System and method for providing tiered patient feedback for use in automated patient care

• US 7,070,562 B2
• Filed: 04/23/2003
• Issued: 07/04/2006
• 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): Pezzuto, Robert E.
• Assistant Examiner(s): Oropeza, Frances P.
• Application Number:
  US10/422,495
• Publication Number:
  US 20030195397A1
• Time in Patent Office: 1,168 Days
• Field of Search: 600/300, 600/301, 600/309, 600/58, 600/513, 379/106.2, 128/903
• US Class Current: 600/300
• 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 5/0006 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 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/02028 Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
• 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 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/0826 Detecting or evaluating apnoea events A61B5/4818 takes precedence
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/4878 Evaluating oedema
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity
• 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 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61B 7/02 Stethoscopes acoustic details thereof G10K11/00
• CPC Class Codes: A61N 1/37258 Alerting the patient
• CPC Class Codes: A61N 1/37282 : characterised by communication with experts in remote locations using a network
• CPC Class Codes: A61N 1/39622 : Pacing therapy
• CPC Class Codes: G16H 10/60 : for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 : ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/00 : ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
• CPC Class Codes: G16H 50/20 : for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 : for calculating health indices; for individual health risk assessment
• CPC Class Codes: Y10S 128/92 : Computer assisted medical diagnostics

Abstract

A system and method for providing tiered patient feedback for use in automated patient care is described. Physiological measures are analyzed. Each physiological measure is representative of at least one of measured and derived patient information recorded on a substantially continuous basis and was retrieved from one such patient care record to determine a patient status. Tiered feedback is provided to an individual patient responsive to the patient status.

Claims

1. A system for providing tiered patient feedback for use in automated patient care, comprising:

a database storing patient care records with each record containing one or more physiological measures regularly recorded by an implantable medical device and relating to individual patient information recorded on a substantially continuous basis;

an analysis module for providing automated analysis of the physiological measures, each of the physiological measures, each of the physiological measures being representative of at least one of measured and derived patient information retrieved from one such patient care record to determine a patient status;

a feedback module providing automated tiered feedback to an individual patient responsive to and based on the patient status; and

a patient programmer for wireless communication with said implantable medical device, the programmer receiving at least some of said automated tiered feedback and for providing automated reprogramming of the implantable medical device by said feedback module.

2. A system according to claim 1, further comprising:

the feedback module communicating an interpretation of the patient status to the individual patient at a first level of feedback.

3. A system according to claim 1, further comprising:

the feedback module communicating a notification of potential medical concern based on the patient status to the individual patient at a second level of feedback.

4. A system according to claim 1, further comprising:

the feedback module communicating a notification of potential medical concern based on the patient status to medical personnel in local proximity to the individual patient at a third level of feedback.

5. A system according to claim 1, further comprising:

a medical device having a sensor for monitoring and recording the one or more physiological measures; and

the feedback module communicating a set of reprogramming instructions based on the patient status to the medical device at a fourth level of feedback.

6. A method for providing tiered patient feedback for use in automated patient care, comprising:

retrieving one or more physiological measures regularly recorded by an implantable medical device and relating to individual patient information recorded on a substantially continuous basis from a patient care record;

providing automated analysis of the physiological measures, each of the physiological measures being representative of at least one of measured and derived patient information retrieved from one such patient care record to determine a patient status; and

providing automated tiered feedback to an individual patient responsive to and based on the patient status; and

wherein the automated tiered feedback includes wireless automated reprogramming of the implantable medical device based upon the patient status.

7. A method according to claim 6, further comprising:

communicating an interpretation of the patient status to the individual patient at a first level of feedback.

8. A method according to claim 6, further comprising:

communicating a notification of potential medical concern based on the patient status to the individual patient at a second level of feedback.

9. A method according to claim 6, further comprising:

communicating a notification of potential medical concern based on the patient status to medical personnel in local proximity to the individual patient at a third level of feedback.

10. A method according to claim 6, further comprising:

monitoring and recording the one or more physiological measures from a medical device having a sensor; and

communicating a set of reprogramming instructions based on the patient status to the medical device at a fourth level of feedback.

11. A computer-readable storage medium holding code for performing the method according to claim 6.