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Biomed Tech (Berl) ; 62(2): 213-223, 2017 Apr 01.
Article in English | MEDLINE | ID: mdl-28306515

ABSTRACT

This paper presents a decentralized safety concept for networked intensive care setups, for which a decentralized network of sensors and actuators is realized by embedded microcontroller nodes. It is evaluated for up to eleven medical devices in a setup for automated acute respiratory distress syndrome (ARDS) therapy. In this contribution we highlight a blood pump supervision as exemplary safety measure, which allows a reliable bubble detection in an extracorporeal blood circulation. The approach is validated with data of animal experiments including 35 bubbles with a size between 0.05 and 0.3 ml. All 18 bubbles with a size down to 0.15 ml are successfully detected. By using hidden Markov models (HMMs) as statistical method the number of necessary sensors can be reduced by two pressure sensors.


Subject(s)
Clinical Alarms , Critical Care/methods , Extracorporeal Circulation/methods , Monitoring, Physiologic/methods , Respiratory Distress Syndrome/diagnosis , Respiratory Distress Syndrome/therapy , Therapy, Computer-Assisted/methods , Animals , Feedback, Physiological , Humans , Monitoring, Physiologic/instrumentation , Patient Safety , Pattern Recognition, Automated/methods , Treatment Outcome
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