Data labeling system and method operative with patient and clinician controller devices disposed in a remote care architecture

Patent metadata

Field	Value
Publication number	US-11688522-B2
Application number	US-202117483745-A
Country	US
Kind code	B2
Filing date	Sep 23, 2021
Priority date	Jun 22, 2019
Publication date	Jun 27, 2023
Grant date	Jun 27, 2023

Abstract

A system and method for facilitating remote care management involving a patient having an implantable medical device (IMD). Upon establishing a remote care session between a patient controller device and a clinician programmer, wherein the clinician and the patient are remotely located with respect to each other, input from the patient or the clinician may be received via a user interface control associated with a particular functionality or aspect of the remote care session, including audiovisual (AV) communications, remote therapy programming, and related context. Responsive to the user input, a dialog interface is effectuated at one of the patient controller device and/or the clinician programmer. A user characterization label is received via the dialog interface from the user, wherein the user characterization label is indicative of a subjective assessment of the particular functionality of the remote care session, which may be used in generating user-labeled data pertaining thereto.

First claim

The invention claimed is:

1. A method for facilitating remote care management involving a patient having an implantable medical device (IMD), the method comprising:
establishing a remote care session between a patient controller device associated with the patient and a clinician programmer device associated with a clinician, wherein the clinician and the patient are remotely located with respect to each other and the remote care session includes an audiovisual (AV) communication session controlled by one or more audio controls and one or more video controls provided at the patient controller device and by one or more audio controls and one or more video controls provided at the clinician programmer device, the remote care session further including a remote therapy session for providing one or more programming instructions to the patient's IMD via the patient controller device responsive to determining that the patient requires remote therapy;
receiving user input via a user interface control provided with at least one of the patient controller device and the clinician programmer device, the user interface control associated with a particular functionality of at least one of the AV communication session and the remote therapy session;
responsive to the user input, effectuating a dialog interface at one of the patient controller device and the clinician programmer device;
receiving a user characterization label via the dialog interface, the user characterization label indicating a subjective assessment of the particular functionality of at least one of the AV communication session and the remote therapy session selected via the user interface control by the patient or the clinician;
generating one or more records associating the user characterization label, therapy settings data used in providing the remote therapy to the patient and one or more network performance metrics relative to a network connection effectuating the remote care session; and
performing at least one of providing efficient retrieval of the therapy settings data based on user characterization label information in response to a user request, and training a machine language (ML) engine using a plurality of the records to provide efficient predictive analytics with respect to future therapy settings.

2. The method as recited in claim 1 , wherein the particular functionality relates to at least one of audio quality of the AV communication session, video quality of the AV communication session, patient motor response capture quality, and patient vocalization capture quality.

3. The method as recited in claim 2 , wherein the dialog interface comprises at least one of an audio dialog window facilitated by voice recognition, a video dialog window for facilitating motion capture and facial recognition, a label tray having a plurality of predetermined labels represented by corresponding software buttons, and a pull-down menu dialog window for facilitating label selection.

4. The method as recited in claim 3 , wherein the user characterization label comprises at least one of a voice label, a ranking label, a multi-category label, a binary category label, a graphic icon label, an emoji label, a gesture-based label and a sliding scale label.

5. The method as recited in claim 4 , wherein at least the remote therapy session is paused in response to determining that a particular user characterization label has occurred a predetermined number of times over a configurable period of time.

6. The method as recited in claim 4 , wherein the program instructions are operative to effectuate a remote care therapy application comprising at least one of a spinal cord stimulation (SCS) therapy, a neuromuscular stimulation therapy, a dorsal root ganglion (DRG) stimulation therapy, a deep brain stimulation (DBS) therapy, a cochlear stimulation therapy, a drug delivery therapy, a cardiac pacemaker therapy, a cardioverter-defibrillator therapy, a cardiac rhythm management (CRM) therapy, an electrophysiology (EP) mapping and radio frequency (RF) ablation therapy, an electroconvulsive therapy (ECT), a repetitive transcranial magnetic stimulation (rTMS) therapy, a vagal nerve stimulation (VNS) therapy, and one or more physiological condition monitoring applications.

7. A remote care management system, comprising:
a first external device configured as a clinician programmer device associated with a clinician;
a second external device configured as a patient controller device associated with a patient;
an implantable medical device (IMD) implanted in the patient, the IMD supporting a therapy application configured to be programmable by at least one of the clinician operating the first external device and the patient operating the second external device,
wherein the first external device and the second external device are each configured to establish a remote care session therebetween, the remote care session configurable to selectively allow a remote therapy session in addition to an audio and video (AV) communication session that facilitates a telehealth consultation between the clinician and the patient, the remote therapy session for delivering one or more programming instructions to the patient's IMD from the clinician programmer device in response to determining that the patient requires remote therapy,
wherein at least one of the patient controller device and the clinician programmer device is provided with a user interface control for receiving user input, the user interface control associated with a particular functionality of at least one of the AV communication session and the remote therapy session;
wherein the at least one of the patient controller device and the clinician programmer device is configured to effectuate, responsive to the user input, a dialog interface at one of the patient controller device and the clinician programmer device, the dialog interface operative to receive a user characterization label indicative of a subjective assessment of the particular functionality of at least one of the AV communication session and the remote therapy session selected via the user interface control by the patient or the clinician;
a record generator module for creating one or more records associating the user characterization label, therapy settings data used in providing the remote therapy to the patient and one or more network performance metrics relative to a network connection effectuating the remote care session; and
a database module for performing at least one of providing efficient retrieval of the therapy settings data based on user characterization label information in response to a user request from the clinician or the patient, and training a machine language (ML) engine using a plurality of the records to provide efficient predictive analytics with respect to future therapy settings.

8. The remote care management system as recited in claim 7 , the user interface control provided with the at least one of the patient controller device and the clinician programmer device is operative with respect to the particular functionality relating to at least one of audio quality of the AV communication session, video quality of the AV communication session, patient motor response capture quality, and patient vocalization capture quality.

9. The remote care management system as recited in claim 8 , wherein the dialog interface comprises at least one of an audio dialog window facilitated by voice recognition, a video dialog window for facilitating motion capture and facial recognition, a label tray having a plurality of predetermined labels represented by corresponding software buttons, and a pull-down menu dialog window for facilitating label selection.

10. The remote care managem

Assignees

• Advanced Neuromodulation Systems Inc

Inventors

• Debates Scott
• Lautner Douglas Alfred
• Tomlinson Tucker
• Nagle James

Classifications

• A61N1/37282

  characterised by communication with experts in remote locations using a network · CPC title

• G16H20/30

  relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising · CPC title

• H04N7/14

  Systems for two-way working ({H04N7/12, } H04N7/173 take precedence) · CPC title

• H04L65/1069

  Session establishment or de-establishment · CPC title

• G16H10/60

  for patient-specific data, e.g. for electronic patient records · CPC title