System and method for performing an automatic and remote trained personnel guided medical examination

• US 10,143,373 B2
• Filed: 02/16/2012
• Issued: 12/04/2018
• Est. Priority Date: 02/17/2011
• Status: Active Grant

• Current Assignee: Tyto Care, Ltd.
• Original Assignee: Tyto Care, Ltd.
• Inventors: Gilad-Gilor, David
• Primary Examiner(s): Paulson, Sheetal R
• Application Number:
  US14/000,375
• Publication Number:
  US 20130338447A1
• Time in Patent Office: 2,483 Days
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0013 Medical image data A61B1/00011, A61B6/56, A61B8/56 take precedence
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/0077 Devices for viewing the surface of the body, e.g. camera, magnifying lens
• CPC Class Codes: A61B 5/067 using accelerometers or gyroscopes
• CPC Class Codes: A61B 5/684 Indicating the position of the sensor on the body
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A method for performing one or more remote medical examinations of a patient using a workstation operably connectable to a remote diagnostics device, and wherein for at least one remote medical examination of the remote medical examinations the method comprising: receiving navigation enabling data acquired by at least one navigation sensor of the device, the navigation enabling data being indicative of a spatial disposition of the with respect to the patient'"'"'s body; displaying the received navigation enabling data; receiving an indication of a desired spatial disposition of the device with respect to the patient'"'"'s body, from which medical data of the patient is to be acquired in accordance with the at least one medical examination, the indication being provided by a trained personnel operating the workstation; and sending the received indication to the device, thus enabling navigation thereof to the desired spatial disposition with respect to the patient'"'"'s body.

Claims

1. A workstation configured to perform one or more remote medical examinations of a patient wherein the workstation is operably connectable to a remote handheld diagnostics device and wherein the workstation comprising a display and at least one processor configured to perform the following for at least one remote medical examination of the remote medical examinations:

receive navigation enabling data acquired by one or more navigation sensors of the remote handheld diagnostics device, said navigation enabling data being indicative of a spatial disposition of the remote handheld diagnostics device with respect to the patient body;

display the received navigation enabling data on the display;

receive an indication of a desired spatial disposition of the remote handheld diagnostics device with respect to the patient'"'"'s body, from which medical data of the patient is to be acquired in accordance with said at least one medical examination, said indication being provided by a trained personnel operating said workstation; and

send the received indication to the remote handheld diagnostics device, thereby enabling the remote handheld diagnostics device to automatically calculate maneuvering instructions based on the indication and on the navigation enabling data, and to provide a user of the remote handheld diagnostics device with the calculated maneuvering instructions, the calculated maneuvering instructions configured to direct the user of the remote handheld diagnostics device to navigate the remote handheld diagnostics device to the desired spatial disposition with respect to the patient'"'"'s body.

2. The workstation according to claim 1 wherein said processor is further configured to operate at least one diagnostics sensor of said remote handheld diagnostics device in order to acquire said medical data upon arrival to the desired spatial disposition.

3. The workstation according to claim 2 wherein the diagnostics sensor is an image based diagnostics sensor.

4. The workstation according to claim 2 wherein the diagnostics sensor is a sound based diagnostics sensor.

5. The workstation according to claim 2 wherein one of the navigation sensors and the diagnostics sensor are a common camera.

6. The workstation according to claim 1 wherein the navigation enabling data is body or body organ images.

7. The workstation according to claim 6 wherein the body organ images are internal body organ images.

8. The workstation according to claim 6 wherein one of the navigation sensors is a camera.

9. The workstation according to claim 1 wherein one of said navigation sensors is an Inertial Navigation System (INS) comprising one or more accelerometers and one or more gyroscopes and wherein the navigation enabling data is INS data received from the INS.

10. The workstation according to claim 1 wherein said processor is further configured to instruct the remote handheld diagnostics device to acquire patient specific reference data indicative of the desired spatial disposition of the remote handheld diagnostics device with respect to the patient'"'"'s body for performing said medical examination.

11. The workstation according to claim 10 wherein said instruction is provided during a calibration process performed by a trained personnel.

12. The workstation according to claim 11 wherein said processor is further configured to perform the following steps during the calibration process:

receive, from the trained personnel, an indication of a medical examination to be performed;

provide the trained personnel with guidance for performing the calibration; and

upon arrival to the desired diagnostics device spatial disposition, record said reference data indicative of the desired spatial disposition of the remote handheld diagnostics device with respect to the specific patient'"'"'s body for performing said medical examination.

13. The workstation according to claim 1 wherein said received indication is in at least four degrees of freedom and wherein the workstation further comprises a guiding device configured to receive said indication from the trained personnel.

14. The workstation according to claim 1 wherein said processor is further configured to receive medical data acquired by the remote handheld diagnostics device and display it on the display.

15. The workstation according to claim 1 wherein the one or more medical examinations of the patient are defined by a pre-defined check plan associated with the patient.

16. The workstation according to claim 1 wherein said processor is further configured to:

receive one or more questions relating to the patient;

provide the one or more questions to the remote handheld diagnostics device for presenting them to the patient; and

receive answers to the one or more questions.

17. The workstation according to claim 16 wherein the one or more questions are defined by the pre-defined check plan.

18. The workstation according to claim 16 wherein the one or more questions are received from the trained personnel.

19. The workstation according to claim 1 wherein the processor is further configured to enable the trained personnel to verify that the acquired medical data meets pre-defined standards.

20. The workstation according to claim 19 wherein the pre-defined standards are at least one of:

(a) a required length of reading;

(b) a minimal recorded sound volume;

(c) a minimal recorded sound quality;

(d) a minimal pressure against the patient'"'"'s body;

(e) a maximal pressure against the patient'"'"'s body;

(f) a maximal allowed movement of the remote handheld diagnostics device during acquisition of readings;

(g) a type of image reading;

(h) a required image reading zoom;

(i) a required image reading light;

(j) a required image reading matching to predefined reference; and

(k) a minimal image quality.

21. The workstation according to claim 1 wherein said processor is further configured to display the received indication on the display.

22. A method for performing one or more remote medical examinations of a patient using a workstation operably connectable to a remote handheld diagnostics device, and wherein for at least one remote medical examination of the remote medical examinations, said method comprising:

receiving navigation enabling data acquired by one or more navigation sensors of the remote handheld diagnostics device, said navigation enabling data being indicative of a spatial disposition of the remote handheld diagnostics device with respect to the patient'"'"'s body;

displaying the received navigation enabling data;

receiving an indication of a desired spatial disposition of the remote handheld diagnostics device with respect to the patient'"'"'s body, from which medical data of the patient is to be acquired in accordance with said at least one medical examination, said indication being provided by a trained personnel operating said workstation; and

sending the received indication to the remote handheld diagnostics device, thereby enabling the remote handheld diagnostics device to automatically calculate maneuvering instructions based on the indication and on the navigation enabling data, and to provide a user of the remote handheld diagnostics device with the calculated maneuvering instructions, the calculated maneuvering instructions configured to direct the user of the remote handheld diagnostics device to navigate the remote handheld diagnostics device to the desired spatial disposition with respect to the patient'"'"'s body.

23. The method according to claim 22 further comprising acquiring said medical data upon arrival to the desired spatial disposition.

24. The method according to claim 23 further comprising receiving the acquired medical data from the remote handheld diagnostics device and displaying it to the trained personnel.

25. The method according to claim 23 further comprising enabling the trained personnel to verify that the acquired medical data meets pre-defined standards.

26. The method according to claim 25 wherein the pre-defined standards are at least one of:

(a) a required length of reading;

(b) a minimal recorded sound volume;

(c) a minimal recorded sound quality;

(d) a minimal pressure against the patient'"'"'s body;

(e) a maximal pressure against the patient'"'"'s body;

(f) a maximal allowed movement of the remote handheld diagnostics device during acquisition of readings;

(g) a type of image reading;

(h) a required image reading zoom;

(i) a required image reading light;

(j) a required image reading matching to predefined reference; and

(k) a minimal image quality.

27. The method according to claim 22 wherein the navigation enabling data is body or body organ images.

28. The method according to claim 27 wherein the body organ images are internal body organ images.

29. The method according to claim 22 wherein one of said navigation sensors is an Inertial Navigation System (INS) comprising one or more accelerometers and one or more gyroscopes and wherein the navigation enabling data is INS data received from the INS.

30. The method according to claim 22 further comprising displaying patient specific reference data indicative of the desired spatial disposition of the remote handheld diagnostics device with respect to the patient'"'"'s body for performing said medical examination.

31. The method according to claim 30 wherein the reference data is acquired during a calibration process performed by a trained personnel.

32. The method according to claim 31 wherein said calibration process comprises:

receiving an indication of a medical examination to be performed;

providing the trained personnel with guidance for performing the calibration; and

recording said reference data indicative of the desired spatial disposition of the remote handheld diagnostics device with respect to the patient'"'"'s body upon arrival to the desired diagnostics device spatial disposition.

33. The method according to claim 22 wherein the one or more medical examinations of the patient are defined by a pre-defined check plan associated with the patient.

34. The method according to claim 22 further comprising:

receiving one or more questions relating to the patient;

providing the one or more questions to the diagnostics device for presenting them to the patient; and

receiving answers to the one or more questions.

35. The method according to claim 34 wherein the one or more questions are defined by the pre-defined check plan.

36. The method according to claim 34 wherein the one or more questions are received from the trained personnel.

37. The method of claim 22 wherein said received indication is in at least four degrees of freedom and wherein the workstation further comprising a guiding device configured to receive said indication from the trained personnel.

38. A handheld diagnostics device configured to perform one or more remote medical examinations of a patient by a remote trained personnel, wherein the handheld diagnostics device is operably connectable to a remote workstation and wherein the handheld diagnostics device comprising one or more navigation sensors, at least one diagnostics sensor and a processor, said processor configured to perform the following for the at least one remote medical examination of said remote medical examinations:

acquire navigation enabling data utilizing the one or more navigation sensors, said navigation enabling data being indicative of a spatial disposition of the diagnostics device with respect to the patient'"'"'s body;

send the acquired navigation enabling data to the remote workstation;

receive an indication of a desired spatial disposition with respect to the patient'"'"'s body, from which medical data of the patient is to be acquired in accordance with said at least one remote medical examination, said indication being provided by a trained personnel operating the workstation;

determine a spatial disposition of the diagnostics device with respect to the desired spatial disposition, utilizing the acquired navigation enabling data and the indication;

calculate maneuvering instructions for a required movement correction from the determined spatial disposition to the desired spatial disposition, for acquiring medical data of the patient in accordance with said at least one medical examination; and

automatically provide a user of the handheld diagnostics device with the calculated maneuvering instructions, the calculated maneuvering instructions configured to direct the user of the remote handheld diagnostics device to navigate said diagnostics device to the desired spatial disposition in accordance with the required movement correction.

39. The handheld diagnostics device according to claim 38 wherein said processor is further configured to operate at least one diagnostics sensor of said diagnostics device in order to acquire said medical data upon arrival to the desired spatial disposition.

40. The handheld diagnostics device according to claim 39 wherein said operate is performed automatically in response to a command received from the remote workstation.

41. The handheld diagnostics device according to claim 39 wherein the diagnostics sensor is an image based diagnostics sensor.

42. The handheld diagnostics device according to claim 39 wherein the diagnostics sensor is a sound based diagnostics sensor.

43. The workstation according to claim 39 wherein one of the navigation sensors and the diagnostics sensor are a common camera.

44. The handheld diagnostics device according to claim 38 wherein the navigation enabling data is body or body organ images.

45. The handheld diagnostics device according to claim 44 wherein the body organ images are internal body organ images.

46. The handheld diagnostics device according to claim 44 wherein one of the navigation sensors is a camera.

47. The handheld diagnostics device according to claim 44 wherein said navigation enabling data further comprises Inertial Navigation System (INS) data and wherein processor is configured to perform the following additional steps in order to determine the diagnostics device spatial disposition with respect to the desired spatial dispositions:

receive INS data acquired in at least three pre-defined reference points on the patient'"'"'s body;

determine, based on the received INS data, the diagnostics device spatial disposition with respect to said desired spatial disposition.

48. The handheld diagnostics device according to claim 38 wherein one of said navigation sensors is an Inertial Navigation System (INS) comprising one or more accelerometers and one or more gyroscopes and wherein the navigation enabling data is INS data received from the INS.

49. The handheld diagnostics device according to claim 38 wherein said processor is further configured to:

receive a command to acquire patient specific reference data indicative of the desired spatial disposition of the diagnostics device with respect to the patient'"'"'s body for performing said medical examination;

acquire the patient specific reference data utilizing the at least one diagnostics sensor; and

transmit the patient specific reference data to the remote workstation.

50. The handheld diagnostics device according to claim 49 wherein the command to acquire patient specific reference data is received from the remote workstation during a calibration process performed by a trained personnel.

51. The handheld diagnostics device according to claim 38 wherein the one or more medical examinations of the patient are defined by a pre-defined check plan associated with the patient.

52. The handheld diagnostics device according to claim 38 wherein said processor is further configured to:

provide said user with one or more questions relating to the patient;

receive answers to the one or more questions; and

transmit said answers to said remote workstation.

53. The handheld diagnostics device according to claim 52 wherein the one or more questions are defined by the pre-defined check plan.

54. The handheld diagnostics device according to claim 52 wherein the one or more questions are received from a trained personnel operating said workstation.

55. The handheld diagnostics device according to claim 38 wherein said received indication is in at least four degrees of freedom.

56. The handheld diagnostics device according to claim 38 wherein said processor is further configured to verify that movements of the handheld diagnostics device correspond to the maneuvering instructions.

57. The handheld diagnostics device according to claim 56 wherein said processor is further configured to notify said user if the movements of the handheld diagnostics device do not correspond to the maneuvering instructions.

58. The handheld diagnostics device according to claim 56 wherein said processor is further configured to notify said user that diagnostics device is in the desired spatial disposition.

59. A method for operating a handheld diagnostics device for performing one or more remote medical examinations of a patient by a remote trained personnel, wherein the handheld diagnostics device is operably connectable to a remote workstation and wherein for the at least one remote medical examination of said remote medical examinations said method comprising:

acquiring navigation enabling data utilizing one or more navigation sensors of the handheld diagnostics device, said navigation enabling data being indicative of a spatial disposition of the diagnostics device with respect to the patient'"'"'s body;

sending the acquired navigation enabling data to the remote workstation;

receiving an indication of a desired spatial disposition with respect to the patient'"'"'s body, from which medical data of the patient is to be acquired in accordance with said at least one remote medical examination, said indication being provided by a trained personnel operating the workstation;

determining a spatial disposition of the diagnostics device with respect to the desired spatial disposition, utilizing the acquired navigation enabling data and the indication;

calculating maneuvering instructions for a required movement correction from the determined spatial disposition to the desired spatial disposition, for acquiring medical data of the patient in accordance with said at least one medical examination; and

automatically providing a user of the handheld diagnostics device with the calculated maneuvering instructions, the calculated maneuvering instructions configured to direct the user of the remote handheld diagnostics device to navigate said diagnostics device to the desired spatial disposition in accordance with the required movement correction.

60. The method according to claim 59 further comprising operating at least one diagnostics sensor of said diagnostics device in order to acquire said medical data upon arrival to the desired spatial disposition.

61. The method according to claim 60 wherein said operating is performed automatically in response to receiving a command from the remote workstation.

62. The method according to claim 59 wherein the navigation enabling data is body or body organ images.

63. The method according to claim 62 wherein the body organ images are internal body organ images.

64. The method of claim 62 wherein said navigation enabling data further comprises Inertial Navigation System (INS) data and wherein said determining further comprises:

receiving INS data acquired in at least three pre-defined reference points on the patient'"'"'s body;

determining, based on the received INS data, the diagnostics device spatial disposition with respect to said desired spatial disposition.

65. The method according to claim 59 wherein one of said navigation sensors is an Inertial Navigation System (INS) comprising one or more accelerometers and one or more gyroscopes and wherein the navigation enabling data is INS data received from the INS.

66. The method according to claim 59 further comprising:

receiving a command to acquire patient specific reference data indicative of the desired spatial disposition of the diagnostics device with respect to the patient'"'"'s body for performing said medical examination;

acquiring the patient specific reference data; and

transmitting the patient specific reference data to the remote workstation.

67. The method according to claim 59 further comprising:

receiving a command to acquire a patient specific reference image indicative of the desired spatial disposition of the diagnostics device with respect to the patient'"'"'s body for performing said medical examination;

acquiring the patient specific reference image; and

transmitting the patient specific reference image to the remote workstation.

68. The method according to claim 67 wherein the command to acquire a patient specific reference image is received from the remote workstation during a calibration process performed by trained personnel operating said workstation.

69. The method according to claim 59 wherein the one or more medical examinations of the patient are defined by a pre-defined check plan associated with the patient.

70. The method according to claim 59 further comprising:

providing said user with one or more questions relating to the patient;

receiving answers to the one or more questions; and

transmitting said answers to said remote workstation.

71. The method according to claim 70 wherein the one or more questions are defined by the pre-defined check plan.

72. The method according to claim 70 wherein the one or more questions are received from a trained personnel operating said workstation.

73. The method of claim 59 wherein said received indication is are in at least four degrees of freedom.

74. The method according to claim 59 further comprising verifying that movements of the handheld diagnostics device correspond with the maneuvering instructions.

75. The method according to claim 74 further comprising notifying said user if the movements of the handheld diagnostics device do not correspond to the maneuvering instructions.

76. The method according to claim 59 further comprising notifying said user that diagnostics device is in the desired spatial disposition.

77. A computer program product comprising a computer storage device having stored thereon computer executable instructions that when executed by a processor cause the computer to execute a method for operating a handheld diagnostics device for performing, for at least one remote medical examination of one or more remote medical examinations of a patient by a remote trained personnel, wherein the handheld diagnostics device is operably connectable to a remote workstation, the method comprising:

acquiring navigation enabling data utilizing one or more navigation sensors of a handheld diagnostics device, said navigation enabling data being indicative of a spatial disposition of the diagnostics device with respect to the patient'"'"'s body;

sending the acquired navigation enabling data to the remote workstation;

receiving an indication of a desired spatial disposition with respect to the patient'"'"'s body, from which medical data of the patient is to be acquired in accordance with said at least one remote medical examination, said indication being provided by a trained personnel operating the workstation;

determining a spatial disposition of the diagnostics device with respect to the desired spatial disposition, utilizing the acquired navigation enabling data and the indication;

calculating maneuvering instructions for a required movement correction from the determined spatial disposition to the desired spatial disposition, for acquiring medical data of the patient in accordance with said at least one medical examination; and

automatically providing a user of the handheld diagnostics device with the calculated maneuvering instructions, the calculated maneuvering instructions configured to direct the user of the remote handheld diagnostics device to navigate said diagnostics device to the desired spatial disposition in accordance with the required movement correction.

78. A computer program product comprising a computer storage device having stored thereon computer executable instructions that when executed by a processor cause the computer to execute a method for performing one or more remote medical examinations of a patient using a workstation operably connectable to a remote handheld diagnostics device, and wherein for at least one remote medical examination of the remote medical examinations, said method comprising:

receiving navigation enabling data acquired by one or more navigation sensors of the remote handheld diagnostics device, said navigation enabling data being indicative of a spatial disposition of the remote handheld diagnostics device with respect to the patient'"'"'s body;

displaying the received navigation enabling data;

receiving an indication of a desired spatial disposition of the remote handheld diagnostics device with respect to the patient'"'"'s body, from which medical data of the patient is to be acquired in accordance with said at least one medical examination, said indication being provided by a trained personnel operating said workstation; and

sending the received indication to the remote handheld diagnostics device, thereby enabling the remote handheld diagnostics device to automatically calculate maneuvering instructions based on the indication and on the navigation enabling data, and to provide a user of the remote handheld diagnostics device with the calculated maneuvering instructions, the calculated maneuvering instructions configured to direct the user of the remote handheld diagnostics device to navigate the remote handheld diagnostics device to the desired spatial disposition with respect to the patient'"'"'s body.