Patient initiated emergency response system

• US 20040034284A1
• Filed: 04/10/2003
• Published: 02/19/2004
• Est. Priority Date: 04/10/2002
• Status: Abandoned Application

• Current Assignee: Johns Hopkins University
• Original Assignee: Johns Hopkins University
• Inventors: Elkiss, Dale R., Maughan, William L., Aversano, Thomas R., Weiskopf, Francis B., Palmer, James G.
• Application Number:
  US10/410,682
• Publication Number:
  US 20040034284A1
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0006 ECG or EEG signals

Abstract

A method and system for encouraging cardiac patients to seek prompt medical attention upon the onset of symptoms of an AMI or other serious heart problems that can be identified by ECG'"'"'s or other similar measurements is disclosed. A patient is prescribed a personal monitoring module that includes the necessary equipment to monitor one or more parameters (e.g., heart rate, ECG, etc), and which has the ability to automatically transmit or “push” the data relating to these parameters to a central server. The personal monitoring module utilizes a novel harness to automatically situate the ECG leads in proper positions, and can be operated in different modes so that it can be used for training purposes and for routine data gathering, as well as be used in emergent situations to, when appropriate, automatically alert appropriate medical personnel and initiate the process of obtaining medical assistance for the patient. Healthcare professionals can access the central server to view the data and telecommunications links can be established so that the entire emergency team can be apprised of the information pertaining to the patient almost immediately, where appropriate.

Claims

1. A patient monitoring system enabling monitoring of patient parameters of a patient from one or more locations remote to said patient, comprising:

patient monitoring equipment;

a server coupled for communication with said patient monitoring equipment;

one or more devices coupled for communication with said server and located in one or more of said locations remote to said patient;

whereby said patient monitoring equipment is configured to operate in a plurality of modes to enable different modes of communication between said patient monitoring equipment and said one or more devices.

2. The patient monitoring system of claim 1, wherein said patient monitoring equipment comprises:

a processing device configured to obtain, store, and transmit to said server, medical data pertaining to said patient.

3. The patient monitoring system of claim 2, wherein said processing device comprises:

a harness containing electrocardiogram (ECG) electrodes and electronics that provide ECG lead measurements;

a personal digital assistant (PDA) coupled to said harness and configured to collect ECG data from said patient;

memory operatively coupled to said PDA for storing collected ECG data;

a communication element operatively coupled to said PDA enabling transmission of collected ECG data to said server.

4. The patient monitoring system of claim 2, wherein said processing device comprises:

a harness containing electrocardiogram (ECG) electrodes and electronics that provide ECG lead measurements; and

and integrated PDA/cellular telephone coupled to said harness and configured to collect ECG data from said patient, store collected ECG data, and transmit collected ECG data to said server.

5. The patient monitoring system of claim 2, wherein said one or more devices coupled for communication with said server comprise at least one of personal computers, PDAs with network connectivity, pagers, cellular telephones, and integrated PDA/cellular telephones.

6. The patient monitoring system of claim 5, wherein said one or more devices coupled for communication with said server are used by health care professionals to access data pertaining to patient parameters monitored by said patient monitoring equipment.

7. The patient monitoring system of claim 1, wherein said plurality of modes of operation include:

a first mode whereby patient parameters are collected using said patient monitoring equipment and are not forwarded to said server.

8. The patient monitoring system of claim 7, wherein said plurality of modes of operation further include:

a second mode whereby patient parameters are collected using said patient monitoring equipment and are automatically forwarded to said server.

9. The patient monitoring system of claim 8, wherein said second mode further includes the automatic storing of said collected patient parameters on said patient monitoring equipment.

10. The patient monitoring system of claim 9, wherein said plurality of modes of operation further include:

a third mode whereby patient parameters are collected using said patient monitoring equipment and are automatically forwarded to said server, and whereby one or medical professionals are automatically alerted of said automatic forwarding of said patient parameters when analysis of said patient parameters indicate a predetermined condition.

11. The patient monitoring system of claim 9, wherein said plurality of modes of operation further include:

a third mode whereby patient parameters are collected using said patient monitoring equipment and are automatically forwarded to said server, and whereby one or medical professionals are automatically alerted of said automatic forwarding of said patient parameters based upon an action taken by the user of said patient monitoring equipment.

12. The patient monitoring system of claim 11, wherein said action taken by the user comprises sending an alert to said server indicating that the patient is experiencing symptoms requiring emergency care.

13. The patient monitoring system of claim 3, wherein said harness comprises:

a support element worn by the patient;

a plurality of electrodes situated in said support element and coupleable to said processing device;

wherein said plurality of electrodes are situated properly for monitoring of said patient parameters when said harness is worn by the patient.

14. The patient monitoring system of claim 13, wherein said electrodes are non-adhesive, reusable, gel-free electrodes.

15. The patient monitoring system of claim 14, wherein said harness provides 12-lead ECG capability.

16. A method for enabling monitoring of patient parameters of a patient from one or more locations remote to said patient, comprising the steps of:

collecting patient parameters from said patient with patient monitoring equipment;

providing a server coupled for communication with said patient monitoring equipment;

providing one or more devices coupled for communication with said server and located in one or more of said locations remote to said patient;

configuring said patient monitoring equipment to operate in a plurality of modes to enable different modes of communication between said patient monitoring equipment and said one or more devices; and

communicating said collected patient parameters from said patient monitoring equipment to said server in at least one of said plurality of modes.

17. The method of claim 16, wherein said step of collecting patient parameters comprises the steps of:

obtaining, storing, and transmitting to said server, medical data pertaining to said patient.

18. The method of claim 17, wherein said step of collecting patient parameters further comprises the steps of:

connecting to said patient a harness containing electrocardiogram (ECG) electrodes and electronics that provide ECG lead measurements;

operating a personal digital assistant (PDA) coupled to said harness and configured to collect ECG data from said patient;

storing said collected ECG data in a memory operatively coupled to said PDA; and

transmitting said stored ECG data to said server via a communication element operatively coupled to said PDA enabling transmission of collected ECG data to said server.

19. The method of claim 16, wherein said plurality of modes of operation include:

a first mode whereby patient parameters are collected using said patient monitoring equipment and are not forwarded to said server.

20. The method of claim 19, wherein said plurality of modes of operation further include:

a second mode whereby patient parameters are collected using said patient monitoring equipment and are automatically forwarded to said server.

21. The method of claim 20, wherein said second mode further includes the automatic storing of said collected patient parameters on said patient monitoring equipment.

22. The method of claim 21, wherein said plurality of modes of operation further include:

a third mode whereby patient parameters are collected using said patient monitoring equipment and are automatically forwarded to said server, and whereby one or medical professionals are automatically alerted of said automatic forwarding of said patient parameters when analysis of said patient parameters indicate a predetermined condition.