Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-005/00
G06F-019/00
출원번호
US-0719408
(2003-11-21)
등록번호
US-8795169
(2014-08-05)
발명자
/ 주소
Cosentino, Louis C.
Duea, Michael John
Duea, Duane Robert
Dorfe, Steven George
Nubson, Richard C.
Cosentino, Judith A.
출원인 / 주소
Cardiocom, LLC
대리인 / 주소
Wolde-Michael, Girma
인용정보
피인용 횟수 :
4인용 특허 :
209
초록▼
The monitoring device incorporates transducing devices for converting the desired measured parameters into electrical signals capable of being processed by a local computer or microprocessor system. The device interacts with the ambulatory patient and then, via a modem or other electronic communicat
The monitoring device incorporates transducing devices for converting the desired measured parameters into electrical signals capable of being processed by a local computer or microprocessor system. The device interacts with the ambulatory patient and then, via a modem or other electronic communication device, transmits the measured parameters to a computer located at a remote site. At the remote location. the various indicia of the ambulatory patient's condition are monitored and analyzed by the medical professional caregiver. To provide the ambulatory patient with an added level of convenience and ease of use, such monitoring device is contained in a single integrated package.
대표청구항▼
1. A system for monitoring a patient with a previously diagnosed chronic condition and establishing communication with a device located in a remote location, the system transferring information from a first location to the remote location, the system comprising: (a) a portable monitoring apparatus a
1. A system for monitoring a patient with a previously diagnosed chronic condition and establishing communication with a device located in a remote location, the system transferring information from a first location to the remote location, the system comprising: (a) a portable monitoring apparatus at the first location comprising: a transducing device that generates an electronic signal representative of a physiological parameter of the patient;a processor operatively coupled to the transducing device and programmed to process the electronic signal from the transducing device;a communication device operatively coupled to the processor and to a communication network;an output device operatively coupled to the processor, the output device being configured to present questions to the patient that establish whether the patient is perceiving symptoms related to the previously diagnosed chronic condition;an input device operatively coupled to the processor to receive answers from the patient in response to the questions, wherein the answers include at least yes and no answers; and(a) a processing computer at the remote location, the processing computer communicatively coupled to the monitoring apparatus, wherein the processing computer receives the processed electronic signal to generate physiological data, and also receives an indication of each of the answers, to generate symptom data,wherein the processing computer analyzes a trend of the physiological data and an overall symptom data score, wherein the overall symptom data score is generated based on pre-assigned score values associated with each of the answers, and if the physiological data trend and the overall symptom data score exceeds an expected change over time, then the processing computer issues an alert, wherein the pre-assigned score values include at least numerical score values. 2. The system of claim 1, wherein the monitoring apparatus comprises: a base, the base including the transducing device;a housing, the housing including the processor, the communication device, the input device, and the output device; anda support member extending between the base and the housing. 3. The system of claim 1, wherein the communication device is a modem. 4. The system of claim 1, wherein the communication between the monitoring apparatus and processing computer occurs via an RS-232 port. 5. The system of claim 1, wherein the communication between the monitoring apparatus and the processing computer occurs via the Internet. 6. The system of claim 1, wherein the monitoring apparatus comprises a second output device controlled by the processor that is arranged to infuse a drug into the patient. 7. The system of claim 1, wherein the communication device is selected from a group consisting of: a satellite communication device and an infrared communication device. 8. The system of claim 1, wherein the communication device is a Radio Frequency (RF) transceiver. 9. The system of claim 8, wherein the RF transceiver has two portions, the first portion being operatively coupled to the processor and in communication with the second portion, the second portion being located remotely from the first portion and operatively coupled to the communication network. 10. The system according to claim 9, wherein the second portion of the RF transceiver includes a wall mounting mechanism. 11. The system of claim 1, wherein a nurse is in communication with the patient through the communication network. 12. The system of claim 1, wherein the output device is a synthetic speech communication device arranged to audibly communicate information to the patient. 13. The system of claim 1, wherein the output device is a visual display device. 14. A method for monitoring a patient, with a previously diagnosed chronic condition comprising: measuring, with a transducing device, an electronic signal representative of a physiological parameter of the patient;processing the electronic signal with a processor operatively coupled to the transducing device;presenting, with an output device operatively coupled to the processor, questions to the patient related to whether the patient is perceiving symptoms related to the previously diagnosed chronic condition;receiving, in response to the questions, answers from the patient with an input device operatively coupled to the processor, the answers including yes and no answers;communicating the answers and the the processed electronic signal to a remote processing computer with a communication device operatively coupled to the processor and to a communication network;receiving, at the remote processing computer, the processed electronic signal, thereby providing a source of physiological data, and also receiving the answers, thereby providing a source of symptom data;generating an overall score based on at least one of the physiological data and the symptom data;analyzing, at the remote processing computer, a trend of the physiological data over time and the overall score; andif at least one of the physiological data trend over time exceeds an expected change over time and the overall score exceeds a threshold, then issuing an alert. 15. The method of claim 14, wherein the communicating step is accomplished via a modem. 16. The method of claim 14, wherein the communicating step is accomplished via an RS-232 port. 17. The method of claim 14, wherein the communicating step is accomplished via the Internet. 18. The method of claim 14, wherein the communicating step is accomplished via an infrared communication device. 19. The method of claim 14, wherein the communicating step is accomplished via a satellite communication device. 20. The method of claim 14, wherein the communicating step is accomplished via a Radio Frequency (RF) transceiver. 21. The method of claim 20, wherein a first portion of the RF transceiver is operatively coupled to the processor and communicates with a second portion of the RF transceiver, and wherein the second portion is located remotely from the first portion and is operatively coupled to the communication network. 22. The method of claim 14, wherein the presenting step is accomplished via a synthetic speech communication device arranged to audibly communicate information to the patient. 23. The method of claim 14, wherein the presenting step is accomplished via a visual display device. 24. A system for monitoring a patient, with a previously diagnosed chronic condition comprising: (a) a monitoring apparatus at the first location comprising: a transducing device that generates an electronic signal representative of a physiological parameter of the patient;a processor operatively coupled to the transducing device and programmed to process the electronic signal from the transducing device;a communication device operatively coupled to the processor and to a communication network;an output device operatively coupled to the processor, the output device being configured to present questions to the patient that establish whether the patient is perceiving symptoms related to the previously diagnosed chronic condition;an input device operatively coupled to the processor, the input device being configured to receive answers from the patient in response to the questions, each of the answers having a pre-assigned numerical score value; and(b) a processing computer at the remote office location, the processing computer communicatively coupled to the monitoring apparatus, wherein the processing computer receives the processed electronic signal, thereby providing a source of physiological data, and also receives the answers, andwherein the processing computer analyzes physiological data trend over time and a sum of the pre-assigned numerical score values associated with each of the answers; andif the physiological data trend over time exceeds an expected change over time and the sum of the pre-assigned numerical score values associated with each of the answers exceeds a threshold, then the processing computer issues an alert. 25. A system for monitoring a patient, with a previously diagnosed chronic condition comprising: (a) a monitoring apparatus at a first location comprising: a transducing device that generates an electronic signal representative of a physiological parameter of the patient;a processor operatively coupled to the transducing device and programmed to process the electronic signals from the transducing device;a communication device operatively coupled to the processor and to a communication network, the communication device including a transceiver having two portions, the first portion being operatively coupled to the processor and in communication with the second portion, the second portion being located remotely from the first portion and operatively coupled to the communication network;an output device operatively coupled to the processor, the output device being configured to present questions to the patient that establish whether the patient is perceiving symptoms related to the previously diagnosed chronic condition, wherein the output device includes a synthetic speech communication device operable to audibly communicate information to the patient, and wherein the output device includes a visual display device;an input device operatively coupled to the processor, the input device being configured to receive answers from the patient in response to the questions, each of the answers having a pre-assigned score value, wherein the score includes a numerical score; and(b) a processing computer at a remote location, the processing computer communicatively coupled with the monitoring apparatus, wherein the processing computer receives the processed electronic signal, thereby providing a source of physiological data, and also receives the answers, thereby providing a source of symptom data,wherein the processing computer analyzes physiological data and symptom data over time; andif at least one of a trend of the physiological data exceeds an expected change and a sum of the pre-assigned numerical score values associated with each of the answers exceeds a threshold, then the processing computer issues an alert. 26. The system of claim 1, wherein the issued alert notifies a caregiver that the patient requires attention. 27. The system of claim 1, wherein the issued alert includes the physiological data trend over time and symptom data. 28. A system for monitoring a patient with a previously diagnosed chronic condition and transferring information from a first location to a remote location, the system comprising: (a) a portable monitoring apparatus at the first location comprising:a transducing device that generates an electronic signal representative of a physiological parameter of the patient;a processor operatively coupled to the transducing device and programmed to process the electronic signal;a communication device operatively coupled to the processor and to a communication network;an output device operatively coupled to the processor programmed to present questions to the patient that establish whether the patient is perceiving symptoms related to the previously diagnosed chronic condition;an input device operatively coupled to the processor, the input device being configured to receive answers from the patient in response to the questions; and(b) a processing computer at the remote location, the processing computer communicatively coupled with the monitoring apparatus,wherein the processing computer: receives the processed electronic signal, and also receives an indication of each of the answers, andanalyzes a trend of the physiological parameter based on the processed electronic signal and an overall symptom data score,wherein the overall symptom data score is generated based on pre-assigned score values associated with each of the answers, and if the physiological data trend and the overall symptom data score exceeds an expected change over time, then the processing computer issues an alert.
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