Remote assessment of neurostimulation
The present disclosure relates to a system ( 1 ) for remote assessment of a patient (P 1 ), comprising: a first device ( 2 ) associated to a physician (P 2 ), a second device ( 3 ) associated to the patient (P 1 ), a medical device ( 4 ) associated to the patient (P 1 ), wherein the second device ( 3 ) is configured to communicate with the medical device ( 4 ), and wherein the medical device ( 4 ) is configured to be programmed via the second device ( 3 ), wherein the first device ( 2 ) is further configured to communicate with the second device ( 3 ), and wherein the second device ( 3 ) is configured to be controlled via the first device ( 2 ), and wherein the second device ( 3 ) is configured to acquire data (S 1 , S 2 ) indicative of at least one physiological parameter or of several physiological parameters (HR, F, P) of the patient (P 1 ). Furthermore, a method for remote assessment is provided.
1. A system ( 1 ) for remote assessment of a patient (P 1 ), comprising:
a first device ( 2 ) associated to a physician (P 2 ),
a second device ( 3 ) associated to the patient (P 1 ), wherein the second device ( 3 ) comprises or is connected to a camera ( 30 ) that is configured to acquire an optical image or a sequence of optical images (S 1 ) of at least a portion of the patient (P 1 ),
a medical device ( 4 ) associated to the patient (P 1 ), wherein the second device ( 3 ) is configured to communicate with the medical device ( 4 ), and wherein the medical device ( 4 ) is configured to be programmed via the second device ( 3 ),
wherein the first device ( 2 ) is further configured to communicate with the second device ( 3 ) and/or with a service center, and wherein the second device ( 3 ) is configured to be at least temporarily controlled via the first device ( 2 ),
wherein the second device ( 3 ) is configured to acquire data (S 1 , S 2 ) indicative of at least one physiological parameter or of several physiological parameters (HR, F, P) of the patient (P 1 ), wherein said data comprises the optical image or the sequence of optical images (S 1 ), and
wherein the first device ( 2 ) and/or the second device ( 3 ) and/or the external server is configured to analyze said optical image or sequence of optical images (S 1 ) to determine at least one or several of the following physiological parameters: a perspiration of the patient (P 1 ); a degree of eye opening of the patient (P 1 ); a dilation of the pupils of the patient (P 1 ); a state of a focus of the eyes of the patient (P 1 ); a posture (P) of the patient (P 1 ); the number and/or length of wrinkle lines of the face of the patient (P 1 ) or a quantity derived therefrom,
wherein the first device ( 2 ) and/or the second device ( 3 ) and/or the external server is configured to calculate a score (PS, Δpain) using said at least one physiological parameter or said several physiological parameters (HR, F, P), and
wherein a baseline pain score is used as a calibration for reporting all assessed pain levels relative to the baseline pain score.
2. The system according to claim 1 , wherein said data further comprises an audio signal (S 2 ) generated by the patient (P 1 ), wherein the second device ( 3 ) associated to the patient (P 1 ) comprises or is connected to a microphone ( 31 ) that is configured to acquire said audio signal (S 2 ).
3. The system according to claim 2 , wherein the first device ( 2 ) and/or the second device ( 3 ) and/or the external server is configured to analyze said audio signal (S 2 ) to determine at least one or several of the following physiological parameters: a tonality and/or pattern of speech of the patient (P 1 ); a breathing rate of the patient (P 1 ).
4. The system according to claim 2 , wherein the first device ( 2 ), and/or the second device ( 3 ) and/or the external server, or a combination thereof, is configured to analyze a signal comprising said optical image or said sequence of optical images (S 1 ) and said audio signal (S 2 ) to determine physiological data.
5. The system according to claim 1 , wherein the medical device ( 4 ) is an implantable medical device that is configured to be implanted into the patient (P 1 ).
6. The system according to claim 1 , wherein the medical device ( 4 ) is configured for neurostimulation of the patient (P 1 ).
7. The system according to claim 1 , wherein calculation of the score (PS, Δpain) comprises calculation of a weighted sum.
8. The system according to claim 1 , wherein said score (PS, Δpain) is a measure for a physiological state of the patient (P 1 ).
9. A method for remote assessment of a patient (P 1 ) using a system ( 1 ) according to any one of the preceding claims, wherein data (S 1 , S 2 ) indicative of at least one physiological parameter (HR, F, P) or of several physiological parameters of the patient (P 1 ) is acquired by the second device ( 3 ), wherein said data comprises an optical image or a sequence of optical images (S 1 ) of at least a portion of the patient (P 1 ), and wherein the optical image or the sequence of optical images (S 1 ) is analyzed by the first device ( 2 ) and/or the second device ( 3 ) and/or the external server so as to determine at least one or several of the following physiological parameters: a perspiration of the patient (P 1 ); a degree of eye opening of the patient (P 1 ); a dilation of the pupils of the patient (P 1 ); a state of a focus of the eyes of the patient (P 1 ); a posture (P) of the patient (P 1 ); the number and/or length of wrinkle lines of the face of the patient (P 1 ) or a quantity derived therefrom;
wherein a score (PS, Δpain) is calculated using said at least one parameter or said several parameters (HR, F, P) by means of the first device ( 2 ) and/or the second device ( 3 ) and/or the external server.
10. The method according to claim 9 , wherein said data further comprises an audio signal (S 2 ) generated by the patient (P 2 ).
11. The method according to claim 10 , wherein said audio signal (S 2 ) is analyzed by the first device ( 2 ) and/or the second device ( 3 ) and/or the external server so as to determine at least one or several of the following physiological parameters: a tonality and/or pattern of speech of the patient (P 1 ); a breathing rate of the patient (P 1 ).
12. The method according to claim 9 , wherein particularly said score (PS, Δpain) is a measure for a physiological state of the patient (P 1 ).
13. The system according to claim 3 , wherein the tonality and/or pattern of speech of the patient (P 1 ) is an emotional content in the voice of the patient (P 1 ).
14. The system according to claim 3 , wherein the first device ( 2 ) and/or the second device ( 3 ) and/or the external server is configured to determine the tonality and/or pattern using a voice analyzing algorithm carried out by the first device.
15. The system according to claim 1 , wherein the second device is formed as a mobile phone or a smart phone.