CONTROL OF A DEFIBRILLATOR AND/OR PACEMAKER

• US 20130282071A1
• Filed: 03/15/2013
• Published: 10/24/2013
• Est. Priority Date: 08/29/2006
• Status: Active Grant

• Current Assignee: Jeffrey A. Matos
• Original Assignee: Jeffrey A. Matos
• Inventors: MATOS, JEFFREY A.
• Granted Patent: US 8,706,225 B2
• Time in Patent Office: Days
• US Class Current: 607/4
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37282 characterised by communication with experts in remote locations using a network
• CPC Class Codes: A61N 1/3904 External heart defibrillators [EHD]
• CPC Class Codes: A61N 1/39044 in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: A61N 1/3962 in combination with another heart therapy
• CPC Class Codes: A61N 1/3993 User interfaces for automatic external defibrillators
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

An electronic medical person access to a medical professional (MP) who can monitor, diagnose and treat the person from a remote site. The apparatus includes a plurality of medical treatment devices coupled to an electronic adapter designed to communicate with (A) each treatment device and (B) a local, first transmitting/receiving device which, in turn, is adapted to electronically communicate with a remote, second transmitting/receiving device used by the MP. Signals representing physiologic information of the person via the adapter to the MP and, in response, the MP may transmit a control signal to one or more treatment devices. The treatment devices may communicate via the adapter.

Claims

1. An electronic adapter device configured to allow at least one of a plurality of medical treatment devices, for treatment of a person, to communicate with at least one other medical treatment device of the plurality, said adapter device including:

(a) at least one communications port configured to communicate with each of said plurality of medical treatment devices for inputting and outputting medical information signals;

(b) a data processing device, comprising at least one processor and connected to said communications port, responsive to the receipt of a first information signal via said communications port from one of said plurality of treatment devices, for producing a second information signal for transmission via said communications port to another one of said plurality of treatment devices;

wherein said data processing device changes a data format of said first information signal outputted by said one medical treatment device to a data format of said second information signal compatible with said other one of said medical treatment devices; and

wherein information is transmitted from one of said medical treatment devices via said adapter to said other one of said medical treatment devices; and

whereby said adapter allows said medical treatment devices to communicate with each other.

2. The apparatus defined in claim 1, wherein said data format is a signal format.

3. The apparatus defined in claim 1, wherein said data format is an information format.

4. The apparatus defined in claim 1, wherein said treatment device is operative to provide medical therapy.

5. The apparatus defined in claim 1, wherein said treatment device is operative to sense a value of a physiologic parameter of a body of said person.

6. The apparatus defined in claim 1, wherein said first and said second information signals represent information for controlling a delivery of therapy by said treatment device.

7. The apparatus defined in claim 1, wherein said first and said second information signals represent at least one value of a physiologic parameter sensed by said treatment device.

8. The apparatus defined in claim 1, wherein said first and said second information signals represent information indicating the performance of said treatment device.

9. The apparatus defined in claim 1, further comprising a computer memory device, coupled to at least one of said processors, wherein said at least one processor is further operative to retrieve information stored in said memory.

10. The apparatus defined in claim 9, wherein said memory device is configured for storage of at least one of (i) a communication format, and (ii) a communications protocol.

11. The apparatus defined in claim 9, wherein said memory device is configured for storage of at least one of (i) allowed treatment device serial numbers, and (ii) allowed treatment device model numbers, wherein said adapter is configured to communicate with treatment devices represented by at least one of said model numbers and said serial numbers.

12. The apparatus defined in claim 1, wherein said at least one communications port comprises at least one communications device for each treatment device.

13. The apparatus defined in claim 1, wherein said adapter is adapted for communication with a first communications device (“

C/D”

);

wherein said data processing device is responsive to the receipt of a third information signal via said communications port from one of said plurality of treatment devices, for producing a fourth information signal for transmission via said communications port to said first C/D;

wherein said data processing device changes a data format of said third information signal outputted by said one medical treatment device to a data format compatible with said first C/D;

wherein information is transmitted from one of said medical treatment devices via said adapter to said first C/D; and

whereby said adapter allows said medical treatment devices to communicate with each other and with said first C/D.

14. The apparatus defined in claim 1, wherein said adapter is adapted for communication with a second communications device (“

C/D”

);

wherein said data processing device is responsive to the receipt of a fifth information signal via said communications port from a second C/D, for producing an sixth information signal for transmission via said communications port to one of said plurality of treatment devices;

wherein said data processing device changes a data format of said fifth information signal outputted by said second C/D to a data format compatible with one of said plurality of treatment devices;

wherein information is transmitted from said second C/D via said adapter to one of said treatment devices; and

whereby said adapter allows said medical treatment devices to communicate with each other and with said second C/D.

15. The system defined in claim 14, further comprising said second C/D;

wherein said second C/D further comprises;

a transmitting device for communication with said at least one communications port of said adapter;

a second C/D processor, coupled to said second transmitting device; and

a C/D input device, coupled to said second C/D processor, for inputting treatment instructions by a treating person;

wherein said second C/D processor is operative to cause said transmitting device to produce said fifth information signal representing said treatment instructions, for transmission to said at least one communications port;

whereby said treatment person utilizes said second C/D to communicate with at least one of said plurality of medical treatment devices.

16. The system defined in claim 13, further comprising said first C/D;

wherein said first C/D further comprises;

a receiving device for communication with said at least one communications port of said adapter;

a first C/D processor, coupled to said receiving device; and

a C/D display device, coupled to said first C/D processor, for displaying treatment device information for a treating person;

wherein said first C/D processor is operative to cause said display device to display a representation of the information specified by said fourth information signal;

whereby said treatment person utilizes said C/D to communicate with at least one of said plurality of medical treatment devices.

17. The system defined in claim 13, further comprising said first C/D;

wherein said first C/D further comprises;

a first transmitting and receiving “

T/R”

device for communication with said at least one communications port of said adapter;

a third C/D processor, coupled to said first T/R device, for receipt and analysis of information represented by said fourth information signal and for generation of control information for control of one of said treatment devices,

Wherein said control information causes said first T/R device to generate a seventh information signal for transmission to said adapter;

wherein said data processing device is responsive to the receipt of said seventh information signal via said communications port from said first C/D, for producing an eighth information signal for transmission via said communications port to one of said plurality of treatment devices;

wherein said data processing device changes a data format of said seventh information signal outputted by said first C/D to a data format compatible with one of said plurality of treatment devices; and

wherein information is transmitted from said first C/D via said adapter to one of said treatment devices; and

whereby said adapter allows said medical treatment devices to communicate with each other and with said first C/D, and

whereby said third processor controls one of said treatment devices via said adapter.

18. The system defined in claim 13, further comprising a third C/D,

wherein said third C/D comprises a second T/R device for:

(a) receiving the information represented by said fourth information signal, and

(b) transmitting said information to a remote communications device, located remotely from said third C/D

wherein the information represented by said fourth information signal is transmitted sequentially from said adapter to said third C/D, and thereafter to said remote C/D;

whereby said remote C/D communicates with at least one of said plurality of treatment devices, for receipt of information from said treatment device.

19. The system defined in claim 18, wherein said second T/R device is operative to:

(a) receive control information from said remotely located communications device, for control of at least one of said treatment devices, and

(b) transmit a ninth information signal to said adapter representing said control information;

wherein said control information is transmitted sequentially from said remote C/D to said third C/D, to said adapter, and thereafter to said at least one treatment device;

whereby said remote C/D communicates with at least one of said plurality of treatment devices for transmission of control information from the remote C/D.

20. The system defined in claim 1, wherein at least one of said medical treatment devices is selected from the group consisting of:

(i) a defibrillator,

(ii) a pacemaker,

(iii) a left ventricular assist device,

(iv) a right ventricular assist device,

(v) a mechanical heart,

(vi) a brain stimulating device,

(vii) a nerve stimulating device,

(viii) a spinal cord stimulating device,

(ix) a muscle stimulating device,

(x) a stomach stimulating device,

(xi) an intestine stimulating device,

(xii) a bladder stimulating device,

(xiii) a carotid body stimulating device,

(xiv) an insulin pump,

(xv) a drug delivery device,

(xvi) a Ph sensor,

(xvii) a Pco.sub.2 sensor,

(xviii) an oxygen sensor,

(xix) an oxygen saturation sensor,

(xx) a glucose sensor,

(xxi) a fructose sensor,

(xxii) a ketone sensor,

(xxiii) a lactate sensor,

(xxiv) a cardiac output sensor,

(xxv) a sensor of tissue electrical activity,

(xxvi) a pressure sensor,

(xxvii) an arterial pressure sensor,

(xxviii) a venous pressure sensor,

(xxix) a left atrial pressure sensor,

(xxx) a right atrial pressure sensor,

(xxxi) a thoracic impedance sensor,

(xxxii) a QT.sub.C sensor,

(xxxiii) a temperature sensor,

(xxxiv) a skin resistance sensor,

(xxxv) a thoracic impedance sensor,

(xxxvi) a body weight sensor

(xxxvii) a sound sensor,

(xxxviii) a camera,

(xxxix) an accelerometer, and

(xl) a global positioning device.

21. Medical treatment apparatus configured to allow a plurality of medical treatment devices, for treatment of a person, to communicate with a treatment agent, said apparatus comprising, in combination:

(A) an electronic adapter device configured to allow a plurality of medical treatment devices, for treatment of a person, to communicate with a first transmitting/receiving (T/R) device which, in turn, is adapted to communicate with a treatment agent, for controlling the treatment of the person, said adapter device including;

(1) at least one communications port configured to communicate with each of said plurality of medical treatment devices and with said first T/R device for inputting and outputting medical information signals;

(2) a data processing device, comprising at least one processor and connected to said communications port,

(a) responsive to the receipt of a first information signal via said communications port from a first one of said plurality of treatment devices, for producing a second information signal for transmission via said communications port to said first T/R device;

wherein said data processing device changes a data format of said first information signal outputted by one of said plurality of treatment devices to a data format of said second information signal compatible with said first T/R device; and

(b) responsive to the receipt of a third information signal via said communications port from said first T/R device, for producing a fourth information signal for transmission via said communications port to a second one of said medical treatment devices;

wherein said data processing device changes a data format of said third information signal outputted by said first T/R device to a data format of said fourth information signal compatible with said second one of said medical treatment devices; and

(B) a first T/R device comprising a first transmitting and receiving means configured to;

(1) receive said second information signal from said adapter communications port for transmission to said treatment agent; and

(2) transmit said third information signal received from said treatment agent to said adapter communications port;

wherein said adapter is adapted to cause information outputted by one of said medical treatment devices and carried by said first information signal to be carried by said second information signal compatible with said first T/R device;

wherein said adapter is adapted to cause information outputted by said first T/R device and carried by said third information signal to be carried by said fourth information signal compatible with said second treatment device,

wherein information represented by said first information signal is transmitted from one of said medical treatment devices via said adapter to said first T/R device for evaluation by said treatment agent;

wherein information from said treatment agent represented by said third information signal is transmitted via said adapter from said first T/R device to said second one of said medical treatment devices;

whereby said adapter allows (i) each of said medical treatment devices and (ii) said treatment agent to communicate.

22. The apparatus defined in claim 21, wherein said data format is a signal format.

23. The apparatus defined in claim 21, wherein said data format is an information format.

24. The apparatus defined in claim 21, wherein at least one treatment device is operative to provide medical therapy.

25. The apparatus defined in claim 21, wherein said treatment device is operative to sense a value of a physiologic parameter of a body of said person.

26. The apparatus defined in claim 21, wherein said first T/R device further comprises

(a) a display device, for displaying a representation of said second information signal;

(b) an input device, for inputting a treatment command for providing control information for one of said treatment devices;

(c) a first processor, coupled to each of said first T/R device, said display device and said input device, for

(i) causing said display device to display a representation of said second information signal;

(ii) producing said third information signal, in response to said inputted treatment command;

whereby said treatment agent utilizes said first T/R device to communicate with said plurality of medical treatment devices.

27. The apparatus defined in claim 21, wherein

(a) said first transmitting and receiving means is further configured to communicate with a second T/R device, situated remotely from said first T/R device, and

(b) said first T/R device is coupled to a second processor adapted to cause said first transmitting and receiving means to communicate with said second T/R device;

whereby said treatment agent utilizes said second T/R device to communicate with said plurality of medical treatment devices.

28. The apparatus defined in claim 27, further comprising said second T/R device.

29. The apparatus define in claim 21, wherein said first T/R device further comprises a supplementary processor, coupled to said transmitting and receiving means, for receipt and analysis of information represented by said second information signal and for generation of information represented by said third information signal for control of said second treatment device.

30. The apparatus defined in claim 21, wherein at least one of said medical treatment devices is selected from the group consisting of:

(i) a defibrillator,

(ii) a pacemaker,

(iii) a left ventricular assist device,

(iv) a right ventricular assist device,

(v) a mechanical heart,

(vi) a brain stimulating device,

(vii) a nerve stimulating device,

(viii) a spinal cord stimulating device,

(ix) a muscle stimulating device,

(x) a stomach stimulating device,

(xi) an intestine stimulating device,

(xii) a bladder stimulating device,

(xiii) a carotid body stimulating device,

(xiv) an insulin pump,

(xv) a drug delivery device,

(xvi) a Ph sensor,

(xvii) a Pco.sub.2 sensor,

(xviii) an oxygen sensor,

(xix) an oxygen saturation sensor,

(xx) a glucose sensor,

(xxi) a fructose sensor,

(xxii) a ketone sensor,

(xxiii) a lactate sensor,

(xxiv) a cardiac output sensor,

(xxv) a sensor of tissue electrical activity,

(xxvi) a pressure sensor,

(xxvii) an arterial pressure sensor,

(xxviii) a venous pressure sensor,

(xxix) a left atrial pressure sensor,

(xxx) a right atrial pressure sensor,

(xxxi) a thoracic impedance sensor,

(xxxii) a QT.sub.C sensor,

(xxxiii) a temperature sensor,

(xxxiv) a skin resistance sensor,

(xxxv) a thoracic impedance sensor,

(xxxvi) a body weight sensor

(xxxvii) a sound sensor,

(xxxviii) a camera,

(xxxix) an accelerometer, and

(xl) a global positioning device.

31. Medical treatment apparatus configured to allow at least one medical treatment device, for treatment of a person, to securely communicate with a treatment agent, said apparatus comprising an electronic adapter device configured to allow at least one medical treatment device, for treatment of a person, to securely communicate with a first transmitting/receiving (T/R) device which, in turn, is adapted to communicate with a treatment agent, for controlling the treatment of the person, said adapter device including:

(A) at least one communications port, configured to communicate with said at least one medical treatment device and with said first T/R device, for receiving and outputting medical information signals and for receiving incoming identification information;

(B) a data processing device including;

(a) a data memory for storing allowed identification information representing identification information of at least one treatment agent who is allowed to communicate with said medical treatment device; and

(b) a processor, connected to said communications port and to said memory, for comparing said incoming identification information with said allowed identification information to determine if said at least one treatment agent is authorized to communicate with one or more of said medical treatment devices, said processor being;

(1) responsive to the receipt of a first information signal via said communications port from said first T/R device, for producing a second information signal for transmission via said communications port to at least one of said treatment devices only if said incoming identification information matches said allowed identification information; and

(2) responsive to the receipt of at least one third information signal via said communications port from said at least one medical treatment device, for producing at least one fourth information signal for transmission via said communications port to said first T/R device;

wherein said communications port changes a data format of said first information signal received from said first T/R device to a data format of said second information signal compatible with at least one of said treatment devices; and

wherein said communications port changes a data format of said third information signal received from said at least one medical treatment device to a data format of said fourth information signal compatible with said first T/R device;

wherein said adapter device is operative;

(i) to cause information received from said first T/R device and carried by said first information signal to be carried by said second information signal and forwarded to said at least one medical treatment device, only if said incoming identification information matches said stored identification information;

(ii) to cause information outputted by said at least one medical treatment device and carried by said third information signal to be carried by said fourth information signal and forwarded to said first T/R device;

(iii) to forward information from said treatment agent and represented by said first information signal and received from said first T/R device to said at least one medical treatment device only if said incoming identification information matches said stored identification information;

(iv) to forward information from said at least one medical treatment device and represented by said third information signal to said first T/R device for transmission to and evaluation by said treatment agent;

whereby said adaptor device allows said treatment agent to send information to said at least one medical treatment device only if said treatment agent identification information matches identification information stored in said adapter.

32. The apparatus defined in claim 31, wherein said identification information is alphanumeric.

33. The apparatus defined in claim 31, wherein said treatment agent is a human treatment agent, and wherein said identification information represents information specifying a unique biologic feature of said treatment agent.

34. The apparatus defined in claim 31, further comprising said first T/R device.

35. The apparatus defined in claim 31, wherein said data format is a signal format.

36. The apparatus defined in claim 31, wherein said data format is an information format.

37. The apparatus defined in claim 31, wherein at least one treatment device is operative to provide medical therapy.

38. The apparatus defined in claim 31, wherein said treatment device is operative to sense a value of a physiologic parameter of a body of said person.

39. The apparatus defined in claim 31, wherein at least one of said medical treatment devices is selected from the group consisting of:

(i) a defibrillator,

(ii) a pacemaker,

(iii) a left ventricular assist device,

(iv) a right ventricular assist device,

(v) a mechanical heart,

(vi) a brain stimulating device,

(vii) a nerve stimulating device,

(viii) a spinal cord stimulating device,

(ix) a muscle stimulating device,

(x) a stomach stimulating device,

(xi) an intestine stimulating device,

(xii) a bladder stimulating device,

(xiii) a carotid body stimulating device,

(xiv) an insulin pump,

(xv) a drug delivery device,

(xvi) a Ph sensor,

(xvii) a Pco.sub.2 sensor,

(xviii) an oxygen sensor,

(xix) an oxygen saturation sensor,

(xx) a glucose sensor,

(xxi) a fructose sensor,

(xxii) a ketone sensor,

(xxiii) a lactate sensor,

(xxiv) a cardiac output sensor,

(xxv) a sensor of tissue electrical activity,

(xxvi) a pressure sensor,

(xxvii) an arterial pressure sensor,

(xxviii) a venous pressure sensor,

(xxix) a left atrial pressure sensor,

(xxx) a right atrial pressure sensor,

(xxxi) a thoracic impedance sensor,

(xxxii) a QT.sub.C sensor,

(xxxiii) a temperature sensor,

(xxxiv) a skin resistance sensor,

(xxxv) a thoracic impedance sensor,

(xxxvi) a body weight sensor

(xxxvii) a sound sensor,

(xxxviii) a camera,

(xxxix) an accelerometer, and

(xl) a global positioning device.