Health monitoring system

• US 6,095,985 A
• Filed: 12/30/1997
• Issued: 08/01/2000
• Est. Priority Date: 02/24/1995
• Status: Expired due to Term

• Current Assignee: Brigham and Women's Hospital Incorporated
• Original Assignee: Brigham and Women's Hospital Incorporated
• Inventors: Singer, Daniel B., Raymond, Stephen A., Gordon, Geoffrey E.
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/001,032
• Time in Patent Office: 945 Days
• Field of Search: 600/508, 600/483, 600/360, 600/523, 600/301, 600/513
• US Class Current: 600/513
• CPC Class Codes: A61B 2560/0209 adapted for power saving
• CPC Class Codes: A61B 2560/0242 adapted to measure environmental factors, e.g. temperature, pollution
• CPC Class Codes: A61B 2560/0257 using atmospheric pressure
• CPC Class Codes: A61B 2560/0295 adapted for recording user messages or annotations
• 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 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/366 Detecting abnormal QRS complex, e.g. widening
• CPC Class Codes: A61B 5/4824 Touch or pain perception evaluation A61B5/4821 takes precedence
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses
• CPC Class Codes: A61B 5/6861 Capsules, e.g. for swallowing or implanting
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period
• 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 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61B 5/7475 : User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 7/00 : Instruments for auscultation
• CPC Class Codes: A61M 31/002 : Devices for releasing a drug at a continuous and controlled rate for a prolonged period of time artificial gland structures or devices A61F2/022; intra-uterine contraceptive devices A61F6/14; tampons for introducing into the vagina A61F13/20, A61L15/00; suppositories or bougies for intra-vaginal or intra-uterine application A61K9/02; physical forms of medicinal preparations for sustained or differential drug release A61K9/20, A61K9/50
• CPC Class Codes: G16H 10/60 : for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/67 : for remote operation

Abstract

A health monitoring system which tracks the state of health of a patient and compiles a chronological health history of the patient uses a multiparametric monitor which periodically and automatically measures and records a plurality of physiological data from sensors in contact with the patient'"'"'s body. The data collected is not specifically related to a particular medical condition but, instead, provides the information necessary to derive patterns which are characteristic of healthy patients as well as those who are ill. The data collected is periodically uploaded to a database in which it is stored along with similar health histories for other patients. The monitor is preferably self-contained in a chest strap which is located on the patient'"'"'s torso, and makes use of a controller which controls sampling of the desired data and storage of the data to a local memory device pending uploading to the database. The more voluminous data collected is reduced and compressed prior to storage in the local memory device. Preferably, much of the monitor circuitry is run intermittently to conserve power. The monitor data is supplemented with subjective data (such as psychological and environmental conditions) collected from the patient using a handheld data input device which runs a program to solicit information from the patient. The subjective data collected is chronologically aligned with the monitor data in the database such that the health history of a patient includes both objective and subjective medical data.

Claims

1. A portable personal health tracker comprising:

a multiparametric physiological monitoring device which periodically and automatically measures and records from a subject a plurality of different physiological data pertinent to a plurality of different physiological systems;

a time base which tracks the time of recording of the physiological data;

a data storage unit in which the physiological data is stored with reference to the time base such as to provide a chronological health history of the subject;

a data logger which collects subjective data from the subject regarding the subject'"'"'s psychological condition and subjectively observed physiological condition; and

a data transmission device capable of connecting directly to a communication network to allow transmission of data to a destination site from points of access to the network that are remote to the destination site, wherein each of the components of the health tracker is part of a single, unified portable unit that may be used by an ambulatory patient.

2. A personal health tracker according to claim 1 wherein the subjective data collected by the data logger is stored in said data storage unit.

3. A personal health tracker according to claim 1 wherein the data logger is an electronic data collection device which allows data inputs by the subject and provides data prompts to the subject to selectively elicit particular information.

4. A personal health tracker according to claim 3 wherein said data prompts include an interactive graphical display.

5. A personal health tracker according to claim 1 wherein the data logger comprises a controller which runs a predetermined data collection program.

6. A personal health tracker according to claim 1 wherein the data logger comprises a hand-held electronic data input device.

7. A personal health tracker according to claim 1 wherein the data gathered by the data logger is stored in the data storage unit and is chronologically aligned with the physiological data as part of said health history of the subject.

8. A personal health tracker according to claim 1 further comprising a message receiving apparatus by which the subject may view messages directed to the health tracker via the communication network.

9. A personal health tracker according to claim 1 further comprising a message transmission apparatus by which the subject may create messages and transmit them via the communication network.

10. A personal health tracker according to claim 1 further comprising a tactile input device on which the subject may write and the subject'"'"'s writing is detected, said tactile input device storing a bitmapped representation of the detected writing for transfer to the data storage device.

11. A personal health tracker according to claim 1 wherein the communication network comprises a data network.

12. A personal health tracker according to claim 1 wherein the communication network comprises the Internet.

13. A personal health tracker according to claim 1 wherein the data transmission device comprises a modem.

14. A method of tracking a medical subject'"'"'s state of health, the method comprising:

periodically and automatically measuring and recording a plurality of different physiological data from a subject with a portable, multiparametric physiological monitoring device,

tracking the time of recording of the physiological data with a time base;

storing the physiological data in a data storage unit with reference to the time base such as to provide a chronological health history of the subject;

collecting subjective data from the subject with a subjective data logger, said data logger being a data input device which records data input thereto by the subject;

connecting directly to a communication network with a data transmission device that allows transmission of collected data to a destination site from points of access to the network that are remote to the destination site; and

locating all of the components of the health tracker together as a portable unit that may be used by an ambulatory patient.

15. A method according to claim 14 wherein collecting subjective data comprises providing data prompts to the subject with the data logger so as to selectively elicit particular information from the subject.

16. A method according to claim 15 wherein providing data prompts further comprises providing an interactive graphical display.

17. A method according to claim 14 wherein collecting the subjective data comprises collecting the subjective data with a hand-held electronic data input device.

18. A method according to claim 14 wherein storing the subjective data in the data storage unit comprises chronologically aligning the subjective data with the physiological data in the data storage unit as part of said health history of the subject.

19. A method according to claim 14 wherein connecting to a communication network with a data transmission device comprises connecting to a data network with the data transmission device.

20. A method according to claim 14 wherein connecting to a communication network with a data transmission device comprises connecting to the Internet with the data transmission device.

21. A method according to claim 14 wherein connecting to a communication network with a data transmission device comprises connecting to a communication network with a modem.

22. A portable personal health tracker comprising:

a data logger that collects and records subjective data from a subject regarding the subject'"'"'s psychological condition and subjectively observed physiological condition;

a time base which tracks a time of recording of the data;

a data storage unit in which the data is stored with reference to the time base such as to provide a chronological health history of the subject;

and

a data transmission device capable of connecting directly to a communication network to allow transmission of data to a destination site from points of access to the network that are remote to the destination site, wherein each of the components of the health tracker is part of a single, unified portable unit that may be used by an ambulatory patient.

23. A portable personal health tracker according to claim 22 wherein the data transmission device comprises a modem.

24. A portable personal health tracker according to claim 22 wherein the data transmission device connects to a data network via a direct telephone connection.

25. A portable personal health tracker according to claim 22 wherein the data transmission device connects directly to a data network.

26. A portable personal health tracker according to claim 22 wherein the health tracker is a hand-held device.

27. A portable personal health tracker according to claim 22 further comprising a message receiver means by which the subject may receive and view messages directed to the data logger.

28. A portable personal health tracker according to claim 22 further comprising a message generator by which the subject may create and send messages.

29. A portable personal health tracker according to claim 22 further comprising a tactile input device on which the subject may write and the subject'"'"'s writing is detected, said tactile input device generating a digitized representation of the detected writing.

30. A portable personal health tracker according to claim 29 wherein the digitized representation of the subject'"'"'s writing is transmittable via the data transmission device.

31. A portable personal health tracker comprising:

a multiparametric physiological monitoring device which periodically and automatically measures and records from a subject a plurality of different physiological data pertinent to a plurality of different physiological systems;

a time base which tracks the time of recording of the physiological data;

a data storage unit in which the physiological data is stored with reference to the time base such as to provide a chronological health history of the subject; and

a data transmission device capable of connecting directly to a communication network to allow transmission of data to a destination site from points of access to the network that are remote to the destination site, wherein each of the components of the health tracker is part of a single, unified portable unit that may be used by an ambulatory patient.

32. A portable personal health tracker according to claim 31 wherein the physiological monitoring device is hand held.

33. A portable personal health tracker according to claim 31 wherein the physiological monitoring device includes an on-board memory device, and wherein the data storage unit is a database to which the contents of said memory device are uploaded via the data transmission device.

34. A personal health tracking system comprising:

a portable unit having a data logger that collects and records subjective data from a subject regarding the subject'"'"'s psychological condition and subjectively observed physiological condition;

a time base of the portable unit which tracks a time of recording of the data;

a data storage location remote from the portable unit in which the data is stored with reference to the time base such as to provide a chronological history of the subject'"'"'s psychological condition; and

a data transmission device of the portable unit that transmits data to the data storage location via a digital data network.

35. A personal health tracking system according to claim 34 further comprising a multiparametric physiological monitoring device of the portable unit that periodically and automatically measures and records from a subject a plurality of different physiological data pertinent to a plurality of different physiological systems.

36. A personal health tracking system according to claim 34 wherein the digital data network comprises a public data network.

37. A personal health tracking system according to claim 34 wherein the digital data network comprises the Internet.

38. A personal health tracking system according to claim 34 wherein the data transmission device comprises a connection device that facilitates connection to the data network.

39. A personal health tracking system according to claim 38 wherein the connection device comprises a modem that is connectable directly to a public telephone network.

40. A personal health tracking system according to claim 38 wherein the connection device is connectable directly to a local data network access connection.

41. A personal health tracking system according to claim 34 wherein the data storage location comprises a digital file server.

42. A personal personal health tracking system comprising:

a portable unit having a data logger that collects and records subjective data from a subject regarding the subject'"'"'s psychological condition and subjectively observed physiological condition;

a time base of the portable unit which tracks a time of recording of the data;

a data storage location in which the data is stored with reference to the time base such as to provide a chronological history of the subject'"'"'s psychological condition; and

a tactile input device of the portable unit on which the subject may write and the subject'"'"'s writing is detected, said tactile input device generating a digitized representation of the detected writing.

43. A personal health tracking system according to claim 42 wherein the data storage location is remote from the portable unit and the system further comprises a data transmission device of the portable unit that transmits data to the data storage location via a communication network.

44. A personal health tracking system according to claim 43 wherein the digitized representation of the subject'"'"'s writing is transmittable via the communication network.

45. A personal health tracking system according to claim 43 wherein the communication network comprises a digital data network.

46. A personal health tracking system according to claim 43 wherein the communication network comprises a public telephone network and the portable unit comprises a modem that is connectable directly to the telephone network.

47. A personal health tracking system according to claim 43 wherein the communication network comprises a digital data network and the portable unit is connectable directly to the data network a local data network access connection.

48. A personal health tracking system according to claim 47 wherein the data network comprises the Internet.