CN1735369A - Medical testing system and method - Google Patents

Medical testing system and method Download PDF

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Publication number
CN1735369A
CN1735369A CNA028301722A CN02830172A CN1735369A CN 1735369 A CN1735369 A CN 1735369A CN A028301722 A CNA028301722 A CN A028301722A CN 02830172 A CN02830172 A CN 02830172A CN 1735369 A CN1735369 A CN 1735369A
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CN
China
Prior art keywords
mentioned
internet
data
medical science
patient
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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.)
Pending
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CNA028301722A
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Chinese (zh)
Inventor
G·麦布赖德
R·罗伊斯
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cardiobeat com
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Cardiobeat com
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Publication date
Application filed by Cardiobeat com filed Critical Cardiobeat com
Priority to PCT/US2002/037272 priority Critical patent/WO2004047629A1/en
Publication of CN1735369A publication Critical patent/CN1735369A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0535Impedance plethysmography
    • 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
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/02028Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026Measuring blood flow
    • A61B5/029Measuring or recording blood output from the heart, e.g. minute volume
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026Measuring blood flow
    • A61B5/0295Measuring blood flow using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7275Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • 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
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Abstract

A medical testing system and method is disclosed in which an Internet device (103, 105, 107) is used to obtain test data from a patient automatically via sensor devices (701, 703, 705, 707). The test program in the Internet device (103, 105, 107) is downloaded from a web site via the Internet (100). After the test program has obtained the test data, the test data is uploaded to the web site server (109). At the server (109), the data is processed and the processed data is downloaded via the Internet to the patient's Internet device (103, 105, 107) and/or to other Internet devices.

Description

Medical science test macro and method
Technical field
The present invention relates to the medical science test macro in summary, specifically relates to a kind of telemedicine method of testing and system.
Background of invention
Heart disease is in a primary cause of death of the U.S..It causes 960,000 people's death, and wherein 160,000 people are between 35 years old to 64 years old.The women dies from cardiopathic number more than the male.The numeral of industrial quarters shows that shockingly-58,000,000 Americans and 200,012,000 Europeans and Aisan have a heart disease, and 5,000,000 Americans and 1,008 mega ohm people from continent once had a heart attack.The cost of the U.S. on heart disease estimated to be about 286,000,000,000 dollars.Along with a generation that is commonly referred to as " baby due tide " reached more than 60 years old, only one of the aged's quantity just will be increased in cost burden on the heart disease significantly according to estimates.The U.S. population quantity that influenced by heart disease increases, and will be along with the monobasic aging sustainable growth of baby due tide.
Thermodilution method is the basic skills of evaluation cardiac function.It inserts conduit to reach the purpose of inspection relating on the program in pulmonary artery.This method is very high to expense, equipment and those of skill in the art's time requirement.This method is needing to enter aorta by insertion conduit in cervical region or groin and via heart on the process, so it has certain invasion (traumatic).
This process can be fatal and be caused other complication, for example pneumothorax, pulmonary artery rupture, arrhythmia and severe infections.JAMA is pointed out in the report of first phase in 1996,5 of five United States Medicine centers, 737 Patients in critical care analytical data show that the mortality risk of patient in 30 days that lives through the pulmonary artery catheter insertion is higher by 21 percent than the patient who does not live through the pulmonary artery catheter insertion.This research is matched all patients in two groups according to disease seriousness and prognosis, thereby is regarded as important research.
Expense is to use another significant consideration of catheterization.One tame hospital is 49,300 dollars (according to articles that are published in JAMA cited above) to the patient with severe symptoms's that the use conduit inserts average cost.By contrast, the patient with severe symptoms who does not use conduit to insert on average only spends 35,700 dollars.Like this, catheterization makes treatment patient with severe symptoms's totle drilling cost increase extra 13,600 dollars.U.S.'s healthcare network is whenever carried out 100,000 routine conduits every year and is inserted and need to estimate 200,000,000 dollars of costs in conduit and insertion process thereof, spends 1,400,000,000 and inserts the complication that cause at conduit.
Impedance cardiography generation and development and nineteen thirties.The space programme of American National aviation and NASA has used impedance cardiography as the sad blood vessel monitoring means of the noinvasive of spaceman in the sixties for the first time.This method is regarded as self-contained unit and uses in medical circle now.Impedance cardiography be a kind of measure be reflected at cardiac function usually and from left ventricle to aortal blood flow the no wound electronic system that changes of thoracic impedance.
Impedance cardiography moves based on following principle: when the erythrocyte cell is arranged in parallel during ascending aorta to chest discharging blood, transthoracic resistivity then descends.This is followed and discharges blood to aortal stage through thorax resistivity and descend and always only account for a very little part through thoracic impedance.This signal has contribution on capacity and the speed for quantity and morphology.When altofrequency and mental retardation electric current process biological tissue, the impedance of electric current will be lower than the impedance of electric current in the drying tissue in the high tissue of moisture.The tissue that is full of air will have higher impedance.The inherent resistance characteristic of the impedance of an electric conductor and its length and conductor material is in direct ratio.The average cross-section of impedance and electric conductor is inversely proportional to.In other words, long conductor has stronger impedance than short conductors, and thin conductor has than dense conductor and more manys impedance.Dry tissue more manys impedance than organizing only to have.The thoracic cavity is an electronic conductor with variation length, volume and flow capacity.
It is in the cards injecting the mental retardation high frequency electric safely by the thoracic cavity.It is realized by electrode being placed on forehead and abdominal part respectively.Like this, then can be measured by the impedance variation in thoracic cavity.The thoracic cavity dimension of near-end and far-end is by limiting around the electrode that is placed on cervical region and bottom, thoracic cavity on the ensiform process of sternum level.Thus, measurement impedance by the thoracic cavity when high frequency constant current process forehead and abdominal electrode the time becomes possibility.
The thoracic cavity can be considered an electric conductor that can hold multiple different impedance units.Pulmonary shows very high resistive component because holding air.Skin, subcutaneous fat and muscle become multiple thoracic impedance unit, and they move according to following ultimate principle: comprise many more moisture or many more electrolyte in every gram tissue, resistivity is then weak more.The constituent in the 3rd thoracic cavity is heart and the trunk that is full of blood, and blood wherein can be considered the electrolyte solution that adds cell.Blood and saline are good electric conductors, therefore have than Low ESR.Thus, have juicy more in the thoracic cavity, the conductivity of electric current is good more, and the impedance of electric current is weak more simultaneously.These conductive variations can be detected and be reduced to a series of cardiovascular measurements.
Although clinical monitoring is inevitable and important, it is evident that the angiocardiopathy preventing no less important all the more.For safeguarding cardiovascular health better, there are consistent needs.
More generally, need a kind ofly can expand being extensive use of of limited Medical Technology, and lower-cost medical science test macro and method.
Summary of the invention
According to principle of the present invention, a revolutionary healthcare system will be provided.This invention will provide the telemedicine test.The network equipment is used to receive the test data that goes out from medical sensor stream, by the Internet these test datas is uploaded to a central site.At central site, test data is produced detecting information by predefined algorithm process.Detecting information can be obtained by the network equipment.Detecting information also can obtain by the Internet authorized users.
Be used to provide the medical treatment test with the coupled server in the Internet.Medical test measurement data by the internet equipment of remote site by the patient via Internet transmission to central server.Server is selected the above-mentioned data of computer program algorithm process and is produced detecting information.Server downloads to these detecting informations the subscriber equipment of the networking that is predetermined again.
According to one aspect of the present invention, the method for operation internet equipment comprises by the Internet downloads medical test program from server.At least one pick off is coupled to this internet equipment.Pick off is attached to or is coupled to the patient.Next internet equipment carries out test program, obtains test measurement data from least one pick off.Test measurement data is uploaded to server by the Internet.Internet equipment is downloaded from server by the Internet and is accepted processed test data.Internet equipment shows processed data.
According to one aspect of the present invention, Noninvasive impedance cardiography and the Internet insert and are used to measure and support management of cardiovascular health simultaneously.Impedance cardiography is used to the assembles data from the patient.Data are transmitted a central location by the Internet.In this central location, data are used to obtain detailed profile of cardiovascular health.For every patient safeguards a data base.This data base also can be used for the patient service widely is provided.This data base is used to provide each patient's the historical and trend report of medical conditions.The database stores of test data and case history provides seriality for obtaining accurate personal assessment.Data analysis prediction future health situation and Supporting Therapy's decision-making.All above-mentioned services are the bases of realizing the lifelong management of cardiovascular health.
The accompanying drawing summary
Read following detailed description and illustrate the understanding that can promote this invention.Similar reference is specified and is used in the similar unit of sign in these diagrams:
Fig. 1 depicts the system based on inventive principle;
Fig. 2 is the operational flowchart of system among Fig. 1;
Fig. 3 is the operational flowchart of server among Fig. 1;
Fig. 4 is the operational flowchart of server among Fig. 1;
Fig. 5 is the block diagram of server among Fig. 1;
Fig. 6 is the operational flowchart of server among Fig. 5;
How Fig. 7 explanation is patient's placement sensor adnexa;
Fig. 8 is a chart of test measurement data;
Fig. 9 is the screen display of detailed measurements data;
Figure 10 is the long-range adjustment flow chart of the implanted equipment of explanation;
Figure 11 shows the information screen that the patient provides.
The specific embodiment
Referring to Fig. 1, it shows system of the present invention with the block diagram form.System of the present invention has advantageously utilized WWW 100, and it is commonly referred to as the Internet.Use sketch map as conventional the Internet, on behalf of this, the cloud among Fig. 1 invent employed the Internet.The more detailed details that are connected with the Internet about the Internet 100 are not included in this invention.For example the different device 103,105,107 of personal computer and network handwriting pad etc. can be visited various servers, such as server 109.For the purpose of clear, internet equipment is meant that here all can be connected on the Internet and can be from the user's set of the Internet download information.Those skilled in that art can be interpreted as internet equipment the term of a pardon.This term comprises that all variously can upload the device of information from the Internet download message with to the Internet, and it does not limit the type of the device that can be connected to WWW or the Internet 100.Fig. 1 has further shown server 109, and it can be by any one internet equipment 103,105,107 by the Internet 100 visits, also otherwise for example phone 106 visits.In the actual motion, wish to accept measurement near the user or the patient of internet equipment 103.According to one aspect of the present invention, this user or patient may wish oneself to measure, and also may accept measurement under other people assistance.For the purpose of clear, patient's one speech is used to specify the people who accepts measurement.This patient may accept also may not accept doctor's medical treatment and nursing.The system and method for this invention can be used to and must be tested by the medical diagnosis that physician guidance is carried out, and also can be used to the test that the patient independently carries out.
More than in arbitrary situation, this patient by expection have can obtain measurement data and with the sensor device of internet equipment compatibility.This pick off can offer patient by in the several different methods any one.After, patient is in registering to this invention system, can receive pick off by mailing.Patient also can obtain pick off from other sources of goods.Under other situations, patient may can only obtain pick off by prescription.What use in this invention can be non-invasives by the pick off of patient oneself acquisition detection data.
According to this invention, patient uses an internet equipment 103 that is connected to the Internet 100 by server 109 to obtain the detection data.Internet equipment 103 logs on server 109.Server 109 is downloaded one or more suitable programs to internet equipment 103.In addition, server 109 downloads instructional information are to internet equipment 103.Operation guidance information uses the guidance progressively of this monitoring system for system user provides from being installed to.Operation guidance information comprises how and where guides user is installed each pick off and how pick off is connected to internet equipment 103.In addition, guidance progressively offers the user with multimedia mode and text message.Patient can and have the place of the Internet compatible equipment to test at any a guy's computer.Thereby the corresponding test of invention can be in therewith, and carry out clinic and doctor's office.Test do not have a geographical limitation.Test can need only the there in remote districts to be had internet equipment and can be connected to the WWW.Be connected to the WWW and can pass through wired connection, also can be by wireless connections, for example artificial satellite connects or any other connection.
In one embodiment of the invention, after suitable program and tutorial message were downloaded to internet equipment 103, the Internet connected and then is interrupted.Test can carried out under the state of server 109 off-lines.Internet equipment 103 is collected the resulting measurement data of test.When test process is finished, internet equipment 103 reconnects to server 109, and uploads the measurement data collected to server 109.Server 109 is handled measurement data and the result is downloaded in the internet equipment 103 and is shown to the patient.
Fig. 2 again, it has described the operation of method of testing and system from patient's angle.Mainly describe the patient and how to operate although it is pointed out that these steps, other people also can assist or represent this patient to operate.In 201 steps, the patient logs on a website by server 109 operations by internet appliance 103.After logging on the website, must recognize his the current test macro that whether is registered to step 203 patient.If he registers system user for this reason previously, he has been assigned people's identification number or PIN one by one.In step 205, the patient imports his PIN, occurs the menu of a series of options then in step 207.If the patient is chosen in step 209 and tests, he can be required to provide or examine payment information, for example provides credit card number in step 211.He also can be required to provide the individual who permits obtaining his information simultaneously in step 213.Such as, he can specify one or more practitioner to have the right to obtain his test result.Confirm to test and to carry out to the patient in step 215 system.The test program code that to implement test in step 217 system downloads in patient's the internet equipment 103.After downloading, the Internet is connected step 219 and may be interrupted.The program that downloads to internet equipment 103 will instruct whole test process, collects measurement data from pick off, disposal data and with transfer of data to the centring system website.After finishing whole test process, test program can be unloaded automatically.
In order to finish test process, patient's measurement data obtains by pick off.Downloading of part is multimedia presentation in the internet equipment 103, and it is used for guiding patient location and sensor installation or uses pick off to test.Multimedia presentation begins in step 221.It instructs the patient to settle each pick off, after pick off places, and the indication that the patient provides system's position fixing process to finish.Test after all the sensors is prepared when the patient connects in step 223, test program is carried out a diagnotor to confirm the operation conditions and the operability of all the sensors in step 225.If diagnotor shows the abnormal operation of pick off, can guide the patient to repair these problems by a series of conventional methods in step 227 program.Normally move when diagnotor shows all the sensors, the rules of test then are imported in step 229.
When obtain all test datas in step 223 after, one to guarantee that measurement data confirms that effectively subprogram is performed.If it is invalid obtaining data, the patient will be instructed again and be tested.If diagnosis of program can be specifically noted that pick off that goes wrong, the patient will be required to settle again this pick off.After all standards of program validation subprogram reach, measurement data will be compressed and handle for next step transmission in step 235.
Automatically the Internet that rebulids server 109 at step 237 test program connects.
Measurement data is uploaded onto the server 109 by internet equipment 103 by the safety encipher transmission in step 239.In fact encipheror is included in from server 109 to internet appliance 103 download.Server 109 measurement data that in step 241, receives and decode.Server 109 is according to the specified algorithm process measurement data of test in step 243.Processed measurement data is used to produce signal waveform and corresponding report.Step 245 server 109 will report and waveform download in patient's the internet equipment.Like this, the patient can watch and store these reports and waveform.The information of these downloads is presented in patient's the internet equipment.The patient can obtain a measurement result and the chart that compares of arm's length standard with him.Figure 11 has shown such sample chart.
The data of handling well, report and waveform may be transferred to a previously selected practitioner at second internet equipment 105 automatically.In step 247, server 109 can determine whether the patient has authorized other people to obtain test result.Other people can be practitioner.If the patient authorizes the result is downloaded to other people, server 109 can automatically be downloaded test result to the internet equipment 105 of specifying the practitioner of authorizing in advance in step 249.
This invention system also can carry out under another pattern.Under this pattern, test measurement data can almost side by side be obtained from server 109.Internet equipment 103 and server 109 place pick off and diagnotor the patient and confirm that pick off normally moves the back and reconnected.Like this, measurement data is transferred to server 109 with the very first time from internet equipment 103.Server 109 is deal with data and the result offered in advance specify the practitioner of authorizing next.For example, the practitioner at internet equipment 107 is authorized in the very first time by the patient and is obtained measurement data.Under this second kind of pattern, can monitor patient's measurement data in the very first time with the far practitioner of patient distance.The series of advantages of this mode is described below.
With to import the medical science test macro of data by hand by the patient opposite in the past, this invention system can obtain patient's data automatically.Test measurement data is imported into a central site and analyzes there, can be transferred to the healthcare givers with the very first time or time-delay automatically then.Further, this invention can be located the healthcare givers who is connected by the Internet in any place.
The center information bank can be deposited detecting information and patient's test result.Detecting information can be preserved throughout one's life.These data provide of great value cardiovascular health information source for the individual and to whole medical circle.A series of safety measures are used to safeguard this data base.
At central site, a data base is used for storing every patient's test data and result.In addition, all previous test datas and report also are stored in this data base.Patient and preassigned practitioner can be understood patient's historical record by this center medical science test data memory device.In addition, the trend algorithm is used to analyze current and initial data, can be for the medical condition trend analysis of patient and the download of preassigned practitioner so that form one.
Although the present invention expects that the Internet connects and will interrupt in test process and data-gathering process, this invention is same to be allowed the Internet to be connected to continue in the data-gathering process or is reconnected.The waveform of test result can obtain in the very first time, therefore allowed to monitor patient status simultaneously in patient's personal computer or any other place or any practitioner site of specifying in advance by the Internet connection.More advantageously, this system makes is anyly having place that the Internet connects, is becoming possibility at very first time monitoring status of patient.
This system can show every patient trend of repeatedly measuring in time, and health of heart is followed the tracks of in report.In addition, the patient can connect the use Medical Instruments in person to the medical space, and can be in or the monitoring of practitioner is accepted in other places.
Further, this invention can be write down the Drug therapy strategy, and predicts the influence of these strategies to other patients by the relative analysis of Drug therapy strategy history.
The website operation
Fig. 3 has shown the operational flowchart of server 109.Server 109 receives patient's the request of landing at first in step 301.Next server 109 provides the homepage that can supply the patient to watch in step 303.His PIN need be provided in step 305 if this patient is registered.Next in step 307, server 109 searches this PIN in its data base registered to confirm this patient.If looking into does not have this PIN or this PIN and be suspended or cancel, can be apprised of step 307 this patient and have no right to use this system.At this moment the patient can re-register in that step 309 is notified.If this patient is invalid from PIN unregistered or input, he can be required to register in step 311.In case the patient finishes in the registration of step 311 or patient effective PIN is provided, the central network standing-meeting allows this patient to enter menu screen in step 315.
If the patient selects a test from menu screen, server 109 can be downloaded suitable test program in step 317.Under some situation, it is more appropriate to keep the Internet connection meeting in whole test process.For example, a practitioner may wish to keep in test process the Internet to connect, and the Internet is connected in this case and can be kept.Yet in step 319, this invention can acquiescence the Internet after having downloaded test program connect in specific operation process.
After the test data that obtains the patient, the Internet of internet equipment 103 and central site or server 109 is connected in step 321 and is rebulid.In step 323, test data is uploaded to server 109 by patient's internet equipment 103.In step 325, server 109 is responsible for handling test data to obtain the report of suitable waveform and test result.Test data, waveform and be reported in that step 327 is stored among the data base 550 so that future reference is used.These waveforms and being reported in the internet equipment 103 that step 329 is downloaded to the patient.In addition, server 109 can obtain the IP address of the practitioner that the patient authorizes from the data base in step 331, and in step 333 patient's waveform and report is downloaded to the internet equipment 105 of authorized doctor in advance.If, downloading to data the process of doctor's internet equipment 105 as log on the website in step 329, the doctor takes place simultaneously with the process of handling test data basically.Otherwise in step 335, server 109 will send Email to remind them detecting information can obtain to practitioner.
The operation of practitioner
Flowchart text among Fig. 4 the system and method for this invention.Log on the network address at server 109 places in practitioner of step 401.Receive the page that can allow him to be registered to test macro for the first time this doctor of step 403, in this page, this doctor need provide various log-on messages.Registration process that system uses is multiple now a kind of in the registration process of generally approving.If the registered mistake of this doctor, he can directly provide a PIN, and this PIN will be identified in step 405.After PIN is identified, this doctor will receive a menu screen in step 407.If this doctor wishes to obtain test waveform, test record and other related datas of patient, he need import this patient's mandate coding.Server 109 will confirm that this doctor has been authorized to obtain this patient's records in step 409.This network address will be transferred to another screen of this doctor in step 411.He can obtain patient's nearest or historical data by this screen.Patient's data is downloaded in this doctor's the internet equipment 105 in step 415.In addition, this doctor can import relevant information in system, such as the date of the Medicine prescription and the medicine of prescribing.These information in step 417, unite the input and in step 419 by system stores in relevant database.
System server
Fig. 5 has shown the operating structure figure of server 109 according to this inventive principle.Server 109 comprises one or more processor units (comprising router five 01), SQL (SQL) server 503, relevant database 505, processor unit 507 and corresponding program storage 509.In the operation, server 109 is by providing menu screen and replying user's click the user is reacted.The actual operation process of server 109 website parts and various router five 01 thereof and sql server 503 is similar basically to the running of other known Website servers.
Fig. 6 is the operational flowchart of server 109.In step 601, server 109 is replied the request of landing of sending from internet equipment 103 in the mode that a login page is provided.The part login page requires the patient that his PIN that lands is provided.Click login page when detecting the patient in step 603 system, whether once the data of patient's input promptly are used to determine his registration.If this patient is from unregistered, server 109 can offer registration screen of patient in step 605.Land PIN when the patient imports one, server 109 can confirm by the one or more data bases 505 of search whether this PIN is effective in step 607.When registration process finish or effectively PIN be transfused to, system will offer menu screen of patient in step 609.If a test in patient's choice menus screen, server 109 will be in step 611 from the data base extract 505 and comprise training, the corresponding testing software of test and diagnotor.These programs connect the internet equipment 103 that downloads to the patient in step 613 by the Internet.Receive the affirmation of the personal computer that program is successfully downloaded to the patient in step 615 after, connect to the Internet of patient's internet equipment 103 and to be interrupted.Server 109 can receive from patient device 103 about handling the request of test data in step 617.Server 109 will be confirmed this request and begin to upload data to system from patient's internet appliance 103 in step 619.Next the measurement data of being uploaded is handled in a kind of appropriate algorithm of extracting from data base 505 of step 621 utilization by processor 507.Selected algorithm is consistent with the test of being selected by the patient.
Test data is handled by selected algorithm and is converted into waveform and report in step 625 by processor 507.Next waveform and report are stored in data base 505 and are associated with particular patient in step 625.In addition, related test information, such as testDate and time and specifying in advance practitioner of authorizing or other are granted access to the detecting information individual, are imported into the data base in step 629.Processor 507 downloads to waveform and report in patient's the internet appliance 103 in step 631.In addition, server 507 is downloaded waveform and report to other licensees in step 633.When one or more licensees are current when not having login system, processor 507 can extract off-the-shelf Email from data base 505, and this mail is sent to these by the Internet authorizes individual.
In addition, processor 507 identification requests utilize sql server 503 to obtain these information from relevant database 505 so that other information is provided simultaneously.Further, processor 507 also can be replied patient and other authorized doctor or individual about obtaining the request of tendency information.This invention system comprises the computer program that is stored in the program storage 509, and these computer programs can be used to produce required tendency information.As the user or be authorized to the doctor when requiring system to carry out trend analysis, trend algorithm is loaded into system and is carried out from memorizer 509.The result of trend analysis is stored in the relevant database 505, so that obtain patient's historical trend.Relevant database 505 also can be used to store other information relevant with the test data that is stored in data base 505.
For example, prescription information can be transfused to and be kept in the relevant database 505, and like this, this information can be extracted with other information of patient.Prescription information comprises temporal information, so that the acquisition time relationship relevant with prescription and test result.In practice, the patient may be required repeatedly to test in one day, to determine the influence of prescription drugs to test data.In a utilization of this invention, this invention system can be applied to the novel drugs test, because moment can be collected the information of a large amount of patient's very first times by system.We believe that this application of this invention can quicken the Time To Market of novel drugs.
Cardiac tests
This invention focuses on heart disease health care and test.Test implementation example utilization impedance cardiography, database stores, computing technique and the Internet traffic of invention compiles cardiovascular health and releases news.
Impedance cardiography is used in autonomous device and various medical Zhou Duan.The impedance cardiography test of this system employs will be collected 19 kinds of hematodinamicss and be measured.This measurement and the way from right breast intubate collection data are equivalent.Right breast intubate is a kind of danger, have invasive and very expensive way.Otherwise impedance cardiography is safety, does not have an invasive and cheap.
The measurement of four keys can provide comprehensive overview of hematodinamics function.These four crucial measurements comprise cardiac output, left ventricular ejection time, chest flowability and total system flow resistance.Cardiac output is the quantity that blood ejects at a cardiac cycle.The left ventricular ejection time be in this cardiac cycle is shunk partly from the large artery trunks valve open to the time of closing.The chest flowability is the quantity of thoracic cavity interior edema; Too much flowability can cause congested heart failure.The total system resistance is this systemic circulation resistance, and is a kind of method of measuring artery occlusion.Measured value can be in flat for sleeping in being extracted with two positions of standing.Can provide extraneous information in the comparison of these two position heart bodies about the hematodinamics function.In some cases, particularly in some application of impedance cardiography, a kind of equivalence that utilizes comes the program of normalized impedance cardiography test result to be performed, and specific practice is to carry out the test of impedance cardiography before and after right breast intubate.The needs of following use invasive catheterization procedure have been eliminated in result's standardization.
Shown in the embodiment of the invention in, occur in the website of safeguarding by server 109 for the preparation of testing.Impedance transducer is used the collection test data.Impedance transducer is transported to the patient before test.Perhaps, impedance transducer also can be distributed in practitioner or pharmacy.When this patient had impedance transducer, he logged on the website of being safeguarded by server 109.For implementing test, test program is downloaded to patient's internet equipment 103 from server 109.Program at equipment 103 can be commanded whole process, collects data from impedance transducer, adjusts data, to transfer of data is arrived server 109.
As shown in Figure 7, four impedance transducers 701,703,705,707 are placed in patient 700.Impedance transducer 701 is attached to patient's forehead.Impedance transducer 703 is attached to patient's larynx.Impedance transducer 705 is attached to the patient chest.Impedance transducer 707 is attached to patient's abdominal part.Lead is connected to each pick off 701,703,705,707 patient's internet equipment 103.Patient's internet equipment 103 comprises personal computer.Pick off 701,707 is easier to be placed, and does not need special training.Internet equipment 103 is settled each pick off 701,703,705,707 by Multimedia Program indication patient.As above describe, internet equipment 103 can be checked pick off by diagnotor of operation.By after checking, test program brings into operation at all the sensors.
The tutorial program indication this patient at first lie down, for example, and at first test position.As this patient during at first test position, this patient provide a signal instruction that can be read by program he at first test position.Internet equipment 103 is via pick off 701,703, and 705,707 measure.When this patient is lying down on the position of (flat crouch), measure to be carried out twice.Program can be indication patient when the primary importance test is finished.Next this program indicates the patient to take second test position, that is, sit or stand.When this patient in the second position, he need provide signal instruction he at this test position.When the patient in the second position, the test being carried out equally twice.The patient is stood from lying down to can reach maximized capacity transfer.Need 25 heart beatings during each of four thermometricallies or finished in about 30 seconds.
The Internet connection is based upon between patient's the internet equipment 103 and server 109.Test measurement data is uploaded to server 109.The secure package method is used in server 109 transmission.Server 109 accepts to conciliate the code encryption data.Server 109 is finished the processing test data, and produces impedance trace signal waveform and report.Server 109 download signal waveforms and report that patient's internet equipment 103 is so that the patient observes.Server 109 with the data base 505 of deposit data in Fig. 5 so that reference and analysis.In addition, as above describe, signal waveform, report and data also can be routed to internet equipment 105 and offer a practitioner of authorizing in advance.Data base 505 is responsible for storage test and patient information.
Conspicuous benefit of the present invention is that boundary and time dependence have been eliminated by the utilization the Internet.Doctor and patient can be from being connected all over the world.Best cardiologist can be on the payroll in his place of any needs.Patient and the doctor in Los Angeles in London can regulate cardiac pacemaker together.The effect of the course of treatment can be in or in other patient-monitoring and modification away from doctor's website.This invention system combines medical treatment and information technology on a unprecedented level, produce detailed, comprehensive lifetime cardiovascular health history.These information can be obtained by any people who is authorized by the patient in any place at any time.
By among the data base when any place of marquis all is easier to visit in office patient's cardiovascular measurement value being safeguarded, in fact the patient has had an instantaneous test system that gets.The multiple impedance cardiography of this systematic comparison thermometrically result's ability is encouraged multiple test.The cardiac will use these functions regularly to monitor their health regularly.Same ability will provide information resources for the doctor, predict crisis with this, regulate and control cardiac pacemaker and preside over the course of treatment.
Fig. 8 has drawn the measurement of three kinds of keys, i.e. the pressure that obtains from measurement data, reactivity and cardiac output, and illustrated for emotion stress corresponding cardiovascular response.By highlighting normal district 801 with this three variablees drawing and for understanding the cardiovascular health situation fast, determined measured cardiovascular operation performance and with standardized emotional stress relation.The upper right corner 803 comprises the raw graphics data of four tests." CO " refer to the litre to be the cardiac output (blood volume that heart injects and extracts out) of unit." MBP " referring to mean blood pressure, it is the meansigma methods (heart contraction and diastole) of two kinds of blood pressures." TSR " refer to the total system resistance of blood flow.TSR is used to weigh blood flow in endovascular resistance (obstructing arterial measurement).Data are summarized as a chart assessment to health of heart can be provided.These variablees have been represented three in 19 measurements that this invention middle impedance cardiagraphy system provided.
Periodically test can be used for providing trend analysis with other patients' specifying information, and trend analysis will be emphasized the variation of cardiovascular health.For example, these measurements will reflect the influence of exercise, body weight change and diet.Fig. 9 is a screen display at the detailed measurements value of practitioner.These data are replenished by a resources bank in data base 505, and can obtain for use in information explanation and be doctor's recommended therapy method by server 109.
The use of this invention system especially is of value to practitioner, visiting nurse and paediatrics specialist.The doctor can be by this invention system in office or be in and prescribe for it according to patient's needs.This function lacks in current treatment very much.
This invention allows cardiac conditions of patients is carried out remote monitoring.This function has significant meaning in some cases.Especially, the heart expert can use long-range adjustment of this system and method or finishing cardiac pacemaker.Figure 10 understands specifically how this function reaches.Cardiac pacemaker and other heart equipment can but still allow to be adjusted external in the implanted body.Usually adjusting device is placed on external near the place of pacemaker.Implanted pacemaker and external device (ED) are by wireless connections, so that by external device (ED) pacemaker is adjusted.According to method shown in Figure 10 flow chart, the patient can install outside adjusting device.The patient uses the network equipment 103 to log on server 109 in step 1001 usually.In step 1003, this patient pastes pick off 701,703,705 and 707 and fastens and pick off is connected to internet equipment.This patient also is connected to internet appliance in step 1005 with outside adjusting device.Measurement data is obtained and upload onto the server 109 in step 1009 in step 1007.In step 1011, server 109 is responsible for handling these measurement data and it is downloaded to the cardiologist.Next this expert connects the pacemaker of adjusting implantation in step 1013 by the Internet.Measurement continues to carry out in whole adjustment process, so that this heart expert obtains the whole result's of each step automatic and instant feedback.This expert can continue to adjust pacemaker with decision or withdraw from server 109 and then the termination adjustment process in these results of step 1015 observation.Be in course of adjustment, data are stored in the relevant database 550 constantly so that the historical record of all cardiomotilitys of patient to be provided.
Other implanted pacemaker has been designed to and can have carried out outside adjustment by external device (ED).As the device that practitioner can be implanted by this invention system and method adjustment, the patient also can adjust the influence of his measurement data adjusting device better by observation is each.In this case, the patient can independently monitor the influence of adjustment, and for example the patient can carry out cardiac tests, adjusts pacemaker of implanting and the influence of observing adjustment immediately by adjusted test once more.Can obtain better, more effective adjustment by this proceedings.Use wireless the Internet appliance, the patient can adjust in remote districts, carries out other daily routines while also can adjust.
It is to obtain an acceptable cardiovascular system performance operation level that the cardiac is carried out primary purpose of medication.The parameter of this invention systematic survey can provide the information for doctor's assessment and adjusting Drug therapy.Conventional medication effectiveness inspection can provide the knowledge that obtains best of breed for the doctor.This invention system use has in the family been saved the time to a certain extent, and can not be subjected to the influence of time, thereby this process can be by more reliable use.
An application of system of the present invention can be measured patient performance, to be used to evaluate diet and the exercise regimen that the doctor is formulated.This system detecting information that the patient is all stores in the relevant database 550.Historical data is used to make the report card, and it is the proof that shows treatment plan success or failure.Regular feedback and be the basis of improving medical control with the further understanding that system obtains data relationship to therapeutic goal and this target.The treatment plan that the doctor formulates is recorded in expected results in patient's the personal information, the result that they and real system are tested is compared being used for.The visibility of status of patient progress (or room for manoeuvre) becomes a kind of stimulation means.
Regular monitoring can be reminded the treatment doctor when hemodynamic measurements worsens before crisis takes place.
All are concerned about the crowd of own cardiovascular health, such as athlete and melancholiac, can use this invention system that correction data at their age and sex is provided.The athlete can measure the effectiveness of training by cardiac output and resistance of blood flow.Other crowds can compare their measurement statistics and matched group.
This invention is described by specific embodiment.Those skilled in that art should be realized that, various changes and revising can be applied among the embodiment and not depart from the spirit or scope of the present invention.This means that various changes and modification are included within the scope of the invention.This means that further the present invention neither is subjected to here the various embodiment that show and describe of institute and limits, and is not also limited by the embodiment that is showed by the patent application date.This means that the claim after this invention only is attached to limits.
This means that further the use of method and employed functional language do not limit to this and invent in a kind of structure specific or of equal value with it as described above.This means structural equivalents, structure and any above-described ad hoc structure of equal value all are included in the field of the present invention.

Claims (44)

1, a kind of medical science method of testing, it may further comprise the steps:
Provide testing sensor to an object;
With the sensor and the coupling of above-mentioned object;
With the sensor and the device coupled that can enter the Internet;
Operation the said equipment is so that it obtains test measurement data from the sensor automatically;
By the Internet upload above-mentioned test measurement data to remote site away from above-mentioned object.
2, medical science method of testing as claimed in claim 1 comprises:
Provide server at above-mentioned remote site;
On central server, handle the data of above-mentioned test measurement data to obtain to have handled.
3, medical science method of testing as claimed in claim 2 comprises:
From above-mentioned server the above-mentioned data of having handled are downloaded to the said equipment;
On the said equipment, show the above-mentioned data of having handled.
4, medical science method of testing as claimed in claim 3 comprises:
Download the above-mentioned data of having handled by the Internet.
5, medical science method of testing as claimed in claim 3 comprises:
In the request of above-mentioned server reception from second equipment, this request is used to obtain the above-mentioned data of having handled;
The above-mentioned transfer of data of having handled is arrived above-mentioned second equipment.
6, medical science method of testing as claimed in claim 5 comprises:
Receive above-mentioned request by the Internet.
7, medical science method of testing as claimed in claim 6 comprises:
Via the Internet to above-mentioned second above-mentioned reduced data of device transmission.
8, medical science method of testing as claimed in claim 2 comprises:
With the above-mentioned data storage of having handled in a data base.
9, medical science method of testing as claimed in claim 8 comprises:
With other data storage of having handled that replenishes of above-mentioned object in above-mentioned data base.
10, medical science method of testing as claimed in claim 9 comprises:
Automatically the test measurement data of the above-mentioned object different times of storage is as other data of having handled of replenishing.
11, medical science method of testing as claimed in claim 10 comprises:
The historical test measurement data that provides analysis programme to obtain from above-mentioned data base with analysis, thus second treated data is provided.
12, medical science method of testing as claimed in claim 11 comprises:
Above-mentioned second data of having handled are transferred to the said equipment from above-mentioned central server; And
On the said equipment, show above-mentioned second reduced data.
13, medical science method of testing as claimed in claim 12 comprises:
Via above-mentioned second data of having handled of Internet transmission.
14, medical science method of testing as claimed in claim 12 comprises:
In second request of above-mentioned central server reception from second equipment, this request is used to obtain second data of having handled;
With above-mentioned second transfer of data of having handled to above-mentioned second equipment.
15, medical science method of testing as claimed in claim 14 comprises:
Receive above-mentioned second request via the Internet.
16, medical science method of testing as claimed in claim 15 comprises:
Via the Internet with above-mentioned second transfer of data of having handled to above-mentioned second equipment.
17, medical science method of testing as claimed in claim 16 comprises:
At above-mentioned central server above-mentioned second data of having handled are encrypted;
At above-mentioned second equipment above-mentioned enciphered data is decrypted.
18, medical science method of testing as claimed in claim 1 comprises:
The multimedia interface device is provided on the said equipment;
With above-mentioned multimedia interface device and above-mentioned object communication test tutorial message.
19, medical science method of testing as claimed in claim 18 comprises:
Receive above-mentioned test tutorial message via the Internet.
20, medical science method of testing as claimed in claim 18 comprises:
Receive above-mentioned test tutorial message from a central server that is coupled to the Internet.
21, a kind of method that the medical science test is provided comprises:
The central server that is coupled to the Internet equipment is provided;
From the internet equipment of remote site, upload the medical science test measurement data to above-mentioned central server by the Internet via the patient;
On above-mentioned central server equipment, select the computer program algorithm to handle above-mentioned medical science test measurement data;
According to the above-mentioned medical science test measurement data of above-mentioned selected computer program algorithm process, to obtain detecting information from above-mentioned medical science test measurement data; And
Above-mentioned detecting information is downloaded the subscriber equipment that is coupled to the Internet to predetermined.
22, method as claimed in claim 21 comprises:
A data base that can be visited by above-mentioned central server is provided; And
Above-mentioned detecting information is stored in the above-mentioned data base.
23, method as claimed in claim 21 comprises:
Receive patient's identifying information of above-mentioned test measurement data;
Above-mentioned detecting information is stored to a data base; And
The above-mentioned detecting information of having stored is associated with above-mentioned patient's identifying information.
24, method as claimed in claim 23 comprises:
From the request of requestor's reception about above-mentioned detecting information; And
Determine that above-mentioned requestor has the mandate of obtaining above-mentioned information.
25, method as claimed in claim 24 comprises:
Receive above-mentioned request via the Internet.
26, method as claimed in claim 24 comprises:
Above-mentioned requested detecting information is downloaded to the requestor via the Internet.
27, method as claimed in claim 23 comprises:
Reception is from the request of uncommitted requestor about above-mentioned detecting information;
Determine that above-mentioned requestor is uncommitted;
Refuse above-mentioned request.
28, method as claimed in claim 21 comprises:
Receive the request of testing from patient's internet equipment via the Internet; And
Via the Internet above-mentioned thermometrically software is downloaded in the internet equipment of above-mentioned object.
29, method as claimed in claim 28 comprises:
Above-mentioned thermometrically software is stored in the memorizer that is next to above-mentioned central server.
30, method as claimed in claim 28 comprises:
Automatic uninstall and above-mentioned thermometrically software are downloaded in the lump.
31, method as claimed in claim 30 comprises:
After uploading above-mentioned test measurement data, above-mentioned thermometrically software is unloaded.
32, method as claimed in claim 28 comprises:
After uploading above-mentioned measurement data, above-mentioned thermometrically software is unloaded.
33, method as claimed in claim 21 comprises:
Via the internet equipment reception request of the Internet from the patient;
Detecting information is downloaded to above-mentioned patient's internet equipment.
34, method as claimed in claim 33 comprises:
Above-mentioned detecting information is stored in the nearest above-mentioned central server.
35, method as claimed in claim 33 comprises:
Above-mentioned detecting information is shown in above-mentioned patient's internet equipment in the multimedia messages mode.
36, a kind of method of operating internet equipment comprises:
Download the medical science test program via the Internet from server;
To above-mentioned internet equipment, described at least one pick off is coupled to the patient with at least one sensors coupled;
Carry out above-mentioned test program so that obtain test measurement data from above-mentioned at least one pick off;
Above-mentioned test measurement data is uploaded to above-mentioned server via the Internet;
Receive the test data of having handled from above-mentioned server by the mode of downloading via the Internet from above-mentioned server; And
Show the above-mentioned data of having handled.
37, method as claimed in claim 36 comprises:
Carrying out multimedia on above-mentioned internet equipment instructs to guide above-mentioned patient that above-mentioned at least one pick off is installed.
38, method as claimed in claim 37 comprises:
Download above-mentioned guidance via the Internet from above-mentioned server.
39, method as claimed in claim 36 comprises:
Before uploading above-mentioned test measurement data, on above-mentioned internet equipment, carry out the data recognizer.
40, method as claimed in claim 39 comprises:
Download above-mentioned recognizer via the Internet from above-mentioned server.
41, method as claimed in claim 36 comprises:
After finishing test process, above-mentioned medical science test program is unloaded from above-mentioned internet equipment.
42, method as claimed in claim 36 comprises:
Utilize encipheror so that above-mentioned test measurement data is encrypted.
43, method as claimed in claim 36 comprises:
Above-mentioned medical science test program is stored in the memorizer of above-mentioned internet equipment.
44, method as claimed in claim 43 comprises:
The thermometrically part of the above-mentioned medical science test program that storage is used to carry out;
The testing and diagnosing program part of the above-mentioned medical science test program that storage is used to carry out in above-mentioned memorizer;
The recognizer part of the above-mentioned medical science test program that storage is used to carry out in above-mentioned memorizer;
The encipheror part of the above-mentioned medical science test program that storage is used to carry out in above-mentioned memorizer;
The Uninstaller part of the above-mentioned medical science test program that storage is used to carry out in above-mentioned memorizer.
CNA028301722A 2002-11-21 2002-11-21 Medical testing system and method Pending CN1735369A (en)

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CA2573785A1 (en) 2004-07-20 2006-02-02 Medtronic, Inc. Therapy programming guidance based on stored programming history
US7819909B2 (en) 2004-07-20 2010-10-26 Medtronic, Inc. Therapy programming guidance based on stored programming history
US10827941B2 (en) * 2017-12-06 2020-11-10 General Electric Company System and methods for qualification of ECG data for remote analysis

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US5054493A (en) * 1986-01-31 1991-10-08 Regents Of The University Of Minnesota Method for diagnosing, monitoring and treating hypertension
US5309917A (en) * 1991-09-12 1994-05-10 Drexel University System and method of impedance cardiography and heartbeat determination
US6804656B1 (en) * 1999-06-23 2004-10-12 Visicu, Inc. System and method for providing continuous, expert network critical care services from a remote location(s)
IL130818A (en) * 1999-07-06 2005-07-25 Intercure Ltd Interventive-diagnostic 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
US6513532B2 (en) * 2000-01-19 2003-02-04 Healthetech, Inc. Diet and activity-monitoring device

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