Distributed medical sensing system and method

• US 8,958,863 B2
• Filed: 09/21/2012
• Issued: 02/17/2015
• 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): Cwern, Jonathan
• Application Number:
  US13/624,555
• Publication Number:
  US 20130023763A1
• Time in Patent Office: 879 Days
• Field of Search: 600/407, 382/128, 705/2
• US Class Current: 600/407
• 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 distributed medical sensing system including a first hub configured to receive first medical characteristic data from a first body sensing device, the first body sensing device being located in a first sterile field and a second hub configured to receive second medical characteristic data from a second body sensing device, the second body sensing device being located in a second sterile field spaced from the first sterile field. The system also includes a computing device outside of the first and second sterile fields and communicatively coupled to the first and second hubs, the computing device configured to receive the first and second medical characteristic data from the respective first and second hubs, process the first and second medical characteristic data, and transmit the processed first and second medical characteristic data to the respective first and second hubs.

Claims

1. A distributed medical sensing system comprising:

a first hub configured to be concurrently communicatively coupled to a first plurality of medical instruments associated with a first sterile field, the first plurality of medical instruments including a first body sensing device and a second body sensing device, the first and second body sensing devices being associated with different medical modalities, the first hub receiving first medical characteristic data from the first body sensing device and receiving second medical characteristic data from the second body sensing device;

a first bedside controller communicatively coupled to the first hub and configured to provide user control of the first and second body sensing devices, the first bedside controller being associated with the first sterile field, wherein the first bedside controller includes a touch screen display configured to provide a first graphical user interface (GUI) corresponding to at least one of the first and second body sensing devices such that a first aspect of a medical workflow associated with the first sterile field is controllable with a user input via the first GUI, and wherein the first GUI is automatically provided in response to at least one of the first and second body sensing devices being communicatively coupled to the first hub;

a first control room controller communicatively coupled to the first hub and disposed outside of the first sterile field, wherein the first control room controller is configured to provide a second GUI such that a second aspect of the medical workflow associated with the first sterile field is controllable with a user input via the second GUI, wherein the first bedside controller and the first control room controller are configured to simultaneously control the first and second aspects of the medical workflow in the first sterile field in response to respective first and second user inputs associated with the first and second aspects of the medical workflow, wherein the first and second aspects of the medical workflow are different and selected from the group consisting of;

data acquisition, border tracing, co-registration, and selecting diagnostic data for display;

a second hub configured to be concurrently communicatively coupled to a second plurality of medical instruments associated with a second sterile field spaced from the first sterile field, the second plurality of medical instruments including a third body sensing device and a fourth body sensing device, the third and fourth body sensing devices being associated with different medical modalities, the second hub receiving third medical characteristic data from the third body sensing device and receiving fourth medical characteristic data from the fourth body sensing device;

a second bedside controller communicatively coupled to the second hub and configured to provide user control of the third and fourth body sensing devices, the second bedside controller being associated with the second sterile field, wherein the second bedside controller includes a touch screen display configured to provide a third graphical user interface (GUI) corresponding to at least one of the third and fourth body sensing devices such that a third aspect of a medical workflow associated with the second sterile field is controllable with a user input via the third GUI, and wherein the third GUI is automatically provided in response to at least one of the third and fourth body sensing devices being communicatively coupled to the second hub;

a second control room controller communicatively coupled to the second hub and disposed outside of the second sterile field, wherein the second control room controller is configured to provide a fourth GUI such that a fourth aspect of a medical workflow associated with the second sterile field is controllable with a user input via the fourth GUI, wherein the second bedside controller and the second control room controller are configured to simultaneously control the third and fourth aspects of the medical workflow in the second sterile field in response to respective third and fourth user inputs associated with the third and fourth aspects of the medical workflow, wherein the third and fourth aspects of the medical workflow are different and selected from the group consisting of;

data acquisition, border tracing, co-registration, and selecting diagnostic data for display;

a computing device outside of the first and second sterile fields and communicatively coupled to the first and second hubs, the computing device configured to;

receive the first and second medical characteristic data from the first hub,

receive the third and fourth medical characteristic data from the second hub,

process the first and second medical characteristic data to produce first and second diagnostic data,

process the third and fourth medical characteristic data to produce third and fourth diagnostic data,

transmit the first and second diagnostic data to the first hub for display on the first bedside controller and the first control room controller, and

transmit the third and fourth diagnostic data to the second hub for display on the second bedside controller and the second control room controller;

wherein the first bedside controller is further configured to process at least one of the first and second diagnostic data to generate first modified diagnostic data in response to the first user input associated with the first aspect of the medical workflow in the first sterile field and to display the first modified diagnostic data via the first GUI;

wherein the first control room controller is further configured to process at least one of the first and second diagnostic data to generate second modified diagnostic data in response to the second user input associated with the second aspect of the medical workflow in the first sterile field and to display the second modified diagnostic data via the second GUI;

wherein the second bedside controller is further configured to process at least one of the third and fourth diagnostic data to generate third modified diagnostic data in response to the third user input associated with the third aspect of the medical workflow in the second sterile field and to display the third modified diagnostic data via the third GUI; and

wherein the second control room controller is further configured to process at least one of the third and fourth diagnostic data to generate fourth modified diagnostic data in response to the fourth user input associated with the fourth aspect of the medical workflow in the second sterile field and to display the fourth modified diagnostic data via the fourth GUI.

2. The distributed medical sensing system of claim 1, wherein the first and second hubs and the computing device are communicatively coupled to a computer communication network.

3. The distributed medical sensing system of claim 1, wherein the first and second hubs are adjacent the respective first and second sterile fields.

4. The distributed medical sensing system of claim 1, wherein the first, second, third, and fourth body sensing devices each include a catheter configured to enter into a vessel of a body.

5. The distributed medical sensing system of claim 4, wherein each catheter includes a sensor configured for one of intravascular ultrasound (IVUS) imaging, optical coherence tomography (OCT), and a fractional flow reserve (FFR) determination.

6. The distributed medical sensing system of claim 1, wherein the computing device is disposed within a different room than either of first and second sterile fields.

7. The distributed medical sensing system of claim 1, wherein the first and second hubs are further operable to compress the respective first, second, third, and fourth medical characteristic data before sending the first, second, third, and fourth medical characteristic data to the computing device.

8. The distributed medical sensing system of claim 1, wherein the first and second hubs are further operable to associate identifying information with the respective first, second, third, and fourth medical characteristic data before sending the first, second, third, and fourth medical characteristic data to the computing device.

9. The distributed medical sensing system of claim 8, wherein the identifying information includes one or more of patient information, timestamp information, and sensing modality information.

10. A method of using a distributed medical sensing system, comprising:

coupling a bedside controller and a control room controller to a hub, wherein the bedside controller is disposed within the first sterile field and the control room controller is disposed outside the first sterile field;

coupling a first body sensing device to the hub, the first body sensing device including a first sensor disposed thereon;

coupling a second body sensing device to the hub, the second body sensing device including a second sensor thereon, the first and second body sensing devices being associated with different intravascular medical modalities, wherein the first bedside controller includes a touch screen display configured to provide a first graphical user interface (GUI) corresponding to at least one of the first and second body sensing devices such that a first aspect of a medical workflow associated with the first sterile field is controllable with a user input via the first GUI, and wherein the first GUI is automatically provided in response at least one of the first and second body sensing devices being coupled to the hub, and wherein the first control room controller is configured to provide a second GUI such that a second aspect of the medical workflow associated with the first sterile field is controllable with a user input via the second GUI, wherein the first bedside controller and the first control room controller are configured to simultaneously control the first and second aspects of the medical workflow in the first sterile field in response to respective first and second user inputs associated with the first and second aspects of the medical workflow, wherein the first and second aspects of the medical workflow are different and selected from the group consisting of;

data acquisition, border tracing, co-registration, and selecting diagnostic data for display;

controlling the first sensor of the first body sensing device with the bedside controller to collect first medical characteristic data associated with the patient in the first sterile field;

controlling the second sensor of the second body sensing device with the bedside controller to collect second medical characteristic data associated with the patient;

transmitting the first and second medical characteristic data to a remote computing device outside of the first sterile field and communicatively coupled to the hub;

controlling the computing device to process the first and second medical characteristic data to generate respective first and second diagnostic data, the computing device operable to process third medical characteristic data sent from a second sterile field concurrently with the processing the first and second medical characteristic data, and the second sterile field being spaced from the first sterile field; and

receiving, at the bedside controller and the control room controller, the first and second diagnostic data from the remote computing device;

controlling the first bedside controller, in response to the first user input associated with the first aspect of the medical workflow in the first sterile field, to process at least one of the first and second diagnostic data to generate first modified diagnostic data and to display the first modified diagnostic data via the first GUI; and

controlling the first control room controller, in response to the second user input associated with the second aspect of the medical workflow in the first sterile field, to process at least one of the first and second diagnostic data to generate second modified diagnostic data and to display the second modified diagnostic data via the second GUI.

11. The method of using a distributed medical sensing system of claim 10, including introducing a catheter into a vessel of the patient, the first sensor being disposed on a distal end of the catheter.

12. The method of using a distributed medical sensing system of claim 10, wherein the controlling the sensor of the first body sensing device includes collecting one of intravascular ultrasound (IVUS) imaging data, optical coherence tomography (OCT) data, forward looking IVUS (FL-IVUS) data, fractional flow reserve (FFR) data, coronary flow reserve (CFR) data, and angiography data.

13. The method of using a distributed medical sensing system of claim 10, wherein the controlling the computing device includes directing the computing device to store the first diagnostic data in a scalable storage array.

14. A distributed medical sensing system comprising:

a first bedside controller disposed in a first sterile field, wherein the first bedside controller is configured to control a first body sensing device communicatively coupled thereto, wherein the first bedside controller includes a touch screen display configured to provide a first graphical user interface (GUI) corresponding to the first body sensing device such that a first aspect of a medical workflow associated with the first sterile field is controllable with a user input via the first GUI, and wherein the first GUI is automatically provided in response to the first body sensing device being communicatively coupled to the bedside controller;

a first control room controller disposed outside of the first sterile field, wherein the first control room controller is configured to provide a second GUI such that a second aspect of the medical workflow associated with the first sterile field is controllable with a user input via the second GUI, wherein the first bedside controller and the first control room controller are configured to simultaneously control the first and second aspects of the medical workflow in the first sterile field in response to respective first and second user inputs associated with the first and second aspects of the medical workflow, wherein the first and second aspects of the medical workflow are different and selected from the group consisting of;

data acquisition, border tracing, co-registration, and selecting diagnostic data for display;

a computing device communicatively coupled to the first bedside controller and the first control room controller and disposed remote from the first sterile field, wherein the first bedside controller, the first control room controller, and the computing device include a memory having applications corresponding to different intravascular medical modalities stored thereon, the applications providing medical workflows corresponding to the different intravascular medical modalities, wherein the computing device is configured to;

receive first medical characteristic data from the first body sensing device;

determine a first application corresponding to the first body sensing device using the received first medical characteristic data;

process the first medical characteristic data using the first application to generate first diagnostic data based on the first medical characteristic data;

transmit the first diagnostic data to the first bedside controller and the first control room controller for display thereon;

wherein the first bedside controller is further configured to process the first diagnostic data to generate first modified diagnostic data in response to the first user input associated with the first aspect of the medical workflow in the first sterile field and to display the first modified diagnostic data via the first GUI; and

wherein the first control room controller is further configured to process the first diagnostic data to generate second modified diagnostic data in response to the second user input associated with the second aspect of the medical workflow in the first sterile field and to display the second modified diagnostic data via the second GUI.

15. The distributed medical sensing system of claim 14, further comprising:

a first hub associated with the first sterile field, communicatively coupled to the first body sensing device, and configured to;

receive the first medical characteristic data from the first body sensing device;

transmit the first medical characteristic data to the computing device;

receive the first diagnostic data from the computing device;

transmit the first diagnostic data to the first bedside controller and the first control room controller.

16. The distributed medical sensing system of claim 15, further comprising:

a second bedside controller disposed in a second sterile field, wherein the second bedside controller is configured to control a second body sensing device communicatively coupled thereto, wherein the second bedside controller includes a touch screen display configured to provide a third graphical user interface (GUI) corresponding to the second body sensing device such that a third aspect of a medical workflow associated with the second sterile field is controllable with a user input via the third GUI, and wherein the third GUI is automatically provided in response to the second body sensing device being communicatively coupled to the bedside controller;

a second control room controller disposed outside of the second sterile field, wherein the second control room controller is configured to provide a fourth GUI such that a fourth aspect of the medical workflow associated with the second sterile field is controllable with a user input via the fourth GUI, wherein the second bedside controller and the second control room controller are configured to simultaneously control the third and fourth aspects of the medical workflow in the second sterile field in response to respective third and fourth user inputs associated with the third and fourth aspects of the medical workflow, wherein the third and fourth aspects of the medical workflow are different and selected from the group consisting of;

data acquisition, border tracing, co-registration, and selecting diagnostic data for display; and

wherein the computing device is communicatively coupled to the second bedside controller and the second control room controller and disposed remote from the second sterile field, wherein the second bedside controller, the second control room controller, and the computing device include a memory having applications corresponding to different intravascular medical modalities stored thereon, the applications providing medical workflows corresponding to the different intravascular medical modalities, wherein the computing device is further configured to;

receive second medical characteristic data from the second body sensing device;

determine a second application corresponding to the second body sensing device using the received second medical characteristic data;

process the second medical characteristic data using the second application to generate second diagnostic data based on the second medical characteristic data;

transmit the second diagnostic data to the second bedside controller and the second control room controller for display thereon;

wherein the second bedside controller is further configured to process the second diagnostic data to generate third modified diagnostic data in response to the third user input associated with the third aspect of the medical workflow in the second sterile field and to display the third modified diagnostic data via the third GUI; and

wherein the first control room controller is further configured to process the second diagnostic data to generate fourth modified diagnostic data in response to the fourth user input associated with the fourth aspect of the medical workflow in the second sterile field and to display the fourth modified diagnostic data via the fourth GUI.

17. The distributed medical sensing system of claim 16, further comprising:

a second hub associated with the second sterile field, communicatively coupled to the second body sensing device, and configured to;

receive the second medical characteristic data from the second body sensing device;

transmit the second medical characteristic data to the computing device;

receive the second diagnostic data from the computing device;

transmit the second diagnostic data to the second bedside controller and the second control room controller.

18. The distributed medical sensing system of claim 17, wherein the transmitting the first medical characteristic data and transmitting the second medical characteristic data include transmitting data over a computer communication network.

19. The distributed medical sensing system of claim 17,

wherein the first hub, first bedside controller, and the first sterile field are disposed within a first procedure room and the second hub, second bedside controller, and the second sterile field are disposed within a second procedure room spaced from the first procedure room;

and

wherein the first control room controller is disposed adjacent to the first procedure room and the second control room controller is disposed adjacent to the second procedure room.

20. The distributed medical sensing system of claim 17, wherein the transmitting the first medical characteristic data is performed concurrently with the transmitting the second medical characteristic data.

21. The distributed medical sensing system of claim 17, wherein the transmitting the first and second medical characteristic data includes communicating with a site manager operable to manage the transmitting.

22. The distributed medical sensing system of claim 17, wherein the first and second body sensing devices each include a catheter configured to enter into a vessel of a body.

23. The distributed medical sensing system of claim 22, wherein the first and second medical characteristic data each include one of intravascular ultrasound (IVUS) imaging data, optical coherence tomography (OCT) data, and fractional flow reserve (FFR) data.

24. The distributed medical sensing system of claim 17,

wherein the transmitting the first medical characteristic data to the computing device includes transmitting data over a first distance that is large relative to the size of the first sterile field;

and

wherein the transmitting the second medical characteristic data to the computing device includes transmitting data over a second distance that is large relative to the size of the second sterile field.

25. The distributed medical sensing system of claim 24, wherein the first and second distances are greater than a kilometer.

26. The distributed medical sensing system of claim 17,

wherein the transmitting the first and second medical characteristic data to the computing device includes compressing the first and second medical characteristic data.

27. The distributed medical sensing system of claim 17,

wherein the transmitting the first and second medical characteristic data to the computing device includes associating first identifying information with the first medical characteristic data and associating second identifying information with the second medical characteristic data.

28. The distributed medical sensing system of claim 27,

wherein the associating the first identifying information with the first medical characteristic data includes creating a first message containing the first identifying information and the first medical characteristic data;

and

wherein the associating the second identifying information with the second medical characteristic data includes creating a second message containing the second identifying information and the second medical characteristic data.

29. The distributed medical sensing system of claim 28, wherein the first identifying information includes one or more of patient information, timestamp information, a connection identifier, and sensing modality information.

30. The distributed medical sensing system of claim 28, wherein the first identifying information includes a unique universal identifier that is associated with patient information.