CONTROL OF A DEFIBRILLATOR AND/OR PACEMAKER

• US 20140275811A1
• Filed: 04/22/2014
• Published: 09/18/2014
• 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 9,265,952 B2
• Time in Patent Office: Days
• US Class Current: 600/300
• 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 monitoring and treatment apparatus allows a victim of a medical emergency person access to a medical professional (MP) who can monitor, diagnose and treat the person from a remote site. The apparatus includes a cardiac medical monitoring and treatment device (MMTD) coupled to an electronic adapter designed to communicate with a local, first transmitting/receiving (T/R) device which, in turn, is adapted to electronically communicate with a remote, second transmitting/receiving (T/R) device used by the MP. The MMTD may comprise a cardiac treatment circuit for effecting cardiac pacing and/or defibrillation and a cardiac signal circuit for receiving cardiac signals. The cardiac signals are (1) transmitted from the signal circuit to the second T/R device for evaluation by the MP, (2) the MP may transmit a control signal to the treatment circuit, and (3), in response thereto, the treatment circuit may generate one or more electrical pulses for treatment of the person.

Claims

1-39. -39. (canceled)

40. A system of two electronic adapter devices configured to allow at least one first medical device to communicate with at least one second medical device, said system comprising:

(1) a first adapter device, including;

(a) a first communications port configured to input a first information signal from said at least one first medical device and a second communications port configured to output a second information signal to a second adapter device;

(b) a first data processing unit, comprising at least one first processor and connected to said first communications port and to said second communications port;

wherein, in response to the receipt of said first information signal via said first communications port from said at least one first medical device, said first data processing unit is operative to produce said second information signal for transmission via said second communications port to said second adapter device;

wherein said first data processing unit is operative to change a data format of said first information signal outputted by said at least one first medical device to a data format of said second information signal compatible with said second adapter device; and

(2) a second adapter device, coupled to said first adapter device, and including;

(a) a third communications port configured to input said second information signal from said first adapter device, and a fourth communications port configured to output a third information signal to said at least one second medical device;

(b) a second data processing unit, comprising at least one second processor and connected to said third communications port and to said fourth communications port;

wherein, in response to the receipt of said second information signal via said third communications port from said first adapter device, said second data processing unit is operative to produce said third information signal for transmission via said fourth communications port to said at least one second medical device;

wherein said second data processing unit is operative to change a data format of said second information signal outputted by said first adapter device to a data format of said third information signal compatible with said at least one second medical device;

wherein information is transmitted from at least one first medical device sequentially to said first adapter device, to said second adapter device and thence to at least one second medical device; and

whereby said system of adapters is configured to allow at least one first medical device to communicate information to at least one second medical device.

41. The system defined in claim 40, wherein at least one first medical device comprises a medical treatment device, configured to provide medical therapy, and wherein the information represented by said first information signal is selected from the group consisting of:

information representing the internal operation of said medical treatment device, and

information produced by said medical treatment device representing a physiologic parameter of a body of a living being.

42. The system defined in claim 40, wherein at least one first medical device comprises a medical sensor coupled to a living being, configured to sense a value of a physiologic parameter of a body of said living being, and wherein said first information signal represents said value.

43. The system defined in claim 40, wherein at least one first medical device comprises a communications device for receiving information from a medical expert system.

44. The system defined in claim 43, wherein said medical expert system comprises at least one computational system, configured to generate at least one treatment information signal, comprising said first information signal.

45. The system defined in claim 43, wherein said medical expert system includes an input device, for inputting treatment information from a medical expert person, represented by said first information signal.

46. The system defined in claim 40, wherein at least one second medical device comprises a medical treatment device, configured to provide medical therapy, and wherein said third information signal provides control information for said medical treatment device.

47. The system defined in claim 40, wherein at least one second medical device comprises a medical sensor, configured to sense a value of a physiologic parameter of a living being, and wherein said third information signal provides control information for the operation of said sensor.

48. The system defined in claim 40, wherein at least one second medical device comprises a communications device for communicating with a medical expert system, and wherein said third information signal provides information for said expert system.

49. The system defined in claim 48, wherein said medical expert system comprises at least one computational system, configured to generate at least one treatment information signal.

50. The system defined in claim 48, wherein said medical expert system includes an input device, for inputting treatment information from a medical expert person, and wherein said third information signal provides physiologic information to said expert person.

51. The system defined in claim 40, wherein one of said at least one second medical device comprises a third adapter device, coupled to said second adapter device and operative to communicate with at least one third medical device, said third adapter device, including:

(a) a fifth communications port configured to input said third information signal from said second adapter device, and a sixth communications port configured to output a fourth information signal to at least one third medical device;

(b) a third data processing unit, comprising at least one third processor and connected to said fifth communications port and to said sixth communications port;

wherein, in response to the receipt of said third information signal via said fifth communications port from said second adapter device, said third data processing unit is operative to produce said fourth information signal for transmission via said sixth communications port to at least one third medical device;

wherein said third data processing unit is configured to change a data format of said third information signal outputted by said second adapter device to a data format of said fourth information signal compatible with at least one third medical device;

wherein information is transmitted from at least one first medical device sequentially to said first adapter device, to said second adapter device, to said third adapter device and thence to at least one third medical device.

52. The system defined in claim 51, wherein at least one third medical device comprises a medical treatment device, configured to provide medical therapy, and wherein said fourth information signal provides control information for said medical treatment device.

53. The system defined in claim 51, wherein at least one third medical device comprises a medical sensor, configured to sense a value of a physiologic parameter of a living being, and wherein said fourth information signal provides control information for the operation of said sensor.

54. The system defined in claim 51, wherein at least one third medical device comprises a communications device for transmitting information to a medical expert system, and wherein said fourth information signal provides information for said expert system.

55. The system defined in claim 54, wherein said medical expert system comprises at least one computational system, configured to generate at least one treatment information signal.

56. The system defined in claim 54, wherein said medical expert system includes an input device, for inputting treatment information from a medical expert person, and wherein said fourth information signal provides physiologic information to said expert person.

57. The system defined in claim 40, wherein said data format is a signal format.

58. The system defined in claim 40, wherein said data format is an information format.

59. The system defined in claim 40,

wherein said fourth communications port is further configured to input a fifth information signal from said at least one second medical device, and said third communications port is further configured to output a sixth information signal to said first adapter device;

wherein, in response to the receipt of said fifth information signal via said fourth communications port from said second adapter device, said second data processing unit is further operative to produce said sixth information signal for transmission via said third communications port to said first adapter device;

wherein said second communications port is further configured to input said sixth information signal from said second adapter device, and said first communications port is further configured to output a seventh information signal to said at least one first medical device;

wherein said first data processing unit is further operative to change a data format of said sixth information signal outputted by said second adapter device to a data format of said seventh information signal compatible with said at least one first medical device;

wherein information is transmitted from said at least one second medical device sequentially to said second adapter device, to said first adapter device and thence to said at least one first medical device; and

whereby said system of adapters is operative to allow said at least one second medical device to communicate with said at least one first medical device.

60. The apparatus defined in claim 40, wherein said first information signal represents a medical data.

61. The apparatus defined in claim 40, wherein said first information signal represents medical device control information.

62. The apparatus defined in claim 59, wherein said fifth information signal represents a medical data.

63. The apparatus defined in claim 59, wherein said fifth information signal represents medical device control information.

64. The system defined in claim 51,

wherein said sixth communications port is further configured to input an eighth information signal from said at least one third medical device, and said fifth communications port is further configured to output said fifth information signal to said second adapter device;

wherein, in response to the receipt of said eighth information signal via said sixth communications port from said at least one third medical device, said third data processing unit is further configured to produce said fifth information signal for transmission via said fifth communications port to said second adapter device;

wherein information is transmitted from said at least one third medical device sequentially to said third adapter device, to said second adapter device, to said first adapter device and thence to said at least one first medical device; and

whereby said system of adaptors is configured to allow said at least one third medical device to communicate with said at least one first medical device.

65. The system defined in claim 64, wherein said eighth information signal represents a medical data.

66. The system defined in claim 64, wherein said eighth information signal represents medical device control information.

67. The system defined in claim 40, further comprising an additional second adapter device, coupled to said first adapter device, and including:

(a) an additional third communications port configured to input said second information signal from said first adapter device, and an additional fourth communications port configured to output an additional third information signal to at least one additional second medical device;

(b) an additional second data processing unit, comprising at least one additional second processor and connected to said additional third communications port and to said additional fourth communications port;

wherein, in response to the receipt of said second information signal via said additional third communications port from said first adapter device, said additional second data processing unit is operative to produce said additional third information signal for transmission via said additional fourth communications port to said at least one additional second medical device;

wherein said additional second data processing unit is operative to change a data format of said second information signal outputted by said first adapter device to a data format of said additional third information signal compatible with said at least one additional second medical device;

wherein information is transmitted from at least one first medical device sequentially to said first adapter device, to said additional second adapter device and thence to at least one additional second medical device; and

whereby said system of adapters is configured to allow at least one first medical device to communicate information to at least one additional second medical device.

68. The system of claim 67, wherein said at least one additional second medical device is selected from the group consisting of:

(a) a medical treatment device,

(b) a medical sensor, configured to sense a value of a physiologic parameter of a living being, and

(c) a communications device for communicating with a medical expert system.

69. The system defined in claim 67,

wherein said additional fourth communications port is further configured to input an additional fifth information signal from said at least one additional second medical device, and said third communications port is further configured to output an additional sixth information signal to said first adapter device;

wherein, in response to the receipt of said additional fifth information signal via said additional fourth communications port from said additional second adapter device, said additional second data processing unit is further operative to produce said additional sixth information signal for transmission via said additional third communications port to said first adapter device;

wherein said second communications port is further configured to input said additional sixth information signal from said additional second adapter device, and said first communications port is further configured to output an additional seventh information signal to said at least one first medical device;

wherein said first data processing unit is further operative to change a data format of said additional sixth information signal outputted by said additional second adapter device to a data format of said additional seventh information signal compatible with said at least one first medical device;

wherein information is transmitted from said at least one additional second medical device sequentially to said additional second adapter device, to said first adapter device and thence to said at least one first medical device; and

whereby said system of adapters is operative to allow each of said at least one second medical device and said at least one additional second medical device to communicate with said at least one first medical device.

70. The system defined in claim 69, wherein said additional fifth information signal represents information selected from the group consisting of:

(i) a medical data, and (ii) medical device control information.

71. The system defined in claim 40, further comprising an additional first adapter device, coupled to said second adapter device, including:

(a) an additional first communications port configured to input an additional first information signal from at least one additional first medical device and an additional second communications port configured to output an additional second information signal to a second adapter device;

(b) an additional first data processing unit, comprising at least one additional first processor and connected to said additional first communications port and to said additional second communications port;

wherein, in response to the receipt of said additional first information signal via said additional first communications port from said at least one additional first medical device, said additional first data processing unit is operative to produce said additional second information signal for transmission via said additional second communications port to said second adapter device;

wherein said additional first data processing unit is operative to change a data format of said additional first information signal outputted by said at least one additional first medical device to a data format of said additional second information signal compatible with said second adapter device; and

wherein information is transmitted from at least one additional first medical device sequentially to said additional first adaptor device, to said second adapter device and thence to at least one second medical device; and

whereby said system of adapters is configured to allow each of said at least one first medical device and said at least one additional first medical device to communicate information to at least one second medical device.

72. The system defined in claim 71, wherein said additional first information signal represents information selected from the group consisting of:

(i) a medical data, and (ii) medical device control information.

73. The system of claim 71, wherein said at least one additional first medical device is selected from the group consisting of:

(a) a medical treatment device,

(b) a medical sensor, configured to sense a value of a physiologic parameter of a living being, and

(c) a communications device for communicating with a medical expert system.

74. The system defined in claim 71,

wherein said fourth communications port is further configured to input a ninth information signal from said at least one second medical device, and said third communications port is further configured to output a tenth information signal to said additional first adapter device;

wherein, in response to the receipt of said ninth information signal via said fourth communications port from said second adapter device, said second data processing unit is further operative to produce said tenth information signal for transmission via said third communications port to said additional first adapter device;

wherein said additional second communications port is further configured to input said tenth information signal from said second adapter device, and said additional first communications port is further configured to output an eleventh information signal to said at least one additional first medical device;

wherein said first additional data processing unit is further operative to change a data format of said tenth information signal outputted by said second adapter device to a data format of said eleventh information signal compatible with said at least one additional first medical device;

wherein information is transmitted from said at least one second medical device sequentially to said second adapter device, to said first additional adapter device and thence to said at least one additional first medical device; and

whereby said system of adapters is operative to allow at least one second medical device to communicate with each of said at least one first medical device and with at least one additional first medical device.

75. The system defined in claim 40, wherein both said first adapter device and said second adapter device are configured to be implanted in a body of a living being.

76. The system defined in claim 40, wherein both said first adapter device and said second adapter device are configured to be situated external to a body of a living being.

77. The system defined in claim 40, wherein one of said first adapter device and said second adapter device is configured to be implanted in a body of a living being and one other of said first adapter device and said second adapter device is configured to be situated external to a body of a living being.

78. The system defined in claim 51, wherein said third adapter device is configured to be implanted in a body of a living being.

79. The system defined in claim 51, wherein said third adapter device is configured to be situated external to a body of a living being.

80. The system defined in claim 67, wherein said additional second adapter device is configured to be implanted in a body of a living being.

81. The system defined in claim 67, wherein said additional second adapter device is configured to be situated external to a body of a living being.

82. The system defined in claim 71, wherein said additional first adapter device is configured to be implanted in a body of a living being.

83. The system defined in claim 71, wherein said additional first adapter device is configured to be situated external to a body of a living being.

84. The system defined in claim 40, further comprising a computer memory device coupled to said first data processing unit and configured to store allowed identification information representing identification information of an information source that is allowed to input said first information signal;

wherein said first communications port is further operative to receive a first identification signal representing identification information of the source of said first information signal;

wherein said first data processing unit is further operative;

(i) to retrieve said allowed identification information from said memory device;

(ii) to compare the identification information represented by said first identification signal with said stored allowed identification information; and

(iii) to produce said second information signal only if said incoming source identification information matches said stored allowed identification information;

wherein said identification information is selected from the group consisting of;

(a) alphanumeric information identifying each of said at least one first medical device allowed to communicate with said system,

(b) alphanumeric information identifying each model of said at least one first medical device allowed to communicate with said system,

(c) alphanumeric information identifying each person permitted to input a first information signal representing medical device control information, and

(d) biologic identification information identifying each person permitted to input a first information signal representing medical device control information, wherein said biologic information represents a unique biologic feature of said person;

whereby only allowed information sources are permitted to cause said first adapter device to produce said second information signal in response to said first information signal.

85. The system defined in claim 40, further comprising a second computer memory device coupled to said second data processing unit and configured to store allowed identification information representing identification information of an information source allowed to input said first information signal;

wherein said first communications port is further operative to receive a second identification signal representing identification information of the source of said first information signal;

wherein said first data processing unit is further operative to provide said second identification signal to said second adapter device;

wherein said second data processing unit is further operative;

(i) to retrieve said allowed identification information from said second memory device;

(ii) to compare the identification information represented by said second identification signal with said stored allowed identification information; and

(iii) to produce said third information signal only if said incoming source identification information matches said stored allowed identification information;

wherein said identification information is selected from the group consisting of;

(a) alphanumeric information identifying each of said at least one first medical device allowed to communicate with said system,

(b) alphanumeric information identifying each model of said at least one first medical device allowed to communicate with said system,

(c) alphanumeric information identifying each person permitted to input a first information signal representing medical device control information, and

(d) biologic identification information identifying each person permitted to input a first information signal representing medical device control information, wherein said biologic information represents a unique biologic feature of said person;

whereby only allowed information sources are permitted to cause said second adapter device to produce said third information signal in response to said second information signal.

86. The system defined in claim 71, further comprising a third computer memory device coupled to said additional first data processing unit and configured to store additional allowed identification information representing identification information of an information source allowed to input said additional first information signal;

wherein said first communications port is further operative to receive an additional first identification signal representing identification information of the source of said additional first information signal;

wherein said additional first data processing unit is further operative;

(i) to retrieve said allowed identification information from said third memory device;

(ii) to compare the identification information represented by said additional first identification signal with said stored allowed identification information; and

(iii) to produce said additional third information signal only if said incoming source identification information matches said stored allowed identification information;

wherein said identification information is selected from the group consisting of;

(a) alphanumeric information identifying each of said at least one first medical device allowed to communicate with said system,

(b) alphanumeric information identifying each model of said at least one first medical device allowed to communicate with said system,

(c) alphanumeric information identifying each person permitted to input a first information signal representing medical device control information, and

(d) biologic identification information identifying each person permitted to input a first information signal representing medical device control information, wherein said biologic information represents a unique biologic feature of said person;

whereby only allowed information sources are permitted to cause said additional second adapter device to produce said additional second information signal in response to said additional first information signal.

87. The system defined in claim 67, further comprising a fourth computer memory device coupled to said additional second data processing unit and configured to store allowed identification information representing identification information of an information source allowed to input said first information signal;

wherein said first communications port is further operative to receive an additional second identification signal representing identification information of the source of said first information signal;

wherein said first data processing unit is further operative to provide said additional second identification signal to said second adapter device;

wherein said additional second data processing unit is further operative;

(i) to retrieve said allowed identification information from said fourth memory device;

(ii) to compare the identification information represented by said additional second identification signal with said stored allowed identification information; and

(iii) to produce said additional third information signal only if said incoming source identification information matches said stored allowed identification information;

wherein said identification information is selected from the group consisting of;

(a) alphanumeric information identifying each of said at least one first medical device allowed to communicate with said system,

(b) alphanumeric information identifying each model of said at least one first medical device allowed to communicate with said system,

(c) alphanumeric information identifying each person permitted to input a first information signal representing medical device control information, and

(d) biologic identification information identifying each person permitted to input a first information signal representing medical device control information, wherein said biologic information represents a unique biologic feature of said person;

whereby only allowed information sources are permitted to cause said additional second adapter device to produce said additional third information signal in response to said additional second information signal.

88. The system defined in claim 51, further comprising a fifth computer memory device coupled to said third data processing unit and configured to store allowed identification information representing identification information of an information source allowed to input said first information signal;

wherein said first communications port is further operative to receive a third identification signal representing identification information of the source of said first information signal;

wherein said first data processing unit is further operative to provide said third identification signal to said second adapter device;

wherein said second data processing unit is further operative to provide said third identification signal to said third adapter device;

wherein said third data processing unit is further operative;

(i) to retrieve said allowed identification information from said fifth memory device;

(ii) to compare the identification information represented by said third identification signal with said stored allowed identification information; and

(iii) to produce said fourth information signal only if said incoming source identification information matches said stored allowed identification information;

wherein said identification information is selected from the group consisting of;

(a) alphanumeric information identifying each of said at least one first medical device allowed to communicate with said system,

(b) alphanumeric information identifying each model of said at least one first medical device allowed to communicate with said system,

(c) alphanumeric information identifying each person permitted to input a first information signal representing medical device control information, and

(d) biologic identification information identifying each person permitted to input a first information signal representing medical device control information, wherein said biologic information represents a unique biologic feature of said person;

whereby only allowed information sources are permitted to cause said third adaptor device to produce said fourth information signal in response to said third information signal.

89. An electronic adaptor device configured to allow at least one first medical device to communicate with at least one second medical device, said system comprising:

(a) a first communications port configured to input a first information signal from said at least one first medical device and a second communications port configured to output a second information signal to said at least one second medical device;

(b) a data processing unit, comprising at least one processor and connected to said first communications port and to said second communications port;

wherein, in response to the receipt of said first information signal via said first communications port from said at least one first medical device, said data processing unit is operative to produce said second information signal for transmission via said second communications port to said at least one second medical device;

wherein said first data processing unit is operative to change a data format of said first information signal outputted by said at least one first medical device to a data format of said second information signal compatible with said second adapter device;

wherein information is transmitted from at least one first medical device sequentially to said first adapter device and thence to at least one second medical device; and

whereby said adapter is configured to allow at least one first medical device to communicate information to at least one second medical device.

90. The adapter defined in claim 89, wherein said data format is selected from the group consisting of (a) a signal format, and (b) an information format.

91. The adapter defined in claim 89, wherein said first information signal represents information selected from the group consisting of:

(i) a medical data, and (ii) medical device control information.

92. The adapter of claim 89, wherein said at least one first medical device is selected from the group consisting of:

(a) a medical treatment device,

(b) a medical sensor, configured to sense a value of a physiologic parameter of a living being, and

(c) a communications device for communicating with a medical expert system.

93. The adapter of claim 89, wherein said at least one second medical device is selected from the group consisting of:

(a) a medical treatment device,

(b) a medical sensor, configured to sense a value of a physiologic parameter of a living being, and

(c) a communications device for communicating with a medical expert system.

94. The adapter defined in claim 89, wherein said adapter device is configured to be implanted in a body of a living being.

95. The adapter defined in claim 89, wherein said adapter device is configured to be situated external to a body of a living being.

96. The adapter defined in claim 89, further comprising a computer memory device coupled to said data processing unit and configured to store allowed identification information representing identification information of an information source allowed to input said first information signal;

wherein said first communications port is further operative to receive a first identification signal representing identification information of the source of said first information signal;

wherein said first data processing unit is further operative;

(i) to retrieve said allowed identification information from said memory device;

(ii) to compare the identification information represented by said first identification signal with said stored allowed identification information; and

(iii) to produce said second information signal only if said incoming source identification information matches said stored allowed identification information;

wherein said identification information is selected from the group consisting of;

(a) alphanumeric information identifying each of said at least one first medical device allowed to communicate with said system,

(b) alphanumeric information identifying each model of said at least one first medical device allowed to communicate with said system,

(c) alphanumeric information identifying each person permitted to input a first information signal representing medical device control information, and

(d) biologic identification information identifying each person permitted to input a first information signal representing medical device control information, wherein said biologic information represents a unique biologic feature of said person;

whereby only allowed information sources are permitted to cause said first adapter device to produce said second information signal in response to said first information signal.