Remote health monitoring and maintenance system

• US 7,941,323 B2
• Filed: 06/29/2005
• Issued: 05/10/2011
• Est. Priority Date: 11/17/1992
• Status: Expired due to Fees

• Current Assignee: Health Hero Network Incorporated (Robert Bosch GmbH)
• Original Assignee: Health Hero Network Incorporated (Robert Bosch GmbH)
• Inventors: Brown, Stephen J.
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): RANGREJ, SHEETAL
• Application Number:
  US11/168,525
• Publication Number:
  US 20060004611A1
• Time in Patent Office: 2,141 Days
• Field of Search: 705 2- 3, 600/483, 600/509
• US Class Current: 705/2
• CPC Class Codes: A61B 2560/0431 Portable apparatus, e.g. comprising a handle or case
• CPC Class Codes: A61B 2560/0443 Modular apparatus
• CPC Class Codes: A61B 2562/0295 Strip shaped analyte sensors for apparatus classified in A61B5/145 or A61B5/157 disposable multilayered or laminated electrodes G01N27/307; details of handling chemical test elements G01N33/4875
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/14 Devices for taking samples of blood hypodermic syringes A61M5/00; Measuring characteristics of blood in vivo, e.g. gas concentration within the blood, pH-value of blood measuring of blood pressure A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/150022 for capillary blood or interstitial fluid
• CPC Class Codes: A61B 5/150854 long distance, e.g. between patient's home and doctor's office
• CPC Class Codes: A61B 5/6896 Toys
• 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 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: G01N 33/48792 Data management, e.g. communication with processing unit for in vivo diagnostics A61B5/0002; transmission systems for measured values G08C
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: Y10S 128/90 Blood pressure recorder

Abstract

A system and method is described that enables a health care provider to monitor and manage a health condition of a patient. The system includes a health care provider apparatus operated by a health care provider and a remotely programmable patient apparatus that is operated by a patient. The health care provider develops a script program using the health care provider apparatus and then sends the script program to a remotely programmable patient apparatus through a communication network such as the World Wide Web. The script program is a computer-executable patient protocol that provides information to the patient about the patient'"'"'s health condition and that interactively monitors the patient health condition by asking the patient questions and by receiving answers to those questions. The answers to these health related questions are then forwarded as patient data from the remotely programmable patient apparatus to the health care provider apparatus through the communication network. The patient data may also include information supplied by a physiological monitoring device such as a blood glucose monitor that is connected to the remotely programmable patient apparatus. When the patient data arrives at the health care provider apparatus, the patient data is processed for further management of the patient'"'"'s health condition by the health care provider, such as forwarding another script program to the remotely programmable patient apparatus.

Claims

1. A hand held device for monitoring and managing a patient, the hand held device configured such that the patient is identified, the hand held device comprising:

a data management unit having (i) a processing unit and (ii) a computer-readable medium, said data management unit configured (a) to receive at least one current health related parameter of the patient from at least one sensor via a first communication channel, wherein said at least one sensor is separate from said hand held device and the patient establishes communication between said at least one sensor and said hand held device, and (b) to facilitate two-way communications with a remote computer across a second communication channel;

an output device in communication with said data management unit; and

an input device in communication with said data management unit,

wherein the computer-readable medium is programmed with a set of instructions that cause the processing unit to

automatically initiate a first communication session with the remote computer, wherein during the first communication session at least one computer program is received from the remote computer and stored in said computer-readable medium, said computer program comprising at least one text question and a plurality of predetermined responses corresponding to the at least one text question,

prompt the patient with the at least one text question from the computer program stored on said computer-readable medium via the output device,

receive from the patient at least one current response of the predetermined responses corresponding to the at least one text question via the input device and store said current response in said computer-readable medium,

prompt the patient to establish communication with said at least one sensor and collect the at least one current health related parameter, and

transmit the at least one current response and the at least one current health related parameter stored in said computer-readable medium to the remote computer during a second communication session with the remote computer.

2. The device of claim 1, wherein the set of instructions further cause the processing unit to:

receive from the remote computer at least one new question to be used for prompting the patient after the first communication session has been terminated; and

transmit to the remote computer at least one old response entered by the patient through the input device and buffered by the data management unit prior to the initiation of the first communication session.

3. The device of claim 2, wherein the set of instructions further cause the processing unit to:

measure at least one new health related parameter of the patient;

acquire at least one new response to the at least one new question; and

initiate the second communication session with the remote computer, during which the processing unit transmits to the remote computer the at least one new health related parameter and the at least one new response.

4. The device of claim 3, wherein the second communication session is initiated at a command of the patient.

9. The device of claim 1, wherein the computer-readable medium in communication with the hand held device comprises a data cartridge removably connected to the hand held device, the data cartridge storing software executable by the hand held device.

10. The device of claim 1, further comprising a personal computer configured to (i) connect to a data port of the data management unit, (ii) receive the current health related parameter through the data port and (iii) analyze the current health related parameter.

11. The device of claim 1, wherein the set of instructions further cause the processing unit to (i) receive at least one test result from the remote computer and (ii) cause the test result to be displayed to the patient on the output device.

12. The device of claim 1, wherein the set of instructions further cause the processing unit to (i) receive an instruction on how to use the sensor from the remote computer and (ii) cause the instruction to be displayed to the patient on the output device.

13. The device of claim 1, wherein the hand held device comprises a palm computer.

14. The device of claim 1, wherein (i) the hand held device comprises a video gaming device and (ii) the output device is configured to display both multi-line alphanumeric information and graphics data.

15. The device of claim 1, wherein the at least one sensor comprises at least one of (i) a blood glucose monitor, (ii) a peak flow monitor, (iii) a blood pressure sensor, (iv) a pulse monitor and (v) a body temperature sensor.

21. The device of claim 1, wherein said data management unit and said hand held device are in a single housing.

22. The device of claim 21, wherein said housing is sufficiently compact to be hand-held.

5. A hand held device for monitoring and managing a patient, the hand held device configured such that the patient is identified, the hand held device comprising:

a processor;

a computer-readable memory in communication with the processor;

an output device in communication with the processor; and

an input device in communication with the processor,

said hand held device configured (a) to receive at least one measurement of at least one current health related parameter of the patient from at least one sensor via a first communication channel, said at least one sensor being separate from said hand held device and communication between said at least one sensor and said hand held unit established by the patient, and (b) to facilitate two-way communications with a remote computer across a second communications channel,

wherein the computer-readable memory is programmed with instructions that cause the processor to

(i) automatically initiate a first communication session with the remote computer, wherein during the first communication session at least one computer program is received from the remote computer and stored in said computer-readable memory, said computer program comprising at least one text query and a plurality of predetermined responses corresponding to the at least one text query,

(ii) prompt the patient with the at least one text query from the computer program stored on said computer-readable memory via the output device,

(iii) receive from the patient at least one current response of the predetermined responses corresponding to the at least one text query via the input device and store said at least one current response in said computer-readable memory,

(iv) prompt the patient to establish communication with the at least one sensor and collect the at least one measurement of the at least one current health related parameter, and

(v) transmit the at least one current response and the at least one measurement of the at least one current health related parameter stored in said computer-readable memory to the remote computer during a second communication session with the remote computer.

6. The device of claim 5, wherein the computer-readable memory stores programs that further cause the processor to:

receive from the remote computer at least one new question to be used for prompting the patient after the first communication session has been terminated; and

transmit to the remote computer at least one old response entered by the patient and buffered by the hand held device prior to initiation of the first communication session.

7. The device of claim 6, wherein the computer-readable memory further stores programs that further cause the processor to:

measure at least one new health related parameter of the health related parameters of the patient;

collect at least one new answer to the at least one text query; and

initiate the second communication session with the remote computer, during which the processor transmits to the remote computer the at least one new health related parameter and the at least one new answer.

8. The device of claim 7, wherein the second communication session is initiated by the patient.

16. The device of claim 5, further comprising a data cartridge removably connected to the hand held device, the data cartridge storing software executable by the hand held device to process the current health related parameter as received from the at least one sensor.

17. The device of claim 5, wherein the hand held device comprises:

a console configured to execute software;

a monitor external to and connected to the console; and

a gaming controller external to and connected to the console.

18. The device of claim 5, wherein the instructions further cause the processor to (i) intermittently establish communications with the remote computer and (ii) disconnect the communications a period of time after each establishment.

19. The device of claim 5, wherein the at least one sensor comprises at least one of (i) a blood glucose monitor, (ii) a peak flow monitor, (iii) a blood pressure sensor, (iv) a pulse monitor and (v) a body temperature sensor.

20. A hand held device for monitoring and managing a patient, the hand held device configured such that the patient is identified, the hand held device comprising:

means for managing data having (i) a processing unit and (ii) a computer-readable medium, said data managing means configured (a) to receive at least one current health related parameter of the patient from at least one sensor via a first communication channel, wherein said at least one sensor is separate from said hand held device and communication between the at least one sensor and said hand held device is established by the patient, and (b) to facilitate two-way communications with a remote computer across a second communication channel; and

means for interacting with the patient having (i) an output device and (ii) an input device, wherein said data managing means is in communication with said input device and said output device,

wherein the computer-readable medium is programmed with a set of instructions that cause the processing unit to

automatically initiate a first communication session with the remote computer, wherein during the first communication session at least one computer program is received from the remote computer and stored in said computer-readable medium, said computer program comprising at least one text question and a plurality of predetermined responses corresponding to the at least one text question,

prompt the patient with the at least one text question from the computer program stored on said computer-readable medium via the output device,

receive from the patient at least one current response of the predetermined responses corresponding to the at least one text question via the input device and store said current response in said computer-readable medium,

prompt the patient to establish communication with the at least one sensor and collect the at least one measurement of the at least one current health related parameter, and

transmit the at least one current response and the at least one current health related parameter stored in said computer-readable medium to the remote computer during a second communication session with the remote computer.