060077: Determining Ejection Fraction Volumes on a Continuous Basis
Case ID:
TEC2006-0077
Web Published:
7/21/2014
Description:
People with progressive heart failure need ejection
fraction (EF) measurements as critical information in diagnosis and treatment.
EF is the percentage of the total volume in a ventricular chamber of the heart
that is ejected per beat, a key measure of overall heart function. A technology
allowing continuous monitoring of EF would allow for much better patent care
than current capabilities where waits of many hours are commonly required to
obtain a single EF reading. In addition, a system allowing such data to be
gathered at the home, rather than in a hospital, would be a major cost saver for
the care of heart patients.
Description
Using blood pressure information derived from
either invasive or non-invasive procedures, the resulting waveforms are used to
calculate a personalized circulatory system for a given patient by fitting a
general circulatory model to the waveforms to obtain a personalized circulatory
model. From that model, predicted ejection fractions can be calculated.
Commercially available medical diagnostic equipment is used to obtain the
required input information on individual patients, namely systemic arterial
pressure (SAP) and/or left ventricular pressure (LVP). This technology is
essentially a mathematical analysis innovation, in software form, that can be
run by commercially available PCs for hospital use, using the above SAP/LVP
waveforms as inputs to predict EFs. A major feature of this technology is that
the software-predicted total volume of blood in a ventricle, and the predicted
total volume ejected per beat from the ventricle have the same proportionality
constants which cancel out when determining the EF fraction, allowing for a very
accurate prediction of the EF on a continuous basis. There is no current
technology available which can do this.
Benefits
- Increased
prediction accuracy: Made possible by the superior mathematical analysis
tool.
- Cost
reductions: Major cost reductions can be achieved through gaining input
data for EF predictions from heart patients in their homes.
- Minimally
invasive: EF predictions can be made using patient-derived data obtained
from minimally invasive means.
- Personalized
circulatory systems: Ability to construct personalized circulatory
systems for individual patients, with improved prediction accuracy and
usefulness as a diagnostic and treatment tool.
- Real time
predictions: Ability to generate predicted EF values in real time, on a
continuous basis, and automatically.
- Lack of
competing technologies: No other technology is able to generate EF
predictions, so this technology has no real competitors at the present
time.
- Minimally
invasive: The Ejection Fraction technology can be minimally invasive (it
can use a clip on the wrist to get blood pressure
waveforms).
Applications
Continuous monitoring of EFs in ICUs, and home
monitoring of EFs for heart patients.
Development
Status
A prototype system was successfully tested on
animals.
IP Protection
Status
Patent pending
Patent Information:
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For Information, Contact:
Randy Ramharack
Technology Manager
Michigan State University - Test
517-355-2186
ramharac@msu.edu