Database management for an orthopedic treatment system

• US 20020029784A1
• Filed: 10/01/2001
• Published: 03/14/2002
• Est. Priority Date: 06/11/1999
• Status: Abandoned Application

• Current Assignee: IZEX Technologies, Inc.
• Original Assignee: IZEX Technologies, Inc.
• Inventors: Stark, John G., Oyen, Duane, Hanson, Timothy J.B., Tracey, Timothy, Backes, Steven, Manninen, Gary
• Application Number:
  US09/968,595
• Publication Number:
  US 20020029784A1
• Time in Patent Office: Days
• US Class Current: 128/898
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 90/00 Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges protective face masks A41D13/11; surgeon's or patient's gowns or dresses A41D13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M1/00
• 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 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics

Abstract

A process for treating orthopedic injuries including the steps of presenting a set of treatment protocols; approving a treatment protocol from among the presented set of treatment protocols; capturing information identifying the approved treatment protocol from among the set of presented protocols; and generating information from the captured information into a form compatible with a handheld computer adapted for connection to an orthopedic sensor system. The generated information includes parameters of the identified approved treatment protocol. The process may also include the steps of basing the presented set of treatment protocols upon a database of historic patients, orthopedic injuries, treatment protocols and outcomes, and retaining information about the current patient, the patients injury, treatment protocol and outcome. A system for treating orthopedic injuries with a historic database on a central computer and a handheld computer attached to a sensor system. The handheld computer has formatted treatment protocol parameters originating in the historic database and mediates treatmetn of the orthopedic injury.

Claims

1. A process of treating an orthopedic injury, the process comprising the steps of.

a. presenting a set of treatment protocols, wherein the set of protocols includes at least one treatment protocol;

b. approving a treatment protocol from among the presented set of treatment protocols;

c. capturing information identifying the approved treatment protocol of the set of presented protocols; and

d. generating information from the captured information into a form compatible with a handheld computer adapted for connection to an orthopedic sensor system, wherein the generated information includes parameters of the identified approved treatment protocol.

2. The process of claim 1 and further comprising the step of:

loading the generated information in the handheld computer.

3. The process of claim 2 and further comprising the step of:

monitoring patient activity relative to the approved treatment protocol and storing data resulting from the monitoring in the handheld computer.

4. The process of claim 3 and further comprising the steps of:

processing the stored data from the monitoring for compliance relative to the approved treatment protocol.

5. The process of claim 3 and further comprising the step of:

communicating information concerning the stored monitoring data to a central computer.

6. The process of claim 4 and further comprising the step of:

communicating the processed stored data from the monitoring for compliance relative to the approved treatment protocol to a central computer.

7. The process of claim 5 and further comprising the step of:

processing the communicated information at the central computer.

8. The process of claim 5 and further comprising the step of:

further processing the communicated information at the central computer.

9. The process of claim 7 and further comprising the step of:

presenting processed patient monitoring and compliance information.

10. The process of claim 7 and further comprising the step of:

updating a historic database with the processed patient compliance information.

11. The process of claim 1 and wherein the step of presenting includes providing a screen display.

12. The process of claim 1 and wherein the step of presenting includes providing a printout.

13. The process of claim 1 and wherein the step of presenting includes representing a treatment protocol parameter as an image selected from the group of images consisting of textual representation, graphic representation, and combined textual and graphic representation.

14. The process of claim 11 and wherein the step of approving a treatment protocol includes the step of causing a visual change in the presented screen display.

15. The process of claim 14 and wherein the step of capturing includes the step of inputting an “

enter”

command subsequent to causing a visual change in the presented screen display.

16. The process of claim 1 and wherein the parameters of the generated information includes an exercise identification parameter, an exercise replication parameter, and an exercise initiation timing parameter, which parameters define at least part of the treatment protocol approved from the presented set of treatment protocols.

17. The process of claim 1 and wherein the handheld computer includes patient signaling capabilities selected from the group consisting of audible signaling, visual signaling, and tactile signaling.

18. The process of claim 1 and wherein the handheld computer includes input capabilities selected from the group consisting of RS-232 input, sensor signal input, USB input, modem input, keyboard input, audible input, light input, Ethernet input.

19. The process of claim 1 and wherein the handheld computer includes output capabilities selected from the group consisting of RS-232 output, USB output, parallel port output, light output, textual output, graphical output, audible output, Ethernet input, tactile output, and hardcopy printer output.

20. The process of claim 3 and wherein the step of monitoring includes receiving a signal from at least one sensor.

21. The process of claim 20 and wherein the sensor is mounted on an orthosis device attached to the patient.

22. The process of claim 20 and wherein the sensor is directly attached to the patient.

23. The process of claim 1 and wherein the presented set of treatment protocols is based upon information gleaned from a database, wherein the database includes a plurality of historic treatment protocol records, the records including fields populated by parameter data for patient characteristics, orthopedic injury characteristics, actual treatment protocol followed by the patient, and historic outcome.

24. The process of claim 23 and wherein the database further includes parameter data selected from the group of characteristics consisting of patient physical characteristics, patient psychological characteristics, and prescribed protocol provided to the patient.

25. The process of claim 23 and wherein the presented set of treatment protocols is based upon statistical analysis of database records.

26. The process of claim 24 and wherein the presented set of treatment protocols includes at least portions of one record of the database.

27. The process of claim 23 and wherein the step of presenting a set of treatment protocols based upon information is gleaned from the database is preceded by the step of:

querying the database such that the set of treatment protocols is presented in response to the query, the query including at least parameters characteristic of the orthopedic injury of the patient to be treated.

28. The process of claim 1 and further comprising the steps of:

modifying a first set of presented treatment protocols; and

presenting the resulting modified set of treatment protocols for availability in the approving step.

29. The process of claim 23 and wherein the presentation includes predicted outcomes for at least one treatment protocol of the set, the predicted outcome based upon information derived from the historic database of treatment protocols.

30. The process of claim 1 and wherein the generated information includes information to cause voice comments to be played for a patient.

31. The process of claim 30 and wherein the information generated to cause voice comments is a sound file.

33. The process of claim 30 and wherein the voice comments are present as sound files in a separate device other than the handheld computer.

34. The process of claim 30 and wherein the voice comments are played conditionally depending upon processed information derived from the orthopedic sensor system.

35. The process of claim 30 and wherein the voice comments are a subset of a more extensive set of voice comments.

36. The process of claim 30 and wherein the voice comments are recorded by a treatment professional approving the treatment protocol as an adjunct to the protocol.

38. The system of claim 37 and further comprising:

means to monitor performance of the treatment protocol and update the historic database with performance parameters.

39. The system of claim 38 and further comprising:

means to modify the formatted treatment protocol parameters in real-time in response to updates to the historic database.

32. The process of clam 30 and wherein the voice comments are present as sound files in the handheld computer.

37. A system for treating an orthopedic injury, comprising:

a handheld computer adapted for connection to an orthopedic sensor system;

a central computer including historic database of orthopedic injuries, patient characteristics, treatment protocols and outcomes;

means to query the central computer to present a set of treatment protocols to a treatment professional;

means to approve a treatment protocol of the set; and

,

means to generate formatted parameters corresponding to the approved treatment protocol for installation the handheld computer, thereby allowing the handheld to mediate the approved treatment protocol when connected to the orthopedic sensor system.