Abstract:
A system for monitoring the use of a home-based medical apparatus providing medical therapy to a patient incorporates communication technology to permit communication from the operated component of the medical apparatus via a cellular network to a Cloud storage site. The operated medical apparatus can report any operational function to the Cloud storage site, which can be accessed by appropriate medical professionals or caregivers by contacting the Cloud storage site through a cellular network. If the medical apparatus is properly configured, the medical professional could change certain operational functions of the medical apparatus through the Cloud by communicating with the medical apparatus directly. Alternatively, a medical caregiver can visit the home-based patient to modify the operation of the medical apparatus. By limiting the number of visits needed to maintain proper operation of the medical apparatus, a medical caregiver can provide services to a larger number of patients.

Description:
CROSS-REFERENCE TO RELATED APPLICATIONS 
       [0001]    This application is a continuation-in-part of U.S. patent application Ser. No. 13/547,502, filed on Jul. 12, 2012, which claims domestic priority from U.S. Provisional Application Ser. No. 61/511,080, filed on Jul. 24, 2011, the contents of which are incorporated herein by reference. 
     
    
     FIELD OF THE INVENTION 
       [0002]    The present invention relates generally to system for monitoring the utilization and results from therapy, particularly therapy conducted at home by a patient, more specifically, to a system for monitoring the use of inflatable garment therapy to enhance the flow of blood from a patient&#39;s extremities through the use of an off-site server providing information to the patient&#39;s health provider. 
       BACKGROUND OF THE INVENTION 
       [0003]    Inflatable garment therapy consists of a shaped inflatable garment, such as a garment adapted for wearing on the foot or the lower part of a patient&#39;s leg, that is coupled to a pump that cycles air under pressure into the garment to fill sequentially cells within the inflatable garment to push venous blood from the patient&#39;s extremity toward the patient&#39;s heart. In a different clinical condition, the inflatable garment can rapidly expand to mimic muscle contraction and promote peripheral circulation at extremities. In one form of inflatable garment therapy, the inflatable garment is constructed with multiple inflatable cells that can be inflated from the cell most distant from the heart in a sequential pattern to the cell closest to the heart. Then, the pressure is released and the cells are subsequently inflated through another cycle. This inflatable garment therapy is utilized primarily by patients at home, usually with the assistance of a visiting nurse that visits the patient periodically, but at the direction and supervision of a doctor. 
         [0004]    The health care provider rarely knows how effective the inflatable garment therapy is for the patient. Although the visiting nurse will stop at the patient&#39;s home to check on the patient periodically, perhaps once every two weeks, and the health care provider will likely see the patient less frequently than the visiting nurse, this therapy should be conducted multiple times each day. Accordingly, the health care provider typically has little or no feedback as to whether the therapy is actually being done, or if the therapy is producing positive results. Further, the patient has no feedback as to the effectiveness of the therapy. Particularly since positive feedback will normally stimulate and encourage the continued use of the therapy, providing the patient with ongoing results of the therapy has a synergistic effect on the effectiveness of the therapy. 
         [0005]    Inflatable garment therapy is not the only kind of in-home therapy that would have benefits associated with on-going monitoring. For example, negative pressure bandages are applied to wounds to extract exudates from the wound through the operation of a pump providing a negative pressure on the bandage sealed over the patient&#39;s wound site. The volume of the exudates, as well as the quality of the exudates, can provide a health care provider important information as to the effectiveness of the operation of the negative pressure bandage and as to the status of the patient&#39;s wound. Monitoring of any in-home therapy that is not being conducted at the immediate and constant supervision of a health care professional can be enhanced through monitoring. Even monitoring the use of medication by a patient can enhance the effectiveness of the medication for the patient. In bone growth stimulation therapy, such as electromagnetic or electrical devices that are applied to spinal fusion surgical sites to stimulate bone fusion, monitoring the use of the therapy device can provide the patient and the medical professionals responsible for the patient&#39;s care with important information as to how and when the electromagnetic fields are being applied. 
         [0006]    In U.S. Pat. No. 7,231,263, granted to Soo Bong Choi on Jun. 12, 2007, a control system for utilizing an insulin pump is disclosed. The Choi system operates to provide security and control over the operation of an insulin pump. Before the pump can be utilized, the person logging in to the system provides an appropriate identification. The blood sugar level for the patient is ascertained and the amount of insulin to be injected is adjusted when the person logged in is the patient&#39;s health care provider. A Bluetooth module is utilized to make the communication between the insulin pump module and the internet. 
         [0007]    A remote control for a medical apparatus is disclosed in U.S. Pat. No. 6,768,425, issued on Jul. 27, 2004, to J. Christopher Flaherty, et al, wherein the medical treatment apparatus has a local processor having a communications unit associated with it. The hand remote control includes a remote processor and an associated remote communication component that can communicate with the local processor in a wireless manner. Accordingly, the medical device can be operated with the operation of the remote control device without requiring the patient to manually access the medial apparatus. 
         [0008]    In U.S. Patent Application Publication No. 2007/0249976, published on Oct. 25, 2007, a control apparatus for an inflatable garment therapy device is disclosed wherein the pump apparatus is self-contained within therapy device. U.S. Patent Application Publication No. 2007/0049853, published on Mar. 1, 2007, discloses the inflatable garment therapy device used to improve blood circulation in patient&#39;s extremities. Similarly, U.S. Pat. No. 6,852,089, issued on Feb. 8, 2005, to Richard J. Kloecker, et al, discloses an inflatable garment therapy device for a patient&#39;s arms. In U.S. Pat. No. 6,736,786, granted to Paul Shabty on May 18, 2004, a counter-pulsation device is disclosed in which the operation of the inflatable cuff is coupled to a microprocessor to take the EKG of the patient so that the cuff inflation can be timed with the patient&#39;s EKG. 
         [0009]    It would be desirable to provide a system for monitoring the operation and the effectiveness of therapy conducted by the patient in his home. It would also be desirable to provide feedback to the patient and to the health care provider as to the effectiveness and as to the utilization of the therapy. 
       SUMMARY OF THE INVENTION 
       [0010]    It is an object of this invention to overcome the disadvantages of the prior art by providing a system for monitoring the use of medical devices. 
         [0011]    It is another object of this invention to provide a monitoring system that can track and record the utilization of therapy incorporating medical devices, such as an inflation garment therapy or negative pressure wound therapy. 
         [0012]    It is a feature of this invention that the utilization information can be transmitted to a remote server for access by medical professionals. 
         [0013]    It is another feature of this invention that the medical device can be programmed to provide a notification to predetermined medical professionals when certain utilization parameters are encountered. 
         [0014]    It is an advantage of this invention that a sensor on the medical apparatus to detect the unexpected presence of blood or other fluids 
         [0015]    It is another advantage of this invention that the medical apparatus can report to a central station monitored by caregivers as to the timing and duration of use of the medical device by the patient. 
         [0016]    It is still another feature of this invention that the medical apparatus can report a malfunction of the medical apparatus to a central station. 
         [0017]    It is still another advantage of this invention that the caregiver monitoring the central station can be alerted to any malfunction in the operation of the medical apparatus so that repair or replacement of the medical apparatus can be arranged promptly. 
         [0018]    It is yet another feature of this invention that the effectiveness of the therapy utilizing the medical device can be monitored by professional caregivers. 
         [0019]    It is yet another advantage of this invention that changes in the operative parameters of the medical device can be determined from a remote location through monitoring of the central station to which information about the operation of the medical apparatus is transmitted. 
         [0020]    It is still another object of this invention to provide a monitoring of the use and operation of a medical apparatus used in patient therapy in a home environment. 
         [0021]    It is yet another object of this invention to place an RFD tag on the medical apparatus so that the medical apparatus can be located and identified. 
         [0022]    It is a further feature of this invention that the medical apparatus can be provided with a selected communication technology to report the use and operation of the medical apparatus to a central station or directly to a professional caregiver. 
         [0023]    It is a further advantage of this invention that the communication technology can be used to communicate by Bluetooth® technology through a telephone system, to a Smart Phone or via the Internet. 
         [0024]    It is yet a further advantage of this invention to utilize a secure packet to transmit information relating to the use and effectiveness of medical apparatus via a cellular network to a Cloud storage site. 
         [0025]    It is another advantage of this invention that medical professionals and caregivers can more effectively treat the patients during home visits because of the advance knowledge from a central station related to the use, operation and effectiveness of the medical therapy utilizing a monitored medical apparatus. 
         [0026]    It is still another feature of this invention that the Cloud storage site stores data related to the utilization and effectiveness of the medical apparatus being monitored so that the medical professional can access that stored information as needed to effectively monitor the patient&#39;s therapy. 
         [0027]    It is still another advantage of this invention that the Cloud storage site can provide an alert to the pertinent medical professional if the transmitted data is not within predetermined limits. 
         [0028]    It is yet another object of this invention to monitor the operation of a home-based negative pressure wound therapy apparatus to detect the operation of the pump, the length of time the pump is operated, the amount of exudates gathered by the apparatus, the quality of the collected exudates, the presence of blood in the collected exudates, and any malfunctions in the operation of the apparatus, including a broken seal on the bandage. 
         [0029]    These and other objects, features and advantages are accomplished according to the instant invention by providing system for monitoring the use of a home-based medical apparatus providing medical therapy to a patient incorporates communication technology to permit communication from the operated component of the medical apparatus via a cellular network to a Cloud storage site. The operated medical apparatus can report any operational function to the Cloud storage site, which can be accessed by appropriate medical professionals or caregivers by contacting the Cloud storage site through a cellular network. If the medical apparatus is properly configured, the medical professional could change certain operational functions of the medical apparatus through the Cloud by communicating with the medical apparatus directly. Alternatively, a medical caregiver can visit the home-based patient to modify the operation of the medical apparatus. By limiting the number of visits needed to maintain proper operation of the medical apparatus, a medical caregiver can provide services to a larger number of patients. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0030]    The foregoing and other objects, features, and advantages of the invention will appear more fully hereinafter from a consideration of the detailed description that follows, in conjunction with the accompanying sheets of drawings. It is to be expressly understood, however, that the drawings are for illustrative purposes and are not to be construed as defining the limits of the invention. 
           [0031]      FIG. 1  is a schematic perspective view of an inflation garment therapy apparatus incorporating the principles of the instant invention; 
           [0032]      FIG. 2  is a schematic diagram of the system incorporating the principles of the instant invention; 
           [0033]      FIG. 3  is a schematic perspective view of a contoured negative pressure bandage for toes as depicted in  FIG. 1 ; 
           [0034]      FIG. 4  is a schematic representation of a cervical electromagnetic bone growth stimulation apparatus incorporating the principles of the instant invention; and 
           [0035]      FIG. 5  is a schematic representation of a non-cervical electromagnetic bone growth stimulation apparatus. 
       
    
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT 
       [0036]    Referring to the  FIG. 1 , a representative in-home therapy device in the form of an inflatable garment therapy apparatus  10 , incorporating the principles of the instant invention, can best be seen. This particular therapy apparatus  10  includes an electrically powered pump  11  coupled to inflatable garments  15  by respective conduit assemblies  12  having a clip  13  formed with multiple ports  13   a  connected to individual conduit lines  14 . Each of the conduit lines  14  are coupled to a corresponding one of the inflation cells  16   a -16 d.    
         [0037]    The pump  11  is programmed to divert air under pressure to the inflation cell  16   a  most distant from the patient&#39;s heart, which because the depicted garments  15  are intended for utilization on a patient&#39;s lower legs is the lowermost inflation cell  16   a . The pump  11  then inflates the next higher inflation cell  16   b  until the entire garment  15  is inflated, whereupon all of the inflation cells  16   a - 16   d  are deflated and the cycle of inflation of the cells  16   a - 16   d  restarts. The sequential pressurization of the inflation cells  16   a - 16   d  aids the circulation of blood from the veins in the extremity back to the patient&#39;s heart. 
         [0038]    An improvement to the inflation garment apparatus  10 , as seen in  FIG. 1 , is the operative connection of a pulse oximeter  19 , which is a device that is placed in contact with the body of the patient, such as onto the patient&#39;s fingernail, to measure the percentage of oxygen saturation in the patient&#39;s blood and to sense the patient&#39;s heart beat. By coupling the monitoring of the patient&#39;s heart beat with the pulse oximeter  19  to the operation of the pump  11 , the sequential inflation of the garment cells  16   a - 16   d  can be timed with the increase in blood pressure from the pulse of blood sent from the heart through the patient&#39;s arteries. For inflatable garments  15  for use on the lower extremities, the placement of the pulse oximeter  19  on a toenail of the patient could produce the most pertinent timing for the use of the apparatus  10 . In addition, the pulse oximeter  19  provides a feedback to the patient in the form of the oxygen saturation percentage. The use of the inflation garment apparatus  10  to assist in the flow of blood back to the heart and lungs, where the blood becomes oxygenated, should result in an increased oxygen saturation percentage that will be sensed by the pulse oximeter  19 . Thus, as the inflatable garment therapy is conducted, the patient should be able to see a positive feedback in the form of an increased oxygen saturation percentage that the therapy is working. 
         [0039]    Referring now to  FIG. 2 , the monitoring system  20  receives a signal from the inflation garment apparatus  10  to indicate utilization of the therapy device and the heart rate and the oxygen saturation percentage of the patient from the communication unit  18  of the apparatus  10 , such as a Bluetooth® connection. The monitoring system  20  receives the signal from the communications unit  18  and transfers the information received to a server  22  that is remote from the home location of the patient. Included in the information stored on the server  22  would be the date the therapy device was used, the duration of the therapy, the heart rate of the patient before, during and after the therapy and the oxygen saturation percentage before, during and after the therapy. 
         [0040]    Alternatively, the medical device  10  can communicate with a Cloud storage site through a cellular network to store the data relating to the use and effectiveness of operation of the apparatus  10 . The apparatus  10  can transmit to the Cloud storage site when (and if) the apparatus is turned on and whether the apparatus  10  is functioning. Other information that can be transmitted to the Cloud storage site is the operational parameters which are noted above. The Cloud storage site can be accessed as needed by the appropriate medical professional who can review the transmitted data and determine if any action needs to be taken, or if a medical professional needs to visit the patient. The Cloud storage site can incorporate an alert to notify the medical professional if any particular operational parameter is outside of an acceptable range. 
         [0041]    Also, the use of a cellular network to transmit data to a Cloud storage site would permit the direct contact of the apparatus  10  to seek operational information from the apparatus  10 , assuming that the apparatus  10  was powered. Under certain circumstances, the apparatus  10  can be configured to allow a medical professional to remotely change certain operative parameters of the apparatus  10  through communication thereto via the cellular network. For example, the operating pressure of a pump associated with the apparatus  10  can be modified if security provisions are appropriately resolved. The low power transmission of data through the cellular network provides a great deal of flexibility in the monitoring and control of a medical apparatus  10  being operated at home by a patient. 
         [0042]    With this stored information, the doctor can retrieve the data and/or a report relating to the data to determine the utilization rate of the therapy, with regard to the length of the therapy as well as the frequency of the therapy, and the effectiveness of the therapy. The doctor can utilize that information to make a determination of whether to continue the therapy or to change the frequency or utilization of the therapy. When the doctor is consulting with the patient about the effectiveness of the therapy, the doctor will at least know that the patient is using the therapy and how often the therapy is being used. Utilization frequency alone is an important factor derived from the data stored on the server  22  as the doctor has no other means by which such information can be obtained. 
         [0043]    Furthermore, if the server  22  receives a heart rate or oxygen saturation percentage parameter that is indicative of a possible problem with the patient, the server  22  can communicate with the doctor and possibly with the visiting nurse organization to provide an alert that a possible emergency situation exists. The doctor and/or the visiting nurse organization can then make contact with the patient to confirm if the therapy is being conducted properly, or to confirm that a problem exists for which additional and/or immediate help is needed. Also, if the therapy is not being utilized within predetermined frequency or duration parameters, a communication to the doctor and/or the visiting nurse organization can provide an alert that the therapy is not being properly conducted, whereupon a subsequent contact with the patient can reinforce the need to use the therapy properly and according to the prescription for the therapy. 
         [0044]    Other therapies can be monitored in a similar manner. One such example is shown in  FIG. 3 , which is an in-home therapy consisting of a negative pressure bandage apparatus  30  that utilizes a pump  31  to draw a negative pressure on a bandage  35  placed on an open wound of the patient and sealed against the skin around the wound. The negative pressure draws the exudates from the wound into the bandage, or into a storage container  33  mounted on the pump  31 , which are typically carried on the person of the patient remotely from the negative pressure bandage  35 . Tubing  34  interconnecting the bandage  35  and the storage container  33  conveys the exudates into the storage container  33 . A sensor or sensors  36  associated with the storage container  33  can sense a quality of the exudates, for example the color of the exudates, as well as a volume of the exudates collected within the storage container  33 . 
         [0045]    The communication unit  38  associated with the negative pressure bandage apparatus  30  communicates with the monitoring system  20  to transfer on a periodic basis data related to the operation and effectiveness of the therapy apparatus  30 . In the way of example, the information received and stored in the server  22  could provide a time stamp for the particular data being transmitted which would include the sensed quality of the exudates and the volume of the exudates collected. The differential in volume over a measured period of time provides an ongoing collection rate of the exudates from the wound. If the collection rate is above a predetermined parameter a problem with the wound can be identified. Similarly, if the color of the exudates is red, as opposed to a non-red color, the exudates being collected is likely blood, giving an indication that the wound is bleeding more than expected. A collection rate that is too low can indicate that the negative pressure bandage apparatus is not working properly. 
         [0046]    Another parameter that can be transmitted to the monitoring system  20  is the pressure gradient being applied by the pump  31 . If the pressure gradient is lower than necessary to make the negative pressure bandage  35  operable, there could be a problem with the seal of the bandage  35  against the patient&#39;s skin around the wound, or an indication that the pump is not working properly. In either case, a visit from the visiting nurse organization is likely called for to determine the problem. 
         [0047]    A report or a review of the raw data by the doctor and/or the nurse can provide significant insight as to the proper operation of the therapy  30 . If the wound is healing properly, the volume of exudates collected in the storage container  33  would be expected to decrease over time. Such parameters can also be set within the server  22  to provide appropriate indicators to the health care providers. Also, negative pressure bandage apparatus  30  can be used to detect a problem with the wound. If a sudden and dramatic increase in the volume of the exudates collected is detected, a significant problem could be the cause, which can be obviated by an alert issued to the doctor and/or the visiting nurse organization by the server  22 . 
         [0048]    Many other in-home therapies can be appropriately monitored in a similar manner. Even the dispensing of medication from an appropriately designed medication dispenser having a communication unit (not shown) that would provide a signal to the monitoring system  20  that the medications have been dispensed at the appropriate time. Obviously, the monitoring system will not be able to ascertain that the patient has actually taken the prescribed medication, but the doctor and/or nurse will have feedback from the monitoring system  20  as to the dispensing of the medication. Other possible in-home therapy that could benefit from an application of the monitoring system could be an application of intravenous drugs which could be monitored with an apparatus that identifies the timing of the IV therapy and the volume of the drug administered through the IV set-up. 
         [0049]    Bone growth stimulation therapy is typically applied in the home environment. Electromagnetic bone stimulators  40  are used to apply an electromagnetic field to the site for spinal fusion surgery to stimulate bone growth that fuses the vertebrae together. Such devices, as well as electrical stimulation devices, are typically battery powered and have a control module  41  that regulates the on/off function to send electrical current to a transducer  43  for the generation of an electromagnetic field. The control module  41  can determine the duration of operation of the therapy device  40 . An application of a communications transmitter  45  to the control module  41 , as is schematically represented in  FIGS. 4 and 5 , would permit the operation of the bone stimulation therapy device  40  to be monitored. Thus, the patient, as well as the medical professional responsible for the care of the patient, can monitor the operation of the therapy device  40  to determine if the device  40  is being used sufficiently often and for adequate durations to provide proper bone growth therapy. 
         [0050]    Through a monitoring system  20  communicating to an off-site server  22  that stores the data transmitted to the monitoring system  20 , the health care providers will have real data indicative of the utilization of the therapy, as well as the results obtained through the application of the therapy to the patient. With this data, a health care provider can more effectively determine the parameters by which the therapy is to be conducted. For example, in the inflatable garment therapy apparatus  10 , the patient&#39;s doctor could decide to change the frequency or duration of the application of the therapy, or even change the timing relative to the sensing of the heart beat for the inflation of the inflation cells to provide a more effective operation of the inflatable garment  15 . 
         [0051]    The invention of this application has been described above both generically and with regard to specific embodiments. Although the invention has been set forth in what is believed to be the preferred embodiments, a wide variety of alternatives known to those of skill in the art can be selected within the generic disclosure.