JPH11120242A - Home medical treatment system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To obtain the home medical treatment system capable of transmitting vital data on a vital sound which needs to be sent in real time. SOLUTION: A vital sensor 51 and a communication line 23 are connected to each other by operating line switching buttons 28c and 38c and then a doctor can hear the vital sound of a patient detected by the vital sensor 51 with headphones 54 through a patient terminal 21, the communication line 23, and a doctor terminal 22. Further, the doctor can always instruct the patient to put on the vital sensor 52 and informs the patient of its mounting method and mounting position and the end of measurement by using the communication line 23 from the doctor-side microphone 44 to the patient-side speaker 53, so that the doctor can hear the detection state of the vital sensor 51 in an excellent state.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a home medical system for transmitting vital sounds and vital waveforms in real time.

[0002]

2. Description of the Related Art FIG. 4 is a block diagram showing a conventional home medical system disclosed in, for example, JP-A-4-57161. In the figure, reference numeral 1 denotes a patient terminal, 2 denotes a clinic, and 3 denotes a patient terminal. 4 is a communication adapter provided in the patient terminal 1, 5 is a videophone, 6 is a vital sensor for detecting body temperature and blood pressure, and 7 is the detected body temperature and blood pressure. The IC card R / W writes vital data of the IC card 8 into the IC card 8 and reads vital data written on the IC card 8. Reference numeral 9 denotes a communication adapter provided in the clinic 2;
Is a videophone, 11 is a host computer, 12 is an IC
Card R / W.

Next, the operation will be described. In the patient terminal 1, vital data such as body temperature and blood pressure detected by the vital sensor 6 are written to the IC card 8 by the IC card R / W7. The patient brings the IC card 8 to the clinic 2 so that the IC card R /
The vital data is read from W12 and stored in the host computer 11. The doctor diagnoses the patient based on the vital data stored in the host computer 11. Also, the adapter 9, the communication line 3, and the adapter 4 are remotely controlled from the clinic 2.
The IC card R / W7 of the patient terminal 1 is operated via
The vital data can be read from the C card 8 and stored in the host computer 11.

[0004]

Since the conventional home medical system is configured as described above, it is possible to transmit vital data that does not require real-time properties such as body temperature and blood pressure, but to transmit vital data such as vital sounds and vital waveforms. There were problems such as the inability to transmit vital data requiring real-time properties.

SUMMARY OF THE INVENTION The present invention has been made to solve the above problems, and has as its object to provide a home medical system capable of transmitting vital data such as vital sounds and vital waveforms that require real-time properties. And

[0006]

A home medical system according to the present invention comprises a vital sound detecting means for detecting a vital sound of a patient, a patient side voice inputting means for inputting a voice of a patient, a vital sound and a voice of a patient. A patient terminal for selecting and transmitting one of the above, and receiving the vital sound or voice and outputting it to the doctor side voice output means, and transmitting the voice input from the doctor side voice input means to the patient terminal, And a doctor terminal for outputting from the patient-side voice output means.

In the home medical system according to the present invention, the patient terminal is provided with switching means for selecting one of the patient's vital sound and voice and transmitting the selected one.

In the home medical system according to the present invention, the doctor terminal is provided with switching means for selecting and receiving one of a patient's vital sound and voice.

In the home medical system according to the present invention, the doctor terminal is provided with a detection state good signal output means for transmitting a detection state good signal in accordance with a judgment of the doctor, and the patient terminal receives the detection state good signal. A display means for displaying a good detection state accordingly.

In the home medical system according to the present invention, the vital sound detecting means is provided with a detecting state determining means for outputting a good detecting state signal in accordance with the detecting state of the vital sound, and the patient terminal is provided with a detecting state good signal of the good detecting state signal. A display means for displaying a good detection state according to the input is provided.

A home medical system according to the present invention includes a vital waveform detecting means for detecting a vital waveform of a patient and a peak time of the vital waveform, and stores and transmits the detected vital waveform and the peak time in the same packet. It comprises a patient terminal and a doctor terminal which receives the vital waveform and the peak time, displays the vital waveform on the vital waveform display means, and outputs a voice from the doctor side voice output means at the peak time.

[0012]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS One embodiment of the present invention will be described below. Embodiment 1 FIG. FIG. 1 is a configuration diagram showing a home medical system according to Embodiment 1 of the present invention.
Is a patient terminal that transmits multi-data of moving images, vital sounds and voices of a patient; 22 is a doctor terminal that receives the multi-data and transmits multi-data such as a moving image and voice of a doctor to the patient terminal 21; Is the patient terminal 21
This is a communication line connecting the terminal and the doctor terminal 22 side.

In the patient terminal 21, reference numeral 24 denotes a CP.
U and 25 are external memories, 26 is RAM, 27 is CRT2
A CRTI / F for displaying 8, a video card 29 for inputting moving image data from a camera, a modem 30 for modulating and demodulating multi-data, 31 an input of sound data of a microphone or vital sound and a sound to a speaker A sound card 32 for outputting data, and a digital switching circuit 32 for selecting input of sound data of a microphone or vital sound in accordance with the processing of the CPU 24.

Further, in the doctor terminal 22, reference numeral 34 denotes a CP.
U and 35 are external memories, 36 is RAM, 37 is CRT3
A CRTI / F for displaying 8, a modem 39 for modulating and demodulating multi-data, a sound card 40 for inputting / outputting sound data with a microphone and headphones, and a video card 41 for inputting moving image data from a camera It is.

FIG. 2 is a conceptual diagram showing a main part of the home medical system shown in FIG. 1. In FIG. 2, reference numeral 51 denotes a vital sensor (vital sound detecting means) for detecting a vital sound of a patient; A microphone (patient-side voice input means) for inputting the voice of the patient, 53 is a speaker (patient-side voice output means) provided in the patient terminal 21. 54 is a headphone (doctor-side voice output unit) for outputting a patient's vital sound or voice, and 55 is a microphone (doctor-side voice input unit) for inputting a doctor's voice.

Next, the operation will be described. The home medical system shown in FIG. 1 receives, from the patient terminal 21, moving image data such as a patient's face, voice data such as a patient's voice, and vital sound data of a patient being detected by the vital sensor 51 from the patient terminal 21. Is transmitted to the doctor terminal 22 via the communication line 23, and moving image data such as the face of the doctor and voice data such as the voice of the doctor are input from the doctor terminal 22 to be multi-data via the communication line 23. This is transmitted to the patient terminal 21. Here, the vital sound is
Heart sounds, lung sounds, pulse sounds, intestinal flowing sounds, fetal movement sounds, etc. Such vital sound is detected by the vital sensor 51 shown in FIG.

The moving image data of the patient is obtained by taking an image of the patient's face and the like with a camera and performing image processing with a video card 29. The voice data is obtained by inputting voice of a patient through the microphone 52 and performing voice processing by the sound card 31. These moving image data and audio data are transmitted as multi-data to the doctor terminal 22 via the modem 30 and the communication line 23 by the CPU 24, and the received moving image data is processed by the video card 41 by the video card 41. Then, the information is displayed on the CRT 38 via the CRTI / F 37.
Further, the received audio data is subjected to audio processing by the sound card 40, and is output as audio from the headphones 54 or speakers. Further, in the patient terminal 21, the moving image data on which the image processing of the patient has been performed is displayed on the CRT 28 via the CRTI / F 27.

On the other hand, the moving image data of the doctor is obtained by taking an image of the doctor's face and the like with a camera and performing image processing with the video card 41. The doctor's voice data is obtained by inputting the doctor's voice through the microphone 55 and performing voice processing on the sound card 40. These moving image data and audio data are
4 to the patient terminal 21 via the modem 39 and the communication line 23 as multi-data.
Then, the received moving image data is transferred to the video card 29.
Image processing, and CRT2 via CRTI / F27.
8 is displayed. Further, the received audio data is subjected to audio processing by the sound card 31 and is output as audio from the speaker 53. Furthermore, in the doctor terminal 22, the moving image data on which the image processing of the doctor is performed is displayed on the CRT 38 via the CRTI / F37.

FIG. 3A is an image diagram of the CRT screen on the patient side, and FIG. 3B is an image diagram of the CRT screen on the doctor side. As shown in the figure, the face of the doctor is displayed on the CRT screen on the patient side. 28a and the patient's face 28b are displayed, and the doctor's CRT screen displays the patient's face 38a and the doctor's face 38b.
Is displayed. Reference numerals 53 and 56 denote speakers, and audio data is output from these speakers 53 and 56 as audio.

As described above, the two-way communication between the patient terminal 21 and the doctor terminal 22 allows the doctor to listen to the patient's vital sound while the patient and the doctor are talking on the moving image and voice. Using the communication line 23 of the speaker 53 on the patient side from the microphone 55 on the side, the doctor instructs the patient to wear the vital sensor 51.
Thereafter, the patient wears the vital sensor 51 and presses the line switching button (switching means) 28c shown in FIG. FIG.
2 switches the digital switching circuit 32 by operating the line switching button 28c, cuts off the microphone 52 and the communication line 23 in FIG. 2, and connects the vital sensor 51 and the communication line 23. In this manner, the doctor can hear the patient's vital sound detected by the vital sensor 51 through the headphone 54 via the patient terminal 21, the communication line 23, and the doctor terminal 22.

If the patient does not know the mounting method and mounting position of the vital sensor 51, or if the mounting position is shifted and the vital sound heard from the doctor's headphones 54 is hard to hear, the patient's microphone 55 Using the communication line 23 of the speaker 53 on the side, the doctor instructs the patient on the mounting method and the mounting position of the vital sensor 51. In this way, the doctor can listen in a state where the vital sensor 51 has a good detection state.

In the first embodiment, the digital switching circuit 32 is switched by operating the line switching button 28c provided on the patient terminal 21 shown in FIG. By operating the button (switching means) 38c, the CPU 3 of the doctor terminal 22 is operated.
4 is the patient terminal 2 via the modem 39 and the communication line 23
1, the digital switching circuit 32 is switched according to the switching signal, the microphone 52 and the communication line 23 in FIG. 2 are cut off, and the vital sensor 51 and the communication line 23 are connected. good.

As described above, according to the first embodiment, by operating the line switching buttons 28c and 38c, the vital sensor 51 and the communication line 23 are connected, and the vital sound of the patient detected by the vital sensor 51 is detected. Can be heard by the headphones 54 via the patient terminal 21, the communication line 23 and the doctor terminal 22. In addition, the communication sensor 23 from the microphone 55 on the doctor side to the speaker 53 on the patient side allows the doctor to provide a vital sensor 51 to the patient.
Can always be instructed on the mounting, the mounting method, the mounting position, and the end of the measurement, and the doctor can listen in a state where the detection state of the vital sensor 51 is good.

Embodiment 2 FIG. In FIG. 3, reference numeral 28d denotes a detection state good display section (display means), and 38d denotes a detection state good button (detection state good signal output means).

Next, the operation will be described. In the first embodiment, the doctor can listen to the vital sound in a good detection state, but in the second embodiment, the doctor can use the headphones 54 to listen to the vital sound in a good state. At this point, the detection state good button 38d provided on the doctor terminal 22 is pressed. In FIG. 1, the CPU 34 recognizes the state in which the detection state good button 38d is pressed through the CRTI / F 37, and the CPU 34
9 and the communication line 23, the detection state good signal is transmitted.
Thus, the fact that the detection state is good is displayed on the good detection state display section 28d on the screen of the CRT 28 via the CRTI / F 27.

The vital sensor 51 shown in FIG.
A detection state determination unit (detection state determination unit) that outputs a detection state good signal when the detection state of the vital sound is good
May be provided so that the CPU 24 recognizes the good detection state signal and displays the good detection state on the good detection state display section 28d on the screen of the CRT 28 via the CRTI / F 27.

As described above, according to the second embodiment, when the doctor can hear the detection state of the vital sound in a good state, or by the detection state determination unit provided in the vital sensor 51, When it is determined that the detection state of the vital sound is good, the fact that the detection state is good is displayed on the good detection state display section 28d of the patient terminal 28, so that the patient sees the good detection state display section 28d. Thus, the measurement can be performed while confirming that the detection state is good, and the patient can have a sense of security at the time of the measurement.

Embodiment 3 In the patient terminal 21 shown in FIG. 1, reference numeral 33 denotes a vital I / F for inputting a vital waveform of a patient being measured by a vital sensor (vital waveform detecting means) of the patient. Also, in FIG. 3, reference numeral 28 e denotes a vital waveform transmission button provided on the patient terminal 21, 28 f denotes a vital waveform display unit for displaying a vital waveform, and 38 e denotes a vital waveform display unit for displaying a vital waveform provided on the doctor terminal 38. (Vital waveform display means).

Next, the operation will be described. Some vital sensors detect vital waveforms such as a patient's electrocardiographic waveform. The vital sensor according to the third embodiment detects a vital waveform of a patient and a peak time of the vital waveform. The vital waveform from the vital sensor and the peak time are input from the vital I / F 33, the vital waveform is image-processed by the video card 29, and displayed on the vital waveform display section 28f on the screen of the CRT 28 via the CRTI / F27. .

Here, when the patient presses the vital waveform transmission button 28e provided on the patient terminal 21, the vital waveform data image-processed by the processing of the CPU 24 and its peak data are stored in the same packet, and the modem 30 and the The data is transmitted to the doctor terminal 22 via the communication line 23. The doctor terminal 22, which has received the vital waveform from the patient terminal 21 and the peak time, processes the vital waveform with the video card 41 and displays the processed image on the vital waveform display section 38e on the screen of the CRT 38 via the CRTI / F37. I do. Further, the peak time of the vital waveform is subjected to sound processing by the sound card 40 and output from a headphone 54 or a speaker (doctor side sound output means) 56 provided in the doctor terminal 22. The sound card 40
In the voice processing according to the present invention, for example, a “P”
Sound.

As described above, according to the third embodiment, the vital waveform and its peak time are stored in the same packet from the patient terminal 21 and transmitted to the doctor terminal 22, and the vital waveform display section 38e of the doctor terminal 22 The vital waveform is displayed at the same time, and the sound is output from the headphones 54 or the speaker 56 at the peak of the vital waveform, so that the doctor can easily understand the peak time of the vital waveform. Also, by storing the same in the same packet, the doctor terminal 22 can synchronize the vital waveform with its peak time.

[0032]

As described above, according to the present invention, the doctor can hear the patient's vital sound detected by the vital sound detecting means connected to the patient terminal from the doctor side voice output means of the doctor terminal. it can. In addition, the doctor can always instruct the patient on the mounting of the vital sound detecting means, the mounting method, the mounting position, and the end of the measurement, so that the doctor can hear the vital sound detecting means in a good detection state. Is obtained.

According to the present invention, by operating the switching means provided in the patient terminal, one of the vital sound and the voice can be selected according to the convenience of the patient and transmitted to the doctor terminal. Can be

According to the present invention, by operating the switching means provided in the doctor terminal, there is obtained an effect that one of the vital sound and the voice can be selected according to the convenience of the doctor and received by the doctor terminal. Can be

According to the present invention, when the doctor can hear the vital sound in a good detection state, it can display the good detection state on the display means of the patient terminal, and the patient sees the display means. As a result, the measurement can be performed while confirming that the detection state is good, and an effect of giving a sense of security during the measurement can be obtained.

According to the present invention, the detection state judging means provided in the vital sound detecting means can display the good detection state on the display means of the patient terminal, and the patient can see the detection state by looking at the display means. Can be measured while confirming that the measurement is good, and an effect of giving a sense of security at the time of measurement can be obtained.

According to the present invention, the vital waveform transmitted from the patient terminal is displayed on the vital waveform display means of the doctor terminal, and the voice can be output from the doctor side voice output means at the peak of the vital waveform. The peak time of the vital waveform can be easily understood. Further, by storing the same in the same packet, it is possible to obtain the effect that the doctor terminal can synchronize the vital waveform with its peak time.

[Brief description of the drawings]

FIG. 1 is a configuration diagram showing a home medical care system according to Embodiment 1 of the present invention.

FIG. 2 is a conceptual diagram showing a main part of the home medical system.

FIG. 3A is an image diagram of a CRT screen on a patient side,
(B) is an image diagram of a CRT screen on the doctor side.

FIG. 4 is a configuration diagram showing a conventional home medical system.

[Explanation of symbols]

21 patient terminal, 22 doctor terminal, 28c, 38c line switching button (switching means), 28d detection state good display section (display means), 38d detection state good button (detection good signal output means), 38e vital waveform display section ( Vital waveform display means), 51 vital sensor (vital sound detection means), 52 microphone (patient voice input means), 53 speaker (patient voice output means), 54
Headphones (doctor-side voice output means), 55 microphones (doctor-side voice input means), 56 speakers (doctor-side voice output means).

Claims (6)

[Claims] 1. A vital sound detecting means for detecting a vital sound of a patient, a patient side voice inputting means for inputting a voice of the patient, and a patient terminal for selecting and transmitting one of the vital sound and the voice of the patient. And receiving the vital sound or voice from the patient terminal and outputting it to the doctor side voice output means, and transmitting the voice input from the doctor side voice input means to the patient terminal, and providing the patient with the patient terminal. A home medical system comprising a doctor terminal for outputting from a side audio output unit. 2. The home medical system according to claim 1, wherein the patient terminal is provided with switching means for selecting one of a patient's vital sound and voice and transmitting the selected one. 3. The home medical system according to claim 1, wherein the doctor terminal is provided with switching means for selecting and receiving one of a patient's vital sound and voice. 4. A good detection state signal output means for transmitting a good detection state signal at a doctor terminal according to a judgment of a doctor, and displaying a good detection state at a patient terminal in response to receiving the good detection state signal. 2. The home medical system according to claim 1, further comprising a display unit for performing the operation. 5. The vital sound detecting means is provided with a detection state determining means for outputting a good detection state signal according to the detection state of the vital sound, and the detection state is good at the patient terminal in response to the input of the good detection state signal. 2. The home medical system according to claim 1, further comprising a display unit for displaying the information. 6. A vital waveform detecting means for detecting a vital waveform of a patient and a peak time of the vital waveform, a patient terminal for storing and transmitting the detected vital waveform and the peak time in the same packet, and the patient terminal. And a doctor terminal for receiving the vital waveform and the peak time from the medical device, displaying the vital waveform on the vital waveform display means, and outputting the voice from the doctor side voice output means at the peak time.