Digital Uroflowmetry for Office and Home

适用于办公室和家庭的数字尿流计

• 批准号: 10821803
• 负责人: Roman Fedorovsky
• 金额: $ 88.94万
• 依托单位: UROGENIE LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-18 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10821803
• 关键词: Address; Adult; Biofeedback Training; Bluetooth; Capital; Cellular Phone; Child; Clinic; Computer software; Computerized Medical Record; Confidence Intervals; Consumption; Data; Data Element; Detection; Devices; Dryness; Electronics; Female; Funding; Future; Grant; Home; Image; Income; Individual; Institutional Review Boards; Interview; Location; Lower urinary tract; Marketing; Measurement; Measures; Medical Records; Meniscus structure of joint; Methods; Microprocessor; Monitor; Names; Nature; Output; Pain; Paper; Participant; Patient Selection; Patients; Pharmaceutical Preparations; Physicians; Printing; Process; Protocols documentation; Provider; Questionnaires; R44 grant; Records; Saline; Scanning; Services; Small Business Innovation Research Grant; Speed; System; Tablet Computer; Tablets; Testing; Time; Tooth structure; United States National Institutes of Health; Urine; Urodynamics; Urologist; Variant; Water; Weight; Work; cloud based; detector; digital; electronic medical record system; falls; graphical user interface; health assessment; innovation; insight; interest; literacy; lower urinary tract symptoms; male; participant interview; prototype; software development; testing services; tool; transmission process; urinary; wireless

Abstract Uroflowmetry is the most common urodynamic test performed by urologists to assess the function of the lower urinary tract. This simple non-invasive study measures urinary flow rates and when summarized graphically offers insights into various types of lower urinary tract symptoms. Current systems call upon a patient to void into a commode with a funnel to direct the flow of urine into a vessel placed on a digital scale which in turn drives its output into a processor. The processor is connected to a printer which produces summary data such as voided volume, peak flow, average flow, total void time, as well as a graphical representation of the flow curve anywhere from 20-30 seconds after the void is initiated or completed. The physician or their assistant will then empty the vessel, and the system can be used again. Traditionally the paper containing the printed collected data was filed into a paper chart. Today this tracing is taped to a 2nd paper containing the patient’s name and medical record number, and this is scanned into the electronic record as an image and the data become non-searchable. Given this labor intensive process which is restricted to the office, conventional uroflowmetry is ripe for disruptive innovations that will allow for testing in the patient’s home or office with the data being driven into the electronic medical record (EMR). We seek to offer a service to address to these logistical problems based on a detector that is paired with customized software. Our detector fits in any regular toilet (it can be used in an office setting or at home by males and females). Uroflow data are acquired in real time by a blue tooth or tablet, which sends the data to the UroGenie cloud based server, and the summary data is delivered into the EMR. This will allow for a physician to review multiple flows over time to monitor a patient’s progress without having to open up each individual image. In this proposal we seek to refine our detector, and modify the software to work in the home market, and test the service in both office and home locations. Once this system is fully operational we envision this system being used in office and home settings, and playing a role in drug trials for lower urinary tract symptoms. The instantaneous detection of flow rate also means it has the potential for future applications in biofeedback training for selected patients with specific lower urinary tract symptoms.

摘要 尿流率测定是泌尿科医生进行的最常见的尿动力学检查，用于评估下尿路功能。 泌尿系统这项简单的非侵入性研究测量尿流率， 提供了各种类型的下尿路症状的见解。目前的系统要求病人排尿 进入带有漏斗的马桶，以引导尿液流入放置在数字秤上的容器中， 将其输出驱动到处理器中。处理器与打印机相连，打印机产生汇总数据 例如排空体积、峰值流量、平均流量、总排空时间，以及 在开始或完成排空后的20-30秒内的任何地方的流动曲线。医生或其 然后，助手将清空容器，系统可以再次使用。传统上， 将打印的收集数据归档到纸质图表中。今天，这幅图被贴在第二张纸上， 病人的姓名和病历号，并将其扫描到电子记录中作为图像， 数据变得不可搜索。考虑到这种劳动密集型过程仅限于办公室， 尿流率测定是成熟的颠覆性创新，将允许测试在病人的家中或办公室与 数据被驱动到电子病历（EMR）中。 我们寻求提供一种服务，以解决这些后勤问题的基础上，检测器是配对， 定制软件我们的探测器适用于任何普通的厕所（它可以在办公室或家中使用， 男性和女性）。尿流数据由蓝牙或平板电脑真实的实时采集，蓝牙或平板电脑将数据发送到 UroGenie基于云的服务器，并将摘要数据传送到EMR中。这将允许一个 医生可以随着时间的推移查看多个流，以监测患者的进展，而不必打开每个流 个人形象。在这个提议中，我们试图改进我们的探测器，并修改软件，使其在 家庭市场，并在办公室和家庭位置测试服务。一旦这个系统完全运行， 设想该系统用于办公室和家庭环境，并在下泌尿系统药物试验中发挥作用。 道症状。流量的瞬时检测也意味着它具有未来的潜力 在生物反馈训练中的应用，用于选定的具有特定下尿路症状的患者。