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CN101569521B - Remote medical monitoring system - Google Patents

Remote medical monitoring system Download PDF

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CN101569521B
CN101569521B CN2008101053231A CN200810105323A CN101569521B CN 101569521 B CN101569521 B CN 101569521B CN 2008101053231 A CN2008101053231 A CN 2008101053231A CN 200810105323 A CN200810105323 A CN 200810105323A CN 101569521 B CN101569521 B CN 101569521B
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parameter
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patient
physiological condition
monitoring system
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CN101569521A (en
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石海涛
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Beijing Aeonmed Co Ltd
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Beijing Aeonmed Co Ltd
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Abstract

The invention discloses a remote medical monitoring system, which comprises: one or more parameter detection units for detecting one or more physiological condition parameters of the patient; the parameter collecting unit is used for collecting one or more physiological condition parameters detected by the one or more parameter detecting units; the parameter transmission unit is used for transmitting the one or more physiological condition parameters collected by the parameter collection unit to the remote monitoring unit; and the remote monitoring unit is used for receiving the one or more physiological condition parameters transmitted by the parameter transmission unit and processing the one or more physiological condition parameters into a form which can be identified by medical personnel for display. The invention can ensure that the medical staff can monitor the patient without surrounding the patient, thereby ensuring that the medical staff can monitor the patient with infectious diseases more safely.

Description

Telemedicine monitoring system
Technical field
The present invention relates to field of medical, relate more specifically to a kind of telemedicine monitoring system.
Background technology
At present; Medical personnel's monitor patients generally is around a patient, to arrange medical personnel to be equipped with a cover medical monitoring equipment; Take corresponding measure by medical personnel through the patient physiological condition decision that liquid crystal display (LCD) shows, but receive the restriction of situation such as medical personnel's quantity, personal experience's ability easily.Simultaneously, cause infection easily for the patient that communicate illness is arranged to medical personnel.
Therefore; Need a kind of telemedicine monitoring system that can the remote monitoring patient physiological condition; So that medical personnel can just can accomplish the monitoring to patient around patient; Thereby make medical personnel safer when monitoring communicate illness patient, and make one or the abundant medical personnel of several medical experience to guard a lot of patients simultaneously.
Summary of the invention
Medical personnel the invention provides a kind of telemedicine monitoring system, so that can just can accomplish the monitoring to patient around patient.
Telemedicine monitoring system according to the embodiment of the invention comprises: the point-of-care unit; It comprises on-the-spot anesthesia respirator and anesthesia respiration loop; Said anesthesia respirator is used to the gas of patient's supply of breathing gas and management of patients exhalation, and the sample of gathering patient's breath; A plurality of parameter detecting unit is used to detect a plurality of physiological condition parameter of patient, and it comprises temperature check unit, blood oxygen transducer, end-tidal CO 2Pick off, wherein: the temperature check unit is used to detect patient's body temperature; Blood oxygen transducer and end-tidal CO 2Pick off is used for detecting data from gathering gas sample, and wherein blood oxygen transducer detects the blood oxygen saturation data of patient's breath, end-tidal CO 2The CO of sensor patient's breath 2Concentration; Parameter collection unit is used to collect the detected a plurality of physiological condition parameter in said a plurality of parameter detecting unit; The parameter transmission unit; Be used for a plurality of physiological condition parameter that said parameter collection unit is collected are transferred to the long distance monitoring unit; Said parameter transmission unit adopts serial ports 485 communications protocol; And contain frame type and check bit in the data format, wherein frame type is defined as: 00 reservation, 01 heart rate, 02 breathing rate, 03 blood oxygen saturation, 04 body temperature, 05 do not have bed blood pressure diastolic pressure, 06 non-invasive blood pressure mean pressure, 07 non-invasive blood pressure diastolic pressure, the warning of 08 parameter error, 09 patient's essential information parameter; Check bit adopts the check results of CRC; And said long distance monitoring unit, be used for each association of timing acquiring, it is at first accomplished verification through check bit with the CRC algorithm and resolves receiving Frame, and with this data show at remote terminal; And the long distance monitoring unit also is suitable for the operational order that the receiving remote staff sends to anesthesia respirator, and this order comprises the increasing oxygen concentration, reduces anesthesia gas concentration; The parameter transmission unit is used for that also operational order is transferred to the point-of-care unit to be adjusted according to the order after resolving for the anesthesia respirator at scene, and wherein the frame type in the data format of order is defined as: 00 reservation, 01 parameter synchronization, 02 acquisition rate, 03 anaesthetic consumption are revised, 04 oxygen supply concentration is revised.
Wherein, parameter collection unit can also be used for the said physiological condition parameter of buffer memory.
Further, said parameter detecting unit is the cycle said one or more physiological condition parameter to be detected with very first time length; Said data transmission unit is the cycle with second time span, successively the physiological condition parameter of buffer memory in the said parameter acquisition unit is transmitted, and wherein, said second time span is greater than said very first time length.
Through the present invention; Can make medical personnel around patient, just can accomplish monitoring to patient; Thereby make medical personnel safer when monitoring communicate illness patient, and one or the abundant medical personnel of several medical experience can be guarded a lot of patients simultaneously.
Description of drawings
Accompanying drawing described herein is used to provide further understanding of the present invention, constitutes the application's a part, and illustrative examples of the present invention and explanation thereof are used to explain the present invention, do not constitute improper qualification of the present invention.In the accompanying drawings:
Fig. 1 is the block diagram according to the telemedicine monitoring system of the first embodiment of the present invention;
Fig. 2 is the block diagram of telemedicine monitoring system according to a second embodiment of the present invention;
Fig. 3 is the application scenarios sketch map of telemedicine monitoring system illustrated in figures 1 and 2.
The specific embodiment
With reference to accompanying drawing, specify the specific embodiment of the present invention below.
Fig. 1 is the block diagram according to the telemedicine monitoring system of the first embodiment of the present invention.As shown in Figure 1, this telemedicine monitoring system comprises: one or more parameter detecting unit 102 is used to detect one or more physiological condition parameter of patient; Parameter collection unit 104 is used to collect one or more physiological condition parameter that one or more parameter detecting unit detects; Parameter transmission unit 106 is used for one or more physiological condition parameter that parameter collection unit is collected are transferred to the long distance monitoring unit; And long distance monitoring unit 108, be used to receive the parameter transmission unit and be transferred to its one or more physiological condition parameter, one or more physiological condition parameter are treated to the form that medical personnel can discern and show.
Telemedicine monitoring system according to the embodiment of the invention can also comprise: one or more point-of-cares unit is used for patient is carried out one or more point-of-cares.Wherein, the long distance monitoring unit also is used to receive the NP instruction from the outside.The NP instruction that the parameter transmission unit also is used for the long distance monitoring unit is received transfers to one or more point-of-cares unit.Wherein, The parameter transmission unit adopts serial ports 485 communications protocol, and the NP instruction that one or more physiological condition parameter that parameter collection unit is collected transfer to the long distance monitoring unit, receive the long distance monitoring unit transfers to one or more point-of-cares unit.
Wherein, parameter collection unit can also be used for one or more physiological condition parameter that the one or more parameter detecting of buffer memory unit detects.One or more parameter detecting unit can be the cycle one or more physiological condition parameter to be detected with very first time length.Data transmission unit can be the cycle with second time span, successively one or more physiological condition parameter of buffer memory in the parameter acquisition unit is transmitted, and wherein, second time span is greater than very first time length.
Fig. 2 is the block diagram of telemedicine monitoring system according to a second embodiment of the present invention.As shown in Figure 2, depend on traditional watch-dog, anesthesia respiration equipment (for example, anesthesia respirator Aeon 7500A) and temperature check device etc. according to a second embodiment of the present invention.Interface through setting up between these equipment (can be one or more equipment) and the remote monitoring unit is realized the remote monitoring to patient.
Telemedicine monitoring system shown in Figure 2 is used for the body temperature of monitored patient, the blood oxygen saturation of patient's breath and three parameters of gas concentration lwevel of patient's breath.Concrete work process is:
1. gather patient temperature through sensing equipment 6YSI series (series) 400, this equipment sends to custodial care facility with the patient temperature data.
2. anesthesia respirator is patient's supply of breathing gas, and patient's breath gets into anesthesia respirator and handles.
3. be from anesthesia respirator, to gather the little of gas sample.Through the blood oxygen saturation data of blood oxygen transducer detection patient breath, through end-tidal CO 2The CO of sensor patient's breath 2Concentration, and should organize data and send custodial care facility.
4. the anesthesia respiration loop is with sample gas loopback anesthesia respirator (preventing gaseous contamination).
5. each association is regularly gathered to custodial care facility in the remote monitoring unit, and with this data show at remote terminal.
6. the remote worker sends behaviour's monitor command (as strengthening the order of oxygen concentration, minimizing anesthesia gas concentration) through the remote monitoring unit to anesthesia respirator.
Wherein, adopt the mode of serial ports 485 communications to transmit data between custodial care facility and the remote monitoring unit.Wherein, following for receiving data format definition:
Figure GSB00000703301600051
Wherein, (for example) frame type is defined as: 00 keeps, 01 heart rate, and 02 breathing rate, 03 blood oxygen saturation, 04 body temperature, 05 does not have bed blood pressure diastolic pressure, 06 non-invasive blood pressure mean pressure; 07 non-invasive blood pressure diastolic pressure; 08 parameter error is reported to the police, 09 patient's essential information parameter.
Check bit adopts the check results of Cyclic Redundancy Check can guarantee to have very little make mistakes probability and verification speed faster.
Wherein, the remote monitoring unit is following to the data format definition that anesthesia respirator sends:
Figure GSB00000703301600052
Wherein, (for example) frame type is defined as: 00 keeps, 01 parameter synchronization, and 02 acquisition rate, 03 anaesthetic consumption are revised (revising according to percentage ratio), and 04 oxygen supply concentration is revised (revising according to percentage ratio).
Wherein, default sample rate is the transmission of 2 seconds completion primary parameters.It is 512 bytes that the data base receives relief area.
The supervisory control comuter of hospital (the unitary main frame of remote monitoring is installed) receives Frame, at first accomplishes verification through check bit with the CRC algorithm, and verification is through then resolving this Frame.If this frame is failed through verification, then abandon this Frame, clear up the data buffer zone then, wait for the arrival of next Frame.
For example, receive monitoring side
Figure GSB00000703301600061
Charge to the real-time data base table through this body temperature of verification.Be presented at Surveillance center after record is read among the data base, thereby realize remote monitoring.
The anesthesia respirator receiving terminal adopts the serial ports receive frequency (9600Hz/S) identical with the remote monitoring unit.For example receive when leading following frame:
Figure GSB00000703301600062
Analysis result is: it is original 1.025 times that No. 10 berth anaesthetic meterings are increased.
Fig. 3 is the application scenarios sketch map of telemedicine monitoring system illustrated in figures 1 and 2.As can be seen from Figure 3; Through telemedicine monitoring system according to the embodiment of the invention; Medical personnel (supervisor of hospital) can the remote monitoring patient physiological condition, thereby can around patient, just can accomplish the monitoring to patient, and are safer when guarding the communicate illness patient.In addition, because medical personnel can see a plurality of patients' that are positioned at diverse location physiological condition parameter an address, so one or the abundant medical personnel of several medical experience can guard a lot of patients simultaneously.
The above is merely embodiments of the invention, is not limited to the present invention, and for a person skilled in the art, the present invention can have various changes and variation.All within spirit of the present invention and principle, any modification of being done, be equal to replacement, improvement etc., all should be included within the claim scope of the present invention.

Claims (3)

1. a telemedicine monitoring system is characterized in that, comprising:
The point-of-care unit, it comprises on-the-spot anesthesia respirator and anesthesia respiration loop, said anesthesia respirator is used to the gas of patient's supply of breathing gas and management of patients exhalation, and the sample of gathering patient's breath;
A plurality of parameter detecting unit is used to detect a plurality of physiological condition parameter of patient, and it comprises temperature check unit, blood oxygen transducer, end-tidal CO 2Pick off, wherein: the temperature check unit is used to detect patient's body temperature;
Blood oxygen transducer and end-tidal CO 2Pick off is used for detecting data from gathering gas sample, and wherein blood oxygen transducer detects the blood oxygen saturation data of patient's breath, end-tidal CO 2The CO of sensor patient's breath 2Concentration;
Parameter collection unit is used to collect the detected a plurality of physiological condition parameter in said a plurality of parameter detecting unit;
The parameter transmission unit; Be used for a plurality of physiological condition parameter that said parameter collection unit is collected are transferred to the long distance monitoring unit; Said parameter transmission unit adopts serial ports 485 communications protocol; And contain frame type and check bit in the data format, wherein frame type is defined as: 00 reservation, 01 heart rate, 02 breathing rate, 03 blood oxygen saturation, 04 body temperature, 05 do not have bed blood pressure diastolic pressure, 06 non-invasive blood pressure mean pressure, 07 non-invasive blood pressure diastolic pressure, the warning of 08 parameter error, 09 patient's essential information parameter; Check bit adopts the check results of CRC; And said long distance monitoring unit, be used for each association of timing acquiring, it is at first accomplished verification through check bit with the CRC algorithm and resolves receiving Frame, and with this data show at remote terminal; And the long distance monitoring unit also is suitable for the operational order that the receiving remote staff sends to anesthesia respirator, and this order comprises the increasing oxygen concentration, reduces anesthesia gas concentration;
The parameter transmission unit is used for that also operational order is transferred to the point-of-care unit to be adjusted according to the order after resolving for the anesthesia respirator at scene, and wherein the frame type in the data format of order is defined as: 00 reservation, 01 parameter synchronization, 02 acquisition rate, 03 anaesthetic consumption are revised, 04 oxygen supply concentration is revised.
2. telemedicine monitoring system according to claim 1 is characterized in that, said parameter collection unit also is used for the said physiological condition parameter of buffer memory.
3. telemedicine monitoring system according to claim 2 is characterized in that, said parameter detecting unit is the cycle said one or more physiological condition parameter to be detected with very first time length; Said data transmission unit is the cycle with second time span, successively the physiological condition parameter of buffer memory in the said parameter acquisition unit is transmitted, and wherein, said second time span is greater than said very first time length.
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US20130109927A1 (en) * 2011-10-28 2013-05-02 Mindray Ds Usa, Inc. Systems and methods for remote patient monitoring
CN102567623A (en) * 2011-12-05 2012-07-11 苏州汉清投资管理有限公司 Remote medical treatment monitoring system
CN104814722B (en) * 2012-12-06 2019-03-12 海信集团有限公司 Intelligent health adjustment system and method
EP2770452A1 (en) 2013-02-22 2014-08-27 Samsung Electronics Co., Ltd. Method and system for transmitting result of examination of specimen from medical device to destination through mobile device
US10404784B2 (en) 2013-02-22 2019-09-03 Samsung Electronics Co., Ltd. Method and system for transmitting result of examination of specimen from medical device to destination
EP2770453A1 (en) 2013-02-22 2014-08-27 Samsung Electronics Co., Ltd. Method and system for implementing alarms for medical device through mobile device
CN103285480B (en) * 2013-06-20 2016-05-11 纪华雷 An intelligent control system and control method for an adaptive oxygen inhaler
CN104880997A (en) * 2014-02-28 2015-09-02 北京谊安医疗系统股份有限公司 Respirator network connection control method and system
CN107280729A (en) * 2016-04-01 2017-10-24 邹方亮 A kind of fixing clamp for orthopedics department
CN108939231B (en) * 2018-06-06 2020-05-22 山东大学 A remote management non-invasive ventilator with CO2 monitoring function and its working method
CN111920621A (en) * 2020-05-22 2020-11-13 李�昊 Intelligent nursing system of hospital under emergency situation
CN113812930B (en) * 2020-06-16 2025-01-17 深圳市理邦精密仪器股份有限公司 Monitoring data processing method, monitoring device and computer readable storage medium
CN115337025A (en) * 2022-09-21 2022-11-15 广东省第二人民医院(广东省卫生应急医院) A multi-bed telemetry blood oxygen system with alarm function

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