US20050119580A1 - Controlling access to a medical monitoring system - Google Patents

Controlling access to a medical monitoring system Download PDF

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Publication number
US20050119580A1
US20050119580A1 US11/004,311 US431104A US2005119580A1 US 20050119580 A1 US20050119580 A1 US 20050119580A1 US 431104 A US431104 A US 431104A US 2005119580 A1 US2005119580 A1 US 2005119580A1
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receiving
individual
prompt
transmitting
information
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US11/004,311
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Doug Eveland
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Braemar Manufacturing LLC
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Cardionet LLC
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Priority claimed from US09/841,154 external-priority patent/US6664893B1/en
Application filed by Cardionet LLC filed Critical Cardionet LLC
Priority to US11/004,311 priority Critical patent/US20050119580A1/en
Assigned to CARDIONET, INC. reassignment CARDIONET, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: EVELAND, DOUG C.
Publication of US20050119580A1 publication Critical patent/US20050119580A1/en
Priority to EP05852771.4A priority patent/EP1816955B1/en
Priority to AU2005311702A priority patent/AU2005311702B2/en
Priority to CNA2005800413889A priority patent/CN101123912A/en
Priority to CA002586862A priority patent/CA2586862A1/en
Priority to PCT/US2005/043652 priority patent/WO2006060669A2/en
Priority to US11/734,644 priority patent/US8425414B2/en
Assigned to BRAEMAR MANUFACTURING, LLC reassignment BRAEMAR MANUFACTURING, LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: CARDIONET, INC.
Priority to US13/868,679 priority patent/US9474445B2/en
Assigned to GENERAL ELECTRIC CAPITAL CORPORATION, AS AGENT reassignment GENERAL ELECTRIC CAPITAL CORPORATION, AS AGENT SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BRAEMAR MANUFACTURING, LLC
Assigned to HEALTHCARE FINANCIAL SOLUTIONS, LLC, AS SUCCESSOR AGENT reassignment HEALTHCARE FINANCIAL SOLUTIONS, LLC, AS SUCCESSOR AGENT ASSIGNMENT OF INTELLECTUAL PROPERTY SECURITY AGREEMENT Assignors: GENERAL ELECTRIC CAPITAL CORPORATION, AS RETIRING AGENT
Assigned to BRAEMAR MANUFACTURING, LLC reassignment BRAEMAR MANUFACTURING, LLC RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: HEALTHCARE FINANCIAL SOLUTIONS, LLC
Assigned to SUNTRUST BANK, AS ADMINISTRATIVE AGENT reassignment SUNTRUST BANK, AS ADMINISTRATIVE AGENT NOTICE OF GRANT OF SECURITY INTEREST IN PATENTS Assignors: BRAEMAR MANUFACTURING, LLC
Priority to US16/566,501 priority patent/US11872010B2/en
Assigned to BRAEMAR MANUFACTURING, LLC reassignment BRAEMAR MANUFACTURING, LLC TERMINATION AND RELEASE OF SECURITY INTEREST IN PATENTS Assignors: TRUIST BANK (SUCCESSOR BY MERGER TO SUNTRUST BANK), AS ADMINISTRATIVE AGENT
Abandoned legal-status Critical Current

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT 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
    • G16H40/60ICT 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
    • G16H40/67ICT 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006ECG or EEG signals
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT 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 following description relates to controlling access to a medical monitoring device and/or a service associated with the device, for example, to help ensure that access to the monitoring device and service is authorized prior to commencing usage.
  • U.S. Pat. No. 5,959,529 describes a monitoring system in which the patient carries a remote monitoring unit with associated physiological sensors.
  • the remote monitoring unit conducts a continuous monitoring of one or more physiological characteristics of the patient according to the medical problem of the patient, such as the patient's heartbeat and its waveform.
  • One potential issue associated with the use of such medical monitoring devices is establishing whether the patient's health-care-benefit payer has authorized the use of the monitoring device and service.
  • the patient may use the medical monitoring device and incur significant charges, for example, in the form of rental value of the medical monitoring device, telephone charges, charges at the central monitoring system, and charges by medical personnel, and the providers of those goods and services may not get paid.
  • Controlling access to a medical monitoring system may be accomplished by a system and/or technique that includes one or more of the following features.
  • a computer-based method may involve receiving information indicating that a remote monitoring device (e.g., a patient-portable device configured to monitor one or more physiological aspects of a patient) seeks access (e.g., through one or more communications links including either or both of a wired communication link and a wireless communication link) to a monitoring service hosted by a central unit, and determining whether the remote monitoring device is authorized to access the monitoring service. This determination is based at least in part on authorization data received from a third-party source. Based on a result of the determination, an activation signal is selectively issued to the remote monitoring device.
  • a remote monitoring device e.g., a patient-portable device configured to monitor one or more physiological aspects of a patient
  • seeks access e.g., through one or more communications links including either or both of a wired communication link and a wireless communication link
  • This determination is based at least in part on authorization data received from a third-party source.
  • an activation signal is selectively issued to the remote monitoring device.
  • the determination of whether the remote monitoring device is authorized to access the monitoring service may be performed cooperatively between the remote device and the central unit. Further, the determination of whether the remote monitoring device is authorized to access the monitoring service may include one or both of (i) performing a format check on access data entered into the remote monitoring device and (ii) comparing the entered access data against the third-party authorization data.
  • the access control method may further include maintaining, at the central unit, a local database of third-party authorization data to be used in the determination of whether the remote monitoring device is authorized to access the monitoring service.
  • the local authorization database may be updated, for example, periodically or based on a predetermined event or a combination of both.
  • Selectively issuing the activation signal to the remote monitoring device based on a result of the determination may include issuing the activation signal if the remote monitoring device is determined to be authorized to access the medical monitoring service and refraining from issuing an activation signal if the remote monitoring device is determined to be unauthorized to access the medical monitoring service.
  • a medical monitoring system centered at a central node includes one or more communications links configured to facilitate communications with remote monitoring devices (e.g., a patient-portable device configured to monitor one or more physiological aspects of a patient) and one or more third-party authorization sources.
  • the medical monitoring system also includes at least one programmable processor configured to perform various operations.
  • These operations may include hosting a medical monitoring service (e.g., implemented at least in part by one or more software processes), receiving information indicating that a remote monitoring device seeks access to the medical monitoring service hosted by a central unit, determining, based at least in part on authorization data received from a third-party authorization source, whether the remote monitoring device is authorized to access the monitoring service, and based on a result of the determination, selectively issuing an activation signal to the remote monitoring device.
  • hosting a medical monitoring service e.g., implemented at least in part by one or more software processes
  • receiving information indicating that a remote monitoring device seeks access to the medical monitoring service hosted by a central unit determining, based at least in part on authorization data received from a third-party authorization source, whether the remote monitoring device is authorized to access the monitoring service, and based on a result of the determination, selectively issuing an activation signal to the remote monitoring device.
  • the programmable processor may further be configured to maintain at the central node a local database of third-party authorization data to be used in the determination of whether the remote monitoring device is authorized to access the monitoring service.
  • the local authorization database may be updated based on data received from the one or more third-party authorization sources. Updating may occur periodically or based on a predetermined event or a combination of both.
  • the programmable processor may further be configured to determine whether the remote monitoring device is authorized to access the monitoring service by one or both of (i) performing a format check on access data entered into the remote monitoring device and (ii) comparing the entered access data against the third-party authorization data.
  • the programmable processor may be configured to issue the activation signal to the remote monitoring device if the remote monitoring device is determined to be authorized to access the medical monitoring service and to refrain from issuing an activation signal if the remote monitoring device is determined to be unauthorized to access the medical monitoring service.
  • a portable medical monitoring device in another aspect, includes a transceiver for communicating with a central node, a user interface for communicating with a user of the device, and a programmable processor configured to perform various operations. These operations may include receiving user input specifying user-specific information, transmitting the received user input to the central node for third-party authorization based at least in part on the user-specific information, and selectively providing the user with access to a monitoring service hosted at the central node based on a result of the third-party authorization.
  • the programmable processor further may be configured to perform a format check on the received user input to determine whether the user input meets one or more predetermined criteria. If the user input is determined not to meet one or more of the predetermined criteria, the programmable processor may refrain from transmitting the received user input to the central station and/or may deny access to the monitoring service. In addition, the programmable processor may be configured to provide access to the monitoring service if the device receives an activation signal from the central node and to deny access to the monitoring service if the device fails to receive an activation signal from the central node.
  • the systems and techniques described here may facilitate controlling access to medical monitoring devices and associated services.
  • the approach may help to ensure that the term of service is initiated and continued only for persons who are properly authorized to have the service.
  • the present approach may activate the medical monitoring device and its corresponding service only for a person who provides proper identification data and is financially and otherwise properly authorized for the service. As a result, the chances of a wrong person being monitored may tend to be reduced.
  • the activation process which may involve the input of proper identification data, may be quick and largely transparent to the person seeking the service.
  • the systems and techniques described here may help to ensure that medical monitoring device services are provided only to properly identified and authorized persons. They may also help to ensure that all persons and agencies responsible for the medical monitoring device and the services are coordinated in their approval of rendering service to the particular patient and in effect have approved the provision of service and the type of service to be provided. Potential legal and financial liability may thereby be reduced.
  • a method in another aspect, includes monitoring a first medical condition of an individual, receiving, from the monitoring service, a query relating to a second medical condition of the individual, transmitting a response to the query to the monitoring service, and receiving a prompt from the monitoring service, the prompt designed to provoke a predetermined action.
  • the monitoring can be initiated remotely by a monitoring service.
  • a response to the prompt can be transmitted to the monitoring service.
  • the received prompt can be designed to provoke the monitored individual to undertake the predetermined action.
  • the query can be, e.g., a blood glucose query inquiring as to a blood glucose concentration of the individual, a blood pressure query inquiring as to a blood pressure of the individual, or a weight query inquiring as to a weight of the individual.
  • the prompt received from the monitoring service can be, for example, a medication prompt designed to provoke the monitored individual to medicate, a sample prompt designed to provoke the collection of a sample, an electrode check prompt designed to move the monitored individual to check an electrode, or a communications check prompt designed to move the monitored individual to ensure that communications with the monitoring service are maintained.
  • the prompt can also be a battery check prompt designed to move the monitored individual to check a charge on the battery, a physical activity prompt designed to move the monitored individual to curtail or halt physical activity, or a prompt designed to move the monitored individual to lie down or sit down.
  • Monitoring the first medical condition can include monitoring cardiac function of the individual.
  • a machine-readable medium can store instructions operable to cause one or more devices to perform operations.
  • the operations can include monitoring a medical condition of an individual, transmitting a result of the monitoring to a monitoring service, receiving an activity prompt from the monitoring service, prompting the activity related in the activity prompt, and transmitting a response to the prompt to the monitoring service.
  • the activity prompt can relate an activity that is to be prompted.
  • the activity can be prompted by relaying the prompt to the monitored individual and receiving a response to the relayed prompt from the monitored individual.
  • the prompted activity can be the collection of a sample.
  • the collection of the result of the monitoring can be provoked or the monitored individual can be provoke to medicate with a specific medication.
  • the monitored individual can be provoked to medicate using a pharmaceutical composition having a specific color.
  • the operations can also include receiving a query from the monitoring service.
  • the query can relate to a second medical condition of the individual.
  • the operations can also include receiving adapted parameters for the monitoring of the medical condition of the individual, and adapting the monitoring of the medical condition in accordance with the received parameters.
  • the response can be transmitted without input from the monitored individual.
  • a method in another aspect, includes receiving a monitoring result from a remote monitoring device, receiving, from the remote monitoring device, a response to one or more of a prompt to provoke a specific action and a query regarding a second medical condition of the individual; and adapting the monitoring of the first medical condition of the individual by the remote monitoring device based on the received response.
  • the remote monitoring device remotely monitors a first medical condition of an individual.
  • Receiving the response can include receiving a response to one or more of an individual-specific prompt and an individual-specific query tailored to the monitored individual.
  • the monitoring result and the response can be stored.
  • adapted monitoring parameters can be transmitted to the remote monitoring device. For example, adapted parameters for the identification of cardiac states can be transmitted to the remote monitoring device.
  • a method of conducting a clinical trial includes remotely prompting an individual to medicate in accordance with a regimen of the clinical trial and remotely monitoring a cardiac function of the individual during the medication over a remote electrocardiographic monitoring device.
  • a response to the prompt indicating that the individual has indeed medicated in accordance with the clinical trial can be received.
  • the individual can be prompted to take a specific pharmaceutical composition, and the efficacy or safety of the prompted medication can be determined.
  • the individual can be remotely prompted over the remote electrocardiographic monitoring device.
  • a method performed at a central monitoring system includes receiving, from a remote sensing device, information related to a medical condition of a monitored individual associated with the remote sensing device and, based at least in part on the received information, transmitting, to the remote sensing device, information designed to instruct the monitored individual.
  • the information designed to instruct the monitored individual can include instructions to undertake a predetermined action.
  • the instructions to undertake a predetermined action can include transmitting instructions to take medicine, transmitting instructions to contact a doctor, transmitting instructions to sit down, transmitting instructions to reduce altitude, transmitting instructions to reduce an activity level, transmitting instructions to measure one of blood pressure or glucose, transmitting instructions to enter a response or other information for transmission back to the central monitoring system.
  • the information designed to instruct the monitored individual can also include information associated with the medical condition, information designed to confirm receipt of the received information, or information associated with treatment of the medical condition. For example, an image of a medication to treat the medical condition can be transmitted.
  • the information designed to instruct the monitored individual can be transmitted periodically.
  • the period can change between transmissions based on the received information.
  • the information can also be transmitted in response to an event identified in the received information.
  • a method performed by a medical condition sensing device associated with a monitored individual can include measuring a physiological condition of the monitored individual, transmitting the measured physiological condition to a central monitoring system, and receiving information designed to instruct the monitored individual from the central monitoring system. The received information can be based at least in part on the measured physiological condition.
  • the information designed to instruct the monitored individual can include instructions to undertake a predetermined action.
  • the instructions to undertake a predetermined action can include, e.g., instructions to take medicine, instructions to contact a doctor, instructions to sit down, instructions to reduce altitude, instructions to reduce an activity level, instructions to measure one of blood pressure or glucose, instructions to enter a response or other information for transmission back to the central monitoring system.
  • the information designed to instruct the monitored individual can include information associated with the medical condition, information designed to confirm receipt of the received information, or information associated with treatment of the medical condition. For example, an image of a medication to treat the medical condition can be received.
  • the information designed to instruct the monitored individual can be received periodically.
  • the period can change between transmissions based at least in part on the transmitted physiological condition.
  • the information designed to instruct the monitored individual can be received in response to an event identified in the transmitted physiological condition.
  • FIG. 1 is a flow diagram of a method of controlling access to a medical monitoring device and/or an associated service.
  • FIGS. 2A and 2B are schematic illustrations of medical monitoring systems for implementing the method of FIG. 1 .
  • FIG. 3 is a flowchart of a process that can be performed by a medical monitoring device system during its term of service.
  • FIG. 4 shows a table of example medical queries that can be handled during the term of service of a medical monitoring device.
  • FIG. 5 is a flowchart of a process that can be performed by a medical monitoring device system during its term of service.
  • FIG. 6 shows a table of example activity prompts that can be handled during the term of service of a medical monitoring device.
  • FIG. 7 shows a data store for storing information during the term of service of a medical monitoring device.
  • FIG. 8 is a flowchart of a process that can be performed by a central unit in response to receipt of information from a medical monitoring device system.
  • FIG. 9 is a schematic illustration of another implementation of a medical monitoring system.
  • FIG. 10 is a flowchart of a process that can be performed by a electrocardiograph monitoring system during a clinical trial.
  • FIG. 1 depicts a flow diagram of a method of controlling access to a medical monitoring device and/or service.
  • a medical monitoring device and its associated system are provided ( 20 ).
  • the medical monitoring device and medical monitoring system may be of any operable type, such as that disclosed in U.S. Pat. No. 5,959,529 (hereafter, “the '529 patent”), whose disclosure is incorporated in its entirety, and/or modified as discussed herein.
  • FIGS. 2A and 2B depict details, in block diagram form, of medical monitoring systems 50 that include a medical monitoring device system 52 .
  • Medical monitoring device systems 52 include one or more medical monitoring devices that monitor a biological parameter.
  • a biological parameter is a quantity that characterizes an aspect of a biological system.
  • biological parameters generally include information relating to the physiological state of an organism.
  • medical monitoring devices include devices that measure electrical potentials (e.g., electrocardiography (ECG's), electromyography, and electroencephalography devices), devices that measure blood and other body fluid analyte constituents (e.g., pulse oximetry devices and devices that measure blood glucose concentration, blood pH, and/or other ion concentrations), and devices that measure mechanical characteristics (e.g., blood pressure transducers, heart sound transducers, height and/or weight measurement devices).
  • ECG's electrocardiography
  • electromyography electromyography
  • electroencephalography devices devices that measure blood and other body fluid analyte constituents
  • pulse oximetry devices and devices that measure blood glucose concentration, blood pH, and/or other ion concentrations e.g., pulse oximetry devices and devices that measure blood glucose concentration, blood pH, and/or other ion concentrations
  • mechanical characteristics e.g., blood pressure transducers, heart sound transducers, height and/or weight measurement devices.
  • medical monitoring device system 52 includes both a medical monitoring device 54 and a base station 56 .
  • the medical monitoring device 54 may be a portable or remote monitoring unit of the type generally described in the '529 patent.
  • the base station 56 has communication access to a central unit 58 through a communication link such as a wireless cellular telephone transceiver link 60 and/or a telephone land-line 62 .
  • communication links can be established by other available means, among others, such as wired or wireless networks that implement communications protocols and standards such IP (Internet protocol), WiFi (IEEE 802.11x), WiMax (IEEE 802.16 ⁇ ), and GPRS (General Packet Radio Service).
  • IP Internet protocol
  • WiFi IEEE 802.11x
  • WiMax IEEE 802.16 ⁇
  • GPRS General Packet Radio Service
  • medical monitoring device 54 can have direct communication access to central unit 58 through a communication link.
  • medical monitoring device 54 can include a cellular transceiver to establish a direct wireless cellular telephone transceiver link to central unit 58 .
  • the base station 56 has a base station cradle 64 that is configured to receive the medical monitoring device 54 .
  • the medical monitoring device 54 includes an input/output device 65 that typically has a microprocessor, communications controller, and communications hardware and/or software to establish the links 60 and/or 62 .
  • the input/output device 65 has a keypad 66 for inputting information and a display 68 to view the input information and other information to be displayed, as well as information transmitted to the input/output device 65 .
  • input/output device 65 can use a touch-sensitive display without dedicated keys to interact with a user.
  • the central unit 58 has communications access to a variety of databases 71 and to third-party sources 72 , typically by telephone land-line, network or other connection 70 .
  • the databases 71 may include prior patient records, general records, and the like.
  • the third-party sources 72 may include, for example, financial sources 74 , medical sources 76 , and other sources 78 .
  • a financial source might be, for example, an insurance company, the social-security administration, or a credit-granting company.
  • a medical source might be, for example, a specialist physician whose authorization is required before commencing the monitoring of the patient.
  • Other third-party sources might be, for example, the company that maintains the medical monitoring device and which is consulted to be certain that the specific medical monitoring device to be activated is approved for service.
  • the base station 56 when not prescribed or otherwise assigned and distributed to a patient to be monitored, ordinarily is in the custody the office of the agency that is providing the medical monitoring device 54 to a patient for the purpose of monitoring physiological parameters of the patient.
  • Such an agency could be, for example, the patient's physician or a hospital.
  • the agency undertakes to provide the medical monitoring device 54 to the patient, for example, to take home, the medical monitoring device 54 is docked with the base station 56 , and the procedures described in relation to subsequent portions of FIG. 1 are followed.
  • a set of identification data elements are input into the medical monitoring device system 52 .
  • a set of identification data elements can be input through the keypad 66 of the input/output device 65 of the medical monitoring device 54 of FIG. 2B .
  • the identification data elements may include, for example, one or more of a patient name, a patient address, a patient social security number, a patient sex, and an identification of the third-party financial source.
  • a set-up sequence may involve the input of a patient number or other patient identifier.
  • the input patient identifier can be used to retrieve other information about the patient, including name, address, social security number, sex, and the identity of a third-party financial source.
  • the identifier of the medical monitoring device 54 such as its serial number, may be manually input in step 22 , but more typically the identifier is automatically made available by the medical monitoring device 54 to the base station 56 .
  • the input/output device 65 may perform a preliminary evaluation of the set of identification data elements, for example, such as to determine by using a software utility program whether the identification data elements meet a set of one or more format requirements.
  • Such basic format requirements may be specified for each of the identification data elements.
  • a format requirement may specify that a patient name is to include only alphanumeric characters. If as typed into the keyboard the patient name includes other characters (e.g., a percent sign %), software running in the input/output device 65 can recognize the error and provide an input diagnostic message through the display 68 to prompt the input of correct information.
  • a format requirement may specify that a user's social security number must contain 10 numerical digits and may not contain letters or other characters.
  • the medical monitoring device system 52 establishes ( 24 ) a communication link to the central unit 58 .
  • the communication link is preferably through the land-line 62 , but may be though the cellular telephone transmission link 60 or another wireless or wired link if the land-line is not available.
  • the medical monitoring device system 52 and the central unit 58 cooperatively determine whether the medical monitoring device may be activated for rendering medical monitoring device service ( 26 ). The final decision is typically made by the central unit 58 , although the medical monitoring device system 52 may aid in data processing or may be called upon for additional input, for example, such as when the patient name is found not to match with the social security number in other records.
  • the activation determination process 26 may include various sub-processes including evaluating the set of identification data elements as to whether they meet a set of basic structural requirements ( 28 ) and obtaining third-party authorization ( 30 ) from one or more of the third-party sources 72 .
  • the sub-processes of evaluating 28 and obtaining 30 are preferably performed automatically. “Automatically” as used herein indicates that the steps are performed without human action or intervention, except where a discrepancy occurs.
  • the present system is organized to perform the evaluating and obtaining steps entirely by computer procedures, to minimize costs and take advantage of data collections at a variety of locations. Alternatively, the present approach may be performed in whole or in part using manual (i.e., human-performed) sub-processes 28 and 30 .
  • the sub-process 30 of obtaining third-party authorization can be performed either before or during the activation determination process 26 .
  • the sub-process 30 may involve updating a locally stored (e.g., at a central unit hosting the medical monitoring service) copy of a third party's database of authorization information, and then performing the sub-process 30 by accessing the local copy of the database instead of accessing the third party's system, which typically would be maintained at a remote location.
  • Updating of the local third-party authorization database may occur based on one or both of the following criteria: (i) periodically (e.g., once a day) or (ii) based on an occurrence of a predetermined event (e.g., the third-party system determines that a certain amount of new authorization data is available and has not yet been copied to the central unit's local database and/or the central unit determines that its local database does not contain needed information).
  • a predetermined event e.g., the third-party system determines that a certain amount of new authorization data is available and has not yet been copied to the central unit's local database and/or the central unit determines that its local database does not contain needed information.
  • the set of basic structural requirements to be imposed may include the format requirements evaluated by the input/output device 65 , or may include different or additional structural requirements.
  • the central unit 58 may check the database 71 to attempt to match the input patient name with a social security number that is already in the database 71 from prior medical contacts. If the patient name and the social security number that were input in sub-process 22 do not match, then further inquiry may be made back to the medical monitoring device system 52 . The failure to match the name and the social security number may arise from a simple inputting error, which can be corrected with revised input, or it may arise from a fraudulent attempt to obtain medical monitoring services that is detected by the procedures of sub-process 28 .
  • obtaining third-party authorization in sub-process 30 may include contacting appropriate third-party sources 72 , e.g., either on a dynamic, as-needed basis, and/or ahead of time by periodically replicating a third party's remote database to create a local copy.
  • the financial source 74 may be contacted to determine whether it authorizes the charges associated with the patient monitoring services. This authorization is particularly important for the business interests of the provider of the services, for example, to avoid unpaid billings. Unpaid billings for medical services represents a major loss for many medical service companies.
  • the medical source 76 may be contacted to determine whether it authorizes the patient monitoring.
  • authorization signals formal recognition by the authorizing party that monitoring information will be available.
  • Other sources 78 may also be contacted to determine whether they authorize the patient monitoring. For example, it may be desirable to ensure that the company responsible for maintaining a specific medical monitoring device authorizes its use. If a prior user had reported a problem and the specific medical monitoring device had been taken out of service for repair, but was mistakenly to be re-activated without being repaired, the company responsible for the maintenance could prevent its activation at this stage.
  • the procedures in sub-process 26 act as a “sign off” by a number of checks and third-parties to minimize the possibility that a medical monitoring device will be wrongly issued to a patient and activated. If the sign-offs are not completed, the medical monitoring device is not activated until the reason for the non-completion may be investigated. It is expected that in the great majority of cases, the activation determination process 26 will be completed without incident and so rapidly that the checking will be transparent to the patient and the issuer of the medical monitoring device.
  • the activation decision is made ( 32 ).
  • the final decision is typically made at the central unit 58 , although all or part of the final decision could be made at the base station and/or distributed or made by a system at another location.
  • the decision is made at the central unit 58 because it has the access to the required information during the activation determination process 26 , and because the central unit 58 tends to be more immune to tampering than the input/output device 65 .
  • the central unit 58 issues an activation signal ( 34 ) to the medical monitoring device system 52 over the communication link 60 or 62 .
  • the medical monitoring device is activated and enters service ( 36 ).
  • the “activation signal” may be of any operable type. It may be a software “on” switch that enables the processing of data within a microprocessor in the medical monitoring device or a hardware “on” switch that turns on particular hardware functions such as the communications links built into the medical monitoring device.
  • the activation signal may be complex, and may include identification of the patient and the specific medical monitoring device that is associated with that patient. This activation signal may then be transmitted with each subsequent communication between the medical monitoring device and the central unit 58 for identification purposes. In the event that the proper activation signal is not transmitted with each communication, it may be ignored. The activation may be revoked ( 38 ) at a later time if the authorization is withdrawn or for other reasons.
  • the signals transmitted by the medical monitoring device are not acted upon, and the patient and/or the issuing authority are notified and requested to return the medical monitoring device.
  • the activation signal of step 34 may include a maximum time limit for which activation is authorized, so that a further authorization is required to extend the period of authorized use.
  • FIG. 3 shows a process 300 that can be performed during the term of service of a medical monitoring device. Aspects of process 300 performed by a central unit such as central unit 58 are denoted by arrow 305 , whereas aspects of process 300 performed by a medical monitoring device such as device 54 are denoted by arrow 310 .
  • a central unit sends a medical query to a medical monitoring device system at 315 .
  • a medical query is an inquiry regarding the medical condition of an individual who is monitored by a medical monitoring device.
  • FIG. 4 shows a table 400 that identifies example medical queries 405 , 410 , 415 , 420 .
  • Medical query 405 is an inquiry regarding the medication of an individual. For example, medical query 405 can inquire whether or not the individual has recently medicated with a particular medication or medical query 405 can inquire as to the dosage at which the individual has medicated.
  • Medical query 410 is an inquiry regarding the individual's blood glucose concentration.
  • Medical query 415 is an inquiry regarding the individual's blood pressure.
  • Medical query 420 is an inquiry regarding the individual's weight.
  • Medical queries can be patient-specific in that they are relevant to the medical state of an individual or to classes of individuals. Medical queries can be tailored to the individual's medical condition, location, or activities. Medical queries can address a number of different disease states, including those outside the purview of the primary function of the medical monitoring device system. For example, when the medical monitoring device system is an electrocardiograph, medical queries can include queries directed to an individual's diabetic condition.
  • medical queries can be periodic queries made at certain fixed intervals during the monitoring of an individual. For example, periodic queries as to an individual's blood pressure can be made every four hours or so, whereas periodic queries as to an individual's weight can be made every three months or so. Medical queries can also be “one time” queries in that they are made during the onset of monitoring. Such queries can inquire as to the individual's age, gender, and medical history. Medical queries can also be “dynamic” queries in that the frequency at which the queries are made is adjusted based on the responses to previous queries or the responses to previous activity prompts, as discussed below. For example, when a response to a blood glucose query 410 indicates that the individual's blood glucose level is falling, the frequency of subsequent blood glucose queries 410 can be increased until the individual's blood glucose level ceases to fall or begins to increase.
  • the transmitted medical query is received at a medical monitoring device at 320 .
  • the medical query can be received over a wireless communication link and/or a wired communication link.
  • the medical monitoring device can then prepare a response to the received medical query at 325 .
  • the preparation of the response can be performed automatically, i.e., without input from the individual who is monitored.
  • the response can be prepared using monitoring results read from a sensor.
  • the response can be prepared based on input from the individual who is monitored.
  • the medical monitoring device system can present a text version of the medical query to the monitored individual.
  • the medical monitoring device system can then receive information used to frame a response over one or more input devices.
  • the medical monitoring device can transmit the prepared response to a central unit at 330 .
  • the response can be transmitted over a wireless communication link and/or a wired communication link.
  • the central unit can receive the response to the medical query at 335 .
  • the received response can be stored in a medical library that includes other information relating to the medical condition of the monitored individual at 340 . One implementation of such storage is discussed further below.
  • FIG. 5 shows a process 500 that can be performed during the term of service of a medical monitoring device system. Aspects of process 500 performed by a central unit such as central unit 58 are denoted by arrow 505 , whereas aspects of process 500 performed by a medical monitoring device such as device 54 are denoted by arrow 510 .
  • a central unit sends an activity prompt to a medical monitoring device at 515 .
  • An activity prompt is a trigger designed to provoke a particular action.
  • FIG. 6 shows a table 600 that identifies example activity prompts 605 , 610 , 615 , 620 , 625 , 630 .
  • Activity prompt 605 is a trigger designed to provoke a monitored individual to medicate in a certain way.
  • activity prompt 605 can identify a medication and a dosage for the medication that is to be taken by the monitored individual.
  • the medication can be identified, e.g., by name, by ID #, by shape, or by color.
  • Medication can also be identified using a visual display device that presents an image of the medication (e.g., a purple, ovoid capsule) to identify the medication.
  • Activity prompt 610 is a trigger designed to provoke the collection of a sample.
  • activity prompt 610 can provoke a monitored individual to take a urine sample or a blood sample.
  • Activity prompt 610 can also prompt an individual to facilitate monitoring using a medical monitoring device system.
  • the medical monitoring device system is a electrocardiograph
  • activity prompt 610 can prompt the monitored individual to ensure that electrodes are connected, to minimize the amount or type of movement, or to recline for collection of an electrocardiograph signal sample.
  • Activity prompt 615 is a trigger designed to provoke a monitored individual to check that any electrodes of the medical monitoring device are deployed properly. For example, activity prompt 615 can provoke a monitored individual to check that contact between the monitoring electrodes and the proper portion of and/or location on the body is maintained.
  • Activity prompt 620 is a trigger designed to provoke a monitored individual to check that a battery or other power source for the medical monitoring device is sufficiently charged to properly supply the medical monitoring device with power.
  • Activity prompt 625 is a trigger designed to provoke a monitored individual to check and decrease his or her altitude. In particular, individuals with certain medical conditions may be respond unfavorably to altitudes and activity prompt 625 may act to remind them to consider altitude during activities.
  • Activity prompt 630 is a trigger designed to provoke a monitored individual to consider the likelihood of losing one or more communications links with the central unit. For example, activity prompt 630 can be triggered when a signal over a wireless communication link is fading.
  • Activity prompts can also be patient-specific in that they are relevant to the monitored individual or to classes of individuals. Activity prompts can be tailored to the individual's medical condition, location, or activities. Activity prompts can address a number of different disease states, including those outside the purview of the primary function of the medical monitoring device system. For example, when the medical monitoring device system is an electrocardiograph, activity prompts can include queries directed to an individual's participation in a clinical trial, as discussed below.
  • Activity prompts can also be periodic in that they are made a certain fixed intervals during the monitoring of an individual. For example, periodic prompts to medicate can be made in accordance with an individual's medication regimen. Activity prompts can also be “one time” prompts in that they are made during the onset of monitoring. Activity prompts can also be “dynamic” prompts in that the frequency at which the prompt are made is adjusted based on the responses to previous prompts or the responses to previous queries. For example, when responses to altitude check prompts 625 consistently indicate that an individual is at or near sea level, the frequency of altitude check prompts 410 can be decreased until an anomalous response is obtained.
  • activity prompts include triggers designed to provoke a monitored individual to, e.g., lie down, sit down, curtail or halt physical activity, commence or increase physical activity, apply pressure to a wound, contact a doctor, call an ambulance, decrease altitude, measure blood glucose level, measure blood pressure, take a diuretic, or hydrate.
  • the transmitted activity prompt is received at a medical monitoring device at 520 .
  • the activity prompt can be received over a wireless communication link and/or a wired communication link.
  • the medical monitoring device can prompt the desired activity at 525 .
  • Such prompting can be directed to the monitored individual or to other elements in the medical monitoring device.
  • a message is presented to the monitored individual over an output device such as an LCD screen.
  • data collection elements in the medical monitoring device are directed to collect a certain sample.
  • the medical monitoring device can also prepare and transmit a response to the received activity prompt at 530 .
  • the preparation of the response can be done automatically, i.e., based on sensor readings and without input from the individual who is monitored.
  • the medical monitoring device system is an electrocardiograph
  • the prepared response can include electrocardiogram data.
  • the preparation of the response can be based on input from the individual who is monitored.
  • the medical monitoring device can present a text version of the activity prompt to the monitored individual and then receive a response over one or more input devices.
  • the medical monitoring device system can transmit the prepared response to a central unit at 530 .
  • the response can be transmitted over a wireless communication link and/or a wired communication link.
  • the central unit can receive the response to the activity prompt at 535 .
  • the received response can be stored in an activity library that includes other information relating to other activities of the monitored individual at 540 .
  • FIG. 7 shows a data store 700 suitable for storing one or more activity libraries 705 and one or more medical libraries 710 .
  • Activity library 705 includes a collection of activity records 715 that describe individual activities that have been prompted by the central unit.
  • each activity record 715 can include a time prompt sent field 720 , a prompt origin field 725 , a nature of prompt field 730 , a time response received field 735 , and a response field 740 .
  • Time prompt sent field 720 includes information identifying the time when the prompt was transmitted from the central unit to the medical monitoring device system.
  • Prompt origin field 725 includes information identifying the cause of the prompt.
  • an altitude check prompt may be sent when a monitored condition at the medical monitoring device system indicates that altitude may be a factor in the medical condition of the monitored individual.
  • the monitored condition can be, e.g., a geographic location identified using a global positioning satellite (GPS) reading taken by the device.
  • GPS global positioning satellite
  • Nature of prompt field 730 includes information identifying the subject of the transmitted prompt. For example, nature of prompt field 730 can identify the activity that was designed to be triggered.
  • Time response received field 735 can include information identifying the time when a response to the prompt was received.
  • Response field 740 can include information identifying the response received. For example, response field 740 can identify that the monitored individual has taken the prompted medication or that the monitored individual has collected a biological sample.
  • Medical library 710 includes a collection of medical records 745 that describe responses to queries by the central unit.
  • each medical record 745 can include a time query sent field 750 , a query origin field 755 , a nature of query field 760 , a time response received field 765 , and a response field 770 .
  • Time query sent field 750 includes information identifying the time when the query was transmitted from the central unit to the medical monitoring device system.
  • Query origin field 755 includes information identifying the cause of the query. For example, a query regarding the monitored individual's blood glucose level can be sent in response to the passage of a fixed period of time and a medication query may be sent in response to an anomalous measurement by the medical monitoring device system.
  • Nature of query field 760 includes information identifying the subject of the transmitted query. For example, nature of query field 760 can identify that the query is one or more of the queries in table 400 ( FIG. 4 ).
  • Time response received field 765 can include information identifying the time when any response to the query was received.
  • Response field 770 can include information identifying the response received. For example, response field 770 can identify that the monitored individual is not medicated or that the monitored individual has a certain blood pressure.
  • Libraries 705 , 710 can be implemented in virtually any sort of data repository including databases, data tables, linked lists, or other associations of records 715 , 720 .
  • Records 715 , 720 can be data objects, data records, or other associations of information. Associations between data in libraries 705 , 710 and records 715 , 720 can be formed using, e.g., directories, files, filenames, or pointers.
  • Libraries 705 , 710 and records 715 , 720 can be stored in a single data storage device or libraries 705 , 710 and records 715 , 720 can distributed among two or more data storage devices.
  • FIG. 8 shows a process 800 that can be performed by a central unit in response to receipt of a response to a medical query, receipt of a response to an activity prompt, or receipt of other information from a medical monitoring device system.
  • process 800 can be performed by central unit 58 ( FIG. 2 ).
  • the system performing process 800 receives the response or other information at 805 .
  • the response can be received over a wired or a wireless data communications link.
  • the system can distribute the response to one or more third parties to whom the response is relevant at 810 .
  • the response indicates that a sample has been collected
  • the information regarding the collection can be distributed to a physician, a manager of a clinical trial, or other concerned party.
  • the distributed information can include the collected sample itself.
  • the system performing process 800 can also adapt the parameters of the monitoring performed by the medical monitoring device system at 815 .
  • the parameters can be adapted, e.g., to change thresholds at which disease states are identified, to change the algorithms used in monitoring, or to change the nature of the monitoring itself.
  • the adaptation of the parameters can be based on the response or other information received from the medical monitoring device system or the adaptation can be based on input from the third party to whom the response or other information has been distributed.
  • the system can transmit the adapted parameters to the medical monitoring device system at 820 .
  • the transmission can result in the medical monitoring device system adapting the monitoring to accord with the transmitted parameters.
  • FIG. 9 shows another implementation of a medical monitoring system 50 for monitoring an individual 105 .
  • Medical monitoring system 50 includes medical monitoring device system 52 in communication with central unit 58 over one or more communication links 80 .
  • Medical monitoring device system 52 can be adapted for electrocardiographic monitoring of an individual 105 .
  • Medical monitoring device system 52 can include a sensor module 905 and a monitor module 910 .
  • Sensor module 905 can include three ECG leads with electrodes, as well as a two channel ECG signal recorder and a wireless and/or wired data output.
  • Sensor module 905 can also include a clip for attaching sensor module to a belt, a neckpiece, or other item worn by individual 105 .
  • Monitor module 910 includes a data input that is adapted to receive data output from sensor module 905 as well as one or more wireless and/or wired data outputs for data communication over communication link 80 .
  • Monitor module 910 also includes a data processing device that performs data processing activities in accordance with the logic of a set of machine-readable instructions.
  • the instructions can be realized in digital electronic circuitry, integrated circuitry, specially designed ASICs (application specific integrated circuits), computer hardware, firmware, software, and/or combinations thereof.
  • the instructions can describe how to identify and/or handle electrocardiogram data in accordance with one or more of the techniques described herein.
  • Monitor module 910 can also include an input device and an output device for interaction with a user.
  • the output device can present a prompt or a query to the monitored individual.
  • the input device can receive information used in framing a response to a presented prompt or query.
  • Communication link 80 can include one or both of a wired data link 915 and a wireless data link 920 coupled to a data network 925 to place medical monitoring device system 52 in data communication with central unit 58 .
  • Wired data link 915 includes a public network portion 930 and a private or virtual private network portion 935 bridged by a server 940 .
  • Public network portion 930 provides for data communication between medical monitoring device system 52 and server 940 over a wired data link such as a telephone network.
  • Private network portion 935 provides for private or virtually private data communication from server 940 to receiver 120 .
  • Server 940 can interface for data communication with both portions 930 , 935 .
  • server 940 can communicate directly with central unit 58 using the peer-to-peer protocol (PPP).
  • PPP peer-to-peer protocol
  • Wireless data link 945 can include one or more wireless receivers and transmitters 950 such as a WiFi receiver, a cellular phone relay station, and/or other cellular telephone infrastructure to place medical monitoring device system 52 in data communication with data network 925 .
  • data network 925 communicates with central unit 58 .
  • Central unit 58 includes a receiver server 955 , a data storage device 960 , a call router 965 , a communications server 970 , and one or more application servers 975 that are all in data communication with one another over one or more data links 980 .
  • Receiver server 955 is a data processing device that receives and transmits communications over communications link 80 and relays incoming communications to data storage device 960 and call router 965 in accordance with the logic of a set of machine-readable instructions.
  • Data storage device 960 is a device adaptable for the storage of information. For example, data storage device 960 can store one or more activity libraries 705 and/or medical libraries 710 ( FIG. 7 ).
  • Data storage device 960 can be a volatile and/or non-volatile memory that records information electrically, mechanically, magnetically, and/or optically.
  • Call router 965 is a data processing device that, in accordance with the logic of a set of machine-readable instructions, identifies the content of an incoming communication and directs the communication to one or more appropriate application servers 975 based on that content.
  • Communications server 970 is a data processing device that relays communications between call router 965 and one or more application servers 975 over an external network.
  • Application servers 975 are data processing devices that interact with a user or operate in isolation to provide one or more monitoring services in accordance with the logic of a set of machine-readable instructions.
  • Data links 980 can be part of a local area and/or private network or part of a wide area and/or public network.
  • sensor module 905 can sense, amplify, and record electrical signals relating to the activity of the heart. Sensor module 905 can also relay all or a portion of those signals to monitor module 910 where they can be managed. For example, monitor module 910 can manage the signals in accordance with one or more of processes 300 and 500 ( FIGS. 3 and 5 ). As part of the management, monitor module 910 can transmit the signals to central unit 58 . The signals can be transmitted alone or in association with other information. For example, the signals can be transmitted in association with other information that is responsive to queries or prompts.
  • the transmitted signals pass along communications link 80 over one or more of wired data link 915 and wireless data link 920 to central unit 58 .
  • the signals are received by server 955 which causes at least a portion of the incoming signals to be stored on data storage device 960 and relayed to call router 965 .
  • the incoming signals stored on data storage device 960 can be stored any of a number of data structures.
  • the incoming signals relayed to call router 965 can be distributed to one or more appropriate application servers 975 .
  • the distribution can be based on one or more different factors, including the load on certain application servers 975 , the resources available at certain application servers 975 (e.g., the amount and/or type of memory available), or the content of the incoming signals.
  • the signal when the signal relates to a certain category of cardiac event, the signal can be distributed to a certain application server 975 that is accessible to a cardiologist having expertise with that certain category of event.
  • the signal when the signal originates with an individual who is under the care of a particular physician, the signal can be distributed to a certain application server 975 that is accessible to that physician.
  • the signal when the signal relates to a certain category of cardiac event, the signal can be directed to a certain application server 975 that accesses an expert system or other set of instructions for diagnosing and/or treating that category of event.
  • a signal can be routed to communications server 970 which in turn relays the signal to the appropriate application server 975 over an external network.
  • Communications can also be transmitted from central unit 58 back to individual 105 or to other individuals, as discussed above.
  • a message requesting that the individual seek care can be returned to individual 105 over communication link 80 .
  • third parties such as medical personnel can be directed to individual 105 by medical monitoring device system 52 .
  • FIG. 10 shows a process 1000 that can be performed using an electrocardiographic monitoring device during a clinical trial.
  • a clinical trial is an experiment involving a set of human subjects having a clinical event as an outcome measure.
  • Clinical trials are generally designed to yield information about the efficacy or safety of a drug, vaccine, diagnostic test, surgical procedure, or other medical intervention. For the sake of convenience, such interventions are referred to herein as “medication.”
  • process 1000 performed by a central unit such as central unit 58 are denoted by arrow 1005
  • aspects of process 1000 performed by an electrocardiographic monitoring device are denoted by arrow 1010 .
  • a central unit sends a medication prompt to an electrocardiograph system at 1015 .
  • the medication prompt is designed to trigger the monitored individual to medicate in accordance with the guidelines of the clinical trial.
  • the medication prompt can prompt the monitored individual to take a specified dosage of a specified pharmaceutical composition at a specified time.
  • the medication prompt can be tailored to the monitored individual and based on factors such as the individual's weight, activity level, age, and medical history. The prompted medication need not be thought to have a direct consequence on cardiac function, but rather the prompted medication can be suspected of having a minimal effect or of having no effect on cardiac activity.
  • the transmitted medication prompt is received at the electrocardiogram system at 1020 .
  • the electrocardiogram system can then prompt the appropriate medication at 1025 .
  • the electrocardiogram system can direct the monitored individual to dose with a specific medication in accordance with the clinical trial.
  • the electrocardiogram system can collect electrocardiogram data before and after the dosage at 1030 as part of the clinical trial.
  • the medical monitoring device can also prepare and transmit a response to the medication prompt at 1035 .
  • the preparation of the response can be done automatically, i.e., without input from the individual who is monitored. Alternatively, the preparation of the response can be based on input from the individual who is monitored. For example, the medical monitoring device can present a text version of the medication prompt to the monitored individual and then receive a confirmation that the monitored individual has medicated as instructed.
  • the medical monitoring device can also prepare and transmit electrocardiogram data to the central unit at 1040 .
  • the transmitted data can be raw or processed data.
  • the transmitted data can correspond to specific cardiac events of clinical significance or the transmitted data can correspond to a representative sample of the electrocardiogram data.
  • the central unit can receive the electrocardiogram data and the response to the medication prompt at 1045 .
  • the received data and response can be stored at 1050 and used to yield information about the efficacy or safety of the medication in the context of the clinical trial.

Abstract

Systems and techniques for remote medical monitoring. In one implementation, a method includes monitoring a first medical condition of an individual, the monitoring being initiated remotely by a monitoring service, receiving a query relating to a second medical condition of the individual, transmitting a response to the query to the monitoring service, receiving a prompt from the monitoring service, and transmitting a response to the prompt to the monitoring service. The query is received from the monitoring service. The prompt is designed to provoke a particular action.

Description

    CROSS-REFERENCE TO RELATED APPLICATION
  • This application in a continuation-in-part of, and claims the priority to, U.S. application Ser. No. 10/728,631, filed Dec. 5, 2003, entitled CONTROLLING ACCESS TO A MEDICAL MONITORING SYSTEM, and published as U.S. Patent Publication No. 2004/0085186A1, which is a continuation-in-part of U.S. application Ser. No. 09/841,154, filed Apr. 23, 2001, now U.S. Pat. No. 6,664,893, the disclosures of both of which are hereby incorporated by reference.
  • BACKGROUND
  • The following description relates to controlling access to a medical monitoring device and/or a service associated with the device, for example, to help ensure that access to the monitoring device and service is authorized prior to commencing usage.
  • Advances in sensor technology, electronics, and communications have made it possible for physiological characteristics of patients to be monitored even when the patients are ambulatory and not in continuous, direct contact with a hospital monitoring system. For example, U.S. Pat. No. 5,959,529 describes a monitoring system in which the patient carries a remote monitoring unit with associated physiological sensors. The remote monitoring unit conducts a continuous monitoring of one or more physiological characteristics of the patient according to the medical problem of the patient, such as the patient's heartbeat and its waveform.
  • One potential issue associated with the use of such medical monitoring devices is establishing whether the patient's health-care-benefit payer has authorized the use of the monitoring device and service. In the absence of a proper authorization, the patient may use the medical monitoring device and incur significant charges, for example, in the form of rental value of the medical monitoring device, telephone charges, charges at the central monitoring system, and charges by medical personnel, and the providers of those goods and services may not get paid. Bad debts—an increasing concern in the medical field generally—tend to be an even greater concern in the case of a portable medical monitoring device and its service where the physical control of the device is in the hands of a third party, such as a prescribing doctor, who does not own the medical monitoring device and is not responsible for improper charges.
  • SUMMARY
  • The present inventors recognized a need for controlling access to medical monitoring devices and their associated services to help ensure that only properly authorized patients can use the service. Controlling access to a medical monitoring system may be accomplished by a system and/or technique that includes one or more of the following features.
  • To control access to a medical monitoring system, a computer-based method may involve receiving information indicating that a remote monitoring device (e.g., a patient-portable device configured to monitor one or more physiological aspects of a patient) seeks access (e.g., through one or more communications links including either or both of a wired communication link and a wireless communication link) to a monitoring service hosted by a central unit, and determining whether the remote monitoring device is authorized to access the monitoring service. This determination is based at least in part on authorization data received from a third-party source. Based on a result of the determination, an activation signal is selectively issued to the remote monitoring device.
  • The determination of whether the remote monitoring device is authorized to access the monitoring service may be performed cooperatively between the remote device and the central unit. Further, the determination of whether the remote monitoring device is authorized to access the monitoring service may include one or both of (i) performing a format check on access data entered into the remote monitoring device and (ii) comparing the entered access data against the third-party authorization data.
  • The access control method may further include maintaining, at the central unit, a local database of third-party authorization data to be used in the determination of whether the remote monitoring device is authorized to access the monitoring service. The local authorization database may be updated, for example, periodically or based on a predetermined event or a combination of both.
  • Selectively issuing the activation signal to the remote monitoring device based on a result of the determination may include issuing the activation signal if the remote monitoring device is determined to be authorized to access the medical monitoring service and refraining from issuing an activation signal if the remote monitoring device is determined to be unauthorized to access the medical monitoring service.
  • In another aspect, a medical monitoring system centered at a central node includes one or more communications links configured to facilitate communications with remote monitoring devices (e.g., a patient-portable device configured to monitor one or more physiological aspects of a patient) and one or more third-party authorization sources. The medical monitoring system also includes at least one programmable processor configured to perform various operations. These operations may include hosting a medical monitoring service (e.g., implemented at least in part by one or more software processes), receiving information indicating that a remote monitoring device seeks access to the medical monitoring service hosted by a central unit, determining, based at least in part on authorization data received from a third-party authorization source, whether the remote monitoring device is authorized to access the monitoring service, and based on a result of the determination, selectively issuing an activation signal to the remote monitoring device.
  • The programmable processor may further be configured to maintain at the central node a local database of third-party authorization data to be used in the determination of whether the remote monitoring device is authorized to access the monitoring service. The local authorization database may be updated based on data received from the one or more third-party authorization sources. Updating may occur periodically or based on a predetermined event or a combination of both.
  • The programmable processor may further be configured to determine whether the remote monitoring device is authorized to access the monitoring service by one or both of (i) performing a format check on access data entered into the remote monitoring device and (ii) comparing the entered access data against the third-party authorization data.
  • The programmable processor may be configured to issue the activation signal to the remote monitoring device if the remote monitoring device is determined to be authorized to access the medical monitoring service and to refrain from issuing an activation signal if the remote monitoring device is determined to be unauthorized to access the medical monitoring service.
  • In another aspect, a portable medical monitoring device includes a transceiver for communicating with a central node, a user interface for communicating with a user of the device, and a programmable processor configured to perform various operations. These operations may include receiving user input specifying user-specific information, transmitting the received user input to the central node for third-party authorization based at least in part on the user-specific information, and selectively providing the user with access to a monitoring service hosted at the central node based on a result of the third-party authorization.
  • The programmable processor further may be configured to perform a format check on the received user input to determine whether the user input meets one or more predetermined criteria. If the user input is determined not to meet one or more of the predetermined criteria, the programmable processor may refrain from transmitting the received user input to the central station and/or may deny access to the monitoring service. In addition, the programmable processor may be configured to provide access to the monitoring service if the device receives an activation signal from the central node and to deny access to the monitoring service if the device fails to receive an activation signal from the central node.
  • Among other potential advantages, the systems and techniques described here may facilitate controlling access to medical monitoring devices and associated services. The approach may help to ensure that the term of service is initiated and continued only for persons who are properly authorized to have the service. For example, the present approach may activate the medical monitoring device and its corresponding service only for a person who provides proper identification data and is financially and otherwise properly authorized for the service. As a result, the chances of a wrong person being monitored may tend to be reduced. The activation process, which may involve the input of proper identification data, may be quick and largely transparent to the person seeking the service.
  • The systems and techniques described here may help to ensure that medical monitoring device services are provided only to properly identified and authorized persons. They may also help to ensure that all persons and agencies responsible for the medical monitoring device and the services are coordinated in their approval of rendering service to the particular patient and in effect have approved the provision of service and the type of service to be provided. Potential legal and financial liability may thereby be reduced.
  • In another aspect, a method includes monitoring a first medical condition of an individual, receiving, from the monitoring service, a query relating to a second medical condition of the individual, transmitting a response to the query to the monitoring service, and receiving a prompt from the monitoring service, the prompt designed to provoke a predetermined action. The monitoring can be initiated remotely by a monitoring service.
  • This and other aspects can include one or more of the following features. A response to the prompt can be transmitted to the monitoring service. The received prompt can be designed to provoke the monitored individual to undertake the predetermined action. The query can be, e.g., a blood glucose query inquiring as to a blood glucose concentration of the individual, a blood pressure query inquiring as to a blood pressure of the individual, or a weight query inquiring as to a weight of the individual.
  • The prompt received from the monitoring service can be, for example, a medication prompt designed to provoke the monitored individual to medicate, a sample prompt designed to provoke the collection of a sample, an electrode check prompt designed to move the monitored individual to check an electrode, or a communications check prompt designed to move the monitored individual to ensure that communications with the monitoring service are maintained. The prompt can also be a battery check prompt designed to move the monitored individual to check a charge on the battery, a physical activity prompt designed to move the monitored individual to curtail or halt physical activity, or a prompt designed to move the monitored individual to lie down or sit down.
  • The can also include receiving input from the monitored individual and using the input in responding to the query. Monitoring the first medical condition can include monitoring cardiac function of the individual.
  • In another aspect, a machine-readable medium can store instructions operable to cause one or more devices to perform operations. The operations can include monitoring a medical condition of an individual, transmitting a result of the monitoring to a monitoring service, receiving an activity prompt from the monitoring service, prompting the activity related in the activity prompt, and transmitting a response to the prompt to the monitoring service. The activity prompt can relate an activity that is to be prompted.
  • This and other aspects can include one or more of the following features. The activity can be prompted by relaying the prompt to the monitored individual and receiving a response to the relayed prompt from the monitored individual. The prompted activity can be the collection of a sample. For example, the collection of the result of the monitoring can be provoked or the monitored individual can be provoke to medicate with a specific medication. For example, the monitored individual can be provoked to medicate using a pharmaceutical composition having a specific color.
  • The operations can also include receiving a query from the monitoring service. The query can relate to a second medical condition of the individual. The operations can also include receiving adapted parameters for the monitoring of the medical condition of the individual, and adapting the monitoring of the medical condition in accordance with the received parameters. The response can be transmitted without input from the monitored individual.
  • In another aspect, a method includes receiving a monitoring result from a remote monitoring device, receiving, from the remote monitoring device, a response to one or more of a prompt to provoke a specific action and a query regarding a second medical condition of the individual; and adapting the monitoring of the first medical condition of the individual by the remote monitoring device based on the received response. The remote monitoring device remotely monitors a first medical condition of an individual.
  • This and other aspects can include one or more of the following features. Receiving the response can include receiving a response to one or more of an individual-specific prompt and an individual-specific query tailored to the monitored individual. The monitoring result and the response can be stored. To adapt the monitoring, adapted monitoring parameters can be transmitted to the remote monitoring device. For example, adapted parameters for the identification of cardiac states can be transmitted to the remote monitoring device.
  • In another aspect, a method of conducting a clinical trial includes remotely prompting an individual to medicate in accordance with a regimen of the clinical trial and remotely monitoring a cardiac function of the individual during the medication over a remote electrocardiographic monitoring device.
  • This and other aspects can include one or more of the following features. A response to the prompt indicating that the individual has indeed medicated in accordance with the clinical trial can be received. The individual can be prompted to take a specific pharmaceutical composition, and the efficacy or safety of the prompted medication can be determined. The individual can be remotely prompted over the remote electrocardiographic monitoring device.
  • In another aspect, a method performed at a central monitoring system includes receiving, from a remote sensing device, information related to a medical condition of a monitored individual associated with the remote sensing device and, based at least in part on the received information, transmitting, to the remote sensing device, information designed to instruct the monitored individual.
  • This and other aspects can include one or more of the following features. The information designed to instruct the monitored individual can include instructions to undertake a predetermined action. For example, the instructions to undertake a predetermined action can include transmitting instructions to take medicine, transmitting instructions to contact a doctor, transmitting instructions to sit down, transmitting instructions to reduce altitude, transmitting instructions to reduce an activity level, transmitting instructions to measure one of blood pressure or glucose, transmitting instructions to enter a response or other information for transmission back to the central monitoring system.
  • The information designed to instruct the monitored individual can also include information associated with the medical condition, information designed to confirm receipt of the received information, or information associated with treatment of the medical condition. For example, an image of a medication to treat the medical condition can be transmitted.
  • The information designed to instruct the monitored individual can be transmitted periodically. The period can change between transmissions based on the received information. The information can also be transmitted in response to an event identified in the received information.
  • In another aspect, a method performed by a medical condition sensing device associated with a monitored individual can include measuring a physiological condition of the monitored individual, transmitting the measured physiological condition to a central monitoring system, and receiving information designed to instruct the monitored individual from the central monitoring system. The received information can be based at least in part on the measured physiological condition.
  • This and other aspects can include one or more of the following features. The information designed to instruct the monitored individual can include instructions to undertake a predetermined action. The instructions to undertake a predetermined action can include, e.g., instructions to take medicine, instructions to contact a doctor, instructions to sit down, instructions to reduce altitude, instructions to reduce an activity level, instructions to measure one of blood pressure or glucose, instructions to enter a response or other information for transmission back to the central monitoring system.
  • The information designed to instruct the monitored individual can include information associated with the medical condition, information designed to confirm receipt of the received information, or information associated with treatment of the medical condition. For example, an image of a medication to treat the medical condition can be received.
  • The information designed to instruct the monitored individual can be received periodically. The period can change between transmissions based at least in part on the transmitted physiological condition. The information designed to instruct the monitored individual can be received in response to an event identified in the transmitted physiological condition.
  • The details of one or more implementations are set forth in the accompanying drawings and the description below. Other features will be apparent from the description and drawings, and from the claims.
  • DESCRIPTION OF DRAWINGS
  • FIG. 1 is a flow diagram of a method of controlling access to a medical monitoring device and/or an associated service.
  • FIGS. 2A and 2B are schematic illustrations of medical monitoring systems for implementing the method of FIG. 1.
  • FIG. 3 is a flowchart of a process that can be performed by a medical monitoring device system during its term of service.
  • FIG. 4 shows a table of example medical queries that can be handled during the term of service of a medical monitoring device.
  • FIG. 5 is a flowchart of a process that can be performed by a medical monitoring device system during its term of service.
  • FIG. 6 shows a table of example activity prompts that can be handled during the term of service of a medical monitoring device.
  • FIG. 7 shows a data store for storing information during the term of service of a medical monitoring device.
  • FIG. 8 is a flowchart of a process that can be performed by a central unit in response to receipt of information from a medical monitoring device system.
  • FIG. 9 is a schematic illustration of another implementation of a medical monitoring system.
  • FIG. 10 is a flowchart of a process that can be performed by a electrocardiograph monitoring system during a clinical trial.
  • Like reference symbols in the various drawings indicate like elements.
  • DETAILED DESCRIPTION
  • FIG. 1 depicts a flow diagram of a method of controlling access to a medical monitoring device and/or service. A medical monitoring device and its associated system are provided (20). The medical monitoring device and medical monitoring system may be of any operable type, such as that disclosed in U.S. Pat. No. 5,959,529 (hereafter, “the '529 patent”), whose disclosure is incorporated in its entirety, and/or modified as discussed herein.
  • FIGS. 2A and 2B depict details, in block diagram form, of medical monitoring systems 50 that include a medical monitoring device system 52. Medical monitoring device systems 52 include one or more medical monitoring devices that monitor a biological parameter. A biological parameter is a quantity that characterizes an aspect of a biological system. In the medical context, biological parameters generally include information relating to the physiological state of an organism. Examples of medical monitoring devices include devices that measure electrical potentials (e.g., electrocardiography (ECG's), electromyography, and electroencephalography devices), devices that measure blood and other body fluid analyte constituents (e.g., pulse oximetry devices and devices that measure blood glucose concentration, blood pH, and/or other ion concentrations), and devices that measure mechanical characteristics (e.g., blood pressure transducers, heart sound transducers, height and/or weight measurement devices).
  • In FIG. 2B, medical monitoring device system 52 includes both a medical monitoring device 54 and a base station 56. The medical monitoring device 54 may be a portable or remote monitoring unit of the type generally described in the '529 patent. The base station 56 has communication access to a central unit 58 through a communication link such as a wireless cellular telephone transceiver link 60 and/or a telephone land-line 62. Alternatively, or in addition, communication links can be established by other available means, among others, such as wired or wireless networks that implement communications protocols and standards such IP (Internet protocol), WiFi (IEEE 802.11x), WiMax (IEEE 802.16×), and GPRS (General Packet Radio Service). The central unit 58, typically maintained at a central node or location, may in practice be composed of multiple computer systems distributed across, or even outside of, the central node.
  • In other implementations, medical monitoring device 54 can have direct communication access to central unit 58 through a communication link. For example, medical monitoring device 54 can include a cellular transceiver to establish a direct wireless cellular telephone transceiver link to central unit 58.
  • In the implementation shown in FIG. 2B, the base station 56 has a base station cradle 64 that is configured to receive the medical monitoring device 54. The medical monitoring device 54 includes an input/output device 65 that typically has a microprocessor, communications controller, and communications hardware and/or software to establish the links 60 and/or 62. The input/output device 65 has a keypad 66 for inputting information and a display 68 to view the input information and other information to be displayed, as well as information transmitted to the input/output device 65. Alternatively, input/output device 65 can use a touch-sensitive display without dedicated keys to interact with a user.
  • In the implementations shown in FIGS. 2A and 2B, the central unit 58 has communications access to a variety of databases 71 and to third-party sources 72, typically by telephone land-line, network or other connection 70. The databases 71 may include prior patient records, general records, and the like. The third-party sources 72 may include, for example, financial sources 74, medical sources 76, and other sources 78. A financial source might be, for example, an insurance company, the social-security administration, or a credit-granting company. A medical source might be, for example, a specialist physician whose authorization is required before commencing the monitoring of the patient. Other third-party sources might be, for example, the company that maintains the medical monitoring device and which is consulted to be certain that the specific medical monitoring device to be activated is approved for service.
  • In the implementation shown in FIG. 2B, the base station 56, when not prescribed or otherwise assigned and distributed to a patient to be monitored, ordinarily is in the custody the office of the agency that is providing the medical monitoring device 54 to a patient for the purpose of monitoring physiological parameters of the patient. Such an agency could be, for example, the patient's physician or a hospital. When the agency undertakes to provide the medical monitoring device 54 to the patient, for example, to take home, the medical monitoring device 54 is docked with the base station 56, and the procedures described in relation to subsequent portions of FIG. 1 are followed.
  • Returning to FIG. 1, a set of identification data elements (22) are input into the medical monitoring device system 52. For example, a set of identification data elements can be input through the keypad 66 of the input/output device 65 of the medical monitoring device 54 of FIG. 2B. The identification data elements may include, for example, one or more of a patient name, a patient address, a patient social security number, a patient sex, and an identification of the third-party financial source. In one implementation, a set-up sequence may involve the input of a patient number or other patient identifier. The input patient identifier can be used to retrieve other information about the patient, including name, address, social security number, sex, and the identity of a third-party financial source. The identifier of the medical monitoring device 54, such as its serial number, may be manually input in step 22, but more typically the identifier is automatically made available by the medical monitoring device 54 to the base station 56.
  • The input/output device 65 may perform a preliminary evaluation of the set of identification data elements, for example, such as to determine by using a software utility program whether the identification data elements meet a set of one or more format requirements. Such basic format requirements may be specified for each of the identification data elements. For example, a format requirement may specify that a patient name is to include only alphanumeric characters. If as typed into the keyboard the patient name includes other characters (e.g., a percent sign %), software running in the input/output device 65 can recognize the error and provide an input diagnostic message through the display 68 to prompt the input of correct information. In another example, a format requirement may specify that a user's social security number must contain 10 numerical digits and may not contain letters or other characters.
  • After what appears from the preliminary format evaluation to be a set of correct identification data elements is input to the input/output device 65, the medical monitoring device system 52 establishes (24) a communication link to the central unit 58. The communication link is preferably through the land-line 62, but may be though the cellular telephone transmission link 60 or another wireless or wired link if the land-line is not available.
  • The medical monitoring device system 52 and the central unit 58 cooperatively determine whether the medical monitoring device may be activated for rendering medical monitoring device service (26). The final decision is typically made by the central unit 58, although the medical monitoring device system 52 may aid in data processing or may be called upon for additional input, for example, such as when the patient name is found not to match with the social security number in other records.
  • The activation determination process 26 may include various sub-processes including evaluating the set of identification data elements as to whether they meet a set of basic structural requirements (28) and obtaining third-party authorization (30) from one or more of the third-party sources 72. The sub-processes of evaluating 28 and obtaining 30 are preferably performed automatically. “Automatically” as used herein indicates that the steps are performed without human action or intervention, except where a discrepancy occurs. The present system is organized to perform the evaluating and obtaining steps entirely by computer procedures, to minimize costs and take advantage of data collections at a variety of locations. Alternatively, the present approach may be performed in whole or in part using manual (i.e., human-performed) sub-processes 28 and 30. In addition, the sub-process 30 of obtaining third-party authorization can be performed either before or during the activation determination process 26. For example, the sub-process 30 may involve updating a locally stored (e.g., at a central unit hosting the medical monitoring service) copy of a third party's database of authorization information, and then performing the sub-process 30 by accessing the local copy of the database instead of accessing the third party's system, which typically would be maintained at a remote location. Updating of the local third-party authorization database may occur based on one or both of the following criteria: (i) periodically (e.g., once a day) or (ii) based on an occurrence of a predetermined event (e.g., the third-party system determines that a certain amount of new authorization data is available and has not yet been copied to the central unit's local database and/or the central unit determines that its local database does not contain needed information).
  • The set of basic structural requirements to be imposed may include the format requirements evaluated by the input/output device 65, or may include different or additional structural requirements. For example, the central unit 58 may check the database 71 to attempt to match the input patient name with a social security number that is already in the database 71 from prior medical contacts. If the patient name and the social security number that were input in sub-process 22 do not match, then further inquiry may be made back to the medical monitoring device system 52. The failure to match the name and the social security number may arise from a simple inputting error, which can be corrected with revised input, or it may arise from a fraudulent attempt to obtain medical monitoring services that is detected by the procedures of sub-process 28.
  • As noted above, obtaining third-party authorization in sub-process 30 may include contacting appropriate third-party sources 72, e.g., either on a dynamic, as-needed basis, and/or ahead of time by periodically replicating a third party's remote database to create a local copy. The financial source 74 may be contacted to determine whether it authorizes the charges associated with the patient monitoring services. This authorization is particularly important for the business interests of the provider of the services, for example, to avoid unpaid billings. Unpaid billings for medical services represents a major loss for many medical service companies. The medical source 76 may be contacted to determine whether it authorizes the patient monitoring. For example, if the prospective patient is being treated by more than one physician, it may be important to obtain authorization from each physician who is treating the patient before medical monitoring services are commenced. In this case, “authorization” signals formal recognition by the authorizing party that monitoring information will be available. Other sources 78 may also be contacted to determine whether they authorize the patient monitoring. For example, it may be desirable to ensure that the company responsible for maintaining a specific medical monitoring device authorizes its use. If a prior user had reported a problem and the specific medical monitoring device had been taken out of service for repair, but was mistakenly to be re-activated without being repaired, the company responsible for the maintenance could prevent its activation at this stage.
  • Thus, the procedures in sub-process 26 act as a “sign off” by a number of checks and third-parties to minimize the possibility that a medical monitoring device will be wrongly issued to a patient and activated. If the sign-offs are not completed, the medical monitoring device is not activated until the reason for the non-completion may be investigated. It is expected that in the great majority of cases, the activation determination process 26 will be completed without incident and so rapidly that the checking will be transparent to the patient and the issuer of the medical monitoring device.
  • Based on results of the activation determination process, the activation decision is made (32). The final decision is typically made at the central unit 58, although all or part of the final decision could be made at the base station and/or distributed or made by a system at another location. Typically, the decision is made at the central unit 58 because it has the access to the required information during the activation determination process 26, and because the central unit 58 tends to be more immune to tampering than the input/output device 65.
  • In the event that the identification data elements meet the set of basic structural requirements and third-party authorization is obtained, the central unit 58 issues an activation signal (34) to the medical monitoring device system 52 over the communication link 60 or 62. The medical monitoring device is activated and enters service (36).
  • The “activation signal” may be of any operable type. It may be a software “on” switch that enables the processing of data within a microprocessor in the medical monitoring device or a hardware “on” switch that turns on particular hardware functions such as the communications links built into the medical monitoring device. The activation signal may be complex, and may include identification of the patient and the specific medical monitoring device that is associated with that patient. This activation signal may then be transmitted with each subsequent communication between the medical monitoring device and the central unit 58 for identification purposes. In the event that the proper activation signal is not transmitted with each communication, it may be ignored. The activation may be revoked (38) at a later time if the authorization is withdrawn or for other reasons. Upon revocation 38, the signals transmitted by the medical monitoring device are not acted upon, and the patient and/or the issuing authority are notified and requested to return the medical monitoring device. As an alternative to revocation 38, the activation signal of step 34 may include a maximum time limit for which activation is authorized, so that a further authorization is required to extend the period of authorized use.
  • FIG. 3 shows a process 300 that can be performed during the term of service of a medical monitoring device. Aspects of process 300 performed by a central unit such as central unit 58 are denoted by arrow 305, whereas aspects of process 300 performed by a medical monitoring device such as device 54 are denoted by arrow 310. In process 300, a central unit sends a medical query to a medical monitoring device system at 315. A medical query is an inquiry regarding the medical condition of an individual who is monitored by a medical monitoring device.
  • FIG. 4 shows a table 400 that identifies example medical queries 405, 410, 415, 420. Medical query 405 is an inquiry regarding the medication of an individual. For example, medical query 405 can inquire whether or not the individual has recently medicated with a particular medication or medical query 405 can inquire as to the dosage at which the individual has medicated. Medical query 410 is an inquiry regarding the individual's blood glucose concentration. Medical query 415 is an inquiry regarding the individual's blood pressure. Medical query 420 is an inquiry regarding the individual's weight.
  • Medical queries can be patient-specific in that they are relevant to the medical state of an individual or to classes of individuals. Medical queries can be tailored to the individual's medical condition, location, or activities. Medical queries can address a number of different disease states, including those outside the purview of the primary function of the medical monitoring device system. For example, when the medical monitoring device system is an electrocardiograph, medical queries can include queries directed to an individual's diabetic condition.
  • In addition, medical queries can be periodic queries made at certain fixed intervals during the monitoring of an individual. For example, periodic queries as to an individual's blood pressure can be made every four hours or so, whereas periodic queries as to an individual's weight can be made every three months or so. Medical queries can also be “one time” queries in that they are made during the onset of monitoring. Such queries can inquire as to the individual's age, gender, and medical history. Medical queries can also be “dynamic” queries in that the frequency at which the queries are made is adjusted based on the responses to previous queries or the responses to previous activity prompts, as discussed below. For example, when a response to a blood glucose query 410 indicates that the individual's blood glucose level is falling, the frequency of subsequent blood glucose queries 410 can be increased until the individual's blood glucose level ceases to fall or begins to increase.
  • Returning to FIG. 3, the transmitted medical query is received at a medical monitoring device at 320. The medical query can be received over a wireless communication link and/or a wired communication link. The medical monitoring device can then prepare a response to the received medical query at 325. The preparation of the response can be performed automatically, i.e., without input from the individual who is monitored. For example, the response can be prepared using monitoring results read from a sensor. Alternatively, the response can be prepared based on input from the individual who is monitored. For example, the medical monitoring device system can present a text version of the medical query to the monitored individual. The medical monitoring device system can then receive information used to frame a response over one or more input devices.
  • Once the response is prepared, the medical monitoring device can transmit the prepared response to a central unit at 330. The response can be transmitted over a wireless communication link and/or a wired communication link. The central unit can receive the response to the medical query at 335. The received response can be stored in a medical library that includes other information relating to the medical condition of the monitored individual at 340. One implementation of such storage is discussed further below.
  • FIG. 5 shows a process 500 that can be performed during the term of service of a medical monitoring device system. Aspects of process 500 performed by a central unit such as central unit 58 are denoted by arrow 505, whereas aspects of process 500 performed by a medical monitoring device such as device 54 are denoted by arrow 510.
  • In process 500, a central unit sends an activity prompt to a medical monitoring device at 515. An activity prompt is a trigger designed to provoke a particular action. FIG. 6 shows a table 600 that identifies example activity prompts 605, 610, 615, 620, 625, 630. Activity prompt 605 is a trigger designed to provoke a monitored individual to medicate in a certain way. For example, activity prompt 605 can identify a medication and a dosage for the medication that is to be taken by the monitored individual. The medication can be identified, e.g., by name, by ID #, by shape, or by color. Medication can also be identified using a visual display device that presents an image of the medication (e.g., a purple, ovoid capsule) to identify the medication. Activity prompt 610 is a trigger designed to provoke the collection of a sample. For example, activity prompt 610 can provoke a monitored individual to take a urine sample or a blood sample. Activity prompt 610 can also prompt an individual to facilitate monitoring using a medical monitoring device system. For example, when the medical monitoring device system is a electrocardiograph, activity prompt 610 can prompt the monitored individual to ensure that electrodes are connected, to minimize the amount or type of movement, or to recline for collection of an electrocardiograph signal sample.
  • Activity prompt 615 is a trigger designed to provoke a monitored individual to check that any electrodes of the medical monitoring device are deployed properly. For example, activity prompt 615 can provoke a monitored individual to check that contact between the monitoring electrodes and the proper portion of and/or location on the body is maintained. Activity prompt 620 is a trigger designed to provoke a monitored individual to check that a battery or other power source for the medical monitoring device is sufficiently charged to properly supply the medical monitoring device with power. Activity prompt 625 is a trigger designed to provoke a monitored individual to check and decrease his or her altitude. In particular, individuals with certain medical conditions may be respond unfavorably to altitudes and activity prompt 625 may act to remind them to consider altitude during activities. Activity prompt 630 is a trigger designed to provoke a monitored individual to consider the likelihood of losing one or more communications links with the central unit. For example, activity prompt 630 can be triggered when a signal over a wireless communication link is fading.
  • Activity prompts can also be patient-specific in that they are relevant to the monitored individual or to classes of individuals. Activity prompts can be tailored to the individual's medical condition, location, or activities. Activity prompts can address a number of different disease states, including those outside the purview of the primary function of the medical monitoring device system. For example, when the medical monitoring device system is an electrocardiograph, activity prompts can include queries directed to an individual's participation in a clinical trial, as discussed below.
  • Activity prompts can also be periodic in that they are made a certain fixed intervals during the monitoring of an individual. For example, periodic prompts to medicate can be made in accordance with an individual's medication regimen. Activity prompts can also be “one time” prompts in that they are made during the onset of monitoring. Activity prompts can also be “dynamic” prompts in that the frequency at which the prompt are made is adjusted based on the responses to previous prompts or the responses to previous queries. For example, when responses to altitude check prompts 625 consistently indicate that an individual is at or near sea level, the frequency of altitude check prompts 410 can be decreased until an anomalous response is obtained.
  • Additional examples of activity prompts include triggers designed to provoke a monitored individual to, e.g., lie down, sit down, curtail or halt physical activity, commence or increase physical activity, apply pressure to a wound, contact a doctor, call an ambulance, decrease altitude, measure blood glucose level, measure blood pressure, take a diuretic, or hydrate.
  • Returning to FIG. 5, the transmitted activity prompt is received at a medical monitoring device at 520. The activity prompt can be received over a wireless communication link and/or a wired communication link. The medical monitoring device can prompt the desired activity at 525. Such prompting can be directed to the monitored individual or to other elements in the medical monitoring device. In one implementation, a message is presented to the monitored individual over an output device such as an LCD screen. In another implementation, data collection elements in the medical monitoring device are directed to collect a certain sample.
  • The medical monitoring device can also prepare and transmit a response to the received activity prompt at 530. The preparation of the response can be done automatically, i.e., based on sensor readings and without input from the individual who is monitored. For example, when the medical monitoring device system is an electrocardiograph, the prepared response can include electrocardiogram data. Alternatively, the preparation of the response can be based on input from the individual who is monitored. For example, the medical monitoring device can present a text version of the activity prompt to the monitored individual and then receive a response over one or more input devices.
  • Once the response is prepared, the medical monitoring device system can transmit the prepared response to a central unit at 530. The response can be transmitted over a wireless communication link and/or a wired communication link. The central unit can receive the response to the activity prompt at 535. The received response can be stored in an activity library that includes other information relating to other activities of the monitored individual at 540.
  • FIG. 7 shows a data store 700 suitable for storing one or more activity libraries 705 and one or more medical libraries 710. Activity library 705 includes a collection of activity records 715 that describe individual activities that have been prompted by the central unit. For example, each activity record 715 can include a time prompt sent field 720, a prompt origin field 725, a nature of prompt field 730, a time response received field 735, and a response field 740. Time prompt sent field 720 includes information identifying the time when the prompt was transmitted from the central unit to the medical monitoring device system. Prompt origin field 725 includes information identifying the cause of the prompt. For example, an altitude check prompt may be sent when a monitored condition at the medical monitoring device system indicates that altitude may be a factor in the medical condition of the monitored individual. The monitored condition can be, e.g., a geographic location identified using a global positioning satellite (GPS) reading taken by the device.
  • Nature of prompt field 730 includes information identifying the subject of the transmitted prompt. For example, nature of prompt field 730 can identify the activity that was designed to be triggered. Time response received field 735 can include information identifying the time when a response to the prompt was received. Response field 740 can include information identifying the response received. For example, response field 740 can identify that the monitored individual has taken the prompted medication or that the monitored individual has collected a biological sample.
  • Medical library 710 includes a collection of medical records 745 that describe responses to queries by the central unit. For example, each medical record 745 can include a time query sent field 750, a query origin field 755, a nature of query field 760, a time response received field 765, and a response field 770. Time query sent field 750 includes information identifying the time when the query was transmitted from the central unit to the medical monitoring device system. Query origin field 755 includes information identifying the cause of the query. For example, a query regarding the monitored individual's blood glucose level can be sent in response to the passage of a fixed period of time and a medication query may be sent in response to an anomalous measurement by the medical monitoring device system.
  • Nature of query field 760 includes information identifying the subject of the transmitted query. For example, nature of query field 760 can identify that the query is one or more of the queries in table 400 (FIG. 4). Time response received field 765 can include information identifying the time when any response to the query was received. Response field 770 can include information identifying the response received. For example, response field 770 can identify that the monitored individual is not medicated or that the monitored individual has a certain blood pressure.
  • Libraries 705, 710 can be implemented in virtually any sort of data repository including databases, data tables, linked lists, or other associations of records 715, 720. Records 715, 720 can be data objects, data records, or other associations of information. Associations between data in libraries 705, 710 and records 715, 720 can be formed using, e.g., directories, files, filenames, or pointers. Libraries 705, 710 and records 715, 720 can be stored in a single data storage device or libraries 705, 710 and records 715, 720 can distributed among two or more data storage devices.
  • FIG. 8 shows a process 800 that can be performed by a central unit in response to receipt of a response to a medical query, receipt of a response to an activity prompt, or receipt of other information from a medical monitoring device system. For example, process 800 can be performed by central unit 58 (FIG. 2).
  • The system performing process 800 receives the response or other information at 805. The response can be received over a wired or a wireless data communications link.
  • In response to receipt of the response, the system can distribute the response to one or more third parties to whom the response is relevant at 810. For example, if the response indicates that a sample has been collected, the information regarding the collection can be distributed to a physician, a manager of a clinical trial, or other concerned party. In the case of sensor readings or other data samples, the distributed information can include the collected sample itself.
  • The system performing process 800 can also adapt the parameters of the monitoring performed by the medical monitoring device system at 815. The parameters can be adapted, e.g., to change thresholds at which disease states are identified, to change the algorithms used in monitoring, or to change the nature of the monitoring itself. The adaptation of the parameters can be based on the response or other information received from the medical monitoring device system or the adaptation can be based on input from the third party to whom the response or other information has been distributed.
  • After adapting the parameters of the monitoring, the system can transmit the adapted parameters to the medical monitoring device system at 820. The transmission can result in the medical monitoring device system adapting the monitoring to accord with the transmitted parameters.
  • FIG. 9 shows another implementation of a medical monitoring system 50 for monitoring an individual 105. Medical monitoring system 50 includes medical monitoring device system 52 in communication with central unit 58 over one or more communication links 80.
  • Medical monitoring device system 52 can be adapted for electrocardiographic monitoring of an individual 105. Medical monitoring device system 52 can include a sensor module 905 and a monitor module 910. Sensor module 905 can include three ECG leads with electrodes, as well as a two channel ECG signal recorder and a wireless and/or wired data output. Sensor module 905 can also include a clip for attaching sensor module to a belt, a neckpiece, or other item worn by individual 105. Monitor module 910 includes a data input that is adapted to receive data output from sensor module 905 as well as one or more wireless and/or wired data outputs for data communication over communication link 80. Monitor module 910 also includes a data processing device that performs data processing activities in accordance with the logic of a set of machine-readable instructions. The instructions can be realized in digital electronic circuitry, integrated circuitry, specially designed ASICs (application specific integrated circuits), computer hardware, firmware, software, and/or combinations thereof. The instructions can describe how to identify and/or handle electrocardiogram data in accordance with one or more of the techniques described herein. Monitor module 910 can also include an input device and an output device for interaction with a user. The output device can present a prompt or a query to the monitored individual. The input device can receive information used in framing a response to a presented prompt or query.
  • Communication link 80 can include one or both of a wired data link 915 and a wireless data link 920 coupled to a data network 925 to place medical monitoring device system 52 in data communication with central unit 58. Wired data link 915 includes a public network portion 930 and a private or virtual private network portion 935 bridged by a server 940. Public network portion 930 provides for data communication between medical monitoring device system 52 and server 940 over a wired data link such as a telephone network. Private network portion 935 provides for private or virtually private data communication from server 940 to receiver 120. Server 940 can interface for data communication with both portions 930, 935. For example, server 940 can communicate directly with central unit 58 using the peer-to-peer protocol (PPP).
  • Wireless data link 945 can include one or more wireless receivers and transmitters 950 such as a WiFi receiver, a cellular phone relay station, and/or other cellular telephone infrastructure to place medical monitoring device system 52 in data communication with data network 925. In turn, data network 925 communicates with central unit 58.
  • Central unit 58 includes a receiver server 955, a data storage device 960, a call router 965, a communications server 970, and one or more application servers 975 that are all in data communication with one another over one or more data links 980. Receiver server 955 is a data processing device that receives and transmits communications over communications link 80 and relays incoming communications to data storage device 960 and call router 965 in accordance with the logic of a set of machine-readable instructions. Data storage device 960 is a device adaptable for the storage of information. For example, data storage device 960 can store one or more activity libraries 705 and/or medical libraries 710 (FIG. 7). Data storage device 960 can be a volatile and/or non-volatile memory that records information electrically, mechanically, magnetically, and/or optically. Call router 965 is a data processing device that, in accordance with the logic of a set of machine-readable instructions, identifies the content of an incoming communication and directs the communication to one or more appropriate application servers 975 based on that content. Communications server 970 is a data processing device that relays communications between call router 965 and one or more application servers 975 over an external network. Application servers 975 are data processing devices that interact with a user or operate in isolation to provide one or more monitoring services in accordance with the logic of a set of machine-readable instructions. Data links 980 can be part of a local area and/or private network or part of a wide area and/or public network.
  • In operation, sensor module 905 can sense, amplify, and record electrical signals relating to the activity of the heart. Sensor module 905 can also relay all or a portion of those signals to monitor module 910 where they can be managed. For example, monitor module 910 can manage the signals in accordance with one or more of processes 300 and 500 (FIGS. 3 and 5). As part of the management, monitor module 910 can transmit the signals to central unit 58. The signals can be transmitted alone or in association with other information. For example, the signals can be transmitted in association with other information that is responsive to queries or prompts.
  • The transmitted signals pass along communications link 80 over one or more of wired data link 915 and wireless data link 920 to central unit 58. At central unit 58, the signals are received by server 955 which causes at least a portion of the incoming signals to be stored on data storage device 960 and relayed to call router 965. The incoming signals stored on data storage device 960 can be stored any of a number of data structures.
  • The incoming signals relayed to call router 965 can be distributed to one or more appropriate application servers 975. The distribution can be based on one or more different factors, including the load on certain application servers 975, the resources available at certain application servers 975 (e.g., the amount and/or type of memory available), or the content of the incoming signals. For example, when the signal relates to a certain category of cardiac event, the signal can be distributed to a certain application server 975 that is accessible to a cardiologist having expertise with that certain category of event. As another example, when the signal originates with an individual who is under the care of a particular physician, the signal can be distributed to a certain application server 975 that is accessible to that physician. As yet another example, when the signal relates to a certain category of cardiac event, the signal can be directed to a certain application server 975 that accesses an expert system or other set of instructions for diagnosing and/or treating that category of event. When appropriate, a signal can be routed to communications server 970 which in turn relays the signal to the appropriate application server 975 over an external network.
  • Communications can also be transmitted from central unit 58 back to individual 105 or to other individuals, as discussed above. As yet another example, when a physician or expert system identifies that care is needed, a message requesting that the individual seek care can be returned to individual 105 over communication link 80. In urgent care situations, third parties such as medical personnel can be directed to individual 105 by medical monitoring device system 52.
  • FIG. 10 shows a process 1000 that can be performed using an electrocardiographic monitoring device during a clinical trial. A clinical trial is an experiment involving a set of human subjects having a clinical event as an outcome measure. Clinical trials are generally designed to yield information about the efficacy or safety of a drug, vaccine, diagnostic test, surgical procedure, or other medical intervention. For the sake of convenience, such interventions are referred to herein as “medication.”
  • Aspects of process 1000 performed by a central unit such as central unit 58 are denoted by arrow 1005, whereas aspects of process 1000 performed by an electrocardiographic monitoring device are denoted by arrow 1010.
  • In process 1000, a central unit sends a medication prompt to an electrocardiograph system at 1015. The medication prompt is designed to trigger the monitored individual to medicate in accordance with the guidelines of the clinical trial. For example, the medication prompt can prompt the monitored individual to take a specified dosage of a specified pharmaceutical composition at a specified time. The medication prompt can be tailored to the monitored individual and based on factors such as the individual's weight, activity level, age, and medical history. The prompted medication need not be thought to have a direct consequence on cardiac function, but rather the prompted medication can be suspected of having a minimal effect or of having no effect on cardiac activity.
  • The transmitted medication prompt is received at the electrocardiogram system at 1020. The electrocardiogram system can then prompt the appropriate medication at 1025. For example, the electrocardiogram system can direct the monitored individual to dose with a specific medication in accordance with the clinical trial. The electrocardiogram system can collect electrocardiogram data before and after the dosage at 1030 as part of the clinical trial.
  • The medical monitoring device can also prepare and transmit a response to the medication prompt at 1035. The preparation of the response can be done automatically, i.e., without input from the individual who is monitored. Alternatively, the preparation of the response can be based on input from the individual who is monitored. For example, the medical monitoring device can present a text version of the medication prompt to the monitored individual and then receive a confirmation that the monitored individual has medicated as instructed.
  • The medical monitoring device can also prepare and transmit electrocardiogram data to the central unit at 1040. The transmitted data can be raw or processed data. The transmitted data can correspond to specific cardiac events of clinical significance or the transmitted data can correspond to a representative sample of the electrocardiogram data.
  • The central unit can receive the electrocardiogram data and the response to the medication prompt at 1045. The received data and response can be stored at 1050 and used to yield information about the efficacy or safety of the medication in the context of the clinical trial.
  • A number of implementations have been described. Nevertheless, it will be understood that various modifications may be made. Accordingly, other implementations are within the scope of the following claims.

Claims (70)

1. A method comprising:
monitoring a first medical condition of an individual, the monitoring being initiated remotely by a monitoring service;
receiving, from the monitoring service, a query relating to a second medical condition of the individual;
transmitting a response to the query to the monitoring service; and
receiving a prompt from the monitoring service, the prompt designed to provoke a predetermined action.
2. The method of claim 1, further comprising transmitting a response to the prompt to the monitoring service.
3. The method of claim 1, wherein the received prompt is designed to provoke the monitored individual to undertake the predetermined action.
4. The method of claim 1, wherein receiving the query comprises receiving a blood glucose query inquiring as to a blood glucose concentration of the individual.
5. The method of claim 1, wherein receiving the query comprises receiving a blood pressure query inquiring as to a blood pressure of the individual.
6. The method of claim 1, wherein receiving the query comprises receiving a weight query inquiring as to a weight of the individual.
7. The method of claim 1, wherein receiving the prompt comprises receiving a medication prompt designed to provoke the monitored individual to medicate.
8. The method of claim 1, wherein receiving the prompt comprises receiving a sample prompt designed to provoke the collection of a sample.
9. The method of claim 1, wherein receiving the prompt comprises receiving an electrode check prompt designed to move the monitored individual to check an electrode.
10. The method of claim 1, wherein receiving the prompt comprises receiving a communications check prompt designed to move the monitored individual to ensure that communications with the monitoring service are maintained.
11. The method of claim 1, wherein receiving the prompt comprises receiving a battery check prompt designed to move the monitored individual to check a charge on the battery.
12. The method of claim 1, wherein receiving the prompt comprises receiving a physical activity prompt designed to move the monitored individual to curtail or halt physical activity.
13. The method of claim 1, wherein receiving the prompt comprises receiving the prompt designed to move the monitored individual to lie down or sit down.
14. The method of claim 1, further comprising:
receiving input from the monitored individual; and
using the input in responding to the query.
15. The method of claim 1, wherein monitoring the first medical condition comprises monitoring cardiac function of the individual.
16. An article comprising a machine-readable medium storing instructions operable to cause one or more devices to perform operations comprising:
monitoring a medical condition of an individual;
transmitting a result of the monitoring to a monitoring service;
receiving an activity prompt from the monitoring service, the activity prompt relating an activity that is to be prompted;
prompting the activity related in the activity prompt; and
transmitting a response to the prompt to the monitoring service.
17. The article of claim 16, wherein prompting the activity comprises:
relaying the prompt to the monitored individual; and
receiving a response to the relayed prompt from the monitored individual.
18. The article of claim 16, wherein prompting the activity comprises provoking collection of a sample.
19. The article of claim 18, wherein provoking collection of the sample comprises provoking collection of the result of the monitoring.
20. The article of claim 16, wherein prompting the activity comprises provoking the monitored individual to medicate with a specific medication.
21. The article of claim 20, wherein provoking the monitored individual to medicate comprises provoking the monitored individual to medicate using a pharmaceutical composition having a specific color.
22. The article of claim 16, wherein the operations further comprise receiving a query from the monitoring service, the query relating to a second medical condition of the individual.
23. The article of claim 16, wherein the operations further comprise:
receiving adapted parameters for the monitoring of the medical condition of the individual; and
adapting the monitoring of the medical condition in accordance with the received parameters.
24. The article of claim 16, wherein transmitting the response comprises transmitting the response without input from the monitored individual.
25. A device comprising:
an electrocardiograph configured to remotely monitor cardiac function of an individual;
a receiver configured to receive a communication from a remote monitoring service;
an output device to relay the communication to the monitored individual;
an input device to receive an input responsive to the relayed communication from the monitored individual; and
a transmitter configured to transmit a response to the communication to the remote monitoring service, the response based at least in part on the input received from the monitored individual.
26. The device of claim 25, wherein the receiver is to receive a query relating to a second medical condition of the individual.
27. The device of claim 26, wherein:
the output device is to display a query relating to a diabetic condition of the monitored individual; and
the input device is to receive an input relating to the diabetic condition.
28. The device of claim 25, wherein the receiver is to receive a prompt designed to move the monitored individual to a particular action.
29. A method comprising:
receiving a monitoring result from a remote monitoring device, the remote monitoring device remotely monitoring a first medical condition of an individual;
receiving, from the remote monitoring device, a response to one or more of a prompt to provoke a specific action and a query regarding a second medical condition of the individual; and
adapting the monitoring of the first medical condition of the individual by the remote monitoring device based on the received response.
30. The method of claim 29, wherein receiving the response comprises receiving a response to one or more of an individual-specific prompt and an individual-specific query tailored to the monitored individual.
31. The method of claim 29, further comprising storing the monitoring result and the response.
32. The method of claim 29, wherein adapting the monitoring comprises transmitting adapted monitoring parameters to the remote monitoring device.
33. The method of claim 32, wherein transmitting the adapted monitoring parameters comprises transmitting adapted parameters for the identification of cardiac states to the remote monitoring device.
34. A method of conducting a clinical trial, comprising:
remotely prompting an individual to medicate in accordance with a regimen of the clinical trial; and
remotely monitoring a cardiac function of the individual during the medication over a remote electrocardiographic monitoring device.
35. The method of claim 34, further comprising receiving a response to the prompt indicating that the individual has indeed medicated in accordance with the clinical trial.
36. The method of claim 34, wherein prompting the individual to medicate comprising prompting the individual to take a specific pharmaceutical composition.
37. The method of claim 34, further comprising determining the efficacy or safety of the prompted medication.
38. The method of claim 34, wherein remotely prompting the individual comprises remotely prompting the individual over the remote electrocardiographic monitoring device.
39. A method performed at a central monitoring system, the method comprising:
receiving from a remote sensing device information related to a medical condition of a monitored individual associated with the remote sensing device; and
based at least in part on the received information, transmitting, to the remote sensing device, information designed to instruct the monitored individual.
40. The method of claim 39, wherein transmitting the information designed to instruct the monitored individual comprises transmitting instructions to undertake a predetermined action.
41. The method of claim 40, wherein transmitting the instructions to undertake a predetermined action comprises transmitting instructions to take medicine.
42. The method of claim 40, wherein transmitting the instructions to undertake a predetermined action comprises transmitting instructions to contact a doctor.
43. The method of claim 40, wherein transmitting the instructions to undertake a predetermined action comprises transmitting instructions to sit down.
44. The method of claim 40, wherein transmitting the instructions to undertake a predetermined action comprises transmitting instructions to reduce altitude.
45. The method of claim 40, wherein transmitting the instructions to undertake a predetermined action comprises transmitting instructions to reduce an activity level.
46. The method of claim 40, wherein transmitting the instructions to undertake a predetermined action comprises transmitting instructions to measure one of blood pressure or glucose.
47. The method of claim 40, wherein transmitting the instructions to undertake a predetermined action comprises transmitting instructions to enter a response or other information for transmission back to the central monitoring system.
48. The method of claim 39, wherein transmitting the information designed to instruct the monitored individual comprises transmitting information associated with the medical condition.
49. The method of claim 39, wherein transmitting the information designed to instruct the monitored individual comprises transmitting information designed to confirm receipt of the received information.
50. The method of claim 39, wherein transmitting the information designed to instruct the monitored individual comprises transmitting information associated with treatment of the medical condition.
51. The method of claim 50, wherein transmitting the information associated with treatment of the medical condition comprises transmitting an image of a medication to treat the medical condition.
52. The method of claim 39, wherein transmitting the information designed to instruct the monitored individual comprises transmitting the information periodically.
53. The method of claim 52, wherein transmitting the information periodically comprises transmitting the information at periods that change between transmissions based on the received information.
54. The method of claim 39, wherein transmitting the information designed to instruct the monitored individual comprises transmitting the information in response to an event identified in the received information.
55. A method performed by a medical condition sensing device associated with a monitored individual, the method comprising:
measuring a physiological condition of the monitored individual;
transmitting the measured physiological condition to a central monitoring system; and
receiving from the central monitoring system information designed to instruct the monitored individual, the received information being based at least in part on the measured physiological condition.
56. The method of claim 55, wherein receiving the information designed to instruct the monitored individual comprises receiving instructions to undertake a predetermined action.
57. The method of claim 56, wherein receiving the instructions to undertake a predetermined action comprises receiving instructions to take medicine.
58. The method of claim 56, wherein receiving the instructions to undertake a predetermined action comprises receiving instructions to contact a doctor.
59. The method of claim 56, wherein receiving the instructions to undertake a predetermined action comprises receiving instructions to sit down.
60. The method of claim 56, wherein receiving the instructions to undertake a predetermined action comprises receiving instructions to reduce altitude.
61. The method of claim 56, wherein receiving the instructions to undertake a predetermined action comprises receiving instructions to reduce an activity level.
62. The method of claim 56, wherein receiving the instructions to undertake a predetermined action comprises receiving instructions to measure one of blood pressure or glucose.
63. The method of claim 56, wherein receiving the instructions to undertake a predetermined action comprises receiving instructions to enter a response or other information for transmission back to the central monitoring system.
64. The method of claim 55, wherein receiving the information designed to instruct the monitored individual comprises receiving information associated with the medical condition.
65. The method of claim 55, wherein receiving the information designed to instruct the monitored individual comprises receiving information designed to confirm receipt of the received information.
66. The method of claim 55, wherein receiving the information designed to instruct the monitored individual comprises receiving information associated with treatment of the medical condition.
67. The method of claim 66, wherein receiving the information associated with treatment of the medical condition comprises receiving an image of a medication to treat the medical condition.
68. The method of claim 55, wherein receiving the information designed to instruct the monitored individual comprises receiving the information periodically.
69. The method of claim 68, wherein receiving the information periodically comprises receiving the information at periods that change between transmissions based at least in part on the transmitted physiological condition.
70. The method of claim 55, wherein receiving the information designed to instruct the monitored individual comprises receiving the information in response to an event identified in the transmitted physiological condition.
US11/004,311 2001-04-23 2004-12-02 Controlling access to a medical monitoring system Abandoned US20050119580A1 (en)

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US11/004,311 US20050119580A1 (en) 2001-04-23 2004-12-02 Controlling access to a medical monitoring system
PCT/US2005/043652 WO2006060669A2 (en) 2001-04-23 2005-12-02 Controlling access to a medical monitoring system
CA002586862A CA2586862A1 (en) 2004-12-02 2005-12-02 Controlling access to a medical monitoring system
CNA2005800413889A CN101123912A (en) 2004-12-02 2005-12-02 Controlling access to a medical monitoring system
EP05852771.4A EP1816955B1 (en) 2004-12-02 2005-12-02 Remote electrocardiographic monitoring
AU2005311702A AU2005311702B2 (en) 2004-12-02 2005-12-02 Controlling access to a medical monitoring system
US11/734,644 US8425414B2 (en) 2001-04-23 2007-04-12 Controlling access to a medical monitoring system
US13/868,679 US9474445B2 (en) 2001-04-23 2013-04-23 Controlling access to medical monitoring system
US16/566,501 US11872010B2 (en) 2001-04-23 2019-09-10 Controlling access to a medical monitoring system

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US09/841,154 US6664893B1 (en) 2001-04-23 2001-04-23 Method for controlling access to medical monitoring device service
US10/728,631 US7002468B2 (en) 2001-04-23 2003-12-05 Controlling access to a medical monitoring system
US11/004,311 US20050119580A1 (en) 2001-04-23 2004-12-02 Controlling access to a medical monitoring system

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US13/868,679 Active US9474445B2 (en) 2001-04-23 2013-04-23 Controlling access to medical monitoring system
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US16/566,501 Expired - Lifetime US11872010B2 (en) 2001-04-23 2019-09-10 Controlling access to a medical monitoring system

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Cited By (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040138575A1 (en) * 2002-10-31 2004-07-15 Kenji Ueyama Portable electrocardiograph, electrocardiogram monitoring system, and electrocardiogram monitoring method using the same
US20070100218A1 (en) * 2005-10-27 2007-05-03 Smiths Medical Pm, Inc. Single use pulse oximeter
US20070100219A1 (en) * 2005-10-27 2007-05-03 Smiths Medical Pm, Inc. Single use pulse oximeter
US20070288067A1 (en) * 2001-04-23 2007-12-13 Cardionet, Inc. Controlling Access to a Medical Monitoring System
US20080097551A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for storage and forwarding of medical data
US20080097908A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for processing and transmittal of medical data through an intermediary device
US20080097793A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for remote patient monitoring and user interface
US20080097914A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for wireless processing and transmittal of medical data through multiple interfaces
US20080097550A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for remote patient monitoring and command execution
US20080097917A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for wireless processing and medical device monitoring via remote command execution
US20080097909A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for processing and transmittal of data from a plurality of medical devices
US20080103555A1 (en) * 2006-10-24 2008-05-01 Kent Dicks Systems and methods for wireless processing and medical device monitoring activation
US20080229205A1 (en) * 2007-03-13 2008-09-18 Samsung Electronics Co., Ltd. Method of providing metadata on part of video image, method of managing the provided metadata and apparatus using the methods
US20080260173A1 (en) * 2005-10-14 2008-10-23 Medicalgorithmics Ltd. Method, device and system for cardio-acoustic signal analysis
US20090112769A1 (en) * 2007-10-24 2009-04-30 Kent Dicks Systems and methods for remote patient monitoring
US20090171227A1 (en) * 2005-10-14 2009-07-02 Medicalgorithmics Ltd. Systems for safe and remote outpatient ecg monitoring
US20110066555A1 (en) * 2006-10-24 2011-03-17 Kent Dicks Systems and methods for wireless processing and transmittal of medical data through an intermediary device
US20110090086A1 (en) * 2007-10-22 2011-04-21 Kent Dicks Systems for personal emergency intervention
US20110161111A1 (en) * 2006-10-24 2011-06-30 Dicks Kent E System for facility management of medical data and patient interface
US20110158430A1 (en) * 2006-10-24 2011-06-30 Dicks Kent E Methods for voice communication through personal emergency response system
US20110179405A1 (en) * 2006-10-24 2011-07-21 Dicks Kent E Systems for remote provisioning of electronic devices
WO2011126859A2 (en) * 2010-04-05 2011-10-13 MobiSante Inc. Sampling patient data
US8126733B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for medical data interchange using mobile computing devices
US8126734B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for adapter-based communication with a medical device
US8126732B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for processing and transmittal of medical data through multiple interfaces
US8180789B1 (en) * 2005-12-05 2012-05-15 Teradata Us, Inc. Techniques for query generation, population, and management
CN102779219A (en) * 2011-05-09 2012-11-14 悦康健康管理顾问科技股份有限公司 Healthcare management system and method
CN103455698A (en) * 2012-05-31 2013-12-18 中国联合网络通信集团有限公司 Medical monitoring method, device and system
US9173670B2 (en) 2013-04-08 2015-11-03 Irhythm Technologies, Inc. Skin abrader
US9226679B2 (en) 2010-05-21 2016-01-05 Medicomp, Inc. Systems and methods for interelectrode distance optimization in a retractable multi-use cardiac monitor
US9241649B2 (en) 2010-05-12 2016-01-26 Irhythm Technologies, Inc. Device features and design elements for long-term adhesion
US9585584B2 (en) 2010-05-21 2017-03-07 Medicomp, Inc. Physiological signal monitor with retractable wires
US9597004B2 (en) 2014-10-31 2017-03-21 Irhythm Technologies, Inc. Wearable monitor
US9788735B2 (en) 2002-03-25 2017-10-17 Masimo Corporation Body worn mobile medical patient monitor
US9974492B1 (en) 2015-06-05 2018-05-22 Life365, Inc. Health monitoring and communications device
US10185513B1 (en) 2015-06-05 2019-01-22 Life365, Inc. Device configured for dynamic software change
US10271754B2 (en) 2013-01-24 2019-04-30 Irhythm Technologies, Inc. Physiological monitoring device
US10388411B1 (en) 2015-09-02 2019-08-20 Life365, Inc. Device configured for functional diagnosis and updates
US10560135B1 (en) 2015-06-05 2020-02-11 Life365, Inc. Health, wellness and activity monitor
US10664920B1 (en) 2014-10-06 2020-05-26 State Farm Mutual Automobile Insurance Company Blockchain systems and methods for providing insurance coverage to affinity groups
US10660520B2 (en) 2009-03-27 2020-05-26 Braemar Manufacturing, Llc Ambulatory and centralized processing of a physiological signal
US10713728B1 (en) 2014-10-06 2020-07-14 State Farm Mutual Automobile Insurance Company Risk mitigation for affinity groupings
US10817949B1 (en) 2014-10-06 2020-10-27 State Farm Mutual Automobile Insurance Company Medical diagnostic-initiated insurance offering
US10949928B1 (en) 2014-10-06 2021-03-16 State Farm Mutual Automobile Insurance Company System and method for obtaining and/or maintaining insurance coverage
US11083371B1 (en) 2020-02-12 2021-08-10 Irhythm Technologies, Inc. Methods and systems for processing data via an executable file on a monitor to reduce the dimensionality of the data and encrypting the data being transmitted over the wireless network
US11246523B1 (en) 2020-08-06 2022-02-15 Irhythm Technologies, Inc. Wearable device with conductive traces and insulator
US11329683B1 (en) 2015-06-05 2022-05-10 Life365, Inc. Device configured for functional diagnosis and updates
US11350864B2 (en) 2020-08-06 2022-06-07 Irhythm Technologies, Inc. Adhesive physiological monitoring device
US11574368B1 (en) 2014-10-06 2023-02-07 State Farm Mutual Automobile Insurance Company Risk mitigation for affinity groupings
US11925469B2 (en) 2022-07-01 2024-03-12 Irhythm Technologies, Inc. Non-invasive cardiac monitor and methods of using recorded cardiac data to infer a physiological characteristic of a patient

Families Citing this family (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7657569B1 (en) * 2006-11-28 2010-02-02 Lower My Bills, Inc. System and method of removing duplicate leads
US9848058B2 (en) 2007-08-31 2017-12-19 Cardiac Pacemakers, Inc. Medical data transport over wireless life critical network employing dynamic communication link mapping
US8515547B2 (en) 2007-08-31 2013-08-20 Cardiac Pacemakers, Inc. Wireless patient communicator for use in a life critical network
US10373198B1 (en) 2008-06-13 2019-08-06 Lmb Mortgage Services, Inc. System and method of generating existing customer leads
US8812841B2 (en) 2009-03-04 2014-08-19 Cardiac Pacemakers, Inc. Communications hub for use in life critical network
US8319631B2 (en) 2009-03-04 2012-11-27 Cardiac Pacemakers, Inc. Modular patient portable communicator for use in life critical network
US8301236B2 (en) * 2009-05-22 2012-10-30 Biomedical Systems Corporation System and method for high resolution wireless full disclosure ECG episode monitoring and analysis
US20110077718A1 (en) * 2009-09-30 2011-03-31 Broadcom Corporation Electromagnetic power booster for bio-medical units
US10453093B1 (en) 2010-04-30 2019-10-22 Lmb Mortgage Services, Inc. System and method of optimizing matching of leads
US20120123218A1 (en) * 2010-11-16 2012-05-17 JPWaVe BV Methods and means for clinical investigations
WO2012142432A1 (en) 2011-04-15 2012-10-18 Mrn Partners Llp Remote health monitoring system
EP3027274A4 (en) 2013-08-01 2017-04-26 Zoll Medical Corporation Systems and methods for utilizing identification devices in a wearable medical therapy device
US10123729B2 (en) 2014-06-13 2018-11-13 Nanthealth, Inc. Alarm fatigue management systems and methods
CA2953290A1 (en) * 2014-07-03 2016-01-07 Abb Schweiz Ag An apparatus and a method for processing data
US10127357B2 (en) 2015-05-18 2018-11-13 Zoll Medical Corporation Mobile monitoring and patient management system
US10964432B2 (en) 2016-01-08 2021-03-30 Universal Research Solutions, Llc Processing of portable device data
US10103947B2 (en) * 2016-01-08 2018-10-16 Universal Research Solutions, Llc Processing of portable device data
USD794807S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device with a display
US9968274B2 (en) 2016-04-29 2018-05-15 Infobionic, Inc. Systems and methods for processing ECG data
USD794806S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device
USD794805S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device with a button

Citations (97)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2441237A (en) * 1946-12-28 1948-05-11 Davies Charles Tubal insufflator
US3768014A (en) * 1972-01-28 1973-10-23 Gen Electric Cardiac pacemaker rate/interval computer system
US3885552A (en) * 1972-11-16 1975-05-27 Pacemaker Diagnostic Clinic Of Cardiac function monitoring system and method for use in association with cardiac pacer apparatus
US3902478A (en) * 1971-01-07 1975-09-02 Francis Konopasek Disaster alarm
US4183354A (en) * 1977-07-18 1980-01-15 Cardiodyne, Inc. Ambulatory electrocardiographic recorder
US4211237A (en) * 1977-04-14 1980-07-08 Biotronik Mess- Und Therapiegerate Gmbh & Co. Method and apparatus for identifying recurring signal patterns
US4230127A (en) * 1978-05-24 1980-10-28 Medtronic, Inc. Cardiac monitoring apparatus
US4457315A (en) * 1978-09-18 1984-07-03 Arvin Bennish Cardiac arrhythmia detection and recording
US4531527A (en) * 1982-04-23 1985-07-30 Survival Technology, Inc. Ambulatory monitoring system with real time analysis and telephone transmission
US4535783A (en) * 1982-08-05 1985-08-20 Kontron Holding A.G. Personal electrocardiology recorder
US4598272A (en) * 1984-08-06 1986-07-01 Cox Randall P Electronic monitoring apparatus
US4651157A (en) * 1985-05-07 1987-03-17 Mets, Inc. Security monitoring and tracking system
US4675656A (en) * 1984-03-16 1987-06-23 Narcisse Bernadine O Out-of-range personnel monitor and alarm
US4742357A (en) * 1986-09-17 1988-05-03 Rackley Ernie C Stolen object location system
US4750197A (en) * 1986-11-10 1988-06-07 Denekamp Mark L Integrated cargo security system
US4777478A (en) * 1987-05-06 1988-10-11 Gordon S. Hirsch Apparatus for monitoring persons or the like
US4803625A (en) * 1986-06-30 1989-02-07 Buddy Systems, Inc. Personal health monitor
US4819860A (en) * 1986-01-09 1989-04-11 Lloyd D. Lillie Wrist-mounted vital functions monitor and emergency locator
US4952928A (en) * 1988-08-29 1990-08-28 B. I. Incorporated Adaptable electronic monitoring and identification system
US5003984A (en) * 1989-10-23 1991-04-02 Fukuda Densky Co, Ltd. Apparatus for alerting a doctor by radio to provide an alarm for a patient
US5113869A (en) * 1990-08-21 1992-05-19 Telectronics Pacing Systems, Inc. Implantable ambulatory electrocardiogram monitor
US5223844A (en) * 1992-04-17 1993-06-29 Auto-Trac, Inc. Vehicle tracking and security system
US5301105A (en) * 1991-04-08 1994-04-05 Desmond D. Cummings All care health management system
US5309920A (en) * 1991-11-12 1994-05-10 Stuart Medical Inc. Ambulatory electrocardiographic patient monitoring system and method therefor
US5311197A (en) * 1993-02-01 1994-05-10 Trimble Navigation Limited Event-activated reporting of vehicle location
US5318592A (en) * 1991-09-12 1994-06-07 BIOTRONIK, Mess- und Therapiegerate GmbH & Co., Ingenieurburo Berlin Cardiac therapy system
US5321618A (en) * 1990-05-29 1994-06-14 Lawrence Gessman Apparatus and method for remotely monitoring implanted cardioverter defibrillators
US5334974A (en) * 1992-02-06 1994-08-02 Simms James R Personal security system
US5336245A (en) * 1992-05-20 1994-08-09 Angeion Corporation Storage interrogation apparatus for cardiac data
US5335664A (en) * 1991-09-17 1994-08-09 Casio Computer Co., Ltd. Monitor system and biological signal transmitter therefor
US5339821A (en) * 1992-02-13 1994-08-23 Seta Co., Ltd. Home medical system and medical apparatus for use therewith
US5348008A (en) * 1991-11-25 1994-09-20 Somnus Corporation Cardiorespiratory alert system
US5389934A (en) * 1993-06-21 1995-02-14 The Business Edge Group, Inc. Portable locating system
US5394879A (en) * 1993-03-19 1995-03-07 Gorman; Peter G. Biomedical response monitor-exercise equipment and technique using error correction
US5418537A (en) * 1992-11-18 1995-05-23 Trimble Navigation, Ltd. Location of missing vehicles
US5422816A (en) * 1994-02-22 1995-06-06 Trimble Navigation Limited Portable personal navigation tracking system
US5423869A (en) * 1993-01-21 1995-06-13 Pacesetter, Inc. Multi-sensor rate-responsive pacemaker and method of operating same
US5458123A (en) * 1992-12-16 1995-10-17 Siemens Medical Systems, Inc. System for monitoring patient location and data
US5487755A (en) * 1992-03-02 1996-01-30 Pacesetter, Inc. Methods for displaying a sequential series of pacing events
US5497149A (en) * 1993-09-02 1996-03-05 Fast; Ray Global security system
US5503158A (en) * 1994-08-22 1996-04-02 Cardiocare, Inc. Ambulatory electrocardiogram monitor
US5504491A (en) * 1994-04-25 1996-04-02 Chapman; Robert W. Global status and position reporting system
US5515419A (en) * 1992-06-01 1996-05-07 Trackmobile Tracking system and method for tracking a movable object carrying a cellular phone unit, and integrated personal protection system incorporating the tracking system
US5544661A (en) * 1994-01-13 1996-08-13 Charles L. Davis Real time ambulatory patient monitor
US5549113A (en) * 1992-11-09 1996-08-27 I Am Fine, Inc. Apparatus and method for remote monitoring of physiological parameters
US5617871A (en) * 1993-11-02 1997-04-08 Quinton Instrument Company Spread spectrum telemetry of physiological signals
US5620472A (en) * 1995-01-12 1997-04-15 Pacesetter, Inc. Apparatus and method for dynamically interpreting and displaying a real-time telemetry link
US5626624A (en) * 1992-09-17 1997-05-06 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Arrangement for controlling a pacemaker
US5626630A (en) * 1994-10-13 1997-05-06 Ael Industries, Inc. Medical telemetry system using an implanted passive transponder
US5629678A (en) * 1995-01-10 1997-05-13 Paul A. Gargano Personal tracking and recovery system
US5633910A (en) * 1994-09-13 1997-05-27 Cohen; Kopel H. Outpatient monitoring system
US5634468A (en) * 1992-04-03 1997-06-03 Micromedical Industries Limited Sensor patch and system for physiological monitoring
US5649303A (en) * 1994-09-02 1997-07-15 Motorola, Inc. Method and apparatus for reducing interference among communication systems
US5652570A (en) * 1994-05-19 1997-07-29 Lepkofker; Robert Individual location system
US5704364A (en) * 1995-11-08 1998-01-06 Instromedix, Inc. Concurrent medical patient data and voice communication method and apparatus
US5704366A (en) * 1994-05-23 1998-01-06 Enact Health Management Systems System for monitoring and reporting medical measurements
US5713856A (en) * 1995-03-13 1998-02-03 Alaris Medical Systems, Inc. Modular patient care system
US5720771A (en) * 1995-08-02 1998-02-24 Pacesetter, Inc. Method and apparatus for monitoring physiological data from an implantable medical device
US5720770A (en) * 1995-10-06 1998-02-24 Pacesetter, Inc. Cardiac stimulation system with enhanced communication and control capability
US5724025A (en) * 1993-10-21 1998-03-03 Tavori; Itzchak Portable vital signs monitor
US5729197A (en) * 1996-02-22 1998-03-17 Ultra Communications Corporation Automatic, self-triggering alarm processing system and method
US5731757A (en) * 1996-08-19 1998-03-24 Pro Tech Monitoring, Inc. Portable tracking apparatus for continuous position determination of criminal offenders and victims
US5748103A (en) * 1995-11-13 1998-05-05 Vitalcom, Inc. Two-way TDMA telemetry system with power conservation features
US5749907A (en) * 1997-02-18 1998-05-12 Pacesetter, Inc. System and method for identifying and displaying medical data which violate programmable alarm conditions
US5749367A (en) * 1995-09-05 1998-05-12 Cardionetics Limited Heart monitoring apparatus and method
US5752976A (en) * 1995-06-23 1998-05-19 Medtronic, Inc. World wide patient location and data telemetry system for implantable medical devices
US5759199A (en) * 1995-08-02 1998-06-02 Pacesetter, Inc. System and method for ambulatory monitoring and programming of an implantable medical device
US5827180A (en) * 1994-11-07 1998-10-27 Lifemasters Supported Selfcare Method and apparatus for a personal health network
US5882300A (en) * 1996-11-07 1999-03-16 Spacelabs Medical, Inc. Wireless patient monitoring apparatus using inductive coupling
US5891169A (en) * 1994-07-30 1999-04-06 Biotronik Mess- Und Therapiegeraete Gmbh Method of processing signals characteristic of cardiac activity and an associated device
US5913881A (en) * 1996-10-23 1999-06-22 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Metallic housing for implant with recesses for eddy current reduction
US5944659A (en) * 1995-11-13 1999-08-31 Vitalcom Inc. Architecture for TDMA medical telemetry system
US5950110A (en) * 1997-08-06 1999-09-07 Interactive Techanologies, Inc. Jamming detection in a wireless security system
US5950632A (en) * 1997-03-03 1999-09-14 Motorola, Inc. Medical communication apparatus, system, and method
US5959529A (en) * 1997-03-07 1999-09-28 Kail, Iv; Karl A. Reprogrammable remote sensor monitoring system
US6024699A (en) * 1998-03-13 2000-02-15 Healthware Corporation Systems, methods and computer program products for monitoring, diagnosing and treating medical conditions of remotely located patients
US6026008A (en) * 1997-06-07 2000-02-15 Biotronik Mess- Und Therapiegerate Gmbh & Co. Electronic memory device, in particular for use in implantable medical appliances
US6038469A (en) * 1994-10-07 2000-03-14 Ortivus Ab Myocardial ischemia and infarction analysis and monitoring method and apparatus
US6046761A (en) * 1996-04-09 2000-04-04 Medcom Technology Associates, Inc Interactive communication system for medical treatment of remotely located patients
US6073046A (en) * 1998-04-27 2000-06-06 Patel; Bharat Heart monitor system
US6083248A (en) * 1995-06-23 2000-07-04 Medtronic, Inc. World wide patient location and data telemetry system for implantable medical devices
US6088608A (en) * 1997-10-20 2000-07-11 Alfred E. Mann Foundation Electrochemical sensor and integrity tests therefor
US6093146A (en) * 1998-06-05 2000-07-25 Matsushita Electric Works, Ltd. Physiological monitoring
US6101478A (en) * 1997-04-30 2000-08-08 Health Hero Network Multi-user remote health monitoring system
US6102856A (en) * 1997-02-12 2000-08-15 Groff; Clarence P Wearable vital sign monitoring system
US6181966B1 (en) * 1998-12-28 2001-01-30 Biotronik Mess- und Therapieger{umlaut over (a)}te GmbH & Co. Heart therapy apparatus with therapy correction means
US6192274B1 (en) * 1998-06-16 2001-02-20 Biotronik Mess-Und Therapiegerate Gmbh & Co. Ingenieurburo Berlin Two-chamber pacemaker
US6245092B1 (en) * 1998-05-15 2001-06-12 Biotronik Mess- Und. Therapiegeraete Gmbh & Co. Highly integrated electronic circuit, in particular for use in heart pacemakers
US6263243B1 (en) * 1996-03-04 2001-07-17 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Rate adaptive pacemaker
US6287252B1 (en) * 1999-06-30 2001-09-11 Monitrak Patient monitor
US20020019586A1 (en) * 2000-06-16 2002-02-14 Eric Teller Apparatus for monitoring health, wellness and fitness
US20020052539A1 (en) * 1999-07-07 2002-05-02 Markus Haller System and method for emergency communication between an implantable medical device and a remote computer system or health care provider
US20030036683A1 (en) * 2000-05-01 2003-02-20 Kehr Bruce A. Method, system and computer program product for internet-enabled, patient monitoring system
US20030083557A1 (en) * 2001-10-04 2003-05-01 Volker Schmidt Method and system for remote monitoring of the effect of a medicament
US6871089B2 (en) * 2002-06-05 2005-03-22 Card Guard Technologies, Inc. Portable ECG monitor and method for atrial fibrillation detection
US7002468B2 (en) * 2001-04-23 2006-02-21 Cardionet, Inc. Controlling access to a medical monitoring system
US20070100213A1 (en) * 2005-10-27 2007-05-03 Dossas Vasilios D Emergency medical diagnosis and communications device

Family Cites Families (117)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3478344A (en) 1965-06-21 1969-11-11 Ralph K Schwitzgebel Behavioral supervision system with wrist carried transceiver
US3925762A (en) 1973-10-25 1975-12-09 Gen Electric Patient monitoring and data processing system
US4173971A (en) 1977-08-29 1979-11-13 Karz Allen E Continuous electrocardiogram monitoring method and system for cardiac patients
US4241237A (en) 1979-01-26 1980-12-23 Metretek Incorporated Apparatus and method for remote sensor monitoring, metering and control
US4630204A (en) 1984-02-21 1986-12-16 Mortara Instrument Inc. High resolution ECG waveform processor
US4622979A (en) 1984-03-02 1986-11-18 Cardiac Monitoring, Inc. User-worn apparatus for monitoring and recording electrocardiographic data and method of operation
US4706689A (en) 1985-10-30 1987-11-17 Daniel Man Implantable homing device
US4785291A (en) 1987-03-06 1988-11-15 Hawthorne Candy C Distance monitor especially for child surveillance
US4920489A (en) 1987-08-14 1990-04-24 Cardiodata Inc. Apparatus and method for solid state storage of episodic signals
US4951681A (en) 1988-11-14 1990-08-28 Mortara Instrument Electrocardiographic recording method and apparatus
US4938228A (en) 1989-02-15 1990-07-03 Righter William H Wrist worn heart rate monitor
US4977899A (en) 1989-03-10 1990-12-18 Instromedix, Inc. Heart data monitoring method and apparatus
US4958641A (en) * 1989-03-10 1990-09-25 Instromedix, Inc. Heart data monitoring method and apparatus
USD326716S (en) 1990-02-22 1992-06-02 Mortara Instrument Medical cable
US5172698A (en) 1990-05-24 1992-12-22 Stanko Bruce E Telephonic pacemaker and single channel EKG monitoring device
DE4035070A1 (en) 1990-11-05 1992-05-07 Norbert Schaaf RADIO ALARM SYSTEM
US5421342A (en) 1991-01-18 1995-06-06 Mortara Instrument, Inc. Filter apparatus and method for reducing signal noise using multiple signals obtained from a single source
US5197479A (en) 1991-05-13 1993-03-30 Mortara Instrument Automatic electrode channel impedance measurement system for egg monitor
US5191891A (en) 1991-09-10 1993-03-09 Ralin, Inc. Portable ECG monitor/recorder
US5226425A (en) 1991-09-10 1993-07-13 Ralin, Inc. Portable ECG monitor/recorder
IL99620A (en) 1991-10-01 1994-10-07 Shahal Medical Services Ltd Medical rescue system
US5305202A (en) 1991-11-12 1994-04-19 Quinton Instrument Company Ambulatory ECG analysis system
US5966692A (en) 1992-05-12 1999-10-12 Telemed Technologies International Corporation Method and system for monitoring the heart of a patient
US5522396A (en) * 1992-05-12 1996-06-04 Cardiac Telecom Corporation Method and system for monitoring the heart of a patient
US5581369A (en) 1992-09-25 1996-12-03 Ralin, Inc. Apparatus and method for communicating electrocardiographic data to a facsimile machine
WO1994013197A1 (en) 1992-12-11 1994-06-23 Siemens Medical Systems, Inc. Data acquisition pod for a patient monitoring system
US5416695A (en) 1993-03-09 1995-05-16 Metriplex, Inc. Method and apparatus for alerting patients and medical personnel of emergency medical situations
US5576952A (en) 1993-03-09 1996-11-19 Metriplex, Inc. Medical alert distribution system with selective filtering of medical information
US5568121A (en) 1993-05-27 1996-10-22 Lamensdorf; David M. Wireless system for sensing information at remote locations and communicating with a main monitoring center
US5479482A (en) 1993-08-30 1995-12-26 At&T Corp. Cellular terminal for providing public emergency call location information
US5470233A (en) 1994-03-17 1995-11-28 Arkenstone, Inc. System and method for tracking a pedestrian
DE4414907A1 (en) 1994-04-28 1995-11-02 Rexroth Mannesmann Gmbh Multi=function ram with two coaxial cylinder tubes
US5546950A (en) 1994-07-06 1996-08-20 Mortara Instrument, Inc. Electrocardiograpic patient lead cable apparatus
US5579775A (en) 1994-10-20 1996-12-03 Hewlett-Packard Company Dynamic control of a patient monitoring system
US5461365A (en) 1994-10-27 1995-10-24 Schlager; Dan Multi-hazard alarm system using selectable power-level transmission and localization
US5573506A (en) 1994-11-25 1996-11-12 Block Medical, Inc. Remotely programmable infusion system
DE19506385C2 (en) 1995-02-23 2002-03-07 Peter John Goddard Wireless hazard detection system and notification procedure
US5778882A (en) 1995-02-24 1998-07-14 Brigham And Women's Hospital Health monitoring system
US5704351A (en) 1995-02-28 1998-01-06 Mortara Instrument, Inc. Multiple channel biomedical digital telemetry transmitter
USD377983S (en) * 1995-09-13 1997-02-11 Mohamed Sabri Cardiac monitor
US5797515A (en) 1995-10-18 1998-08-25 Adds, Inc. Method for controlling a drug dispensing system
US5678562A (en) 1995-11-09 1997-10-21 Burdick, Inc. Ambulatory physiological monitor with removable disk cartridge and wireless modem
US5964794A (en) 1996-03-21 1999-10-12 Biotronik Mess- Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Implantable stimulation electrode
US5730143A (en) 1996-05-03 1998-03-24 Ralin Medical, Inc. Electrocardiographic monitoring and recording device
DE19622880A1 (en) 1996-06-07 1997-12-11 Grundig Ag Radio-controlled hazard detection system with sub-central and secure data communication between the individual components
JP2000514682A (en) 1996-07-11 2000-11-07 メドトロニック・インコーポレーテッド Minimal invasive implantable device for monitoring physiological events
DE19638585A1 (en) 1996-09-20 1998-03-26 Biotronik Mess & Therapieg Device for rejection diagnosis after organ transplantation
US5987519A (en) 1996-09-20 1999-11-16 Georgia Tech Research Corporation Telemedicine system using voice video and data encapsulation and de-encapsulation for communicating medical information between central monitoring stations and remote patient monitoring stations
GB9704843D0 (en) 1997-03-08 1997-04-23 Murphy Graham F Apparatus
US6915265B1 (en) 1997-10-29 2005-07-05 Janice Johnson Method and system for consolidating and distributing information
US5931791A (en) * 1997-11-05 1999-08-03 Instromedix, Inc. Medical patient vital signs-monitoring apparatus
USD414870S (en) 1998-01-02 1999-10-05 Instromedix, Inc. Vital signs monitor
DE19804843A1 (en) 1998-01-29 1999-08-05 Biotronik Mess & Therapieg Self-calibrating rate-adaptive pacemaker
US7299159B2 (en) * 1998-03-03 2007-11-20 Reuven Nanikashvili Health monitor system and method for health monitoring
WO1999044494A1 (en) 1998-03-03 1999-09-10 Card Guard Scientific Survival Ltd. Personal ambulatory cellular health monitor for mobile patient
US6366871B1 (en) * 1999-03-03 2002-04-02 Card Guard Scientific Survival Ltd. Personal ambulatory cellular health monitor for mobile patient
US7222054B2 (en) * 1998-03-03 2007-05-22 Card Guard Scientific Survival Ltd. Personal ambulatory wireless health monitor
US7542878B2 (en) * 1998-03-03 2009-06-02 Card Guard Scientific Survival Ltd. Personal health monitor and a method for health monitoring
US6016442A (en) 1998-03-25 2000-01-18 Cardiac Pacemakers, Inc. System for displaying cardiac arrhythmia data
US6493427B1 (en) 1998-06-16 2002-12-10 Telemanager Technologies, Inc. Remote prescription refill system
US7209787B2 (en) 1998-08-05 2007-04-24 Bioneuronics Corporation Apparatus and method for closed-loop intracranial stimulation for optimal control of neurological disease
US7242984B2 (en) 1998-08-05 2007-07-10 Neurovista Corporation Apparatus and method for closed-loop intracranial stimulation for optimal control of neurological disease
US7277758B2 (en) 1998-08-05 2007-10-02 Neurovista Corporation Methods and systems for predicting future symptomatology in a patient suffering from a neurological or psychiatric disorder
US7231254B2 (en) 1998-08-05 2007-06-12 Bioneuronics Corporation Closed-loop feedback-driven neuromodulation
US7403820B2 (en) 1998-08-05 2008-07-22 Neurovista Corporation Closed-loop feedback-driven neuromodulation
US7324851B1 (en) 1998-08-05 2008-01-29 Neurovista Corporation Closed-loop feedback-driven neuromodulation
US6160478A (en) 1998-10-27 2000-12-12 Sarcos Lc Wireless health monitoring system
FR2787905A1 (en) 1998-12-23 2000-06-30 Cedi Securite Surveillance/alarm system asynchronous communications system having master/slave processor module driven transmitter/receivers first channel transmitting interrogation messages and response awaiting before second channel reception.
US6302844B1 (en) 1999-03-31 2001-10-16 Walker Digital, Llc Patient care delivery system
US6416471B1 (en) 1999-04-15 2002-07-09 Nexan Limited Portable remote patient telemonitoring system
US6450953B1 (en) 1999-04-15 2002-09-17 Nexan Limited Portable signal transfer unit
US6466793B1 (en) 1999-05-28 2002-10-15 Ericsson Inc. Automatic frequency allocation (AFA) for wireless office systems sharing the spectrum with public systems
US7149773B2 (en) * 1999-07-07 2006-12-12 Medtronic, Inc. System and method of automated invoicing for communications between an implantable medical device and a remote computer system or health care provider
ATE265067T1 (en) 1999-07-26 2004-05-15 Cardiac Intelligence Corp SYSTEM AND METHOD FOR PROVIDING NORMALIZED VOICE FEEDBACK OF AN INDIVIDUAL PATIENT IN AN AUTOMATED COLLECTION AND ANALYSIS PATIENT CARE SYSTEM
FI19991800A (en) 1999-08-24 2001-02-25 Sepponen Raimo Erik Arrangements to provide expert service
US7006893B2 (en) 1999-09-22 2006-02-28 Telepharmacy Solutions, Inc. Systems for dispensing medical products
US6564121B1 (en) 1999-09-22 2003-05-13 Telepharmacy Solutions, Inc. Systems and methods for drug dispensing
US6524239B1 (en) 1999-11-05 2003-02-25 Wcr Company Apparatus for non-instrusively measuring health parameters of a subject and method of use thereof
US6574742B1 (en) 1999-11-12 2003-06-03 Insite One, Llc Method for storing and accessing digital medical images
US6471645B1 (en) 1999-12-30 2002-10-29 Medtronic, Inc. Communications system for an implantable device and a drug dispenser
US20010027384A1 (en) 2000-03-01 2001-10-04 Schulze Arthur E. Wireless internet bio-telemetry monitoring system and method
US6687685B1 (en) 2000-04-07 2004-02-03 Dr. Red Duke, Inc. Automated medical decision making utilizing bayesian network knowledge domain modeling
US6514200B1 (en) 2000-05-17 2003-02-04 Brava, Llc Patient compliance monitor
US6730024B2 (en) 2000-05-17 2004-05-04 Brava, Llc Method and apparatus for collecting patient compliance data including processing and display thereof over a computer network
US6527712B1 (en) 2000-05-31 2003-03-04 International Business Machines Corporation Auditing public health
JP3398126B2 (en) 2000-06-05 2003-04-21 株式会社九北エレクトロニクス Article identification device
US6699188B2 (en) 2000-06-22 2004-03-02 Guidance Interactive Technologies Interactive reward devices and methods
US7286996B1 (en) 2000-08-22 2007-10-23 Epocrates, Inc. Method for renewing medical prescriptions
US7049957B2 (en) 2000-11-03 2006-05-23 Wcr Company Local area positioning system
US6593851B1 (en) 2000-11-21 2003-07-15 Aimee Bornstein Two-way parent-child paging system
US6490479B2 (en) 2000-12-28 2002-12-03 Ge Medical Systems Information Technologies, Inc. Atrial fibrillation detection method and apparatus
US6574165B2 (en) 2001-02-28 2003-06-03 Rajiv Sharma Medication compliance apparatus
US20020143576A1 (en) 2001-03-28 2002-10-03 Rainer Nolvak Remote patient health management system
WO2002078783A2 (en) 2001-03-28 2002-10-10 Televital, Inc. Real-time monitoring assessment, analysis, retrieval, and storage of physiological data
US6861954B2 (en) 2001-03-30 2005-03-01 Bruce H. Levin Tracking medical products with integrated circuits
EP1397068A2 (en) 2001-04-02 2004-03-17 Therasense, Inc. Blood glucose tracking apparatus and methods
US6470210B1 (en) 2001-04-06 2002-10-22 Cardiac Pacemakers, Inc. System and method for continuously monitoring classified atrial arrhythmias
US20050119580A1 (en) * 2001-04-23 2005-06-02 Eveland Doug C. Controlling access to a medical monitoring system
US6668188B2 (en) 2001-04-25 2003-12-23 Cardiac Pacemakers, Inc. Determination of long-term condition of cardiac patients
US7395214B2 (en) 2001-05-11 2008-07-01 Craig P Shillingburg Apparatus, device and method for prescribing, administering and monitoring a treatment regimen for a patient
US20030028442A1 (en) 2001-08-06 2003-02-06 Craig Wagstaff Method of supplying heart screening services directly to a customer
AUPR737401A0 (en) 2001-08-30 2001-09-20 Technological Resources Pty Limited Method and apparatus for generating hydrogen gas
US6697655B2 (en) 2001-10-05 2004-02-24 Mortara Instrument, Inc. Low power pulse oximeter
US6564077B2 (en) 2001-10-10 2003-05-13 Mortara Instrument, Inc. Method and apparatus for pulse oximetry
US7263669B2 (en) 2001-11-14 2007-08-28 Denholm Enterprises, Inc. Patient communication method and system
US7091879B2 (en) 2002-02-05 2006-08-15 Invivo Corporation System and method for using multiple medical monitors
US6874089B2 (en) 2002-02-25 2005-03-29 Network Resonance, Inc. System, method and computer program product for guaranteeing electronic transactions
US6978169B1 (en) 2002-04-04 2005-12-20 Guerra Jim J Personal physiograph
US7185282B1 (en) * 2002-08-29 2007-02-27 Telehealth Broadband, Llc Interface device for an integrated television-based broadband home health system
US6934578B2 (en) 2002-09-18 2005-08-23 Covance Inc. Method and apparatus for interactive annotation and measurement of time series data with automatic marker sequencing
US7490085B2 (en) 2002-12-18 2009-02-10 Ge Medical Systems Global Technology Company, Llc Computer-assisted data processing system and method incorporating automated learning
US7311665B2 (en) 2003-05-19 2007-12-25 Alcohol Monitoring Systems, Inc. Bio-information sensor monitoring system and method
DE10340187A1 (en) 2003-09-01 2005-05-04 Siemens Ag Warning system and method for monitoring the availability of medical aids to a patient
US7223234B2 (en) 2004-07-10 2007-05-29 Monitrix, Inc. Apparatus for determining association variables
US7118029B2 (en) 2004-08-27 2006-10-10 Sdgi Holdings, Inc. Smart instrument tray RFID reader
AU2005318171B2 (en) 2004-12-20 2011-09-29 Crucell Holland B.V. Binding molecules capable of neutralizing West Nile virus and uses thereof
JP4807084B2 (en) 2006-01-24 2011-11-02 パナソニック株式会社 Plasma display panel

Patent Citations (101)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2441237A (en) * 1946-12-28 1948-05-11 Davies Charles Tubal insufflator
US3902478A (en) * 1971-01-07 1975-09-02 Francis Konopasek Disaster alarm
US3768014A (en) * 1972-01-28 1973-10-23 Gen Electric Cardiac pacemaker rate/interval computer system
US3885552A (en) * 1972-11-16 1975-05-27 Pacemaker Diagnostic Clinic Of Cardiac function monitoring system and method for use in association with cardiac pacer apparatus
US4211237A (en) * 1977-04-14 1980-07-08 Biotronik Mess- Und Therapiegerate Gmbh & Co. Method and apparatus for identifying recurring signal patterns
US4183354A (en) * 1977-07-18 1980-01-15 Cardiodyne, Inc. Ambulatory electrocardiographic recorder
US4230127A (en) * 1978-05-24 1980-10-28 Medtronic, Inc. Cardiac monitoring apparatus
US4457315A (en) * 1978-09-18 1984-07-03 Arvin Bennish Cardiac arrhythmia detection and recording
US4531527A (en) * 1982-04-23 1985-07-30 Survival Technology, Inc. Ambulatory monitoring system with real time analysis and telephone transmission
US4535783A (en) * 1982-08-05 1985-08-20 Kontron Holding A.G. Personal electrocardiology recorder
US4675656A (en) * 1984-03-16 1987-06-23 Narcisse Bernadine O Out-of-range personnel monitor and alarm
US4598272A (en) * 1984-08-06 1986-07-01 Cox Randall P Electronic monitoring apparatus
US4651157A (en) * 1985-05-07 1987-03-17 Mets, Inc. Security monitoring and tracking system
US4819860A (en) * 1986-01-09 1989-04-11 Lloyd D. Lillie Wrist-mounted vital functions monitor and emergency locator
US4803625A (en) * 1986-06-30 1989-02-07 Buddy Systems, Inc. Personal health monitor
US4742357A (en) * 1986-09-17 1988-05-03 Rackley Ernie C Stolen object location system
US4750197A (en) * 1986-11-10 1988-06-07 Denekamp Mark L Integrated cargo security system
US4777478A (en) * 1987-05-06 1988-10-11 Gordon S. Hirsch Apparatus for monitoring persons or the like
US4952928A (en) * 1988-08-29 1990-08-28 B. I. Incorporated Adaptable electronic monitoring and identification system
US5003984A (en) * 1989-10-23 1991-04-02 Fukuda Densky Co, Ltd. Apparatus for alerting a doctor by radio to provide an alarm for a patient
US5321618A (en) * 1990-05-29 1994-06-14 Lawrence Gessman Apparatus and method for remotely monitoring implanted cardioverter defibrillators
US5113869A (en) * 1990-08-21 1992-05-19 Telectronics Pacing Systems, Inc. Implantable ambulatory electrocardiogram monitor
US5301105A (en) * 1991-04-08 1994-04-05 Desmond D. Cummings All care health management system
US5318592A (en) * 1991-09-12 1994-06-07 BIOTRONIK, Mess- und Therapiegerate GmbH & Co., Ingenieurburo Berlin Cardiac therapy system
US5335664A (en) * 1991-09-17 1994-08-09 Casio Computer Co., Ltd. Monitor system and biological signal transmitter therefor
US5309920A (en) * 1991-11-12 1994-05-10 Stuart Medical Inc. Ambulatory electrocardiographic patient monitoring system and method therefor
US5348008A (en) * 1991-11-25 1994-09-20 Somnus Corporation Cardiorespiratory alert system
US5334974A (en) * 1992-02-06 1994-08-02 Simms James R Personal security system
US5339821A (en) * 1992-02-13 1994-08-23 Seta Co., Ltd. Home medical system and medical apparatus for use therewith
US5487755A (en) * 1992-03-02 1996-01-30 Pacesetter, Inc. Methods for displaying a sequential series of pacing events
US5634468A (en) * 1992-04-03 1997-06-03 Micromedical Industries Limited Sensor patch and system for physiological monitoring
US5223844A (en) * 1992-04-17 1993-06-29 Auto-Trac, Inc. Vehicle tracking and security system
US5223844B1 (en) * 1992-04-17 2000-01-25 Auto Trac Inc Vehicle tracking and security system
US5336245A (en) * 1992-05-20 1994-08-09 Angeion Corporation Storage interrogation apparatus for cardiac data
US5515419A (en) * 1992-06-01 1996-05-07 Trackmobile Tracking system and method for tracking a movable object carrying a cellular phone unit, and integrated personal protection system incorporating the tracking system
US5626624A (en) * 1992-09-17 1997-05-06 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Arrangement for controlling a pacemaker
US5549113A (en) * 1992-11-09 1996-08-27 I Am Fine, Inc. Apparatus and method for remote monitoring of physiological parameters
US5418537A (en) * 1992-11-18 1995-05-23 Trimble Navigation, Ltd. Location of missing vehicles
US5458123A (en) * 1992-12-16 1995-10-17 Siemens Medical Systems, Inc. System for monitoring patient location and data
US5423869A (en) * 1993-01-21 1995-06-13 Pacesetter, Inc. Multi-sensor rate-responsive pacemaker and method of operating same
US5311197A (en) * 1993-02-01 1994-05-10 Trimble Navigation Limited Event-activated reporting of vehicle location
US5913827A (en) * 1993-03-19 1999-06-22 Gorman; Peter Gregory Personal monitor and method for monitoring a biomedical condition in the presence of interference
US5394879A (en) * 1993-03-19 1995-03-07 Gorman; Peter G. Biomedical response monitor-exercise equipment and technique using error correction
US5389934A (en) * 1993-06-21 1995-02-14 The Business Edge Group, Inc. Portable locating system
US5497149A (en) * 1993-09-02 1996-03-05 Fast; Ray Global security system
US5724025A (en) * 1993-10-21 1998-03-03 Tavori; Itzchak Portable vital signs monitor
US5617871A (en) * 1993-11-02 1997-04-08 Quinton Instrument Company Spread spectrum telemetry of physiological signals
US5544661A (en) * 1994-01-13 1996-08-13 Charles L. Davis Real time ambulatory patient monitor
US5422816A (en) * 1994-02-22 1995-06-06 Trimble Navigation Limited Portable personal navigation tracking system
US5504491A (en) * 1994-04-25 1996-04-02 Chapman; Robert W. Global status and position reporting system
US5652570A (en) * 1994-05-19 1997-07-29 Lepkofker; Robert Individual location system
US5704366A (en) * 1994-05-23 1998-01-06 Enact Health Management Systems System for monitoring and reporting medical measurements
US5891169A (en) * 1994-07-30 1999-04-06 Biotronik Mess- Und Therapiegeraete Gmbh Method of processing signals characteristic of cardiac activity and an associated device
US5503158A (en) * 1994-08-22 1996-04-02 Cardiocare, Inc. Ambulatory electrocardiogram monitor
US5649303A (en) * 1994-09-02 1997-07-15 Motorola, Inc. Method and apparatus for reducing interference among communication systems
US5633910A (en) * 1994-09-13 1997-05-27 Cohen; Kopel H. Outpatient monitoring system
US6038469A (en) * 1994-10-07 2000-03-14 Ortivus Ab Myocardial ischemia and infarction analysis and monitoring method and apparatus
US5626630A (en) * 1994-10-13 1997-05-06 Ael Industries, Inc. Medical telemetry system using an implanted passive transponder
US5827180A (en) * 1994-11-07 1998-10-27 Lifemasters Supported Selfcare Method and apparatus for a personal health network
US5629678A (en) * 1995-01-10 1997-05-13 Paul A. Gargano Personal tracking and recovery system
US5620472A (en) * 1995-01-12 1997-04-15 Pacesetter, Inc. Apparatus and method for dynamically interpreting and displaying a real-time telemetry link
US5713856A (en) * 1995-03-13 1998-02-03 Alaris Medical Systems, Inc. Modular patient care system
US5752976A (en) * 1995-06-23 1998-05-19 Medtronic, Inc. World wide patient location and data telemetry system for implantable medical devices
US6083248A (en) * 1995-06-23 2000-07-04 Medtronic, Inc. World wide patient location and data telemetry system for implantable medical devices
US5759199A (en) * 1995-08-02 1998-06-02 Pacesetter, Inc. System and method for ambulatory monitoring and programming of an implantable medical device
US5720771A (en) * 1995-08-02 1998-02-24 Pacesetter, Inc. Method and apparatus for monitoring physiological data from an implantable medical device
US5749367A (en) * 1995-09-05 1998-05-12 Cardionetics Limited Heart monitoring apparatus and method
US5720770A (en) * 1995-10-06 1998-02-24 Pacesetter, Inc. Cardiac stimulation system with enhanced communication and control capability
US5704364A (en) * 1995-11-08 1998-01-06 Instromedix, Inc. Concurrent medical patient data and voice communication method and apparatus
US5941829A (en) * 1995-11-08 1999-08-24 Instromedix, Inc. Concurrent medical patient data and voice communication method and apparatus
US5748103A (en) * 1995-11-13 1998-05-05 Vitalcom, Inc. Two-way TDMA telemetry system with power conservation features
US5944659A (en) * 1995-11-13 1999-08-31 Vitalcom Inc. Architecture for TDMA medical telemetry system
US5729197A (en) * 1996-02-22 1998-03-17 Ultra Communications Corporation Automatic, self-triggering alarm processing system and method
US6263243B1 (en) * 1996-03-04 2001-07-17 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Rate adaptive pacemaker
US6046761A (en) * 1996-04-09 2000-04-04 Medcom Technology Associates, Inc Interactive communication system for medical treatment of remotely located patients
US5731757A (en) * 1996-08-19 1998-03-24 Pro Tech Monitoring, Inc. Portable tracking apparatus for continuous position determination of criminal offenders and victims
US5913881A (en) * 1996-10-23 1999-06-22 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Metallic housing for implant with recesses for eddy current reduction
US5882300A (en) * 1996-11-07 1999-03-16 Spacelabs Medical, Inc. Wireless patient monitoring apparatus using inductive coupling
US6102856A (en) * 1997-02-12 2000-08-15 Groff; Clarence P Wearable vital sign monitoring system
US5749907A (en) * 1997-02-18 1998-05-12 Pacesetter, Inc. System and method for identifying and displaying medical data which violate programmable alarm conditions
US5950632A (en) * 1997-03-03 1999-09-14 Motorola, Inc. Medical communication apparatus, system, and method
US5959529A (en) * 1997-03-07 1999-09-28 Kail, Iv; Karl A. Reprogrammable remote sensor monitoring system
US6225901B1 (en) * 1997-03-07 2001-05-01 Cardionet, Inc. Reprogrammable remote sensor monitoring system
US6101478A (en) * 1997-04-30 2000-08-08 Health Hero Network Multi-user remote health monitoring system
US6026008A (en) * 1997-06-07 2000-02-15 Biotronik Mess- Und Therapiegerate Gmbh & Co. Electronic memory device, in particular for use in implantable medical appliances
US5950110A (en) * 1997-08-06 1999-09-07 Interactive Techanologies, Inc. Jamming detection in a wireless security system
US6088608A (en) * 1997-10-20 2000-07-11 Alfred E. Mann Foundation Electrochemical sensor and integrity tests therefor
US6024699A (en) * 1998-03-13 2000-02-15 Healthware Corporation Systems, methods and computer program products for monitoring, diagnosing and treating medical conditions of remotely located patients
US6073046A (en) * 1998-04-27 2000-06-06 Patel; Bharat Heart monitor system
US6245092B1 (en) * 1998-05-15 2001-06-12 Biotronik Mess- Und. Therapiegeraete Gmbh & Co. Highly integrated electronic circuit, in particular for use in heart pacemakers
US6093146A (en) * 1998-06-05 2000-07-25 Matsushita Electric Works, Ltd. Physiological monitoring
US6192274B1 (en) * 1998-06-16 2001-02-20 Biotronik Mess-Und Therapiegerate Gmbh & Co. Ingenieurburo Berlin Two-chamber pacemaker
US6181966B1 (en) * 1998-12-28 2001-01-30 Biotronik Mess- und Therapieger{umlaut over (a)}te GmbH & Co. Heart therapy apparatus with therapy correction means
US6287252B1 (en) * 1999-06-30 2001-09-11 Monitrak Patient monitor
US20020052539A1 (en) * 1999-07-07 2002-05-02 Markus Haller System and method for emergency communication between an implantable medical device and a remote computer system or health care provider
US20030036683A1 (en) * 2000-05-01 2003-02-20 Kehr Bruce A. Method, system and computer program product for internet-enabled, patient monitoring system
US20020019586A1 (en) * 2000-06-16 2002-02-14 Eric Teller Apparatus for monitoring health, wellness and fitness
US7002468B2 (en) * 2001-04-23 2006-02-21 Cardionet, Inc. Controlling access to a medical monitoring system
US20030083557A1 (en) * 2001-10-04 2003-05-01 Volker Schmidt Method and system for remote monitoring of the effect of a medicament
US6871089B2 (en) * 2002-06-05 2005-03-22 Card Guard Technologies, Inc. Portable ECG monitor and method for atrial fibrillation detection
US20070100213A1 (en) * 2005-10-27 2007-05-03 Dossas Vasilios D Emergency medical diagnosis and communications device

Cited By (136)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070288067A1 (en) * 2001-04-23 2007-12-13 Cardionet, Inc. Controlling Access to a Medical Monitoring System
US8425414B2 (en) 2001-04-23 2013-04-23 Braemar Manufacturing, Llc Controlling access to a medical monitoring system
US9474445B2 (en) 2001-04-23 2016-10-25 Braemar Manufacturing, Llc Controlling access to medical monitoring system
US11484205B2 (en) 2002-03-25 2022-11-01 Masimo Corporation Physiological measurement device
US10219706B2 (en) 2002-03-25 2019-03-05 Masimo Corporation Physiological measurement device
US9872623B2 (en) 2002-03-25 2018-01-23 Masimo Corporation Arm mountable portable patient monitor
US9795300B2 (en) 2002-03-25 2017-10-24 Masimo Corporation Wearable portable patient monitor
US9788735B2 (en) 2002-03-25 2017-10-17 Masimo Corporation Body worn mobile medical patient monitor
US10869602B2 (en) 2002-03-25 2020-12-22 Masimo Corporation Physiological measurement communications adapter
US10213108B2 (en) 2002-03-25 2019-02-26 Masimo Corporation Arm mountable portable patient monitor
US10335033B2 (en) 2002-03-25 2019-07-02 Masimo Corporation Physiological measurement device
US7477933B2 (en) 2002-10-31 2009-01-13 Sanyo Electric Co., Ltd. Portable electrocardiograph, electrocardiogram monitoring system, and electrocardiogram monitoring method using the same
US20040138575A1 (en) * 2002-10-31 2004-07-15 Kenji Ueyama Portable electrocardiograph, electrocardiogram monitoring system, and electrocardiogram monitoring method using the same
US8818496B2 (en) 2005-10-14 2014-08-26 Medicalgorithmics Ltd. Systems for safe and remote outpatient ECG monitoring
US11183305B2 (en) 2005-10-14 2021-11-23 Medicalgorithmics S.A. Systems for safe and remote outpatient ECG monitoring
US9351652B2 (en) 2005-10-14 2016-05-31 Medicalgorithmics S.A. Systems for safe and remote outpatient ECG monitoring
US7753856B2 (en) 2005-10-14 2010-07-13 Medicalgorithmics Ltd. Method, device and system for cardio-acoustic signal analysis
US20090171227A1 (en) * 2005-10-14 2009-07-02 Medicalgorithmics Ltd. Systems for safe and remote outpatient ecg monitoring
US20080260173A1 (en) * 2005-10-14 2008-10-23 Medicalgorithmics Ltd. Method, device and system for cardio-acoustic signal analysis
US10262111B2 (en) 2005-10-14 2019-04-16 Medicalgorithmics S.A. Systems for safe and remote outpatient ECG monitoring
US7499739B2 (en) 2005-10-27 2009-03-03 Smiths Medical Pm, Inc. Single use pulse oximeter
US7486977B2 (en) 2005-10-27 2009-02-03 Smiths Medical Pm, Inc. Single use pulse oximeter
US20070100218A1 (en) * 2005-10-27 2007-05-03 Smiths Medical Pm, Inc. Single use pulse oximeter
US20090131774A1 (en) * 2005-10-27 2009-05-21 Smiths Medical Pm, Inc Single use pulse oximeter
US20070100219A1 (en) * 2005-10-27 2007-05-03 Smiths Medical Pm, Inc. Single use pulse oximeter
US8903467B2 (en) 2005-10-27 2014-12-02 Smiths Medical Asd, Inc. Single use pulse oximeter
US8457704B2 (en) 2005-10-27 2013-06-04 Smiths Medical Asd, Inc. Single use pulse oximeter
US8180789B1 (en) * 2005-12-05 2012-05-15 Teradata Us, Inc. Techniques for query generation, population, and management
US8131565B2 (en) 2006-10-24 2012-03-06 Medapps, Inc. System for medical data collection and transmission
US8126732B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for processing and transmittal of medical data through multiple interfaces
US20110093284A1 (en) * 2006-10-24 2011-04-21 Kent Dicks System for medical data collection and transmission
US20110093297A1 (en) * 2006-10-24 2011-04-21 Kent Dicks System for personal emergency intervention
US20110093287A1 (en) * 2006-10-24 2011-04-21 Kent Dicks Methods for personal emergency intervention
US20110093283A1 (en) * 2006-10-24 2011-04-21 Kent Dicks Method for medical data collection and transmission
US8209195B2 (en) 2006-10-24 2012-06-26 Medapps, Inc. System for personal emergency intervention
US20110093286A1 (en) * 2006-10-24 2011-04-21 Kent Dicks System for sampling and relaying patient medical data
US20110161111A1 (en) * 2006-10-24 2011-06-30 Dicks Kent E System for facility management of medical data and patient interface
US20110158430A1 (en) * 2006-10-24 2011-06-30 Dicks Kent E Methods for voice communication through personal emergency response system
US20110167250A1 (en) * 2006-10-24 2011-07-07 Dicks Kent E Methods for remote provisioning of eletronic devices
US20110179405A1 (en) * 2006-10-24 2011-07-21 Dicks Kent E Systems for remote provisioning of electronic devices
US20110213621A1 (en) * 2006-10-24 2011-09-01 Kent Dicks Systems and methods for wireless processing, storage, and forwarding of medical data
US20080224852A1 (en) * 2006-10-24 2008-09-18 Kent Dicks Systems and methods for wireless processing and medical device monitoring using mobile computing devices
US10019552B2 (en) 2006-10-24 2018-07-10 Alere Connect, Llc Systems and methods for remote patient monitoring and storage and forwarding of patient information
US8126733B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for medical data interchange using mobile computing devices
US8126729B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for processing and transmittal of data from a plurality of medical devices
US8126734B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for adapter-based communication with a medical device
US8126735B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for remote patient monitoring and user interface
US8214549B2 (en) 2006-10-24 2012-07-03 Medapps, Inc. Methods for personal emergency intervention
US8126730B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for storage and forwarding of medical data
US8126728B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for processing and transmittal of medical data through an intermediary device
US8126731B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for medical data interchange activation
US8131564B2 (en) 2006-10-24 2012-03-06 Medapps, Inc. Method for medical data collection and transmission
US8131566B2 (en) 2006-10-24 2012-03-06 Medapps, Inc. System for facility management of medical data and patient interface
US20110078441A1 (en) * 2006-10-24 2011-03-31 Kent Dicks Systems and methods for wireless processing and medical device monitoring via remote command execution
US8140356B2 (en) 2006-10-24 2012-03-20 Medapps, Inc. System for sampling and relaying patient medical data
US8155982B2 (en) 2006-10-24 2012-04-10 Medapps, Inc. Methods for sampling and relaying patient medical data
US20110066555A1 (en) * 2006-10-24 2011-03-17 Kent Dicks Systems and methods for wireless processing and transmittal of medical data through an intermediary device
US20080097551A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for storage and forwarding of medical data
US20110093285A1 (en) * 2006-10-24 2011-04-21 Kent Dicks Methods for sampling and relaying patient medical data
US20080218376A1 (en) * 2006-10-24 2008-09-11 Kent Dicks Wireless processing systems and methods for medical device monitoring and interface
WO2008052034A1 (en) * 2006-10-24 2008-05-02 Medapps, Inc. Systems and methods for remote patient monitoring, communication, and command execution
US20080097908A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for processing and transmittal of medical data through an intermediary device
US20080103554A1 (en) * 2006-10-24 2008-05-01 Kent Dicks Systems and methods for medical data interchange via remote command execution
US20080103370A1 (en) * 2006-10-24 2008-05-01 Kent Dicks Systems and methods for medical data interchange activation
US20090234672A1 (en) * 2006-10-24 2009-09-17 Kent Dicks Systems and methods for remote patient monitoring and storage and forwarding of patient information
US8954719B2 (en) 2006-10-24 2015-02-10 Kent E. Dicks Method for remote provisioning of electronic devices by overlaying an initial image with an updated image
US8966235B2 (en) 2006-10-24 2015-02-24 Kent E. Dicks System for remote provisioning of electronic devices by overlaying an initial image with an updated image
US20080097793A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for remote patient monitoring and user interface
US20080103555A1 (en) * 2006-10-24 2008-05-01 Kent Dicks Systems and methods for wireless processing and medical device monitoring activation
US20080097914A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for wireless processing and transmittal of medical data through multiple interfaces
US20080097909A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for processing and transmittal of data from a plurality of medical devices
US20080097917A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for wireless processing and medical device monitoring via remote command execution
US20080097550A1 (en) * 2006-10-24 2008-04-24 Kent Dicks Systems and methods for remote patient monitoring and command execution
US9543920B2 (en) 2006-10-24 2017-01-10 Kent E. Dicks Methods for voice communication through personal emergency response system
US9619621B2 (en) 2006-10-24 2017-04-11 Kent Dicks Systems and methods for medical data interchange via remote command execution
US20080229205A1 (en) * 2007-03-13 2008-09-18 Samsung Electronics Co., Ltd. Method of providing metadata on part of video image, method of managing the provided metadata and apparatus using the methods
US20110090086A1 (en) * 2007-10-22 2011-04-21 Kent Dicks Systems for personal emergency intervention
US20090112769A1 (en) * 2007-10-24 2009-04-30 Kent Dicks Systems and methods for remote patient monitoring
US10660520B2 (en) 2009-03-27 2020-05-26 Braemar Manufacturing, Llc Ambulatory and centralized processing of a physiological signal
WO2011126859A3 (en) * 2010-04-05 2011-12-22 MobiSante Inc. Sampling patient data
WO2011126859A2 (en) * 2010-04-05 2011-10-13 MobiSante Inc. Sampling patient data
US10517500B2 (en) 2010-05-12 2019-12-31 Irhythm Technologies, Inc. Device features and design elements for long-term adhesion
US9241649B2 (en) 2010-05-12 2016-01-26 Irhythm Technologies, Inc. Device features and design elements for long-term adhesion
US11141091B2 (en) 2010-05-12 2021-10-12 Irhythm Technologies, Inc. Device features and design elements for long-term adhesion
US10405799B2 (en) 2010-05-12 2019-09-10 Irhythm Technologies, Inc. Device features and design elements for long-term adhesion
US9226679B2 (en) 2010-05-21 2016-01-05 Medicomp, Inc. Systems and methods for interelectrode distance optimization in a retractable multi-use cardiac monitor
US9585584B2 (en) 2010-05-21 2017-03-07 Medicomp, Inc. Physiological signal monitor with retractable wires
CN102779219A (en) * 2011-05-09 2012-11-14 悦康健康管理顾问科技股份有限公司 Healthcare management system and method
CN103455698A (en) * 2012-05-31 2013-12-18 中国联合网络通信集团有限公司 Medical monitoring method, device and system
US11051738B2 (en) 2013-01-24 2021-07-06 Irhythm Technologies, Inc. Physiological monitoring device
US10271754B2 (en) 2013-01-24 2019-04-30 Irhythm Technologies, Inc. Physiological monitoring device
US10555683B2 (en) 2013-01-24 2020-02-11 Irhythm Technologies, Inc. Physiological monitoring device
US11627902B2 (en) 2013-01-24 2023-04-18 Irhythm Technologies, Inc. Physiological monitoring device
US9173670B2 (en) 2013-04-08 2015-11-03 Irhythm Technologies, Inc. Skin abrader
US9451975B2 (en) 2013-04-08 2016-09-27 Irhythm Technologies, Inc. Skin abrader
US10949928B1 (en) 2014-10-06 2021-03-16 State Farm Mutual Automobile Insurance Company System and method for obtaining and/or maintaining insurance coverage
US10664920B1 (en) 2014-10-06 2020-05-26 State Farm Mutual Automobile Insurance Company Blockchain systems and methods for providing insurance coverage to affinity groups
US11354750B1 (en) 2014-10-06 2022-06-07 State Farm Mutual Automobile Insurance Company Blockchain systems and methods for providing insurance coverage to affinity groups
US11501382B1 (en) 2014-10-06 2022-11-15 State Farm Mutual Automobile Insurance Company Medical diagnostic-initiated insurance offering
US11574368B1 (en) 2014-10-06 2023-02-07 State Farm Mutual Automobile Insurance Company Risk mitigation for affinity groupings
US10713728B1 (en) 2014-10-06 2020-07-14 State Farm Mutual Automobile Insurance Company Risk mitigation for affinity groupings
US10817949B1 (en) 2014-10-06 2020-10-27 State Farm Mutual Automobile Insurance Company Medical diagnostic-initiated insurance offering
US9955887B2 (en) 2014-10-31 2018-05-01 Irhythm Technologies, Inc. Wearable monitor
US10813565B2 (en) 2014-10-31 2020-10-27 Irhythm Technologies, Inc. Wearable monitor
US10667712B2 (en) 2014-10-31 2020-06-02 Irhythm Technologies, Inc. Wearable monitor
US11605458B2 (en) 2014-10-31 2023-03-14 Irhythm Technologies, Inc Wearable monitor
US9597004B2 (en) 2014-10-31 2017-03-21 Irhythm Technologies, Inc. Wearable monitor
US11289197B1 (en) 2014-10-31 2022-03-29 Irhythm Technologies, Inc. Wearable monitor
US11756684B2 (en) 2014-10-31 2023-09-12 Irhythm Technologies, Inc. Wearable monitor
US10299691B2 (en) 2014-10-31 2019-05-28 Irhythm Technologies, Inc. Wearable monitor with arrhythmia burden evaluation
US10098559B2 (en) 2014-10-31 2018-10-16 Irhythm Technologies, Inc. Wearable monitor with arrhythmia burden evaluation
US11150828B2 (en) 2015-06-05 2021-10-19 Life365, Inc Device configured for dynamic software change
US10185513B1 (en) 2015-06-05 2019-01-22 Life365, Inc. Device configured for dynamic software change
US9974492B1 (en) 2015-06-05 2018-05-22 Life365, Inc. Health monitoring and communications device
US10560135B1 (en) 2015-06-05 2020-02-11 Life365, Inc. Health, wellness and activity monitor
US11329683B1 (en) 2015-06-05 2022-05-10 Life365, Inc. Device configured for functional diagnosis and updates
US10695007B1 (en) 2015-06-05 2020-06-30 Life365, Inc. Health monitoring and communications device
US10942664B2 (en) 2015-06-05 2021-03-09 Life365, Inc. Device configured for dynamic software change
US10388411B1 (en) 2015-09-02 2019-08-20 Life365, Inc. Device configured for functional diagnosis and updates
US11083371B1 (en) 2020-02-12 2021-08-10 Irhythm Technologies, Inc. Methods and systems for processing data via an executable file on a monitor to reduce the dimensionality of the data and encrypting the data being transmitted over the wireless network
US11246524B2 (en) 2020-02-12 2022-02-15 Irhythm Technologies, Inc. Non-invasive cardiac monitor and methods of using recorded cardiac data to infer a physiological characteristic of a patient
US11375941B2 (en) 2020-02-12 2022-07-05 Irhythm Technologies, Inc. Methods and systems for processing data via an executable file on a monitor to reduce the dimensionality of the data and encrypting the data being transmitted over the wireless network
US11382555B2 (en) 2020-02-12 2022-07-12 Irhythm Technologies, Inc. Non-invasive cardiac monitor and methods of using recorded cardiac data to infer a physiological characteristic of a patient
US11253186B2 (en) 2020-02-12 2022-02-22 Irhythm Technologies, Inc. Methods and systems for processing data via an executable file on a monitor to reduce the dimensionality of the data and encrypting the data being transmitted over the wireless network
US11253185B2 (en) 2020-02-12 2022-02-22 Irhythm Technologies, Inc. Methods and systems for processing data via an executable file on a monitor to reduce the dimensionality of the data and encrypting the data being transmitted over the wireless network
US11497432B2 (en) 2020-02-12 2022-11-15 Irhythm Technologies, Inc. Methods and systems for processing data via an executable file on a monitor to reduce the dimensionality of the data and encrypting the data being transmitted over the wireless
US11246523B1 (en) 2020-08-06 2022-02-15 Irhythm Technologies, Inc. Wearable device with conductive traces and insulator
US11504041B2 (en) 2020-08-06 2022-11-22 Irhythm Technologies, Inc. Electrical components for physiological monitoring device
US11337632B2 (en) 2020-08-06 2022-05-24 Irhythm Technologies, Inc. Electrical components for physiological monitoring device
US11589792B1 (en) 2020-08-06 2023-02-28 Irhythm Technologies, Inc. Wearable device with bridge portion
US11350864B2 (en) 2020-08-06 2022-06-07 Irhythm Technologies, Inc. Adhesive physiological monitoring device
US11350865B2 (en) 2020-08-06 2022-06-07 Irhythm Technologies, Inc. Wearable device with bridge portion
US11399760B2 (en) 2020-08-06 2022-08-02 Irhythm Technologies, Inc. Wearable device with conductive traces and insulator
US11751789B2 (en) 2020-08-06 2023-09-12 Irhythm Technologies, Inc. Wearable device with conductive traces and insulator
US11806150B2 (en) 2020-08-06 2023-11-07 Irhythm Technologies, Inc. Wearable device with bridge portion
US11925469B2 (en) 2022-07-01 2024-03-12 Irhythm Technologies, Inc. Non-invasive cardiac monitor and methods of using recorded cardiac data to infer a physiological characteristic of a patient

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US20130245472A1 (en) 2013-09-19
US11872010B2 (en) 2024-01-16
US9474445B2 (en) 2016-10-25
US20200138289A1 (en) 2020-05-07
US8425414B2 (en) 2013-04-23

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