Update 03

BIEN 175A

General team/project information

Company Name: Advanced Surgical Instruments CA (ADSICA)
Project title: Virtual Anesthesia Trainer (Group 04)
Update order
01: Christiansen, Trevor
02: Vu, Anh
03: Nguyen, Stephen
04: Ustariz, Kelly
05: Aizharkyn, Kymbat

Advisory board
F: Christian Shelton <cshelton@cs.ucr.edu>
F: Kaustabh Ghosh <kghosh@engr.ucr.edu>
G: TBA (Sheltons RAs?)
H: Michael Solomon <psewmedicine@aol.com>
Primary working area
W: BIEN Lab: B265

Update content
Progress toward completion of an overall project blueprint

Fall 2014

Fig B. HumMod Source Code

Fig C. Anesoft GUI

Fig A. HumMod Waveforms

Parts ordering lists

HumMod Source Code Free Open Source software provided by the HumMod project.
To form the foundation of the simulation and perform most of the complex calculation and mathematical modeling.
HP Pavilion DV6 Laptop Free Provided by group
To demonstrate the simulation while maintaining portability and convenience.
National Brand Computation Notebook, 4 X 4 Quad, Brown, Green Paper, 11.75 x 9.25 Inches, 75 Sheets
$12.99
To record group conversations, ideas, pseudocode, logic diagrams, meeting minutes, interviews and provide physical
evidence of intellectual property.
Miscellaneous Travel Expenses/Consulting TBA
Meeting with Expert Advisers in person at their offices, any legal fees that may be needed for release or
anonymization of patient logs.

Receipts to be provided for all expenses!!

Progress toward completion of an overall project timeline

Current draft of elevator pitch

Over the years, many statistics have been gathered in order to determine complications and deaths that result
from general anesthesia. Currently 42.5% of deaths to general anesthesia result from adverse effects, where as 46.6%
of these deaths result from overdose. We can do better by preparing our doctors with powerful predictive tools in order
to close the rate of 46.6% to 0%. Currently simulators on the market have set conditions in order to train our doctors.
We are proposing an anesthesia simulator that displays vital signs in real time and allows users to input data to observe
responses with a wide variety of scenarios. Overall, our system will prevent the trend of unprepared doctors, and
patients can feel more comfortable knowing their loved ones are in the hands of caring professionals who are prepared
given any scenario to tailor to your loved one's anesthesia needs. Opt for safety. Trust in ADSICA.

Potential intellectual property

Though there are multiple patents out for anesthesia simulators, none quite fit the mold of what are group is proposing.
Our simulation would implement the use of a virtual patient being monitored in real time by a complex system of
customizable input/output variables. This system would be affected and utilized by both a vital sign readout and a drug
delivery system. Inputs would be read into the system to modify the data output for the specific patient. Along with that,
the system itself would also be affected by prior decisions made by the user, so the combined implementation of drugs
would affect one anothers total output data displayed. This would allow the program to be more useful than other
programs out there because it would allow for consistent change in variables, unlike the simulators now which just have
common set scenarios. One minor discrepancy that could be brought up later on is the fact that we are using current
simulators, such as the Anesoft Anesthesia Simulator as a basis for our project. Anesoft is only one of many simulators
we would like to mirror, but are end result would be completely different because unlike the others ours would be
proactive and not reactive. Our hope at one point would be that it could analyze trend data and predict an emergency
before it would happen. This of course would be more useful to run tests on than actually trying out dosages of drugs on
live patients. It is our hope that the consistent update of information will allow our program to be able to model any
situation possible in real time.
Related prior art
The HumMod device which we are basing our device off of is a free open source software program developed by the
University of Mississippi Medical School using funds from the National Institute of Health. The software is free to
distribute and modify as we see fit, as long as proper documentation and credit is provided. Other simulation programs
have been done before such as Rebecca Fitzgerald (see citations) that allow for the placement of a probe onto a 3D
modeled virtual patient, with application for various medical procedures, but none with the specialization in anesthesia,
and none based of the HumMod software. Other software we would like to use as guidelines for our project are current
simulation softwares on the market, no actual code is examined due to the fact that companies like Anesoft are
marketing subscriptions to their programs. We hope to amass a robust quantity of surgical anesthesia logs to be able to
analyze any trends in the data. Using this in conjecture with the current anesthesia softwares available, which are
pointed out in the Simulators for use in anesthesia article, will further help the creation of our own software.
Safety/ethical considerations
Patients medical information such as age, sex, and weight will be used as input for the simulator. We plan to obtain
approximately 100 anesthesia records as suggested by Dr. Solomon. According to Dr. Solomon, anesthesia groups or
anesthesia departments in medical schools can provide us with their records. Some of them have records for public
such as Stony Brooks Medicine. It is important keep patient confidentiality safe. Thus, records should not have any
information that can reveal patients identity.
We found several Anesthesia Groups in Southern California such as Metro Anesthesia Group (MAG), Allied Anesthesia,
and Integrated Anesthesia. We will contact them to check if they can share their data following ethical considerations.
Website URL

http://www.adsica.weebly.com

References
"Guidance Materials for Consumers." Guidance Materials for Consumers. U.S. Department of Health & Human Services,
n.d. Web. 10 Nov. 2014.
Hester, Robert L., et al. "HumMod: a modeling environment for the simulation of integrative human physiology." Frontiers
in physiology 2 (2011).
Coleman, T. G., R. L. Hester, and R. L. Summers. "Hummod model version 1.5.[Online] http." (2010).
Computer-based virtual medical training method and apparatus
Rebecca, F. and David, K. and Brian, L. and Sean, M. and David, N. and Randall, N. and Angela, N. and Mark, P. and
Greg, P. and John, S. and others
2008 October 9 WO Patent App. PCT/US2008/059,001
OB Anesthesia Survival Guide | Anesthesia.stonybrook.edu." OB Anesthesia Survival Guide | Anesthesia.stonybrook.edu.
N.p., n.d. Web. 19 Nov. 2014
"Anesthesia Simulator 6." Anesthesia Simulator: Screen-based Medical Simulation Software Anesoft. N.p., n.d. Web. 16
Nov. 2014.
Department of Anaesthesiology, Faculty of Medical and Health Sciences, University of Auckland, and Auckland City
Hospital. "Result Filters." National Center for Biotechnology Information. U.S. National Library of Medicine, Feb. 2007.
Web. 19 Nov. 2014.