System and method for ordering and prioritizing multiple health disorders

• US 7,117,028 B2
• Filed: 10/29/2004
• Issued: 10/03/2006
• Est. Priority Date: 11/16/1999
• Status: Expired due to Term

• Current Assignee: Cardiac Intelligence Corp (Boston Scientific Corporation)
• Original Assignee: Cardiac Intelligence Corp (Boston Scientific Corporation)
• Inventors: Bardy, Gust H.
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US10/976,665
• Publication Number:
  US 20050096510A1
• Time in Patent Office: 704 Days
• Field of Search: 600/300, 600/301, 600/513, 600515-518, 600/483, 128923-925
• US Class Current: 600/513
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• CPC Class Codes: A61N 1/37282 characterised by communication with experts in remote locations using a network
• 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 40/60 for the operation of medical equipment or devices
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: Y10S 128/923 by comparison of patient data to other data

Abstract

A system for ordering and prioritizing multiple health disorders for automated remote patient care is presented. A database maintains information for an individual patient by organizing monitoring sets in a database, and measures relating to patient information previously recorded and derived on a substantially continuous basis into a monitoring set in the database. A server retrieving and processing the monitoring includes a comparison module comparing stored measures from each of the monitoring sets to other stored measures from another of the monitoring sets with both stored measures relating to the same type of patient information, and an analysis module ordering each patient status change in temporal sequence and categorizing health disorder candidates by quantifiable physiological measures, and identifying the health disorder candidate having the pathophysiology substantially corresponding to the patient status changes which occurred substantially least recently as the index disorder.

Claims

1. A system for ordering and prioritizing multiple health disorders for automated remote patient care, comprising:

a medical device recording measures relating to patient information for an individual patient on a substantially continuous basis;

a database maintaining a plurality of monitoring sets, wherein the monitoring sets comprise the measures previously recorded by the medical device and measures derived from the previously recorded measures;

a plurality of health disorder candidates that each comprise quantifiable physiological measures characteristic of a pathophysiology for a health disorder;

a server processing the monitoring sets in the database, comprising;

a comparison module comparing a plurality of the measures from the monitoring sets to determine patient status changes; and

an analysis module ordering the patient status changes in temporal sequence, evaluating each patient status change against the health disorder candidates, and identifying the health disorder candidate with the pathophysiology corresponding to a least-recently occurring patient status change as an index disorder.