected to the transesophageal echocardiogram (TEE) probe and/or other components. The transesophageal echocardiogram (TEE) probe is configured to obtain a plurality of clinically relevant views of the patient's heart in a single position. However, the system has an invasive parameter reading system, according to the use of transesophageal echocardiography (TEE). For this, it needs a technical operator to insert and monitor the patient during the use of the device. In addition, the equipment must be discarded after use.

[008] Com base nos problemas existentes no estado da técnica, é revelado um método e equipamento de monitoramento de parâmetros cardíacos baseado em ultrassom para acompanhamento contínuo de pacientes críticos, com sistema de leitura de parâmetros hemodinâmicos e cardíacos não invasivo, que resolve os problemas de realização de avaliações cardiológicas e hemodinâmicas complexas em pacientes críticos de forma contínua, automatizada e simples, para o direcionamento do seu tratamento. [008] Based on the existing problems in the state of the art, a method and equipment for monitoring cardiac parameters based on ultrasound is revealed for continuous monitoring of critical patients, with a non-invasive hemodynamic and cardiac parameter reading system, which solves the problems performing cardiological assessments and complex hemodynamics in critically ill patients in a continuous, automated and simple way, to guide their treatment.

[009] O método e equipamento de monitoramento de parâmetros cardíacos baseado em ultrassom para acompanhamento contínuo de pacientes críticos apresenta um equipamento para medição do fluxo sanguíneo dentro do coração, de forma direta, através de um dispositivo não invasivo que não necessita de acompanhamento contínuo de operador técnico e não necessita ser removido ou trocado ao longo do tempo. [009] The method and equipment for monitoring cardiac parameters based on ultrasound for continuous monitoring of critical patients presents an equipment for measuring blood flow within the heart, directly, through a non-invasive device that does not require continuous monitoring of technical operator and does not need to be removed or replaced over time.

[010] A medição do fluxo é realizada por meio de um transdutor setorial, usado em equipamento de ecocardiografia, que utiliza software e algoritmos para monitorização contínua e não pontual ou momentânea, de parâmetros hemodinâmicos, a beira do leito, utilizando equipamento de ultrassom/ecocardiograma, que uma vez posicionado sobre o tórax do paciente, deve funcionar de forma autónoma, sem auxílio de um operador para a avaliação continuada de seus parâmetros. [010] Flow measurement is performed using a sectoral transducer, used in echocardiography equipment, which uses software and algorithms for continuous and non-punctual or momentary monitoring of hemodynamic parameters, at the bedside, using ultrasound/ echocardiogram, which, once positioned on the patient's chest, must function autonomously, without the assistance of an operator for the continuous evaluation of its parameters.

[011] O equipamento é desenvolvido através de um probe de ecocardiograma instalado em aparelho móvel, conectado via cabo ou Wi-Fi com monitor de tela touch screen, rodando software de monitorização com linguagem de programação Java/DICOM/ imagens em DICOM. [011] The equipment is developed through an echocardiogram probe installed in a mobile device, connected via cable or Wi-Fi with a touch screen monitor, running monitoring software with Java/DICOM programming language/DICOM images.

[012] O presente pedido de patente de invenção, consiste em um método e equipamento de monitoramento de parâmetros cardíacos baseado em ultrassom para acompanhamento contínuo de pacientes críticos, que utiliza software (aplicativo) e algoritmos (inteligência artificial) para monitorização contínua e não pontual ou momentânea, de parâmetros hemodinâmicos, a beira do leito, utilizando equipamento de ultrassom/ecocardiograma, que uma vez posicionado sobre o tórax do paciente, permanece fisicamente estático, e deve funcionar de forma autónoma, sem auxílio de um operador para a avaliação continuada do coração e de seus parâmetros, fluxos sanguíneos e movimentos. [012] The present patent application consists of a method and equipment for monitoring cardiac parameters based on ultrasound for continuous monitoring of critical patients, which uses software (application) and algorithms (artificial intelligence) for continuous and non-punctual or momentary monitoring of hemodynamic parameters, at the bedside, using ultrasound/echocardiogram equipment, which, once positioned on the patient's chest, remains physically static, and must function autonomously, without the aid of an operator for the continuous assessment of the heart and its parameters, blood flows and movements.

[013] O sistema de monitoramento de parâmetros hemodinâmicos consiste na leitura de dados de um paciente através de um transdutor setorial e equipamento de ecocardiografia, feito de forma não invasiva, de modo que o transdutor de ecocardiograma é posicionado sobre o tórax do paciente, fixado com acessório apropriado, preferencialmente próximo ao coração, e o ecocardiograma faz a leitura contínua dos parâmetros de fluxo sanguíneo e movimentos no interior do coração, onde é possível medir de forma exata tais parâmetros, como velocidade de fluxo, volume de fluxo, pressão sanguínea e outros parâmetros. [013] The hemodynamic parameters monitoring system consists of reading a patient's data through a sector transducer and echocardiography equipment, made in a non-invasive way, so that the echocardiogram transducer is positioned on the patient's chest, fixed with an appropriate accessory, preferably close to the heart, and the echocardiogram continuously reads the parameters of blood flow and movements inside the heart, where it is possible to accurately measure such parameters, such as flow velocity, flow volume, blood pressure and other parameters.

[014] O sistema de monitoramento contínuo e automatizado é realizado por um sistema de software e algoritmos específicos, desenvolvidos especificamente para a função aqui estabelecida, o qual faz a avaliação dos parâmetros por meio de fórmulas já existentes na ecocardiografia, como pressão venosa e débito cardíaco, além de outros parâmetros, porém, sem necessitar de operador técnico, ou interpretação complexa de dados do monitor. Tal invenção soluciona o problema de demandar da presença de um médico especialista para realizar um exame de ultrassom/ecocardiograma em períodos que julgar necessário. [014] The continuous and automated monitoring system is performed by a software system and specific algorithms, developed specifically for the function established here, which evaluates parameters through formulas already existing in echocardiography, such as venous pressure and output heart rate, in addition to other parameters, however, without requiring a technical operator or complex interpretation of monitor data. Such an invention solves the problem of demanding the presence of a specialist doctor to perform an ultrasound/echocardiogram exam in periods that he/she deems necessary.

[015] O monitoramento de dados é realizado de forma autónoma pelo sistema de software e algoritmos, sem auxílio de um operador, seja enfermeiro ou médico, para a avaliação contínua do coração e de seus parâmetros. [015] Data monitoring is performed autonomously by the software system and algorithms, without the help of an operator, whether nurse or doctor, for the continuous assessment of the heart and its parameters.

[016] O monitoramento de parâmetros hemodinâmicos é realizado por equipamento de ecocardiograma e transdutor setorial fixo ao tórax, é pré analisado pelo sistema de algoritmos do software de processamento, fazendo com que os dados sejam fornecidos de forma autónoma e automática em um monitor, que apresenta os respectivos dados simplificados, direcionando as condutas ou sugestão de tratamento. [016] The monitoring of hemodynamic parameters is performed by echocardiogram equipment and a sectoral transducer fixed to the chest, it is pre-analyzed by the algorithm system of the processing software, causing the data to be provided autonomously and automatically on a monitor, which presents the respective simplified data, directing the conduct or suggestion of treatment.

[017] O sistema de algoritmos do software recebe os dados da leitura do transdutor setorial fixo ao tórax por meio do equipamento de ecocardiografia, analisa os parâmetros hemodinâmicos complexos e faz o processamento dos dados, apresentando os dados simplificados em um monitor cardíaco, além de prever o direcionamento de condutas e sugestão de tratamento do paciente, ou até mesmo sugerir diagnósticos de um paciente. [017] The software algorithm system receives the reading data from the sector transducer fixed to the chest through the echocardiography equipment, analyzes the complex hemodynamic parameters and processes the data, presenting the simplified data on a cardiac monitor, in addition to predict the direction of conducts and suggestion of treatment of the patient, or even suggest diagnoses of a patient.

[018] Assim, o monitor cardíaco irá sugerir condutas e/ou diagnósticos usando a ecocardiografia para análise automatizada de parâmetros hemodinâmicos, de forma contínua, permanecendo acoplado ao paciente pelo período que o médico julgar necessário - horas ou dias. [019] O transdutor setorial pode ser mantido no paciente durante todo o período de tratamento, não necessitando ser trocado ao longo do tempo, fazendo com que o monitoramento do paciente não seja interrompido, além de não gerar descarte de material caso o paciente precise de acompanhamento por longo período. Além disso, o monitoramento é realizado em tempo real, sendo que, após o desligamento do equipamento ou retirada do transdutor setorial, o monitoramento é interrompido. [018] Thus, the cardiac monitor will suggest conducts and/or diagnoses using echocardiography for automated analysis of hemodynamic parameters, continuously, remaining attached to the patient for the period that the doctor deems necessary - hours or days. [019] The sector transducer can be kept on the patient throughout the treatment period, not needing to be changed over time, so that patient monitoring is not interrupted, in addition to not generating material disposal if the patient needs long-term follow-up. In addition, monitoring is performed in real time, and after the equipment is turned off or the sector transducer is removed, monitoring is interrupted.

[020] Um paciente que necessita de avaliação de seu estado hemodinâmico, normalmente em situação grave, será acoplado a equipamento de ultrassom/ecocardiograma, que permanecerá em sua posição de forma contínua, sendo monitorado seus parâmetros hemodinâmicos complexos e processados os respectivos dados, por meio de algoritmo, para transmissão em telas de um monitor cardíaco, que apresenta parâmetros simplificados e direcionamento de condutas ou sugestão de tratamento, ou até mesmo sugerir diagnósticos de um paciente. É possível acessar os parâmetros de forma mais completa em sub-telas/janelas acessórias. Com cores diferentes para cada parâmetro e sugestão de conduta. [020] A patient who needs an assessment of their hemodynamic status, usually in a serious situation, will be coupled to an ultrasound/echocardiogram equipment, which will remain in their position continuously, their complex hemodynamic parameters being monitored and the respective data processed, for algorithm, for transmission on screens of a cardiac monitor, which presents simplified parameters and direction of conducts or treatment suggestion, or even suggest diagnoses of a patient. It is possible to access the parameters more completely in sub-screens/accessory windows. With different colors for each parameter and suggestion of conduct.

[021] Tal equipamento poderá ser utilizado em pessoa em sua residência, de forma a monitorar os mesmos parâmetros à distância, de forma contínua, porém com intuito diagnóstico. Eventualmente, com o avanço da tecnologia, associado a outros dispositivos, poderá realizar tratamentos ou assistência automatizada. Assim, ele poderá ser utilizado tanto em ambiente hospitalar, quanto ambulatorial, com finalidades diferentes. [021] Such equipment can be used in person at your home, in order to monitor the same parameters remotely, continuously, but with a diagnostic purpose. Eventually, with the advancement of technology, associated with other devices, you will be able to perform treatments or assistance automated. Thus, it can be used both in hospital and outpatient settings, with different purposes.

Claims

REIVINDICAÇÕES 1. MÉTODO E EQUIPAMENTO DE MONITORAMENTO DE PARÂMETROS CARDÍACOS BASEADO EM ULTRASSOM consiste em um método e equipamento de monitoramento de parâmetros hemodinâmicos, para acompanhamento contínuo de pacientes críticos com equipamento de medição e leitura de fluxo sanguíneo por meio de um dispositivo não invasivo, caracterizado pela medição do fluxo sanguíneo ser realizada por meio de um transdutor setorial utilizando equipamento de ultrassom/ ecocardiograma, associado a um sistema de software (aplicativo) e algoritmos (inteligência artificial) de monitorização contínua e autónoma dos parâmetros hemodinâmicos, que faz a leitura dos parâmetros de fluxo sanguíneo e movimentos no interior do coração, e faz a medição de tais parâmetros de forma exata. 1. ULTRASOUND-BASED CARDIAC PARAMETER MONITORING METHOD AND EQUIPMENT consists of a method and equipment for monitoring hemodynamic parameters, for continuous monitoring of critical patients with equipment for measuring and reading blood flow through a non-invasive device, characterized by blood flow measurement is performed using a sector transducer using ultrasound/echocardiogram equipment, associated with a software system (application) and algorithms (artificial intelligence) for continuous and autonomous monitoring of hemodynamic parameters, which reads the blood flow parameters. blood flow and movements within the heart, and measures these parameters accurately. 2. MÉTODO E EQUIPAMENTO DE MONITORAMENTO DE PARÂMETROS CARDÍACOS BASEADO EM ULTRASSOM conforme reivindicação 1, caracterizado por monitoramento de parâmetros de fluxo sanguíneo e movimentos no interior do coração ser realizado por um transdutor setorial de equipamento de ultrassom/ ecocardiograma, de maneira não invasiva. 2. ULTRASOUND-BASED CARDIAC PARAMETER MONITORING EQUIPMENT AND METHOD according to claim 1, characterized by monitoring blood flow parameters and movements within the heart being performed by a sectoral transducer of ultrasound/echocardiogram equipment, in a non-invasive way. 3. MÉTODO E EQUIPAMENTO DE MONITORAMENTO DE PARÂMETROS CARDÍACOS BASEADO EM ULTRASSOM conforme reivindicação 1 , caracterizado por sistema de software, associado ao algoritmos com inteligência artificial, realizar a leitura de dados complexos e transmitir os dados de forma simplificada e automatizada, em tempo real, em um monitor cardíaco, além de algoritmo prever o direcionamento de condutas e sugestão de tratamento do paciente, ou até mesmo sugerir diagnósticos de um paciente. 3. ULTRASOUND-BASED CARDIAC PARAMETER MONITORING METHOD AND EQUIPMENT according to claim 1, characterized by a software system, associated with algorithms with artificial intelligence, read complex data and transmit the data in a simplified and automated way, in real time, on a cardiac monitor, in addition to an algorithm predicting the direction of conducts and suggestion of patient treatment, or even suggest diagnoses for a patient. 4. MÉTODO E EQUIPAMENTO DE MONITORAMENTO DE PARÂMETROS CARDÍACOS BASEADO EM ULTRASSOM conforme reivindicação 1 e 3, caracterizado por sistema de software, associado ao algoritmos com inteligência artificial, utilizarem meios específicos para avaliação e processamento de dados hemodinâmicos, por meio de fórmulas já existentes na ecocardiografia. 4. ULTRASOUND-BASED CARDIAC PARAMETER MONITORING METHOD AND EQUIPMENT according to claim 1 and 3, characterized by a software system, associated with algorithms with artificial intelligence, using specific means for the evaluation and processing of hemodynamic data, through formulas already existing in the echocardiography. 5. MÉTODO E EQUIPAMENTO DE MONITORAMENTO DE PARÂMETROS CARDÍACOS BASEADO EM ULTRASSOM conforme reivindicação 1, 3 e 4, caracterizado por parâmetros hemodinâmicos, como parâmetros de fluxo sanguíneo e movimentos no interior do coração, não necessitar de análise e acompanhamento de operador técnico. 5. ULTRASOUND-BASED CARDIAC PARAMETER MONITORING METHOD AND EQUIPMENT according to claim 1, 3 and 4, characterized by hemodynamic parameters, such as blood flow parameters and movements within the heart, not requiring analysis and monitoring by a technical operator. 6. MÉTODO E EQUIPAMENTO DE MONITORAMENTO DE PARÂMETROS CARDÍACOS BASEADO EM ULTRASSOM conforme reivindicação 1 , caracterizado por transdutor setorial não necessitar ser removido ou trocado ao longo do período de tratamento 6. ULTRASOUND-BASED CARDIAC PARAMETER MONITORING METHOD AND EQUIPMENT according to claim 1, characterized by a non- need to be removed or changed over the course of the treatment period
PCT/BR2022/050065 2021-03-01 2022-02-25 Method and equipment for monitoring cardiac parameters based on ultrasound Ceased WO2022183264A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
BRBR102021003873-0 2021-03-01
BR102021003873-0A BR102021003873A2 (en) 2021-03-01 2021-03-01 ULTRASOUND-BASED CARDIAC PARAMETER MONITORING METHOD AND EQUIPMENT

Publications (1)

Publication Number Publication Date
WO2022183264A1 true WO2022183264A1 (en) 2022-09-09

Family

ID=83153636

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/BR2022/050065 Ceased WO2022183264A1 (en) 2021-03-01 2022-02-25 Method and equipment for monitoring cardiac parameters based on ultrasound

Country Status (2)

Country Link
BR (1) BR102021003873A2 (en)
WO (1) WO2022183264A1 (en)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012101511A2 (en) * 2011-01-28 2012-08-02 Cardio Art Technologies Ltd. System, method and device for automatic and autonomous determination of hemodynamic and cardiac parameters using ultrasound
US20160166209A1 (en) * 2014-12-16 2016-06-16 Siemens Healthcare Gmbh Method and System for Personalized Non-Invasive Hemodynamic Assessment of Renal Artery Stenosis from Medical Images
US20190200880A1 (en) * 2013-10-17 2019-07-04 Siemens Healthcare Gmbh Method and system for machine learning based assessment of fractional flow reserve

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012101511A2 (en) * 2011-01-28 2012-08-02 Cardio Art Technologies Ltd. System, method and device for automatic and autonomous determination of hemodynamic and cardiac parameters using ultrasound
US20190200880A1 (en) * 2013-10-17 2019-07-04 Siemens Healthcare Gmbh Method and system for machine learning based assessment of fractional flow reserve
US20160166209A1 (en) * 2014-12-16 2016-06-16 Siemens Healthcare Gmbh Method and System for Personalized Non-Invasive Hemodynamic Assessment of Renal Artery Stenosis from Medical Images

Also Published As

Publication number Publication date
BR102021003873A2 (en) 2022-09-06

Similar Documents

Publication Publication Date Title
Rice et al. The POCUS consult: how point of care ultrasound helps guide medical decision making
JP2014503329A (en) System, method, and apparatus for automatic and autonomous determination of hemodynamic and cardiac parameters using ultrasound
US9585568B2 (en) Noninvasive methods for determining the pressure gradient across a heart valve without using velocity data at the valve orifice
Yamada et al. Cardiac and vascular point-of-care ultrasound: current situation, problems, and future prospects
Choudhry et al. Does this patient have aortic regurgitation?
EP3855446A1 (en) Evaluation support system and evaluation support method for supporting evaluation of state of circulatory system
Phillips et al. Noninvasive cardiac output measurement in heart failure subjects on circulatory support
EP1961384A1 (en) Ultrasonograph
Corley et al. Nurse-determined assessment of cardiac output. Comparing a non-invasive cardiac output device and pulmonary artery catheter: a prospective observational study
Jain et al. Noninvasive Doppler ultrasonography for assessing cardiac function: can it replace the Swan-Ganz catheter?
Mayo et al. Myths about critical care echocardiography: the ten false beliefs that intensivists should understand
WO2022183264A1 (en) Method and equipment for monitoring cardiac parameters based on ultrasound
Soma et al. Hemodynamics in white coat hypertension compared to ambulatory hypertension and normotension
Zoghbi et al. Accurate assessment of aootic stenosis severity by Doppler echocardiography independent of aortic jet velocity
Lomas et al. Duplex Doppler measurements of the portal vein in portal hypertension
Mertens Neonatologist performed echocardiography—hype, hope or nope
Houston et al. Doppler assessment of the interventricular pressure drop in patients with ventricular septal defects.
Sozzi et al. Ultrasound-Guided Nursing
US11957505B2 (en) System and method of non-invasive continuous echocardiographic monitoring
US12213840B2 (en) Automatically establishing measurement location controls for doppler ultrasound
US20250127486A1 (en) Portable vascular doppler system
US20240277319A1 (en) System and Method of Triggering Non-Invasive Continuous Echocardiographic Monitoring
Evans et al. Ultrasound imaging for the surgical intensivist
Bussmann et al. Investigating the ability of non-invasive measures of cardiac output to detect a reduction in blood volume resulting from venesection in spontaneously breathing subjects
US20240389976A1 (en) Systems, devices and methods for ultrasound detection of vascular hemodynamic measures

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 22762271

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 22762271

Country of ref document: EP

Kind code of ref document: A1

122 Ep: pct application non-entry in european phase

Ref document number: 22762271

Country of ref document: EP

Kind code of ref document: A1