Automated interpretive medical care system and methodology

• US 9,993,163 B2
• Filed: 07/30/2014
• Issued: 06/12/2018
• Est. Priority Date: 12/07/2000
• Status: Active Grant

• Current Assignee: Children's Medical Center Corporation, Oridion Medical 1987 Limited (Medtronic Plc)
• Original Assignee: Children's Medical Center Corporation, Oridion Medical 1987 Limited (Medtronic Plc)
• Inventors: Krauss, Baruch Shlomo, Carlebach, Ephraim
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): MESSERSMITH, ERIC J
• Application Number:
  US14/447,136
• Publication Number:
  US 20140371606A1
• Time in Patent Office: 1,413 Days
• CPC Class Codes: A61B 2560/0431 Portable apparatus, e.g. comprising a handle or case
• CPC Class Codes: A61B 2560/0437 Trolley or cart-type apparatus
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/082 Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath A61B5/083, A61B5/091 take precedence
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: A61B 5/6835 Supports or holders, e.g., articulated arms
• CPC Class Codes: A61B 5/7264 : Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 5/7275 : Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/7282 : Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61B 5/7425 : Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• CPC Class Codes: A61B 5/746 : Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/30 : for calculating health indices; for individual health risk assessment

Abstract

Improved apparatus and methods for monitoring, diagnosing and treating at least one medical respiratory condition of a patient are provided, including a medical data input interface adapted to provide at least one medical parameter relating at least to the respiration of the patient, and a medical parameter interpretation functionality (104, 110) adapted to receive the at least one medical parameter relating at least to the respiration (102) of the patient and to provide at least one output indication (112) relating to a degree of severity of at least one medical condition indicated by the at least one medical parameter.

Claims

1. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition of the patient, the system comprising:

a medical data input interface configured to provide the at least one medical parameter relating at least to respiration of the patient, wherein the data input interface comprises a monitoring device operative to continuously monitor the at least one medical parameter, wherein the monitoring device includes an electrocardiogram (ECG) and a capnograph; and

a processor comprising computer-readable media storing instructions that when executed are configured to diagnose the at least one medical condition of the patient and to indicate a degree of severity of the at least one medical condition based on the at least one medical parameter,

wherein the processor is configured to provide, via a display, the output indication relating to the at least one medical condition responsive to a pattern of changes in the at least one medical parameter over time and to provide, via the display, a treatment recommendation based on the at least one medical condition, wherein the treatment recommendation comprises at least one or more of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

2. A system according to claim 1, wherein-the monitoring device comprises a wireless receiver.

3. A system according to claim 1, wherein the monitoring device comprises one or more alarm limits.

4. A system according to claim 1, wherein the monitoring device is operative to monitor at least one of respiration rate and heart rate.

5. A system according to claim 1, wherein the at least one medical parameter includes at least one of respiration rate and heart rate.

6. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition of the patient, the system comprising:

a medical data input interface configured to provide the at least one medical parameter relating at least to respiration of the patient, wherein the data input interface comprises a monitoring device operative to monitor the at least one medical parameter, wherein the monitoring device includes an ECG and a capnograph; and

a processor comprising computer-readable media storing instructions that when executed are configured to diagnose a type of the at least one medical condition of the patient and to indicate a degree of severity of the at least one medical condition based on the at least one medical parameter,

wherein the processor is configured to provide, via a display, the output indication relating to the at least one medical condition responsive to changes in the at least one medical parameter over time and to provide, via the display, a treatment recommendation based on the at least one medical condition, wherein the treatment recommendation comprises at least one or more of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

7. A system according to claim 6, wherein the at least one medical parameter comprises a plurality of medical parameters.

8. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition of the patient, the system comprising:

a medical data input interface configured to provide the at least one medical parameter relating at least to respiration of the patient, wherein the data input interface comprises at least one monitoring device operative to monitor the at least one medical parameter, wherein the at least one monitoring device includes an ECG and a capnograph;

a processor comprising computer-readable media storing instructions that when executed are configured to diagnose a type of the at least one medical condition and to indicate a degree of severity of the at least one medical condition based on the at least one medical parameter,

wherein the processor is further configured to provide, via a display, an output indication responsive to a pattern of changes in the degree of severity of the at least one medical condition over time and to provide, via the display, a treatment recommendation based on the degree of severity of the at least one medical condition, wherein the treatment recommendation comprises at least one or more of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

9. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition of the patient, the system comprising:

a medical data input interface configured to provide the at least one medical parameter relating at least to respiration of the patient, wherein the data input interface comprises a monitoring device operative to monitor the at least one medical parameter, wherein the monitoring device includes an ECG and a capnograph;

a processor comprising computer-readable media storing instructions that when executed are configured to diagnose a type of the at least one medical condition and to indicate, via a display, a degree of severity of the at least one medical condition diagnosed based on the at least one medical parameter and to provide, via the display, a treatment recommendation in response to a pattern of changes in the degree of severity of the at least one medical condition over time, wherein the treatment recommendation comprises at least one or more of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

10. A system employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition of the patient, the system comprising:

a medical data input interface configured to provide the at least one medical parameter relating at least to respiration of the patient, wherein the data input interface comprises a monitoring device operative to monitor the at least one medical parameter, wherein the monitoring device includes an ECG and a capnograph; and

a processor comprising computer-readable media storing instructions that when executed are configured to diagnose a type of the at least one medical condition and to indicate, via a display, a degree of severity of the at least one medical condition based on the at least one medical parameter, wherein the output indication relating to the at least one medical condition is determined at least partially by changes in the at least one medical parameter,

wherein the processor is configured to provide, via the display, a treatment recommendation in response to the at least one medical condition, and wherein the treatment recommendation comprises at least one or more of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

11. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition of the patient, the method comprising:

monitoring the at least one medical parameter relating at least to respiration of the patient using a monitoring device comprising an ECG and a capnograph;

receiving from the capnograph, the at least one medical parameter relating at least to respiration of the patient;

diagnosing, using a processor, a type and a degree of severity of the at least one medical condition indicated by the at least one medical parameter and an additional medical parameter;

providing, using the processor, the output indication via a display relating to at least one medical condition in response to a pattern of changes in the at least one medical parameter over time; and

providing, using the processor, a treatment recommendation via the display based on the at least one medical condition, wherein the treatment recommendation comprises at least one of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

12. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition of the patient, the method comprising:

monitoring the at least one medical parameter relating at least to respiration of the patient using a monitoring device comprising a capnograph and an ECG;

receiving from the capnograph the at least one medical parameter relating at least to respiration of the patient;

diagnosing, using a processor, a type and a degree of severity of the at least one medical condition indicated by the at least one medical parameter;

providing, using the processor, an output indication via a display responsive to changes in the degree of severity of the at least one medical condition over time; and

providing, using the processor, a treatment recommendation via the display based on the degree of severity of the at least one medical condition,

wherein the treatment recommendation comprises at least one of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

13. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition of the patient, the method comprising:

monitoring at least one medical parameter relating at least to respiration of the patient using a monitoring device comprising a capnograph coupled to an element positioned within an airway of the patient and an ECG comprising a sensor positioned on the patient;

receiving from the capnograph the at least one medical parameter relating at least to respiration of the patient;

diagnosing, using a processor, a degree of severity of the at least one medical condition indicated by the at least one medical parameter; and

providing, using the processor, a treatment recommendation via a display in response to a pattern of changes in the degree of severity of the at least one medical condition over time, wherein the treatment recommendation comprises one or more of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

14. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication via a display relating to at least one medical condition, the method comprising:

monitoring at least one medical parameter relating at least to respiration of the patient using a monitoring device comprising a capnograph coupled to an element positioned within an airway of the patient and an ECG comprising a sensor positioned on the patient,

receiving from the capnograph the at least one medical parameter relating at least to respiration of the patient;

diagnosing, using a processor, a type and a degree of severity of the at least one medical condition indicated by the at least one medical parameter,

wherein the output indication relating to at least one medical condition is determined, using the processor, at least partially by changes in the at least one medical parameter; and

providing, using a processor, a treatment recommendation via the display based on the at least one medical condition,

wherein the treatment recommendation comprises one or more of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.

15. A method employing at least one medical parameter relating at least to respiration of a patient for providing an output indication relating to at least one medical condition, the method comprising:

monitoring at least one medical parameter relating at least to respiration of the patient using a monitoring device comprising a capnograph coupled to an element positioned within an airway of the patient and an ECG comprising a sensor positioned on the patient,

receiving from the capnograph the at least one medical parameter relating at least to respiration of the patient;

diagnosing, using a processor, a type and a degree of severity of the at least one medical condition indicated by the at least one medical parameter;

providing, using the processor, the output indication via a display relating to at least one medical condition responsive to a pattern of changes in the at least one medical parameter over times and

providing, using the processor, a treatment recommendation via the display based on the at least one medical condition, wherein the treatment recommendation comprises one or more of intubate the patient, hospitalize the patient, provide intravenous medication treatment, or transfer the patient to an intensive care unit.