# US 12,109,004 B2 · Remote access for ambulatory medical device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,109,004 B2 - Document ID: US12109004B2 - Status: Granted - Kind: B2 - Application number: 17/454,394 - Filed: 2021-11-10 - Published: 2022-03-31 - Granted: 2024-10-08 - Earliest claimed: 2016-03-31 - Assignees: ZOLL Medical Corporation - Applicants: ZOLL Medical Corporation - Inventors: Patrick Hresko; Trisha A. Biel; Zachary D. Mason; Shane S. Volpe - Web page: https://patentgrep.com/patent/US12109004B2 ## CPC - A61B 5/0015: {characterised by features of the telemetry system} - A61B 5/7475: {User input or interface means, e.g. keyboard, pointing device, joystick} - G16H 40/40: for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades - G16H 40/63: for local operation - G16H 40/67: for remote operation - G16H 80/00: ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring - A61B 5/145: Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value {; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue} (non-radiation detecting or locating of foreign bodies in blood A61B5/06) - A61B 5/74: {Details of notification to user or communication with user or patient; User input means} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA ## Abstract An ambulatory medical device includes a sensor configured to acquire a signal indicative of a physiological condition of a patient, a controller operatively coupled to the sensor and configured to monitor the physiological signal, and to perform a diagnostic test, and a remote access manager operatively coupled to the controller and configured to monitor for a command from a remote system to perform the diagnostic test, and to cause the controller to perform the diagnostic test in response to the command. In the device, the remote access manager may be further configured to transmit data representing an operational status of the ambulatory medical device to the remote system. The operational status of the controller may result from performing the diagnostic test. The remote access manager may be further configured to send the data representing the operational status of the ambulatory medical device in real time or substantially in real time. ## Claims ### Claim 1 An ambulatory medical device configured to enable remote assistance of a patient wearing the ambulatory medical device, the device comprising: a sensor configured to monitor a signal indicative of a physiological condition of the patient over an extended period of time; a network interface configured to communicate with a remote system distinct from the ambulatory medical device; a user interface configured for interaction with the patient; a controller operatively coupled to the sensor, the network interface, and the user interface, the controller configured to cause the user interface to display an ambulatory device user interface view to the patient, the ambulatory device user interface view comprising first information derived from the signal indicative of the physiological condition of the patient; and a remote access manager operatively coupled to the controller and configured to establish, via a communication session, an interaction between a remote system and the ambulatory medical device in real time or in substantially real time, and cause the controller to retrieve second information based on the interaction, the second information regarding the ambulatory device user interface view, as displayed to a user, and further cause the controller to provide the second information regarding the ambulatory device user interface view to the remote system. ### Claim 2 (depends on 1) The ambulatory medical device of claim 1, wherein the interaction further comprises instructions for the patient to adjust one or more electrodes of the ambulatory medical device. ### Claim 3 (depends on 2) The ambulatory medical device of claim 2, wherein the controller is further configured to transmit, to the remote system via the communication session, data representing the signal indicative of the physiological condition of the patient in response to the interaction. ### Claim 4 (depends on 3) The ambulatory medical device of claim 3, wherein the controller is further configured to transmit, via the communication session, the data representing the signal indicative of the physiological condition of the patient in response to a manual activation of a user interface element and/or in response to a remote activation, via the communication session, of the monitoring. ### Claim 5 (depends on 4) The ambulatory medical device of claim 4, wherein the interaction further comprises instructions for the patient to perform a walk test. ### Claim 6 (depends on 1) The ambulatory medical device of claim 1, wherein the physiological condition of the patient is a heart rate of the patient. ### Claim 7 (depends on 1) The ambulatory medical device of claim 1, wherein the controller is further configured to download, via the communication session, a template configured to filter noise from the signal. ### Claim 8 (depends on 7) The ambulatory medical device of claim 7, wherein the controller is further configured to activate the template without patient intervention in response to the download. ### Claim 9 (depends on 7) The ambulatory medical device of claim 7, wherein the controller is further configured to filter the noise from the signal using the template. ### Claim 10 (depends on 1) The ambulatory medical device of claim 1, wherein the controller is further configured, responsive to monitoring the signal, to display a message on the user interface and/or sound an audible cue. ### Claim 11 (depends on 1) The ambulatory medical device of claim 1, wherein the interaction includes one or more of: viewing an operational status of the device; issuing commands to the device; resetting the device; retrieving third information from the device; remotely viewing a local user interface of the device; remotely performing firmware and software updates, upgrades, or applying patches to the device; remotely downloading and/or applying updates to underlying treatment and/or monitoring parameters of the device; remotely changing threshold values for the underlying treatment and/or monitoring parameters of the device; and/or remotely performing a function relating to operation of the device. ### Claim 12 (depends on 1) The ambulatory medical device of claim 1, wherein the interaction includes providing to the patient, via the user interface, third information relating to a detected anomaly of the ambulatory medical device and/or a status of the ambulatory medical device. ### Claim 13 (depends on 1) The ambulatory medical device of claim 1, wherein the interaction includes providing to the patient, via the user interface, instructions for operating the ambulatory medical device. ### Claim 14 (depends on 1) The ambulatory medical device of claim 1, further comprising a textual command interface configured to enable a remote user to interact with the ambulatory medical device in real time or in substantially real time via the communication session. ### Claim 15 (depends on 1) The ambulatory medical device of claim 1, wherein the controller is configured to download a plug-in or an application via the communication session. ### Claim 16 (depends on 15) The ambulatory medical device of claim 15, wherein the plug-in or the application is configured to receive, via the communication session, instructions from the remote system. ### Claim 17 (depends on 16) The ambulatory medical device of claim 16, wherein the controller is further configured to execute the instructions in response to a command received from the remote system via the communication session. ### Claim 18 (depends on 1) The ambulatory medical device of claim 1, wherein the remote access manager is configured to allow a remote technician to guide the patient through one or more steps relating to the ambulatory medical device via the user interface. ### Claim 19 (depends on 1) The ambulatory medical device of claim 1, wherein the remote access manager is further configured to cause the controller to perform a diagnostic test in response to receiving, from the remote system and via the communication session, a command to perform the diagnostic test. ### Claim 20 (depends on 1) The ambulatory medical device of claim 1, wherein the remote access manager is further configured to transmit data representing an operational status of the ambulatory medical device to the remote system via the communication session. ### Claim 21 (depends on 20) The ambulatory medical device of claim 20, wherein the remote access manager is further configured to detect an anomalous condition of the controller, and to transmit the data representing the operational status of the ambulatory medical device to the remote system via the communication session in response to detecting the anomalous condition. ### Claim 22 (depends on 1) The ambulatory medical device of claim 1, wherein the remote access manager is further configured to cause the controller to: re-configure a user interface element in response to detecting an anomalous condition of the user interface element; re-configure a component of the ambulatory medical device in response to detecting an anomalous condition of the component; and/or re-configure one or more response buttons of the controller in response to detecting an anomalous condition of the one or more response buttons.