JP2012150737A - Care support device and integrated care support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To realize an integrated care support system excellent in flexibility and extendability at low introduction cost.SOLUTION: In a nursing facility, an ad-hoc wireless network is constructed, and various kinds of sensors are installed as a terminating unit at portable devices, stationary devices, windows, doors, exits, and entrances, and also placed on care-receivers and care-givers, for real-time monitoring and recording of the portable devices, the stationary devices, the care-receivers, and the care-givers, cooperatively with phones, e-mails, various kinds of notification devices etc., to integrate a care support system to realize a care support system excellent in flexibility and extendability at low introduction cost.

Description

The present invention relates to remote monitoring such as wrinkle monitoring, diapers, waking up detection, and security in a nursing facility. The present invention relates to a care support system having a wireless communication network that does not require wiring as a backbone communication environment in order to reduce installation costs and flexibly cope with changes in the layout of facilities. Because it is a wireless sensor network, it has various advantages not found in conventional fixed installation systems.

Various attempts have been made to introduce IT to improve nursing care and medical practice. Beginning with patient monitoring systems and nurse call systems at ICU, many attempts and plans to remotely grasp the status of care recipients are gradually entering the field.

First, the need to monitor the location and status of a cared person who moves away from the bed is a variety of proposals and trials in response to cases of caregiver with a habit and inpatients who cannot move in the toilet. ing. Surveillance with surveillance cameras seems to be effective, but it is avoided from the viewpoint of privacy protection. A proposal was made to attach a wireless device at a study meeting in 1996 in the former Ministry of Health and Welfare, but the IT technology at that time had a question mark on practicality due to the size of the mobile device and battery life, so it was not tried. . With today's technology, the barriers are much lower, and button batteries can be used for six months and a year, and can be used in the size of a small pendant.

On the other hand, the infrastructure for bundling this information has greatly advanced, from wireless LAN that practically requires cables to the point of data capture from terminals to IEEE802.15.4, which uses small access points as components of ad hoc networks. It is also conceivable that the construction costs associated with changing cable wiring will be dramatically reduced.

In addition, data that can be collected from care recipients and patients is greatly expanded due to the downsizing and power saving of various sensors. Some of the data collection functions such as the conventional ICU can be performed from a terminal that can be worn while moving. For example, it is possible to monitor information on sensors that can be mounted in a diaper.

This proposal integrates these components that are being verified for their individual technical possibilities, and enables the maintenance and improvement of service levels in the nursing and medical fields to be realized in combination with rationalization and labor saving. To do.

Japanese Patent Laid-Open No. 19-330336

The problem to be solved by the present invention is to enable remote automatic monitoring of the most basic elements in nursing care facilities such as sputum monitoring, diapers, waking up detection, security, and flow line analysis. The goal is to commercialize an inexpensive system.

The invention according to claim 1 is an ad hoc wireless communication network that is arranged in a nursing care facility composed of a plurality of buildings, and around a facility such as a garden or a parking lot and conforms to the wireless standard IEEE802.15.4. In the equipment,
A communication device that relays wireless communication of various information (hereinafter referred to as `` access point ''),
A communication device (hereinafter referred to as `` input end device '') that is mounted on a fixed installation, portable device, or human body, has built-in input devices such as various sensors and buttons, and transmits sensor information to the access point. ,
A communication device (hereinafter referred to as `` output end device '') that is installed in a fixed manner and receives output information from an access point with built-in or externally connected output devices such as various indicator lights and speakers,
It is an output end device that communicates wirelessly with an access point and transmits a message to a caregiver, such as a calling pager, and is also used for answering from a caregiver and for calling a nurse center such as a help call. A communication device that also has functions as an end device (hereinafter referred to as `` input / output end device ''),

With a communication device (hereinafter referred to as `` coordinator '') that communicates wirelessly with an access point and works in cooperation with a server computer, other extension system, etc.
Since all the communication devices, including between the access points, are wireless communication, no wiring work is required when installed in the nursing facility and around the facility, and portable devices that move and It is characterized in that it can be mounted on a human body, and the position of a portable device or human body can be tracked from the installation position of the access point.

The invention according to claim 2 is the second communication means (input end device, hereinafter referred to as “tag”) according to claim 1, in which time measurement means in milliseconds, triaxial acceleration, and inclination By having a detection means, a caregiver and a care recipient are attached to or attached to a portable device, and communicate with a plurality of neighboring first communication means of claim 1 at the same time. And one or a plurality of neighboring access points are automatically selected and transmitted to these.

Thereby, from each access point, it is possible to calculate the position of the caregiver wearing the tag, the care recipient, or the portable device from the data reaching the server computer according to claim 11. And

Furthermore, it is possible to grasp the state of the device such as the battery consumption in real time from the data that has reached the server computer.

If the device is stationary, or if the caregiver or care recipient removes the tag from the body and places it on a desk, etc., the tag enters the stationary state. It is also characterized by enabling long-term operation by battery operation by stopping energization of the main circuit until the caregiver or the care recipient wears it or until a certain time elapses. .

The invention according to claim 3 is the second communication means (input end device, hereinafter referred to as “tag”) according to claim 1, in which time measurement means in milliseconds, triaxial acceleration, and inclination It has a detecting means and a means for detecting the pressure of the body weight attached to a chair or a chair including a wheelchair of a person to be cared, In such a case, it is possible to detect the state of sitting, leaving, falling, etc., and automatically select one or more access points in the vicinity and perform communication in real time. It is characterized by notifying.

Taking advantage of its wireless characteristics, it can be attached to a movable device such as a wheelchair, and indoor or outdoor by automatically selecting one or more nearby access points at the destination. Regardless, it can be used in an area covered by the installation of an access point in the facility.

As for the tag, when it enters the stationary state, it is possible to operate for a long time by battery operation by stopping energization to the main circuit until it becomes the operating state next or until a certain time elapses. , Feature.

The invention according to claim 4 is the second communication means (input end device, hereinafter referred to as “tag”) according to claim 1, in which time measurement means in milliseconds, triaxial acceleration, and inclination are measured. The detection means and means for detecting the urination and defecation of the care target person from temperature and humidity attached to the diaper of the care target person, and the detection result of one or a plurality of neighbors according to claim 1 It is characterized by notifying in real time by automatically selecting the first communication means and performing communication.

Many care recipients wear diapers at nursing care facilities, and the replacement time has been determined at regular intervals, by reports from the individual, or by palpation or inquiries. However, in the case of (A) every regular time, the actual urination and defecation is irregular, so the care recipient must wait patiently until the exchange after urination and defecation, (B) from the person In the case of a report, there is a point that it is difficult to say because of shame, such as in the case of a woman. It has a disadvantage that prevents it.

However, since the tag of the present invention notifies urination and defecation in real time, the above A
~ All the exchange problems of C are solved.

In recent years, disposable diaper sensors have been sold. However, since the disposable diaper sensor is disposable, the cost burden is large, and the degree and number of urination and defecation cannot be grasped only once. Once it gets wet due to light urination, etc., there is a disadvantage that if the diaper is replaced, the economic efficiency is impaired.

However, since the tag of the present invention is detected from the temperature and humidity, it can be worn outside the diaper or in a waterproof cover.
It is possible, can be used repeatedly, is excellent in economic efficiency, can grasp the degree and number of urination and defecation, can determine the appropriate replacement time, and in that respect, it is not necessary to replace useless diapers Is.

In addition, it is also characterized in that long-term operation by battery driving is enabled by stopping energization to the main circuit until a certain time elapses.

The invention according to claim 5 is the second communication means (input end device, hereinafter referred to as “nurse call tag”) according to claim 1, in which time measuring means in milliseconds, triaxial acceleration, and , A tilt detection means, a push button switch that is worn as a pendant or wristband by a care recipient or caregiver as an input means for notification to the server computer, and a display lamp such as an LED.

After the push button switch is pressed, the display lamp blinks, and after a nearby access point receives it, it lights up for a certain period of time and then turns off. After the button pressing operation, not only in one place but even when moving, by automatically selecting one or a plurality of first communication means in the vicinity and performing communication, It has a feature that notification to a server computer is possible.

The same as the apparatus of claim 2 in that the position of the caregiver wearing the nurse call tag and the care recipient can be calculated from the data reaching the server computer according to claim 12 from each access point. It has the characteristics of.

Once in the stationary state, the main circuit is de-energized until the next time it is in the operating state, the button as an input means for notifying the server / computer is pressed, or until a certain time has passed. By doing so, it is also characterized by enabling long-term operation by battery drive.

The invention according to claim 6 is the second communication means (input end device, hereinafter referred to as “nurse call tag”) according to claim 1, in which time measurement means in milliseconds, triaxial acceleration, and Inclination detecting means, and a push button switch that is an input means for a care recipient or caregiver to wear as a pendant or wristband to notify the server computer.

After the button pressing operation, not only in one place but even when moving, by automatically selecting one or a plurality of first communication means in the vicinity and performing communication, It has a feature that notification to a server computer is possible.

The same as the apparatus of claim 2 in that the position of the caregiver wearing the nurse call tag and the care recipient can be calculated from the data reaching the server computer according to claim 12 from each access point. It has the characteristics of.

Once in the stationary state, the main circuit is de-energized until the next time it is in the operating state, the button as an input means for notifying the server / computer is pressed, or until a certain time has passed. By doing so, it is also characterized by enabling long-term operation by battery drive.

The invention according to claim 7 is the second communication means (input end device, hereinafter referred to as “tag”) according to claim 1, which is installed in a time measurement means in milliseconds, a door or a window, and these When detecting changes in the state from open to closed and from closed to open, the main circuit can be energized to enable long-term operation by battery operation. It is a feature.

By automatically selecting one or more first communication means of claim 1 in the vicinity and performing communication,
It has high reliability, and is characterized by automatically selecting and communicating with an access point each time a tag is replaced with another door or window.

The invention according to claim 8 is the second communication means of claim 1 (input end device, expressed as “passage detection device”).

Equipped with a light emitting unit that uses infrared rays, a light receiving unit that receives the light, a mirror that reflects the emitted light beam to the light receiving unit, installed in a shape that crosses the entrance / exit where you want to detect the passage. Installed, portable equipment, and the passage of the human body can be clearly detected with a boundary line with a width of 10 mm or less, mainly using an infrared beam.

By automatically selecting one or more first communication means of claim 1 in the vicinity and performing communication,
It has high reliability, and is characterized by automatically selecting and communicating with an access point each time a passage detection device is re-installed at another location.

The invention according to claim 9 is the second communication means (input end device, expressed as “security sensor”) according to claim 1, in which time measurement means in milliseconds, triaxial acceleration, and inclination are measured. It has a detecting means, and is installed in a safe or a medicine shelf, and is characterized by continuous monitoring in order to detect minute vibrations such as opening and closing and theft.

When detecting minute vibrations, one or a plurality of nearby first communication means of claim 1 is automatically selected and communicated to provide high reliability. Even if it is re-installed in another place, the feature is that an access point is automatically selected and communicated each time.

After entering a completely stationary state, next, it detects micro vibrations or changes in inclination, or stops energizing the main circuit until a certain period of time has passed. A communication device characterized in that

According to the tenth aspect of the present invention, the second and third communication means of the first aspect are provided with a JEMA terminal, and an electronic lock having the JEMA terminal is connected to the second and third communication means.

By automatically selecting and communicating one or more first communication means of claim 1 in the vicinity, a report of the open / closed state of the electronic lock to the server computer can be obtained. It is characterized by controlling locking and unlocking according to instructions.

Since this device only needs to be installed near the electronic lock, the cost for wiring work can be reduced, and the open / closed status of outdoor doors, etc. can be checked, and locking and unlocking can also be controlled. This is possible without construction.

The invention described in claim 11 is the third communication means of claim 1, which is provided with a serial communication function such as USB or RS-232, and is provided with a commercially available patrol lamp, patrol light, voice synthesizer, and telephone line modem equipment. Etc., connect and use. These can be output and controlled from the server computer.

By automatically selecting one or more first communication means of claim 1 in the vicinity and performing communication,
It is characterized by having high reliability and automatically selecting and communicating with an access point each time the installation location is changed.

The invention according to claim 12 is a server computer to which the fourth communication means of claim 1 is connected, a display device capable of graphic display, a keyboard as character input means, a mouse as coordinate input means, It has a speaker for voice output and a printer device for recording and printing, and a wired network connection function for cooperation with other systems such as a mail server.

The device of claims 2 to 10 is controlled via the network of claim 1, and the operating environment of the software of the system of claims 12 to 17 is provided. It is characterized by notifying caregivers in cooperation with connected peripheral devices and other systems.

The invention according to claim 13 is effective for location management of a mobile device and a human body, and uses the device group according to claims 1 to 2 and 11, and in particular, the device according to claim 2. The radio waves transmitted from (hereinafter referred to as “tags”) and the reception information from a plurality of first communication means (hereinafter referred to as “access points”) in claim 1 are received in the server computer of claim 11. The first feature is to perform arithmetic processing, determine and display the positions of portable devices, caregivers, and care recipients in real time, and record them.

Furthermore, using the above-described determination of the position in real time, the necessity for automatic monitoring, warning, etc. is determined and implemented as appropriate.

That is, when a long-term stay of a care recipient in the toilet at night, or when a care recipient who is to be monitored for wrinkles is going out of the monitoring area, A peripheral device such as a speaker connected to the server computer according to claim 11 or an e-mail or the like, in cooperation with another system, notifies a caregiver in real time and simultaneously records and manages this. .

The invention according to claim 14 is effective for a nurse call (A) for a nurse center and a call (B) for a care recipient, a caregiver, an outpatient, etc. 6 and the device of claim 12,

As for A 1, after the push button switch is pressed, the display lamp blinks, and after a nearby access point receives it, it lights up for a certain period of time and then turns off. After the button pressing operation, one or a plurality of the first communication means in the vicinity are automatically selected even when the user is moving, not only in one place, and the server in FIG. By telling the computer, it is possible to notify the nurse center.

Regarding B 1, the care recipient or caregiver wears the body, clothes, or attaches to personal items, beds, wheelchairs, etc., and does not stay in one place. When the server computer according to claim 12 is operated and a message is transmitted as a character string, one or a plurality of first communication means of claim 1 are automatically selected and communication is performed. , Contact the wearer by outputting a buzzer sound or ringtone from the speaker, turning on or blinking the indicator lamp, and displaying a message on the display device of character strings or pictures. By automatically selecting one or a plurality of first communication means in the vicinity of the response indicated by the person pressing the push button switch, the server computer can perform communication. Send to.

A and B
The apparatus according to claim 2, wherein the position of the caregiver, the care recipient, the outpatient, etc. of the wearer can be calculated from the data that has reached the server computer according to claim 12 from each access point. It has the same characteristics.

The invention according to claim 15 is effective for quick grasping of getting up and getting out, and the data collected from the getting up and getting out sensor of claim 3 to the server computer of claim 11 through the device group of claim 1. Is used to determine whether the caregiver is getting out of bed or falling in real time.

Next, the caregiver is notified in real time by cooperating with other systems such as the patrol lamp of claim 10, peripheral devices such as speakers connected to the server computer of claim 11, or e-mail. This is recorded and managed.

The invention described in claim 16 is effective for managing urination and defecation, and the data collected in the server computer of claim 11 from the diaper sensor of claim 4 via the device group of claim 1 is collected. Use and determine in real time the urination and defecation of the care recipient in bed.

Next, it is possible to notify a caregiver in real time by cooperating with a peripheral device such as a speaker connected to the server computer of claim 11 or other system such as e-mail, and simultaneously record and manage this. Features.

The invention of claim 17 is effective for security management and the like, and uses the apparatus of claims 6 to 8 to detect opening and closing of doors and windows, passage of doorways, contact with a safe, etc. The data collected in the server computer according to claim 11 via the device group 1 is used to determine in real time.

In combination with the position monitoring of claim 12, the identification of the names of the opening and closing persons and the passing persons and the storage of the history are also characterized.

Furthermore, the caregiver is notified in real time by cooperating with other systems such as the patrol lamp of claim 10, the peripheral device such as the speaker connected to the server computer of claim 11, or e-mail, and at the same time It is characterized by recording and managing.

At the same time, the invention according to claim 17 is effective for entrance / exit management, and is possible using the devices of claims 2, 5, 6, 8, and 10 via the device group of claim 1, An accurate standing position is detected by the device of claim 8, that is, a passage sensor, and the position and name of the caregiver are specified by the device of any of claims 2, 5, 6, that is, a tag, The request is recognized by any one of the push button switches of 6, the electronic lock connected to the device of claim 10 is unlocked or locked, and the passage is detected by another device of claim 8, and this is recorded and managed simultaneously. It is characterized by that.

The position monitoring according to claim 12 is linked with the present system, and provides the names of persons entering and leaving the room.

The invention described in claim 18 is an integrated monitoring & determination & notification system positioned above 0016 to 0020, and requests a situation based on information collected in real time from the system of claims 13 to 18. Displayed on the screen of the server computer of Item 12 in characters and graphics, the state of the device of Claims 2-11, the wearer, the state of the attached device, and information registered and set in advance When it is judged comprehensively from the monitoring mode of the time zone and it is determined that the caregiver or the nurse center needs to respond, the alert information may be displayed on the screen of the server computer itself or a speaker. Anyone who notifies the caregiver's mobile phone or personal computer by voice output from, an alarm device such as a patrol lamp connected to claim 11, or mail transmission to a mail server on the LAN By law, it is surely transmitted to a caregiver or a nurse center.

The invention according to claim 19 is effective for flow line management, and from the system records of claims 12 to 16, the portable device, the caregiver, the flow analysis of the care recipient, the life history of the care recipient, Diaper exchange history, nurse call history, bag history, entry / exit history, safe and medicine shelf access history, etc. can be output to display, print, spreadsheet software, etc.

The present invention enables remote automatic monitoring of the most basic elements in nursing homes, such as spear monitoring, diapers, waking up detection, security, and flow line analysis, and is integrated and inexpensive to introduce. A care support system can be provided.

System configuration diagram of ad hoc wireless communication network device group Module configuration of position detection tag Module configuration of wake-up sensor Diaper sensor module configuration Nurse call tag module configuration Pager tag module configuration Module configuration of door sensor and window sensor Module structure of the passage sensor Security sensor module configuration Electronic lock module configuration Module configuration of serial interface connection such as patrol System configuration of server computer Software configuration in the server computer Status display on the server computer screen-large / medium facilities Example of alert condition setting for each care recipient Status display on the server computer screen-example of a small-scale facility Graphic display of flow history on server computer screen Text display of flow history on server / computer screen-Main event Text display of flow history on server / computer screen-Mainly location information

Figure 1 shows the system configuration of a group of ad hoc wireless communication networks that conform to the wireless standard IEEE802.15.4, etc., which is placed in a nursing care facility consisting of multiple buildings, and around facilities such as gardens and parking lots. FIG.

An access point 1 which is a communication device that relays wireless communication;
An input end device 2a which is a communication device that is fixedly installed, or is mounted on a portable device or a human body, has a built-in input device such as various sensors and buttons, and transmits sensor information to an access point;
An output end device 2b that is fixedly installed and that has built-in or externally connected output devices such as various indicator lights and speakers, and that receives output information from an access point;
It is an output end device that communicates wirelessly with an access point and transmits a message to a caregiver, such as a calling pager, and is also used for answering from a caregiver and for calling a nurse center such as a help call. An input / output end device 2c having a function as an end device;

It is composed of a coordinator 3 that communicates with an access point wirelessly and operates in cooperation with a server computer 4a and other extension systems.

Since these are compliant with IEEE802.15.4, etc., they have the advantage of requiring only one frequency band.
In addition, the above device group can dynamically change the communication path according to the radio wave environment and the status of the device, and has high reliability.
Have. Furthermore, the communication method itself supports encryption, and sufficient consideration is given to security.

Reference numeral 4b in FIG. 1 denotes a client personal computer placed on the LAN for remotely displaying / operating the screen of the server computer 4a. Similarly, 5
Is a mail server on the LAN when the server computer 4a sends an e-mail to a caregiver's mobile phone or personal computer or on another LAN connected to a public network connected via the LAN. .

FIG. 2 shows a module configuration on the circuit board of the position detection tag according to claim 2, an RTC (Real Time Clock) 6 operable with low power consumption by time measurement means in milliseconds. It is composed of an acceleration sensor 7 that can operate with low power consumption that detects acceleration in three axes and gravity, an IEEE 802.15.4-compliant module 8, and an IEEE 802.15.4-compliant internal antenna 9.

The communication module of the above 8 can be kept in a standby state for several months to several years only by power supply by a button battery or the like by stopping energization by itself or entering a dormant state. In a resting state, it is possible to return from these states to a normal energizing operation with a preset timer value of several milliseconds to several tens of minutes according to 6 above. 8
This communication module can return to the normal energization operation from the resting state by detecting a change in the acceleration or gravity direction in which the above 7 exceeds a certain value. This makes it possible to operate the battery for a long period of time by stopping energization of the main circuit when the attached device or the attached human body is not moving or when the tag is removed. .

The above 8 communication modules can define various operation specifications by built-in software. Communication module
Because of the nature of the position detection tag, communication is performed by the following communication method.

That is, basically, a broadcast method is used to transmit to various unspecified peripheral devices using various parameters including a preset frequency.

Accordingly, the position of the caregiver wearing the tag, the care recipient, or the portable device can be calculated from the data that has reached the server computer according to claim 11 from each received access point.

Broadcasting has the advantage of shortening the communication time by eliminating the need for establishing a session with a partner device, and saving battery consumption.

However, occasionally, a beacon signal or the like is transmitted to surrounding access points, and whether or not there is an access point that should be a partner in the vicinity is checked to adjust the frequency of transmission. If there are no access points in the vicinity, it is necessary to prevent the transmission of meaningless transmission from the radio wave environment and for crime prevention from the viewpoint of being able to exist by a third party. It corresponds to it.

Further, the transmission data reaches the server computer, but since it includes the device state such as the battery consumption and the error code, it can be grasped in real time.

FIG. 3 shows a module configuration of the wake-up sensor according to claim 3.

A “pressure transmitting sheet” 11 is connected to a “data transmission unit” 10 in which the apparatus described in the above-mentioned 0025 is put in a box-shaped housing by a flat cable. Contact information of the pressure sensitive sheet 11 is transmitted from the data transmission unit 10 to the server computer every few seconds to every few minutes. Use with a dry cell or an AC adapter is also possible.

Attach it to a wheelchair in addition to the bed of the person being cared for. In the bed, a bed rest state and a wake-up state are detected, and in a wheelchair, a seated state, a seated state, a fall state, etc. are detected.

Regardless of the movement of the bed or the wheelchair, one or more access points in the vicinity are automatically selected to cover the area covered by the installation of access points in the facility, whether indoors or outdoors. Can be used.

When a dry battery is used, power supply to the main circuit is stopped until a certain time has elapsed, thereby enabling long-term operation by battery driving.

FIG. 4 shows a module configuration of the diaper sensor according to claim 4.

A “diaper sensor” 14 is connected to a “diaper sensor” 14 by a flat cable 15 to a “diaper for nursing care” 12, a “data transmission unit” 13 in which the device described in the above-mentioned 0025 is put in a case.

Diaper sensor 14
The temperature / humidity meter is mainly used, and can be mounted from the outside of the diaper. Temperature / humidity information is transmitted from the data transmission unit to the server computer every few seconds to every few minutes.

There are two types of diaper sensors, fixed installation type A for bedridden care recipients, walkable people, wheelchairs, etc.
In the movable type B, the temperature / humidity sensor is the same, but the data transmission unit is used with a large battery or an AC / DC power source in the above A, while the button B is driven by a button battery or a small dry battery. It is different.

Since the tag of the present invention notifies urination and defecation in real time, it is possible to quickly and remotely determine the diaper replacement.

The tag of the present invention can be detected from the temperature and humidity, so it can be mounted outside the diaper or in a waterproof cover, can be used repeatedly, has excellent economic efficiency, Since the number of times can be grasped, it is possible to determine an appropriate replacement time, and in that respect, it is economical because no unnecessary diaper replacement is performed.

It should be noted that, by stopping energization of the main circuit until a certain time elapses, long-term operation during battery driving is enabled.

Regardless of the movement of the bed or the wheelchair, one or more access points in the vicinity are automatically selected to cover the area covered by the installation of access points in the facility, whether indoors or outdoors. Can be used.

FIG. 5 shows a module configuration of the nurse call tag according to claim 5.

The push center switch 16 to be pressed when making a call to the nurse center, and two LEDs, an LED section 17 consisting of a red LED that lights when calling and a green LED that lights when receiving a response, and a time in milliseconds An RTC (Real Time Clock) 18 that can be operated with low power consumption, a triaxial acceleration, and an acceleration sensor 19 that can be operated with low power consumption to detect gravity.
It comprises an IEEE 802.15.4 compliant communication module 20 and an IEEE 802.15.4 compliant built-in antenna 21.

The nurse call tag has a configuration in which a “push button switch” 16 and an LED 17 as a display device are added to the device described in the above 0025.

A care recipient or caregiver wears a pendant or wristband and uses the push button switch 16 as an input means for notification to the server computer, and calls from the nurse center to the caregiver, or In order to notify the response, an LED is provided as a display lamp.

Even if the push button switch is pressed, one or more first communication means of claim 1 in the vicinity are automatically selected and communicated with each other, even when moving. Can notify the computer,
In addition, it is possible to contact the caregiver from the server computer or to notify the response.

When moving, it is also possible to calculate the positions of the caregiver and the care recipient who are wearing the nurse call tag from the data that has arrived at the server computer according to claim 12 from each access point. To do.


Once in the stationary state, the main circuit is de-energized until the next time it is in the operating state, the button as an input means for notifying the server / computer is pressed, or until a certain time has passed. By doing so, it is also characterized by enabling long-term operation by battery drive.

FIG. 6 shows a module configuration of the pager tag according to claim 6.

The pager tag includes a “push button switch” 22 and a liquid crystal display device 23 in addition to the device described in the above 0025.
When,
The speaker 24 is added. 22 is pressed at the time of a call or a call response.

The RTC 25, the acceleration sensor 26, the communication module 27, and the built-in antenna 28 are the same as those described in the above-mentioned 0025. The care recipient or caregiver puts it in a pocket or wears it as a pendant.
To the server computer, and a call from the server computer to the caregiver or a character string display 23 as a response means is used, and a buzzer sound and voice are output from 24 for the call.

By the operation such as pressing the push button switch described above, one or more first communication means in the vicinity are automatically selected not only in one place but also in movement, By performing communication, the server computer can be notified, and the server computer can send a message to the caregiver or can respond to the response.

When moving, the position of the caregiver wearing the tag and the care recipient can be calculated from the data that has arrived at the server computer according to claim 12 from each access point.

Once in the stationary state, the main circuit is de-energized until the next time it is in the operating state, the button as an input means for notifying the server / computer is pressed, or until a certain time has passed. By doing so, it is also characterized by enabling long-term operation by battery drive.

FIG. 7 shows an open / close sensor module configuration for a door and a window according to claim 7.

It is installed in a door or window, and opening / closing of these is detected by an opening / closing switch 29. A change in the state of the door or window from closed to open (or open to closed) is detected based on the relative positional relationship with the open / close switch magnet 34. By starting energization of the main circuit with a mechanical switch, it is possible to operate for a long time by battery drive. The LED 30 shines when a change in the state of the door or window from closing to opening (or opening to closing) is detected or when energization of the main circuit is started. The RTC 31, the communication module 32, and the built-in antenna 33 are the same as those described in the above-mentioned 0025.

By automatically selecting one or more first communication means of claim 1 in the vicinity and performing communication,
It has high reliability, and is characterized by automatically selecting and communicating with an access point each time a tag is replaced with another door or window.

FIG. 8 shows a module configuration of the passage sensor according to claim 8.

Installed at entrances and exits, portable devices and the passage of the human body are reflected by the mirror 39 pasted on the opposite side of the passage with the infrared beam emitted from the infrared light emitting part 35, detected by the infrared light receiving part 36, and a width of 10 mm or less It is possible to detect clearly at the boundary line.

The communication module 37 and the antenna 38 are the same as those described in the above-mentioned 0025.

By automatically selecting one or more first communication means of claim 1 in the vicinity and performing communication,
It has high reliability, and is characterized by automatically selecting and communicating with an access point each time a passage detection device is re-installed at another location.

FIG. 9 shows a module configuration of the security sensor according to claim 9.

The RTC 41, the acceleration sensor 42, the communication module 43, and the antenna 44 are the same as those described in the above-mentioned 0025.
The LED 40 is lit for a certain period of time when an abnormality such as vibration is detected or when energization of the main circuit is started.

The accelerometer 42 detects minute vibrations such as opening and closing, theft, etc., by installing in a safe or medicine shelf, or by a built-in acceleration sensor.


High reliability is ensured by turning on the LED 40 as a display lamp when detecting minute vibrations, automatically selecting one or more first communication means of claim 1 and performing communication. In addition, even when the security sensor is re-installed in another location, the access point is automatically selected and communicated each time.

After transmission is completed, the LED that was lit is turned off.

Once in a completely stationary state, the main circuit is de-energized until a minute vibration or a change in inclination is detected, or until a certain period of time is observed by the RTC 41, or By doing so, long-term operation by battery driving is also possible.

In FIG. 10, the module structure of the electronic lock of Claim 10 is shown.

It has a JEMA interface (also called HA terminal) 45, and an electronic lock 48 is connected via the interface.
The communication module 46 and the antenna 47 are the same as those described in the above-mentioned 0025.

By automatically selecting and communicating one or more first communication means of claim 1 in the vicinity, a report of the open / closed state of the electronic lock to the server computer can be obtained. It is characterized by controlling locking and unlocking according to instructions.

Since this device only needs to be installed near the electronic lock, the cost for wiring work can be reduced, and the open / closed status of outdoor doors, etc. can be checked, and locking and unlocking can also be controlled. This is possible without construction.

FIG. 11 shows a module configuration of a serial interface connection such as a patrol lamp according to claim 11.
A serial interface 49 such as USB or RS-232 is provided, and a device 52 such as a patrol lamp or an infrared unit is externally connected. The communication module 50 and the antenna 51 are the same as those described in the above 0025.

Commercially available patrol lamps, patrol lights, voice synthesizers, telephone line modem devices, etc. are connected and used.
These can be output and controlled from the server computer.

By selecting and communicating with one or more access points in the vicinity automatically, it has high reliability, and even if the installation location is changed, the access point is automatically selected and communicated each time. This is also a feature.

FIG. 12 shows a system configuration of the server computer according to claim 12.

A computer main body 53, a display device 54 such as a high-resolution display, a keyboard 55 as an input device for character information, a mouse 56 as a pointing device, a speaker device 57 for warning sound or voice guidance, and a printing device A printer 58, a mail server 59 that is a PC on a LAN connected to a public network connected via a LAN or a LAN, and a wired network 60 such as a LAN;

The device is controlled via the network and becomes an operating environment of software of various systems, and alarms and the like are appropriately notified to the caregiver in cooperation with a patrol lamp, connected peripheral devices, and other systems.

The invention according to claim 13 is effective for location management of a mobile device or a human body, and uses the device group according to claims 1 to 2 and claim 12. In particular, the device according to claim 2 is used. The radio waves transmitted from (hereinafter referred to as “tags”) and the reception information from a plurality of first communication means (hereinafter referred to as “access points”) in claim 1 are received in the server computer of claim 11. The first feature is to perform arithmetic processing, determine and display the positions of portable devices, caregivers, and care recipients in real time, and record them.

Furthermore, using the above-described determination of the position in real time, the necessity for automatic monitoring, warning, etc. is determined and implemented as appropriate.

That is, when a long-term stay of a care recipient in the toilet at night or when a care recipient who is to be monitored for wrinkles is going out of the monitoring area, A peripheral device such as a speaker connected to the server computer according to claim 12 or an e-mail or the like is used to notify a caregiver in real time and simultaneously record and manage this. .

The invention according to claim 14 is effective for a nurse call (A) for a nurse center and a call (B) for a care recipient, a caregiver, an outpatient, etc. 6 and the device of claim 12,

As for A 1, after the push button switch 16 in FIG. 5 is pressed, the display lamp 17 blinks, and after the neighboring access point receives it, it is turned on for a certain time and then turned off. After the push button switch pressing operation, one or a plurality of first communication means in the vicinity is automatically selected even if the user is not moving in one place but is moving. By notifying the server computer, it is possible to notify the nurse center.

Regarding B 1, the care recipient or caregiver wears the body, clothes, or attaches to personal items, beds, wheelchairs, etc., and does not stay in one place. When the server computer according to claim 12 is operated and a message is transmitted as a character string, one or a plurality of first communication means of claim 1 are automatically selected and communication is performed. The contact with the wearer is performed by outputting a buzzer sound and a ringtone from the speaker 24 in FIG. 6 and displaying a message 23 in FIG.

When a care recipient or a caregiver responds by pressing the pushbutton switch 22 in FIG. 6, one or more first communication means of claim 1 in the vicinity are automatically selected, By communicating, it is sent to the server computer.

A and B
The apparatus according to claim 2, wherein the position of the caregiver, the care recipient, the outpatient, etc. of the wearer can be calculated from the data that has reached the server computer according to claim 12 from each access point. It has the same characteristics.

The invention according to claim 15 is effective for quick grasping of getting up and getting out, and the data collected from the getting up and getting out sensor of claim 3 to the server computer of claim 11 through the device group of claim 1. Is used to determine whether the caregiver is getting out of bed or falling in real time.

Next, the caregiver is notified in real time by cooperating with other systems such as the patrol lamp of claim 10, peripheral devices such as speakers connected to the server computer of claim 11, or e-mail. This is recorded and managed.

The invention described in claim 16 is effective for managing urination and defecation, and the data collected in the server computer of claim 11 from the diaper sensor of claim 4 via the device group of claim 1 is collected. Use and determine in real time the urination and defecation of the care recipient in bed.

Next, it is possible to notify a caregiver in real time by cooperating with a peripheral device such as a speaker connected to the server computer of claim 11 or other system such as e-mail, and simultaneously record and manage this. Features.

The invention of claim 17 is effective for security management and the like, and uses the apparatus of claims 6 to 8 to detect opening and closing of doors and windows, passage of doorways, contact with a safe, etc. The data collected in the server computer according to claim 11 via the device group 1 is used to determine in real time.

In combination with the position monitoring of claim 12, the identification of the names of the opening and closing persons and the passing persons and the storage of the history are also characterized.

Furthermore, the caregiver is notified in real time by cooperating with other systems such as the patrol lamp of claim 10, the peripheral device such as the speaker connected to the server computer of claim 11, or e-mail, and at the same time It is characterized by recording and managing.

At the same time, the invention described in claim 17 is effective for entrance / exit management and the like, and uses the devices of claims 2, 5, 7, and 9 to obtain an accurate standing position via the device group of claim 1. 10. Detecting with the device of claim 7, i.e. the passage sensor, identifying the caregiver's position and name with the device of claim 2, i.e. with the tag, recognizing the request with the call button of claim 5, The electronic lock connected to the device is unlocked or locked, and the passage is detected by another device of claim 7, and this is recorded and managed at the same time.

Since the tag (A) with a call button according to claim 5 includes the function of the position detection tag (B) according to claim 2,
It is possible to use A instead of.

The position monitoring according to claim 12 is linked with the present system, and provides the names of persons entering and leaving the room.

The present invention is an integrated monitoring & determination & reporting system positioned above 0036 to 0040, 0042, and based on information collected in real time from the system of claims 13 to 18, the situation is represented by the server of claim 12. -Displayed on a computer screen with characters and graphics, the state of the apparatus of claim 2-11, the wearer, the mounting device, information registered and set in advance, and the time zone If it is judged comprehensively from the monitoring mode, and it is determined that the caregiver or nurse center needs to respond, the alert information is displayed on the screen of the server computer itself, or the sound is output from the speaker. By using a warning device such as a patrol lamp connected to claim 11 or by sending a mail to a mail server on the LAN, a method such as notifying the mobile phone of a caregiver or a personal computer In addition, the information is transmitted to a caregiver or a nurse center.

FIG. 13 shows the configuration of the integrated monitoring judgment reporting system according to claim 18 and other software in the server computer.

In the server computer 61, the following systems exist as software systems.
That is, an integrated monitoring & determination & reporting system 62, a care recipient / caregiver registration management system 63, a flow line management record & analysis system 64, an input / output & external link 65, a location monitoring system 66, and getting up and leaving A monitoring system 67, a urination / defecation monitoring system 68, a nurse call & pager call system 69, and a security & entry / exit management system 70.

The role of the integrated monitoring judgment reporting system is as follows.

A. Status display of caregiver / caregiver at the facility. C. Overall judgment of alert status in real time Contact notification by connecting the server computer's input / output devices and external devices

FIG. 14 shows an example of a large-scale / medium-scale facility for the display screen example for A.
The position of the person being monitored, walking in the standing position, resting on the bed, etc., blue is normal, red is the alert status,
it's shown. With the buttons on the left side of the screen of FIG.
A message is displayed at the lower left of the screen, and this message is simultaneously output as a voice.

Regarding B, a comprehensive determination method of the alert state will be described.
For example, when the alert condition of Taro Yamada, who is a care recipient, is as shown in FIG. 15, for example, No. 1,
If Taro Yamada does not come out of the toilet at night after 30 minutes, the server computer speaker will
To that effect, report by voice and contact the person in charge by email.

The input / output devices of the C server computer itself and the notifications by connection to external devices are listed below.

-Screen / speaker of server computer itself-Patrol lamp connected to claim 11, modem for telephone line, etc.
-A mail server or other computer device connected via LAN.

FIG. 16 shows an example of a small-scale facility for the display screen example for A.
Even in facilities with less than 30 people, such as group homes, it is possible to grasp the position of the deaf, automatic alarm, automatic tracking of bed leaving at night, etc.
Useful.

The invention according to claim 19 is effective for flow line management, and from the system records of claims 12 to 16, the portable device, the caregiver, the flow analysis of the care recipient, the life history of the care recipient, Diaper exchange history, nurse call history, bag history, entry / exit history, safe and medicine shelf access history, etc. can be output to display, print, spreadsheet software, etc.

FIG. 17 shows an example of a graphics display screen of the flow line history on the server computer screen. A specific person or a plurality of persons wearing the device of claim 2 (hereinafter referred to as “tag”) are designated, and the past date and time is, for example, “from 10:00 on September 1, 2010 , September 2, 2010 until 8:00:00 ", and by designating the building, floor, etc., the flow line trajectory of the tag wearer as shown in FIG. It is possible to print out from the 12 printer devices 58 and use it as handing over materials or explanatory materials for the families of residents.

FIG. 18 shows an example of the text display screen of the flow line history on the server computer screen, and a display example of the occurrence event information subject.
An example of display centered on position information is shown in FIG.

Alerts are distinguished in red. The display can select and display necessary information by designating a target person, a time zone, an alert level, and the like.

There are only 6,000 nursing homes throughout the country, and there are currently about 6000 nursing homes. In addition, there are several times as many carehouses as there are small-scale facilities such as group homes. climb. In these facilities, due to technical and economic circumstances, systems that support integrated monitoring of dredging monitoring, diaper and wake-up detection, etc. are rarely used, and are full-fledged and inexpensive systems. This proposal meets these needs and is expected to be applied as soon as possible.

1: Access point 2a, which is a communication device that relays wireless communication: Fixed installation, or mounted on a portable device or human body, and built-in input devices such as various sensors and buttons,
Input end device 2b, which is a communication device that transmits sensor information to the access point: Fixedly installed, and built-in or externally connected to various output devices such as various indicators and speakers, the access point
From the output end device 2c that receives the output information, it communicates wirelessly with the access point like a calling pager and transmits a message to a caregiver or the like
In addition to being an output end device, response to caregivers and nurse centers such as help calls
Portable device 3 that is also an input end device that is also used for calling: Coordinator 4a that communicates wirelessly with an access point and operates in cooperation with another extension system, etc .: Server computer 4b: Remote display of the screen of server computer 4a / Client placed on LAN for operation
PC 5: On the LAN when the server computer 4a sends an e-mail to a caregiver's mobile phone or PC,
Alternatively, it is a mail server on another LAN connected to a public line network connected via the LAN.

6: RTC (Real Time Clock), time measurement means in milliseconds (for position detection tag)
7: Accelerometer, detecting triaxial acceleration and gravity (for position detection tag)
8: Compliant with communication module, IEEE 802.15.4, etc. (for position detection tags)
9: Built-in antenna, IEEE 802.15.4 compliant (for position detection tags)

10: “Data transmission unit” in a box-shaped housing
11: "Pressure-sensitive sheet" connected with a flat cable

12: Diaper for nursing care 13: Data transmission unit 14: Diaper sensor 15: Flat cable

16: Push button switch (for nurse call tag)
17: LED (for nurse call tag)
18: RTC (Real Time Clock), millisecond time measurement means (for nurse call tag)
19: Accelerometer (for nurse call tag)
20: Communication module (for nurse call tag)
21: Built-in antenna, compliant with IEEE 802.15.4, etc. (for nurse call tags)

22: Pushbutton switch (for pagers)
23: Liquid crystal display (for pagers)
24: Speaker (for pagers)
25: RTC (for pagers)
26: Accelerometer (for pagers)
27: Communication module (for pagers)
28: Built-in antenna (for pager)

29: Open / close switch 30: LED (for open / close sensor)
31: RTC (Real Time Clock) (for open / close sensor)
32: Communication module (for open / close sensor)
33: Built-in antenna (for open / close sensor)
34: Magnet for open / close switch

35: Infrared light emitting unit 36: Infrared light receiving unit 37: Communication module (for passing sensor)
38: Antenna (for passing sensor)
39: Infrared reflecting mirror

40: LED (for security sensor)
41: RTC (Real Time Clock) (for security sensor)
42: Acceleration sensor (for security sensor)
43: Communication module (for security sensor)
44: Antenna (for security sensor)

45: JEMA interface 46: Communication module (for electronic lock control tag)
47: Antenna (for electronic lock control tag)
48: Electronic lock

49: Serial interface 50: Communication module (for serial interface tag)
51: Antenna (for serial interface tag)
52: Patrol lamp, etc.

53: Computer main body 54: Server computer display device 55: Keyboard 56: Mouse 57: Speaker 58: Printer device 59: Mail server 60: Wired network function

61: Server computer
62: Integrated monitoring & judgment & reporting system 63: Caregiver / caregiver registration management system 64: Flow line management record & analysis system 65: Input / output & external link 66: Location monitoring system 67: Wake-up monitoring system 68: Urination Defecation monitoring system 69: Nurse call & pager call system 70: Security & entry / exit management system

Claims (20)

An ad hoc wireless communication network device that is arranged in a nursing facility building that is composed of a single or a plurality of buildings, and that is also arranged around facilities such as a garden part and a parking lot, if necessary.
First communication means for relaying wireless communication;
A second communication unit that is installed in and around the facility of the care facility, includes various input devices such as various sensors and buttons, and transmits the sensor information to the communication unit that relays the wireless communication;
A third communication means that is installed in and around the facility of the nursing care facility, has built-in output devices such as various indicator lights and speakers, and receives output information from the communication means that relays the wireless communication;
A fourth communication means having the functions of the second communication means and the third communication means;
One or a plurality of fifth communication means installed in the building of the care facility and connecting the wireless communication network and a LAN environment that is a wired network in a building;
A server computer on the LAN that communicates with the fifth communication means by wire;

Since the first to fifth communication means are all wireless communication means, the first communication means is freely arranged on the ceiling, wall surface, desk, etc., and wiring work is performed between them. Without being able to construct a communication network inside and outside the facility, the second to fourth communication means can be mounted on a mobile device or a human body by taking advantage of the characteristics of a wireless means. Enables real-time monitoring and control of the position, movement, and ecological information of the installed equipment or the human body attached to it. Nursing facilities from small to large scales, medical institutions that require nursing care, etc. In addition, the care support system is characterized by being inexpensive and flexible and applicable for installation.
The second communication means according to claim 1, further comprising a time measurement means in milliseconds, a triaxial acceleration and inclination detection means, and worn by a caregiver and a care recipient, or Positioning by the fifth communication means or the server computer of claim 1 by attaching to a portable device and communicating simultaneously with a plurality of neighboring first communication means of claim 1 Calculation is possible, and further, during the communication, the operating state and the device state such as battery consumption are transmitted, and the fifth communication means or the server computer of claim 1 can grasp the situation. However, once it enters the stationary state, it is possible to operate for a long time by battery operation by stopping energization to the main circuit until it becomes an operating state or until a certain time elapses. A communication device characterized by that.
The second communication means according to claim 1, further comprising: a time measuring means in millisecond units, a triaxial acceleration and inclination detecting means, and a connecting means for various pressure sensors for detecting weight pressure. Equipped,

By connecting various pressure sensors to this, it can be attached to the bed of a care recipient, a chair including a wheelchair, etc. In such a case, the state of sitting, leaving, falling, etc. is detected, and these states are automatically selected by one or more first communication means of claim 1 in real time. , Send and

Once it enters the stationary state, it is possible to operate for a long time by battery operation by stopping energization to the main circuit until it becomes an operational state or until a certain time has passed. A communication device.
The second communication means according to claim 1, wherein time measuring means in milliseconds, one or more temperature / humidity sensors for detecting urination and defecation of a care recipient from temperature and humidity, And further connecting means,

One or a plurality of temperature / humidity sensors are connected to this, and the temperature / humidity sensors are attached to a diaper or clothes of the person to be cared for, and the above detection result is one or more in the vicinity. Automatically selecting the first communication means of claim 1 and transmitting in real time;

A communication apparatus characterized in that, once transmission is performed, long-term operation by battery driving is enabled by stopping energization of the main circuit until a predetermined time elapses.
The second communication means according to claim 1, further comprising time measurement means in milliseconds, triaxial acceleration and inclination detection means, a push button switch, and a display lamp,

Even if the person being cared for or a caregiver wears on the body, clothes, or is attached to personal items, a bed, a wheelchair, etc. By automatically selecting one or more first communication means of claim 1 in the vicinity and performing communication, a care recipient or a caregiver performs transmission to the server computer, At that time, after the push button switch is pressed, the display lamp blinks, and after the neighboring access point receives it, it lights up for a certain period of time and then turns off.

Once in a stationary state, the main circuit is de-energized for a long period of time due to battery operation until the next time it becomes an operating state, the above-mentioned button is pressed, or until a certain time has elapsed. A communication device characterized in that it is also possible to operate.
4. The fourth communication means according to claim 1, wherein time measurement means in milliseconds, triaxial acceleration and inclination detection means, a speaker capable of outputting a beep sound or sound, a character string or an image. Further comprising a display device capable of displaying and a push button switch,

The care center or the caregiver attaches to the body, clothes, or is attached to personal items, a bed, a wheelchair, etc., and does not stay in one place but is moving from the nurse center. When the server computer is operated and the message is transmitted as a character string, one or a plurality of the first communication means of claim 1 are automatically selected and communicated so as to contact the wearer. , With the buzzer sound and ringtone output from the speaker and the message display on the display device of character strings and pictures,

A person to be cared for or a caregiver automatically selects one or a plurality of first communication means in the vicinity of the response indicated by pressing the push button switch, and performs communication. And send it to the server computer,

It is characterized in that long-term operation by battery operation is possible by stopping energization to the main circuit until the above-mentioned push button switch or the like is pressed or until a certain time elapses. Communication device.
The second communication means according to claim 1, further comprising means for measuring time in milliseconds, and means for detecting opening and closing of a door or a window,

The first communication according to claim 1, wherein the first communication is installed in a door or a window, and when a change in the state from open to closed and from closed to open is detected for one or more of these Notify by automatically selecting the means and communicating,

A communication device characterized in that long-term operation by battery driving is enabled by stopping energization to the main circuit while the open state and the closed state continue.
The second communication means according to claim 1, wherein the light emitting unit using infrared rays, the light receiving unit that receives the light emitting unit, the light receiving unit that is installed in a shape that traverses the entrance / exit or path that is desired to detect passage, And a mirror that reflects to

These are installed at entrances and the like, and when there is a boundary line with a width of 10 mm or less when passing through the entrances and the like of portable equipment and human bodies, there is a means to detect clearly. A communication apparatus characterized by notifying one or more first communication means of claim 1 by automatically selecting and performing communication.
The second communication means according to claim 1, further comprising time measurement means in milliseconds, triaxial acceleration, and inclination detection means,

Installed in safes and chemical shelves, constantly monitoring these micro vibrations and changes in tilt, such as when opening and closing safes and chemical shelves,
At the time of detecting a minute vibration or a change in inclination, one or more neighboring first communication means of claim 1 are automatically selected and communicated to notify,

After entering a completely stationary state, next, it detects micro vibrations or changes in inclination, or stops energizing the main circuit until a certain period of time has passed. A communication device characterized in that
The second and third communication means of claim 1, further comprising a JEMA terminal,

By connecting an electronic lock having a JEMA terminal to this, one or a plurality of the first communication means of claim 1 in the vicinity are automatically selected and communicated, so that the server computer can be A communication apparatus characterized by controlling locking and unlocking according to a report of an open / close state of an electronic lock and an instruction from a server computer.
The third communication means according to claim 1, further comprising a serial communication function such as USB or RS-232,

By automatically selecting one or a plurality of first communication means of claim 1 in the vicinity and performing communication, a command lamp, a voice synthesizer, and a telephone line modem are instructed by a server computer. A communication device characterized by controlling equipment and the like.
A server computer to which the fourth communication means of claim 1 is connected, a display device capable of graphic display as display means, a keyboard as character input means, a mouse as coordinate input means, and a speaker as a voice output function And a printer device for recording and printing, and a wired network function connection function for cooperation with other systems,

The devices of claims 2 to 11 are controlled via the network of claim 1, and the operating environment of the software of the system of claims 13 to 19 is established. The system is characterized by notifying caregivers in cooperation with connected peripheral devices and other systems.
Using the device group according to claim 1, claim 2, and claim 12,

In particular, radio waves transmitted from the device of claim 2 are processed in the server computer of claim 12 by processing the reception information from the plurality of first communication means of claim 1, and portable devices, caregivers are processed. In addition to determining, displaying, and recording the position of the care recipient in real time, the care recipient who is the subject of long-term stay of the care recipient in the bathroom at night In the case of going out of the area, the necessity of calling the caregiver or urgent communication is automatically determined by the calculation processing in the server computer of claim 12, and the device of claim 11 or claim 12. A system characterized by notifying a caregiver in real time by cooperating with a peripheral device connected to 12 server computers or other systems, and simultaneously recording and managing it.
Using the apparatus of claim 1, claim 5, claim 6 and claim 12,

By pressing the push button switch of the device of claim 5 or 6 (hereinafter referred to as “tag”),
Information received from a plurality of the first communication means of claim 1 is processed in the server computer of claim 12, and the caregiver is appropriately handled in cooperation with claim 11, connected peripheral devices, and other systems. As well as

When the nurse computer operates the server computer according to claim 1 and sends a message as a character string to the apparatus according to claim 6 via the first communication means of claim 1, the character string A system that displays messages on a picture display device.
Using the device of claim 1 and claim 3 and claim 12,

The detection of the wake-up or fall of a caregiver who is in bed is determined from the detection data, and in cooperation with the device of claim 11, the peripheral device connected to the server computer of claim 12, or another system, A system characterized by notifying caregivers in real time and simultaneously recording and managing them.
Using the apparatus of claim 1 and claim 4,

By detecting the urination and defecation of the person to be cared for and notifying the carer in real time by cooperating with the device of claim 11, the peripheral device connected to the server computer of claim 12, or another system, A system that records and manages this.
Using the apparatus of claims 1, 2, 5, 6-10,

Detects opening and closing of doors and windows, passage of entrances and exits, and notifies caregivers in real time by cooperating with the devices of claim 11, peripheral devices connected to the server computer of claim 12, or other systems At the same time, this is characterized by record management,

The correct standing position is detected by the device of claim 8 at the entrance of the building or indoor, and the position and name of the caregiver are specified by the device of claim 2, 5, or 6. , Claim 5 or claim 6 to recognize the request, unlock or lock the electronic lock connected to the device of claim 10, and detect the passage by another device of claim 8, simultaneously A system that records and manages this.

On the basis of information collected in real time from the system of claims 13-18, the situation is displayed in characters and graphics on the screen of the server computer of claim 12, Based on the status of the device, the wearer, and the attached device, the information registered and set in advance, and the monitoring mode for the time zone, the caregiver or the nurse center can respond. If it is determined to be necessary, the alert information is displayed on the screen of the server computer itself, the sound is output from a speaker, an alarm device such as a patrol lamp connected to claim 11, or a mail server on the LAN. The system is characterized in that it is transmitted to the caregiver or the nurse center by a method such as notifying the caregiver's mobile phone or personal computer by sending an e-mail. .
From the system records of claims 13 to 18, access history of safes and medicine shelves, flow analysis of portable devices, caregivers, care recipients, life history of care recipients, ie, diaper exchange history, nurse call A system that makes it possible to output history, bag history, etc. to display, printing, spreadsheet software, etc.
In the communication system according to claim 1, in the system, the server computer according to claim 12 is installed on a LAN and connected to the fifth communication means according to claim 1. The function of the computer is further provided in a form in which another circuit board is built in the device of the fifth communication means of claim 1, and this further functions as the function of the server computer of claim 12. A communication system characterized in that twelve server computers are unnecessary.