Distributed medical sensing system and method

• US 8,797,155 B2
• Filed: 09/21/2012
• Issued: 08/05/2014
• Est. Priority Date: 04/08/2011
• Status: Active Grant

• Current Assignee: Volcano Corporation (Koninklijke Philips N.V.)
• Original Assignee: Volcano Corporation (Koninklijke Philips N.V.)
• Inventors: Huennekens, R. Scott, Sheehan, David M., Spencer, Jason, Kerr, Rex, Clark, Bill, Mansker, Richard E.
• Primary Examiner(s): Wu, Daniel
• Assistant Examiner(s): Tang, Son M
• Application Number:
  US13/624,480
• Publication Number:
  US 20130015975A1
• Time in Patent Office: 683 Days
• Field of Search: 3405391-53912, 3405733-5734, 600/300, 600/407, 600/437
• US Class Current: 340/539.12
• CPC Class Codes: A61B 5/0013 Medical image data A61B1/00011, A61B6/56, A61B8/56 take precedence
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/54 Control of the diagnostic device
• CPC Class Codes: A61B 8/565 involving data transmission via a network
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS

Abstract

A method of communicating medical sensing data including receiving, at a patient communication system, medical sensing data collected by a medical sensing device during a medical sensing procedure. The method also includes creating, with the patient communication system, a data message, the data message including at least a portion of the medical sensing data, information about the medical sensing procedure, and information about the medical sensing data and transmitting, with the patient communication system, the data message to a centralized computing device over a data network.

Claims

1. A method of communicating medical sensing data, comprising:

receiving, at a unit of a patient communication system within a sterile field, intravascular medical sensing data collected by an intravascular medical sensing device during an intravascular medical sensing procedure, the unit being communicatively coupled to a bedside controller disposed within the sterile field, wherein the bedside controller includes an integrated touchscreen display and is configured to control the intravascular medical sensing device to collect the intravascular medical sensing data in response to user input received on the integrated touchscreen display, and wherein the intravascular medical sensing data includes intravascular imaging data and wherein the intravascular medical sensing device is at least one of an intravascular ultrasound (IVUS) device and an optical coherence tomography (OCT) device;

creating, with the unit of the patient communication system within the sterile field, a data message, the data message including

at least a portion of the intravascular medical sensing data,

information about the medical sensing procedure including a date and a time of the medical sensing procedure, a location of the medical sensing procedure, identification information about a patient undergoing the medical sensing procedure, identification information about the health care practitioner performing the medical sensing procedure, and security access information restricting the location at which the intravascular medical sensing data is accessible or the persons to whom the intravascular medical sensing data is accessible, and

information about the intravascular medical sensing data including a timestamp generated by the unit of the patient communication system, modality information indicating if the medical sensing device is an IVUS device and an OCT device, analog to digital conversion information, compression information, and workflow information associated with the medical sensing procedure,

wherein creating the data message includes creating a plurality of packets that together include all portions of the intravascular medical sensing data, wherein a first packet of the plurality of packets contains the at least a portion of the intravascular medical sensing data, the information about the medical sensing procedure, and the information about the intravascular medical sensing data, and wherein subsequent packets of the plurality of packets contain the at least a portion of the intravascular medical sensing data and a unique universal identifier associated with the medical sensing procedure, the subsequent packets omitting the information about the medical sensing procedure and the information about the intravascular medical sensing data;

transmitting, with the unit of the patient communication system within the sterile field, the data message to a centralized computing device outside of the sterile field over a data network, wherein the transmitting includes transmitting the plurality of packets to the centralized computing device;

processing, at the centralized computing device, the intravascular medical sensing data from the data message, the centralized computing device including a plurality of compute engines for simultaneously processing the intravascular medical sensing data; and

outputting to the integrated touchscreen display of the bedside controller real-time intravascular images based on the processed intravascular medical sensing data.

2. The method of communicating medical sensing data of claim 1, including, with the unit of the patient communication system, digitizing the intravascular medical sensing data if it is received in analog form.

3. The method of communicating medical sensing data of claim 1, further including:

receiving, at the unit of the patient communication system, a further data message including the intravascular medical sensing data in processed form from the centralized computing device over the data network; and

transmitting the further data message to the integrated touchscreen display of the bedside controller to display the real-time intravascular images based on the processed intravascular medical sensing data.

4. A distributed medical sensing system, comprising:

a computer communication network;

a first patient communication system communicatively coupled to a first intravascular medical sensor device and the computer communication network, the first patient communication system including a first unit in a first sterile field that is operable to transmit, over the computer communication network, a first plurality of packets containing first intravascular medical data collected from a first patient by the first intravascular medical sensor device, the first unit being communicatively coupled to a first bedside controller disposed within the first sterile field, wherein the first bedside controller includes an integrated touchscreen display and is configured to control the first intravascular medical sensor device to collect the first intravascular medical data in response to user input received on the integrated touchscreen display, wherein the first intravascular medical data includes first intravascular imaging data and wherein the first intravascular medical sensor device is at least one of an intravascular ultrasound (IVUS) device and an optical coherence tomography (OCT) device;

a second patient communication system communicatively coupled to a second intravascular medical sensor device and the computer communication network, the second patient communication system including a second unit in a second sterile field that is operable to send over the computer communication network a second plurality of packets containing second intravascular medical data collected from a second patient by the second intravascular medical sensor device, the second unit being communicatively coupled to a second bedside controller disposed within the second sterile field, wherein the second bedside controller includes an integrated touchscreen display and is configured to control the second intravascular medical sensor device to collect the second intravascular medical data in response to user input received on the integrated touchscreen display, wherein the second intravascular medical data includes second intravascular imaging data and wherein the second intravascular medical sensor device is at least one of an intravascular ultrasound (IVUS) device and an optical coherence tomography (OCT) device; and

a centralized computing device including a plurality of compute engines for concurrently processing the first and second intravascular medical data, the centralized computing device positioned outside of the first and second sterile fields and communicatively coupled to the computer communication network and operable to;

receive first and second plurality of packets;

respectively process the first intravascular medical data based on the first patient information and process the second intravascular medical data based on the second patient information; and

respectively output, to the integrated touchscreen display of the first bedside controller, real-time intravascular images based on the processed first intravascular medical data and output, to the integrated touchscreen display of the second bedside controller, real-time intravascular images based on the processed second intravascular medical data;

wherein the first and second plurality of packets respectively further include

information about a medical sensing procedure including a date and a time of the medical sensing procedure, a location of the medical sensing procedure, identification information about a patient undergoing the medical sensing procedure, identification information about the health care practitioner performing the medical sensing procedure, and security access information restricting the location at which the intravascular medical sensing data is accessible or the persons to whom the intravascular medical sensing data is accessible, and

information about the intravascular medical data including a timestamp generated by the unit of the patient communication system, modality information indicating if the intravascular medical sensor device is an IVUS device and an OCT device, and workflow information associated with the medical sensing procedure; and

wherein a first packet of the first and second plurality of packets respectively contains the first and second intravascular medical data, the information about the medical sensing procedure, and the information about the medical sensing data, and wherein subsequent packets of the plurality of packets respectively contain the first and second intravascular medical data and a unique universal identifier associated with the medical sensing procedure, the subsequent packets omitting the information about the medical sensing procedure and the information about the intravascular medical data.

5. The distributed medical sensing system of claim 4, wherein the first and second intravascular medical data are associated with the same medical sensing modality.

6. The distributed medical sensing system of claim 4, wherein the first and second intravascular medical data are associated with different medical sensing modalities.

7. The distributed medical sensing system of claim 6, wherein the centralized computing device is further operable to process the first intravascular medical data with a first processing application associated with the first modality and further operable to process the second intravascular medical data with a second processing application associated with the second modality.

8. The distributed medical sensing system of claim 4, wherein the centralized computing device is further operable to process the first intravascular medical data with a first processing application associated with the first modality, the first processing application being one of a plurality of processing applications executable by the centralized computing device.

9. The distributed medical sensing system of claim 4, wherein the first patient communication system includes an analog to digital converter operable to digitize the first intravascular medical data and a communication module communicatively coupled to the computer communication network.

10. The distributed medical sensing system of claim 4, wherein the first unit of the first patient communication system is a first bedside utility box (BUB) disposed within a first procedure room and the second unit of the second patient communication system is a second BUB disposed within a second procedure room different than the first procedure room.

11. The distributed medical sensing system of claim 4, wherein the first unit of the first patient communication system is a patient isolation module (PIM).

12. The distributed medical sensing system of claim 4, wherein the first unit of the first patient communication system is operable to compress the first intravascular medical data before sending the first plurality of packets over the computer communication network.

13. A method of processing medical data, comprising:

receiving, at a centralized computing device, first message data over a computer communication network, the first message data including

first intravascular medical sensing data generated by a first intravascular medical sensor device during a first medical sensing procedure, wherein the first intravascular medical sensing data includes first intravascular imaging data and wherein the first intravascular medical sensor device is at least one of an intravascular ultrasound (IVUS) device and an optical coherence tomography (OCT) device,

information about the first medical sensing procedure including a date and a time of the medical sensing procedure, a location of the medical sensing procedure, identification information about a patient undergoing the medical sensing procedure, identification information about the health care practitioner performing the medical sensing procedure, and security access information restricting the location at which the intravascular medical sensing data is accessible or the persons to whom the intravascular medical sensing data is accessible, and

information about the first intravascular medical sensing data including a timestamp generated by the unit of the patient communication system, modality information indicating if the first intravascular medical sensor device is an IVUS device and an OCT device, and workflow information associated with the medical sensing procedure,

wherein the data message includes a plurality of packets, the first packet of the plurality of packets containing the intravascular medical sensing data, the information about the medical sensing procedure, and the information about the medical sensing data, and subsequent packets of the plurality of packets containing the intravascular medical sensing data and a unique universal identifier associated with the medical sensing procedure, wherein the subsequent packets omit the information about the medical sensing procedure and the information about the medical sensing data;

processing, with the centralized computing device, the first intravascular medical sensing data based on the information about the first medical sensing procedure and the information about the first intravascular medical sensing data, the centralized computing device including a plurality of compute engines for simultaneously processing the intravascular medical sensing data; and

transmitting, with the centralized computing device, second message data to a first bedside controller over the computer communication network, the first bedside controller including a touchscreen display component and configured to control the first intravascular medical sensor device to acquire the first intravascular medical sensing data in response to user input received on the touchscreen display component, the second message data containing the first intravascular medical sensing data in processed form, the touchscreen display component of the first bedside controller being operable to display real-time intravascular images based on the first intravascular medical sensing data in processed form.

14. The method of processing medical data of claim 13, including receiving, at the centralized computing device and concurrently with the receiving the first message data, third message data over the computer communication network, the third message data including second intravascular medical sensing data generated by a second intravascular medical sensor device during a second medical sensing procedure, information about the second medical sensing procedure, and information about the second intravascular medical sensing data, wherein the second intravascular medical data includes second intravascular imaging data and wherein the second intravascular medical sensor device is at least one of an intravascular ultrasound (IVUS) device and an optical coherence tomography (OCT) device.

15. The method of processing medical data of claim 14, including processing, with the centralized computing device and concurrently with the processing the first intravascular medical data, the second intravascular medical data based on the information about the second medical sensing procedure and the information about the second intravascular medical sensing data.

16. The method of processing medical data of claim 14, wherein the first and second intravascular medical data are associated with the same medical sensing modality.

17. The method of processing medical data of claim 13, wherein the processing includes processing the first intravascular medical data with a first processing application associated with a medical sensing modality of the first intravascular medical data, the first processing application being one of a plurality of processing applications executable by the centralized computing device.

18. The method of processing medical data of claim 13, wherein the processing the first intravascular medical data includes transforming the first intravascular medical data into image data representative of the first intravascular medical data.