Patent Grant
11557073
The present embodiments are directed generally to communicating contact messages within medical diagnostic images, and more particularly, but not exclusively, to generating contact messages, such as electronic business cards, promotions, or the like, that are embedded within medical diagnostic images for transmitting to a person's computing device, which in turn may be shared by the person with others.
Diagnosing soft-tissue injuries (e.g., injury to tissues that connect, support, or surround structures and organs of the body including, for example, muscles, tendons, ligaments, fascia, nerves, fibrous tissue, fat, blood vessels, synovial tissues, and the like), as well as assessing pain associated with soft-tissue injury, may be difficult. Soft tissue injuries are often not viewable by the naked eye. Additionally, soft-tissue injury may be difficult (and expensive) to assess even with medical imaging techniques, such as magnetic resonance imaging, computed tomography, ultrasound, and the like. Moreover, the resulting medical images may be difficult for a patient or prospective patient to understand or explain to others.
Non-limiting and non-exhaustive embodiments of the present invention are described with reference to the following drawings. In the drawings, like reference numerals refer to like parts throughout the various figures unless otherwise specified.
For a better understanding of the present invention, reference will be made to the following Detailed Description, which is to be read in association with the accompanying drawings, wherein:
The present invention is directed to medical diagnostic instrumentation. The present invention is also directed to systems and methods for evaluating soft-tissue-injury using surface electromyography or range-of-motion testing separately or in combination with one another. The present invention is further directed towards providing devices, methods, systems, and non-transitory computer-readable devices usable to generate contact messages, such as electronic business cards, that are embedded within personalized medical diagnostic images, or other images, for transmitting to a person's computing device. One embodiment of such images may be obtained from the herein disclosed soft-tissue-injury diagnostic system for diagnosing soft tissue injury within a patient. In one embodiment, the disclosed diagnostic system includes a set of hand-held inclinometers configured and arranged for measuring angles formed between a first inclinometer disposed in proximity to a patient joint and a second inclinometer disposed distal to the joint during controlled patient movements of the joint. A plurality of measuring electrodes is coupleable in proximity to the patient's spine along the body portion that moves along the joint. The measuring electrodes are configured and arranged for measuring action potentials along patient muscle groups during the controlled patient movements of the joint and transmitting the measured action potentials to a dynamic surface electromyograph (“sEMG”) module. Other embodiments for generating a diagnostic visual image might include using a plurality of electrodes which are held against the patient's body for a measurement of action potentials while the patient is in a neutral posture” A hub as described below may then receive and processes data from the inclinometers, dynamic sEMG module and the Static sEMG module. A visual display is configured and arranged for receiving and displaying the processed data. The processed data may include at least one diagnostic image that may then be embedded with various contact messages disclosed further below. In one embodiment, an embedded contact message may include hyperlinks, or other mechanisms, usable by a recipient to contact a medical professional for follow-up medical care. The image with the embedded contact message may be sent via email or other methods to the patient, who may subsequently share the image and contact message with others, including posting the image and contact message on a social network site, emailing to others, or the like.
The methods, systems, and devices described herein may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Accordingly, the methods, systems, and devices described herein may take the form of an entirely different hardware embodiment, an entirely different software embodiment or an embodiment combining software and hardware aspects. The methods described herein can be performed using any type of computing device, such as a computer, that includes a processor or any combination of computing devices where each device performs at least part of the process.
Suitable computing devices typically include mass memory and typically include communication between devices. The mass memory illustrates a type of computer-readable media, namely computer storage media. Computer storage media may include volatile, nonvolatile, removable, and non-removable media implemented in any method or technology for storage of information, such as computer readable instructions, data structures, program modules, or other data. Examples of non-transitory computer storage media include RAM, ROM, EEPROM, flash memory, or other memory technology, CD-ROM, digital versatile disks (“DVD”) or other optical storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other non-transitory medium which can be used to store the desired information and which can be accessed by a computing device.
Methods of communication between devices or components of a system can include both wired and wireless (e.g., RF, optical, or infrared) communications methods and such methods provide another type of computer readable media; namely communication media. Communication media typically embodies computer-readable instructions, data structures, program modules, or other data in a modulated data signal such as a carrier wave, data signal, or other transport mechanism and include any information delivery media. The terms “modulated data signal,” and “carrier-wave signal” includes a signal that has one or more of its characteristics set or changed in such a manner as to encode information, instructions, data, and the like, in the signal. By way of example, communication media includes wired media such as twisted pair, coaxial cable, fiber optics, wave guides, and other wired media and wireless media such as acoustic, RF, infrared, and other wireless media.
Over the years, several types of medical diagnostic devices have been developed that measure one or more patient capabilities which may be helpful in evaluating soft-tissue injury. One such type of medical diagnostic device is a surface electromyograph (“sEMG”), which can be used for measuring the muscle tension of selected muscle groups of a patient, either while the patient performs various movements (e.g., a dynamic sEMG) or while a patient is at rest (e.g., a static sEMG). Another such type of medical diagnostic device is a range-of-motion tester (“ROM”), which can be used for measuring how far a patient can bend along a given joint. However, despite advancements in sEMG and ROM technologies, a tool for completely diagnosing soft-tissue injuries and assessing corresponding patient pain remains elusive.
As a result of the inability to reliably diagnose or assess soft-tissue injury, the healthcare system may experience a financial burden by misdiagnosing some types of patient injuries and consequently applying inappropriate therapies. Additionally, the insurance system and the court system may likewise experience a financial burden due to some people falsely claiming (or grossly exaggerating the extent of) soft-tissue injuries in order to receive money or other forms of consideration.
Moreover, many medical professionals have found that patients, and/or their relatives find it difficult to understand results of various diagnostic tools, let alone are able to explain the results, or a need for follow-up care, to others. This complexity has sometimes resulted in a patient not returning for follow-up care, or potential patients not becoming a patient at all. Therefore, many medial professionals have tried various methods to assist patients, and potential patients, in better understanding their medical diagnosis, and benefits of a follow-up session. Some professionals have even tried high paid endorsements, various marketing schemes, and other approaches to educate the public, and to reach new patients.
As disclosed herein various embodiments are directed towards these issues, as well as others, by providing for personalized contact messages that have visual objective and personalized data validating for a patient, a diagnostic result. Moreover, embodiments disclosed herein provide for electronically sending to the patient contact messages, including for example, electronic business cards, advertisements, coupons, or the like, that are embedded into a personalized medical diagnostic image. Because the image is configured to exclude patient confidential information, the recipient of the image with the embedded contact messages, may post the image and messages to various social networking sites or even forward the image with the messages to their family or friends. In this way, the patient may be better able to explain their medical diagnosis, and understand ‘why’ they may want a follow-up session. By allowing the patient to share with others their personalized image with the embedded contact messages, the professional's practice may be marketed virally, virtually 24/7.
In some embodiments, an embedded contact message may include a hyperlink, or other mechanism, that can be used to access the professional's office to arrange for an appointment, or to learn more about their diagnostic results. In other embodiments, the contact message may include advertisements, coupons, discounts, or other information. In various embodiments, information about the patient may be obtained during an initial diagnostic session and later used, with permission, to subsequently contact the patient by the professional's office.
In at least some embodiments, a soft-tissue-injury diagnostic system (“diagnostic system”) may be used to perform one or more diagnostic tests on a patient, either singularly or in combination, including an ROM test, a dynamic sEMG test, and a static sEMG test. In at least some embodiments, the diagnostic system also includes one or more video cameras. In at least some embodiments, multiple video cameras may be used to capture video (or photographs) of a patient's movements while undergoing one or more of the abovementioned tests. In at least some embodiments, results from one or more of the tests may be used by one or more medical practitioners to diagnose or assess soft-tissue injury.
While the embodiments disclosed herein are primarily directed to using a soft-tissue-injury diagnostic system to capture medical diagnostic images, it should be understood that other images may be embedded with contact messages and sent to a patient. For example, dental images, various magnetic resonance images, positron emission tomography (PET) images, or any of a variety of other medial images may also be embedded with contact messages and sent to a patient for sharing with others. In still other examples, a pharmacy, or other professional might configure images of a person's blood pressure analysis with embedded contact messages. The personalized image with the embedded contact messages may then be electronically sent to the person for sharing with their friends, family, spouses, or others, as well as posting on a social networking site.
Further, non-medial professionals might employ the embodiments herein to embed contact messages within other images that may be sent to clients for subsequent sharing with others. Thus, it should be understood that embedding of contact messages within sharable images is not constrained to merely medical images, and other systems and environments are also envisaged.
However, within a medical environment,
In at least some embodiments, the inclinometers 102, the dynamic sEMG module 106, and the scanners 108 are in electrical communication with the hub 104. In some embodiments, one or more of the inclinometers 102, the dynamic sEMG module 106, and the scanners 108 are electrically coupled to the hub 104 by a wireless network, such as 3G. In other embodiments, one or more of the inclinometers 102, the dynamic sEMG module 106, and the scanners 108 are electrically coupled to the hub 104 by one or more conductors, such as wires.
In at least some embodiments, the diagnostic system 100 also includes (as shown in
In at least some embodiments, the diagnostic system 100 includes software or hardware for facilitating many different operations including, for example, linking the inclinometer 102, the dynamic sEMG module 106, or the scanners 108 to the hub 104, performing the ROM test, the dynamic sEMG, and the static sEMG, displaying the results of the ROM test, the dynamic sEMG, or the static sEMG, saving and backing-up testing data, and powering on or off the testing devices.
In at least some embodiments, the main unit 402 and the auxiliary unit 404 each include a plurality of light-emitting diodes (“LEDs”), such as LEDs 410 positioned on the bodies of the main unit 402 and the auxiliary unit 404 to form degree markings. For example, the LEDs may be positioned to mark 0 degrees, 90 degrees, 180 degrees, and 270 degrees when the main unit 402 or the auxiliary unit 404 is placed in an upright position resting on the flat bottom surface 406. In at least some embodiments, the LEDs may be used by a user to determine a relative angle between the main unit 402 and the auxiliary unit 404 without needing to look at a computer display to obtain this information. In at least some embodiments, the LEDs may be used to mark the degrees of rotation between the main unit 402 and the auxiliary unit 404 based upon gravity.
In at least some embodiments, the main unit 402 and the auxiliary unit 404 use accelerometers. By using the LED degree markings and accelerometers, a user is able to use a true level (bubble-type level) to calibrate the inclinometers 102 to true center of the earth, and then have the ability to show, with LEDs, true zero with respect to gravity.
In at least some embodiments, the LEDs allow a user to see, by looking at the main unit 402 or the auxiliary unit 404, when the main unit 402 or the auxiliary unit 404 is at various degrees from earth center zero gravity. This allows the user to electronically provide a measurement without the use of a manual visual pendulum (which is a technique currently employed by some conventional devices). This may save time, and provide a more accurate reading as the angle data is stored by the hub 104 or the one or more processors 202, and does not require a human to calculate degrees.
In at least some embodiments, one or more LED-flashing systems may be implemented to convey to a user at what angle either the main unit 402 or the auxiliary unit 404 is at during performance of an ROM test. For example, when the LEDs are configured so that one or more LEDS mark 0 degrees, 90 degrees, 180 degrees, and 270 degrees, the LED(s) may provide feedback to the user as follows: when the main unit 402 or the auxiliary unit is at 0 degrees, for example, the one or more LEDs marking 0 degrees emit a green light. When the main unit 402 or the auxiliary unit 404 is rotated to 0 degrees minus 1 degree, the one or more LEDs marking 0 degrees emit a yellow light and flash at a rate of 1 time per second. When the main unit 402 or the auxiliary unit 404 are rotated to 0 degrees minus 2 degrees, the one or more LEDs marking 0 degrees emit a yellow light and flash at a rate of 2 times per second. In at least some embodiments, this continues on up to 5 degrees. When the main unit 402 or the auxiliary unit 404 are rotated to 0 degrees plus 1 degree, the one or more LEDs marking 0 degrees emit a red light or another color, and will flash with the same frequency as above, increasing at the same rate as the number of degrees increases from zero. So, for example, at 5 degrees, the one or more LEDs marking 0 degrees emit a red light and flash at a rate of 5 times per second.
In other embodiments, the main unit 402 or the auxiliary unit 404 each include 11 LEDs. In at least some embodiments, a plurality of colors are used. For example, the center may include 1 green LED. On either side at 1 degree increments there may be yellow LED's which indicate 1 degree increments under 0 degrees. On the other side of the 1 green LED there may be 5 red (or another color) LEDs which are spaced equally by 1 degree, and light up in order from the 1st to 5th LED indicating 1 to 5 degrees from center (0 degrees in this case). The 1 green LED in the center may emit light when the main unit 402 or the auxiliary unit 404 is held at 0 degrees compared to earth, and as the main unit 402 or the auxiliary unit 404 is moved away from 0 degrees (or any of the major markers (typically 0, 90, 180, 270), with the LED's lighting up in order as the 1-5 degrees is met from center.
In at least some embodiments, software associated with the ROM test utilizes voice signaling to facilitate operation of the inclinometers 102 or performance of an ROM test. For example, a voice signal may be output, via one or more speakers electrically coupled to the hub 104 or the one or more processors 202, the actual level in degrees in comparison to the center of the earth for one or both of the units 402 and 404 so that a user can focus on holding the main unit 402 or the auxiliary unit 404 against the patient and provide a more accurate reading, without dividing attention to attempt to read the values on a screen or on a mechanical device.
For example, when the main unit 402 or the auxiliary unit 404 is set up so that the top is at 0 degrees (is straight up and down), a voice signal may be emitted that says “zero degrees.” In addition, the emitted voice signal may say “plus 1 degree,” “plus two degrees,” or the like, to mark the movement of the main unit 402 or the auxiliary unit 404 from center position. In at least some embodiments, voice signaling may be used to provide commands to a user of the inclinometers 102 before, during, or after a ROM test. For example, a voice signal may prompt the user when to instruct a patient to perform a given movement, when to record a marking (discussed below), or the like.
In at least some embodiments, the inclinometers 102 include one or more controllers 412 (e.g., buttons, switches, knobs, or the like) that may be used by a user during an ROM test to record a marking. For example, in at least some embodiments, the user may press a button during an ROM test to record a marking when a patient is at a neutral position, or when a patient is at a fully-flexed position. The recorded markings may be subsequently used to facilitate interpretation of a display of results from the ROM test. In at least some embodiments, two controllers 412 are positioned on each of the inclinometers 102. In at least some embodiments, the inclinometers 102 can be operated using either of the two controllers 412.
In at least some embodiments, the inclinometers 102 are powered by one or more batteries. In at least some embodiments, the inclinometers are automatically powered off after a given amount of time has elapsed without being used. In at least some embodiments, the inclinometers 102 are automatically powered off after the associated software has been powered off. In at least some embodiments, the inclinometers 102 are automatically powered off after an ROM test has been completed. In at least some embodiments, the inclinometers 102 include a master power switch which, when in one position, maintain the inclinometers 102 powered off.
In at least some embodiments, the inclinometer 102 is in electrical communication with the hub 104 and data created during the performance of an ROM test are input to the hub 104. In at least some embodiments, the data is processed by the hub 104 (or a plurality of hubs). In at least some embodiments, at least some of the data input to the hub 104 is output to the one or more electrically coupled processors 202 for further processing.
In at least some embodiments, the inclinometers 102 are positioned along a patient body portion that moves along a patient joint at one end of the body portion. The body portion can be any part(s) of the body, such as a limb, extending distally from a joint (e.g., head, neck, finger, hand, arm, forearm, waist, toe, ankle, knee, leg, or the like or combinations thereof). The inclinometers 102 may be positioned such that the main unit 402 is positioned against a patient joint and the auxiliary unit 404 is positioned distally from the joint along the moveable body portion.
In at least some embodiments, the feet 408 on the main unit 402 or the auxiliary unit 404 are adjustable. In at least some embodiments, at least one of the feet 408 slides along an axis separating the feet 408 (e.g., along an axis of the flat bottom surface 406), thereby increasing or decreasing the distance between the feet 408. In at least some embodiments, the adjustable feet 408 may be used to facilitate steady contact being made between the main unit 402 or the auxiliary unit 404 and the patient. For example, it may be the case that measuring the range of motion of one of the patient's fingers is more easily performed when the feet 408 are closer together than when measuring the range of motion of the patient's waist.
In at least some embodiments, the shape of the main unit 402 and the auxiliary unit 404 may also facilitate making steady contact with a patient. In at least some embodiments, a user may place hold of the main unit 402 or the auxiliary unit 404 between two of his or her fingers with his or her palm flat against the patient (as shown in
In at least some embodiments, the dynamic sEMG module 106 is configured and arranged to receive measuring electrodes coupled to a patient. In at least some embodiments, the dynamic sEMG module 106 is configured and arranged to receive up to sixteen measuring electrodes. The measuring electrodes coupled to the dynamic sEMG module 106 may be formed from many different conductive materials suitable for placement against the skin of a patient including, for example, gold, stainless steel, silver, silver chloride, and the like or combinations thereof. In at least some embodiments, multiple dynamic sEMG modules may be electrically coupled to one another or to the hub 104.
In
In at least some embodiments, an ROM test and one or more dynamic sEMG tests may be performed concurrently.
In at least some embodiments, the data for one or more of the motions from the ROM test may be arranged in a graphic which follows the American Medical Association (“AMA”) guides for ROM, such as the pie graph result 602 shown in
In at least some embodiments, further insight into the nature and extent of patient injury may be obtained by further including one or more video cameras, such as video camera 206, to capture one or more static images or, preferably, a video image of the performance of one or more of an ROM test and a dynamic sEMG test.
In at least some embodiments, the addition of captured images or videos may be made available for review by one or more medical practitioners. In at least some embodiments, the data from one or more of the ROM test, dynamic sEMG test, and the videos (or static images) may be stored on the hub 104, one or more processors 202, or a storage device, and arranged so that one or more medical practitioners may use a slider to play back the patient's motion (for example, a forward flexion) and determine precisely the angle at which the patient has bent along with video of the patient's body showing the precise manner of movement. Moreover, similar testing may subsequently be performed on the same patient. Thus, comparison of two or more data sets may be performed to provide data for tracking patient progress over time.
In at least some embodiments, the diagnostic system 100 includes scanners 108 for use by a user in administering a static sEMG test on a patient (measuring action potentials along selected muscle groups while the patient maintains a particular position). Sometimes a static sEMG test may involve a series of measurements taken during a set of successive placements of the scanners 108 against patient skin.
In at least some embodiments, the scanners 108 are configured and arranged to be hand-held by a user during the performance of a static sEMG test. In at least some embodiments, the scanners 108 each include one or more controllers 1310 (e.g., buttons, switches, knobs, or the like). In at least some embodiments, a user of the scanners 108 may use the controllers 1310 to control progress during a static sEMG test without using a keypad, keyboard, or the like in between successive placements of the measuring electrodes 1304 against patient skin. In at least some embodiments, the scanner 108 includes one or more indicators 1312, such as one or more LEDs, which provide one or more indications to a user (e.g., battery level, on/off, connectivity, or the like) before, during, or after performance of a static sEMG test. In at least some embodiments, the scanners 108 include one or more gripping members (not shown) to facilitate gripping of the scanners 108 by the user 1602 while performing a static sEMG. For example, the scanners 108 may include one or more indentations configured and arranged to facilitate holding of the scanners 108 by the user 1602 during administration of a static sEMG test. In at least some embodiments, scanners 108 include a master power switch which, when in one position, maintain the scanners 108 powered off.
In at least some embodiments, the sets of measuring electrodes 1302 each include two electrodes, such as measuring electrodes 1304a and 1304b of the first measuring electrode set 1304. In at least some embodiments, the measuring electrodes within a set of measuring electrodes are horizontally spaced apart from one another on the front end 1303. In at least some embodiments, the sets of measuring electrodes are vertically spaced apart from one another. The ground 1308 can be disposed anywhere on the front end 108. In at least some embodiments, the ground 1308 is positioned vertically between the measuring electrode sets 1304 and 1306. In at least some embodiments, the ground 1308 is positioned horizontally between individual measuring electrodes within a set of measuring electrodes 1302.
In at least some embodiments, each set of measuring electrodes 1302 corresponds to a spinal level. Thus, the number of sets of measuring electrodes 1302 disposed on the scanner 108 may correspond to the number of spinal levels that can be simultaneously measured. In at least some embodiments, a user may place the measuring electrodes 1302 of the scanners 108 against a back of a patient in lateral proximity to the patient's spine at a desired level to measure action potentials. In at least some embodiments, the scanners 108 shown in
Any number of sets of measuring electrodes may be disposed on the scanner 108 including, for example, one, two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-four, or more sets of measuring electrodes. It will be understood that additional sets of measuring electrodes may be disposed on the scanner 108, as well.
In a least some embodiments, the scanners 108 communicate with the hub 104 (and, optionally, one or more processors 202, via the hub 104). In at least some embodiments, the scanners 108 are wireless. When the scanners 108 are wireless, a user and patient are not limited to either being positioned in the immediate vicinity of the hub 104 or creating a potential hazard by extending one or more conductors over a space where the conductors may present a hazard, such as potentially being tripped over. Consequently, wireless scanners 108 may be used, for example, at a screening (where a user is at a mall, health fair, car show, or the like) to go out into a crowd to test people without needing to entice people into a testing center. In at least some embodiments, the results of a static sEMG test may be shown in real-time on one or more visual displays 204. In at least some embodiments, data from a static sEMG may be transmitted at least thirty feet to the hub 104.
In at least some embodiments, the diagnostic system 100 may include multiple sets of scanners 108 so that multiple static sEMG tests may be performed on multiple patients while the data from each static sEMG test are input to the hub 104 (and, optionally, to one or more processors 202), processed, and the results output to one or more displays, such as the visual display 204. In at least some embodiments, the results of multiple static sEMG tests may be displayed concurrently on a single visual display 204. For example, the visual display 204 may include a split screen with static sEMG test results for two or more patients.
The measuring electrodes 1302 may be formed from many different conductive materials suitable for placement against the skin of a patient including, for example, gold, stainless steel, silver, silver chloride, and the like or combinations thereof. The ground 1308 may also be formed from many different conductive materials suitable for placement against the skin of a patient including, for example, gold, stainless steel, silver, silver chloride, and the like or combinations thereof. In at least some embodiments, the ground 1308 is formed from the same conductive material as the measuring electrodes 1302.
In at least some embodiments, the grounds 1308 of the scanners 108 are retractable in order to promote an improved contact between each ground 1308 and a patient when the scanners 108 are placed against the patient, and to also promote improved contact between the sets of measuring electrodes 1304 and 1306 and the patient, especially when the sets of measuring electrodes 1304 and 1306 are contacting curved portions of the patient, such as a patient's back.
In at least some embodiments, action potentials measured by the scanners 108 may be no greater than one milli-volt. Accordingly, ground loop protection and noise reduction may be important concerns. In at least some embodiments, noise is reduced, in part, by using wire links for each measuring electrode that are of similar length.
In at least some embodiments, one or more of the measuring electrodes 1302 are pivotable to adapt to changes in body contours of a patient when, for example, the scanner 108 is pressed against the patient's body.
Over time, a series of measurements are obtained at different levels of the patient's spine. Action potentials of muscles are measured and the corresponding data is transferred to the hub 104 (and, optionally, one or more processors 202 via the hub 102), the data is processed, and results are displayed on one or more displays, such as the one or more visual displays 204.
In at least some embodiments, the scanners 108 are powered by one or more batteries. In at least some embodiments, during a static sEMG test the corresponding software executes a command to power off the scanners 108 for a period of time between successive placements to save battery power. In at least some embodiments, during a static sEMG test the corresponding software executes a command to power on the scanners 108 when the scanners 108 are positioned against a patient, or when the controller 1301 is engaged. In at least some embodiments, during a static sEMG test the corresponding software executes a command to power off the scanners 108 after the one or more controllers 1308 are engaged.
In at least some embodiments, the hub 104 or the one or more processors 202 provide a prompt to alert the user 1602 when the scanners 108 are properly positioned against the patient 1604. In some embodiments, one or more of the positioning information and instructions for progressing through a static sEMG test is displayed on the one more visual displays 204. In other embodiments, the positioning information is provided via one or more voice commands.
As discussed above, the scanners 108 may include various numbers of sets of measuring electrodes. In at least some embodiments, more than two sets of measuring electrodes may be used. Additionally, in at least some embodiments additional grounds may also be used. In some embodiments, the measuring electrodes are coupled to hand-held scanners, such as the scanners 108. In at least some embodiments, measuring electrodes are coupled to scanners that may be self-standing or mounted to one or more planar surfaces, such as a wall.
In at least some embodiments, the measuring electrodes 1803 are retractable. Thus, in at least some embodiments when a patient contacts the measuring electrodes 1803, the measuring electrodes 1803 retract some amount of distance. In at least some embodiments, when the static sEMG scanner 1802 is mounted to a wall, the static sEMG scanner 1802 is positioned away from the wall far enough to accommodate the retraction of the measuring electrodes 1803 as the patient contacts the measuring electrodes 1803. In at least some embodiments, the static sEMG scanner 1802 includes one or more spacer bars 1816 to prevent one or more of the measuring electrodes 1803 from contacting a wall on which the static sEMG scanner 1802 is mounted when a patient is contacting (and consequently retracting) one or more of the measuring electrodes 1803. In at least some embodiments, the measuring electrodes 1803 may be adjusted for improved contact against patient skin during a static sEMG test. In at least some embodiments, the two columns 1806 and 1808 of measuring electrodes 1803 are moveably mounted such that they can be moved horizontally closer together or further apart from one another to improve measuring electrode 1803 contact with patients with spines of various widths. In at least some embodiments, the height from the floor of each of the columns 1806 and 1808 may be raised or lowered to improve measuring electrode 1803 contact with patients of different heights.
In at least some embodiments, a pivot extends between measuring electrodes 1803 of each set of measuring electrodes 1803 to improve contact with patients. In
In at least some embodiments, accompanying software distinguishes measuring electrodes 1803 making contact with patient skin from measuring electrodes 1803 not making patient-skin contact. In at least some embodiments, the software can detect when action potential measurements from one or more of the measuring electrodes 1803 are zero (no patient contact). In at least some embodiments, a user can select the top and bottom measuring electrodes 1803 of the two columns 1806 and 1808 making contact with a patient from a display showing the measuring electrodes 1803. For example, the user can select that the top two sets of measuring electrodes 1803 of each of the mounting boards 1810 are to be ignored (e.g., when performing a static sEMG test on a particularly short patient). As another example, the user may select the top measuring electrode sets to be at the Cervical level 4 (“C4”) of a patient and the bottom measuring electrode sets to be at Lumbar level 1 (“L1”) of the patient, with the bottom six sets of measuring electrodes not contacting the patient.
In at least some embodiments, further insight into the nature and extent of patient injury may be obtained by further including one or more video cameras, such as video camera 206, to capture one or more images or videos of the performance of the static sEMG test.
In at least some embodiments, the addition of video (or one or more captured images) from one or more different angles may be made available for review by one or more medical practitioners. In at least some embodiments, the data from the static sEMG test and the one or more captured video (or static images) may be stored on the one or more processors 202 so that one or more medical practitioners may see precisely the positioning of the patient when the data was collected for a static sEMG test. Moreover, a similar test may be subsequently performed on the same patient in order to track patient progress over time.
As discussed above, the images obtained from the above diagnostic system may be embedded with various contact messages. Because the medical images are modified or otherwise configured to not include private patient information, the images with the embedded messages may be electronically sent to a patient for sharing with others. The following discloses environments and operational aspects of embodiments that are usable for embedding and sending to patient's medical images personalized with contact messages that may be subsequently shared by the patient with others.
Generally, client devices 2302-2304 may include virtually any computing device capable of receiving and sending a message over a network, such as network 2308, to and from another computing device, such as content device 2310, network device 2305, each other, and the like. The set of such devices may include devices that typically connect using a wireless communications medium such as cell phones, smart phones, pagers, walkie talkies, radio frequency (RF) devices, infrared (IR) devices, CBs, integrated devices combining one or more of the preceding devices, or virtually any mobile device, and the like. Similarly, client devices 2302-2304 may be any device that is capable of connecting using a wired or wireless communication medium such as a personal digital assistant (PDA), pocket PC, wearable computer, and any other device that is equipped to communicate over a wired and/or wireless communication medium. The set of such devices may also include devices that typically connect using a wired communications medium such as personal computers, multiprocessor systems, microprocessor-based or programmable consumer electronics, network PCs, and the like.
Each client device within client devices 2302-2304 may include a browser application that is configured to send, receive, and display web pages, and the like. The browser application may be configured to receive and display graphics, text, multimedia, and the like, employing virtually any web based language, including, but not limited to Standard Generalized Markup Language (SMGL), such as HyperText Markup Language (HTML), extensible markup language (XML), a Handheld Device Markup Language (HDML), such as Wireless Markup Language (WML), WMLScript, JavaScript, and the like. Client devices 2302-2304 may further include a messaging application configured to send and/or receive a message to/from another computing device employing another mechanism, including, but not limited to instant messaging (IM), email, Short Message Service (SMS), Multimedia Message Service (MMS), internet relay chat (IRC), mIRC, Jabber, and the like. Moreover, client devices 2302-2304 are configured to enable a user to access a social networking site, such as Facebook sites, Flicker sites, or the like, to access and/or post various content. For example, a user of a client device may receive from network device 2305 and/or contact device 2310 a medical diagnostic image that is embedded with one or more contact messages that the user may then elect to post on a social networking site, and/or otherwise share with others.
Network 2308 is configured to couple network enabled devices, such as client devices 2302-2304, contact device 2310, and network device 2305, with other network enabled devices. Network 2308 is enabled to employ any form of computer readable media for communicating information from one electronic device to another. In one embodiment, network 2308 may include the Internet, and may include local area networks (LANs), wide area networks (WANs), direct connections, such as through a universal serial bus (USB) port, other forms of computer-readable media, or any combination thereof. On an interconnected set of LANs, including those based on differing architectures and protocols, a router may act as a link between LANs to enable messages to be sent from one to another. Also, communication links within LANs typically include fiber optics, twisted wire pair, or coaxial cable, while communication links between networks may utilize analog telephone lines, full or fractional dedicated digital lines including T1, T2, T3, and T4, Integrated Services Digital Networks (ISDNs), Digital Subscriber Lines (DSLs), wireless links including satellite links, or other communications links known to those skilled in the art.
Network 2308 may further employ a plurality of wireless access technologies including, but not limited to, 2nd (2G), 3rd (3G), 4th (4G) generation radio access for cellular systems, Wireless-LAN, Wireless Router (WR) mesh, and the like. Access technologies such as 2G, 3G, 4G, and future access networks may enable wide area coverage for network devices, such as client devices 2302-2304, or the like, with various degrees of mobility. For example, network 2308 may enable a radio connection through a radio network access such as Global System for Mobil communication (GSM), General Packet Radio Services (GPRS), Enhanced Data GSM Environment (EDGE), Wideband Code Division Multiple Access (WCDMA), and the like.
Furthermore, remote computers and other related electronic devices could be remotely connected to either LANs or WANs via a modem and temporary telephone link, a DSL modem, a cable modem, a fiber optic modem, an 802.11 (Wi-Fi) receiver, and the like. In essence, network 2308 includes any communication method by which information may travel between one network device and another network device.
Network device 2305 may include any computing device capable of communicating content to or from another computing device, such as client devices 2302-2304, and/or contact device 2310. In one embodiment, network device 2305 might represent a computing device used within a business, such as a medical business, or the like. In some embodiments, network device 2305 might operate to manage a database, spreadsheet, or the like. In some embodiments, network device 2305 might receive patient information, including an email address, or other contact information, usable to send a patient a message. In some embodiments, such patient information might be manually entered into network device 2305, or received over network 2308 from a client device, or contact device 2310. In some embodiments, network device 2305 might receive information from contact device 2310 that may be used to schedule follow-up sessions with a patient, and/or to send other information to a patient.
Although network device 2305 is shown as a single computing device, in other embodiments, network device 2305 might represent a plurality of distinct network devices. Devices that may operate as network device 2305 includes personal computers, desktop computers, multiprocessor systems, microprocessor-based or programmable consumer electronics, network PCs, server devices, and the like.
One embodiment of contact device 2310 is discussed in more detail below in conjunction with
As noted, environment 2300 includes imaging system 2312, which may represent one or more of the medical diagnostic instrumentation systems discussed above. However, imaging system 2312 is not constrained to the above imaging systems, and others may also be used. Moreover, imaging system 2312 might even represent non-medical imaging systems.
Computing device 2400 may include many more components than those shown. The components shown, however, are sufficient to disclose an illustrative embodiment for practicing the embodiments. Computing device 2400 may represent, for example, contact device 2310 of
Computing device 2400 includes one or more central processing unit 2412, video display adapter 2414, and a mass memory, all in communication with each other via bus 2422. The mass memory generally includes RAM 2416, ROM 2432, and one or more permanent (non-transitory) mass storage devices, such as hard disk drive 2428, tape drive, CD-ROM/DVD-ROM drive 2426, and/or floppy disk drive. The mass memory stores operating system 2420 for controlling the operation of server device 2400. BIOS 2418 is also provided for controlling the low-level operation of computing device 2400. As illustrated in
Computing device 2400 may also include input/output interface 2424 for communicating with external devices, such as a mouse, keyboard, scanner, or other input devices not shown in
The mass memory as described above illustrates another type of non-transitory computer-readable media, namely computer storage media. Computer storage media may include volatile, nonvolatile, removable, and non-removable media implemented in any method or technology for storage of information, such as computer readable instructions, data structures, program modules, or other data. Examples of computer storage media include RAM, ROM, Electrically Erasable Programmable Read-Only Memory (EEPROM), flash memory or other memory technology, CD-ROM, DVD or other optical storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other non-transitory medium which can be used to store the desired information and which can be accessed by a computing device.
Memory further includes one or more data stores 2452, which can be utilized to store, among other things, application programs and/or other data. The application programs may include computer executable instructions which, when executed by computing device 2400 perform a variety of actions. Accordingly, programs may include a browser program of computer executable instructions, which may be run under control of operating system 2420 to enable and manage various actions, including those discussed below in conjunction with
Contact manager 2450 may be installed onto computing device 2400 using any of a variety of mechanisms, including over a network, via a portable non-transitory computer-readable storage device, or the like. Once installed, contact manager 2450 may be configured to receive various information usable for generating and embedding contact messages into a digital image, such as a medial diagnostic image, that may then be sent over a network to another computing device. Moreover, contact manager 2450 may be readily updated, and configured to enable contact message information to be revised and stored for use with a plurality of contact messages, or a single contact message.
Contact manager 2450 is configured to receive patient information, including, for example, an email address, or other address for which electronic messages may be sent. In one embodiment, contact manager 2450 may store the received patient information securely within data stores 2452. In some embodiments, at least a portion of the patient information might be sent over a network in a secure manner, to another network device.
Contact manager 2450 may further receive a digital image from another device, or even from imaging application 2451. Contact manager 2450 may then use any of a variety of techniques to embed one or more contact messages into a digital image, such that the embedded messages are visible by a recipient. Without limit, embedding of the one or more contact messages include layering and/or weaving of the one or more contact messages into the digital image; using watermark techniques to visibly embed the one or more contact messages into the digital image; or any of a variety of other techniques. As used herein, watermarking refers to manipulating the digital image so as to modify the digital image in a manner directed towards making removal of the one or more contact messages resistant to tampering. Moreover, contact manager 2450 may be used to select a number contact messages to embed into the digital image, as well as location(s) within the digital image in which to place the one or more contact messages. One non-limiting, non-exhaustive example of a medical diagnostic image having embedded contact messages is described in more detail below in conjunction with
Contact manager 2450 may further be used to obfuscate or otherwise delete information within the digital image that might be sensitive, include patient private information, or the like. In one embodiment, such information might be deleted using a pixel by pixel replacement technique; however, other techniques might also be used to modifying the digital image data that represents the medical diagnostic image.
Contact manager 2450 is then configured to electronically transmit the modified digital image having the one or more embedded contact messages over a network to a computing device, such as client devices 2302-2304 of
Contact manager 2450 may employ a process such as described below in conjunction with
Process 2500 begins, after a start block, at decision block 2502, where a determination is made whether a contact manager application is installed and ready for execution on a computing device, such as mentioned above. If the determination is negative, then processing proceeds to block 2504; otherwise, processing proceeds to decision block 2506. In some embodiments, decision block 2502 may also make a determination of whether an application revision or update is to be installed. If so, then processing may also flow to block 2504, and otherwise, to decision block 2506.
At block 2504, the contact manager application, and/or updates thereto, are installed and readied for execution within one or more processors. In some embodiments, readying the application for execution might include configuring interfaces to a diagnostic imaging system, devices, applications, or the like. Flow then continues to decision block 2506.
At decision block 2506, a determination is made whether to configure the contact manager (CM) application with information about the professional, administrator, or other ‘user’ information. If such ‘user’ information is to be provided to the CM application, processing flows to block 2508; otherwise, processing continues to block 2510.
At block 2508, various user information is provided to the CM application, including address information about the user, or professional; network mailing information for sending patient information to a professional's office computing device; a phone number; fax number; and the like. In addition, the user may provide contact message information that may be embedded within a digital image. For example, the user might identify a number of contact messages to be embedded, and where to place the contact messages within an image. The user may further identify various hyperlink information, including, a link to the professional's website; a link to a coupon, advertisement, or other information useable by a patient; or a link usable for contacting the professional's office for follow-up care. The information included within a contact message may also be customized to allow advertising of special offers, holiday specials, or any of a variety of other information that the professional might wish to send to a patient.
Process 2500 then flows to block 2510, where a digital image is received. In one embodiment, the digital image is a medical diagnostic image, such as an image from a soft-tissue-injury diagnostic system, or other medical imaging system. Processing then flows to block 2512.
At block 2512, a patient's name, electronic mailing address, any “carbon copy” (cc) address information, information about the diagnostic analysis performed, any reply messages that might be unique to this patient, the professional's reply address information, or the like, may be entered. In one embodiment, a “reply to” address entered by the professional might be configured to redirect actual replies by the patient to the professional's office, or other identified address. It should be noted that block 2512 may also be performed prior or concurrent with block 2510.
Proceeding to block 2514, process 2500 employs the received information to generate one or more contact messages that may then be embedded into the digital image obtained at block 2510. Any of a variety of techniques may be used to embed the one or more contact messages, including various watermarking techniques, layering techniques, substitution techniques, or the like, where the one or more contact messages are visible, or otherwise accessible to a recipient. As noted above, one or more of the embedded contact messages may include a link, such as a hyperlink, or other selectable icon, or mechanism that is configured to enable the recipient to select the link. Selection of the link may then result in accessing the professional's website, dialing a phone number, accessing a coupon, or other information usable by the recipient.
Moreover, the information within the contact messages may include a variety of information. As non-limiting, non-exhaustive examples, a contact message might include information about a food drive at the professional's office, whereby the message indicates that if the message recipient, friends, or family ‘brings a can of food to your office, they will receive a free diagnostic scan.’ Another message might indicate that if the recipient responds by a selected date, by bringing their image results to the office by the selected date, they will receive some discounted service. Other messages may be included instead, or as well. In any event, it should be understood that that professional may include any of a variety of messages embedded within the digital image that might be useable to communicate the professional's services and to enhance a likelihood that the patient will return for additional care by the professional. Thus, the messages may be configured as ‘that follow-up call to a patient that the professional wishes they could make.’
The contact messages may also include other forms beyond hyperlinks. For example, in some embodiments, a Quick Response (QR) Coded message might be embedded into the image. In some embodiments, the QR Code might then include a link to a website, or the like. However, still other mechanisms may be used that include audio and/or video content encoded within the one or more contact messages. In such embodiments, selection of these encodings enables an audio or video to be played absent linking to a website, or other network location.
In any event, continuing to block 2516, the digital image modified with the embedded one or more contact messages is transmitted to the recipient. In one embodiment, children's images might be sent to their parents or custodians, so that they may see why their children might need to have follow-up care. In some embodiments, the modified image with the embedded one or more contact messages could be electronically sent to a mobile device of the patient, even before they leave the professional's presence. The patient receiving the modified message may then be encouraged to forward this electronic contact message, or ‘business card’ to others through various social networking sites, email it to their friends, family, and other, thereby virally marketing the professional's business. That is, by encouraging the patient to share the modified image with one or more contact messages with others, the professional's business may be freely advertised, allowing the professional to appear as a ‘high technology’ professional.
In one embodiment, the modified message with one or more contact messages, and/or other information about the patient, may also be transmitted to the professional's office computing device, where follow-up calls, reminders, or the like, might be scheduled.
It should be noted, that in some situations, for any of a variety of reasons, a connection to a network might not be currently available for transmitting the messages, to the professional's office, and/or to the patient. In such situations, the modified message with one or more contact messages, and/or other information to be transmitted over a network may be stored, and when it is determined that a network connection is available, or based on some other criteria, the messages and/or other information can be automatically sent. In this manner, tests can be performed without a network connection to the patient or office, and the information can be sent at some later time.
Process 2500 continues to decision block 2518, where, in some embodiments, a determination is made whether to perform a patient follow-up contact. This might be based on any of a variety of criteria, including an elapsed time, consent to do so from the patient, a special event offering by the professional, or the like. In one embodiment, this action might be performed at the professional's office network device, such as network device 2305 of
At decision block 2522, a determination is made whether to continue process 2500. If the process is to be continued, then flow branches back to decision block 2502; otherwise, processing may return to a calling process.
It will be understood that figures, and combinations of steps in the flowchart-like illustrations, can be implemented by computer program instructions. These program instructions may be provided to a processor to produce a machine, such that the instructions, which execute on the processor, create means for implementing the actions specified in the flowchart block or blocks. The computer program instructions may be executed by a processor to cause a series of operational steps to be performed by the processor to produce a computer implemented process such that the instructions, which execute on the processor to provide steps for implementing the actions specified in the flowchart block or blocks. These program instructions may be stored on a computer readable medium or machine readable medium, such as a computer readable storage medium.
Accordingly, the illustrations support combinations of means for performing the specified actions, combinations of steps for performing the specified actions and program instruction means for performing the specified actions. It will also be understood that each block of the flowchart illustration, and combinations of blocks in the flowchart illustration, can be implemented by modules such as special purpose hardware based systems which perform the specified actions or steps, or combinations of special purpose hardware and computer instructions.
Non-Limiting, No-Exhaustive Example of a Digital Image with Embedded Contact Messages
In any event, not all the components shown in
For example, while modified image 2600 of
Moreover, as noted elsewhere, the digital image need not be medically related. For example, the image might be obtained for legal services, educational services, governmental services, or the like.
In any event, as shown, modified image 2600 includes medical diagnostic image 2602, and contact messages 2610-2611. As noted, contact messages 2610-2611 are shown embedded within a ‘header’ location of modified image 2600 and a ‘footer’ location. However, in other embodiments, one of more of contact messages 2610-2611 might be in a side location, such as to a right or left of medical diagnostic image 2602.
As used herein, the terms, header, footer, and side location, are directed towards identifying physical locations within the image, that might not obscure medical diagnostic image 260, itself, rather than locations that might be outside of a digital image data region. Thus, embedding of the contact messages result in modifying the image, rather than merely adding content to regions outside of the image. For example, as shown in
As noted, modified image 2600 need not have two contact messages. For example, one contact message, or a plurality of contact messages might be included. Moreover, while contact messages 2610-2611 are not shown as covering or obfuscating medical diagnostic image 2602, in other embodiments, one or more contact messages could be so placed to cover or obscure at least a portion of the digital image.
As illustrated contact message includes a selectable hyperlink 2614 to any of a variety of information, including, but not limited to a professional's website, professional's office, or the like. For example, as shown, contact message 2611 includes selectable links to a phone number 2611 and an email address 2615. Selection of any of the included links enable the patient to then dial a phone number, email a message, or access a webpage, or other information. For example, hyperlink 2614 might be a link that accesses a coupon, an advertisement, more information about the professional's business, information about the medical diagnostic image 2602, or the like. In one embodiment, selection of hyperlink 2614 might be configured to contact the professional's office to schedule a follow-up session.
As noted above, contact messages 2610-2611 might include a QR Code, or other mechanism usable to link to a website, or to embed an audio or video sequence within the modified image 2600.
The above specification, examples and data provide a description of the manufacture and use of the composition of the invention. Since many embodiments of the invention can be made without departing from the spirit and scope of the invention, the invention also resides in the claims hereinafter appended.
This application is a continuation-in-part patent application of U.S. patent application Ser. No. 12/455,385, entitled “Systems and methods for performing surface electromyography and range-of-motion tests,” filed on Jun. 1, 2009, which in turn is based on a previously filed U.S. Provisional Patent Application Ser. No. 61/058,160 filed on Jun. 2, 2008, where the benefit of each is hereby claimed at least under 35 U.S.C. §§ 120 and 119(e) and the disclosures of which are herein incorporated by reference in their entirety.
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