Patient Positioning Wedge with Integrated Pressure Sensors
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Solution Overview
Problem
Current methods for preventing deep vein thrombosis, pressure injuries, and pneumonia in bed-bound patients are hindered by difficulties in maintaining patient positioning and monitoring compliance with recommended protocols, including challenges with pillow and wedge effectiveness, shift in patient position, and inaccuracies in documentation and measurement of care activities.
Innovation Solution
A patient positioning device with a wedge-shaped body and integrated pressure sensors that transmit data on patient positioning and usage, along with a comprehensive patient compliance monitoring system that tracks the usage of various patient care devices, including compression devices, incentive spirometry, and oral care, to ensure adherence to recommended protocols.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If traditional pillows and wedges are used to redistribute pressure, then patient positioning is maintained, but pressure sensors cannot detect when patients shift position or when devices bottom-out
Solution Approach 1:
The patent replaces traditional mechanical pressure redistribution methods (pillows and wedges) with a sensor-based detection system. Pressure sensors and position sensors continuously monitor patient position and device performance, substituting passive mechanical support with active electronic monitoring to detect when patients shift position or when devices bottom-out.
Solution Approach 2:
The system implements feedback by continuously measuring patient position and pressure distribution through integrated sensors, then transmitting this data to healthcare providers. This feedback loop enables real-time monitoring of whether patients maintain proper positioning and whether pillows/wedges are functioning correctly, allowing timely intervention when deviations occur.
2Reliability
If medical personnel manually monitor and reposition patients every two hours, then pressure injury prevention is attempted, but compliance cannot be accurately measured due to emergencies, shift changes, and documentation inaccuracies
Solution Approach 1:
The system enables self-service monitoring where the patient's own body weight and position automatically trigger sensor detections. The sensors passively record whether the patient is properly positioned on pillows and wedges without requiring active participation or awareness from the patient, eliminating the need for manual documentation while ensuring accurate compliance measurement.
Solution Approach 2:
Manual monitoring and documentation by medical personnel is replaced with automated electronic sensing and recording systems. The sensors continuously track patient position and device usage, automatically generating compliance data that eliminates documentation errors and provides precise measurement regardless of staff availability or emergencies.
3Reliability
If multiple pillows and wedges are used to maintain patient orientation, then pressure redistribution is achieved, but it is difficult to measure total duration of use to assess compliance
Solution Approach 1:
The system provides continuous feedback on device usage through integrated sensors that detect when pillows and wedges are in use and for how long. This automated time tracking provides real-time data on total duration of use, eliminating the need for manual time records and enabling precise compliance assessment.
Solution Approach 2:
Electronic sensors act as intermediaries between the physical pillows/wedges and the compliance assessment process. These sensors detect device usage and transmit timing information to the monitoring system, serving as a mediator that automatically captures and reports usage duration without requiring manual intervention.
4Reliability
If patients are encouraged to use incentive spirometry and oral care devices, then pneumonia prevention is attempted, but compliance is difficult to measure due to workflow issues and staffing challenges
Solution Approach 1:
The monitoring system is designed with multi-functionality to track various patient care activities including incentive spirometry usage, oral care device usage, and positioning compliance through a single integrated platform. This universal approach consolidates multiple monitoring functions into one system, reducing overall complexity despite the diverse activities being tracked.
Solution Approach 2:
The incentive spirometry and oral care devices incorporate sensors that automatically detect and record when patients use these devices. This self-service monitoring eliminates the need for staff to manually observe and document each usage event, simplifying the monitoring process while maintaining accurate compliance data.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The system ensures proper patient positioning and monitoring, reducing the risk of deep vein thrombosis, pressure injuries, and pneumonia by providing real-time data on patient compliance with treatment protocols, facilitating timely interventions and improving patient safety.
Implementation Method 1
The wedge includes at least one pressure sensor associated with the wedge-shaped body at the bottom surface, the pressure sensor configured to generate a signal in response to a pressure, force or load between the support surface and the wedge-shaped body caused by the weight of the patient bearing against the ramp surface.
Implementation Method 2
The sensor includes a transmitter for transmitting the signal to a receiver independent of the patient positioning device, which can be a self-powered transmitter or an RFID tag.
Data Source
AI summary
A patient compliance monitoring system is provided for monitoring patient compliance in the use of a plurality of patient care and recovery devices in the hospital room. Sensors are associated with each of the devices to detect a usage history of the associated device and to generate usage data therefore. One device is a patient positioning device including a wedge-shaped body with at least one pressure sensor associated with the bottom surface. The wedge-shaped body is formed of a compressible viscoelastic open-cell foam composition that is adapted to compress under the weight so that the angle of the ramp surface of the wedge decreases from an initial ramp angle to a tilt angle for supporting the patient.


