Advanced patient management for reporting multiple health-related parameters

• US 7,983,759 B2
• Filed: 12/18/2002
• Issued: 07/19/2011
• 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: Hatlestad, John, Stahmann, Jeffrey E., Zhu, Qingsheng
• Primary Examiner(s): KAHELIN, MICHAEL WILLIAM
• Application Number:
  US10/323,606
• Publication Number:
  US 20040122485A1
• Time in Patent Office: 3,135 Days
• Field of Search: 607/59, 607/62, 607/60, 607/30
• US Class Current: 607/60
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• 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 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/0826 Detecting or evaluating apnoea events A61B5/4818 takes precedence
• CPC Class Codes: A61B 5/091 Measuring volume of inspired or expired gases, e.g. to determine lung capacity
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/4878 Evaluating oedema
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes 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 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61B 7/02 Stethoscopes acoustic details thereof G10K11/00
• CPC Class Codes: A61N 1/37258 Alerting the patient
• 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 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/30 : relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/30 : for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16H 50/70 : for mining of medical data, e.g. analysing previous cases of other patients

Abstract

Systems, devices and methods for reporting multiple health-related parameters are disclosed. One aspect is a programmable device having machine executable instructions for performing a method to report multiple parameters related to a health condition of a patient. In various embodiments, a number of trended health-related parameters, a number of predetermined events corresponding to the number of trended health-related parameters, and a number of alerts associated with the predetermined events are acquired. The number of trended health-related parameters, the number of predetermined events, and the number of alerts are communicated in a manner suitable for use in determining the health condition of the patient. Other aspects and embodiments are provided herein.

Claims

1. A programmable device within an advanced patient management system, the device comprising a computer-readable medium with machine executable instructions stored thereon for performing a computer-executable process to report multiple parameters related to a health condition of a patient, the computer-executable process comprising:

acquiring one or more trended health-related parameters;

acquiring one or more predetermined events corresponding to the one or more trended health-related parameters, wherein each of the one or more predetermined events represents an event condition where a predetermined event definition is satisfied;

acquiring one or more alerts associated with the one or more predetermined events, wherein each of the one or more alerts represents an alert condition where a predetermined alert definition is satisfied, and is distinct from each of the one or more events; and

communicating the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts in a manner suitable for use in determining the health condition of the patient.

2. The device of claim 1, wherein communicating the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts includes displaying the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts in a single display area.

3. The device of claim 1, wherein the device includes a programmable implantable medical device (IMD) adapted to acquire the at least one health related parameter and adapted to communicate with a programmer adapted to display the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts.

4. The device of claim 1, wherein the device includes a wellness management device (WMD) adapted to display the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts.

5. The device of claim 4, wherein the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts to the number are displayed by the WMD in a manner suitable for viewing by a clinician.

6. The device of claim 4, wherein the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts to the number are displayed by the WMD in a manner suitable for viewing by a patient.

7. The device of claim 4, wherein the WMD includes a personal data assistant (PDA).

8. The device of claim 4, wherein the WMD includes a bedside monitor.

9. The device of claim 4, wherein the WMD includes a laptop computer.

10. The device of claim 4, wherein the WMD includes a desktop computer.

11. The device of claim 1, wherein the computer-executable process further comprises filtering the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts according to relevance to identify a relevant one or more trended health-related parameters, a relevant one or more predetermined events, and a relevant one or more alerts, and comprises displaying the relevant one or more trended health-related parameters, the relevant one or more predetermined events, and the relevant one or more alerts in a single display area.

12. The device of claim 1, wherein the one or more alerts indicate important changes with respect to the health of the patient.

13. The device of claim 1, wherein the one or more alerts indicate important negative changes with respect to the health of the patient.

14. The device of claim 1, wherein communicating the one or more trended health-related parameters, the one or more predetermined events, and the one or more alerts in a manner suitable for use in determining the health condition of the patient includes at least one of automatically displaying a report, automatically triggering an alarm, automatically sending an e-mail, automatically sending a telefax, and automatically placing a telephone call.

15. An advanced patient management system, including a programmable device comprising a computer-readable medium with machine executable instructions stored thereon for performing a computer-executable process to report multiple parameters related to a health condition of a patient, the computer-executable process comprising:

defining predetermined events for the health of the patient, wherein each of the predetermined events represents an event condition where a predetermined event definition is satisfied;

defining predetermined alerts for the health of the patient, wherein each of the predetermined alerts represents an alert condition where a predetermined alert definition is satisfied, and is distinct from each of the one or more events;

acquiring health-related parameters;

trending the health-related parameters;

detecting at least one of the defined predetermined events based on the trended health-related parameters;

associating the detected predetermined event with an alert; and

communicating the trended health-related parameters, the detected predetermined event, and the alert in a manner suitable for use in determining the health condition of the patient.

16. The system of claim 15, wherein defining predetermined events includes defining a device therapy change that can affect a trended parameter.

17. The system of claim 15, wherein defining predetermined events includes defining a drug therapy change.

18. The system of claim 15, wherein defining predetermined events includes defining an arrhythmic event.

19. The system of claim 15, wherein defining predetermined events includes defining a clinically important change in the at least one trended parameter.

20. The system of claim 15, wherein defining predetermined events includes defining an autonomously identified correlation between two or more trended parameters as predetermined.

21. The system of claim 15 wherein the computer-executable process further comprises acquiring the acquired health-related parameters using at least one implantable medical device (IMD) sensor.

22. The system of claim 15, wherein the computer-executable process further comprises acquiring the acquired health-related parameters using at least one external sensor.

23. The system of claim 15, wherein the computer-executable process further comprises acquiring the acquired health-related parameters using at least one external data source.

24. The system of claim 15, wherein the computer-executable process further comprises acquiring the acquired health-related parameters using at least one manual data input.

25. The system of claim 15, wherein communicating the trended health-related parameters, the detected predetermined event, and the alert includes displaying the trended health-related parameters, the detected predetermined event, and the alert to a healthcare provider using a remote wellness monitoring device (WMD).

26. The system of claim 15, wherein communicating the trended health-related parameters, the detected predetermined event, and the alert includes displaying the trended health-related parameters, the detected predetermined event, and the alert to a healthcare provider using a programmer.

27. The system of claim 15, wherein communicating the trended health-related parameters, the at least one detected predetermined event, and the alert includes displaying the trended health-related parameters, the detected predetermined event, and the alert to the patient using a wellness monitoring device (WMD).

28. The system of claim 27, wherein the WMD includes a bedside monitor.

29. The system of claim 15, wherein the detected predetermined event includes events reflecting both positive changes and negative changes.

30. The system of claim 15, wherein communicating the trended health-related parameters, the detected predetermined event, and the alert includes displaying the detected predetermined event with the trended health-related parameters in a single display area.

31. The system of claim 15, wherein communicating the trended health-related parameters, the detected predetermined event, and the alert includes prominently displaying the alert on a programmer screen display.

32. The system of claim 31, wherein prominently displaying the alert on a programmer screen display includes displaying the alert on a sign-on screen of the programmer.

33. A device for reporting multiple parameters related to a health condition of a patient, comprising:

a parameter acquisition module adapted to acquire at least one trended health-related parameter;

a predetermined event acquisition module adapted to acquire at least one predetermined event corresponding to the at least one trended health-related parameter, wherein each of the at least one predetermined event represents an event condition where a predetermined event definition is satisfied;

an alert acquisition module adapted to acquire at least one alert associated with the at least one predetermined event, wherein each of the at least one alert represents an alert condition where a predetermined alert definition is satisfied, and is distinct from each of the at least one event; and

an output communication module adapted to communicate the at least one trended health-related parameter, the at least one predetermined event, and the the at least one alert in a manner suitable for use in determining the health condition of the patient.

34. The device of claim 33, wherein the at least one trended health-related parameter includes an environmental parameter, a diet parameter or a mental/emotional parameter.

35. The device of claim 33, further comprising a filter module adapted to communicate with the output communication module and to prioritize the at least one trended health-related parameter, the at least one predetermined event, and the at least one event according to relevance such that the output communication module communicates higher priority parameters, events and alerts in a preferred manner over lower priority parameters, events and alerts.

36. An advanced patient management system for reporting multiple parameters related to a health condition of a patient, comprising:

means for acquiring at least one trended health-related parameter, at least one predetermined event corresponding to the at least one trended health-related parameter, and at least one alert associated with the at least one predetermined event, wherein each of the at least one predetermined event represents an event condition where a predetermined event definition is satisfied, and each of the at least one alert represents an alert condition where a predetermined alert definition is satisfied, and is distinct from each of the at least one event; and

means for communicating the at least one trended health-related parameter, the at least one predetermined event, and the at least one alert in a manner suitable for use in determining the health condition of the patient.

37. The system of claim 36, wherein the at least one trended health-related parameter includes an environmental parameter, a diet parameter or a mental/emotional parameter.

38. The system of claim 36, further comprising means for prioritizing the at least one trended health-related parameter, the at least one predetermined event, and the at least one alert according to relevance such that higher priority parameters, events and alerts are preferably communicated over lower priority parameters, events and alerts.