System and method for managing locally-initiated medical device interrogation

• US 8,706,226 B2
• Filed: 09/15/2010
• Issued: 04/22/2014
• Est. Priority Date: 06/05/2006
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Johnson, David C., Simms, Howard D., Hoyme, Kenneth P., Srivathsa, Muralidharan, Somberg, Benjamin L.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Bays, Pamela M
• Application Number:
  US12/882,747
• Publication Number:
  US 20110004277A1
• Time in Patent Office: 1,315 Days
• Field of Search: 128/903, 607/27, 607/32, 607/59, 607/60, 600/301, 705/2, 705/3
• US Class Current: 607/32
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients

Abstract

A system and method for managing locally-initiated medical device interrogation is presented. An interface is provided over which to retrieve patient data recorded and transiently staged by a medical device monitoring physiological measures of a patient. The patient data is periodically retrieved by interfacing to and interrogating the medical device per a pre-defined schedule through the interface. Further retrieval of the patient data is permitted independent of the pre-defined schedule. The system stores remotely-specifiable criteria specified by a caregiver and controls patient-initiated patient data retrieval in accordance with the criteria.

Claims

1. A system for managing locally-initiated medical device interrogation, comprising:

a noncontinuously coupleable interface over which to retrieve patient data recorded and transiently staged by a medical device monitoring physiological measures of a patient; and

a collector, configured to;

periodically retrieve patient data by interfacing to and interrogating the medical device per a pre-defined schedule through the interface; and

permit patient-initiated patient data retrieval independent of the pre-defined schedule;

wherein the system is configured to receive criteria specified by a caregiver from a server, and limit the number of attempts of patient-initiated patient data retrieval in accordance with the criteria, wherein the criteria comprise at least a fixed time period following an event occurrence within which a patient-initiated interrogation attempt is allowed to proceed.

2. The system of claim 1 wherein the pre-defined schedule defines autonomous patient data retrieval frequency.

3. The system of claim 1 wherein the system is further configured to receive modifications to the criteria in response to an attempted further retrieval of the patient data.

4. The system of claim 1 further comprising an interrogation counter maintained by the storage device.

5. A method for managing locally-initiated medical device interrogation, comprising:

receiving a request for a patient-initiated interrogation of a medical device;

obtaining criteria for the patient-initiated interrogation from a server, wherein the criteria comprise a limit on the number of patient-initiated interrogation requests;

blocking the patient-initiated interrogation conditioned on the criteria; and

providing an alert notification that a caregiver has temporarily disabled patient-initiated interrogation.

6. The method of claim 5 further comprising interrogating the medical device automatically per a pre-defined schedule.

7. The method of claim 6 where receiving a request for the patient-initiated interrogation is independent of interrogating the medical device automatically per the pre-defined schedule.

8. The method of claim 5 further comprising determining whether interrogation can proceed, conditioned on the criteria.

9. The method of claim 5 further comprising providing an alert notification of the number of patient-initiated interrogations attempted.

10. The method of claim 5 further comprising providing an alert notification of the number of times that a limit on patient-initiated interrogations has been exceeded.

11. The method of claim 5 where disabling the patient-initiated interrogation comprises disabling a medical device interrogation interface.

12. The method of claim 5 further comprising receiving modifications to the criteria in response to receiving a request for a patient-initiated interrogation.

13. The method of claim 5 further comprising providing a noncontinuously coupleable interface over which to retrieve patient data recorded and transiently staged by a medical device monitoring physiological measures of a patient.

14. A patient management system for the remote management of a patient comprising:

a storage device configured to store retrieved patient data,

an interrogation counter maintained by the storage device;

conditions affecting patient-initiated interrogation stored in the storage device and received from a server, the conditions comprising a limit on the number of patient-initiated interrogation attempts, and a fixed time period following an event occurrence within which a patient-initiated interrogation attempt is allowed to proceed;

a collector configured to control patient-initiated interrogation based on the conditions and upload collected data to a centralized server; and

a notifier configured to provide alert notifications including at least;

that patient-initiated interrogation has been temporarily disabled, and

the number of patient-initiated interrogation attempts.

15. The system of claim 14 wherein the conditions are remotely specifiable conditions.

16. The system of claim 15 wherein, based on the conditions, the system is configured to do at least one of the following:

unconditionally disable patient-initiated interrogation;

limit the number of patient-initiated interrogations;

disable patient-initiated interrogation except in a medical emergency; and

disable of patient-initiated interrogation except within a time period following an event occurrence.

17. The system of claim 14 further comprising an evaluator configured to evaluate collected data against an alert condition.

18. The system of claim 14 wherein the notifier is further configured to provide an alert notification including the number of patient-initiated interrogation attempts within a time period.

19. The system of claim 15 wherein the system is configured to receive modifications to the remotely-specifiable criteria in response to an attempted further retrieval of the patient data.