# US 2013/0159912 A1 · Nuisance alarm reduction method for therapeutic parameters

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- Number: US 2013/0159912 A1
- Document ID: US20130159912A1
- Status: Published application
- Kind: A1
- Application number: 13/763,852
- Filed: 2013-02-11
- Published: 2013-06-20
- Earliest claimed: 2010-01-19
- Assignees: Covidien LP
- Inventors: Clark R. Baker, JR.
- Web page: https://patentgrep.com/patent/US20130159912A1

## CPC

- G06F 3/0484: for the control of specific functions or operations, e.g. selecting or manipulating an object, an image or a displayed text element, setting a parameter value or selecting a range
- A61M 16/0051: {with alarm devices}
- A61M 16/0063: {Compressors}
- A61M 16/024: {including calculation means, e.g. using a processor}
- G16H 40/63: for local operation
- A61M 16/12: by mixing different gases
- A61M 2016/0018: {electrical}
- A61M 2016/0039: {in the inspiratory circuit}
- A61M 2016/1025: {the O2 concentration}
- A61M 2205/18: with alarm
- A61M 2205/505: Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
- G06F: ELECTRIC DIGITAL DATA PROCESSING (computer systems based on specific computational models G06N)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA

## Abstract

This disclosure describes systems and methods for reducing nuisance alarms associated with monitoring non-physiological parameters in a ventilatory system. Non-physiological parameters may include, but are not limited to, parameters that are internally monitored by the ventilator based on pre-configured ranges dictated by the manufacturer, by an applicable protocol, or by the clinician. Embodiments described herein seek to mitigate nuisance alarms by basing alarm conditions, at least in part, on an integral threshold such that an alarm is not generated when a monitored parameter briefly falls outside an acceptable range by a slight degree, but such that an alarm is generated when a monitored parameter falls outside an acceptable range by a more significant magnitude and/or duration.

## Claims

### Claim at position 1

-12. (canceled)

### Claim 13

A graphical user interface for configuring alarm conditions that reduce nuisance alarms on a ventilator, the ventilator configured with a computer having a user interface including the graphical user interface for accepting commands, the graphical user interface comprising:
at least one window associated with the graphical user interface;
one or more elements within the at least one window, comprising at least one of:
one or more input elements for enabling the clinician to input alarm settings for reducing nuisance alarms associated with monitoring one or more non-physiological parameters; and
one or more selection elements for enabling the clinician to select one or more:
graphic displays of data collected while monitoring the one or more non-physiological parameters, and
preconfigured alarm settings for reducing nuisance alarms associated with monitoring the one or more non-physiological parameters.

### Claim 14 (depends on 13)

The graphical user interface of claim 13, wherein the graphical user interface is configured to accept alarm settings for a single non-physiological parameter.

### Claim 15 (depends on 14)

The graphical user interface of claim 14, wherein the at least one window comprises one or more selection elements for selecting an integral threshold for the single non-physiological parameter.

### Claim 16 (depends on 14)

The graphical user interface of claim 14, wherein the at least one window comprises a selection element for selecting an integral fadeout feature for monitoring the single non-physiological parameter.

### Claim 17 (depends on 13)

The graphical user interface of claim 13, wherein the one or more selection elements for enabling the clinician to select graphic displays of monitored data include:
a selection for displaying the monitored data for the single non-physiological parameter versus one or more integrals of the monitored data; and
a selection for displaying the one or more integrals of the monitored data versus an integral threshold for the single non-physiological parameter.

### Claim 18 (depends on 17)

The graphical user interface of claim 17, wherein the graphic display of the one or more integrals of the monitored data versus the integral threshold for the single non-physiological parameter is a pie graph.

### Claim 19 (depends on 13)

The graphical user interface of claim 13, wherein the at least one window comprises one or more selection elements for selecting one of the one or more non-physiological parameters for configuring alarm conditions.

### Claim 20 (depends on 13)

The graphical user interface of claim 13, wherein input into the one or more input elements and selection of the one or more selection elements occurs via voice activation.

### Claim 21

A graphical user interface for configuring alarm conditions that reduce nuisance alarms on a ventilator, the ventilator configured to monitor at least one non-physiological parameter and to provide the graphical user interface, the graphical user interface comprising:
at least one window;
one or more input elements associated with the at least one window, wherein the one or more input elements are configured for receiving alarm conditions including a parameter threshold and an integral threshold; and
an alarm indication, wherein the alarm indication is displayed when the ventilator:
detects a breach of the parameter threshold;
calculates an integral of the breach; and
determines that the integral of the breach is greater than the integral threshold.

### Claim 22 (depends on 21)

The graphical user interface of claim 21, wherein the graphical user interface is configured to accept alarm conditions for a single non-physiological parameter.

### Claim 23 (depends on 21)

The graphical user interface of claim 21, wherein the at least one window comprises one or more selection elements for selecting an integral threshold for the at least one non-physiological parameter.

### Claim 24 (depends on 21)

The graphical user interface of claim 21, wherein the at least one window comprises a selection element for selecting an integral fadeout feature for monitoring the at least one non-physiological parameter.

### Claim 25 (depends on 21)

The graphical user interface of claim 21, further comprising:
one or more selection elements that enable a clinician to select:
a graphic display of monitored data for the at least one non-physiological parameter versus one or more integrals of the monitored data; and
a graphic display of the one or more integrals of the monitored data versus an integral threshold for the at least one non-physiological parameter.

### Claim 26 (depends on 25)

The graphical user interface of claim 25, wherein the graphic display of the one or more integrals of the monitored data versus the integral threshold for the at least one non-physiological parameter is a pie graph.

### Claim 27 (depends on 25)

The graphical user interface of claim 25, wherein input into the one or more input elements and selection of the one or more selection elements occurs via voice activation.

### Claim 28

A graphical user interface for configuring alarm conditions that reduce nuisance alarms on a ventilator, the ventilator configured to monitor at least one non-physiological parameter and to provide the graphical user interface, the graphical user interface comprising:
at least one window;
one or more input elements associated with the at least one window, wherein the one or more input elements are configured for receiving alarm conditions including a parameter threshold and an integral threshold;
one or more selection elements associated with the at least one window, wherein the one or more selection elements enable a clinician to select one or more graphic displays of data collected while monitoring the at least one non-physiological parameter; and
an alarm indication, wherein the alarm indication is displayed when the ventilator:
detects a breach of the parameter threshold;
calculates an integral of the breach; and
determines that the integral of the breach is greater than the integral threshold.

### Claim 29 (depends on 28)

The graphical user interface of claim 28, wherein the alarm indication is not displayed when the ventilator determines that the integral of the breach is not greater than the integral threshold.

### Claim 30 (depends on 28)

The graphical user interface of claim 28, wherein the one or more selection elements further enable a clinician to select an integral threshold for the at least one non-physiological parameter.

### Claim 31 (depends on 28)

The graphical user interface of claim 28, wherein the one or more selection elements further enable a clinician to select an integral fadeout feature for the at least one non-physiological parameter.

### Claim 32 (depends on 28)

The graphical user interface of claim 28, wherein the one or more selection elements further enable a clinician to select:
a graphic display of monitored data for the at least one non-physiological parameter versus one or more integrals of the monitored data; and
a graphic display of the one or more integrals of the monitored data versus an integral threshold for the at least one non-physiological parameter.
