CN104471623A - Configurable, portable patient monitoring system - Google Patents

Configurable, portable patient monitoring system Download PDF

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Publication number
CN104471623A
CN104471623A CN201380037855.5A CN201380037855A CN104471623A CN 104471623 A CN104471623 A CN 104471623A CN 201380037855 A CN201380037855 A CN 201380037855A CN 104471623 A CN104471623 A CN 104471623A
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China
Prior art keywords
monitoring
patient
monitor
display
display device
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Pending
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CN201380037855.5A
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Chinese (zh)
Inventor
B.奎利
S.布里特
N.谢蒂
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Spacelabs Healthcare Ltd
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Spacelabs Healthcare LLC
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Publication of CN104471623A publication Critical patent/CN104471623A/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/083—Measuring rate of metabolism by using breath test, e.g. measuring rate of oxygen consumption
    • A61B5/0836—Measuring rate of CO2 production
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
    • A61B5/7445—Display arrangements, e.g. multiple display units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/339—Displays specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/7405—Details of notification to user or communication with user or patient ; user input means using sound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B3/00—Audible signalling systems; Audible personal calling systems
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B5/00—Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B7/00—Signalling systems according to more than one of groups G08B3/00 - G08B6/00; Personal calling systems according to more than one of groups G08B3/00 - G08B6/00
    • 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
    • G16H40/63—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 local operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04—Constructional details of apparatus
    • A61B2560/0443—Modular apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04—Constructional details of apparatus
    • A61B2560/0443—Modular apparatus
    • A61B2560/045—Modular apparatus with a separable interface unit, e.g. for communication
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04—Constructional details of apparatus
    • A61B2560/0456—Apparatus provided with a docking unit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/082—Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath
    • 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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  • Health & Medical Sciences (AREA)
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  • Physics & Mathematics (AREA)
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Abstract

A system for patient monitoring includes a plurality of components including a monitor and display assembly, optional stand-alone displays, optional stand-alone monitors, one or more modules, and at least one patient parameter measuring device. The display includes a flat glass front with a blackened border that appears continuous but allows the passage of light during alarm situations. The display functions as a touchscreen and includes a portion for alarm volume control. The system also includes a docking station for the monitor and display assembly and capnography and/or multigas pods for attachment to the monitor and display assembly. The monitor and display assembly, docking station, and pods enhance portability of the system. The monitor and display assembly, module(s), and patient parameter measuring device(s) are all interconnected via Dual Serial Bus (DSB) interfaces.

Description

Configurable portable patient monitoring system
The cross reference of related application
This instructions is according to being filed in the 61/647th of on May 15th, 2012, and No. 361 U.S. Provisional Patent Application, as right of priority.
This instructions is also the be filed on November 18th, 2011 the 13/300th simultaneously, No. 462, and title is with identical herein, U.S. Patent application part continue, its requirement is filed in 19 days the 61/415th November in 2010, No. 799 names are called the right of priority of the U.S. Provisional Patent Application of " Patient Monitoring System with Dual Serial Bus (DSB) Interface ", are all combined in herein as a reference both this.
Be filed in the 13/300th of on November 18th, 2011 the, No. 478 names are called " Dual Serial BusInterface " and are also all combined in herein as a reference by the co-pending U.S. Patent application of the applicant yielding this patent.
Technical field
This instructions relates generally to the patient monitoring system based on hospital.More specifically, this instructions relates to configurable patient monitoring system, and it comprises monitor and display module, optionally stand alone display, optional independent monitor, one or more module, and measures multiple devices of patient parameter.
Background technology
Patient monitoring system is a kind of Electronic medical device, and it measures the various vital signs of patient, and collection and processing example, as all measurement results of data, then show data in the mode of figure and/or numeral on the viewing screen.Graph data is by the data channel (waveform) be shown as continuously about time shaft.Patient monitoring system is arranged near sick bed, is generally in intensive care unit(ICU), and in the case, they monitor status of patient constantly by being connected to patient's measurement mechanism with it, and can be observed by medical worker.Some patient monitoring systems can only be observed on local display, and other system can be connected in network, thus show data in other place (such as CSRC or nurse station).
Portable patient monitoring system can by the librarian use of emergency medical services (EMS).These systems typically comprise the defibrillator (defibrillator) with monitor.Other portable unit, such as Holter monitor, then allow patient wear the specific time period and then return to doctor, for assessment of data that are measured and that collect.Multiple vital sign be measured and be shown to current patient monitoring system can, comprises, pulse blood oxygen amount (SpO 2), cardiogram (ECG), invasive blood pressure (IBP), non-invasive blood pressure (NIBP), electroencephalogram (EEG), body temperature, cardiac output, capnography (CO 2), mixed venous oxygen saturation (SvO 2), BIS Propofol-targeted (BISx), and respiration.Maximum, minimum and mean value and frequency, such as P&R rate can be measured and show to patient monitoring system.
Collected data are sent out by fixing wired connection or wireless data communications.To supply by supply main or by battery for patient monitoring system is powered.Although current patient monitoring system is monitoring patient profiles and will be effective in change notification medical worker, they are not without any defect and limitation.
Patient monitoring system is usually equipped with Voice & Video and reports to the police with the change notifying medical personnel's patient's states.Alarm parameters can be arranged by medical personnel.The warning that can hear usually may be too noisy and bother other patients and personnel.The vision nursing alarm of brilliant flash also may bother other patient.On the contrary, trickleer vision nursing alarm may be difficult to visible, and this may be that on monitoring system display, VC causes, or enough large difference because of the out of Memory in visual alarm and display.In addition, for paramedic, the alarm silence of work is made may to be very difficult, because the nursing to patient may be postponed.Typical user interface for controlling alarm be via traditional button or in many examples via touch-screen or keyboard operation.
Therefore, need the better alarm mechanism in a kind of patient monitoring system, in this alarm mechanism, both Voice & Video warnings are all easy to again can not disturb patient while of being identified by paramedic.In addition, need a kind of paramedic on duty that alarm silence can be made fast then to note the alarm mechanism of patient demand.
Current patents's monitoring system is bundled into integrated bag usually, comprises display, shell, and electron device.Limit dirigibility like this, and hinder user to customize this monitoring system for its particular demands and free space.Therefore, need a kind of modular patient monitoring system at present, wherein, individual components is separated and can couples together by various configuration.Particularly, need a kind of monitor, it does not have integrated display, can be connected to client's or commercialization ready-made (COTS) display.Such monitoring system enables user in the most effective mode to arrange display and monitor, thus saves the valuable area of near patients.
Summary of the invention
This instructions relates to configurable patient monitoring system, and this configurable patient monitoring system comprises multiple non-integral type parts, and it comprises display, monitor, one or more module, and at least one patient parameter measurement mechanism.Can monitor various patient parameter, these parameter measuring apparatus can be connected to this system via two-in-series bus (DSB) connector and DSB cable.
In one embodiment, this instructions relates to the display device used in patient monitoring system, comprise: have anterior front and define the shell of encapsulation, wherein, described encapsulation is included in the first opening on the right side of described shell and the second opening on the left side of described shell; Be mounted to the touch-screen of described housing front, wherein, described touch-screen comprises one block of flat glass, its black edge having central display area and extend along left and right, the upper and lower edge of described glass; For determining the processor of alarm condition, and the light source in described touch-screen, it is activated by described processor during alarm condition, and wherein, described light source is configured to by described black edge also simultaneously by described first opening and the second opening.
In one embodiment, display device comprises the single significant programmable capacitor button along described touch-screen edge further.In one embodiment, this button comprises metal electric container.In another embodiment, this display device comprises the part being programmed for the touch-screen controlling alarm lamp.
In one embodiment, alarm lamp can be configured to by user the minimum level defining the alarm lamp that can be activated independent of the alarm indication on screen and/or alert audio.
In one embodiment, the black edge of display device by silk-screen at glass back.In another embodiment, the black edge of display device comprises by silk-screen or is sprayed on glass back by the ink on the border area that covers up.In another embodiment, the black edge of display device comprises small-bore, and it makes edge seem continuous and evenly, but allows light transmission.
In one embodiment, it is same for sending by the light source of the light at black edge and the light source sent by the light of the first opening and the second opening.
In one embodiment, send by the light source of the light at black edge different from the light source sent by the light of the first opening and the second opening.
In another embodiment, alarm lamp is configured to the single nursing lamp crossing over display top.Extraly or alternatively, in one embodiment, another nursing alarm lamp is arranged on rear portion and sentences and provide from the arbitrarily angled or complete observability of all visible nursing lamp in position.
In another embodiment, this instructions relates to the system for patient-monitoring, it comprises: allow at least one patient monitor be communicated with external device (ED), wherein, described patient monitor and at least one display electrical communication also drive it, and wherein, described display comprises: have front portion and define the shell of encapsulation, wherein, described encapsulation is included in the first opening on the right side of described shell, and on the left of described shell on the second opening; Be mounted to the touch-screen of described housing front, wherein, described touch-screen comprises one block of flat glass, its black edge having central display area and extend along left and right, the upper and lower edge of described glass; At least one module measured for providing multiple patient parameter, wherein, described module and described patient monitor electrical communication, and wherein said module comprises at least one interface, for at least one patient parameter measurement mechanism electrical communication; For determining the processor of alarm condition; And, the light source in described touch-screen, it is activated by described processor during alarm condition, and wherein, described light source is configured to through described black edge and passes described first opening and the second opening simultaneously; And at least one two universal serial bus (DSB) interface, for realizing in patient monitor, module, and/or the electrical communication between patient parameter measurement mechanism.
This instructions also relates to the system for patient-monitoring, it comprises: at least one allows the patient monitor be communicated with external device (ED), wherein, described patient monitor and at least one display electrical communication also drive it, and wherein, described display comprises: have shell that is anterior and back; Be mounted to the touch-screen of described housing front, wherein, described touch-screen comprises one block of flat glass, its black edge having central display area and extend along left and right, the upper and lower edge of described glass, and wherein, described monitor is fixed and is attached to the described back of described display; At least one is for providing the module of the measurement of multiple patient parameter, wherein, and described module and described patient monitor electrical communication and wherein, described module comprises at least one interface with at least one patient parameter measurement mechanism electrical communication; For determining the processor of alarm condition; And, the light source in described touch-screen, it is activated by described processor during alarm condition, and wherein, described light source is configured to through described black edge; And at least one two universal serial bus (DSB) interface, for realizing in patient monitor, module, and/or the electrical communication between patient parameter measurement mechanism.
In one embodiment, at least one light source described is disposed adjacent to the described coboundary in the described anterior front of described display device.In one embodiment, touch-screen comprises for answering the region of described light source for controlling warning audio volume level.In one embodiment, described region comprises the Part I reducing described warning audio volume level and the Part II improving described warning audio volume level.
In one embodiment, at least one light source is arranged in the described rear back of described display.
In one embodiment, at least one patient monitor described comprises detachable inner chassis, for installing multiple circuit board.
In one embodiment, at least one patient monitor described comprises the handle being installed into described patient monitor, and wherein said handle comprises position up and down, set point and damper further, this set point is used for balancing described patient monitor perpendicular to ground when using described handle to transport described patient monitor, and described damper slows down the downward motion of described handle when described handle is decontroled from described position upwards.
In one embodiment, at least one patient monitor described comprise lithium ion battery and for monitor described battery charging, electric discharge and overheating conditions microcontroller.In one embodiment, at least one patient monitor described can work 8 hours under powered battery, within every 15 minutes, monitors ECG, NIBP and carries out record in every 15 minutes.
In one embodiment, at least one patient monitor described has the shell that Sabic Lexan EXL plastics are made.In one embodiment, at least one patient monitor described weigh less than 9 pounds.
This instructions also relates to the docking station (docking station), it has the receiving surface for the monitoring and display device receiving patient monitoring system, described monitoring and display device have the first connector and more than first monitor jack for transmitting digital information and power, and the described docking station comprises: more than second jack, be arranged on the described docking station described receiving surface on the second connector for mating with described first connector of described monitoring and display device; For controlling the circuit board of the transmission of described numerical information and power; Mate the die casting recess of the outer shape bottom described monitoring and display device; At least one is for being firmly held in the blocking mechanism of appropriate position by described monitoring and display device, and, for discharging described blocking mechanism with the release-push described monitoring and display device removed from the described docking station; Wherein, when described monitoring and display device are fixedly mounted in the described docking station via described blocking mechanism, described first connector and described second connector electric connection, and wherein, described circuit board is conveyed through described first and second connectors by described numerical information and power, leaves described more than first jack, transfers to described more than second jack.
In one embodiment, described more than second jack comprise that Ethernet connects, DVI, USB for external display, serial port, outside nursing alarm/external audio/IR receiver, power supply and SDLC (synchronous data-link control) port.
In one embodiment, when described monitoring and display device are docked in the described docking station, the described docking station covers described more than first jack in described monitoring and display device.
In one embodiment, described monitoring and display device comprise more than first ventilating opening further, and the described docking station comprises more than second ventilating opening further, described in when described monitoring and display device are installed in the described docking station, more than first and second ventilating opening is aimed at.
In one embodiment, described die casting recess comprises further: outside inclined-plane, enters position for guiding described monitoring and display device in docking operation; And at least one pin, be configured at least one the corresponding opening adapted in described monitoring and display device docilely, guide described monitoring and the placement of display device in the described docking station further.
In one embodiment, the docking station comprises at least one pin further, is configured to adapt at least one corresponding opening of described monitoring and display device, to guide described monitoring and the placement of display device in the described docking station further.
In one embodiment, when described monitoring and display device are docked in the described docking station, described release-push is illuminated from behind.
This instructions also relates to can the outside auxiliary tank (pod) installed, and for being attached to the monitor of patient monitoring system, described auxiliary tank comprises: the multiple spring prong (pogo pin) mating the connector on described monitor; For at least one guide pin making described auxiliary tank mate with described monitor; For the blocking mechanism described auxiliary tank being connected to described monitor or remove from described monitor; For actuating the button of described blocking mechanism; And, at multiple jacks of described auxiliary tank side.
In one embodiment, described auxiliary tank is effluent capnograph (capnography) or Multi-Component Gas Analyzing instrument (multigas) auxiliary tank.
In one embodiment, described multiple spring prong enables described auxiliary tank from described monitor received power, and makes it possible to be communicated with between described auxiliary tank with described monitor.
In one embodiment, described jack comprises air inlet port (inlet port) and exhaust port (scavenging port).
More in depth be described in the drawings and detailed description that online face provides by above-mentioned and other embodiment of the present invention.
Accompanying drawing explanation
After reading following detailed description by reference to the accompanying drawings, the these and other objects of this instructions and advantage will become more completely apparent, and in the accompanying drawings, similar Ref. No. indicates corresponding component all the time, wherein:
Fig. 1 is the block diagram of an embodiment of the exemplary configuration describing patient monitoring system assembly in this instructions, shows and uses two universal serial bus (DSB) cable that patient parameter measurement mechanism is connected to monitor;
Fig. 2 A is the tilt filter figure that the monitoring of this patient monitoring system and an embodiment of display module are shown;
Fig. 2 B is the tilt filter figure of a part that monitor in monitoring and display module and display are shown, which depict the rechargeable battery that partial demolition gets off from monitor;
Fig. 2 C is the side view of the embodiment that monitoring when handle is in upwards position and display module are shown.
Fig. 2 D is the rear view of an embodiment of monitoring and display module, shows multiple jack;
Fig. 3 is the front elevation of the monitoring of patient monitoring system and an embodiment of display assembly, shows the red alarm lamp in face in front of the display;
Fig. 4 is the oblique interior views of the embodiment of monitoring and display module, and wherein circuit board is installed on detachable inner chassis;
Fig. 5 is the oblique front view of the embodiment that release fabricated section is fast shown;
Fig. 6 is the oblique front view of an embodiment of the exemplary command module that patient monitoring system is shown;
Fig. 7 A is the oblique front view of an embodiment of the docking station that patient monitoring system is shown;
Fig. 7 B is the side view of an embodiment of the docking station that patient monitoring system is shown;
Fig. 7 C illustrates the monitoring of patient monitoring system and the rear view of display module that are docked to the docking station;
Fig. 8 is the block diagram that exemplary docking station printed circuit-board assembly (PCBA) is shown;
Fig. 9 A is the tilt filter figure that the effluent capnograph of patient monitoring system or an embodiment of Multi-Component Gas Analyzing instrument auxiliary tank are shown;
Fig. 9 B is the oblique rear view that the monitoring of patient monitoring system and an embodiment of display module are shown, depicts and is accompanied with effluent capnograph or Multi-Component Gas Analyzing instrument auxiliary tank; And
Figure 10 is the oblique rear view that the monitoring of patient monitoring system and an embodiment of display module are shown, depicts the monitoring and the display module that are docked at and also attach effluent capnograph or Multi-Component Gas Analyzing instrument auxiliary tank in the docking station.
Embodiment
In one embodiment, this instructions relates to a kind of configurable patient monitoring system, comprise the assembly of multiple non-integration, the assembly of multiple non-integration comprises display and monitoring assembly, optional extra stand alone display, optional independent monitor, one or more module additionally, and at least one patient parameter measurement mechanism.Can monitor multiple patient parameter, and parameter measuring apparatus can be connected to system via two universal serial bus (DSB) connector and DSB cable.
DSB interface comprises the first serial protocol and the second serial protocol, and wherein, the first agreement is USB (universal serial bus) (USB), live wire, or Ethernet protocol, and the second serial protocol is low-power serial (LPS) agreement.DSB interface provides 3.3V voltage to manage in intrasystem power division to connected device by providing 5V via usb protocol to connected device or via LPS agreement.In DSB interface, each assembly of patient monitoring system is DSB main frame, DSB device, or DSB main frame and DSB device.DSB main frame is communicated be connected DSB device and supplies work and battery rechargeable electrical energy to connected DSB device, and comprise switch boosting voltage power supply (AVS) extraly, its can provide up to 15W power to attachment DSB device, for battery charging or other high power requirements.The power demand of the device attached by the identification of DSB main frame transfer power transmission (power delivery) accordingly.Allow the name in present invention applicant be called " Dual Serial BusInterface " the 13/300th being filed on November 18th, 2011 and awarding, in the copending United States Patent application of No. 478, describe DSB interface in detail, at this in conjunction with it in full as a reference.
monitoring and display assembly
In one embodiment, patient monitoring system comprises combined type monitoring and display module, wherein, monitor by securely and be immovably fixed to display back, and by monitor driving display.
In one embodiment, monitor connects with module and can be communicated with external device (ED).Monitor is similar to CPU tower (CPU tower), and provides the docking station for parameter module and registering instrument.In one embodiment, monitor comprises a frame, to be communicated with providing for private space modular laboratory is powered.In one embodiment, monitor can support current and old module, also has fore device (RED) patient parameter cable.In one embodiment, monitor comprises four USB port, for include but not limited to that keyboard, mouse, the barcode scanner device with thumb device is connected.Be filed on November 18th, 2011 and transferring the 13/300th of present invention applicant, No. 526, name is called " Self-Contained Patient Monitor ", co-pending U.S. Patent application in describe a kind of patient's Worn type hub (PWH), the self-contained monitor of a kind of miniature portable, at this in conjunction with it in full as a reference, this patient's Worn type hub also can be connected.PWH can also be communicated with monitor by wireless mode.In these cases, monitor plays the effect of DSB main frame and PWH is DSB device.
In addition, third party device can be connected to monitor via device interface cable, and agreement embedded in DSB connector is translated in the output of third party device by device interface cable.Device interface cable has DSB connector at its one end place, and at the other end, place has wire and cable connector, to connect with main frame and third party device respectively.This device interface cable and PWH are described in detail in the application of above directly reference.
In one embodiment, monitor comprises DVI port, to allow to connect independently external display.Monitor also comprises the ethernet port for being communicated with hospital infrastructure with other monitor.
In one embodiment, monitor comprises the alarm relay output of reporting to the police for outside nursing.This port is used to be communicated with external display as described above.In one embodiment, a port is used to transmit the signal for activating alarm lamp and alert audio, eliminates the needs to two cables separated and two ports separated.In one embodiment, monitor comprises the extra nursing warning port that can be used to independently the nursing of (not in the display) outside and report to the police.The monitor synchronous data-link also comprised for being communicated with expansion module frame controls (SDLC) port, and expansion module frame makes user can use more module by a device.In one embodiment, monitor comprise be communicated with for touch-screen, the serial port of software upgrading and record data.In one embodiment, via DC power be input as monitoring and display module power.In one embodiment, monitoring and display module comprise the equipotential terminal for making monitor ground connection.Monitoring and display module also comprise rechargeable battery, for using when power failure, thus as module data, be that outside nursing warning is powered, and the standby of powering for infrared (IR) receiver.
In one embodiment, monitor utilizes " intellectual " lithium ion battery, to provide longer battery life and security.This design provides self-defined form factor (custom form factor), the insertion of incompatible battery is foreclosed.Structure monitoring charging in the microcontroller, electric discharge, and overheat condition.Heat and current insurance silk also provide as redundant safety features.Embodiment uses Inspired EnergyNI2040HD24 intelligent battery, and it comprises rechargable lithium ion cell and battery management module.The Lithuim rechargeable primary element of this battery 9 18650 specifications, is assembled into 3 serial/3 parallel (3S3P) configuration.Each primary element average voltage is 3.6V and general capacity is 2.4Ah, provides the electric battery of 10.8V, 7.2Ah.This battery can pass through System Management Bus (SMBus) and be communicated with main frame or charger.Protection is provided for overcharge, overdischarge and short circuit.For redundancy, passive security arrangement is integrated in provide anti-overcurrent and overheated protection in electric battery, also realizes secondary anti-overvoltage with logic fuse and controller.
In one embodiment, monitor when every 15 minutes monitoring ECG, NIBP and every 15 minutes record once, rely on powered battery can run 8 hours.
In one embodiment, monitor utilize dynamic network access (DNA) by laboratory, pharmacy, represent with chart, internal network, and hospital information system (HIS) application bring to beside sickbed.Healthcare givers can use the Citrix thin client application run on the monitor to access these information.This needs Citrix server to implant this application program, is monitor service.Paramedic and doctor when not leaving patient care region, can browse the information from multiple source.Succinct and complete electronic patient record can generate like a dream.In one embodiment, monitor comprises the through and bar code scan support of data, fast, free of errors to identify and to transmit patient information.Selected by DNA, can guarantee by the rapid patient access information of network.This causes guaranteeing best patient safety, and maximizes the efficiency of nursing staff simultaneously.In one embodiment, special characteristic " full sick bed is browsed " gives paramedic or the so a kind of ability of doctor, be arbitrarily other networking or remote measurement sick bed from remote watching, control, browse, and record patient data, and the sick bed side of patient need not be left.In one embodiment, remote reviewing/warning monitors that this specific characteristic makes nursing staff can see all parameters of patient monitored arbitrarily in any sick bed side from network.During alarm condition, waveform and numeric data can be preserved and record, to browse later.In one embodiment, alarm threshold browses this specific characteristic is that nursing staff provides the snap view of the bedside alarm threshold of all parameters used for browsing or printing.In one embodiment, warning and waveform are sent to individual communication apparatus to watch immediately by ICS diagnosis and treatment event interface this specific characteristic immediately, cause the response time faster.In one embodiment, flexible interface interface (flexport interface) link from the patient data of autonomous device, waveform, the data merged in monitor, and is reported to the police.Then information is directly integrated in monitor trend to export HIS and CIS application program to.
In one embodiment, monitoring and display module comprise auxiliary tank connectivity port, for adding capnograph or Multi-Component Gas Analyzing instrument auxiliary tank, as illustrated below.
In one embodiment, the circuit board of monitor is all mounted on dismountable inner chassis.This chassis can be removed from shell and still keep monitor can operate completely.Each circuit board can be close to allow maintenance personal carry out positioning problems to all circuit board/assemblies like a cork and change any one plate/assembly respectively, and need not dismantle monitor completely.
In one embodiment, monitoring and display module comprise printer slot to expand the function of monitor.In one embodiment, printer accepts 50mm paper.
In one embodiment, monitoring and display module comprise the handle that can rotate to multiple position up or down.When handle is released or decontrol, it is little by little fallen it and gives tacit consent to downward position.In one embodiment, rotary damper delays moving downward of handle (when discharging, from its position upwards) handle can not be clashed monitoring and display module.This makes it possible to undisturbedly to use handle and monitoring and display module, and can not disturb patient.According to an embodiment, handle also has the function stopping at predetermined set point place, keeps balance in the monitoring of this set point place and display module, makes when use handle is to transport that display can perpendicular to ground.This function makes it possible to use handle as snug as a bug in a rug by holding and carry monitoring and display module, because this assembly both can not hinder user's leg also can not apply not power smoothly to her arm/hand.
In one embodiment, Sabic Lexan EXL plastics are used to manufacture monitoring and display module, bear to enable monitoring and display module unintentionally to drop, chemically cleaning and overheated.In one embodiment, monitoring and display module weight are less than 9 pounds.
In one embodiment, display comprises 12.1 inches of touch-screens and the most nearly 8 waveforms can be shown.In one embodiment, monitoring and display module comprise the loudspeaker for audio alarm.
In one embodiment, external display comprises the integrated video alarm lamp on the front and rear being placed in monitoring and display module.These alarm lamps are reported to the police larger than current video, during alarm condition, provide better video to indicate to healthcare givers.In one embodiment, alarm lamp dodge red light, sodium yellow and blue green light, with indicate respectively high, in and low priority report to the police.Alarm lamp can be configured by user, can activate the minimum level of alarm lamp to define independent of screen alarm indication and/or alert audio.The glass that continuous print one piece is flat occupies the whole front portion of display and is set in order to fastness in metal lipping, outside this metal lipping parcel display, as framework.This block glass does not comprise baffle plate and size is touch-screen and is the twice of lens, and be used for visual alarm by light dispersiveness, causes number of parts to reduce.Smooth touch-screen glass also provides continuous print surface in front portion.This makes clean easier, this is because do not have the edge as occurred in Typical shutters embodiment, Typical shutters has gap may accumulate pollutant.In one embodiment, metal lipping extends beyond screen a little with the cover glass when its face falls.Those of ordinary skill in the art should realize, and have flat imparting without baffle plate touch-screen metal lipping/framework and monitor and the up-to-date style outward appearance of display module.In other words, monitoring and display module seem to be similar to consumer electronics, such as dull and stereotyped TV and mobile phone.This can contribute to making patient and family numbers of patients loosen and adapt to, because display seems similarly to be more household electronic device and articles for daily use.Monitoring and display module also have soft edges, and the part as the design makes it seem more not industrialization but more friendly and kind and approachable.
Light source after glass sends the light of suitable wavelength with indication warning.In one embodiment, black edge by silk-screen at glass behind around its periphery.In one embodiment, black edge comprises by silk-screen or is sprayed on the ink covered on border area, and it gives continuously and the outward appearance at uniform black edge, but allows light to pass through when activation of alarm, produces visual alarm.
In one embodiment, border area is used to visual alarm, and it comprises small-bore, makes edge seem continuously with even, but allows light to pass through.This provide the outward appearance in a kind of clean smooth modern times, it does not illustrate that instruction of reporting to the police is until actual alarm occurs.
In one embodiment, paramedic's alerting signal, comprises the blink speed of display and can listen the audio frequency of warning, and driven by monitor and control.
In one embodiment, external display comprises surrounding environment optical sensor, the luminance level of its sensitive context correspondingly adjusting brightness of display.Comparatively dark or throw light in poor environment, surrounding environment optical sensor is by automatic dimmed display and warning light.This is especially useful when patient sleeps, because darker light is by unlikely disturb patient.Brighter or throw light in good environment, surrounding environment optical sensor will make display automatically brighten.This feature is by the button deactivation on display.
In one embodiment, external display in front of the touch screen face can comprise capacitive character button, and it can be programmed to realize different functions by user.In various embodiments, this button is sheet metal or other conductive material, utilizes touch conventional arbitrarily and/or pressure sensitive technology.Compared with less touchscreen button, this button also arranges obvious comparatively greatly, makes this button can be easy to be accessed.In one embodiment, this button is placed in the top of display front portion.In another embodiment, this button is placed on the bottom margin of display.In another embodiment, this button is placed on the left hand edge of display.In another embodiment, this button is placed on the right hand edge of display.In addition, button is easy to find, because it can not be obscured by other button or user interface items.When operator contacts this button to circuit inductance on monitor, and monitor performs programing function.
In one embodiment, button is programmed to warning be suspended when being touched.This allows healthcare givers to make warning quiet rapidly and resets instruction of reporting to the police, and makes them can notice the demand of patient and avoid bothering other patient in this region.Be in response to owing to reporting to the police that severe event produces, so importantly make alarm quiet and/or reset the device of reporting to the police to be easy to find and can acute activation.In another embodiment, button is programmed to confirm patient when being touched.In another embodiment, button is programmed to start NIBP measurement when being touched.In another embodiment, this button is programmed to make display return to its main interface when being touched.In still another embodiment of the invention, button is programmed to then print displaying contents when being touched.This button makes warning suspend to simplify the action that paramedic makes to do required for alarm quiet by being first programmed to.But one it will be appreciated by those skilled in the art that button can be programmed to perform difference in functionality, and is not limited to above those functions enumerated out.
In another embodiment, displaying contents comprises a part of touch-screen being programmed for controlling alarm lamp.
In one embodiment, external display is included in the backlight electric power button of side, has power supply symbol, and when monitoring and display module is energized, this power supply symbol is green.
Display is equipped with metal lipping and powder coating surface.The behind of monitoring and display module comprises the Installation Modes of video electronic device criteria association (VESA) fabricated section for standard 75mm.
outside display and warning indicator
In one embodiment, patient monitoring system comprises as being filed on November 18th, 2011 and transferring the 13/300th of present invention applicant, No. 462 names are called one or more optional stand alone display disclosed in " Configurable Patient MonitoringSystem ", its requirement is filed in the 61/415th of on November 19th, 2010, No. 799 names are called the right of priority of " Patient Monitoring System with Dual SerialBus (DSB) Interface " U.S. Provisional Patent Application, and these two applications are all by reference to being incorporated herein.
monitor
In one embodiment, patient monitoring system comprises as being filed on November 18th, 2011 and transferring the 13/300th of present invention applicant, No. 462 names are called one or more optional independent monitor disclosed in " Configurable Patient MonitoringSystem ", its requirement is filed in the 61/415th of on November 19th, 2010, No. 799 names are called the right of priority of " Patient Monitoring System with Dual SerialBus (DSB) Interface " U.S. Provisional Patent Application, and these two applications are all by reference to being incorporated herein.
the docking station
In one embodiment, the docking station is used to make monitoring and display module have portability, the docking station provides quick single button, monitoring and display module can be made to remove docking from the docking station, still can keep patient-monitoring simultaneously for transport/urgent scene when pressing.About with power supply, Ethernet, external display with other external patient parameter measuring apparatus is connected and in disconnection, the docking station makes the use of monitoring and display module more flexibly and convenient.In one embodiment, the docking station copies such as Ethernet connection, DVI, USB for external display, serial port, outside jack of nursing warning/external audio/IR receiver, power supply and SDLC (synchronous data-link control) port.And, in hospital environment, use the docking station to make patient monitoring system have larger portability, within the hospital usual limited space pile with other Medical Devices.In one embodiment of the invention, in two kinds of situations that docking was docked and removed in monitoring and display module, patient's cable is all attached to patient usually.Therefore, cable do not need from patient with it or monitoring remove with display module but keep being connected with patient patient can be monitored continuously.
In one embodiment, all external signals are all sent to the single butt connector on the bottom being placed in monitoring and display module and the matching connector at docking station top.When monitoring and display module is docked, these signal switching are active (active), and this signal keeps passive (inactive) when removing docking, make, when monitoring and display module does not dock, matching connector pin there is no voltage (to prevent user's accidental shock when not docking situation lower connector pin and being exposed to outer).
In one embodiment, structurally, the profile of the docking station manufactures, and it has 4 hole VESA Installation Modes copies of standard, to allow same outer wall, bobbin winder bracket and fixed installation part for monitoring with display module to work together with the docking station.In one embodiment, the molding character on docking station back is designed to the multiple jack/ports covered when docking on described monitoring and display module rear portion, makes these jacks prevent from being connected once.This molding character also comprises ventilating opening and has suction ventilation mouth to allow monitoring and display module in bottom, thus keeps this ventilating opening not stopped when docking.
In one embodiment, the docking station has the die casting recess at surrounding periphery edge, the monitoring of this periphery edge coupling and the monitoring of display module bottom periphery and the outer shape of display module.Die casting recess on interfacing part has the profile of (bevel) splayed slightly, and this contributes to monitoring and display module to guide to appropriate location as first time coarse adjustment.In one embodiment, two large protuberance directing pin are used for monitoring and display module to be placed into further to dock in the station, lay this monitoring and display module exactly, and smooth coupling is monitored and display module and dock station connector.
In one embodiment, have obvious button before the docking station, it separates locking, and is used to remove docking monitoring and display module.In one embodiment, when monitoring and display module is docked, this docking station button is illuminated from behind, makes the position easily can identifying this button in dim room.
module
Patient monitoring system of the present invention also comprises the module of the measurement providing multiple patient parameter.Exist and can utilize eurypalynous module perhaps, this depends on the patient parameter of needs.
In one embodiment, patient monitoring system comprises command module.Command module can measure adult and neonatal NIBP, IBP, ECG, SpO 2, cardiotonic exports, and temperature, and comprise stop button and measure manually to ignore NIBP.Command module controls (SDLC) bus via synchronous data-link and to be communicated with patient monitor and also therefrom to obtain electric energy.In addition, command module comprises internal storage, with allow module during transportation together with patient and to patch to independent monitoring and display module or independently on monitor time and can not obliterated data in one embodiment, command module is the core of patient monitoring system, and it provides processing power for all basic physiology parameters.Nursing staff can select from various configuration, to coordinate the monitoring requirements within the hospital to particular patient or ICU.In another embodiment, command module comprises the monitoring (basis, standard are repeatedly observed and senior repeatedly observation) of the arrhythmia cordis of three levels and diagnoses 12 lead electrocardiogram analyses and have or do not have the report of measurement result and explanation.In addition, command module also comprises ST-fragment analysis and event and to look back or for newborn respiration, heart rate and SpO 24 kinds of different trend that event is looked back.
In one embodiment, patient monitoring system comprises capnograph module, and it measures the CO of end fluctuation 2, minimum suction CO 2, and respiratory rate helps assess any adult, children, or the breathing state of infant patients.Normal calibration does not need, because the atmospheric gas pressure of module auto-compensation surrounding environment.In one embodiment, capnograph module changeable, because it is combined with main flow and effluent monitoring pattern in individual unit.Effluent monitoring comprises the lower sampling rate of 50ml/min, and this is desirable for less patient.In addition, exhalation module enables user obtain Wave data, digital value (kPa, mm, Hg, or %), minimum suction CO 2value, and airway respiration rate.These data can show further, are incorporated in trend, and/or export in drawing application program.
In one embodiment, patient monitoring system comprises BIS Propofol-targeted (bispectral index) module, it measures the clear-headed degree of depth and the Sedation Scale of patient in operation room and under Intensive Care Therapy environment, eliminate the demand to large-scale autonomous system.Such module is used at surgery by notifying that healthcare givers prevents patient from having consciousness during at needs additional medicaments.It is calculate from the frequency running through whole EEG frequency range, power and phasometer that BISx analyzes, and is rendered as the index between 1 to 100.Adult and paediatrics sensor use same module, and it is easy to move to another monitor from a monitor.
In one embodiment, patient monitoring system comprises mixed venous oxygen saturation (SvO 2) module, it measures SvO 2with central venous oxygen saturation (ScvO 2) with the balance estimating oxygen transmission and consume.Svo2 is increasingly used for seriously disease patient, often as a part for early goal directed therapy scheme, and is used in septicaemia examination, the cardiovascular harm with breathing with assisting in evaluating.Vein monitoring in place conduit ratio be placed on artery monitoring in invasive little, more patients can be applied to.ScvO 2probe can be placed on existing 16cm or 20cm centerline, reduce or eliminates the needs changing central venous catheter, to provide lasting ScvO 2monitoring.
In one embodiment, patient monitoring system comprises EEG module, and it is measured and display brainwave activity.In one embodiment, this module also comprises electromyogram (EMG) passage, for monitoring, measures and display Muscle electrical activity.Data the Save option comprises 2 hours, 8 hours or 24 hours or snapshot.Data can be shown as simulation game waveform or density chart array (DSA).Multiplely move towards available, comprise amplitude trend, power proportions trend, and the selected works of frequency trend.The safety of patient is guaranteed in the electrosurgical protection of integrated form.In one embodiment, this module is surrounded by two pieces plate metal.
capnograph/Multi-Component Gas Analyzing instrument auxiliary tank
In one embodiment, patient monitoring system comprises effluent capnograph or the Multi-Component Gas Analyzing instrument auxiliary tank of outside installation, and it can be attached to the rear portion of monitoring and display module.Therefore, capnograph or Multi-Component Gas Analyzing instrument function can be added to and monitor arbitrarily in display module, what the acceptance of this arrangement of components one-tenth was such can the outside auxiliary tank installed.In one embodiment, auxiliary tank is received from monitoring with the power of display module and being communicated with by spring prong.Large-scale guide pin bottom auxiliary tank blindly can match the rear portion of monitoring and display module.According to an embodiment, guide pin has ball head column bolt end, and it provides positive lock and confining force to monitoring and display module when engaging completely.Monitor has the golden contact pad of leaching, and to realize power supply, ground connection contact with signal, and it is had less diameter by recessed one-tenth, user can not be touched and contacting the electrified voltage on pin.In one embodiment, the button on auxiliary tank provides the mechanical actuation of blocking mechanism auxiliary tank be connected to monitoring and display module and remove from this assembly.Those of ordinary skill in the art will realize, and the modular configuration of auxiliary tank makes user optionally can monitor and display module with capnograph or Multi-Component Gas Analyzing instrument equipment according to demand.
The present invention relates to multiple embodiment, provide following disclosure in order to those of ordinary skill in the art can be made to realize the present invention.Language as used in this specification by the general negation of the paired any specific embodiment of literal translation or should not be used to limit the claim exceeding the term meaning as used herein.Universal principle defined herein can be applied to other embodiment and application and not deviate from the spirit and scope of the present invention.And the term used and wording should not be considered to be construed as limiting in order to the object of illustrated example embodiment.Therefore, the application is based on the most wide in range scope, and it contains multiple alternative, variant and equivalent, comprises disclosed principle and feature.For purposes of clarity, do not describe the details about technologic material known in correlative technology field of the present invention in detail, to such an extent as to will optionally make the present invention complicated.
It should be understood that and carry out electrical communication between the devices by transmission between the application program that performs in any device or computing system with receive data and realize.Each application program is configured to reception, sends, identifies, translates, and processes such request msg and information.What should realize further is, system illustrated by this has the receiver that can send and send data and transmitter, at least one can process the processor of programming instruction, can deposit the storer of programming instruction, and comprise the software of the multiple programming instructions for performing the processing procedure illustrated herein.
Fig. 1 is the block diagram of an embodiment of the exemplary configuration describing patient monitoring system 100 all parts, it illustrates and uses DSB cable 120 patient parameter measurement mechanism 115 to be connected to monitoring and display module 102.In the present embodiment, a module 106 is connected to monitor 102 via DSB cable 116, and this DSB cable is connected directly to the DSB connector (not shown) in module frame.
Patient shifts between the monitoring region of the hospital that is everlasting.Even if common practice during transfer also provides the such as parameter of ECG, SpO2, NIBP, capnograph and the monitoring of other parameter, especially for patient with severe symptoms.Therefore, according to the one side of this instructions, patient monitoring system comprises the combined type monitoring and display module that realize in order to portability and overall compactness.Monitoring and display module use the docking station, and it is configured to button and docks by following formula and remove the described monitoring of docking and display module.And in one embodiment, the capnograph that can outsidely install or Multi-Component Gas Analyzing instrument auxiliary tank can be attached to the rear portion of the monitor being docked or remove docking, thus are provided as the integral module of portability design.
Fig. 2 A is tilt filter figure, it illustrates the monitoring of patient monitoring system and an embodiment of display module 200.Assembly 200 comprises operatively and can not be fixed to display 210 monitor 205 behind movably.In one embodiment, alarm region 220 before monitor 210 comprises close to display 210 front portion top.In one embodiment, front alarm region 220 also plays the effect of touch-screen, allows user to control warning volume, described with reference to FIG. 3.Monitoring and display module 200 also comprise power knob 250.In the illustrated embodiment in which, power knob 250 is arranged on the lower right side of display 210.In one embodiment, user makes assembly 200 be energized or power-off by being pressed by power knob 25 3 seconds.In one embodiment, power knob 250 is illuminated to indicate "on" position by by green colored backlights.In one embodiment, assembly 200 comprises progress bar (not shown), and it is just below power knob 250.This progress bar be fill up then indicate start-up course to user.
In one embodiment, the monitor 205 of monitoring and display module 200 comprises printer slot 230, for adding printer to expand the function of monitoring and display module 200.In one embodiment, printer accepts 50mm paper.In one embodiment, the monitor 205 of monitoring and display module 200 comprises battery case lid 240, and it covers rechargeable battery box.
Fig. 2 B is the tilt filter figure of the embodiment that monitoring and the monitor 205 of display module 200 and a part for display 210 are shown, which depict the rechargeable battery 245 from monitor 205 partial demolition.Power knob 250 is arranged on the lower right side of display 210.In the illustrated embodiment in which, battery case lid 240 has been opened and battery 245 is partly skidded off monitor 205.In one embodiment, battery 245 comprises " intelligence " lithium ion battery, as described above.
Fig. 2 C is the side view of an embodiment of monitoring and display module 200, and it illustrates the handle 260 being in upwards position.In one embodiment, monitoring to comprise with display module 200 and is attached regularly and the monitor 205 be communicated with it with display 210.In one embodiment, monitor 205 is attached to the behind of display 210 regularly via one group of screw.In one embodiment, handle 260 can rotate to position up or down.When handle 260 is released or is released, it drops down onto it gradually and gives tacit consent to downward position (not shown).In one embodiment, moving downward of the damper releasing handle of rotation 260 (when discharging, from its position upwards) makes handle 260 can not to fiercely attack display 205.This allows quiet use handle 260 and monitors and display module 200, and can not disturb patient.According to embodiment, handle 260 has predetermined set point, keeps balance in the monitoring of this some place and display module 200, makes display 210 can when use handle 260 transports perpendicular to ground.It make monitoring and display module 200 can by using handle 260 and be mentioned by comparative comfort and carry like this, because can't hinder user's leg also can not to her arm/hand applying not power smoothly.
In the embodiment that figure paints, Fig. 2 C shows the right side of monitoring and display module 200, further depict power knob 250, printer slot 230, and battery case lid 240.The left side of monitoring and display module 200 comprises the slot (as shown in Fig. 9 B and Figure 10) for insert module.
Fig. 2 D is the rear view of the embodiment that monitoring and display module 200 are shown, wherein depicts multiple jack.Display 210 part comprises alarm lamp 225 behind, sees visual alarm to allow the behind of assembly 200.This assembly is included in the top of display 205 and one group of perflation ventilation mouth 226,229 at bottom place.The behind of monitor 205 comprises the 75mm VESA mounting hole 290 of standard, for installation component 200.In one embodiment, monitor 205 also comprises the connectivity port 280 for capnograph or Multi-Component Gas Analyzing instrument auxiliary tank, as described in reference to figure 9A, Fig. 9 B and Figure 10.In one embodiment, assembly 200 comprises equipotential terminal 279, for making monitor 205 ground connection.
In one embodiment, assembly 200 comprises multiple jacks of the bottom rear face of crossing over monitor 205.In various embodiments, these jacks comprise that alarm relay for nursing warning exports 271, sdlc side mouth 272, to export for audio frequency 273 DVI port, 4USB port 274, serial port 275, ethernet port 276, and for the input port of DC power supply 277.
In one embodiment, display comprises the touch screen zone controlled for volume of reporting to the police.Fig. 3 is the front elevation of another embodiment that patient monitoring system is shown, which depict the external display 304 at display 304 with red alarm lamp 310 above.In the embodiment that figure paints, glass makes it allow utilizing emitted light to pass through through process.Black edge by silk-screen at glass behind around its periphery.Black edge comprises by silk-screen or is sprayed into the ink covering border area, provides continuously and the outward appearance at uniform black edge, but allows when alarm sounded light to pass through, produce visual alarm.Therefore, the black edge of display 304 seems even and continuously, occurs until report to the police.Be activated once report to the police, the light source be structured in display 304 main body sends the light of suitable wavelength to the glass covering display 304 front portion, with indication warning.In another embodiment, glass comprises small-bore, and it allows the light launched to pass through.Display 304 comprises effective touch screen zone 309 of adjacent top, and it allows to carry out the control of warning volume.In one embodiment, in during activation alarm condition, visual alarm bar 310 is shown as the top of proximity displays 304.In one embodiment, visual alarm bar 310 glimmers during activation alarm condition.In another embodiment, visual alarm bar 310 keeps being illuminated incessantly during activation alarm condition.In one embodiment, this illuminates is to be provided by the LED after glass.In one embodiment, ruddiness represents that high priority is reported to the police.Display can also send the gold-tinted representing that high medium priority is reported to the police, and represents the blue green light that low priority is reported to the police.Alarm lamp can be configured by user, and to define the floor level of alarm lamp, it can be activated independent of alarm indication on screen and/or alert audio.
In one embodiment, visual alarm bar 310 comprises the bell icon 311 (as shown in the figure) spreading out of sound wave, or other similar icon arbitrarily, for notifying healthcare givers's alarm condition.Bell shape icon 311 is arranged on the center of visual alarm bar 310.Visual alarm bar 310 comprises the minus sign icon 312 and minimizing bar 314 that are arranged on bell icon 311 side further, wherein reduce bar 314 between minus sign icon 312 and bell icon 311, visual alarm bar 310 also comprises the plus sige icon 313 in the opposite side being arranged on bell icon 311 and increases bar 315, increases bar 315 between plus sige icon 313 and bell icon 311.In other embodiment various, minus sign icon can be pass on other icon any reducing the meaning, the arrow such as referred to downwards, and plus sige icon can be pass on other icon any increasing and look like, the arrow such as upwards referred to.In the illustrated embodiment in which, minus sign icon 312 is arranged on the left side of bell icon 311, and plus sige icon 313 is arranged on the right of bell icon 311.In another embodiment, picture mark position is contrary.In one embodiment, minus sign icon 312 and plus sige icon 313 are illuminated by with green glow.In one embodiment, at visual alarm bar 310, comprise bell icon 311, minimizing bar 314, and increase (in other words, when activating alarm condition and starting) when bar 315 is illuminated, minus sign icon 312 and plus sige icon 313 brighten.In another embodiment, when activating warning and starting, the only bell icon 311 of visual alarm bar 310, minimizing bar 314, and increase bar 315 parts brighten, occur to make minus sign icon 312 and plus sige icon 313 that user must press in visual alarm touch screen zone 309 any one, control to realize volume.
When there is no activation of alarm, visual alarm bar 310 blackening.During activation alarm condition, visual alarm bar 310 is illuminated and presents the particular color corresponding with current alerts rank.User by pressing at minus sign icon 312, any place reduced on bar 314 in touch screen zone 309, or with in bell icon 311 part of minus sign icon 312 the same side, reduces warning volume.User reduces warning volume by repeating to press described regional sustained.User by pressing at plus sige icon 313, any place increased on bar 315 in touch screen zone 309, or with bell icon 311 part of plus sige icon 313 the same side on increase warning volume.User increases warning volume by repeatedly pressing described regional sustained.
Fig. 4 is the oblique interior views of the embodiment of the intraware of the monitor 440 of monitoring and display module, and wherein, the circuit board 445 of monitor 440 is fully assembled on detachable inner chassis 450.Chassis 450 can be removed from monitoring and display module shell and still keep monitor can operate completely.Each circuit board can be close to allow maintenance personal carry out positioning problems to all circuit board/assemblies like a cork and change any one plate/assembly respectively, and need not dismantle monitor completely.
Fig. 5 be illustrate can by monitoring and display module from such as those on the wall, the oblique front view of an embodiment of quick out of gear mesh quick release fabricated section 501 the first-class fixed installation part of Anesthesia machine, table.Lever 505 slides on pin 510, makes finger presses energy release pin.This makes fabricated section can be separated from easily from the front portion of monitoring and display module.
Fig. 6 is the oblique front view of an embodiment of the command module 660 that patient monitoring system is shown.In one embodiment, command module can measure adult and neonatal NIBP, IBP, ECG, SpO 2, cardiac output and body temperature, and comprise stop button manually to cover NIBP measurement result.In one embodiment, command module obtains power via SDLC bus and spacelab health care monitor connected sum from it.In one embodiment, command module comprise internal storage with allow module during transfer can together with patient with insertion independent monitor during and can not obliterated data.In one embodiment, module is surrounded by two panels thin skin metal.In one embodiment, module has 2.2 inches wide 4.5 inches high × 7.0 inchs.In other embodiments, module has 1.9 to 2.5 inches of wide × 3.5 to 5.5 inch high × 5.0 to 9.0 inchs.
Fig. 7 A and Fig. 7 B is the different anterior elevational views of the embodiment that the docking station 700 is shown, this dock 700 allows single button to press and removes docking monitoring and display module.Fig. 7 C shows and illustrates that monitoring and display module 715 are docked to the rear view of the station 700.With reference to figure 7A to Fig. 7 C while of present, multiple jack 705, such as Ethernet connection, DVI, USB for outside display, serial port, outside nursing warning/external audio/IR receiver, power supply and SDLC (synchronous data-link control) port are replicated in the docking station 700.When monitoring and display module 715 is docked, molding character 710 covers the jack on monitoring and display module 715 back, makes to prevent jack to be connected once.All external signals are sent to the single butt connector (figure can't see) be arranged on bottom monitoring and display module 715 and the matching connector 725 docked on the receiving surface of the station 700.When monitor is docked, these signal switching are to active, and when removing docking, these signals keep passive, make when monitoring and display module 715 are not had voltage by during docking on matching connector pin 725.
According to an embodiment, the multiple ventilating openings 730 on molding character 710 make monitoring and the perflation ventilation mouth of display module 715 at bottom place can keep unimpeded when docking.In one embodiment, the docking station 700 is structurally shaped to, there is standard 4 hole VESA Installation Modes 735 copy, can work together with the docking station 700 with identical outer wall, bobbin winder bracket (roll stand) and the fixed installation part of display module 715 to be allowed for monitoring.In one embodiment, monitoring bottom around monitoring and display module 715 and display module 715 outer shape is mated around the die casting recess 740 of the docking station 700 periphery edge.Die casting recess 740 in the docking station 700 has and enters position, as first time coarse adjustment slightly toward outer inclination to help guiding monitoring and display module 715.In one embodiment, two large protuberance directing pin 745 are for being placed into monitoring and display module 715 further in the docking station 700.Directing pin 745 helps to settle exactly monitoring and display module 715, and coupling is monitored and display module connector and dock station connector 725 smoothly.
One embodiment of the docking station 700 comprises fore button 750, and it is by locking described in disconnection and be used for making monitoring and display module 715 remove docking.Alternatively, button 750 is illuminated when monitoring and display module 715 is docked, from behind can be easy to recognizing site in the indoor of dark.
Fig. 8 shows block diagram, it illustrates exemplary docking station PCBA (printed circuit-board assembly) 800, connector 820 mates corresponding connector on bottom monitoring and display module when monitoring and display module is docked herein, and all external signals are delivered to from monitoring and display module the multiple jacks 850 copied in the docking station.In one embodiment, DC power transfers in monitoring and display module via connector 820 by the block jack 851 of AC/DC.In one embodiment, connector 820 provides serial to be communicated with display module to monitoring via serial port 852.In one embodiment, SDLC and power are sent to SDLC flexible interface 853 from connector 820.In one embodiment, Y-DVI vision signal is sent to 1 path DVI video port 854 from connector 820.In one embodiment, outside nursing warning information is sent to nursing alarm port 855 from connector 820.In one embodiment, 4Y-USB signal is sent to two 4USB ports separated 856,857,858,859 from connector 820.In one embodiment, Y-ethernet signal is sent to ethernet port 860 from connector 820.
Fig. 9 A and Fig. 9 B shows an embodiment of effluent carboloy dioxide analysis or Multi-Component Gas Analyzing auxiliary tank 955, and it outsidely can install the rear portion to be attached to monitoring and display module 900.In one embodiment, auxiliary tank 955, from monitoring and display module 900 received power, is also communicated with by multiple spring prong 915.These pins 915 provide larger region to contact for ground connection, make to need less spring prong for mating the connector provided at the rear portion place of monitoring and display module.The large guide pin 920 located bottom auxiliary tank blindly can be matched to the rear portion of monitoring and display module 900.According to an embodiment, guide pin 920 has ball head column bolt end 925, and it provides positive lock and confining force to monitoring and display module when engaging completely.According to an embodiment, monitoring and display module 900 have the golden contact pad of leaching to allow to power, ground connection contacts with signal.Contact pad is incorporated in minor diameter recess, makes user can not touch the electrified voltage contacted on pin.In one embodiment, the button 930 on auxiliary tank provides the mechanical actuation to blocking mechanism 935, for auxiliary tank 955 being connected to monitoring and display module 900 and removing auxiliary tank 955 from monitoring and display module 900.Jack, such as air inlet port (inlet port) 940 and exhaust port (scavenging port) 945 are arranged on the side of auxiliary tank 955.Those of ordinary skill in the art will realize, and the modular configuration of auxiliary tank 955 makes user can be optionally that monitoring and display module equip capnograph or Multi-Component Gas Analyzing instrument according to demand.
Fig. 9 B further depict the module 960 on the left of the monitor 905 being inserted into monitoring and display module 900.
Figure 10 is according to the monitoring of an embodiment and the rear view of display module 1000, and this monitoring and display module 1000 are docked to the docking station 1020, to realize portability, also has capnograph or the Multi-Component Gas Analyzing instrument auxiliary tank 1055 of outside installation.Figure 10 further depict the module 1060 on the left of the monitor 1055 being inserted into monitoring and display module 1000.
Above example only illustrates some application of system of the present invention.Although only illustrate some embodiments of the present invention herein, it should be understood that the present invention can other particular forms many implement, and do not deviate from the spirit or scope of the present invention.Therefore, this example and embodiment will be considered to illustrative and not be construed as limiting, and the present invention can modify in the scope of the claims of enclosing.

Claims (20)

1., for a system for patient-monitoring, comprising:
At least one patient monitor, can be communicated with external device (ED), wherein, and described patient monitor and at least one display electrical communication and drive this at least one display, and wherein, described display comprises: the shell with front and rear; Be mounted to the touch-screen of the front portion of described shell, wherein, described touch-screen comprises one block of flat glass, its black edge having central display area and extend along left and right, the upper and lower limit of described glass, and wherein, described monitor is installed on the described rear portion of described display;
At least one module, for providing the measurement to multiple patient parameter, wherein, described module and described patient monitor electrical communication, and wherein, described module comprises at least one interface with at least one patient parameter measurement mechanism electrical communication;
Processor, for determining alarm condition; And, the light source in described touch-screen, it is activated by described processor during described alarm condition, and wherein, described light source is configured to by described black edge; And
At least one two universal serial bus (DSB) interface, for making described patient monitor, module, and/or electrical communication between patient parameter measurement mechanism.
2., as claimed in claim 1 for the system of patient-monitoring, wherein, at least one light source is arranged to the described upper edge in the described anterior front of adjacent described display device.
3., as claimed in claim 2 for the system of patient-monitoring, wherein, described touch-screen comprises the region corresponding to described light source, for controlling warning level of sound volume.
4., as claimed in claim 3 for the system of patient-monitoring, wherein, described region comprises for reducing the Part I of described warning level of sound volume and the Part II for improving described warning level of sound volume.
5., as claimed in claim 1 for the system of patient-monitoring, wherein, at least one light source is arranged in the described rear back of described display.
6., as claimed in claim 1 for the system of patient-monitoring, wherein, at least one patient monitor described comprises dismountable inner chassis, for installing multiple circuit board.
7. as claimed in claim 1 for the system of patient-monitoring, wherein, at least one patient monitor described comprises the handle installing to described patient monitor, and wherein, described handle comprises position, set point and damper up and down further, this set point be used for use described handle transport described patient monitor time balance described patient monitor with ground vertical, this damper for described handle from described upwards position is unclamped time delay moving downward of described handle.
8. as claimed in claim 1 for the system of patient-monitoring, wherein, at least one patient monitor described comprise lithium ion battery and for monitor this battery charging, electric discharge and overheating conditions microcontroller.
9. as claimed in claim 8 for the system of patient-monitoring, wherein, at least one patient monitor described can work 8 hours under powered battery, within every 15 minutes, monitors ECG, NIBP and carries out record in every 15 minutes.
10., as claimed in claim 9 for the system of patient-monitoring, wherein, the weight of at least one patient monitor described is less than 9 pounds.
11. 1 kinds of docking stations, there is the receiving surface for the monitoring and display device receiving patient monitoring system, described monitoring and display device have the first connector and more than first monitor jack, and for transmitting digital information and power, the described docking station comprises:
A. more than second jack;
B. the second connector, is arranged on the described receiving surface of the described docking station, for mating with described first connector of described monitoring and display device;
C. circuit board, for controlling the transmission of described numerical information and power;
D. die casting recess, mates the profile of the bottom of described monitoring and display device;
E. at least one blocking mechanism, for described monitoring and display device are firmly held in appropriate location, and
F. release-push, for making described blocking mechanism throw off, to remove described monitoring and display device from the described docking station;
Wherein, when described monitoring and display device are fixedly mounted in the described docking station by described blocking mechanism, described first connector and described second connector electric connection, and wherein, described circuit board is conveyed through described first and second connectors by described numerical information and power, leaves described more than first jack, transfers to described more than second jack.
12. dock the station as claimed in claim 11, wherein, described more than second jack comprise that Ethernet connects, DVI, USB for external display, serial port, outside nursing alarm/external audio/IR receiver, power supply and SDLC (synchronous data-link control) port.
13. dock the station as claimed in claim 11, and wherein, when described monitoring and display device are docked in the described docking station, the described docking station covers described more than first jack in described monitoring and display device.
14. dock the station as claimed in claim 11, wherein, described monitoring and display device comprise more than first ventilating opening further, and the described docking station comprises more than second ventilating opening further, described in when described monitoring and display device are installed in the described docking station, more than first and second ventilating opening is aimed at.
15. dock the station as claimed in claim 11, and wherein, described die casting recess comprises outside inclined-plane further, enters position for guiding described monitoring and display device in docking operation.
16. dock the station as claimed in claim 11, comprise at least one pin further, are configured to adapt at least one the corresponding opening in described monitoring and display device, guide described monitoring and the placement of display device in the described docking station further.
17. dock the station as claimed in claim 11, and wherein, when described monitoring and display device are docked in the described docking station, described release-push is illuminated from behind.
18. 1 kinds can the outside auxiliary tank installed, and for being attached to the monitor of patient monitoring system, described auxiliary tank comprises:
A. many spring prong, mate the connector on described monitor;
B. at least one guide pin, mates with described monitor for making described auxiliary tank;
C. blocking mechanism, for being connected to described monitor or removing from described monitor by described auxiliary tank;
D. button, for actuating described blocking mechanism, and,
E. at multiple jacks of described auxiliary tank side.
19. auxiliary tanks as claimed in claim 18, wherein, described auxiliary tank is effluent capnograph or Multi-Component Gas Analyzing instrument auxiliary tank.
20. auxiliary tanks as claimed in claim 18, wherein, described multiple spring prong enables described auxiliary tank from described monitor received power, and makes it possible to be communicated with between described auxiliary tank with described monitor.
CN201380037855.5A 2012-05-15 2013-05-15 Configurable, portable patient monitoring system Pending CN104471623A (en)

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