A naso/orogastric device having backflow blocking means and comprises a naso/orogastric tube sized and shaped for being disposed within the esophagus so that at least a distal end thereof being placed in the stomach lumen of a patient, at least one elastic esophageal body, positioned along the naso/orogastric tube, having a pressure dependent volume, at least one esophageal sensor that detects fluid around at least one segment of the naso/orogastric tube, and a pressure regulator that regulates a pressure within the elastic esophageal body according to the detection.
A medical pump, comprising: a fluid housing having a plurality of intake openings, sealed by at least one intake valve, and an outlet opening sealed by an outlet valve; a piston which is sealing the fluid housing and connected to a drive mechanism, the drive mechanism pulls the piston to draw fluid from one of the plurality of intake openings and pushes the piston to discharge the fluid into the outlet opening; and a selecting valve enclosing at least two tubes, each providing fluid to one of the plurality of intake openings, wherein the selecting valve closes one of the at least two tubes while opening another of the at least two tubes.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 5/145 - Perfusion sous pression, p.ex. utilisant des pompes utilisant des réservoirs sous pression, p.ex. au moyen de pistons
A61M 5/168 - Moyens pour commander l'écoulement des agents vers le corps ou pour doser les agents à introduire dans le corps, p.ex. compteurs de goutte-à-goutte
A61M 39/28 - Moyens de serrage pour l'écrasement des tubes flexibles, p.ex. brides de serrage à rouleaux
A61M 5/142 - Perfusion sous pression, p.ex. utilisant des pompes
A61M 5/14 - Dispositifs de perfusion, p.ex. perfusion par gravité; Perfusion sanguine; Accessoires à cet effet
3.
Systems and methods for bioimpedance body composition measurement
There is provided a system for monitoring a heart of a subject and monitoring impedance-related parameters, comprising: a feeding tube, an electrode disposed(s) on a distal end of the feeding tube, a controller that performs, while the feeding tube is in located in an esophagus and feeding is delivered to a subject via the feeding tube, in a plurality of iterations: continuously measuring voltage at the electrode(s) of the feeding tube, applying alternating current(s) between the electrode(s) of the feeding tube and at least one other electrode, computing impedance measurement(s) from the electrode(s) of the feeding tube according to the applied alternating current(s) and the measured voltage, computing impedance-related parameter(s) based on the impedance measurement(s), terminating the application of the alternating current(s), obtaining an electrocardiogram (ECG) measurement based on the voltage measured at the electrode(s) of the feeding tube, and providing the impedance-related parameter(s) and the ECG measurement.
A61B 5/363 - Détection de la tachycardie ou de la bradycardie
A61M 5/172 - Moyens pour commander l'écoulement des agents vers le corps ou pour doser les agents à introduire dans le corps, p.ex. compteurs de goutte-à-goutte électriques ou électroniques
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
There is provided a method comprising: computing a target nutritional goal to reach at an end of a time interval based on a real time energy expenditure of a patient, wherein the target nutritional goal comprises a volume to be delivered (VTBD) by the end of the time interval corresponding to a target amount of energy expenditure of the patient over the time interval, computing a target feeding profile defining a target feeding rate for enteral feeding of the patient for reaching the VTBD by the end of the time interval, continuously monitoring the real time energy expenditure, adapting the target nutritional goal and corresponding VTBD to compute a maximum VTBD to reach at the end of the time interval according to the monitoring, and dynamically adapting the target feeding rate and the corresponding target feeding profile for a remaining portion of the time interval for reaching the maximum VTBD.
An add-on device and method for an Endo-Tracheal Tube (ETT), the add-on device including a lengthy body having a major arc-shaped cross section sized and shaped to tightly fit over an ETT, at least one longitudinal cavity passing along the lengthy body, including a distal suction cavity ending with a suction inlet at a distal end of the lengthy body; and a distal suction outlet channel extending from a proximal end of the lengthy body, the channel is a continuous extension of the distal suction cavity and configured to provide suction to the distal suction cavity. The add-on device senses moisture at a distal end of the add-on device, and in case of detection of excessive wetness, provides suction to the distal end of the device through a cavity passing along the device, the suction is provided via a suction outlet channel extending from a proximal end of the device.
A medical pump, comprising: a fluid housing having a plurality of intake openings, sealed by at least one intake valve, and an outlet opening sealed by an outlet valve; a piston which is sealing the fluid housing and connected to a drive mechanism, the drive mechanism pulls the piston to draw fluid from one of the plurality of intake openings and pushes the piston to discharge the fluid into the outlet opening; and a selecting valve enclosing at least two tubes, each providing fluid to one of the plurality of intake openings, wherein the selecting valve closes one of the at least two tubes while opening another of the at least two tubes.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 5/145 - Perfusion sous pression, p.ex. utilisant des pompes utilisant des réservoirs sous pression, p.ex. au moyen de pistons
A61M 5/168 - Moyens pour commander l'écoulement des agents vers le corps ou pour doser les agents à introduire dans le corps, p.ex. compteurs de goutte-à-goutte
A61M 39/28 - Moyens de serrage pour l'écrasement des tubes flexibles, p.ex. brides de serrage à rouleaux
A61M 5/142 - Perfusion sous pression, p.ex. utilisant des pompes
A61M 5/14 - Dispositifs de perfusion, p.ex. perfusion par gravité; Perfusion sanguine; Accessoires à cet effet
7.
SYSTEMS AND METHODS FOR BIOIMPEDANCE BODY COMPOSITION MEASUREMENT
There is provided a system for monitoring a heart of a subject and monitoring impedance- related parameters, comprising: a feeding tube, an electrode disposed(s) on a distal end of the feeding tube, a controller that performs, while the feeding tube is in located in an esophagus and feeding is delivered to a subject via the feeding tube, in a plurality of iterations: continuously measuring voltage at the electrode(s) of the feeding tube, applying alternating currents) between the electrode(s) of the feeding tube and at least one other electrode, computing impedance measurement(s) from the electrode(s) of the feeding tube according to the applied alternating currents) and the measured voltage, computing impedance-related parameter(s) based on the impedance measurement(s), terminating the application of the alternating current(s), obtaining an electrocardiogram (ECG) measurement based on the voltage measured at the electrode(s) of the feeding tube, and providing the impedance-related parameter(s) and the ECG measurement.
A computer-implemented method of adjusting enteral feeding of a patient by an enteral feeding controller, comprising: computing an estimate of energy expenditure of the patient based on oxygen measurements and carbon dioxide measurements of the patient, computing a target composition and target feeding rate for the enteral feeding according to the computed estimate of energy expenditure, when the target composition and target feeding rate differ from a current enteral feeding composition and feeding rate by a requirement, generating instructions for adjustment, by an enteral feeding controller, of the rate of delivery of the enteral feeding according to the target composition, wherein the receiving the oxygen measurement, receiving the carbon dioxide measurement, and computing the estimate of energy expenditure are performing iteratively for every first time interval, and the generating instructions for adjustment are performed for a second time interval that is larger than the first time interval.
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p.ex. pour des dossiers électroniques de patients
A61J 15/00 - Tubes pour l'alimentation thérapeutique
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 20/60 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant le contrôle de l’alimentation, p.ex. les régimes
A61B 5/083 - Mesure du taux de métabolisme en utilisant un essai respiratoire, p.ex. mesure du taux de consommation d'oxygène
Disclosed is an NGT system, the system comprises a nasogastric tube having a diameter and length configured to pass through an esophagus such that the lumen of the NGT maintains fluid communication with a portion of the digestive tract, and a digestive tract sensor operatively associated with the NGT, the digestive tract sensor configured to sense from inside the body and transmit signals in response to one or both of conditions relating to nourishment states of the digestive tract, and positioning of the NGT.
A61M 31/00 - Dispositifs pour l'introduction ou la rétention d'agents, p.ex. de remèdes, dans les cavités du corps
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/01 - Mesure de la température de parties du corps
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p.ex. de la pression cérébrale
A61B 5/0538 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps invasive, p.ex. en utilisant un cathéter
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 1/00 - Dispositifs de succion ou de pompage à usage médical; Dispositifs pour retirer, traiter ou transporter les liquides du corps; Systèmes de drainage
There is provided a respirator system, comprising: a mask made of a flexible material including filter(s) forming a passive air flow channel for transfer of air across the mask, a ventilator connected to tubing connected to an aperture(s) of the mask, generating an active air flow channel, a closure mechanism on the mask closes the aperture when the tubing is removed, thereby switching from operating with the active air flow channel in an active mode to the mask operating using the passive air flow channel in a passive mode, and a controller that iterates over each breathing cycle: receives a target baseline air pressure for the region defined by the inner surface of the mask when worn, dynamically generating instructions for real time adaptation of the ventilator RPM for adjusting the air delivered by the active air channel for maintaining a target baseline air in the region of the mask.
A medical pump, comprising: a fluid housing having a plurality of intake openings, sealed by at least one intake valve, and an outlet opening sealed by an outlet valve; a piston which is sealing the fluid housing and connected to a drive mechanism, the drive mechanism pulls the piston to draw fluid from one of the plurality of intake openings and pushes the piston to discharge the fluid into the outlet opening; and a selecting valve enclosing at least two tubes, each providing fluid to one of the plurality of intake openings, wherein the selecting valve closes one of the at least two tubes while opening another of the at least two tubes.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 5/145 - Perfusion sous pression, p.ex. utilisant des pompes utilisant des réservoirs sous pression, p.ex. au moyen de pistons
A61M 5/168 - Moyens pour commander l'écoulement des agents vers le corps ou pour doser les agents à introduire dans le corps, p.ex. compteurs de goutte-à-goutte
A61M 39/28 - Moyens de serrage pour l'écrasement des tubes flexibles, p.ex. brides de serrage à rouleaux
A61M 5/142 - Perfusion sous pression, p.ex. utilisant des pompes
A61M 5/14 - Dispositifs de perfusion, p.ex. perfusion par gravité; Perfusion sanguine; Accessoires à cet effet
There is provided a method comprising: computing a target nutritional goal to reach at an end of a time interval based on a real time energy expenditure of a patient, wherein the target nutritional goal comprises a volume to be delivered (VTBD) by the end of the time interval corresponding to a target amount of energy expenditure of the patient over the time interval, computing a target feeding profile defining a target feeding rate for enteral feeding of the patient for reaching the VTBD by the end of the time interval, continuously monitoring the real time energy expenditure, adapting the target nutritional goal and corresponding VTBD to compute a maximum VTBD to reach at the end of the time interval according to the monitoring, and dynamically adapting the target feeding rate and the corresponding target feeding profile for a remaining portion of the time interval for reaching the maximum VTBD.
An add-on device and method for an Endo-Tracheal Tube (ETT), the add-on device including a lengthy body having a major arc-shaped cross section sized and shaped to tightly fit over an ETT, at least one longitudinal cavity passing along the lengthy body, including a distal suction cavity ending with a suction inlet at a distal end of the lengthy body; and a distal suction outlet channel extending from a proximal end of the lengthy body, the channel is a continuous extension of the distal suction cavity and configured to provide suction to the distal suction cavity. The add-on device senses moisture at a distal end of the add-on device, and in case of detection of excessive wetness, provides suction to the distal end of the device through a cavity passing along the device, the suction is provided via a suction outlet channel extending from a proximal end of the device.
A computer-implemented method of adjusting enteral feeding of a patient by an enteral feeding controller, comprising: computing an estimate of energy expenditure of the patient based on oxygen measurements and carbon dioxide measurements of the patient, computing a target composition and target feeding rate for the enteral feeding according to the computed estimate of energy expenditure, when the target composition and target feeding rate differ from a current enteral feeding composition and feeding rate by a requirement, generating instructions for adjustment, by an enteral feeding controller, of the rate of delivery of the enteral feeding according to the target composition, wherein the receiving the oxygen measurement, receiving the carbon dioxide measurement, and computing the estimate of energy expenditure are performing iteratively for every first time interval, and the generating instructions for adjustment are performed for a second time interval that is larger than the first time interval.
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p.ex. pour des dossiers électroniques de patients
A61J 15/00 - Tubes pour l'alimentation thérapeutique
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 20/60 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant le contrôle de l’alimentation, p.ex. les régimes
A61B 5/083 - Mesure du taux de métabolisme en utilisant un essai respiratoire, p.ex. mesure du taux de consommation d'oxygène
There is provided a system for monitoring transpulmonary pressure of a mechanically ventilated individual, comprising: a feeding tube, at least one esophageal body, a pressure sensor, and a memory having stored thereon code for: computing an estimate of esophageal wall pressure according to pressure in the esophageal body when inflated and contacting the inner wall of the esophagus, computing the transpulmonary pressure of the mechanically ventilated target individual according to the esophageal wall pressure, periodically inflating and deflating the esophageal body for periodic monitoring of the transpulmonary pressure of the mechanically ventilated target patient while the feeding tube is in use, and computing instructions for adjustment of parameter(s) of a mechanical ventilator that automatically ventilates the target individual according to the computed transpulmonary pressure, wherein the instructions for adjustment of parameter(s) of the mechanical ventilator are computed while the feeding tube is in place without removal of the feeding tube.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p.ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p.ex. de la pression cérébrale
A61B 5/085 - Mesure de l'impédance des organes respiratoires ou de l'élasticité pulmonaire
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
16.
Systems and methods for tracking spontaneous breathing in a mechanically ventilated patient
There is provided system for monitoring spontaneous breathing of a mechanically ventilated target individual, including: a feeding tube for insertion into a distal end of an esophagus of the individual, sensor(s) disposed on the feeding tube at a location such that the sensor(s) is located at the distal end of the esophagus of the individual when the feeding tube is in use, wherein the sensor(s) is positioned for sensing values by contact with the tissue of the esophagus including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, and code for computing an indication of a frequency band of diaphragm movement of the individual according to an analysis of values sensed by the sensor(s), and for adjustment of parameter(s) of a mechanical ventilator for mechanically ventilating the individual, wherein the instructions for adjustment are computed while the feeding tube is in use.
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p.ex. de la pression cérébrale
A61B 5/113 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre se produisant au cours de la respiration
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
There is provided a system for monitoring a heart of a subject and monitoring impedance-related parameters, comprising: a feeding tube, an electrode disposed(s) on a distal end of the feeding tube, a controller that performs, while the feeding tube is in located in an esophagus and feeding is delivered to a subject via the feeding tube, in a plurality of iterations: continuously measuring voltage at the electrode(s) of the feeding tube, applying alternating current(s) between the electrode(s) of the feeding tube and at least one other electrode, computing impedance measurement(s) from the electrode(s) of the feeding tube according to the applied alternating current(s) and the measured voltage, computing impedance-related parameter(s) based on the impedance measurement(s), terminating the application of the alternating current(s), obtaining an electrocardiogram (ECG) measurement based on the voltage measured at the electrode(s) of the feeding tube, and providing the impedance-related parameter(s) and the ECG measurement.
A61B 5/363 - Détection de la tachycardie ou de la bradycardie
A61B 5/0205 - Evaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p.ex. de l'état cardiaque et respiratoire
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61M 5/172 - Moyens pour commander l'écoulement des agents vers le corps ou pour doser les agents à introduire dans le corps, p.ex. compteurs de goutte-à-goutte électriques ou électroniques
An apparatus for monitoring for accumulation of lung fluid comprises a feeding tube having first electrode(s) positioned thereon for electrical contact with tissue of an esophagus of a target patient including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, second electrode(s) sized and shaped for contacting skin of the target patient, and a non-transitory memory having stored thereon code instructions for applying alternating current(s) to pair(s) of first and second electrodes, measuring a voltage over the pair(s), and computing an estimate of a change of lung fluid relative to a baseline in lung(s) of the target patient according to the applied alternating current and measured voltage, wherein the applying, the measuring, and the computing the estimate of the change in lung fluid are iteratively executed for monitoring the target patient for accumulation of lung fluid while the feeding tube is in use.
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
Medical devices for physiological monitoring and real-time
prevention of medical complications in ICU patients; medical
devices for monitoring and data analysis of gastric reflux;
medical devices for monitoring and data analysis of saliva;
medical devices for monitoring and data analysis of urine;
medical devices for monitoring and data analysis of resting
energy expenditure; medical devices for automatic gastric
fluid evacuation regime; medical devices for monitoring of
feeding tube placement; medical devices for automatic
feeding delivery regime; sensor-enabled tubes for monitoring
and transmitting data for medical purposes; sensor-enabled
tubes for enteral feeding; sensor-enabled tubes for
monitoring, prevention and evacuation of gastric fluid;
sensor-enabled tubes for monitoring and evacuation of urine;
sensor-enabled tubes for monitoring and evacuation of
saliva; sensors [measurement apparatus], for medical
purposes; enteral feeding pumps; medical tubing; fluid
collection bags for medical purposes; parts and fittings for
all the aforesaid goods.
Medical devices for physiological monitoring and real-time
prevention of medical complications in ICU patients; medical
devices for monitoring and data analysis of gastric reflux;
medical devices for monitoring and data analysis of saliva;
medical devices for monitoring and data analysis of urine;
medical devices for monitoring and data analysis of resting
energy expenditure; medical devices for automatic gastric
fluid evacuation regime; medical devices for monitoring of
feeding tube placement; medical devices for automatic
feeding delivery regime; sensor-enabled tubes for monitoring
and transmitting data for medical purposes; sensor-enabled
tubes for enteral feeding; sensor-enabled tubes for
monitoring, prevention and evacuation of gastric fluid;
sensor-enabled tubes for monitoring and evacuation of urine;
sensor-enabled tubes for monitoring and evacuation of
saliva; sensors [measurement apparatus], for medical
purposes; enteral feeding pumps; medical tubing; fluid
collection bags for medical purposes; parts and fittings for
all the aforesaid goods.
Medical devices; medical devices for physiological monitoring and real-time prevention of medical complications in ICU patients; medical devices for monitoring and data analysis of gastric reflux; medical devices for monitoring and data analysis of saliva; medical devices for monitoring and data analysis of urine; medical devices for monitoring and data analysis of resting energy expenditure; medical devices for automatic gastric fluid evacuation regime; medical devices for monitoring of feeding tube placement; medical devices for automatic feeding delivery regime; medical device for preventing feeding-related complications in critical care; medical device for Metabolism Analysis; sensor-enabled tubes for monitoring and transmitting data for medical purposes; sensor-enabled tubes for enteral feeding; sensor-enabled tubes for monitoring, prevention and evacuation of gastric fluid; sensor-enabled tubes for monitoring and evacuation of urine; sensor-enabled tubes for monitoring and evacuation of saliva; sensors [measurement apparatus], for medical purposes; enteral feeding pumps; medical tubing; fluid collection containers for medical use; medical systems for preventing malnutrition, ventilator-associated pneumonia, ventilator-associated condition, ventilator-associated event, infection-related ventilator-associated complications, aspiration, reflux, secondary pneumonia, secondary infection, feeding tube malposition and feeding tube clogging; medical system for predicting nutritional needs, organ failure, GI failure, sepsis and kidney function; medical system for delivery of nutrients, medical food, enteral feeding, parenteral feeding, water, medication, fluids, proteins, nutrition supplement and stomach evacuation route; medical systems for reducing ventilation days, length of stay, hospital acquire complication, ICU cost and hospital cost; fluid collection bags for medical purposes, namely for delivery of nutrients, medical food, enteral feeding, parenteral feeding, water, medication, fluids, proteins, nutrition supplement and stomach evacuation route, and for preventing aspiration, reflux, feeding tube malposition, feeding tube clogging and collecting gastric residuals; parts and fittings for all the aforesaid goods.
A computer-implemented method of treating a patient's and automated enteral feeding, comprising: monitoring a plurality of reflux-related parameters and at least one reflux event while the patient is automatically enterally fed by an enteral feeding controller according to a baseline feeding profile including a target nutritional goal, training a classifier component of a model for predicting likelihood of a future reflux event according to an input of scheduled and/or predicted plurality of reflux-related parameters, the classifier trained according to computed correlations between the plurality of reflux-related parameters and the at least one reflux event, feeding scheduled and/or predicted reflux-related parameters into the trained classifier component of the model for outputting risk of likelihood of a future reflux event, and computing, by the model, an adjustment to the baseline feeding profile for reducing likelihood of the future reflux event and for meeting the target nutritional goal.
G16H 20/60 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant le contrôle de l’alimentation, p.ex. les régimes
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61J 15/00 - Tubes pour l'alimentation thérapeutique
There is provided a method comprising: computing a target nutritional goal to reach at an end of a time interval based on a real time energy expenditure of a patient, wherein the target nutritional goal comprises a volume to be delivered (VTBD) by the end of the time interval corresponding to a target amount of energy expenditure of the patient over the time interval, computing a target feeding profile defining a target feeding rate for enteral feeding of the patient for reaching the VTBD by the end of the time interval, continuously monitoring the real time energy expenditure, adapting the target nutritional goal and corresponding VTBD to compute a maximum VTBD to reach at the end of the time interval according to the monitoring, and dynamically adapting the target feeding rate and the corresponding target feeding profile for a remaining portion of the time interval for reaching the maximum VTBD.
A computer-implemented method of treating a patient's and automated enteral feeding, comprising: monitoring a plurality of reflux-related parameters and at least one reflux event while the patient is automatically enterally fed by an enteral feeding controller according to a baseline feeding profile including a target nutritional goal, training a classifier component of a model for predicting likelihood of a future reflux event according to an input of scheduled and/or predicted plurality of reflux-related parameters, the classifier trained according to computed correlations between the plurality of reflux-related parameters and the at least one reflux event, feeding scheduled and/or predicted reflux-related parameters into the trained classifier component of the model for outputting risk of likelihood of a future reflux event, and computing, by the model, an adjustment to the baseline feeding profile for reducing likelihood of the future reflux event and for meeting the target nutritional goal.
G16H 20/60 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant le contrôle de l’alimentation, p.ex. les régimes
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61J 15/00 - Tubes pour l'alimentation thérapeutique
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
There is provided a urine analysis device for bed side monitoring of a patient, comprising: an inlet sized and shaped for fluid communication with a urine collecting tube that receives urine from a patient; a drip chamber through which the urine flows towards an outlet; at least one sensor that analyzes each drop of urine and estimates a respective volume of each drop; a timing element that measures a reference time for each drop; a program store storing code; and at least one processing unit coupled to the program store for implementing the stored code, the code comprising: code to calculate a urine output flow rate of the urine output flowing through the chamber according to the estimated volume of each drop of the urine and the reference time for each drop; and code to output the urine output flow rate.
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang en utilisant des capteurs optiques, p.ex. des oxymètres à photométrie spectrale
A61B 5/1468 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang en utilisant des procédés chimiques ou électrochimiques, p.ex. par des moyens polarographiques
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
Medical devices for physiological monitoring and real-time prevention of medical complications in intensive care unit (ICU) patients; medical devices for monitoring and data analysis of gastric reflux; medical devices for monitoring and data analysis of saliva; medical devices for monitoring and data analysis of urine; medical devices for monitoring and data analysis of resting energy expenditure; medical devices for automatic gastric fluid evacuation regime; medical devices for monitoring of feeding tube placement; medical devices for automatic feeding delivery regime; medical tubing in the nature of sensor-enabled tubes for monitoring and transmitting data for medical purposes; medical tubing in the nature of sensor-enabled tubes for enteral feeding; medical tubing in the nature of sensor-enabled tubes for monitoring, prevention and evacuation of gastric fluid; medical tubing in the nature of sensor-enabled tubes for monitoring and evacuation of urine; medical tubing in the nature of sensor-enabled tubes for monitoring and evacuation of saliva; measurement apparatus in the nature of sensors for medical purposes for preventing malnutrition, ventilator-associated pneumonia, ventilator-associated condition, ventilator-associated event, infection-related ventilator-associated complications, aspiration, reflux, secondary pneumonia, secondary infection, feeding tube malposition, feeding tube clogging, for predicting nutritional needs, organ failure, GI failure, sepsis, kidney function, for delivery of nutrients, medical food, enteral feeding, parenteral feeding, water, medication, fluids, proteins and other nutritional supplements, stomach evacuation route and for reducing ventilation days, length of stay, hospital acquire complication, ICU cost and hospital cost, and for intracellular water analysis, extracellular water analysis, total body water analysis, lung analysis; enteral feeding pumps; medical tubing for preventing malnutrition, ventilator-associated pneumonia, ventilator-associated condition, ventilator-associated event, infection-related ventilator-associated complications, aspiration, reflux, secondary pneumonia, secondary infection, feeding tube malposition and feeding tube clogging, for predicting nutritional needs, organ failure, GI failure, sepsis and kidney function, for delivery of nutrients, medical food, enteral feeding, parenteral feeding, post pyloric feeding, energy expenditure based feeding, water, medication, fluids, proteins, nutrition supplements and stomach evacuation route, for reducing ventilation days, length of stay, hospital acquire complication, ICU cost and hospital cost and for collecting gastric residuals; fluid collection bags for medical purposes, namely, for delivery of nutrients, medical food, enteral feeding, parenteral feeding, post pyloric feeding, energy expenditure based feeding, water, medication, fluids, proteins, nutrition supplements, stomach evacuation route, for preventing aspiration, reflux, feeding tube malposition and feeding tube clogging and for collecting gastric residuals; structural parts and fittings for all the aforesaid goods
Medical devices for physiological monitoring and real-time prevention of medical complications in intensive care unit (ICU) patients; medical devices for monitoring and data analysis of gastric reflux; medical devices for monitoring and data analysis of saliva; medical devices for monitoring and data analysis of urine; medical devices for monitoring and data analysis of resting energy expenditure; medical devices for automatic gastric fluid evacuation regime; medical devices for monitoring of feeding tube placement; medical devices for automatic feeding delivery regime; medical tubing in the nature of sensor-enabled tubes for monitoring and transmitting data for medical purposes; medical tubing in the nature of sensor-enabled tubes for enteral feeding; medical tubing in the nature of sensor-enabled tubes for monitoring, prevention and evacuation of gastric fluid; medical tubing in the nature of sensor-enabled tubes for monitoring and evacuation of urine; medical tubing in the nature of sensor-enabled tubes for monitoring and evacuation of saliva; measurement apparatus in the nature of sensors for medical purposes for preventing malnutrition, ventilator-associated pneumonia, ventilator-associated condition, ventilator-associated event, infection-related ventilator-associated complications, aspiration, reflux, secondary pneumonia, secondary infection, feeding tube malposition, feeding tube clogging, for predicting nutritional needs, organ failure, GI failure, sepsis, kidney function, for delivery of nutrients, medical food, enteral feeding, parenteral feeding, water, medication, fluids, proteins and other nutritional supplements, stomach evacuation route and for reducing ventilation days, length of stay, hospital acquire complication, ICU cost and hospital cost, and for intracellular water analysis, extracellular water analysis, total body water analysis, lung analysis; enteral feeding pumps; medical tubing for preventing malnutrition, ventilator-associated pneumonia, ventilator-associated condition, ventilator-associated event, infection-related ventilator-associated complications, aspiration, reflux, secondary pneumonia, secondary infection, feeding tube malposition and feeding tube clogging, for predicting nutritional needs, organ failure, GI failure, sepsis and kidney function, for delivery of nutrients, medical food, enteral feeding, parenteral feeding, post pyloric feeding, energy expenditure based feeding, water, medication, fluids, proteins, nutrition supplements and stomach evacuation route, for reducing ventilation days, length of stay, hospital acquire complication, ICU cost and hospital cost and for collecting gastric residuals; fluid collection bags for medical purposes, namely, for delivery of nutrients, medical food, enteral feeding, parenteral feeding, post pyloric feeding, energy expenditure based feeding, water, medication, fluids, proteins, nutrition supplements, stomach evacuation route, for preventing aspiration, reflux, feeding tube malposition and feeding tube clogging and for collecting gastric residuals; structural parts and fittings for all the aforesaid goods
28.
Systems and methods for dynamic control of enteral feeding according to energy expenditure
A computer-implemented method of adjusting enteral feeding of a patient by an enteral feeding controller, comprising: computing an estimate of energy expenditure of the patient based on oxygen measurements and carbon dioxide measurements of the patient, computing a target composition and target feeding rate for the enteral feeding according to the computed estimate of energy expenditure, when the target composition and target feeding rate differ from a current enteral feeding composition and feeding rate by a requirement, generating instructions for adjustment, by an enteral feeding controller, of the rate of delivery of the enteral feeding according to the target composition, wherein the receiving the oxygen measurement, receiving the carbon dioxide measurement, and computing the estimate of energy expenditure are performing iteratively for every first time interval, and the generating instructions for adjustment are performed for a second time interval that is larger than the first time interval.
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p.ex. pour des dossiers électroniques de patients
A61J 15/00 - Tubes pour l'alimentation thérapeutique
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 20/60 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant le contrôle de l’alimentation, p.ex. les régimes
A61B 5/083 - Mesure du taux de métabolisme en utilisant un essai respiratoire, p.ex. mesure du taux de consommation d'oxygène
A computer-implemented method of treating a patient's and automated enteral feeding, comprising: monitoring a plurality of reflux-related parameters and at least one reflux event while the patient is automatically enterally fed by an enteral feeding controller according to a baseline feeding profile including a target nutritional goal, training a classifier component of a model for predicting likelihood of a future reflux event according to an input of scheduled and/or predicted plurality of reflux-related parameters, the classifier trained according to computed correlations between the plurality of reflux-related parameters and the at least one reflux event, feeding scheduled and/or predicted reflux-related parameters into the trained classifier component of the model for outputting risk of likelihood of a future reflux event, and computing, by the model, an adjustment to the baseline feeding profile for reducing likelihood of the future reflux event and for meeting the target nutritional goal.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
G16H 20/60 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant le contrôle de l’alimentation, p.ex. les régimes
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
30.
Method and device of detecting and/or blocking reflux
A naso/orogastric device having backflow blocking means and comprises a naso/orogastric tube sized and shaped for being disposed within the esophagus so that at least a distal end thereof being placed in the stomach lumen of a patient, at least one elastic esophageal body, positioned along the naso/orogastric tube, having a pressure dependent volume, at least one esophageal sensor that detects fluid around at least one segment of the naso/orogastric tube, and a pressure regulator that regulates a pressure within the elastic esophageal body according to the detection.
There is provided a system for measuring body composition in at least one body segment of a patient, comprising: a plurality of contact components, each including a plurality of electrodes for contacting a body of the patient, each contact component associated with a respective unique address, wherein the contact components are spaced apart and independently positionable at different locations on the body of the patient, at least one multi conductor busbar, wherein each multi conductor busbar is connected to electrodes of at least two contact components, and a controller that selects a first pair of contact components connected by a common multi conductor busbar using the respective unique address, obtains at least one impedance measurement indicative of impedance of a first body segment located between the first pair of contact components, and provides the at least one impedance measurement for estimation of body composition of the first body segment.
There is provided a system for measuring body composition in at least one body segment of a patient, comprising: a plurality of contact components, each including a plurality of electrodes for contacting a body of the patient, each contact component associated with a respective unique address, wherein the contact components are spaced apart and independently positionable at different locations on the body of the patient, at least one multi conductor busbar, wherein each multi conductor busbar is connected to electrodes of at least two contact components, and a controller that selects a first pair of contact components connected by a common multi conductor busbar using the respective unique address, obtains at least one impedance measurement indicative of impedance of a first body segment located between the first pair of contact components, and provides the at least one impedance measurement for estimation of body composition of the first body segment.
A medical pump, comprising: a fluid housing having a plurality of intake openings, sealed by at least one intake valve, and an outlet opening sealed by an outlet valve; a piston which is sealing the fluid housing and connected to a drive mechanism, the drive mechanism pulls the piston to draw fluid from one of the least two intake openings and pushes the piston to discharge the fluid into the outlet opening; and a selecting valve enclosing at least two tubes, each providing fluid to one of the at least two intake openings, wherein the selecting valve closes one of the at least two tubes while opening another of the at least two tubes.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 5/142 - Perfusion sous pression, p.ex. utilisant des pompes
A61M 5/168 - Moyens pour commander l'écoulement des agents vers le corps ou pour doser les agents à introduire dans le corps, p.ex. compteurs de goutte-à-goutte
A medical pump, comprising: a fluid housing having a plurality of intake openings, sealed by at least one intake valve, and an outlet opening sealed by an outlet valve; a piston which is sealing the fluid housing and connected to a drive mechanism, the drive mechanism pulls the piston to draw fluid from one of the least two intake openings and pushes the piston to discharge the fluid into the outlet opening; and a selecting valve enclosing at least two tubes, each providing fluid to one of the at least two intake openings, wherein the selecting valve closes one of the at least two tubes while opening another of the at least two tubes.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 5/142 - Perfusion sous pression, p.ex. utilisant des pompes
A61M 5/168 - Moyens pour commander l'écoulement des agents vers le corps ou pour doser les agents à introduire dans le corps, p.ex. compteurs de goutte-à-goutte
A medical pump, comprising: a fluid housing having a plurality of intake openings, sealed by at least one intake valve, and an outlet opening sealed by an outlet valve; a piston which is sealing the fluid housing and connected to a drive mechanism, the drive mechanism pulls the piston to draw fluid from one of the plurality of intake openings and pushes the piston to discharge the fluid into the outlet opening; and a selecting valve enclosing at least two tubes, each providing fluid to one of the plurality of intake openings, wherein the selecting valve closes one of the at least two tubes while opening another of the at least two tubes.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 5/145 - Perfusion sous pression, p.ex. utilisant des pompes utilisant des réservoirs sous pression, p.ex. au moyen de pistons
A61M 5/168 - Moyens pour commander l'écoulement des agents vers le corps ou pour doser les agents à introduire dans le corps, p.ex. compteurs de goutte-à-goutte
A61M 39/28 - Moyens de serrage pour l'écrasement des tubes flexibles, p.ex. brides de serrage à rouleaux
A61M 5/142 - Perfusion sous pression, p.ex. utilisant des pompes
A61M 5/14 - Dispositifs de perfusion, p.ex. perfusion par gravité; Perfusion sanguine; Accessoires à cet effet
36.
Systems and methods for sensing lung fluid and functionality
An apparatus for monitoring for accumulation of lung fluid comprises a feeding tube having first electrode(s) positioned thereon for electrical contact with tissue of an esophagus of a target patient including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, second electrode(s) sized and shaped for contacting skin of the target patient, and a non-transitory memory having stored thereon code instructions for applying alternating current(s) to pair(s) of first and second electrodes, measuring a voltage over the pair(s), and computing an estimate of a change of lung fluid relative to a baseline in lung(s) of the target patient according to the applied alternating current and measured voltage, wherein the applying, the measuring, and the computing the estimate of the change in lung fluid are iteratively executed for monitoring the target patient for accumulation of lung fluid while the feeding tube is in use.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61B 5/053 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
Disclosed is an NGT system, the system comprises a nasogastric tube having a diameter and length configured to pass through an esophagus such that the lumen of the NGT maintains fluid communication with a portion of the digestive tract, and a digestive tract sensor operatively associated with the NGT, the digestive tract sensor configured to sense from inside the body and transmit signals in response to one or both of conditions relating to nourishment states of the digestive tract, and positioning of the NGT.
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 1/00 - Dispositifs de succion ou de pompage à usage médical; Dispositifs pour retirer, traiter ou transporter les liquides du corps; Systèmes de drainage
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p.ex. de la pression cérébrale
A61B 5/01 - Mesure de la température de parties du corps
A61B 5/0538 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps invasive, p.ex. en utilisant un cathéter
38.
Systems and methods for analyzing reflections of an electrical signal for performing measurements
There is provided a system for measuring impedance at multiple locations within a body of a patient, comprising: an elongated probe sized and shaped for being disposed within a cavity of the body of the patient or in an extracorporeal position, at least one pair of parallel transmission wires disposed along a length of the elongated probe, a plurality of impedance elements, each connected to the at least one pair of parallel transmission wires at a respective spaced apart location along the length of the elongated probe in a ladder arrangement, a transmitter configured for injecting an electrical signal to the at least one pair of parallel transmission wires, a receiver configured for measuring a plurality of reflections of the electrical signal from the plurality of impedance elements, and a processor configured for computing an impedance value for each of the impedance elements according to the measured plurality of reflections.
A naso/orogastric device having backflow blocking means and comprises a naso/orogastric tube sized and shaped for being disposed within the esophagus so that at least a distal end thereof being placed in the stomach lumen of a patient, at least one elastic esophageal body, positioned along the naso/orogastric tube, having a pressure dependent volume, at least one esophageal sensor that detects fluid around at least one segment of the naso/orogastric tube, and a pressure regulator that regulates a pressure within the elastic esophageal body according to the detection.
There is provided system for monitoring spontaneous breathing of a mechanically ventilated target individual, comprising: a feeding tube for insertion into a distal end of an esophagus of the individual, sensor(s) disposed on the feeding tube at a location such that the sensor(s) is located at the distal end of the esophagus of the individual when the feeding tube is in use, wherein the sensor(s) is positioned for sensing values by contact with the tissue of the esophagus including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, and code for computing an indication of a frequency band of diaphragm movement of the individual according to an analysis of values sensed by the sensor(s), and for adjustment of parameter(s) of a mechanical ventilator for mechanically ventilating the individual, wherein the instructions for adjustment are computed while the feeding tube is in use.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/113 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre se produisant au cours de la respiration
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
41.
SYSTEMS AND METHODS FOR TRACKING SPONTANEOUS BREATHING IN A MECHANICALLY VENTILATED PATIENT
There is provided system for monitoring spontaneous breathing of a mechanically ventilated target individual, comprising: a feeding tube for insertion into a distal end of an esophagus of the individual, sensor(s) disposed on the feeding tube at a location such that the sensor(s) is located at the distal end of the esophagus of the individual when the feeding tube is in use, wherein the sensor(s) is positioned for sensing values by contact with the tissue of the esophagus including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, and code for computing an indication of a frequency band of diaphragm movement of the individual according to an analysis of values sensed by the sensor(s), and for adjustment of parameter(s) of a mechanical ventilator for mechanically ventilating the individual, wherein the instructions for adjustment are computed while the feeding tube is in use.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/113 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre se produisant au cours de la respiration
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
42.
Systems and methods for tracking spontaneous breathing in a mechanically ventilated patient
There is provided system for monitoring spontaneous breathing of a mechanically ventilated target individual, comprising: a feeding tube for insertion into a distal end of an esophagus of the individual, sensor(s) disposed on the feeding tube at a location such that the sensor(s) is located at the distal end of the esophagus of the individual when the feeding tube is in use, wherein the sensor(s) is positioned for sensing values by contact with the tissue of the esophagus including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, and code for computing an indication of a frequency band of diaphragm movement of the individual according to an analysis of values sensed by the sensor(s), and for adjustment of parameter(s) of a mechanical ventilator for mechanically ventilating the individual, wherein the instructions for adjustment are computed while the feeding tube is in use.
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p.ex. de la pression cérébrale
A61B 5/113 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre se produisant au cours de la respiration
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
There is provided a system for monitoring transpulmonary pressure of a mechanically ventilated individual, comprising: a feeding tube, at least one esophageal body, a pressure sensor, and a memory having stored thereon code for: computing an estimate of esophageal wall pressure according to pressure in the esophageal body when inflated and contacting the inner wall of the esophagus, computing the transpulmonary pressure of the mechanically ventilated target individual according to the esophageal wall pressure, periodically inflating and deflating the esophageal body for periodic monitoring of the transpulmonary pressure of the mechanically ventilated target patient while the feeding tube is in use, and computing instructions for adjustment of parameter(s) of a mechanical ventilator that automatically ventilates the target individual according to the computed transpulmonary pressure, wherein the instructions for adjustment of parameter(s) of the mechanical ventilator are computed while the feeding tube is in place without removal of the feeding tube.
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p.ex. de la pression cérébrale
A61B 5/085 - Mesure de l'impédance des organes respiratoires ou de l'élasticité pulmonaire
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p.ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p.ex. pour déterminer la capacité pulmonaire
A catheter, comprising: a flexible tubular member having at least one lumen therethrough and a proximal end and a distal end; a plurality of conductive cables extending through at least one of the at least one lumen; and at least one electrically operated component, attached at the distal end and powered by at least one electrical current driven on at least one of the plurality of conductive cables. Some of the plurality of conductive cables are attached to the distal end such that the flexible tubular member is deformed by exerting at the proximal end a tensile force on one of the some of the plurality of conductive cables and a compressive force on another of the some of the plurality of conductive cables, while the at least one electrical current is driven on the some of the plurality of conductive cables.
A61B 1/012 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
A61J 15/00 - Tubes pour l'alimentation thérapeutique
45.
CATHETER COMPRISING CONDUCTIVE CABLES ATTACHED TO A DISTAL END
A catheter is disclosed comprising a flexible tubular member (105) having at least one lumen therethrough and a proximal end and a distal end, a plurality of conductive cables (103, 106) extending through at least one of the at least one lumen and at least one electrically operated component (101) attached at the distal end and powered by at least one electrical current driven on at least one of the plurality of conductive cables. Some of the plurality of conductive cables are attached to the distal end such that the flexible tubular member can be deformed by exerting at the proximal end a tensile force on one of the plurality of conductive cables and a compressive force on another of the plurality of conductive cables, while the at least one electrical current is driven on some of the plurality of conductive cables.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
46.
SYSTEMS AND METHODS FOR DYNAMIC CONTROL OF ENTERAL FEEDING ACCORDING TO ENERGY EXPENDITURE
A computer-implemented method of adjusting enteral feeding of a patient by an enteral feeding controller, comprising: computing an estimate of energy expenditure of the patient based on oxygen measurements and carbon dioxide measurements of the patient, computing a target composition and target feeding rate for the enteral feeding according to the computed estimate of energy expenditure, when the target composition and target feeding rate differ from a current enteral feeding composition and feeding rate by a requirement, generating instructions for adjustment, by an enteral feeding controller, of the rate of delivery of the enteral feeding according to the target composition, wherein the receiving the oxygen measurement, receiving the carbon dioxide measurement, and computing the estimate of energy expenditure are performing iteratively for every first time interval, and the generating instructions for adjustment are performed for a second time interval that is larger than the first time interval.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 20/60 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant le contrôle de l’alimentation, p.ex. les régimes
A61J 15/00 - Tubes pour l'alimentation thérapeutique
An apparatus for monitoring for accumulation of lung fluid comprises a feeding tube having first electrode(s) positioned thereon for electrical contact with tissue of an esophagus of a target patient including a lower esophageal sphincter (LES) and/or tissue in proximity to the LES, second electrode(s) sized and shaped for contacting skin of the target patient, and a non- transitory memory having stored thereon code instructions for applying alternating current(s) to pair(s) of first and second electrodes, measuring a voltage over the pair(s), and computing an estimate of a change of lung fluid relative to a baseline in lung(s) of the target patient according to the applied alternating current and measured voltage, wherein the applying, the measuring, and the computing the estimate of the change in lung fluid are iteratively executed for monitoring the target patient for accumulation of lung fluid while the feeding tube is in use.
A61B 5/053 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61J 15/00 - Tubes pour l'alimentation thérapeutique
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
