Abstract:
A non-user assisted, portable, entirely self-managed capable hypothermia device to eliminate hair loss caused by the side effects of certain chemotherapy treatments or to reduce the metabolic rate of ischemic tissue along with the severity of swelling is disclosed. The device consists of a conformal cap system, a thermally conductive liquid located between the body part to be cooled and the cap system, thermal transfer fluids, phase change materials, thermally insulated cooler, physical measuring devices, mechanical and electrical components, a ‘smart’ user interface device, a battery, and an uninterruptible power controller.

Description:
CROSS REFERENCE TO RELATED APPLICATIONS 
       [0001]    This application is based on and claims priority and benefit of Provisional U.S. Patent Applications No. 62/112,110 filed Feb. 4, 2015; Application No. 62/112,117 filed Feb. 4, 2015; Application No. 62/112,121 filed Feb. 4, 2015, and their entire contents of which are incorporated herein by reference. 
     
    
     TECHNICAL FIELD 
       [0002]    This invention relates in general to methods and systems to eliminate hair loss caused by the side effects of certain chemotherapy treatments and to reduce the metabolic rate of ischemic tissue along with the severity of swelling. Still more particularly, the present invention relates to methods and systems to enable the user to self-manage its entire operation without assistance. 
       BACKGROUND OF THE INVENTION 
       [0003]    Therapeutic hypothermic treatments can reduce the distressing side effect of alopecia caused by chemotherapy treatment by cooling the scalp to below 19° C. during the chemotherapy session and for a brief time before and after the session. No other cooling times are required. The cold scalp temperature serves two purposes. One purpose is to reduce the circulation of blood flowing to the hair follicle cells so less chemo reaches the hair follicle cells. The second serves to decrease the uptake of the chemo drugs by the hair follicle cells preventing the chemo from getting inside the hair cells and killing them. For these reasons, scalp cooling should only be used on solid tumors not located in the head region. 
         [0004]    Hypothermia treatment for ischemic injuries has been known for years and is generally accepted to effectively reduce the metabolic rate of ischemic tissue and the severity of swelling. Sprains and muscle pulls are commonly treated with ice packs to provide the hypothermia. The simplicity of ice pack treatment allows it to be used nearly at the same time of the injury which, in turn, has contributed to its effectiveness. 
         [0005]    Given the known range of head sizes and head power, effective hypothermia treatment of the head region whether it be for treatment of alopecia or for ischemic injury requires overcoming a large thermal resistance associated with the thermal properties of the hair which can vary significantly from person-to-person due to, for example, amount and thickness. People skilled-in-the-art of heat transfer recognize hypothermia systems must provide a sufficiently cold surface in contact with the hair so that a large temperature difference between the cold surface and scalp will overcome the hair thermal resistance. For example, suitable cold surfaces may be achieved by pumping cold antifreeze fluids through conduits in a head surrounding cap; by cold packs placed around the head pre-cooled by dry ice or industrial grade freezers set at less than −30° C.; by cold packs made cold by endothermic chemical reactions; by cold caps made cold by piezoelectric effects; by cold gases pre-cooled by refrigeration systems or Joule-Thomson effects; or by other means. 
         [0006]    People skilled-in-the-art of health delivery recognize the efficacy of a treatment correlates with its simplicity and ease-of-use whether implemented by trained personnel or by the user. Effective hypothermia treatment of the head region also requires the user or support personnel to be trained to fully comply with operational instructions of the device. 
         [0007]    An inherent difficulty exists with cold packs pre-cooled by dry ice or refrigeration systems because they do not have enough thermal capacity to allow for a single cap to be used throughout the duration of cooling. Thus, fresh cold caps must replace the warmed caps approximately every 20-30 minutes. The process of removing and replacing caps increases the likelihood of poor results and is especially very difficult to do without assistance while connected to chemotherapy tubes. 
         [0008]    Similarly, foldable cold caps formed in-situ to the user&#39;s head by wrapping, connecting tabs, filling air bladders, or by splicing multiple pieces together in a manner to improve fit require assistance to the user to don properly. 
         [0009]    Effective hypothermia treatment of the head region also requires the device to be ready and available when needed. Cooling devices owned and maintained by the healthcare facility may not necessarily be available due to scheduling conflicts or simply not geographically near the user. 
         [0010]    Complex hypothermia head cooling solutions such as those using refrigeration systems or multi-faceted head wraps tend to required on-site trained personnel to implement which in itself inhibits availability due to healthcare providers not wanting the capital equipment to own, store, and maintain besides the added responsibility and liability to have a trained staff for a treatment that is primarily cosmetic. These complex cooling devices tend to be more costly and may result in fewer users available to benefit from the treatment. Also, recent studies regarding therapeutic hypothermia for concussions indicate cooling may reduce primary and secondary injuries to the brain and is more effective if administered as soon as possible after an injury thus scheduling conflicts or geographic constraints will adversely impact the efficacy of this treatment. 
         [0011]    Refrigeration systems, large equipment, sophisticated operating panels, manuals with medical jargon, and odd fluids with special handling requirements appear unwieldy and complicated to most users to self-manage, especially at a time of duress. Effective hypothermia treatment of the head region to be self-managed by the user require self-evident familiarity of equipment, its components, and controls such that operational anxiety and mistakes can be minimized. Also, self-managed devices require in real time “on-demand” services that are not available to those devices dependent on trained personnel as the middle man between the device and the user. 
         [0012]    Effective hypothermia treatment of the head region requires certain physical data measurements such as temperature or EEG waves and machine operating conditions such as fluid flow rates or voltages be collected so that user compliance can be verified and the equipment can be improved. 
         [0013]    Systems requiring industrial refrigerators or integrated refrigeration units tend to be expensive for medical facilities to own, store, and maintain. Although costs may be amortized across multiple users, an inherent cost exists compared to those devices that use commercially available materials, fluids, self-managed, and maintained. Effective low cost devices for hypothermia treatment of the head region requires costs to be low all aspects of operation whether it be capital, operating, maintaining, storing, user, or medical facility and personnel costs. 
         [0014]    Large stationary or multi-user refrigeration systems reside at a clinic therefore cool down cannot start at home or in transit to the clinic. Stationary systems require the user to be tethered to the system from beginning to end and with scalp cooling for preventing hair loss, the beginning of use starts before treatment and the end of use can be several hours after the chemotherapy treatment has ended. For restroom visits, the user must temporary stop usage and hope the warm-up was not too severe to cause hair loss. Equally disconcerting for the preventing hair loss application, is that tethered to a stationary or multi-user system means the user cannot attend other appointments during the post treatment phase. Thus, mobile systems with uninterruptible power sources combined with self-managed controls are required for effective hypothermia systems to be used “on-the-go” from beginning to end of use. 
       SUMMARY OF THE INVENTION 
       [0015]    Accordingly, the primary object of the present invention is to overcome the shortcomings of the prior art systems by providing a hypothermia system that can be fully implemented solely by the person using the invention, is readily available, low cost, prevents hair loss during chemotherapy, or can provide rapid application of cooling to positively affect multiple aspects of brain trauma, and includes
       a flexible and conformal cap system with at least one contiguous fluid conduit from an inlet connector to an outlet connector formed to substantially encapsulate the body part to be cooled, has one or more physical measuring devices, has covering said conduit on surfaces away from said body part a stretchable insulating outer shell with chinstrap, and a secondary stretchable insulating material around said outer shell to circumferentially squeeze the conduits to close proximity to that to be cooled;   a thermally conductive biocompatible liquid substantially displacing the air surrounding the user&#39;s hair strands and filling the gaps between the body part to be cooled and the conduit outer surfaces forming the interior of the cap;   a ‘smart’ user interface device with logic commands to provide self-managed ease-of-use, user instructions, system control and monitoring, where said self-managed ease-of-use includes user&#39;s ability to infinitely control within predetermined bounds the rate of cool down, where said control includes algorithms to evaluate physical measuring devices and alert user for intervention, if warranted, or automatically make system adjustments;   a thermally insulated cooler system with a tank, a mechanical compartment, an electrical compartment, and plumbing components, with said tank holding a thermal transfer fluid and phase change material, said mechanical compartment having one or more sensors and a pump to circulate the transfer fluid, said electrical compartment having electrical components to control and power the system including an uninterruptible power controller to automatically switch between battery power and external power.       
 
         [0020]    Another object of the present invention is to provide a generally accepted user interface to control the system. 
         [0021]    A further object of the present invention to provide a single cap for use throughout the entire treatment. 
         [0022]    Yet another object of the present invention is for the device to be fully functional while in transit or away from the treatment center. This could be for example restroom visits, other appointments, walking to/from one&#39;s car, traveling in a car, or simply finishing the cooling phase at home. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0023]    The invention will be described in greater detail with reference to the accompanying drawings which represent a preferred embodiment thereof, wherein: 
           [0024]      FIG. 1  is an isometric view of a preferred embodiment of the self-managed, mobile, hypothermia system; 
           [0025]      FIG. 2  is an isometric rear left view of a user wearing a flexible and conformal cap and for depiction purposes is shown without its outer shell or supplementary headbands; 
           [0026]      FIG. 3  is an exploded isometric cross-sectional view of a physical measuring device with some components cross-sectioned; 
           [0027]      FIG. 4  is a combined fluid flow diagram and electrical wiring schematic of the hypothermia system; 
           [0028]      FIG. 5  is a pictorial of three screen shots of a user&#39;s smart mobile device for monitoring and controlling the hypothermia system; 
           [0029]      FIG. 6  is a logic flow chart of the embodiment shown in  FIG. 1 . 
       
    
    
     DETAILED DESCRIPTION 
       [0030]    With reference to  FIG. 1 , a self-managed portable hypothermia system  100 , according to an embodiment of the present invention, includes a portable cooler system  101 , a flexible and conformal cap system  102  that is worn by a user, a smart mobile device  103  which is wirelessly connected to the said cooler system and remote data storage  104  as shown by the dashed lines is illustrated. The said cooler system comprises of a thermally insulated, leak proof cooler for containing a thermal transfer fluid  105  and phase change material  106 ; a telescoping handle system with casters to aid system mobility; an electrical control box; a mechanical control box; electrical and plumbing conduits  107  linking the cooler system with the said cap system; and an electrical connection  108  to a 12 volt source such as an external battery or motor vehicle or in combination with a AC/DC adapter to typical AC power such as 120 V wall sockets. The plumbing conduits  107  are encapsulated by a vapor barrier and thermal insulation  109  (shown partially) to eliminate condensation and minimize heat gain respectively. 
         [0031]    The purpose of the phase change material  106  is for exploiting its high energy storage capacity (i.e., latent heat of fusion) at a temperature sufficiently below the desired head temperature so that as the heat transfer fluid  105  is pumped through the cap system  102  enough energy can be removed from the head and transferred to the phase change material. 
         [0032]    The purpose of the casters and telescoping handle is to aid in the mobility object of the invention. The entire system  100  can be operated and transported by a single person. 
         [0033]    The flexible and conformal cap system  102  consists of a single contiguous high thermal conductivity thin wall conformal conduit  110 ; a high thermal conductivity liquid agent  111  (partially shown); one or more physical measuring devices  112  for temperature or brain activity measurements, an outer shell  113  to thermally insulate the cap and assist in maintaining the cap snug against the head; a secondary flexible and conformal head band  114 ; drip-less fluid connectors  115 ; a connector  116  for sensors; and supplemental cap inverse suspenders  117 . The head band  114  improves heat transfer and sensor contact by cap circumferential squeeze. A similarly shaped head band resides under  114  (not shown) but angled downward to only cover the skin can be used to prohibit seepage of any liquid agents  111  used between the head and cap. Contributing to the ease-of-use and self-managed objects of this invention are the preferred use of gender specific plumbing connectors for direction of fluid flow and a standard everyday and familiar phone jack connector for the sensor wire connections. Said connectors  115  have their mating fluid and sensor connectors located on cooler system  101 . The user cannot connect either type together incorrectly. The design of the shape of the cap system  102  enables easy user recognition of its front and back such that it is easy for the user to orient and put on. 
         [0034]    The liquid agent  111  is applied by the user across the entire inside surface area of the cap, copiously throughout the user&#39;s hair (not shown) that contacts the cap, and the grooves located between adjacent conduits. In the preferred embodiment, the liquid agent is a water based gel for high conductivity, ease of application, cleaning, and may optionally contain ingredients to preserve the skin or hair of the contacting body part. 
         [0035]    The desired scalp temperature is achieved by the preferred embodiment of the hypothermia system for eliminating or reducing hair loss because of a paradigm shift of how to overcome the total thermal resistance from the head surface to the liquid phase of the phase change material. Key to this paradigm shift is use of the said gel  111  which dramatically reduces the thermal resistance of the hair to magnitudes that enable trade-offs with other thermal resistance elements in the overall heat transfer path. In essence, the gel enables other elements of the system to be simple and common such as water for the transfer fluid  105  and ice  106  for the phase change material which makes a low cost, portable, self-managed hypothermia system possible since water and ice are readily available for the user whether be at a user&#39;s home or at a local convenient store. Furthermore, the ice and water can co-mingle in the preferred embodiment which as a result eliminates all thermal resistances associated with transferring heat through whatever packaging is implemented for separating the phase change material from the transfer fluid. In the absence of gel, circulating ice water will not achieve a cold enough scalp temperature to save one&#39;s hair while undergoing chemotherapy treatments for cancer. 
         [0036]    Although numerous methods may appear adequate to wet the hair with gel, it is important to replace the air between the hair strands with gel, have the hair/gel composite thin, and lay flat against the scalp. In the preferred embodiment for eliminating or reducing hair loss, the method for the user to apply said water based gel copiously to the user&#39;s hair is to
       use a comb to part back of head near midline, apply gel to both sides of said part;   make a similar part about ½-1″ to the right of first part, and apply gel to both sides again;   continue making parts about 1″ to the right applying gel to both sides until ear is reached;   repeat on the left side of center back part until left ear is reached;   make a part down front center, apply gel to both sides;   repeat part to right of center about ½-1″ until meet where gel is on right side;   do to the left of center part;   take wide tooth comb and comb through hair to shoulder length;   while combing through, distribute hair evenly and flatten to scalp.       
 
         [0046]    Also in the preferred embodiment, the said water based gel is applied copiously all over inside of cap by the user using their fingers to spread gel evenly throughout the inside of the cap, filling the grooves present between adjacent conduits. 
         [0047]    During operation of the hypothermia system of this invention, heat is extracted from the head, through the gelled hair, to the pumped transfer fluid which returns to the cooler where the ice absorbs the energy contained in the fluid. The energy is transferred at first by warming the ice to its phase change temperature and then by changing its phase from solid to liquid. The newly formed liquid becomes additional transfer fluid available for circulation. 
         [0048]    This invention does not preclude other material selections for the transfer fluid and phase change material. Those skilled-in-the-art of heat transfer and material science may trade-off design parameters in a manner that enables, for example, a saline solution to be used as the transfer fluid and phase change material at the expense of ease-of-use and availability. Alternatively, one may use an anti-freeze for the transfer fluid and an engineered phase change material that are kept separated by a membrane or other packaging means. Although alternative methods may achieve scalp cooling it will be at the expense of one or more objects of this invention thereby impacting its acceptance by a user, clinic, or healthcare provider. 
         [0049]    The cooler system  101  holds sufficient transfer fluid and phase change material to maintain cooling for the duration of most treatments. An additional charge of phase change material is added to the cooler by the user for especially long treatments (e.g., 10 hours) or for embodiments having coolers with less than 15 liter capacity. The use of water and ice simplifies the user&#39;s skills required to add an additional charge. The cooler is sufficiently insulated such that the transfer fluid it holds is maintained near its phase change temperature throughout its duration of use. In the preferred embodiment, 10 pounds of ice and 1 gallon of water provide ample cooling duration for the user. 
         [0050]    The outer shell  113  and head band  114  are of insulating and light weight material such as neoprene so user comfort is maintained throughout duration of use. The outer shell is perforated at certain locations  118  to aid in the ability to hear but not compromise on strength of the material. The cap worn over one&#39;s head has protective covering of the ears to prohibit local over cooling and has provisions for holding eye wear without impeding the performance of the device. Graspable regions around the said outer shell aid installation and facilitate a tight fit to the head and at certain locations  119  can attached to the aforementioned inverse suspenders  117  for additional assurance of a snug fit. If suspenders  117  are not used, the locations  119  can attach to each other under the user&#39;s chin. There are provisions in the outer cap  113  for circumferential elastic ribbons to further improve the snug fit and optionally worn for fashion comfort. The outer shell can be oversized beyond the cooling portion of the head for insulating bare skin regions. An even outer portion (not shown) beyond  113  can be worn for fashion comfort and even added insulation. Three to five conformal caps  102  of various sizes are required to service a broad range of head sizes. 
         [0051]    With reference to  FIG. 2 , an isometric rear left view of a user wearing a flexible and conformal cap is depicted and for delineation purposes is shown without its outer shell  113  or supplementary headbands  114 . An opening  201  at the top of the cap enables air to escape that otherwise would have been trapped between the head and cap tubes while putting on the cap due to the snug fit of the cap to the head. Large amounts of residual air will resist compression and counteract the desired cap fit. For the preferred embodiment with a water based gel, a cap is made from about a 10 meters of 5/16″ diameter, 1/16″ wall thickness silicone rubber tubing. The silicone material allows for cap flexibility, durability, and thermal conductance. The conduit  110  cross section for fluid flow is reduced in area after securing the cap to the head due to its conformal properties thereby improving its laminar heat transfer capability. The material durometer is significantly high so that pinching cannot occur. The tube is wrapped in a contiguous spiral to match typical head shapes and kept together with silicone rubber adhesive  203  (partially shown). Said adhesive is applied as a fillet at each conduit-to-conduit contact across the entire outer surface of the cap except if certain compliancy locations  204  are implemented. The fillets of adhesive seal the cap water tight thereby entrapping the said liquid agent between the scalp and cap interior. Additionally, the adhesive improves the effectiveness of the conduits heat transfer by augmenting the conduction path to the far side conduit wetted surfaces. One or more physical measuring devices  112  are attached to the conduits by adhesive. Select conduit-to-conduit contact locations may be absent of adhesive to enhance cap conformity. To assist in conforming the cap to the user&#39;s head, additional material  202  is selectively located around the top portions of the cap so reactive forces created by securing the outer shell  113  are applied to the cap at locations ensuring a consistent fit across the surface area of the head. The said compliancy locations  204  minimize conduit counter forces and allows for the conduits affected by the additional material to move closer to a surface below. 
         [0052]    The conduits  110  are routed inside a larger anti-pinching conduit  205  having a portion of length overlapping several circumferentially wrapped conduits and another portion at least several inches beyond the largest opening of the cap. The anti-pinching conduit reinforces the cantilevered portion of the conduits so than bending or twisting of the cap does not cause the fluid channel to pinch shut. 
         [0053]    With reference to  FIG. 3 , the physical measuring device  112  comprises of a stationary part  301  that is fixed between adjacent conduits  110  (one not shown) and not attached to the component to be measured such as a person&#39;s head, a movable part  302  that can travel along its major axis within the said stationary part with one end of the movable part able to protrude from the stationary part and make contact or be in close proximity to the component to be measured such as the scalp of one&#39;s head, a restraining part  303  that attaches to the stationary part on the side opposite the component to be measured and retains the movable part within the stationary part, one or more sensors  304  such as a thermistor or EEG element with its sensing portion at the protruding end of the movable part and its electrical wires  307  exiting out near or at its other end, a spacer  308 , a spring  305  located between the cap and movable part end having wires exiting thereby applying force on the movable part such that contact or close proximity to the component occurs, a cable tie  306  that locks the restraining part  303  onto the stationary part  301  and also inhibits external forces on the wires to cause any unwanted sensor movement. The stationary part  301  is typically held in place in the cap by silicone adhesive  203  whereas the movable part, sensor, washer, and spring are mechanically held in place by the restraining part  303  and cable tie  306 . 
         [0054]    The stationary part  301  is made of insulating material such as plastic and is hollow or of sparse interior material composition thereby effectively reducing its thermal conductivity. The inner chamber of the stationary part is for containing one or more movable parts and is sized to permit the movable part installation from the side opposite that of the component to be measured and prohibit the movable part from protruding beyond a prescribed amount by stop feature  309 . The stationary part surface in close proximity to the body part can be contoured to match the surface contour of the head. 
         [0055]    The movable part  302  is also made of insulating material such as plastic and is hollow or of sparse interior material composition thereby effectively reducing its thermal conductivity. The stationary and movable parts can be of different material types. The movable part  302  has a hollow core spanning its entire length so that electrical wires  307  can be routed from the sensor through the core of a spring  305  and spacer  308 . The spring  305  is made of non-corrosive material such as stainless steel and exerts a force on the movable part. The spacer  308  length can be modified to tune spring force and travel. The minimum and maximum travel of the movable part is determined by a composite of spring length, length of said internal cavity, movable part length, and locations of the stop features  309  and  310 . Typical movable part travel is normal to the component to be measured with maximum inward travel yielding the sensor flush with the bottom surface of the stationary part and maximum protrusion of 3/16″. For certain cases, the travel may not be normal to the component to be measured. Non-normal travel may be desirable for hard to reach areas or if the sensor geometry is asymmetric. In the preferred embodiment of the invention, the sensor is slightly recessed into the movable part and secured with thermal conducting epoxy. 
         [0056]    The measurement by the sensor  304  is minimally impacted by the cold transfer fluid  105  traveling through the conduits  110  because of a high thermal resistance path existing between the head and transfer fluid due to the small physical size of the measuring device components, their low material thermal conductivity, their sparse internal structure, and a gap between the movable and stationary parts. In the preferred embodiment, the movable part is ⅛″ diameter but its cross section is not required to be circular. 
         [0057]    The retention part  303  has a relatively large internal cavity  311  for the sensor wires  307  to occupy as they move freely as the movable part travels up or down. The travel up or down occurs predominately whenever the user installs the cap on their head and travels slightly due to thermal contractions and expansions of the materials. The sensor wires are locked at one end of the cover by the cable tie  306  wedging the sensor wires against retention tab  312  thereby creating strain relief for the sensor wires. 
         [0058]    The physical measuring device  112  is replaceable and reusable. In some cases, it may be desirable for movable part not to be installed thereby leaving its associated cavity in the stationary part available for other uses such as viewing, installing a different sensor, or as an access port to the head. 
         [0059]    With reference to  FIGS. 1 and 4 , an electrical control box  401  contains an on-board microprocessor  402 ; an uninterruptible power controller  403 , a battery  404 , and an on/off power switch  405 . The microprocessor  402  receives electrical data signals from the physical measuring device  112 , flow meter  410 , and via wireless communication master control data from the smart mobile device  103 . The microprocessor manipulates the said data and outputs control data to the pump  406  located in the mechanical control box  411  and to the master controller  103 . Not shown are the ancillary electrical components to reduce electrical noise effects on the sensor measurements and a voltage regulator to adjust incoming voltage to levels suitable for the microelectronics. For low cost and proven reliability, the preferred microprocessor embodiment employs analog signal processing for sensor measurement with digital pulse-width-modulation for variable voltage output to adjust pump flow rate in order to raise or lower the temperature of the head. The uninterruptible power controller  403  continuously monitors the supply power from the external power source  108  and on-board battery  404 . The power controller  403  automatically switches between power sources if one is deemed unacceptable for use. Re-charging the battery is also controlled by the uninterruptible power controller. 
         [0060]    In the preferred embodiment, the pump  406  is of positive displacement type thereby able to generate sufficient pressure to force the transfer fluid though the tubes, disconnects, valves, and other plumbing components in the fluid path. A strainer  407  is located in the suction path upstream of the pump. The strainer prohibits any small particles to be introduced into the pump and is especially useful for those cases where the phase change material co-mingles with the transfer fluid. A check valve  408  is downstream of the output from cap  102  and is oriented to prohibit the cap to drain for those occurrences when the pump is off thereby trapping the high thermal capacity transfer fluid in the conduits to absorb heat from the head while the fluid is stationary. The check valve enables the microcontroller to sequence the pump on and off rather than run continuously. In the preferred embodiment, the pump runs at a 50% duty cycle. The non-continuous pump operation allows for longer battery life and contributes to achieving the mobility object of the invention. The pump may run at full power continuously if the microprocessor evaluation of the system data deems it to be necessary to meet the hypothermia objectives set by the system and user. One or more drain holes  409  are located in the mechanical box  411  in case any leakage of the plumbing hardware may occur. The electrical box  401  is isolated from the mechanical box except for a small sealed wiring conduit. 
         [0061]    With reference to  FIGS. 1 and 5 , the smart mobile device  103  is the master controller of the hypothermia system. Look and feel of its operation follows present de-facto smart phone applications in regard to input, feedback, responsiveness, pop-up alerts, and pop-up notices. Its familiarity reduces user anxiety that may exist from seemingly complicated and high tech instrumentation evident on other devices found in the healthcare industry. The smart phone device has powerful on-board computing capabilities, wireless communication components, and a high resolution display all of which are leveraged by this invention without inheriting their costs. Similarly, the smart mobile device application can automatically and securely connect to an on-line database  104  for real time updates to certain parameters of the application software. Significant revisions can occur in less that three days world-wide in today&#39;s standards. Hence, the implementation of a user&#39;s own smart mobile device contributes to satisfying the ease-of-use, low cost, and availability objects of this invention. 
         [0062]    To operate, the self-managed portable cooler system  101  and smart mobile device  103  must be powered-on. Wireless communication with one another must occur at the beginning of operation but not necessarily throughout the entire duration of treatment. Communication occurs by the user opening the application software on the mobile device, pushing the connect button  502  on the home screen  501  then enters a unique device ID provided by the manufacturer in the application window  503 . The software automatically pairs the mobile device to the hypothermia system and locks-out all other devices. The system operation cannot proceed unless connected and the user agrees to manufacturer terms and conditions which are presented to the user automatically before the start of each session. Also included on the session screen  501  are the power level indicator  511 , sensor performance gauge  509 , status text screen  512 , tab selection buttons  504 , and user customization input slider  510 . The aforementioned screen windows are not necessarily visible to the user at all times. 
         [0063]    Once connected and terms are agreed to, the user can choose to continue with the session or move to the information screen  505  or tools screen  506  via the tab selection buttons  504 . Instructional videos  507  and manuals  508  for how to, for example, prepare the cooler with transfer fluid and phase change material; how to put-on the cap; how to operate the application; how to service the system; how to clean the system; how to run on battery mode; and, how to interpret alarms and warnings. All are available at any time the user selects the information screen. The tools screen includes, for example, user selection  513  to customer service contacts, evaluation forms, frequently asked questions, and instructions for the system to drain itself once the hypothermia treatment has ended. The user can choose at anytime during the hypothermia treatment to text, email, or phone customer service without compromising the function of the system. Similarly, the user can open other applications found on the smart mobile device such as videos, web browsing, social networks, etc. while the hypothermia application continues to run in the background. 
         [0064]    For the hair preservation preferred embodiment of the hypothermia system, the session screen  501  progressively illustrates six phases of operation. The six phases are cap fit, cool down, maintain, treatment, post-treatment, and conclude. The cap fit phase polls the sensors in the cap and determines if the fit of the cap is adequate to proceed to the next phase. The algorithm examines left-right, front-back, or other sensor comparisons to determine if measured variations are within expectations for the application. Once the cap fit phase ends, the user enters the cool down phase. Cold transfer fluid starts flowing through the conduits in the cap at a relatively slow flow rate. A controlled rate of cool down is tailored to the user to rates by their own choosing within certain functional bounds of the system. Twenty to thirty minutes is chosen by most users to comfortably achieve a scalp temperature below 19° C. The customization slider  510  permits the user to adjust the rate of cool down. Once the temperature is achieved, then the maintain phase begins. This phase maintains the temperature while the user is waiting for the treatment to begin. Once the treatment begins, the treatment phase begins. Post-treatment phase maintains the scalp temperature for a set time period based on the chemo regimen. This phase could last upwards of 5 hours. Due to the on-board battery  404  and uninterruptible power supply  403 , the user can freely choose to be mobile and travel at-will without compromising functionality of the hypothermia system. 
         [0065]    With reference to  FIGS. 1, 4, 5, and 6 , in many respects, the success of contributing to the self-managed object of the invention exists because of under-the-covers automatic software managed control of the hypothermia system embedded in the application software  103  and microprocessor  402 . Once the button  502  is pushed, the application attempts to establish wireless communication  601  with the microprocessor decision block  611 . Communicating and pairing activities occur continuously while both devices are powered and a successful communication pairing sets a flag  615  to one (i.e., logical TRUE). Single line bordered symbols represent function located in the smart user interface device whereas double line bordered symbols represent function located in the microprocessor. Those skilled-in-the-art of programming may choose different allocations of code blocks (single/double line) but  FIG. 6  represents the preferred embodiment to satisfy several objects of the invention. 
         [0066]    The said phases of operation have different operating parameters and block  602  determines the active phase and loads its corresponding operating parameters  603  into appropriate variables such as set points, times, limits, alarm values, etc. The hardware sensors  617  read from the microcontroller and transmitted  618  for the mobile device to read  604 . Coupled with optional user input values  605 , newly acquired information is supplied to an algorithm  606  for system evaluation. In the cool down phase, the algorithm provides a controlled rate of cool down thereby enabling the user to acclimate to the colder temperature. The user may choose to change the rate of cool down and provide a rate adjustment as a user customization value  605 . 
         [0067]    Decision block  607  has algorithms customized to each phase. For instance, a relatively high temperature value in the cap fit phase is desirable where a high value in treatment phase is an indication of a potential fault. Acceptable operating parameters are transmitted  610  wirelessly (dotted line) to the system hardware code  616  where default values are over written. 
         [0068]    The user may be notified for an intervention  608  if decision  607  determines a value is unacceptable. One example is if the user forgets to add transfer fluid into the system or forgets to connect the drip-less fluid connects  115  together. For this example, a flow meter would measure no flow and the algorithm would determine a fault condition and notify the user to add fluid. Another example is if the user forgets to connect the sensor connector  116  then erroneous measurements would be noticed by the software and intervention then requested. 
         [0069]    Sensor readings  617  are modified, compared to control parameter values  619 , and with algorithm  606  control levels are adjusted to bring the system closer to desired levels. Those skilled-in-the-art of control theory can apply various control procedures such as proportional-integral-derivative algorithms to adjust pump speeds  620  to achieve a scalp temperature. In essence, the code runs continuously in a loop reading sensors  617 , transmits  618  to mobile device, combines user input  604 , set hardware controls  619 , and does error checking  606 . A fault or error that is controlled automatically (i.e., user intervention does not occur) is, for example, if  606  determines  604  is unsafe (i.e., temperature too cold), then control signal  620  sends shuts off signals the pump. 
         [0070]    Once flag  615  is set as determined by decision block  613 , the hardware can operate to most recently updated control parameter values in the absence of wireless communication  621 . For this case, however, user inputs  605  are not available to the hardware until communication is re-established. If the flag is never set or if the control signals stipulate, the system is turned off at block  614 . 
         [0071]    The smart mobile device code continuously monitors the system operation. It can, for example, determine if the cap is put on correctly by polling and examining sensors in the cap. It can discern if any sensors are not behaving correctly and either interrupt the user to fix or remove from the control algorithms. It can turn the system off automatically once the appropriate amount of time for a prescribed treatment has elapsed. It can discern if the battery power becomes too low for proper operation and interrupt the user for attention to switch over to wall power. 
         [0072]    Periodically, the smart mobile device code transmits data via a communication link  609  to be retained at the remote server  104 . Sensor data, control parameters, and user information are part of the data retention package and optionally can be shown to the user at any time. All data is password protected and secured to prevailing government guidelines. 
         [0073]    In essence, the user of the hypothermia system of this invention requires no assistance to put on, operate, take-off, or maintain whilst achieving all of the aforementioned objects of the invention.