IPC분류정보
국가/구분 |
United States(US) Patent
등록
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국제특허분류(IPC7판) |
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출원번호 |
US-0646244
(2003-08-22)
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발명자
/ 주소 |
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출원인 / 주소 |
- Cardiac Intelligence Corporation
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인용정보 |
피인용 횟수 :
110 인용 특허 :
98 |
초록
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A system for determining a reference baseline of regularly retrieved patient information for automated remote patient care is presented. A medical device having a sensor for monitoring at least one physiological measure of an individual patient regularly records and stores measures sets relating to
A system for determining a reference baseline of regularly retrieved patient information for automated remote patient care is presented. A medical device having a sensor for monitoring at least one physiological measure of an individual patient regularly records and stores measures sets relating to patient information during an initial time period. A database collects one or more patient care records by organizing one or more patient care records and storing the collected measures set into such a patient care record for the individual patient. A server receives the collected device measures set from the medical device, processes the collected device measures set into a set of reference measures representative of at least one of measured or derived patient information, and stores the reference measures set into the patient care record as data in a reference baseline indicating an initial patient status.
대표청구항
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1. A system for determining a reference baseline of regularly retrieved patient information for automated remote patient care, comprising:a medical device having a sensor for monitoring at least one physiological measure of an individual patient and regularly recording and storing measures sets comp
1. A system for determining a reference baseline of regularly retrieved patient information for automated remote patient care, comprising:a medical device having a sensor for monitoring at least one physiological measure of an individual patient and regularly recording and storing measures sets comprising individual measures which each relate to patient information during an initial time period and for monitoring the individual patient while the individual patient is performing a prescribed set of timed physical stressors during the initial time period; a database collecting one or more patient care records, comprising organizing one or more patient care records, and storing the collected measures set into such a patient care record for the individual patient; and a server receiving the collected device measures set from the medical device, and processing the collected device measures set into a set of reference measures, each reference measure being representative of at least one of measured or derived patient information, and storing the reference measures set into the patient care record as data in a reference baseline indicating an initial patient status. 2. A system according to claim 1, further comprising:the server repeatedly receiving one or more collected measures sets which are each recorded by a sensor which monitors at least one physiological measure of the individual patient, each such sensor monitoring a site within the individual patient unique from the site monitored by any other such sensor, and analyzing one or more of the site specific collected measures sets in the patient care record for each site within the individual patient relative to one or more other site specific collected measures sets stored in the database to determine a patient status indicator; and the database storing each collected measures set organized by specific site into the patient care record for the individual patient within the database. 3. A system according to claim 2, wherein the one or more site specific collected measures sets and the one or more other site specific collected measures sets both store measures collected from the same relative site.4. A system according to claim 2, wherein the one or more site specific collected measures sets and the one or more other site specific collected measures sets both store measures collected from a different site.5. A system according to claim 1, further comprising:a remote client recording a set of quality of life measures during the initial time period; the server receiving the quality of life measures set from the remote client, and assimilating the collected quality of life measures set into the reference baseline data stored in the patient care record; and the database storing the collected quality of life measures set into the patient care record for the individual patient. 6. A system according to claim 1, further comprising:a programmer reprogramming at least one of pacing interventions and pacing modes of the medical device during the initial time period; and the medical device monitoring the individual patient subsequent to the reprogramming during the initial time period. 7. A system according to claim 1, further comprising:a feedback recorder recording feedback from the individual patient during the initial time period; the server receiving the recorded feedback from the remote client, and assimilating the recorded feedback into the reference baseline data stored in the patient care record; and the database storing the recorded feedback into the patient care record for the individual patient. 8. A system according to claim 7, wherein the feedback recorder comprises at least one of an audio recorder, a digital camera, or a video camera.9. A system according to claim 1, further comprising:a set of acceptance parameters stored within the database with each acceptance parameter corresponding to the same type of patient information to which at least one of the reference measures relates; the server further comprising: an evaluation module analyzing the reference measures set for each patient care record against the acceptance parameters set; and an acceptance module identifying each patient care record storing a reference measures set having at least one reference measure substantially non-conforming to the corresponding acceptance parameter. 10. A system according to claim 1, the server further comprising:an analysis module analyzing one or more collected device measures sets in the patient care record for the individual patient relative to the reference measures sets in the reference baseline to determine a patient status indicator. 11. A system according to claim 1, the server further comprising:the analysis module analyzing one or more of the collected device measures sets in the patient care record for the individual patient relative to one or more other collected device measures sets stored in the database to further determine the patient status indicator. 12. A system according to claim 1, wherein each of the set of reference measures is selected from the group comprising patient activity score, posture, atrial electrical activity, ventricular electrical activity, cardiovascular pressures, cardiac output, oxygenation, pulmonary measures, body temperature, PR interval, QRS measures, QT interval, ST-T wave measures, potassium [K+] level, sodium [Na+] level, glucose level, blood urea nitrogen and creatinine, acidity (pH) level, hematocrit, hormonal levels, cardiac injury chemical tests, myocardial blood flow, central nervous system injury chemical tests, central nervous system (CNS) blood flow, and time of day and combinations and derivatives thereof.13. A method for determining a reference baseline of regularly retrieved patient information for automated remote patient care, comprising:regularly recording and storing measures sets comprising individual measures which each relate to patient information by a medical device having a sensor for monitoring at least one physiological measure of an individual patient during an initial time period for monitoring the individual patient using the medical device while the individual patient is performing a prescribed set of timed physical stressors during the initial time period; receiving the collected device measures set from the medical device; collecting one or more patient care records into a database, comprising: organizing one or more patient care records; storing the collected measures set into such a patient care record for the individual patient; and processing the collected device measures set into a set of reference measures, each reference measure being representative of at least one of measured or derived patient information, and storing the reference measures set into the patient care record as data in a reference baseline indicating an initial patient status. 14. A method according to claim 13, further comprising:repeatedly receiving one or more collected measures sets which are each recorded by a sensor which monitors at least one physiological measure of the individual patient, each such sensor monitoring a site within the individual patient unique from the site monitored by any other such sensor; storing each collected measures set organized by specific site into the patient care record for the individual patient within the database; and analyzing one or more of the site specific collected measures sets in the patient care record for each site within the individual patient relative to one or more other site specific collected measures sets stored in the database to determine a patient status indicator. 15. A method according to claim 14, wherein the one or more site specific collected measures sets and the one or more other site specific collected measures sets both store measures collected from the same relative site.16. A method according to claim 14, wherein the one or more site specific collected measures sets and the one or more other site specific collected measures sets both store measures collected from a different site.17. A method according to claim 13, further comprising:receiving a set of quality of life measures recorded by the individual patient during the initial time period; storing the collected quality of life measures set into the patient care record for the individual patient within the database; and assimilating the collected quality of life measures set into the reference baseline data stored in the patient care record. 18. A method according to claim 13, further comprising:reprogramming at least one of pacing interventions and pacing modes of the medical device during the initial time period; and monitoring the individual patient using the medical device subsequent to the reprogramming during the initial time period. 19. A method according to claim 13, further comprising:receiving feedback recorded by the individual patient during the initial time period; storing the recorded feedback into the patient care record for the individual patient within the database; and assimilating the recorded feedback into the reference baseline data stored in the patient care record. 20. A method according to claim 13, further comprising:defining a set of acceptance parameters with each acceptance parameter corresponding to the same type of patient information to which at least one of the reference measures relates; analyzing the reference measures set for each patient care record against the acceptance parameters set; and identifying each patient care record storing a reference measures set having at least one reference measure substantially non-conforming to the corresponding acceptance parameter. 21. A method according to claim 13, further comprising:analyzing one or more collected device measures sets in the patient care record for the individual patient relative to the reference measures sets in the reference baseline to determine a patient status indicator. 22. A method according to claim 21, further comprising:analyzing one or more of the collected device measures sets in the patient care record for the individual patient relative to one or more other collected device measures sets stored in the database to further determine the patient status indicator. 23. A method according to claim 13, wherein each of the set of reference measures is selected from the group comprising patient activity score, posture, atrial electrical activity, ventricular electrical activity, cardiovascular pressures, cardiac output, oxygenation, pulmonary measures, body temperature, PR interval, QRS measures, QT interval, ST-T wave measures, potassium [K+] level, sodium [Na+] level, glucose level, blood urea nitrogen and creatinine, acidity (pH) level, hematocrit, hormonal levels, cardiac injury chemical tests, myocardial blood flow, central nervous system injury chemical tests, central nervous system (CNS) blood flow, and time of day and combinations and derivatives thereof.24. A computer-readable storage medium holding code for determining a reference baseline of regularly retrieved patient information for automated remote patient care, comprising:code for regularly recording and storing measures sets comprising individual measures which each relate to patient information by a medical device having a sensor for monitoring at least one physiological measure of an individual patient during an initial time period and for monitoring the individual patient using the medical device while the individual patient is performing a prescribed set of timed physical stressors during the initial time period; code for receiving the collected device measures set from the medical device; code for collecting one or more patient care records into a database, comprising organizing one or more patient care records, and storing the collected measures set into such a patient care record for the individual patient; and code for processing the collected device measures set into a set of reference measures, each reference measure being representative of at least one of measured or derived patient information, and storing the reference measures set into the patient care record as data in a reference baseline indicating an initial patient status. 25. A storage medium according to claim 24, further comprising:code for repeatedly receiving one or more collected measures sets which are each recorded by a sensor which monitors at least one physiological measure of the individual patient, each such sensor monitoring a site within the individual patient unique from the site monitored by any other such sensor; code for storing each collected measures set organized by specific site into the patient care record for the individual patient within the database; and code for analyzing one or more of the site specific collected measures sets in the patient care record for each site within the individual patient relative to one or more other site specific collected measures sets stored in the database to determine a patient status indicator. 26. A storage medium according to claim 24, further comprising:code for receiving a set of quality of life measures recorded by the individual patient during the initial time period; code for storing the collected quality of life measures set into the patient care record for the individual patient within the database; and code for assimilating the collected quality of life measures set into the reference baseline data stored in the patient care record. 27. A storage medium according to claim 24, further comprising:code for reprogramming at least one of pacing interventions and pacing modes of the medical device during the initial time period; and code for monitoring the individual patient using the medical device subsequent to the reprogramming during the initial time period. 28. A storage medium according to claim 24, further comprising:code for receiving feedback recorded by the individual patient during the initial time period; code for storing the recorded feedback into the patient care record for the individual patient within the database; and code for assimilating the recorded feedback into the reference baseline data stored in the patient care record. 29. A storage medium according to claim 24, further comprising:code for defining a set of acceptance parameters with each acceptance parameter corresponding to the same type of patient information to which at least one of the reference measures relates; code for analyzing the reference measures set for each patient care record against the acceptance parameters set; and code for identifying each patient care record storing a reference measures set having at least one reference measure substantially non-conforming to the corresponding acceptance parameter. 30. A storage medium according to claim 24, further comprising:code for analyzing one or more collected device measures sets in the patient care record for the individual patient relative to the reference measures sets in the reference baseline to determine a patient status indicator. 31. A storage medium according to claim 30, further comprising:code for analyzing one or more of the collected device measures sets in the patient care record for the individual patient relative to one or more other collected device measures sets stored in the database to further determine the patient status indicator.
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