JP4364644B2 - 埋め込み可能医療デバイスを遠隔操作でプログラムする方法および装置 - Google Patents
埋め込み可能医療デバイスを遠隔操作でプログラムする方法および装置 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
- A61N1/37282—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data characterised by communication with experts in remote locations using a network
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0031—Implanted circuitry
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M5/14276—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/172—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/08—Arrangements or circuits for monitoring, protecting, controlling or indicating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37235—Aspects of the external programmer
- A61N1/37247—User interfaces, e.g. input or presentation means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
- A61N1/37264—Changing the program; Upgrading firmware
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT 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
- G16H40/40—ICT 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 management of medical equipment or devices, e.g. scheduling maintenance or upgrades
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT 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
- G16H40/60—ICT 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
- G16H40/67—ICT 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
- A61B5/0006—ECG or EEG signals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/35—Communication
- A61M2205/3507—Communication with implanted devices, e.g. external control
- A61M2205/3523—Communication with implanted devices, e.g. external control using telemetric means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/35—Communication
- A61M2205/3546—Range
- A61M2205/3553—Range remote, e.g. between patient's home and doctor's office
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT 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
- G16H40/60—ICT 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
- G16H40/63—ICT 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 local operation
Description
〔背景技術〕
患者ケアおよび治療法の技術的かつ社会的な側面を完全に統合する技術ベースのヘルス・ケア・システムは、関係者を隔てる距離や位置に関係なく、患者とケア提供者とを完全に接続することができるべきである。臨床医が、一般に認められた現代の医療診療(medical practice)に従って患者を処置し続ける一方で、通信技術の発展は、時間や場所に依存しない手法で遠隔での患者の診断、ケア、および医療サービスを行う継ぎ目のないシステムを提供することを、これまで以上に可能にしつつある。
[発明の概要]
本発明の一態様では、埋め込み可能医療デバイスを遠隔操作でプログラムする装置を提供する。本装置は、プログラマによって供給される、埋め込み可能医療デバイスの挙動を変更することを求める少なくとも1つの要求を受信して格納するようになっているサーバを含み、プログラマは、臨床医が少なくとも1つの要求を第1の選択された時点で作成することを可能にするようになっている。本装置はさらに、要求をサーバから受信して、この要求を第2の選択された時点で埋め込み可能医療デバイスへ送信するようになっているモニタと、サーバとモニタを結合するようになっている双方向通信システムとを含む。
本発明は、様々な修正形態および代替形態が可能であるが、本発明の特定の実施形態を、図面において例として示し、本明細書中で詳細に説明している。しかしながら、本明細書中の特定の実施形態の説明は、本発明を開示する特定の形態に限定することを意図しておらず、その逆に、併記の特許請求項により規定される本発明の精神および範囲に入る全ての修正形態、等価形態、および代替形態を網羅することを意図していることを理解すべきである。
Claims (3)
- オペレータが、複数の埋め込み医療デバイス(10、10’、10'')の挙動のそれぞれを修正するための、任意の医療デバイスに対する、時系列的に複数の要求を生成して、当該要求を、サーバ(285)を介して埋め込み医療デバイス(10、10'、10'')に送信することによって、任意のタイミングにおいて、任意の埋め込み医療デバイス(10、10'、10'')の挙動を修正するためのプログラマ(20)であって、当該サーバが、ライン(300)を介して当該オペレータによって生成された当該複数の要求を受信し、記憶するためのものであるものと、
アンテナ(305)を介して前記埋め込み医療デバイスと通信可能であって、前記サーバ(285)から、挙動を修正する対象である埋め込み医療デバイスを特定する信号を伴った前記複数の要求を受信し、前記サーバによってモニタに送信された、保留されている要求を検査するためのモニタ(290)であって、当該モニタが、
(a)前記埋め込み医療デバイスのそれぞれを識別するための、前記埋め込み医療デバイスによって送信された信号を検出するためのものであり、
(b)前記保留されている要求が、前記埋め込み医療デバイスに記憶された現在の要求に連続するか否かを、前記要求の生成の順序に従って連続的に生成された、各要求に付された連続的な通し番号に基づいて決定するためのものであり、
前記保留されている要求に付随する、前記埋め込み医療デバイスを特定する信号が、前記埋め込み医療デバイスによって送信された信号と対応することを前提として、
(c1)当該保留された要求の通し番号が、当該現在の要求の通し番号に連続する場合に、当該保留された要求を、前記埋め込み医療デバイスに送信するためのものであり、又は、
(c2)当該保留された要求の通し番号が、当該現在の要求の通し番号に連続しない場合に、エラー・メッセージを当該サーバに送って、埋め込み医療デバイス信号の前記検出を終了するためのものである、
当該モニタと、
前記サーバ(285)と前記モニタ(290)を結合するための双方向性の通信システム(295)と、
を備える装置。 - 請求項1に記載の装置であって、
前記プログラマ(20)が、オペレータが、第1の任意のタイミングにおいて、複数の前記要求を生成して、複数の前記埋め込み医療デバイス(10、10’、10’’)の少なくとも1つの挙動を修正するためのものであり、
前記サーバ(285)が、第1の選択された位置に存在し、前記要求を暗号化するためのものであり、前記サーバ(285)が、更に、オペレータが、要求を、前記複数の埋め込み医療デバイス(10、10’、10’’)の少なくとも1つに出す権限を有することを検証するためのものであり、
前記モニタ(290)が、第2の選択された位置に存在し、前記サーバ(285)からの前記要求を解読し、前記要求を、第2の任意のタイミングにおいて、前記複数の埋め込み医療デバイス10、10’、10’’)の少なくとも1つに送信するためのものであり、
前記双方向性通信システム(295)が、セキュアな双方向性通信システムであって、前記サーバ及びモニタが、暗号化された情報を交換するためのものであり、
前記第2の任意のタイミングが、前記第1の任意のタイミングより遅いものである、
装置。 - 請求項1に記載の装置を備えるシステムであって、
前記プログラマ(20)が、オペレータが、第3の任意のタイミングにおいて、複数の前記要求を生成して、複数の患者の少なくとも1人に治療を与えるための、複数の前記埋め込み医療デバイス(10、10’、10’’)の少なくとも1つの挙動を修正することを可能とするためのものであり、当該医療デバイスの各1つが、当該患者の各1人に埋め込まれるものであり、
前記双方向性通信システム(295)が、セキュアな双方向性通信システムであり、
前記サーバ(285)が、第1の位置において、前記双方向性通信システムに結合され、更に、前記要求を暗号化するためのものであり、前記サーバ(285)が、前記オペレータによって入力されたユーザ認証又はパスワードに基づいて、前記オペレータが、前記複数の埋め込み医療デバイス(10、10’、10’’)の少なくとも1つに要求を出す権限を有することを検証するためのものでもあり、
複数の前記モニタ(290)が、複数の第2の選択された位置において、前記双方向性通信ネットワーク(295)に結合され、更に、前記サーバからの要求を解読し、前記第3の任意のタイミングより遅い、複数の第4の任意のタイミングにおいて、要求を、前記複数の埋め込み医療デバイスの(10、10’、10’’)少なくとも1つに送信するためのものである、
システム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/072,782 US7060031B2 (en) | 1999-12-17 | 2002-02-08 | Method and apparatus for remotely programming implantable medical devices |
PCT/US2003/003527 WO2003066159A2 (en) | 2002-02-08 | 2003-02-07 | Method and apparatus for remotely programming implantable medical devices |
Publications (2)
Publication Number | Publication Date |
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JP2005518006A JP2005518006A (ja) | 2005-06-16 |
JP4364644B2 true JP4364644B2 (ja) | 2009-11-18 |
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Application Number | Title | Priority Date | Filing Date |
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JP2003565580A Expired - Fee Related JP4364644B2 (ja) | 2002-02-08 | 2003-02-07 | 埋め込み可能医療デバイスを遠隔操作でプログラムする方法および装置 |
Country Status (6)
Country | Link |
---|---|
US (1) | US7060031B2 (ja) |
EP (1) | EP1478432B1 (ja) |
JP (1) | JP4364644B2 (ja) |
CA (1) | CA2476280A1 (ja) |
DE (1) | DE60328362D1 (ja) |
WO (1) | WO2003066159A2 (ja) |
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