# US 8,543,215 B2 · Advanced patient management for defining, identifying and using predetermined health-related events

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- Number: US 8,543,215 B2
- Document ID: US8543215B2
- Status: Granted
- Kind: B2
- Application number: 13/769,737
- Filed: 2013-02-18
- Published: 2013-06-20
- Granted: 2013-09-24
- Earliest claimed: 2002-12-18
- Assignees: Cardiac Pacemakers, Inc.
- Applicants: Cardiac Pacemakers, Inc.
- Inventors: John D. Hatlestad; Jeffrey E. Stahmann; Qingsheng Zhu
- Web page: https://patentgrep.com/patent/US8543215B2

## CPC

- A61B 5/0205: Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
- A61B 5/0022: {Monitoring a patient using a global network, e.g. telephone networks, internet}
- A61B 5/0031: {Implanted circuitry}
- A61B 5/74: {Details of notification to user or communication with user or patient; User input means}
- G16H 10/20: for electronic clinical trials or questionnaires
- G16H 10/60: for patient-specific data, e.g. for electronic patient records
- G16H 15/00: ICT specially adapted for medical reports, e.g. generation or transmission thereof
- G16H 20/10: relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H 20/30: relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
- G16H 40/63: for local operation
- G16H 40/67: for remote operation
- G16H 50/30: for calculating health indices; for individual health risk assessment
- G16H 50/70: for mining of medical data, e.g. analysing previous cases of other patients
- A61N 1/37258: {Alerting the patient}
- A61N 1/37282: {characterised by communication with experts in remote locations using a network}
- 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
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

Systems, devices and methods for defining, identifying and using health-related significant events are disclosed. One aspect is a programmable device having machine executable instructions for performing a method to assist with managing a patient's health. In various embodiments, at least one previously-defined event is detected based on a number of acquired health-related parameters. The at least one detected event is recorded with an associated time when the at least one detected significant event occurred. An action is triggered based on the at least one detected event. The at least one detected event is displayed with at least one trended health-related parameter in a single display area. Other aspects and embodiments are provided herein.

## Claims

### Claim 1

A device for monitoring a patient's health condition, comprising:
a parameter acquisition module to acquire two or more health-related parameters; and
a predetermined event detection module to communicate with the parameter acquisition module to determine whether the two or more health-related parameters correspond to at least one predetermined event, wherein in determining that the two or more health-related parameters corresponds to at least one of the number of the predetermined events, the predetermined event detection module is configured to determine a correlation coefficient for two or more trended health-related parameters to identify the predetermined event if the correlation coefficient reflects a significant correlation between the two or more trended health-related parameters.

### Claim 2 (depends on 1)

The device of claim 1, wherein the parameter acquisition module is configured to acquire two or parameters selected from the group of parameters consisting of: activity, heart sounds, respiration, pulmonary edema and posture, and wherein the at least one predetermined event includes heart failure decompensation.

### Claim 3 (depends on 1)

The device of claim 1, wherein the WMD includes a programmer for an implantable medical device.

### Claim 4 (depends on 1)

The device of claim 1, wherein the WMD includes a portable phone.

### Claim 5 (depends on 1)

The device of claim 1, wherein the WMD includes a computer.

### Claim 6 (depends on 1)

The device of claim 1, wherein the device is an implantable medical device (IMD).

### Claim 7 (depends on 1)

The device of claim 1, wherein the at least one health-related parameter includes at least one health-related parameter from an implantable medical device (IMD) and at least one health-related parameter from an external data source.

### Claim 8 (depends on 1)

The device of claim 1, further comprising an action trigger module to communicate with the predetermined event detection module to trigger a desired action based on a detected predetermined event.

### Claim 9

A wellness monitoring device for monitoring a patient's health condition, comprising:
a communication module to receive two or more health-related parameters;
a parameter acquisition module to communicate with the communication module to acquire the two or more health-related parameters;
an input module to receive manual input data;
a predetermined event definition module to communicate with the input module to define a number of predetermined events for the patient's health condition using the manual input data;
a timer module; and
a predetermined event detection module to communicate with the parameter acquisition module and the predetermined event definition module to determine that the two or more health-related parameters correspond to at least one of the number of predetermined events, and to communicate with the timer module to associate a time with the at least one of the number of predetermined events, wherein in determining that the two or more health-related parameters corresponds to at least one of the number of the predetermined events, the predetermined event detection module is configured to determine a correlation coefficient for two or more trended health-related parameters to identify the predetermined event if the correlation coefficient reflects a significant correlation between the two or more trended health-related parameters.

### Claim 10 (depends on 9)

The device of claim 9, wherein the parameter acquisition module is configured to acquire at least one parameter selected from the group of parameters consisting of: activity, heart sounds, respiration, pulmonary edema and posture, and wherein the at least one predetermined event includes heart failure decompensation.

### Claim 11 (depends on 9)

The device of claim 9, wherein the parameter acquisition module is configured to acquire two or parameters selected from the group of parameters consisting of: activity, heart sounds, respiration, pulmonary edema and posture, and wherein the at least one predetermined event includes heart failure decompensation.

### Claim 12 (depends on 9)

The device of claim 9, further comprising a predetermined event set module to communicate with the predetermined event definition module to define a set of predetermined events, wherein the input module is adapted to communicate with the predetermined event definition module to modify the set of predetermined events.

### Claim 13 (depends on 9)

The device of claim 9, further comprising an action trigger module to communicate with the predetermined event detection module to trigger a desired action based on a detected predetermined event.

### Claim 14 (depends on 13)

The device of claim 13, further comprising a display area, wherein the action trigger module is adapted to provide a signal to display the detected predetermined event along with a trend for the at least one health-related parameter on the display area.

### Claim 15 (depends on 13)

The device of claim 13, wherein the action trigger module is adapted to provide a signal to send an alarm in response to the at least one detected predetermined event.

### Claim 16 (depends on 13)

The device of claim 13, wherein the action trigger module is adapted to provide a signal to change device therapy in response to the at least one detected predetermined event.

### Claim 17 (depends on 9)

The device of claim 9, wherein the manual input data further includes at least one manually-inputted health-related parameter, the parameter acquisition module to communicate with the input module to acquire the at least one manually-inputted health-related parameter.

### Claim 18 (depends on 17)

The device of claim 17, wherein the parameter acquisition module is adapted to communicate with the communication module and the input module is adapted to acquire at least one of an environmental parameter, a diet parameter, a mental/emotional parameter, a medication compliance parameter and a symptom parameter.

### Claim 19 (depends on 9)

The device of claim 9, wherein the communication module to receive at least one health-related parameter from an implantable medical device (IMD).

### Claim 20 (depends on 9)

The device of claim 9, wherein the communication module to receive at least one health-related parameter from an external data source, including at least one health-related parameter from an external sensor, or at least one health-related parameter from patient history database.