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Licensed Unlicensed Requires Authentication Published by De Gruyter March 17, 2017

Decentralized safety concept for closed-loop controlled intensive care

Supervision of a blood pump during extracorporeal circulation
  • Jan Kühn EMAIL logo , Christian Brendle , André Stollenwerk , Martin Schweigler , Stefan Kowalewski , Thorsten Janisch , Rolf Rossaint , Steffen Leonhardt , Marian Walter and Rüdger Kopp

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.

Acknowledgments

The authors gratefully acknowledge the contribution of the German Research Foundation DFG (Grant PAK 138/2; LE 817/15-1; KO 1430/14-1; RO 2000/18-1).

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Received: 2016-4-8
Accepted: 2017-1-5
Published Online: 2017-3-17
Published in Print: 2017-4-1

©2017 Walter de Gruyter GmbH, Berlin/Boston

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