Mobile monitoring and patient management system

• US 10,127,357 B2
• Filed: 05/18/2016
• Issued: 11/13/2018
• Est. Priority Date: 05/18/2015
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Whiting, Jason T., Kaib, Thomas E., Freeman, Gary A.
• Primary Examiner(s): Bolourchi, Nader
• Application Number:
  US15/157,995
• Publication Number:
  US 20160342761A1
• Time in Patent Office: 909 Days
• Field of Search: 34087007
• CPC Class Codes: A61B 5/0015 characterised by features of the telemetry system
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/6805 Vests
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: A61M 2205/3375 Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3584 using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2209/088 on the body
• CPC Class Codes: A61M 2230/04 Heartbeat characteristics, e.g. ECG, blood pressure modulation
• CPC Class Codes: A61M 2230/06 : Heartbeat rate only
• CPC Class Codes: A61M 2230/201 : Glucose concentration
• CPC Class Codes: A61M 2230/205 : partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/30 : Blood pressure A61M2230/04 takes precedence
• CPC Class Codes: A61M 2230/42 : Rate
• CPC Class Codes: A61M 2230/50 : Temperature
• CPC Class Codes: A61M 2230/63 : Motion, e.g. physical activity
• CPC Class Codes: A61M 2230/65 : Impedance, e.g. conductivity, capacity
• CPC Class Codes: A61N 1/37247 : User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/3904 : External heart defibrillators [EHD]
• CPC Class Codes: A61N 1/39044 : in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: A61N 1/3925 : Monitoring; Protecting
• CPC Class Codes: A61N 1/3993 : User interfaces for automatic external defibrillators
• CPC Class Codes: G06Q 50/22 : Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G16H 10/60 : for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 10/65 : stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/30 : relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/20 : for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A patient management system is provided herein. The system can include: communications circuitry configured to receive first physiological information relating to a first at least one patient from at least one therapeutic medical device and second physiological information relating to a second at least one patient from at least one monitoring medical device. The system further includes a computing device, which can include a user interface. The user interface can be configured to display the first and second physiological information according to a user selection.

Claims

1. A patient management system, comprising:

communications circuitry configured to

receive first physiological information relating to a first at least one patient from at least one therapeutic medical device comprising treatment information for at least one treatable event identified for the first at least one patient by the at least one therapeutic medical device, and

receive second physiological information relating to a second at least one patient from at least one monitoring medical device comprising patient-related event information for at least one patient-related event identified for the second at least one patient by the at least one monitoring medical device; and

a computing device comprising a user interface communicatively coupled to the communications circuitry, the user interface configured to, according to a user selection,

display the first physiological information relating to the first at least one patient from the at least one therapeutic medical device comprising the treatment information for the at least one treatable event, and

display the second physiological information relating to the second at least one patient from the at least one monitoring medical device comprising the patient-related event information for the at least one patient-related event.

2. The patient management system of claim 1, wherein the at least one therapeutic medical device comprises at least one of:

a portable defibrillator, a wearable defibrillator, a cardiac pacing device, a portable ventilator, a cardiopulmonary resuscitation system, and combinations thereof.

3. The patient management system of claim 1, wherein the at least one monitoring medical device comprises at least one of:

a mobile cardiac monitoring device, a patient weight monitor, a blood glucose monitor, a pulse oximeter, a blood pressure monitor, and a patient movement detector.

4. The patient management system of claim 1, wherein the first physiological information further comprises, for the at least one treatable event identified for the first at least one patient, a record of whether a patient response was received from the first at least one patient by the therapeutic medical device, and wherein displaying the first physiological information comprises displaying at least one indication that the patient response was received.

5. The patient management system of claim 1, wherein the patient-related event comprises a cardiac event of the second at least one patient identified by the at least one medical monitoring device.

6. The patient management system of claim 1, wherein the computing device is configured to run at least a first instance of an application for viewing patient reports based on at least one of the first physiological information and the second physiological information.

7. The patient management system of claim 6, wherein the first instance is configured to display information based on the first physiological information and a second instance of the application is configured to display information based on the second physiological information.

8. The patient management system of claim 1, wherein the computing device is configured to launch a first instance of an application when the user selection comprises a selection to display the first physiological information, and wherein the computing device is configured to launch a second instance of the application when the user selection comprises a selection to display the second physiological information.

9. The patient management system of claim 1, wherein the user selection comprises user action involving at least one of:

selecting to display the first and the second physiological information;

selecting to display the first physiological information and not the second physiological information; and

selecting to display the second physiological information and not the first physiological information.

10. The patient management system of claim 1, wherein the at least one monitoring medical device is configured to permit the second at least one patient to enter one or more patient symptoms.

11. The patient management system of claim 10, wherein the one or more patient symptoms comprise at least one of:

a skipped beat, shortness of breath, light headedness, racing heart rate, fatigue, fainting, chest discomfort, weakness, dizziness, and/or giddiness.

12. The patient management system of claim 1, wherein the at least one monitoring medical device is configured to permit the second at least one patient to enter a patient activity level.

13. The patient management system of claim 12, wherein the patient activity level comprises at least one of:

resting, light activity, moderate activity, and rigorous activity.

14. The patient management system of claim 1, wherein the at least one patient-related event comprises one or more of:

atrial fibrillation, bradycardia, tachycardia, atrio-ventricular block, Lown-Ganong-Levine syndrome, atrial flutter, sino-atrial node dysfunction, cerebral ischemia, syncope, atrial pause, and/or heart palpitations.

15. The patient management system of claim 1, wherein the user interface is configured to allow a user to view the first physiological information and the second physiological information based at least in part on one or more of the user'"'"'s role, the user'"'"'s location, a profile of one or more of a plurality of patients, and an underlying characteristic of at least one of the first physiological information and the second physiological information.

16. The patient management system of claim 15, wherein the user interface is configured to allow the user to customize a manner in which at least a portion of at least one of the first physiological information and the second physiological information is presented.

17. The patient management system of claim 15, wherein the user interface is configured to allow the user to specify one or more alerts relating to the at least one of patient symptom information and the at least one patient-related event identified by the medical monitoring device.

18. The patient management system of claim 17, wherein the user can specify that the one or more alerts should be sent to another recipient other than the user.

19. The patient management system of claim 15, wherein the user interface is configured to allow the user to delegate access to at least a portion of at least one of the first physiological information and the second physiological information to another user.

20. The patient management system of claim 1, wherein the at least one therapeutic medical device is configured to operate in both a therapeutic mode and a monitoring mode.

21. The patient management system of claim 20, wherein the at least one therapeutic medical device comprises a plurality of monitoring elements configured to operate in both the therapeutic mode and the monitoring mode, and a plurality of therapeutic elements configured to operate only in the therapeutic mode.

22. The patient management system of claim 1, wherein the at least one monitoring medical device is configured to operate in both a therapeutic mode and a monitoring mode.

23. The patient management system of claim 22, wherein the at least one monitoring medical device comprises a plurality of monitoring elements configured to operate in both the therapeutic mode and the monitoring mode, and a plurality of therapeutic elements configured to operate only in the therapeutic mode.

31. The system of claim 1, wherein displaying the first physiological information comprises displaying at least one indication confirming identification of the at least one treatable event, and wherein displaying the second physiological information comprises displaying at least one indication confirming identification of the at least one patient-related event.

32. The patient management system of claim 4, wherein the first physiological information further comprises information about whether treatment was delivered to the first at least one patient by the at least one therapeutic medical device, and wherein displaying the first physiological information further comprises displaying at least one indication that a patient response was not received and that treatment was provided to the at least one patient for the treatable event.

33. The patient management system of claim 10, wherein the at least one patient-related event comprises the one or more patient symptoms.

24. A mobile patient monitoring system, comprising:

a plurality of therapeutic medical devices each comprising communication circuitry and being configured to be connected to one of a first subset of patients to obtain physiological information for the one of the first subset of patients, wherein the physiological information for the one of the first subset of patients comprises information for at least one treatable event identified by the therapeutic medical devices for the one of the first subset of patients;

a plurality of monitoring medical devices each comprising communication circuitry and being configured to be connected to one of a second subset of patients to obtain physiological information for the one of the second subset of patients, wherein the physiological information for the one of the second subset of patients comprises information for at least one patient-related event identified by the monitoring medical device for the one of the second subset of patients;

a communications network configured to transmit the physiological information for the first subset of patients comprising the information for at least one treatable event identified by the plurality of therapeutic medical devices and the physiological information for the second subset of patients comprising the patient-related event information identified by the plurality of monitoring medical devices; and

a computing device comprising a user interface communicatively coupled to the communications network configured to receive the physiological information for the first subset of patients from the plurality of therapeutic medical devices and the second subset of patients from the plurality of monitoring medical devices over the communications network and to provide the information to a user,

wherein the user interface is configured to selectively display the physiological information for at least one of the first subset of patients from the plurality of therapeutic medical devices and the second subset of patients from the plurality of monitoring medical devices based on a selection from the user.

25. The system of claim 24, wherein the physiological information for at least one of the first subset of patients and the second subset of patients further comprises an electrocardiogram for the patient.

26. The system of claim 24, wherein the physiological information received for the one of the first subset of patients further comprises information about whether a patient response was received by the therapeutic medical device in response to the treatable event, and wherein displaying the physiological information for the one of the first subset of patients comprises displaying at least one indication that the patient response was received.

27. The system of claim 24, wherein the user interface is configured to provide an alert to the user, the alert being based on analysis of the physiological information for at least one of the first subset of patients and the second subset of patients.

28. The system of claim 24, wherein displaying the physiological information for at least one of the first subset of patients and the second subset of patients, comprises:

receiving the selection from the user, wherein the selection comprises at least one information field,

populating the at least one information field with values based, at least in part, on the physiological information for at least one of the first subset of patients and the second subset of patients, and

displaying the populated information field to the user with the user interface.

29. The system of claim 28, wherein the at least one information field comprises at least one of:

patient total wear time, percentage of time in atrial fibrillation, percentage of time with bradycardia, percentage of time with tachycardia, average heart rate, most common symptom reported by the patient, number of identified events, and a number of treatments by a therapeutic medical device.

30. The system of claim 28, wherein an order for displaying physiological information obtained from at least one of the plurality of therapeutic medical devices and the plurality of monitoring medical devices is determined based on values of the populated information fields for each patient.

34. The system of claim 24, wherein displaying the physiological information for the one of the first subset of patients comprises displaying at least one indication confirming identification of the at least one treatable event, and wherein displaying the physiological information for the one of the second subset of patients comprises displaying at least one indication confirming identification of the at least one patient-related event.

35. The system of claim 24, wherein the physiological information received for the one of the first subset of patients further comprises information about whether treatment was delivered to the one of the first subset of patients by the plurality of therapeutic medical devices, and wherein displaying the physiological information for the first subset of patients further comprises displaying at least one indication that a patient response was not received and that treatment was provided to the one of the first subset of patients by the therapeutic medical device.