The Noddle: A smart switch to enhance patient-provider communication.

DESCRIPTION provided by applicant Patients who cannot communicate with doctors nurses other health professionals and caregivers are at increased risk for having adverse medical outcomes Zubow and Hurtig reported that percent of conscious hospitalized patients and percent of intensive care unit patients were unable to independently activate standard nurse call systems Based on those estimates and the annual U S hospital discharge rate one can extrapolate that at least million American patients may have required some form of assistive technology in order to be able to summon help and communicate with their healthcare providers It is essential that solutions be found that allow intubated and physically weak patients to summon help and effectively communicate By addressing the causes of adverse medical outcomes U S hospitals have the potential to prevent deaths complications and $ billion in avoidable costs Innovation The Iowa Adaptive Technologies Inc Voxello team has developed a smart switch noddleTM that allows patients who have not been able to summon help or been able to use speech to communicate to access the nurse call system environmental controls and speech generating devices The development of the noddleTM used an iterative design approach that was informed by feedback from patients who were being kept alive with mechanical ventilation and whose physical conditions prevented them from accessing any existing nurse call pendants switches or other devices To address the needs of patients the noddleandapos s patent pending signal processing algorithm detects a patientandapos s slightest intentional gesture and uses the resulting signal to enable the patient to control multiple devices Consequently patients who can only produce a tongue click an eye blink or any other small motor gesture can activate the nurse call and simultaneously control a speech generating device As a complement to the noddleTM Voxello has developed content for a communication app noddle chatTM to allow non speaking patients to effectively communicate with their healthcare providers thereby reducing the risk of adverse medical outcomes and increasing patient satisfaction Voxello is working to obtain FDA clearance for the noddleTM Approach Voxello will conduct clinical trials to determine how easily the noddleTM and noddle chatTM can be implemented across clinical settings to enable patients to summon their nurses and effectively communicate Commercialization Voxello will manufacture the noddleTM at a US based certified medical device facility and will develop the necessary distribution channels to serve the hospital long term care and home care markets PUBLIC HEALTH RELEVANCE A key factor that has been associated with adverse medical outcomes is poor patient provider communication Patients who cannot effectively summon a nurse and indicate that they are in pain or having difficulty breathing are at greater risk of pressure ulcers aspiration pneumonia and adverse drug reactions The inability to summon a nurse is also associated with a greater risk of falls for patients in hospitals and long term care facilities By addressing the causes of adverse medical outcomes U S hospitals have the potential to prevent deaths complications and $ billion in avoidable costs This project aims determine if Voxelloandapos s technology will give patients the means to summon a nurse and effectively communicate and thereby achieve better patient care and safety as well as improve patientsandapos satisfaction with their care