Medical monitoring system having multiple communications channels

• US 8,290,129 B2
• Filed: 10/31/2006
• Issued: 10/16/2012
• Est. Priority Date: 04/23/2001
• Status: Active Grant

• Current Assignee: Braemar Incorporated
• Original Assignee: Cardionet Incorporated
• Inventors: Rogers, Bobby E., Marable, William R., Eggers, Philip N.
• Primary Examiner(s): WOO, STELLA L
• Application Number:
  US11/591,180
• Publication Number:
  US 20070130657A1
• Time in Patent Office: 2,177 Days
• Field of Search: 379/38, 379/106.02, 379/93.07
• US Class Current: 379/106.02
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: G08B 25/004 Alarm propagated along alternative communication path or using alternative communication medium according to a hierarchy of available ways to communicate, e.g. if Wi-Fi not available use GSM
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: Y10S 128/903 Radio telemetry
• CPC Class Codes: Y10S 128/904 Telephone telemetry

Abstract

A device includes a patient-portable remote monitoring unit to monitor one or more physiological characteristics of an individual and convey information characterizing the one or more physiological characteristics to a remote station. The monitoring unit includes a transmitter system capable to employ a selected one of three or more different communications channels to convey the information to the remote station, and a selection unit to select from among the three or more different communications channels for conveying the information to the remote station.

Claims

1. A device comprising:

a patient-portable remote monitoring unit to monitor one or more physiological characteristics of an individual and convey information characterizing the one or more physiological characteristics to a remote station, the monitoring unit including

a transmitter system capable to employ a selected one of three or more different communications channels to convey the information to the remote station, and

a microprocessor to tailor the information characterizing the one or more physiological characteristics based at least in part on one or more characteristics of a communications channel selected from among the three or more different communications channels for conveying the information to the remote station.

2. The device of claim 1, wherein the transmitter system comprises a first transceiver, a second transceiver, and a third transceiver.

3. The device of claim 1, wherein the transmitter system comprises a packet-switched network transmitter.

4. The device of claim 3, wherein the packet-switched network transmitter comprises a wireless transmitter.

5. The device of claim 1, wherein the transmitter system comprises a pair of wireless transmitters and a single wired transmitter.

6. The device of claim 1, wherein the microprocessor is further configured to tailor the information characterizing the one or more physiological characteristics based at least in part on the physiological characteristics of the individual being monitored.

7. The device of claim 1, further comprising a data storage device to store the information characterizing the one or more physiological characteristics in anticipation of transmission.

8. The device of claim 1, wherein the patient-portable remote monitoring unit comprises a cardiac monitoring unit to monitor electrical characteristics of a heart.

9. The device of claim 1, wherein the transmitter system comprises a wireless radio frequency transmitter.

10. The device of claim 9, wherein the wireless radio frequency transmitter operates in accordance with IEEE 802.11.

11. A method comprising:

monitoring one or more physiological characteristics of an individual with a patient-portable device;

selecting a first communication channel from among a collection of three or more communication channels for communicating information characterizing the one or more physiological characteristics of the individual;

tailoring information characterizing the one or more physiological characteristics based at least in part on one or more characteristics of the selected first communications channel; and

transmitting the tailored information to a remote station.

12. The method of claim 11, wherein selecting the first communication channel comprises:

determining that a second communication channel is unavailable; and

selecting the first communication channel based at least in part on the unavailability of the second communication channel.

13. The method of claim 12, wherein determining that the second communication channel is unavailable comprises determining that a land-line communication channel is unavailable.

14. The method of claim 12, wherein selecting the first communication channel further comprises:

determining that a third communication channel is unavailable; and

selecting the first communication channel based at least in part on the unavailability of the third communication channel.

15. The method of claim 11, wherein monitoring the one or more physiological characteristics comprises continuously monitoring the one or more physiological characteristics.

16. The method of claim 11, wherein the tailoring further comprises tailoring the information based at least in part on the one or more physiological characteristics of the individual being monitored.

17. The method of claim 11, wherein transmitting information to the remote station comprises transmitting the information over a point-to-point wireless connection.

18. The method of claim 11, wherein transmitting information to the remote station comprises transmitting the information using a wireless radio frequency transmitter.

19. A device comprising:

a patient-portable remote cardiac monitoring unit to monitor electrical characteristics of a heart, the monitoring unit comprising;

a line transmission system to transmit information characterizing the electrical characteristics of the heart to a remote station, the line transmission system including a plug dimensioned to receive a tangible line to connect to a first communication channel;

a first wireless transmission system to transmit information characterizing the electrical characteristics of the heart to the remote station, the first wireless transmission system including a first wireless transmitter to connect to a second communication channel;

a second wireless transmission system to transmit information characterizing the electrical characteristics of the heart to the remote station, the second wireless transmission system including a second wireless transmitter to connect to a third communication channel; and

a microprocessor to tailor a set of information characterizing the electrical characteristics of the heart based at least in part on one or more characteristics of a communications channel selected from among the first communication channel, the second communication channel, and the third communication channel for transmission of the tailored set of information characterizing the electrical characteristics of the heart to the remote station, wherein the microprocessor selects from among the first communication channel, the second communication channel, and the third communication channel based at least in part on unavailability of one or more of the other communication channels.

20. The device of claim 19, wherein the first wireless transmitter comprises a packet-switched network transmitter.