Computer readable storage medium containing code for automated collection and analysis of patient information retrieved from an implantable medical device for remote patient care

• US 6,607,485 B2
• Filed: 09/06/2001
• Issued: 08/19/2003
• Est. Priority Date: 06/03/1999
• Status: Expired due to Term

• Current Assignee: Cardiac Intelligence Corp (Boston Scientific Corporation)
• Original Assignee: Cardiac Intelligence Corp (Boston Scientific Corporation)
• Inventors: Bardy, Gust H.
• Primary Examiner(s): Hindenburg, Max F.
• Assistant Examiner(s): ASTORINO, MICHAEL C
• Application Number:
  US09/948,310
• Publication Number:
  US 20020022776A1
• Time in Patent Office: 712 Days
• Field of Search: 600/300-301, 600/510, 607/27-32, 607/60, 607/9, 128/920, 128/923, 128/903, 128/904
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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
• CPC Class Codes: Y10S 128/903 Radio telemetry
• CPC Class Codes: Y10S 128/923 by comparison of patient data to other data

Abstract

A computer readable storage medium containing code for automated collection and analysis of patient information retrieved from a medical device adapted to be implanted in a patient for remote patient care is described. A set of collected measures is periodically received from the medical device over a communications link, which is interfaced to a network server. The collected measures set includes individual measures which each relate to patient information recorded by the medical device. The collected measures set is stored into a patient care record for the individual patient within a database server organized to store one or more patient care records. Each patient care record includes a plurality of the collected measures sets. One or more of the collected measures sets for the individual patient is analyzed relative to one or more other collected measures sets stored in the database server to determine a patient status indicator.

Claims

1. A computer-readable storage medium containing code for automated remote patient care using patient information retrieved from a medical device adapted to be implanted in a patient, comprising:

organizing one or more patient care records in a database with each patient care record comprising a plurality of the collected measurements sets, each collected measurements set comprising individual measurements which each relate to patient information recorded by a medical device adapted to be implanted for an individual patient;

receiving a set of the collected measurements periodically sent from the implantable medical device over a communications link;

storing the collected measurements set into the patient care record in the database for the individual patient;

analyzing one or more of the collected measurements sets in the patient care record for the individual patient relative to one or more other collected measurements sets stored in the patient care record of the individual patient; and

sending feedback based on the analysis of the one or more collected measurements sets to the individual patient over a feedback communications link.

2. A storage medium according to claim 1, the operation of analyzing further comprising:

comparing at least one collected measurement selected from the one or more collected measurements sets to at least one other collected measurement selected from the one or more other collected measurements sets, the at least one collected measurement and the at least one other collected measurement both relating to the same type of patient information.

3. A storage medium according to claim 1, the operation of analyzing further comprising:

comparing at least one collected measurement selected from the one or more collected measurements sets to at least one other collected measurement selected from the one or more other collected measurements sets, the at least one collected measurement and the at least one other collected measurement both relating to different types of patient information.

4. A storage medium according to claim 1, the operation of analyzing further comprising:

determining at least one derived measurement using at least one collected measurement selected from at least one of the one or more collected measurements sets and the one or more other collected measurements sets; and

comparing the at least one derived measurement to at least one measurement selected from at least one of the one or more collected measurements sets and the one or more other collected measurements sets.

5. A storage medium according to claim 1, the operation of analyzing further comprising:

determining at least one derived measurement using at least one collected measurement selected from at least one of the one or more collected measurements sets and the one or more other collected measurements sets;

determining at least one other derived measurement using at least one collected measurement selected from at least one of the one or more collected measurements sets and the one or more other collected measurements sets; and

comparing the at least one derived measurement to the at least one other derived measurement.

6. A storage medium according to claim 1, the operation of sending feedback further comprising:

providing tiered feedback comprising;

at a first level of feedback, communicating an interpretation of the analysis of the one or more collected measurements sets to the individual patient over the feedback communications link;

at a second level of feedback, communicating a notification of potential medical concern based on the analysis of the one or more collected measurements sets to the individual patient over the feedback communications link;

at a third level of feedback, communicating a notification of potential medical concern based on the analysis of the one or more collected measurements sets to medical personnel in local proximity to the individual patient over the feedback communications link; and

at a fourth level of feedback, communicating a set of reprogramming instructions based on analysis of the one or more collected measurements sets to the implantable medical device over the feedback communications link.