Advanced patient management for acquiring, trending and displaying health-related parameters

• US 20040122486A1
• Filed: 12/18/2002
• Published: 06/24/2004
• Est. Priority Date: 12/18/2002
• Status: Abandoned Application

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Stahmann, Jeffrey E., Zhu, Qingsheng, Hatlestad, John
• Application Number:
  US10/323,859
• Publication Number:
  US 20040122486A1
• Time in Patent Office: Days
• US Class Current: 607/60
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/74 Details of notification to user or communication with user or patient indicating measured values G01D7/00; user input means input or output arrangements for computers G06F3/00
• CPC Class Codes: A61N 1/37258 Alerting the patient
• CPC Class Codes: A61N 1/37282 characterised by communication with experts in remote locations using a network
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 20/70 relating to mental therapies, e.g. psychological therapy or autogenous training
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

Systems, devices and methods for acquiring, trending and displaying health-related parameters are disclosed. One aspect is a device. In various embodiments, the device includes communication circuitry to acquire of a number of health-related parameters from a number of parameter collections, and processing circuitry to communicate with the communication circuitry, to trend the number of health parameters, and to send a display signal for reception by a display device to display a representation of trending for the number of health parameters in the single display area of the display device. At least one of the number of parameter collections includes a parameter set collected by an implantable medical device (IMD). The number of health parameters includes at least one of an environmental parameter, a diet parameter, and a mental/emotional parameter. Other aspects and embodiments are provided herein.

Claims

1. A device, comprising:

communication circuitry to acquire a number of health-related parameters from a number of parameter collections, wherein;

at least one of the number of parameter collections includes a parameter set collected by an implantable medical device (IMD);

the number of health-related parameters includes at least one of an environmental parameter, a diet parameter, and a mental/emotional parameter; and

processing circuitry to communicate with the communication circuitry, to trend the number of health-related parameters, and to provide display data to represent a single display containing trending for the number of health-related parameters.

2. The device of claim 1, wherein at least one of the number of parameter collections includes a parameter set collected by an external sensing device.

3. The device of claim 1, wherein at least one of the number of parameter collections includes a parameter set stored in an external patient history database.

4. The device of claim 1, wherein at least one of the number of parameter collections includes a parameter set stored in a database suitable to be accessed via a global computer network.

5. The device of claim 1, wherein the number of health-related parameters includes an environmental parameter, a diet parameter, and a mental/emotional parameter.

6. The device of claim 1, wherein the environmental parameter includes an altitude parameter.

7. The device of claim 1, wherein the environmental parameter includes a temperature parameter.

8. The device of claim 1, wherein the environmental parameter includes an air quality parameter.

9. The device of claim 1, wherein the environmental parameter includes a pollen count parameter.

10. The device of claim 1, wherein the environmental parameter includes a humidity parameter.

11. The device of claim 1, wherein the diet parameter includes a sodium intake parameter.

12. The device of claim 1, wherein the diet parameter includes a lipid intake parameter.

13. The device of claim 1, wherein the diet parameter includes a fluid intake parameter.

14. The device of claim 1, wherein the mental/emotional parameter includes a stress parameter.

15. The device of claim 1, wherein the mental/emotional parameter includes an anxiety parameter.

16. The device of claim 1, wherein the mental/emotional parameter includes a depression parameter.

17. The device of claim 1, wherein the mental/emotional parameter includes an anger parameter.

18. The device of claim 1, wherein the mental/emotional parameter includes an excitement parameter.

19. The device of claim 1, wherein the number of health-related parameters further includes at least one of a physical parameter, and a physiological/pathological parameter.

20. The device of claim 19, wherein the physical parameter includes a posture parameter.

21. The device of claim 19, wherein the physical parameter includes an activity parameter.

22. The device of claim 1, wherein the number of health-related parameters further includes a symptom parameter.

23. The device of claim 22, wherein the symptom parameter includes a pain parameter.

24. The device of claim 22, wherein the symptom parameter includes a dyspnea parameter.

25. The device of claim 22, wherein the symptom parameter includes a fatigue parameter.

26. The device of claim 1, wherein the number of health-related parameters further includes a medication compliance parameter.

27. The device of claim 19, wherein the physiological/pathological parameter includes a parameter indicative of medical test results.

28. The device of claim 1, wherein the processing circuitry to provide display data to represent a single display containing trending for a user-selected number of health-related parameters.

29. The device of claim 1, wherein the processing circuitry to receive patient diagnostic data and diagnostic context data, and to titrate device therapy based on the patient diagnostic data and the diagnostic context data.

30. The device of claim 1, wherein:

the processing circuitry includes circuitry to determine a potential health condition from the number of parameters and to identify a number of pertinent parameters for the potential health condition; and

the processing circuitry and the display cooperate to display a representation of trending for the number of pertinent parameters.

31. The device of claim 1, wherein the IMD includes the communication circuitry and the processing circuitry.

32. The device of claim 1, wherein the communication circuitry and the processing circuitry of the device are incorporated in a wellness monitoring device (WMD), the WMD further including a display to receive the display data and display trending of the number of health-related parameters.

33. A device, comprising:

means to acquire a number of health-related parameters, wherein at least one implantable medical device (IMD) collects at least one of the number of health-related parameters, and the number of health-related parameters includes at least one of an environmental parameter, a diet parameter, and a mental/emotional parameter;

means to trend the number of health-related parameters; and

means to send a display signal for reception by a display device to display a representation of trending for the number of health-related parameters in the single display area of the display device.

34. The device of claim 33, wherein the number of health-related parameters includes an environmental parameter, a diet parameter, and a mental/emotional parameter.

35. The device of claim 34, wherein the number of health-related parameters includes a physical parameter.

36. The device of claim 34, wherein the number of health-related parameters includes a physiological/pathological parameter.

37. The device of claim 34, wherein the number of health-related parameters includes a symptom parameter.

38. The device of claim 34, wherein the number of health-related parameters includes a medication compliance parameter.

39. The device of claim 33, further comprising means to titrate device therapy based on patient diagnostic data and diagnostic context data.

40. An advanced patient management system, comprising:

at least one implantable medical device (IMD) including an IMD communication module and a number of sensors to collect at least one internal health-related parameter;

at least one wellness monitoring device (WMD) including a display and a WMD communication module to communicate with the IMD communication module;

at least one of the at least one IMD and the at least one WMD to trend a set of health-related parameters, the set of health-related parameters including the at least one internal health-related parameter sensed by the at least one IMD, the set of health-related parameters including at least one of an environmental parameter, a diet parameter, and a mental/emotional parameter; and

the display to display a representation of trending for a number of the set of health-related parameters.

41. The system of claim 40, wherein the set of health-related parameters including of an environmental parameter, a diet parameter, and a mental/emotional parameter.

42. The system of claim 40, wherein the number of sensors of the at least one IMD including a number of sensors to collect a mental/emotional parameter and a diet parameter.

43. The system of claim 40, wherein the set of health-related parameters further includes a physical parameter.

44. The system of claim 40, wherein the set of health-related parameters further includes a physiological/pathological parameter.

45. The system of claim 40, wherein the set of health-related parameters further includes a symptom parameter.

46. The system of claim 40, wherein the set of health-related parameters further includes a medical compliance parameter.

47. The system of claim 40, wherein the at least one WMD includes a portable device.

48. The system of claim 47, wherein the portable device includes a personal data assistant (PDA).

49. The system of claim 47, wherein the portable device includes a cell phone.

50. The system of claim 47, wherein the portable device includes a laptop computer.

51. The system of claim 47, wherein the portable device includes a bedside monitor.

52. The system of claim 40, further comprising at least one source of external health-related data to communicate with the at least one WMD, the at least one source of external health-related data including at least one external health-related parameter, the set of health-related parameters displayed on the display of the at least one WMD including the at least one external health-related parameter.

53. The system of claim 52, wherein the at least one source of external health-related data includes an external sensing device to sense the at least one external health-related parameter.

54. The system of claim 52, wherein the at least one source of external health-related data includes a patient history database containing the at least one external health-related parameter.

55. The system of claim 52, wherein the at least one source of external health-related data includes a database suitable to be accessed via a global communication network.

56. A method of identifying a health status of a patient, comprising:

recognizing a number of parameters pertinent to a health status of a patient, the number of parameters being associated with at least three parameter types, the at least three parameter types including at least one parameter type provided by at least one external data source and at least one parameter type provided by an implantable medical device (IMD), the at least three parameter types including mental/emotional, environmental, and dietary parameter types;

trending the number of parameters; and

organizing the trended parameters into a single display useful to determine the health status of the patient.

57. The method of claim 56, wherein the at least three parameter types further includes at least one of a physical parameter type, a physiological/pathological parameter type, a symptom parameter type and a medication compliance parameter type.

58. The method of claim 56, wherein recognizing a mental/emotional parameter type includes recognizing a parameter related to stress.

59. The method of claim 56, wherein recognizing a mental/emotional parameter type includes recognizing a parameter related to anxiety.

60. The method of claim 59, wherein recognizing a parameter related to anxiety includes recognizing a parameter related to sighing.

61. The method of claim 56, wherein recognizing a mental/emotional parameter type includes recognizing a parameter related to anger.

62. The method of claim 56, wherein recognizing a mental/emotional parameter type includes recognizing a parameter related to excitement.

63. The method of claim 56, wherein recognizing a mental/emotional parameter type includes recognizing a parameter related to depression.

64. The method of claim 56, wherein recognizing an environmental parameter type includes recognizing a parameter related to altitude.

65. The method of claim 56, wherein recognizing an environmental parameter type includes recognizing a parameter related to temperature.

66. The method of claim 56, wherein recognizing an environmental parameter type includes recognizing a parameter related to air quality.

67. The method of claim 56, wherein recognizing an environmental parameter type includes recognizing a pollen count parameter.

68. The method of claim 56, wherein recognizing an environmental parameter type includes recognizing a humidity parameter.

69. The method of claim 56, wherein recognizing a dietary parameter type includes recognizing a parameter related to sodium intake.

70. The method of claim 56, wherein recognizing a dietary parameter type includes recognizing a parameter related to lipid intake.

71. The method of claim 56, wherein recognizing a dietary parameter type includes recognizing a parameter related to fluid intake.

72. The method of claim 56, wherein recognizing a number of parameters pertinent to a health status of a patient includes recognizing a parameter related to posture.

73. The method of claim 56, wherein recognizing a number of parameters pertinent to a health status of a patient includes recognizing a parameter related to medical test results.

74. The method of claim 56, wherein the parameters associated with the environmental parameter type is provided by the at least one external data source.

75. A method of identifying a health status of a patient, comprising:

recognizing a number of parameters pertinent to a health status of a patient, including at least one environmental parameter;

trending the number of parameters; and

organizing the trended parameters into a single display useful to determine the health status of the patient.

76. The method of claim 75, wherein the at least one environmental parameter includes at least one parameter associated with altitude.

77. The method of claim 75, wherein the at least one environmental parameter includes at least one parameter associated with temperature.

78. The method of claim 75, wherein the at least one environmental parameter includes at least one parameter associated with air quality.

79. The method of claim 75, wherein the at least one environmental parameter includes at least one parameter associated with pollen count.

80. The method of claim 75, wherein the at least one environmental parameter includes at least one parameter associated with humidity.

81. A method of identifying a health status of a patient, comprising:

recognizing a number of parameters pertinent to a health status of a patient, including at least one parameter associated with a mental/emotional parameter;

trending the number of parameters; and

organizing the trended parameters into a single display useful to determine the health status of the patient.

82. The method of claim 81, wherein the at least one mental/emotional parameter includes at least one parameter associated with stress.

83. The method of claim 81, wherein the at least one mental/emotional parameter includes at least one parameter associated with anxiety.

84. The method of claim 81, wherein the at least one mental/emotional parameter includes at least one parameter associated with depression.

85. The method of claim 81, wherein the at least one mental/emotional parameter includes at least one parameter associated with anger.

86. The method of claim 81, wherein the at least one mental/emotional parameter includes at least one parameter associated with excitement.

87. A method of identifying a health status of a patient, comprising:

recognizing a number of parameters pertinent to a health status of a patient, including at least one parameter associated with a diet parameter;

trending the number of parameters; and

organizing the trended parameters into a single display useful to determine the health status of the patient.

88. The method of claim 87, wherein the at least one diet parameter includes at least one parameter associated with sodium intake.

89. The method of claim 87, wherein the at least one diet parameter includes at least one parameter associated with lipid intake.

90. The method of claim 87, wherein the at least one diet parameter includes at least one parameter associated with lipid intake.

91. A method of identifying a health status of a patient, comprising:

recognizing a number of parameters pertinent to a health status of a patient, the number of parameters being associated with at least three parameter types, the at least three parameter types including at least one parameter type provided by at least one external data source and at least one parameter type provided by an implantable medical device (IMD), the at least three parameter types including mental/emotional, environmental, and dietary parameter types;

trending the number of parameters; and

providing data representing a single display area that simultaneously includes the number of trended parameters organized in a useful manner to determine the health status of the patient.

92. The method of claim 91, further comprising simultaneously displaying the number of trended parameters in the single display area.

93. The method of claim 91, wherein the method is performed by at least one of the IMD and a wellness monitoring device (WMD) in an advanced patient management system.