CN101163439A - Patient monitoring system - Google Patents
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- CN101163439A CN101163439A CNA2006800129815A CN200680012981A CN101163439A CN 101163439 A CN101163439 A CN 101163439A CN A2006800129815 A CNA2006800129815 A CN A2006800129815A CN 200680012981 A CN200680012981 A CN 200680012981A CN 101163439 A CN101163439 A CN 101163439A
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6802—Sensor mounted on worn items
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/002—Monitoring the patient using a local or closed circuit, e.g. in a room or building
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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Abstract
The present invention relates to a patient monitoring system, a method of monitoring a patient, and a computer program. In order to improve the monitoring of patients, particularly for monitoring cardio pulmonary performance, a patient monitoring system (100) is suggested comprising a patient station (10) linked to a number of sensors (12) for measuring patient data, the number of sensors (12) being integrated into a patient carrier and/or a patient's dress, the patient station (10) being adapted for analyzing the measured patient data, and the patient station (10) being adapted for providing feedback information to the patient by means of a knowledge based system (19), the feedback information being based on the measured patient data. The invention suggest a patient monitoring system (100) which is adapted for working as a CHF management system, in particular for home use.
Description
Technical field
The present invention relates to a kind of patient monitoring system, a kind of method and a kind of computer program that the patient is guarded.
Background technology
Heart disease (as, chronic heart failure) causes patient's daily life usually and has a strong impact on, even after they leave hospital.Except the physical ability that reduces greatly; the Drug therapy that the patient accepts; no matter be that they make it to avoid aspect the matters of aggravation of next time in protection, still preserve one's strength reach the highest may be horizontal aspect, all obviously influenced their kilter (wellbeing).In this respect, key factor is the fluid retention in the control patient body, and this finishes by using diuretic.Other medicines treatments (as, ACE inhibitor, beta-blocker, digoxin, anticoagulant ...) applicable to potential as atrial fibrillation or hypertension or follow the treatment of cardiovascular disease.
For the bedside monitoring of the patient's who suffers from heart disease relevant parameter is standard-required in the hospital facility (hospital settings).For example, US 2004/0111045 A1 has showed a kind of being used for the apparatus and method such as the parameter patient monitoring of body kinematics, body position, respiratory frequency and/or heart rate, at least two piezoelectric transducers that provide on the surface such as bed are provided the sensor device of its utilization, so that upward the patient is coupled on this device by allowing the patient lie in the surface simply.It also is known measuring cardiac data or pulmonary data at home.
Summary of the invention
The objective of the invention is to improve monitoring, especially for the performance of monitoring cardiopulmonary to the patient.
This purpose is by comprising that the patient monitoring system that the patient stands realizes according to the present invention, the patient station is linked to a plurality of pick offs that are used to measure patient data, a plurality of pick offs are integrated in patient's carrier (carrier) and/or patient's clothes, the patient station is suitable for the patient data that analysis to measure obtains, and the patient station is suitable for providing feedback information by means of KBS Knowledge Based System to the patient, and feedback information is based on the patient data that measures.
Purpose of the present invention realizes by a kind of method of monitoring patients that also it comprises the following steps: to measure patient data by means of a plurality of pick offs that are linked to the patient station, and described pick off is integrated in patient's carrier and/or patient's clothes; By means of patient station, the patient data that analysis to measure obtains; And utilize KBS Knowledge Based System, and by means of the patient station, providing feedback information to the patient, feedback information is based on the patient data that measures.
Purpose of the present invention still realizes by a kind of computer program, the computer instruction that it comprises, be used to analyze the patient data that the sensor measurement by means of a plurality of patients of being linked to station obtains, a plurality of pick offs are integrated in patient's carrier and/or patient's clothes; And when carrying out this computer program on computers, further comprise computer instruction, utilize KBS Knowledge Based System, provide the feedback information of standing from the patient to the patient, feedback information is based on the patient data that measures.Thereby the technique effect of needs can be achieved on the basis of the computer program instructions consistent with the present invention according to the present invention.This computer program can be stored on the carrier such as CD-ROM, and perhaps it can obtain on other computer network of the Internet or some.Computer program will be written into computer earlier before being performed, that is, for example read from carrier by means of cd-rom player, perhaps from the Internet, and stored in the memorizer of computer.Computer especially comprises CPU (CPU), bus system, as the storage component part (memory means) of RAM or ROM, as the memory device (storage means) and the I/O unit of floppy disk or hard disk unit.
Except the patient being guarded (as patient's cardiopulmonary performance), basic thought of the present invention is the disease (as the heart disease) that provides feedback information to come managing patient to the patient by by means of KBS Knowledge Based System, and feedback information is based on the patient data that measures.In this case, another advantage of the present invention is that the part nursing that the patient accepted in the while in hospital is taken back in their family.From the research of nurse's nursing, learn, with regard to CHF (congestive heart failure) patient, the lasting supervision of relevant parameter is caused the decline of declining to a great extent of the situation of being in hospital again and mortality.Expection can obtain identical effect from the present invention.In other words, the present invention advises a kind of patient monitoring system that is particularly suitable for using in the family that is suitable for coming as the CHF management system work.
The information that offers the patient is produced by KBS Knowledge Based System.A kind of software program that is used to inquire about special knowledge base (data base) described in term " KBS Knowledge Based System ".Another term of describing this software program is " specialist system ".Specialist system is that a kind of knowledge base of human expert of using in dealing with problems is as auxiliary artificial intelligence application.The degree that problem solves is based on the quality of data that obtain from the human expert and rule.Specialist system, by using inference machine, a kind of software program of and customer interaction, the operation knowledge base is released its answer, and comes result according to rule in the knowledge base and data.For example, the optimal drug treatment calculates by KBS Knowledge Based System, has wherein reflected optimum medical practice, research state and regulation.Preferably, KBS Knowledge Based System is realized as computer program performed on the computer in the patient stands.Perhaps, KBS Knowledge Based System is realized from the remote system that is dynamically connected as standing with the patient.
These and other aspect of the present invention further describes on the basis with the embodiment defined in the independent claims below.
For the patient is carried out optimal care, particularly under the situation that patient's cardiopulmonary performance is guarded, should force repeatedly to measure patient's body weight and heart rate.Further important parameter is pulmonary activities degree, bio-electrical impedance, heart stroke volume or ECG diagnosis etc.
Therefore, in a preferred embodiment of the invention, multiple sensors is used in suggestion, as is used to measure the pick off of weight in patients and/or is used to measure the pick off of patient's heart rate and/or is used to measure the pick off of patient's pulmonary activities and/or is used to measure the pick off of patient's bio-electrical impedance and/or is used to the pick off measuring the pick off of patient's heart stroke volume and/or be used to measure the pick off of patient ECG signal and/or be used to measure the pick off of patient position and/or be used to measure patient's fluid retention.Can select type of sensor according to the information of wanting about status of patient.
Pick off is integrated in patient's clothes and/or carrier.Support according to the present invention is defined as the surface or any other is used for the device that the patient has a rest or takes a seat, as conventional bed, hospital bed, chaise longue, conventional chair, dental chair, wheelchair, (operation) platform etc.
Preferably, through Radio Link that can a plurality of pick offs of randomize at the bedside that does not have cable, the patient data that measures is stood from the sensor transmissions to patient.
Patient device is suitable for giving feedback information, and its information preferably includes the change of Drug therapy and/or the sincere advice of seeking to get in touch with the medical professional or about the suggestion of body movement or diet.
In another embodiment of the present invention, the patient stand allow patient and system interaction effect and/or as by according to the personal health governing plan (as diet or activity) import, in suitable local control system.For this reason, as by utilizing the sound input system or such as the manual input system of the pressing button that utilizes keyboard etc., the patient station is preferably suitable for receiving direct patient's input.If do not wish this reciprocal action, under without any external trigger or the interactive situation of patient, patient station and bed are designed to automatic work so.With the reciprocal action of monitor system can also with as movable monitor implement, for example such as patient's wearing apparatus of band or some other mobile devices, its generation is used for a plurality of input signals of monitor system.
Preferably, the patient station is suitable for the control survey process, as is used for the type and the frequency of control survey.For this reason, the patient station is suitable for the patient data that measures with the appropriate algorithm evaluation.
In yet another embodiment of the present invention, the patient station can be connected to as being used to provide maintenance more easily, data storage and the characteristic as the online access and more external device (ED) and/or external network.Preferably, patient data is transferred to server routinely, and according to order or when any urgent situation, to hospital and/or GP supply data necessary.The feedback that the change of any Drug therapy or other give the patient can also be included in the online consultation of doctors of GP or as be subjected in the suitable medical services of some other types that legal restrictions needs.KBS Knowledge Based System also can be provided by the outside.
Description of drawings
These and others of the present invention will describe in detail with mode for example with reference to the following examples and accompanying drawing hereinafter; Wherein:
Unique figure is the schematic block diagram that shows according to patient monitoring system of the present invention.
List of reference signs
10 patients station
11 front ends
12 pick offs
13 collecting units
14 computers
15 communication links
16 communication interfaces
17 computers
The eighteen data memory module
19 KBS Knowledge Based Systems
20 patient's user interfaces
21 servers
The 22GP/ hospital station
23 service stations
24 communication links
25 communication links
The 26GSM communication interface
27 ethernet interfaces
28 data bases
The 29GP user interface
30 technician's user interfaces
The specific embodiment
Textile pick off (Textile sensors) is preferably used for being integrated in mat or the sheet.Textile capable of washing or Sponge cushion carrier are used for the pick off that typical sizes is 800 * 2000mm.In addition, provide lead, electronic device and cable.The multiple textile pick off that preferably is suitable for 24/7 usage.
Soft sensor and/or hard pick off all can be used for finishing measurement.Typical hard pick off is the strain disk (puck) that is used for the column weight measurement.This pick off can be finished from 50g typically to the weight measurement of 500kg with the resolution of 20g with less than 0.2% repeatability.Other hard pick off is the non-textile coil, as is used for inductive measuring and is integrated into bed.
Use various soft sensors, as, piezoelectric transducer and the soft sensor that is used for inductive measuring.Be used as the pick off that is suitable for inductive measuring such as the textile induction apparatus in the carrier of bed gown (Textile inductors) (coil).Induction apparatus is as transmitter and receiver.Typical resonant frequency is approximately 10MHz.Electrode structure is used for capacitance sensing, as is used for the electric capacity of the signal of telecommunication is read, and be used for to as the body position breathed and the sensing of motion.
The dry textile zone pick off that acts on bio-electrical impedance measuring of conduction.Preferably, the different electrode of string is used to obtain different measuring positions.Measurement in body position variation place is to finish with the electrode in the chip carrier that the direct cutaneous contact is provided.This measurement needs at least four electrodes.
The dry textile zone of other conduction is as the ECG electrode.Preferably, the different electrode of string is used to obtain different measuring positions.Measurement at the body position place that changes is to finish with the electrode in the chip carrier that the direct cutaneous contact is provided.The example of this ECG electrode arrangement can be as the medicated pillow of an electrode with as the foot areas of another electrode.
First example of sensor placement comprises a plurality of soft sensors of being used for bio-electrical impedance measuring and is integrated into a plurality of soft ECG electrode that sheet is used to finish the measurement of chest.Identical arrangement can be used for measuring at the bio-electrical impedance of patient's leg area and ECG, and it may utilize littler contact.Be the matrix of (little) contact ideally, thereby making it possible to " dynamically " select best contact.Also may have a big ECG contact in lower leg area.
Moreover second example of sensor placement comprises a plurality of soft sensors of being used for bio-electrical impedance measuring and is integrated into a plurality of soft ECG electrode that sheet is used to finish the measurement of chest.In addition, patient's dress comprises the nightwear of the whole contacts (through contact) that are integrated in upper garment and the trousers.
The 3rd example of sensor placement comprises and is integrated into the contactless hard pick off that is used to finish inductive measuring in the mat.
The 4th example of sensor placement comprises being used for no matter having or not antielectrode can both finish the pick off of capacitance measurement.A plurality of pick offs can be used as with the soft sensor of textile constructions (as sheet) form or are integrated into mat, bedstead or realize such as the hard pick off in the mediation device of bed.Certainly, soft sensor and hard pick off can come combination with any configuration, so that obtain the sensor arrangement of the most suitable measurement situation.
In first step, the patient data that measures is transferred to the other multichannel collecting unit 13 of bed from pick off 12.Collecting unit 13 is parts of front end 11.Front end 11 comprises the computer 14 that is suitable for carrying out front-end software.Front-end software is to enable the mode of different main conditions (state), control front end 11.In " sleep " state, front end 11 is closed for zero energy consumption.Under " standby " state, front end 11 is prepared to stand from the patient and 10 is received and stand to the patient and 10 send patient datas or as other signal of internal control or status signal.Under " preparing to measure " state, front end 11 is prepared to measure, and under " measurement " state, front end 11 is measured the data that sense.Under " transmission data " state, front end 11 sends to the patient with data and stands 10, stores at this.In addition, the quality of signals for thermometrically obtains realizes " bad signal detection " algorithm in front-end software.Under the given data conditions, this algorithm is to this data allocations " good "/" bad " label.If these data are classified as " bad ", it must be dropped so, and must obtain new measured value.
From pick off 12 to collecting unit 14 and 10 the transfer of data of standing from front end 11 to the patient be to utilize Bluetooth technology and TCP/IP Data Transport Protocol, finish by wireless data communication link 15.Preferably, link 15 allows to carry out two-way communication in the scope that can reach 10m.Therefore, front end 11 and patient stand and 10 comprise the communication interface 16 that is suitable for finishing described transfer of data.Perhaps, data link can be used as electric wire (partly) and implements, as connecting with USB.
During all parts as above-mentioned monitoring facilities, the setup error handling procedure wherein writes down all fault processing steps.Usually, if step can not successfully be finished, to carry out repeated attempt several times so.If mistake can not obtain correcting, just notify patient and/or GP and/or hospital (as form and/or the server on 10 the monitor of standing via the patient).
Stand 10 operator of patient can be patient oneself or as spouse or nurse's nursing staff.Below for the sake of simplicity, this person is the patient.It 10 is interfaces between patient and the patient monitoring system 100 that the patient stands.It also is used to patient and medical professional interactive the time.
The initialization survey program is as follows: if do not have the patient on the bed, " sleep " state is activated so.Process of measurement starts when the patient enters bed.At first, measure patient's weight.The data that measure stand 10 by the patient, compare (as by means of the suitable computer program of carrying out in the computer 17 of standing the patient) with previous weight measurement.If recognize the patient, just by suitable his/her position of pick off 12 sensings.According to patient's position, whether the beginning of decision measurement sequence.Finally, give the patient acoustic feedback.This feedback comprises a plurality of instructions that are used for the patient that are used for optimizing patient position before sleep.Between sleep period, measure relevant parameter and to patient's 10 transmission of standing.
In other words, the patient stands and 10 is suitable for automatically writing down related data.The patient stands and 10 detects the people's (trigger condition) enter bed, the storage data, and allow the patient to check data.The patient also is allowed to manage relevant parameter (taking in as nutrition).Patient's complete process of measurement of 10 controls of standing.In addition, the patient stands and controls a plurality of auto-alarm-signal keying device programs, to report to the police to patient, GP or hospital.If desired at that rate, will stand on 10 operation automatically to GP or hospital and to the transfer of data in service station the patient.The patient stands and 10 is suitable for directly providing a plurality of Drug therapys suggestions to the patient, and to server and GP, reports these and therein from patient's affirmation.Comprise the patient stand/system of front-end electronics/a plurality of pick offs automatically works, not with needed patient, GP or hospital (by the dotted line indication) reciprocal action.In order to implement these all functions, patient's 10 suitable computer programs that comprise computer 17 and be suitable on computer 17, carrying out of standing.
The patient that can be PC types of devices, portable computer, PDA, TV machine (comprising STB) or analog stands 10, comprises the data memory module 18 that is suitable for storing the measurement data that receives.In addition, the patient stands and 10 comprises suitable electronic device (amplifier, filter, multiplex adapter etc.).The patient stands and 10 also comprises the analysis module that is used for the patient data that analysis to measure obtains.Computer 17 is suitable for as the analysis module work among the present invention.Computer 17 is suitable for carrying out the suitable computer program that is used to analyze patient data.Stand by the patient for the generation of patient's suggestion to the analysis of the patient data that measures and/or to the control of process of measurement and/or Drug therapy suggestion or other and 10 to finish, the patient stands and 10 uses KBS Knowledge Based Systems 19 for this reason.KBS Knowledge Based System 19 uses the knowledge base (not shown), wherein all will be set normal range for all relevant parameters, no matter is individually to offer every patient (as the tranquillization pulse 70 to 90bmp) with general fashion or by GP or hospital.Can use European Cardiac Society specified standard value for this reason.If monitor system 100 decision contents exceed normal range, feedback is provided for the patient so, and/or GP or hospital, thereby informs the patient, and/or GP or hospital.For example, the feedback content about Drug therapy is provided by KBS Knowledge Based System 19.
The patient stands and 10 is suitable for giving patient's feedback information, and this feedback information is based on the patient data that measures.In addition, the patient stands and 10 allows patients and system's 100 reciprocal actions and/or in suitable local control system 100.Patient's user interface 20 is provided for this reason.Patient's user interface 20 comprises touch screen and/or PDA and/or portable computer and/or personal computer and/or TV machine.In addition, patient's user interface is suitable for, and as by means of speaker, monitor etc., gives the patient feedback.
Patient's 10 user messages that are suitable for providing following type of standing: prompting, Drug therapy suggestion, the Drug therapy about best measurement position reminded, sincere advice, the alarm signal about contact GP, the guiding of carrying out calibration procedure, inquiry user/GP input.
The patient stands and 10 is suitable for receiving following (part is optional) user input (except the canonical measure routine): the input between alignment epoch, the variation of Drug therapy (needing to confirm) because the input that the table that regularly fills in questionnaires produces (assessing voluntarily), from the input of GP/ hospital.
The patient stands and 10 can be connected to the external network that comprises server 21, GP/ hospital station (hospital station) 22 and service station 23 (technology or all-in-service station).Stand from the patient and 10 to utilize gsm system (cell phone) to finish through communication link 24 to the transfer of data of server 21 and GP/ hospital station 22.Utilize ethernet communication link 25, by means of (computer) network, external device (ED) 21,22,23 is connected to each other, that is, the transfer of data between the external device (ED) is based on the TCP/IP Data Transport Protocol.For this reason, the patient stands 10, in server 21 and the GP/ hospital station 22 each all comprise gsm communication interface 26.In addition, server 21, GP/ hospital station 22 and service station 23 each all comprise ethernet interface 27.
The patient stand 10 and server 21 between communication relate to different agreements: " periodic data transmission (regular data transfer) ", " service data transmission (maintenance datatransfer) " and " alarm ".Between the periodic data transmission period that carries out every day,, measurement data is transferred to server 21 for the storage of backing up and in server database 28, carrying out.When for diagnosis and/or estimate and/or when the purpose of feedback and manual triggers, from GP/ hospital station 22 and stand from the patient 10 can visit data.Between the service data transmission period that preferably triggers by the technician, mainly be under the situation of software upgrading, use change or a plurality of alarm trigger value of a plurality of processs of measurement.If during the alarm that exceed preset limit value at one or more patient datas that measure, just triggers automatically, measurement data is transmitted to server together with the alarm reason by patient's station software.Confirm also to be stored on the server 21 by the alarm that GP and/or hospital make.A plurality of wrong quilts as the above-mentioned reason that is located in.
The patient stand 10 and GP/ hospital station 22 between communication relate to different agreements: " consultation of doctors ", " information " and " alarm ".In the consultation of doctors agreement that is triggered by GP and/or patient, two sides sign in in the server database 28.The patient can see identical desktop and pass through (hands-free) telephone talk with the doctor.In the information protocol that triggers automatically, give GP information about the Drug therapy change of suggestion.Before patient's transmission information, can provide affirmation by GP.For this reason, GP/ hospital station 22 comprises user interface 29.In the alarm agreement that automatically triggers, to server 21 and GP stand 22 transmission measurement data and alarm reason.The affirmation of being made by GP and/or hospital also is stored on the server 21.Mistake once more by as the above-mentioned reason that is located in.
To all patient datas of server 21 transmission.Server 21 provides the interface based on web, with visit, show and edit patient data through GP/ hospital station 22, and at patient's video data on 10 of standing.Additional service station 23 can carry out system maintenance and data are downloaded, but does not allow to change patient-related data.
Patient data and measurement data are stored among the data base 28.The patient stands 10 and GP/ hospital station 22 accessible database 28.Data base 28 and database software are fit to, and guarantee to have only a GP can handle particular patient in preset time, thereby have avoided multiple diagnosis and doctor's extra work.Also guaranteed the all-access of record to patient data, and deleted data or analysis optionally.
Data on the server 21, and the patient data among the data base 28 particularly are protected to prevent loss of data.Every day backup and redundant data storage are physically carried out in pressure.In addition, data base 28 remains in the parallel RAID system, thereby the risk and the downtime of the loss of data that will cause owing to hard drive fails minimize.Make data base 28 backup every night at a fixed time.Data are in patient's storage at least 24 hours of standing on 10, to allow may reload to obliterated data.
Fire wall is installed,, that is, is only allowed to visit by communicate by letter with the GP station port of necessity of patient station so that protected data storehouse 28 makes it to exempt from hacker's attack.In addition, only allow to be connected to device in the phone number list (being the telephone number that a plurality of patients station and a plurality of GP stand) that telephone number is present in permission.If possible, this is to realize by means of suitable inside telecommunication configuration.(through CLIP) will need standard data transmission protocols is made amendment to the manual examination (check) of Inbound Calls number before allowing visit, introduce possible mistake.In order to protect patient-related data, take addition thereto, so that high-caliber data integrity, data security and data protection to be provided.
False alarm is provided, is used to handle the mistake that occurs in the operating period of patient monitoring system 100.When problem takes place,, inform suitable people as by SMS, Email or call.Since can not guarantee the transmission at once of SMS or Email, therefore must be under the situation of serious problems by the Advise By Wire director.Possible the trigger condition that produces false alarm is: the data that the patient station does not measure (transmit this information if server has been related at the patient station, this just is determined), patient stand 10 the data that measure are arranged but transfer of data is unsuccessful, the patient stands 10 attempt measurement data but unsuccessful, not to the patient stand 10 possible contact (this is by browsing database and checks and judge from all patients' record), server hardware inefficacy, DB Backup can not, server 21 collapses or the hard disk inefficacy.In addition, independently processing procedure is in patient's operation on 10 of standing, and it checks server 21 routinely, to detect the moment that server 21 is shut down.
GP/ hospital station 22 provides following function: in order to estimate, the GP station allows to visit the patient data that is stored on the server 21.Can only stand through GP and 22 import/change patient data.Under the situation of a plurality of warnings or a plurality of alarms, GP and patient are triggered with Connection Service device 21.GP/ hospital station 22 comprises the GP user interface 29 as PC or portable computer.If increase new patient, can produce new data base's input by GP user interface 29 so.Column data under can checking on the GP/ hospital station 22: the notice that changes for the notice of a plurality of warnings or a plurality of alarms, for the Drug therapy state, show the Drug therapy state, check/edit patient data, affirmation/refusal automatic diagnosis.
Service station 23 is used for data base administration and is used for software and program management.Service station 23 provides following function: the distribution of data base administration task, database inspection (as the generation of statistical data), server capability inspection, software (to GP/ server/patient station).Utilize as, can finish following action: read visit (promptly not visiting personal data), software administration and data base administration all unknown inputs among the data base with technician's user interface 30 of the form of PC or portable computer.
All computers are realized as the PC type computer.Yet they are realized preferably as a plurality of small-sized microprocessors or a plurality of microcontroller or the analog that is provided with in suitable working environment, so that be fit to the relevant or bed relevant apparatus of small-sized patient.
It will be apparent to those skilled in the art that the present invention is not limited to the details of previous illustrative embodiment, and under the situation of not violating its spirit or essential attribute, the present invention can come in other specific forms to specialize.Therefore, it is illustrative and not restrictive that these embodiment are considered in all respects, scope of the present invention is by the claim rather than indicated by previous description of enclosing, and therefore, change in the meaning of the equivalent of claim and the institute in the scope and all be intended to be included in wherein.Being apparent that further that word " comprises " does not get rid of other element or step, word " one " or " one " do not get rid of a plurality of, and the function that can realize several modules of enumerating in the claim such as a computer system or another unitary single element.Any reference marks in the claim is not considered as limiting relevant claim.
Claims (10)
1. a patient monitoring system (100), it comprises patient stand (10), described patient station (10) is linked to a plurality of pick offs (12) that are used to measure patient data, described a plurality of pick off (12) is integrated in patient's carrier and/or patient's the clothes, described patient station (10) is suitable for analyzing the described patient data that measures, and described patient station (10) is suitable for providing feedback information by means of KBS Knowledge Based System (19) to described patient, and this feedback information is based on the described patient data that measures.
2. patient monitoring system according to claim 1 (100); Wherein, the sensor and/or be used for that the sensor and/or be used for that the sensor and/or be used for that the sensor and/or be used for that the sensor and/or be used for that described a plurality of sensor (12) comprises be used to the sensor of the body weight of measuring described patient and/or the sensor and/or be used for that is used for measuring described patient's heart rate is measured described patient's pulmonary activities is measured described patient's bio-electrical impedance is measured described patient's heart stroke output is measured described patient's ECG signal is measured described patient's position is measured the sensor of described patient's fluid retention.
3. patient monitoring system according to claim 1 (100), wherein, the described link (15) between at least one in described patient station (10) and described a plurality of pick off (12) is a Radio Link.
4. patient monitoring system according to claim 1 (100), wherein, described feedback information comprises change and/or diet or the motion suggestion and/or the sincere advice about seeking to get in touch with the medical professional of Drug therapy.
5. patient monitoring system according to claim 1 (100), wherein, described patient station (10) is suitable for receiving direct patient's input, its make described patient can with described patient station (10) reciprocal action.
6. patient monitoring system according to claim 1 (100), wherein, described patient station (10) is suitable for controlling described measuring process.
7. patient monitoring system according to claim 1 (100), wherein, described patient station (10) can be connected to external device (ED) and/or external network.
8. patient monitoring system according to claim 7 (100), also comprising can be directly or be connected to external server (21) and/or outside GP/ hospital station (22) and/or external service station (23) at described patient station (10) indirectly.
9. the method for a monitoring patients, it comprises the following steps:
-by means of a plurality of pick offs (12) that are linked to patient station (10), measure patient data, described a plurality of pick offs (12) are integrated in patient's carrier and/or patient's the clothes;
-by means of described patient station (10), analyze the described patient data that measures;
-utilize KBS Knowledge Based System (19), by means of described patient station (10), provide feedback information to described patient, this feedback information is based on the described patient data that measures.
10. computer program,
-comprising the computer instruction that is used for analyzing the patient data that measures by means of a plurality of pick offs (12) that are linked to patient station (10), described a plurality of pick offs (12) are integrated in patient's carrier and/or patient's the clothes, and
-comprise following computer instruction, when in computer (17), carrying out described computer program, this computer instruction is used for providing feedback information from described patient station (10) by means of KBS Knowledge Based System (19) to described patient, and described feedback information is based on the described patient data that measures.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP05103174 | 2005-04-20 | ||
| EP05103174.8 | 2005-04-20 |
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| CN101163439A true CN101163439A (en) | 2008-04-16 |
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| CNA2006800129815A Pending CN101163439A (en) | 2005-04-20 | 2006-04-05 | Patient monitoring system |
Country Status (5)
| Country | Link |
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| EP (1) | EP1887922A1 (en) |
| JP (1) | JP2008536607A (en) |
| CN (1) | CN101163439A (en) |
| RU (1) | RU2007142662A (en) |
| WO (1) | WO2006111878A1 (en) |
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| CN102245084A (en) * | 2008-12-10 | 2011-11-16 | 罗伯特·博世有限公司 | Method for remote diagnostics monitoring and support of patients and device and telemedical center |
| CN103781408A (en) * | 2011-07-05 | 2014-05-07 | 沙特阿拉伯石油公司 | Floor mat system and associated, computer medium and computer-implemented methods for monitoring and improving health and productivity of employees |
| CN105167762A (en) * | 2015-10-13 | 2015-12-23 | 翁小翠 | Intelligent garment |
| CN107122580A (en) * | 2011-10-25 | 2017-09-01 | 维塔尔康奈克特公司 | System and method for reliable and expansible health monitoring |
| CN107920766A (en) * | 2015-08-10 | 2018-04-17 | 株式会社村田制作所 | Phenomenon of sleeping monitoring |
| CN108463162A (en) * | 2016-01-08 | 2018-08-28 | 皇家飞利浦有限公司 | Personalization is suitable to track |
| CN108550240A (en) * | 2018-02-27 | 2018-09-18 | 浙江辉宏地理信息有限公司 | A kind of internet of things sensors network system |
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| WO2009036369A1 (en) | 2007-09-14 | 2009-03-19 | Corventis, Inc. | System and methods for wireless body fluid monitoring |
| US8684925B2 (en) | 2007-09-14 | 2014-04-01 | Corventis, Inc. | Injectable device for physiological monitoring |
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| WO2014189885A1 (en) | 2013-05-20 | 2014-11-27 | Cardiac Pacemakers, Inc. | Apparatus for heart failure risk stratification |
| EP2999395A1 (en) | 2013-05-20 | 2016-03-30 | Cardiac Pacemakers, Inc. | Methods and apparatus for detecting heart failure |
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2006
- 2006-04-05 RU RU2007142662/14A patent/RU2007142662A/en not_active Application Discontinuation
- 2006-04-05 CN CNA2006800129815A patent/CN101163439A/en active Pending
- 2006-04-05 WO PCT/IB2006/051044 patent/WO2006111878A1/en active Application Filing
- 2006-04-05 EP EP06727839A patent/EP1887922A1/en not_active Withdrawn
- 2006-04-05 JP JP2008507212A patent/JP2008536607A/en not_active Withdrawn
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102245084A (en) * | 2008-12-10 | 2011-11-16 | 罗伯特·博世有限公司 | Method for remote diagnostics monitoring and support of patients and device and telemedical center |
| CN103781408A (en) * | 2011-07-05 | 2014-05-07 | 沙特阿拉伯石油公司 | Floor mat system and associated, computer medium and computer-implemented methods for monitoring and improving health and productivity of employees |
| CN107122580A (en) * | 2011-10-25 | 2017-09-01 | 维塔尔康奈克特公司 | System and method for reliable and expansible health monitoring |
| CN107920766A (en) * | 2015-08-10 | 2018-04-17 | 株式会社村田制作所 | Phenomenon of sleeping monitoring |
| CN107920766B (en) * | 2015-08-10 | 2020-09-15 | 株式会社村田制作所 | sleep monitoring |
| CN105167762A (en) * | 2015-10-13 | 2015-12-23 | 翁小翠 | Intelligent garment |
| CN108463162A (en) * | 2016-01-08 | 2018-08-28 | 皇家飞利浦有限公司 | Personalization is suitable to track |
| CN108550240A (en) * | 2018-02-27 | 2018-09-18 | 浙江辉宏地理信息有限公司 | A kind of internet of things sensors network system |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2008536607A (en) | 2008-09-11 |
| EP1887922A1 (en) | 2008-02-20 |
| RU2007142662A (en) | 2009-05-27 |
| WO2006111878A1 (en) | 2006-10-26 |
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