CA2301937A1 - A packet-based telemedicine system for communicating information between central monitoring stations and remote patient monitoring stations - Google Patents
A packet-based telemedicine system for communicating information between central monitoring stations and remote patient monitoring stations Download PDFInfo
- Publication number
- CA2301937A1 CA2301937A1 CA002301937A CA2301937A CA2301937A1 CA 2301937 A1 CA2301937 A1 CA 2301937A1 CA 002301937 A CA002301937 A CA 002301937A CA 2301937 A CA2301937 A CA 2301937A CA 2301937 A1 CA2301937 A1 CA 2301937A1
- Authority
- CA
- Canada
- Prior art keywords
- data
- network
- packets
- monitoring station
- patient
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7465—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Pathology (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Primary Health Care (AREA)
- Computer Networks & Wireless Communication (AREA)
- Nursing (AREA)
- Epidemiology (AREA)
- General Business, Economics & Management (AREA)
- Business, Economics & Management (AREA)
- Data Mining & Analysis (AREA)
- Databases & Information Systems (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
- Small-Scale Networks (AREA)
- Medical Treatment And Welfare Office Work (AREA)
- Mobile Radio Communication Systems (AREA)
Abstract
The present invention provides a packet-based telemedicine system for communicating video, voice and medical data between a central monitoring station and a patient monitoring station which is remotely-located with respect to the central monitoring station. The patient monitoring station obtains digital video, voice and medical measurement data from a patient and encapsulates the data in packets and sends the packets over a network to the central monitoring station. Since the information is encapsulated in packets, the information can be sent over multiple types or combinations of network architectures, including a Community access Television (CATV) network, the Public Switched Telephone Network (PSTN), the Integrated Services Digital Network (ISDN), the Internet, a local area network (LAN), a wide area network (WAN), over a wireless communications network, or over an asynchronous transfer mode (ATM) network. Thus, a separate transmission protocol is not required for each different type of transmission media. Rather, a single transport/network layer protocol is used for encapsulating the information in packets at the sending end and for de-encapsulating the information at the receiving end. Furthermore, by sending the information in packets, the video, voice and measurement data can be integrated and sent over a single network.
Description
A PACKET-BASED TELEMEDICINE SYSTEM FOR
COMMUNICATING INFORMATION BETWEEN
CENTRAL MONITORING STATIONS AND
REMOTE PATIENT MONITORING STATIONS
CROSS REFERENCE TO RELATED APPLICATION
This application claims priority to and the benefit of the filing date of copending provisional application entitled AN ELECTRONIC HOUSE CALL
SYSTEM, assigned Serial No. 60/026,986, filed September 20, 1996 (Attorney o Docket Number 62002-8450), which is hereby incorporated herein by reference.
This invention generally relates to the field of telemedicine and, more particularly, to a telemedicine system which communicates information between ~5 central monitoring stations and remotely-located patient monitoring stations by encapsulating the data in packets which can be sent over multiple types or combinations of network architectures.
20 Generally, telemedicine is a term used to describe a type of patient care which involves monitoring of a patient's condition by a healthcare worker located at a healthcare facility which is remote with respect to the location of the patient.
Telemedicine, if adequately employed, is capable of providing enormous benefits to society. One such benefit is that patients can be examined without having to travel 25 to a healthcare facility. This feature is particularly important for patients who live in remote areas who may not be able to easily travel to the nearest healthcare facility, or who need to be examined by a healthcare worker located far away from the patient, in another state, for example.
Another benefit of telemedicine is that it is capable of allowing a patient to 3o be examined more often than would be possible if the patient were required to travel to a healthcare facility due to the ease with which it can be administered.
For example, if a patient's condition requires that measurements be taken several times a day, it would be impractical for the patient to travel to and from a healthcare facility each time a measurement needs to be taken. It probably would be necessary for the patient to be admitted to the healthcare facility. The use of telemedicine could allow these measurements to be taken at the patient's home while the healthcare worker observed the patient or the measurement data from the healthcare facility.
Another benefit of teIemedicine is that it allows a patient to be examined in a more timely manner than if the patient was required to travel to the healthcare facility. This is important in urgent situations, such as when a patient's condition becomes critical and emergency procedures must be taken immediately.
Many various types of telemedicine systems are known. One example of to such a system is disclosed in David et al., U.S. Patent No. 5,441,047, issued August 15, 1995, which discloses an ambulatory patient health monitoring system for monitoring a remotely-located healthcare patient from a central station. The system includes instruments at the remote location for measuring the medical condition of the patient. The medical condition may correspond to health parameters, such as heart 15 rate, respiratory rate, pulse oximetry and blood pressure. The system includes a first audio-visual camera disposed at the patient location and a second audio-visual camera disposed at the central station. Audio and video information is transmitted between the patient's remote location arxi the central station via a communications network, such as an interactive cable television network. Patient data is transmitted between 2o the patient remote location and the central station by a separate communications network, such as satellite, radio transmission or telephone lines. A display is located at the patient's remote location and at the central station to allow the patient and the healthcare worker to observe each other simultaneously.
One of the disadvantages of the system disclosed in the David et al. patent is 25 that, although it refers to sending the information between the healthcare worker and the patient via various types of networks, the information sent from the patient's home will have to be formatted in accordance with a different communications protocol for each of these different networks. Therefore, although the David et al. patent refers to the capability of using different types of networks, the system disclosed in the David 3o et al. patent is not "network-independent" because the data must be formatted in accordance with a particular protocol at the sending end and the formatting process will have to be reversed at the receiving end in a different manner for each type of network. At the very least, this will require different software and/or hardware at each end for each different transmission media used. Another disadvantage of the system disclosed in the David et al. patent is that the audio and video data are sent over one communications network and the patient data is sent over another communications network.
Another example of a telemedicine system is disclosed in Tamara, U.S. Patent No. 5,434,611, issued July 18, 1995. This patent discloses a telemedicine system having a two-way CATV network for transmitting images, voice and data between 1 o equipment located at the patient's home and equipment located at a medical office.
Cameras are located in both the patient's home and in the medical office to provide return images between the doctor and the patient. In order for the doctor's terminal to communicate with the patient's terminal, the doctor's terminal sends a signal over a control line to the patient's terminal. A line controller then selects a communication 15 channel for the session by selecting an unused channel in a multiple channel access (MCA) system. The terminals then automatically tune to the assigned communications channel and the information is communicated over the assigned channel between the patient and the doctor.
One disadvantage of the system disclosed in the Tamara patent is that any 2o communication between the doctor and patient must be set up by sending a signal which the line controller detects. The line controller then selects an unused channel for the communication. It also appears that the signal must be initiated by the doctor because the text of the patent only describes the situation where the doctor sends the signal to initiate the session. In any event, the system requires that a direct 2s connection be made between the patient's terminal and the doctor's terminal. No provision is made for allowing medical measurement data to be sent to the doctor's terminal without a direct connection being made between the patient's terminal and the doctor's terminal. Therefore, in accordance with the system disclosed in the Tamara patent, it would be impossible for information relating to the patient's 3o condition to be sent by the patient's terminal to the doctor's terminal in the absence of WO 99/14882 ° PC'T/US98/19636 a direct connection being made between the terminals, which requires that the doctor be present for the session.
It would be advantageous to provide a telemedicine system which would allow either a patient or a healthcare worker to initiate a diagnostic session to cause s diagnostic measurements to be taken and sent to a location, such as a healthcare facility, where medical files could be automatically updated by the data. One advantage of such a system is that a healthcare worker would not have to administer a diagnostic session and, therefore, would not have to participate in the session.
Another advantage of such a system is that medical files could be automatically 1 o updated without any action on the part of a healthcare worker being required.
Furthermore, as the medical files are automatically updated, the patient's condition could be automatically monitored so that, in the event that the patient's condition falls below a predetermined level, remedial measures can be taken. It would also be advantageous to provide a telemedicine system which would allow video, voice and ~ 5 medical data to be integrated and sent over a single network.
Accordingly, a need exists for a telemedicine system which is network-independent and which is capable of allowing video, voice and data relating to the patient's condition to be integrated and sent from a remotely-located patient terminal to a healthcare facility without the necessity of a direct connection being set up 2o between the patient and the healthcare worker.
The present invention provides a packet-based telemedicine system for communicating video, voice and medical data between a central monitoring station 25 and a patient monitoring station which is remotely-located with respect to the central monitoring station. The patient monitoring station obtains digital video, voice and medical measurement data from a patient and encapsulates the data in packets and sends the packets over a network to the central monitoring station.
Since the information is encapsulated in packets, the informarion can be sent over 3o multiple types or combinations of network architectures, including a Community Access Television (CATV) network, the Public Switched Telephone Network WO 99/14882 PCT/US98/19b36 (PSTN), the Integrated Services Digital Network (ISDN}, the Internet, a local area network (LAN), a wide are network (WAN), over a wireless communications network, or over an asynchronous transfer mode (ATM) network. Thus, a separate transmission protocol is not required for each different type of transmission media.
Rather, a single transport layer protocol is used for encapsulating the information in packets at the sending end and for de-encapsulating the information at the receiving end. Furthermore, by sending the information in packets, the video, voice and measurement data can be integrated and sent over a single network.
When the information has been de-encapsulated at the central monitoring o station, the information is processed and analyzed by software and/or hardware to determine which patient caused the information to be sent, the type of diagnostic measurement comprised in the information, and the diagnostic measurement represented by the information.
The patient monitoring station of the telemedicine system of the present 1s invention comprises a plurality of medical devices which are connected to a control unit via a medical device interface which controls the transmission of data from the medical devices to the control unit. The patient monitoring station is configured so that the control unit and the medical devices can communicate with each other through the medical device interface. The medical device interface preferably uses 2o a single interrupt to request data transfer to the control unit. When the control unit has data to send to one of the medical instruments, it transmits the data to the medical device interface along with the address of the medical device that is to receive the data. .The medical device interface then decodes the address and transmits the data to the proper medical device.
2s When a medical device has data to send to the control unit, it transmits the data to the medical device interface. The medical device interface then sends an interrupt request to the control unit. The control unit processes the interrupt request and the data is transmitted from the medical device interface to the control unit.
The control unit then formats the data and outputs it to a communications device, 3o preferably a LAN card, which encapsulates the data in accordance with the transport layer protocol and outputs it onto the network to be sent to the central monitoring station.
The control unit of the patient monitoring station also comprises a videoconferencing interface device which formats voice and video data received by the videoconferencing interface device from a camera and microphone located at the patient monitoring station. The control unit then delivers the formatted video and voice data to the communications device which encapsulates the data in accordance with the communications protocol and outputs it onto the network to be sent to the central monitoring station.
The central monitoring station also comprises a control unit which preferably is identical to the control unit of the patient monitoring station.
The control unit of the central monitoring station communicates with a videoconferencing interface device of the central monitoring station which formats voice and video data received by the videoconferencing interface device from a t s camera and microphone located at the central monitoring station. The control unit then delivers the formatted video and voice data to a communications device, preferably a LAN card, which encapsulates the video and voice data in accordance with the transport layer protocol and outputs it onto the network to be sent to the patient monitoring station.
2o When the control unit of the patient monitoring station receives packets of data sent to it from the central monitoring station, the communications device of the patient monitoring station de-encapsulates the packets of information and determines whether the information is to be sent via the medical device imerface to one of the medical devices or whether the information is to be sent to a display screen and 25 speaker via the videoconferencing interface device. Once this determination is made, the information is sent to the appropriate interface device.
When the control unit of the central monitoring station receives packets of data sent to it from the patient monitoring station, the communications device of the central monitoring station de-encapsulates the packets of information and determines 3o whether the information is diagnostic data from one of the medical devices or whether the information is videoconferencing information. If the information is videoconferencing information, the information is sent to the videoconferencing interface device. The videoconferencing interface device decodes the information and outputs it to a display screen and speaker located at the central monitoring station. If the information is diagnostic data, the control unit interprets the data.
Once the diagnostic data has been interpreted, the control unit may further process the data andlor save it in a storage device.
Fig. 1 is a block diagram of the telemedicine system of the present invention comprising a plurality of patient monitoring stations and a plurality of central monitoring stations.
Fig. 2 is a block diagram of one of the patient monitoring stations shown in Fig. 1 comprising N medical devices connected via a device interface to a control unit.
Fig. 3 is a flow chart demonstrating the processing of data received by the control unit shown in Fig. 2 from one of the central monitoring stations shown in Fig. 1.
Fig. 4 is a flow chart demonstrating the transmission of data from one of the medical devices shown in Fig. 2 to the control unit shown in Fig. 2 and then to the 2o central monitoring station shown in Fig. 1.
Fig. 5 is a flow chart demonstrating the processing and picketing of video and audio data at the patient monitoring station control unit shown in Fig. 2 before the packets are sent to the central monitoring station shown in Fig. 1.
2s DETA1LFD D)~~CIZIPTION OF , P FFFRRFI) FMRW11TMFNT
Fig. 1 illustrates the telemedicine system 10 of the present invention comprising a plurality of central monitoring stations 11 which are in communication via a network 16 with a plurality of patient monitoring stations 18. As illustrated, a central monitoring station 11 may be provided at, for example, the doctor's home 30 12, the doctor's office 13, or at a hospital 14, each of which are in communication with network 16. In accordance with the present invention, data of various types is sent to and from one or more of the central monitoring stations 11 to and from one or more of the patient monitoring stations 18 in the form of digital packets, as discussed in more detail below with respect to Figs. 2-5. It should be noted that the patient monitoring stations 18 and the central monitoring stations 11 may be located at any location capable of having access to communication network 16. It should also be noted that a plurality of patient monitoring stations 18 can communicate with a single central monitoring station 11 and that a plurality of central monitoring stations 11 can communicate with a single patient monitoring station 18.
Network 16 can be multiple types or combinations of network architectures, o including the PSTN, ISDN, a cellular or wireless network, a LAN, a WAN, a Community Access Television network (CATV), the Internet, an ATM network, or a combination of one or more of these networks. All of the information transmitted between a patient monitoring station 18 and a central monitoring station 11 is encapsulated in packets using a preselected communications protocol. In accordance with the preferred embodiment of the present invention, TCP/IP is used as the transport layer/network layer protocol for encapsulating the data in packets.
However, it will be apparent to those skilled in the art that other types of communications protocols are suitable for use with the present invention.
TCP/IP
is preferred due to its wide acceptance and use.
2o Fig. 2 is a block diagram demonstrating one of the patient monitoring stations 18 shown in Fig. 1. Each patient monitoring station 18 comprises a control unit 22, an address/data bus 27, a videoconferencing interface device 26, videoconferencing equipment 23, a medical device interface 24, and one or more medical devices 28-30. In accordance with the preferred embodiment of the present 2s invention, medical device interface 24 comprises a serial card that has multiple serial ports and uses only one interrupt line (not shown) to communicate with control unit 22. The medical device interface 24 is connected to a plurality of medical devices 28-30 and to the control unit 22 via address/data bus 27. The control unit 22 comprises telemedicine application software 25 which controls the 3o flow of data to and from the medical devices 28-30 via the medical device interface 24.
Videoconferencing interface device 26 comprises hardware andlor software which controls the processing of data received by the control unit 22 from the videoconferencing equipment 23 to convert the data into a form which is suitable for transmission over network 16. The videoconferencing interface device 26 is s also responsible for processing videoconferencing data received from the central monitoring station to convert the data into a form which is suitable for display on a display screen comprised by videoconferencing equipment 23.
When data is to be sent from the control unit 22 to one of the medical devices 28-30, the control unit 22 sends data to medical device interface 24 via 1o addressldata bus 27. Medical device interface 24 then transmits the data to the appropriate medical device 28-30 by decoding the address information placed on the addressldata bus 27. When data is to be sent to control unit 22 from one of the medical devices, the medical device transmits the data to medical device interface 24. Medical device interface 24 then buffers and queues the requests and then uses ~5 a single interrupt line to indicate that it has data to transmit to control unit 22.
Once control unit 22 is prepared to receive the data, medical device interface sends the data to control unit 22 via the address/data bus 27.
The medical devices 28-30 can include, but are not limited to, blood pressure devices, thermometers, pulse oximetry devices, electrocardiograms 20 (EKGs), scales and stethoscopes. Additionally, medical devices can be freely interchanged with one another simply by unplugging one medical device from the interface and plugging in another. This "plug and play" compatibility, is made possible by the system configuration and use of a single interrupt interface and provides maximum flexibility in configuring the telemedicine system to meet 25 particular needs. Numerous combinations of different medical devices can be used in one telemedicine system via the device interface. The device interface itself can be implemented in numerous ways, including but not limited to, an RS-232 interface, a single serial communications card, a bus such as the Firewire (IEEE
1394) or Universal Serial Bus (USB), or any other interface which uses a single 3o interrupt in the data transfer process. The control unit can also be implemented in numerous ways including; but not limited to, a personal computer or any other type of processing unit.
Figs. 3 and 4 generally portray the steps involved in a transfer of data between a medical device and control unit 22. With respect to Fig. 3, when the s patient monitoring station 18 receives data from the central monitoring station 11, control unit 22 determines whether the data is directed to one of the medical devices 28-30, to the videoconferencing equipment 23, or to application-level data, as indicated by block 34. The received information is encapsulated in packets of digital data. The communications device (not shown) of the control unit 22 de-encapsulates the packets and the data is analyzed to determine whether the data is videoconferencing data, medical instrument command data, or application-level data, as indicated by block 35 and 36, respectively. If the data is directed to the videoconferencing equipment 23, the data is processed by the videoconferencing interface device 26 and output to videoconferencing equipment 23, as indicated by ~ s blocks 41 and 42, respectively. This data can be control commands and data for controlling the operation of the videoconferencing equipment 23 (e.g., controlling the pan or tilt of the camera), or it can be image and voice data captured by the videoconferencing apparatus located at the central monitoring station 11, as discussed in more detail below.
2o If it is determined at block 36 that the data is application-level data, the data is processed within the control unit 22 by the telemedicine application, as indicated by block 37. Application-level data may be, for example, a message to the patient, status information, etc.
If it is determined at block 36 that the received data is medical device 25 command data, the medical device interface 24 decodes the address and enables the selected serial port corresponding to the requested medical device, as indicated by block 38. The selected serial port receives the data from the address/data bus 27, as indicated by block 39. The intended medical device then receives the data from medical device interface 24 over the selected serial port (not shown).
3o Fig. 4 is a block diagram illustrating the transfer of data from one of the medical devices 28-30 to the control unit 22. In accordance with the preferred embodiment of the present invention, medical device interface 24 comprises a serial interface card with one serial port connected to each medical device 28-30. As before, the telemedicine application software 25 is running on control unit 22 during the transmission process. In step 43, one or more of the medical devices 28-30 sends data to medical device interface 24. The medical device interface 24 buffers and queues the data and then invokes an interrupt using the single interrupt line (not shown), as indicated by block 44. The control unit 22 then invokes an interrupt service routine to handle the interrupt request, as indicated by block 45.
As stated above, numerous routines for processing the resulting data can be i o included in the telemedicine application software 25 for acquiring data from the various types of medical devices and for converting the data into a form suitable for transmission to the central monitoring station lI. It will be understood by those skilled in the art which types of routines will be needed and the manner in which those routines should be constructed to accomplish these tasks.
Once the interrupt service routine has been invoked, it processes the interrupt and notifies the telemedicine application software 25 of the availability of the data, as indicated by blocks 46 and 47. The telemedicine application software then reads the data sent by the medical device, as indicated by block 48. The medical device data is then sent by the control unit 22 to the communications 2o device, which preferably is a LAN card (not shown), which encapsulates the data in packets, as indicated by block 51. The packets are then output by the LAN card onto the network 16, as indicated by block 52.
The medical device interface 24 can include numerous serial ports to handle data sent by multiple medical devices 28-30. In essence, medical device interface 25 24 itself handles all data transfer, buffering, and priority functions associated with using a single interrupt. Therefore, since numerous combinations of medical devices 28-30 can be connected to device interface 24, device interface 24 in conjunction with the telemedicine application software 25 provides a "plug-and-play" type of compatibility between the control unit 22 and the medical devices 28-30. Therefore, medical devices 28-30 can be connected and disconnected from device interface 24 in any combination. This feature of the single interrupt a interface 24 and telemedicine application software 25 provides maximum flexibility in configuring the telemedicine system 10.
Additionally, the telemedicine application software 25 in conjunction with the interface 24 may perform any necessary conversion functions. The telemedicine application software 25 can include routines for converting data into a form comprehensible by one or more medical devices 28-30, by the control unit 22, or by medical device interface 24. This interpretation function facilitates communication among different devices and allows the effective use of the single interrupt device interface 24. However, it should be noted that although the single interrupt 1 o architecture of the present invention is preferred, it will be apparent to those skilled in the art that this is not necessary and that any means by which one or more medical devices 28-30 can transfer data to and from the medical devices 28-30 to and from the control unit 22 is suitable for use with the present invention.
The telemedicine application software 25 in conjunction with medical device interface 24 may also perform the function of allowing medical devices using different protocols to communicate. For example, the protocol used by a medical device 28-30 may be different from any other medical device. The telemedicine application software 25 can contain routines for allowing these different protocols to communicate via the common device interface 24.
2o Fig. 5 is a flow chart functionally illustrating the processing of videoconferencing data received by control unit 22 from videoconferencing equipment 23 via videoconferencing interface device 26. Videoconferencing equipment 23 includes a camera and microphone for obtaining video and audio images of the patient. The videoconferencing software comprised by the videoconferencing interface device 26 processes the video and audio input into a format suitable for the communications device to packet, as indicated by block 54.
The data is then provided to the communications device, as indicated by block 55.
As stated above, preferably the communications protocol used with the present invention is TCP/IP. It will be understood by those skilled in the art the 3o manner in which the data is formatted prior to being sent to the communications device to be packeted. Generally, the data is provided to the communications device in a serial bit stream. The identity of the patient and the identity of the central monitoring station to which the data is to be sent is also provided to the communications device. In the case where diagnostic measurement data from one or more of the medical devices is being sent with the videoconferencing data, an s indication of the type of measurement being sent and a representation of the measurement itself is also provided to the communications device. Optionally, other types of information may also be provided to the communications device, such as the date and time of the measurement, the type of medical device which took the measurement, and the location or identity of the patient monitoring station.
to TCP/IP then parses the data into packets, each packet including a field indicating the destination to which the packet is being sent. The packets are then output by the communications device onto the network, as indicated by block 56.
Therefore, at a minimum, the packets sent which correspond to a particular measurement will include an indication of the identity of the patient, the type of 15 measurement being transmitted, and a representation of the measurement itself. The plurality of packet data fields define the identity of the patient, an indication of the type of measurement, and a representation of the measurement itself.
The central monitoring stations 11 are essentially the same as the patient monitoring station, with the exception that the central monitoring stations do not 2o comprise a medical device interface or the medical devices. The processing of data at the central monitoring stations 11 is essentially the same as that depicted in Figs.
COMMUNICATING INFORMATION BETWEEN
CENTRAL MONITORING STATIONS AND
REMOTE PATIENT MONITORING STATIONS
CROSS REFERENCE TO RELATED APPLICATION
This application claims priority to and the benefit of the filing date of copending provisional application entitled AN ELECTRONIC HOUSE CALL
SYSTEM, assigned Serial No. 60/026,986, filed September 20, 1996 (Attorney o Docket Number 62002-8450), which is hereby incorporated herein by reference.
This invention generally relates to the field of telemedicine and, more particularly, to a telemedicine system which communicates information between ~5 central monitoring stations and remotely-located patient monitoring stations by encapsulating the data in packets which can be sent over multiple types or combinations of network architectures.
20 Generally, telemedicine is a term used to describe a type of patient care which involves monitoring of a patient's condition by a healthcare worker located at a healthcare facility which is remote with respect to the location of the patient.
Telemedicine, if adequately employed, is capable of providing enormous benefits to society. One such benefit is that patients can be examined without having to travel 25 to a healthcare facility. This feature is particularly important for patients who live in remote areas who may not be able to easily travel to the nearest healthcare facility, or who need to be examined by a healthcare worker located far away from the patient, in another state, for example.
Another benefit of telemedicine is that it is capable of allowing a patient to 3o be examined more often than would be possible if the patient were required to travel to a healthcare facility due to the ease with which it can be administered.
For example, if a patient's condition requires that measurements be taken several times a day, it would be impractical for the patient to travel to and from a healthcare facility each time a measurement needs to be taken. It probably would be necessary for the patient to be admitted to the healthcare facility. The use of telemedicine could allow these measurements to be taken at the patient's home while the healthcare worker observed the patient or the measurement data from the healthcare facility.
Another benefit of teIemedicine is that it allows a patient to be examined in a more timely manner than if the patient was required to travel to the healthcare facility. This is important in urgent situations, such as when a patient's condition becomes critical and emergency procedures must be taken immediately.
Many various types of telemedicine systems are known. One example of to such a system is disclosed in David et al., U.S. Patent No. 5,441,047, issued August 15, 1995, which discloses an ambulatory patient health monitoring system for monitoring a remotely-located healthcare patient from a central station. The system includes instruments at the remote location for measuring the medical condition of the patient. The medical condition may correspond to health parameters, such as heart 15 rate, respiratory rate, pulse oximetry and blood pressure. The system includes a first audio-visual camera disposed at the patient location and a second audio-visual camera disposed at the central station. Audio and video information is transmitted between the patient's remote location arxi the central station via a communications network, such as an interactive cable television network. Patient data is transmitted between 2o the patient remote location and the central station by a separate communications network, such as satellite, radio transmission or telephone lines. A display is located at the patient's remote location and at the central station to allow the patient and the healthcare worker to observe each other simultaneously.
One of the disadvantages of the system disclosed in the David et al. patent is 25 that, although it refers to sending the information between the healthcare worker and the patient via various types of networks, the information sent from the patient's home will have to be formatted in accordance with a different communications protocol for each of these different networks. Therefore, although the David et al. patent refers to the capability of using different types of networks, the system disclosed in the David 3o et al. patent is not "network-independent" because the data must be formatted in accordance with a particular protocol at the sending end and the formatting process will have to be reversed at the receiving end in a different manner for each type of network. At the very least, this will require different software and/or hardware at each end for each different transmission media used. Another disadvantage of the system disclosed in the David et al. patent is that the audio and video data are sent over one communications network and the patient data is sent over another communications network.
Another example of a telemedicine system is disclosed in Tamara, U.S. Patent No. 5,434,611, issued July 18, 1995. This patent discloses a telemedicine system having a two-way CATV network for transmitting images, voice and data between 1 o equipment located at the patient's home and equipment located at a medical office.
Cameras are located in both the patient's home and in the medical office to provide return images between the doctor and the patient. In order for the doctor's terminal to communicate with the patient's terminal, the doctor's terminal sends a signal over a control line to the patient's terminal. A line controller then selects a communication 15 channel for the session by selecting an unused channel in a multiple channel access (MCA) system. The terminals then automatically tune to the assigned communications channel and the information is communicated over the assigned channel between the patient and the doctor.
One disadvantage of the system disclosed in the Tamara patent is that any 2o communication between the doctor and patient must be set up by sending a signal which the line controller detects. The line controller then selects an unused channel for the communication. It also appears that the signal must be initiated by the doctor because the text of the patent only describes the situation where the doctor sends the signal to initiate the session. In any event, the system requires that a direct 2s connection be made between the patient's terminal and the doctor's terminal. No provision is made for allowing medical measurement data to be sent to the doctor's terminal without a direct connection being made between the patient's terminal and the doctor's terminal. Therefore, in accordance with the system disclosed in the Tamara patent, it would be impossible for information relating to the patient's 3o condition to be sent by the patient's terminal to the doctor's terminal in the absence of WO 99/14882 ° PC'T/US98/19636 a direct connection being made between the terminals, which requires that the doctor be present for the session.
It would be advantageous to provide a telemedicine system which would allow either a patient or a healthcare worker to initiate a diagnostic session to cause s diagnostic measurements to be taken and sent to a location, such as a healthcare facility, where medical files could be automatically updated by the data. One advantage of such a system is that a healthcare worker would not have to administer a diagnostic session and, therefore, would not have to participate in the session.
Another advantage of such a system is that medical files could be automatically 1 o updated without any action on the part of a healthcare worker being required.
Furthermore, as the medical files are automatically updated, the patient's condition could be automatically monitored so that, in the event that the patient's condition falls below a predetermined level, remedial measures can be taken. It would also be advantageous to provide a telemedicine system which would allow video, voice and ~ 5 medical data to be integrated and sent over a single network.
Accordingly, a need exists for a telemedicine system which is network-independent and which is capable of allowing video, voice and data relating to the patient's condition to be integrated and sent from a remotely-located patient terminal to a healthcare facility without the necessity of a direct connection being set up 2o between the patient and the healthcare worker.
The present invention provides a packet-based telemedicine system for communicating video, voice and medical data between a central monitoring station 25 and a patient monitoring station which is remotely-located with respect to the central monitoring station. The patient monitoring station obtains digital video, voice and medical measurement data from a patient and encapsulates the data in packets and sends the packets over a network to the central monitoring station.
Since the information is encapsulated in packets, the informarion can be sent over 3o multiple types or combinations of network architectures, including a Community Access Television (CATV) network, the Public Switched Telephone Network WO 99/14882 PCT/US98/19b36 (PSTN), the Integrated Services Digital Network (ISDN}, the Internet, a local area network (LAN), a wide are network (WAN), over a wireless communications network, or over an asynchronous transfer mode (ATM) network. Thus, a separate transmission protocol is not required for each different type of transmission media.
Rather, a single transport layer protocol is used for encapsulating the information in packets at the sending end and for de-encapsulating the information at the receiving end. Furthermore, by sending the information in packets, the video, voice and measurement data can be integrated and sent over a single network.
When the information has been de-encapsulated at the central monitoring o station, the information is processed and analyzed by software and/or hardware to determine which patient caused the information to be sent, the type of diagnostic measurement comprised in the information, and the diagnostic measurement represented by the information.
The patient monitoring station of the telemedicine system of the present 1s invention comprises a plurality of medical devices which are connected to a control unit via a medical device interface which controls the transmission of data from the medical devices to the control unit. The patient monitoring station is configured so that the control unit and the medical devices can communicate with each other through the medical device interface. The medical device interface preferably uses 2o a single interrupt to request data transfer to the control unit. When the control unit has data to send to one of the medical instruments, it transmits the data to the medical device interface along with the address of the medical device that is to receive the data. .The medical device interface then decodes the address and transmits the data to the proper medical device.
2s When a medical device has data to send to the control unit, it transmits the data to the medical device interface. The medical device interface then sends an interrupt request to the control unit. The control unit processes the interrupt request and the data is transmitted from the medical device interface to the control unit.
The control unit then formats the data and outputs it to a communications device, 3o preferably a LAN card, which encapsulates the data in accordance with the transport layer protocol and outputs it onto the network to be sent to the central monitoring station.
The control unit of the patient monitoring station also comprises a videoconferencing interface device which formats voice and video data received by the videoconferencing interface device from a camera and microphone located at the patient monitoring station. The control unit then delivers the formatted video and voice data to the communications device which encapsulates the data in accordance with the communications protocol and outputs it onto the network to be sent to the central monitoring station.
The central monitoring station also comprises a control unit which preferably is identical to the control unit of the patient monitoring station.
The control unit of the central monitoring station communicates with a videoconferencing interface device of the central monitoring station which formats voice and video data received by the videoconferencing interface device from a t s camera and microphone located at the central monitoring station. The control unit then delivers the formatted video and voice data to a communications device, preferably a LAN card, which encapsulates the video and voice data in accordance with the transport layer protocol and outputs it onto the network to be sent to the patient monitoring station.
2o When the control unit of the patient monitoring station receives packets of data sent to it from the central monitoring station, the communications device of the patient monitoring station de-encapsulates the packets of information and determines whether the information is to be sent via the medical device imerface to one of the medical devices or whether the information is to be sent to a display screen and 25 speaker via the videoconferencing interface device. Once this determination is made, the information is sent to the appropriate interface device.
When the control unit of the central monitoring station receives packets of data sent to it from the patient monitoring station, the communications device of the central monitoring station de-encapsulates the packets of information and determines 3o whether the information is diagnostic data from one of the medical devices or whether the information is videoconferencing information. If the information is videoconferencing information, the information is sent to the videoconferencing interface device. The videoconferencing interface device decodes the information and outputs it to a display screen and speaker located at the central monitoring station. If the information is diagnostic data, the control unit interprets the data.
Once the diagnostic data has been interpreted, the control unit may further process the data andlor save it in a storage device.
Fig. 1 is a block diagram of the telemedicine system of the present invention comprising a plurality of patient monitoring stations and a plurality of central monitoring stations.
Fig. 2 is a block diagram of one of the patient monitoring stations shown in Fig. 1 comprising N medical devices connected via a device interface to a control unit.
Fig. 3 is a flow chart demonstrating the processing of data received by the control unit shown in Fig. 2 from one of the central monitoring stations shown in Fig. 1.
Fig. 4 is a flow chart demonstrating the transmission of data from one of the medical devices shown in Fig. 2 to the control unit shown in Fig. 2 and then to the 2o central monitoring station shown in Fig. 1.
Fig. 5 is a flow chart demonstrating the processing and picketing of video and audio data at the patient monitoring station control unit shown in Fig. 2 before the packets are sent to the central monitoring station shown in Fig. 1.
2s DETA1LFD D)~~CIZIPTION OF , P FFFRRFI) FMRW11TMFNT
Fig. 1 illustrates the telemedicine system 10 of the present invention comprising a plurality of central monitoring stations 11 which are in communication via a network 16 with a plurality of patient monitoring stations 18. As illustrated, a central monitoring station 11 may be provided at, for example, the doctor's home 30 12, the doctor's office 13, or at a hospital 14, each of which are in communication with network 16. In accordance with the present invention, data of various types is sent to and from one or more of the central monitoring stations 11 to and from one or more of the patient monitoring stations 18 in the form of digital packets, as discussed in more detail below with respect to Figs. 2-5. It should be noted that the patient monitoring stations 18 and the central monitoring stations 11 may be located at any location capable of having access to communication network 16. It should also be noted that a plurality of patient monitoring stations 18 can communicate with a single central monitoring station 11 and that a plurality of central monitoring stations 11 can communicate with a single patient monitoring station 18.
Network 16 can be multiple types or combinations of network architectures, o including the PSTN, ISDN, a cellular or wireless network, a LAN, a WAN, a Community Access Television network (CATV), the Internet, an ATM network, or a combination of one or more of these networks. All of the information transmitted between a patient monitoring station 18 and a central monitoring station 11 is encapsulated in packets using a preselected communications protocol. In accordance with the preferred embodiment of the present invention, TCP/IP is used as the transport layer/network layer protocol for encapsulating the data in packets.
However, it will be apparent to those skilled in the art that other types of communications protocols are suitable for use with the present invention.
TCP/IP
is preferred due to its wide acceptance and use.
2o Fig. 2 is a block diagram demonstrating one of the patient monitoring stations 18 shown in Fig. 1. Each patient monitoring station 18 comprises a control unit 22, an address/data bus 27, a videoconferencing interface device 26, videoconferencing equipment 23, a medical device interface 24, and one or more medical devices 28-30. In accordance with the preferred embodiment of the present 2s invention, medical device interface 24 comprises a serial card that has multiple serial ports and uses only one interrupt line (not shown) to communicate with control unit 22. The medical device interface 24 is connected to a plurality of medical devices 28-30 and to the control unit 22 via address/data bus 27. The control unit 22 comprises telemedicine application software 25 which controls the 3o flow of data to and from the medical devices 28-30 via the medical device interface 24.
Videoconferencing interface device 26 comprises hardware andlor software which controls the processing of data received by the control unit 22 from the videoconferencing equipment 23 to convert the data into a form which is suitable for transmission over network 16. The videoconferencing interface device 26 is s also responsible for processing videoconferencing data received from the central monitoring station to convert the data into a form which is suitable for display on a display screen comprised by videoconferencing equipment 23.
When data is to be sent from the control unit 22 to one of the medical devices 28-30, the control unit 22 sends data to medical device interface 24 via 1o addressldata bus 27. Medical device interface 24 then transmits the data to the appropriate medical device 28-30 by decoding the address information placed on the addressldata bus 27. When data is to be sent to control unit 22 from one of the medical devices, the medical device transmits the data to medical device interface 24. Medical device interface 24 then buffers and queues the requests and then uses ~5 a single interrupt line to indicate that it has data to transmit to control unit 22.
Once control unit 22 is prepared to receive the data, medical device interface sends the data to control unit 22 via the address/data bus 27.
The medical devices 28-30 can include, but are not limited to, blood pressure devices, thermometers, pulse oximetry devices, electrocardiograms 20 (EKGs), scales and stethoscopes. Additionally, medical devices can be freely interchanged with one another simply by unplugging one medical device from the interface and plugging in another. This "plug and play" compatibility, is made possible by the system configuration and use of a single interrupt interface and provides maximum flexibility in configuring the telemedicine system to meet 25 particular needs. Numerous combinations of different medical devices can be used in one telemedicine system via the device interface. The device interface itself can be implemented in numerous ways, including but not limited to, an RS-232 interface, a single serial communications card, a bus such as the Firewire (IEEE
1394) or Universal Serial Bus (USB), or any other interface which uses a single 3o interrupt in the data transfer process. The control unit can also be implemented in numerous ways including; but not limited to, a personal computer or any other type of processing unit.
Figs. 3 and 4 generally portray the steps involved in a transfer of data between a medical device and control unit 22. With respect to Fig. 3, when the s patient monitoring station 18 receives data from the central monitoring station 11, control unit 22 determines whether the data is directed to one of the medical devices 28-30, to the videoconferencing equipment 23, or to application-level data, as indicated by block 34. The received information is encapsulated in packets of digital data. The communications device (not shown) of the control unit 22 de-encapsulates the packets and the data is analyzed to determine whether the data is videoconferencing data, medical instrument command data, or application-level data, as indicated by block 35 and 36, respectively. If the data is directed to the videoconferencing equipment 23, the data is processed by the videoconferencing interface device 26 and output to videoconferencing equipment 23, as indicated by ~ s blocks 41 and 42, respectively. This data can be control commands and data for controlling the operation of the videoconferencing equipment 23 (e.g., controlling the pan or tilt of the camera), or it can be image and voice data captured by the videoconferencing apparatus located at the central monitoring station 11, as discussed in more detail below.
2o If it is determined at block 36 that the data is application-level data, the data is processed within the control unit 22 by the telemedicine application, as indicated by block 37. Application-level data may be, for example, a message to the patient, status information, etc.
If it is determined at block 36 that the received data is medical device 25 command data, the medical device interface 24 decodes the address and enables the selected serial port corresponding to the requested medical device, as indicated by block 38. The selected serial port receives the data from the address/data bus 27, as indicated by block 39. The intended medical device then receives the data from medical device interface 24 over the selected serial port (not shown).
3o Fig. 4 is a block diagram illustrating the transfer of data from one of the medical devices 28-30 to the control unit 22. In accordance with the preferred embodiment of the present invention, medical device interface 24 comprises a serial interface card with one serial port connected to each medical device 28-30. As before, the telemedicine application software 25 is running on control unit 22 during the transmission process. In step 43, one or more of the medical devices 28-30 sends data to medical device interface 24. The medical device interface 24 buffers and queues the data and then invokes an interrupt using the single interrupt line (not shown), as indicated by block 44. The control unit 22 then invokes an interrupt service routine to handle the interrupt request, as indicated by block 45.
As stated above, numerous routines for processing the resulting data can be i o included in the telemedicine application software 25 for acquiring data from the various types of medical devices and for converting the data into a form suitable for transmission to the central monitoring station lI. It will be understood by those skilled in the art which types of routines will be needed and the manner in which those routines should be constructed to accomplish these tasks.
Once the interrupt service routine has been invoked, it processes the interrupt and notifies the telemedicine application software 25 of the availability of the data, as indicated by blocks 46 and 47. The telemedicine application software then reads the data sent by the medical device, as indicated by block 48. The medical device data is then sent by the control unit 22 to the communications 2o device, which preferably is a LAN card (not shown), which encapsulates the data in packets, as indicated by block 51. The packets are then output by the LAN card onto the network 16, as indicated by block 52.
The medical device interface 24 can include numerous serial ports to handle data sent by multiple medical devices 28-30. In essence, medical device interface 25 24 itself handles all data transfer, buffering, and priority functions associated with using a single interrupt. Therefore, since numerous combinations of medical devices 28-30 can be connected to device interface 24, device interface 24 in conjunction with the telemedicine application software 25 provides a "plug-and-play" type of compatibility between the control unit 22 and the medical devices 28-30. Therefore, medical devices 28-30 can be connected and disconnected from device interface 24 in any combination. This feature of the single interrupt a interface 24 and telemedicine application software 25 provides maximum flexibility in configuring the telemedicine system 10.
Additionally, the telemedicine application software 25 in conjunction with the interface 24 may perform any necessary conversion functions. The telemedicine application software 25 can include routines for converting data into a form comprehensible by one or more medical devices 28-30, by the control unit 22, or by medical device interface 24. This interpretation function facilitates communication among different devices and allows the effective use of the single interrupt device interface 24. However, it should be noted that although the single interrupt 1 o architecture of the present invention is preferred, it will be apparent to those skilled in the art that this is not necessary and that any means by which one or more medical devices 28-30 can transfer data to and from the medical devices 28-30 to and from the control unit 22 is suitable for use with the present invention.
The telemedicine application software 25 in conjunction with medical device interface 24 may also perform the function of allowing medical devices using different protocols to communicate. For example, the protocol used by a medical device 28-30 may be different from any other medical device. The telemedicine application software 25 can contain routines for allowing these different protocols to communicate via the common device interface 24.
2o Fig. 5 is a flow chart functionally illustrating the processing of videoconferencing data received by control unit 22 from videoconferencing equipment 23 via videoconferencing interface device 26. Videoconferencing equipment 23 includes a camera and microphone for obtaining video and audio images of the patient. The videoconferencing software comprised by the videoconferencing interface device 26 processes the video and audio input into a format suitable for the communications device to packet, as indicated by block 54.
The data is then provided to the communications device, as indicated by block 55.
As stated above, preferably the communications protocol used with the present invention is TCP/IP. It will be understood by those skilled in the art the 3o manner in which the data is formatted prior to being sent to the communications device to be packeted. Generally, the data is provided to the communications device in a serial bit stream. The identity of the patient and the identity of the central monitoring station to which the data is to be sent is also provided to the communications device. In the case where diagnostic measurement data from one or more of the medical devices is being sent with the videoconferencing data, an s indication of the type of measurement being sent and a representation of the measurement itself is also provided to the communications device. Optionally, other types of information may also be provided to the communications device, such as the date and time of the measurement, the type of medical device which took the measurement, and the location or identity of the patient monitoring station.
to TCP/IP then parses the data into packets, each packet including a field indicating the destination to which the packet is being sent. The packets are then output by the communications device onto the network, as indicated by block 56.
Therefore, at a minimum, the packets sent which correspond to a particular measurement will include an indication of the identity of the patient, the type of 15 measurement being transmitted, and a representation of the measurement itself. The plurality of packet data fields define the identity of the patient, an indication of the type of measurement, and a representation of the measurement itself.
The central monitoring stations 11 are essentially the same as the patient monitoring station, with the exception that the central monitoring stations do not 2o comprise a medical device interface or the medical devices. The processing of data at the central monitoring stations 11 is essentially the same as that depicted in Figs.
3 and 5 for the patient monitoring stations 18, with the exception that no data for controlling medical devices is received by the central monitoring stations 11.
Also, the telemedicine software at the central monitoring stations 11 is different from the 2s telemedicine software at the patient monitoring station. The telemedicine software at the central monitoring station includes one or more routines for analyzing measurement data to determine the type of measurement data received, e.g., whether the data is blood pressure data, temperature data, pulse oximetry data, etc.
The telemedicine software at the central monitoring station also includes a 3o functionality for determining the identity of the patient to whom the data corresponds. This can be accomplished by parsing the de~ncapsulated data using the order of the data in the de-encapsulated data stream and preselected indications contained in the data stream to determine the measurement type, the measurement itself, and the identity of the patient.
A medical file maintained for the patient at the central monitoring station may then be updated to reflect the received measurement. Alternatively, the medical files may be maintained at a server located outside of the central monitoring stations 11 which is capable of being accessed by the central monitoring stations and/or by the patient monitoring stations 18. It will be apparent to those skilled in the art the manner in which such an analysis is performed.
1 o It will be apparent to those skilled in the art that many variations and modifications can be made to the present invention without departing from the spirit and scope of the present invention. All such variations and modifications are intended to be within the scope of the present invention, as set forth in the following claims.
Also, the telemedicine software at the central monitoring stations 11 is different from the 2s telemedicine software at the patient monitoring station. The telemedicine software at the central monitoring station includes one or more routines for analyzing measurement data to determine the type of measurement data received, e.g., whether the data is blood pressure data, temperature data, pulse oximetry data, etc.
The telemedicine software at the central monitoring station also includes a 3o functionality for determining the identity of the patient to whom the data corresponds. This can be accomplished by parsing the de~ncapsulated data using the order of the data in the de-encapsulated data stream and preselected indications contained in the data stream to determine the measurement type, the measurement itself, and the identity of the patient.
A medical file maintained for the patient at the central monitoring station may then be updated to reflect the received measurement. Alternatively, the medical files may be maintained at a server located outside of the central monitoring stations 11 which is capable of being accessed by the central monitoring stations and/or by the patient monitoring stations 18. It will be apparent to those skilled in the art the manner in which such an analysis is performed.
1 o It will be apparent to those skilled in the art that many variations and modifications can be made to the present invention without departing from the spirit and scope of the present invention. All such variations and modifications are intended to be within the scope of the present invention, as set forth in the following claims.
Claims (28)
1. A telemedicine system for transmitting voice, video and medical data between a central monitoring station and a patient monitoring station over a network, the telemedicine system comprising:
a first control unit located at the patient monitoring station, the control unit receiving medical data from one or more medical instruments in communication with the control unit and delivering the medical data to a first communication device in communication with the control unit, the communication device encapsulating the medical data in packets in accordance with a preselected communication protocol and outputting the packets onto the network; and a second control unit located at the central monitoring station, the second control unit being in communication with a second communication device, the second communication device receiving the packets output by the first communication device onto the network, the second communication device de-encapsulating the packets to reconstruct the medical data, the reconstructed medical data being provided to the second control unit.
a first control unit located at the patient monitoring station, the control unit receiving medical data from one or more medical instruments in communication with the control unit and delivering the medical data to a first communication device in communication with the control unit, the communication device encapsulating the medical data in packets in accordance with a preselected communication protocol and outputting the packets onto the network; and a second control unit located at the central monitoring station, the second control unit being in communication with a second communication device, the second communication device receiving the packets output by the first communication device onto the network, the second communication device de-encapsulating the packets to reconstruct the medical data, the reconstructed medical data being provided to the second control unit.
2. The telemedicine system of claim 1, wherein the telemedicine system is for transmitting voice, video and medical data between a plurality of central monitoring stations and a plurality of patient monitoring stations, each patient monitoring station comprising said first control unit and each of said central monitoring stations comprising said second control unit.
3. The telemedicine system of claim 1, wherein the network is a community access television (CATV) network.
4. The telemedicine system of claim 1, wherein the network is an asynchronous transfer mode (ATM) network.
5. The telemedicine system of claim 1, wherein the network is the Internet.
6. The telemedicine system of claim 1, wherein the network is a Public Swiched Telephone Network (PSTN).
7. The telemedicine system of claim 1, wherein the network is an Integrated Services Digital Network (ISDN).
8. The telemedicine system of claim 1, wherein the network is a local area network (LAN).
9. The telemedicine system of claim 1, wherein the network is a wide area network (WAN).
10. The telemedicine system of claim 1, wherein the network is a hybrid network consisting of a combination of one or more networks selected from the group consisting of: a community access television (CATV) network, an asynchronous transfer mode (ATM) network, the Internet, a Public Swiched Telephone Network (PSTN), an Integrated Services Digital Network (ISDN), a local area network (LAN), or a wide area network (WAN).
11. The telemedicine system of claim 1, wherein the first control unit receives video and voice data from videoconferencing equipment in communication with the control unit and delivers the video and voice data to the first communication device, the communication device encapsulating the video and voice data in packets in accordance with the preselected communications protocol and outputting the packets onto the network, wherein the second communication device receives the packets encapsulating the video and voice data and de-encapsulates the packets to reconstruct the video and voice data, the second communication device providing the video and voice data to the second control unit.
12. The telemedicine system of claim 3, wherein the communications protocol is TCP/IP.
13. The telemedicine system of claim 4, wherein the communications protocol is TCP/IP.
14. The telemedicine system of claim 5, wherein the communications protocol is TCP/IP.
15. The telemedicine system of claim 6, wherein the communications protocol is TCP/IP.
16. The telemedicine system of claim 7, wherein the communications protocol is TCP/IP.
17. The telemedicine system of claim 8, wherein the communications protocol is TCP/IP.
18. The telemedicine system of claim 9, wherein the communications protocol is TCP/IP.
19. The telemedicine system of claim 10, wherein the communications protocol is TCP/IP.
20. A method of acquiring and transporting data in a telemedicine system, the method comprising the steps of:
obtaining measurement data from at least one medical device located at a patient monitoring station, the measurement data representing a measurement of a physical condition of a patient, the measurement data being represented by one or more bits;
encapsulating the data in packets in accordance with a preselected communications protocol, each packet comprising a designation of a central monitoring station to which the packet is being sent;
outputting the packets onto a network;
receiving the packets at the central monitoring station designated by the designation comprised in the packets;
de-encapsulating the packets to reconstruct the data representing the physical condition of the patient; and providing the reconstructed measurement data representing the physical condition to a control unit located at the central monitoring station.
obtaining measurement data from at least one medical device located at a patient monitoring station, the measurement data representing a measurement of a physical condition of a patient, the measurement data being represented by one or more bits;
encapsulating the data in packets in accordance with a preselected communications protocol, each packet comprising a designation of a central monitoring station to which the packet is being sent;
outputting the packets onto a network;
receiving the packets at the central monitoring station designated by the designation comprised in the packets;
de-encapsulating the packets to reconstruct the data representing the physical condition of the patient; and providing the reconstructed measurement data representing the physical condition to a control unit located at the central monitoring station.
21. The method of claim 20, further comprising the steps of:
obtaining video and voice data from videoconferencing equipment located at a patient monitoring station;
encapsulating the video and voice data in packets in accordance with the preselected communications protocol, each packet comprising a designation of the central monitoring station;
outputting the packets onto the network;
receiving the packets at the central monitoring station;
de-encapsulating the packets to reconstruct the video and voice data; and providing the reconstructed video and voice data to the control unit located at the central monitoring station.
obtaining video and voice data from videoconferencing equipment located at a patient monitoring station;
encapsulating the video and voice data in packets in accordance with the preselected communications protocol, each packet comprising a designation of the central monitoring station;
outputting the packets onto the network;
receiving the packets at the central monitoring station;
de-encapsulating the packets to reconstruct the video and voice data; and providing the reconstructed video and voice data to the control unit located at the central monitoring station.
22. The method of claim 20, wherein the packets output onto the network comprise a medical record and wherein the medical record comprises an indication of the patient's identity and of the type of measurement data comprised in the medical record.
23. The method of claim 21, wherein the packets comprising the measurement data output onto the network comprise a medical record and wherein the medical record comprises an indication of the patient's identity and of the type of measurement data comprised in the medical record.
24. The method of claim 23, wherein the medical record further comprises an indication of the type of medical device from which the measurement data was obtained and an indication of a network address of the patient monitoring station.
25. A method of acquiring and transporting data in a telemedicine system, the method comprising the steps of:
generating medical device command data and application-level data in a control unit located at a central monitoring station, the data being represented by one or more bits;
encapsulating the data in packets in accordance with a preselected communications protocol, each packet comprising a designation of a patient monitoring station to which the packet is being sent;
outputting the packets onto a network;
receiving the packets at the patient monitoring station designated by the designation comprised in the packets;
de-encapsulating the packets to reconstruct the data; and providing the reconstructed data to a control unit located at the patient monitoring station.
generating medical device command data and application-level data in a control unit located at a central monitoring station, the data being represented by one or more bits;
encapsulating the data in packets in accordance with a preselected communications protocol, each packet comprising a designation of a patient monitoring station to which the packet is being sent;
outputting the packets onto a network;
receiving the packets at the patient monitoring station designated by the designation comprised in the packets;
de-encapsulating the packets to reconstruct the data; and providing the reconstructed data to a control unit located at the patient monitoring station.
26. The method of claim 25, further comprising the steps of:
obtaining video and voice data from videoconferencing equipment located at the central monitoring station;
encapsulating the video and voice data in packets in accordance with the preselected communications protocol, each packet comprising the designation of the patient monitoring station;
outputting the packets onto the network;
receiving the packets at the patient monitoring station;
de-encapsulating the packets to reconstruct the video and voice data; and providing the reconstructed video and voice data to the control unit located at the patient monitoring station.
obtaining video and voice data from videoconferencing equipment located at the central monitoring station;
encapsulating the video and voice data in packets in accordance with the preselected communications protocol, each packet comprising the designation of the patient monitoring station;
outputting the packets onto the network;
receiving the packets at the patient monitoring station;
de-encapsulating the packets to reconstruct the video and voice data; and providing the reconstructed video and voice data to the control unit located at the patient monitoring station.
27. A data signal for use in a telemedicine system, the data signal relating to a measurement obtained from medical equipment located at a patient monitoring station, the measurement corresponding to a physical condition of a patient, wherein the data signal is provided to a communication device which generates packets of data to be sent over a network, the data signal provided to the communication device comprising:
a plurality of bits representing the measurement;
a plurality of bits representing the patient's identity; and a plurality of bits representing the type of measurement obtained from the medical equipment.
a plurality of bits representing the measurement;
a plurality of bits representing the patient's identity; and a plurality of bits representing the type of measurement obtained from the medical equipment.
28. The data signal of claim 27 further comprising:
a plurality of bits representing the date and time at which the measurement was obtained;
a plurality of bits representing the type of medical equipment used to obtain the measurement; and a plurality of bits representing the location of the medical equipment on the network.
a plurality of bits representing the date and time at which the measurement was obtained;
a plurality of bits representing the type of medical equipment used to obtain the measurement; and a plurality of bits representing the location of the medical equipment on the network.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/933,388 US5987519A (en) | 1996-09-20 | 1997-09-19 | Telemedicine system using voice video and data encapsulation and de-encapsulation for communicating medical information between central monitoring stations and remote patient monitoring stations |
US08/933,388 | 1997-09-19 | ||
PCT/US1998/019636 WO1999014882A2 (en) | 1997-09-19 | 1998-09-18 | A packet-based telemedicine system for communicating information between central monitoring stations and remote patient monitoring stations |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2301937A1 true CA2301937A1 (en) | 1999-03-25 |
Family
ID=25463847
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002301937A Abandoned CA2301937A1 (en) | 1997-09-19 | 1998-09-18 | A packet-based telemedicine system for communicating information between central monitoring stations and remote patient monitoring stations |
Country Status (9)
Country | Link |
---|---|
US (1) | US5987519A (en) |
EP (1) | EP1066698A2 (en) |
JP (1) | JP2001516930A (en) |
KR (1) | KR20010024135A (en) |
CN (1) | CN1270676A (en) |
CA (1) | CA2301937A1 (en) |
TR (1) | TR200000666T2 (en) |
TW (1) | TW400503B (en) |
WO (1) | WO1999014882A2 (en) |
Families Citing this family (370)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10361802B1 (en) | 1999-02-01 | 2019-07-23 | Blanding Hovenweep, Llc | Adaptive pattern recognition based control system and method |
US8352400B2 (en) | 1991-12-23 | 2013-01-08 | Hoffberg Steven M | Adaptive pattern recognition based controller apparatus and method and human-factored interface therefore |
US7624028B1 (en) * | 1992-11-17 | 2009-11-24 | Health Hero Network, Inc. | Remote health monitoring and maintenance system |
US5935060A (en) | 1996-07-12 | 1999-08-10 | First Opinion Corporation | Computerized medical diagnostic and treatment advice system including list based processing |
US5660176A (en) | 1993-12-29 | 1997-08-26 | First Opinion Corporation | Computerized medical diagnostic and treatment advice system |
US6206829B1 (en) * | 1996-07-12 | 2001-03-27 | First Opinion Corporation | Computerized medical diagnostic and treatment advice system including network access |
USRE43433E1 (en) | 1993-12-29 | 2012-05-29 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system |
DE19633997C1 (en) * | 1996-08-23 | 1998-03-26 | Univ Stuttgart | Remote image inspection facility for image transmission |
AU5405798A (en) | 1996-12-30 | 1998-07-31 | Imd Soft Ltd. | Medical information system |
SK102399A3 (en) * | 1997-01-13 | 2000-01-18 | John Overton | Automated system for image archiving |
US5959529A (en) | 1997-03-07 | 1999-09-28 | Kail, Iv; Karl A. | Reprogrammable remote sensor monitoring system |
UA64743C2 (en) | 1997-03-13 | 2004-03-15 | Фьост Опініон Корпорейшн | System for managing disease process |
US6699187B2 (en) * | 1997-03-27 | 2004-03-02 | Medtronic, Inc. | System and method for providing remote expert communications and video capabilities for use during a medical procedure |
FI112545B (en) * | 1997-05-30 | 2003-12-15 | Nokia Corp | Method and system for predicting the level of a glycosylated hemoglobin component in a patient's blood |
US7885822B2 (en) * | 2001-05-09 | 2011-02-08 | William Rex Akers | System and method for electronic medical file management |
US6597392B1 (en) * | 1997-10-14 | 2003-07-22 | Healthcare Vision, Inc. | Apparatus and method for computerized multi-media data organization and transmission |
US7956894B2 (en) | 1997-10-14 | 2011-06-07 | William Rex Akers | Apparatus and method for computerized multi-media medical and pharmaceutical data organization and transmission |
US20040039606A1 (en) * | 1997-12-01 | 2004-02-26 | Andrew Loch | Telemedicine system |
US6697103B1 (en) * | 1998-03-19 | 2004-02-24 | Dennis Sunga Fernandez | Integrated network for monitoring remote objects |
US20040083085A1 (en) | 1998-06-01 | 2004-04-29 | Zeineh Jack A. | Integrated virtual slide and live microscope system |
US6606413B1 (en) | 1998-06-01 | 2003-08-12 | Trestle Acquisition Corp. | Compression packaged image transmission for telemicroscopy |
US7103640B1 (en) | 1999-09-14 | 2006-09-05 | Econnectix, Llc | Network distributed tracking wire transfer protocol |
US7233978B2 (en) * | 1998-07-08 | 2007-06-19 | Econnectix, Llc | Method and apparatus for managing location information in a network separate from the data to which the location information pertains |
US6959451B1 (en) * | 1998-08-21 | 2005-10-25 | Intel Corporation | Transmission communications management |
US7769620B1 (en) | 1998-09-01 | 2010-08-03 | Dennis Fernandez | Adaptive direct transaction for networked client group |
US6271752B1 (en) * | 1998-10-02 | 2001-08-07 | Lucent Technologies, Inc. | Intelligent multi-access system |
US6424996B1 (en) * | 1998-11-25 | 2002-07-23 | Nexsys Electronics, Inc. | Medical network system and method for transfer of information |
US7904187B2 (en) | 1999-02-01 | 2011-03-08 | Hoffberg Steven M | Internet appliance system and method |
US6598084B1 (en) * | 1999-02-16 | 2003-07-22 | Sony Corporation | Methods and apparatus for processing, transmitting, and receiving data from a modular electronic medical device |
US7028182B1 (en) * | 1999-02-19 | 2006-04-11 | Nexsys Electronics, Inc. | Secure network system and method for transfer of medical information |
FR2792441B1 (en) * | 1999-04-14 | 2002-07-26 | Iodp | MEDICAL IMAGING SYSTEM |
US8438038B2 (en) | 1999-04-16 | 2013-05-07 | Cardiocom, Llc | Weight loss or weight management system |
US7945451B2 (en) | 1999-04-16 | 2011-05-17 | Cardiocom, Llc | Remote monitoring system for ambulatory patients |
US6290646B1 (en) * | 1999-04-16 | 2001-09-18 | Cardiocom | Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients |
US7577475B2 (en) * | 1999-04-16 | 2009-08-18 | Cardiocom | System, method, and apparatus for combining information from an implanted device with information from a patient monitoring apparatus |
US8419650B2 (en) | 1999-04-16 | 2013-04-16 | Cariocom, LLC | Downloadable datasets for a patient monitoring system |
US7134996B2 (en) | 1999-06-03 | 2006-11-14 | Cardiac Intelligence Corporation | System and method for collection and analysis of patient information for automated remote patient care |
US6270457B1 (en) | 1999-06-03 | 2001-08-07 | Cardiac Intelligence Corp. | System and method for automated collection and analysis of regularly retrieved patient information for remote patient care |
US7321862B2 (en) * | 1999-06-23 | 2008-01-22 | Visicu, Inc. | System and method for patient-worn monitoring of patients in geographically dispersed health care locations |
US7395216B2 (en) | 1999-06-23 | 2008-07-01 | Visicu, Inc. | Using predictive models to continuously update a treatment plan for a patient in a health care location |
US7315825B2 (en) * | 1999-06-23 | 2008-01-01 | Visicu, Inc. | Rules-based patient care system for use in healthcare locations |
US7433827B2 (en) | 1999-06-23 | 2008-10-07 | Visicu, Inc. | System and method for displaying a health status of hospitalized patients |
US7991625B2 (en) * | 1999-06-23 | 2011-08-02 | Koninklijke Philips Electronics N.V. | System for providing expert care to a basic care medical facility from a remote location |
US7454359B2 (en) * | 1999-06-23 | 2008-11-18 | Visicu, Inc. | System and method for displaying a health status of hospitalized patients |
US7454360B2 (en) * | 1999-06-23 | 2008-11-18 | Visicu, Inc. | Order evaluation system for use in a healthcare location |
US7256708B2 (en) * | 1999-06-23 | 2007-08-14 | Visicu, Inc. | Telecommunications network for remote patient monitoring |
US7475019B2 (en) * | 1999-11-18 | 2009-01-06 | Visicu, Inc. | System and method for physician note creation and management |
US8175895B2 (en) * | 1999-06-23 | 2012-05-08 | Koninklijke Philips Electronics N.V. | Remote command center for patient monitoring |
US7411509B2 (en) * | 1999-06-23 | 2008-08-12 | Visicu, Inc. | System and method for observing patients in geographically dispersed health care locations |
US7650291B2 (en) * | 1999-06-23 | 2010-01-19 | Koninklijke Philips Electronics N.V. | Video visitation system and method for a health care location |
US7467094B2 (en) * | 1999-06-23 | 2008-12-16 | Visicu, Inc. | System and method for accounting and billing patients in a hospital environment |
AUPQ122099A0 (en) * | 1999-06-25 | 1999-07-22 | Fendis, Gregory | Monitoring system |
US6804558B2 (en) | 1999-07-07 | 2004-10-12 | Medtronic, Inc. | System and method of communicating between an implantable medical device and a remote computer system or health care provider |
US7181505B2 (en) | 1999-07-07 | 2007-02-20 | Medtronic, Inc. | System and method for remote programming of an implantable medical device |
US7149773B2 (en) * | 1999-07-07 | 2006-12-12 | Medtronic, Inc. | System and method of automated invoicing for communications between an implantable medical device and a remote computer system or health care provider |
CA2314517A1 (en) | 1999-07-26 | 2001-01-26 | Gust H. Bardy | System and method for determining a reference baseline of individual patient status for use in an automated collection and analysis patient care system |
AU6754400A (en) * | 1999-07-31 | 2001-02-19 | Craig L. Linden | Method and apparatus for powered interactive physical displays |
US6304788B1 (en) * | 1999-08-12 | 2001-10-16 | United Internet Technologies, Inc. | Method and apparatus for controlling medical monitoring devices over the internet |
US6454705B1 (en) | 1999-09-21 | 2002-09-24 | Cardiocom | Medical wellness parameters management system, apparatus and method |
DE60030752T2 (en) | 1999-09-21 | 2007-09-06 | Honeywell HomMed LLC, Brookfield | HOME PATIENT MONITORING SYSTEM |
US6442433B1 (en) | 1999-10-26 | 2002-08-27 | Medtronic, Inc. | Apparatus and method for remote troubleshooting, maintenance and upgrade of implantable device systems |
US6363282B1 (en) | 1999-10-29 | 2002-03-26 | Medtronic, Inc. | Apparatus and method to automatic remote software updates of medical device systems |
WO2001033457A1 (en) * | 1999-10-29 | 2001-05-10 | Strategic Visualization, Inc. | Apparatus and method for providing medical services over a communication network |
US6385593B2 (en) | 1999-10-29 | 2002-05-07 | Medtronic, Inc. | Apparatus and method for automated invoicing of medical device systems |
US6978212B1 (en) | 1999-11-01 | 2005-12-20 | Smiths Detection Inc. | System for portable sensing |
AU781823B2 (en) * | 1999-11-01 | 2005-06-16 | Smiths Detection Inc | Method and computer code for portable sensing |
US6606566B1 (en) | 1999-11-01 | 2003-08-12 | Steven A. Sunshine | Computer code for portable sensing |
US7039810B1 (en) | 1999-11-02 | 2006-05-02 | Medtronic, Inc. | Method and apparatus to secure data transfer from medical device systems |
US6386882B1 (en) | 1999-11-10 | 2002-05-14 | Medtronic, Inc. | Remote delivery of software-based training for implantable medical device systems |
US7769601B1 (en) | 1999-11-15 | 2010-08-03 | Walgreen Co. | Apparatus and method for accessing pharmacy information and ordering prescriptions |
US6336903B1 (en) | 1999-11-16 | 2002-01-08 | Cardiac Intelligence Corp. | Automated collection and analysis patient care system and method for diagnosing and monitoring congestive heart failure and outcomes thereof |
US6612984B1 (en) | 1999-12-03 | 2003-09-02 | Kerr, Ii Robert A. | System and method for collecting and transmitting medical data |
US6418346B1 (en) | 1999-12-14 | 2002-07-09 | Medtronic, Inc. | Apparatus and method for remote therapy and diagnosis in medical devices via interface systems |
US6976958B2 (en) | 2000-12-15 | 2005-12-20 | Q-Tec Systems Llc | Method and apparatus for health and disease management combining patient data monitoring with wireless internet connectivity |
US7156809B2 (en) * | 1999-12-17 | 2007-01-02 | Q-Tec Systems Llc | Method and apparatus for health and disease management combining patient data monitoring with wireless internet connectivity |
US6497655B1 (en) | 1999-12-17 | 2002-12-24 | Medtronic, Inc. | Virtual remote monitor, alert, diagnostics and programming for implantable medical device systems |
US6602191B2 (en) * | 1999-12-17 | 2003-08-05 | Q-Tec Systems Llp | Method and apparatus for health and disease management combining patient data monitoring with wireless internet connectivity |
US6442432B2 (en) | 1999-12-21 | 2002-08-27 | Medtronic, Inc. | Instrumentation and software for remote monitoring and programming of implantable medical devices (IMDs) |
FR2803066A1 (en) * | 1999-12-22 | 2001-06-29 | Ge Medical Tech Serv | Communication management system for medical diagnostic equipment has controller with data storage |
JP3468183B2 (en) * | 1999-12-22 | 2003-11-17 | 日本電気株式会社 | Audio reproduction recording apparatus and method |
US20010032100A1 (en) * | 1999-12-23 | 2001-10-18 | Khalid Mahmud | Dynamic remotely accessible medical record |
WO2001049368A1 (en) | 1999-12-29 | 2001-07-12 | Medtronic, Inc. | System of notification of recalled components for a medical device |
EP1251906A1 (en) | 2000-01-18 | 2002-10-30 | Medtronic, Inc. | System and method of communicating between an implantable medical device and a remote computer system or health care provider |
NZ520461A (en) * | 2000-02-14 | 2005-03-24 | First Opinion Corp | Automated diagnostic system and method |
US20010027384A1 (en) * | 2000-03-01 | 2001-10-04 | Schulze Arthur E. | Wireless internet bio-telemetry monitoring system and method |
US6369847B1 (en) * | 2000-03-17 | 2002-04-09 | Emtel, Inc. | Emergency facility video-conferencing system |
US6868074B1 (en) | 2000-03-30 | 2005-03-15 | Mci, Inc. | Mobile data device and method of locating mobile data device |
US6772026B2 (en) * | 2000-04-05 | 2004-08-03 | Therics, Inc. | System and method for rapidly customizing design, manufacture and/or selection of biomedical devices |
US6413213B1 (en) | 2000-04-18 | 2002-07-02 | Roche Diagnostics Corporation | Subscription based monitoring system and method |
US6616613B1 (en) | 2000-04-27 | 2003-09-09 | Vitalsines International, Inc. | Physiological signal monitoring system |
JP2001309916A (en) * | 2000-04-28 | 2001-11-06 | Toppan Forms Co Ltd | Stethoscope equipped with communication function, and method and system for remote diagnosis using such stethoscope |
US20010037222A1 (en) * | 2000-05-09 | 2001-11-01 | Platt Allan F. | System and method for assessment of multidimensional pain |
JP2003533305A (en) | 2000-05-18 | 2003-11-11 | エクセル テック リミテッド | Distributed system for patient monitoring and review of patient data using time stamps and network communication |
WO2001097909A2 (en) | 2000-06-14 | 2001-12-27 | Medtronic, Inc. | Deep computing applications in medical device systems |
ES2329547T3 (en) * | 2000-06-30 | 2009-11-27 | Becton Dickinson And Company | MANAGEMENT NETWORK OF HEALTH LINKS AND DISEASES TO PROVIDE BETTER PATIENT ASSISTANCE. |
US20020046278A1 (en) * | 2000-07-17 | 2002-04-18 | Roy Hays | Method and system for global log on in a distributed system |
US6705990B1 (en) * | 2000-07-25 | 2004-03-16 | Tensys Medical, Inc. | Method and apparatus for monitoring physiologic parameters of a living subject |
DE60142437D1 (en) | 2000-07-26 | 2010-08-05 | Smiths Detection Inc | METHOD AND SYSTEMS FOR NETWORKED CAMERA CONTROL |
US7382397B2 (en) * | 2000-07-26 | 2008-06-03 | Smiths Detection, Inc. | Systems and methods for controlling devices over a network |
US20030093430A1 (en) * | 2000-07-26 | 2003-05-15 | Mottur Peter A. | Methods and systems to control access to network devices |
US7685005B2 (en) * | 2000-08-29 | 2010-03-23 | Medtronic, Inc. | Medical device systems implemented network scheme for remote patient management |
US20020123671A1 (en) * | 2000-08-31 | 2002-09-05 | Haaland Peter D. | Method and apparatus for monitoring biological properties |
US20050192841A1 (en) * | 2000-09-01 | 2005-09-01 | Roy Hays | Method and system for collecting information before user registration |
US6970737B1 (en) | 2000-09-13 | 2005-11-29 | Ge Medical Systems Information Technologies, Inc. | Portable ECG device with wireless communication interface to remotely monitor patients and method of use |
US6542075B2 (en) * | 2000-09-28 | 2003-04-01 | Vigilos, Inc. | System and method for providing configurable security monitoring utilizing an integrated information portal |
US8392552B2 (en) | 2000-09-28 | 2013-03-05 | Vig Acquisitions Ltd., L.L.C. | System and method for providing configurable security monitoring utilizing an integrated information system |
WO2002027438A2 (en) | 2000-09-28 | 2002-04-04 | Vigilos, Inc. | Method and process for configuring a premises for monitoring |
US7627665B2 (en) | 2000-09-28 | 2009-12-01 | Barker Geoffrey T | System and method for providing configurable security monitoring utilizing an integrated information system |
TW569570B (en) * | 2000-10-16 | 2004-01-01 | Physical Optics Corp | Multimedia sensor network |
IL139259A0 (en) * | 2000-10-25 | 2001-11-25 | Geus Inc | Method and system for remote image reconstitution and processing and imaging data collectors communicating with the system |
WO2002034331A2 (en) | 2000-10-26 | 2002-05-02 | Medtronic, Inc. | Externally worn transceiver for use with an implantable medical device |
AUPR113900A0 (en) * | 2000-10-31 | 2000-11-23 | Commonwealth Scientific And Industrial Research Organisation | A monitoring system |
US6691070B1 (en) | 2000-11-03 | 2004-02-10 | Mack Information Systems | System and method for monitoring a controlled environment |
NO313067B1 (en) | 2000-11-06 | 2002-08-05 | Ericsson Telefon Ab L M | Arranging and managing by monitoring |
US7056289B2 (en) * | 2000-11-06 | 2006-06-06 | The Johns Hopkins University | Method and system for outpatient monitoring |
DK200001706A (en) * | 2000-11-14 | 2002-05-15 | Bent Bjoern Dahl Christensen | Wireless monitoring device, monitoring system and method of using monitoring device and / or system. |
DE10057781B4 (en) * | 2000-11-22 | 2005-08-11 | Siemens Ag | Apparatus and method for optimizing the medical diagnosis workflow |
US20020077858A1 (en) * | 2000-12-15 | 2002-06-20 | John Haines | System and method for providing a remedial video support group |
AU2002216240A1 (en) * | 2000-12-22 | 2002-07-08 | Anthropics Technology Limited | Communication system |
EP1518211A2 (en) * | 2000-12-22 | 2005-03-30 | Anthropics Technology Limited | Image processing system |
US7181285B2 (en) | 2000-12-26 | 2007-02-20 | Cardiac Pacemakers, Inc. | Expert system and method |
GB2371726B (en) * | 2001-01-27 | 2005-08-17 | Mitel Corp | Transport protocols for application platforms over network portals |
CA2405524A1 (en) * | 2001-02-08 | 2002-08-15 | Inverness Medical Limited | A personal condition management system |
US6839753B2 (en) * | 2001-02-23 | 2005-01-04 | Cardiopulmonary Corporation | Network monitoring systems for medical devices |
WO2002078783A2 (en) * | 2001-03-28 | 2002-10-10 | Televital, Inc. | Real-time monitoring assessment, analysis, retrieval, and storage of physiological data |
KR20020079111A (en) * | 2001-04-13 | 2002-10-19 | 사회복지법인삼성생명공익재단(삼성서울병원) | Nurse data management system and Method of management for wireless |
US6801137B2 (en) | 2001-04-23 | 2004-10-05 | Cardionet, Inc. | Bidirectional communication between a sensor unit and a monitor unit in patient monitoring |
US6664893B1 (en) | 2001-04-23 | 2003-12-16 | Cardionet, Inc. | Method for controlling access to medical monitoring device service |
US6694177B2 (en) | 2001-04-23 | 2004-02-17 | Cardionet, Inc. | Control of data transmission between a remote monitoring unit and a central unit |
US6665385B2 (en) | 2001-04-23 | 2003-12-16 | Cardionet, Inc. | Medical monitoring system having multipath communications capability |
US20050119580A1 (en) | 2001-04-23 | 2005-06-02 | Eveland Doug C. | Controlling access to a medical monitoring system |
US7038588B2 (en) * | 2001-05-04 | 2006-05-02 | Draeger Medical Infant Care, Inc. | Apparatus and method for patient point-of-care data management |
US9269116B2 (en) | 2001-05-14 | 2016-02-23 | American Doctors Online, Inc. | System and method for delivering medical examination, treatment and assistance over a network |
US7011629B2 (en) * | 2001-05-14 | 2006-03-14 | American Doctors On-Line, Inc. | System and method for delivering medical examination, treatment and assistance over a network |
US6638218B2 (en) | 2001-05-14 | 2003-10-28 | American Doctors On-Line, Inc. | System and method for delivering medical examination, diagnosis, and treatment over a network |
US20030078806A1 (en) * | 2001-06-01 | 2003-04-24 | Kudryk Val L. | Teledentistry consult management system and method |
US20020194026A1 (en) * | 2001-06-13 | 2002-12-19 | Klein Jeffrey Lawrence | System and method for managing data and documents |
US20030149592A1 (en) * | 2001-07-12 | 2003-08-07 | Roman Linda L. | Patient qualifying and selection process |
US6648823B2 (en) | 2001-07-31 | 2003-11-18 | Medtronic, Inc. | Method and system of follow-up support for a medical device |
KR20030012953A (en) * | 2001-08-06 | 2003-02-14 | (주)애니컨트롤 | Web-based medical monitoring and measuring data transmission system |
JP2004538078A (en) * | 2001-08-20 | 2004-12-24 | インバネス・メディカル・リミテッド | Wireless diabetes management device and method of using wireless diabetes management device |
DE10151144A1 (en) * | 2001-10-17 | 2003-04-30 | Windmoeller & Hoelscher | Method for connecting two ends of flat-lying tubular film webs provided with gussets |
US7383088B2 (en) | 2001-11-07 | 2008-06-03 | Cardiac Pacemakers, Inc. | Centralized management system for programmable medical devices |
US7162306B2 (en) * | 2001-11-19 | 2007-01-09 | Medtronic Physio - Control Corp. | Internal medical device communication bus |
US7430608B2 (en) | 2001-12-04 | 2008-09-30 | Siemens Medical Solutions Usa, Inc. | System for processing data acquired from multiple medical devices |
US7120484B2 (en) | 2002-01-14 | 2006-10-10 | Medtronic, Inc. | Methods and apparatus for filtering EGM signals detected by an implantable medical device |
US7480715B1 (en) | 2002-01-25 | 2009-01-20 | Vig Acquisitions Ltd., L.L.C. | System and method for performing a predictive threat assessment based on risk factors |
US10173008B2 (en) | 2002-01-29 | 2019-01-08 | Baxter International Inc. | System and method for communicating with a dialysis machine through a network |
US8775196B2 (en) | 2002-01-29 | 2014-07-08 | Baxter International Inc. | System and method for notification and escalation of medical data |
US8321236B2 (en) * | 2002-02-01 | 2012-11-27 | Walgreen Co. | Method and apparatus for prescription processing |
RU2299673C2 (en) * | 2002-02-18 | 2007-05-27 | Такаси ЁСИМИНЕ | Diagnostic system and mobile telephone |
US8043213B2 (en) | 2002-12-18 | 2011-10-25 | Cardiac Pacemakers, Inc. | Advanced patient management for triaging health-related data using color codes |
US7468032B2 (en) | 2002-12-18 | 2008-12-23 | Cardiac Pacemakers, Inc. | Advanced patient management for identifying, displaying and assisting with correlating health-related data |
US20040122487A1 (en) | 2002-12-18 | 2004-06-24 | John Hatlestad | Advanced patient management with composite parameter indices |
US7983759B2 (en) | 2002-12-18 | 2011-07-19 | Cardiac Pacemakers, Inc. | Advanced patient management for reporting multiple health-related parameters |
US8391989B2 (en) | 2002-12-18 | 2013-03-05 | Cardiac Pacemakers, Inc. | Advanced patient management for defining, identifying and using predetermined health-related events |
US20040122294A1 (en) | 2002-12-18 | 2004-06-24 | John Hatlestad | Advanced patient management with environmental data |
US6957107B2 (en) | 2002-03-13 | 2005-10-18 | Cardionet, Inc. | Method and apparatus for monitoring and communicating with an implanted medical device |
US20030179287A1 (en) * | 2002-03-22 | 2003-09-25 | Dejan Kozic | System and method for providing pharmaceutical services to a plurality of remote sites from a central site |
US6850788B2 (en) | 2002-03-25 | 2005-02-01 | Masimo Corporation | Physiological measurement communications adapter |
US20040034284A1 (en) * | 2002-04-10 | 2004-02-19 | Aversano Thomas R. | Patient initiated emergency response system |
US8234128B2 (en) | 2002-04-30 | 2012-07-31 | Baxter International, Inc. | System and method for verifying medical device operational parameters |
CA2386060A1 (en) * | 2002-05-13 | 2003-11-13 | London Health Sciences Centre | Method and apparatus for capturing medical information |
AU2003229090A1 (en) * | 2002-05-31 | 2003-12-19 | Acs State And Local Solutions, Inc. | Systems and methods for collecting information at an emergency vehicle |
WO2003103225A1 (en) * | 2002-05-31 | 2003-12-11 | The Texas A & M University System | Managing data packet routing for heterogeneous communication links |
DE10227307A1 (en) * | 2002-06-19 | 2004-01-15 | Siemens Ag | System for generating a 3D data record |
DE10237692A1 (en) * | 2002-08-15 | 2004-02-26 | Ghc Global Health Care Gmbh | Telemedicine system has modular universal adapters to be used by patients in conjunction with function modules that serve for identification, communication and diagnosis |
CN100397385C (en) * | 2002-08-22 | 2008-06-25 | 广达电脑股份有限公司 | Method for remote controlling computer and its system |
US7835926B1 (en) | 2002-08-29 | 2010-11-16 | Telehealth Broadband Llc | Method for conducting a home health session using an integrated television-based broadband home health system |
US10009577B2 (en) * | 2002-08-29 | 2018-06-26 | Comcast Cable Communications, Llc | Communication systems |
US7185282B1 (en) * | 2002-08-29 | 2007-02-27 | Telehealth Broadband, Llc | Interface device for an integrated television-based broadband home health system |
DE10242534A1 (en) * | 2002-09-12 | 2004-03-25 | Siemens Ag | Call system based on a digital telecommunications system |
US8594948B2 (en) * | 2002-09-18 | 2013-11-26 | Ronald C. McGlennen | Apparatus and methods for medical testing |
US20060278242A1 (en) * | 2005-03-23 | 2006-12-14 | Mcglennen Ronald C | Apparatus and methods for medical testing |
US8489408B2 (en) * | 2002-10-18 | 2013-07-16 | Kabushiki Kaisha Toshiba | Medical equipment management apparatus which predicts future status of medical equipment |
US20040087836A1 (en) * | 2002-10-31 | 2004-05-06 | Green Michael R. | Computer system and method for closed-loop support of patient self-testing |
US7353179B2 (en) * | 2002-11-13 | 2008-04-01 | Biomedical Systems | System and method for handling the acquisition and analysis of medical data over a network |
US8332233B2 (en) * | 2002-11-13 | 2012-12-11 | Biomedical Systems Corporation | Method and system for collecting and analyzing holter data employing a web site |
US7890341B2 (en) | 2002-12-09 | 2011-02-15 | Baxter International Inc. | System and a method for providing integrated access management for peritoneal dialysis and hemodialysis |
US20040111293A1 (en) * | 2002-12-09 | 2004-06-10 | Catherine Firanek | System and a method for tracking patients undergoing treatment and/or therapy for renal disease |
US7136707B2 (en) | 2003-01-21 | 2006-11-14 | Cardiac Pacemakers, Inc. | Recordable macros for pacemaker follow-up |
US7738493B2 (en) * | 2003-01-23 | 2010-06-15 | Cisco Technology, Inc. | Methods and devices for transmitting data between storage area networks |
US7957409B2 (en) * | 2003-01-23 | 2011-06-07 | Cisco Technology, Inc. | Methods and devices for transmitting data between storage area networks |
US7263648B2 (en) * | 2003-01-24 | 2007-08-28 | Wegener Communications, Inc. | Apparatus and method for accommodating loss of signal |
US8620678B2 (en) | 2003-01-31 | 2013-12-31 | Imd Soft Ltd. | Medical information query system |
US7848935B2 (en) | 2003-01-31 | 2010-12-07 | I.M.D. Soft Ltd. | Medical information event manager |
DE10309165A1 (en) * | 2003-02-28 | 2004-09-16 | Siemens Ag | Medical system architecture for interactive transmission and progressive display of compressed image data of medical component images, compresses and stores images in packets, and decompresses on request |
US20040172289A1 (en) * | 2003-02-28 | 2004-09-02 | Dejan Kozic | Method and system for remotely verifying a prescription |
US7032235B2 (en) * | 2003-03-12 | 2006-04-18 | Wegener Communications, Inc. | Recasting DVB video system to recast digital broadcasts |
US7965851B2 (en) * | 2003-03-21 | 2011-06-21 | Gn Resound A/S | Modular wireless auditory test instrument with intelligent transducers |
US7171606B2 (en) * | 2003-03-25 | 2007-01-30 | Wegener Communications, Inc. | Software download control system, apparatus and method |
US20040254753A1 (en) * | 2003-04-02 | 2004-12-16 | Gn Resound A/S | Multimedia auditory test instrument |
WO2004104964A1 (en) * | 2003-05-14 | 2004-12-02 | Jms Co., Ltd. | Device for transmitting data via the internet |
US7780595B2 (en) | 2003-05-15 | 2010-08-24 | Clinical Decision Support, Llc | Panel diagnostic method and system |
CA2526262A1 (en) * | 2003-05-21 | 2004-12-02 | Jms Co., Ltd. | Data collection system and data collection method |
US7296204B2 (en) * | 2003-05-30 | 2007-11-13 | Wegener Communications, Inc. | Error correction apparatus and method |
AU2003100425A4 (en) * | 2003-06-04 | 2003-08-07 | Adam Dib | Future Medi-Cam |
US7206411B2 (en) | 2003-06-25 | 2007-04-17 | Wegener Communications, Inc. | Rapid decryption of data by key synchronization and indexing |
US20050049898A1 (en) * | 2003-09-01 | 2005-03-03 | Maiko Hirakawa | Telemedicine system using the internet |
US8029454B2 (en) | 2003-11-05 | 2011-10-04 | Baxter International Inc. | High convection home hemodialysis/hemofiltration and sorbent system |
US8712510B2 (en) * | 2004-02-06 | 2014-04-29 | Q-Tec Systems Llc | Method and apparatus for exercise monitoring combining exercise monitoring and visual data with wireless internet connectivity |
US20050192487A1 (en) * | 2004-02-27 | 2005-09-01 | Cosentino Louis C. | System for collection, manipulation, and analysis of data from remote health care devices |
BRPI0511091A (en) * | 2004-05-14 | 2007-12-26 | Bayer Healthcare Llc | Method and apparatus for implementing patient data transfer to multiple different meter types |
US20050277872A1 (en) * | 2004-05-24 | 2005-12-15 | Colby John E Jr | Apparatus and method for mobile medical services |
US20050283384A1 (en) * | 2004-06-21 | 2005-12-22 | The Permanete Medical Group, Inc. | System and method for assisting a care partner in monitoring a patient with chronic disease |
US20050283385A1 (en) * | 2004-06-21 | 2005-12-22 | The Permanente Medical Group, Inc. | Individualized healthcare management system |
US7801642B2 (en) | 2004-08-18 | 2010-09-21 | Walgreen Co. | System and method for checking the accuracy of a prescription fill |
US9820658B2 (en) | 2006-06-30 | 2017-11-21 | Bao Q. Tran | Systems and methods for providing interoperability among healthcare devices |
US7502498B2 (en) | 2004-09-10 | 2009-03-10 | Available For Licensing | Patient monitoring apparatus |
US7946994B2 (en) | 2004-10-07 | 2011-05-24 | Tensys Medical, Inc. | Compact apparatus and methods for non-invasively measuring hemodynamic parameters |
US9081879B2 (en) | 2004-10-22 | 2015-07-14 | Clinical Decision Support, Llc | Matrix interface for medical diagnostic and treatment advice system and method |
US8204771B1 (en) | 2004-12-16 | 2012-06-19 | Cerner Innovation, Inc. | Computerized method and system for updating a task list from an action item documentation view |
US7860731B2 (en) | 2004-12-20 | 2010-12-28 | Confidant Hawaii, Llc | Monitoring and feedback wireless medical system and method |
US7612679B1 (en) | 2004-12-28 | 2009-11-03 | Cerner Innovation, Inc. | Computerized method and system for providing alerts from a multi-patient display |
US8273018B1 (en) | 2004-12-28 | 2012-09-25 | Cerner Innovation, Inc. | Computerized method for establishing a communication between a bedside care location and a remote care location |
US8255238B2 (en) | 2005-01-03 | 2012-08-28 | Airstrip Ip Holdings, Llc | System and method for real time viewing of critical patient data on mobile devices |
US20060151549A1 (en) * | 2005-01-12 | 2006-07-13 | Fisher David G | Agricultural spreading device |
US20060173708A1 (en) * | 2005-01-28 | 2006-08-03 | Circle Of Care, Inc. | System and method for providing health care |
US20060287645A1 (en) * | 2005-02-09 | 2006-12-21 | Olympus Medical Systems Corp. | System and controller for controlling operating room |
US7944469B2 (en) * | 2005-02-14 | 2011-05-17 | Vigilos, Llc | System and method for using self-learning rules to enable adaptive security monitoring |
US9514277B2 (en) * | 2005-03-08 | 2016-12-06 | Koninklijke Philips N.V. | Clinical monitoring network |
US7710452B1 (en) | 2005-03-16 | 2010-05-04 | Eric Lindberg | Remote video monitoring of non-urban outdoor sites |
US20060264714A1 (en) * | 2005-03-23 | 2006-11-23 | Mcglennen Ronald C | Apparatus and methods for medical testing |
JP2008540016A (en) * | 2005-05-19 | 2008-11-20 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | Ultrasound diagnostic imaging system with multiplexed voice and image communication |
US20070004971A1 (en) * | 2005-05-27 | 2007-01-04 | Hill-Rom Services, Inc. | Caregiver communication system for a home environment |
US20070032345A1 (en) * | 2005-08-08 | 2007-02-08 | Ramanath Padmanabhan | Methods and apparatus for monitoring quality of service for an exercise machine communication network |
CN100336485C (en) * | 2005-09-22 | 2007-09-12 | 上海交通大学 | Network based diabetes pedigree control system |
CN100373954C (en) * | 2005-10-09 | 2008-03-05 | 杭州华三通信技术有限公司 | Video signal terminal device |
US7420472B2 (en) | 2005-10-16 | 2008-09-02 | Bao Tran | Patient monitoring apparatus |
US7733224B2 (en) | 2006-06-30 | 2010-06-08 | Bao Tran | Mesh network personal emergency response appliance |
US8311891B2 (en) * | 2005-10-18 | 2012-11-13 | Walgreen Co. | System for separating and distributing pharmacy order processing for medication payments |
US8666780B2 (en) | 2005-10-18 | 2014-03-04 | Walgreen Co. | System for separating and distributing pharmacy order processing |
US8175891B2 (en) * | 2005-10-18 | 2012-05-08 | Walgreen Co. | System for separating and distributing pharmacy order processing for compound medication |
US7765108B2 (en) | 2005-10-18 | 2010-07-27 | Walgreen Co. | Method and apparatus for inter-pharmacy workload balancing |
US20070088569A1 (en) * | 2005-10-18 | 2007-04-19 | Walgreen Co. | System for separating and distributing pharmacy order processing for prescription verification |
US20070088590A1 (en) * | 2005-10-18 | 2007-04-19 | Walgreen Co. | System for separating and distributing pharmacy order processing for out of stock medication |
US8315887B2 (en) * | 2005-10-18 | 2012-11-20 | Walgreen Co. | System for separating and distributing pharmacy order processing for specialty medication |
US7734478B2 (en) * | 2005-10-18 | 2010-06-08 | Walgreen Co. | Method and apparatus for inter-pharmacy workload balancing using resource function assignments |
US20070136099A1 (en) * | 2005-12-13 | 2007-06-14 | Gordon Neligh | Distributed medicine system |
US7823163B2 (en) * | 2005-12-30 | 2010-10-26 | Edda Technology, Inc. | Methods and system for process sharing among independent systems/applications via data encapsulation in medical imaging |
US8920343B2 (en) | 2006-03-23 | 2014-12-30 | Michael Edward Sabatino | Apparatus for acquiring and processing of physiological auditory signals |
TWI312673B (en) | 2006-03-28 | 2009-08-01 | Yuan Ze Universit | Portable tele-homecare monitor system and method for the same |
US7704617B2 (en) * | 2006-04-03 | 2010-04-27 | Bloom Energy Corporation | Hybrid reformer for fuel flexibility |
US8500636B2 (en) | 2006-05-12 | 2013-08-06 | Bao Tran | Health monitoring appliance |
US8684922B2 (en) | 2006-05-12 | 2014-04-01 | Bao Tran | Health monitoring system |
US8323189B2 (en) | 2006-05-12 | 2012-12-04 | Bao Tran | Health monitoring appliance |
US7558622B2 (en) | 2006-05-24 | 2009-07-07 | Bao Tran | Mesh network stroke monitoring appliance |
US7539532B2 (en) | 2006-05-12 | 2009-05-26 | Bao Tran | Cuffless blood pressure monitoring appliance |
US9060683B2 (en) | 2006-05-12 | 2015-06-23 | Bao Tran | Mobile wireless appliance |
US8968195B2 (en) | 2006-05-12 | 2015-03-03 | Bao Tran | Health monitoring appliance |
CA2655049A1 (en) | 2006-05-13 | 2007-11-22 | Tensys Medical, Inc. | Continuous positioning apparatus and methods |
US7539533B2 (en) | 2006-05-16 | 2009-05-26 | Bao Tran | Mesh network monitoring appliance |
US8684900B2 (en) | 2006-05-16 | 2014-04-01 | Bao Tran | Health monitoring appliance |
WO2008020325A2 (en) * | 2006-06-01 | 2008-02-21 | Rajiv Muradia | Home based healthcare system and method |
CA2653346A1 (en) * | 2006-06-01 | 2007-12-06 | Igeacare Systems, Inc. | Remote health care system with treatment verification |
WO2008053366A2 (en) * | 2006-06-01 | 2008-05-08 | Rajiv Muradia | Remote health care diagnostic tool |
WO2008035211A2 (en) * | 2006-06-01 | 2008-03-27 | Rajiv Muradia | Remote health care system with stethoscope |
US20080009752A1 (en) * | 2006-07-07 | 2008-01-10 | Butler Michael H | System for Cardiovascular Data Display and Diagnosis |
US7965309B2 (en) * | 2006-09-15 | 2011-06-21 | Quickwolf Technology, Inc. | Bedside video communication system |
US8840549B2 (en) | 2006-09-22 | 2014-09-23 | Masimo Corporation | Modular patient monitor |
US9161696B2 (en) | 2006-09-22 | 2015-10-20 | Masimo Corporation | Modular patient monitor |
US8214007B2 (en) * | 2006-11-01 | 2012-07-03 | Welch Allyn, Inc. | Body worn physiological sensor device having a disposable electrode module |
CN101179706B (en) * | 2006-11-07 | 2010-04-07 | 国立阳明大学 | Remote domestic monitoring system and method thereof |
US8540515B2 (en) | 2006-11-27 | 2013-09-24 | Pharos Innovations, Llc | Optimizing behavioral change based on a population statistical profile |
US8540517B2 (en) | 2006-11-27 | 2013-09-24 | Pharos Innovations, Llc | Calculating a behavioral path based on a statistical profile |
US8540516B2 (en) | 2006-11-27 | 2013-09-24 | Pharos Innovations, Llc | Optimizing behavioral change based on a patient statistical profile |
US20080129816A1 (en) * | 2006-11-30 | 2008-06-05 | Quickwolf Technology, Inc. | Childcare video conferencing system and method |
US20080153076A1 (en) * | 2006-12-22 | 2008-06-26 | Med Graph, Inc. | Medical condition education and start-up kit |
DE102007011421A1 (en) * | 2007-03-08 | 2008-09-25 | Siemens Ag | A method of facilitating a follow-up of an examination or treatment of a patient by means of an imaging examination device |
CN101273885B (en) * | 2007-03-26 | 2010-12-01 | 深圳迈瑞生物医疗电子股份有限公司 | Method and system of monitor screen remote indication |
JP5421244B2 (en) * | 2007-04-27 | 2014-02-19 | アペリオ・テクノロジーズ・インコーポレイテッド | Second opinion network |
US8750971B2 (en) | 2007-05-24 | 2014-06-10 | Bao Tran | Wireless stroke monitoring |
US8775198B2 (en) | 2007-07-25 | 2014-07-08 | Walgreen Co. | System and method for performing a remote verification of a pharmacy fill utilizing an image to image comparison |
US9098840B2 (en) * | 2007-08-22 | 2015-08-04 | Siemens Aktiengesellschaft | System and method for providing and activating software licenses |
CA2705352A1 (en) | 2007-10-12 | 2009-04-16 | Tensys Medical, Inc. | Apparatus and methods for non-invasively measuring a patient's arterial blood pressure |
US8310336B2 (en) | 2008-10-10 | 2012-11-13 | Masimo Corporation | Systems and methods for storing, analyzing, retrieving and displaying streaming medical data |
US20090146822A1 (en) * | 2007-11-13 | 2009-06-11 | Elevate Technologies Pty Ltd. | Telemedicine Application for Remote Monitoring, Viewing and Updating of Patient Records |
CN101500046B (en) * | 2008-01-31 | 2012-02-08 | 上海西门子医疗器械有限公司 | Remote control system and method for medical equipment |
US20090240115A1 (en) * | 2008-03-21 | 2009-09-24 | Computerized Screening, Inc. | Community based managed health kiosk system for soliciting medical testing and health study participants |
US8057679B2 (en) | 2008-07-09 | 2011-11-15 | Baxter International Inc. | Dialysis system having trending and alert generation |
US10089443B2 (en) | 2012-05-15 | 2018-10-02 | Baxter International Inc. | Home medical device systems and methods for therapy prescription and tracking, servicing and inventory |
US8600777B2 (en) | 2008-08-28 | 2013-12-03 | I.M.D. Soft Ltd. | Monitoring patient conditions |
US8145501B1 (en) | 2008-10-09 | 2012-03-27 | Walgreen Co. | System and method for performing pharmacy product filling using non-registered pharmacists |
US8554579B2 (en) | 2008-10-13 | 2013-10-08 | Fht, Inc. | Management, reporting and benchmarking of medication preparation |
US7941325B2 (en) * | 2008-11-14 | 2011-05-10 | Walgreen Co. | System and method of using a non-retail central filling facility to process pharmacy product prescriptions in a pharmacy retail network |
ITBA20080054A1 (en) * | 2008-11-28 | 2010-05-29 | Agostino Giorgio | SYSTEM FOR MEDICAL VISITS IN REMOTE |
US10007758B2 (en) | 2009-03-04 | 2018-06-26 | Masimo Corporation | Medical monitoring system |
US9323894B2 (en) | 2011-08-19 | 2016-04-26 | Masimo Corporation | Health care sanitation monitoring system |
US10032002B2 (en) | 2009-03-04 | 2018-07-24 | Masimo Corporation | Medical monitoring system |
WO2010102069A2 (en) | 2009-03-04 | 2010-09-10 | Masimo Corporation | Medical monitoring system |
CN102438507A (en) * | 2009-03-11 | 2012-05-02 | 爱尔斯特里普Ip控股有限责任公司 | Systems and methods for viewing patient data |
US8314839B2 (en) | 2009-05-29 | 2012-11-20 | Sentrus, Inc. | Concealments for components of a covert video surveillance system |
US8319833B2 (en) | 2009-06-23 | 2012-11-27 | Sentrus, Inc. | Video surveillance system |
US8886792B2 (en) * | 2009-10-13 | 2014-11-11 | Cardiopulmonary Corp. | Method and apparatus for displaying and storing data from medical devices and alarming in response to triggers by a plurality of alarm types |
US20110141116A1 (en) | 2009-12-16 | 2011-06-16 | Baxter International Inc. | Methods and apparatus for displaying flow rate graphs and alarms on a dialysis system |
US9153112B1 (en) | 2009-12-21 | 2015-10-06 | Masimo Corporation | Modular patient monitor |
JP5432767B2 (en) * | 2010-02-25 | 2014-03-05 | 日本光電工業株式会社 | Remote maintenance system and relay unit |
US10956867B2 (en) | 2010-03-31 | 2021-03-23 | Airstrip Ip Holdings, Llc | Multi-factor authentication for remote access of patient data |
US20110270631A1 (en) * | 2010-05-03 | 2011-11-03 | AMD Global Telemedicine, Inc. | Remote healthcare data-gathering and viewing system and method |
US20120029305A1 (en) * | 2010-07-27 | 2012-02-02 | Physician's Ancillary Services, Llc | Polysomnography method with remote administration |
US10629311B2 (en) | 2010-07-30 | 2020-04-21 | Fawzi Shaya | System, method and apparatus for real-time access to networked radiology data |
US20120029303A1 (en) | 2010-07-30 | 2012-02-02 | Fawzi Shaya | System, method and apparatus for performing real-time virtual medical examinations |
CN102125423B (en) * | 2010-10-13 | 2012-09-19 | 深圳市理邦精密仪器股份有限公司 | Medical monitoring method and device integrating central monitoring function |
US20120157795A1 (en) | 2010-12-15 | 2012-06-21 | Ross Medical Corporation | Patient Emergency Response System |
EP2492894A1 (en) * | 2011-02-22 | 2012-08-29 | Giuseppe Fiorino | System for remote monitoring of health conditions and for the administration of therapies |
USD694909S1 (en) | 2011-10-12 | 2013-12-03 | HealthSpot Inc. | Medical kiosk |
US9043217B2 (en) | 2011-03-31 | 2015-05-26 | HealthSpot Inc. | Medical kiosk and method of use |
US8996392B2 (en) | 2011-03-31 | 2015-03-31 | Healthspot, Inc. | Medical kiosk and method of use |
JP6144670B2 (en) * | 2011-04-08 | 2017-06-07 | ボルケーノ コーポレイション | Distributed medical sensing system and method |
US9943269B2 (en) | 2011-10-13 | 2018-04-17 | Masimo Corporation | System for displaying medical monitoring data |
US9436645B2 (en) | 2011-10-13 | 2016-09-06 | Masimo Corporation | Medical monitoring hub |
US9072849B2 (en) | 2012-06-29 | 2015-07-07 | Carefusion 207, Inc. | Modifying ventilator operation based on patient orientation |
US9177109B2 (en) | 2011-11-02 | 2015-11-03 | Carefusion 207, Inc. | Healthcare facility ventilation management |
US9352110B2 (en) | 2012-06-29 | 2016-05-31 | Carefusion 207, Inc. | Ventilator suction management |
US9737676B2 (en) | 2011-11-02 | 2017-08-22 | Vyaire Medical Capital Llc | Ventilation system |
US9821129B2 (en) | 2011-11-02 | 2017-11-21 | Vyaire Medical Capital Llc | Ventilation management system |
US9058741B2 (en) * | 2012-06-29 | 2015-06-16 | Carefusion 207, Inc. | Remotely accessing a ventilator |
US9687618B2 (en) | 2011-11-02 | 2017-06-27 | Carefusion 207, Inc. | Ventilation harm index |
US8769625B2 (en) * | 2011-11-17 | 2014-07-01 | Fresenius Medical Care Holdings, Inc. | Remote control of dialysis machines |
US9734304B2 (en) | 2011-12-02 | 2017-08-15 | Lumiradx Uk Ltd | Versatile sensors with data fusion functionality |
US9700222B2 (en) | 2011-12-02 | 2017-07-11 | Lumiradx Uk Ltd | Health-monitor patch |
US9092554B2 (en) * | 2011-12-13 | 2015-07-28 | Intel-Ge Care Innovations Llc | Alzheimers support system |
ITRM20120029A1 (en) * | 2012-01-26 | 2013-07-27 | I R C C S Ct Neurolesi Bonin O Pulejo | REMOTE MONITORING AND MEDICAL ASSISTANCE SYSTEM |
US10149616B2 (en) | 2012-02-09 | 2018-12-11 | Masimo Corporation | Wireless patient monitoring device |
US10307111B2 (en) | 2012-02-09 | 2019-06-04 | Masimo Corporation | Patient position detection system |
US9327090B2 (en) | 2012-06-29 | 2016-05-03 | Carefusion 303, Inc. | Respiratory knowledge portal |
WO2014028680A1 (en) | 2012-08-15 | 2014-02-20 | HealthSpot Inc. | Veterinary kiosk with integrated veterinary medical devices |
US9749232B2 (en) | 2012-09-20 | 2017-08-29 | Masimo Corporation | Intelligent medical network edge router |
WO2014065871A2 (en) | 2012-10-26 | 2014-05-01 | Baxter Corporation Englewood | Improved image acquisition for medical dose preparation system |
EP2911641B1 (en) | 2012-10-26 | 2018-10-17 | Baxter Corporation Englewood | Improved work station for medical dose preparation system |
JP2014102672A (en) * | 2012-11-20 | 2014-06-05 | Panasonic Corp | Image output apparatus and image output method |
US9395234B2 (en) | 2012-12-05 | 2016-07-19 | Cardiocom, Llc | Stabilizing base for scale |
US9865176B2 (en) | 2012-12-07 | 2018-01-09 | Koninklijke Philips N.V. | Health monitoring system |
US9380474B2 (en) | 2013-03-08 | 2016-06-28 | Cardiopulmonary Corp. | Network monitoring for active medical device alarms |
WO2014144964A1 (en) | 2013-03-15 | 2014-09-18 | Eagleyemed | Multi-site video based computer aided diagnostic and analytical platform |
US9092556B2 (en) | 2013-03-15 | 2015-07-28 | eagleyemed, Inc. | Multi-site data sharing platform |
WO2014144339A1 (en) * | 2013-03-15 | 2014-09-18 | Zoll Medical Corporation | Patient monitor screen aggregation |
US20150261930A1 (en) | 2013-04-02 | 2015-09-17 | Fernando Pablo Jose Espinosa Escalona | Telemedicine system for remote consultation, diagnosis and medical treatment services |
US9075906B2 (en) * | 2013-06-28 | 2015-07-07 | Elwha Llc | Medical support system including medical equipment case |
JP6255606B2 (en) * | 2013-07-29 | 2018-01-10 | シャープ株式会社 | Monitoring system, monitoring method and program |
US10832818B2 (en) | 2013-10-11 | 2020-11-10 | Masimo Corporation | Alarm notification system |
US10147441B1 (en) | 2013-12-19 | 2018-12-04 | Amazon Technologies, Inc. | Voice controlled system |
CN104873270A (en) * | 2014-02-27 | 2015-09-02 | 深圳市科曼医疗设备有限公司 | Patient monitor another-bed observation method and patient monitor system |
EP3826028B1 (en) | 2014-06-30 | 2024-04-24 | Baxter Corporation Englewood | Managed medical information exchange |
US11107574B2 (en) | 2014-09-30 | 2021-08-31 | Baxter Corporation Englewood | Management of medication preparation with formulary management |
US11575673B2 (en) | 2014-09-30 | 2023-02-07 | Baxter Corporation Englewood | Central user management in a distributed healthcare information management system |
US11246495B2 (en) | 2014-10-27 | 2022-02-15 | Vital Sines International Inc. | System and method for monitoring aortic pulse wave velocity and blood pressure |
EP3227851A4 (en) | 2014-12-05 | 2018-07-11 | Baxter Corporation Englewood | Dose preparation data analytics |
CN104519133B (en) * | 2014-12-24 | 2018-11-06 | 刘俊彪 | Method and gateway based on Multi-serial port transmission medical detecting Instrument data and system |
JP2018507487A (en) | 2015-03-03 | 2018-03-15 | バクスター・コーポレーション・イングルウッドBaxter Corporation Englewood | Pharmacy workflow management with alert integration |
US9800663B2 (en) | 2015-03-06 | 2017-10-24 | Fresenius Medical Care Holdings, Inc. | Associating dialysis accessories using near field communication |
CN116206744A (en) | 2015-06-25 | 2023-06-02 | 甘布罗伦迪亚股份公司 | Medical device systems and methods with distributed databases |
US10448844B2 (en) | 2015-08-31 | 2019-10-22 | Masimo Corporation | Systems and methods for patient fall detection |
DE102016111971A1 (en) | 2016-06-30 | 2018-01-04 | Fresenius Medical Care Deutschland Gmbh | Dedicated remote control of several dialysis machines |
US10617302B2 (en) | 2016-07-07 | 2020-04-14 | Masimo Corporation | Wearable pulse oximeter and respiration monitor |
EP3525661A1 (en) | 2016-10-13 | 2019-08-21 | Masimo Corporation | Systems and methods for patient fall detection |
EP3559951B1 (en) | 2016-12-21 | 2022-01-12 | Gambro Lundia AB | Medical device system including information technology infrastructure having secure cluster domain supporting external domain |
EP3460657B1 (en) * | 2017-09-20 | 2021-09-08 | Roche Diabetes Care GmbH | Method for validating a medical application, end user device and medical system |
US11342073B2 (en) | 2017-09-29 | 2022-05-24 | Fresenius Medical Care Holdings, Inc. | Transmitted display casting for medical devices |
EP3782165A1 (en) | 2018-04-19 | 2021-02-24 | Masimo Corporation | Mobile patient alarm display |
CN113438919B (en) * | 2019-03-12 | 2023-08-18 | 深圳迈瑞生物医疗电子股份有限公司 | Patient monitoring method and equipment and computer readable storage medium |
US11364386B2 (en) | 2019-06-21 | 2022-06-21 | Advanced Neuromodulation Systems, Inc. | System, method and architecture for facilitating remote patient care |
US20200402656A1 (en) | 2019-06-22 | 2020-12-24 | Advanced Neuromodulation Systems, Inc. | Ui design for patient and clinician controller devices operative in a remote care architecture |
EP3986252A4 (en) * | 2019-06-21 | 2023-08-23 | Advanced Neuromodulation Systems, Inc. | Ui design for patient and clinician controller devices operative in a remote care architecture |
US11386987B2 (en) * | 2019-08-26 | 2022-07-12 | Mark Lamoncha | Providing global accessibility to telehealth prescribed medications |
USD980091S1 (en) | 2020-07-27 | 2023-03-07 | Masimo Corporation | Wearable temperature measurement device |
USD974193S1 (en) | 2020-07-27 | 2023-01-03 | Masimo Corporation | Wearable temperature measurement device |
EP4221826A1 (en) | 2020-09-30 | 2023-08-09 | Zoll Medical Corporation | Remote monitoring devices and related methods and systems with audible aed signal listening |
CN112420173A (en) * | 2021-01-08 | 2021-02-26 | 深圳坐标软件集团有限公司 | Remote control intelligent medical system for image processing |
USD1000975S1 (en) | 2021-09-22 | 2023-10-10 | Masimo Corporation | Wearable temperature measurement device |
Family Cites Families (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4259548A (en) * | 1979-11-14 | 1981-03-31 | Gte Products Corporation | Apparatus for monitoring and signalling system |
US4838275A (en) * | 1985-11-29 | 1989-06-13 | Lee Arnold St J | Home medical surveillance system |
JPH05168013A (en) * | 1991-12-16 | 1993-07-02 | Matsushita Electric Ind Co Ltd | System for medical treatment at home |
US5502726A (en) * | 1992-01-31 | 1996-03-26 | Nellcor Incorporated | Serial layered medical network |
JPH08275927A (en) * | 1992-02-13 | 1996-10-22 | Seta:Kk | Homestay medical care system and medical device used in this system |
US5544649A (en) * | 1992-03-25 | 1996-08-13 | Cardiomedix, Inc. | Ambulatory patient health monitoring techniques utilizing interactive visual communication |
US5441047A (en) * | 1992-03-25 | 1995-08-15 | David; Daniel | Ambulatory patient health monitoring techniques utilizing interactive visual communication |
US5438607A (en) * | 1992-11-25 | 1995-08-01 | U.S. Monitors, Ltd. | Programmable monitoring system and method |
US5576952A (en) * | 1993-03-09 | 1996-11-19 | Metriplex, Inc. | Medical alert distribution system with selective filtering of medical information |
US5558638A (en) * | 1993-04-30 | 1996-09-24 | Healthdyne, Inc. | Patient monitor and support system |
US5488412A (en) * | 1994-03-31 | 1996-01-30 | At&T Corp. | Customer premises equipment receives high-speed downstream data over a cable television system and transmits lower speed upstream signaling on a separate channel |
US5687734A (en) * | 1994-10-20 | 1997-11-18 | Hewlett-Packard Company | Flexible patient monitoring system featuring a multiport transmitter |
US5553609A (en) * | 1995-02-09 | 1996-09-10 | Visiting Nurse Service, Inc. | Intelligent remote visual monitoring system for home health care service |
US5640953A (en) * | 1995-03-09 | 1997-06-24 | Siemens Medical Systems, Inc. | Portable patient monitor reconfiguration system |
US5619991A (en) * | 1995-04-26 | 1997-04-15 | Lucent Technologies Inc. | Delivery of medical services using electronic data communications |
US5666487A (en) * | 1995-06-28 | 1997-09-09 | Bell Atlantic Network Services, Inc. | Network providing signals of different formats to a user by multplexing compressed broadband data with data of a different format into MPEG encoded data stream |
US5810747A (en) * | 1996-08-21 | 1998-09-22 | Interactive Remote Site Technology, Inc. | Remote site medical intervention system |
-
1997
- 1997-09-19 US US08/933,388 patent/US5987519A/en not_active Expired - Lifetime
-
1998
- 1998-09-18 TR TR2000/00666T patent/TR200000666T2/en unknown
- 1998-09-18 JP JP2000512305A patent/JP2001516930A/en not_active Withdrawn
- 1998-09-18 EP EP98949388A patent/EP1066698A2/en not_active Withdrawn
- 1998-09-18 CA CA002301937A patent/CA2301937A1/en not_active Abandoned
- 1998-09-18 CN CN98809286A patent/CN1270676A/en active Pending
- 1998-09-18 KR KR1020007002895A patent/KR20010024135A/en not_active Application Discontinuation
- 1998-09-18 WO PCT/US1998/019636 patent/WO1999014882A2/en not_active Application Discontinuation
- 1998-09-21 TW TW087115673A patent/TW400503B/en not_active IP Right Cessation
Also Published As
Publication number | Publication date |
---|---|
KR20010024135A (en) | 2001-03-26 |
TR200000666T2 (en) | 2000-06-21 |
US5987519A (en) | 1999-11-16 |
WO1999014882A3 (en) | 2000-11-09 |
CN1270676A (en) | 2000-10-18 |
EP1066698A2 (en) | 2001-01-10 |
JP2001516930A (en) | 2001-10-02 |
TW400503B (en) | 2000-08-01 |
WO1999014882A2 (en) | 1999-03-25 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US5987519A (en) | Telemedicine system using voice video and data encapsulation and de-encapsulation for communicating medical information between central monitoring stations and remote patient monitoring stations | |
Sublett et al. | Design and implementation of a digital teleultrasound system for real-time remote diagnosis | |
Figueredo et al. | Mobile telemedicine system for home care and patient monitoring | |
US7264590B2 (en) | Real-time medical monitoring application with a network interface device | |
US8079953B2 (en) | General-purpose medical instrumentation | |
US20150324526A1 (en) | Remote healthcare data-gathering and viewing system and method | |
US6112224A (en) | Patient monitoring station using a single interrupt resource to support multiple measurement devices | |
US8081655B2 (en) | Method and apparatus for wireless transmission of data | |
EP2090997A1 (en) | Conveying real time medical data | |
WO2015046641A1 (en) | Medical image processor for telemedicine and remote medical diagnosis system comprising same | |
JP2001346768A (en) | Remote medical diagnosis system | |
US20010039373A1 (en) | Method of managing pharmaceutical dosage | |
JPH11267107A (en) | Medical communication system | |
JP2002354141A (en) | Videophone and remote medical treatment system | |
MXPA00002618A (en) | A packet-based telemedicine system for communicating information between central monitoring stations and remote patient monitoring stations | |
CN113066588A (en) | Endoscopic surgery consultation platform and method | |
CN113972013A (en) | Remote multidisciplinary consultation system and remote multidisciplinary consultation method | |
Chiarugi et al. | Real-time cardiac monitoring over a regional health network: Preliminary results from initial field testing | |
Duerinckx et al. | Real-time sonographic video transfer using asynchronous transfer mode technology. | |
EP1039741A2 (en) | Health care system using data authentication | |
CN216417336U (en) | Endoscopic surgery consultation platform | |
Martinez et al. | Synchronized voice and image annotation in remote consultation and diagnosis for the global PACS | |
WO2001091029A2 (en) | Apparatus and method for collecting patient data | |
Kukieattikool et al. | Emergency Telemedical Operation System for Pre-hospital Emergency Care | |
JPH11243589A (en) | At-home nursing supporting apparatus |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
FZDE | Discontinued |