CN107154981A - A kind of monitoring method of the remote monitoring system based on implantable medical devices - Google Patents
A kind of monitoring method of the remote monitoring system based on implantable medical devices Download PDFInfo
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- CN107154981A CN107154981A CN201710445629.0A CN201710445629A CN107154981A CN 107154981 A CN107154981 A CN 107154981A CN 201710445629 A CN201710445629 A CN 201710445629A CN 107154981 A CN107154981 A CN 107154981A
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- implantable medical
- remote monitoring
- medical devices
- external controller
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/50—Network services
- H04L67/54—Presence management, e.g. monitoring or registration for receipt of user log-on information, or the connection status of the users
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/01—Protocols
- H04L67/12—Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
- H04L67/125—Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks involving control of end-device applications over a network
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/50—Network services
- H04L67/56—Provisioning of proxy services
- H04L67/59—Providing operational support to end devices by off-loading in the network or by emulation, e.g. when they are unavailable
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- Engineering & Computer Science (AREA)
- Computer Networks & Wireless Communication (AREA)
- Signal Processing (AREA)
- Health & Medical Sciences (AREA)
- Computing Systems (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Electrotherapy Devices (AREA)
Abstract
The present invention relates to implantable medical devices technical field, a kind of monitoring method of the remote monitoring system based on implantable medical devices is specifically disclosed, step is as follows：Judge whether to receive handshake in very first time threshold value, if it is answer signal is sent, and judge whether to receive instruction in the second time threshold, if it is decision instruction type, if long-range program control command, then judge checking command, sent if legal and instruct and obtain program control result, send program control result and judge whether to receive instruction in the 3rd time threshold, if otherwise gone offline for doctor terminal, send and instruct to the implantable medical devices, revert to the treatment parameter before remote monitoring.The present invention adds the process for judging that doctor terminal goes offline for network is interrupted suddenly in remote control process situation, it is to avoid because after network interruption doctor terminal can not know patient due to modification parameter in time after caused by it is uncomfortable, prevent that patient is caused to damage.
Description
Technical field
The present invention relates to implantable medical devices technical field, and in particular to a kind of based on the long-range of implantable medical devices
The monitoring method of monitoring system.
Background technology
In implantable medical devices, nerve stimulator effectively controls work(by carrying out chronic electrical stimulation to target nerve
The symptom of energy nerve disease and mental illness.The nerve stimulator and its indication of U.S. FDA approval include, deep brain stimulation
Device treatment is trembled, Parkinson's, myodystony, obsession, vagus nerve stimulator treatment epilepsy, depression, spinal stimulator
Treat pain, the sacral nerve stimulator treatment urinary incontinence etc..
In the therapeutic process of embedded nerve stimulator, patient needs periodically to go to hospital to carry out follow-up after surgery.One side
Monitoring function, i.e. doctor are played by observing the amelioration of disease situation of patient in face, use program control instrument to obtain stimulator information, such as electricity
Pond electricity, electrode impedance, stimulation parameter etc., on the other hand play programmable function, i.e. doctor according to conditions of patients and the change of medication
Change situation, adjusts stimulation parameter, so that patient activity's more preferably curative effect using program control instrument.Generally annual patient needs
To more times to hospital's follow-up.This has aggravated handicapped or remote residence patient burden, and in follow-up twice
Interval in, if embedded nerve stimulator breaks down or stimulation parameter is inappropriate, doctor can not have found in time, from
And be that patient brings risk.The remote monitoring system of existing implantable medical devices is generally filled using huge electronic multimedia
Put, doctor observes patient profiles by the angle and focal length of remote controller operation camera, alleviate the burden of patient.
May occur because of the situation of network accidental interruption caused by power-off or suspension etc. during the remote monitoring, and
Doctor terminal may have sent long-range program control command by warp-wise patient external controller before accidental interruption, implantable medical devices
Relevant parameter is adjusted also according to program control command, but after the adjustment, due to the accidental interruption of network cause doctor terminal without
Method further knows reaction after modification parameter, if the parameter after now adjusting causes the at once uncomfortable of patient,
Doctor terminal can not be known in time, accordingly, it would be desirable to provide the protection of network accidental interruption during remote monitoring.
The content of the invention
The technical problems to be solved by the invention are to provide a kind of remote monitoring system based on implantable medical devices
Monitoring method, increase judges the process that doctor terminal goes offline during remote monitoring, after doctor terminal and patient end break to
Implantable medical devices send instruction, revert to the treatment parameter before remote monitoring, it is to avoid because doctor terminal after network interruption can not
Know patient due to caused uncomfortable after modification parameter in time.
In order to solve the above-mentioned technical problem, a kind of monitoring of the remote monitoring system based on implantable medical devices of the present invention
Method, the remote monitoring system includes：Doctor terminal, remote monitoring server, implantable medical devices, patient control in vitro
Device and patient customer end, the monitoring method comprise the following steps：
S1, patient's external controller judge whether to receive holding from the patient customer end in very first time threshold value
Hand signal, if yes then enter S2, if otherwise entering S13；
S2, transmission answer signal, and enter S3；
S3, patient's external controller judge whether to receive instruction in the second time threshold, if yes then enter S4, such as
Otherwise fruit enters S13；
S4, patient's external controller decision instruction type, if communication parameter setting is instructed, then into S5；If
Long-range program control command, then into S6；If halt instruction then enters S7；
S5, setting messaging parameter, send result of communication to the patient customer end and return to S3；
S6, judge whether checking command is legal, if it is, into S8；If otherwise returning to S3；
S7, prompting remote session normal termination, and terminate communication；
S8, sent to the implantable medical devices and instruct and enter S9；
S9, the program control result of acquisition, program control result is sent to the remote monitoring server and enters S10；
S10, judge whether to receive instruction in the 3rd time threshold, if yes then enter S4, if otherwise entering S11；
S11, it is judged as that doctor terminal goes offline, sends and instruct to the implantable medical devices, revert to the treatment before remote monitoring
Parameter, into step S12；
S12, prompting remote session are improper to be terminated, and terminates communication；
S13, prompting communication failure, and terminate communication.
Further, patient session of the remote monitoring server to non-normal interruption is recorded, when network is unexpected
Interrupt after recovering, when connection is asked at the patient customer end again, the remote monitoring server is shown on doctor terminal
Prompt message is used for doctor's prioritizing selection and carries out remote session.
Further, the implantable medical devices are implanted in patient's body, and patient's external controller is planted with described
Enter formula medicine equipment with patient customer end to be connected, the remote monitoring server is connected with patient's external controller, the doctor
Terminal is connected with remote monitoring server.
Further, in addition to：The decision instruction of patient's external controller described in S4 type is that electricity physiological signal collection refers to
Order, then gather electricity physiological signal, the above-mentioned electricity physiological signal collected sent to the remote monitoring server, and return to step
Rapid S3.
The present invention has the advantages that：The monitoring side of remote monitoring system of the invention based on implantable medical devices
Method, for the situation that network is interrupted suddenly in remote control process, adds the process for judging that doctor terminal goes offline, in doctor terminal
Instructed with being sent after patient end broken string to implantable medical devices, revert to the treatment parameter before remote monitoring, it is to avoid because of network
Doctor terminal can not know that patient, due to caused uncomfortable after modification parameter, prevents to cause patient damage in time after interruption.
Brief description of the drawings
, below will be to required in embodiment or description of the prior art in order to illustrate more clearly of technical scheme
The accompanying drawing used is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the present invention, right
For those of ordinary skill in the art, on the premise of not paying creative work, it can also be obtained according to these accompanying drawings
Its accompanying drawing.
Fig. 1 is the workflow diagram of the remote monitoring system of implantable medical devices of the present invention.
Embodiment
The technical scheme in inventive embodiments is clearly and completely retouched below in conjunction with the accompanying drawing in the present embodiment
State, it is clear that described embodiment is only a part of embodiment of the invention, rather than whole embodiments.Based on the present invention
Embodiment, the every other implementation that those of ordinary skill in the art are obtained on the premise of creative work is not made
Example, belongs to the scope of protection of the invention.
In one embodiment of the invention, as shown in figure 1, a kind of long-range prison based on implantable medical devices of the present invention
The monitoring method of control system, the remote monitoring system includes：Doctor terminal, remote monitoring server, implantable medical devices,
Patient's external controller and patient customer end,
The implantable medical devices are implanted in patient's body, and the implantable medical devices can be pacemaker, defibrillation
Device, lesions located in deep brain device, spinal stimulator, vagus nerve stimulator, stomach stimulator or other similar implanteds doctor
Treat apparatus.
Patient's external controller is connected with the implantable medical devices and patient customer end, and and implantable medical
Apparatus and patient customer end carry out two-way communication and output data or instruction.When the operation conditions crisis of implantable medical devices
When, patient's external controller meeting automatic discrimination risk class, and will differentiate that result data is sent to the remote monitoring and taken
Business device, the remote monitoring server is connected with patient's external controller, and the doctor terminal is connected with remote monitoring server.
The monitoring method of the remote monitoring system based on implantable medical devices comprises the following steps：
Patient's external controller judges whether to receive shaking hands from the patient customer end in very first time threshold value
Signal, if it is sends answer signal, if otherwise pointing out communication failure, and terminates communication.
Send after answer signal, patient's external controller judges whether to receive instruction in the second time threshold,
If it is by patient's external controller decision instruction type, if otherwise pointing out communication failure, and communication is terminated.
If patient's external controller decision instruction type is communication parameter setting instruction, messaging parameter is set,
Result of communication is sent to the patient customer end and returns to S3；
If patient's external controller decision instruction type is long-range program control command, enters and judge whether checking command closes
Method, is if it is sent to the implantable medical devices and instructs and obtain program control result, and program control result is sent to described remote
Range monitoring server simultaneously judges whether to receive instruction in the 3rd time threshold；If otherwise returning to the patient to control in vitro
Device processed judges whether to receive instruction in the second time threshold；
If it is to receive instruction in the 3rd time threshold that remote monitoring server, which judges, returns to and controlled in vitro by the patient
Device decision instruction type processed；If remote monitoring server judges not receive instruction in the 3rd time threshold, it is judged as
Doctor terminal goes offline, and sends and instructs to the implantable medical devices, reverts to the treatment parameter before remote monitoring, points out long-range meeting
Words are improper to be terminated, and terminates communication；Patient session of the remote monitoring server to non-normal interruption is recorded, and works as net
After network accidental interruption is recovered, when connection is asked at the patient customer end again, the remote monitoring server is in doctor terminal
Upper display reminding information is used for doctor's prioritizing selection and carries out remote session.
Remote session normal termination is pointed out if patient's external controller decision instruction type is off instruction,
And terminate communication；
The implantable medical devices are implanted in when using in patient's body.The implantable medical devices can be cardiac pacing
Device, defibrillator, lesions located in deep brain device, spinal stimulator, vagus nerve stimulator, stomach stimulator or other similar plants
Enter formula medicine equipment.
Patient's external controller also includes electricity physiological signal sensor, and the species of the electricity physiological signal sensor is not
Limit, can be in surface myoelectric electrode, electrocardioelectrode, implanted brain depth electrode, acceleration transducer, electrocardio Holter etc.
It is one or more.The electricity physiological signal sensor is used for the electricity physiological signal for measuring the patient during long distance monitoring.It is described
Electricity physiological signal sensor can also be arranged at patient external when using with implantation within a patient.The patient controls in vitro
Device is connected by wired or wireless mode with the electricity physiological signal sensor, patient's external controller decision instruction class
Type also includes electricity physiological signal acquisition instructions, then gathers electricity physiological signal, the electricity physiological signal of collection is specifically as follows surface flesh
The electricity physiological signals such as electricity, electrocardio, brain deep electric signal, but be not only limited in gathering these signals, the above-mentioned electricity collected is raw
Reason signal is sent to the remote monitoring server, and is returned to and judged whether by patient's external controller in the second time
Instruction step is received in threshold value.
The present invention has the advantages that：The monitoring side of remote monitoring system of the invention based on implantable medical devices
Method, for the situation that network is interrupted suddenly in remote control process, adds the process for judging that doctor terminal goes offline, in doctor terminal
Instructed with being sent after patient end broken string to implantable medical devices, revert to the treatment parameter before remote monitoring, it is to avoid because of network
Doctor terminal can not know that patient, due to caused uncomfortable after modification parameter, prevents to cause patient damage in time after interruption.
Above disclosed is only several preferred embodiments of the invention, can not limit the power of the present invention with this certainly
Sharp scope, therefore the equivalent variations made according to the claims in the present invention, still belong to the scope that the present invention is covered.
Claims (4)
1. a kind of monitoring method of the remote monitoring system based on implantable medical devices, it is characterised in that the remote monitoring
System includes：Doctor terminal, remote monitoring server, implantable medical devices, patient's external controller and patient customer end, institute
Monitoring method is stated to comprise the following steps：
S1, patient's external controller judge whether to receive holding from the patient customer end in very first time threshold value
Hand signal, if yes then enter S2, if otherwise entering S13；
S2, transmission answer signal, and enter S3；
S3, patient's external controller judge whether to receive instruction in the second time threshold, if yes then enter S4, such as
Otherwise fruit enters S13；
S4, patient's external controller decision instruction type, if communication parameter setting is instructed, then into S5；If
Long-range program control command, then into S6；If halt instruction then enters S7；
S5, setting messaging parameter, send result of communication to the patient customer end and return to S3；
S6, judge whether checking command is legal, if it is, into S8；If otherwise returning to S3；
S7, prompting remote session normal termination, and terminate communication；
S8, sent to the implantable medical devices and instruct and enter S9；
S9, the program control result of acquisition, program control result is sent to the remote monitoring server and enters S10；
S10, judge whether to receive instruction in the 3rd time threshold, if yes then enter S4, if otherwise entering S11；
S11, it is judged as that doctor terminal goes offline, sends and instruct to the implantable medical devices, revert to the treatment before remote monitoring
Parameter, into step S12；
S12, prompting remote session are improper to be terminated, and terminates communication；
S13, prompting communication failure, and terminate communication.
2. a kind of monitoring method of remote monitoring system based on implantable medical devices according to claim 1, it is special
Levy and be, patient session of the remote monitoring server to non-normal interruption is recorded, when network accidental interruption recovers it
Afterwards, when connection is asked at the patient customer end again, remote monitoring server display reminding information on doctor terminal is used
Yu doctor's prioritizing selection carries out remote session.
3. a kind of monitoring method of remote monitoring system based on implantable medical devices according to claim 1, it is special
Levy and be, the implantable medical devices are implanted in patient's body, patient's external controller and the implantable medical device
Tool is connected with patient customer end, and the remote monitoring server is connected with patient's external controller, the doctor terminal with it is long-range
Monitoring server is connected.
4. a kind of monitoring method of remote monitoring system based on implantable medical devices according to claim 1, is also wrapped
Include：The decision instruction of patient's external controller described in S4 type is electricity physiological signal acquisition instructions, then gathers electricity physiological signal, will
The above-mentioned electricity physiological signal collected is sent to the remote monitoring server, and return to step S3.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710445629.0A CN107154981A (en) | 2017-06-13 | 2017-06-13 | A kind of monitoring method of the remote monitoring system based on implantable medical devices |
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| CN201710445629.0A CN107154981A (en) | 2017-06-13 | 2017-06-13 | A kind of monitoring method of the remote monitoring system based on implantable medical devices |
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| CN107154981A true CN107154981A (en) | 2017-09-12 |
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| CN201710445629.0A Pending CN107154981A (en) | 2017-06-13 | 2017-06-13 | A kind of monitoring method of the remote monitoring system based on implantable medical devices |
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Cited By (2)
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| CN114792562A (en) * | 2022-04-20 | 2022-07-26 | 苏州景昱医疗器械有限公司 | Stimulus generation control device, system, and computer-readable storage medium |
| CN116913499A (en) * | 2023-07-13 | 2023-10-20 | 北京领创医谷科技发展有限责任公司 | Implantable medical system and program control method |
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| CN116913499A (en) * | 2023-07-13 | 2023-10-20 | 北京领创医谷科技发展有限责任公司 | Implantable medical system and program control method |
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