CA3053306C - A telemedical apparatus, system, & method for providing medical services remotely - Google Patents

A telemedical apparatus, system, & method for providing medical services remotely Download PDF

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CA3053306C
CA3053306C CA3053306A CA3053306A CA3053306C CA 3053306 C CA3053306 C CA 3053306C CA 3053306 A CA3053306 A CA 3053306A CA 3053306 A CA3053306 A CA 3053306A CA 3053306 C CA3053306 C CA 3053306C
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computer module
patient
primary computer
information
biological vital
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CA3053306A1 (en
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Bruce A. Lev
Brandon E. Lev
Amaya S. Lev
Arianna B. Lev
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H15/00Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M21/00Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis
    • A61M21/02Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis for inducing sleep or relaxation, e.g. by direct nerve stimulation, hypnosis, analgesia
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT 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
    • G16H40/60ICT 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
    • G16H40/67ICT 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
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT 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
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1604Head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5007Control means thereof computer controlled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5097Control means thereof wireless
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00Measuring physical parameters of the user
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00Measuring physical parameters of the user
    • A61H2230/30Blood pressure
    • A61H2230/305Blood pressure used as a control parameter for the apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M21/00Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis
    • A61M2021/0005Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis by the use of a particular sense, or stimulus
    • A61M2021/0044Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis by the use of a particular sense, or stimulus by the sight sense
    • A61M2021/005Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis by the use of a particular sense, or stimulus by the sight sense images, e.g. video
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00Measuring parameters of the user
    • A61M2230/04Heartbeat characteristics, e.g. ECG, blood pressure modulation
    • A61M2230/06Heartbeat rate only
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00Measuring parameters of the user
    • A61M2230/30Blood pressure

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Pathology (AREA)
  • Primary Health Care (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Pain & Pain Management (AREA)
  • Biophysics (AREA)
  • Rehabilitation Therapy (AREA)
  • Anesthesiology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Psychology (AREA)
  • Hematology (AREA)
  • General Business, Economics & Management (AREA)
  • Business, Economics & Management (AREA)
  • Acoustics & Sound (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

A telemedical apparatus, system, and method for providing medical services to a patient remotely using electronic communications. The apparatus, system, and method includes a primary computer module having data input mechanisms, a secondary computer module including data receiving, interpreting, and diagnosing capabilities remotely located from the primary computer module, electronic communication devices between the primary computer module and the secondary computer module, a mechanism for relaxation connected to the primary computer module and adapted to stabilize a patient's biological vital signs before the biological vital signs information is collected and sent by the primary computer module, at least one medical component adapted to obtain and send biological vital sign information of the patient to the primary computer module; and a mechanism for receiving and printing medical prescriptions connected to the primary computer module, wherein the secondary computer module is capable of sending medical prescriptions and the primary computer module is capable of receiving and printing medical prescriptions.

Description

A Telemedical Apparatus, System, & Method for Providing Medical Services Remotely CROSS-REFERENCE TO RELATED APPLICATION
The present application is related to and claims priority from prior United States application serial number 12/387,948, filed May 11th, 2009.
COPYRIGHT NOTICE
A portion of the disclosure of this patent document contains material which is subject to copyright protection. The copyright owner has no objection to the facsimile reproduction by anyone of the patent document or the patent disclosure, as it appears in the Patent and Trademark Office patent file or records, but otherwise reserves all copyright rights whatsoever. 37 CFR 1.71(d).
BACKGROUND OF THE INVENTION
Field of the Invention [0001] This invention relates to telemedical apparatuses, systems, and methods for providing medical services to a patient remotely using electronic communications and equipment, biological vital signs and personal information, and available medical practitioners.

Date Recue/Date Received 2020-11-26 Background
[0002] There are numerous instances and situations when a person needs medical attention and care but is either too far away from such services and providers or the attention and care needed is not urgent and can be serviced remotely and conveniently using an apparatus, system, and method as described herein.
[0003] In the past, a person needing medical attention and care would need to schedule an appointment with a practitioner, commute to that practitioner's location, wait in a waiting room for a period of time, and fill in forms and paperwork by hand before receiving even a basic examination. It became obvious that a need existed to incorporate available technologies into an apparatus, system, and method that could provide these services remotely and electronically.
[0004] Further, it has been proven in numerous medical tests, trials, and actual cases that a person in a calm or relaxed state will display more accurate and informative vital signs than those that are agitated, tired, anxious, frustrated, confused, etc. When a patient first arrives at a telemedical apparatus of the prior art they may be unsure and anxious as to what to expect from the apparatus or the lack thereof of a professional doctor or nurse being there in person to offer a personal touch, they may be agitated by their previous daily events, they may be tired by their commute to the telemedical module, etc. Therefore, it is extremely important that vital signs taken remotely be preceded by a mechanism, means, or method for relaxation to thereby improve the quality and accuracy of the vital signs retrieved, the analyses and diagnosis calculated, and the advice and services thereby rendered.
[0005] Within the configuration of the instant invention, a chosen relaxation mechanism, means, or method accompanies and communicates with the computer module in a convenient Date Recue/Date Received 2020-11-26 location for a patient to connect with quickly, easily, and comfortably. This relaxation mechanism, means, or method can be formed in many configurations, such as providing a comfortable seat formed as a chair or recliner, handles that include hand vibrators and/or hand warmers that can be attached to each vertical side of the module, a head set that vibrates and cools a patient's head, an odorizer that produces a pleasant smell, a noise generator that plays pleasant tones or music, offering meditation techniques, offering progressive neuromuscular relaxation techniques, offering message therapy, offering medicinal therapy, offering sex therapy, offering hypnosis techniques and methods, providing a misting mechanism, providing a virtual reality mechanisms, providing a tickling mechanisms, providing reading materials, providing mechanisms to induce sleep, providing mechanisms to induce laughter, providing musical instruments, providing athletics devices, providing mechanisms for urinating and/or defecating, providing a water tank for a patient to lay and relax in, providing biofeedback mechanisms, and/or any similar means, mechanisms, or methods, or combinations of any thereof.
[0006] Another deficiency of current telemedical designs and apparatuses is that once a patient has been diagnosed and medical treatment and services been determined there is no convenient mechanism, means, or method to deliver a prescription to the remote patient nor to fill the prescription by that patient. The instant invention overcomes these deficiencies by providing a mechanism for receiving and printing a prescription which can then be carried by the patient to a convenient or local pharmacy to fill. The mechanism for receiving and printing a prescription can be formed as a combination of facsimile software within the computer module and a small printing mechanism communicating with the computer module.
The mechanism can also be formed using digital files created by a medical professional and sent electronically to the computer module to be stored or printed. Or any equivalent or obvious variations thereof. Therefore, a prescription can be written by a medical Date Recue/Date Received 2020-11-26 professional, sent electronically to the computer module, printed by the printing mechanism, obtained by the patient, taken by the patient to a convenient or local pharmacy, and filled by said pharmacy.
[0007] A variation of the prescription filling mechanism, means, or method would be to have a chosen pharmacy or pharmacies integrated within the telemedical system that could be adapted and capable of receiving the patient's determined prescription directly and then filling that prescription for the patient. The patient could then either pick up the prescription in person or have the prescription delivered to a desired location chosen.
Description of the Prior Art
[0008] Other apparatuses, systems, and methods have been developed to accomplish some of these telemedical functions and requirements, including the system of Echerer, US patent 6,046,761. The system of Echerer does include medical components that do accomplish basic telemedical functions. However, there are no mechanisms, means, or methods within the Echerer system that will relax a patient or better well prepare them for the reading of their vital signs. As such, the readings taken may not be accurate and the medical advice and services rendered thereof may not be accurate or helpful. In fact, the numerous steps that Echerer uses before taking the patient's vital signs, for example, verifying the identity of the patient by asking them to hold up an identification card to the system's video camera and determining an acceptable mode of payment, may actually increase the patient's stress levels and cause further inaccuracies within the readings of their vital signs.
[0009]
Another improvement over the system of Echerer that the instant invention offers is that it does not rely on "a means for verifying the identity of said patient" or "means for establishing a mode of payment" as claimed by Echerer. Many times a patient does not have Date Recue/Date Received 2020-11-26 time or the desire to create an on-line identity or verify his identity before sending their vital information and receiving attention and care, let alone establishing a mode of payment. The instant invention operates without these requirements and thereby offers faster and better attention and care to a patient.
[00010] Further, the system of Echerer does not address the problem of sending, receiving, and filling necessary prescriptions for its patients.
[00011] Another apparatus, system, and method has been set forth by Sjoqvist, US patent number 6,409,660. This system also does include medical components that do accomplish basic telemedical functions. However, once again, there are no mechanisms, means, or methods within the Sjoqvist system that will relax a patient or better well prepare them for the reading of their vital signs. As such the readings taken may not be accurate and the medical advice and services rendered thereof may not be accurate or helpful.
[00012] Another improvement over Sjoqvist that the instant invention offers is that it does not rely on "a means for assigning priorities to different types of information upon transmission of data to a central unit" as claimed by Sjoqvist. The data receiving and interpreting mechanism on the receiving end of the instant invention retrieves and processes all the infoimation sent by the patient in an extremely fast and efficient manner no matter how much data is sent at the same time or in what order, thereby negating the need to "prioritize" the information first and actually saving time and avoiding a degree of possible computer error.
[00013] Further, the system of Sjoqvist also does not address the problem of sending, receiving, and filling necessary prescriptions for its patients.
Date Recue/Date Received 2020-11-26
[00014] As for computer modules having the ability to process a patient's personal information and biological vital signs information to provide medical diagnoses, the applicant makes reference to the US patent of Macoviak et al 9,224,180, wherein its computer module(s) includes software packages that include computer algorithms encoded therein that are used to process a patient's personal information and biological vital signs information to provide medical diagnoses. Macoviak et al, however, does not provide or discuss any methods or mechanisms for relaxation integrated within their telemedical system.
[00015] As for medical components having the ability to obtain, store, and send biological vital sign information either visually or through electronic means to computer modules for processing, the applicant makes reference to the US Patent to Tran 8,500,636 and the US
Patent to Haq 8,589,177, that exemplify and describe medical components having the ability to obtain, store, and send their respective biological vital sign information either visually or through electronic means to their respective computer modules for processing and providing medical diagnoses. Hach however, does not provide or discuss any methods or mechanisms for relaxation integrated within their telemedical system.

Date Recue/Date Received 2020-11-26 BRIEF SUMMARY OF THE INVENTION
[00016] The instant invention is set forth as a telemedical apparatus, system, and method for providing medical services to a patient remotely using electronic communications and equipment, retrieved biological vital signs information, and personal patient information.
[00017] The "system" for providing medical services remotely includes the use of electronic communications and equipment, including but not limited to the use of internet technology, the input and interpreting of biological vital signs information and personal patient information via computer modules, and the transfer of advice and proposed medical services.
[00018] The "apparatus" for providing medical services remotely includes a primary computer module including a data input mechanism, at least one secondary computer module each including a data receiving and interpreting mechanism, electronic communication devices between the primary computer module and the at least one secondary computer module, a mechanism for relaxing a patient prior to and during use, and a mechanism for providing medical services after the patient's data and information is processed by the at least one secondary computer module, including sending, receiving, and filling necessary prescriptions for its patients.
[00019] The primary computer module incorporates advanced software packages and touch-screen capabilities. Medical components are removably connected to the primary computer module either by wires or wirelessly that perform functions such as measuring a patient's blood pressure and pulse rate, weight, cholesterol, temperature, and glucose level.
These medical components may also include a spirometer for monitoring and diagnosing asthma symptoms, a diagnostic camera for up close visual inspections, including Date Recue/Date Received 2020-11-26 dermatological evaluations, and can be used for visual communications between a patient and a medical practitioner, and even radiological mechanisms to perform the tests and functions of a radiologist. Some of these medical components may also be attached to or even embedded within a seat, formed as a chair or recliner, or attached to a water tank that the patient may be using during the relaxation process to make it more convenient to retrieve biological vital signs from the patient once relaxed. The primary computer module is also designed to receive additional personal information and data from a patient through the data input mechanism, which includes a series of questions that the patient responds to and inputs their answers.
[00020] Before readings for the biological vital signs are taken from the patient, any one or a combination of a series of stress reducing mechanisms and techniques are used to relax the patient so that their vital signs become more steady (stable) and accurate.
These mechanisms and techniques may include the use of a seat formed as a chair or recliner, handles including hand vibrators and/or hand warmers that can be attached to respective opposite vertical sides of the primary computer module, a head set that vibrates and cools a patient's head, an odorizer that produces a pleasant smell, a noise generator that plays pleasant tones or music, meditation techniques, progressive neuromuscular relaxation techniques, massage therapy, sex therapy, medicinal therapy, hypnosis, a misting mechanism, laying in a water tank, biofeedback mechanisms, virtual reality mechanisms, tickling mechanisms, reading materials, mechanisms to induce sleep, mechanisms to induce laughter, using and playing musical instruments, athletic devices, and even mechanisms for urinating and/or defecating, or any similar means, mechanisms, or methods, or combinations of any thereof.
[00021] Once the patient's personal information has been retrieved via the primary computer module data input mechanism, the patient is sufficiently relaxed via the stress Date Recue/Date Received 2020-11-26 reducing mechanisms and/or techniques and appropriately connected to the primary computer module via chosen medical components, their biological vital signs are retrieved. The primary computer module then connects electronically with the at least one secondary computer module, such that the patient's biological vital signs information and personal information can be sent to the at least one secondary computer module. The at least one secondary computer module can be monitored by trained personnel interfacing with the patient, and can also include computer modules with access to a large data base that includes previous patient information, a library of medical information, automated medical diagnostic tools and algorithms, and a listing of medical practitioners. Once all the necessary patient personal and vital signs information are processed by the at least one secondary computer module and a preliminary diagnosis is performed by the at least one secondary computer module, the at least one secondary computer module then provides information to the patient to help the patient connect with an appropriate medical practitioner for further diagnoses, instructions, attention, and medical services. One of the medical services that can be provided includes writing a prescription for medical treatment, wherein the prescription is forwarded electronically to the primary computer module by the at least one secondary computer module and is thereby adapted and available to be used by the patient to obtain the prescription at a pharmacy that is convenient for the patient.
[00022] Finally, the "method" for providing medical services remotely includes providing the apparatus as set forth herein, including providing a means for relaxation, providing a means for data receiving and interpreting, providing medical information and available services, and providing means for sending and filling medical prescriptions as described prior.

Date Recue/Date Received 2020-11-26
[00023] There has thus been outlined, rather broadly, the more important features of the invention in order that the detailed description thereof that follows may be better understood and in order that the present contribution to the art may be better appreciated.
[00024] Numerous objects, features and advantages of the present invention will be readily apparent to those of ordinary skill in the art upon a reading of the following detailed description of presently preferred, but nonetheless illustrative, embodiments of the present invention when taken in conjunction with the accompanying drawings. The invention is capable of other embodiments and of being practiced and carried out in various ways. Also, it is to be understood that the phraseology and terminology employed herein are for the purpose of descriptions and should not be regarded as limiting BRIEF DESCRIPTION OF THE DRAWINGS
[00025] The figures which accompany the written portion of this specification illustrate embodiments according to the teachings of the present invention.
[00026] FIG. 1 is a perspective view of the telemedical apparatus including the primary computer module, the data input mechanism, mechanisms for relaxation, medical components to retrieve biological vital signs, and the mechanism for receiving and printing prescriptions.
[00027] FIG. 2 is a flow chart showing the preferred interrelationships between portions of the telemedical system and method.
[00028] FIG. 3 is a perspective view of a water tank being used as the mechanism for relaxation.
Date Recue/Date Received 2020-11-26
[00029] FIG. 4 is a perspective view of a plurality of secondary computers being monitored by trained personnel.
[00030] FIG. 5 is a view of a remotely located medical practitioner monitoring a mechanism for sending prescriptions electronically.
[00031] FIG. 6 is a perspective view of a patient visiting a pharmacy to have their prescription filled
[00032] FIG. 7 is a perspective view of the means for relaxation formed as handles including hand warmers and hand vibrators.
[00033] FIG. 8 is a perspective view of the means for relaxation formed as a head set that vibrates and cools a patient's head.
DETAILED DESCRIPTION
[00034] The embodiments of the present disclosure described below are not intended to be exhaustive or to limit the disclosure to the precise forms disclosed in the following detailed description. Rather, the embodiments are chosen and described so that others skilled in the art may appreciate and understand the principles and practices of the present disclosure.
[00035] The following embodiments and the accompanying drawings, which are incorporated into and form part of this disclosure, illustrate embodiments of the invention and together with the description, serve to explain the principles of the invention. To the accomplishment of the foregoing and related ends, certain illustrative aspects of the invention Date Recue/Date Received 2020-11-26 are described herein in connection with the following description and the annexed drawings.
These aspects are indicative, however, of but a few of the various ways in which the principles of the invention can be employed and the subject invention is intended to include all such aspects and their equivalents. Other advantages and novel features of the invention will become apparent from the following detailed description of the invention when considered in conjunction with the drawings.
[00036] The preferred embodiment of the instant invention is illustrated in Figures 1-8 as a telemedical apparatus, system, and method for diagnosing and treating a patient remotely.
[00037] Figure 1 illustrates a perspective view of the telemedical apparatus including the primary computer module 10, mechanisms for relaxation described in further detail below, medical components, including a mechanism to measure and record blood pressure and pulse rate 21 contacting a patient, and the mechanism for receiving and printing prescriptions 20.
The primary computer module 10 incorporates many of the modern technical equipment, including advanced software packages and touch-screen technology.
[00038] An electronic communication mechanism, including member 30, is also provided and adapted to be connected to the primary computer module 10 and includes wireless internet sending and receiving mechanisms adapted to electronically connect the primary computer module to at least one remotely located secondary computer module, such that the primary computer module 10 is adapted to collect a patient's personal information and biological vital signs information, send the patient's personal information and said biological vital signs information electronically to a secondary computer module, receive diagnosing and treatment information from the secondary computer module, and provide the diagnosing and treatment information to said patient.

Date Recue/Date Received 2020-11-26
[00039] When a patient 1 first approaches the telemedical system primary computer module they simply touch the primary computer module screen 11 where it displays the instruction to do so, such as a "Press here to begin" image. The patient will then be greeted by voice and/or visual commands to guide them through a process that includes the input of that patient's necessary personal and biological vital sign information using the primary computer module touch screen capabilities or optional keyboard and selected vital sign retrieving medical components, described in further detail below.
[00040] Once the patient is logged in and ready they can choose between any one or a combination of a series of the stress reducing means and mechanisms and techniques offered and used to relax the patient so that their biological vital signs become more steady/stable and accurate. These means, mechanisms, and techniques may include the use of a seat 12 formed as a chair or recliner that may include a foot rest pivotably attached thereto and a head rest pivotably attached to a back rest thereof; handles 13 including hand vibrators and hand warmers that can be releasably attached to each respective opposite vertical side of the primary computer module screen or casing; a head set 14 that vibrates and cools a patient's head; odorizing and misting members 15 that produces pleasant smells and mist;
noise generators 16 that plays pleasant tones or music; meditation techniques;
progressive neuromuscular relaxation techniques; massage therapy which can be accomplished by incorporating vibrators into seat 12 to vibrate seat 12, and incorporating rollers 70 therein;
medicinal therapy 17, which can be in the form of a tube adapted to transfer medicine from the primary computer 10 to the patient; mechanisms for sex therapy; hypnosis, which can be accomplished using mechanism 18 that spins in a hypnotic pattern wherein the patient can watch and concentrate on mechanism 18 and become hypnotized and relaxed; a water tank 19, as shown in Figure 3, for a patient to lay and float in; biofeedback mechanisms; virtual reality mechanisms; tickling mechanisms; reading materials; mechanisms to induce sleep;

Date Recue/Date Received 2020-11-26 mechanisms to induce laughter; using and playing musical instruments; using athletics devices; and even mechanisms for urinating and/or defecating; and any similar means, mechanisms, or methods, or combinations thereof.
[00041] A more detailed illustration of the handles 13 including hand vibrators and hand warmers is set forth in Figure 7. In this embodiment the handles 13 are formed having hollow cylindrical bodies 81. Within and attached to the inner walls of the cylindrical bodies are resistor members 82, which are individually marked each with an R and are interconnected by electric wires 83, that heat up when a current is passed therethrough via main electric wire 85. Further, a vibrating member 84, which in this embodiment is formed as a spring type member, passes through the middle of the body and vibrates when the current is passed therethrough via main electric wire 85. The handles 13 are electrically connected to the primary computer module via the electric conductor members 85, and releasably mechanically connected to the primary computer module via connector members 86. When the patient chooses this means for relaxation, they place one hand on each handle 13. The primary computer module then sends an electric current through main electric wire 85 and electric wires 83 to heat and vibrate the patient's hands until the patient is sufficiently relaxed.
[00042] A more detailed illustration of the head set 14 that vibrates and cools a patient's head is set forth in Figure 8. In this embodiment the head set is formed as a circular band 90 having condenser cooling members 91 interconnected by electrical wires 93, and vibrator members 92 interconnected between the condenser cooling members and attached to the inner side thereof. The condenser cooling members and vibrators are electrically connected to the primary computer module via main electric wire 94. When the patient chooses this means for relaxation, they place the head set on their head. The primary computer module Date Recue/Date Received 2020-11-26 then send an electric current through the electric wires 93 and main electric wire 94 to the cooling and vibrating members until the patient is sufficiently relaxed.
[00043] A meditation technique, a progressive neuromuscular relaxation technique, and a hypnosis technique are also being employed and used by patient 1 and illustrated in Figure 1.
As such, the patient can meditate by concentrating on odorizing and misting members 15 that produces pleasant smells and mist, noise generators 16 that plays pleasant tones or music, and mechanism 18 that spins with a hypnotic pattern. As a result, patient 1 is in a sufficiently relaxed state for their biological vital signs to be taken.
[00044] Once the patient is ready for biological vital sign entry, biological vital sign retrieving medical components are connected to the patient, including in no particular order, mechanisms to measure and record blood pressure and pulse rate (for example, member 21 shown in Figure 1 attached to the reclining back rest member of the seat and electronically connected to the primary computer module 10), weight, cholesterol, temperature, and glucose level. These medical components can also include a spirometer for monitoring and diagnosing asthma symptoms; three-dimensional diagnostic cameras (for example, members 22 shown in Figure 1) for up close visual inspections, including dermatological evaluations, and can be used for visual communications between a patient and a medical practitioner; and even radiological mechanisms. These medical components may also be attached to or even embedded within a seat, formed as a chair or recliner, or attached to a water tank that the patient may be using during the relaxation process to make it more convenient to retrieve biological vital signs from the patient once relaxed. Each medical component is also adapted to be electronically connected to the primary computer module 10 wherein the biological vital sign information collected is then transferred electronically to the computer module 10.
The computer module 10 is adapted to control each medical component using advanced Date Recue/Date Received 2020-11-26 computer software and algorithms encoded thereon, and to control the transfer of biological vital signs from each respective medical component thereto.
[00045] Once the patient properly connects to the primary computer module 10 and their biological vital signs information and necessary personal information have been entered therein, the primary computer module 10 connects electronically, via electronic communication mechanism 30 and available internet resources, with a remotely located call center 25, as illustrated in Figure 4, and sends the patient's personal information and biological vital signs information to one of a plurality of secondary computer modules 27.
The call center 25 may include trained personnel 31 available to interface with the patient if necessary, and does include a plurality of secondary computer modules 27 that have access to large data bases that includes prior patient information, a library of medical information, automated medical diagnostic tools and algorithms, and a listing of medical practitioners.
Each of the plurality of secondary computer modules 27 further include advanced software packages that include algorithms encoded therein adapted to generate medical diagnoses, and which operate with similar steps and procedures as the software and algorithms of Macoviak et al 9,224,180.
[00046] Once all of the patient's personal information, prior patient information, and biological vital signs information are collected by and processed by the secondary computer module 27 via its software packages and algorithms encoded therein, a diagnosis is generated and treatment information is compiled by the secondary computer module 27. The secondary computer module 27 then sends the diagnosis and treatment information to the primary computer module 10 via the electronic communication mechanism, including member 30, and available internet resources, to thereby enable the patient to connect with an appropriate medical practitioner 40, as illustrated in Figure 5, for further instructions, attention, and Date Recue/Date Received 2020-11-26 suggested medical services. The medical practitioner also has the ability and means to research, diagnose, and write and send prescriptions to either the patient directly via the electronic communication mechanism, including member 30, or through the secondary computer module 27. As shown in Figure 5, medical practitioner 40 can use a scanning and/or facsimile device 42 to retrieve and send prescriptions, or create a computer file and send prescriptions using prescription software, computer module 44, and intemet technology, or any variation or combination of known technologies.
[00047] One of the most important medical services provided within this apparatus, system, and method of providing medical services remotely includes providing a mechanism for receiving and printing a prescription, illustrated in Figure 1 as member 20. The prescription, viewed in Figures 1, 5, and 6 as member 100, can then be carried by the patient to a convenient pharmacy 50 to fill, as illustrated in Figure 6. The mechanism for receiving and printing a prescription can be formed as a combination of facsimile software within the primary computer module and a small printing mechanism 20 communicating with the primary computer module. The mechanism for receiving and printing a prescription can be also formed as digital files created by a medical professional and sent electronically to the primary computer module to be stored or printed. Or any equivalent or obvious variations thereof. Therefore, a prescription can be written by a medical professional, sent electronically to the primary computer module, printed by the printing mechanism, obtained by the patient, taken by the patient to a convenient and local pharmacy, and filled by said pharmacy.
[00048] A variation of the mechanism for receiving and printing a prescription would be to have a chosen pharmacy 50 adapted and capable of receiving the patient's prescription directly, either using computer files or facsimile technology and a printer, for example, Date Recue/Date Received 2020-11-26 member 55 in Figure 6. The patient could then either pick up the prescription in person or have the prescription delivered to a chosen location.
[00049] Although specific embodiments have been illustrated and described herein, it will be appreciated by those of ordinary skill in the art that any arrangement, which is calculated to achieve the same purpose, may be substituted for the specific embodiment shown. This application is intended to cover any adaptations or variations of the present invention.
[00050] Although the invention has been explained in relation to its preferred embodiment, it is to be understood that many other possible modifications and variations can be made without departing from the spirit and scope of the invention.

Date Recue/Date Received 2020-11-26

Claims (28)

What is claimed is:
1.) A system for providing telemedical services for diagnosing and treating a patient remotely, comprising:
a primary computer module including:
a data input mechanism;
wherein said data input mechanism is adapted to allow a patient to input personal information into said primary computer module;
wherein said primary computer module is adapted to collect said patient's personal information and biological vital signs information, send said patient's personal information and said biological vital signs information electronically to a secondary computer module, receive diagnosing and treatment information from said secondary computer module, and provide diagnosing and treatment information to said patient;
at least one secondary computer module:
wherein said at least one secondary computer module is located remotely from said primary computer module, is adapted to retrieve said patient's personal information and said biological vital signs information electronically from said primary computer module, process said patient's personal information and said biological vital signs information, retrieve and process available prior personal information of said patient, and send diagnosing and treatment information back to said primary computer module;

Date Recue/Date Received 2021-04-08 an electronic communication mechanism;
wherein said electronic communication mechanism is adapted to be electronically connected between and communicate with said primary computer module and said at least one secondary computer module, to thereby send said patient's personal information and said biological vital signs information electronically from said primary computer module to said at least one secondary computer module, and electronically send said diagnosing and treatment information back to said primary computer module;
a mechanism for relaxation comprising at least one handle that includes at least one hand vibrator and at least one hand warmer; and wherein each of said at least one handle are adapted to be mechanically and electrically attached to said primary computer module;
wherein said mechanism for relaxation is adapted to be connected with said primary computer module and is adapted to stabilize said patient's biological vital signs before said biological vital signs information is collected and sent by said primary computer module;
at least one medical component;
wherein each of said at least one medical component is adapted to be releasably connected to said primary computer module; and wherein each of said at least one medical component is adapted to obtain and send biological vital sign information of said patient to said primary computer module;
Date Recue/Date Received 2021-04-08 wherein said data input mechanism of said primary computer module is used to collect said personal information of said patient;
wherein said mechanism for relaxation is used to stabilize said patient's biological vital signs;
wherein each of said at least one medical component is used to obtain and send biological vital sign information of said patient to said primary computer module after using said mechanism for relaxation to stabilize said patient's biological vital signs;
wherein said primary computer module is used to collect said patient's biological vital signs information from each of said at least one medical component after using said mechanism for relaxation to stabilize said patient's biological vital signs, and sending said patient's personal information and said biological vital signs information to said at least one secondary computer module via said electronic communication mechanism; and wherein said at least one secondary computer module is used to receive and process said patient's personal information and said biological vital signs information, retrieve said available prior personal information of said patient, and compile and send said diagnosing and treatment information back to said primary computer module via said electronic communication mechanism for said patient to retrieve and use.
2.) The system for providing telemedical services of claim 1, further comprising a mechanism for receiving and printing medical prescriptions connected to said primary computer module.

Date Recue/Date Received 2021-04-08
3.) The system for providing telemedical services of claim 1, wherein said electronic communication mechanism includes communication technology adapted to make use of internet, radio, telephony, teletype, and facsimile technologies.
4.) The system for providing telemedical services of claim 1, wherein said data input mechanism of said primary computer module is formed as a keyboard.
5.) The system for providing telemedical services of claim 1, wherein said data input mechanism of said primary computer module includes a primary computer module screen incorporating touch-screen technology adapted to allow said patient to input information into said primary computer module.
6.) The system for providing telemedical services of claim 1, wherein each of said at least one medical component is chosen from a list of medical components consisting of a blood pressure and pulse rate measuring device, a weight measuring device, a cholesterol measuring device, a pulse rate measuring device, a temperature measuring device, a glucose level measuring device, a spirometer for monitoring and diagnosing asthma symptoms, three-dimensional diagnostic cameras for up close visual inspections, and radiological devices.
7.) The system for providing telemedical services of claim 1, wherein said mechanism for relaxation further comprises a seat; and a reclining back rest pivotably attached to said seat.

Date Recue/Date Received 2021-04-08
8.) The system for providing telemedical services of claim 7, wherein said mechanism for relaxation further comprises a foot rest pivotably attached to said seat; and a head rest pivotably attached to said back rest.
9.) The system for providing telemedical services of claim 1, wherein each of said at least one handle includes resistors interconnected by electric wires and are adapted to heat up when an electric current is passed therethrough via a main electric wire; and wherein each of said at least one handle includes a vibrator formed as a spring connected to said main electric wire and is adapted to vibrate when said electric current is passed therethrough.
10.) The system for providing telemedical services of claim 1, wherein said mechanism for relaxation further comprises an odorizing and misting member that produces smells and mist;
and a noise generating member that plays tones and music.
11.) The system for providing telemedical services of claim 1, wherein said mechanism for relaxation further includes meditation.
12.) The system for providing telemedical services of claim 1, wherein said mechanism for relaxation further includes medicinal therapy.
13.) The system for providing telemedical services of claim 1, wherein said mechanism for relaxation further includes means for hypnotizing.

Date Recue/Date Received 2021-04-08
14.) The system for providing telemedical services of claim 1, wherein said mechanism for relaxation further includes a water tank adapted for a said patient to lay and float in.
15.) A system for providing telemedical services for diagnosing and treating a patient remotely, comprising:
a primary computer module including:
a data input mechanism;
wherein said data input mechanism is adapted to allow a patient to input personal information into said primary computer module;
wherein said primary computer module is adapted to collect said patient's personal information and biological vital signs information, send said patient's personal information and said biological vital signs information electronically to a secondary computer module, receive diagnosing and treatment information from said secondary computer module, and provide diagnosing and treatment information to said patient;
at least one secondary computer module:
wherein said at least one secondary computer module is located remotely from said primary computer module, is adapted to retrieve said patient's personal information and said biological vital signs information electronically from said primary computer module, process said patient's personal information and said biological vital signs information, retrieve and process available prior personal information of said patient, and send diagnosing and treatment information back to said primary computer Date Recue/Date Received 2021-04-08 module;
an electronic communication mechanism;
wherein said electronic communication mechanism is adapted to be electronically connected between and communicate with said primary computer module and said at least one secondary computer module, to thereby send said patient's personal information and said biological vital signs information electronically from said primary computer module to said at least one secondary computer module, and electronically send said diagnosing and treatment information back to said primary computer module;
a mechanism for relaxation comprising a head set adapted to be electrically connected to said primary computer module and that includes vibrators and cooling elements adapted to be placed on said patient's head for vibrating and cooling said patient's head;
wherein said mechanism for relaxation is adapted to be connected with said primary computer module and is adapted to stabilize said patient's biological vital signs before said biological vital signs information is collected and sent by said primary computer module;
at least one medical component;
wherein each of said at least one medical component is adapted to be releasably connected to said primary computer module; and wherein each of said at least one medical component is adapted to obtain and send biological vital sign information of said patient to said Date Recue/Date Received 2021-04-08 primary computer module;
wherein said data input mechanism of said primary computer module is used to collect said personal information of said patient;
wherein said mechanism for relaxation is used to stabilize said patient's biological vital signs;
wherein each of said at least one medical component is used to obtain and send biological vital sign information of said patient to said primary computer module after using said mechanism for relaxation to stabilize said patient's biological vital signs;
wherein said primary computer module is used to collect said patient's biological vital signs information from each of said at least one medical component after using said mechanism for relaxation to stabilize said patient's biological vital signs, and sending said patient's personal information and said biological vital signs information to said at least one secondary computer module via said electronic communication mechanism; and wherein said at least one secondary computer module is used to receive and process said patient's personal information and said biological vital signs information, retrieve said available prior personal information of said patient, and compile and send said diagnosing and treatment information back to said primary computer module via said electronic communication mechanism for said patient to retrieve and use.

Date Recue/Date Received 2021-04-08
16.) The system for providing telemedical services of claim 15, wherein said head set further includes a circular head band; wherein said vibrators and cooling elements are attached to an inner side of said circular head band, are interconnected by electric wires, and are electrically connected to said primary computer module via a main electric wire, such that when an electric current is passed therethrough via said main electric wire said cooling elements reduce in temperature and said vibrators vibrate.
17.) The system for providing telemedical services of claim 15, further comprising a mechanism for receiving and printing medical prescriptions connected to said primary computer module.
18.) The system for providing telemedical services of claim 15, wherein said electronic communication mechanism includes communication technology adapted to make use of internet, radio, telephony, teletype, and facsimile technologies.
19.) The system for providing telemedical services of claim 15, wherein said data input mechanism of said primary computer module is formed as a keyboard.
20.) The system for providing telemedical services of claim 15, wherein said data input mechanism of said primary computer module includes a primary computer module screen incorporating touch-screen technology adapted to allow said patient to input information into said primary computer module.

Date Recue/Date Received 2021-04-08
21.) The system for providing telemedical services of claim 15, wherein each of said at least one medical component is chosen from a list of medical components consisting of a blood pressure and pulse rate measuring device, a weight measuring device, a cholesterol measuring device, a pulse rate measuring device, a temperature measuring device, a glucose level measuring device, a spirometer for monitoring and diagnosing asthma symptoms, three-dimensional diagnostic cameras for up close visual inspections, and radiological devices.
22.) The system for providing telemedical services of claim 15, wherein said mechanism for relaxation further comprises a seat; and a reclining back rest pivotably attached to said seat.
23.) The system for providing telemedical services of claim 22, wherein said mechanism for relaxation further comprises a foot rest pivotably attached to said seat; and a head rest pivotably attached to said back rest.
24.) The system for providing telemedical services of claim 15, wherein said mechanism for relaxation further comprises an odorizing and misting member that produces smells and mist;
and a noise generating member that plays tones and music.
25.) The system for providing telemedical services of claim 15, wherein said mechanism for relaxation further includes meditation.
26.) The system for providing telemedical services of claim 15, wherein said mechanism for relaxation further includes medicinal therapy.

Date Recue/Date Received 2021-04-08
27.) The system for providing telemedical services of claim 15, wherein said mechanism for relaxation further includes means for hypnotizing.
28.) The system for providing telemedical services of claim 15, wherein said mechanism for relaxation further includes a water tank adapted for a said patient to lay and float in.

Date Recue/Date Received 2021-04-08
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