Digital Uroflowmetry for Office and Home

摘要 尿流率测定是泌尿科医生用来评估下尿路功能的最常见的尿流动力学检查。 尿路。这项简单的非侵入性研究测量尿流率，当以图形形式汇总时 提供对各种类型的下尿路症状的洞察。目前的系统要求患者排空 进入带有漏斗的便池，将尿流引导到放置在数字秤上的容器中，进而 将其输出驱动到处理器中。处理器连接到产生摘要数据的打印机 例如空化体积、峰值流量、平均流量、总空化时间，以及 在空隙开始或完成后20-30秒内的任何地方的流量曲线。医生或他们的 助手随后将清空容器，该系统可以再次使用。传统上，包含 打印的收集数据被归档到纸质图表中。今天，这一追踪被记录在第二张纸上，其中包含 病人的姓名和病历号码，并将其扫描到电子记录中作为图像和 数据变得不可搜索。考虑到这种仅限于办公室的劳动密集型过程，传统的 尿流率测定仪进行颠覆性创新的时机已经成熟，这种创新将允许在患者家中或办公室进行尿流率检测 数据被驱动到电子病历(EMR)中。 我们寻求提供一种服务，以解决这些物流问题，基于与探测器配对 定制软件。我们的探测器适用于任何普通厕所(它可以在办公室环境中使用，也可以通过以下方式在家中使用 男性和女性)。尿流数据是通过蓝牙或平板电脑实时获取的，它将数据发送到 基于UroGenie云的服务器，摘要数据被传送到EMR。这将允许 医生检查随时间推移的多个流程，以监控患者的进展，而不必打开每个流程 个人形象。在这项提议中，我们寻求改进我们的探测器，并修改软件以在 家庭市场，并在办公室和家庭地点测试这项服务。一旦这个系统完全投入使用，我们 设想这个系统将在办公室和家庭环境中使用，并在下尿液药物试验中发挥作用 肠道症状。流量的瞬时检测也意味着它具有未来的潜力 在特定下尿路症状患者的生物反馈训练中的应用。

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.