WO2004060043A2 - Advanced patient management system including interrogator/transceiver unit - Google Patents
Advanced patient management system including interrogator/transceiver unit Download PDFInfo
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- WO2004060043A2 WO2004060043A2 PCT/US2003/041374 US0341374W WO2004060043A2 WO 2004060043 A2 WO2004060043 A2 WO 2004060043A2 US 0341374 W US0341374 W US 0341374W WO 2004060043 A2 WO2004060043 A2 WO 2004060043A2
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0031—Implanted circuitry
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16Z—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
- G16Z99/00—Subject matter not provided for in other main groups of this subclass
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4806—Sleep evaluation
- A61B5/4815—Sleep quality
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
Definitions
- the present disclosure relates generally to advanced patient management systems. More particularly, the present disclosure relates to advanced patient management systems including an interrogator/transceiver unit to collect, analyze, and forward data from one or more patients.
- Heart failure like many other chronic diseases such as asthma, COPD, chronic pain, and epilepsy, is event driven, where acute de-compensations result in hospitalization. In addition to causing considerable physical and emotional trauma to the patient and family, event driven hospitalizations consume a majority of the total health care expenditure allocated to the treatment of heart failure.
- Hospitalization and treatment for an acute de-compensation typically occurs after the de-compensation event has happened. However, most heart failure patients exhibit prior non-traumatic symptoms, such as steady weight gain, in the weeks or days prior to the de-compensation. If the caregiver is aware of these symptoms, it is possible to intervene before the event, at substantially less cost to the patient and the health care system. Intervention is usually in the form of a re-titration of the patient's drug cocktail, reinforcement of the patient's compliance with the prescribed drug regimen, or acute changes to the patient's diet and exercise. Such intervention is usually effective in preventing the de-compensation episode and thus avoiding hospitalization.
- Implantable cardiac devices such as pacemakers, implantable cardioverter defibrillators (ICDs), and heart failure cardiac resynchronization therapy (CRT) devices.
- ICDs implantable cardioverter defibrillators
- CRT heart failure cardiac resynchronization therapy
- the electrophysiologist that implants pacemakers and ICDs requires their patients to make clinic visits periodically, usually once every three or four months, in order to verify if their implanted device is working correctly and programmed optimally.
- Device follow- ups are usually performed by the nurse-staff assisted by the sales representative from the device manufacturers. Device follow-ups are labor intensive and typically require patients to make multiple clinic visits.
- the data the caregiver does receive regarding a patient requires the caregiver to analyze the data and provide predictive and post-event diagnosis based on the data.
- the data the caregiver does receive regarding a patient requires the caregiver to analyze the data and provide predictive and post-event diagnosis based on the data.
- the present disclosure relates generally to advanced patient management systems. More particularly, the present disclosure relates to advanced patient management systems including an interrogator/transceiver unit to collect, analyze, and forward data from one or more patients.
- the invention relates to an interrogator/transceiver unit in an advanced patient management system, the unit being configured to communicate with at least one device associated with a patient, and a host.
- the unit includes a processor module to process software instructions, an interface with a remote host, and a memory module, wherein the memory module includes, at startup, baseline software to allow the unit to ping the device and, upon a response from the device, the unit is configured to connect through the interface to the remote host to download software into the memory module that is specific to the device.
- the invention relates to a system for configuring an interrogator/transceiver unit for use in an advanced patient management system, the unit being configured to communicate with at least one device associated with a patient, and a host.
- the system includes an interrogator/transceiver unit, the unit including a processor to process software instructions, an interface, and a memory module, wherein the unit is blank at initialization, and a computer system coupled to the unit through the interface, wherein the computer system allows a user to select one or more of a plurality of device models and, upon selection, installs software associated with the selected device model on the unit.
- the invention relates to a method of transmitting data from a device associated with a patient to a remote host as part of an advanced patient management system, the method including: providing an interrogator/transceiver unit being configured to communicate with the device; initializing the unit; sending a ping from the unit to the device; and responding with identification information from the device to the unit.
- the invention relates to a method of transmitting data from a device associated with a patient to a remote host as part of an advanced patient management system, the method including: providing a blank interrogator/transceiver unit; providing a computer system to allow selection from a list of a plurality of device models; selecting the device from the list of the plurality of device models; and installing software on the unit to allow the unit to communicate with the device.
- FIG 1 illustrates an example advanced patient management system made in accordance with the present invention
- FIG. 2 illustrates an example interrogator/transceiver unit made in accordance with the present invention
- Figure 3 illustrates an example system for updating software on an interrogator/transceiver unit
- Figure 4 illustrates an example automatic method for initially updating software on an interrogator/transceiver unit
- Figure 5 illustrates an example manual method for initially updating software on an interrogator/transceiver unit
- FIG 6 illustrates an example communication system made in accordance with the present invention. While the invention is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and will be described in detail. It should be understood,' however, that the intention is not to limit the invention to the particular embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention.
- the present system and methods are described with respect to an advanced patient management system configured to collect patient-specific information, store and collate the information, and generate actionable recommendations to enable the predictive management of patients.
- the advanced patient management system is also configured to leverage a remote communications infrastructure to provide automatic device follow-ups to collect data, coordinate therapy, and to determine if remote devices are functioning properly.
- patient is used herein to mean any individual from whom information is collected.
- caregiver is used herein to mean any provider of services, such as health care providers including, but not limited to, nurses, doctors, and other health care provider staff.
- FIG. 1 illustrates an example advanced patient management system 100 made in accordance with the present invention.
- Advanced patient management system 100 generally includes the following components: one or more devices 102, 104, and 106, one or more interrogator/transceiver units 108, a communication system 110, one or more remote peripheral devices 109, and a host 112.
- Each component of the advanced patient management system 100 can communicate using the communication system 110. Some components may also communicate directly with one another. For example, devices 102 and 104 may be configured to communicate directly with one another. The various components of the example advanced patient management system 100 illustrated herein are described below. I. Implanted/External Devices
- Devices 102, 104, and 106 can be implantable devices or external devices that may provide one or more of the following functions with respect to a patient: (1) sensing, (2) data analysis, and (3) therapy.
- devices 102, 104, and 106 are either implanted or external devices used to measure a variety of physiological, subjective, and environmental conditions of a patient using electrical, mechanical, and/or chemical means.
- the devices 102, 104, and 106 can be configured to automatically gather data or can require manual intervention by the patient.
- the devices 102, 104, and 106 can be configured to store data related to the physiological and/or subjective measurements and/or transmit the data to the communication system 110 using a variety of methods, described in detail below.
- the devices 102, 104, and 106 can be configured to analyze the measured data and act upon the analyzed data.
- the devices 102, 104, and 106 are configured to modify therapy or provide alarm indications based on the analysis of the data.
- devices 102, 104, and 106 also provide therapy. Therapy can be provided automatically or in response to an external communication.
- Devices 102, 104, and 106 are programmable in that the characteristics of their sensing, therapy (e.g., duration and interval), or communication can be altered by communication between the devices 102, 104, and 106 and other components of the advanced patient management system 100.
- Devices 102, 104, and 106 can also perform self-checks or be interrogated by the communication system 110 to verify that the devices are functioning properly. Examples of different embodiments of the devices 102, 104, and 106 are provided below.
- Implantable devices implanted within the body have the ability to sense and communicate as well as to provide therapy.
- Implantable devices can provide direct measurement of characteristics of the body, including, without limitation, electrical cardiac activity (e.g., a pacemaker, cardiac resynchronization management device, defibrillator, etc.), physical motion, temperature, heart rate, activity, blood pressure, breathing patterns, ejection fractions, blood viscosity, blood chemistry, blood glucose levels, and other patient-specific clinical physiological parameters, while minimizing the need for patient compliance.
- electrical cardiac activity e.g., a pacemaker, cardiac resynchronization management device, defibrillator, etc.
- physical motion e.g., temperature, heart rate, activity, blood pressure, breathing patterns, ejection fractions, blood viscosity, blood chemistry, blood glucose levels, and other patient-specific clinical physiological parameters, while minimizing the need for patient compliance.
- Derived measurements can also be determined from the implantable device sensors (e.g., a sleep sensor, functional capacity indicator, autonomic tone indicator, sleep quality indicator, cough indicator, anxiety indicator, and cardiovascular wellness indicator for calculating a quality of life indicator quantifying a patient's overall health and well-being).
- implantable device sensors e.g., a sleep sensor, functional capacity indicator, autonomic tone indicator, sleep quality indicator, cough indicator, anxiety indicator, and cardiovascular wellness indicator for calculating a quality of life indicator quantifying a patient's overall health and well-being.
- Devices 102, 104, and 106 can also be external devices, or devices that are not implanted in the human body, that are used to measure physiological data (e.g., a thermometer, sphygmomanometer, or external devices used to measure blood characteristics, body weight, physical strength, mental acuity, diet, heart characteristics, and relative geographic position).
- Devices 102, 104, and 106 can also be environmental sensors used to measure environmental conditions (e.g., temperature, air quality, humidity, carbon monoxide level, oxygen level, barometric pressure, light intensity, and sound).
- One or more of the devices 102, 104, and 106 may be external devices that measure subjective or perceptive data from the patient related to a patient's feelings, perceptions, and/or opinions, as opposed to objective physiological data.
- the subjective device presents the patient with a relatively small number of responses to each question posed to the patient.
- the responses available to the patient may include three faces representing feelings of happiness, nominalness, and sadness. Averaged over time, a trend of a patient's well being will emerge with a finer resolution than the quanta of the three responses.
- the advanced patient management system 100 may also include one or more remote peripheral devices 109 (e.g., cellular telephones, pagers, PDA devices, facsimiles, remote computers, printers, video and/or audio devices) that use wired or wireless technologies to communicate with the communication system 110 and/or the host 112.
- remote peripheral devices 109 e.g., cellular telephones, pagers, PDA devices, facsimiles, remote computers, printers, video and/or audio devices
- the example advanced patient management system 100 includes one or more interrogator/transceiver units ("ITUs"), such as example ITU 108.
- the example ITU 108 includes an interrogator module 152 for sending and receiving data from a device, such as devices 102, 104, and 106, a memory module 154 for storing data, and a transceiver module 156 for sending and receiving data to and from other components of the APM system 100.
- the transceiver module may operate as an interrogator of the devices 102, 104 and 106 as well.
- the example ITU 108 also includes a power module 158 that provides power. Further included in the ITU 108 are a processor 602, memory 606, a battery 610, an input/output port 614, a user interface 616, and a network interface 618.
- the processor 602 is a typical processor for processing instructions provided in software code.
- the user interface 616 allows the patient or others to communicate with the ITU 108.
- the user interface includes one or more input devices, such as a mouse, keyboard, touch screen, microphone, etc., and one or more output devices, such as a liquid crystal display (LCD) or light emitting diode (LED), CRT screen, speaker, lights, vibrating motor, etc.
- the user interface 616 may be used to collect subjective data from the patient (see section I of the present application), or to provide information or alerts to the patient (see section IN of the present application).
- the input/output port 614 is a typical communication port that allows the ITU 108 to connect to external devices.
- the input/output port 614 may be a parallel, serial, or universal serial bus (USB) port to allow the ITU 108 to be connected to a computer.
- USB universal serial bus
- Other types of ports as generally known in the art may also be used.
- the network interface 618 allows the ITU 108 to be connected to a network.
- the ITU 108 may be connected to a LAN in the patient's home or directly connected to the communication system 110.
- the battery 610 is part of the power module 158.
- the battery 610 may be rechargeable or non-rechargeable. If the battery 610 is rechargeable, the battery can be charged by using a standard battery charger, or may be charged by placing the ITU 108 in a cradle configured to accept it. In an alternative embodiment, the battery may be removed and the power module 158 can be directly connected to a standard AC power source.
- the memory 154 may include any typical form of memory, such as RAM,
- the ITU 108 performs one or more of the following functions: (1) data storage; (2) data analysis; (3) data forwarding; (4) patient interaction; (5) patient feedback; and (6) data communications.
- the ITU 108 facilitates communications between the devices 102, 104, and 106 and the communication system 110.
- the ITU 108 can, periodically or in real-time, interrogate and download into memory clinically relevant patient data from the devices 102, 104, and/or 106.
- This data includes, in the cardiac sensor context, for example, P and R- wave measurements, pacing, shocking events, lead impedances, pacing thresholds, battery voltage, capacitor charge times, ATR episodes with electrograms, tachycardia episodes with electrograms, histogram information, and any other clinical information necessary to ensure patient health and proper device function.
- the data is sent to the ITU 108 by the devices 102, 104, and 106 in real-time or periodically uploaded from buffers in the devices.
- the ITU 108 can be customizable and include a variety of software packages to enhance usability and compatibility.
- the software may control the ability of the ITU 108 to communicate with each device, as well as control the functionality of the ITU 108 itself.
- the software allows the ITU 108 to communicate with the various devices (e.g., devices 102, 104, and 106), download data from the devices, and update configurations of the devices. It may be advantageous to provide this functionality in software because different implanted and external devices, such as devices 102, 104, and 106, may each function and communicate differently.
- the ITU 108 is customizable through the download of software updates from a host download source system 505. (In some embodiments, the host download source system 505 may be the same system as the host 112.)
- the ITU 108 is "blank” or includes only “baseline software.” The term “blank” is used to indicate that the ITU
- the term "baseline software" is used to indicate that the ITU includes software necessary to allow the ITU 108 to boot up and to perform generic functions such as communicating with a device at a high level. These generic functions may include the ability to send messages (e.g., ping) to devices in local proximity to the ITU to enable the ITU to dete ⁇ nine what is in the environment surrounding the ITU, and as well as the ability to communicate with a hosting system (through, for example, the communication network 300).
- the ITU 108 with baseline software does not necessarily include software to communicate functionally with specific models of implanted or external devices.
- the software necessary to allow the ITU 108 to communicate with different devices is maintained on the host download source system 505, and the software must be downloaded and installed on the ITU 108 to allow the ITU 108 to functionally communicate with the desired device or devices.
- the ITU 108 includes baseline software to allow it to "ping" devices in local range of the ITU 108.
- a ping is a request from the ITU 108 to any devices within range to respond with identification information, such as model number, serial number, and other identifying information. Any devices in range of the ping from the ITU 108 will respond by sending back to the ITU information related to the type of device.
- the ITU 108 establishes communication with the host 505 and downloads/installs the software necessary to allow the ITU 108 to functionally communicate with the device or devices. This is an automated method for identifying and installing the needed software, and this method may be performed at initial startup of the ITU 108, as well as after a reset of the ITU 108 as desired.
- the ITU 108 is blank and is programmed by the caregiver or patient prior to use by the patient.
- the caregiver uses a computer system 510 (see Figure 3) that is networked to the host 505 (through, for example, communication network 300) to identify and download the software required for the ITU 108 to communicate with the devices 102, 104, and 106.
- the computer system 510 includes one or more applications to assist the caregiver in the selection of the proper software for download and installation.
- the application on the computer system 510 may include a list of all models of a given device, and the caregiver can select the correct model and configure the desired software as needed.
- the application establishes a connection with the host 505 and downloads the correct software to the computer system 510.
- the computer system 510 and the ITU 108 are connected so that the software is then uploaded and installed on the ITU 108.
- the software for communicating with various devices resides on the computer system 510 or a removable storage medium such as a compact disk. Therefore, once the caregiver or patient selects the appropriate device model, the software can be installed without requiring the computer system 510 to connect to the host 505.
- the ITU 108 can be reprogrammed multiple times as desired. For example, if the ITU 108 is initially programmed to communicate with a first device, and subsequently the first device is removed and a second device is added, the ITU 108 can, automatically or manually, be reprogrammed to communicate with the second device.
- the software is downloaded by either method illustrated in Figures 4 and 5
- the device provides additional information related to the patient in response to the ping, and the ITU 108 forwards this information to the host.
- the caregiver or patient provides patient information at the time that the desired software is selected and downloaded from the host.
- the ITU 108 periodically establishes a connection with the host 505 to check if any software updates have been released. If a new version of the software is available, the ITU 108 downloads and installs the updated version.
- Communication System Communication system 110 provides for communications between and among the various components of the advanced patient management system 100, such as the devices 102, 104, and 106, host 112, and remote peripheral device 109.
- FIG. 6 illustrates one embodiment for the communication system 110 made in accordance with the present invention.
- the communication system 110 includes a plurality of computer systems 304, 306, 308, and 310, as well as device 102, host 112, and remote peripheral device 109, connected to one another by the communications network 300.
- the communications network 300 may be, for example, a local area network (LAN), wide area network (WAN), or the Internet. Communications among the various components, as described more fully below, may be implemented using wired or wireless technologies.
- the host 112 includes server computers 318 and 322 that communicate with computers 304, 306, 308, and 310 using a variety of communications protocols, described more fully below.
- the server computers 318 and 322 store information in databases 316 and 320. This information may also be stored in a distributed manner across one or more additional servers.
- Wired communication methods may include, for example and without limitation, traditional copper-line communications such as DSL, broadband technologies such as ISDN and cable modems, and fiber optics, while wireless communications may include cellular, satellite, radio frequency (RF), Infrared, etc.
- RF radio frequency
- protocols such as radio frequency pulse coding, spread spectrum, direct sequence, time-hopping, frequency hopping, SMTP, FTP, and TCP/IP may be used.
- Other proprietary methods and protocols may also be used.
- a combination of two or more of the communication methods and protocols may also be used.
- the various communications between the components of the advanced patient management system 100 may be made secure using several different techniques. For example, encryption and/or tunneling techniques may be used to protect data transmissions. Alternatively, a priority data exchange format and interface that are kept confidential may also be used. Authentication can be implemented using, for example, digital signatures based on a known key structure
- ⁇ e.g., PGP or RSA
- Other physical security and authentication measures may also be used, such as security cards and biometric security apparatuses (e.g., retina scans, iris scans, fingerprint scans, veinprint scans, voice, facial geometry recognition, etc.).
- biometric security apparatuses e.g., retina scans, iris scans, fingerprint scans, veinprint scans, voice, facial geometry recognition, etc.
- Conventional security methods such as firewalls may be used to protect information residing on one or more of the storage media of the advanced patient management system 100. Encryption, authentication and verification techniques may also be used to detect and correct data transmission errors.
- Communications among the various components of the advanced patient management system 100 may be enhanced using compression techniques to allow large amounts of data to be transmitted efficiently.
- the devices 102, 104, and 106 or the ITU 108 may compress the recorded information prior to transmitting the information to the ITU 108 or directly to the communication system 110.
- the communication methods and protocols described above can facilitate periodic and/or real-time delivery of data.
- the example host 505 (see Figure 3) is configured to receive a request for software from the ITU 108 or computer system 510 and to upload the software to the ITU 108 or computer system 510.
- the host 505 may comprise one or more databases to house software necessary to communicate with a plurality of different devices.
- the host 505 queries one or more databases and identifies the correct software for the selected device model or models. This software is made available for the ITU 108 or computer system 510 to download.
- the host 505 may also perform other functions, such as to automatically push software updates down to the ITU 108 as needed.
- the host 505 may be a part of the example host 112 (see Figure 1).
- the host 505 may be a part of the example host 112 (see Figure 1).
- the host 1 is configured to receive a request for software from the ITU 108 or computer system 510 and to upload the software to the ITU 108 or computer system 510.
- the host 505 may comprise one or more databases to house software necessary to communicate with
- Host 112 includes a database module 114, an analysis module 116, and a delivery module 118.
- Host 112 preferably includes enough processing power to analyze and process large amounts of data collected from each patient, as well as to process statistics and perform analysis for large populations.
- the host 112 may include a mainframe computer or multi-processor workstation.
- the host 112 may also include one or more personal computer systems containing sufficient computing power and memory.
- the host 112 may include storage medium (e.g., hard disks, optical data storage devices, etc.) sufficient to store the massive amount of high-resolution data that is collected from the patients and analyzed.
- the host 112 may also include identification and contact information (e.g., IP addresses, telephone numbers, or a product serial number) for the various devices communicating with it, such as ITU 108 and peripheral device 109.
- identification and contact information e.g., IP addresses, telephone numbers, or a product serial number
- each ITU 108 is assigned a hard-coded or static identifier (e.g., IP address, telephone number, etc.), which allows the host 112 to identify which patient's information the host 112 is receiving at a given instant.
- each device 102, 104, and 106 may be assigned a unique identification number, or a unique patient identification number may be transmitted with each transmission of patient data.
- each device may include a unique identification number and a registration form that is filled out by the patient, caregiver, or field representative.
- the registration form can be used to collect the necessary information to associate collected data with the patient.
- the user can logon to a web site to allow for the registration information to be collected.
- a barcode is included on each device that is scanned prior to or in conjunction deployment of the device to provide the information necessary to associate the recorded data with the given patient.
- the example database module 1 14 includes a patient database 400, a population database 402, a medical database 404, and a general database 406, all of which are described further below.
- the patient database 400 includes patient specific data, including data acquired by the devices 102, 104, and 106, as well as a patient's medical records and historical infomiation.
- the population database 402 includes non-patient specific data, such as data relating to other patients and population trends.
- the example medical database 404 includes clinical data relating to the treatment of diseases, such as historical trend data for multiple patients in the form of a record of progression of their disease(s) along with markers of key events.
- the general database 406 includes non-medical data of interest to the patient, such as information relating to news, finances, shopping, technology, entertainment, and/or sports.
- information is also provided from an external source, such as external database 600.
- the external database 600 includes external medical records maintained by a third party, such as drug prescription records maintained by a pharmacy, providing information regarding the type of drugs that have been prescribed for a patient.
- the example analysis module 116 includes a patient analysis module 500, device analysis module 502, population analysis module 504, and learning module 506.
- Patient analysis module 500 may utilize information collected by the advanced patient management system 100, as well as information for other relevant sources, to analyze data related to a patient and provide timely and predictive assessments of the patient's well-being.
- Device analysis module 502 analyzes data from the devices 102, 104, and 106 and ITU 108 to predict and determine device issues or failures.
- Population analysis module 504 uses the data collected in the database module 1 14 to manage the health of a population.
- Learning module 506 analyzes the data provided from the various information sources, including the data collected by the advanced patient system 100 and external information sources, and may be implemented via a neural network (or equivalent) system to perform, for example, probabilistic calculations.
- Delivery module 118 coordinates the delivery of feedback based on the analysis performed by the host 112. For example, based on the data collected from the devices and analyzed by the host 112, the delivery module 118 can deliver information to the caregiver or to the patient using, for example, a display provided on the ITU 108.
- the systems and methods of the present disclosure can be implemented using a system as shown in the various figures disclosed herein including various devices and/or programmers, including implantable or external devices. Accordingly, the methods of the present disclosure can be implemented: (1) as a sequence of computer implemented steps running on the system; and (2) as interconnected modules within the system. The implementation is a matter of choice dependent on the performance requirements of the system implementing the method of the present disclosure and the components selected by or utilized by the users of the method. Accordingly, the logical operations making up the embodiments of the method of the present disclosure described herein can be referred to variously as operations, steps, or modules.
Abstract
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Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
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EP03800232A EP1578261A4 (en) | 2002-12-27 | 2003-12-23 | Advanced patient management system including interrogator/transceiver unit |
AU2003299967A AU2003299967A1 (en) | 2002-12-27 | 2003-12-23 | Advanced patient management system including interrogator/transceiver unit |
JP2004565741A JP2006512165A (en) | 2002-12-27 | 2003-12-23 | Patient management system including interrogator / transceiver unit |
Applications Claiming Priority (2)
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US10/330,677 US6978182B2 (en) | 2002-12-27 | 2002-12-27 | Advanced patient management system including interrogator/transceiver unit |
US10/330,677 | 2002-12-27 |
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WO2004060043A2 true WO2004060043A2 (en) | 2004-07-22 |
WO2004060043A3 WO2004060043A3 (en) | 2004-12-23 |
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PCT/US2003/041374 WO2004060043A2 (en) | 2002-12-27 | 2003-12-23 | Advanced patient management system including interrogator/transceiver unit |
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US (2) | US6978182B2 (en) |
EP (1) | EP1578261A4 (en) |
JP (1) | JP2006512165A (en) |
AU (1) | AU2003299967A1 (en) |
WO (1) | WO2004060043A2 (en) |
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See also references of EP1578261A2 * |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP4936468B2 (en) * | 2004-09-17 | 2012-05-23 | カーディアック ペースメイカーズ, インコーポレイテッド | System and method for deriving relative physiological measurements using a back-end computing system |
US9773060B2 (en) | 2006-09-05 | 2017-09-26 | Cardiac Pacemaker, Inc. | System and method for providing automatic setup of a remote patient care environment |
Also Published As
Publication number | Publication date |
---|---|
AU2003299967A8 (en) | 2004-07-29 |
EP1578261A4 (en) | 2009-04-15 |
AU2003299967A1 (en) | 2004-07-29 |
US20040127958A1 (en) | 2004-07-01 |
JP2006512165A (en) | 2006-04-13 |
EP1578261A2 (en) | 2005-09-28 |
WO2004060043A3 (en) | 2004-12-23 |
US7751901B2 (en) | 2010-07-06 |
US20060106433A1 (en) | 2006-05-18 |
US6978182B2 (en) | 2005-12-20 |
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