TeleLine: Plug-n-Play Inline Respiratory Remote Data Acquisition System

TeleLine：即插即用内联呼吸远程数据采集系统

• 批准号: 10603124
• 负责人: HOWIE CHOSET
• 金额: $ 25.96万
• 依托单位: OMNIBUS MEDICAL DEVICES, LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10603124
• 关键词: Adverse event; Air; American; Applications Grants; Architecture; Area; Benchmarking; Budgets; Capital; Carbon Dioxide; Caring; Critical Care; Critical Illness; Data; Data Analytics; Data Collection; Data Set; Databases; Development; Devices; Distant; Equipment; Evaluation; Event; Failure; Family member; Future; General Hospitals; Geography; Goals; Health Personnel; Healthcare; Hospitalization; Hospitals; Human Resources; Humidity; Infrastructure; Institution; Intensive Care Units; Intervention; Investments; Label; Lung; Machine Learning; Measures; Mechanical ventilation; Michigan; Modality; Modeling; Monitor; Nurses; Outcome; Patient Care; Patient Transfer; Patient-Focused Outcomes; Patients; Performance; Phase; Physiological; Play; Population; Provider; Recovery; Research; Resistance; Resources; Rural; Rural Community; Rural Hospitals; Secure; Security; Site; Specialist; System; Technology; Telemedicine; Temperature; Testing; Time; Tube; United States; Universities; Urban Health; Urban Hospitals; Vendor; Ventilator; Work; care providers; cloud based; commercialization; comorbidity; cost; critical access hospital; data acquisition; data sharing; data streams; design; encryption; experience; improved; improved outcome; machine learning framework; manufacturability; monitoring device; mortality; novel; pressure sensor; programs; prototype; remote monitoring; research and development; respiratory; response; rural Americans; rural patients; rural setting; sensor; skills; socioeconomic disparity; stressor; suburb; telehealth; tertiary care; transmission process; ventilation

Project Summary One in five Americans live in a rural community served by rural hospitals yet only 1% of ICU resources are available to these hospitals. When the level of care required by a patient exceeds the capabilities of the admitting hospital, the patient is transferred to a better-equipped tertiary hospital. Approximately 800,000 patients require mechanical ventilation every year in the United States (pre-COVID). Treating mechanically ventilated patients not only requires specialized equipment, but also specialized skills as well which are difficult to find in rural settings. Our group proposes novel research to demonstrate the power of telemedicine in the rural setting by extending the reach of pulmonary critical care specialists. By enabling pulmonary critical care specialists at distant sites, rural hospitals can treat more patients without transferring them. Data suggests patients who are transferred from rural hospitals to tertiary care centers suffer delays in care, adverse events, and higher mortality. Unfortunately, due to high transfer rates, significant amounts of revenue are lost and operating budgets at rural hospitals are generally inadequate to support replacement and integration of cutting-edge ventilators to gain telemedicine capabilities. Our research and development is focused on preparing a solution which can extend the geographic reach and enhanced remote capabilities of pulmonary care specialists who are typically located in urban and suburban settings to those rural institutions while at the same time protecting the hospital’s legacy investment in ventilator equipment. To achieve these goals, we have developed an in-line respiratory circuit sensor (TeleLine) prototype that we will further refine for commercialization and eventual in-field deployment. The TeleLine is a non-invasive sensing suite to any existing ventilators and equipping them with both data logging and remote monitoring capability. The patient’s respiratory response to mechanical ventilation can be captured locally and securely transmitted to a remote site with appropriate expertise in pulmonary critical care. We will further develop the TeleLine in two aims: Aim 1) to refine the existing TeleLine prototype for plug-and-play, vendor-agnostic ventilator interfacing, and ventilator data logging; and Aim 2) to develop and benchmark supporting data collection and machine learning infrastructure for facilitating remote patient care. Successful completion of this project will enable a Phase II program that enhances device manufacturability, clears critical benchmarking for initial device regulatory approval, and further develops machine-learning assistance capabilities of the TeleLine system.

项目摘要 五分之一的美国人生活在农村医院服务的农村社区中，但只有1％的ICU资源是 这些医院可供选择。当患者要求的护理水平超过 送医院，该患者被转移到设备齐全的三级医院。大约800,000 在美国，患者每年需要机械通风（前卵巢）。机械治疗 通风的患者不仅需要专业设备，而且需要专业的技能，这很困难 在粗糙的设置中找到。我们的小组提出的新研究研究表明远程医疗在 通过扩大肺重症监护专家的范围来延长农村环境。通过启用肺重症监护 遥远地区的专家，农村医院可以在不转移他们的情况下治疗更多的患者。数据建议 从粗糙的医院转移到三级护理中心的患者在护理，不良事件中遭受延迟， 和更高的死亡率。不幸的是，由于转移率高，大量收入损失，并且 粗糙医院的运营预算通常不足以支持替换和整合 尖端的呼吸机以获得远程医疗能力。我们的研发侧重于 准备可以扩展地理范围并增强肺部远程功能的解决方案 通常位于城市和郊区环境中的护理专家， 同时保护医院对呼吸机设备的遗产投资。为了实现这些目标，我们有 开发了在线呼吸电路传感器（遥控电线）原型，我们将进一步完善 商业化和最终场地部署。该遥控物是任何对任何的敏感性套件 现有的呼吸机，并配备数据记录和远程监视功能。病人的 对机械通气的呼吸反应可以在本地捕获并牢固地传输到遥控器 在肺重症监护方面具有适当专业知识的地点。我们将进一步开发两个目标：目标 1）用于完善现有的远程望远镜原型，用于插件，供应商不稳定呼吸机接口和 呼吸机数据记录；目标2）开发和基准支持数据收集和机器学习 支持远程患者护理的基础设施。成功完成该项目将使II阶段 增强设备可制造性的程序，清除初始设备调节的关键基准测试 批准，并进一步开发了遥控系统的机器学习辅助功能。