Systems, devices, and method for determining treatment compliance including tracking, registering, etc. of medical staff, patients, instrumentation, events, etc. according to a treatment staging plan

• US 9,734,543 B2
• Filed: 03/14/2012
• Issued: 08/15/2017
• Est. Priority Date: 03/14/2012
• Status: Active Grant

• Current Assignee: Elwha LLC (Intellectual Ventures LLC)
• Original Assignee: Elwha LLC (Intellectual Ventures LLC)
• Inventors: Dacey, Jr., Ralph G., Diaz, Roy P., Wood, Jr., Lowell L., Smith, Michael A., Tegreene, Clarence T., Wood, Victoria Y. H., Hyde, Roderick A., Ishikawa, Muriel Y., Kare, Jordin T., Myhrvold, Nathan P., Baym, Michael H., Leuthardt, Eric C., Rivet, Dennis J.
• Primary Examiner(s): Mikels, Matthew
• Application Number:
  US13/419,954
• Publication Number:
  US 20130240624A1
• Time in Patent Office: 1,980 Days
• Field of Search: 235385
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

Systems, devices, and methods are described for tracking, registering, etc. of medical staff, patients, instrumentation, events, or the like according to a treatment staging plan. For example a medical apparatus includes a right-patient verification device having an interrogation interface device that elicits at least one of identification data, authorization data, or treatment plan data from a medical procedure authorization device associated with a patient; and a right-site verification device that generates patient-specific treatment staging data consistent with the at least one of the identification data, the authorization data, or the treatment plan data.

Claims

1. A medical procedure authorization device, comprising:

a telematic right-site and right-patient verification device including one or more memory devices having patient-specific treatment staging data and at least one of patient-specific identification data, patient-specific authorization data, or patient-specific treatment plan data stored thereon, the patient-specific treatment staging data including registration data for aligning a work-volume associated with a medical practitioner to at least one treatment focal region, the work-volume including at least a portion of a body of the medical practitioner and a region within which the medical practitioner can extend at least one limb, the telematic right-site and right-patient verification device operable to determine, in response to the registration data, whether a treatment that a patient is undergoing complies with a treatment plan for the patient, and operable, in response to determining that the treatment does not comply with the treatment plan, to halt the treatment by deactivating a medical apparatus being used in the treatment; and

a telematic interface operable to communicate patient-specific treatment staging data including registration data for aligning the work-volume associated with the medical practitioner to at least one treatment focal region, and at least one of the patient-specific identification data, the patient-specific authorization data, or the patient-specific treatment plan data.

2. The medical procedure authorization device of claim 1, wherein the telematic right-site and right-patient verification device transmits a response signal corresponding to the patient-specific treatment staging data when at least one of a wireless network access point, a Wi-Fi network, or wireless carrier network is detected.

3. The medical procedure authorization device of claim 1, wherein the telematic right-site and right-patient verification device transmits a response signal corresponding to the patient-specific treatment staging data responsive to interrogation of the telematic interface that satisfies response-selective criteria.

4. The medical procedure authorization device of claim 1, wherein the telematic right-site and right-patient verification device transmits one or more parameters associated with the patient-specific identification data, the patient-specific authorization data, or the patient-specific treatment plan data responsive to interrogation of the telematic interface that satisfies response-selective criteria.

5. The medical procedure authorization device of claim 1, wherein the telematic right-site and right-patient verification device includes a transceiver operable to concurrently or sequentially transmit or receive one or more of the patient-specific treatment staging data, the patient-specific identification data, the patient-specific authorization data, or the patient-specific treatment plan data.

6. The medical procedure authorization device of claim 1, wherein the telematic right-site and right-patient verification device is operable to establish a communication link with the medical apparatus and to provide one or more of the patient-specific treatment staging data, the patient-specific identification data, the patient-specific authorization data, or the patient-specific treatment plan data to the medical apparatus.

7. The medical procedure authorization device of claim 1, wherein the telematic right-site and right-patient verification device further comprises:

one or more sensors that determine proximity data indicative of the medical apparatus location relative to the medical procedure authorization device.

21. The medical procedure authorization device of claim 1 wherein the work-volume includes an upper portion of the body of the medical practitioner.

22. The medical procedure authorization device of claim 1 wherein the work-volume includes a region within which the medical practitioner can extend partially at least one limb.

23. The medical apparatus of claim 1 wherein the work-volume includes a region within which the medical practitioner can extend fully at least one limb.

8. An article of manufacture, comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for detecting a presence and an identity of at least one operating theater staff member;

one or more instructions for determining a physical location of the at least one operating theater staff member relative to a treatment work-surface;

one or more instructions for generating registration data for aligning a work-volume associated with the at least one operating theater staff member to the treatment work-surface based on patient specific treatment staging data, the work-volume including at least a portion of a body of the at least one operating theater staff member and a region within which the at least one operating theater staff member can reach;

one or more instructions for registering the work-volume associated with the at least one operating theater staff member relative to the treatment work-surface;

one or more instructions for determining, in response to a physical location of the work-volume relative to the treatment work-surface, whether a treatment of a patient complies with a treatment plan for the patient; and

one or more instructions for terminating the treatment of the patient if the treatment does not comply with the treatment plan for the patient, or for halting the treatment, and then delaying treating the patient, or modifying the treatment, before continuing to treat the patient, if the treatment does not comply with the treatment plan for the patient.

9. The article of manufacture of claim 8, further comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for registering a treatment staging position location with the physical location of the at least one operating theater staff member based on patient specific treatment staging data.

10. The article of manufacture of claim 8, further comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for detecting a presence and an identity of at least one treatment instrument;

one or more instructions for determining a physical location of the treatment instrument relative to the treatment work-surface; and

one or more instructions for registering the physical location of the treatment instrument relative to the treatment work-surface.

11. The article of manufacture of claim 10, further comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for registering a treatment staging position location with the physical location of the treatment instrument based on patient specific treatment staging data.

12. The article of manufacture of claim 8, further comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for registering a patient location with the physical location of the treatment instrument based on patient specific treatment staging data.

24. The article of manufacture of claim 8 wherein the work-volume includes a torso of the body of the at least one operating theater staff member.

25. The article of manufacture of claim 8 wherein the work-volume includes a region within which the at least one operating theater staff member can reach partially.

26. The article of manufacture of claim 8 wherein the work-volume includes a region within which the at least one operating theater staff member can reach fully.

13. A right-site, right-patient determination system, comprising:

a real-time object and participant-recognition device including an optical recognition distributed sensor network that determines identity data associated with one or more non-patient participants and determines one or more of identity, location, position, or movement of a body portion of the one or more non-patient participants; and

the optical recognition distributed sensor network operable to determine treatment plan compliance data based on continuously tracking a movement of a body portion of the one or more non-patient participants relative to a location of a treatment work-surface whether or not the body portion is associated with a medical instrument.

14. A right-site, right-patient determination system using a real-time automatic image recognition system, comprising:

a real-time object recognition device configured to

identify groups of pixels indicative of one or more patient landmarks imaged in at least one digital image;

generate one or more connected components of a graph representative of groups of pixels indicative of the one or more one or more patient landmarks imaged in the at least one digital image;

generate patient landmarks dynamics data indicative of at least one of patient landmark position, patient landmark angle, patient landmark direction, patient landmark force, patient landmark contact, patient landmark pressure, patient landmark speed, patient landmark altitude, or patient landmark acceleration, or any combination thereof;

generate, based on the at least one digital image, a treatment plan compliance status that indicates whether a treatment that a patient is undergoing complies with a treatment plan for the patient; and

preventing the treatment from continuing by

deactivating a medical apparatus configured for use in the treatment if the compliance status indicates that the treatment that the patient is undergoing does not comply with the treatment plan for the patient.

15. The right-site, right-patient determination system using real-time automatic image recognition system of claim 14, further comprising:

one or more pressure sensors configured to acquire measurand data from a medical apparatus indicative of a presence of a patient proximate the medical apparatus.

16. An article of manufacture, comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for telemetrically acquiring at least one of identification data, authorization data, or treatment plan data from a medical procedure authorization device associated with a patient;

one or more instructions for generating patient-specific treatment staging data, the patient-specific treatment staging data including registration data for aligning a work-volume associated with a medical practitioner to at least one treatment plan assignment zone consistent with a patient-specific treatment protocol, the work-volume including at least a portion of a body of the medical practitioner and a region within which the medical practitioner can extend least one hand;

one or more instructions for determining, in response to a physical location of the work-volume relative to the at least one treatment plan assignment zone, whether a treatment of a patient complies with the patient-specific treatment protocol; and

one or more instructions for preventing the treatment from continuing if the treatment does not comply with the patient-specific treatment protocol, and for then terminating the treatment, continuing the treatment after a delay, or generating a new treatment protocol and continuing the treatment according to the new treatment protocol.

17. The article of manufacture of claim 16, further comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for acquiring image data of individuals within a medical treatment work-zone; and

one or more instructions for determining at least one of staff identification data, staff authorization data, or staff verification data of the individuals based on the image data.

18. The article of manufacture of claim 17, further comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for determining a locality of one or more individuals within the medical treatment work-zone in reference to a medical treatment work-zone based on the image data.

19. The article of manufacture of claim 18, further comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for generating a virtual representation of the locality of the one or more individuals within the medical treatment work-zone on a virtual display based on at least one of the staff identification data, the staff authorization data, or the staff verification data.

20. The article of manufacture of claim 18, further comprising:

a non-transitory signal-bearing medium bearing

one or more instructions for generating a treatment staging plan compliance status based on at least one of the staff identification data, the staff authorization data, or the staff verification data.

27. The article of manufacture of claim 16 wherein the work-volume includes a region within which the medical practitioner can extend partially at least one hand.

28. The article of manufacture of claim 16 wherein the work-volume includes a region within which the medical practitioner can extend fully at least one hand.

29. The article of manufacture of claim 16 wherein the work-volume includes a shoulder portion of the body of the medical practitioner.

30. The article of manufacture of claim 16 wherein the work-volume includes a region within which the medical practitioner can extend partially at least one appendage.

31. The article of manufacture of claim 16 wherein the work-volume includes a region within which the medical practitioner can extend fully at least one appendage.