WO2018233732A1

WO2018233732A1 - Method for ensuring medical care is provided to an individual as quickly as possible

Info

Publication number: WO2018233732A1
Application number: PCT/DE2017/100531
Authority: WO
Inventors: Vladan Petrovic
Original assignee: Vladan Petrovic
Priority date: 2017-06-22
Filing date: 2017-06-22
Publication date: 2018-12-27
Also published as: DE112017007668A5

Abstract

The invention relates to a method for providing medical care to an individual in the event of suddenly occurring health disorders, wherein physiological normal values of the individual are stored in an analysis unit (2), at least one current physiological measurement value is measured by means of a sensor (1a) paired with a body contact module (1) and is converted into physical signals or readable data which is compared with the stored normal values. In the event of current measurement values which lie within specified tolerance limits of the stored normal values relating to the person, the analysis unit (2) outputs a warning signal in response to an impending health disorder, as the case may be, in order to prompt the individual to perform activities suitable for returning the current measurement values to the optimal normal values, - in the event of deviations of the current measurement values which lie outside of the tolerance limits but are not yet threatening, an alarm signal is output together with recommendations stored in the analysis unit (2) for standalone activities until competence centers (4a, 4b, 4c) notified by the central unit (3) intervene, - in the event of life-threatening deviations of the measurement values detected by the sensor from the normal values, an emergency signal together with a specification of the deviations and the location of the individual is transmitted to a central unit in which the data of competence centers has been stored as a comprehensive service network and which transmits an emergency signal relating to the clinical picture and the location of the individual to at least one competence center. The invention is characterized in that prior to transmitting an emergency signal, a verification step is carried out, in which an internal sensor compares the life-threatening deviations with past measurement values and only then transmits the emergency signal if the life-threatening deviations cannot be attributed to a short-term momentary over-stimulation and/or a short-term momentary overload, for example due to stress or physical exertion.

Description

Method of ensuring the fastest possible medical care of an individual

The invention relates to a method for ensuring the fastest possible, professional medical care of an individual in the event of unexpectedly announced and / or sudden health problems, according to the preamble of patent claim 1.

Such a method is described in WO 2017/059846 Al.

The general state of the art is also referred to WO 2012/083905, US 2009/0243878, DE 600 38 044, DE 601 09 596 and DE 600 09 988 and WO 02/33620 A2. According to WO 2017/059846 A1, three phases or stages of the physiological measured values detected by means of the sensor are taken into account by the personal, optimal standard values stored in the evaluation unit, namely:

1st phase I: delivery of a warning or warning signal. In the case of current measured values which are within predefined tolerable limits of the stored personal norm values, an indication or warning signal is sent to the individual about a possibly developing health disorder to this individual to own activities for the purpose of returning the respective current measured value in the direction of the optimal Standard value.

2nd phase II: delivery of an alarm signal. In the case of deviations from the stored standard values, which are still tolerable according to phase I, but not yet threatening, an alarm signal is issued to the individual with simultaneous recommendations for immediate, independent activities until the initiation of assistance measures by third parties in the event that the individual does not alone is able to follow the recommendations.

3rd phase III: delivery of an emergency call signal. In phase III, in potentially life-threatening deviations of the current measured values from the standard values stored in the evaluation device to the central unit, an emergency call signal about the clinical picture and the location of the individual is sent to the central unit.

For phase II, recommendations tailored to different health disorders are stored in the evaluation unit.

The current physiological measured values of the individual stored in the evaluation unit preferably also include the respectively current medication which can be stored by the individual or a medical specialist in the evaluation unit.

The invention has for its object to provide a graded to the degree of an impending and a threatening health disorder monitoring process with integrated monitoring function to prevent a premature sending the emergency signal under circumstances. To solve this problem, the method is characterized in that before sending an emergency signal, a verification step takes place, in which an internal sensor compares the life-threatening deviations causing an emergency call signal with past readings within the preceding 2 to 24 hours and only then transmits the emergency call signal If the life-threatening deviations are not due to a momentary, short-term overstimulation and / or a momentary, short-term overload, eg due to stress or physical overuse.

According to the invention, it is a continuous, physiological early detection monitoring for the constitution and analysis of impending to life-threatening, personal health conditions and recommendation and, where appropriate, the provision of supportive measures in the case of still tolerable to life-threatening deviations of the respective current measured values compared to the physiological norm values of the individual stored in the evaluation unit, wherein, according to the characterizing portion of claim 1, an emergency signal, possibly too premature, is prevented for relieving the competence center.

A body contact module is used, which is preferably worn or implanted as a finger ring or, for example, like a wristwatch, and measures the current physiological biodata of the individual by means of integrated sensors. The current measured values obtained in this way are compared in the evaluation unit with the personal, optimal, physiological norm values previously stored in the evaluation unit.

Further preferred embodiments of the invention are dealt with in subclaims.

The use of a finger ring as a body contact module ensures optimum transmission and thus detection of the person's physiological normative values of the individual.

The finger ring used is preferably provided on its inside with a recess into which the sensor is inserted. According to a preferred embodiment, the recess has a size such that at least two sensors can be inserted into it, which are optimally adapted to different physiological measured values to be detected.

The recess and thus the or the sensors preferably extend over an angle of 45 ° to 180 °.

The evaluation unit is integrated into a vehicle according to a preferred embodiment of the invention.

The sensors should be able to measure the following vital signals as options:

Electrocardiogram or heart rate variability;

Photoplethysmogram or blood pressure variability;

Electrodermal conductivity of the skin;

Differential reflection spectral analysis of skin molecules;

ABI characteristics, cholesterol oximetry and reflection oxim. Cardiovascular signals, respiratory parameters;

Oxygen and alcohol content of the blood;

Fatigue attacks that precede a microsleep.

By measuring the oxygen and alcohol content in the blood and the drowsiness attacks preceding a microsleep, the individual wearing the finger ring can be informed in time, in addition to the usually measured dangerous situations about impending powerlessness, microsleepness or inability to drive.

The introduction of an evaluation unit in a vehicle allows a permanent exchange between the measurement data of the finger ring and the control unit of the vehicle.

In the current state of the art, the vehicles can be controlled independently via the evaluation unit.

Accordingly, via the finger ring and its functions, the passenger, usually partner or partner, passenger, co-pilot and the like can be informed about the evaluation of malfunction of the driver. The sensors integrated into the body contact module are used to record vital signals, which are taken, for example, via the skin from the autonomic nervous system (ANS).

The actual measured values measured by the sensors are preferably transmitted to a microchip of the evaluation device and preferably evaluated by means of a software integrated there. In addition to the evaluation of the current measured values, the software also performs a comparison with the optimal standard values (basic medical parameters) and data of the individual (weight, age, height, gender, possibly personal data) stored in the evaluation units.

Thus, according to a preferred embodiment, a bidirectional communication connection for the data and / or signal transmission, in particular a radio transmission to a mobile device using an app for location determination is provided.

In order to indicate to the individual that in phase III the evaluation unit forwards a message to the central unit, in this case preferably an acoustic and / or optical signal is emitted.

Even if an emergency call signal is transmitted from the central unit to a competence center, an acoustic and / or optical signal is preferably emitted in order to inform, for example, persons directly on site that a competence center has been informed of the threatening health status of the individual.

An upgrade of the standard values takes place according to a preferred embodiment.

Preferably, a data transmission by means of various possibilities, e.g. Scanner, Bluetooth, Micro-USB etc. provided.

Preferably, both optical and acoustic signal outputs are provided when the stored standard values are undershot or exceeded. There is also an integrated storage medium and a USB interface.

An APP provided according to the invention also serves to record the acquired data or measured values and to forward them to the central unit and the respective competence centers.

The APP also serves to locate the carrier via satellite.

The APP preferably includes a catalog of affiliated help facilities (cardiologist networks, hospitals, service providers, etc.) and service providers to provide immediate access to near-site assistance upon early warning.

The invention will be described below with reference to the drawing

According to Figure 1 are required:

a body contact module 1 with integrated sensor 1a and optionally transmitter 1b, which is either worn close to the skin or implanted in the individual, in order to display measured values or readable data derived therefrom

to send an evaluation unit 2 with integrated sensor 2a and associated transmitter 2b;

a central unit 3 into which data from competence centers 4a, 4b, 4c are fed.

The body contact module 1 and the evaluation unit 2 can preferably also be combined into one unit.

From the evaluation device according to the phases I to II perceptible warning or warning signals or alarm signals with recommendations for the individual to carry out immediate independent activities or emergency signals are delivered directly to the central unit 3.

Person-related optimal physiological norm values and preferably also the current medication of the individual are stored in the evaluation unit 2, with the aim of obtaining these stored standard values with those recorded by the body contact module 1 Compare measured values of the individual and then react according to one of the three phases I to III.

In the case of the guide beam 5 shown in FIG. 2, which includes the phases I, II and III and the verification step (s), the value zero corresponds to the person's personal optimal physiological norm value (s). This value is zero within phase I, which is limited by the values "+ x" and "-x". An approximation of the current measured value to the limit values "+ x" and "-x" indicates a possible health disorder, e.g. momentary overloading, whereby the delivery of a warning or warning signal A is or can be effected to cause the individual to activities for the purpose of returning the respective current measured values in the direction of the optimal standard value zero.

As soon as the current measured values lie outside the tolerable limit values "+ x" and "-x" and come within the range of phases II and III, alarm signals are emitted either in phase II or emergency signals when phase III and associated verification step are reached. to bring about the measures mentioned above for these phases.

The functionality of the body contact module 1, the evaluation unit 2 and / or the central unit 3, including the energy store integrated in these modules, is preferably checked at regular intervals.

There is a bidirectional communication between the body contact module 1 and the evaluation unit 2, which can preferably be adjusted manually for the phases I and II, preferably intermittently and / or in particular by the individual, in order to continuously emit warning or warning signals and possibly also alarm signals excluded.

The bidirectional communication with the central unit 3 can not be manipulated.

At the latest before phase III, a verification step according to the characterizing features of claim 1 is provided as an additional phase, such that before sending an emergency signal there is a verification step A, in which an internal transmitter transmits the life-threatening deviations causing an emergency call signal with past measurements within the preceding FIGS 24 hours, only then the emergency signal is sent, if the life-threatening deviations are not due to a momentary, short-term overstimulation and / or a momentary, short-term congestion, eg due to stress or over-exertion.

According to FIG. 3, the body contact module 1 is preferably a finger ring, in the inside of which a recess 1b is mounted for receiving at least one sensor 1a. The recess 1b has a size such that several sensors 1a can be inserted next to one another and are optimally adapted to different physiological measured values to be recorded. The recess 1b and the sensor la or a plurality of sensors 1a preferably extend over an angular range of 35 ° to 180 °. In / on the finger ring, the evaluation unit 2 is arranged with associated transmitter.

Claims

claims

1. A method for ensuring the fastest possible, professional medical care of an individual in the event of unexpectedly announcing and / or sudden onset of health disorders, in which person-related optimum physiological norm values of the individual are recorded and stored in an evaluation unit (2),

at least one current physiological measured value of the individual is measured by means of a body contact module (1) by means of at least one sensor (1a) assigned to the body contact module (1) and converted into physical signals or readable data which are assigned to the evaluation unit (2). supplied and compared with the stored standard values, wherein

the evaluation unit (2) in the case of current measured values which lie within predefined tolerable limits of the stored personal norm values to which the individual gives an indication or warning signal of a health disorder possibly developing, in order to return this individual to his own activities for the purpose of returning the current measured values Direction of optimal norm values to cause

- In the event of deviations from the current measured values which are outside the tolerable limits, but are not yet threatening, an alarm signal is emitted to the individual with simultaneous recommendations for immediate independent activities stored in the evaluation unit (2) and adapted to different health disorders until intervening competence centers notified by the central unit (3) (4a, 4b, 4c).

in the case of potentially life-threatening deviations of the measured values recorded by the sensor (1a) from the standard values, an emergency call signal with simultaneous indication of the respective deviations and the location of the individual are sent to a central unit,

the data of competence centers, such as hospitals, specialists, service providers (eg ambulance transports) for the most diverse clinical pictures as an overarching service network, Telecommunications companies or the like have been stored,

the at least one of the competence centers (4a, 4b, 4c) which appear to be most suitable for transmitting an emergency call signal (C) on the clinical picture and the location of the individual, characterized in that before sending an emergency call signal, a verification step takes place in which an internal sensor the life-threatening deviations causing life-threatening deviations with measured values of the past are compared within the preceding 2 to 24 hours and the emergency signal is sent only when the life-threatening deviations are not due to a momentary, short-term overstimulation and / or a momentary, short-term overload eg due to stress or physical overuse.

2. The method according to claim 1, that is used as a body contact module (1) a finger ring.

3. The method according to claim 1, characterized in that one uses a finger ring, in / on which the evaluation unit (2) is arranged and in the inside of the sensor (la) is embedded.

4. The method according to claim 2 or 3, characterized in that one uses a finger ring, which is provided on an inner side with a recess (lb), in which the sensor (la) is embedded.

5. The method according to claim 4, characterized in that the recess has a size such that at least two sensors (la) can be inserted into it.

6. The method according to any one of claims 2 to 5, characterized in that the sensor (la) extends over an angle of 35 to 180 °.

7. The method according to any one of claims 1 to 6, characterized in that one uses an integrated into a vehicle evaluation unit (2).

8. The method according to claim 1, characterized in that in the body contact module (1) integrated sensors are selected from sensors for measuring vital signals such as:

- electrocardiogram or heart rate variability;

- Flotplethysmogram or blood pressure variability;

- Electrodermal conductivity of the skin;

Differential reflection spectral analysis of skin molecules;

ABI characteristics, cholesterol oximetry and reflection oximetry;

cardiovascular signals, respiratory parameters.

Oxygen and alcohol content of the blood;

- Fatigue attacks that precede a microsleep.

9. The method according to claim 1 or 8, characterized in that the evaluation unit (2), bypassing the central unit (3) of the body contact module (1) transmitted, current measured values that differ from the stored personal reference values to life-threatening extent corresponding Sends signals including the location of the individual to at least one competence center (4a, 4b, 4c).

10. The method according to claim 1, characterized in that by the evaluation unit (2) with forwarding a message to the central unit (3) to the individual an acoustic and / or optical signal is delivered.

11. The method according to claim 1, characterized in that of the body contact module (1) and / or the evaluation unit (2) an acoustic and / or optical signal is emitted when an emergency call signal to a center of competence (4a, 4b, 4c) is forwarded.

12. The method according to any one of claims 8 to 11, characterized in that the personal, in the evaluation unit (2) and / or the central unit (3) stored standard values checked at predetermined intervals and possibly carried out an upgrade of the standard values.

13. The method according to any one of claims 8 to 12, characterized in that the data and / or signal transmission via a bidirectional communication connection, in particular a radio transmission to a mobile device, in particular using an APP, for determining the location.

14. The method of claim 13, wherein the bidirectional communication link comprises at least one communication link selected from the group of communication links consisting of a telephone line, an intranet, an internet, a satellite, a laser waveform, and / or a global positioning system consists.

15. The method according to any one of claims 8 to 14, characterized in that an evaluation unit (2) is used with integrated receiver and transmitter.

16. The method according to any one of claims 8 to 15, characterized in that the functionality of the body contact module (1), the evaluation unit (2) and / or the central unit (3) is checked at regular intervals.

17. The method according to any one of claims 8 to 16, characterized by an intermittent communication between the body contact module (1) and the evaluation unit (2).

18. The method according to claim 17, characterized in that the intermittent communication is manually adjustable.

19. The method according to any one of claims 8 to 18, characterized in that the current measured values are queried arbitrarily.

20. The method according to one or more of claims 8 to 19, characterized in that the measured values are retrievable in compact packages and / or printable.