Systems and methods for compensating long term sensitivity drift of electrochemical gas sensors exposed to nitric oxide
Inventors
Tolmie, Craig R. • Milsap, Jeff • Acker, Jaron M.
Assignees
Mallinckrodt Pharma IP Trading DAC • Therakos Inc • INO Therapeutics LLC • Mallinckrodt Critical Care Finance Inc
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Abstract
Described are systems and methods for compensating long term sensitivity drift of catalytic type electrochemical gas sensors used in systems for delivering therapeutic nitric oxide (NO) gas to a patient by compensating for drift that may be specific to the sensors atypical use in systems for delivering therapeutic nitric oxide gas to a patient. The long term sensitivity drift of catalytic type electrochemical gas sensors may be addressed using calibration schedules, which can factor in the absolute change in set dose of NO being delivered to the patient that can drive one or more baseline calibrations. The calibration schedules can be used to reduce the amount of times the sensor goes offline.
Core Innovation
The invention relates to compensating long-term sensitivity/output drift of a nitric oxide (NO) electrochemical gas sensor used in therapeutic gas delivery. A predetermined dosage of therapeutic gas comprising nitric oxide is delivered to a breathing circuit for delivery to a patient, and the nitric oxide sensor continuously monitors a signal indicative of a concentration of nitric oxide in the breathing circuit. After nitric oxide sensor calibration occurs, the system determines a compensated response to the sensor signal indicative of the nitric oxide concentration in the breathing circuit.
A core part of the approach is controlling when the nitric oxide sensor calibration is executed according to an identified sensor calibration schedule stored in system controller memory. Calibration is postponed if an alarm is active or has been active within a predetermined timeframe at the time calibration is to be executed, and calibration is executed when the active alarm is not detected or has not been detected within the predetermined timeframe. The calibration schedule is modified based upon a change in the predetermined dosage of nitric oxide being delivered to the patient, where an increase in the predetermined dosage results in the nitric oxide sensor calibration occurring with a greater frequency.
The disclosed calibration and drift compensation logic further includes baseline calibration updates using a stored baseline response and slope from a previous calibration. Calibration activity can be surfaced through notification and electronic medical record (EMR) logging, and the system may display a message indicating that calibration is in effect. Valve-based switching using a three-way valve is described to expose the sensor to breathing-circuit gas versus conditioned ambient air without disconnecting sampling lines.
Claims Coverage
The independent claims identified are clm-00001, clm-00019, and clm-00020. Across these claims, the coverage centers on postponing nitric-oxide sensor calibration based on system alarm activity and user interaction, modifying a calibration schedule in response to changes in the predetermined nitric-oxide dosage, and then producing a compensated response, with display and EMR recording in one claim.
Delivering predetermined nitric oxide dosage to a breathing circuit
Delivering, via a flow control valve affiliated with a therapeutic gas delivery system, a predetermined dosage of therapeutic gas comprising nitric oxide to a breathing circuit for delivery to a patient.
Postponing calibration when an alarm is active within a predetermined timeframe
Detecting, via the system controller, if an alarm is active or has been active within a predetermined timeframe at the time a nitric oxide sensor calibration is to be executed according to an identified sensor calibration schedule stored in a system controller memory, wherein the nitric oxide sensor calibration is postponed if the active alarm is detected or has been detected within the predetermined timeframe and is executed when the active alarm is not detected or has not been detected within the predetermined timeframe.
Postponing calibration when a user is interacting within a predetermined timeframe
Detecting, via the system controller, if a user is interacting with or has interacted with the therapeutic gas delivery system within a predetermined timeframe at the time the calibration is to be executed, wherein the calibration is postponed when the user is interacting with or has interacted with the therapeutic gas delivery system within the predetermined timeframe.
Compensating response after calibration using the nitric oxide concentration signal
Continuously monitoring, via the nitric oxide sensor affiliated with the therapeutic gas delivery system, a signal indicative of a concentration of nitric oxide in the breathing circuit, and determining a compensated response to the signal indicative of the nitric oxide concentration after the nitric oxide sensor calibration occurs.
Modifying calibration schedule based on an increase in predetermined dosage
Modifying the nitric oxide sensor calibration schedule based upon a change in the predetermined dosage of nitric oxide being delivered to the patient, wherein the change in the predetermined dosage is an increase in the predetermined dosage, and the nitric oxide sensor calibration occurs with a greater frequency.
Executing calibration only when alarm and user-interaction conditions are not met
Executing, via the system controller, the calibration (i) when the active alarm is not detected or has not been detected within the predetermined timeframe and (ii) when the user is not interacting or has not interacted with the therapeutic gas delivery system within the predetermined timeframe.
Displaying calibration status and recording calibration occurrence in an EMR
Displaying, via a display, a message to a user, when executing the calibration, indicating that the calibration is in effect and/or recording in an electronic medical record (EMR) the occurrence of calibration.
Across clm-00001, clm-00019, and clm-00020, the claims cover methods for compensating electrochemical nitric-oxide sensor output drift in therapeutic gas delivery by controlling calibration timing based on whether an alarm is active within a predetermined timeframe and whether a user is interacting within the same timeframe, while also modifying the calibration schedule based on increases in the predetermined nitric-oxide dosage. After calibration, the system determines a compensated response to the nitric-oxide concentration signal, and clm-00020 further requires user-facing and/or EMR recording of calibration occurrence.
Stated Advantages
Compensates for long-term sensitivity/output drift of a nitric oxide sensor by executing calibration in a controlled manner and determining a compensated response after calibration.
Informs a user of the system activity by displaying a message during calibration and/or records calibration occurrence in an electronic medical record (EMR).
Increases calibration frequency when the predetermined dosage of nitric oxide is increased, as part of the drift compensation strategy.
Documented Applications
Therapeutic gas delivery to a patient using a breathing circuit and a therapeutic gas delivery system that delivers nitric oxide and performs nitric oxide sensor drift compensation.
Compensating output drift of an electrochemical nitric-oxide gas sensor during therapeutic gas delivery with calibration postponed during alarm-active and/or user-interaction timeframes.
Compensating output drift of an electrochemical gas sensor exposed to nitric oxide in a controlled environment, including displaying calibration status and/or recording calibration occurrence in an electronic medical record (EMR).
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