System for improving vascular systems in humans using biofeedback and network data communication

• US 20060229506A1
• Filed: 06/06/2006
• Published: 10/12/2006
• Est. Priority Date: 06/05/2002
• Status: Active Grant

• Current Assignee: Alexander Francis Castellanos 2002 Trust
• Original Assignee: Alexander Francis Castellanos 2002 Trust
• Inventors: Castellanos, Alexander F.
• Granted Patent: US 7,364,544 B2
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0013 Medical image data A61B1/00011, A61B6/56, A61B8/56 take precedence
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• 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

Systems and software for treating vascular disease in humans and generating data representing treatment plans are disclosed. A first set of clinical vascular health data from a healthcare provider and representing a vascular health condition of a patient is received at a data center server that is communicatively coupled to a public data network. One or more vascular disease analysis algorithms are applied to the first set of vascular health data, to result in creating and storing an initial treatment plan for the patient. A second set of vascular health data is received from a monitoring device that is associated with the patient and that is communicatively coupled to the data network; the second set of data include Doppler monitor data obtained from the peripheral vascular system of the patient. One or more vascular analysis algorithms are applied to result in creating one or more supplementary treatment plans for the patient. At least one of the treatment plans includes a biofeedback interaction. The treatment plans are provided to the patient over the data network. The foregoing steps are iteratively repeated one or more times as determined by the physician and patient, resulting in improved vascular health.

Claims

1. A computer-readable storage medium carrying instructions of a vascular data server application wherein execution of the instructions by one or more processors causes the one or more processors to perform the computer-implemented steps of:

(a) receiving, at a server that is communicatively coupled to a public data network, a first set of clinical vascular health data from a healthcare provider and representing a vascular health condition of a patient;

(b) applying one or more vascular disease analysis algorithms to the first set of vascular health data, to result in creating and storing an initial treatment plan for the patient;

(c) receiving a second set of vascular health data from a monitoring device that is associated with the patient and that is communicatively coupled to the data network, wherein the second set of vascular health data includes data from a Doppler vascular monitor;

(d) applying one or more vascular analysis algorithms to result in creating one or more supplementary treatment plans for the patient, wherein at least one of the treatment plans includes a biofeedback interaction component;

(e) providing the treatment plans to the patient over the data network;

(f) receiving patient data created after and resulting from the patient performing a biofeedback interaction and modifying the treatment plan based upon the resulting patient data, wherein the biofeedback interaction comprises the patient performing an action identified in the treatment plan while simultaneously (g) self-monitoring using the monitoring device and (h) observing output from the monitoring device, and the monitoring device generating the patient data during the performing of the action; and

iteratively repeating steps (c), (d), (e) and (f) one or more times.

2. A computer-readable medium as recited in claim 1, wherein the initial treatment plan includes a biofeedback interaction component.

3. A computer-readable medium as recited in claim 1, wherein the initial treatment plan or the subsequent treatment plans comprise performing a biofeedback interaction using a client system of the patient.

4. A computer-readable medium as recited in claim 1, further comprising instructions which when executed cause performing the steps of:

receiving one or more third sets of vascular health data from the monitoring device before, during or after an exercise regimen performed by the patient;

applying one or more vascular analysis algorithms to the third sets of vascular health data to result in generating a further supplemental treatment plan for the patient.

5. A computer-readable medium as recited in claim 4, further comprising instructions which when executed cause performing the steps of generating and graphically displaying, on the patient client system, one or more waveforms representing real-time patient physiological data received from the monitoring device before, during or after the exercise regimen performed by the patient.

6. A computer-readable medium as recited in claim 1, further comprising instructions which when executed cause performing the steps of:

receiving patient nutritional data representing one or more nutritional habits then currently followed by the patient; and

applying one or more dietary analysis algorithms based on the nutritional data and the vascular health data, to result in generating a nutritional plan for the patient.

7. A computer-readable medium as recited in claim 1, further comprising instructions which when executed cause performing the steps of:

receiving, from a video camera associated with the patient that is communicatively coupled to the data network, one or more sets of video data representing images of the patient performing one or more of the treatment plans;

providing the one or more sets of video data to the healthcare provider over the public data network; and

receiving, from the healthcare provider, one or more modifications to the treatment plans based on analysis of the video data by the healthcare provider.

8. A computer-readable medium as recited in claim 1, further comprising instructions which when executed cause performing the steps of:

receiving, from a digital still frame camera associated with the patient that is communicatively coupled to the data network, one or more digital images of the patient performing one or more of the treatment plans;

providing the one or more digital images to the healthcare provider over the public data network; and

receiving, from the healthcare provider, one or more modifications to the treatment plans based on analysis of the digital images by the healthcare provider.

9. A computer-readable medium as recited in claim 1, further comprising instructions which when executed cause performing the steps of:

determining, based on the vascular health data or the second set of vascular health data, one or more risk values associated with the patient and one or more advisory recommendations based on the risk values; and

communicating the risk values and advisory recommendations to the healthcare provider and the patient over the public data network.

10. A computer-readable medium as recited in claim 9, further comprising instructions which when executed cause performing the steps of:

determining whether the risk value is greater than a specified threshold associated with high risk;

when the risk value is greater than the specified threshold, then generating and communicating, to the healthcare provider and the patient over the public data network, a recommendation for the patient to consult with a healthcare provider in lieu of performing the treatment plans.

11. A computer-readable medium as recited in claim 1, further comprising instructions which when executed cause performing the steps of:

receiving one or more third sets of vascular health data from the monitoring device before, during or after an administration of cardiovascular medication to the patient;

applying one or more vascular analysis algorithms to the third sets of vascular health data to result in generating a further supplemental treatment plan for the patient.

12. A vascular data server apparatus, comprising:

one or more processors;

a network interface that communicatively couples the one or more processors to a data network;

a computer-readable storage medium application wherein execution of the instructions by the one or more processors causes the one or more processors to perform the computer-implemented steps of;

(a) receiving, at a server that is communicatively coupled to a public data network, a first set of clinical vascular health data from a healthcare provider and representing a vascular health condition of a patient;

(b) applying one or more vascular disease analysis algorithms to the first set of vascular health data, to result in creating and storing an initial treatment plan for the patient;

(c) receiving a second set of vascular health data from a monitoring device that is associated with the patient and that is communicatively coupled to the data network, wherein the second set of vascular health data includes data from a Doppler vascular monitor;

(d) applying one or more vascular analysis algorithms to result in creating one or more supplementary treatment plans for the patient, wherein at least one of the treatment plans includes a biofeedback interaction component;

(e) providing the treatment plans to the patient over the data network;

(f) receiving patient data created after and resulting from the patient performing a biofeedback interaction and modifying the treatment plan based upon the resulting patient data, wherein the biofeedback interaction comprises the patient performing an action identified in the treatment plan while simultaneously (g) self-monitoring using the monitoring device and (h) observing output from the monitoring device, and the monitoring device generating the patient data during the performing of the action; and

iteratively repeating steps (c), (d), (e) and (f) one or more times.

13. An apparatus as recited in claim 12, wherein the initial treatment plan includes a biofeedback interaction component.

14. An apparatus as recited in claim 12, wherein the initial treatment plan or the subsequent treatment plans comprise performing a biofeedback interaction using a client system of the patient.

15. An apparatus as recited in claim 12, further comprising instructions which when executed cause performing the steps of:

receiving one or more third sets of vascular health data from the monitoring device before, during or after an exercise regimen performed by the patient;

applying one or more vascular analysis algorithms to the third sets of vascular health data to result in generating a further supplemental treatment plan for the patient.

16. An apparatus as recited in claim 15, further comprising instructions which when executed cause performing the steps of generating and graphically displaying, on the patient client system, one or more waveforms representing real-time patient physiological data received from the monitoring device before, during or after the exercise regimen performed by the patient.

17. An apparatus as recited in claim 12, further comprising instructions which when executed cause performing the steps of:

receiving patient nutritional data representing one or more nutritional habits then currently followed by the patient; and

applying one or more dietary analysis algorithms based on the nutritional data and the vascular health data, to result in generating a nutritional plan for the patient.

18. An apparatus as recited in claim 12, further comprising instructions which when executed cause performing the steps of:

receiving, from a video camera associated with the patient that is communicatively coupled to the data network, one or more sets of video data representing images of the patient performing one or more of the treatment plans;

providing the one or more sets of video data to the healthcare provider over the public data network; and

receiving, from the healthcare provider, one or more modifications to the treatment plans based on analysis of the video data by the healthcare provider.

19. An apparatus as recited in claim 12, further comprising instructions which when executed cause performing the steps of:

receiving, from a digital still frame camera associated with the patient that is communicatively coupled to the data network, one or more digital images of the patient performing one or more of the treatment plans;

providing the one or more digital images to the healthcare provider over the public data network; and

receiving, from the healthcare provider, one or more modifications to the treatment plans based on analysis of the digital images by the healthcare provider.

20. An apparatus as recited in claim 12, further comprising the steps of:

determining, based on the vascular health data or the second set of vascular health data, one or more risk values associated with the patient and one or more advisory recommendations based on the risk values; and

communicating the risk values and advisory recommendations to the healthcare provider and the patient over the public data network.

21. An apparatus as recited in claim 12, further comprising instructions which when executed cause performing the steps of:

determining whether the risk value is greater than a specified threshold associated with high risk;

when the risk value is greater than the specified threshold, then generating and communicating, to the healthcare provider and the patient over the public data network, a recommendation for the patient to consult with a healthcare provider in lieu of performing the treatment plans.

22. An apparatus as recited in claim 12, further comprising instructions which when executed cause performing the steps of:

receiving one or more third sets of vascular health data from the monitoring device before, during or after an administration of cardiovascular medication to the patient;

applying one or more vascular analysis algorithms to the third sets of vascular health data to result in generating a further supplemental treatment plan for the patient.

23. A computer-readable medium carrying instructions of a vascular data client application wherein execution of the instructions by one or more processors causes the one or more processors to perform the computer-implemented steps of:

(a) sending, to a data center server that is communicatively coupled to a public data network, a first set of clinical vascular health data representing a vascular health condition of a patient;

(b) sending a second set of vascular health data from a monitoring device that is associated with the patient and that is communicatively coupled to the data network, wherein the second set of vascular health data includes data from a Doppler vascular monitor;

(c) receiving an initial treatment plan and one or more supplementary treatment plans over the data network, wherein the initial treatment plan and the one or more supplemental treatment plans are based on applying one or more vascular disease analysis algorithms to the first set of vascular health data and the second set of vascular health data, wherein at least one of the treatment plans includes a biofeedback interaction component;

(d) generating and sending to the data center server, patient data created after and resulting from the patient performing a biofeedback interaction and modifying the treatment plan based upon the resulting patient data, wherein the biofeedback interaction comprises the patient performing an action identified in the treatment plan while simultaneously (e) self-monitoring using the monitoring device and (f) observing output from the monitoring device, and the monitoring device generating the patient data during the performing of the action; and

iteratively repeating steps (b), (c), and (d) one or more times.

24. A computer-readable medium as recited in claim 23, wherein the initial treatment plan includes a biofeedback interaction component.

25. A computer-readable medium as recited in claim 23, wherein the monitoring device includes a Doppler vascular monitor that monitors vascular functions of the patient by attachment to locations proximate to a peripheral vascular system of the patient.

26. A computer-readable medium as recited in claim 23, wherein step (d) further comprises displaying a multimedia vascular disease educational program to the patient.

27. A computer-readable medium as recited in claim 23, wherein step (d) further comprises the steps of generating and displaying, on a patient client system, a graphical representation of a vascular system anatomical element that is animated based on real-time data that is received from the patient using the monitoring device.

28. A computer-readable medium as recited in claim 23, wherein step (d) further comprises the steps of generating and displaying, on a patient client system, a graphical representation of vascular wall movement that is animated based on real-time data that is received from the patient using the monitoring device.

29. A computer-readable medium as recited in claim 23, wherein step (d) further comprises the steps of generating and graphically displaying, on a patient client system, one or more waveforms representing real-time patient physiological data received from the monitoring device.

30. A computer-readable medium as recited in claim 23, wherein the monitoring device includes a Doppler vascular monitor that monitors vascular functions of the patient by attachment to locations proximate to a peripheral vascular system of the patient, and wherein step (d) comprises the steps of generating and performing sound corresponding to data received from the Doppler vascular monitor.

31. A computer-readable medium as recited in claim 23, wherein the monitoring device includes a pulse monitor and wherein step (d) further comprises the steps of generating and graphically displaying one or more pulse waveforms corresponding to real-time pulse data received from the monitoring device.

32. A computer-readable medium as recited in claim 23, wherein the monitoring device includes a blood pressure monitor and wherein step (d) further comprises the steps of generating and graphically displaying one or more blood pressure waveforms corresponding to real-time blood pressure data received from the monitoring device.

33. A computer-readable medium as recited in claim 23, wherein step (d) comprises the steps of receiving a weight value or body mass index value as part of the second set of vascular health data.

34. A computer-readable medium as recited in claim 23, further comprising instructions which when executed cause performing the steps of:

sending one or more third sets of vascular health data from the monitoring device before, during or after an exercise regimen performed by the patient;

receiving a further supplemental treatment plan that is based on applying one or more vascular analysis algorithms to the third sets of vascular health data.

35. A computer-readable medium as recited in claim 34, further comprising instructions which when executed cause performing the steps of generating and graphically displaying, on a patient client system, one or more waveforms representing real-time patient physiological data generated by the monitoring device before, during or after the exercise regimen performed by the patient.

36. A computer-readable medium as recited in claim 23, further comprising instructions which when executed cause performing the steps of:

sending patient nutritional data representing one or more nutritional habits then currently followed by the patient; and

receiving a nutritional plan for the patient based on applying one or more dietary analysis algorithms based on the nutritional data and the vascular health data.

37. A computer-readable medium as recited in claim 23, further comprising instructions which when executed cause performing the steps of:

sending, from a video camera associated with the patient that is communicatively coupled to the data network, one or more sets of video data representing images of the patient performing one or more of the treatment plans;

receiving one or more modifications to the treatment plans based on analysis of the video data by a healthcare provider.

38. A computer-readable medium as recited in claim 23, further comprising instructions which when executed cause performing the steps of:

sending, from a digital still frame camera associated with the patient that is communicatively coupled to the data network, one or more digital images of the patient performing one or more of the treatment plans;

receiving one or more modifications to the treatment plans based on analysis of the digital images by a healthcare provider.

39. A computer-readable medium as recited in claim 23, further comprising instructions which when executed cause performing receiving over the data network, based on the first set of vascular health data or the second set of vascular health data, one or more risk values associated with the patient and one or more advisory recommendations based on the risk values.

40. A vascular data patient computer system, comprising:

one or more processors;

a network interface that communicatively couples the one or more processors to a data network;

a patient self-monitoring device that is communicatively coupled to the one or more processors and comprises a display and a Doppler vascular monitor;

a computer-readable storage medium application wherein execution of the instructions by the one or more processors causes the one or more processors to perform the computer-implemented steps of;

(a) sending, to a data center server that is communicatively coupled to a public data network, a first set of clinical vascular health data representing a vascular health condition of a patient;

(b) sending a second set of vascular health data from the monitoring device that is associated with the patient and that is communicatively coupled to the data network, wherein the second set of vascular health data includes data from the Doppler vascular monitor;

(c) receiving an initial treatment plan and one or more supplementary treatment plans over the data network, wherein the initial treatment plan and the one or more supplemental treatment plans are based on applying one or more vascular disease analysis algorithms to the first set of vascular health data and the second set of vascular health data, wherein at least one of the treatment plans includes a biofeedback interaction component;

(d) generating and sending to the data center server, patient data created after and resulting from the patient performing a biofeedback interaction and modifying the treatment plan based upon the resulting patient data, wherein the biofeedback interaction comprises the patient performing an action identified in the treatment plan while simultaneously (e) self-monitoring using the monitoring device and (f) observing output from the monitoring device, and the monitoring device generating the patient data during the performing of the action; and

iteratively repeating steps (b), (c), and (d) one or more times.

41. An apparatus as recited in claim 40, wherein the initial treatment plan includes a biofeedback interaction component.

42. An apparatus as recited in claim 40, wherein the Doppler vascular monitor is configured to monitor vascular functions of the patient by attachment to locations proximate to a peripheral vascular system of the patient.

43. An apparatus as recited in claim 40, further comprising instructions wherein step (d) further comprises displaying a multimedia vascular disease educational program to the patient.

44. An apparatus as recited in claim 40, further comprising instructions wherein step (d) further comprises the steps of generating and displaying, on a patient client system, a graphical representation of a vascular system anatomical element that is animated based on real-time data that is received from the patient using the monitoring device.

45. An apparatus as recited in claim 40, further comprising instructions wherein step (d) further comprises the steps of generating and displaying, on a patient client system, a graphical representation of vascular wall movement that is animated based on real-time data that is received from the patient using the monitoring device.

46. An apparatus as recited in claim 40, further comprising instructions wherein step (d) further comprises the steps of generating and graphically displaying, on a patient client system, one or more waveforms representing real-time patient physiological data received from the monitoring device.

47. An apparatus as recited in claim 40, wherein the monitoring device includes a Doppler vascular monitor that monitors vascular functions of the patient by attachment to locations proximate to a peripheral vascular system of the patient, and further comprising instructions wherein step (d) comprises the steps of generating and performing sound corresponding to data received from the Doppler vascular monitor.

48. An apparatus as recited in claim 40, wherein the monitoring device includes a pulse monitor and wherein step (d) further comprises the steps of generating and graphically displaying one or more pulse waveforms corresponding to real-time pulse data received from the monitoring device.

49. An apparatus as recited in claim 40, wherein the monitoring device includes a blood pressure monitor and wherein step (d) further comprises the steps of generating and graphically displaying one or more blood pressure waveforms corresponding to real-time blood pressure data received from the monitoring device.

50. An apparatus as recited in claim 40, further comprising instructions wherein step (d) comprises the steps of receiving a weight value or body mass index value as part of the second set of vascular health data.

51. An apparatus as recited in claim 40, further comprising instructions which when executed cause performing the steps of:

sending one or more third sets of vascular health data from the monitoring device before, during or after an exercise regimen performed by the patient;

receiving a further supplemental treatment plan that is based on applying one or more vascular analysis algorithms to the third sets of vascular health data.

52. An apparatus as recited in claim 51, further comprising instructions which when executed cause performing the steps of generating and graphically displaying, on a patient client system, one or more waveforms representing real-time patient physiological data generated by the monitoring device before, during or after the exercise regimen performed by the patient.

53. An apparatus as recited in claim 40, further comprising instructions which when executed cause performing the steps of:

sending patient nutritional data representing one or more nutritional habits then currently followed by the patient; and

receiving a nutritional plan for the patient based on applying one or more dietary analysis algorithms based on the nutritional data and the vascular health data.

54. An apparatus as recited in claim 40, further comprising instructions which when executed cause performing the steps of:

sending, from a video camera associated with the patient that is communicatively coupled to the data network, one or more sets of video data representing images of the patient performing one or more of the treatment plans;

receiving one or more modifications to the treatment plans based on analysis of the video data by a healthcare provider.

55. An apparatus as recited in claim 40, further comprising instructions which when executed cause performing the steps of:

sending, from a digital still frame camera associated with the patient that is communicatively coupled to the data network, one or more digital images of the patient performing one or more of the treatment plans;

receiving one or more modifications to the treatment plans based on analysis of the digital images by a healthcare provider.

56. An apparatus as recited in claim 40, further comprising instructions which when executed cause performing receiving over the data network, based on the first set of vascular health data or the second set of vascular health data, one or more risk values associated with the patient and one or more advisory recommendations based on the risk values.