CA2370221A1 - Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients - Google Patents

Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients Download PDF

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Publication number
CA2370221A1
CA2370221A1 CA002370221A CA2370221A CA2370221A1 CA 2370221 A1 CA2370221 A1 CA 2370221A1 CA 002370221 A CA002370221 A CA 002370221A CA 2370221 A CA2370221 A CA 2370221A CA 2370221 A1 CA2370221 A1 CA 2370221A1
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Canada
Prior art keywords
communication device
pacemaker
patient
physiological parameter
communication
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Granted
Application number
CA002370221A
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French (fr)
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CA2370221C (en
Inventor
Louis C. Cosentino
Michael J. Duea
Duane R. Duea
Steven G. Dorfe
Richard C. Nubson
Judith A. Cosentino
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Cardiocom LLC
Original Assignee
Cardiocom
Louis C. Cosentino
Michael J. Duea
Duane R. Duea
Steven G. Dorfe
Richard C. Nubson
Judith A. Cosentino
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Application filed by Cardiocom, Louis C. Cosentino, Michael J. Duea, Duane R. Duea, Steven G. Dorfe, Richard C. Nubson, Judith A. Cosentino filed Critical Cardiocom
Publication of CA2370221A1 publication Critical patent/CA2370221A1/en
Application granted granted Critical
Publication of CA2370221C publication Critical patent/CA2370221C/en
Anticipated expiration legal-status Critical
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • 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
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01G—WEIGHING
    • G01G19/00—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups
    • G01G19/40—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups with provisions for indicating, recording, or computing price or other quantities dependent on the weight
    • G01G19/413—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups with provisions for indicating, recording, or computing price or other quantities dependent on the weight using electromechanical or electronic computing means
    • G01G19/414—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups with provisions for indicating, recording, or computing price or other quantities dependent on the weight using electromechanical or electronic computing means using electronic computing means only
    • G01G19/4146—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups with provisions for indicating, recording, or computing price or other quantities dependent on the weight using electromechanical or electronic computing means using electronic computing means only for controlling caloric intake, e.g. diet control
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01G—WEIGHING
    • G01G19/00—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups
    • G01G19/44—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups for weighing persons
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01G—WEIGHING
    • G01G23/00—Auxiliary devices for weighing apparatus
    • G01G23/18—Indicating devices, e.g. for remote indication; Recording devices; Scales, e.g. graduated
    • G01G23/36—Indicating the weight by electrical means, e.g. using photoelectric cells
    • G01G23/37—Indicating the weight by electrical means, e.g. using photoelectric cells involving digital counting
    • G01G23/3728—Indicating the weight by electrical means, e.g. using photoelectric cells involving digital counting with wireless means
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01G—WEIGHING
    • G01G23/00—Auxiliary devices for weighing apparatus
    • G01G23/18—Indicating devices, e.g. for remote indication; Recording devices; Scales, e.g. graduated
    • G01G23/36—Indicating the weight by electrical means, e.g. using photoelectric cells
    • G01G23/37—Indicating the weight by electrical means, e.g. using photoelectric cells involving digital counting
    • G01G23/3728—Indicating the weight by electrical means, e.g. using photoelectric cells involving digital counting with wireless means
    • G01G23/3735—Indicating the weight by electrical means, e.g. using photoelectric cells involving digital counting with wireless means using a digital network
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08—Insurance
    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • 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
    • 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
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00—Surgery
    • Y10S128/903—Radio telemetry
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00—Surgery
    • Y10S128/904—Telephone telemetry
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00—Surgery
    • Y10S128/92—Computer assisted medical diagnostics

Abstract

The monitoring device incorporates transducing devices for converting the desired measured parameters into electrical signals capable of being process ed 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 o f use, such monitoring device is contained in a single integrated package.</SD OAB>

Claims (30)

1. An apparatus for monitoring an ambulatory patient and establishing communication to a caregiver regarding the wellness parameters of such an ambulatory patient, said apparatus comprising:
a physiological parameter transducing device, said device generating; an electronic signal representative of the value of the physiological parameter being monitored;
a central processor device, said central processor operatively coupled to said parameter transducing device and processing said physiological parameter electronic signals;
an electronic receiver/transmitter communication device, said communication device having one end operatively coupled to said processor and another end operatively coupled to a communication network, said communication device being activated whenever the central processor recognizes a physiological parameter within a predetermined range;

an output device operatively coupled to said processor and providing a series of queries to the ambulatory patient, each query in the series representative of a symptom the ambulatory patient cues be experiencing;
an input device operatively coupled to said processor and configured to receive inputs from the ambulatory patient in response to the series of queries output by the output device, wherein the processor receives the electronic signal generated by the transducing device and inputs from the input device wherein each input form the input device is assigned a score representing the severity of the symptom and the scores are tallied at a remote location where if the tallied score exceeds a predetermined value, an exception is issued notifying a remote healthcare professional that the ambulatory patient requires immediate attention wherein said devices are integrated into a single unit.
2. The apparatus according to claim 1 wherein said integrated unit comprises:
a base, said base including said physiological parameter transducing device;
a housing, said housing including said central processor device, said electronic reeeiverltransrnitter communication device, said input device and said output device; and a support member, said support member having a first and connected to said base and a second end connected to said housing,
3. The apparatus according to claim 2, wherein said support member is rigid.
4. The apparatus according to claim 2, wherein said support member is adjustable.
5. The apparatus according to claim 2, wherein said support member is flexible.
6. The apparatus according to claim 1 wherein the physiological parameter transducing device is a sole for monitoring the body weight of a chronic heart failure patient.
7. The apparatus according to claim b wherein said scale comprises:
a top plate defining an interior and exterior surface;
a base plate defining an interior and exterior surface;
a load cell having a tap and bottom side and a first and second end disposed between said top plate and said base plate, wherein the top side of the first end of said load cell is in contact with a first support surface within the interior surface of said top plate, and the bottom side of the second end of said load cell is in contact with a second support surface within the interior surface of said bast plate.
8. The apparatus according to claim 7 wherein said load cell further comprises a strain gage disposed on said load cell.
9. The apparatus according to claim 6 further comprising means for determining whether said patient requires hospitalization or medication adjustments based on said body weight.
10. The apparatus according to claim 5 wherein the scale is accurately operable on a hard floor as well as a carpeted floor.
11. The apparatus according to claim 1 wherein the physiological parameter transducing device is a scale for monitoring the body weight of an overweight ar obese individual.
12. The apparatus according to claim 11 further comprising means for determining whether said individual requires diet modification, or additional nutritional consultation.
13. The apparatus according to claim 1 further comprising means for determining whether said patient requires hospitalization or medication adjustments based on said wellness parameters.
14. The apparatus according to claim 1, wherein said communication device is a modern.
15. The apparatus according to claim 1, wherein said communication device is an RS-232 device.
16. The apparatus according to claim t , wherein said communication device is an Internet communication device.
17. The apparatus according to claim 1, wherein said communication device is a satellite communication device.
18. The apparatus according to claim 1, wherein said communication device is an infra-red communication device.
19. The apparatus according to claim 1, wherein said communication device is a power line carrier communication device.
20. The apparatus according to claim 1, wherein said communication device is a Radio Frequency (RF) transceiver.
21. The apparatus according to claim 20, wherein said RF transceiver has first and second portions, said first portion being operatively coupled to said processor and in radio communication with said second portion, said second portion being located remotely from said first portion and operatively coupled to said communication network.
22. The apparatus according to claim 21, wherein said second portion includes means for wall mounting said second portion.
23. The apparatus according to claim 1 wherein a nurse is in communication with said patient through said communication network.
24. The apparatus according to claim 1 wherein said output device is a synthetic speech communication device, said speech communication device operatively coupled to said processor and audibly communicating information to said patient.
25. The apparatus according to claim 1 wherein said output device is a visual display device.

25. The apparatus according to claim 1 wherein said output device is a pacemaker coupled to said data input device.

27. A system for monitoring an ambulatory patient and establishing communication to a caregiver regarding the wellness parameters of such an ambulatory patient between a first location and a remote central office location, said system comprising:
a monitoring apparatus at said first location comprising:
(a) a physiological parameter transducing device, said device generating an electronic signal representative of the value of the physiological parameter being monitored;

(b) a central processor device, said central processor operatively coupled to said parameter transducing device and processing said physiological parameter electronic signals;

(c) an electronic receiver/transmitter communication device, said communication device having one end operatively coupled to said processor and another end operatively coupled to a communication network;

(d) an output device operatively coupled io said processor and providing a series of queries to the ambulatory patient, each query of the series of queries is representative of symptoms the ambulatory patient may be experiencing (e) an input device operatively coupled to said processor and configured to receive inputs from the ambulatory patient in response to the series of queries;

a processing computer at a remote central office location in communication with said remote monitoring apparatus for exchanging information with said monitoring apparatus wherein the processor receives the electronic signal generated by the transducing device and inputs from the input device wherein each input is assigned a score representing the severity of the symptom and the processing computer tallies the score from each input and, if the tallied score exceeds a predetermined value, an exception is issued notifying a remote healthcare professional that the ambulatory patient requires immediate attention.

28. The system according to claim 27 wherein said integrated unit comprises:
a base, said base including said physiological parameter transducing device:
a housing, said housing including said central processor device, said electronic receiver/transmitter communication device, said input device and said output device; and a support member, said support member having a first end connected to said base and a second end connected to said housing.

29. The system according to claim 28, wherein said support member is rigid.

30. The system according to claim 28, wherein said support member is adjustable.

31. The system according to claim 28, wherein said support member is flexible.

32. The system according to claim 27 wherein the physiological parameter transducing device is a scale for monitoring the body weight of a chronic heart failure patient.

33. The system according to claim 32 wherein said scale comprises:
a top plate defining an interior and exterior surface;
a base plate defining an interior and exterior surface;
a load cell having a top plate bottom side and a first and second end disposed between said top plate and said base plate, wherein the top side of the first end of said load cell is in contact with a first support surface within the interior surface of said top plate, and the bottom side of the second end of said load cell is in conga with a second support surface within the interior surface of said base plate.

34. The apparatus according to claim 33 wherein said load cell further comprises a drain gage disposed on said load cell.

35. The system according to claim 32 further comprising means for determining whether said patient requires hospitalization or medication adjustments based on said body weight.

36. The system according to claim 32 wherein the scale is accurately operable on a hard floor as well as carpeted floor.

37. The system according to claim 27 wherein the physiological parameter transducing device is a scale for monitoring the body weight of an overweight or obese individual.

38. The system according to claim 37 further comprising means for determining whether said individual requires diet modification, or additional nutritional consultation.

39. The system according to claim 27 further comprising means for determining whether said patient requires hospitalization or medication adjustments based on said wellness parameters.

40. The system according to claim 27, wherein said communication device is a modem.

41. The system according to claim 27, wherein said communication is over an RS-232 connection.

42. The system according to claim 27, wherein said communication device is over an Internet communication device.
26 43. The system according to claim 27, wherein said communication device is as infra-red communication device.

44. The system according to claim 27, wherein said communication device is a power-line carrier communication device.

45. The system according to claim 27, wherein said communication device is a satellite communication device.

46. The system according to claim 27, wherein said communication device is a Radio Frequency (RF) transceiver.

47. The system according to claim 46, wherein said RF transceiver has first and second portions, said first portion being operatively coupled to said processor and in radio communication with said second portion, said second portion being located remotely from said first portion and is operatively coupled to said communication network.

48. The system according to claim 47, wherein said second portion includes means for wall mounting said second portion.

49. The system according to claim 27 wherein a nurse is in communication with said patient through said communication network.

50. The system according to claim 27 wherein said output device is a synthetic speech communication device, said speech communication device operatively coupled to said processor and audibly communicating information to said patient.

51. The system according to claim 27 wherein said output device is a visual display device.

52. The system according to claim 27 wherein said output device is a
27 pacemaker coupled to said data input device.

53. A method for monitoring an ambulatory patient and establishing communication to a caregiver regarding the wellness parameters of such an ambulatory patient, said method comprising:
monitoring a physiological parameter;
generating an electronic signal representative of the value of said physiological parameter;
in a central processor device, processing said physiological parameter electronic signals;
communicating said processed electronic signals between a first location and a remote central location;
presenting a series of queries to an ambulatory patient wherein each query is representative of symptoms the ambulatory patient may be experiencing;
inputting responses from an ambulatory patient in response to the series of queries wherein each response is assigned a score into said processor; and tallying the score from each query by a remote processing computer and, if the tallied score exceeds a predetermined value, generating en exception.

54. The method according to claim 53 wherein the monitoring step includes monitoring the body weight of a chronic heart failure patient.

55. The method according to claim 54 further comprising determining whether said patient requires hospitalization or medication adjustments based an said body weight.

56. The method according to claim 53 further comprising determining whether said patient requires hospitalization or medication adjustments based on said wellness parameters.
28 57. The method according to claim 53 wherein the communicating step includes communicating to a nurse.

58. The method according to claim 53 wherein said presenting step includes audibly communicating to said patient through a synthetic speech communication device.

59. The method according to claim 53 wherein said presenting step includes visually displaying the series of queries.

60. The method according to claim 49 further comprising a step of inputting data into a pacemaker device.

61. An apparatus according to claim 1, wherein said physiological parameter trausducing device is a pacemaker adapted to provide an electronic signal representative of the physiological parameter being monitored by said pacemaker.

62. An apparatus according to claim 61, wherein said pacemaker is adapted to be coupled to a pacemaker data input device.

63. An apparatus according to claim 1, wherein said output device is a pacemaker data input device.

64. A system according to claim 27, wherein said physiological parameter transducing device is a pacemaker adapted to provide an electronic signal representative of the physiological parameter being monitored by said pacemaker.

65. A system according to claim 64, wherein said pacemaker is adapted to be coupled to a pacemaker data input device.

66. A system acevrding to claim 27, wherein said output device is a pacemaker data input device.

67. A method according to claim 53, wherein said generating step includes generating an electronic signal representative of said physiological parameter using a pacemaker.
29 68. A method according to claim 53, wherein said inputting step includes inputting pacemaker instructions into a pacemaker input device.

69. An apparatus for monitoring an ambulatory patient and establishing communication to a caregiver regarding the wellness parameters of such an ambulatory patient, said apparatus comprising:

a pacemaker for generating an electronic signal representative of a value of a physiological parameter being monitored by said pacemaker;

a central processor device operatively coupled to said pacemaker for processing said electronic: signals generated by said pacemaker;

an electronic communication device having a first and second portion, said first portion being operatively coupled to said processor and said second portion being operatively coupled to a communication network;

an output device operatively coupled to said processor to provide a series of queries to the ambulatory patient each query in the series of queries is representative of a symptom the ambulatory patient may ba experiencing;

an input device operatively coupled to said processor and configured to receive inputs from the ambulatory patient in response to the series of queries output by the output device, wherein the processor receives the electronic signal generated by the pacemaker and inputs from the input device wherein each input is assigned, a score representing the severity of the symptom and the scorns arc tallied at a remote location where if the tallied score exceeds a predetermined value, an exception is issued notifying a remote healthcare professional that the ambulatory patient requires immediate attention.
30 70. An apparatus according to claim 69, wherein said pacemaker is adapted to be coupled to a pacemaker data input device.

71. An apparatus according to claim 69, wherein said output device is a pacemaker data input device.
CA002370221A 1999-04-16 2000-03-30 Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients Expired - Fee Related CA2370221C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/293,619 1999-04-16
US09/293,619 US6290646B1 (en) 1999-04-16 1999-04-16 Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients
PCT/US2000/008352 WO2000062662A2 (en) 1999-04-16 2000-03-30 Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients

Publications (2)

Publication Number Publication Date
CA2370221A1 true CA2370221A1 (en) 2000-10-26
CA2370221C CA2370221C (en) 2009-12-22

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CA002370221A Expired - Fee Related CA2370221C (en) 1999-04-16 2000-03-30 Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients

Country Status (6)

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US (5) US6290646B1 (en)
EP (3) EP2359746B1 (en)
AT (1) ATE516741T1 (en)
AU (1) AU3929400A (en)
CA (1) CA2370221C (en)
WO (1) WO2000062662A2 (en)

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