CN101499106B - Digitized hospital bed monitoring network system - Google Patents

Digitized hospital bed monitoring network system Download PDF

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Publication number
CN101499106B
CN101499106B CN2008100047587A CN200810004758A CN101499106B CN 101499106 B CN101499106 B CN 101499106B CN 2008100047587 A CN2008100047587 A CN 2008100047587A CN 200810004758 A CN200810004758 A CN 200810004758A CN 101499106 B CN101499106 B CN 101499106B
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bed
elastic
workstation
sensor
network system
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CN2008100047587A
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CN101499106A (en
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蒲卫
周玉彬
成奇明
吴锋
刘娟
李国宝
吕雪峰
郭歌
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Abstract

The invention provides a digital sickbed monitor network system which is equipped with a computer inpatient area working station connected with a center working station, the inpatient area working station connects with a local body area network, the body area network is composed of a sickbed unit and a bedside working station, the sickbed unit is equipped with an elastic mattess (1), the mattess contains at least two ventilated vertical partition mattess bodies, adjacent side walls (11a, 12a) of two partition mattess bodies (11,12) are closed, two bottom mattess surfaces (11b, 12b) connect each other, an input end of the bedside working station connects with an output end of a sensor that can detect human body physiological parameter, the sensor includes at least two body sensors (21, 22) covered on the elastic mattess, the body sensor is a sealing elastic body filling with fluid, an elastic body pressure sensing element, the bedside working station is equipped with a monitor display device. The system can reduce physiology and psychological burden of a tested that the digital sickbed monitor network system can process monitor to the patient with long time continuously.

Description

Digitized hospital bed monitoring network system
Technical field
The invention belongs to a kind of medical clinical monitoring device, be specifically related to a kind of digitized hospital bed monitoring network system.
Background technology
Adopt classic method often to need patient in the lesion, to carry out independent inspection by various Medical Devices to the treatment of inpatient, detect and monitoring, medical personnel put the record data and the information of various device by hand in order, it is loaded down with trivial details to detect the monitoring program, inefficiency, development along with modern medicine, more and more need medical personnel to pay close attention to patient's each details in medical procedure, immediately obtain the various physiologic informations in patient's very first time, think that patient provides high-quality clinical service, and traditional various detection meetings cause heavy physiological load to the patient, and the quality of case history also is difficult to control, diagnosis and treatment process information can be incomplete because of omission yet, influences medical personnel conditions of patients is made correct diagnosis and processing.
In recent years, along with the construction of hospital information system and perfect, many hospitals begin to set up clinic information system, but the emphasis of paying close attention to still is the doctor's advice management, subjective informations such as course of disease record, protect aspect the efficient and detect information and improve to survey in the various clinical medical technologies of obtaining the patient, as alleviate the patient detected and survey physiology and the psychological burden protect in the process, make the patient in detected and monitoring, feel aspect such as more comfortable, also exist and much need improved problem, for example 200410086483.8 disclose a kind of digitizing full ward medical information monitoring net, what its sick bed adopted is the gasbag-type mattress, and the gasbag-type mattress both had been used to support human body weight, be used to do sensor again, the moving signal of induction patient's body is because the air bag of sealing is air-locked, so it is very uncomfortable to overlie for a long time.
Summary of the invention
The technical problem to be solved in the present invention provides a kind of not only can the raising and detects monitoring efficient, and can alleviate the patient detected and survey physiology and the psychological burden protect in the process, make the patient in detected and monitoring, feel more comfortable digitized hospital bed monitoring network system.
The technical scheme that addresses the above problem is: the present invention is provided with the computing machine lesion workstation that is connected with the hospital computer central station, the lesion workstation is connected with some local body area networks, each body area network is made up of the other workstation of sick bed unit and bed respectively, it is characterized in that: described sick bed unit is provided with elastic bed mattress (1), mattress comprises and is no less than two ventilative vertical partition pads (11,12,13,14), adjacent two subregion pads (11,12) adjacent wall (11a, 12a) draw close, heelpiece face (11b), (12b) interconnect, but the other workstation computer input end of described bed connects with the sensor output terminal of the human body physiological parameter that corresponding sick bed unit is provided with, at least comprise the body dynamic sensor (21 that places on the elastic bed mattress in the described sensor, 22), the body dynamic sensor is the sealing elastomer that is full of fluid, elastic body is equipped with the sensing element (21a that energy induction sealing cavity fluid pressure changes, 22a), the body dynamic sensor places the position that can respond to the action of human body corresponding position on the elastic bed mattress, and the other workstation of bed is provided with the monitoring display device that is connected with fanout.
Further scheme of the present invention is: the other workstation computer input end of described bed is provided with infusion module, its structure is: the snap ring (3) that is with the band opening on the transfusion drip tube outer wall of infusion set, both sides are equipped with infrared transmitting tube (D2) respectively and are received the infrared receiving tube (D1) that infrared transmitting tube transmits in the snap ring, infrared receiving tube is connected by the other workstation computer input end of sampling amplifying circuit and bed, and fanout is connected to warning circuit.
The present invention design by the central station, in the tertiary hospitals monitoring net that the other workstation of sick bed workstation and body area network bed is formed, its sick bed unit that obtains patient's raw data has adopted the ventilative subregion elastic bed mattress of belt body dynamic sensor, the patient is on elastic bed mattress, respond to human body because of heartbeat by the sensing element that is contained on the sealing elastomer of respective detection position, breathe, the moving information that waits the elastic body internal pressure variation that causes of body, this pressure change signal changes in the other computing machine of working of the collected bed of electric signal and carries out data processing, therefrom obtain patient's heart rate, parameters such as respiratory rate, and respiratory waveform, oscillograms such as each position body is moving, on the monitoring display device, show, and be transferred to the lesion workstation (also claiming nursing station) of upper level, be transferred to the central station by the lesion workstation again, network system can be gathered the multiple physiological parameter of patient immediately, monitoring, record, the subregion pad that the present invention adopts can be separated with different detection positions, the human body different parts that makes each subregion pad induction is (as chest, shank) signal is relatively independent, prevent mutual interference among signals, and, because what large tracts of land of the present invention supported human body is the elastic bed mattress of breathing freely, what induction human body body moved signal only is the sealing elastomer that is contained in the small size on the mattress, the patient can not felt well as lying in for a long time on common bed on the ventilative elastic bed mattress, alleviated measured's physiology and psychological burden greatly, digitized hospital bed monitoring network system can be continued to monitor for a long time to the patient.
The using method of the infusion set of the further scheme setting of the present invention is: snap ring (3) is enclosed within on transfusion drip tube (1) outer wall, whenever the drop of liquid of dripping, block infrared emission light once, infrared receiving tube (D1) just sends once light/fax sense signal, the other workstation computer of input bed after the sampling amplifying circuit amplifies, computing machine shows liquid droping speed on display unit, during the value range in liquid droping speed exceeds computing machine, set: as too fast, cross slow or when stopping dripping, the warning circuit of the other workstation setting of bed sends alerting signal, and the prompting paramedic regulates transfusion speed.
But the further scheme whole-process automatic monitoring of the present invention sick bed unit patient's transfusion situation, and too fast at transfusion speed, cross slow or liquid sends alerting signal when dripping off, the prompting medical personnel carry out corresponding operating, have safe, simple in structure, easy to use, save manpower, improve monitoring efficient advantage.
Description of drawings
Fig. 1, frame principle figure of the present invention
Fig. 2, the other workstation block scheme of embodiment of the invention bed
The elastic bed mattress structural representation that Fig. 3, embodiment of the invention sick bed unit adopt
The circuit block diagram of Fig. 4, body dynamic sensor shown in Figure 3 21,22
The infusion set structural representation that Fig. 5, embodiment of the invention sick bed unit are provided with
Fig. 6, snap ring shown in Figure 5 33 structural representations
Fig. 7, A shown in Figure 5 position structure for amplifying synoptic diagram
Fig. 8, the embodiment of the invention infrared sampling amplification circuit diagram of infusing
Fig. 9, embodiment of the invention blood oxygen transducer structural representation
31-transfusion drip tube 32-woven hose 33-snap ring 34-stepper motor 35-fixed mount 36-circuit box 37-screw rod 38-shift fork 39-infusion regulator D1-infrared receiving tube D2-infrared transmitting tube
Embodiment
This example is provided with HC workstation, lesion workstation and three a digitalized hospital bed monitoring network that other workstation is formed of being made up of computing machine, each lesion is provided with some sick beds unit, the other workstation of bed of each sick bed configuration of cells, constitute single patient's body area network, each other workstation is connected with lesion workstation (also can claim nursing station), constitute the lesion net, each lesion workstation is connected with the central station, constitutes hospital's net.Each ward of this example is provided with two cover sick bed unit, each room is by a HUB and extraneous communication, a lesion has 36 sick beds in 18 wards, need 18 HUB, 18 HUB are connected with the lesion workstation by a total HUB, the lesion workstation can generate electronic health record according to the data layout of this hospital, and observe the patient data of 36 beds at the same time or separately, the lesion workstation passes through network interface card, serial ports outputs on PROJECT NETWORKS of army's word, and the doctor can view all patients' of this lesion information and waveform etc. by PROJECT NETWORKS of army's word in the central station; The president also can view real time data and the case history of any patient in this lesion in the office of oneself.This system can also be connected with database such as the PACS of hospital, realizes information sharing.
The other workstation computer of bed adopts the embedded system computing machine, and its output terminal is connected to display screen, and is provided with warning circuit.The other workstation computer of bed is provided with patient monitor and PSG input port, can become the universal contact module through protocol modification, and suitable plurality of devices adds (as Anesthesia machine, dialysis machine etc.), to the other workstation computer input end of bed, adopted the modular design of one-parameter plug-in type, the doctor can be had more flexibly according to patient's state of an illness select, and be convenient to carry out searching and keeping in repair of equipment failure.
The basic module of the other workstation setting of internal crucible is a sleep monitor mattress module;
Each sick bed unit is the facility that obtains patient's clinical information, it also is the long rest facility of patient, in order to improve patient's comfort level, this routine sleep monitor mattress module is provided with ventilative sping mattress 1: mattress 1 comprises subregion pad 12 that supports human chest and the subregion pad 14 that supports human body lower limbs at least, the position of close human heart on chest subregion pad 12, and be respectively arranged with body dynamic sensor 21,22 on the lower limb subregion pad 14.
Referring to Fig. 3, this routine mattress 1 is four subregion pads being arranged by the direction that couches along human body: head subregion pad 11, chest subregion pad 12, buttocks subregion pad 13, lower limb subregion pad 14 combines, each subregion pad is to be made by ventilative spring core body and the gas permeable material that is wrapped in the core body outside, the adjacent wall of every group of adjacent two subregion pads is drawn close mutually and (is respectively 11a and 12a as head subregion pad and chest subregion pad adjacent wall, the two side is drawn close, other subregion pad herewith), the bottom surface is connected as a single entity and (is respectively 11a and 12a as head subregion pad and chest subregion pad bottom surface, two bottom surfaces are connected as a single entity, and other subregion pad herewith).
Described body dynamic sensor is the strip elastic body that pressure transducer is housed, be specially the elastic hose that is full of fluid oil, pressure sensing component (21a, 22a) is equipped with in sealing elastic hose end, and the pressure sensor output terminal connects an other workstation computer by amplifier and A/D converter.This routine elastic hose is the medical grade rubber flexible pipe, and fluid oil is a silicone oil.According to test, when the fluid in the sealing elasticity sensing flexible pipe be oily, sensing sensitivity was higher, and this fluid is when being silicone oil, and effect is better, and silicone oil also has nonpoisonous and tasteless advantage.
The rectangular body dynamic sensor 21 that is arranged in the pad elastic core element transverse concave groove is arranged in position corresponding with the human heart that couches on the chest subregion pad 12, it is suitable for reading that rectangular body dynamic sensor top exceeds the groove of pad elastic core element, so that respond to human body cardiac cycle more delicately and the moving pressure that causes of upper limb body changes; Simultaneously can normally spread cotton-padded mattress in bed.
Lower limb subregion pad 14 and adjacent on trunk subregion pad---in the lateral sidewalls crack between the buttocks subregion pad 13, accompany rectangular body dynamic sensor 22, this sensor can be responded to the moving signal of lower limb body by the variation of responding to holding force between the adjacent pad 13,14.
Body moving 21,22 in chest subregion pad and the setting of lower limb subregion pad position in the above-mentioned sleep monitor mattress module can be used for measuring human body chest impact figure, leg impact figure, respiratory waveform, the moving waveform of body, and parameters such as hearts rate, respiratory rate, and then for heart rate trendgram, respiratory rate trend map, Sleep architecture, respiration case, firmly moving, the apnea disturbance index sleep movement obstacles such as (AHI) of breathing detection, cycle gonosome provides the analysis data.
The other workstation computer input end of bed is provided with infusion module;
This routine infusion module is a kind of infrared ray monitoring infusion device, its structure is seen Fig. 5, hang with infusion bottle on the Infusion support, snap ring 33 elasticity of being made by epoxy resin board are stuck on transfusion drip tube 31 outer walls of infusion bottle below, infrared transmitting tube D2 and infrared receiving tube D1 be contained in respectively the snap ring inwall be separated by about 180 the degree recessed positions (Fig. 6), make the emitted transverse receiving light path between infrared transmitting tube and the infrared receiving tube pass the snap ring centre, when snap ring is stuck on the transfusion drip tube 31, can intersect like this, respond to the signal that falls of dropping liquid with dropping liquid descent path near the central axis position.
Hang with circuit box 36 on the Infusion support, infrared components is electrically connected with power supply and circuit board in the circuit box, wherein infrared receiving tube D1 is connected by the other workstation computer input end of sampling amplifying circuit and bed, the other workstation computer of bed is connected with micro-step motor by ON-OFF control circuit, the speed regulator 39 of stepper motor and infusion set is in transmission connection, concrete structure is (Fig. 5,7): the micro-step motor 34 that is connected with the other workstation computer of bed is contained on the fixed mount 35 that can be connected with Infusion support, stepper motor output shaft and screw rod 37 are in transmission connection, be with to threaded engagement shift fork 38 on the screw rod, the part that woven hose is equipped with speed regulator 39 is vertically passed fixed mount 35, the step that speed regulator 39 is fixed on the frame is located up and down, is in transmission connection with shift fork 38 on the screw rod that stepper motor the is connected adjusting contact roller with speed regulator 39.
The one adjusting contact roller that can slide along the chute inclined-plane is housed on the existing speed regulator 39 that is contained on the one-time infusion tube usually, woven hose is clipped between contact roller and the regulator inwall, when contact roller slides, promptly compress or loosen woven hose, control its speed, during the value range in liquid droping speed exceeds computing machine, set: as too fast, cross slow or when stopping dripping, the warning circuit of the other workstation setting of bed sends alerting signal may command and stepper motor work simultaneously, drive shift fork 38 and stir the contact roller of infusion regulator 39, realized the automatic adjusting of transfusion speed.
Fig. 8 is the sampling amplification circuit diagram that this example is connected with transfusion infrared receiving tube D1, the photosignal output terminal of infrared receiving tube D1 is connected on the sampling input amplifier, the sampling amplifying circuit is made up of triode T1 (9013) current amplification circuit, A1 (MAX4162) operational amplifier, A2 (MAX4162) operational amplifier that connect successively, and sampling amplification circuit output end OUT connects an other workstation computer input end.
The infusion module that this example is provided with can further improve the security and the monitoring efficient of monitoring infusion.
The other workstation computer input end of bed is provided with blood oxygen module;
Described blood oxygen module is the module with the wireless connections of computing machine input end, its structure is: be provided with the link that can be connected with the human body relative fixed, blood oxygen transducer is contained on the link, and by being contained in radio transmitter and the wireless connections of computing machine input end on the link, this example can be the fingerstall 41 and the wrist strap 42 that can be fixed on the wrist that can be enclosed within on the finger with the relatively-stationary link of human body, described blood oxygen transducer is contained in the fingerstall 41, and blood oxygen transducer is connected with radio transmitter on being contained in wrist strap 42 by lead.Fingerstall 41 is enclosed within on patient's finger, and wrist strap is fixed on the wrist, can transmit detected data to the other workstation of bed in 10-30 rice scope.
The blood oxygen transducer model that this example adopts is NONIN 2332-01.
The other workstation computer input end of bed also is provided with pulse wave sensor, pulse wave sensor and blood oxygen transducer that this is routine are integrated, aforesaid NONIN 2332-01 blood oxygen transducer has blood oxygen and two kinds of functions of pulse wave sensing concurrently, both can obtain the blood oxygen signal by illumination, can respond to pulse wave signal and pulse rate signal again, be transferred to an other workstation together.
The NONIN 2332-01 blood oxygen pulse wave sensor that adopts can be gathered patient's blood oxygen, pulse frequency parameter, and detect its pulse waveform, for apnea, blood oxygen trend map, the anoxic event of analyzing the patient provides data, when COMPUTER DETECTION when anoxic takes place in the patient, can send alerting signal.
The other workstation input end of bed is connected to EGC sensor, be used to detect patient's cardiogram, simultaneously, the setting of EGC sensor and pulse wave sensor, can realize non-invasive blood pressure continuous coverage (referring to 200510071813.0 patented claims) to the patient, in infusion process, also can estimate measured's arterial pressure variation according to computing machine continuously, again according to the mathematical model curve of this pressure value and employed flow of infusate correspondence, compare with the transfusion speed value that records, send control signal by computing machine, transfusion speed is controlled by stepper motor and execution unit.
The other workstation computer input end of the bed of this example is connected to PSG sleep analysis monitor instrument, and its probe has comprised aforesaid EGC sensor, has also comprised other traditional sensors simultaneously, is used for the monitoring to the multiple physiological parameter of sleep human body.

Claims (7)

1. digitized hospital bed monitoring network system, be provided with the computing machine lesion workstation that is connected with the hospital computer central station, the lesion workstation is connected with some local body area networks, each body area network is made up of the other workstation of sick bed unit and bed respectively, it is characterized in that: described sick bed unit is provided with elastic bed mattress (1), mattress comprises and is no less than two ventilative vertical partition pads (11,12,13,14), adjacent two subregion pads (11,12) adjacent wall (11a, 12a) draw close, heelpiece face (11b), (12b) interconnect, but the other workstation computer input end of described bed connects with the sensor output terminal of the human body physiological parameter that corresponding sick bed unit is provided with, at least comprise the body dynamic sensor (21 that places on the elastic bed mattress in the described sensor, 22), the body dynamic sensor is the sealing elastomer that is full of fluid, elastic body is equipped with the sensing element (21a that energy induction sealing cavity fluid pressure changes, 22a), the body dynamic sensor places the position that can respond to the action of human body corresponding position on the elastic bed mattress, the other workstation of bed is provided with the monitoring display device that is connected with fanout, the other workstation computer input end of described bed is provided with infusion module, its structure is: the snap ring (3) that is with the band opening on the transfusion drip tube outer wall of infusion set, both sides are equipped with infrared transmitting tube (D2) respectively and are received the infrared receiving tube (D1) that infrared transmitting tube transmits in the snap ring, infrared receiving tube is connected by the other workstation computer of sampling amplifying circuit and bed, fanout is connected to warning circuit, the other workstation computer of bed is connected with micro-step motor (34) by ON-OFF control circuit, micro-step motor (34) is contained on the fixed mount (35) that can be connected with Infusion support, its output shaft and screw rod (37) are in transmission connection, be with to threaded engagement shift fork (38) on the screw rod, the part that woven hose is equipped with speed regulator (39) is vertically passed fixed mount (35), the step that speed regulator (39) is fixed on the frame is located up and down, and the shift fork (38) that is in transmission connection with stepper motor is in transmission connection with the adjusting contact roller of speed regulator (39).
2. digitized hospital bed monitoring network system according to claim 1, it is characterized in that: the elongated elastic body of described body dynamic sensor, be specially the elastic hose that is full of fluid oil, pressure sensing component (21a, 22a) is equipped with in sealing elastic hose end, and the pressure sensor output terminal connects an other workstation computer by amplifier and A/D converter.
3. digitized hospital bed monitoring network system according to claim 2, it is characterized in that: described elastic bed mattress (1) comprises subregion pad (12) that supports human chest and the subregion pad (14) that supports human body lower limbs at least, go up the position corresponding at chest subregion pad (12) the rectangular body dynamic sensor (21) that is arranged in the pad elastic core element transverse concave groove is arranged with the human heart that couches, it is suitable for reading that rectangular body dynamic sensor top exceeds the groove of pad elastic core element, in the lateral sidewalls crack between lower limb subregion pad (14) and the adjacent last trunk subregion pad (12), accompany rectangular body dynamic sensor (22).
4. according to the described digitized hospital bed monitoring network system of the arbitrary claim of claim 1-3, it is characterized in that: the other workstation computer input end of described bed is provided with blood oxygen module; Its structure is: be provided with the link (41,42) that can be connected with the human body relative fixed, blood oxygen transducer is contained on the link, and by being contained in radio transmitter and the wireless connections of computing machine input end on the link.
5. digitized hospital bed monitoring network system according to claim 4, it is characterized in that: described can be can be enclosed within the fingerstall (41) on the finger and can be fixed on wrist strap (42) on the wrist with the relatively-stationary link of human body, described blood oxygen transducer is contained in the fingerstall (41), and blood oxygen transducer is connected with radio transmitter on being contained in wrist strap (42) by lead.
6. according to the described digitized hospital bed monitoring network system of the arbitrary claim of claim 1-3, it is characterized in that: the other workstation computer input end of described bed is provided with EGC sensor.
7. digitized hospital bed monitoring network system according to claim 6 is characterized in that: the other workstation computer input end of described bed is provided with pulse wave sensor.
CN2008100047587A 2008-01-30 2008-01-30 Digitized hospital bed monitoring network system Expired - Fee Related CN101499106B (en)

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