U.S. patent application number 16/900797 was filed with the patent office on 2020-12-03 for electronic ecosystem for medical examination room.
The applicant listed for this patent is Midmark Corporation. Invention is credited to Asad Abu-Tarif, Carlos J. Castillo, Steven K. Cordonnier, Robert Menke, Thomas L. Treon, Jon E. Wells, Ruomei Zhang.
Application Number | 20200375456 16/900797 |
Document ID | / |
Family ID | 1000005030643 |
Filed Date | 2020-12-03 |
View All Diagrams
United States Patent
Application |
20200375456 |
Kind Code |
A1 |
Abu-Tarif; Asad ; et
al. |
December 3, 2020 |
ELECTRONIC ECOSYSTEM FOR MEDICAL EXAMINATION ROOM
Abstract
A system comprises a storage device, a piece of medical
equipment, a portable computing device, and a hub portal. The piece
of medical equipment has at least one electrically powered feature
and comprises either a medical examination table or a storage
cabinet. The storage device is operable to store data and is
remotely located relative to the first piece of medical equipment
and relative to the portable computing device. The hub portal is
operable to provide communication of one or both of data or
commands between the storage device, the piece of medical
equipment, and the portable computing device. A method includes
enablement or activation of an electrically powered feature of
medical equipment upon entry of a portable computing device into a
medical examination room. The method also includes disablement or
further activation of the electrically powered feature upon exit of
the portable computing device from the medical examination
room.
Inventors: |
Abu-Tarif; Asad; (Irvine,
CA) ; Treon; Thomas L.; (Versailles, OH) ;
Cordonnier; Steven K.; (Bradford, OH) ; Castillo;
Carlos J.; (Huntington Beach, CA) ; Menke;
Robert; (Greenville, OH) ; Zhang; Ruomei;
(Cerritos, CA) ; Wells; Jon E.; (New Bremen,
OH) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Midmark Corporation |
Versailles |
OH |
US |
|
|
Family ID: |
1000005030643 |
Appl. No.: |
16/900797 |
Filed: |
June 12, 2020 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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16523639 |
Jul 26, 2019 |
10722118 |
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16900797 |
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15449598 |
Mar 3, 2017 |
10383518 |
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16523639 |
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14673947 |
Mar 31, 2015 |
9979786 |
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15449598 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
G16H 40/63 20180101;
A61B 5/002 20130101; G01G 19/445 20130101; G16H 40/67 20180101;
H04L 67/1097 20130101; H04W 4/80 20180201; A61G 13/0018 20130101;
H04L 67/12 20130101; A61B 2560/0437 20130101; A61B 5/704 20130101;
G16H 10/60 20180101; A61G 2203/44 20130101 |
International
Class: |
A61B 5/00 20060101
A61B005/00; H04L 29/08 20060101 H04L029/08; G01G 19/44 20060101
G01G019/44; G16H 10/60 20060101 G16H010/60; G16H 40/67 20060101
G16H040/67; H04W 4/80 20060101 H04W004/80; A61G 13/00 20060101
A61G013/00 |
Claims
1. A method comprising: (a) emanating a wireless signal from a
communication hub assembly located in an examination room; (b)
confining the wireless signal to a range, wherein the range is
smaller than the examination room; (c) forming a wireless
connection between a portable computing device and the
communication hub assembly via the wireless signal; (d) collecting
patient data from a patient with a medical device located in the
examination room; (e) transmitting the patient data from the
medical device to the communication hub assembly; and (f)
transmitting the patient data from the communication hub assembly
to the portable computing device via the wireless connection.
2. The method of claim 1, further comprising: modifying an
off-the-shelf low energy Bluetooth communication module associated
with the communication hub assembly to attenuate the wireless
signal and confine the wireless signal to the range.
3. The method of claim 1, further comprising: (a) terminating the
wireless connection between the portable computing device and the
communication hub assembly; and (b) in response to terminating the
wireless connection between the portable computing device and the
communication hub assembly, prompting a user to transmit the
patient data from the portable computing device to a remote
server.
4. The method of claim 1, further comprising: (a) moving the
portable computing device into the range; and (b) in response to
moving the portable computing device into the range, forming the
wireless connection between the portable computing device and the
communication hub assembly.
5. The method of claim 1, further comprising: (a) moving the
portable computing device out of the range; and (b) in response to
moving the portable computing device out of the range, terminating
the wireless connection between the portable computing device and
the communication hub assembly.
6. The method of claim 1, further comprising: (a) moving the
portable computing device into the range; and (b) in response to
moving the portable computing device into the range, enabling an
electronic feature of the medical device.
7. The method of claim 1, further comprising: actuating the medical
device via the portable computing device over the wireless
connection.
8. The method of claim 1, further comprising: in response to
forming the wireless connection, enabling an electronic feature of
the medical device.
9. The method of claim 8, further comprising: (a) terminating the
wireless connection between the portable computing device and the
communication hub assembly; and (b) in response to terminating the
wireless connection, disabling the electronic feature of the
medical device.
10. The method of claim 1, further comprising: in response to
forming the wireless connection, unlocking a medical cabinet
located within the examination room.
11. The method of claim 10, further comprising: (a) terminating the
wireless connection between the portable computing device and the
communication hub assembly; and (b) in response to terminating the
wireless connection, locking the medical cabinet.
12. The method of claim 1, wherein the communication hub assembly
is statically located in the examination room.
13. The method of claim 1, further comprising: integrating the
communication hub assembly into a vital signs monitor.
14. A method comprising: (a) moving a portable computing device
into a range of a communication hub assembly; (b) in response to
moving the portable computing device into the range of the
communication hub assembly, enabling a wireless connection between
the portable computing device and the communication hub assembly;
(c) collecting patient data from a patient with a medical device;
(d) transmitting the patient data from the medical device to the
communication hub assembly; (e) transmitting the patient data from
the communication hub assembly to the portable computing device via
the wireless connection; (f) moving the portable computing device
out of the range of the communication hub assembly; (g) in response
to moving the portable computing device out of the range of the
communication hub assembly, disabling the wireless connection; and
(h) in response to an event, prompting a user to transmit the
patient data from the portable computing device to a remote
server.
15. The method of claim 14, wherein the event comprises disabling
the wireless connection.
16. The method of claim 14, wherein the event comprises moving the
portable computing device out of the range of the communication hub
assembly.
17. The method of claim 14, further comprising: actuating a feature
of the medical device via the portable computing device.
18. The method of claim 14, wherein the medical device comprises a
medical examination table having a patient weight sensor, wherein
the patient data is a weight measurement collected by the patient
weight sensor, and further comprising: (a) in response to enabling
the wireless connection, enabling the weight sensor of the medical
examination table; and (b) in response to disabling the wireless
connection, disabling the weight sensor of the medical examination
table.
19. A system comprising: (a) a medical device, wherein the medical
device is configured to acquire and transmit patient data; (b) a
remote server, wherein the remote server is configured to receive
and store patient data; (c) a portable computing device, wherein
the portable computing device is configured to receive and transmit
patient data to the remote server; and (d) a communication hub
assembly associated with the medical device and having a range,
wherein the communication hub assembly is configured to receive
patient data from the medical device, and wherein the communication
hub assembly is configured to wirelessly transmit patient data to
the portable computing device when the portable computing device is
within the range.
20. The system of claim 20, further comprising a storage cabinet
operable to transition between a locked state and an unlocked
state, wherein the storage cabinet is configured to transition from
the locked state to the unlocked state when the portable computing
device is within the range.
21. The system of claim 20, wherein the medical device includes an
electrically powered feature, and wherein the portable computing
device is operable to control the electrically powered feature when
the portable computing device is within the range.
Description
BACKGROUND
[0001] Some conventional medical and dental examination rooms
include a variety of kinds of equipment that are completely
independent of each other and that require separate interaction
with medical personnel. Such equipment may include, among other
things, an examination table, equipment used to measure biological
data associated with a patient, a computing device providing
read/write access to a patient's electronic medical record (EMR),
cabinets containing medicine and/or other medical equipment, etc.
At least some of this equipment may include combinations devices
that include one or more of these functions, such as an examination
table containing a patient weight sensor. In addition, at least
some of this equipment may include one or more components that are
electrically actuated, electrically powered, or otherwise
electrically driven. For instance, an examination table may include
powered components that raise and lower at least part of the
patient vertically relative to the ground, a powered backrest that
transitions the patient between a generally upright seated position
and a generally supine position, a powered armrest that raises and
lowers a patient's arm, and/or other components that provide some
form of powered motion. Equipment that is used to measure
biological data associated with a patient may include various kinds
of sensors, processors, etc. that are operable to sense and process
biological parameters such as weight, temperature, blood pressure,
height, etc. Computing devices that provide access to a patient's
EMR may include various kinds of user input features, processors,
and data communication features that are operable to interface with
the equipment described herein. A cabinet that contains medicine
and/or other medical equipment may include an electrically powered
locking device that locks or unlocks the cabinet in response to an
electric control signal.
[0002] It may be desirable to provide a device that serves as a hub
for computing devices and various kinds of medical or dental
examination room equipment that are electrically actuated,
electrically powered, or otherwise electrically driven. Such a hub
device may establish an ecosystem of devices in the medical or
dental examination room, providing a degree of centralized
communication and control with such other equipment. Such a device
may be a standalone device or may be integrated into one or more of
the devices (e.g., examination table, computing device, etc.) in
the medical examination room.
[0003] While several devices and methods have been made and used in
a medical or dental examination room, it is believed that no one
prior to the inventors has made or used the inventions described
herein.
BRIEF DESCRIPTION OF THE DRAWINGS
[0004] While the specification concludes with claims which
particularly point out and distinctly claim this technology, it is
believed this technology will be better understood from the
following description of certain examples taken in conjunction with
the accompanying drawings, in which like reference numerals
identify the same elements and in which:
[0005] FIG. 1 depicts a perspective view of an exemplary
communication hub assembly that may be used in a medical
examination room; and
[0006] FIG. 2 depicts another perspective view of the communication
hub assembly of FIG. 1;
[0007] FIG. 3 depicts a front elevational view of the communication
hub assembly of FIG. 1;
[0008] FIG. 4 depicts a left side elevational view of the
communication hub assembly of FIG. 1;
[0009] FIG. 5 depicts a right side elevational view of the
communication hub assembly of FIG. 1;
[0010] FIG. 6 depicts a perspective view of a communication hub
platform device of the communication hub assembly of FIG. 1;
[0011] FIG. 7 depicts another perspective view of the communication
hub platform device of FIG. 6;
[0012] FIG. 8 depicts a top plan view of the communication hub
platform device of FIG. 6;
[0013] FIG. 9 depicts a bottom plan view of the communication hub
platform device of FIG. 6;
[0014] FIG. 10 depicts a front elevational view of the
communication hub platform device of FIG. 6;
[0015] FIG. 11 depicts a rear elevational view of the communication
hub platform device of FIG. 6;
[0016] FIG. 12 depicts a left side elevational view of the
communication hub platform device of FIG. 6;
[0017] FIG. 13 depicts a right side elevational view of the
communication hub platform device of FIG. 6;
[0018] FIG. 14 depicts an exploded perspective view of the
communication hub platform device of FIG. 6;
[0019] FIG. 15 depicts a block schematic view of internal
components of the communication hub platform device of FIG. 6;
[0020] FIG. 16A depicts a perspective view of the communication hub
assembly of FIG. 1, with a first exemplary add-on tabletop
separated from the communication hub platform device of FIG. 6;
[0021] FIG. 16B depicts a perspective view of the communication hub
assembly of FIG. 1, with the first exemplary add-on tabletop of
FIG. 16A secured to the communication hub platform device of FIG.
6;
[0022] FIG. 17 depicts a perspective view of the first exemplary
add-on tabletop of FIG. 16A;
[0023] FIG. 18 depicts another perspective view of the first
exemplary add-on tabletop of FIG. 16A;
[0024] FIG. 19A depicts a perspective view of the communication hub
assembly of FIG. 1, with a second exemplary add-on tabletop
separated from the communication hub platform device of FIG. 6;
[0025] FIG. 19B depicts a perspective view of the communication hub
assembly of FIG. 1, with the second exemplary add-on tabletop of
FIG. 19A secured to the communication hub platform device of FIG.
6;
[0026] FIG. 20 depicts a perspective view of the first exemplary
add-on tabletop of FIG. 19A;
[0027] FIG. 21 depicts another perspective view of the first
exemplary add-on tabletop of FIG. 19A;
[0028] FIG. 22 depicts a perspective view of the communication hub
platform device of FIG. 6 secured to an integral arm of an
exemplary medical examination table, with a left patient armrest of
the table omitted for clarity;
[0029] FIG. 23 depicts a flow diagram of an exemplary set of steps
that could be performed using the communication hub assembly of
FIG. 1;
[0030] FIG. 24 depicts an overhead diagrammatic view of the
communication hub assembly of FIG. 1 located in an examination room
where the set of steps of FIG. 23 may be performed;
[0031] FIG. 25 depicts an overhead diagrammatic view of the
communication hub assembly of FIG. 1 located in the examination
room of FIG. 24, with a communications link established with an EMR
system and in-room equipment;
[0032] FIG. 26 depicts a perspective view of the communication hub
assembly of FIG. 1 located in the examination room of FIG. 24;
[0033] FIG. 27 depicts an overhead diagrammatic view of the
communication hub assembly of FIG. 1 leaving the examination room
of FIG. 24, with the in-room equipment left in an unlocked
state;
[0034] FIG. 28 depicts an overhead diagrammatic view of the
examination room of FIG. 24, with a physician entering the
examination room while the in-room equipment is in an unlocked
state;
[0035] FIG. 29 depicts an overhead diagrammatic view of the
examination room of FIG. 24, with the physician of FIG. 28 leaving
the examination room while the in-room equipment is in an unlocked
state;
[0036] FIG. 30 depicts a flow diagram of an exemplary set of steps
that could be performed using the communication hub assembly of
FIG. 1;
[0037] FIG. 31 depicts an overhead diagrammatic view of the
communication hub assembly of FIG. 1 located in an examination room
where the set of steps of FIG. 30 may be performed;
[0038] FIG. 32 depicts an overhead diagrammatic view of the
communication hub assembly of FIG. 1 located in the examination
room of FIG. 31, with a communications link established with an EMR
system and in-room equipment, and with equipment in the examination
room in an unlocked state;
[0039] FIG. 33 depicts an overhead diagrammatic view of clinical
personnel leaving the communication hub assembly of FIG. 1 in the
examination room of FIG. 31, with the communication hub assembly of
FIG. 1 and the in-room equipment in a locked state;
[0040] FIG. 34 depicts an overhead diagrammatic view of a physician
in the examination room of FIG. 31, with the communication hub
assembly of FIG. 1 and the in-room equipment in an unlocked
state;
[0041] FIG. 35 depicts an overhead diagrammatic view of the
physician leaving the communication hub assembly of FIG. 1 in the
examination room of FIG. 31, with the communication hub assembly of
FIG. 1 and the in-room equipment in a locked state;
[0042] FIG. 36 depicts a perspective view of an alternative
examination room with a mounted version of the communication hub
assembly of FIG. 1;
[0043] FIG. 37 depicts an overhead diagrammatic view of the
communication hub assembly of FIG. 1 mounted in the examination
room of FIG. 36, with a communications link established with an EMR
system and in-room equipment, and with equipment in the examination
room in an unlocked state;
[0044] FIG. 38 depicts a perspective view of an alternative
examination room with another mounted version of the communication
hub assembly of FIG. 1;
[0045] FIG. 39 depicts an overhead diagrammatic view of the
communication hub assembly of FIG. 1 mounted in the examination
room of FIG. 38, with a communications link established with an EMR
system and in-room equipment, and with equipment in the examination
room in an unlocked state;
[0046] FIG. 40 depicts a flow diagram of an exemplary set of steps
that could be performed with a medical examination table in
conjunction with the communication hub assembly of FIG. 1;
[0047] FIG. 41 depicts a side elevation view of an exemplary
medical examination table with which the set of steps of FIG. 40
may be performed, with a patient approaching the examination
table;
[0048] FIG. 42 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient seated on the
medical examination table;
[0049] FIG. 43 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient's vitals being
checked;
[0050] FIG. 44 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient's weight being
checked;
[0051] FIG. 45 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient leaving the medical
examination table;
[0052] FIG. 46 depicts a flow diagram of another exemplary set of
steps that could be performed with a medical examination table in
conjunction with the communication hub assembly of FIG. 1;
[0053] FIG. 47 depicts a side elevation view of an exemplary
medical examination table with which the set of steps of FIG. 46
may be performed, with a patient approaching the examination
table;
[0054] FIG. 48 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient seated on the
medical examination table;
[0055] FIG. 49 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient's weight being
checked;
[0056] FIG. 50 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient's vitals being
checked;
[0057] FIG. 51 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient being raised to a
lifted position for examination;
[0058] FIG. 52 depicts a side elevation view of the medical
examination table of FIG. 41, with the patient leaving the medical
examination table;
[0059] FIG. 53 depicts a flow diagram of an exemplary set of steps
that could be performed with the communication hub platform device
of FIG. 6 and a medical device;
[0060] FIG. 54 depicts a perspective view of the communication hub
platform device of FIG. 6 and an adjacent ECG device, with which
the set of steps of FIG. 53 may be performed;
[0061] FIG. 55 depicts a perspective view of the communication hub
platform device and medical device of FIG. 54, with the ECG device
positioned on a patient;
[0062] FIG. 56 depicts a perspective view of the communication hub
platform device and medical device of FIG. 54, with the ECG device
again positioned adjacent to the communication hub platform
device;
[0063] FIG. 57 depicts a diagrammatic view of an exemplary system
established between the communication hub assembly of FIG. 1 and
remote equipment;
[0064] FIG. 58 depicts a flow diagram of an exemplary set of steps
that could be performed with a communication hub assembly in
conjunction with an examination room; and
[0065] FIG. 59 depicts a flow diagram of an exemplary set of steps
that could be performed with a communication hub assembly in
conjunction with an examination room.
[0066] The drawings are not intended to be limiting in any way, and
it is contemplated that various embodiments of the technology may
be carried out in a variety of other ways, including those not
necessarily depicted in the drawings. The accompanying drawings
incorporated in and forming a part of the specification illustrate
several aspects of the present technology, and together with the
description serve to explain the principles of the technology; it
being understood, however, that this technology is not limited to
the precise arrangements shown.
DETAILED DESCRIPTION
[0067] The following description of certain examples of the
technology should not be used to limit its scope. Other examples,
features, aspects, embodiments, and advantages of the technology
will become apparent to those skilled in the art from the following
description, which is by way of illustration, one of the best modes
contemplated for carrying out the technology. As will be realized,
the technology described herein is capable of other different and
obvious aspects, all without departing from the technology.
Accordingly, the drawings and descriptions should be regarded as
illustrative in nature and not restrictive.
[0068] It is further understood that any one or more of the
teachings, expressions, embodiments, examples, etc. described
herein may be combined with any one or more of the other teachings,
expressions, embodiments, examples, etc. that are described herein.
The following-described teachings, expressions, embodiments,
examples, etc. should therefore not be viewed in isolation relative
to each other. Various suitable ways in which the teachings herein
may be combined will be readily apparent to those of ordinary skill
in the art in view of the teachings herein. Such modifications and
variations are intended to be included within the scope of the
claims.
[0069] I. Exemplary Communication Hub Assembly
[0070] A. Overview
[0071] FIGS. 1-5 show an exemplary communication hub assembly (10)
that may be used in a medical examination room. While communication
hub assembly (10) is described as being used in a medical
examination room in various examples provided herein, it should be
understood that communication hub assembly (10) may be used in a
variety of other settings as well. By way of example only, the
teachings herein may be readily applied to the context of a dental
examination room, veterinary examination room, and various other
contexts. Various other settings in which communication hub
assembly (10) may be used will be apparent to those of ordinary
skill in the art in view of the teachings herein.
[0072] Communication hub assembly (10) of the present example
comprises a cart (20) and a communication hub platform device
(100). Cart (20) of the present example comprises a column (22)
with a set of wheels (24) and accessory compartments (26). Hub
platform device (100) is secured to the top of column (22). Column
(22) comprises at least two axially aligned tubular segments
arranged in a telescoping relationship, such that the effective
height of column (22) may be adjusted as will be described in
greater detail below. Wheels (24) enable cart (20) to be readily
transported along the ground. Wheels (24) may be selectively
locked, using known structures and techniques, to secure the
position of cart (20). Accessory compartments (26) are configured
to hold various items such as binders, etc. In the example shown, a
digital thermometer (30) is shown in one accessory compartment
(26). Digital thermometer (30) includes a cord (32) with a plug
(34) that is configured to couple with hub platform device (100) as
will be described in greater detail below. Other suitable items
that may be placed in accessory compartments (26) will be apparent
to those of ordinary skill in the art in view of the teachings
herein. It should also be understood that accessory compartments
(26) may be modified, substituted, supplemented, or omitted as
desired.
[0073] A height adjustment assembly (40) extends transversely from
column (22), just below hub platform device (100). Height
adjustment assembly (40) comprises a fixed paddle (42) and a
movable paddle (44). Movable paddle (44) is pivotable toward and
away from fixed paddle (42). In particular, movable paddle (44) is
pivotable toward fixed paddle (42) to unlock the vertical position
of an upper telescoping segment of column (22) relative to a lower
telescoping segment of column (22), thereby enabling an operator to
adjust the effective height of column (22). Once the operator
releases movable paddle (44), a resilient member (e.g., torsion
spring, leaf spring, coil spring, etc.) biases movable paddle (44)
pivotably away from fixed paddle (42), such that movable paddle
(44) returns to the position shown in FIGS. 1-6. This return of
movable paddle (44) to the position shown in FIGS. 1-6 locks the
vertical position of an upper telescoping segment of column (22)
relative to a lower telescoping segment of column (22), thereby
locking the adjusted effective height of column (22). Various
suitable components that may be used to provide such height
adjustment capabilities will be apparent to those of ordinary skill
in the art in view of the teachings herein. It should also be
understood that some versions of cart (20) may simply lack height
adjustment capabilities.
[0074] B. Exemplary Communication Hub Platform Device
[0075] FIGS. 6-15 show communication hub platform device (100) in
greater detail. Communication hub platform device (100) comprises
an upper housing (120) and a lower housing (140), which together
contain internal components (160). A bracket (170) is fixedly
secured to the bottom of lower housing (120). Bracket (170) is
configured to complement features at the top of column (22) to
thereby secure communication hub platform device (100) to cart
(20). In some versions, while bracket (170) may be rigidly secured
to column (22), bracket (170) is configured to be selectively
removed from column (22) by an operator of assembly (10). Various
suitable ways in which bracket (170) may be removably (or
non-removably) secured to column (22) will be apparent to those of
ordinary skill in the art in view of the teachings herein.
[0076] Upper housing (120) includes an upwardly presented surface
(122) that is bounded by lateral edges (124), a distal edge (126),
and a proximal ledge (128). Each lateral edge (124) includes a
respective mounting channel (130) as will be described in greater
detail below. As best seen in FIGS. 12-13, surface (122) is
oriented at an oblique angle relative to the horizontal plane.
Surface (122) is sized and configured to enable placement of items
such as mobile computing devices, etc., on surface (122) as will be
described in greater detail below. Proximal ledge (128) is
configured to serve as a rest for items placed on surfaces (122),
preventing such items from sliding off of the proximal side of
communication hub platform device (100).
[0077] Upper housing (120) further includes a window (132), which
permits viewing of a screen (134). In the present example, screen
(134) is configured to display information relating to vital signs
and/or other biological information associated with the patient.
Screen (134) also provides a touchscreen interface for an operator
to provide commands to hub platform device (100) and/or to
equipment that is coupled with hub platform device (100).
[0078] The proximal end of communication hub platform device (100)
further includes a pair of light emitting features (136). In the
present example, the light emitting features (136) are operable to
provide visual alarms in response to various conditions. For
instance, such conditions may relate directly to the condition of
the hub platform device (100) (e.g., low battery, other
malfunction), the condition of equipment that is coupled with the
hub platform device (100), a faulty connection between the hub
platform device (100) and associated equipment, a condition of the
patient, and/or various other conditions. In some instances, light
emitting features (136) emit light of different colors (e.g., red
and yellow). Various suitable ways in which light emitting features
(136) may be used to provide an indication of various kinds of
conditions will be apparent to those of ordinary skill in the art
in view of the teachings herein.
[0079] Communication hub platform device (100) further comprises a
plurality of ports (180, 182, 184, 186, 188, 190, 192) that are
configured to provide one-way or two-way wired communication and/or
other kinds of communication with other devices. Each of these
ports (180, 182, 184, 186, 188, 190, 192) will be described in
greater detail below. It should be understood, however, that these
ports (180, 182, 184, 186, 188, 190, 192) are merely illustrative
examples. Any of these ports (180, 182, 184, 186, 188, 190, 192)
may be omitted if desired. In addition or in the alternative, any
suitable kinds of additional ports may be added to communication
hub platform device (100). Various suitable combinations of ports
that may be incorporated into communication hub platform device
(100) will be apparent to those of ordinary skill in the art in
view of the teachings herein.
[0080] As best seen in FIGS. 6 and 13, the right-hand side of
communication hub platform device (100) comprises a port (180) that
is configured to couple with an oxygen saturation (SO.sub.2)
monitoring device (not shown). Communication hub platform device
(100) may thus receive oxygen saturation (SO.sub.2) readings via
port (180). As best seen in FIGS. 7 and 12, the left-hand side of
communication hub platform device (100) comprises a port (182) that
configured to couple with a non-invasive blood pressure measurement
(NIBPM) cuff assembly. In particular, such a cuff assembly
comprises a set of tubes (an air inlet tube and an air outlet tube)
that are both coupled with a plug. Port (182) is configured to
receive such a plug and is thereby operable to couple the cuff with
a NIBPM module (167) within communication hub platform device (100)
as will be described in greater detail below.
[0081] As best seen in FIG. 11, the distal side of communication
hub platform device (100) comprises a plurality of ports (184, 186,
188, 190, 192). Port (184) comprises a conventional RJ45 port that
is operable to couple with a cable that is further coupled with a
patient examination table (300). For instance, such a patient
examination table (300) may be operable to detect a patient's
weight as described below, and communication hub platform device
(100) may receive the patient's weight via the cable coupled with
port (184). In addition, communication hub platform device (100)
may transmit commands to a patient examination table (300) via a
cable coupled with port (184). Such commands may include commands
that operate powered features of the patient examination table
(300), such as powered components that raise and lower at least
part of the patient vertically relative to the ground, a powered
backrest that transitions the patient between a generally upright
seated position and a generally supine position, a powered armrest
that raises and lowers a patient's arm, and/or other components
that provide some form of powered motion.
[0082] Port (186) comprises a conventional RJ50 port. Port (186) is
operable to couple with plug (34) of digital thermometer (30) as
described above. Communication hub platform device (100) may thus
receive patient temperature readings via port (186). Port (188)
comprises a custom USB port that is operable to provide
communication between communication hub platform device (100) and a
personal computer and/or other kind of computing device. Port (190)
comprises a conventional USB port. In the present example, port
(190) is used to provide firmware upgrades to communication hub
platform device (100).
[0083] Port (192) comprises a socket that is configured to receive
a complementary plug of a power cord, such that a battery pack
(164) within communication hub platform device (100) is
rechargeable through power through port (192). In some other
versions, communication hub platform device (100) comprises
features enabling battery pack (164) to be charged via inductive
charging, such that port (192) may be omitted if desired. It should
also be understood that, in some instances, communication hub
platform device (100) may receive operational power via port (192)
(e.g., when battery pack (164) is depleted or omitted, etc.).
Moreover, some other kind of port (e.g., USB port, etc.) may be
used to provide charging of battery pack (164) and/or operational
power for communication hub platform device (100).
[0084] The distal side of communication hub platform device (100)
further comprises a power button (194) that is operable to toggle
communication hub platform device (100) between an on and off
state. Various suitable forms that power button (194) may take will
be apparent to those of ordinary skill in the art in view of the
teachings herein.
[0085] In some versions, communication hub platform device (100)
comprises an additional Ethernet port, USB port, and/or other kind
of port that provides a wired connection with one or more other
computing devices, a local area network, a wide area network, etc.
Such an additional communication port may be used to transmit
patient data via cable to an EMR system. Other suitable ways in
which one or more additional communication ports may be used will
be apparent to those of ordinary skill in the art in view of the
teachings herein.
[0086] FIG. 15 shows internal components (160) in block schematic
form. It should be understood that these internal components (160)
are merely illustrative examples. It is contemplated that various
other internal components (160) may be used in addition to or in
lieu of those described below. The below examples should therefore
not be read as being limiting in any way. As shown, internal
components (160) comprise a processing module (162), a storage
device (163), a battery pack (164), a near field communication
(NFC) module (165), a low energy Bluetooth (BLE) communication
module (166), and a NIBP module (167). Processing module (162) is
in communication with ports (180, 184, 186, 188, 190, 192), power
button (194), storage device (163), battery pack (164), light
emitting features (136), display screen (134), near field
communication (NFC) module (165), low energy Bluetooth (BLE)
communication module (166), and NIBP module (167). In particular,
processing module (162) is configured to process data and/or
commands that are delivered through ports (180, 184, 186, 188, 190,
192). Processing module (162) is also configured to deliver data
and/or commands through ports (180, 184, 186, 188, 190, 192).
Various examples of data and/or commands being delivered to and/or
from processing module (162) will be described in greater detail
below. Various suitable components and configurations that may be
used to form processing module (162) will be apparent to those of
ordinary skill in the art in view of the teachings herein. It
should also be understood that, while processing module (162) is
referred to as a "module," processing module (162) may in fact be
formed by several modules that are spaced apart yet in
communication with each other.
[0087] Processing module (162) is operable to retrieve data from
storage device (163) and store data in storage device (163). For
instance, storage device (163) may include various control
algorithms that are communicated to processing module (162) and are
executed by processing module (162). Processing module (162) may
also store patient data and/or other data on storage device (163).
Various suitable ways in which storage device (163) may be used
will be apparent to those of ordinary skill in the art in view of
the teachings herein. Similarly, various suitable forms that
storage device (163) may take will be apparent to those of ordinary
skill in the art in view of the teachings herein.
[0088] Battery pack (164) is configured to provide operational
power to communication hub platform device (100). By way of example
only, battery pack (164) may comprise one or more lithium ion
battery cells. As noted above, battery pack (164) is rechargeable
via port (192). Processing module (162) may be configured to
execute one or more smart charging algorithms in order to provide
regulated recharging of battery pack (164) through known
techniques. Processing module (162) may also be configured to
execute an algorithm to monitor the charge in battery pack (164).
Pursuant to this algorithm, processing module (162) may provide
real-time feedback regarding the charge level of battery pack (164)
via display screen (134). In addition or in the alternative,
processing module (162) may provide a low battery alert via display
screen (134) and/or via some audio output device when the charge
level of battery pack (164) falls below a certain level. Other
suitable forms that battery back (164) may take, as well as other
ways in which processing module (162) may interact with battery
pack (164), will be apparent to those of ordinary skill in the art
in view of the teachings herein.
[0089] As noted above, processing module (162) is in communication
with light emitting features (136) and display screen (134).
Processing module (162) stores and/or executes user settings,
communication hub platform device (100) configurations, etc., and
orchestrates communications between communication hub platform
device (100), a mobile computing device on surface (122), display
screen (134), light emitting features (136), and other
peripherals.
[0090] NFC module (165) and BLE communication module (166) are
configured to provide wireless communication with other devices
using known components and techniques. By way of example only, when
an operator places a conventional tablet device, smartphone device,
or similar device on upwardly presented surface (122), processing
module (162) may establish bi-directional wireless communication
with that tablet device or smartphone device, etc. via NFC module
(165) or BLE communication module (166). Similarly, when an
operator places a conventional mobile computer on upwardly
presented surface (122), processing module (162) may establish
bi-directional wireless communication with that mobile computer via
NFC module (165) or BLE communication module (166). In addition or
in the alternative, processing module (162) may establish
bi-directional wireless communication with other kinds of equipment
via NFC module (165) or BLE communication module (166). For
instance, processing module (162) may establish bi-directional
wireless communication with other kinds of equipment that are
placed on upwardly presented surface (122). Moreover, processing
module (162) may establish bi-directional wireless communication
with equipment that is located within the same examination room
(but not necessarily placed on upwardly presented surface (122)).
Such other equipment may include, among other things, an
examination table, equipment used to measure biological data
associated with a patient, a computing device providing read/write
access to a patient's electronic medical record (EMR), cabinets
containing medicine and/or other medical equipment, etc. Further
examples of such communication will be described in greater detail
below, while still other examples will be apparent to those of
ordinary skill in the art in view of the teachings herein.
[0091] It should also be understood that NFC module (165) and BLE
communication module (166) are merely illustrative examples. In
some alternative versions, communication hub platform device (100)
only has one module (165, 166) and not the other module (165, 166).
In addition or in the alternative, any other suitable kind(s) of
wireless communication technologies may be incorporated into
communication hub platform device (100).
[0092] NIBPM module (167) of the present example comprises a set of
components that are operable to obtain NIBPMs via a cuff assembly
that is coupled with port (182). By way of example only, NIBPM
module (167) may comprise an air pump, one or more valves, one or
more pressure sensors, fluid conduits, and/or any other
component(s) that may be used to provide NIBPMs. By way of example
only, NIBPM module (167) may be constructed and operable in
accordance with at least some of the teachings of U.S. Provisional
Pat. App. No. 62/110,704, entitled "System and Method for
Non-Invasive Blood Pressure Measurement," filed Feb. 2, 2015, the
disclosure of which is incorporated by reference herein. Other
suitable ways in which NIBPM module (167) may be configured and
operable will be apparent to those of ordinary skill in the art in
view of the teachings herein. It should also be understood that
processing module (162) may be operable to selectively activate
NIBPM module (167) in accordance with operator input. In addition,
processing module (162) may process NIBPMs and/or other data
obtained through NIBPM module (167) and transmit such information
to storage device (163) and/or to a remote device.
[0093] The foregoing examples of internal components (160) are
merely illustrative examples. It should be understood that
communication hub platform device (100) may include a variety of
other internal components (160) in addition to or in lieu of those
described above. Various other suitable kinds of internal
components (160) that may be incorporated into communication hub
platform device (100) will be apparent to those of ordinary skill
in the art in view of the teachings herein.
[0094] C. Exemplary Tabletop Accessories
[0095] In some instances, an operator may wish reduce the risk of
having items inadvertently slide or roll off of upwardly presented
surface (122). FIGS. 16A-18 show an exemplary tray (200) that may
be secured to communication hub platform device (100) to reduce
this risk. Tray (200) of the present example comprises an upwardly
presented surface (202) that is bounded by a proximal lip portion
(204), a distal lip portion (206), and a pair of side lip portions
(208). Lip portions (204, 206, 208) extend upwardly from and around
upwardly presented surface (202), thereby providing structural
barriers to assist in retaining items on upwardly presented surface
(202). Side lip portions (208) include gaps (209) that are
configured to provide clearance for cables extending laterally from
devices placed on upwardly presented surface (202).
[0096] As best seen in FIG. 18, the underside of tray (200)
includes a pair of rails (210) and a boss member (212). Rails (210)
are configured to slidably fit in mounting channels (130) to
provide engagement between tray (200) and lateral edges (124) of
upper housing (120). Boss member (212) is configured to engage
distal edge (126) of upper housing (120). Of course, any other
suitable structures may be used to provide engagement between tray
(200) and communication hub platform device (100). It should be
understood from the foregoing that tray (200) may be removably
secured to communication hub platform device (100) as shown in
FIGS. 16A-16B. It should also be understood that NFC module (165)
and BLE communication module (166) may communicate with a device
placed on upwardly presented surface (202) just as well as such
modules (165, 166) would communicate with the same device if it
were placed directly on upwardly presented surface (122).
[0097] FIGS. 19A-21 show another exemplary tray (250) that may be
secured to communication hub platform device (100). Tray (250) of
this example is substantially identical to tray (250), except that
tray (250) is larger to accommodate more items or larger items.
Tray (250) of the present example comprises an upwardly presented
surface (252) that is bounded by a proximal lip portion (254), a
distal lip portion (256), and a pair of side lip portions (258).
Lip portions (254, 256, 258) extend upwardly from and around
upwardly presented surface (252), thereby providing structural
barriers to assist in retaining items on upwardly presented surface
(252). Side lip portions (258) include gaps (259) that are
configured to provide clearance for cables extending laterally from
devices placed on upwardly presented surface (252).
[0098] As best seen in FIG. 21, the underside of tray (250)
includes a pair of rails (260) and a boss member (262). Rails (260)
are configured to slidably fit in mounting channels (130) to
provide engagement between tray (250) and lateral edges (124) of
upper housing (120). Boss member (262) is configured to engage
distal edge (126) of upper housing (120). Of course, any other
suitable structures may be used to provide engagement between tray
(250) and communication hub platform device (100). It should be
understood from the foregoing that tray (250) may be removably
secured to communication hub platform device (100) as shown in
FIGS. 19A-19B. It should also be understood that NFC module (165)
and BLE communication module (166) may communicate with a device
placed on upwardly presented surface (202) just as well as such
modules (165, 166) would communicate with the same device if it
were placed directly on upwardly presented surface (122).
[0099] Of course, trays (200, 250) are just merely illustrative
examples of accessories that may be secured to communication hub
platform device (100). Other suitable accessories will be apparent
to those of ordinary skill in the art in view of the teachings
herein. Alternatively, communication hub platform device (100) may
be used without accessories secured thereto.
[0100] D. Exemplary Alternative Mounting Structures
[0101] In the example of communication hub assembly (10) described
above, communication hub platform device (100) is secured to a cart
(20). However, cart (20) is just one example of what communication
hub platform device (100) may be secured to. FIG. 22 shows another
merely illustrative example of something that communication hub
platform device (100) may be secured to. In particular, FIG. 22
shows an exemplary medical examination table (300) with an integral
mounting arm (310). While FIG. 22 includes a right patient armrest
(304), it should be understood that a left patient armrest (304) is
intentionally omitted from FIG. 22 for clarity. As shown in FIGS.
24-29, 31-39, 41-45, 47-52, and 57, medical examination table (300)
of the present example in fact includes a left patient armrest
(304). Mounting arm (310) extends outwardly and upwardly from a
base (302) of medical examination table (300). In some versions,
mounting arm (310) is operable to pivot and/or slide relative to
base (302). As shown, communication hub platform device (100) is
secured to arm (310) and has a conventional mobile computer (350)
(e.g., laptop computer, etc.) placed on upwardly presented surface
(122). It should therefore be understood that processing module
(162) may be in wireless communication with mobile computer (350)
via NFC module (165) and/or BLE communication module (166).
[0102] It should also be understood that processing module (162)
may be in communication with medical examination table (300) via
NFC module (165), via BLE communication module (166), via a cable
secured to port (184, or in some other fashion. For instance,
medical examination table (300) may be configured to determine the
weight of a patient that is seated or supine on medical examination
table (300). In that regard, medical examination table (300) may be
constructed and operable in accordance with at least some of the
teachings of U.S. Pub. No. 2013/0247300, entitled "Medical
Examination Table with Integrated Scale," published Sep. 26, 2013,
the disclosure of which is incorporated by reference herein.
Medical examination table (300) may communicate the patient's
weight to processing module (162) via NFC module (165), via BLE
communication module (166), via a cable secured to port (184), or
in some other fashion. Medical examination table (300) and/or other
equipment may also be operable to capture a patient's height and
communicate the patient's height to processing module (162) via NFC
module (165), via BLE communication module (166), via a cable
secured to port (184), or in some other fashion.
[0103] In addition or in the alternative, processing module (162)
may be operable to command medical examination table (300) via NFC
module (165), via BLE communication module (166), via a cable
secured to port (184), or in some other fashion. For instance,
processing module (162) may be operable to command medical
examination table (300) to raise and lower the patient relative to
the ground, to transition between a folded, upright (seated)
configuration and a flat (supine) configuration, etc. Other
suitable relationships between communication hub platform device
(100) and medical examination table (300) will be apparent to those
of ordinary skill in the art in view of the teachings herein.
[0104] While cart (20) and integral mounting arm (310) of medical
examination table (300) have been provided as examples of
structures to which communication hub platform device (100) may be
mounted, still other examples of such structures will be apparent
to those of ordinary skill in the art in view of the teachings
herein. Such alternative structures may be mobile (e.g., like cart
(20)) or secured in a fixed location (e.g., like mounting arm
(310)). Regardless of the type of structure communication hub
platform device (100) is mounted to, some versions may permit
communication hub platform device (100) to be removed from such a
mounting structure; or may prevent communication hub platform
device (100) from being removed from such a mounting structure.
[0105] II. Exemplary Electronic Ecosystem Through Communication
Hub
[0106] The devices described above may be used as part of an
electronic ecosystem of devices to enable various functionalities
within configured locations, such as, for example, the exemplary
medical examination room (5700) shown in FIG. 57. In examples such
as those depicted, one or more devices such as the medical
examination table (300), mobile computer (350), hub platform device
(100), and storage cabinet (2400) may be communicatively coupled
with an ecosystem server (5704) via a network device (5702) such as
a wireless network router, etc. . . . Other equipment may be
coupled with ecosystem server (5704) via a network device (5702) as
well, including but not limited to RFID sensing devices. Such RFID
sensing devices may be operable to detect the presence of a hub
platform device (100) in each room and/or various other kinds of
inventory. In some versions, hub platform device (100) serves as an
intermediary or communications hub between network device (5702)
and other equipment in the medical examination room, such that all
communications to and from such equipment pass through hub platform
device (100). In some other versions, one or more pieces of
equipment in the medical examination room communicate directly with
network device (5702), without necessarily communicating with hub
platform device (100). In some such versions, hub platform device
(100) is simply omitted. It should also be understood that, while
hub platform device (100) is provided as a stand-alone piece of
equipment in this example, any of the functionality of hub platform
device (100) may be integrated into some other piece of equipment
or pieces of equipment in the medical examination room (e.g., a
medical examination table (300), etc.).
[0107] The storage cabinet (2400) may comprise a storage container
having a door, drawer, and/or lid, etc. that can be opened to
access the contents, as well as a locking mechanism for locking the
door, drawer, and/or lid, etc. in a closed position and preventing
access to the contents. The locking mechanism may be enabled to
prevent access to the contents of the cabinet (2400) or disabled to
allow access to the contents of the cabinet (2400). In some
instances, the cabinet (2400) is configured to store medicine and
includes at least two independent locking devices, both of which
must be unlocked in order to gain access to the contents of cabinet
(2400). The storage cabinet (2400) may also have a wireless or
wired communication device such as a network card, wireless card,
or electrical switch that may receive a signal from an external
source and cause the locking mechanism (or locking mechanisms) to
actuate. Actuation of the locking mechanism may be performed based
upon communication received from the ecosystem server (5704) or
another device. It should also be understood that ecosystem server
(5704) may be operable to provide a lockout of controls of
examination table (300). For instance, such examination table (300)
controls may be locked out whenever storage cabinet (2400) is in a
locked state. The examination table (300) controls may be unlocked
when storage cabinet (2400) is unlocked and/or at any other
suitable time.
[0108] Some versions of the cabinet (2400) may also include
temperature control features. For instance, such temperature
control features may be provided when the cabinet (2400) is used to
store temperature sensitive medications. Such temperature control
features may include a temperature sensor and a feature that is
operable to adjust the temperature within the cabinet (2400). These
temperature control features may be in communication with the
ecosystem server (5704). For instance, the ecosystem server (5704)
may receive data from the temperature sensor and provide one or
more automated responses when the sensed temperature exceeds a
threshold or falls below a threshold. In some such versions, the
ecosystem server (5704) activates a temperature control feature
within the cabinet (2400) to adjust the temperature to bring the
temperature back within an acceptable range. As another merely
illustrative example, the ecosystem server (5704) may adjust a
thermostat that is external to the cabinet (2400) yet is operable
to affect the temperature within cabinet (2400) (e.g., by adjusting
the temperature of the room in which the cabinet (2400) is
located). As yet another merely illustrative example, the ecosystem
server (5704) may send an automated alert (e.g., via email, text
message, automated telephone call, etc.) to the appropriate
personnel so such personnel may react appropriately to correct the
temperature of the cabinet (2400). Other suitable ways in which
ecosystem server (5704) may be provided with temperature
sensitivity and responsiveness will be apparent to those of
ordinary skill in the art in view of the teachings herein.
[0109] The ecosystem server (5704) may further be communicatively
coupled with a database (5706). The database (5706) may comprise
one or more relational databases or other database type, flat file
databases, distributed databases, virtual databases, physical
disks, or other storage types that would allow for the storage and
organization of data. The ecosystem server (5704) may comprise one
or more physical computers, virtual computers, distributed
computers, or other computing devices that allow for the
manipulation, analysis, and communication of data. The network
device (5702) may comprise one or more network hubs, routers,
switches, computers, or other devices that can facilitate the
receipt and communication of data across a network of multiple
devices. The network device (5702), ecosystem server (5704) and
database (5706) could be separate devices in some versions; but in
other versions the functionalities of two or more of the devices
(5702, 5704, 5706) could be embodied in a single device. For
instance, in some versions, the functionality of one or more of
these devices (5702, 5704, 5706) may be fully integrated into
communication hub platform device (100).
[0110] The network device (5702) may be communicatively coupled
with the examination room devices (100, 300, 350, 2400) via a
wireless connection (e.g., Wi-Fi, Bluetooth, radio, infrared, NFC,
or other wireless communication type); or via a wired connection
(e.g., USB, Ethernet, coaxial, fiber optic, or other wired
communication type). In some versions, a combination of wireless
and wired communication may also be used. For example, the hub
platform device (100) may be connected to the network device (5702)
via a wired connection, whereas the medical examination table
(300), mobile computer (350), and storage cabinet (2400) may be
connected with the network device (5702) via a wireless connection.
In further examples, the medical examination table (300), mobile
computer (350), and storage cabinet (2400) may be connected via a
wired or wireless connection to the hub platform device (100),
which may be connected to the network device (5702) via a wired or
wireless connection. In this manner, the hub platform device (100)
serves as the single point of contact between the medical
examination room (5700) and the network device (5702) while
allowing communications from the other devices (300, 350, 2400) to
pass through the hub platform device (100) to the network device
(5702). A variety of communication configurations are possible and
may be desirable depending upon the environment and purpose for a
particular installation. Various suitable configurations and
arrangements will be apparent to those of ordinary skill in the art
in view of the teachings herein.
[0111] FIGS. 23-56 show examples of steps that can be performed
within a communication hub enabled electronic ecosystem such as
that depicted in FIG. 57. It should therefore be understood that
all of the below methods and processes may be carried out using the
network device (5702), the ecosystem server (5704), and the
database (5706) described above. For example, FIGS. 23-29 show an
example of steps that could be performed with a hub platform device
(100) that is shared across multiple examination rooms. In this
example, hub platform device (100) is combined with a cart (20)
like communication hub assembly (10) described above. As shown in
FIGS. 23 and 25, when the hub platform device (100) enters (2300)
the room, ecosystem connectivity is automatically established
(2302). In this example, the mobile computer (350) is already
placed on and in communication with the hub platform device (100),
with each being in communication with the ecosystem server (5706)
(containing EMR in this example) via a wireless connection.
[0112] When the hub platform device (100) enters the room in FIG.
24, connectivity may need to be established (2302) between the hub
platform device (100) and other devices available within a specific
medical examination room (5700) such as a medical examination table
(300). In some examples, connectivity may be established (2302)
automatically by a wireless connection between the hub platform
device (100) and the medical examination table (300) that is
available when they are in close proximity to each other. In other
examples, connectivity may be established (2302) semi-manually by a
user making a wired connection between the hub platform device
(100) and the medical examination table (300) when they are in
close proximity to each other, for example, by plugging in a USB or
Ethernet cable. Since the hub platform device (100) is shared
between multiple rooms in this example, it may not be advantageous
for the lock mechanism of storage cabinet (2400) to be enabled or
disabled based upon the connectivity or presence of the hub
platform device (100). Thus, in this example, the lock mechanism is
disabled and allows access at all times. However, in examples where
the storage cabinet (2400) contents require a higher level of
security, the lock mechanism could be enabled to prevent access
when the hub platform device (100) is not present in the same
room.
[0113] As shown in FIGS. 23 and 26, once connectivity is
established (2302), a patient's vitals may be taken (2304) using
one or more of the ecosystem devices available via the hub platform
device (100), such as a digital thermometer (30), a blood pressure
measurement device, etc.; and/or using other devices available
within the room, such as the medical examination table (300). When
connected to the hub platform device (100), room specific devices
such as the medical examination table (300) may be interacted with
via the hub platform device (100) or mobile computer (350) rather
than by directly interacting with the room specific device. For
example, when connected with hub platform device (100), the medical
examination table (300) could be raised via a control available on
the mobile computer (350) rather than by using a foot pedal on the
medical examination table (300). As a further example, the medical
examination table (300) could be adjusted automatically based upon
preferences created during a prior visit for a particular patient
and stored on and retrieved from the ecosystem server (5704) during
subsequent visits.
[0114] As shown in FIGS. 23 and 27, once vitals are taken (2204),
the hub platform device (100) may exit the room (2306) and
terminate connectivity with devices specific to that room such as
the medical examination table (300). For instance, the wireless
communication protocol between the platform device (100) and the
devices specific to that room may have a relatively short range,
such that the platform device (100) leaves that range when (or
shortly after) the platform device (100) exits the room (2306).
Connectivity may thus be terminated simply by platform device (100)
leaving the range of the wireless communication protocol.
Alternatively, the room may include one or more proximity sensors
(e.g., RFID, EAS, etc.) that are configured to sense entry/exit of
platform device (100) into/out of the room. Such sensors may thus
provide automated initiation/termination of connectivity between
platform device (100) and devices specific to that room based on
the sensed presence/absence of platform device (100) in the room.
Various other suitable ways in which connectivity may be
automatically initiated/terminated based on the presence/absence of
platform device (100) in the room will be apparent to those of
ordinary skill in the art in view of the teachings herein. It
should also be understood that such proximity detection or
sensitivity may be readily incorporated into various other examples
described herein as will be apparent to those of ordinary skill in
the art.
[0115] In the example shown, the storage cabinet (2400) remains
unlocked at all times regardless of the presence of the hub
platform device (100), but in some versions it may advantageous to
automatically actuate the lock mechanism of the storage cabinet
(2400) when connectivity between the storage cabinet (2400) and the
hub platform device (100) ceases, in order to prevent access to the
storage cabinet (2400) contents when no medical personnel are
present. Other actions could be taken when communication between
the hub platform device (100) and room specific devices ceases, for
example, automatically updating records kept by the ecosystem
server (5704) indicating the physical location of the hub platform
device (100), automatically notifying a physician scheduled to
visit the medical examination room (5700) that vitals have been
completed via a mobile device or other system, or automatically
transferring vitals data (2308) or other data to the ecosystem
server (5704) so that patient EMR may be created or updated.
[0116] As shown in FIGS. 23 and 28, once vitals have been taken
(2304) and transferred (2308), a physician may enter the room
(2310) and perform an examination (2312). In the present example,
the physician may have a mobile computer (350), tablet, smartphone,
or other mobile computing device, but would not have a hub platform
device (100), meaning that any interaction with the medical
examination table (300) or other room specific devices would be
direct and manual. Once the physician examination (2312) is
complete, the physician exits the room (2314) as shown in FIGS. 23
and 29. Since the physician does not have a hub platform device
(100) in this example, no special ecosystem functionality is
performed, but neither does the system hamper the physician in his
or her normal duties. While FIG. 29 shows storage cabinet (2400) in
an unlocked state at this stage, it should be understood that
storage cabinet (2400) may alternatively be locked at this stage.
For instance, as noted above, the lock mechanism of the storage
cabinet (2400) may be automatically actuated to lock the storage
cabinet (2400) when connectivity between the storage cabinet (2400)
and the communication hub platform device (100) ceases as the
communication hub platform device (100) exits the room.
[0117] FIGS. 30-39 show an example of steps that could be performed
with a hub platform device (100) that is statically located in a
medical examination room (5700). A statically located hub platform
device (100) might be integrated with a mobile vitals cart (20) as
described above with reference to communication hub assembly (10)
and as shown in FIGS. 31-35. Alternatively, hub platform device
(100) may be integrated into a wall mounted vitals unit that is
affixed to a wall or other structure, as shown in FIG. 36-37, a
table mounted vitals unit that is affixed to a medical examination
table (300) or other stationary fixture as shown in FIGS. 38-39, or
any other statically located hub platform device (100). It should
therefore be understood that the procedure shown in FIGS. 30-35 may
be readily carried out in the setting shown in FIGS. 36-37 and in
the setting shown in FIG. 38-39.
[0118] As shown in FIGS. 30 and 31-32, when a statically located
hub platform device (100) is available in a medical examination
room (5700), a mobile computer (350) can be placed (3000) on the
hub platform device (100) causing connectivity to be established
(3002) between the mobile computer (350) and the hub platform
device (100). Establishing connectivity (3002) may also extend to
devices associated with the hub platform device (100) as well as
devices specific to a medical examination room (5700), such as the
medical examination table (300) and a storage cabinet (2400),
allowing such devices to be interacted with from a local location
such as the mobile computer (350) or hub platform device (100); or
from a remote location such as the ecosystem server (5704). As an
example, once connectivity is established (3002), devices and
storage within the medical examination room may be enabled for use
and access (3004). More specifically, establishing connectivity
(3002) may cause, for example, the medical examination table (300)
to be placed into an operative mode, such that it can receive input
from an integrated foot pedal or switch, a mobile computer (350),
or hub platform device (100). As a further example, establishing
connectivity (3002) may result in a storage cabinet (2400) having a
lock mechanism disabled, such that the contents of the storage
cabinet (2400) can be accessed by medical personnel.
[0119] As also shown in FIG. 30, once storage and devices have been
enabled (3004), a patient's vitals may be taken (3006) and/or other
procedures performed using one or more of the now enabled devices.
Once these tasks (3006) are completed, the mobile computer (350)
may be removed from the hub platform device (100), causing the
connectivity to cease, and causing the previously enabled storage
and devices to be disabled (3010).
[0120] As shown in FIGS. 30 and 33, when a medical professional has
completed their assigned tasks, they can remove the mobile computer
(350) from the hub platform device (100) in preparation for leaving
the room. The removal of the mobile computer (350) results in a
loss of connectivity, and automatically disables one or more
devices in the medical examination room (5700). For example, this
could result in automatically disabling the medical examination
table (300), preventing a patient from interacting with integrated
switches or controls, as well as automatically actuating the
locking mechanism for the storage cabinet (2400), preventing a
patient from accessing the contents. As with previous examples,
upon removal of the mobile computer (350), vitals data can be
automatically transferred (3012) to the ecosystem server (5704) and
used to update or create a patient's EMR, a physician can be
automatically notified, equipment locations can be automatically
updated, and/or other actions may be automatically taken.
[0121] As shown in FIGS. 30 and 34, when the physician arrives, the
physician mobile computer (350) or tablet, smartphone, etc., can be
placed (3014) on the hub platform device (100). When the physician
mobile computer (350) is placed (3014), one or more devices or
storage containers in the room can be re-enabled (3016) by one or
more of the hub platform device (100), physician mobile computer
(350), or ecosystem server (5704). As an example, when the
physician mobile computer (350) is placed (3014), the medical
examination table (300) may be enabled for use so that it can be
controlled from integrated pedals or switches, or controlled from
one or more of the hub platform device (100), mobile computer
(350), or ecosystem server (5704). As a further example, the
storage cabinet (2400) could have a locking mechanism disabled,
such that the storage cabinet (2400) contents can be accessed and
used by the physician or other medical personnel present. After one
or more devices or storage units are enabled (3016), a physician
may perform an examination (3018) using one or more of the
ecosystem devices or storage units.
[0122] As shown in FIGS. 30 and 35, when the examination is
complete (3018), the physician computer (350) is removed (3020)
from the hub platform device (100), causing the previously enabled
storage and devices to be disabled (3022). For example, this could
include automatically disabling the medical examination table (300)
so that it cannot be used while medical personnel are absent from
the room, automatically enabling the lock mechanism on a storage
cabinet (2400) to prevent access to the contents while unsupervised
by medical personnel, and/or automatically taking other
actions.
[0123] FIGS. 40-52 show an example of steps that could be performed
with a medical examination table (300) that may be part of an
electronic ecosystem. As shown in FIGS. 40 and 41, when a patient
first approaches the medical examination table (300), the
integrated armrest (304) may be manually or automatically adjusted
to a position that assists the patient in seating (4000). Automatic
adjustment may be performed by retrieving a patient specific
configuration from the ecosystem server (5704) and communicating it
to the medical examination table (300), where an integrated powered
armrest (304) may then automatically adjust to the stored
configuration. As shown in FIGS. 40 and 42, the medical examination
table (300) height may then be manually or automatically adjusted
(4002) by, for example, expanding or collapsing an adjustable base
(308) to place the patient in a seated position that is both
comfortable and allows for accurate measurement of vital
information. As with automatic armrest (304) adjustment, automatic
adjustment of the medical examination table (300) height may be
performed retrieving a saved configuration from the ecosystem
server (5704) and communicating it to the medical examination table
(300) so that a powered height adjustable base (308) may
automatically adjust to the stored configuration.
[0124] As shown in FIGS. 40 and 43, once a patient is seated an arm
orientation pad (306) of the armrest (304) may be automatically or
manually adjusted (4004) to raise or lower a patient arm to a
height and position that will allow for accurate measurement of
vital information. It should be understood that, in instances where
armrest (304) and/or arm orientation pad (306) are powered for
automatic adjustment, adjustment (4004) of armrest (304) and/or arm
orientation pad (306) may be may be performed retrieving a saved
configuration from the ecosystem server (5704) and communicating it
to the medical examination table (300) so that armrest (304) and/or
arm orientation pad (306) may automatically adjust to the stored
configuration.
[0125] Once vital information is recorded (4006) and other related
tasks are complete, the arm orientation pad (306) may be manually
or automatically returned to its original position (4008). In
instances where armrest (304) and/or arm orientation pad (306) are
powered for automatic adjustment, ecosystem server (5704) may issue
a command to medical examination table (300) to return armrest
(304) and/or arm orientation pad (306) to the original position
(4008) in response to ecosystem server (5704) receiving data
indicating that sufficient vital information has been recorded
(4006). As shown in FIGS. 40 and 44, the medical examination table
(300) may be raised (4010) via the height adjustable base (308) so
that a patient's feet are not bearing any weight, and an integrated
weight sensor of the medical examination table (300) may measure
and record the weight of the patient (4012). By way of example
only, medical examination table (300) may be constructed and
operable to measure weight in accordance with at least some of the
teachings of U.S. Pub. No. 2013/0247300, entitled "Medical
Examination Table with Integrated Scale," published Sep. 26, 2013,
the disclosure of which is incorporated by reference herein.
[0126] Further, the height adjustable base (308) may be manually or
automatically raised (4010) to place the patient and the medical
examination table (300) at an optimal height for a physician to
examine and interact with a patient (4014). In instances where the
patient was originally in a generally supine or reclined position,
the backrest of the medical examination table (300) may be
automatically actuated to raise the backrest to transition the
patient to an upright seated position. As with other automatic
adjustments, a saved configuration specific to an examining
physician and/or patient may be retrieved from the ecosystem server
(5704) and the powered height adjustable base (308) may
automatically adjust to the preferred height. As shown in FIGS. 40
and 45, once the examination is complete (4014), the medical
examination table (300) may be returned to its original position
(4016) so that the patient may safely exit the chair.
[0127] While FIG. 40 shows one set of steps that could be performed
with a medical examination table (300), variations on the order and
nature of the steps exist and will be apparent in light of this
disclosure. For example, FIGS. 46-52 show one such alternative
order of steps described above. When a patient first arrives, the
armrests may be manually or automatically adjusted to aid in
seating (4600) as shown in FIGS. 46-48. The medical examination
table (300) height may be manually or automatically adjusted (4602)
via a powered base (308) to an original position. The medical
examination table (300) height may be raised (4604) so that a
patient's weight may be measured (4606) and then returned to its
original position (4608) as shown in FIGS. 46 and 49-50. The arm
orientation pad (306) may be manually or automatically positioned
(4610) to allow for optimal measurement of vitals (4612) or other
related tasks as shown in FIGS. 46 and 50. It should be understood
that, in instances where armrest (304) and/or arm orientation pad
(306) are powered for automatic adjustment, adjustment (4610) of
armrest (304) and/or arm orientation pad (306) may be may be
performed retrieving a saved configuration from the ecosystem
server (5704) and communicating it to the medical examination table
(300) so that armrest (304) and/or arm orientation pad (306) may
automatically adjust to the stored configuration.
[0128] Once vitals are completed (4612), the arm orientation pad
(306) may be returned to its origin position (4614). In instances
where armrest (304) and/or arm orientation pad (306) are powered
for automatic adjustment, ecosystem server (5704) may issue a
command to medical examination table (300) to return armrest (304)
and/or arm orientation pad (306) to the origin position (4614) in
response to ecosystem server (5704) receiving data indicating that
sufficient vital information has been recorded (4612). The medical
examination table (300) may be raised (4616) to a position that is
ideal for a physician to examine and interact with a patient (4618)
as shown in FIGS. 46 and 51. Once the physician examination is
complete (4618) the medical examination table (300) can be returned
to its original position (4620) so that the patient may safely exit
as shown in FIGS. 46 and 52.
[0129] FIGS. 53-56 show an example of a set of steps that could be
performed with a device as part of an electronic ecosystem. FIGS.
54-56 show an electrocardiogram device (ECG) (500) as an example of
a device that may be used within an electronic ecosystem, but it
should be understood that any suitable medical device may be
similarly used. As shown in FIG. 53, when a medical professional
wishes to use an ECG (500) within a medical examination room (5700)
having a mobile computer (350) paired with a hub platform device
(100) and enabled for an electronic ecosystem, the ECG (500) may be
connected to the ecosystem by, for example, an automatic proximity
based connection (5300), a semi-automated code scan (5302), a
manual device selection (5304), and/or using any other suitable
technique(s). Proximity based connection (5300) may be achieved by
using auto detecting and auto connecting Bluetooth, NFC, infrared,
radio, or other wireless communication that can sense a proximate
compatible device and automatically connect. Proximity based
connection (5300) could be configured such that an ECG (500)
connects to the ecosystem when present in the same room by using a
mid range wireless technology such as Bluetooth; or could be
configured such that an ECG (500) connects to the ecosystem when
placed in close proximity to the hub platform device (100) by using
a short range wireless technology such as NFC. A code scan
connection (5302) may be achieved by providing an optical scanner
device as part of the hub platform device (100) that can read image
encoded data from a barcode, quick response (QR) code, and/or other
image recognition means. Manual device connection (5304) may be
achieved by, for example, selecting an ECG (500) identifier from a
mobile computer (350) or hub platform device (100) display,
selecting a hub platform device (100) from an ECG (500) display,
and/or other manual selection means.
[0130] As shown in FIGS. 53 and 55, once an ECG (500) has been
connected to the ecosystem, an ECG test can be performed (5306) on
a patient and data captured by the ECG (500) may be transferred
(5308) to the ecosystem server (5704) to create or update patient
EMR and/or trigger other actions. As shown in FIGS. 53 and 56, once
data has been transferred (5308) the ECG (500) may be disconnected
by, for example, a timed disconnection (5310), a proximity
disconnection (5312), or a manual disconnection (5314). Timed
disconnection (5310) may be achieved by configuring a time limit
for connectivity, whereby a recently connected ECG (500) will
automatically disconnect after the configured time limit expires.
In this manner, an ECG (500) could be configured to automatically
disconnect 10 minutes after connection. As another merely
illustrative example, ECG (500) could be configured to
automatically disconnect 10 minutes after the last data transfer
from ECG (500) to hub platform device (100) and/or ecosystem server
(5704). A proximity disconnection (5312) may be achieved by
configuring a Bluetooth or NFC connection between an ECG (500) and
a hub platform device (100) to automatically disconnect when the
ECG (500) is determined to be inside or outside a configured range
of the hub platform device (100). In this manner, an ECG (500)
could be configured to automatically disconnect when the ECG (500)
leaves a medical examination room (5700) or is passed near a
specific location of a hub platform device (100) such as a
deactivation swipe pad. Manual disconnection (5314) may be achieved
by allowing a manual selection via a display of the mobile computer
(350), hub platform device (100), or ECG (500) that could show
active connections and allow them to be terminated. Other suitable
ways in which various kinds of medical equipment may interact with
hub platform device (100) will be apparent to those of ordinary
skill in the art in view of the teachings herein.
[0131] FIG. 58 shows an example method (6000) comprising steps that
could be performed with mobile computer (350) and communication hub
assembly (10) in conjunction with examination room (5700). Method
(6000) begins with a step (6002), whereby a wireless signal is
emanated from communication hub assembly (10) located in
examination room (5700). Communication hub assembly (10) may be
dynamically located within examination room (5700) and may move
from room to room as desired. Alternatively, communication hub
assembly (10) may be statically located within examination room
(5700). In these embodiments, communication hub assembly (10) may
be integrated with a medical device such as a vital signs monitor,
an examination table, or a medical cabinet. In other embodiments,
communication hub assembly (10) may be integrated with a wall
associated with examination room (5700) or otherwise statically
connected to examination room (5700). Once the wireless signal is
emanating from communication hub assembly (10) located in
examination room (5700), step (6002) thereafter moves to a step
(6004).
[0132] In step (6004), the wireless signal is confined to a range.
In this example, the range is smaller than examination room (5700)
to prevent the wireless signal from emanating outside of
examination room (5700) and to localize the wireless signal in
examination room (5700). In some embodiments of communication hub
assembly (10), the wireless signal is confined or localized to
examination room (5700) by modifying an off-the-shelf communication
module such as NFC module (165) or BLE communication module (166)
to reduce and restrict the signal range to examination room (5700).
In some embodiments of communication hub assembly (10), the
off-the-shelf communication module may be modified by attenuating
the wireless signal to confine the wireless signal to examination
room (5700). The attenuation may be accomplished by providing the
off-the-shelf communication module with an additional circuit which
acts to attenuate the wireless signal. In some embodiments,
communication hub assembly (10) includes an off-the-shelf low
energy Bluetooth communication module modified with an additional
circuit which acts to attenuate the wireless signal and confine the
signal to examination room (5700). After step (6004), method (600)
moves to a step (6006).
[0133] In step (6006), a wireless connection is formed between
mobile computer (350) and communication hub assembly (10) via the
wireless signal emanating from communication hub assembly (10).
Inasmuch as the wireless signal is confined to examination room
(5700), mobile computer (350) must be within the range, and
therefore within examination room (5700) in order to form the
wireless connection. When mobile computer (350) is outside of
examination room (5700), the wireless signal cannot be sensed and
the wireless connection cannot be formed. In some embodiments, the
wireless connection is formed in response to moving mobile computer
(350) within range of the wireless signal and with no input from
the operator of mobile computer (350). In these embodiments, the
physician or other operator may walk or otherwise move into
examination room (5700) and automatically be provided with a link
to communication hub assembly (10) through mobile computer (350)
without any interaction with either device.
[0134] In some other embodiments of communication hub assembly
(10), an electronic feature of a medical device located or
associated with examination room (5700) may be enabled in response
to either moving the mobile computer (350) into range of the
wireless signal or forming the wireless connection. For example, a
weight sensor of an examination table may be enabled in response to
forming the wireless connection, making weight measurement
information immediately and automatically available to the
physician or other operator of mobile computer (350) upon entry
into examination room (5700). In some other embodiments of
communication hub assembly (10), a locked medical cabinet located
or associated with examination room (5700) may be unlocked in
response to either moving the mobile computer (340) into range of
the wireless signal or forming the wireless connection. In these
embodiments of communication hub assembly (10) the contents of the
medical cabinet are immediately and automatically available to the
physician or other operator of mobile computer (350) upon entry
into examination room (5700) with no interaction from the operator.
After the wireless connection is formed in step (6006), method
(6000) moves to a step (6008).
[0135] In step (6008), patient data from a patient is collected by
a medical device located in examination room (5700). Patient data
may be collected from medical devices such as examination tables or
vital signs monitoring devices. For example, an examination table
located in examination room (5700) may have an integrated weight
sensor for weighing a patient resting thereupon and collecting
patient data regarding weight measurements. In another example, the
medical device may be a blood pressure monitor for collecting blood
pressure measurements.
[0136] In some embodiments of communication hub assembly (10),
mobile computing device (350) may provide command or actuation
signals over the wireless connection and through communication hub
assembly (10) to the medical device. These commands allow the
operator of mobile computer (350) to control or actuate the medical
device to perform certain activities or collect a particular set of
data. For example, the operator of mobile computer (350) may wish
to actuate a weight sensor of a medical examination table to
collect a patient's weight measurement. To achieve this, the user
manipulates mobile computer (350) to transmit command signals over
the wireless connection to communication hub assembly (10). These
command signals are passed in turn to the medical device to actuate
the various features of the medical device. In some embodiments of
method (6000), the medical device is free from any onboard or
integrated controls and may only be actuated to collect patient
data in response to command signals sent by the user through mobile
computer (350). In other embodiments, the medical device includes a
first set of actuation features available through an onboard
interface with the medical device, while a second set of actuation
features is provided to mobile computer (350) via communication hub
assembly (10). After the medical device collects patient data in
step (6008), method (6000) proceeds to a step (6010).
[0137] In step (6010), the collected patient data is transmitted
from the medical device to communication hub assembly (10). This
transmission may be over another wireless connection between the
medical device and communication hub assembly (10) or may be over a
wired connection. After the patient data is transmitted from the
medical device to communication hub assembly (10), step (6010)
proceeds to a step (6012).
[0138] In step (6012), the patient data is transmitted from
communication hub assembly (10) to mobile computer (350) via the
wireless connection. Pursuant to the wireless nature of the
connection, mobile computer (350) may be situated anywhere within
the range and receive the patient data collected by the medical
device. The user of mobile computer (350) is thereafter free to
observe, manipulate, or further transfer the data as desired. For
example, the user may actuate a procedure to further transmit the
patient data to a remote server over another wireless connection.
Upon completion of step (6012), method proceeds to a step
(6014).
[0139] In step (6014), the wireless connection is terminated. In
some embodiments of method (6000), the termination step may be
actuated by mobile computer (350) moving out of the range and/or
out of examination room (5700). For example, when the medical
examination is completed, the physician may leave examination room
(5700), carrying mobile computer (350) to the next examination
room. Thus, the wireless connection may be automatically terminated
based on mobile computer (350) leaving the range, requiring no
interaction with the physician or operator of mobile computer
(350).
[0140] In some embodiments of method (6000), mobile computer (350)
may disable an electronic feature of the medical device or the
entire medical device itself in response to the terminating of the
wireless connection. In other embodiments of method (6000), mobile
computer (350) may lock a medical cabinet located or associated
with examination room (5700). In other embodiments of method
(6000), the user may be prompted regarding whether to transmit the
patient data from mobile computer (350) to a remote server such as
ecosystem server (5705) in response to the terminating of the
wireless connection.
[0141] FIG. 59 shows an example method (7000) comprising steps that
could be performed with a mobile computing device such as mobile
computer (350) and a communication hub assembly such as
communication hub assembly (10). Method may be performed in
conjunction with an examination room such examination room
(5700).
[0142] Method (7000) begins with a step (7002), whereby the
portable computing device is moved into a range of the
communication hub assembly. Thereafter, step (7002) proceeds to a
step (7004). In step (7004), in response to moving the portable
computing device into the range of the communication hub assembly,
a wireless connection is enabled between the portable computing
device and the communication hub assembly. Step (7004) thereafter
proceeds to a step (7006), whereby patient data is collected from a
patient with a medical device. The collection of data may be
actuated by a user through portable computing device. In this
scenario, the portable computing device becomes the control or
interface for the medical device. Thereafter, step (7006) proceeds
to a step (7008), whereby the patient data is transmitted from the
medical device to the communication hub assembly. This transmission
may be over a wired or a wireless connection between the medical
device and the communication hub.
[0143] Upon transmitting the patient data from the medical device
to the communication hub assembly, step (7008) proceeds to a step
(7010). In step (7010), the patient data is transmitted from the
communication hub assembly to the portable computing device via the
wireless connection. Step (7010) thereafter proceeds to a step
(7012), whereby the portable computing device is moved out of the
range of the communication hub assembly. The movement may correlate
to the physician or other medical personnel leaving the examination
room with the portable computing device. Step (7012) thereafter
moves to a step (7014).
[0144] In step (7014), in response to moving the portable computing
device out of the range of the communication hub assembly, the
wireless connection is disabled. Step (7014) thereafter moves to a
step (7016). In step (7016), in response to an event, the user is
prompted regarding whether the user wishes to transmit the patient
data from the portable computing device to a remote server. As
shown in FIG. 57, the remote server may be embodied in ecosystem
server (5704) and database (5706). One example of the event of step
(7016) may include disabling the wireless connection. Another
example of the event of step (7016) may include moving the portable
computing device out of the range of the communication hub
assembly.
[0145] In some embodiments of method (7000), the medical device may
comprise a medical examination table having a patient weight sensor
and the patient data may comprise a weight measurement collected by
the patient weight sensor. In these embodiments, the weight sensor
may be enabled in response to enabling the wireless connection and
the weight sensor may be disabled in response to disabling the
wireless connection.
[0146] III. Miscellaneous
[0147] It should be appreciated that any patent, publication, or
other disclosure material, in whole or in part, that is said to be
incorporated by reference herein is incorporated herein only to the
extent that the incorporated material does not conflict with
existing definitions, statements, or other disclosure material set
forth in this disclosure. As such, and to the extent necessary, the
disclosure as explicitly set forth herein supersedes any
conflicting material incorporated herein by reference. Any
material, or portion thereof, that is said to be incorporated by
reference herein, but which conflicts with existing definitions,
statements, or other disclosure material set forth herein will only
be incorporated to the extent that no conflict arises between that
incorporated material and the existing disclosure material.
[0148] Having shown and described various embodiments of the
present invention, further adaptations of the methods and systems
described herein may be accomplished by appropriate modifications
by one of ordinary skill in the art without departing from the
scope of the present invention. Several of such potential
modifications have been mentioned, and others will be apparent to
those skilled in the art. For instance, the examples, embodiments,
geometrics, materials, dimensions, ratios, steps, and the like
discussed above are illustrative and are not required. Accordingly,
the scope of the present invention should be considered in terms of
the following claims and is understood not to be limited to the
details of structure and operation shown and described in the
specification and drawings.
* * * * *