WO2003085574A1 - Bodily worn device for digital storage and retrieval of medical records and personal identification and computer instruments and emergency monitoring devices for retrieving and displaying stored medical records from bodily worn devices and computer system for optical scanning, storage, organization and electronic mailing of - Google Patents

Bodily worn device for digital storage and retrieval of medical records and personal identification and computer instruments and emergency monitoring devices for retrieving and displaying stored medical records from bodily worn devices and computer system for optical scanning, storage, organization and electronic mailing of Download PDF

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Publication number
WO2003085574A1
WO2003085574A1 PCT/US2001/016601 US0116601W WO03085574A1 WO 2003085574 A1 WO2003085574 A1 WO 2003085574A1 US 0116601 W US0116601 W US 0116601W WO 03085574 A1 WO03085574 A1 WO 03085574A1
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WO
WIPO (PCT)
Prior art keywords
digital
medical
data
records
patient
Prior art date
Application number
PCT/US2001/016601
Other languages
French (fr)
Inventor
William Reeves
Original Assignee
Med-Datanet, Llc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Med-Datanet, Llc filed Critical Med-Datanet, Llc
Priority to AU2001297831A priority Critical patent/AU2001297831A1/en
Priority to PCT/US2001/016601 priority patent/WO2003085574A1/en
Publication of WO2003085574A1 publication Critical patent/WO2003085574A1/en

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Classifications

    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00Administration; Management
    • G06Q10/10Office automation; Time management
    • 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
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD

Definitions

  • the present invention relates to new and novel improvements to a bodily worn device, preferably in the form of jewelry, a medallion or watch, which provides for the digital storage and retrieval of an individuals medical records, drug prescriptions, emergency medical treatments, organ donor instructions, living will instructions and personal photograph and other identification.
  • the invention also embodies the concept of an electronic dogtag for military applications as well.
  • the device comprises a safety shell, in the form of a medallion, watch or other suitable means, with markings which identify it as a medical storage device, a digital storage means such as a computer chip, high density silicon storage media or other digital storage means, encrypted software for safely storing medical records in a confidential manner, a DC battery if required, and a means of retrieving and updating said encrypted digital medical records such as a serial port, phone jack, laser reader, or any other appropriate means for transmitting either analog or digital information. Also disclosed is a system for retrieving, reviewing and transmitting said digital medical records in the event of an emergency from a remote location. 2.
  • the present invention related to novel and improved methods to provide a bodily worn device which would be used for the digital storage and retrieval of medical records, prescription history and emergency medical instructions in the event the wearer of such a device experiences a medical emergency, accident, or any other emergency.
  • the device can provide a positive identification of the wearer via digitally stored color photo, in the event the wearer is unconscious and requires emergency medical treatment and/or medication provider wants to make a positive identification.
  • devices and particularly jewelry which are bodily worn and have been used to identify persons with known medical conditions in the event of a medical emergency.
  • Several such examples of this would be a bracelet for identifying a rare blood type or a bracelet for identifying a diabetic or person with a rare allergic reaction to bees, snake bites or spiders.
  • a base unit and/or module which can be used in conjunction with the device to access, capture or otherwise obtain the stored information from the device in a non-contact wireless method as described herein.
  • the preferred configuration of the module is a wireless and non contact means of accessing the stored data (induction, electromagnetic or radio transmitted signal with receiver wand) routing the data from the wand into the module in digital format either with a fiber optic cable, serial or parallel computer cable, or any other appropriate means, then sending the data through an interface circuit which would connect directly to an existing patent monitor or into a personal computer for viewing and interpretation by medical personnel.
  • Eberhardt #5,659,741 Doue #5,361 ,202; Whalen #5,327,341 fails to each many of the critical and practical new improvements embodied in this invention.
  • Eberhardt's main focus is on a massive central computer system for obtaining and managing medical data.
  • Eberhardt briefly mentions storage devices for medical data he fails to teach or disclose any of the improvements embodied in this invention including but not limited to non contact and wireless transfer of data from the storage device to the module via a inductance or differential data transmition, the battery operation of the storage device, the transponder signal emitted from the device as a locator, making the device waterproof, explosion proof etc., for law enforcement and military applications.
  • Eberhardt also fails to teach the preferred embodiment of the base module which would most likely be a simple plus in module to an existing patient monitor to minimize the coast to the health care system.
  • Doue teaches a computer system and software for improving the management of a patient's stay in a hospital but fails to teach or mention the medallion or pendant storage device or any of the aspects of storing and interpreting medical data in an emergency response situation.
  • Whalen, like Doue teaches a software and computer system for managing patient files and organizing medical records in general terms but does not teach any of the art of the bodily worn storage device, the wireless data retrieval, or the plug in interface module.
  • the invention disclosed describes a novel new approach to the storage, bodily wearing and retrieval of medical records, emergency medical treatment data, organ donor data, living will data, etc., in a rapid non contact manner, for displaying such data on a patient monitor for rapid emergency medical treatment, personal identification, autopsy, etc.
  • the novel improvements of this device also describe a means of camouflaging the device as jewelry or a wristwatch or pocket watch so as to provide a tracking device and improvements to make the device waterproof, explosion proof, etc., so as to be used as digital dogtags for military, law enforcement, etc.
  • a large digital storage medium such as a computer chip, computer disk or other digital media for storage of large amounts of useful and meaningful medical information and records, including but not limited to pre-existing serious medical conditions, allergies to medications and drugs, ECG records, ex-rays, cardiac images or summaries of serious medical conditions, in the event of a medical emergency.
  • a large digital storage medium such as a computer chip, computer disk or other digital media for storage of large amounts of useful and meaningful medical information and records, including but not limited to pre-existing serious medical conditions, allergies to medications and drugs, ECG records, ex-rays, cardiac images or summaries of serious medical conditions, in the event of a medical emergency.
  • the digital storage of a color photo identification, iris eye scan identifier, fingerprints, dental records, of the wearer of the device to provide a positive identification in the event the wearer is unconscious or dead as a result of a medical emergency.
  • a decorative and/or functional use of the device such as embodying it into a wristwatch, enclosing the device in a pendant or medallion which is ornamental and resembles fine jewelry, or creating a decorative bracelet or other such device, but at the same time has the characteristics of being waterproof, explosion proof and bullet proof in the event the device is used as a digital dogtag for military applications or law enforcement or in the event the wearer is in a catastrophic accident such as a plane crash, train wreck, etc., wear body identification becomes an extremely difficult or near impossible task due to little or no remains of the victims body.
  • the medallion or digital dogtag could provide a means of identification and provide a clue to the fate of a relative or loved one to provide physiological closure.
  • Such retrieval means could include a laser scanner head, a serial or parallel computer port, a digital phono jack, wireless AM or FM transmission, or fiber optic transmission, bar code scanner, inductive wand scanner or any other rapid and appropriate digital means to retrieve the data in the event of an emergency.
  • the preferred access means embodied in this device is the electromagnetic wand or inductance wand which affords a rapid and convenient means of accessing the device data without any physical contact with the device or having to hook up any leads, wires or to insert the device in any slot, computer reader, disk reader, etc., which has been described by prior art.
  • a Global Positioning System type network or local tracking network e.
  • a base unit for retrieving the data in an emergency such as in an ambulance, software and a computer screen for viewing the medical information and a means of transmitting the data via AM, FM, telemetry or digital telephone lines from the emergency vehicle to a hospital emergency room in the event of a medical emergency.
  • the form of the base unit would most conveniently be in the form of a portable computer, dedicated hand held display and transmitter unit or could be in the form of a personal computer, but not need to be.
  • the based unit will be no more than an interface module, which will consist of a printed circuit board and A/D converter which would plug into an existing patient monitor mounted in an ambulance or in an emergency room or physician's office and such monitoring device performs a plurality of physiological function monitoring including ECG, blood gas, heart rate, respiration, etc., and the device digital information would be dumped into such a monitor and displayed on a split screen format for emergency medical treatment.
  • an interface module which will consist of a printed circuit board and A/D converter which would plug into an existing patient monitor mounted in an ambulance or in an emergency room or physician's office and such monitoring device performs a plurality of physiological function monitoring including ECG, blood gas, heart rate, respiration, etc., and the device digital information would be dumped into such a monitor and displayed on a split screen format for emergency medical treatment.
  • an AM or FM transponder signal which is emitted from the device to act as a tracking device in the event the wearer is in a remote location and has an accident, if the wearer wonders off due to dementia, Alzheimer's disease, old age or is stricken with illness and needs to be located. Or, in the case of military applications or law enforcement officers to track and locate wounded, dead, lost or captured soldiers, sailors, or airmen or law enforcement officers.
  • This invention when worn by a child in the form of a watch or pendant, could also be used as a child protection tracking device in the event a child wandered off, was kidnapped or taken against their will in a nasty divorce.
  • Figure 1A outlines one embodiment of the bodily worn device in the form of a medallion or locket which could also include a small watch in the front or jewelry for decorative purposes.
  • Figure 1 A shows a cross sectional view of the device which includes a clam shell-like casing made of polished titanium, stainless steel or an appropriate strength composite or polymer material which would withstand severe underwater pressure, explosions and/or fragments or bullets.
  • Figure 1 A Also shown in Figure 1 A is an "O" ring groove seal, and a polymer “O” ring, and an appropriate equivalent which would seal the case from water, dust, etc., and such "O" ring would be sealed with a graphite dust or equivalent material, naked to the human eye, which would provide any indication if the device was opened and or tampered with by an unauthorized person.
  • Figure 1A also indicates the markings color coding or other alpha-numeric coding which would identify the class of severity of the medical defect of the wearer on the exterior of the shell.
  • Figure 1 A also shows an internal printed circuit board mounted in a specially designed shock resistant groove.
  • Figure 1 A also shows the exterior rim of the outer shell being welded or hermetically sealed to prevent any tampering or unauthorized opening of the device.
  • the back exterior of the shell also could have a bar code identification number to signify manufacturers lot code, confidential wearer ID number or any other variety of encoded identification information which has utility for either emergencies or routine service and maintenance of the device.
  • Figure 1 A also indicates the shell of the device, being of a conductive metal or composite material, can act as an electrode in the event the manufacturer chooses to use this method as a means of transmitting the data via an intimate contact probe between the device and the base unit.
  • Figure 1 B shows a front cut away view of the bodily worn device with its main components mounted to a printed circuit board of an equivalent device.
  • This figure shows a long life battery which can be replaced or recharged, if required, a transmitter/receiver transponder unit, a digital media storage device, an optical eye for transmitting data via a wireless wand, and an optional jack connection for plug-in transmittals and service.
  • a transmitter/receiver transponder unit a digital media storage device
  • an optical eye for transmitting data via a wireless wand
  • an optional jack connection for plug-in transmittals and service.
  • either an optional time piece watch or jewelry can be mounted on the front of the device to make it more attractive and decorative.
  • Figure 2 shows another embodiment of the device, similar to Figure 1 (A & B) but with several important changes which make the unit very rugged and more explosion proof for law enforcement, military and fire fighting applications.
  • the exterior shell of the device is constructed from either a titanium, stainless or composite polymer material (kevlar and woven carbon fibers) another appropriate material which conducts electricity.
  • the interior of the device has a printed circuit board with main components mounted on it as in Figure 1 (A & B), the important difference is that a non-electrical conductive polymer material is poured into the case and around all of the interior components and curved into a very hard but flexible hardness.
  • This polymer filler acts to nest and stabilize all of the interior components so they cannot move and to hold all of the components in place and shock mount them in the event the device experiences a severe jolt due to an explosion etc.
  • the polymer is further made from material with an extremely high flash and melt point to further make the device fire retardent.
  • the polymer material because it is non-conductive, also acts as an electrical insulator in the event that the exterior shell is used as an electrode for transmitting data from the storage device to the base unit, thus interior electrical components are insulated and isolated from each other.
  • Figure 1 shows a cross section of the device as embodied in a watch or ring.
  • Figure 1 shows the device as embodied in the form of a tag which can be worn either around the neck and a digital "dogtag" or can be worn on a bracelet to be carried in a pocket, etc.
  • the tag as show in Figure 4A can be made from a molded fire and impact resistant polymer and the electronic components can be molded into the polymer tag by heating the polymer or having the polymer be a two part type epoxy whereby when the parts are mixed they solidify and harden.
  • Figure 4B shows a cross section of the tag embodiment.
  • a miniature battery pack which can be accessed to replace or recharge batteries, a digital storage chip or other appropriate media, a transponder receiver/transmitter for tracking the wearer of the device, an optical scanner eye, or other appropriate access means, a hard wire jack access which can be in the form of a miniature computer cable connection or other appropriate means, a bar code strip to provide quick access to tag serial number and other identification data.
  • the components are to be molded and imbedded below the surface of the tag so as to provide for integral means of waterproofing the function of the device, allowing the device to be shock resistant, fire resistant and explosion resistant.
  • Figure 4B shows a front view of the tag embodiment and various means of mounting the device on either a necklace, bracelet, or simply carrying the tag in a persons pocket or wallet.
  • the tag can be coded with any type of previously described color or alpha numeric codes to signify the severity of the persons medical deficiency.
  • any type of decorative finish can be added to the exterior to make the device more attractive to the consumer and on the contrary the device can be left plain and uniform for law enforcement, military and fire fighting personnel.
  • Figure 5A shows the preferred embodiment of the bodily worn device and the base unit which would be used to access the digital data in a rapid, wireless manner.
  • an incapacitated person wearing the bodily worn device can have their personal medical records accessed in an emergency situation by the EMT holding the inductance, electromagnetic or other type of non-contact wand.
  • Figure 5B shows one embodiment of a system to retrieve data from the Bodily worn device via the scanning wand.
  • the data is stored in the Emergency Monitor
  • Figure 6 shows one typical embodiment of the organization of the medical records into digital "pages which can be prioritized in a means so that critical medical data is displayed in first order and secondary data is then available. The data is organized into a series of pages in the storage system for ease of use and to make the data medically significant to medical personnel.
  • Figure 7 shows one embodiment of the flow of data and the software logic which would be used to control all of the data storage functions and transmittal functions of the entire hardware and electronics systems described.
  • Figure 8 shows one typical embodiment of the means to mechanically align the interface wand and the Bodily worn device to power the BWD as well as retrieve and transmit data to the device.
  • the invention disclosed herein is an improved method of storing and retrieving digitized medical records which are stored in a protective bodily worn enclosure.
  • the inventor has done several thorough patent searches and finds no other prior art which describes such a digital device(s) and teaches its patentable features.
  • the device has an outer protective shell 1 which is made from either steel, titanium, aluminum or a conductive polymer, or another appropriately strong, but light-weight conductive material which can be polished to an aesthetic finish.
  • the shell is conductive so as to act as an antenna for the AM or FM transponder unit 5 which is embodied in the device for tracking or locating the wearer and in this embodiment an anti Radio Frequency (RF) film coating 2 is placed on the inside of the shell to protect the devices electronics from RF interference from ambient sources.
  • RF Radio Frequency
  • shell 1 can be non-conductive to avoid RF interference and is also shielded from radio frequency with coating 2.
  • Shell 1 is designed with an appropriate groove and/or recess in its outside front to accommodate either a watch, jewelry or other ornamental or functional objects.
  • Shell 1 is designed in such fashion to either include an internal "O" ring groove 3 or polymer "O" ring 4 for the purpose of waterproof sealing of the two halves of shell 1.
  • Included on one embodiment of the invention would be a means of locking or fastening the halves of the shell 1 closed which could include miniature screws 5 with internal standoffs 6 as shown, a press fit between the two halves of shell 1 such that the halves are intimately locked together yet can be opened if required, or an external lock and lasp assembly 7 shown which is similar to a locket or pocket watch.
  • the halves of shell 1 can be welded together around the perimeter or glued along the inner perimeter so as to provide for a waterproof and tamper proof seal to the shell 1.
  • the outside of shell 1 is marked with appropriate symbols 8 which identify the device as a medical information device and an alpha numerical code or color code 9 which identifies the level of severity of the pre-existing medical condition of the wearer.
  • the device can be worn on the exterior of the body by means of a bracelet or necklace 12 or any other appropriate means of affixing the device to the body where it is clearly visible and readily accessible in an emergency.
  • mounted to one interior halve of shell 1 is a series of threaded standoffs 13 upon which is mounted Printed Circuit Board 14 which holds the main electronic circuits and components.
  • PC Board 14 is a groove which is machined in the inner perimeter of one half of shell 1 and acts to nest the pc board in place.
  • a polymer pad 15 can be placed in between shell 1 and pc board 14 so as to act as a shock absorber or dampened so as to mechanically isolate pc board 14 from exterior vibrations or shocks.
  • Another embodiment of the shock absorber concept is to fill the entire shell 1 with a non- conductive insulation polymer once all electronics and components are in place in shell 1 so as to provide a mechanical damping nest for all interior components.
  • Mounted to the printed circuit board are a series of electrical components and interconnecting electrical circuitry for the device. One such component is an optical reading eye 16 with is mounted to the pc circuitry.
  • An aperture opening in shell 1 allows the optical eye to protrude throughout the shell so as to be read by an optical reading device which is further described in this invention.
  • the optical eye 16 is one such way in which the stored digital medical data is retrieved from the device in a rapid wireless fashion.
  • a transponder 17 is mounted to pc board 14 and acts to emit either an AM or FM signal from the device in the event the wearer is lost, kidnapped or incapacitated or otherwise needs to be located.
  • a digital storage media 18 is mounted to the pc board 14 and is used to store all of the wearer's medical records and data as described herein.
  • the circuitry of the pc board is designed in such a way so as to provide for rapid means of accessing the digital data from the storage media 18 via the optical eye 16 through a switching components 19.
  • the switching component, mounted to the pc board 14, is of such a variety as to allow for two way transmission of data to and from the storage media 18.
  • the storage media 18 is such a variety so as to be both written on and read, but, for security reasons can only be written on by a person that knows confidential passwords and/or messages as to protect the integrity of the device and the medical data stored in media 18.
  • a long life battery 19 of the type which is commonly used in watches and other low energy usage devices is mounted in pc board 14 and acts to provide dc low amperage electrical power to the transponder and any other components which from time to time may require power for the operation of the device.
  • the device has been designed so as to be a passive device which means under normal circumstances it is not using power and thus conserves the energy in the battery for emergency situations.
  • a miniature jack 20 is mounted to the pc board 14 and is used to provide an alternative means of hard wire connecting the device to a base unit, patient monitor or other device for displaying the stored medical data on a display screen.
  • the jack can be of any appropriate type such as a phono jack, serial or parellel jack, cable jack or any other appropriate miniature type jack for uni or bi- directional transmission of data.
  • Alternatives to the optical eye 16 for retrieving the digital data could include capacitive probes 21 mounted on the BWD and the interface wand, a bar code reading device, a telemetric transmission device of other wireless, low energy means of transmitting and receiving digital data.
  • An important alternative to the long life battery included in the device shown herein is an electromagnetic means of powering the device from the interface wand to the BWD by mounting inductive windings of a transformer 22 on both the wand and the BWD.
  • Primary coils of an inductive transformer can be mounted on the wand and secondary coils can be mounted on the BWD.
  • the inductive pads of the wand and BWD are in close proximity enough voltage and electrical power is transferred to operated the BWD during data transmission and can also be used to recharge on the board battery 19.
  • Figure 3 shows the wrist watch embodiment of the Bodily worn device in a cut-away drawing.
  • the rugged, waterproof and shock resistant casing 7 is mounted to the wristband 2 using a suitable means for ensuring mechanical bonding, including molding, gluing, or running the band 2 through a slot in the back of case 7.
  • Optical eye 3 protrudes out of a port which is either machined or molded into the case 7.
  • the hardware and electronics of the optical eye 3 are kept within the case 7 in order to protect them from the elements and damage and are mounted to the pc board 8 so as to complete an electrical circuit with the other components of the device.
  • Battery 4 is mounted onto the printed circuit board 8 using appropriate hardware.
  • the battery can be either a replaceable type or a rechargeable type battery.
  • An access port in the rear of the case 7 would allow for the removal and replacement of the battery and for other maintenance of the device.
  • Transponder 5 is mounted to the pc board 8.
  • Transponder 5 transmits/emits a continuous radio frequency signal which would allowjhe wearer of the wrist watch device to be located by emergency personnel, rescue workers or law enforcement personnel in the event the wearer is lost, disabled, diseased, or incapacitated in any way.
  • the storage device 1 is mounted to the pc board 8 and is comprised of any suitable digital storage media which can be a digital storage computer chip, a silicon type storage device, flash memory chip or other suitable device.
  • the storage device 1 is connected to an electronic circuit on the pc board 8 which allows the storage device 1 to transmit and receive digital medical records either via to optical eye 3 or the data input port 10 or the data export port 9.
  • the data input port 10 has a digital data jack which protrudes through the case 7 and allows a user to connect a jack or other suitable device to the wrist watch as an alternative means of inputting and storing digital medical records into the device via the electronic circuit imbedded in the pc board 8 which connects the surface mounted devices, including the input port 10 and the storage device 1.
  • the output port 9 allows an emergency medical technician or other person who wishes to access the stored digital information to retrieve said digital records by plugging a jack or other hard connection means into the port 9. This is an alternative to the wireless data transmission via the optical eye 3.
  • the wrist watch 6 is a time piece which allows the overall device to serve another useful purpose as well as to be stylish and cosmetically appealing for the wearer of the device.
  • Figure 4 (A & B) shows another embodiment of the invention disclosed herein.
  • figure 4 (A & B) shows a version of the invention which broadly comprises the electronic inner workings of the device molded within a rigid polymer enclosure which is shock proof, water proof, explosion and fire resistant.
  • This embodiment of the invention can be either in the form of a digital dogtag, pendant or bracelet worn tag.
  • Polymer shell 1 is molded around the inner electronics and board 2 in such a fashion that the seals around the protruding optical eye 3 and communications jack 4 are water tight and hermetically sealed and the entire body of the polymer shell 1 is water tight and hermetically sealed.
  • the exterior of the shell 1 is color coded or alpha numeric coded 5 in such a way as to identify the severity of a pre-existing medical condition of the wearer.
  • a bar code 6 on the exterior of the shell 1 can be used to store either identifier code numbers, manufacturers lot code numbers or any other alpha numerical identification code.
  • Printed circuit pc board 7 is designed in such a way that all of the main components are surface mounted and oriented either toward the front or back of the device as required.
  • Optical scanning eye 8 is oriented and mounted so that the optical eye protrudes through the outer shell 1 for rapid wireless reading of stored digital data.
  • Communications port/jack 9 protrudes the outer shell 1 so as to provide for a back up hard wired means of communicating with the device and transmitting digital data.
  • a long life cadmium batter 10, either rechargeable or permanent life, is mounted to the pc board and can be either permanently sealed by shell 1 or have a removable access panel for changing of the battery when required.
  • FIG. 4 (A & B) embodiment of the invention has all of the other components listed and described in Figure 1 (A & B) which include the optical eye, transponder, long life battery, digital storage and retrieval device, two way data transfer switch, pc board, shell, etc.
  • the embodiments and the components function the same way as the prior embodiment.
  • the obvious difference between the Figure 1 (A & B) and Figure 4 (A & B) is the Figure 4 (A & B) has molded polymer shell, which can be in the form of either a tag, round pendant, bracelet tag or any other practical and functional shape.
  • the molded shell acts to seal the electronic working of the device in such a way as to be waterproof, fire resistant, shock and explosion resistant so as to make the Figure 4 (A & B) embodiment practical for military, fire fighters and law enforcement applications.
  • the transponder 11 is mounted to the pc board 7 and emits a radio frequency signal which is used by emergency personnel, military personnel or others to find the wearer of the device if the wearer is dead, injured or incapacitated and requires assistance.
  • the storage device 12 is mounted to the pc board 7 and is connected via an electrical circuit mounted on the pc board 7 to the other electronic devices mounted on the pc board 7 to receive and transmit digital data as well as other functions described herein.
  • the storage device 12 can be either a computer chip storage device, flash memory chip or other suitable high capacity digital memory storage device.
  • the power coil 13 with its inductive power contact allows the device to receive electrical power, as an option to the on board battery, by mating said power contacts with a remote device which contains the opposite side and mating coils to the inductive coil. Electrical current can then be transmitted across the inductive contact to the device via the completion of the inductive coil connection.
  • the jack component 14 allows for remote access to the digital data by plugging in a male jack to the female jack receptacle.
  • the jack can be any type of standard miniature electronic jack and can be used to transmit digital data to the device as well as receive digital data from the device for viewing in an emergency.
  • the control circuit 15 can be comprised of a digital logic chip or other suitable device which allows for the storage of logic software which can control the functions of the device. Such functions would be the organization of the digital medical records into page format, ensuring the battery 10 has a proper charge to maintain functions of the device (an audible signal can be emitted if the battery is getting low), allow for orderly updating of the digital medical records via the input/output device 14 or optical eye 3, ensure that the device was not over powered via the power coil 13, sense that the transponder 11 was properly functioning and emitting its proper radio frequency signal, as well as other control and logic functions of the device further described in Figure 7.
  • the bodily worn digital storage device in its embodiments described herein is used with other complimentary devices patented by this inventor.
  • the other integral components of an overall system for using the Bodily Worn Device in a practical situation are shown in various configurations in Figure 5 (A & B).
  • the complimentary components include: a).
  • b). Included with the portable or remote unit is the capability of sending the information wireless either using AM, FM or telemetry technology.
  • a module which can be added to a more substantial patient monitoring base unit used by either an ambulance or emergency room.
  • the purpose of the module is to reduce the overall cost of integrating this technology into existing patient monitoring equipment presenting used in medicine today.
  • a wireless means of retrieving data and/or transmitting and updating data back to the Bodily Worn Device could include optical scanning differential data transmission, AM or FM wireless transmission or any other form of practical wireless transmission presently in use or to be conceived.
  • An integral part of the invention disclosed herein is the software invented to store the digitized medical records in orderly files, locate and retrieve the digital records in rapid wireless fashion, allow for two way transmission of data so stored records can be periodically updated as well as retrieved, display the digital records on the module or portable screen in an orderly and easily readable standard fashion.
  • Figure 6 shows one possible such embodiment of the standard format for the medical records organization in digital files or display screen "pages".
  • the digital records When the digital records are retrieved and displayed through either the module unit, portable display unit or base unit previously mentioned, they will appear as either one organized page or in a series of organized pages as shown in Figure 6.
  • the main page of the records will show, starting from the upper left hand corner of the display page: a). Either color or black and white photo of the wearer of the device, b.) A thumb print, iris print of other distinguishing physical characteristic, c). Dental records, d). Sample ECG or Cardiac Echo Scan. e.) A section of "Emergency Medical Data" which could include:
  • a section for Emergency Medical Instructions which could include:
  • Bodily Worn Device contains important software for the organization and storage of the wearer's medical records and ID information.
  • software integral for the retrieval, management and updating of the Bodily Worn Devices which is contained in the interface module, base unit and central computer system. This additional software is vital to the use and management of the records stored in the Bodily Worn Devices and acts to link all of the components together to act as a total functioning system.
  • the interface module 3 is an electronic enclosure designed with a "nest" for sitting the Bodily Worn Device into and using wireless optical or differential data transmission.
  • the interface module 3 is used as a link between the BWD 4 and the base unit 2.
  • Software in the Interface module 3 allows for two way communication and transmission of data to and from the BWD for both inputting medical records into the BWD and for retrieving them for editing and updating purposes.
  • the interface module 2 and base unit 2 are each equipped with software and a telephone modem to allow for remote access to, programming and updating of the BWD stored records in remote locations. (For example: and elderly person with a BWD could have their medical records updated while at home using the interface module 3 in their home communicating with a base unit 2 in a remote location via telephone lines.) Once new/original records are burned into the BWD 4 using the base unit 2 and the interface module 3 the wearer is free to use the BWD and travel and move freely about.
  • a Paramedic, EMT or Emergency Room Technician can use the interface wand 5 in conjunction with either the portable field display 6 or the remote ambulance patient monitor 7 to rapidly retrieve and display the stored medical records in the BWD 4, displaying those records in page format as shown in Figure 6, and sending those stored medical records, via modem or wireless telemetry to a remote emergency room or physicians office for rapid and life saving medical intervention in a crisis situation.
  • either the phone link Unit 8 or the interface module 3 can be used to access information from the BWD 4 through wand 5 so as to perform periodic maintenance, testing, retrieval and updating of medical records via telephone modem, telemetry, cable link or any other type of wireless or hard wire transmission.
  • a wearer of a BWD 4 has a change in their medical condition, drug treatment, organ donor instructions or living will instructions they have the choice of either going to their physicians office 11 to have the stored medical data updated through the base unit 2 and interface modem 3 or going through a third party insurance carrier, private service or other company 9 which can send updated data through a remote interface module 3 to update the BWD 4 through a telephone modem or other wired or wireless transmission. All of these devices contain software which is compatible with the other devices mentioned and allow for smooth, fluid encrypting, de-crypting, retrieval and display of medical data in emergency and non-emergency situations. 13.
  • Figure 8 shows an embodiment of the mechanical interface and electrical circuit interface of the reader/wand 1 and odily Worn Device 2.
  • This interface between the two devices is an integral part of the invention and its operation when a battery is not included in the BWD 2 and external power is required to operate the BWD.
  • the capacitive probes described herein are an important alternative to the optical eye in transmitting and receiving data to the BWD 2 from the wand 1.
  • a mechanical slot or socket is shown which ensures the wand and BWD are rapidly and easily aligned for proper alignment of the inductive pads (power) and capacitive pads (data transmission).
  • Capacitive pads 3 are used to both transmit and receive data to and from the BWD in bi-directional fashion.
  • the primary coils and inductance pad 3 is mounted into the wand 1 as shown and sends electromagnetic voltage across to the secondary coils and inductive pad 4 mounted into the BWD. Electrical power is distributed to the components on the BWD through the interface circuit.
  • the interface circuit could also contain the means to recharge an on board battery as previously described herein.
  • a method and device is disclosed herein to teach either patient monitors with microprocessors and screen displays and portable devices with screens and dedicated desk top monitors with displays for programming and retrieving stored and encrypted medical records and patient information onto bodily worn storage devices and/or digital storage cards and digital storage disks. Also disclosed is a unique interface wand, electronic circuitry and software for transmitting and receiving by directions digitized medical records and data.
  • the invention disclosed herein, and complimentary inventions disclosed by the inventor, teach the design of bodily worn devices which can store large amounts or digital medical records and have those records retrieved in a rapid wireless manner in the event of a medical emergency
  • the Bodily Worn Device can also be embodied into a digital storage card and/or medical computer disk which is disclosed in another invention by this inventor.
  • other key medical and personal information which can be stored into the bodily worn digital devices include Organ Donor Instructions and Living Will instructions which have become very common place and vital to the medical community as well as the individual.
  • Bodily worn digital storage devices Integral to the use of the Bodily worn digital storage devices (BWD) are the inventions disclosed herein which are medical monitors, personal computers, portable display devices and interface electronics used to organize medical records, as an option- encrypt the records for security, transmit the records through interface electronics and "burn in" the data on computer chips and other suitable storage media located within and part of the BWD.
  • BWD Bodily worn digital storage devices
  • an interface module which, in lieu of an entire new patient monitor, can be added to a IU slot in an existing patient monitor and add the capability of accepting data from the Interface Wand and BWD without adding a lot of additional cost to the health care system, 3. a more substantial Base Unit which would be most likely a PC based system and include software for organizing and editing medical data and records, as an option- encrypting those records for confidentiality and security, and sending those records directly through the Interface Wand to be "burned in” and stored within the BWD in digital storage media such as a computer chip.
  • Eberhardt fails to teach any of the patient monitors, modules or interface electronic hardware necessary to make the retrieval of emergency medical data a practical device.
  • Ebehardt mentions cards or disks to carry medical records he fails to teach any type of practical card or disk fails to teach how such a card or disk would be interfaced with a practical computer system or it components.
  • Ebehardt's inventions which is not required by the invention disclosed herein, is the ability to sort for medical information and/or data by key word, phrase, etc.. This is not necessary for the invention described herein in terms of its software and is outside of the scope of this invention.
  • Worn devices by interfacing the Bodily Worn device with the monitors, either using the Interface wand and a direct connection to a monitor or via the wand and an interface box which could be used to modem information into the Bodily Worn device from a remote location.
  • a means through unique software encryption and recognition techniques, to interface with unique smart cards and/or unique computer disks which have permanently imbedded software security identification markers.
  • This type of a marker and recognition system allows for only authorized types of disks and card, which have the unique embedded digital markers, to be used and recognized by the system software for security and anti fraud purposes.
  • the alternative which is an embodiment of this invention, is to have an open architecture software.
  • This smart software allows for recognition of encrypted security markers to eliminate unauthorized entry to the devices and well as for anti fraud purposes during data transmission, -electronic cases and enclosures which make the devices herein either rugged and portable for field use and/or military use, enclosures and electronic covers for the module. Interface to safely add the module and upgrade to an existing patient monitor, or an enclosure for making the devices desk top and fairly stationary for use in an office environment.
  • Figure 1 represents a flow chart of how the integral hardware components of the system would interface.
  • Either the portable field unit, patient monitor module or base unit monitor can send or retrieve data from the Bodily Worn Devices (BWD) via the Interface Wand.
  • BWD Bodily Worn Devices
  • either the Portable Field Unit or the Patient Monitor Module can also send data to and from the Base Unit Monitor via either telephone lines, wireless AM or FM transmission or any other appropriate transmission means.
  • the interface wand is an integral part of the system for sending and retrieving data from the BWD.
  • the Interface Wand has a means of simultaneously sending electrical power to the BWD via wireless inductance means while at the same time sending and retrieving data from the BWD via either optical or capacitance data transmission.
  • FIG. 2 shows a schematic of the software and its flow in terms of data transmission through the various pieces of hardware in the system. Two way data transmission is important through each piece of hardware to allow for medical data and records to be both sent and retrieved through the Interface Wand and into and out of the BWD.
  • Emergency Medical Records are organized by the software into pages or files with discrete information organized in sections or blocks to create a standard page. This standard page is important in that in the event of medical emergency time is critical and if a standard page is created for EMT's and technicians then they know exactly where to look to get critical life saving information without searching.
  • the software is organized as such so that Emergency Medical records are created for a patient either from the Base Unit, Portable Field
  • the Patient files are encrypted to provide for security during transmission over telephone and data lines.
  • the software is organized as such so the patient filed are transferred through the Interface Unit or Wand into the BWD in file or page format.
  • These patient files are organized through the software in generic ASCII type files so as the be retrievable and readable using standard software packages in conjunction with our unique decryption software.
  • security software markers could be written into the medical record files so that only persons with compatible software which can recognize the security markers would be allowed to retrieve and open the medical records stored on BWD's or on electronic cards or disks.
  • Figure 3 shows one variation of how all of the components of the system work including the Bodily Worn Device, Interface Wand, Portable field unit,
  • Base unit and controlling software.
  • an EMT, paramedic, military corpsman, etc can access the critical medical data using the portable field unit, assess the stricken persons overall condition using the pre-existing medical history and data in the BWD, and rapidly determine the best coarse of medical treatment, which could prove life saving.
  • the portable field unit has the ability to transmit medical data and treatment options to the base unit and visa versa, so hospital based medical personnel can communicate directly with the field paramedic.
  • An integral part of this invention is the design and inter-related working mechanism between the BWD, storage cards and storage disks. This is expanded on in figure 6 of this invention.
  • Figure 4 shows one typical software configuration for the Emergency Medical Record organization.
  • the medical data can either be in file or page format with discrete blocks or sections of a page devoted to specific information so as to create a standard and easily recognizable format in an emergency situation.
  • Menus or point and click software commands can be set up so as to allow the user to rapidly scroll through pages to find information.
  • FIG. 5 shows one typical configuration for the hardware module which would be used in conjunction with an existing patient monitor in an ambulance, emergency room, etc.
  • the plug in module consists of a faceplate with controls, switches etc., for on/off power, data transmission indicator lights, power indicator light and any other appropriate controls and indicator lights.
  • An I/O type printed circuit card is mounted to the faceplate and all electronic components and circuitry are mounted to the pc board. The electronic circuitry to supply power to the board, as well the circuitry which routes the data signals through the card, are routed to electronic contact pads or fingers as they are known in the industry.
  • the pads are either silver or gold plated and allow the pc board to be plugged into the mating slot in the patient monitor so as to accept electrical power from the patient monitor and allow medical records and data to be transmitted and received through the pc board and its connecting pads.
  • the data cable connects the Interface wand to the front panel of the module. The cable allows data to be transmitted from and sent to the Bodily worn devices using either fiber optic, serial or parallel two way data transmission.
  • the Interface wand is designed in Embodiment a) to include a housing, electrical power pads to supply power to the BWD via inductance or other non- contact means, data transmission and retrieval capacitance pads to allow bidirectional flow of digital data in a non-contact manner, a means of aligning the wand and BWD so as to make positive mechanical alignment between the power and data pads.
  • Embodiment b) shows an alternative design of the Wand whereby a case or slot enclosure will allow either the BWD, a card or disk to be inserted into the slot.
  • the power pads and data transmission pads are mounted on the interior wall of the enclosure so as to provide protection in the event the wand is dropped or hit.
  • Embodiment c) shows a wand with a mechanical slot for insertion of a storage disk or card.
  • an optical read/write pad is required. Since the digital data is stored on an optical film or polymer on the surface of the disk or card, in a similar manner as a compact disk, neither the wand nor disk require any power to retrieve the digital information from the disk. It should be noted that power is required to be sent to the optical scanner in the wand so as to power its operation.
  • the bi-directional reading and writing of data to and from the disk or card can be accomplished with a plurality of optical scanner / writer pads mounted to the inside of the wand.
  • the invention disclosed herein relates to_an improved method and system for the optically scanning, storage, management, retrieval and electronic mailing of a persons medical history on a 24 hour a day basis.
  • the invention disclosed also encompasses unique and novel methods of verifying the authenticity of original medical records via a physicians electronic signature, a means for standardizing and prioritizing the history and prior medical records of a patient so as to provide an edited or abbreviated medical chart for emergencies, a means of encrypting medical records for security, and a means of providing a unique alpha numerical identified code for each patient in the system and a means of 24 hour electronic and voice retrieval of records using a unique telephone exchange system.
  • the purpose of the invention disclosed herein is to create a low cost, stream lined system which specifically meets the needs of the medical industry as well as the general public as the medical consumer to make the digitization, computer storage, retrieval, management, and electronic mailing of medical records efficient and low cost so as to fit into the present managed care environment in the US.
  • the invention disclosed herein would also have benefits on a global scale for aiding in the transfer of medical records and data intra-country and intra-continent.
  • the invention consists of a novel means of optically scanning ORIGINAL medical records into digitized binary format (original is emphasized because it is critical to the integrity of this system to have original patient medical charts and records which have a physicians original signature for authenticity), with unique software - organizing the digitized medical records into chronological order so as to prioritize and lessen the need for duplicate tests and records which would not necessarily be useful or applicable, with unique software assign a unique alpha numerical identifier to each patient and individual's medical records (separate from Social Security # and birth date), with unique software positively identify the validity of "electronic signatures" of physicians and providers, through a stored electronic signature library, which are using computer software packages to generate medical charts and records (no hardcopy paper records), a means of rapid retrieval of medical records and the ability to electronically mail large amounts of medical records simultaneously to multiple individuals at multiple locations who require their medical records either for routine reasons or in the event of a medical emergency.
  • the invention comprises hardware and software for the optical scanning of original paper and/or film (x-ray, CATscan) medical records and charts.
  • An alternative serial or parallel computer port allows for digitized data to be inputted into the system computer from a pre-existing digital medical data base.
  • Smart software which is an integral part of the system, verifies that each patient chart being transferred from the pre-existing medical database has an authentic and original electronic physician signature to verify the authenticity and originality of the medical chart. This is a critical part of the invention disclosed because more and more hospitals, clinics and group practices are using medical chart software to enter patient records which eliminates the need to keep a hard copy record.
  • an integral part of this invention is the optical scanning of only original hardcopy medical records with original signatures of physicians. Again this is critical to the integrity of the system from a legal liability point of view. Once the hard copy record is scanned into the system the smart software can assign the electronic signature of the corresponding physician from the internal identifier library to this new digital patient document and the electronic signature will follow the digital document for its entire life for authenticity.
  • the medical records of a patient are entered into the main computer system they are organized in a priority based on chronological order. This means that if an individual had three chest x-rays over the last 10 years the most recent x- ray is given a priority in the patient's file over the other two x-rays as it is the most up-to-date document. This is not to say that the other x-rays have no value, which they do because they can be an important historical document to show the gradual progression of such diseases as chronic bronchitis, emphysema, lung cancer from smoking, etc. Other factors may also effect priority such as serious pre-existing medical conditions and tests and or medical charts which document such conditions.
  • the invention also comprises a plurality of data management interface stations (work stations) were many operators can be inputting, accessing and retrieving medical data simultaneously without interfering with each other.
  • the work stations would be comprised of computer screen monitors, keyboards, and any other combination of audio visual computer controls such as voice recognition microphones and headsets to facilitate computer commands and controls.
  • Other software and hardware is used to allow for a plurality of work stations to transfer medical records and data onto computer disks, Compact Disks, ZIP disks, or any other appropriate media for patients, including hard copy prints or films, and or physicians to access and store patient medical records.
  • the plurality of work stations for the creation of records on computer disks, printers, films, etc. allows for many operators to access and retrieve medical records simultaneously without interfering with each other.
  • One of the most important aspects of the invention disclosed is the telephone interface exchange.
  • This hardware which is interfaced with the computer system allows for a large plurality of telephone lines to be interfaced to the system. Because medical emergencies occur 24 hours a day, 365 days a year this invention is designed so that there is 24 hours a day, 365 day a year access to medical records in a variety of ways. If a patient, physician, clinic or hospital, etc., wants to retrieve a specific medical record they have the option of calling a toll free number or e-mailing the request over the telephone lines through the telephone interface exchange.
  • 24 hour a day attendants can field the request, retrieve the records and either e-mail the records, modem the records, send them over high speed optical cable lines, or any other appropriate tele-communications media.
  • Another option designed into the telephone interface exchange and system software allows for patients, physicians, and other authorized personnel and care givers to call into the system 24 hours a day and, using a unique PIN number or alpha numerical identifier, access medical records and data and retrieve them via the Internet (the system could be up on a Web page for care givers and other authorized people to access but only with tight security and PIN numbers), e-mail or via a modem line.
  • the direct link feature of this system allows for frequent user to be directly tied into the system using dedicated telephone lines, modems, coaxial cables, etc., with the proper security codes and protections.
  • the invention allows for new or updated medical records and data to be sent into the system through the telephone exchange interface in a 24 hours a day manner via the smart software which can recognize the entry of new data, verify the authenticity of an electronic signature of a physician and allow the data to be entered into the computer system.
  • Figure 1 shows a flow diagram of the software used in the system which is an integral part of this invention used to organize, authenticate, retrieve and electronically mail medical records.
  • medical records data can either be entered from a pre-existing electronics database or optically scanned into the system from hard copy patient records. If pre-existing electronic records are entered into the system, smart software within the system will access a physician electronic signature Library and cross check the authenticity of the electronic signature of the attending physician on the records. If the electronic signatures do not match the records are prevented from entering the system until further checking can occur by an attendant. If the electronic signatures do match then the records are approved for processing and a unique patient alpha numerical identifier is added to the records for rapid retrieval within the system.
  • This unique identifier could be the patients social security number plus an added numerical digits to create a unique new identifier. Other alpha numerical identifiers could also be used.
  • Hard copy records and films which are optically scanned into the system are processed in a similar fashion.
  • the software assigns the unique identifier to the records they are allowed to enter the computers central processing data base. In this area the software prioritizes the records as previously described by chronological order to eliminate the need for duplicate records of the same tests. Also, records are prioritized based on the severity of any pre-existing medical conditions, severe allergic reactions and severe drug reactions so these records are given a priority in the event they are retrieved in an emergency when time is of the essence.
  • the software has the ability to assign either a weighted average priority to records based on the severity of a condition or a numerical priority scale from 1-10 based on severity. This will speed up the recall of critical medical records in an emergency. Records which are old and dated and not readily applicable can be given an "A" coding, or any other appropriate codes, which signifies "Archive" purposes only and thus will not be considered necessary in an emergency. Again, records can either be retrieved from the system manually by an attendant or automatically by an authorized personal using the 24 hour telephone access and PIN number routine. When an attendant wants to retrieve a specific record all they need do is enter the patients name or unique identified code and the software will automatically retrieve the records via a data request command message.
  • the Web Page will be menu driven and allow an authorized user to select specific patients and specific medical records of a patient for speed and ease of use.
  • Patient records can be downloaded directly from the system to the authorized users computer using the modem and telephone links to save time and eliminate the need for paper records and mailing.
  • the 24 hour a day Voice System is organized so that an authorized caller has to pass through several redundant security steps including but not limited to a physicians electronic signature and a PIN number to access the system.
  • the Voice system is set up so that the user can either speak the words into the system and the software will recognize the words and numbers, or the caller can punch them in using a touch tone phone. Once the user has been cleared for security they can request a specific patient record which will be stored in the software in the form of an order or request.
  • the system software will be capable of faxing or modeming records directly back to a caller if they are using the modem or fax line when calling. Otherwise orders for records will be processed in chronological order by attendants on a routine basis.
  • the Dedicated Direct Link allows frequent users of the system to have direct access through either dedicated modem, LAN, Watts or other telephone lines
  • Direct Link users would have custom software loaded into their computers which would be compatible with the host computer system and allow for direct access to patient records, but the same redundant security measures, including but limited to electronic signatures and PIN numbers, would have to be used to have access to patient records.
  • a user could call 24 hours a day and talk directly to an attendant who could retrieve files and e-mail, modem, fax, etc.. them anywhere in the world. The same user security precautions would apply.
  • the invention disclosed is comprised of both hardware and software which are both integral to the invention.
  • the hardware includes a unique and novel high speed, high resolution optical scanner 1 which is capable of scanning both text documents as well as film documents such as x-rays, CATscans, etc., with proper resolution to maintain the documents diagnostic quality and accuracy.
  • the unique optical scanner disclosed in this invention is capable of scanning the unique patient identifier code into the body of the patient record, as well as the electronic physician signature, as the scanner simultaneously scans the document into digital data. This unique feature is accomplished by the smart software embodied within this invention.
  • the scanner will be capable of scanning both Black and White and full color documents and films.
  • the hardware also includes an Interface Controller 2 which is comprised of an enclosure, multiple digital and analog inputs, and multiple digital and analog outputs.
  • This Interface controller is to allow for a plurality of sources to input data into computer system 4 without the input signal interfering with each other, canceling each other or corrupting the signal and integrity of each other.
  • This plurality could include any number of Optical Scanners 1 and/or any number of Existing Electronic Medical Data Bases 3.
  • the connections to and from the Interface Controller 2 can be serial, parallel, optical, co-axial or any other appropriate type for the transfer of large amounts of analog and digital data.
  • Existing Electronic Medical Database 3 can be any where in the world physically and can be connected to the Interface controller via telephone link, co-axial cable link, wireless AM or FM transmission or any other type or form of communications link for the transmission of data.
  • the computer system could be any appropriate type of computer including but not limited to a laptop, Personal Computer, Work station or main frame computer.
  • the computer system would consist of a sufficient amount of RAM random access memory to process multiple data inputs an requests, Hard drive or magnetic drive central memory for storing large amounts of digital medical records, and sufficient video hardware and software to simultaneously support one or multiple users and attendants to the system.
  • the computer also has a magnetic tape drive back up which allows for redundant magnetic tape back ups to be made of the stored digital data, to be kept in a separate and safe location, as a precaution against hard drive failure or data corruption's and viruses.
  • a Data Management Interface 5 is similar to the Interface Controller 2 in that it allows multiple attendant to work simultaneously to input and retrieve medical data without the signals interfering, corrupting or cutting off other signals.
  • DMI 5 is a type of digital switching Bus or digital switchboard to route and Que. the signals between the attendant stations 8 and the Main Computer System 4.
  • the attendant stations 8 are comprised of suitable computer screens, keyboards, mouse controls and microphone and earset controls to send command signals to the computer system either using keyboard commands or voice commands which are converted to digital command signals by the system software.
  • a separate Interface controller 6 is used, in the same way as Interface Controller 2, to route multiple input and output commands and signals to and from the main computer and the Telephone Interface Exchange 7.
  • the Telephone Interface 7 consists of a plurality of telephone and communications lines which are capable of two way transmission and will send and receive data signals to and from the system as well as route 24 hour a day emergency calls and routine records requests.
  • the Telephone Interface exchange 7 and Interface Controller 6 work in tandem to route and prioritize incoming and outgoing telephone signals so as to prevent signal corruption, cross talk and interference and ensure smooth operation.
  • the system includes a variety of output devices for either making hard copy prints of original digitized records or for putting records onto computer disks or magnetic tape back ups.
  • Output device can include but are not limited to Medical Disk or Card Creation 9, High Resolution Printer 10, High Resolution Thermal Printer 11 , Magnetic Tape Drive 12 or any other suitable output device for storage and/or diagnostic quality copies.
  • Figure 1 Shows a detailed flow diagram for the overall control software of the system. Digital Medical Record Data is entered into the system either from Optical Scanner 1 or Existing Database 2.
  • the smart system software analyzes the data and assigns a unique alpha numerical system identifier code from the User Code library 7 to each patient record. Also the system checks for an electronic physician signature, and if none exists, selects the correct electronic signature from the internal library 3. In the case of pre-existing Electronic Data 2 the software checks the validity of the electronic signature assigned to each patient record from the internal electronic signature library 3. If the electronic signatures match, the patient records are accepted into the system and assigned a unique patient ID from the internal library 7. If the electronic signature do not match the data is rejected from the system and an attendant is flagged. Once data is accepted to the system from either the Scanner 1 or the Existing Database 2 it is stored in the central storage media 5.
  • the system software analyzes the patient records and using a chronological order priority routine 10 prioritizes the patient record for ease of retrieval in an emergency.
  • patient records can be retrieved 11 using the unique identifier code for rapid identification and retrieval using request messages 9 sent from either attendants, 24 hour callers or direct link access.
  • the 24 hour automated Message Interface 15 allows any number of telephone and other communications signals to enter the system through either e-mail 17, Internet 18 or modem 19 or any other appropriate communications means. Calls are routed through the Interface 15 to their appropriate destination of either the system Web Page 12, the 24 hour voice system 13, or the Dedicated Direct link 14.
  • Web Page 12, Voice system 13 and Direct Link 14 are all capable of sending data retrieval commands to the central storage system 5 but only with the proper security codes as previously described.
  • the 24 hour attendant service 16 is also capable of inputting and retrieving data and records from the system on a routine basis.
  • Figure 3 shows a typical organization and priority routine for a given patient record.
  • records are organized into digital pages with each page being numbered.
  • the unique identifier code and physician electronic signature are embedded in each page of the records for authenticity and security (similar to the watermark on US currency). Records are prioritized by giving emergency and serious pre-existing condition tests and records priority. Also, duplicate tests are prioritized in chronological order. This saves retrieval time in an emergency and/or a routine situation.

Abstract

A method and device is disclosed to teach either patient monitors (30) with microprocessors and screen displays and portable devices (29) with screens and dedicated desk top monitors with displays for programming and retrieving stored and encrypted medical records (16) and patient information onto bodily worn devices and/or digital storage cards and digital storage disks (32). Also disclosed is a unique interface wand (31), electronic circuitry, and software for transmitting and receiving by directions digitized medical records and data.

Description

Invention Disclosure
William Reeves
BODILY WORN DEVICE FOR DIGITAL STORAGE AND RETRIEVAL OF
MEDICAL RECORDS AND PERSONAL IDENTIFICATION AND COMPUTER INSTRUMENTS AND EMERGENCY MONITORING DEVICES FOR RETRIEVING AND DISPLAYING STORED MEDICAL RECORDS FROM BODILY WORN DEVICES AND COMPUTER SYSTEM FOR OPTICAL SCANNING, STORAGE, ORGANIZATION AND ELECTRONIC MAILING OF MEDICAL RECORDS AND OTHER SENSITIVE ORIGINAL LEGAL DOCUMENTS 1. Abstract
The present invention relates to new and novel improvements to a bodily worn device, preferably in the form of jewelry, a medallion or watch, which provides for the digital storage and retrieval of an individuals medical records, drug prescriptions, emergency medical treatments, organ donor instructions, living will instructions and personal photograph and other identification. The invention also embodies the concept of an electronic dogtag for military applications as well. The device comprises a safety shell, in the form of a medallion, watch or other suitable means, with markings which identify it as a medical storage device, a digital storage means such as a computer chip, high density silicon storage media or other digital storage means, encrypted software for safely storing medical records in a confidential manner, a DC battery if required, and a means of retrieving and updating said encrypted digital medical records such as a serial port, phone jack, laser reader, or any other appropriate means for transmitting either analog or digital information. Also disclosed is a system for retrieving, reviewing and transmitting said digital medical records in the event of an emergency from a remote location. 2. Background of the Invention The present invention related to novel and improved methods to provide a bodily worn device which would be used for the digital storage and retrieval of medical records, prescription history and emergency medical instructions in the event the wearer of such a device experiences a medical emergency, accident, or any other emergency. The device can provide a positive identification of the wearer via digitally stored color photo, in the event the wearer is unconscious and requires emergency medical treatment and/or medication provider wants to make a positive identification. There is a long history of devices and particularly jewelry which are bodily worn and have been used to identify persons with known medical conditions in the event of a medical emergency. Several such examples of this would be a bracelet for identifying a rare blood type or a bracelet for identifying a diabetic or person with a rare allergic reaction to bees, snake bites or spiders.
Some recent patents which relate to bodily worn devices for medical records make reference to storing the medical records on microfilm (Chioffe #4,249,330 and Pelosi #5,359,798) or on a fan like device which could be read by a medical person (Eller #4,984,683). These inventions would be awkward to use and read in the event of an emergency and would only provide very limited medical information in the event of an emergency. Also, in the event of an accident, wherein these devises came off a persons body and the person was unconscious, it would be impossible for a medical emergency person to know which victim the jewelry belonged to (no positive ID). Other recent patents include medical cards or medical like credit cards
(Eberhardt #5,659,741 and Whalen #5,197,763) wherein medical records can be imbedded on or written into the card for storage and carrying in a wallet. The shortcoming of such cards, in the event of a medical emergency, is that such cards which are carried in a wallet would not be accessible to or known by the medical emergency worker. Having to require a medical worker or emergency technician to reach into an unconscious persons wallet to search for medical card poses serious legal liability questions, not to mention the awkwardness of fumbling with a persons wallet and searching through credit cards in an emergency. This card approach to the problem is not a practical solution which would be adopted by US society in general and particularly the medical-legal communities because of the legal questions. What if a medical technician was to find illegal drugs or weapons on a person when searching in their pockets or purse for a medical card? Although Eberhardt does mention in one sentence a locket or bracelet device he fails to teach or describe the invention disclosed herein or address the issues of being rugged, waterproof, explosion proof or bullet proof or address any of the issues of a transponder for tracking or locating ill, dead or lost wearers of the device. Recent advances in the size and power of digital chips and digital storage media have made the invention described herein practical in that large amounts of digital data, which would provide for storing meaningful and practical medical information, can be stored on miniature chips and media that are lightweight, compact and would lend themselves to easy storage and retrieval in an emergency situation. Also, in the invention described herein, the digital storage media would not require electrical power and therefore a battery would not be required which would further reduce weight and increase portability.
Also, combined as an integral part of this invention is a base unit and/or module which can be used in conjunction with the device to access, capture or otherwise obtain the stored information from the device in a non-contact wireless method as described herein. The preferred configuration of the module is a wireless and non contact means of accessing the stored data (induction, electromagnetic or radio transmitted signal with receiver wand) routing the data from the wand into the module in digital format either with a fiber optic cable, serial or parallel computer cable, or any other appropriate means, then sending the data through an interface circuit which would connect directly to an existing patent monitor or into a personal computer for viewing and interpretation by medical personnel. The prior art in this area of invention and most specifically Eberhardt #5,659,741 ; Doue #5,361 ,202; Whalen #5,327,341 fails to each many of the critical and practical new improvements embodied in this invention. Eberhardt's main focus is on a massive central computer system for obtaining and managing medical data. Although Eberhardt briefly mentions storage devices for medical data he fails to teach or disclose any of the improvements embodied in this invention including but not limited to non contact and wireless transfer of data from the storage device to the module via a inductance or differential data transmition, the battery operation of the storage device, the transponder signal emitted from the device as a locator, making the device waterproof, explosion proof etc., for law enforcement and military applications. Eberhardt also fails to teach the preferred embodiment of the base module which would most likely be a simple plus in module to an existing patient monitor to minimize the coast to the health care system. Doue teaches a computer system and software for improving the management of a patient's stay in a hospital but fails to teach or mention the medallion or pendant storage device or any of the aspects of storing and interpreting medical data in an emergency response situation. Whalen, like Doue, teaches a software and computer system for managing patient files and organizing medical records in general terms but does not teach any of the art of the bodily worn storage device, the wireless data retrieval, or the plug in interface module.
3. Summary of the Invention
The invention disclosed describes a novel new approach to the storage, bodily wearing and retrieval of medical records, emergency medical treatment data, organ donor data, living will data, etc., in a rapid non contact manner, for displaying such data on a patient monitor for rapid emergency medical treatment, personal identification, autopsy, etc. The novel improvements of this device also describe a means of camouflaging the device as jewelry or a wristwatch or pocket watch so as to provide a tracking device and improvements to make the device waterproof, explosion proof, etc., so as to be used as digital dogtags for military, law enforcement, etc.
The invention described herein has many improvements and innovations over prior art which, in part, include: a). A large digital storage medium such as a computer chip, computer disk or other digital media for storage of large amounts of useful and meaningful medical information and records, including but not limited to pre-existing serious medical conditions, allergies to medications and drugs, ECG records, ex-rays, cardiac images or summaries of serious medical conditions, in the event of a medical emergency. b). The digital storage of a color photo identification, iris eye scan identifier, fingerprints, dental records, of the wearer of the device to provide a positive identification in the event the wearer is unconscious or dead as a result of a medical emergency. c). A decorative and/or functional use of the device such as embodying it into a wristwatch, enclosing the device in a pendant or medallion which is ornamental and resembles fine jewelry, or creating a decorative bracelet or other such device, but at the same time has the characteristics of being waterproof, explosion proof and bullet proof in the event the device is used as a digital dogtag for military applications or law enforcement or in the event the wearer is in a catastrophic accident such as a plane crash, train wreck, etc., wear body identification becomes an extremely difficult or near impossible task due to little or no remains of the victims body. There are many cases in aircraft accidents and in combat where the human body is literally blown into thousand of small and untraceable pieces and the medallion or digital dogtag could provide a means of identification and provide a clue to the fate of a relative or loved one to provide physiological closure. d). Providing a rapid means of accessing the digital storage media for updating the information, retrieving the information in the event of an emergency. Such retrieval means could include a laser scanner head, a serial or parallel computer port, a digital phono jack, wireless AM or FM transmission, or fiber optic transmission, bar code scanner, inductive wand scanner or any other rapid and appropriate digital means to retrieve the data in the event of an emergency. The preferred access means embodied in this device is the electromagnetic wand or inductance wand which affords a rapid and convenient means of accessing the device data without any physical contact with the device or having to hook up any leads, wires or to insert the device in any slot, computer reader, disk reader, etc., which has been described by prior art. e). Providing a battery pack or DC battery for long term electrical power of the device in the event it is embodied into a digital wristwatch, for the powering of AM or FM digital data transmission of stored information, for powering an AM or FM transponder signal in the event the wearer is lost due to Alzheimer's disease, dementia, or hurt in an accident so as to track the wearer and locate their position using a Global Positioning System type network or local tracking network. f). Providing a base unit for retrieving the data in an emergency such as in an ambulance, software and a computer screen for viewing the medical information and a means of transmitting the data via AM, FM, telemetry or digital telephone lines from the emergency vehicle to a hospital emergency room in the event of a medical emergency. The form of the base unit would most conveniently be in the form of a portable computer, dedicated hand held display and transmitter unit or could be in the form of a personal computer, but not need to be. It is most likely that, given the present state of medicine and the drive to reduce cost, the based unit will be no more than an interface module, which will consist of a printed circuit board and A/D converter which would plug into an existing patient monitor mounted in an ambulance or in an emergency room or physician's office and such monitoring device performs a plurality of physiological function monitoring including ECG, blood gas, heart rate, respiration, etc., and the device digital information would be dumped into such a monitor and displayed on a split screen format for emergency medical treatment. g). Providing an AM or FM transponder signal which is emitted from the device to act as a tracking device in the event the wearer is in a remote location and has an accident, if the wearer wonders off due to dementia, Alzheimer's disease, old age or is stricken with illness and needs to be located. Or, in the case of military applications or law enforcement officers to track and locate wounded, dead, lost or captured soldiers, sailors, or airmen or law enforcement officers. This invention, when worn by a child in the form of a watch or pendant, could also be used as a child protection tracking device in the event a child wandered off, was kidnapped or taken against their will in a nasty divorce. Since the device would look like a piece of jewelry, the person taking the child would not know the child was wearing a tracking device. h). Providing a waterproof, explosion proof and bullet proof shell or casing around the inner workings and storage device to protect it in the event of a catastrophic accident or military disaster or combat. i). Provide a clear and standard identification symbol on the exterior of the device identifying it as a medical and/or identification digital storage device and which identification symbol is further used to categorize the device into a series of classes, for easy visual recognition, such as green for non-life threatening medical conditions or normal conditions, yellow for mild to moderate medical conditions or drug interactions or red for serious or severe medical conditions which would be life threatening. The classification could also be done with symbols or alpha numerical code or classes of which bar coding or any other appropriate means. 4. Brief Description of the Drawings
Figure 1A outlines one embodiment of the bodily worn device in the form of a medallion or locket which could also include a small watch in the front or jewelry for decorative purposes. Figure 1 A shows a cross sectional view of the device which includes a clam shell-like casing made of polished titanium, stainless steel or an appropriate strength composite or polymer material which would withstand severe underwater pressure, explosions and/or fragments or bullets. Also shown in Figure 1 A is an "O" ring groove seal, and a polymer "O" ring, and an appropriate equivalent which would seal the case from water, dust, etc., and such "O" ring would be sealed with a graphite dust or equivalent material, naked to the human eye, which would provide any indication if the device was opened and or tampered with by an unauthorized person. Figure 1A also indicates the markings color coding or other alpha-numeric coding which would identify the class of severity of the medical defect of the wearer on the exterior of the shell. Figure 1 A also shows an internal printed circuit board mounted in a specially designed shock resistant groove. Such printed circuit board would hold a long life lithium battery or equivalent, digital storage media, radio signal transponder, optical scanner head (optional), digital or analog wire jack (optional). Figure 1 A also shows the exterior rim of the outer shell being welded or hermetically sealed to prevent any tampering or unauthorized opening of the device. The back exterior of the shell also could have a bar code identification number to signify manufacturers lot code, confidential wearer ID number or any other variety of encoded identification information which has utility for either emergencies or routine service and maintenance of the device. Figure 1 A also indicates the shell of the device, being of a conductive metal or composite material, can act as an electrode in the event the manufacturer chooses to use this method as a means of transmitting the data via an intimate contact probe between the device and the base unit.
Figure 1 B shows a front cut away view of the bodily worn device with its main components mounted to a printed circuit board of an equivalent device. This figure shows a long life battery which can be replaced or recharged, if required, a transmitter/receiver transponder unit, a digital media storage device, an optical eye for transmitting data via a wireless wand, and an optional jack connection for plug-in transmittals and service. Again, either an optional time piece watch or jewelry can be mounted on the front of the device to make it more attractive and decorative.
Figure 2 shows another embodiment of the device, similar to Figure 1 (A & B) but with several important changes which make the unit very rugged and more explosion proof for law enforcement, military and fire fighting applications. The exterior shell of the device is constructed from either a titanium, stainless or composite polymer material (kevlar and woven carbon fibers) another appropriate material which conducts electricity. The interior of the device has a printed circuit board with main components mounted on it as in Figure 1 (A & B), the important difference is that a non-electrical conductive polymer material is poured into the case and around all of the interior components and curved into a very hard but flexible hardness. This polymer filler acts to nest and stabilize all of the interior components so they cannot move and to hold all of the components in place and shock mount them in the event the device experiences a severe jolt due to an explosion etc. The polymer is further made from material with an extremely high flash and melt point to further make the device fire retardent. The polymer material, because it is non-conductive, also acts as an electrical insulator in the event that the exterior shell is used as an electrode for transmitting data from the storage device to the base unit, thus interior electrical components are insulated and isolated from each other.
As you can see both devices embodied in Figure 1 (A & B) and Figure 2 lend themselves to be either mounted on a necklace, mounted on a bracelet or also to possibly be implanted under the skin for certain applications. The technology exists to miniaturize these devices such that they would be lightweight and implantable under the skin. Figure 3 shows a cross section of the device as embodied in a watch or ring.
Again the device is miniaturized to such a small size as to make it feasible to be included in a wristwatch or ring. The same features and criterion embodied in Figure 1 (A & B) and Figure 2 apply to Figure 3, e.g., battery unit, optical eye, transponder, digital storage, etc. Figure 4A shows the device as embodied in the form of a tag which can be worn either around the neck and a digital "dogtag" or can be worn on a bracelet to be carried in a pocket, etc. The tag as show in Figure 4A can be made from a molded fire and impact resistant polymer and the electronic components can be molded into the polymer tag by heating the polymer or having the polymer be a two part type epoxy whereby when the parts are mixed they solidify and harden.
Figure 4B shows a cross section of the tag embodiment. Molded into the tag is a miniature battery pack which can be accessed to replace or recharge batteries, a digital storage chip or other appropriate media, a transponder receiver/transmitter for tracking the wearer of the device, an optical scanner eye, or other appropriate access means, a hard wire jack access which can be in the form of a miniature computer cable connection or other appropriate means, a bar code strip to provide quick access to tag serial number and other identification data. The components are to be molded and imbedded below the surface of the tag so as to provide for integral means of waterproofing the function of the device, allowing the device to be shock resistant, fire resistant and explosion resistant.
Figure 4B shows a front view of the tag embodiment and various means of mounting the device on either a necklace, bracelet, or simply carrying the tag in a persons pocket or wallet. The tag can be coded with any type of previously described color or alpha numeric codes to signify the severity of the persons medical deficiency. Also, any type of decorative finish can be added to the exterior to make the device more attractive to the consumer and on the contrary the device can be left plain and uniform for law enforcement, military and fire fighting personnel.
Figure 5A shows the preferred embodiment of the bodily worn device and the base unit which would be used to access the digital data in a rapid, wireless manner.
As shown, an incapacitated person wearing the bodily worn device (BWD) can have their personal medical records accessed in an emergency situation by the EMT holding the inductance, electromagnetic or other type of non-contact wand.
Figure 5B shows one embodiment of a system to retrieve data from the Bodily worn device via the scanning wand. The data is stored in the Emergency Monitor
Unit and can be sent via wireless means to the Hospital Base Unit. Figure 6 shows one typical embodiment of the organization of the medical records into digital "pages which can be prioritized in a means so that critical medical data is displayed in first order and secondary data is then available. The data is organized into a series of pages in the storage system for ease of use and to make the data medically significant to medical personnel. Figure 7 shows one embodiment of the flow of data and the software logic which would be used to control all of the data storage functions and transmittal functions of the entire hardware and electronics systems described.
Figure 8 shows one typical embodiment of the means to mechanically align the interface wand and the Bodily worn device to power the BWD as well as retrieve and transmit data to the device.
5. Detailed Description of the Drawings and Invention
The invention disclosed herein is an improved method of storing and retrieving digitized medical records which are stored in a protective bodily worn enclosure. The inventor has done several thorough patent searches and finds no other prior art which describes such a digital device(s) and teaches its patentable features.
6. Reference to Figure 1
One embodiment of the invention is shown in Figure 1 (A & B). The device has an outer protective shell 1 which is made from either steel, titanium, aluminum or a conductive polymer, or another appropriately strong, but light-weight conductive material which can be polished to an aesthetic finish. In one embodiment of the invention the shell is conductive so as to act as an antenna for the AM or FM transponder unit 5 which is embodied in the device for tracking or locating the wearer and in this embodiment an anti Radio Frequency (RF) film coating 2 is placed on the inside of the shell to protect the devices electronics from RF interference from ambient sources. In another embodiment of the invention wherein a transponder is not used shell 1 can be non-conductive to avoid RF interference and is also shielded from radio frequency with coating 2. Shell 1 is designed with an appropriate groove and/or recess in its outside front to accommodate either a watch, jewelry or other ornamental or functional objects. Shell 1 is designed in such fashion to either include an internal "O" ring groove 3 or polymer "O" ring 4 for the purpose of waterproof sealing of the two halves of shell 1. Included on one embodiment of the invention would be a means of locking or fastening the halves of the shell 1 closed which could include miniature screws 5 with internal standoffs 6 as shown, a press fit between the two halves of shell 1 such that the halves are intimately locked together yet can be opened if required, or an external lock and lasp assembly 7 shown which is similar to a locket or pocket watch. In another embodiment of the invention the halves of shell 1 can be welded together around the perimeter or glued along the inner perimeter so as to provide for a waterproof and tamper proof seal to the shell 1. The outside of shell 1 is marked with appropriate symbols 8 which identify the device as a medical information device and an alpha numerical code or color code 9 which identifies the level of severity of the pre-existing medical condition of the wearer. The device can be worn on the exterior of the body by means of a bracelet or necklace 12 or any other appropriate means of affixing the device to the body where it is clearly visible and readily accessible in an emergency. In one embodiment mounted to one interior halve of shell 1 is a series of threaded standoffs 13 upon which is mounted Printed Circuit Board 14 which holds the main electronic circuits and components. An alternative mounting of PC Board 14 is a groove which is machined in the inner perimeter of one half of shell 1 and acts to nest the pc board in place. In such a configuration a polymer pad 15 can be placed in between shell 1 and pc board 14 so as to act as a shock absorber or dampened so as to mechanically isolate pc board 14 from exterior vibrations or shocks. Another embodiment of the shock absorber concept is to fill the entire shell 1 with a non- conductive insulation polymer once all electronics and components are in place in shell 1 so as to provide a mechanical damping nest for all interior components. Mounted to the printed circuit board are a series of electrical components and interconnecting electrical circuitry for the device. One such component is an optical reading eye 16 with is mounted to the pc circuitry. An aperture opening in shell 1 allows the optical eye to protrude throughout the shell so as to be read by an optical reading device which is further described in this invention. The optical eye 16 is one such way in which the stored digital medical data is retrieved from the device in a rapid wireless fashion. A transponder 17 is mounted to pc board 14 and acts to emit either an AM or FM signal from the device in the event the wearer is lost, kidnapped or incapacitated or otherwise needs to be located. A digital storage media 18 is mounted to the pc board 14 and is used to store all of the wearer's medical records and data as described herein. The circuitry of the pc board is designed in such a way so as to provide for rapid means of accessing the digital data from the storage media 18 via the optical eye 16 through a switching components 19. The switching component, mounted to the pc board 14, is of such a variety as to allow for two way transmission of data to and from the storage media 18. The storage media 18 is such a variety so as to be both written on and read, but, for security reasons can only be written on by a person that knows confidential passwords and/or messages as to protect the integrity of the device and the medical data stored in media 18. A long life battery 19 of the type which is commonly used in watches and other low energy usage devices is mounted in pc board 14 and acts to provide dc low amperage electrical power to the transponder and any other components which from time to time may require power for the operation of the device. In general, the device has been designed so as to be a passive device which means under normal circumstances it is not using power and thus conserves the energy in the battery for emergency situations. A miniature jack 20 is mounted to the pc board 14 and is used to provide an alternative means of hard wire connecting the device to a base unit, patient monitor or other device for displaying the stored medical data on a display screen. The jack can be of any appropriate type such as a phono jack, serial or parellel jack, cable jack or any other appropriate miniature type jack for uni or bi- directional transmission of data. Alternatives to the optical eye 16 for retrieving the digital data could include capacitive probes 21 mounted on the BWD and the interface wand, a bar code reading device, a telemetric transmission device of other wireless, low energy means of transmitting and receiving digital data. An important alternative to the long life battery included in the device shown herein is an electromagnetic means of powering the device from the interface wand to the BWD by mounting inductive windings of a transformer 22 on both the wand and the BWD. Primary coils of an inductive transformer can be mounted on the wand and secondary coils can be mounted on the BWD. When the inductive pads of the wand and BWD are in close proximity enough voltage and electrical power is transferred to operated the BWD during data transmission and can also be used to recharge on the board battery 19.
7. Reference to Figure 2 See 9. Reference to Figure 4 (A & B).
8. Reference to Figure 3 (A & B) Figure 3 (A & B ) shows the wrist watch embodiment of the Bodily worn device in a cut-away drawing. The rugged, waterproof and shock resistant casing 7 is mounted to the wristband 2 using a suitable means for ensuring mechanical bonding, including molding, gluing, or running the band 2 through a slot in the back of case 7. Optical eye 3 protrudes out of a port which is either machined or molded into the case 7. The hardware and electronics of the optical eye 3 are kept within the case 7 in order to protect them from the elements and damage and are mounted to the pc board 8 so as to complete an electrical circuit with the other components of the device. Battery 4 is mounted onto the printed circuit board 8 using appropriate hardware. The battery can be either a replaceable type or a rechargeable type battery. An access port in the rear of the case 7 would allow for the removal and replacement of the battery and for other maintenance of the device. Transponder 5 is mounted to the pc board 8. Transponder 5 transmits/emits a continuous radio frequency signal which would allowjhe wearer of the wrist watch device to be located by emergency personnel, rescue workers or law enforcement personnel in the event the wearer is lost, disabled, diseased, or incapacitated in any way. The storage device 1 is mounted to the pc board 8 and is comprised of any suitable digital storage media which can be a digital storage computer chip, a silicon type storage device, flash memory chip or other suitable device. The storage device 1 is connected to an electronic circuit on the pc board 8 which allows the storage device 1 to transmit and receive digital medical records either via to optical eye 3 or the data input port 10 or the data export port 9. The data input port 10 has a digital data jack which protrudes through the case 7 and allows a user to connect a jack or other suitable device to the wrist watch as an alternative means of inputting and storing digital medical records into the device via the electronic circuit imbedded in the pc board 8 which connects the surface mounted devices, including the input port 10 and the storage device 1. The output port 9 allows an emergency medical technician or other person who wishes to access the stored digital information to retrieve said digital records by plugging a jack or other hard connection means into the port 9. This is an alternative to the wireless data transmission via the optical eye 3. The wrist watch 6 is a time piece which allows the overall device to serve another useful purpose as well as to be stylish and cosmetically appealing for the wearer of the device.
9. Reference to Figure 4 (A & B) (also a reference to Figure 2) Figure 4 (A & B) shows another embodiment of the invention disclosed herein. As previously described figure 4 (A & B) shows a version of the invention which broadly comprises the electronic inner workings of the device molded within a rigid polymer enclosure which is shock proof, water proof, explosion and fire resistant. This embodiment of the invention can be either in the form of a digital dogtag, pendant or bracelet worn tag. Polymer shell 1 is molded around the inner electronics and board 2 in such a fashion that the seals around the protruding optical eye 3 and communications jack 4 are water tight and hermetically sealed and the entire body of the polymer shell 1 is water tight and hermetically sealed. The exterior of the shell 1 is color coded or alpha numeric coded 5 in such a way as to identify the severity of a pre-existing medical condition of the wearer. A bar code 6 on the exterior of the shell 1 can be used to store either identifier code numbers, manufacturers lot code numbers or any other alpha numerical identification code. Printed circuit pc board 7 is designed in such a way that all of the main components are surface mounted and oriented either toward the front or back of the device as required. Optical scanning eye 8 is oriented and mounted so that the optical eye protrudes through the outer shell 1 for rapid wireless reading of stored digital data. Communications port/jack 9 protrudes the outer shell 1 so as to provide for a back up hard wired means of communicating with the device and transmitting digital data. A long life cadmium batter 10, either rechargeable or permanent life, is mounted to the pc board and can be either permanently sealed by shell 1 or have a removable access panel for changing of the battery when required.
This Figure 4 (A & B) embodiment of the invention has all of the other components listed and described in Figure 1 (A & B) which include the optical eye, transponder, long life battery, digital storage and retrieval device, two way data transfer switch, pc board, shell, etc. The embodiments and the components function the same way as the prior embodiment. The obvious difference between the Figure 1 (A & B) and Figure 4 (A & B) is the Figure 4 (A & B) has molded polymer shell, which can be in the form of either a tag, round pendant, bracelet tag or any other practical and functional shape. The molded shell acts to seal the electronic working of the device in such a way as to be waterproof, fire resistant, shock and explosion resistant so as to make the Figure 4 (A & B) embodiment practical for military, fire fighters and law enforcement applications. The transponder 11 is mounted to the pc board 7 and emits a radio frequency signal which is used by emergency personnel, military personnel or others to find the wearer of the device if the wearer is dead, injured or incapacitated and requires assistance. The storage device 12 is mounted to the pc board 7 and is connected via an electrical circuit mounted on the pc board 7 to the other electronic devices mounted on the pc board 7 to receive and transmit digital data as well as other functions described herein. The storage device 12 can be either a computer chip storage device, flash memory chip or other suitable high capacity digital memory storage device. The power coil 13 with its inductive power contact allows the device to receive electrical power, as an option to the on board battery, by mating said power contacts with a remote device which contains the opposite side and mating coils to the inductive coil. Electrical current can then be transmitted across the inductive contact to the device via the completion of the inductive coil connection. The jack component 14 allows for remote access to the digital data by plugging in a male jack to the female jack receptacle. The jack can be any type of standard miniature electronic jack and can be used to transmit digital data to the device as well as receive digital data from the device for viewing in an emergency. The control circuit 15 can be comprised of a digital logic chip or other suitable device which allows for the storage of logic software which can control the functions of the device. Such functions would be the organization of the digital medical records into page format, ensuring the battery 10 has a proper charge to maintain functions of the device (an audible signal can be emitted if the battery is getting low), allow for orderly updating of the digital medical records via the input/output device 14 or optical eye 3, ensure that the device was not over powered via the power coil 13, sense that the transponder 11 was properly functioning and emitting its proper radio frequency signal, as well as other control and logic functions of the device further described in Figure 7.
10. Reference to Figure 5 (A & B)
The bodily worn digital storage device in its embodiments described herein is used with other complimentary devices patented by this inventor. The other integral components of an overall system for using the Bodily Worn Device in a practical situation are shown in various configurations in Figure 5 (A & B). The complimentary components include: a). A portable or remote display unit with an optical reading wand, used by EMT's, paramedics or corpsmen, allows for rapid retrieval and display of vital medical and identification records in remote locations. b). Included with the portable or remote unit is the capability of sending the information wireless either using AM, FM or telemetry technology. c). Also shown is a module which can be added to a more substantial patient monitoring base unit used by either an ambulance or emergency room. The purpose of the module is to reduce the overall cost of integrating this technology into existing patient monitoring equipment presenting used in medicine today. d). Included with either the portable unit, module unit or base unit is a wireless means of retrieving data and/or transmitting and updating data back to the Bodily Worn Device. This wireless means could include optical scanning differential data transmission, AM or FM wireless transmission or any other form of practical wireless transmission presently in use or to be conceived. 11. Reference to Figures 6 and 7
An integral part of the invention disclosed herein is the software invented to store the digitized medical records in orderly files, locate and retrieve the digital records in rapid wireless fashion, allow for two way transmission of data so stored records can be periodically updated as well as retrieved, display the digital records on the module or portable screen in an orderly and easily readable standard fashion.
Figure 6 shows one possible such embodiment of the standard format for the medical records organization in digital files or display screen "pages". When the digital records are retrieved and displayed through either the module unit, portable display unit or base unit previously mentioned, they will appear as either one organized page or in a series of organized pages as shown in Figure 6. The main page of the records will show, starting from the upper left hand corner of the display page: a). Either color or black and white photo of the wearer of the device, b.) A thumb print, iris print of other distinguishing physical characteristic, c). Dental records, d). Sample ECG or Cardiac Echo Scan. e.) A section of "Emergency Medical Data" which could include:
1 ). blood type
2). present medication being taken 3). drug interaction precautions 4). drug and/or allergic reaction precautions 5). a description of serious pre-existing medical conditions f). A section for Emergency Medical Instructions, which could include:
1 ). administering of certain suggested drugs or physical treatments 2). calling emergency physician numbers listed
3). bringing the patient to a certain type of clinic or facility based on religious beliefs, etc. 4). living will instructions in the case of seriously ill patients g). Organ Donor instruction. h). Living Will instructions which could include:
1 ). instructions for life support or termination of treatment 2). notification of next of kin and/or friends including addresses and telephone numbers
On subsequent pages other types of supporting medical records and diagnostic aids could be included, including but not limited to: a). complete ECG trace b). Cardiac Echo Scan c). EEG trace e). diabetes test results and instructions f). x-ray scans g). etc. Other pertinent medical records and scans could be included which are tailored to a wearer's specific pre-existing medical condition. 12. Reference to Figure 7
An integral part of the invention disclosed herein is the unique software invented and used as part of the Bodily Worn Device as well as for the module, base unit and a computer system used for organizing and storing large amount of data. As seen from Figure 6 the Bodily Worn Device contains important software for the organization and storage of the wearer's medical records and ID information. There is also software integral for the retrieval, management and updating of the Bodily Worn Devices which is contained in the interface module, base unit and central computer system. This additional software is vital to the use and management of the records stored in the Bodily Worn Devices and acts to link all of the components together to act as a total functioning system.
The following is a basic description of the software and its basic functions as depicted in Figure 7 flowchart. To start the process new/original medical information 1 is organized and edited to fit into the BWD page format either in physicians office or by a third party with access to a patient's medical records using the base unit storage and encrypting software 2 which can be stored in a normal pc or other compatible computer device. One important aspect of this base unit software 2 is the fact that it is capable of encrypting the records so as to be secure and confidential and only accessible to authorized individuals with compatible decrypting software. The interface module 3 is an electronic enclosure designed with a "nest" for sitting the Bodily Worn Device into and using wireless optical or differential data transmission. The interface module 3 is used as a link between the BWD 4 and the base unit 2. Software in the Interface module 3 allows for two way communication and transmission of data to and from the BWD for both inputting medical records into the BWD and for retrieving them for editing and updating purposes. The interface module 2 and base unit 2 are each equipped with software and a telephone modem to allow for remote access to, programming and updating of the BWD stored records in remote locations. (For example: and elderly person with a BWD could have their medical records updated while at home using the interface module 3 in their home communicating with a base unit 2 in a remote location via telephone lines.) Once new/original records are burned into the BWD 4 using the base unit 2 and the interface module 3 the wearer is free to use the BWD and travel and move freely about. In the event the wearer is stricken with an emergency illness a Paramedic, EMT or Emergency Room Technician can use the interface wand 5 in conjunction with either the portable field display 6 or the remote ambulance patient monitor 7 to rapidly retrieve and display the stored medical records in the BWD 4, displaying those records in page format as shown in Figure 6, and sending those stored medical records, via modem or wireless telemetry to a remote emergency room or physicians office for rapid and life saving medical intervention in a crisis situation. Separately, in a non-emergency fashion, either the phone link Unit 8 or the interface module 3 can be used to access information from the BWD 4 through wand 5 so as to perform periodic maintenance, testing, retrieval and updating of medical records via telephone modem, telemetry, cable link or any other type of wireless or hard wire transmission. When a wearer of a BWD 4 has a change in their medical condition, drug treatment, organ donor instructions or living will instructions they have the choice of either going to their physicians office 11 to have the stored medical data updated through the base unit 2 and interface modem 3 or going through a third party insurance carrier, private service or other company 9 which can send updated data through a remote interface module 3 to update the BWD 4 through a telephone modem or other wired or wireless transmission. All of these devices contain software which is compatible with the other devices mentioned and allow for smooth, fluid encrypting, de-crypting, retrieval and display of medical data in emergency and non-emergency situations. 13. Reference to Figure 8
Figure 8 shows an embodiment of the mechanical interface and electrical circuit interface of the reader/wand 1 and odily Worn Device 2. This interface between the two devices is an integral part of the invention and its operation when a battery is not included in the BWD 2 and external power is required to operate the BWD. Also, the capacitive probes described herein are an important alternative to the optical eye in transmitting and receiving data to the BWD 2 from the wand 1. A mechanical slot or socket is shown which ensures the wand and BWD are rapidly and easily aligned for proper alignment of the inductive pads (power) and capacitive pads (data transmission). Capacitive pads 3 are used to both transmit and receive data to and from the BWD in bi-directional fashion. The primary coils and inductance pad 3 is mounted into the wand 1 as shown and sends electromagnetic voltage across to the secondary coils and inductive pad 4 mounted into the BWD. Electrical power is distributed to the components on the BWD through the interface circuit. The interface circuit could also contain the means to recharge an on board battery as previously described herein. 1. Abstract
A method and device is disclosed herein to teach either patient monitors with microprocessors and screen displays and portable devices with screens and dedicated desk top monitors with displays for programming and retrieving stored and encrypted medical records and patient information onto bodily worn storage devices and/or digital storage cards and digital storage disks. Also disclosed is a unique interface wand, electronic circuitry and software for transmitting and receiving by directions digitized medical records and data.
2. Background of the Invention Simple bodily worn medical bracelets and medallions have been used for many years by individuals with serious medical conditions to alert emergency medical personnel in the event the wearer is stricken and unconscious that the wearer has a serious pre-existing medical condition which requires special medical treatment. Although these simple bracelets and pendants have been useful they lack the space and storage capacity necessary hold critical lifesaving medical information and any electronics to interface with modern patient monitors and or electronics. Such critical lifesaving information includes: blood type, a description of pre-existing medical conditions, photo ID or other positive identification, ECG scan, Cardiac, Ultrasound scan, present drug usage and interaction cautions, severe drug and other allergic reactions. The invention disclosed herein, and complimentary inventions disclosed by the inventor, teach the design of bodily worn devices which can store large amounts or digital medical records and have those records retrieved in a rapid wireless manner in the event of a medical emergency The Bodily Worn Device (BWD) can also be embodied into a digital storage card and/or medical computer disk which is disclosed in another invention by this inventor. Also, other key medical and personal information which can be stored into the bodily worn digital devices include Organ Donor Instructions and Living Will instructions which have become very common place and vital to the medical community as well as the individual. Integral to the use of the Bodily worn digital storage devices (BWD) are the inventions disclosed herein which are medical monitors, personal computers, portable display devices and interface electronics used to organize medical records, as an option- encrypt the records for security, transmit the records through interface electronics and "burn in" the data on computer chips and other suitable storage media located within and part of the BWD. There are several embodiments of the invention disclosed herein which will most likely be the most convenient and usable commercial versions of the invention. These include: 1. a portable field unit which will include a display screen, microcomputer, interface wand, software, and a means of transmitting data back to a base unit in an emergency 2. an interface module which, in lieu of an entire new patient monitor, can be added to a IU slot in an existing patient monitor and add the capability of accepting data from the Interface Wand and BWD without adding a lot of additional cost to the health care system, 3. a more substantial Base Unit which would be most likely a PC based system and include software for organizing and editing medical data and records, as an option- encrypting those records for confidentiality and security, and sending those records directly through the Interface Wand to be "burned in" and stored within the BWD in digital storage media such as a computer chip. Although there are many "canned" and "off the shelf software packages currently available there is none which would allow for a concise, highly organized and standard format for displaying of emergency medical records. Since time is of the essence and correct treatment and medical intervention is often a life or death situation it is essential to have the stored medical records in a highly organized, concise standard format so an EMT can go right to the critical information, assess the best medical treatment options and act accordingly. This highlights the need for unique software to organize the emergency medical records and information into concise and edited format for easy use and such software is disclosed herein as part of this invention. There has been prior art in the medical industry which, although peripherally related to medical records and computer systems, does not teach the art or devices described herein. Doue in 5,361 , 202 teaches a computer system and software specifically for the purpose of managing a patients stay in a hospital or clinic. Doue makes no mention of organizing or applying any critical emergency medical information, makes no mention of using or interfacing with Bodily Worn Devices or Medical cards and in general Doue's invention in no way completes with the invention disclosed herein. Since the invention disclosed herein is not used in any way, and makes no claims to manage the time frame for a patients stay in a hospital, these two patents really have nothing more in common than the fact that they use a screen and a microprocessor. Whalen in 5,327,341 teaches a computer system and software for managing general medical records and files in a hospital and physician office environment. Whalen focuses on the software side of his invention and teaches means of creating headers and organization categories for large amounts of medical information. No where in his invention does Whalen teach organizing Emergency Medical information for emergency medical treatment which is created for the purpose of storage on Bodily Worn and/ or Digital Storage cards or disks. No where does Whalen teach any of the Interface Wand, Interface module and data transmission features of the devices disclosed in this invention. The main claims of the Whalen patent deal with managing and updating an individuals medical records in a routine office based setting using key words, hybrid data fields ,etc,, which this invention is not claiming and for applications this invention has no intention of addressing. Eberhardt in 5, 659, 741 teaches a medical history computer system for recording medical histories aimed at organizing very large amounts of medical data for organizations such as the federal government for keeping track of medicare and medicaid and/or for large insurance companies. This differs from the invention disclosed in that the emergency medical data described herein is not stored in a central computer but is organized and stored on Bodily Worn devices. The inventions described herein are patient monitors and interface hardware specifically aimed at retrieving and displaying the stored emergency medical data . Eberhardt fails to teach any of the patient monitors, modules or interface electronic hardware necessary to make the retrieval of emergency medical data a practical device. Although Ebehardt mentions cards or disks to carry medical records he fails to teach any type of practical card or disk fails to teach how such a card or disk would be interfaced with a practical computer system or it components. An integral part of Ebehardt's inventions, which is not required by the invention disclosed herein, is the ability to sort for medical information and/or data by key word, phrase, etc.. This is not necessary for the invention described herein in terms of its software and is outside of the scope of this invention.
3. Summary of the Invention
The invention disclosed herein has several different embodiments described in the Background narrative. What all of these embodiments have in common is: -interface hardware and electronics, embodied in the form of the Interface Wand and module IO card, for electrically powering and retrieving the data from the bodily worn devices in a wireless, non-contact fashion
-software which is compatible with the software and organization platform of the Bodily Worn devices for retrieving, organizing and displaying the stored records in rapid format for emergency situations.
-some form of a screen display which could include an LCD screen, video screen, cathode ray tube, or computer screen for displaying the records in emergency situations. -a means of periodically updating the records stored on the Bodily
Worn devices by interfacing the Bodily Worn device with the monitors, either using the Interface wand and a direct connection to a monitor or via the wand and an interface box which could be used to modem information into the Bodily Worn device from a remote location. - as an option but not a requirement - a means, through unique software encryption and recognition techniques, to interface with unique smart cards and/or unique computer disks which have permanently imbedded software security identification markers. This type of a marker and recognition system allows for only authorized types of disks and card, which have the unique embedded digital markers, to be used and recognized by the system software for security and anti fraud purposes. The alternative, which is an embodiment of this invention, is to have an open architecture software.
-smart software and two way data transmission between the interface hardware and the Bodily Worn devices and cards and disks. This smart software allows for recognition of encrypted security markers to eliminate unauthorized entry to the devices and well as for anti fraud purposes during data transmission, -electronic cases and enclosures which make the devices herein either rugged and portable for field use and/or military use, enclosures and electronic covers for the module. Interface to safely add the module and upgrade to an existing patient monitor, or an enclosure for making the devices desk top and fairly stationary for use in an office environment.
Detailed Description of the Invention Reference Figure 1
Figure 1 represents a flow chart of how the integral hardware components of the system would interface. Either the portable field unit, patient monitor module or base unit monitor can send or retrieve data from the Bodily Worn Devices (BWD) via the Interface Wand. In turn, either the Portable Field Unit or the Patient Monitor Module can also send data to and from the Base Unit Monitor via either telephone lines, wireless AM or FM transmission or any other appropriate transmission means. The interface wand is an integral part of the system for sending and retrieving data from the BWD. The Interface Wand has a means of simultaneously sending electrical power to the BWD via wireless inductance means while at the same time sending and retrieving data from the BWD via either optical or capacitance data transmission. The detailed disclosure of the art of the Interface Wand and BWD are covered in another US patent filing by this inventor (reference US xxxx). As previously described the portable field unit and the Base unit Monitor both have the electronics to receive and transmit data to and from the Interface Wand, to display medical data on a screen for Emergency Medical treatment, and to send the data wireless or over telephone lines to other stations. The patient monitor module, which is an electronic card which fits into an existing patient monitor, is described in more detail in figure 5. Common software allows the devices disclosed herein to communicate, send and retrieve data and encrypt data in secure means for confidentiality and security.
Reference Figure 2 Figure 2 shows a schematic of the software and its flow in terms of data transmission through the various pieces of hardware in the system. Two way data transmission is important through each piece of hardware to allow for medical data and records to be both sent and retrieved through the Interface Wand and into and out of the BWD. As shown in figure 4 Emergency Medical Records are organized by the software into pages or files with discrete information organized in sections or blocks to create a standard page. This standard page is important in that in the event of medical emergency time is critical and if a standard page is created for EMT's and technicians then they know exactly where to look to get critical life saving information without searching. The software is organized as such so that Emergency Medical records are created for a patient either from the Base Unit, Portable Field
Unit or Ambulatory Patient Monitor, but most preferably in the Base Unit. The Patient files are encrypted to provide for security during transmission over telephone and data lines. The software is organized as such so the patient filed are transferred through the Interface Unit or Wand into the BWD in file or page format. These patient files are organized through the software in generic ASCII type files so as the be retrievable and readable using standard software packages in conjunction with our unique decryption software. As an alternative and/or enhancement to the encrypting of the medical files security software markers could be written into the medical record files so that only persons with compatible software which can recognize the security markers would be allowed to retrieve and open the medical records stored on BWD's or on electronic cards or disks.
Reference figure 3
Figure 3 shows one variation of how all of the components of the system work including the Bodily Worn Device, Interface Wand, Portable field unit,
Base unit and controlling software. When the wearer of the BWD is stricken with any illness or is in an accident, etc. an EMT, paramedic, military corpsman, etc, can access the critical medical data using the portable field unit, assess the stricken persons overall condition using the pre-existing medical history and data in the BWD, and rapidly determine the best coarse of medical treatment, which could prove life saving. The portable field unit has the ability to transmit medical data and treatment options to the base unit and visa versa, so hospital based medical personnel can communicate directly with the field paramedic.
An integral part of this invention is the design and inter-related working mechanism between the BWD, storage cards and storage disks. This is expanded on in figure 6 of this invention.
Reference figure 4
Figure 4 shows one typical software configuration for the Emergency Medical Record organization. The medical data can either be in file or page format with discrete blocks or sections of a page devoted to specific information so as to create a standard and easily recognizable format in an emergency situation. Menus or point and click software commands can be set up so as to allow the user to rapidly scroll through pages to find information.
Reference Figure 5
Figure 5 shows one typical configuration for the hardware module which would be used in conjunction with an existing patient monitor in an ambulance, emergency room, etc. The plug in module consists of a faceplate with controls, switches etc., for on/off power, data transmission indicator lights, power indicator light and any other appropriate controls and indicator lights. An I/O type printed circuit card is mounted to the faceplate and all electronic components and circuitry are mounted to the pc board. The electronic circuitry to supply power to the board, as well the circuitry which routes the data signals through the card, are routed to electronic contact pads or fingers as they are known in the industry. The pads are either silver or gold plated and allow the pc board to be plugged into the mating slot in the patient monitor so as to accept electrical power from the patient monitor and allow medical records and data to be transmitted and received through the pc board and its connecting pads. As previously described the data cable connects the Interface wand to the front panel of the module. The cable allows data to be transmitted from and sent to the Bodily worn devices using either fiber optic, serial or parallel two way data transmission.
Reference Figure 6
As previously mentioned the design and working mechanism of the Interface wand, as it relates to Bodily Worn Device or Card or Disk, is critical. The two devices and their working mechanisms as described herein are unique and novel. This inventor has also written and submitted a separate patent on the Digital Card and Disk and mechanisms to read and transmit data. Figure 6 shows three typical embodiments of this invention and this is not to say that more embodiments do not exist. The Interface wand is designed in Embodiment a) to include a housing, electrical power pads to supply power to the BWD via inductance or other non- contact means, data transmission and retrieval capacitance pads to allow bidirectional flow of digital data in a non-contact manner, a means of aligning the wand and BWD so as to make positive mechanical alignment between the power and data pads. Embodiment b) shows an alternative design of the Wand whereby a case or slot enclosure will allow either the BWD, a card or disk to be inserted into the slot. The power pads and data transmission pads are mounted on the interior wall of the enclosure so as to provide protection in the event the wand is dropped or hit. The slot enclosure and BWD, card, disk are designed so the electrical power pads and data pads make proper alignment when the BWD is inserted and hits a mechanical stop in the slot. Embodiment c) shows a wand with a mechanical slot for insertion of a storage disk or card. In this embodiment only an optical read/write pad is required. Since the digital data is stored on an optical film or polymer on the surface of the disk or card, in a similar manner as a compact disk, neither the wand nor disk require any power to retrieve the digital information from the disk. It should be noted that power is required to be sent to the optical scanner in the wand so as to power its operation. The bi-directional reading and writing of data to and from the disk or card can be accomplished with a plurality of optical scanner / writer pads mounted to the inside of the wand.
1. Abstract
The invention disclosed herein relates to_an improved method and system for the optically scanning, storage, management, retrieval and electronic mailing of a persons medical history on a 24 hour a day basis. The invention disclosed also encompasses unique and novel methods of verifying the authenticity of original medical records via a physicians electronic signature, a means for standardizing and prioritizing the history and prior medical records of a patient so as to provide an edited or abbreviated medical chart for emergencies, a means of encrypting medical records for security, and a means of providing a unique alpha numerical identified code for each patient in the system and a means of 24 hour electronic and voice retrieval of records using a unique telephone exchange system.
2. Background of the Invention
Accurate recording keeping of medical records by medical "providers" (hospitals, physicians, clinics, labs, HMO's, PPO's, etc.) is a requirement of both federal and state laws in the US, and is considered a "standard of care" in the medical industry. Providers must maintain records for a given number of years on a patient even after the patient has ceased using the services of the provider.
Therefore, providers have a very large burden of maintaining accurate records, which include but are not limited to hand written physician charts, drug prescriptions, x-rays, CAT scans, lab tests, blood and urine tests, eye glass prescriptions, etc. As one could imagine a hospital which handles patients with serious conditions would have a tremendous amount of records on hand in paper and x-ray film format which would have to be maintained for some years. Generalistics as well as specialists such and cardiologist, Neurologists, dermatologists, etc., are also under the same — laws to keep and maintain medical records for some reasonable period of time on each and every patient. Therefore, within the last several years many large
hospitals and clinics have begun to use custom software packages for directly inputting patient charts into computer format to eliminate paper records. Other facilities have also chosen to put many medical records on microfilm or microfiche which is a more convenient and less bulky method of preserving paper medical records by photographing and reducing the documents onto film. Coupled with this record keeping burden are state and federal laws which restrict the amount a provider can charge for copies of medical records which are given at the request of patients. In most instances the charge for such copies of records in approximately $0.40 - $0.60 per page. Therefore, it is not hard to imagine that this record keeping burden is a very large administrative cost for a large provider and one which actually drains revenues from a provider, as opposed to creating revenues for a provider. In contrast to the medical providers are the patients (consumers) who are entitled by law to have access to their medical records within a reasonable time period upon written request to the provider. As one could imagine the average individual and family has to keep track of many diverse pieces of medical records in order to try and maintain an individual set of medical records above and beyond what a provider keeps. This would entail the individual and family keeping track of drug prescriptions, eye glass prescriptions, x-rays, dental records, yearly physical examinations, etc., for an entire family. This would be a cumbersome and large set of records assuming the average citizen took the time to compile such records at all (most do not bother). As more and more individuals and families travel both domestically and internationally on vacations, for business and for relocations and second homes, having rapid access to medical records is all the more important in the event of medical emergency. If one was in a foreign country and had a medical emergency and did not have access to medical records this could either result in many unnecessary and expensive additional medical tests being performed for a new physician to access the individuals condition, and also could result in either the wrong treatment or substandard treat, which could result in adverse medical complications and/or death in the most extreme cases. The purpose of the invention disclosed herein is to create a low cost, stream lined system which specifically meets the needs of the medical industry as well as the general public as the medical consumer to make the digitization, computer storage, retrieval, management, and electronic mailing of medical records efficient and low cost so as to fit into the present managed care environment in the US. The invention disclosed herein would also have benefits on a global scale for aiding in the transfer of medical records and data intra-country and intra-continent. The invention consists of a novel means of optically scanning ORIGINAL medical records into digitized binary format (original is emphasized because it is critical to the integrity of this system to have original patient medical charts and records which have a physicians original signature for authenticity), with unique software - organizing the digitized medical records into chronological order so as to prioritize and lessen the need for duplicate tests and records which would not necessarily be useful or applicable, with unique software assign a unique alpha numerical identifier to each patient and individual's medical records (separate from Social Security # and Birth date), with unique software positively identify the validity of "electronic signatures" of physicians and providers, through a stored electronic signature library, which are using computer software packages to generate medical charts and records (no hardcopy paper records), a means of rapid retrieval of medical records and the ability to electronically mail large amounts of medical records simultaneously to multiple individuals at multiple locations who require their medical records either for routine reasons or in the event of a medical emergency.
There has been a great deal of prior art in this area of medical records and using computers to organize and lessen clerical burdens. Many of the prior art patents focused mainly on ways to create software to do away with the traditional physician medical charts and to computerized medical charts whereby medical data would be inputted directly into a computer. One such patent is Doue 5,361 ,202 which teaches a computer system for managing the length of stay in a hospital of many patients simultaneously. The invention disclosed herein does not overlap or compete with the art that Doue teaches and the only thing they have in common is a computer system and medical data. The same holds true for Whalen 5,327,341 in which Whalen teaches a computer system and software for organizing patient charts. The main focus of Whalen is the format of the software which teaches the organization of computer medical charts with discrete fields and sections which aid in organizing the medical data. Whalen also claims the use of computer generated narrative reports which would be part of the physicians charts. Again, the inventions disclosed herein do not overlap or compete with the Whalen patent and the only thing the inventions have in common is a computer and medical data. In Lavin 5,772, 585 a computer system is described again to facilitate and organize a physicians office which includes software for scheduling appointments, entering patient medical chart data onto a computerized chart, using a common graphic interface and creating data tables for the information. In Silvio 5,659, 741 a computer system is taught to input large amounts of medical information onto computerized medical charts, transferring the data onto Hand Carried Storage devices, and for computerized searching of the files for character strings to compile health statistics and data. In Perry 5,241 ,466 a computer system is taught for storing living will documents presumably so they can be retrieved in the event of a person's death. Neither Lavin, Silvio or Perry teach the art and system disclosed herein in this invention and this invention does not over lap or compete in any way with the inventions taught of Lavin, Silvio or Perry. Therefore, this invention is unique and novel and different from all prior art described.
3. Summary of the Invention
Please reference figure 2. The invention comprises hardware and software for the optical scanning of original paper and/or film (x-ray, CATscan) medical records and charts. An alternative serial or parallel computer port allows for digitized data to be inputted into the system computer from a pre-existing digital medical data base. Smart software, which is an integral part of the system, verifies that each patient chart being transferred from the pre-existing medical database has an authentic and original electronic physician signature to verify the authenticity and originality of the medical chart. This is a critical part of the invention disclosed because more and more hospitals, clinics and group practices are using medical chart software to enter patient records which eliminates the need to keep a hard copy record. Because hard copy records, with the physicians original signature are not being kept for records, this opens up the legal question of what defines an "original" medical record and physician signature, which have not been tampered or altered. One solution which has been mandated by federal and state laws has been the creation of electronic signatures for each physician which would be a unique alpha numeric identification code. These electronic signatures would have to accompany medical charts, drug prescriptions, medical tests, etc., to verify the authenticity of the medical data and to ensure the data was not altered or tampered with. Therefore, the inclusion of a means of storing an alpha numerical library of physician electronic signatures and comparing those signature to the signatures on electronic charts is an integral part of the integrity of this invention. Also an integral part of this invention is the optical scanning of only original hardcopy medical records with original signatures of physicians. Again this is critical to the integrity of the system from a legal liability point of view. Once the hard copy record is scanned into the system the smart software can assign the electronic signature of the corresponding physician from the internal identifier library to this new digital patient document and the electronic signature will follow the digital document for its entire life for authenticity.
Once the medical records of a patient are entered into the main computer system they are organized in a priority based on chronological order. This means that if an individual had three chest x-rays over the last 10 years the most recent x- ray is given a priority in the patient's file over the other two x-rays as it is the most up-to-date document. This is not to say that the other x-rays have no value, which they do because they can be an important historical document to show the gradual progression of such diseases as chronic bronchitis, emphysema, lung cancer from smoking, etc. Other factors may also effect priority such as serious pre-existing medical conditions and tests and or medical charts which document such conditions. Also, severe drug reactions and allergic reactions and other emergency medical data would take a priority in the organization. The invention also comprises a plurality of data management interface stations (work stations) were many operators can be inputting, accessing and retrieving medical data simultaneously without interfering with each other. The work stations would be comprised of computer screen monitors, keyboards, and any other combination of audio visual computer controls such as voice recognition microphones and headsets to facilitate computer commands and controls. Other software and hardware is used to allow for a plurality of work stations to transfer medical records and data onto computer disks, Compact Disks, ZIP disks, or any other appropriate media for patients, including hard copy prints or films, and or physicians to access and store patient medical records. The plurality of work stations for the creation of records on computer disks, printers, films, etc., allows for many operators to access and retrieve medical records simultaneously without interfering with each other. One of the most important aspects of the invention disclosed is the telephone interface exchange. This hardware which is interfaced with the computer system allows for a large plurality of telephone lines to be interfaced to the system. Because medical emergencies occur 24 hours a day, 365 days a year this invention is designed so that there is 24 hours a day, 365 day a year access to medical records in a variety of ways. If a patient, physician, clinic or hospital, etc., wants to retrieve a specific medical record they have the option of calling a toll free number or e-mailing the request over the telephone lines through the telephone interface exchange. 24 hour a day attendants can field the request, retrieve the records and either e-mail the records, modem the records, send them over high speed optical cable lines, or any other appropriate tele-communications media. Another option designed into the telephone interface exchange and system software allows for patients, physicians, and other authorized personnel and care givers to call into the system 24 hours a day and, using a unique PIN number or alpha numerical identifier, access medical records and data and retrieve them via the Internet (the system could be up on a Web page for care givers and other authorized people to access but only with tight security and PIN numbers), e-mail or via a modem line. The 24 hours a day access to this system and the telephone links to e-mail and modems affords both care givers and patients rapid access to medical records in the event of an emergency any where in the world at any time of day or night which is a critical aspect of this invention and its utility to the medical industry as well as consumer. The direct link feature of this system allows for frequent user to be directly tied into the system using dedicated telephone lines, modems, coaxial cables, etc., with the proper security codes and protections. Also, the invention allows for new or updated medical records and data to be sent into the system through the telephone exchange interface in a 24 hours a day manner via the smart software which can recognize the entry of new data, verify the authenticity of an electronic signature of a physician and allow the data to be entered into the computer system.
Figure 1
Figure 1 shows a flow diagram of the software used in the system which is an integral part of this invention used to organize, authenticate, retrieve and electronically mail medical records. As previously described medical records data can either be entered from a pre-existing electronics database or optically scanned into the system from hard copy patient records. If pre-existing electronic records are entered into the system, smart software within the system will access a physician electronic signature Library and cross check the authenticity of the electronic signature of the attending physician on the records. If the electronic signatures do not match the records are prevented from entering the system until further checking can occur by an attendant. If the electronic signatures do match then the records are approved for processing and a unique patient alpha numerical identifier is added to the records for rapid retrieval within the system. This unique identifier could be the patients social security number plus an added numerical digits to create a unique new identifier. Other alpha numerical identifiers could also be used. Hard copy records and films which are optically scanned into the system are processed in a similar fashion. Once the software assigns the unique identifier to the records they are allowed to enter the computers central processing data base. In this area the software prioritizes the records as previously described by chronological order to eliminate the need for duplicate records of the same tests. Also, records are prioritized based on the severity of any pre-existing medical conditions, severe allergic reactions and severe drug reactions so these records are given a priority in the event they are retrieved in an emergency when time is of the essence. The software has the ability to assign either a weighted average priority to records based on the severity of a condition or a numerical priority scale from 1-10 based on severity. This will speed up the recall of critical medical records in an emergency. Records which are old and dated and not readily applicable can be given an "A" coding, or any other appropriate codes, which signifies "Archive" purposes only and thus will not be considered necessary in an emergency. Again, records can either be retrieved from the system manually by an attendant or automatically by an authorized personal using the 24 hour telephone access and PIN number routine. When an attendant wants to retrieve a specific record all they need do is enter the patients name or unique identified code and the software will automatically retrieve the records via a data request command message. Again, records will be retrieved in order of priority so the most critical information for a health emergency will appear first. Scroll and menu features with the software will also allow an attendant to view a patients records by "page" and retrieve only the data which may be appropriate for a given request, e.g.: the patient only requests their most recent dental x-rays. When a 24 hour a day caller uses the telephone exchange service they can access patient 15 records by choosing from several different venues- Web Page, automated voice service, dedicated confidential direct link service or by speaking directly to an attendant. The confidential Web Page allows authorized user to access patient records only by having the authorized codes to several redundant security steps, including but not limited to an electronic physician signature and a system PIN number, to ensure security and privacy. The Web Page will be menu driven and allow an authorized user to select specific patients and specific medical records of a patient for speed and ease of use. Patient records can be downloaded directly from the system to the authorized users computer using the modem and telephone links to save time and eliminate the need for paper records and mailing. The 24 hour a day Voice System is organized so that an authorized caller has to pass through several redundant security steps including but not limited to a physicians electronic signature and a PIN number to access the system. The Voice system is set up so that the user can either speak the words into the system and the software will recognize the words and numbers, or the caller can punch them in using a touch tone phone. Once the user has been cleared for security they can request a specific patient record which will be stored in the software in the form of an order or request. In the case of an emergency, where records must be retrieved immediately, the system software will be capable of faxing or modeming records directly back to a caller if they are using the modem or fax line when calling. Otherwise orders for records will be processed in chronological order by attendants on a routine basis.
The Dedicated Direct Link allows frequent users of the system to have direct access through either dedicated modem, LAN, Watts or other telephone lines Direct Link users would have custom software loaded into their computers which would be compatible with the host computer system and allow for direct access to patient records, but the same redundant security measures, including but limited to electronic signatures and PIN numbers, would have to be used to have access to patient records. As an alternative to the above a user could call 24 hours a day and talk directly to an attendant who could retrieve files and e-mail, modem, fax, etc.. them anywhere in the world. The same user security precautions would apply.
Detailed Description of the Invention Reference Figures 1 and 2.
The invention disclosed is comprised of both hardware and software which are both integral to the invention. The hardware includes a unique and novel high speed, high resolution optical scanner 1 which is capable of scanning both text documents as well as film documents such as x-rays, CATscans, etc., with proper resolution to maintain the documents diagnostic quality and accuracy. The unique optical scanner disclosed in this invention is capable of scanning the unique patient identifier code into the body of the patient record, as well as the electronic physician signature, as the scanner simultaneously scans the document into digital data. This unique feature is accomplished by the smart software embodied within this invention. The scanner will be capable of scanning both Black and White and full color documents and films. The hardware also includes an Interface Controller 2 which is comprised of an enclosure, multiple digital and analog inputs, and multiple digital and analog outputs. The purpose of this Interface controller is to allow for a plurality of sources to input data into computer system 4 without the input signal interfering with each other, canceling each other or corrupting the signal and integrity of each other. This plurality could include any number of Optical Scanners 1 and/or any number of Existing Electronic Medical Data Bases 3. The connections to and from the Interface Controller 2 can be serial, parallel, optical, co-axial or any other appropriate type for the transfer of large amounts of analog and digital data. The
Existing Electronic Medical Database 3 can be any where in the world physically and can be connected to the Interface controller via telephone link, co-axial cable link, wireless AM or FM transmission or any other type or form of communications link for the transmission of data. The computer system could be any appropriate type of computer including but not limited to a laptop, Personal Computer, Work station or main frame computer. The computer system would consist of a sufficient amount of RAM random access memory to process multiple data inputs an requests, Hard drive or magnetic drive central memory for storing large amounts of digital medical records, and sufficient video hardware and software to simultaneously support one or multiple users and attendants to the system. The computer also has a magnetic tape drive back up which allows for redundant magnetic tape back ups to be made of the stored digital data, to be kept in a separate and safe location, as a precaution against hard drive failure or data corruption's and viruses. A Data Management Interface 5 is similar to the Interface Controller 2 in that it allows multiple attendant to work simultaneously to input and retrieve medical data without the signals interfering, corrupting or cutting off other signals. In essence DMI 5 is a type of digital switching Bus or digital switchboard to route and Que. the signals between the attendant stations 8 and the Main Computer System 4. The attendant stations 8 are comprised of suitable computer screens, keyboards, mouse controls and microphone and earset controls to send command signals to the computer system either using keyboard commands or voice commands which are converted to digital command signals by the system software. A separate Interface controller 6 is used, in the same way as Interface Controller 2, to route multiple input and output commands and signals to and from the main computer and the Telephone Interface Exchange 7. The Telephone Interface 7 consists of a plurality of telephone and communications lines which are capable of two way transmission and will send and receive data signals to and from the system as well as route 24 hour a day emergency calls and routine records requests. The Telephone Interface exchange 7 and Interface Controller 6 work in tandem to route and prioritize incoming and outgoing telephone signals so as to prevent signal corruption, cross talk and interference and ensure smooth operation. The system includes a variety of output devices for either making hard copy prints of original digitized records or for putting records onto computer disks or magnetic tape back ups. The quality and resolution of the printers and output devices is critical to maintain the integrity and quality of the of the original tests, x-rays, etc., as they are passed from one medium to another. Medical Diagnostic quality and integrity must be maintained on all variations of digital and hard copy records. Output device can include but are not limited to Medical Disk or Card Creation 9, High Resolution Printer 10, High Resolution Thermal Printer 11 , Magnetic Tape Drive 12 or any other suitable output device for storage and/or diagnostic quality copies. Figure 1 Shows a detailed flow diagram for the overall control software of the system. Digital Medical Record Data is entered into the system either from Optical Scanner 1 or Existing Database 2. In the case of Optically Scanned data 1 the smart system software analyzes the data and assigns a unique alpha numerical system identifier code from the User Code library 7 to each patient record. Also the system checks for an electronic physician signature, and if none exists, selects the correct electronic signature from the internal library 3. In the case of pre-existing Electronic Data 2 the software checks the validity of the electronic signature assigned to each patient record from the internal electronic signature library 3. If the electronic signatures match, the patient records are accepted into the system and assigned a unique patient ID from the internal library 7. If the electronic signature do not match the data is rejected from the system and an attendant is flagged. Once data is accepted to the system from either the Scanner 1 or the Existing Database 2 it is stored in the central storage media 5. As previously described the system software analyzes the patient records and using a chronological order priority routine 10 prioritizes the patient record for ease of retrieval in an emergency. At any time patient records can be retrieved 11 using the unique identifier code for rapid identification and retrieval using request messages 9 sent from either attendants, 24 hour callers or direct link access. The 24 hour automated Message Interface 15 allows any number of telephone and other communications signals to enter the system through either e-mail 17, Internet 18 or modem 19 or any other appropriate communications means. Calls are routed through the Interface 15 to their appropriate destination of either the system Web Page 12, the 24 hour voice system 13, or the Dedicated Direct link 14. Web Page 12, Voice system 13 and Direct Link 14 are all capable of sending data retrieval commands to the central storage system 5 but only with the proper security codes as previously described. The 24 hour attendant service 16 is also capable of inputting and retrieving data and records from the system on a routine basis.
Figure 3 shows a typical organization and priority routine for a given patient record. As previously described records are organized into digital pages with each page being numbered. The unique identifier code and physician electronic signature are embedded in each page of the records for authenticity and security (similar to the watermark on US currency). Records are prioritized by giving emergency and serious pre-existing condition tests and records priority. Also, duplicate tests are prioritized in chronological order. This saves retrieval time in an emergency and/or a routine situation.

Claims

Claims(PROCESS FOR STORING AND RTRIEVING USING ORIGINAL DATA)
1. A process for storing medical recors of a patient for retrieval compπsing: a. providing an original document containing a medical records of a patient; b. converting said medical record to a digital record for storage in a data storage device; c. assigning a unique patient identifier to said digital record; d. assigning a physician electronic signature to said digital record; e. assigning a priority code to said digital record; f. storing said digital record and assigned unique patient identifier, physician electronic signature and priority code in a data storage device; g. providing a request for a medical record unique patient identifier and physician electronic signature; and h. retrieving said digital record based on said priority code if the unique patient identifier and physicians electronic signature provided in step (g) matches the unique patient identifier and physicians electronic signature on said digital record.
2. The process of claim 1 wherein said medical record contains a date of the record and said priority code is assigned according to the medical record date.
3. The process of claim 1 wherein said priority code is assigned according to severity of a condition in said medical record.
4. The process of claim 1 wherein said unique patient identifier and physician electronic signature are provided and said digital record is retrieved using intra or internet access.
5. The process of claim 1 wherein said unique patient identifier and physician electronic signature are provided and said digital record is retrieved using e-mail access.
1 6. The process of claim 1 wherein said unique patient identifier and physician
2 electronic signature are provided and said digital record is retrieved using telephone
3 voice access.
1 7. The process of claim 1 wherein steps (a) - (f) are repeated for a plurality of
2 medical records for a patient, each of the medical records having the same unique
3 patient identifier and a different priority code.
1 8. The process of claim 7 wherein the retrieving step includes displaying said digital
2 records in order based on said priority code.
(PROCESS FOR STORING AND RETRIEVING USING EXISTING STORED DATA)
1 1. A process for string medical records of a patient for retrieval comprising:
2 a. providing a digital record containing a medical record of a patient and a
3 physician electronic signature;
4 b. assigning a unique patient identifier to said digital record;
5 c. comparing said physician electronic signature in said digital record to a
6 database containing known physician electronic signatures;
7 d. assigning a priority code to said digital record;
8 e. storing said digital record and assigned unique patient identifier, physician
9 electronic signature and priority code in a data storage device if the
10 physician electronic signature in said digital record matches a known
11 physician electronic signature in said database;
12 f. providing a request for a medical record a unique patient identifier and
13 physician electronic signature; and
14 g. retrieving said digital record based on said priority code if the unique
15 patient identifier and physician electronic signature provided in step (f)
16 matches the unique patient identifier and physician electronic signature on
17 said digital record. (PROCESS FOR RETRIEVING STORED DATA)
1 1. A process for retrieving medical records of a patient for retrieval comprising:
2 a. providing in a data storage device a plurality of digital records of a patient,
3 each digital record containing a medical record of said patient, a unique
4 patient identifier for said patient, a physician electronic signature and a
5 priority code based on information in said medical record;
6 b. providing in a request for a mdical record a unique patient identifier and
7 physician electronic signature;
8 c. comparing the unique patient identifier and physician electronic signature
9 provided in step (b) with the unique patient identifier and physician
10 electronic signature in said digital records;
11 d. retrieving said digital records if the unique patient identifier and physician
12 electronic signature provided in step (b) matches the unique patient identifier
13 and physician electronic signature in said digital record; and
14 e. displaying said digital records in an order based on said priority code.
1 2. The process of claim 1 wherein said digital records are displayed in order of date
2 of medical records.
1 3. The process of claim 1 wherein said digital records are displayed in order of
2 severity of a condition in said medical record.
Claims:
1 An apparatus for storing and/or retrieving and/or organizing medical
2 records and other vital personal information from bodily worn storage
3 devices, comprising:
4 a bodily worn storage device capable of storing digitized (digital)
5 personal medical records and other vital personal emergency information
6 a portable field unit with a unique interface wand capable of retrieving
7 digital patient records and information from the bodily worn device and
8 transmitting said digital information by wireless means
9 a base unit capable of receiving said digital medical records and information and organizing them into readable and medically significant information for emergency medical treatment options
a patient monitor module for interfacing the wireless critical patient information and data with an existing emergency room patient monitoring device
software for digitizing and organizing and displaying said critical patient information in page formats for emergency medical treatment and other applications and usage software for controlling the internal logic of the portable field unit and the patient monitoring module and the base unit. 2 The apparatus of claim 1 wherein the interface wand is capable of capturing said digital medical records by non-contact optical or wireless 3 means 3. The apparatus of claim 1 wherein the bodily worn device is capable of 2 transmitting or receiving said digital medical records from the interface wand by non-contact optical or wireless means.
4. The apparatus of claim 1 wherein the portable field unit is capable of recieving, storing and displaying said medical records on a lighted display screen via the interface wand. 5. The apparatus of claim 1 wherein the portable field unit is capable of wireless transmission of the said digital medical records to said base unit. 6. The apparatus of claim 1 wherein the portable field unit is programmed with software to allow for the organization and display of said digital medical data. 7. The apparatus of claim 1 wherein the interface wand is capable of transmitting or receiving wireless digital information from the said bodily worn device using optical or other wireless- non contact means
8. The apparatus of claim 1 wherein the base unit is capable of receiving said digital records in a wireless fashion
9. The apparatus of claim 1 wherein the base unit is capable of storing and organizing the medical records and critical information into prioritized 3 pages for display and viewing. 10. The apparatus of claim 1 wherein the base unit contains software for the logic control of receiving said digital records, organizing said records in priority fashion and displaying said prioritized records on the display screen. 11 he apparatus of claim 1 wherein the base unit is capable of archiving and storing multiple digital patient records for retrieval and review. 12. The apparatus of claim 1 wherein the patient module is capable of interfacing with an existing emergency room patient monitor and receiving said wireless transmission of said medical records for display on said existing patient monitor in an emergency situation. 13. The apparatus of claim 1 wherein the patient module contains an interface Printed circuit board with electronic contact pads, or other suitable means, for transmitting power to the module board and for transmitting and receiving said digital patient medical records. 14. The apparatus or claim 1 wherein the patient module contains an interface wand and electronic cable for capturing said digital records from said bodily worn device, using non-contact wireless means, and transmitting said records to the patient monitor for storage and display.
15. The apparatus of claim 1 wherein the system contains common software and logic for the seamless storage, wireless transmission, receiving, prioritizing, creation of readable pages and displaying of said pages on a computer screen, patient monitor screen or other appropriate display device. 16. A method for storing and/or retrieving and/or organizing medical records and other vital personal information from bodily worn storage devices , comprising: providing a bodily worn storage device capable of storing digital medical records and other vital personal health/emergency information and a means of transmitting and receiving said digital medical records to and from the bodily worn device in a wireless fashion from a wireless receiving transmitting wand which would be either attached to a portable storage device or a patient monitoring device and be capable of displaying said medical data and records on a computer display screen for use in a medical emergency or other situation and a means of transmitting said medical records from the portable field unit to a base unit for display and review by a medical professional and for storage and archival purposes 17 The method of claim 16 further including organizing the digital medical records stored in the bodily worn device into electronic pages which are in a medically significant prioritized manner with most critical information in a life threatening situation be accessible first and lesser medical information and personal information be accessible secondary.
18. The method of claim 16 further including transmitting said digital medical information from the bodily worn device to the portable field unit using optical or other wireless means via a wand or other suitable means. 19 The method of claim 16 further including means of storing, organizing, prioritizing and displaying said digital medical records on the portable unit for emergency medical treatment.
20. The method of claim 19 further including a means of transmitting the said medical records from the portable field unit via wireless or wired means to a base unit.
21. The method of claim 16 further including a means of transmitting said digital medical records from the bodily worn device to a multi use patient monitor via wireless non contact means. 22. The method of claim 21 further including a means of organizing , prioritizing and displaying said medical records on the patient monitoring screen for emergency medical or other medical usage. 23. The method of claim 20 further including a means of transmitting said digital medical records from the portable field unit to a base unit via wireless or wired means. 24. The method of claim 23 further including a means of organizing, prioritizing and displaying said medical records within the base unit for emergency medical treatment.
25. The method of claim 24 further including a means of prioritizing medical records in a medically significant fashion so most critical life saving medical information, tailored to the individual wearing said bodily worn device, is displayed first in a medical emergency and . secondary medical information is displayed secondary on subsequent sequential pages.
26. The method of claim 16 further comprising a means to allow for a common software language so that the digital information and medical records within the bodily worn device is compatible with the portable unit, the patient monitor and the base unit in a seamless and efficient manner. 27. The method of claim 16 further comprising a means of updating an individuals digital medical records within the bodily worn device via transmission of updated data from the base unit or portable unit to the bodily worn device via wireless or wired means.
28. A method of claim 16 further comprising a means of erasing data within a bodily worn device and re-writing new and/or updated digital medical records within the bodily worn device via wired or wireless transmission from the portable field unit or the base unit. What is claimed:
1 1. An apparatus for storing and retrieving digital records and data from a device
2 carried or worn on the body by an individual comprising:
3 a protective outer shell which is fire proof, shock proof and water resistance
4 for protecting the electronics and inner mechanisms of the device
5 an optical eye or other wireless means of sending and receiving data to and
6 from the device
7 a digital storage media enclosed in the device for storing the digital data
8 a means of supplying electrical powering to the device using wireless non contact 9 means.
9 an electronic transponder which emits a radio or other high frequency signal for
10 tracking and locating the wearer of the device
1 2. The apparatus of claim 1 wherein the outer shell is fire proof, water proof, explosion
2 and bullet proof for the purposes of withstanding military or law enforcement combat 3. train and aircraft accidents, or other catastrophes while protective the inner workings 4 of the device and allowing the device continue to operate normally and uninterrupted.
1 3. The apparatus of claiml wherein the digital storage media is large enough and of the
2 appropriate density to store medically significant information such as x-rays, CAT
3 scans, blood records, EKG record, dental records, allergic reaction information, living
4 will instructions, photo ID or. next of kin information, and any other medical information,
5 emergency information, or personal identification information as deemed necessary
1 4. The apparatus of claim 1 wherein the wireless sending and receiving of digital
2 records and information to and from the device is done by means of a non-contact
3 optical eye or other appropriate non -contact wireless means capable of sending and
4 receiving digital data.
1 5. The apparatus of claim 1 wherein a long life battery is mounted within the device
2 for powering the electronics of the device. Said battery can either be rechargeable or
3 non-rechargeable. 6 The apparatus of claim 1 wherein the device is capable of receiving electrical power to the device by non-contact means which may include mounting the secondary coils of a transformer within the device and providing electrical contacts to mate in a non-contact manner with contacts connected to the primary coils of said transformer. This feature would lessen or eliminate the need for a battery within the device.
7. The apparatus of claim 1 wherein the transponder within the device , or other appropriate means, is capable of emitting a high frequency signal which can be used to track and locate the wearer of the device in the event the wearer is lost, injured or deceased.
β.The apparatus of claim 1 wherein the outer protective shell can be opened to perform routine maintenance on the device, replace batteries and perform other necessary functions.
9.The apparatus of claim 2 wherein the protective outer shell is designed to incorporate an o ring seal, or other appropriate seal, so as to make the device able to be opened for servicing, yet also make the device water proof.
10.The apparatus of claim 2 wherein protective outer shell is color coded to designate the severity of the wearers medical condition, the wearers military rank or law enforcement rank, or other appropriate designations, to allow a care giver to rapidly assess or rapid treatment options to the wearer, or other appropriate responses for the weare? given the circumstances ( first aid, autopsy, living will instructions, etc..)
11. The apparatus of claim 2 where in the protective outer shell contains an alpha numerical marking which can designate the wearers, medical condition, personal identification number, military serial number, law enforcement serial or badge number, or any other identification number for rapid identification of the wearer.
12. The apparatus of claim 2 wherein the protective outer shell contains a bar code strip or other markings so as to contain an alpha numerical identification number or other identification information which can be accessed in a rapid manner by a care given or emergency medical worker.
13 The apparatus of claim 1 wherein the outer protective shell can be filled with a shock absorbent polymer, rubber or other appropriate non-conductive material to mechanically stabilize and cushion the electronics and inner components of the device to further make the device shock resistant, explosion resistant to ensure the device continues to operate during and after a disaster, catastrophic event or high Impact.
14. The apparatus of claim 1 wherein the exterior of the device contains either a watch, jewelry, watchband, or other cosmetic features so as to mask/ hide the true nature of the device for cosmetic reasons of the wearer or due to law enforcement or military secrecy of the wearer.
15. The apparatus of claim 1 wherein the device contains a printer circuit board, miniature circuit or other appropriate means of mounting the electronic components within the device and electrically connecting them so that all the components function as an integrated electronic device
16 The apparatus of claim 1 wherein the device contains an electronic logic computer chip, or other suitable means, which is capable of providing software logic for the device to organize the digital records into pages and usable information, monitor the battery charge life, monitor the flow of digital data to and from the device and control and monitor other device functions as described herein.
17. The apparatus of claim 2 where in the outer protective shell contains grooves, slots or other appropriate means of providing a positive mechanical alignment of the device to a mating unit to align the optical eyes for receiving and transmitting data, to align the power contacts for transmitting electrical power to the device, recharging of the battery, and updating digital data stored within the device or erasing said digital data.
18. The apparatus of claim 1 wherein the device contains an input /output jack, mounted to the to inner pc board, and protruding through the outer protective shell, which allows an emergency medical worker or other person to plug a mating jack into the device to transmit data to the device and receive data from the device, in a rapid fashion.
19 The apparatus of claim 2 wherein the outer protective shell can be of a electrically conductive material so as to act as an antenna for the transmission of radio waves from the transponder device so as to aid in locating the wearer of the device.
20 The apparatus of claim 2 wherein the outer protective shell is coated on its interior side with a Radio Frequency (RF) coating shield so that the device will be able to transmit transponder signals while at the same time not interfering with the electronics and logic within the device.
21. A method for storing and retrieving digital records and data from a device carried or worn on the body by an individual comprising: providing a digital data storage apparatus comprising an outer shell or frame for mounting and protecting electronics comprising a digital data storage medium and an optical eye device for transmitting and receiving digital data and a device comprising half of a transformer coil with a contact which receiving and distributes electrical power to the device components through a printed circuit which is mounted on a printed circuit board, transferring and receiving data from said interface wand to the data storage device via the optical eye arrangement. storing and retrieving digital data from the storage media and transmitting said data through the optical eye to an interface wand. erasing and re-writing or updating new digital data to the device digital storage device. transmitting and receiving digital data to and from the bodily worn device via non-contact differential data contacts
22. The method of claim 21 further including an optical eye wand or other non-contact means of transmitting and receiving digital to and from the bodily worn device.
23. The method of claim 21 further including a printer circuit board with an electronic circuit grid for transmitting digital information, logic signals and electrical power to and from the electronic components mounted to the device.
24. The method of claim 21 further including a long life battery capable of being recharged which supplies electric power to the logic device and optical eye and digital storage device and other device components on an as needed operation so the device may perform its functions.
25. The method of claim 21 further including a transponder device which emits either radio frequencies or other inaudible high frequency signals of such a power which are capable of being received by long distance devices for the purpose of locating the wearer of the bodily worn device.
26. The method of claim 21 further including a logic chip which regulates the flow of digital data transmission traffic to and from the optical eye, jack input output devices, data transmission contacts and storage device to ensure that the digital data is not mixed up, corrupted, and is directed to the proper device destination at the proper timing over an electronic circuit which is capable of two way data transmission to and from each device mounted on the printed circuit board.
27. The method of claim 21 further including a digital storage device which receives digital data for the purpose of long term storage and transmits any portion or all of said digital data when instructed to do so by the logic chip mounted to the printed circuit board.
28. The method of claim 21 further including a data input- data output jack which allows external data to be transmitted into the device via a wire and jack assembly and allows data to transmitted from the device via a wire and jack assembly.
29. The method of claim 26 further including introducing a molding component into the outer protective shell and/or molding the electronic components in place to ensure mechanical stability which would make the device shock proof and explosion proof and fire proof and water proof.
30. The method of claim 21 further including a bar code strip mounted to the exterior of the device which would contain alpha numerical identification serial number or other information unique to the wearer if the device to identify the wearer of the device.
31. The method of claim 21 further including alpha numerical markings on the exterior of the device which would designate a unique serial number or marker number to identify the wearer of the device and/or designate the medical condition or the wearer of the device and/or designate the military or law enforcement rank of the wearer of the device.
32. The method of claim 21 further including a means of color coding the exterior of the device to designate the medical severity of the wearer of the device and/or to designate the military or law enforcement rank of the wearer of the device.
33. The method of claim 21 further including electrical contacts mounted to the exterior of the device which would connected to secondary coils of a transformer mounted within the device. When electrical contacts mounted to the primary coils of a transformed are place in proximity to the contacts of the device electrical power is transtuitted to the device to run the applications of the device and make digital data retrieval possible.
34. The method of claim 22. further including mounting the device to a watch and watch band or mounting jewelry to the device or mounting the device to a necklace to conceal the nature of the device for the wearer.
35. The method of claim 33 further including mechanical alignment slots or tabs on the device which would mate with mechanical alignment slots or tabs on the interface wand to ensure proper mechanical alignment of the optical eye and/or electrical contacts to ensure proper transfer of digital data and/or electrical power to the device.
36. The method of claim 21 further comprising a system for transferring said digital data from the bodily worn device via a non-contact interface wand and displaying said digital data on a portable device in a prioritized and medically significant manner or emergency treatment with a computer screen and/or further transmitting said digital data and records via wireless means to a base unit located in a hospital or clinical or other emergency medical treatment center.
37. The method of claim 21 further including physically separating the electrical power and data files into two electrical circuit grids to avoid electrical interference to the data files.
38 The method of claim 21 further including a means of metering the flow of electrical power and digital data flow via a logic chip which would avoid data corruption, two way data flow at the same time, and contamination of electrical power and data signals.
39. The method of claim 21 further including a means of using the logic chip to sense and detect the serial number of the user of the device embedded in the digital data files of the device. If such serial number embedded in the device logic did not match the serial number included in the digital data, then the data would be rejected by the device and could not be stored in the storage media.
PCT/US2001/016601 2001-07-05 2001-07-05 Bodily worn device for digital storage and retrieval of medical records and personal identification and computer instruments and emergency monitoring devices for retrieving and displaying stored medical records from bodily worn devices and computer system for optical scanning, storage, organization and electronic mailing of WO2003085574A1 (en)

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PCT/US2001/016601 WO2003085574A1 (en) 2001-07-05 2001-07-05 Bodily worn device for digital storage and retrieval of medical records and personal identification and computer instruments and emergency monitoring devices for retrieving and displaying stored medical records from bodily worn devices and computer system for optical scanning, storage, organization and electronic mailing of

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