Advanced patient management for identifying, displaying and assisting with correlating health-related data

• US 7,959,568 B2
• Filed: 12/22/2008
• Issued: 06/14/2011
• Est. Priority Date: 12/18/2002
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Stahmann, Jeffrey E., Hatlestad, John D., Zhu, Qingsheng
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): Sarcione; Jessica
• Application Number:
  US12/341,207
• Publication Number:
  US 20090105554A1
• Time in Patent Office: 904 Days
• Field of Search: 600300-301, 600483-484, 600508-510, 600/513, 600523-525, 607 30- 32, 607 59- 60, 128897-898, 128920-925, 705/3
• US Class Current: 600/301
• CPC Class Codes: A61B 2560/0242 adapted to measure environmental factors, e.g. temperature, pollution
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/0833 Measuring rate of oxygen consumption
• 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 5/205 Determining bladder or urethral pressure
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

Systems, devices and methods for identifying, displaying and assisting in correlating health-related data. One aspect is a programmable device having machine executable instructions for performing a method for use in correlating data to manage a patient'"'"'s health. In various embodiments, data related to the patient'"'"'s health is acquired. The acquired data includes one or more trended health-related parameters, and at least one of one or more predetermined health-related events and one or more health-related alerts. Correlations are identified. The one or more trended health-related parameters and the at least one of the one or more predetermined health-related events and the one or more health-related alerts establish a causal relationship between the acquired data and the patient'"'"'s health.

Claims

1. A device for monitoring a patient'"'"'s health condition, comprising:

at least one data input to receive data, including one or more trended parameters, and at least one of one or more predetermined events and one or more alerts; and

a correlation module to;

communicate with the at least one data input;

correlate the one or more trended parameters, the one or more predetermined events, and the one or more alerts; and

establish a correlative relationship;

wherein the correlation module automatically triggers an implantable medical device (IMD) therapy change based on the correlative relationship.

2. The device of claim 1, wherein the correlation module to establish a correlative relationship includes a correlation module to establish a causal relationship.

3. The device of claim 2, wherein the correlation module to establish a causal relationship includes a correlation module to establish a causal relationship between data and the patient'"'"'s health.

4. The device of claim 3, wherein the correlation module displays the data in a manner suitable to visibly identify the causal relationship with respect to the patient'"'"'s health.

5. The device of claim 4, wherein the correlation module displays an indicator along with the data in a manner suitable to visibly identify the causal relationship with respect to the patient'"'"'s health.

6. The device of claim 5, wherein the correlation module to trigger an implantable medical device (IMD) therapy change based on the causal relationship with respect to the patient'"'"'s health.

7. The device of claim 3, wherein one or more correlation algorithms are used by the correlation module to automatically identify the causal relationship with respect to the patient'"'"'s health.

8. The device of claim 3, wherein the correlation module triggers an action based on the causal relationship with respect to the patient'"'"'s health.

9. The device of claim 1, wherein the at least one data input includes a first data input to receive one or more trended parameters, a second data input to receive one or more predetermined events, and a third data input to receive one or more alerts.

10. The device of claim 1, wherein the device includes a wellness monitoring device (WMD).

11. The device of claim 1, wherein the device includes an implantable medical device (IMD).

12. A system for correlating data for use in managing a patient'"'"'s health, comprising:

acquisition means for acquiring health-related data, including means for acquiring one or more trended parameters, and at least one of one or more predetermined events and one or more physician alerts; and

correlation means for correlating the one or more trended parameters, the one or more predetermined events and the one or more physician alerts to establish a correlative relationship;

wherein the correlation means automatically triggers an implantable medical device (IMD) therapy change based on the correlative relationship.

13. The system of claim 12, wherein the correlation means includes correlation means for establishing a causal relationship.

14. The system of claim 13, wherein the correlation means includes correlation means for establishing a causal relationship between data and the patient'"'"'s health.

15. The system of claim 12, wherein the correlation means includes correlation means for correlating the one or more trended parameters, at least one of the one or more predetermined events and the one or more physician alerts to establish a correlative relationship.

16. The system of claim 12, wherein the acquisition means includes at least one implantable medical device (IMD) sensor.

17. The system of claim 12, wherein the acquisition means includes at least one data input to acquire at least one mental/emotional parameter.

18. The system of claim 12, wherein the acquisition means includes at least one data input to acquire at least one environmental parameter.

19. The system of claim 12, wherein the acquisition means includes at least one data input to acquire at least one diet parameter.

20. The system of claim 12, wherein the acquisition means includes at least one sensor.

21. The system of claim 20, wherein the at least one sensor includes an implantable medical device (IMD) sensor.

22. The system of claim 20, wherein the at least one sensor includes a sensor for acquiring at least one mental/emotional parameter.

23. The system of claim 20, wherein the at least one sensor includes a sensor for acquiring at least one environmental parameter.

24. The system of claim 20, wherein the at least one sensor includes a sensor for acquiring at least one diet parameter.

25. The system of claim 12, wherein the acquisition means includes at least one input device to receive user-inputted data.

26. The system of claim 12, wherein the acquisition means includes at least one communication module to communicate with a database of health-related data.

27. The system of claim 26, wherein the at least one communication module to communicate with a database of health-related data includes a communication module to communicate with a database of environmental data suitable to be accessed through a global communication network.