Devices, systems and methods for monitoring neuromuscular blockage

Abstract

Embodiments relate to devices, systems and methods for monitoring neuromuscular blockage. In an embodiment, a neuromuscular blockage monitoring system comprises a patch device comprising a unitary patch body, at least two electrodes and at least one sensor, the at least one sensor arranged between the at least two electrodes on the unitary patch body; and a stimulator device operatively coupled to the patch device and configured to provide at least one electrical signal to the at least two electrodes to stimulate a muscle motor point and to receive a signal from the at least one sensor related to a result of the stimulation of the muscle motor point.

1 . A neuromuscular blockage monitoring system comprising:
 a patch device comprising a unitary patch body, at least two electrodes and at least one sensor, the at least one sensor arranged between the at least two electrodes on the unitary patch body; and   a stimulator device operatively coupled to the patch device and configured to provide at least one electrical signal to the at least two electrodes to stimulate a muscle motor point and to receive a signal from the at least one sensor related to a result of the stimulation of the muscle motor point.   
     
     
         2 . The system of  claim 1 , further comprising a computing device communicatively coupled to the stimulator device. 
     
     
         3 . The system of  claim 2 , wherein the computing device comprises a display to present a graphical user interface (GUI). 
     
     
         4 . The system of  claim 3 , wherein the GUI is used to initiate provision of the one electrical signal to the at least two electrodes by the stimulator device. 
     
     
         5 . The system of  claim 4 , wherein the GUI is configured to present a graphical representation of the signal from the at least one sensor related to a result of the stimulation of the muscle motor point. 
     
     
         6 . The system of  claim 5 , wherein the stimulator device is configured to provide a series of four electrical signals comprising a Train of Four (TOF) test, and the GUI is configured to display a graphical representation of the series of four electrical signals. 
     
     
         7 . The system of  claim 6 , wherein the GUI is configured to display at least one metric related to the TOF test. 
     
     
         8 . The system of  claim 7 , wherein the at least one metric comprises at least one of a baseline pulse strength, a number of responses detected by the at least one sensor, or a TOF ratio. 
     
     
         9 . The system of  claim 2 , wherein computing device is configured to generate a data file related to the result of the stimulation of the muscle motor point. 
     
     
         10 . The system of  claim 9 , wherein the computing device is configured to communicate the data file or information from the data file to an electronic medical record (EMR). 
     
     
         11 . The system of  claim 2 , wherein at least two of the patch device, the stimulator device and the computing device communicate with each other wirelessly. 
     
     
         12 . The system of  claim 1 , wherein the patch device is configured to be removably coupled to a patient's skin proximate a muscle motor point. 
     
     
         13 . The system of  claim 12 , wherein the unitary patch body further comprises an adhesive layer to removably couple the patch device to a patient's skin. 
     
     
         14 . The system of  claim 1 , wherein the stimulator device is operatively coupled to the patch device by two wires. 
     
     
         15 . The system of  claim 1 , wherein the stimulator device further comprises a battery power source. 
     
     
         16 . A kit comprising:
 at least one patch device comprising a unitary patch body, at least two electrodes and at least one sensor, the at least one sensor arranged between the at least two electrodes on the unitary patch body;   a stimulator device operatively coupled to the patch device and configured to provide at least one electrical signal to the at least two electrodes to stimulate a muscle motor point and to receive a signal from the at least one sensor related to a result of the stimulation of the muscle motor point; and   user instructions related to the at least one patch device and the stimulator device.   
     
     
         17 . The kit of  claim 16 , further comprising at least one cable configured to couple with the stimulator device. 
     
     
         18 . The kit of  claim 16 , wherein the user instructions comprise a hardcopy manual. 
     
     
         19 . The kit of  claim 16 , wherein the user instructions comprise information to access a digital user instruction file. 
     
     
         20 . The kit of  claim 16 , further comprising at least one of instructions or an access code for obtaining software to interface with the stimulator device.