Automated interpretive medical care system and methodology

• US 9,955,875 B2
• Filed: 02/17/2015
• Issued: 05/01/2018
• Est. Priority Date: 12/07/2000
• Status: Expired due to Fees

• Current Assignee: Children's Medical Center Corporation, Oridion Medical 1987 Limited (Medtronic Plc)
• Original Assignee: Children's Medical Center Corporation, Oridion Medical 1987 Limited (Medtronic Plc)
• Inventors: Krauss, Baruch Shlomo, Carlebach, Ephraim
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): MESSERSMITH, ERIC J
• Application Number:
  US14/624,553
• Publication Number:
  US 20150157214A1
• Time in Patent Office: 1,169 Days
• Field of Search: 600300-301, 600529-535
• CPC Class Codes: A61B 2560/0431 Portable apparatus, e.g. comprising a handle or case
• CPC Class Codes: A61B 2560/0437 Trolley or cart-type apparatus
• 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 5/0205 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 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/082 Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath A61B5/083, A61B5/091 take precedence
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: A61B 5/6835 Supports or holders, e.g., articulated arms
• CPC Class Codes: A61B 5/7264 : Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• 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 5/7282 : Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61B 5/7425 : Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• 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: 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

Abstract

Improved apparatus and methods for monitoring, diagnosing and treating at least one medical respiratory condition of a patient are provided, including a medical data input interface adapted to provide at least one medical parameter relating at least to the respiration of the patient, and a medical parameter interpretation functionality (104, 110) adapted to receive the at least one medical parameter relating at least to the respiration (102) of the patient and to provide at least one output indication (112) relating to a degree of severity of at least one medical condition indicated by the at least one medical parameter.

Claims

1. A mobile patient monitor, comprising:

at least one blood pressure monitoring device operable to generate at least one blood pressure parameter;

a respiratory rate monitoring device operable to generate at least one respiratory rate parameter;

a heart rate monitoring device operable to generate at least one heart rate parameter;

a pulse oximetry device operable to generate at least one oxygen parameter;

a medical parameter interpretation processor operable to;

receive the at least one blood pressure parameter, the at least one respiratory rate parameter, the at least one heart rate parameter, and the at least one oxygen parameter;

store one or more changes to the at least one blood pressure parameter, the at least one respiratory rate parameter, the at least one heart rate parameter, and the at least one oxygen parameter;

generate at least one output indication in response to the at least one blood pressure parameter, the at least one respiratory rate parameter, the at least one heart rate parameter, and the at least one oxygen parameter, wherein the at least one output indication comprises at least one or more alerts; and

output the at least one output indication to a treatment control to cause the treatment control to provide a treatment recommendation or to control a treatment parameter of the patient in response to the output indication; and

a display operable to display the at least one output indication, the treatment recommendation, the at least one blood pressure parameter, the at least one respiratory rate parameter, the at least one heart rate parameter, and the at least one oxygen parameter.

2. The monitor of claim 1, further comprising a capnograph operable to generate at least one carbon dioxide parameter.

3. The monitor of claim 1, wherein the medical parameter interpretation processor is further operable to generate a patient status indication being within a normal range based on at least one of the following:

a) the blood pressure parameter is within a normal range;

b) the respiratory rate parameter is normal; and

c) the oxygen parameter is greater than or equal to 95%.

4. The monitor of claim 1, wherein the medical parameter interpretation processor is further operable to generate a patient status indication responsive to a deviation from at least one of the following:

a) the blood pressure parameter is within a normal range;

b) the respiratory rate parameter is normal; and

c) the oxygen parameter is greater than or equal to 95%.

5. The monitor of claim 1, wherein the medical parameter interpretation processor is further operable to generate a patient status indication that comprises a degree of severity of the at least one medical condition responsive to a degree of deviation from at least one of the following:

a) the blood pressure parameter is within a normal range;

b) the respiratory rate parameter is normal; and

c) the oxygen parameter is greater than or equal to 95%.

6. The monitor of claim 1, wherein the medical parameter interpretation processor is further operable to generate a patient status indication that is indicative of a diagnosis of a severity of a respiratory disorder responsive to a quantitative measure of deviation from at least one of the following:

a) the blood pressure parameter is within a normal range;

b) the respiratory rate parameter is normal; and

c) the oxygen parameter is greater than or equal to 95%.

7. The monitor of claim 1, wherein the medical parameter interpretation processor is further operable to generate the at least one output indication responsive to a pattern of changes in one or more of the at least one blood pressure parameter, the at least one respiratory rate parameter, the at least one heart rate parameter, and the at least one oxygen parameter over time.

8. The monitor of claim 1, further comprising a wireless transmitter for transmitting the at least one output indication, the at least one blood pressure parameter, the at least one respiratory rate parameter, the at least one heart rate parameter, and the at least one oxygen parameter, wherein the wireless transmitter is configured to operate over a radio link.