Automated interpretive medical care system and methodology

• US 8,147,419 B2
• Filed: 12/06/2001
• Issued: 04/03/2012
• Est. Priority Date: 12/07/2000
• Status: Active Grant

• Current Assignee: Children's Medical Center Corporation, Oridion Medical 1987 Limited (Medtronic Plc), Physio-Control Incorporated (Stryker Corporation)
• Original Assignee: Physio-Control Incorporated (Stryker Corporation)
• Inventors: Krauss, Baruch Shlomo, Carlebach, Ephraim
• Primary Examiner(s): MALLARI, PATRICIA C
• Application Number:
  US10/433,760
• Publication Number:
  US 20040236240A1
• Time in Patent Office: 3,771 Days
• Field of Search: 600/529, 600/532
• US Class Current: 600/529
• CPC Class Codes: A61B 2560/0431 Portable apparatus, e.g. comprising a handle or case
• CPC Class Codes: A61B 2560/0437 Trolley or cart-type apparatus
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• 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 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/082 Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath A61B5/083, A61B5/091 take precedence
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: A61B 5/6835 Supports or holders, e.g., articulated arms
• CPC Class Codes: A61B 5/7264 : Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 5/7275 : Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/7282 : Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61B 5/7425 : Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• 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: 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

Abstract

Improved apparatus and methods for monitoring, diagnosing and treating at least one medical respiratory condition of a patient are provided, including a medical data input interface adapted to provide at least one medical parameter relating at least to the respiration of the patient, and a medical parameter interpretation functionality (104, 110) adapted to receive the at least one medical parameter relating at least to the respiration (102) of the patient and to provide at least one output indication (112) relating to a degree of severity of at least one medical condition indicated by the at least one medical parameter.

Claims

1. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the system comprising:

a medical data input interface adapted to provide the at least one medical parameter relating at least to respiration of the patient, wherein said data input interface comprises at least one monitoring device operative to continuously monitor the at least one medical parameter, wherein said at least one monitoring device includes a capnograph; and

a medical parameter interpreter comprising;

a medical condition diagnosis module for diagnosing, based on the at least one medical parameter, a type of said at least one medical condition, and

a medical condition severity indication module for indicating, based on the at least one medical parameter, a degree of severity of said at least one medical condition diagnosed by said medical condition diagnosis module,

wherein said medical parameter interpreter is operative to provide said at one output indication relating to at least one medical condition responsive to a pattern of changes in said at least one medical parameter over time.

2. A system according to claim 1 and wherein said at least one monitoring device is operative to collect a sample of expired air from said patient.

3. A system according to claim 1 and wherein said at least one monitoring device is operative to monitor at least one of:

an expired air carbon dioxide concentration; and

an expired air carbon dioxide profile parameter.

4. A system according to claim 1 and wherein said at least one monitoring device is operative to monitor at least one of the following waveforms:

a carbon dioxide waveform (capnogram);

an EEG waveform; and

an ECG waveform.

5. A system according to claim 1 wherein said at least one medical parameter includes at least one of:

an expired air carbon dioxide concentration; and

an expired air carbon dioxide profile parameter.

6. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the system comprising:

a medical data input interface adapted to provide the at least one medical parameter relating at least to respiration of the patient, wherein said data input interface comprises at least one monitoring device operative to monitor the at least one medical parameter, wherein said at least one monitoring device includes a capnograph; and

a medical parameter interpreter comprising;

a medical condition diagnosis module for diagnosing, based on the at least one medical parameter, a type of said at least one medical condition; and

a medical condition severity indication module for indicating, based on the at least one medical parameter, a degree of severity of said at least one medical condition diagnosed by said medical condition diagnosis module,

wherein said medical parameter interpreter is operative to provide said output indication relating to at least one medical condition responsive to a pattern of changes in said at least one medical parameter over time.

7. A system according to claim 6 and wherein said at least one medical parameter comprises a plurality of medical parameters.

8. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the system comprising:

a medical data input interface adapted to provide the at least one medical parameter relating at least to respiration of the patient, wherein said data input interface comprises at least one monitoring device operative to monitor the at least one medical parameter, wherein said at least one monitoring device includes a capnograph;

a medical parameter interpreter comprising;

a medical condition diagnosis module for diagnosing, based on the at least one medical parameter, a type of said at least one medical condition, and

a medical condition severity indication module for indicating, based on the at least one medical parameter, a degree of severity of said at least one medical condition diagnosed by said medical condition diagnosis module,

wherein said medical parameter interpreter is further operative to provide an output indication responsive to a pattern of changes in the degree of severity of said at least one medical condition over time.

9. A system according to claim 8 and also comprising treatment recommendation module.

10. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the system comprising:

a medical data input interface adapted to provide the at least one medical parameter relating at least to respiration of the patient, wherein said data input interface comprises at least one monitoring device operative to monitor the at least one medical parameter, wherein said at least one monitoring device includes a capnograph;

a medical parameter interpreter comprising;

a medical condition diagnosis module for diagnosing, based on the at least one medical parameter, a type of said at least one medical condition and

a medical condition severity indication module for indicating, based on the at least one medical parameter, a degree of severity of said at least one medical condition diagnosed by said medical condition diagnosis module; and

a treatment recommendation module is responsive to a pattern of changes in the degree of severity of said at least one medical condition over time.

11. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the system comprising:

a medical data input interface adapted to provide the at least one medical parameter relating at least to respiration of the patient, wherein said data input interface comprises at least one monitoring device operative to monitor the at least one medical parameter, wherein said at least one monitoring device includes a capnograph; and

a medical parameter interpreter comprising;

a medical condition diagnosis module for diagnosing, based on the at least one medical parameter, a type of said at least one medical condition, and

a medical condition severity indication module for indicating, based on the at least one medical parameter, a degree of severity of said at least one medical condition diagnosed by said medical condition diagnosis module,

wherein said output indication relating to at least one medical condition is determined at least partially by changes in said at least one medical parameter.

12. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the method comprising:

providing at least one medical parameter relating at least to respiration of the patient, wherein said providing at least one medical parameter comprises monitoring the at least one medical parameter, wherein said monitoring comprises employing a capnograph;

receiving said at least one medical parameter relating at least to respiration of said patient;

using a processor, diagnosing a type and a degree of severity of said at least one medical condition indicated by said at least one medical parameter; and

providing said output indication relating to at least one medical condition responsive to a pattern of changes in said at least one medical parameter over time.

13. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the method comprising:

providing at least one medical parameter relating at least to respiration of the patient, wherein said providing at least one medical parameter comprises monitoring the at least one medical parameter, wherein said monitoring comprises employing a capnograph,

receiving said at least one medical parameter relating at least to respiration of said patient;

using a processor, diagnosing a type and a degree of severity of said at least one medical condition indicated by said at least one medical parameter; and

providing an output indication responsive to a pattern of changes in the degree of severity of said at least one medical condition over time.

14. A method according to claim 13 and also comprising providing a treatment recommendation.

15. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the method comprising:

providing at least one medical parameter relating at least to respiration of the patient, wherein said providing at least one medical parameter comprises monitoring the at least one medical parameter, wherein said monitoring comprises employing a capnograph;

receiving said at least one medical parameter relating at least to respiration of said patient;

using a processor, diagnosing a type and a degree of severity of said at least one medical condition indicated by said at least one medical parameter; and

providing treatment recommendation is responsive to a pattern of changes in the degree of severity of said at least one medical condition over time.

16. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the method comprising:

providing at least one medical parameter relating at least to respiration of the patient, wherein said providing at least one medical parameter comprises monitoring the at least one medical parameter, wherein said monitoring comprises employing a capnograph;

receiving said at least one medical parameter relating at least to respiration of said patient; and

using a processor, diagnosing a type and a degree of severity of said at least one medical condition indicated by said at least one medical parameter,

wherein said output indication relating to at least one medical condition is determined at least partially by changes in said at least one medical parameter.

17. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the method comprising:

providing at least one medical parameter relating at least to respiration of the patient, wherein said providing at least one medical parameter comprises continuously monitoring the at least one medical parameter, wherein said monitoring comprises employing a capnograph;

receiving said at least one medical parameter relating at least to respiration of said patient;

using a processor, diagnosing a type and a degree of severity of said at least one medical condition indicated by said at least one medical parameter; and

providing said output indication relating to at least one medical condition responsive to a pattern of changes in said at least one medical parameter over time.