CN110223480A - A kind of warning device for neonatal monitor - Google Patents

A kind of warning device for neonatal monitor Download PDF

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Publication number
CN110223480A
CN110223480A CN201910409806.9A CN201910409806A CN110223480A CN 110223480 A CN110223480 A CN 110223480A CN 201910409806 A CN201910409806 A CN 201910409806A CN 110223480 A CN110223480 A CN 110223480A
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sound
upper limit
neonatal
color
warning
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CN110223480B (en
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郑小美
周莲娟
徐红贞
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Zhejiang University ZJU
Childrens Hospital of Zhejiang University School of Medicine
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Zhejiang University ZJU
Childrens Hospital of Zhejiang University School of Medicine
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    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02Alarms for ensuring the safety of persons
    • G08B21/0202Child monitoring systems using a transmitter-receiver system carried by the parent and the child
    • G08B21/0205Specific application combined with child monitoring using a transmitter-receiver system
    • G08B21/0208Combination with audio or video communication, e.g. combination with "baby phone" function
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02Alarms for ensuring the safety of persons
    • G08B21/0202Child monitoring systems using a transmitter-receiver system carried by the parent and the child
    • G08B21/0205Specific application combined with child monitoring using a transmitter-receiver system
    • G08B21/0211Combination with medical sensor, e.g. for measuring heart rate, temperature
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02Alarms for ensuring the safety of persons
    • G08B21/0202Child monitoring systems using a transmitter-receiver system carried by the parent and the child
    • G08B21/0236Threshold setting

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Child & Adolescent Psychology (AREA)
  • General Physics & Mathematics (AREA)
  • Emergency Management (AREA)
  • Physics & Mathematics (AREA)
  • Business, Economics & Management (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Multimedia (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

The present invention provides a kind of warning devices for neonatal monitor, belong to medical instruments field.It solves the problems, such as the alarm fatigue that existing patient monitor easily causes medical staff.The present apparatus includes patient monitor, the neonatal heart rate of monitor monitors simultaneously generates heart rate data, communication connection has warning sound-producing device on patient monitor, warning sound-producing device is integrated with alarm system, at least one upper limit threshold and at least one lower threshold are provided in alarm system, alarm system is for reading heart rate data and comparing, when heart rate data is down to lower threshold or is more than upper limit threshold, triggering warning sound-producing device simultaneously makes warning sound-producing device sounding, each upper limit threshold and the preset sounding of lower threshold be not identical, communication connection has high-definition camera on patient monitor, high-definition camera is used to carry out complete monitoring to newborn, patient monitor also communication connection has display device.Infant critical information effectively can be accurately presented in the present invention, to timely and effectively be handled.

Description

A kind of warning device for neonatal monitor
Technical field
The invention belongs to medical instruments field, in particular to a kind of warning device for neonatal monitor.
Background technique
2013, joint committee issued National Patient's security target, promoted to approve hospital using alarm security as doctor Institute's matter of priority determines that most important alarm signal is managed, and the policy for solving alert management is formulated before 2016 And program.Furthermore since 2012, alarm harm is classified as annual maximum health approach and endangered by ECRI research institute.It is hopeful But still unverified intervening measure includes expanding alarm parameters, realizes alert latency, and using disposable electrocardio figure line or The ECG electrode frequently replaced.
The existing alarm of patient monitor is that have the alert levels of 3 customized parameters, such as blood oxygen, and 90-100 is normal, 90- 85 yellow, sound drop drop.85 or less is red, and alarm sound is more rapid, dichloro-diphenyl-dichlorothane.Audio warning is similar and difference is small, in China Hospital in, especially in Intensive Care Unit, bed quantity is more, in the case where neonate department Nurse staffing wretched insufficiency, such alarm Difference can not cause the concern of clinical nurse, find change of illness state in time.Especially after on duty for a long time, alarm fatigue easily hair It is raw.
The general monitor heart rate of patient monitor, breathing, blood pressure, perfusion index etc..Newborn is different from adult, as physiological cry it is noisy Alarm shows that heart rate on patient monitor, breathing, the number change of SPO2 occur as soon as alarm, because newly when being more than alarm line Raw youngster's patient monitor alarm has bound setting.Existing lot of documents provides so-called " death record " data, traces from death Middle acquisition statistics indicate that bradycardia, followed by terminal phase apnea occur first.It is assumed that the heart of the anoxic prior to record It moves too slow.And according to investigations, upper limit alarm incidence be absolutely higher than lower limit alarm, and upper limit alarm usually with cry disturb by making noise it is related, and under Limit alarm often indicate apnea, and these are identified by sound merely, and content is single, in vain alarm incidence compared with Height, the alarm fatigue of Yi Yinqi medical staff.
Summary of the invention
The purpose of the present invention is be directed to the above-mentioned problems in the prior art, provide a kind of invalid alarm rate it is low and report The clear warning device for neonatal monitor of alert grade.
Object of the invention can be realized by the following technical scheme: a kind of warning device for neonatal monitor, It is characterised in that it includes patient monitor, the patient monitor is for monitoring neonatal heart rate and generating heart rate data, the prison Also communication connection has warning sound-producing device on shield instrument, and the warning sound-producing device is integrated with alarm system, the alarm system At least one upper limit threshold and at least one lower threshold are provided in system, the alarm system is for reading heart rate data simultaneously It compares, when heart rate data is down to lower threshold or is more than upper limit threshold, triggers warning sound-producing device and make sounding of alarming Device sounding, each upper limit threshold and the preset sounding of lower threshold be not identical, and communication connection has high definition on the patient monitor Camera, the high-definition camera are used to carry out complete monitoring to newborn, and the patient monitor also communication connection has display Device, the display device is for showing the image that high-definition camera is monitored.
The working principle of the invention: patient monitor is connect with neonatal limbs and monitored over time neonate life situation, high Clear camera whole process shooting monitoring triggers warning sound-producing device when heart rate data is down to lower threshold or is more than upper limit threshold And making warning sound-producing device sounding, each upper limit threshold and the preset sounding of lower threshold be not identical.It, can using above-mentioned setting The grade of alarm, and the concern that nurse can be caused to change the critical vital sign of newborn are effectively distinguished, it is tired to solve alarm The adverse effect that labor generates.
In a kind of above-mentioned warning device for neonatal monitor, at least two are provided in the alarm system A upper limit threshold, the upper limit threshold the high, triggers that volume that warning sound-producing device makes a sound is bigger or frequency is higher.
In a kind of above-mentioned warning device for neonatal monitor, the high-definition camera is also integrated with sound Identification device and acoustic contrast's device, the noisy sound of newborn vagitus, identification sound divide the voice recognition device for identification Shellfish simultaneously generates sound dB signal, and acoustic contrast's device presets decibel threshold, when sound dB signal reaches decibel threshold When value, each upper limit threshold is improved.
In a kind of above-mentioned warning device for neonatal monitor, at least two are provided in the alarm system A lower threshold, the lower threshold the low, triggers that volume that warning sound-producing device makes a sound is bigger or frequency is higher.
In a kind of above-mentioned warning device for neonatal monitor, the high-definition camera is also integrated There are face recognition module, Color Picking module, color memory module and color matching module, the face recognition module is used for Monitoring newborn simultaneously generates newborn's picture data, and the Color Picking module is for reading newborn's picture data, extracting Color simultaneously generates real-time color data, and the color memory module prestores yellow about the gills color data, the match colors mould Block is for matching real-time color data with sickly look color data, when real-time color data is matched into sickly look color data When function, warning sound-producing device starting and sounding.
In a kind of above-mentioned warning device for neonatal monitor, the patient monitor also have breathing detection, Oxygen saturation detection, blood pressure detecting, in perfusion index detection one or any combination function.
In a kind of above-mentioned warning device for neonatal monitor, the highest upper limit threshold of heart rate detection is 160 Beat/min.
In a kind of above-mentioned warning device for neonatal monitor, the minimum lower threshold of heart rate detection is 100 Beat/min.
In a kind of above-mentioned warning device for neonatal monitor, movement is additionally provided on the high-definition camera Identification module, whether the action recognition module is for judging newborn dynamic.
In a kind of above-mentioned warning device for neonatal monitor, report is additionally provided in the warning sound-producing device Warning lamp, the alarm lamp are used to issue different color and flashing frequency with the upper limit threshold of triggering or the difference of lower threshold Rate.
Advantages of the present invention has: alarm system of the present invention relative to existing patient monitor, in excessive neonatal monitor Bound threshold value setting in, the lower threshold of the critical Vital status of relationship is stripped out, using significant alarm change and Eye-catching alarm lamp, the concern that nurse can be caused to change the critical vital sign of newborn solve alarm fatigue and generate not Good influence, while comprehensive newborn's activity, noisy, heart rate of crying, breathing, oxygen saturation, the variation tendency of blood pressure, perfusion index, knot Various modules set in high-definition camera are closed, infant critical information is accurately presented as far as possible, to carry out timely and effectively Processing.
Detailed description of the invention
Fig. 1 is schematic diagram of the invention;
Fig. 2 is the module diagram of high-definition camera of the present invention;
In figure, 1, patient monitor;2, high-definition camera;3, warning sound-producing device;4, alarm system;5, display device;6, sound Sound identification device;7, acoustic contrast's device;8, face recognition module;9, Color Picking module;10, color memory module;11, color Color matching module;12, action recognition module;13, alarm lamp.
Specific embodiment
Following is a specific embodiment of the present invention in conjunction with the accompanying drawings, technical scheme of the present invention will be further described, However, the present invention is not limited to these examples.
As illustrated in fig. 1 and 2, this includes patient monitor 1 for the warning device of neonatal monitor, and patient monitor 1 is for monitoring Neonatal heart rate simultaneously generates heart rate data, and also communication connection has warning sound-producing device 3 on patient monitor 1, and warning sound-producing device 3 collects At there is alarm system 4, at least one upper limit threshold and at least one lower threshold are provided in alarm system 4, alarm system 4 is used In reading heart rate data and comparing, when heart rate data is down to lower threshold or is more than upper limit threshold, alarm sounding is triggered Device 3 simultaneously makes 3 sounding of warning sound-producing device, and each upper limit threshold and the preset sounding of lower threshold be not identical, leads on patient monitor 1 News are connected with high-definition camera 2, and high-definition camera 2 is used to carry out newborn complete monitoring, and the also communication connection of patient monitor 1 has aobvious Showing device 5, display device 5 is for showing the image that high-definition camera 2 is monitored.
Further describe in detail, in order to further enhance the distinguishing characteristics of different stage alarm, be provided in alarm system 4 to Few two upper limit thresholds, the upper limit threshold the high, triggers that volume that warning sound-producing device 3 makes a sound is bigger or frequency is higher.
It further describes in detail, high-definition camera 2 is also integrated with voice recognition device 6 and acoustic contrast's device 7, voice recognition dress It sets 6 and the noisy sound of newborn vagitus, identification sound decibel and generates sound dB signal for identification, acoustic contrast's device 7 is default Decibel threshold improves each upper limit threshold when sound dB signal reaches decibel threshold.Using above-mentioned setting, Neng Gouyou Effect analyzes neonatal emotional status, and some researches show that triggering upper limit threshold alarm often disturb by making noise with newborn vagitus it is related, therefore It is divided by carrying out upper limit threshold to neonatal noisy sound of crying in conjunction with the data on patient monitor 1, can more accurately be understood Neonatal vital sign.
It further describes in detail, at least two lower thresholds is provided in alarm system 4, the lower threshold the low, triggers alarm hair The volume that acoustic device 3 makes a sound is bigger or frequency is higher.The alarm of triggering lower threshold often indicates apnea, and From a large amount of death trace it is middle obtain statistics indicate that bradycardia occurs first, followed by terminal phase apnea, this setting Nurse can effectively be reminded and medical staff is helped to handle neonatal unsafe condition in time.
It further describes in detail, in order to judge whether neonatal complexion is normal, the alarm for improving warning sound-producing device 3 is effective Rate, high-definition camera 2 are also integrated with face recognition module 8, Color Picking module 9, color memory module 10 and match colors mould Block 11, for face recognition module 8 for monitoring newborn and generating newborn's picture data, Color Picking module 9 is new for reading Raw youngster's picture data extracts color and generates real-time color data, and color memory module 10 prestores yellow about the gills color data, color Matching module 11 is for matching real-time color data with sickly look color data, when real-time color data and sickly look number of colors When according to successful match, the starting of warning sound-producing device 3 and sounding.
It further describes in detail, in order to collect neonatal vital signs information as far as possible, patient monitor 1 also has breathing inspection Survey, oxygen saturation detection, blood pressure detecting, in perfusion index detection one or any combination function.
It further describes in detail, the highest upper limit threshold of heart rate detection is 160 beats/min.Neonatal heart rate is generally 120-160 Between beat/min, upper limit threshold, which is set as 160 beats/min, can be applicable in most newborns.
It further describes in detail, the minimum lower threshold of heart rate detection is 100 beats/min.Neonatal heart rate is generally 120-160 Between beat/min, most newborns can be applicable in by being 120 beats/min for lower threshold.
It further describes in detail, action recognition module 12 is additionally provided on high-definition camera 2, action recognition module 12 is new for judging Whether raw youngster is dynamic.When newborn's hardship is noisy and struggles, it can greatly influence triggering upper limit threshold and alarm, cause to report in vain It is alert.
It further describes in detail, in order to effectively cause medical staff's note that being additionally provided with alarm in warning sound-producing device 3 Lamp 13, alarm lamp 13 are used to issue different color and flicker frequency with the upper limit threshold of triggering or the difference of lower threshold.
Patient monitor 1 is connect with neonatal limbs and monitored over time neonate life situation, the whole shooting of high-definition camera 2 Monitoring triggers warning sound-producing device 3 and makes warning sound-producing device when heart rate data is down to lower threshold or is more than upper limit threshold 3 sounding, while voice recognition device 6 in high-definition camera 2 and acoustic contrast's device 7 identify the noisy sound of newborn vagitus, know Other sound decibel simultaneously generates sound dB signal, when sound dB signal reaches decibel threshold, improves each upper limit threshold, And at least two lower thresholds are provided in alarm system 4, the lower threshold the low, triggers what warning sound-producing device 3 made a sound Volume is bigger or frequency is higher, and the face recognition module 8 on high-definition camera 2 monitors newborn and generates newborn's number of pictures According to Color Picking module 9 reads newborn's picture data, extracts color and generates real-time color data, color memory module 10 Real-time color data is matched with sickly look color data with color matching module 11, when real-time color data and sickly look color When Data Matching success, the starting of warning sound-producing device 3 and sounding, each upper limit threshold and the preset sounding of lower threshold not phase Together, alarm lamp 13 changes flash color and flicker frequency with the different of alarm.
Specific embodiment described herein is only an example for the spirit of the invention.The neck of technology belonging to the present invention The technical staff in domain can make various modifications or additions to the described embodiments or replace by a similar method In generation, however, it does not deviate from the spirit of the invention or beyond the scope of the appended claims.
Although patient monitor 1, high-definition camera 2, warning sound-producing device 3, alarm system 4, display is used more herein Device 5, voice recognition device 6, acoustic contrast's device 7, face recognition module 8, Color Picking module 9, color memory module 10, The terms such as color matching module 11, action recognition module 12, alarm lamp 13, but it does not exclude the possibility of using other terms. The use of these items is only for be more convenient to describe and explain essence of the invention;It is construed as any additional Limitation be all to be disagreed with spirit of that invention.

Claims (10)

1. a kind of warning device for neonatal monitor, which is characterized in that including patient monitor (1), the patient monitor (1) For monitoring neonatal heart rate and generating heart rate data, also communication connection has warning sound-producing device on the patient monitor (1) (3), the warning sound-producing device (3) is integrated with alarm system (4), and the alarm system is provided at least one in (4) Upper limit threshold and at least one lower threshold, the alarm system (4) work as heart rate for reading heart rate data and comparing Data trigger warning sound-producing device (3) and make warning sound-producing device (3) sounding down to lower threshold or when being more than upper limit threshold, Each upper limit threshold and the preset sounding of lower threshold be not identical, and communication connection has high-definition camera on the patient monitor (1) (2), the high-definition camera (2) is used to carry out newborn complete monitoring, and the patient monitor (1) also communication connection has aobvious Showing device (5), the display device (5) is for showing the image that high-definition camera (2) is monitored.
2. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that the alarm At least two upper limit thresholds are provided in system (4), the upper limit threshold the high, triggers the sound that warning sound-producing device (3) makes a sound It is higher to measure bigger or frequency.
3. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that the high definition Camera (2) is also integrated with voice recognition device (6) and acoustic contrast's device (7), and the voice recognition device (6) is for knowing The noisy sound of not newborn vagitus, identification sound decibel simultaneously generate sound dB signal, and default point of acoustic contrast's device (7) Shellfish threshold value improves each upper limit threshold when sound dB signal reaches decibel threshold.
4. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that the alarm At least two lower thresholds are provided in system (4), the lower threshold the low, triggers the sound that warning sound-producing device (3) makes a sound It is higher to measure bigger or frequency.
5. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that described is described High-definition camera (2) be also integrated with face recognition module (8), Color Picking module (9), color memory module (10) and color Matching module (11), the face recognition module (8) is for monitoring newborn and generating newborn's picture data, the color Color extraction module (9) is for reading newborn's picture data, extracting color and generating real-time color data, the color storage Module (10) prestores yellow about the gills color data, and the color matching module (11) is used for real-time color data and sickly look color Data are matched, and when real-time color data and sickly look color data successful match, warning sound-producing device (3) starting is concurrent Sound.
6. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that the monitoring Instrument (1) the also function with one in breathing detection, oxygen saturation detection, blood pressure detecting, perfusion index detection or any combination Energy.
7. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that heart rate detection is most High upper limit threshold is 160 beats/min.
8. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that heart rate detection is most Low lower threshold is 100 beats/min.
9. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that the high definition Be additionally provided on camera (2) action recognition module (12), the action recognition module (12) for judge newborn whether It is dynamic.
10. a kind of warning device for neonatal monitor according to claim 1, which is characterized in that the report It is additionally provided with alarm lamp (13) on alert sounding device (3), the alarm lamp (13) is used for upper limit threshold or lower limit threshold with triggering The difference of value and issue different color and flicker frequency.
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