Usability Validation of an Integrated Hemodynamic and Pulmonary Monitoring System Using Eye-Tracking Analysis

Abstract

Background/Objectives: Hemodynamic monitoring is essential for guiding appropriate treatment by assessing cardiac output and volume status, as well as for preventing complications associated with excessive fluid administration. The EdgeFlow CW10 Plus is a device that extends conventional hemodynamic monitoring by incorporating pulmonary abnormality surveillance through B-line detection. This study aimed to evaluate whether the hemodynamic monitoring and pulmonary monitoring functions are well integrated, and verify the usability and efficiency of the system. Methods: A usability test was conducted with a panel of 15 medical professionals from diverse specialties and varying levels of clinical experience. Data from satisfaction surveys, heat maps, the System Usability Scale (SUS), and the NASA-TLX were analyzed to determine whether usability differences existed based on the duration of clinical experience. Results: The device demonstrated a high overall task success rate, averaging 93.2%. Regarding eye-tracking analysis based on clinical experience, it was observed that participants with more years of experience either failed to direct their gaze toward task-relevant user interface (UI) elements as effectively as those with fewer years of experience or showed similar patterns. Conclusions: The usability evaluation confirmed that the hemodynamic and pulmonary monitoring functions of the EdgeFlow CW 10 PLUS are well integrated, with the device demonstrating high usability and satisfaction. This integration is expected to support medical professionals in monitoring cardiac output and fluid status, facilitating timely therapeutic interventions while preventing complications related to fluid overload.