Outpatient monitoring systems and methods

• US 9,775,516 B2
• Filed: 12/05/2012
• Issued: 10/03/2017
• Est. Priority Date: 11/17/2008
• Status: Active Grant

• Current Assignee: Medicalgorithmics S.A.
• Original Assignee: Medicalgorithmics S.A.
• Inventors: Dziubinski, Marek
• Primary Examiner(s): Gilligan, Christopher L
• Application Number:
  US13/705,750
• Publication Number:
  US 20130093602A1
• Time in Patent Office: 1,763 Days
• Field of Search: 705 2- 3, 600300
• 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 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/72 Signal processing specially adapted for physiological signals or for diagnostic purposes character recognition, recognising digital ink, document-oriented image-based pattern recognition G06V30/00; recognition or understanding of postal images G06V30/424
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• 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: H04L 67/10 in which an application is distributed across nodes in the network software deployment G06F8/60; multiprogramming arrangements G06F9/46

Abstract

Described are computer-based methods and apparatuses, including computer program products, for outpatient monitoring. In some examples, the outpatient monitoring technology includes a system for remote monitoring and consultations of patients'"'"' state associated with automated interpretation of vital signs signals. In other examples, the outpatient monitoring technology includes a system for remote monitoring of patients'"'"' state associated with analysis of full-disclosure vital signs digital signals with reduced bit data or channel data. In some examples, the outpatient monitoring technology includes a system for remote monitoring of patients'"'"' state associated with ongoing automated analysis and transmission of full-disclosure vital signs digital signals and automatically generated signals'"'"' interpretation results and manually marked patient symptoms.

Claims

1. A method for remote monitoring of patients'"'"' state associated with interpretation results data representative of the patients'"'"' vital signs, comprising the steps of:

remotely initializing a portable patient monitor to begin a monitoring session having an associated unique identification number, the remote initialization causing the portable patient monitor to acquire, via a vital signs sensor, continuous full-disclosure vital signs;

analyzing, in real time via the portable patient monitor, the continuous full-disclosure vital signs to identify at least one of;

a pathological event and emergency event;

selecting, via the portable patient monitor, portions of the continuous full-disclosure vital signs to be stored, at the portable patient monitor, as uncompressed/unreduced data fragments based on generated interpretation results and/or a signal condition representing at least one significant signal event;

transmitting data signals representative of the continuous full-disclosure vital signs with interpretation results to a remote location, wherein the full-disclosure vital signs are real-time patient vital signs, by creating, at the portable patient monitor, data signals that includes a combination of bit-reduced/channel-reduced data signals and the uncompressed/unreduced data signals, wherein the uncompressed/unreduced data signals represent at least one of;

the pathological event and emergency event; and

synchronizing verified interpretation results data with a data interpretation center and repository of a remote monitoring station.

2. The method of claim 1, wherein the sessions'"'"' identification number is a combination of the session initialization time, date, and a portable monitor'"'"'s identification number.

3. The method of claim 1, further comprising creating an event list based on interpretation results data, each event having an unconfirmed status indicator by the one or more processors.

4. The method of claim 3, further comprising changing the unconfirmed status indicator to a confirmed status indicator when the event has been detected properly, deleted, determined to be a false event, determined to be unclear, or when the consultant is not sure whether it is a true event or an incorrectly detected event by the one or more processors.

5. A non-transitory computer program product, tangibly embodied in a non-transitory information carrier, the computer program product including instructions being operable to cause a data processing apparatus to:

remotely initialize a portable patient monitor to begin a monitoring session having an associated unique identification number, the remote initialization causing the portable patient monitor to acquire, via a vital signs sensor, continuous full-disclosure vital signs;

analyze, in real time via the portable patient monitor, the continuous full-disclosure vital signs to identify at least one of;

a pathological event and emergency event;

select, via the portable patient monitor, portions of the continuous full-disclosure vital signs to be stored, at the portable patient monitor, as uncompressed/unreduced data fragments based on generated interpretation results and/or a signal condition representing at least one significant signal event;

transmit data signals representative of the continuous full-disclosure vital signs with interpretation results to a remote location, wherein the full-disclosure vital signs are real-time patient vital signs, by creating, at the portable patient monitor, data signals that includes a combination of bit-reduced/channel-reduced data signals and the uncompressed/unreduced data signals, wherein the uncompressed/unreduced data signals represent at least one of;

the pathological event and emergency event; and

synchronize verified interpretation results data with a data interpretation center and repository.