PPG Waveform Analysis for Early Blood Transfusion Prediction

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Solution Overview

Problem

Conventional methods for determining the need for blood transfusions in trauma patients are inadequate in terms of timing and accuracy, often leading to delayed identification of the need for blood transfusions.

Innovation Solution

A method and apparatus using continuous photoplethysmographic (PPG) waveform data, processed by a processor to predict the need for blood transfusions by applying coefficients to parameters such as heart rate, oxygen saturation, and waveform amplitude, allowing for early prediction and potential ordering of blood units.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional methods are used to determine the need for blood transfusion, then the determination can be made with existing clinical protocols, but the timing is delayed and accuracy is insufficient

Engineering Contradiction:
Improveaccuracy of transfusion need determinationVSAvoidtiming of transfusion need identification
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system performs preliminary analysis of PPG waveform parameters continuously during treatment to predict future blood transfusion needs before clinical symptoms become severe. By analyzing trends in heart rate, oxygen saturation, and waveform amplitude early in the treatment process, the system enables proactive intervention rather than reactive response to established deficiencies

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent introduces PPG waveform analysis as an intermediary measurement tool that bridges the gap between conventional vital sign monitoring and actual blood transfusion needs. The continuous optical measurement of blood volume changes provides intermediate data that correlates with blood loss trends, enabling earlier and more accurate prediction of transfusion requirements

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If continuous PPG waveform monitoring is implemented to predict transfusion needs, then timing and accuracy of prediction improve, but device complexity increases

Engineering Contradiction:
Improveprediction reliability for blood transfusion needVSAvoidcomplexity of prediction system
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The system leverages the existing pulse oximeter device to perform multiple functions: standard oxygen saturation monitoring plus continuous PPG waveform analysis for transfusion prediction. By making the oximeter multi-functional, the patent avoids adding separate dedicated prediction devices, thereby limiting the increase in overall system complexity while improving prediction reliability

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The prediction system processes and analyzes the PPG waveform data using algorithms that can be implemented within the existing monitoring infrastructure. The system essentially serves itself by utilizing its own collected optical data without requiring external complex analytical equipment, thereby maintaining relatively simple device architecture while achieving improved prediction capability

Inventive Principle:
Principle #25Self-service

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

Enhances the timing and accuracy of blood transfusion predictions, enabling earlier intervention and more effective management of blood loss in trauma patients.

Implementation Method 1

a pulse oximeter configured to measure first data that indicates values for one or more parameters of a characteristic of a continuous photoplethysmographic (PPG) waveform

Methodology Applied
Scientific EffectPhotoplethysmography: Absorption (EM radiation)

Data Source

PatentUS11191493B2Method and apparatus for predicting a need for a blood transfusion
Publication Date: 2021.12.07 UNIV OF MARYLAND
  • US11191493B2 patent drawing
  • US11191493B2 patent drawing
  • US11191493B2 patent drawing

AI summary

A method is provided for predicting that a patient will require a blood transfusion during a treatment. The method includes obtaining, on a processor, first data that indicates values for one or more parameters of a characteristic of a continuous photoplethysmographic (PPG) waveform collected during the treatment. The method further includes applying, on the processor, coefficients to the values for the one or more parameters. The method further includes determining, on the processor, second data that indicates a prediction that the patient will require the blood transfusion during the treatment based on applying the coefficients to the values for the one or more parameters. An apparatus is also provided for predicting that the patient will require the blood transfusion during the treatment.