Systems and methods for post-operative outcome monitoring

Patent metadata

Field	Value
Publication number	US-11749409-B2
Application number	US-202117474506-A
Country	US
Kind code	B2
Filing date	Sep 14, 2021
Priority date	Nov 18, 2015
Publication date	Sep 5, 2023
Grant date	Sep 5, 2023

Abstract

A system including a range of motion module, a quality of sleep module, an overall module, and a control module. The range of motion module, subsequent to performing a procedure on a patient, determines a first range of motion score of the patient based on a signal generated by a sensor. The quality of sleep module, subsequent to performing the procedure on the patient, determines a first quality of sleep score or a first pain score based on the signal generated by the sensor. The overall module determines a combined score based on (i) the first range of motion score, and (ii) the first sleep score or the first pain score. The control module (i) determines whether an outcome of the procedure is positive based on the combined score, and (ii) stores the determined outcome and the combined score in a memory.

First claim

What is claimed is:

1. A spinal kinematics system for measuring vertebral motion, the system comprising:
at least one imaging sensor configured for imaging and measuring vertebral displacement;
at least one motion sensor configured for detecting motion of a patient; and
a monitoring device having a processor and memory storing computer executable instructions that when executed cause the processor to:
process information received from the at least one imaging sensor and the at least one motion sensor;
determine an activity score, based on the vertebral displacement measured by the at least one imaging sensor and the motion detected by the at least one motion sensor, that measures a rest-activity cycle of the patient for at least one activity period;
determine a cumulative activity score by summing weighted daily averages of a plurality of activity scores across a plurality of activity periods; and
determine a combined score calculated using the cumulative activity score.

2. The system according to claim 1 , wherein the monitoring device further comprises a wireless interface adapter in communication with the at least one imaging sensor and the at least one motion sensor.

3. The system according to claim 1 , wherein the at least one motion sensor comprises at least one of: a three-axis motion sensor and a nine-axis motion sensor.

4. The system according to claim 1 , wherein the activity score is further determined by measuring a size of a radius of an arc formed by a curvature of a spine of the patient.

5. The system according to claim 1 , wherein the activity score is determined based on a scale of 0 to 10.

6. The system according to claim 1 , further comprising at least one parametric sensor configured to measure one or more first parameters associated with the patient,
wherein the monitoring device is further configured to determine a quality of sleep score, based on information generated by the at least one parametric sensor, the at least one parametric sensor being further configured to measure a number of sleep interruptions during a predetermined sleep period.

7. The system according to claim 6 , wherein one or more first parameters are selected from a list comprising: voltages, frequencies, current levels, durations, amplitudes, temperatures, impedances, resistances, and wavelengths.

8. The system according to claim 6 , wherein the activity score is further based on one or more second parameters generated by the monitoring device using one or more of the first parameters generated by the at least one parametric sensor.

9. The system according to claim 8 , wherein the one or more second parameters are selected from a list consisting of durations, oxygen levels, temperatures, impedances, pH levels, accelerations, amplitudes, heart rates, blood pressures, electro-cardiogram (ECG) parameters, respiratory parameters, body activity values, heart sounds, blood gas pH, red blood cell counts, white blood cell counts, and electro-encephologram (EEG) parameters.

10. The system according to claim 6 , wherein the monitoring device further comprises a posture circuit configured to analyze information generated by the at least one imaging sensor and the at least one motion sensor, wherein the monitoring device is further configured to determine:
a posture state of the patient, using the posture circuit, based on information generated by the at least one imaging sensor and the at least one motion sensor;
a motion score based on information generated by the at least one motion sensor; and
a pain score based on the number of sleep interruptions,
wherein the activity score of the patient is further determined based on the posture state of the patient and the activity score, and
wherein the quality of sleep score of the patient is further determined based on the posture state of the patient and the pain score.

11. The system according to claim 10 , wherein the monitoring device further comprises a prone circuit configured to analyze information generated by the at least one imaging sensor and the at least one motion sensor, and wherein the monitoring device is further configured to determine:
whether the patient is in a prone state using the prone circuit;
the quality of sleep score if the patient is in the prone state; and
the activity score if the patient is not in the prone state.

12. A spinal kinematics system for measuring vertebral motion, the system comprising:
at least one imaging sensor configured for imaging and measuring vertebral displacement;
at least one motion sensor configured for detecting motion of a patient; and
at least one monitoring device having a processor and memory storing computer executable instructions that when executed cause the processor to:
process information received from the at least one imaging sensor and the at least one motion sensor;
determine a first activity score, based on vertebral displacement measured by the at least one imaging sensor and motion detected by the at least one motion sensor, that measures a first rest-activity cycle of the patient for a first activity period;
determine a first cumulative activity score by summing weighted daily averages of a first plurality of activity scores across a first plurality of activity periods; and
determine a first combined score calculated using the first cumulative activity score.

13. The system according to claim 12 , wherein the computer executable instructions further comprise instructions that when executed cause the processor to:
determine a second activity score, based on vertebral displacement measured by the at least one imaging sensor and motion detected by the at least one motion sensor, that measures a second rest-activity cycle of the patient for a second activity period;
determine a second cumulative activity score by summing weighted daily averages of a second plurality of activity scores across a second plurality of activity periods; and
determine a first combined score calculated using the first cumulative activity score.

14. The system according to claim 13 , wherein the first rest-activity cycle and the first activity period are measured pre-operatively.

15. The system according to claim 14 , wherein the second rest-activity cycle and the second activity period are measured post-operatively.

16. The system according to claim 15 , wherein the computer executable instructions further comprise instructions that when executed cause the processor to:
determine whether an outcome of a procedure is positive by comparing the first combined score to the second combined score.

17. The system according to claim 12 , wherein the at least one monitoring device further comprises a wireless interface adapter in communication with the at least one imaging sensor and the at least one motion sensor.

18. The system according to claim 12 , wherein the at least one motion sensor comprises at least one of: a three-axis motion sensor and a nine-axis motion sensor.

19. The system according to claim 12 , further comprising at least one parametric sensor configured to measure sleep interruptions during a sleep period and determine a quality of sleep score.

20. The system according to claim 19 , wherein the at least one monitoring device further comprises a posture circuit configured to analyze information generated by the at least one imaging sensor and the at least one motion sensor, wherein the at least one monitoring device is further configured to determine:
a posture state of the patient, using the posture c

Assignees

• Warsaw Orthopedic Inc

Inventors

• Schulhauser Randal
• Brown Richard L
• Justis Jeff R
• Morrison Matthew M
• Cherry Jeff M

Classifications

• G16H50/30 Primary

  for calculating health indices; for individual health risk assessment · CPC title

• G16H20/40

  relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture · CPC title

• G16H30/20

  for handling medical images, e.g. DICOM, HL7 or PACS · CPC title

• G16H40/63

  for local operation · CPC title

• G16H50/20

  for computer-aided diagnosis, e.g. based on medical expert systems · CPC title