GB2596678A - Computer systems and methods for enhancing neurorehabilitation - Google Patents

Computer systems and methods for enhancing neurorehabilitation Download PDF

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Publication number
GB2596678A
GB2596678A GB2113774.0A GB202113774A GB2596678A GB 2596678 A GB2596678 A GB 2596678A GB 202113774 A GB202113774 A GB 202113774A GB 2596678 A GB2596678 A GB 2596678A
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United Kingdom
Prior art keywords
treatment regimen
patient
computing device
portable
activity
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Granted
Application number
GB2113774.0A
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GB202113774D0 (en
GB2596678B (en
Inventor
Lynn Skinner Kimberly
William Sabourin Richard
Alexander Paul Reynish John
Stuart Bailey Michael
Christopher Leddy Kai
Nicholas Parker Adam
Dominic Connolly Samuel
Ian Long Richard
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Helius Medical Inc
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Helius Medical Inc
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Publication of GB2596678A publication Critical patent/GB2596678A/en
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Publication of GB2596678B publication Critical patent/GB2596678B/en
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    • 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
    • G16H10/65ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/36025External stimulators, e.g. with patch electrodes for treating a mental or cerebral condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/3603Control systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/3603Control systems
    • A61N1/36031Control systems using physiological parameters for adjustment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36067Movement disorders, e.g. tremor or Parkinson disease
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36103Neuro-rehabilitation; Repair or reorganisation of neural tissue, e.g. after stroke
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128Control systems
    • A61N1/36135Control systems using physiological parameters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37235Aspects of the external programmer
    • 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
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • 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
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/70ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mental therapies, e.g. psychological therapy or autogenous training
    • 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
    • G16H50/30ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • 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
    • G16H50/70ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • 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

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Medical Informatics (AREA)
  • Neurology (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Neurosurgery (AREA)
  • Biophysics (AREA)
  • Data Mining & Analysis (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hospice & Palliative Care (AREA)
  • Pathology (AREA)
  • Databases & Information Systems (AREA)
  • Social Psychology (AREA)
  • Psychology (AREA)
  • Psychiatry (AREA)
  • Developmental Disabilities (AREA)
  • Child & Adolescent Psychology (AREA)
  • Physiology (AREA)
  • Urology & Nephrology (AREA)
  • Surgery (AREA)
  • Rehabilitation Therapy (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

A computerized method of processing data including receiving, from a portable neurostimulation device having a controller, portable neurostimulation device identifying information; receiving, from a healthcare professional, patient identifying information for a patient; creating an electronic record for the patient, the electronic record pairing the portable neurostimulation device identifying information with the patient identifying information; receiving, via a healthcare professional, first input specifying a first treatment regimen for the patient; processing the first input specifying the first treatment regimen, thereby creating a device-ready first treatment regimen; sending, to the portable neurostimulation device, the device-ready first treatment regimen; receiving, from the portable neurostimulation device, first treatment regimen data for the patient; and generating, based on the first treatment regimen data, a first treatment regimen data set for the patient.

Claims (29)

1. [0066] What is claimed is:
1. A computerized method of processing data, the computerized method comprising: receiving, by a computing device, from a portable neurostimulation device having a controller, portable neurostimulation device identifying information; receiving, by the computing device, from a healthcare professional, patient identifying information for a patient; creating, by the computing device, an electronic record for the patient, the electronic record pairing the portable neurostimulation device identifying information with the patient identifying information; receiving, by the computing device, via a healthcare professional, first input specifying a first treatment regimen for the patient; processing, by the computing device, the first input specifying the first treatment regimen, thereby creating a device-ready first treatment regimen; sending, by the computing device, to the portable neurostimulation device, the device ready first treatment regimen; receiving, by the computing device, from the portable neurostimulation device, first treatment regimen data for the patient; and generating, by the computing device, based on the first treatment regimen data, a first treatment regimen data set for the patient.
2. The method of claim 1 further including displaying, by the computing device, the first treatment regimen data set for the healthcare professional.
3. The method of claim 1 further including sending, by the computing device, via an electronic communications network, the first treatment regimen data set to a remote server.
4. The method of claim 3 further including storing, by the remote server, the first treatment regimen data set in a database in electronic communication with the remote server.
5. The method of claim 1 further including: receiving, by the computing device, input specifying a second treatment regimen for the patient via the healthcare professional; processing, by the computing device, the input specifying the second treatment regimen, thereby creating a device-ready second treatment regimen; sending, by the computing device, to the portable neurostimulation device, the device ready second treatment regimen; receiving, by the computing device, from the portable neurostimulation device, second treatment regimen data for the patient; and generating, by the computing device, based on the second treatment regimen data, a second treatment regimen data set for the patient.
6. The method of claim 5 further including displaying, by the computing device, the second treatment regimen data set for the healthcare professional.
7. The method of claim 5 further including sending, by the computing device, via an electronic communication medium, the second treatment regimen data set to a remote server.
8. The method of claim 7 further including storing, by the remote server, the second treatment regimen data set in a database in electronic communication with the remote server.
9. The method of claim 1 wherein the patient identifying information includes a full name, a date of birth, a time zone, and a patient reference code for the patient.
10. The method of claim 1 wherein the input specifying the first treatment regimen includes (i) a number of therapy sessions, (ii) a type of periodic activity for each of the therapy sessions, and (iii) a type of device feedback to signal an end of each of the therapy sessions.
11. The method of claim 1 wherein the input specifying the first treatment regimen includes an expiration date.
12. The method of claim 11 wherein the expiration date is set to occur after a subsequent patient visit to a healthcare professional.
13. The method of claim 1 further including generating, by the computing device, based on the first treatment regimen data set, at least one of a summary page, an activity page, and a report for the treatment regimen.
14. The method of claim 1 wherein the first device-ready treatment regimen includes one or more commands, each command including multiple ASCII characters representing a payload start, a payload, a payload end, a checksum, and a message end.
15. The method of claim 1 wherein the first treatment regimen data for the patient includes one or more responses, each response including multiple ASCII characters representing a payload start, a payload, a payload end, a checksum, and a message end.
16. A computerized system including a computing device for processing patient data, the computing device configured to: receive, from a portable neurostimulation device having a controller, portable neurostimulation device identifying information; receive, from a healthcare professional, patient identifying information for a patient; create an electronic record for the patient, the electronic record pairing the portable neurostimulation device identifying information with the patient identifying information; receive, via a healthcare professional, first input specifying a first treatment regimen for the patient; process the first input specifying the first treatment regimen, thereby creating a device ready first treatment regimen; send, to the portable neurostimulation device, the device-ready first treatment regimen; receive, from the portable neurostimulation device, first treatment regimen data for the patient; and generate, based on the first treatment regimen data, a first treatment regimen data set for the patient.
17. The system of claim 16 further including a portable neurostimulation device having a controller and an interface for communicating electronically with the computing device.
18. The system of claim 16 further including a remote server in electronic communication with the computing device over an electronic communications network.
19. The system of claim 16 further including a database in electronic communication with the remote server.
20. A computerized method of determining a patient activity during a time interval, the computerized method comprising: receiving, by a computing system, from a portable neurostimulation device having an accelerometer, acceleration data measured for the time interval corresponding to movement of a patient during the time interval, the acceleration data reflecting a set of acceleration values; parsing, by the computing system, the acceleration data into subsets corresponding to multiple discrete periods within the time interval; determining, by the computing system, for each of one or more threshold magnitudes, a number of discrete periods for which any acceleration value within a discrete period exceeds the threshold magnitude; determining, by the computing system, for each of the one or more threshold magnitudes, for the number of discrete periods, a subset of the number of discrete periods for which an immediately preceding discrete period also includes an acceleration value exceeding the threshold magnitude; calculating, by the computing system, for each of the one or more threshold magnitudes, an activity fraction by dividing the number of the subset of discrete periods by the number of discrete periods; classifying, by the computing system, based on at least one of the activity fractions, an activity of the patient during the time interval.
21. The method of claim 20 wherein the computing system includes a healthcare professional personal computing device and a portable neurostimulation device having a controller, the portable neurostimulation device determining, and providing to the healthcare professional computing device, the activity fractions and the number of discrete periods; and the healthcare computing device classifying the patient activity based on the activity fractions and the number of discrete periods.
22. The method of claim 20 wherein classifying an activity of the patient during the time interval includes determining an activity according to activity fraction within the time interval, as follows: (i) a first activity fraction of greater than or equal to 0.9 denotes walking; (ii) a second activity fraction of greater than or equal to 0.85 denotes balancing; (iii) a third activity fraction of greater than or equal to 0.8 denotes breathing; and (iv) a third activity fraction of less than 0.8 denotes inactivity.
23. The method of claim 20 further including displaying, by the computing device, a fraction of patient activities constituting walking, breathing and awareness training, balancing, and inactivity.
24. The method of claim 23 wherein balancing and breathing and awareness training are included in the same fraction.
25. The method of claim 22 wherein the threshold magnitudes of acceleration are 0. lg, O.Olg, and 0.005g.
26. The method of claim 20 wherein a sample rate of the accelerometer is at least 50Hz.
27. The method of claim 20 wherein the length of each discrete period is 1 second.
28. The method of claim 20 wherein a length of the time interval is at least 120 seconds.
29. The method of claim 20 further including generating, by the computing device, a report summarizing a patient activity determined for the time interval.
GB2113774.0A 2019-02-28 2020-02-26 Computer systems and methods for enhancing neurorehabilitation Active GB2596678B (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201962812185P 2019-02-28 2019-02-28
PCT/US2020/019853 WO2020176594A2 (en) 2019-02-28 2020-02-26 Computer systems and methods for enhancing neurorehabilitation

Publications (3)

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GB202113774D0 GB202113774D0 (en) 2021-11-10
GB2596678A true GB2596678A (en) 2022-01-05
GB2596678B GB2596678B (en) 2023-11-15

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GB2113774.0A Active GB2596678B (en) 2019-02-28 2020-02-26 Computer systems and methods for enhancing neurorehabilitation

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EP (1) EP3930827A2 (en)
CN (1) CN113728393A (en)
AU (1) AU2020228618A1 (en)
CA (1) CA3131684A1 (en)
GB (1) GB2596678B (en)
IL (1) IL285901A (en)
WO (1) WO2020176594A2 (en)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011139777A2 (en) * 2010-04-27 2011-11-10 Microtransponder, Inc. Implantable therapeutic systems including neurostimulation circuits, devices, systems, and methods
US20140067014A1 (en) * 2012-09-05 2014-03-06 Norbert Kaula Method and System for Associating Patient Records with Pulse Generators
US20140067017A1 (en) * 2012-08-31 2014-03-06 Greatbatch Ltd. System and Method of Compressing Medical Maps for Pulse Generator or Database Storage

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9227051B1 (en) 2014-12-03 2016-01-05 Neurohabilitation Corporation Devices for delivering non-invasive neuromodulation to a patient
US9616222B2 (en) 2014-12-03 2017-04-11 Neurohabilitation Corporation Systems for providing non-invasive neurorehabilitation of a patient
US9415209B2 (en) 2014-12-03 2016-08-16 Neurohabilitation Corporation Methods of manufacturing devices for the neurorehabilitation of a patient
US9072889B1 (en) 2014-12-03 2015-07-07 Neurohabilitation Corporation Systems for providing non-invasive neurorehabilitation of a patient

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011139777A2 (en) * 2010-04-27 2011-11-10 Microtransponder, Inc. Implantable therapeutic systems including neurostimulation circuits, devices, systems, and methods
US20140067017A1 (en) * 2012-08-31 2014-03-06 Greatbatch Ltd. System and Method of Compressing Medical Maps for Pulse Generator or Database Storage
US20140067014A1 (en) * 2012-09-05 2014-03-06 Norbert Kaula Method and System for Associating Patient Records with Pulse Generators

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Publication number Publication date
WO2020176594A2 (en) 2020-09-03
CN113728393A (en) 2021-11-30
GB202113774D0 (en) 2021-11-10
WO2020176594A3 (en) 2020-10-08
EP3930827A2 (en) 2022-01-05
GB2596678B (en) 2023-11-15
IL285901A (en) 2021-10-31
AU2020228618A1 (en) 2021-09-16
CA3131684A1 (en) 2020-09-03

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