FIG. A Illustrate a pictorial diagram of how the connection from the eye doctor (PED) and the main control base in the exam room may occur.
FIG. B illustrates a flow diagram of a method for performing interconnection from the eye doctor (controller) to the main control base (MCB) to provide a indirect to direct subjective refraction using an mobile application that works as a Remote administration tool to a patient and sending a eye glass prescription to patient or location.
FIG. C Illustrates embodiments of list of patient data and the office geolocation displayed during a starting interconnection of both systems.
Many health practitioner facilities in the world are incorporating telemedicine technologies in their establishments. Some practitioners use telemedicine video/audio devices to connect with remote patients or other doctors to provide medical service too distant hospitals. This has become a new normal after the covid19 pandemic. For example, a remote radiologist may provide his medical service in a relatively large hospital in a city. This same radiologist may provide telemedicine video advice, viewing, consultation or assistance to patients and/or other medical professionals in a secondary hospital located in a remote area. Some of these telemedicine encrypted video consultation services are provided by new companies that provide low-cost HIPPA, HIPAA, PIPEDA, and GDPR compliant video conferences to doctors and patients by just scanning link URL with no need to download software.
Telemedicine systems are becoming normalized worldwide. However, the use of remote telemedicine robotics control is still in its infancy. Amazingly such robotic devices like the da (Vinci Surgical System) is a robotic surgical system made by the (American company Intuitive Surgical). It is designed to help surgery using a minimally invasive approach controlled by a surgeon from a console. The (da Vinci System) consists of a surgeon's console typically in the same room as the patient and a patient-side cart with three to four interactive robotic arms managed from the console. Just as these new robotic medical devices emerge the use of new innovative ways to provide medical service will emerge.
The present disclosure provides various methods, system methods, apparatus, and clinical workflows in telemedicine robotics to operate a robotic digital phoropter, exam equipment and room equipment in a mobile or non mobile exam room via a (end to end encrypted HIPAA compliant) remote administration tool technology. The following is for utilizing the main control base (MCB), a computer running on any operating system and that may run multiple software and multi emulators and a remote administration tool to improve connection control and view to a controller (eye doctor or assistant). Interconnecting the office MCB with the (controller) to provide an indirect to direct subjective refractions to a patient via and mobile application that works as or with a Remote administration tool. In some situations the system can switch to a service sharing that may not provide direct service. Instead of providing the primary service, the system will instead provide a secondary eye doctor's connection to connect and perform an indirect to direct subjective refraction remotely. The new users or (controller) set up a personal profile with a name, phone number, state license number other information, and payment preference, which could be a credit card, e-commerce payment system or, in some cases, cryptocurrency address. This payment will be used to pay the in-depended contracted eye doctor for the service provided world wide.
Service is generally accessed via mobile app. The application may ask to contain Users (controller) set up a personal profile with a name, phone number, state license number other information, and payment preference, which could be a credit card, e-commerce payment system or, in some cases, cryptocurrency address, or cash. The remote administration tool mobile application can be of commercial or non-commercial use. Remote administration tool application may be used on any portable electronic device any broadband cellular network technology 4G, 5G, 6G or Wifi to interconnect on both systems. The robotic digital phoropter (
A secured Doctor to patient indirect to direct subjective refraction peer to peer support service. This support service system allows subjective refined refraction to be made via two mobile applications that work as remote administration tools (RAT) or remote access software (RAS) (Figure A—38, 42, 42,40,39) without the eye doctor having to be in the Exam room. The remote administration tool (RAT) software and/or Remote access software (RAS) can be of commercial or non commercial means. The eye doctor can be on-site in different rooms or off-site anywhere in the world. The patient can be anywhere in the world in a mobile or non-mobile exam room.
An example of an office inside a mobile clinic or non-mobile clinic location is the following pictorial representation. (
The robotic digital phoropter and vision chart (DP&VC) can be controlled directly by the MCB by an assistant in the office (FIG A—43,44) via bluetooth or wired connection (
The virtual assistant can also tell the patient to situate him or herself in front of a camera that works like as an auto-refractor and/or keratometer both eye will be scanned. The virtual assistant can also tell the patient to situate him or herself in-front of a secondary camera controlled remotely that works to find the patient pupillary distance. The results will automatically be sent to the main control base. The virtual assistant will then give access to the selected eye doctor (username and password) to control the main control base. The virtual assistant will then tell the patient to scan Qr code (
During this time, the eye doctor will connect to the main control base and have full control of the exam room and Exam equipment via his PED. The main control base (MCB) and universal adapter (
The main control base has to have both the (RAT) Application (
The (RAT) Remote Assistant tool mobile application or software runs inside the existing operating system of the (MCB) (
If and when the (eye doctor) becomes a (controller) and accepts the request, he or she has to insert a user name and password (
This random user name and password facilitate a secure connection to any (eye doctor) who decides to accept (FIG A, FIG B—201,200) to become a (support controller) to provide service with their portable electronic device. The controller is indirectly controlling the Digital phoropter (FIG. A—44) as the connection is made from the eye doctor controller (DPED) (
The controller (eye doctor) can indirectly remotely operate the robotic digital phoropter near chart, digital phoropter & vision chart, to refine a prescription (
In a situation where the Assistant can be in the exam room. An assistant in the exam room will read or import patient auto-refractor/keratometry readings result for both right and left eye (
Again the controller (eye doctor) will be connected to the (MCB) via the (RAT). The on-demand Optometrist or Ophthalmologist (eye doctor) anywhere in the world can perform the indirect (RAT) Subjective refraction (IRATSR) and can communicate with the patient via smartphone weblink. The secured video/audio, text or audio connection will be HIPAA compliant encrypted video & voice or voice call (
The Optometrist or Ophthalmologist (eye doctor) will ask the patient which lenses seem better refining sphere, cylinder and axis in both eyes when viewing the smallest line he or she can see on the vision chart (
The eye doctor can validate the patient visual acuities (VA) and make the necessary correction to the refractive prescription. This will be done to acquire the patient's best-corrected vision acuity in each eye (
In part, workflows, apparatus, method and system of establishing interconnection via a mobile application that works as a remote administration tool (RAT) to control and view the main control base to control all robotic medical equipment and room equipment and providing an indirect to direct on-demand eye doctor support subjective refraction service with any portable electronic device via 4G, 5G, 6G wireless cellphone communication or wifi to a patient in an exam room. The exam room can be a mobile clinic room or a non-mobile clinic. The rooms can be anywhere globally with wireless communication capabilities via broadband cellular network technology 4G, 5G, 6G, or wifi.
This is not limited to accepting a first patient in an exam chair in a room that can be remotely controlled. The remote control can be accessed by an eye doctor or assistant at or away from the location. The room contains remote locks and doors that can be locked or open at the location or remotely. The room includes an exam chair that can be controlled remotely or not remotely. The room contains a robotic digital phoropter that can be controlled remotely or not remotely. The room includes a mechanical lever that controls the near-reading chart of the phoropter. The room consists of a robotic phoropter arm that can be positioned in front of the patient face safely. The room contains lights that may be remotely controlled. The room includes a vision chart that can be a display or laptop running a vision chart software. The vision chart can be remotely controlled. The room contains the ability to have broadband cellular network technologies 4G, 5G, 6G, or wifi, depending on location. The control of the exam room equipment is possible by software running the main control base.
The main control base can run secure password-protected electronic medical record (EMR) software, which can also be controlled. All data from auto-refractor readings and lensometry readings can also be viewed inside the main control base. Only one patient data is viewed at a time in each session. All of this equipment can be controlled by the main control base and therefore can be reached by any (remote controller) eye doctor or assistant. The assistant can be a (remote controller) if they are not able to make it to the exam location that day. The (controller) can be an assistant or eye doctor. The controller can be anywhere in the world. The exam rooms and the patient can be anywhere in the world also. The (remote controller) can establish a connection to the main control base via a remote administration tool that interconnects both systems via broadband cellular network technology 4G, 5G, 6G, or wifi, depending on equipment. The controller can also ask the patient to be an assistant if needed in some cases since the main control unit is at arm's length from the patient. An eye doctor can control what can be viewed on the main control base by the patient.
Upon entering the room, the patient can view a QR code on the main control base. The patient can scan the Quick Response code (QR code) with his smartphone camera app that will direct the patient to an URL or application. The scan will establish a direct link to a web-based telemedicine communication that designates a secure video/audio or audio communication between the eye doctor or (controller) and patient. After the patient establishes video/audio or audio communication via smartphone, the patient and eye doctor will begin the session. The patient may also be able to use button (1 or 2) realtime interactive system to communicate choices to doctor virtually. The eye doctor will answer any questions and ask the patient acuity vision choices before and during the subjective refraction and vision chart. The eye doctor will conduct a subjective refraction to the patient. During the session, the eye doctor can lower the phoropter arm remotely. The eye doctor asks the patient to position his or her eyes behind the digital phoropter lenses. The doctor will then provide a live refined subjective refraction session. The eye doctor will ask the patient questions to determine distance lens choices and near vision lens choices to acquire the best eyeglass prescription for both the patients right and left eye. Following the refined subjective refraction completion, he can sign the eyeglass prescription and print it at the facility or email.
This U.S. Patent Application is a continuation of U.S. Provisional Application No. 62/982,040 filed Feb. 26, 2020 titled “A indirect to Direct on demand eye doctor support Refraction system via Remote administration tool using any portable Digital Device by 4G, 5G or Wifi to interconnect both systems”.
Number | Date | Country | |
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62982040 | Feb 2020 | US |
Number | Date | Country | |
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Parent | 62982040 | Feb 2020 | US |
Child | 17180789 | US |