Expert AnesthesiologyExpert AnesthesiologyMonitoring SystemMonitoring System

Team 2: Team 2: Timothy Morin, Nathan White, Kane Timothy Morin, Nathan White, Kane KilleleaKillelea

Sponsored by: Joseph H. Sponsored by: Joseph H. McIsaacMcIsaac and John D. and John D. EnderleEnderle

Sponsored By:Sponsored By:

Joseph Joseph McIsaacMcIsaacContact Information:Contact Information:

Joseph Joseph McIsaacMcIsaac, Ph.D., , Ph.D., Chief, Trauma Anesthesia Hartford Chief, Trauma Anesthesia Hartford

Hospital,Hospital,Suite JB300, Department of Suite JB300, Department of

AnesthesiologyAnesthesiology80 Seymour 80 Seymour St.HartfordSt.Hartford, CT 06102, CT 06102

(860) 545(860) 545--2117 2117

Jmcisaa@harthosp.orgJmcisaa@harthosp.org

John John EnderleEnderleContact Information:Contact Information:

EditorEditor--inin--Chief, EMB MagazineChief, EMB MagazineBiomedical Engineering Book Biomedical Engineering Book Series Editor for Morgan and Series Editor for Morgan and

Claypool PublishersClaypool PublishersProgram Director & Professor for Program Director & Professor for

Biomedical Engineering Biomedical Engineering University of ConnecticutUniversity of Connecticut

BronwellBronwell Building, Room 217CBuilding, Room 217C260 Glenbrook Road260 Glenbrook Road

Storrs, Connecticut 06269Storrs, Connecticut 06269--22472247(860) 486(860) 486--55215521

jenderle@bme.uconn.edujenderle@bme.uconn.edu

BackgroundBackground

•• Ideal Product Application: Ideal Product Application: •• Development of an anesthesiology system that provides Development of an anesthesiology system that provides

the anesthesiologist with an optimal method for the anesthesiologist with an optimal method for determining drug dosages throughout a surgical determining drug dosages throughout a surgical procedure. procedure.

•• The monitor will incorporate a patientThe monitor will incorporate a patient’’s personal s personal information.information.

•• The BIS monitoring system will provide the data for The BIS monitoring system will provide the data for determining the patientdetermining the patient’’s level of consciousness.s level of consciousness.

•• The GEThe GE--Marquette system will receive the output from Marquette system will receive the output from our device and apply the correct dosage.our device and apply the correct dosage.

Project GoalsProject Goals

•• Use Use LabVIEWLabVIEW to Create:to Create:–– A clear visual display of data and dosage.A clear visual display of data and dosage.–– Use Patient information to find a sufficient anesthesia Use Patient information to find a sufficient anesthesia

dosage using:dosage using:–– prior resistance, acute and chronic disease states, age, prior resistance, acute and chronic disease states, age,

weight, gender, exercise tolerance, medication usage, and weight, gender, exercise tolerance, medication usage, and habits such as smoking, drug and alcohol use.habits such as smoking, drug and alcohol use.

–– Primary Functions:Primary Functions:•• Import BIS monitor and GEImport BIS monitor and GE--Marquette, then apply the Marquette, then apply the

patients information to the data to determine a proper patients information to the data to determine a proper dosage. dosage.

Project Goals (cont.)Project Goals (cont.)

•• The program should be reliable and easily The program should be reliable and easily understood.understood.

•• The settings should be easily manipulated.The settings should be easily manipulated.•• Front panel should display:Front panel should display:

–– Clear graphs with:Clear graphs with:•• Corresponding numerical valuesCorresponding numerical values•• Appropriate clear labelsAppropriate clear labels

–– Clean and purposeful appearanceClean and purposeful appearance

Project Goals (cont.)Project Goals (cont.)

•• Real Time ProcessingReal Time Processing–– Simply put, itSimply put, it’’s processes data on a first in s processes data on a first in

first out basis. first out basis. –– Optimization of the Software and hardware.Optimization of the Software and hardware.

•• Provides minimal processing time Provides minimal processing time •• Allows the device to display the most current Allows the device to display the most current

patient status.patient status.

Patents ResultsPatents Results

•• Possible patent infringementPossible patent infringement–– Vital signs monitoring system (1987)Vital signs monitoring system (1987)–– Anesthesia machine with gas delivery system control and a Anesthesia machine with gas delivery system control and a

patient monitoring system (2002)patient monitoring system (2002)–– Operative and postOperative and post--operative patient monitoring. Focusing on operative patient monitoring. Focusing on

the relative power of the theta wave (2000)the relative power of the theta wave (2000)

•• Most patents deal with signal acquisitionMost patents deal with signal acquisition–– Our device is the optimizing the current method of determining Our device is the optimizing the current method of determining

dosages and providing an input to the GE Marquette delivery dosages and providing an input to the GE Marquette delivery system. system.

Anesthesia MonitorsAnesthesia Monitors

•• GEGE--Marquette Anesthesia Delivery SystemMarquette Anesthesia Delivery System–– Anesthesia delivery and patient monitoringAnesthesia delivery and patient monitoring

•• Aspect Medical BISAspect Medical BISTMTM EEG monitorEEG monitor–– Monitors the patientMonitors the patient’’s EEG signals EEG signal

BIS VistaBIS Vista

Advantages:Advantages:•• Clear Clear •• AccurateAccurate•• AlarmAlarm•• Uses EEG to Uses EEG to

determine level of determine level of consciousnessconsciousness

BISBISTMTM Monitoring system continued.Monitoring system continued.

•• Serial port: ASerial port: A--20002000–– Asynchronous Serial CommunicationAsynchronous Serial Communication–– DBDB--9 female adapter9 female adapter–– Pin connections: 2,3,5Pin connections: 2,3,5

GEGE--Marquette Delivery SystemMarquette Delivery System

•• Clear Clear •• Accurate dosagesAccurate dosages•• Ability for multiple Ability for multiple

anesthesia anesthesia medicationsmedications

•• Dosage recordsDosage records•• Can import data from Can import data from

other devices and other devices and display.display.

Expert Anesthesia InterfaceExpert Anesthesia Interface

The IdeaThe Idea

•• Importing of consciousness level from the Importing of consciousness level from the Aspect BIS Anesthesia Monitor.Aspect BIS Anesthesia Monitor.

•• Use patients prior information to recommend a Use patients prior information to recommend a dosage for the patient.dosage for the patient.

•• Time stamp will be done as the information is Time stamp will be done as the information is received and for when the dosage is applied.received and for when the dosage is applied.

•• Output the data to the GEOutput the data to the GE--Marquette to supply Marquette to supply the dosage to the patient.the dosage to the patient.

PatientPatient’’s Prior Informations Prior Information

To determine a proper To determine a proper dosage for a patient dosage for a patient a few aspects must a few aspects must be considered and be considered and calculated.calculated.

•• An example of An example of Physical condition Physical condition dosage dosage adjustments.adjustments.

PatientPatient’’s Prior Informations Prior Information

•• Example of Sex Example of Sex diagnostic dosage diagnostic dosage changes.changes.

•• A graphical display of A graphical display of how the dosages will how the dosages will change within ranges.change within ranges.

BlackfinBlackfin

•• BlackfinBlackfin will be able to will be able to run the run the labviewlabviewprogram designed program designed and display the and display the relevant information.relevant information.

•• LCD, Buttons, Aspect LCD, Buttons, Aspect BIS monitor, and GEBIS monitor, and GE--Marquette will all Marquette will all attach to the attach to the balckfinbalckfinfor integration.for integration.

Material RequirementsMaterial Requirements

•• CaseCase–– ABS plasticABS plastic–– Sized so there is Sized so there is

minimal extra space minimal extra space insideinside

Material Requirements (cont.)Material Requirements (cont.)

•• Cooling FanCooling Fan–– Mounted in the back of Mounted in the back of

the casethe case–– Reduce internal Reduce internal

temperature of the temperature of the devicedevice

Material Requirements (cont.)Material Requirements (cont.)

•• LCD DisplayLCD Display–– 10.3910.39”” diagonaldiagonal

Material Requirements (cont.)Material Requirements (cont.)

•• ButtonsButtons–– Surface mount tactile Surface mount tactile

switchesswitches

BudgetBudgetPart Cost Shipping and Handling

Power Source – Double-Fused Three Function Power Entry Module $31.34 Unknown

Power Source cord $4.96 Unknown

UFO Cube Computer Case $299.99 Unknown

LCD6VGA 8” Open Frame TFT $599.99 $49.99

ADI Blackfin Processor $23.63 Unknown

Ultra Copper Core Cooling Fan $14.13 Unknown

(ON)-OFF SPST Momentary $2.50 $1

RS422 Serial Cables $7.50 $1.75

Resistor- 226-1058-ND $5 each Unknown

Capacitor -338-1364-ND $3 each Unknown

Op-Amplifiers- 296010025-2-ND $5.10 each Unknown

Budget (cont.)Budget (cont.)

•• Testing supplyTesting supply’’ss•• Sensors for connecting Sensors for connecting LabVIEWLabVIEW to the to the

subjects.subjects.

ConclusionConclusion

•• Expert Anesthesiology Monitoring SystemExpert Anesthesiology Monitoring System–– This design should help to maintain the amnesia, This design should help to maintain the amnesia,

analgesia, and immobility of the patient with accuracyanalgesia, and immobility of the patient with accuracy–– Custom designCustom design–– Clear and AccurateClear and Accurate–– Easy and FunctionalEasy and Functional

Utilizing biomedical engineering principles to enhance Utilizing biomedical engineering principles to enhance the abilities and analysis skills of the anesthesiologist the abilities and analysis skills of the anesthesiologist in the operating room that will give a new level of in the operating room that will give a new level of judgment capability.judgment capability.

AcknowledgementsAcknowledgements

We would like to Thank:We would like to Thank:

•• John John EnderleEnderle•• William William PruehsnerPruehsner•• Joseph Joseph McIsaacMcIsaac•• AnastasiosAnastasios MaurudisMaurudis•• David David KaputaKaputa

Thank You!Thank You!

Any Questions?Any Questions?