Method and system for monitoring and treating a patient

US 20020120187A1
Filed: 02/26/2001
Published: 08/29/2002
Est. Priority Date: 02/26/2001
Status: Active Grant

First Claim

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1. A method for monitoring and treating a patient with one or more diagnosed conditions, the method comprising:

determining a current assessment of each of the diagnosed conditions using a treatment processing system based on objective data and subjective data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions; and

updating an existing treatment plan for each of the diagnosed conditions using the treatment processing system based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions.

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Abstract

A method for monitoring and treating a patient with one or more diagnosed conditions includes a few steps. A current assessment of each of the diagnosed conditions is determined in a treatment processing system. The current assessment is based on objective data and subjective data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions. Next, an existing treatment plan for each of the diagnosed conditions is updated using the treatment processing system. The updated treatment plan is based on the existing treatment plan, the current assessment and on one or more treatment guidelines for each of the diagnosed conditions. The updated treatment plan for each of the diagnosed conditions is then transmitted to the patient for application by the patient at the remote location.

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76 Claims

1. A method for monitoring and treating a patient with one or more diagnosed conditions, the method comprising:
- determining a current assessment of each of the diagnosed conditions using a treatment processing system based on objective data and subjective data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions; and
  
  updating an existing treatment plan for each of the diagnosed conditions using the treatment processing system based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions.
- View Dependent Claims (2, 3, 4, 5, 6, 7, 57)
- - 2. The method as set forth in claim 1 further comprising:
    - obtaining the objective data on each of the diagnosed conditions;
      
      obtaining the subjective data from the patient on one or more subjective factors for each of the diagnosed conditions; and
      
      transmitting the objective data and the subjective data from a patient processing system at the remote location to the treatment processing system.
  - 3. The method as set forth in claim 2 further comprising notifying the patient to obtain the objective data and the subjective data.
  - 4. The method as set forth in claim 1 wherein the updating further comprises:
    - determining if the existing treatment plan for each of the diagnosed conditions needs an adjustment based on the one or more treatment guidelines and the current assessment for each of the diagnosed conditions;
      
      making one or more recommended modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment based on the existing treatment plan, the current assessment, and on the one or more treatment guidelines for each of the diagnosed conditions; and
      
      generating the updated treatment plan with the one or more modifications for each of the diagnosed conditions that needed the adjustment and using the existing treatment plan for the updated treatment plan for each of the diagnosed conditions that does not need the adjustment.
  - 5. The method as set forth in claim 4 further comprising receiving approval for the one or modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment before the generating of the updated treatment plan.
  - 6. The method as set forth in claim 4 further comprising making one or more additional changes to the updated treatment plan for one or more of the diagnosed conditions.
  - 7. The method as set forth in claim 1 further comprising transmitting the updated treatment plan for each of the diagnosed conditions for display and application by the patient at the remote location.
  - 57. The medium as set forth in claim 1 further comprising transmitting the updated treatment plan for each of the diagnosed conditions for display and application by the patient at the remote location.

8. A system for monitoring and treating a patient with one or more diagnosed conditions, the system comprising:
- an assessment processing system that determines a current assessment of each of the diagnosed conditions based on objective data and subjective data about each of the diagnosed conditions from the patient and on one or more assessment guidelines for each of the diagnosed conditions; and
  
  a treatment processing system that updates an existing treatment plan for each of the diagnosed conditions based on the existing treatment plan, the current assessment and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions.
- View Dependent Claims (9, 10, 11, 12, 13, 15, 16, 17, 18, 19, 20, 21)
- - 9. The system as set forth in claim 8 further comprising:
    - at least one self monitoring device that obtains objective data on at least one of the diagnosed conditions; and
      
      at least one patient processing system coupled to the assessment processing system, the patient processing system transmitting the objective data from the self monitoring device and the subjective data input from the patient on one or more subjective factors on each of the diagnosed conditions.
  - 10. The system as set forth in claim 8 wherein the treatment processing system further comprises:
    - an adjustment system that determines if the existing treatment plan for each of the diagnosed conditions needs an adjustment based on the one or more treatment guidelines and the current assessment for each of the diagnosed conditions;
      
      a modification system that makes one or more recommended modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions; and
      
      a generation system that generates the updated treatment plan with the one or more modifications for each of the diagnosed conditions that needed the adjustment and using the existing treatment plan for the updated treatment plan for each of the diagnosed conditions that does not need the adjustment.
  - 11. The system as set forth in claim 10 further comprising a provider processing system that restricts the generation of the updated treatment plan for each of the existing treatment plans that needed the adjustment until an approval is received.
  - 12. The system as set forth in claim 10 further comprising a provider processing system that makes one or more changes to the updated treatment plan for one or more of the diagnosed conditions.
  - 13. The system as set forth in claim 8 wherein the patient processing system further comprises a display system that displays the updated treatment plan to the patient.
  - 15. The method as set forth in claim 14 further comprising:
    - obtaining the data on each of the diagnosed conditions; and
      
      transmitting the data from the remote location to the treatment facility.
  - 16. The method as set forth in claim 15 further comprising notifying the patient to obtain the data.
  - 17. The method as set forth in claim 14 wherein both of the current assessment and the updated treatment plan for each of the diagnosed conditions is also determined and updated based on the one or more customized guidelines for the patient;
  - 18. The method as set forth in claim 15 wherein the updating further comprises:
    - determining if the existing treatment plan for each of the diagnosed conditions needs an adjustment based on the one or more treatment guidelines, the customized guidelines, and the current assessment for each of the diagnosed conditions;
      
      making one or more recommended modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment based on the existing treatment plan, the current assessment, and on the one or more treatment guidelines for each of the diagnosed conditions; and
      
      generating the updated treatment plan with the one or more modifications for each of the diagnosed conditions that needed the adjustment and using the existing treatment plan for the updated treatment plan for each of the diagnosed conditions that does not need the adjustment.
  - 19. The method as set forth in claim 18 further comprising receiving approval for the one or modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment before the generating of the updated treatment plan.
  - 20. The method as set forth in claim 18 further comprising making one or more physician directed modifications to the existing treatment plan to generate the updated treatment plan for one or more of the diagnosed conditions.
  - 21. The method as set forth in claim 15 further comprising transmitting the updated treatment plan for each of the diagnosed conditions for display and application by the patient at the remote location.

14. A method for monitoring and treating a patient with one or more diagnosed conditions, the method comprising:
- determining a current assessment of each of the diagnosed conditions using a treatment processing system based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions; and
  
  updating an existing treatment plan for each of the diagnosed conditions using the treatment processing system based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions, wherein at least one of the current assessment or the updated treatment plan for each of the diagnosed conditions is also determined or updated based on one or more customized guidelines.

22. A system for monitoring and treating a patient with one or more diagnosed conditions, the system comprising:
- an assessment processing system that determines a current assessment of each of the diagnosed conditions based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions; and
  
  a treatment processing system that updates an existing treatment plan for each of the diagnosed conditions based on the current assessment and the on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions, wherein at least one of the current assessment or the updated treatment plan for each of the diagnosed conditions is also determined or updated based on one or more customized guidelines for the patient.
- View Dependent Claims (23, 24, 25, 26, 27, 28, 30, 31, 32, 33, 34, 35, 37, 38, 39, 40, 41, 42)
- - 23. The system as set forth in claim 22 further comprising:
    - a modification system that makes one or more modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment; and
      
      a generation system that generates the updated treatment plan with the one or more modifications for each of the diagnosed conditions that needed the adjustment.
  - 24. The system as set forth in claim 22 wherein both of the current assessment and the updated treatment plan for each of the diagnosed conditions is also determined and updated based on the one or more customized guidelines for the patient;
  - 25. The system as set forth in claim 22 wherein the treatment processing system further comprises:
    - an adjustment system that determines if the existing treatment plan for each of the diagnosed conditions needs an adjustment based on the one or more treatment guidelines, the one or more customized guidelines for the patient, and the current assessment for each of the diagnosed conditions;
      
      a modification system that makes one or more modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment; and
      
      a generation system that generates the updated treatment plan with the one or more modifications for each of the diagnosed conditions that needed the adjustment.
  - 26. The system as set forth in claim 25 wherein the generation system uses the existing treatment plan for the updated treatment plan for each of the diagnosed conditions that does not need the adjustment.
  - 27. The system as set forth in claim 25 further comprising a gating system that restricts transmission of the updated treatment plan for each of the diagnosed conditions until approval for the one or modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment is received.
  - 28. The system as set forth in claim 22 further comprising a display system that displays at least one of the updated treatment plans to the patient.
  - 30. The method as set forth in claim 29 further comprising providing the patient with one or more instructions based on the emergency.
  - 31. The method as set forth in claim 29 further comprising notifying a physician who has been treating the patient of the emergency.
  - 32. The method as set forth in claim 29 wherein the data comprises objective data and subjective data about each of the diagnosed conditions and wherein the current assessment is based on at least a portion of the objective data and the subjective data.
  - 33. The method as set forth in claim 32 further comprising:
    - obtaining the objective data on each of the diagnosed conditions;
      
      obtaining the subjective data from the patient on one or more subjective factors for each of the diagnosed conditions; and
      
      transmitting the objective data and the subjective data from the remote location to the treatment processing system for the determination of the current assessment.
  - 34. The method as set forth in claim 29 further comprising notifying the patient to obtain the data.
  - 35. The method as set forth in claim 29 further comprising notifying an emergency service provider of the emergency with the patient if no communication in response to the confirmation is received.
  - 37. The system as set forth in claim 36 further comprising an emergency instruction system that provides the patient with one or more instructions based on the emergency.
  - 38. The system as set forth in claim 36 wherein the notification system notifies a physician who has been treating the patient of the emergency.
  - 39. The system as set forth in claim 36 wherein the data comprises objective data and subjective data about each of the diagnosed conditions and wherein the current assessment is based on at least a portion of the objective data and the subjective data.
  - 40. The system as set forth in claim 39 further comprising:
    - at least one self monitoring device that obtains objective data on at least one of the diagnosed conditions; and
      
      at least one patient processing system coupled to the assessment processing system, the patient processing system transmitting the objective data from the self monitoring device and the subjective data input from the patient on one or more subjective factors on each of the diagnosed conditions.
  - 41. The system as set forth in claim 36 wherein the notification system notifies the patient to obtain the data.
  - 42. The system as set forth in claim 36 wherein the notification system notifies an emergency service provider of the emergency with the patient if no communication in response to the confirmation is received.

29. A method for monitoring a patient with one or more diagnosed conditions, the method comprising:
- determining a current assessment of each of the diagnosed conditions using a treatment processing system based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions;
  
  determining if the current assessment indicates an emergency;
  
  confirming at least a portion of the data with the patient if the current assessment indicates the emergency; and
  
  notifying an emergency service provider of the emergency with the patient if the confirmation of the data from the patient is received.

36. A system for monitoring for a patient with one or more diagnosed conditions, the system comprising:
- an assessment processing system that determines a current assessment of each of the diagnosed conditions based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions;
  
  a warning system that determines if the current assessment indicates an emergency;
  
  a confirmation system that confirms at least a portion of the data with the patient if the current assessment indicates the emergency; and
  
  a notification system that notifies an emergency service provider of the emergency with the patient if the confirmation of the data from the patient is received.

43. A method for tracking compliance with treatment guidelines, the method comprising:
- determining a current assessment of one or more diagnosed conditions in a patient using a treatment processing system based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions;
  
  updating an existing treatment plan for each of the diagnosed conditions using the treatment processing system based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions;
  
  providing the patient with a reviewed treatment plan based on the updated treatment plan for each of the diagnosed conditions; and
  
  generating and providing compliance data based on the reviewed treatment plans.
- View Dependent Claims (44, 45, 46, 48, 49, 50)
- - 44. The method as set forth in claim 43 further comprising:
    - determining whether one or more changes are needed to the updated treatment plan for each of the diagnosed conditions; and
      
      generating the reviewed treatment plan from the updated treatment plan for each of the diagnosed conditions, wherein the reviewed treatment plan is the updated treatment plan for each of the diagnosed conditions where the one or more changes are not needed and the reviewed treatment plan is the updated treatment plan with the one or more changes for each of the diagnosed conditions where the one or more changes are needed.
  - 45. The method as set forth in claim 43 wherein the compliance data comprises provider information on the number of the reviewed treatment plans which are different from the corresponding one of the updated treatment plans for each provider.
  - 46. The method as set forth in claim 43 wherein the compliance data comprises data on a number of the patients who follow the reviewed treatment plans.
  - 48. The system as set forth in claim 47 further comprising:
    - a determination processing system that determines whether one or more changes are needed to the updated treatment plan for each of the diagnosed conditions; and
      
      a plan generation system that generates the reviewed treatment plan from the updated treatment plan for each of the diagnosed conditions, wherein the reviewed treatment plan is the updated treatment plan for each of the diagnosed conditions where the one or more changes are not needed and the reviewed treatment plan is the updated treatment plan with the one or more changes for each of the diagnosed conditions where the one or more changes are needed.
  - 49. The system as set forth in claim 47 wherein the compliance data comprises provider information on the number of the reviewed treatment plans which are different from the corresponding one of the updated treatment plans for each provider.
  - 50. The system as set forth in claim 47 wherein the compliance data comprises patient information on a number of the patients who follow the reviewed treatment plans.

47. A system for tracking compliance in treating patients, each of the patients having one or more diagnosed conditions, the system comprising:
- an assessment processing system that determines a current assessment of each of the diagnosed conditions using a treatment processing system based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions;
  
  a treatment processing system that updates an existing treatment plan for each of the diagnosed conditions using the treatment processing system based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions;
  
  a presentation system that provides the patient with a reviewed treatment plan based on the updated treatment plan for each of the diagnosed conditions; and
  
  a compliance processing system that generates and provides compliance data based on the reviewed treatment plans and the updated treatment plans.

51. A computer readable medium having stored thereon instructions for monitoring and treating a patient with one or more diagnosed conditions which when executed by a processor, cause the processor to perform the steps of:
- determining a current assessment of each of the diagnosed conditions using a treatment processing system based on objective data and subjective data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions; and
  
  updating an existing treatment plan for each of the diagnosed conditions using the treatment processing system based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions.
- View Dependent Claims (52, 53, 54, 55, 56, 59, 60, 61, 62, 63, 64, 65)
- - 52. The medium as set forth in claim 51 further comprising:
    - obtaining the objective data on each of the diagnosed conditions;
      
      obtaining the subjective data from the patient on one or more subjective factors for each of the diagnosed conditions; and
      
      transmitting the objective data and the subjective data from a patient processing system at the remote location to the treatment processing system.
  - 53. The medium as set forth in claim 52 further comprising notifying the patient to obtain the objective data and the subjective data.
  - 54. The medium as set forth in claim 51 wherein the updating further comprises:
    - determining if the existing treatment plan for each of the diagnosed conditions needs an adjustment based on the one or more treatment guidelines and the current assessment for each of the diagnosed conditions;
      
      making one or more recommended modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment based on the existing treatment plan, the current assessment, and on the one or more treatment guidelines for each of the diagnosed conditions; and
      
      generating the updated treatment plan with the one or more modifications for each of the diagnosed conditions that needed the adjustment and using the existing treatment plan for the updated treatment plan for each of the diagnosed conditions that does not need the adjustment.
  - 55. The medium as set forth in claim 54 further comprising receiving approval for the one or modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment before the generating of the updated treatment plan.
  - 56. The medium as set forth in claim 54 further comprising making one or more additional changes to the updated treatment plan for one or more of the diagnosed conditions.
  - 59. The medium as set forth in claim 58 further comprising:
    - obtaining the data on each of the diagnosed conditions; and
      
      transmitting the data from the remote location to the treatment facility.
  - 60. The medium as set forth in claim 59 further comprising notifying the patient to obtain the data.
  - 61. The medium as set forth in claim 58 wherein both of the current assessment and the updated treatment plan for each of the diagnosed conditions is also determined and updated based on the one or more customized guidelines for the patient;
  - 62. The medium as set forth in claim 58 wherein the updating further comprises:
    - determining if the existing treatment plan for each of the diagnosed conditions needs an adjustment based on the one or more treatment guidelines, the customized guidelines, and the current assessment for each of the diagnosed conditions;
      
      making one or more recommended modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment based on the existing treatment plan, the current assessment, and on the one or more treatment guidelines for each of the diagnosed conditions; and
      
      generating the updated treatment plan with the one or more modifications for each of the diagnosed conditions that needed the adjustment and using the existing treatment plan for the updated treatment plan for each of the diagnosed conditions that does not need the adjustment.
  - 63. The medium as set forth in claim 58 further comprising receiving approval for the one or modifications to the existing treatment plan for each of the diagnosed conditions that needed the adjustment before the generating of the updated treatment plan.
  - 64. The medium as set forth in claim 58 further comprising making one or more physician directed modifications to the existing treatment plan to generate the updated treatment plan for one or more of the diagnosed conditions.
  - 65. The medium as set forth in claim 64 further comprising transmitting the updated treatment plan for each of the diagnosed conditions for display and application by the patient at the remote location.

58. A computer readable medium having stored thereon instructions for monitoring and treating a patient with one or more diagnosed conditions which when executed by a processor, cause the processor to perform the steps of:
- determining a current assessment of each of the diagnosed conditions using a treatment processing system based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions; and
  
  updating an existing treatment plan for each of the diagnosed conditions using the treatment processing system based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions, wherein at least one of the current assessment or the updated treatment plan for each of the diagnosed conditions is also determined or updated based on one or more customized guidelines.

66. A computer readable medium having stored thereon instructions for monitoring a patient with one or more diagnosed conditions which when executed by a processor, cause the processor to perform the steps:
- determining a current assessment of each of the diagnosed conditions using a treatment processing system based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions;
  
  determining if the current assessment indicates an emergency;
  
  confirming at least a portion of the data with the patient if the current assessment indicates the emergency; and
  
  notifying an emergency service provider of the emergency with the patient if the confirmation of the data from the patient is received.
- View Dependent Claims (67, 68, 69, 70, 71, 72)
- - 67. The medium as set forth in claim 66 further comprising providing the patient with one or more instructions based on the emergency.
  - 68. The medium as set forth in claim 67 further comprising notifying a physician who has been treating the patient of the emergency.
  - 69. The medium as set forth in claim 66 wherein the data comprises objective data and subjective data about each of the diagnosed conditions and wherein the current assessment is based on at least a portion of the objective data and the subjective data.
  - 70. The medium as set forth in claim 69 further comprising:
    - obtaining the objective data on each of the diagnosed conditions;
      
      obtaining the subjective data from the patient on one or more subjective factors for each of the diagnosed conditions; and
      
      transmitting the objective data and the subjective data from the remote location to the treatment processing system for the determination of the current assessment.
  - 71. The medium as set forth in claim 66 further comprising notifying the patient to obtain the data.
  - 72. The medium as set forth in claim 66 further comprising notifying an emergency service provider of the emergency with the patient if no communication in response to the confirmation is received.

73. A computer readable medium having stored thereon instructions for tracking compliance with treatment guidelines which when executed by a processor, cause the processor to perform the steps of:
- determining a current assessment of one or more diagnosed conditions in a patient using a treatment processing system based on data about each of the diagnosed conditions from the patient who is at a remote location and on one or more assessment guidelines for each of the diagnosed conditions;
  
  updating an existing treatment plan for each of the diagnosed conditions using the treatment processing system based on the existing treatment plan, the current assessment, and on one or more treatment guidelines for each of the diagnosed conditions to generate an updated treatment plan for each of the diagnosed conditions;
  
  providing the patient with a reviewed treatment plan based on the updated treatment plan for each of the diagnosed conditions; and
  
  generating and providing compliance data based on the reviewed treatment plans.
- View Dependent Claims (74, 75, 76)
- - 74. The medium as set forth in claim 73 further comprising:
    - determining whether one or more changes are needed to the updated treatment plan for each of the diagnosed conditions; and
      
      generating the reviewed treatment plan from the updated treatment plan for each of the diagnosed conditions, wherein the reviewed treatment plan is the updated treatment plan for each of the diagnosed conditions where the one or more changes are not needed and the reviewed treatment plan is the updated treatment plan with the one or more changes for each of the diagnosed conditions where the one or more changes are needed.
  - 75. The medium as set forth in claim 73 wherein the compliance data comprises provider information on the number of the reviewed treatment plans which are different from the corresponding one of the updated treatment plans for each provider.
  - 76. The medium as set forth in claim 73 wherein the compliance data comprises data on a number of the patients who follow the reviewed treatment plans.

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Current Assignee
My Health, Inc.
Original Assignee
University of Rochester
Inventors
Schwartz, Lisa C., Eiffert, Michael E.

Granted Patent

US 6,612,985 B2
Time in Patent Office

Days
Field of Search
US Class Current

600/407
CPC Class Codes

A61B 5/0002   Remote monitoring of patien...

G16H 40/67   for remote operation

G16H 50/20   for computer-aided diagnosi...

Y10S 128/92   Computer assisted medical d...

Method and system for monitoring and treating a patient

First Claim

7 Assignments

0 Petitions

Accused Products

Abstract

126 Citations

76 Claims

Specification

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Method and system for monitoring and treating a patient

First Claim

7 Assignments

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Accused Products

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Abstract

126 Citations

76 Claims

Specification

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