Apparatus, system and method for chronic disease monitoring

A - Human Necessities – 61 – B

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A61B 5/0205 (2006.01) A61B 5/113 (2006.01)

Patent

CA 2751649

An apparatus, system, and method for monitoring a person suffering from a chronic medical condition predicts and assesses physiological changes which could affect the care of that subject. Examples of such chronic diseases include (but are not limited to) heart failure, chronic obstructive pulmonary disease, asthma, and diabetes. Monitoring includes measurements of respiratory movements, which can then be analyzed for evidence of changes in respiratory rate, or for events such as hypoponeas, apneas and periodic breathing. Monitoring may be augmented by the measurement of nocturnal heart rate in conjunction with respiratory monitoring. Additional physiological measurements can also be taken such as subjective symptom data, blood pressure, blood oxygen levels, and various molecular markers. Embodiments for detection of respiratory patterns and heart rate are disclosed, together with exemplar implementations of decision processes based on these measurements.

La présente invention concerne un appareil, un système et un procédé de surveillance d'une personne souffrant d'une maladie chronique, permettant de prévoir et d'évaluer les modifications physiologiques susceptibles d'influer sur les soins apportés audit sujet. Comme exemples de ces maladies chroniques, on peut citer (mais la liste n'est pas limitative) l'insuffisance cardiaque, la bronchopneumopathie chronique obstructive, l'asthme et le diabète. La surveillance comprend la mesure des mouvements respiratoires, qui peuvent ensuite être analysés à la recherche de signes de changement du rythme respiratoire ou d'événements comme les hypopnées, les apnées et la respiration périodique. La surveillance peut être renforcée grâce à la mesure du rythme cardiaque nocturne en association avec la surveillance respiratoire. Des mesures physiologiques supplémentaires peuvent également être pratiquées comme celles concernant des données symptomatiques subjectives, celles de la pression artérielle, du taux d'oxygène sanguin et de divers marqueurs moléculaires. L'invention concerne, selon certains modes de réalisation, la détection de profils respiratoires et du rythme cardiaque, ainsi que des exemples de mise en uvre de processus de décision sur la base de ces mesures.

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