PATIENT PERMISSION-BASED MOBILE HEALTH-LINKED INFORMATION COLLECTION AND EXCHANGE SYSTEMS AND METHODS

• US 20140257047A1
• Filed: 03/06/2013
• Published: 09/11/2014
• Est. Priority Date: 03/06/2013
• Status: Active Grant

• Current Assignee: Birdwell J. Douglas, Karl A. Sillay
• Original Assignee: Birdwell J. Douglas, Karl A. Sillay
• Inventors: Sillay, Karl A., Birdwell, J. Douglas
• Granted Patent: US 9,414,776 B2
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 2034/2065 Tracking using image or pattern recognition
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1101 Detecting tremor
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/4082 Diagnosing or monitoring movement diseases, e.g. Parkinson, Huntington or Tourette
• CPC Class Codes: A61B 5/4842 Monitoring progression or stage of a disease
• CPC Class Codes: A61M 2210/0687 Skull, cranium
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36067 Movement disorders, e.g. tremor or Parkinson disease stimulating motor muscle A61N1/36003
• CPC Class Codes: A61N 1/37282 characterised by communication with experts in remote locations using a network
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 50/70 : for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: H04L 63/10 : for controlling access to devices or network resources

Abstract

A suite of components comprising an objective measurement medical data collection device and a cohort database may standardize, simplify, and objectify clinical outcomes tracking, culminating in population health measurements within the restorative neurosciences such as Parkinson disease individuals diagnosed with a disease. A data collection device may comprise one or more of a gyroscope, an accelerometer, a locator, a camera and a magnetometer for collecting, for example, data related to tremors experienced by the individuals diagnosed with disease and receive instruction data responsive to evaluation of the collected data in relation to the cohort database. A related method collects objective measurements during phases of treatment such as preoperative symptomatology, probabilistic atlas linked targeting for neuromodulation, accountancy for gravitational effects of brain shift during surgery, measurements of movement and quality of life during supervised treatment and ongoing community and self-directed treatment and provides feedback to implants, intelligent devices and users thereof.

Claims

1. A medical mobile communications device for collecting objective medical data, processing the collected medical data and for controlling progress of an individual with a diagnosed disease in relation to a cohort of similar individuals, the medical mobile communications device comprising

a clock for calculating and periodically transmitting for storage a universal time of day and date;

a display for displaying control data for controlling progress of the individual with the diagnosed disease in relation to the cohort and for displaying data received at the device;

a communications interface for communicating with a remote medical health record database server;

a gyroscope and an accelerometer for providing position, gravitational and extremity movement data when the medical mobile communications device is coupled to a human body extremity of the individual with the diagnosed disease;

an input device coupled to the medical mobile communications device for receiving data input by the individual with the diagnosed disease;

a global positioning system for determining global position data as to location of the medical mobile communications device when coupled to the human body extremity and calculating time zone data for use by the clock for calculating the universal time and date for storage,

a data processor having associated memory for storing data of the individual with the diagnosed disease, the data processor for periodically communicating objective medical data via the communications interface comprising time of day and date, a device location, individual identity data, individual personal descriptive data and individual movement data to a remote server coupled to the remote medical health record database, the medical mobile communications device for receiving control data via the communications interface for controlling individual progress responsive to comparison of data of similarly diagnosed individuals including data of a cohort database generated from the medical health record database.

2. The medical mobile communications device of claim 1 further comprising a microphone for detecting speech of the individual with the diagnosed disease for recording in the associated memory of the data processor.

3. The medical mobile communications device of claim 1 further comprising a camera adapted to capture an image of the individual with the diagnosed disease.

4. The medical mobile communications device of claim 1 further comprising a magnetic field sensor for sensing a direction of the device with reference to the earth'"'"'s magnetic field.

5. The medical mobile communications device of claim 1 coupled to an internal body temperature sensor for receiving internal body temperature, the data processor for recording the received internal body temperature in the associated memory.

6. The medical mobile communications device of claim 1, the communications interface further comprising a communications interface to a neuro-stimulator personal to the individual, the communications interface for transferring received control data to the neuro-stimulator for neuro-stimulator operation.

7. The medical mobile communications device of claim 1, the communications interface further comprising a communications interface to a drug delivery system personal to the individual, the communications interface for transferring received control data to the drug delivery system for varying an amount of drug delivered to the individual.

8. The medical mobile communications device of claim 1, the communications interface for cooperation with the display for displaying a recommended medication dosage and identity of medication.

9. The medical mobile communications device of claim 1, the communications interface for cooperation with the display for displaying a recommended human body extremity movement program for the individual to follow.

10. The medical mobile communications device of claim 1 further comprising a means for receiving barometric pressure and the environmental temperature at the location indicated by the global positioning system of the device for storage in the associated memory.

11. The medical mobile communications device of claim 1 further comprising a means for receiving environmental humidity data at the global positioning system calculated location and a means for receiving local humidity data indicative of individual perspiration.

12. The medical mobile communications device of claim 1 wherein the data input by the individual diagnosed with a disease comprises age, gender, body weight, height and personal identity data.

13. The medical mobile communications device of claim 1 wherein the disease comprises a neurological disease.

14. The medical mobile communications device of claim 13 wherein the neurological disease comprises one of Parkinson'"'"'s disease, Alzheimer'"'"'s disease, dementia, epilepsy, multiple sclerosis, essential tremor, dystonia, hydrocephalus, a spinal disorder, a gait disorder and stroke.

15. The medical mobile communications device of claim 1 adapted to be one of worn or implanted at a wrist location of a left or right arm extremity of a human body.

16. The medical mobile communications device of claim 1 further comprising a pressure transducer adapted to measure pressure at a human body extremity comprising one of a hand and a foot.

17. The medical mobile communications device of claim 1 further adapted to be connected to a pulse oximeter for sensing the oxygen level of the blood.

18. The medical mobile communications device of claim 1 further comprising a pressure transducer adapted to be connected to a foot extremity of a human body by one of clothing or a tether and for assisting in a correction of gait.

19. The medical mobile communications device of claim 18 wherein the foot extremity comprises an ankle.

20. The medical mobile communications device of claim 1 wherein the movement data comprises one of pronation and suppination data.

21. A method at a medical health record database server of developing control data for controlling progress of an individual user diagnosed with a disease in response to receipt of the individual user'"'"'s objective medical data from a personal medical mobile communications device of the individual user comprising

receiving individual medical and personal data at the medical health record database server from the personal medical communications device,

generating a cohort database of medical data of similarly situated individual users having the same diagnosed disease by comparing received individual user medical and personal data to medical and personal data stored in the medical health record database comprising individual data of a plurality of individuals diagnosed with a disease identical to a disease diagnosis of the individual user,

22. The method of claim 21 further comprising receiving an individual user query at the medical cohort database server, developing a response to the individual user query with reference to the generated cohort database of medical individual data of similarly situated individuals with the same diagnosed disease, and transmitting the developed response to the individual user query to the personal medical mobile communications device of the individual user.

23. The method of claim 21 further comprising receiving individual user movement data from the personal medical mobile communications device, comparing the received individual user movement data to individual movement data of a plurality of similarly diagnosed individuals stored in the generated cohort database, developing an individual user progress report responsive to the comparison and transmitting the developed individual user progress report to the personal medical mobile communications device.

24. The method of claim 23 wherein the individual movement data comprises orientation, velocity, and acceleration with respect to a plurality of axis, rotational and linear, of the personal medical mobile communications device periodically sampled and stored in memory of the personal medical mobile communications device.

25. The method of claim 21 further comprising transmitting neuro-stimulator control data in response to receipt of personal medical and identity data of the individual user at the medical cohort database server for setting neuro-stimulator parameters.

26. The method of claim 21 further comprising transmitting alarm data to the personal medical mobile communications device responsive to receipt of individual user medical and personal data, the alarm data comprising one of an alarm to signal the individual user to immediately rest, to visit a medical hospital, to set a neuro-stimulator to an off position and to cease a medication protocol.

27. A method at a medical health records database server of developing a progress timeline for an individual diagnosed with a disease in response to receipt of individual user objective medical and personal data from a personal medical mobile communications device comprising

maintaining in server memory receipt of data indicating first diagnosis of a disease of the individual user,

maintaining in server memory receipt of data indicative of first medication protocol,

maintaining in server memory personal exercise modality of the individual user,

generating a cohort database of medical individual data of similarly situated individuals having been diagnosed with the same disease by comparing received individual user medical and personal data to medical and personal data stored in the medical health record database comprising medical and personal data of a plurality of individuals diagnosed with a disease identical to a disease diagnosis of the individual user,

comparing the maintained data for the individual user with data of the generated cohort database and

generating a progress timeline for the individual user responsive to the comparison.

28. The method of claim 27 further comprising permitting access to the cohort database to one of a medical researcher, a medical doctor and a clinician by the individual user.

29. The method of claim 27 wherein the disease comprises a neurological disease.

30. The method of claim 28 wherein the neurological disease comprises one of Parkinson'"'"'s disease, Alzheimer'"'"'s disease, dementia, epilepsy, multiple sclerosis, essential tremor, dystonia, hydrocephalus, a spinal disorder, a gait disorder and stroke.

31. A method at an electronic medical health records database server of generating a cohort database for an individual in response to receipt of individual user parameter data from a computer communications device comprising maintaining in server memory receipt of disease progression timeline position data indicating first diagnosis of a disease and a chronological age in years of an individual diagnosed with a disease, the server memory of the electronics medical health records database server,

maintaining in server memory receipt of data indicative of a first medication protocol for the individual diagnosed with the disease, the server memory of the electronics medical health records database server,

maintaining in server memory personal exercise modality of the individual diagnosed with the disease, the server memory of the electronics medical health records database server,

comparing the individual user parameter data received from the computer communications device comprising the chronological age parameter in years and the disease progression timeline position to data maintained in server memory,

generating a cohort database of medical individual data of similarly situated individuals having been diagnosed with the same disease by comparing received individual user parameter data to parameter data stored in the electrical medical health record database comprising medical and personal data of a plurality of individuals diagnosed with a disease identical to a disease diagnosis of the individual diagnosed with the disease, and

outputting, responsive to a query, data of the cohort database to the individual in accordance with a permission to access data given by the individual diagnosed with the disease.

32. The method of claim 31 wherein the individual user comprises one of the individual diagnosed with the disease, a medical doctor, a clinician and a researcher.

33. The method of claim 31 wherein the disease comprises a neurological disease.

34. The method of claim 33 wherein the neurological disease comprises one of Parkinson'"'"'s disease, Alzheimer'"'"'s disease, dementia, epilepsy, multiple sclerosis, essential tremor, dystonia, hydrocephalus, a spinal disorder, a gait disorder and stroke.

35. The method of claim 31 wherein the parameter data further comprises a gender, a body weight range, a body height range and a selected ethnicity.

36. A method of collecting objective parameter data of an individual diagnosed with a neurological disease for storage at a personal computer communications device and for controlling the progress of the individual diagnosed with the neurological disease comprising

receiving data from a personal medical objective data collection device comprising a data processor, objective parameter data sensors comprising an accelerometer, a gyroscope and a global positioning system, and a clock for calculating a universal time of day and date responsive to the global positioning system, the data processor coupled to the data sensors and the clock and having associated memory for storing personal data including age and date of first diagnosis of a neurological disease, the personal medical objective data collection device being fixed to an extremity of a human body of the individual diagnosed with the neurological disease, the sensor data being collected and stored in the associated memory during a rotation of the extremity having the fixed personal medical objective data collection device, calculating by the data processor a rate of angular acceleration, a value of angular degrees of rotation, and an angular velocity;

calculating a score and transmitting, the stored personal data, the calculated and the calculated;

receiving an displaying a recommendation of a medication protocol from a comparison with data of similarly diagnosed individuals.

37. The method of claim 36 wherein the neurological disease comprises one of Parkinson'"'"'s disease, Alzheimer'"'"'s disease, dementia, epilepsy, multiple sclerosis, essential tremor, dystonia, hydrocephalus, a spinal disorder, a gait disorder and stroke.

38. The method of claim 36 further comprising receiving and retransmitting updated settings for a deep brain simulator.

39. The method of claim 36 further comprising receiving and displaying an alarm to alert the individual diagnosed with the neurological disease to immediately rest.