CN105105762A - Telemetering monitoring method and system of multiparameter automatic early warning and rapid positioning response - Google Patents
Telemetering monitoring method and system of multiparameter automatic early warning and rapid positioning response Download PDFInfo
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Abstract
The invention discloses a telemetering monitoring method and system of multiparameter automatic early warning and rapid positioning response. The system is composed of a portable monitor carried by a patient, a hospital center monitoring system, a doctor intelligent query terminal, a wireless communication network and the like. The telemetering monitoring method and system of the multiparameter automatic early warning and rapid positioning response are characterized in that 1, accurate positioning on the patient is achieved through a regional positioning function in an inpatient area, and by means of an electronic fence technology, anti-lost and border-crossing alarm for the patient is achieved; 2, a multidimensional pre-warning mechanism comprises automatic monitoring of electrocardio, blood oxygen and breathing of the patient and threshold alarm, automatic alarm of falling of the patient and active alarm of an SOS call; 3, by means of the rapid response function, medical staff can understand the factual condition of the patient at any time such as a ward round and in any place such as a monitoring center, an office and even outside a hospital; 4, monitoring frequency is increased and decreased flexibly, and additional cable laying or system updating is not needed. According to the telemetering monitoring method and system of the multiparameter automatic early warning and the rapid positioning response, a passive monitoring system is changed into an active monitoring system, and the telemetering monitoring method and system of the multiparameter automatic early warning and the rapid positioning response can be applied to hospitals, nursing homes, communities and other areas where patients and old people are concentrated.
Description
Technical field
The invention belongs to medical electronics technical field, be specifically related to remote measurement monitoring method and system in a kind of institute with multiparameter automatic early-warning and quick position response function.
Background technology
Electrocardiogram (ECG) is the technology of the electrical activity modified-image utilizing electrocardiograph to produce from each cardiac cycle of body surface record heart.It is the routine of diagnosis of heart disease and effective means, various different heart disease all can cause certain ECG Change, especially high-risk cardiac before disease is sent out, sick when sending out, so that pernicious disease is fainted and to be fainted or sudden death etc. all exists multiple high-risk Electrocardiogram Feature.But due to the sudden of high-risk cardiac and randomness, in the Electrocardioscopy of routine, the Electrocardiography of short time usually cannot capture written in water dangerous information.Ambulatory electrocardiogram (DCG) can record the overall process of 24 hours electrocardio-activities continuously, contributes to early discovery and diagnoses this kind of disease in time.
For a long time, providing effective monitoring to give heart patient and severe case, diagnosing various abnormal condition and avoiding disease Fa Shiyin can not get rescuing in time and cause sudden death, successively occurred bedside monitoring technology and cardiac telemetry monitoring technology.Bedside monitor can the electrocardio of real-time monitoring patient, breathing, blood pressure, blood oxygen, the vital sign parameter such as pulse and body temperature, real-time sound and light alarm and simple data readback can be carried out to anomaly parameter.But because bedside monitor volume is comparatively large, during monitoring, patient must on one's sick bed, and therefore it is mainly used in operating room, recovery room, public ward, Intensive Care Unit (ICU), ICCU (CCU) etc.The part compositions such as the mobile monitoring instrument that cardiac telemetry monitoring technology is carried with primarily of patient, the LAN in HC monitor system and institute.Mobile monitoring instrument gathers the ecg information of patient, and be uploaded to monitor center by the LAN in institute, doctor can check the ecg information of patient in real time.Although the restriction of patient's not tutelage instrument, can be freely movable in lesion, monitored parameters is single, and generally only have electrocardiogram and lead few, can not meet cardiovascular patient, gerontal patient's multi-parameter comprehensive is observed and the demand analyzed.
Existing Shenzhen MINDRAY remote controlled monitoring system TMS-6016 and the physiological parameter monitoring adopted and communication technology; patient's 3/5 can be monitored continuously to lead electrocardio, blood oxygen and pulse; monitor center remote measurement can guard 16 patients; and there is parameter warning (HR, ST, SpO2, PR etc.), arrhythmia warning, lead-fail detector warning etc., and apply for that Chinese patent (CN103181751A, CN2870027Y etc.) is protected its technology.Henan Rui Di company also develops a wireless telemetering central monitoring system, and the small-sized carry-on machine that this product is worn by patient and protocol acuity central station two parts form, and can form unit 1-32 berth wireless telemetering central monitoring system in lesion.Carry-on machine can gather the physiological parameter such as electrocardio, breathing, blood oxygen, pulse, blood pressure, body temperature of patient.Although above-mentioned two monitor systems have met the demand that hospital guards patient telemetry preferably, but also there is the following main deficiency, limit its promotion and application: 1, existing system does not have quick position and early warning response function, when the patient moved freely occurs that in lesion abnormal conditions need to obtain Emergency Assistance, self around can cannot help without other staff to medical personnel's emergency, medical personnel can not determine the position of patient rapidly and accurately, thus incur loss through delay best rescue time; 2, the patient moved freely in lesion alone happen suddenly seriousness arrhythmia and loss of consciousness and fall time, patient cannot independently call out, care provider also cannot learn its situation of falling, and also can miss valuable therapeutic time thus, this problem seems particularly outstanding for the hospital that lesion is larger; 3, because patient monitoring terminal is not provided with the flight data recorder of Presentation Function such as monitoring waveform, monitoring-information etc., when medical personnel make the rounds of the wards in the face of patient or dress this monitor for patient, on-the-spotly cannot obtain the real-time monitoring information of patient or consult history monitoring-information, what also cannot effectively judge and determine various electrode is placed with effect, usually need the central monitoring system to lesion to go to confirm and check for this reason, greatly have impact on the property easy to use of system; 4, the communication technology that existing part system adopts needs to lay copper cable and antenna widely in lesion, cost is high, engineering is complicated, reliability is low, especially cannot increase the mobile terminal number of accessible central monitoring system flexibly, thus greatly constrain process of clinical application constantly adapt to patient populations increase actual demand.
Summary of the invention
The object of the present invention is to provide remote measurement monitoring method and system in a kind of a kind of institute with multiparameter automatic early-warning and quick position response function that can overcome prior art deficiency.
Proposition of the present invention lacks the function such as zone location, active forewarning, fast response to solve in existing institute in remote measurement monitoring technology, and the problems such as system constructing is complicated, monitoring terminal increase and decrease difficulty.
A kind of multiparameter telemetry monitor system with zone location and quick early warning response function that the present invention proposes, comprises the parts such as patient's physiological multi-parameter mobile monitoring instrument, HC monitor system, doctor's intelligent inquiry terminal and bi-directional digital communication network, this system is for the patient in hospital, old man in nursing house and community (such as, need in lesion, accept the on-line monitor of physiological parameter or the crowd of potential critical illness burst, they had both wished to obtain the on-line monitor of medical personnel comprehensive nurse and physical signs anywhere or anytime, thirst for again arbitrarily to walk about in institute, retain certain freedom of movement, especially can respond fast when critical illness shows effect, obtain and give treatment to timely), apply up-to-date mobile interchange bi-directional digital communication technology, the multiple mobile monitoring instrument in the central monitoring system of hospital or Aged caring institutions institute and institute and doctor's monitoring terminal are interconnected in real time, exchange, transmission patient heart real time, blood oxygen, the monitoring-informations such as breathing, patient's geographical location information, the information of falling of patient, the status informations such as whether equipment normally works, further application physiological multi-parameter intellectual analysis, the fast processing of the software algorithm of location positioning and signal of falling, realizes concentrating anywhere or anytime the patient of moving freely multiple within the scope of limited distance in institute, on-line monitor, and when there is breakthrough symptoms or emergency, this system will at mobile terminal, central monitoring system, even doctor inquires about the places such as end and sends the early warning of different stage and the response policy providing correspondence, is convenient to medical personnel on duty quick, process exactly, greatly improve practicality and the response speed of existing monitor system thus, facilitate to greatest extent and protect tutelage patient and personnel.A kind of multiparameter telemetry monitor system with zone location and quick early warning response function disclosed in this invention, is characterized in that:
(1) multi-parameter monitoring and automatic early-warning mechanism: the described mobile monitoring instrument carried with by patient has the signal processing unit of 3-axis acceleration sensor and electrocardio, blood oxygen, breathing; Wherein, 3-axis acceleration sensor walks appearance and realize fall detection for sensing patient, once patient falls, HC monitor system will receive signal that mobile monitoring instrument sends so that fast response concurrent go out alarm prompt; The signal processing unit of electrocardio, blood oxygen, breathing, for analyzing gathered physiologic information, can arrange individuation thresholding to different patient, goes out alarm prompt to the automatic response concurrent fast of out-of-limit situation; Mobile monitoring instrument is also provided with SOS button of initiatively crying for help, and patient can active alarm;
(2) quick position and response function in region: based on up-to-date mobile interchange bi-directional digital communication technology, described mobile monitoring instrument is carried with by patient, as the patient side equipment of this remote controlled monitoring system, the basis of basic module has location positioning module, this module can by WiFi, or RFID, or the wireless location technology such as ZigBee realizes; Each mobile terminal with the wireless routing base station interconnection in lesion, then can be connected to central monitoring system by base station, also can be interconnected by each mobile terminal, forms ad hoc deployed wireless networks; Thus, by base station routing algorithm or mobile interchange self-organizing network algorithm, the positional information that can realize patient is accurately located, and can the event trace of display and record patient in real time on the computer of heart monitor system within the hospital, especially by arranging fence technology, realize crossing the border alarm to the anti-region of wandering away of patient in lesion;
(3) bidirectional inquiry and fast response function: described central monitoring system when there being above-mentioned warning information, can point out medical personnel on duty by screen prompt, alarm call etc. immediately; Simultaneously, the doctor's Bidirectional intelligent query function that the present invention includes is primarily of mobile phone/panel computer and APP software composition, APP is used for showing the data such as the data of patient and electrocardio, blood oxygen and breathing in real time, and can according to information such as step appearances, the comprehensive function of health of statistics and assess patient; Utilize this function, medical personnel can when making the rounds of the wards in ward, outside office and even institute the place such as family, utilize mobile phone or panel computer access central monitoring system, the state of an illness understanding its administrative patient whenever and wherever possible is live, and gives medical care feedback guidance timely and effectively.
(4) the flexible increase of mobile terminal quantity: described remote controlled monitoring system adopts the bi-directional digital communication technology (WiFi or RFID or ZigBee etc.) of WLAN formula, by arranging relay router flexibly, the mobile terminal quantity of access central monitoring system can be increased and decreased flexibly, and without the need to additionally laying cable or increasing expensive communication equipment, meet the increase and decrease of the monitoring quantity required of being admitted to hospital of lesion patient efficiently, at low cost; Meanwhile, mobile monitoring terminal also can connect the remote mobile communication networks such as GPRS/3G/4G, realizes real-time, on-line monitor to patient outside institute, improves the motility of system terminal access further, meets the monitoring demand of different patient.
Described a kind of multiparameter telemetry monitor system with zone location and quick early warning response function, is characterized in that described mobile monitoring instrument has following basic module: physiological parameter acquisition module, embedded main control module, human-computer interaction module and radio communication/locating module; Wherein, physiological parameter acquisition module measures electrocardio breath signal and the blood oxygen saturation of patient in real time by body surface ecg conducting wire and finger pressing type BOLD contrast; Human-computer interaction module points out the running status of patient self sign, crosslinking electrode and BOLD contrast dropping situations and entrained equipment by the mode such as sound, light; The remote mobile communication networks such as the WLAN (WiFi or RFID or ZigBee etc.) in radio communication/locating module access institute or GPRS/3G/4G, physiological parameter information, equipment state maintenance information and warning information after process are uploaded to HC monitor system, described location positioning module relies on wireless network or the mobile communications network of the access of mobile monitoring instrument, positions according to its corresponding location technology; Above-mentioned module and 3-axis acceleration sensor be co-ordination under the unified control of embedded main control module all, realizes mobile monitoring instrument and guards the remote measurement of patient, locates and warning function.
Described a kind of multiparameter telemetry monitor system with zone location and quick early warning response function, it is characterized in that described HC monitor system is arranged in hospital or nursing house, as the center of the information exchange of this remote controlled monitoring system, process, storage and distribution, be made up of communication service subsystem, monitoring subsystem, wireless location subsystem, database subsystem, operation maintenance subsystem; Wherein, communication service subsystem is the gateway of monitor center, realize the WLAN between HC monitor system and mobile monitoring instrument, doctor's intelligent inquiry terminal, Internet network and 3G/4G mobile network exchanges data and distribute the selection of communication modes; Guard the dynamic electrocardiogram of each patient of subsystem real-time monitoring, blood oxygen and breath signal, and carry out automatic analysis, implement a sick alarm, assist physician carries out early diagnosis; Wireless location subsystem is tracing display patient position on lesion electronic chart; Operation maintenance subsystem completes operation monitoring to each mobile monitoring instrument, diagnosis and maintenance, manages the running status of each subsystem of HC monitor system, operating right.
Described a kind of multiparameter telemetry monitor system with zone location and quick early warning response function carries out the method for on-line monitor, it is characterized in that concrete steps are as follows:
(1) tutelage patient everyone carry with a mobile monitoring instrument, the physiological parameter signals such as electrocardio, blood oxygen, breathing of this patient of Real-time Collection, and state of falling, status information of equipment and patient positional information, be uploaded to HC monitor system after compressed process;
(2) the HC monitor system be arranged in hospital carries out real-time monitoring to several patient simultaneously, the data of the communication service subsystem real-time reception mobile monitoring instrument transmission of monitor center, it is decompressed, after communication Protocol Conversion process, the monitoring-information of patient is saved in and is saved in the facility information storehouse of database subsystem in the monitoring-information storehouse of database subsystem, by the operating parameter information of mobile monitoring instrument, patient position information is saved in the geographical location information storehouse of database subsystem; The physiological parameter of each patient in monitoring subsystem real-time analysis monitoring-information storehouse, and carry out alarm according to the physiological parameter alarm threshold pre-set; The electrocardio of the patient of each tutelage, blood oxygen monitoring-information and its early warning information are all shown in real time by monitoring subsystem, realize attendant physician at the centralized real-time monitoring of a monitor center to patient several in institute;
(3) when abnormal conditions appear in the mobile monitoring instrument that certain tutelage patient carries (electrode delamination, blood oxygen probe come off, battery electric quantity is low), the mode of mobile monitoring instrument employing sound, light automatically sends alarm and relevant information is uploaded to HC monitor system, reminds patient, family members and medical personnel again wear monitor to patient or change battery; When self there are abnormal conditions in tutelage patient (heart rate exception, blood oxygen exception, adnormal respiration, patient fall, exceed monitoring region and active alarm etc.), mobile monitoring instrument automatic analysis goes out corresponding information, be uploaded to HC monitor system, send alarm by monitor center, remind medical personnel to give treatment to patient.
(4) doctor utilizes the intelligent query function of remote controlled monitoring system, is read and shows data and the monitoring data thereof of patient in monitor center data base, check the situation of patient by the APP software on mobile phone or panel computer.
The present invention compared with prior art tool has the following advantages:
(1) the present invention has multi-parameter monitoring and automatic early-warning mechanism: carry out automatic analysis to electrocardio, blood oxygen and breath signal, when signal parameter exceedes threshold value at once in monitor center alarm; Mobile monitoring instrument has fall detection function, and after patient falls, monitor is to monitor center auto-alarming; In addition active alarm is carried out when patient wants can to press SOS key during calling medical personnel;
(2) the present invention has quick position response function in region: utilize wireless location technology to position tracking to patient, patient can act on one's own in monitoring region, its positional information can in monitor center real-time update, guarantee that medical personnel can find patient in the very first time, and be provided with fence and realize crossing the border alarm to the anti-region of wandering away of patient in lesion;
(3) the present invention has doctor's Bidirectional intelligent query function: the APP software on mobile phone/panel computer can show the data of patient and every physiological parameter thereof in real time, statistics and the comprehensive function of health of assess patient, facilitate doctor in ward, office and even family mobile phone or panel computer understand conditions of patients and physiological function change situation in real time.
(4) the present invention can increase the quantity of mobile terminal neatly, without the need to additionally laying cable or increasing expensive communication equipment, meets the increase and decrease of the monitoring quantity required of being admitted to hospital of lesion patient efficiently, at low cost; Meanwhile, mobile monitoring terminal also can connect the remote mobile communication networks such as GPRS/3G/4G, realizes real-time, on-line monitor to patient outside institute, improves the motility of system terminal access further, meets the monitoring demand of different patient.
Accompanying drawing explanation
Fig. 1 is the topology diagram of realtime remote monitoring system of the present invention.
Fig. 2 is zone location of the present invention and alarm principle schematic of crossing the border.
Fig. 3 is fall detection algorithm flow chart of the present invention.
Fig. 4 is the hardware module block diagram of the mobile monitoring instrument in Fig. 1.
Fig. 5 is working-flow figure of the present invention.
Detailed description of the invention
System's composition of the present invention and method is illustrated below in conjunction with embodiment and accompanying drawing.
With reference to Fig. 1, remote measurement monitoring method and system in a kind of institute with multiparameter automatic early-warning and quick position response function, comprise the parts such as physiological multi-parameter mobile monitoring instrument, HC monitor system, doctor's monitoring terminal and bi-directional digital communication network, this system for the free ambulatory patient in hospital, the demand of the movable old man of freedom in nursing house and community in monitoring and diagnosis etc.; This remote controlled monitoring system has following four features: (1) multi-parameter monitoring and automatic early-warning mechanism: mobile monitoring instrument has the signal processing unit of 3-axis acceleration sensor and electrocardio, blood oxygen, breathing; Wherein, 3-axis acceleration sensor walks appearance and realize fall detection for sensing patient, once patient falls, HC monitor system will receive signal that mobile monitoring instrument sends so that fast response concurrent go out alarm prompt; The signal processing unit of electrocardio, blood oxygen, breathing, for analyzing gathered physiologic information, can arrange individuation threshold alarm to different patient; Mobile monitoring instrument is also provided with SOS button of initiatively crying for help, and patient can active alarm; (2) quick position and response function in region: based on up-to-date mobile interchange bi-directional digital communication technology, the mobile monitoring instrument that patient carries with has location positioning module on the basis gathering electrocardio, blood oxygen and breathing three kinds of physiologic informations, this module can by WiFi, or RFID, or the wireless location technology such as ZigBee realizes; Each mobile terminal with the wireless routing base station interconnection in lesion, then can be connected to central monitoring system by base station, also can be interconnected by each mobile terminal, forms ad hoc deployed wireless networks; Thus, by base station routing algorithm or mobile interchange self-organizing network algorithm, the positional information that can realize patient is accurately located, and can display in real time the event trace of record patient on the computer of heart monitor system within the hospital, utilize fence technology to realize crossing the border alarm to the anti-region of wandering away of patient; (3) doctor's Bidirectional intelligent query function: primarily of mobile phone/panel computer and APP software composition, APP is used for showing the data such as the data of patient and electrocardio, blood oxygen and breathing in real time, and can according to information such as step appearances, statistics and the comprehensive function of health of assess patient, facilitate doctor in ward, office and even family utilize mobile phone or panel computer to understand the state of an illness and the physiological function change situation of its administrative patient in real time.In addition, mobile terminal quantity can increase flexibly: described remote controlled monitoring system adopts the bi-directional digital communication technology (WiFi or RFID or ZigBee etc.) of WLAN formula, by arranging relay router flexibly, the mobile terminal quantity of access central monitoring system can be increased and decreased flexibly, and without the need to additionally laying cable or increasing expensive communication equipment, meet the increase and decrease of the monitoring quantity required of being admitted to hospital of lesion patient efficiently, at low cost; Meanwhile, mobile monitoring terminal also can connect the remote mobile communication networks such as GPRS/3G/4G, realizes real-time, on-line monitor to patient outside institute, improves the motility of system terminal access further, meets the monitoring demand of different patient.
With reference to Fig. 2, zone location and alarm principle schematic of crossing the border, positioning principle is realized by WiFi location technology, location cross the border alarm principle and step as follows:
(1) each wireless access points (AP) has a globally unique MAC Address, and wireless aps is changeless;
(2) mobile monitoring instrument can scan after powering on and connect AP signal, and gets the MAC Address that AP broadcasts out;
(3) mobile monitoring instrument by its connect AP MAC Address be sent to HC monitor system, HC monitor system retrieves the geographical position of each AP, and the geographical position of patient can be calculated in conjunction with the intensity of each signal, and by the position display of patient on electronic chart;
(4) AP arranging monitoring gateway, region is alarm AP, and when patient is movable in this AP, HC monitor system and trigger alerts, prevent patient to wander away.
The principle of fall detection: be provided with 3-axis acceleration sensor in the mobile monitoring instrument that patient carries with, three coordinates of sensor are corresponding with human body coordinate respectively, x-axis represents human body left and right directions acceleration change, y-axis represents the acceleration change of human body fore-and-aft direction, and z-axis represents the acceleration change of human body vertical direction.When people stand or walking states time, the acceleration of z-axis is close to g, and x-axis and y-axis acceleration are close to 0.When human body is in the process of falling down, the acceleration of three axles and vector thereof can change, and by setting certain threshold value, judge the acceleration change of three axis, judge whether patient falls down.
With reference to figure 3, fall detection algorithm flow chart, wherein freely falling body interrupts for when accekeration is lower than certain threshold value and when being continued above the regular hour, freely falling body interruption set; Interrupting movement is when accekeration exceedes certain threshold value, interrupting movement set; Static interruption for when accekeration is lower than certain threshold value and when being continued above certain hour, static interruption set.Fall detection algorithm steps is as follows:
(1) weightlessly to detect: in the process of patient falls, there is weightlessness, acceleration and be less than 1g, utilize freely falling body to interrupt judging the Weight lose that patient falls in process, using this first basis for estimation as the state of falling down;
(2) motion detects: patient is clashed into ground when falling down, acceleration with can produce a peak value.Motion is utilized to detect, at this, a time threshold is set, between weightlessness detects and motion detects, set interval as 200ms, if 200ms still can move interruption after freely falling body interrupts, thinking that patient does not fall, also may be bend over or acceleration change that squatting motion causes;
(3) static detection: can not stand up at once after patient falls, meeting resting state for some time.Because human body is from vertically becoming level, the vector of this brief acceleration can be less than certain value.Utilize static interruption to detect.The interval arranging interrupting movement and static interruption is 2s, should have resting state in the 3.5s after shock, if the time exceedes also do not produce static interruption, thinks and does not fall;
(4) detection is compared from original state: the acceleration of three axis of patient after falling down and when standing is different.Whether fall to detect patient further, the acceleration after can getting three axial accelerations before human body is fallen and falling compares, if the difference of the acceleration of each axis exceedes certain threshold value, is judged as once falling and reporting to the police.
With reference to Fig. 4, mobile monitoring instrument is carried with by patient, and mobile monitoring instrument has following basic module: physiological parameter acquisition module, embedded main control module, human-computer interaction module and radio communication/locating module; The present invention, hardware designs is divided into independently module researches and develops electrocardio, blood oxygen, each module has corresponding single-chip microcomputer to control, avoid a mutual interference for physiological parameter sampling, solve the anti-interference problem in multi-parameter monitoring device in prior art, make the physiological data that collects accurate and stable.Wherein, physiological parameter acquisition module measures electrocardio breath signal and the blood oxygen saturation of patient in real time by body surface ecg conducting wire and finger pressing type BOLD contrast, and the data of collection are transferred to embedded main control module by UART and carry out data packing compression; Human-computer interaction module points out the running status of patient self sign, crosslinking electrode and BOLD contrast dropping situations and entrained equipment by the mode such as sound, light; WiFi LAN in radio communication/locating module access institute, the MAC Address that physiological parameter information after process, equipment state maintenance information and warning information and institute are connected AP is uploaded to hospital monitoring center, and monitor center determines the position of patient according to the route location of prior setting; By the method shown in Fig. 3, fall detection judges whether patient falls, WiFi LAN in radio communication/locating module access institute, and according to the positional information of patient's connection signal patient positioned and the physiological parameter information after process, equipment state maintenance information, warning information are uploaded to HC monitor system.
Remote measurement monitoring method and a system in the institute with multiparameter automatic early-warning and quick position response function, its specific works flow process as shown in Figure 5:
(1) tutelage patient everyone carry with a mobile monitoring instrument, the electrocardio of this patient of Real-time Collection, blood oxygen, breath signal, state of falling, status information of equipment and patient position information, be uploaded to HC monitor system after compressed process;
(2) the HC monitor system be arranged in hospital carries out real-time monitoring to several patient simultaneously, the data of the communication service subsystem real-time reception mobile monitoring instrument transmission of monitor center, it is decompressed, after communication Protocol Conversion process, the monitoring-information of patient is saved in and is saved in the facility information storehouse of database subsystem in the monitoring-information storehouse of database subsystem, by the operating parameter information of mobile monitoring instrument, patient position information is saved in the geographical location information storehouse of database subsystem; The physiological parameter of each patient in monitoring subsystem real-time analysis monitoring-information storehouse, and carry out alarm according to the physiological parameter alarm threshold pre-set; The electrocardio of the patient of each tutelage, blood oxygen monitoring-information and its early warning information are all shown in real time by monitoring subsystem, realize attendant physician at the centralized real-time monitoring of a monitor center to patient several in institute;
(3) when abnormal conditions appear in the mobile monitoring instrument that certain tutelage patient carries (electrode delamination, blood oxygen probe come off, battery electric quantity is low), the mode of mobile monitoring instrument employing sound, light automatically sends alarm and relevant information is uploaded to HC monitor system, reminds patient, family members and medical personnel again wear monitor to patient or change battery; When self there are abnormal conditions in tutelage patient (heart rate exception, blood oxygen exception, adnormal respiration, patient fall, exceed monitoring region and active alarm etc.), mobile monitoring instrument automatic analysis goes out corresponding information, be uploaded to monitor center, send alarm by monitor center, remind medical personnel to give treatment to patient.
(4) doctor utilizes the intelligent query function of remote controlled monitoring system, is read and shows data and the monitoring data thereof of patient in monitor center data base, check the situation of patient by the APP software on mobile phone or panel computer.
Claims (4)
1. a remote controlled monitoring system for multiparameter automatic early-warning and quick position response, comprises the parts such as patient's physiological multi-parameter mobile monitoring instrument, HC monitor system, doctor's intelligent inquiry terminal and bi-directional digital communication network; This system is for the free ambulatory patient in hospital, the movable old man of freedom in nursing house or community, concentrates anywhere or anytime for it provides, on-line monitor, and in case of emergency, according to warning information and geographical location information, medical personnel are instructed to sue and labour in time to patient or old man; It is characterized in that:
(1) multi-parameter monitoring and automatic early-warning mechanism: the described mobile monitoring instrument carried with by patient has the signal processing unit of 3-axis acceleration sensor and electrocardio, blood oxygen, breathing; Wherein, 3-axis acceleration sensor walks appearance and realize fall detection for sensing patient, once patient falls, HC monitor system will receive signal that mobile monitoring instrument sends so that fast response concurrent go out alarm prompt; The signal processing unit of electrocardio, blood oxygen, breathing, for analyzing gathered physiologic information, can arrange individuation thresholding to different patient, goes out alarm prompt to the automatic response concurrent fast of out-of-limit situation; Mobile monitoring instrument is also provided with SOS button of initiatively crying for help, and patient can active alarm;
(2) quick position and response function in region:: based on up-to-date mobile interchange bi-directional digital communication technology, described mobile monitoring instrument is carried with by patient, as the patient side equipment of this remote controlled monitoring system, the basis of basic module has location positioning module, this module can by WiFi, or RFID, or the wireless location technology such as ZigBee realizes; Each mobile terminal with the wireless routing base station interconnection in lesion, then can be connected to central monitoring system by base station, also can be interconnected by each mobile terminal, forms ad hoc deployed wireless networks; Thus, by base station routing algorithm or mobile interchange self-organizing network algorithm, the positional information that can realize patient is accurately located, and can the event trace of display and record patient in real time on the computer of heart monitor system within the hospital, especially by arranging fence technology, realize crossing the border alarm to the anti-region of wandering away of patient in lesion;
(3) bidirectional inquiry and fast response function: described central monitoring system when there being above-mentioned warning information, can point out medical personnel on duty by screen prompt, alarm call etc. immediately; Simultaneously, the doctor's Bidirectional intelligent query function that the present invention includes is primarily of mobile phone/panel computer and APP software composition, APP is used for showing the data such as the data of patient and electrocardio, blood oxygen and breathing in real time, and can according to information such as step appearances, the comprehensive function of health of statistics and assess patient; Utilize this function, medical personnel can when making the rounds of the wards in ward, outside office and even institute the place such as family, utilize mobile phone or panel computer access central monitoring system, the state of an illness understanding its administrative patient whenever and wherever possible is live, and gives medical care feedback guidance timely and effectively;
(4) the flexible increase of mobile terminal quantity: described remote controlled monitoring system adopts the bi-directional digital communication technology of WLAN formula, comprise WiFi, RFID or ZigBee etc., by arranging relay router flexibly, the mobile terminal quantity of access central monitoring system can be increased and decreased flexibly, and without the need to additionally laying cable or increasing expensive communication equipment, meet the increase and decrease of the monitoring quantity required of being admitted to hospital of lesion patient efficiently, at low cost; Meanwhile, mobile monitoring terminal also can connect the remote mobile communication networks such as GPRS/3G/4G, realizes real-time, on-line monitor to patient outside institute, improves the motility of system terminal access further, meets the monitoring demand of different patient.
2. the remote controlled monitoring system of a kind of multiparameter automatic early-warning according to claim 1 and quick position response, is characterized in that described mobile monitoring instrument has following basic module: physiological parameter acquisition module, embedded main control module, human-computer interaction module and radio communication/locating module; Wherein, physiological parameter acquisition module measures electrocardio breath signal and the blood oxygen saturation of patient in real time by body surface ecg conducting wire and finger pressing type BOLD contrast; Human-computer interaction module points out the running status of patient self sign, crosslinking electrode and BOLD contrast dropping situations and entrained equipment by the mode such as sound, light; The remote mobile communication such as WLAN or the GPRS/3G/4G networks such as the WIFI/ bluetooth in radio communication/locating module access institute, physiological parameter information, equipment state maintenance information and warning information after process are uploaded to HC monitor system, location positioning module described in claim 1 relies on wireless network or the mobile communications network of the access of mobile monitoring instrument, positions according to its corresponding location technology; Above-mentioned module and 3-axis acceleration sensor be co-ordination under the unified control of embedded main control module all, realizes mobile monitoring instrument and guards the remote measurement of patient, locates and warning function.
3. the remote controlled monitoring system of a kind of multiparameter automatic early-warning according to claim 1 and quick position response, it is characterized in that described HC monitor system is arranged in hospital or nursing house, as the center of the information exchange of this remote controlled monitoring system, process, storage and distribution, be made up of communication service subsystem, monitoring subsystem, wireless location subsystem, database subsystem, operation maintenance subsystem; Wherein, communication service subsystem is the gateway of monitor center, realize the WLAN between HC monitor system and mobile monitoring instrument, doctor's intelligent inquiry terminal, Internet network and 3G/4G mobile network exchanges data and distribute the selection of communication modes; Guard the dynamic electrocardiogram of each patient of subsystem real-time monitoring, blood oxygen and breath signal, and carry out automatic analysis, implement a sick alarm, assist physician carries out early diagnosis; Wireless location subsystem is tracing display patient position on lesion electronic chart; Operation maintenance subsystem completes operation monitoring to each mobile monitoring instrument, diagnosis and maintenance, manages the running status of each subsystem of HC monitor system, operating right.
4. utilize the remote controlled monitoring system of a kind of multiparameter automatic early-warning described in claim 1 and quick position response to carry out a method for on-line monitor, it is characterized in that concrete steps are as follows:
(1) tutelage patient everyone carry with a mobile monitoring instrument, the physiological parameter signals such as electrocardio, blood oxygen, breathing of this patient of Real-time Collection, and state of falling, status information of equipment and patient positional information, be uploaded to HC monitor system after compressed process;
(2) the HC monitor system be arranged in hospital carries out real-time monitoring to several patient simultaneously, the data of the communication service subsystem real-time reception mobile monitoring instrument transmission of monitor center, it is decompressed, after communication Protocol Conversion process, the monitoring-information of patient is saved in and is saved in the facility information storehouse of database subsystem in the monitoring-information storehouse of database subsystem, by the operating parameter information of mobile monitoring instrument, patient position information is saved in the geographical location information storehouse of database subsystem; The physiological parameter of each patient in monitoring subsystem real-time analysis monitoring-information storehouse, and carry out alarm according to the physiological parameter alarm threshold pre-set; The electrocardio of the patient of each tutelage, blood oxygen monitoring-information and its early warning information are all shown in real time by monitoring subsystem, realize attendant physician at the centralized real-time monitoring of a monitor center to patient several in institute;
(3) when abnormal conditions appear in the mobile monitoring instrument that certain tutelage patient carries, comprise: electrode delamination, blood oxygen probe come off, battery electric quantity is low, the mode of mobile monitoring instrument employing sound, light automatically sends alarm and relevant information is uploaded to HC monitor system, reminds patient, family members and medical personnel again wear monitor to patient or change battery; When self there are abnormal conditions in tutelage patient, such as: heart rate exception, blood oxygen exception, adnormal respiration, patient fall, exceed monitoring region and active alarm etc., mobile monitoring instrument automatic analysis goes out corresponding information, be uploaded to HC monitor system, send alarm by monitor center, remind medical personnel to give treatment to patient;
(4) doctor utilizes the intelligent query function of remote controlled monitoring system, is read and shows data and the monitoring data thereof of patient in monitor center data base, check the situation of patient by the APP software on mobile phone or panel computer.
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