Advanced patient management with composite parameter indices

• US 20040122487A1
• 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:
  US10/323,860
• Publication Number:
  US 20040122487A1
• Time in Patent Office: Days
• US Class Current: 607/60
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• 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 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/091 Measuring volume of inspired or expired gases, e.g. to determine lung capacity
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

Systems, devices and methods for defining, identifying and utilizing composite parameter indices from health-related parameters are disclosed. One aspect is a programmable device having machine executable instructions for performing a method to assist with managing a patient'"'"'s health. In various embodiments, a first set of at least two health-related parameters is acquired. A first composite parameter is generated using the first set of at least two health-related parameters. Other aspects and embodiments are provided herein.

Claims

1. A device, comprising:

at least one data input to acquire a first set of at least two health-related parameters and a second set of at least one health-related parameter; and

at least one composite generating module to generate a first composite parameter using the first set of at least two health-related parameters, and to generate a second composite parameter using the first composite parameter and the second set of at least one health-related parameter.

2. The device of claim 1, wherein the at least one data input includes at least one data input to receive data from an implantable medical device.

3. The device of claim 1, wherein the at least one data input includes at least one data input to receive user-inputted data.

4. The device of claim 1, wherein the at least one data input is configured to further acquire at least two health-related parameters related to a body system.

5. The device of claim 1, wherein the device includes a wellness monitoring device within an advanced patient management system.

6. The device of claim 1, wherein at least one of the health-related parameters includes at least one context-related parameter.

7. The device of claim 1, wherein at least one of the health-related parameters includes at least one of an environmental parameter, a diet parameter, and a mental/emotional parameter.

8. The device of claim 1, further comprising a module to trend at least one of:

one or more parameters in the first set of at least two health-related parameters;

one or more parameters in the second set of at least one health-related parameter;

the first composite parameter; and

the second composite parameter.

9. The device of claim 1, further comprising an output module to provide a display signal representative of a display area containing at least one of the first composite parameter and the second composite parameter.

10. The device of claim 1, further comprising a display to represent at least one of the first composite parameter and the second composite parameter.

11. A device, comprising:

at least one data input to acquire a first set of at least two health-related parameters, wherein the first set includes at least one of an environmental parameter, a diet parameter, and a mental/emotional parameter; and

at least one composite generating module to generate a first composite parameter using the first set of at least two health-related parameters.

12. The device of claim 11, wherein the at least one data input is configured to further acquire a second set of at least one health-related parameter, the at least one composite generating module to generate a second composite parameter using the first composite parameter and the second set.

13. The device of claim 11, wherein the device includes a wellness monitoring device within an advanced patient management system.

14. The device of claim 11, wherein at least one of the health-related parameters includes a context-related parameter.

15. The device of claim 11, further comprising a trending module to trend at least one of:

one or more parameters in the first set of at least two health-related parameters; and

the first composite parameter.

16. The device of claim 11, wherein further comprising a display to represent the first composite parameter.

17. A device, comprising:

means to acquire a first set of at least two health-related parameters related to a body system;

means to generate a first composite parameter using the first set of at least two health-related parameters; and

means to acquire a second set of at least one health-related parameter to provide a context for the first composite parameter.

18. The device of claim 17, wherein the means to acquire a first set of at least two health-related parameters includes at least one data input to receive data from an implantable medical device.

19. The device of claim 17, further comprising means to acquire a second set of at least two health related parameters, and means to generate a second composite parameter using the second set of at least two health-related parameters and the first composite parameter.

20. The device of claim 17, further comprising means to trend at least one of:

one or more of the first set of at least two health-related parameters related to a body system;

the first composite parameter; and

the second set of the at least one health-related parameter to provide a context for the first composite parameter.

21. The device of claim 17, further comprising means to display the first set of at least two health-related parameters related to a body system, the first composite parameter, and the second set of the at least one health-related parameter to provide a context for the first composite parameter.

22. A programmable device having machine executable instructions for performing a method to assist with managing a patient'"'"'s health, the method comprising:

acquiring a first set of at least two health-related parameters and at least one context-related parameter for the at least two health-related parameters; and

generating a first composite parameter using the first set of at least two health-related parameters based on the at least one context-related parameter.

23. The device of claim 22, wherein acquiring a first set of at least two health-related parameters includes acquiring at least one parameter from an implantable medical device (IMD).

24. The device of claim 23, wherein acquiring a first set of at least two health-related parameters includes acquiring at least one IMD-measured parameter.

25. The device of claim 23, wherein acquiring a first set of at least two health-related parameters includes acquiring at least one IMD-interrogated parameter.

26. The device of claim 22, wherein acquiring a first set of at least two health-related parameters includes acquiring at least one user inputted parameter.

27. The device of claim 22, wherein the first set of at least two health-related parameters includes a second composite parameter generated using a second set of at least two health-related parameters.

28. The device of claim 22, wherein:

the first set of at least two health-related parameters include at least two health-related parameters related to a body system; and

the first composite parameter is indicative of a health status of the body system.

29. The device of claim 28, wherein:

the at least two health-related parameters related to a body system includes respiratory rate, tidal volume, maximum oxygen consumption (VO2), and periodic viewing; and

the first composite parameter is indicative of a health status of the respiratory system.

30. The device of claim 28, wherein:

the at least two health-related parameters related to a body system includes average heart rate parameter and an activity parameter; and

the first composite parameter is indicative of a health status of physical conditioning.

31. The device of claim 22, further comprising displaying the first composite parameter with at least one of one or more trended health-related parameters, one or more predetermined health-related events, and one or more health-related alerts.

32. The device of claim 22, wherein the first composite parameter is used to define a health-related event.

33. The device of claim 22, wherein the first composite parameter is used to define a clinician alert.

34. The device of claim 22, wherein the first composite parameter is used to modify device therapy.

35. The device of claim 22, wherein the method performed by the machine executable instruction further includes trending at least one of:

one or more of the first set of at least two health-related parameters; and

the at least one context-related parameter; and

the first composite parameter.

36. The device of claim 22, wherein the method performed by the machine executable instruction further includes displaying the first composite parameter.

37. A programmable device having machine executable instructions for performing a method to assist with managing a patient'"'"'s health, the method comprising:

acquiring a cardiac output parameter, a mean arterial pressure parameter, and a mean right atrial pressure parameter; and

generating a composite parameter indicative of systemic vascular resistance using the cardiac output parameter, the mean arterial pressure parameter, and the mean right atrial pressure parameter.

38. The device of claim 37, wherein the device includes a wellness monitoring device within an advanced patient management system.

39. A programmable device having machine executable instructions for performing a method to assist with managing a patient'"'"'s health, the method comprising:

acquiring a cardiac output parameter, a mean pulmonary artery pressure parameter, and at least one of a mean pulmonary capillary wedge pressure parameter and a left atrial pressure parameter; and

generating a composite parameter indicative of pulmonary vascular resistance using the cardiac output parameter, the mean pulmonary artery pressure parameter, and at least one of the mean pulmonary capillary wedge pressure parameter and the left atrial pressure parameter.

40. The device of claim 39, wherein the device includes a wellness monitoring device within an advanced patient management system.

41. A programmable device having machine executable instructions for performing a method to assist with managing a patient'"'"'s health, the method comprising:

acquiring a heart rate parameter and a parameter related to instantaneous lung volume; and

generating a composite parameter indicative of respiratory sinus arrhythmia using the heart rate parameter and the parameter related to instantaneous lung volume.

42. The device of claim 41, wherein the device includes a wellness monitoring device within an advanced patient management system.

43. A programmable device having machine executable instructions for performing a method to assist with managing a patient'"'"'s health, the method comprising:

acquiring a respiration rate parameter and a tidal volume parameter; and

generating a composite parameter indicative of a degree of dyspnea using the respiration rate parameter and the tidal volume parameter.

44. The device of claim 43, wherein the device includes a wellness monitoring device within an advanced patient management system.