DEVICE AND METHODS FOR MOBILE MONITORING AND ASSESSMENT OF CLINICAL FUNCTION THROUGH SENSORS AND INTERACTIVE PATIENT RESPONSES

• US 20130345524A1
• Filed: 06/19/2013
• Published: 12/26/2013
• Est. Priority Date: 06/22/2012
• Status: Active Grant

• Current Assignee: Integrated Deficit Examinations, LLC
• Original Assignee: Integrated Deficit Examinations, LLC
• Inventors: Zivin, Justin, Meyer, Brett C.
• Granted Patent: US 9,171,131 B2
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 2560/0443 Modular apparatus
• CPC Class Codes: A61B 2560/0475 Special features of memory means, e.g. removable memory cards
• CPC Class Codes: A61B 2562/0204 Acoustic sensors
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/16 Devices for psychotechnics using teaching or educational appliances G09B1/00 - G09B7/00; Testing reaction times ; Devices for evaluating the psychological state
• CPC Class Codes: A61B 5/224 Measuring muscular strength
• CPC Class Codes: A61B 5/225 of the fingers, e.g. by monitoring hand-grip force
• CPC Class Codes: A61B 5/4005 for evaluating the sensory system A61B5/12, A61B5/4058 take precedence
• CPC Class Codes: A61B 5/4076 Diagnosing or monitoring particular conditions of the nervous system A61B5/4821, A61B5/4824 take precedence
• CPC Class Codes: A61B 5/4082 Diagnosing or monitoring movement diseases, e.g. Parkinson, Huntington or Tourette
• CPC Class Codes: A61B 5/4088 Diagnosing of monitoring cognitive diseases, e.g. Alzheimer, prion diseases or dementia
• CPC Class Codes: A61B 5/6898 Portable consumer electronic devices, e.g. music players, telephones, tablet computers
• CPC Class Codes: A61B 5/7271 Specific aspects of physiological measurement analysis A61B5/316, A61B5/349 and A61B5/374 take precedence
• 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: A61B 5/7405 using sound
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/7455 characterised by tactile indication, e.g. vibration or electrical stimulation
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• 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

Methods and systems are disclosed for sensing and assessing a patients responses to tests using a device that may include tactile input, voice input, still image analysis, and responses to visual and auditory stimuli. In one example, a method includes obtaining interactive clinical assessment data using a remote client device and a computer-based control device, the method including providing on a display of a remote client device one or more test prompts for conducting an interactive clinical assessment, each displayed test prompt instructing a user to perform an action using the remote client device in response to the test prompt, and providing on the display of the remote client device one or more potential responses of actions that may be performed in response to the test prompt.

Claims

1. A method of obtaining interactive clinical assessment data using a remote client device and a computer-based control device, the method comprising:

providing on a display of a remote client device one or more test prompts for conducting an interactive clinical assessment, each displayed test prompt instructing a user to perform an action using the remote client device in response to the test prompt; and

providing on the display of the remote client device one or more potential responses of actions that may be performed in response to the test prompt.

2. The method of claim 1, further comprising receiving input at the remote client device, the input indicative of an action performed in response to a test prompt provided on the display of the remote client device.

3. The method of claim 1, further comprising sending response information from the remote client device, the response information being indicative of input received at the remote client device in response to the one or more test prompts provided on the display of the remote client device.

4. The method of claim 1, further comprising receiving clinical tests at the remote device, and wherein the one or more test prompts are based at least in part on the received clinical tests.

5. The method of claim 1, further comprising receiving clinical test parameters at the remote client device, and wherein the one or more test prompts are based at least in part on the received test parameters.

6. The method of claim 1, further comprising receiving patient information at the remote client device, and wherein the one or more test prompts are based at least in part on the received patient information.

7. The method of claim 3, further comprising:

receiving the response information sent by the remote client device at the control device, and

evaluating at the control device the response information, and

determining the status of a patient based on evaluating the response information.

8. The method of claim 1, further comprising sending clinical tests, test parameters, and patient information from the control device to the remote client device, wherein the one or more test prompts and one or more potential responses of actions that may be performed in response to the test prompt are at least partly based on the based clinical tests, test parameters, or patient information.

9. The method of claim 1, further comprising evaluating the response information to determine a change from baseline results of a particular patient.

10. The method of claim 9, further comprising sending an alert signal from the control device based on a determined patient status.

11. The method of claim 1, further comprising:

transmitting a series of tests, a series of parameters and a patient profile for responses from the control device to the remote client device,

determining response information indicative of responses received at the remote client device;

transmitting the response information to the control device; and

evaluating the response information at the control device to determine a clinical status of a patient.

12. The method of claim 2, wherein receiving input comprises receiving selection of a potential response that is provided on the display of the remote client device, wherein the display is a touchscreen, and receiving input comprises receiving two or more selections from the display.

13. The method of claim 2, wherein receiving input comprises receiving input from an input unit of the remote client device, the input unit including one or more of a pressure sensor, a component configured to sense movement of the remote client device, a microphone, an imaging component, a button, or a touchscreen.

14. The method of claim 1, wherein further comprising communicating between the remote client device and the control device over a network, the communication between the remote client device and the control device including wireless communication.

15. A system for conducting interactive clinical assessment, comprising:

a remote client device comprising

a display;

a circuit configured to send and receive wireless communications;

a memory unit configured to store test information that is sent to the remote client device;

a processor operationally coupled to the memory unit and the display, the processor configured to provide on the display one or more test prompts and one or more potential responses of actions to be performed in response to the test prompt; and

a communications circuit operationally coupled to the processor, the communications circuit configured to receive the test information, and wherein the processor is configured to provide the one or more test prompts and the one or more potential responses based on the received test information.

16. The system of claim 15, further comprising a control device in communication with the remote client device,

wherein the control device is configured to send the test information to the remote client device, the test information including at least one of clinical tests, clinical test parameters, or patient information, and

wherein the remote client device is configured to send response information to the control device, the response information based on input received at the remote client device.

17. The system of claim 15,

wherein the client device further comprises a plurality of sensors for receiving input in response to a displayed test prompt, the sensors including one or more sensors configured to sense pressure, a microphone to sense an audio input, an electronic imaging circuit configured to generate images and communicate the images to the processor, and a touchscreen display,

wherein the client device further comprises a speaker, and wherein the processor is further configured to provide, using the speaker, audio prompts and audio output in response to the remote client device receiving an input;

and

wherein the client device further comprises a circuit configured to produce a vibration test prompt at the remote client device.

18. The system of claim 15, wherein the test information includes at least one of patient information, clinical tests to be performed on the remote client device, and test parameters, and wherein the one or more test prompts are based at least in part on the received patient information, clinical tests and test parameters.

19. The system of claim 16, wherein the control device includes a processor configured to evaluate the response information received from the remote client device, and determine the status of a patient based on evaluating the response information.

20. The system of claim 19, wherein the processor is configured to provide an alarm signal based on a determined patient status.