System and method for collection and analysis of patient information for automated remote patient care

• US 8,277,378 B2
• Filed: 09/29/2006
• Issued: 10/02/2012
• Est. Priority Date: 06/03/1999
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Bardy, Gust H.
• Primary Examiner(s): BOCKELMAN, MARK
• Application Number:
  US11/540,251
• Publication Number:
  US 20070027723A1
• Time in Patent Office: 2,195 Days
• Field of Search: 600/300, 600/301, 600/513, 128/923
• US Class Current: 600/301
• 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: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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: Y10S 128/92 Computer assisted medical diagnostics

Abstract

A system and method for collection and analysis of patient information for automated remote patient care is disclosed. Patient care records in a database are collected. Each patient care record is defined and includes collected measurements sets. Each collected measurements set is specified and includes individual measurements, which each relate to patient information recorded by a medical device adapted to be implanted. At least one of the collected measurements sets is processed. A set of the collected measurements regularly stored and periodically sent from the implantable medical device is received. The collected measurements set are stored into the patient care record. One or more of the collected measurements sets are analyzed in the patient care record for the individual patient relative to one or more other collected measurements sets stored in the patient care record. Feedback based on the analysis of the one or more collected measurements sets is sent.

Claims

1. A computer-readable storage medium holding code for collection and analysis of patient information for automated remote patient care, comprising:

code for regularly recording and storing measures as collected measure sets comprising individual measures which each relate to patient information by a medical device adapted to be implanted for an individual patient;

code for periodically receiving a set of the collected measures from the medical device adapted to be implanted;

code for collecting one or more patient care records into a database, comprising code for organizing one or more patient care records which each comprise a plurality of the collected measures sets, and code for storing the collected measures set into a patient care record for the individual patient within the database; and

code for analyzing one or more of the collected measures sets in the patient care record for the individual patient relative to one or more other collected measures sets stored in the database to determine a wellness indicator.

2. A storage medium according to claim 1, further comprising:

code for operating a collection client communicatively interposed between the medical device adapted to be implanted and a network server, the collection client retrieving the collected measures set and downloading the collected measures set from the collection client into the network server.

3. A storage medium according to claim 1, further comprising:

code for operating a feedback client interfaced to a feedback communications link over which automated feedback based on the wellness indicator is provided to the individual patient from a network server.

4. A storage medium according to claim 3, the code for analyzing one or more of the collected measures sets further comprising:

code for operating a feedback module providing tiered feedback comprising;

at a first level of feedback, code for operatively communicating an interpretation of the wellness indicator to the individual patient over the feedback communications link;

at a second level of feedback, code for operatively communicating a notification of potential medical concern based on the wellness indicator to the individual patient over the feedback communications link;

at a third level of feedback, code for operatively communicating a notification of potential medical concern based on the wellness indicator to medical personnel in local proximity to the individual patient over the feedback communications link; and

at a fourth level of feedback, code for operatively communicating a set of reprogramming instructions based on the wellness indicator to the implantable medical device over the feedback communications link.

5. A storage medium according to claim 1, the code for analyzing one or more of the collected measures sets further comprising:

code for operating an analysis module dynamically analyzing the one or more of the collected measures sets in the patient care record for the individual patient.

6. A storage medium according to claim 1, the code for analyzing one or more of the collected measures sets further comprising:

code for operating an analysis module analyzing the one or more of the collected measures sets in the patient care record for the individual patient in a batch comprising the one or more of the collected measures sets in patient care records for a plurality of individual patients.

7. A storage medium according to claim 1, further comprising:

code for sending feedback based on the analysis of the one or more collected measurements sets.

8. A storage medium according to claim 1, the code for analyzing one or more of the collected measures sets further comprising:

code for comparing at least one collected measurement selected from the one or more collected measurements sets to at least one other collected measurement selected from the one or more other collected measurements sets, the at least one collected measurement and the at least one other collected measurement both relating to the same type of patient information.

9. A storage medium according to claim 1, the code for analyzing one or more of the collected measures sets further comprising:

code for comparing at least one collected measurement selected from the one or more collected measurements sets to at least one other collected measurement selected from the one or more other collected measurements sets, the at least one collected measurement and the at least one other collected measurement both relating to different types of patient information.

10. A storage medium according to claim 1, the code for analyzing one or more of the collected measures sets further comprising:

code for determining at least one derived measurement using at least one collected measurement selected from at least one of the one or more collected measurements sets and the one or more other collected measurements sets; and

code for comparing the at least one derived measurement to at least one measurement selected from at least one of the one or more collected measurements sets and the one or more other collected measurements sets.

11. A storage medium according to claim 1, the code for analyzing one or more of the collected measures sets further comprising:

code for determining at least one derived measurement using at least one collected measurement selected from at least one of the one or more collected measurements sets and the one or more other collected measurements sets;

code for determining at least one other derived measurement using at least one collected measurement selected from at least one of the one or more collected measurements sets and the one or more other collected measurements sets; and

code for comparing the at least one derived measurement to the at least one other derived measurement.

12. A storage medium according to claim 1, the code for analyzing one or more of the collected measures sets further comprising:

code for providing tiered feedback comprising;

at a first level of feedback, code for communicating an interpretation of the analysis of the one or more collected measurements sets to the individual patient;

at a second level of feedback, code for communicating a notification of potential medical concern based on the analysis of the one or more collected measurements sets to the individual patient;

at a third level of feedback, code for communicating a notification of potential medical concern based on the analysis of the one or more collected measurements sets to medical personnel in local proximity to the individual patient; and

at a fourth level of feedback, code for communicating a set of reprogramming instructions based on analysis of the one or more collected measurements sets to the implantable medical device.