Ovulation Cycle Monitoring and Management
First Claim
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1. A method for measuring fertility in a mammal, comprising:
- obtaining a body fluid sample from a mammalian female subject;
contacting said sample with a solid phase capture element, said capture element comprising a first binding agent and a second binding agent, wherein said first binding agent is capable of binding an estrogen metabolite and said second binding agent is capable of binding a progesterone metabolite;
determining the excretion rate of said estrogen metabolite and said progesterone metabolite; and
determining the ovulation cycle status of said female subject based upon the relative excretion rates of said estrogen metabolite and said progesterone metabolite.
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Abstract
Methods of monitoring the ovulation cycle of an animal by detecting specific analytes in body fluids, computer program products, devices, data processing systems, and kits for monitoring the ovulation cycle and determining the fertility of female mammals.
88 Citations
105 Claims
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1. A method for measuring fertility in a mammal, comprising:
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obtaining a body fluid sample from a mammalian female subject; contacting said sample with a solid phase capture element, said capture element comprising a first binding agent and a second binding agent, wherein said first binding agent is capable of binding an estrogen metabolite and said second binding agent is capable of binding a progesterone metabolite; determining the excretion rate of said estrogen metabolite and said progesterone metabolite; and determining the ovulation cycle status of said female subject based upon the relative excretion rates of said estrogen metabolite and said progesterone metabolite. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 51, 53, 54, 57)
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50. A test strip comprising a first binding element capable of binding a estrogen metabolite and a second binding element capable of binding a progesterone metabolite.
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52. A quantitative test strip for detecting and quantifying estrone glucuronide and pregnanediol glucuronide.
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55. A method for measuring fertility in a mammal, comprising:
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obtaining a body fluid sample from a mammalian female subject; contacting said sample with a first binding agent and a second binding agent, wherein said first binding agent is capable of binding an estrogen metabolite and said second binding agent is capable of binding a progesterone metabolite; determining the excretion rate of said estrogen metabolite and said progesterone metabolite; and determining the ovulation cycle status of said female subject based upon the relative excretion rates of said estrogen metabolite and said progesterone metabolite.
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56. A fertility monitor comprising:
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a sample dispenser; a sensor for detecting the presence of at least two analytes in the sample; a processor for calculating; communication means to central database or internal data storage comprising estrone glucuronide and pregnanediol glucuronide excretion rate data.
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58. A computer program product for the display and analysis of urinary estrone glucuronide and pregnanediol glucuronide excretion rates suitable for use with a computer in communication with an electronic database of menstrual cycle comprising historical estrone glucuronide and pregnanediol glucuronide excretion rate values.
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59. A method for measuring fertility in an mammal, said method comprising the steps of
obtaining a body fluid sample from a female subject; -
contacting said sample with a capture element comprising a binding agent capable of binding a progesterone metabolite; quantifying the excretion rate of said progesterone metabolite; determining the ovulation cycle status of said female subject based upon the excretion rate of the progesterone metabolite.
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60. A method for measuring fertility in an mammal, said method comprising the steps of:
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obtaining a body fluid sample from a female subject; contacting said sample with a capture element capable of binding an estrogen metabolite; quantifying the excretion rate of said estrogen metabolite; comparing the excretion rate of said estrogen metabolite against an estrogen metabolite excretion rate made within the same ovarian cycle; and determining the ovulation cycle status of said female.
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61. A method for measuring fertility in an non-human mammal, said method comprising the steps of
obtaining a body fluid sample from a non-human female subject; -
contacting said sample with a capture element, said capture element comprising a first binding agent and a second binding agent, wherein said first binding agent is capable of binding an estrogen metabolite and said second binding agent is capable of binding a progesterone metabolite; quantifying the excretion rates for said estrogen metabolite and said progesterone metabolite; determining the ovulation cycle status of said female subject based on the relative excretion rates of said estrogen metabolite and said progesterone metabolite.
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62. A method of monitoring the physiologic status of one or more remotely located subjects wherein a central data processing system is configured to communicate with and receive data from one or more subject monitoring systems, wherein each subject monitoring system is capable of one or more of receiving, storing, and analyzing subject data, the method-comprising the steps of:
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obtaining a sample from a subject for analysis; contacting the sample with an analyte detector associated with a subject monitoring system; measuring a photometric or electroactive signal corresponding to an analyte on the detection device and detecting one or more analyte; performing an exchange of data between said subject monitoring system and said central data processing system; generating a computer program product output comprising historical or real time physiologic status assessment data of said subject, wherein said computer program product output is in communication with the central data processing system; analyzing said subject data from one or more subject monitoring systems; determining the status of the subject based on the analysis performed by said computer program; and communicating, transmitting, or displaying the identified subject status and a therapeutic management recommendation for one or more subjects. - View Dependent Claims (66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98)
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63. A method of monitoring physiologic status of one or more remotely located subjects in need of therapeutic management wherein a central data processing system is configured to communicate with and receive data from a one or more subject monitoring systems, wherein each subject monitoring system is capable of one or more of receiving, storing, and analyzing subject data, the method-comprising the steps of:
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obtaining a sample from a subject for analysis; contacting the sample with an analyte detector associated with a subject monitoring system; measuring a photometric or electroactive signal corresponding to an analyte on the detection device and detecting one or more analyte; performing a volumetric correction for fluid volume bias using a computer executable algorithm; quantifying the excretion rate of one or more analyte; transmitting information from a subject monitoring system to a central data processing system; generating a computer program product output comprising historical and/or real time physiologic status assessment data of said subject, wherein said computer program product output is in communication with the central data processing system; analyzing said subject data from one or more subject monitoring systems; optimizing accuracy of fertility status assessment and or fertility status prediction of individual fertility endpoints by statistical comparison by individual historical data and or subject population historical data; determining the status of the subject based on the analysis performed by said computer program; and communicating, transmitting, and/or displaying the identified subject status and a therapeutic management recommendation for one or more subjects via at least one remotely located client in communication with said central data processing system and/or subject monitor system.
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64. A method of monitoring fertility status of a plurality of remotely located female subjects in need of fertility management wherein a central data processing system is configured to communicate with and receive data from a plurality of respective subject monitoring systems, wherein each subject monitoring system is capable of receiving, storing, and analyzing subject data, the method-comprising the steps of:
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identifying a detection device associated with a subject; verifying the identity of a detection device; verifying the identity of a subject monitoring system associated with a subject; obtaining a body fluid sample from said subject for analysis; capturing said sample on detection device suitable for detection on the subject monitoring system; assessing the detection device and measuring the signals from the analyte on the detection device to provide inputs to computer program product A (Algorithm A); and
/or computer program product B (Algorithm B);analyzing the obtained subject data transmitted from a subject monitoring system substantially simultaneously with the transmission thereof to the subject computer CPU and/or central data processing system to determine the subject'"'"'s fertility status based on the analysis performed by said computer program product (Algorithm A); generating a computer program product output A (database A) and/or computer program product output B (database B) comprising the fertility status assessment data from said computer program product A and/or computer program product B; updating the computer program product output A (database A) and/or computer program product output B (database B) with additional fertility status assessment data inputs generated from detection and analysis of additional fertility status assessment data from the subject; obtaining subject data from a plurality of subject monitoring systems at the central data processing system, wherein the subject data comprises fertility status assessment data; analyzing said subject data transmitted from a plurality of subject monitoring systems at the central data processing system substantially simultaneously with the transmission thereof to the computer of a physician or designated health care professional; determining the subject'"'"'s fertility status based on the analysis performed by said computer program product B (Algorithm B) and to identify fertility issues of individual Subjects including potential abnormalities when compared against fertility status assessment data from broader subject populations; communicating, transmitting, and/or displaying the identified subject fertility status and fertility management recommendation for each respective subject via at least one remotely located client in communication with said central data processing system and/or respective subject monitor system; and transmitting information pertaining to the fertility status and fertility issues of individual Subjects including potential abnormalities when compared against fertility status assessment data from broader subject populations.
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65. A method of monitoring physiologic status of one or more remotely located subjects in need of therapeutic management, wherein a central data processing system is configured to communicate with and receive data from one or more subject monitoring systems, wherein each subject monitoring system is capable of receiving, storing, and analyzing subject data, the method-comprising the steps of:
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obtaining a sample from said subject for analysis; capturing said sample on detection device suitable for detection on the subject monitoring system; assessing the detection device and measuring the signals from the analyte on the detection device; analyzing the obtained subject data transmitted from a subject monitoring system substantially simultaneously with the transmission thereof to the central data processing system to determine the subject'"'"'s clinical or physiologic status; generating a computer program product output (database) comprising historical and real time physiologic status assessment data of said subject or subjects in communication with the central data processing system; analyzing said subject data transmitted from one or a plurality of subject monitoring systems at the central data processing system substantially simultaneously with the transmission thereof to the computer of a physician or designated health care professional; determining the subject'"'"'s clinical or physiologic status based on the analysis performed by said computer program and to identify clinical or physiologic issues of individual subjects including potential abnormalities when compared against clinical or physiologic status assessment data from broader subject populations; and communicating, transmitting, and/or displaying the identified subject physiologic status and therapeutic management recommendation, including potential abnormalities when compared against clinical or physiologic status assessment data from broader subject populations, via at least one remotely located client in communication with said central data processing system and/or respective subject monitor system.
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99. A method for diagnosing and treating a post partum condition in a female, comprising:
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obtaining a body fluid sample from a mammalian female subject; contacting said sample with a solid phase capture element, said capture element comprising a binding agent capable of binding estrogen or an estrogen metabolite; quantifying said estrogen or estrogen metabolite; and diagnosing a post partum condition in said female subject based upon the amount of said estrogen or estrogen metabolite; and treating said post partum condition based upon the upon the amount of said estrogen or estrogen metabolite detected. - View Dependent Claims (100)
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101. A method for treating menopause and/or symptoms associated with menopause in a female, comprising:
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obtaining a body fluid sample from a mammalian female subject; contacting said sample with a solid phase capture element, said capture element comprising a binding agent capable of binding an estrogen or an estrogen metabolite; quantifying said estrogen or estrogen metabolite; and detecting a post partum condition in said female subject based upon the amount of said estrogen or estrogen metabolite detected; and treating menopause and/or symptoms associated with menopause based upon the amount of said estrogen or estrogen metabolite detected. - View Dependent Claims (102)
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103. A method of detecting cancer in a mammal, comprising:
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obtaining a body fluid sample from a mammalian subject; contacting said sample with a solid phase capture element, said capture element comprising a binding agent capable of binding an hormone or hormone metabolite; determining the amount or excretion rate of said metabolite; and correlating the amount or excretion rate of said hormone or hormone metabolite with the probability of said mammalian subject having cancer; and recommending a treatment protocol for said patient based upon the upon the amount or excretion rate of said hormone or hormone metabolite. - View Dependent Claims (104)
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105. A method detecting a reproductive disorder in a mammalian female, comprising:
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obtaining a body fluid sample from a mammalian subject; contacting said sample with a solid phase capture element, said capture element comprising a binding agent capable of binding a hormone or hormone metabolite; determining the amount or excretion rate of said hormone or hormone metabolife; and correlating the amount or excretion rate of said hormone or hormone metabolife with the probability of said mammalian subject having one or more disorder selected from anovulation associated with infertility, unexplained infertility, perimenopausal menorrhagia, postmenopausal bleeding, premature menopause, amenorrhea, a hormone imbalance, decreased libido, chronic fatigue, nervousness, osteoporosis, premenstral syndrome, ovulation bleeding, dysfunctional uterine bleeding, hormone replacement therapy, surgical menopause syndrome, hypomenorrhea, hyperstimulated ovaries, polycystic ovarian disease, habitual aborter, missed abortion, and threatened abortion; and recommending a treatment protocol for said patient based upon the upon the amount or excretion rate of said hormone or hormone metabolife.
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Specification