Abstract

The CareAline Smart Wrap. We want to provide both improved management of central lines as well as continuous, real-time monitoring and continuous data collection to detect/predict an infection or other reaction and enable prompt proactive treatment

Author: Mike Fitzgerald

Mission: Take a proactive approach and provide improved quality of life and help ease disruption for patients with implanted intravenous lines, their caregivers and the medical professionals who take care of them, with the ultimate goal of having an impact on the reduction of healthcare complications. When a child goes home with a CVC line, parents are given instructions to look for signs of infections, including a fever exceeding 100.5°F, one of the earliest and most well established clinical indicators of infection. This vigilance is even more important for children receiving chemotherapy or other treatments that compromises the immune system; for these patients, frequent temperature monitoring around the clock is part of routine discharge instruction. Frequent overnight monitoring in the home setting is disruptive to the patents and the parents sleep; a necessity to help heal and rest. Adding a temp sensor in the prototype allowed for a continuous monitoring of temp, with an alert sent to the parent’s smart phone to do a manual check. The CareAline SmartWrap is a value-added extension of the CareAline CVC Wrap, providing both improved management of central lines as well as continuous, real-time monitoring and continuous data collection to detect/predict an infection or other reaction and enable prompt proactive treatment. The Smart Wrap will consist of four main components: 1. The CareAline Wrap with a modified design to incorporate the sensor / communication device. . The first phase, which we have a working prototype using the Ithermonitor, integrated into the CareAline Wrap. This allowed us to prove the idea can work. This allowed for a continuous monitoring of the auxiliary temperature. 2. A Multimodal Sensor (Temp, heart rate, pulse Ox and 3 Axis accelerator) held in place against the patient’s body by the Wrap, or interwoven into the fabric of the Wrap for continuous monitoring and collection of data. 3. A Communication Device for sending alerts to the parent or caregiver if there are rapid increases in temperature indicative of fever, or other changes needing intervention. 4. Application Software so parents and/or caregivers can receive alerts, track trends and share information from their smart phones with their care teams. Clinicians will have a program giving them the ability to log-into their patients smart wrap to view historical data on their patient. 5. Partner with an informatics company to start collecting data. We want to be able to predict if a patient is going ot have a reaction to a certain medication, or is at risk for a particular Clabsi or other line complication. If a reaction is detected, care teams can take a proactive, rather than reactive approach to treatment.

Co Author/Co-Investigator Names/Professional Title: Kezia Fitzgerald, CEO and Chief Innovation Officer, CareAline Products Mike Fitzgerald, Managing Director, CareAline Products