CN1106244A - Domestic cardioelectric/blood pressure monitoring network system and method thereof - Google Patents
Domestic cardioelectric/blood pressure monitoring network system and method thereof Download PDFInfo
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- CN1106244A CN1106244A CN 94117667 CN94117667A CN1106244A CN 1106244 A CN1106244 A CN 1106244A CN 94117667 CN94117667 CN 94117667 CN 94117667 A CN94117667 A CN 94117667A CN 1106244 A CN1106244 A CN 1106244A
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- 208000024172 Cardiovascular disease Diseases 0.000 description 1
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Abstract
The monitor system for teletransmission of electrocardiosignals and blood pressure over telephone network comprises multiple household front apparatuses and a hospital receiving one. Said household front apparatus is composed of electrocardiosignal transceiver, aquisition board and PC. Said hospital receiving apparatus consists of workstation interface, workstation, terminals and printer. Frequency modulator and demodulator are respectively connected to two ends of telephone network. It features anti-interferences, high reliability and real-time transmitting and receiving.
Description
The present invention relates to the complex art field of cardiac telemetry, blood pressure, telephone network transmission and medical analysis diagnosis application on computers.
Since 1988, but be used to write down the recorder of electrocardio or blood pressure or had critical information concurrently that to differentiate the device of warning function etc. more, its scale and performance level difference are also bigger, conclude and get up to have substantially several types:
First simple type record and playback monitor.Basically be to do sectional single or multiple storage by the preposition amplification filtering circuit of electrocardio, tape or storage medium, several parts such as D/A analog quantity playback are formed.Control essentially no analysis and distinguishing function between parts with Digital Logical Circuits;
It two is single chip microcomputer type record and playback monitor.This class is all made the control core with the MCS-51 single-chip microcomputer of low-power consumption, through electrocardio front end circuit, analog-digital converter, part input/output port, program and data storage, digital to analog converter and serial port, trace several parts such as printing and form, by its work of software control, part anomalous discrimination function is all arranged usually, the quantity of information of memory mostly is the segmentation selecting type, minority is 24 hours perfect informations (being the Holter system), needs the complicated playback reproducer of configuration.Electrocardio or blood pressure signal that this class device is remembered, generally can only go the playback analysis just can learn the state of an illness to hospital after being ill or after 24 hours, if being arranged, the of short duration paroxysm or of the critical tendency of genus crosses the unusual state of an illness of property, just can not promptly this obtain monitoring and prediction and corresponding diagnosis and treatment, that is to say that the real-time of monitoring is relatively poor.
It three is some patents of announcing in the recent period as (electrocardiogram phone remote sensing instrument) patent No. 93216393.9 etc., can electrocardiosignal be delivered to from telephone network on the special-purpose electrocardiograph of hospital through remote measurement, and it leads and calibrates electric network and can change automatically.But as hospital, it can only be one one receipts of certain hour, used acoustical coupling mode, be subjected to the interference of ambient sound easily, the translation circuit of M-F and F-M is simple, debugging is difficult for accurate, functional reliability is limited, majority only limits to EGC parameter, or idol has electrocardio blood pressure two parameter synchronization monitoring (as the ambulatory blood pressure electrocardio comprehensive monitor of patent 92242097.1,93246014.3 etc.) to fail the phone network synchronous driving again and only be single monitor, the analysis-by-synthesis diagnostic function is limited, more can not expand other parameters and function.
The objective of the invention is to, overcome the weak point of above-mentioned prior art, a kind of new family electrocardio/blood pressure monitoring net system and monitoring method thereof proposed, phone that employing is generally used and personal computer are done the basis, (or the computer network communication network is a technology platform with short-range telemetry, DR telephone in the family, formation realizes that based on the supervisory network system of important physiological parameters such as electrocardio, blood pressure numerous patients just can in time obtain multinomial medical functions such as the first aid process of central hospital, illness analysis, statistics, medical record management at home.
The present invention proposes a kind of family electrocardio/blood pressure information supervisory network system, comprise a plurality of domestic headend equipments and hospital's receiving equipment, carrying out electrocardio/blood pressure signal through the telephone network connection between the two transmits at a distance, it is characterized in that said domestic headend equipment comprises an electrocardiosignal transmitter and receiver, to the collection plate that electrocardiosignal is gathered, A/D conversion and multichannel are switched, link to each other with collection plate, to the PC computer that signal carries out just declaring, storage and automatic/hand send; Said hospital receiving equipment comprises the work station main frame of work station special purpose interface plate and connection thereof, data base's terminating machine that links to each other with the work station main frame and printer; The sending and receiving two ends of said telephone network are connected with frequency modulator and demodulator respectively.
The ECG preamplifier that the said electrocardio transmitter/receiver of the present invention comprises the electrocardioelectrode of gathering electrocardiosignal, electrocardiosignal is amplified, signal after amplifying is carried out twice frequency modulation and radiating circuit, and receiver carries out twice demodulated received circuit and filtering shaping circuit to signal.
The collection plate of the said domestic headend equipment of the present invention is made up of address decoding circuitry, A/D converter, interrupt control circuit, I/O mouth and D/A change-over circuit etc.
The said domestic headend equipment of the present invention also comprises a blood pressure detector by being connected with personal computer with said collection plate, and this device is made up of single-chip microcomputer, air pump and control circuit thereof and blood pressure data telecommunication circuit three parts.
The present invention also proposes a kind of family's physiologic information monitoring method that is used for said system, it is characterized in that may further comprise the steps:
1) the physiological signal extraction unit is worn patient body corresponding site in needs monitoring, starting PC computer, promptly finish this domestic headend equipment by telephone network be in hospital work main frame and terminating machine that the user is monitored duty in real time always and be communicated with;
2) collection plate gives the switching of processing (amplification) multichannel by data acquisition program to physiological signal, sends into the PC computer after the A/D conversion;
3) PC is under the control of interface driver, by physiological signal monitoring analysis program, carry out the preliminary analysis of physiological signal, after send the display of PC to carry out waveform to show, when signal by analysis program differentiate when unusual, call the hard disk signal procedure and carry out data storage or call the manipulator setting program and signal procedure is sent into telephone network with signal through manipulator;
4) signal that transmits from telephone network enters the work station main frame through demodulator, word station interface by data transmission requests; Through discerning again and distributing and create its channel number; And from passage, read data and enter display subroutine shows this patient at host display waveform and parameter;
5) data transmit to finish or use the work station keyboard, enter the analysis sort program and carry out the waveform analysis of physiological signal, and the result sent deposit;
6) data terminal set that is communicated with the work station main frame is after the base management system initialization, enter the wait user mode of storehouse main menu, under the control of function key, receive the analysis result that deposits in from main frame, the function of each submenu of call options is finished the demonstration and the printing of various forms, inquiry again.
Said method gives and is compiled into software earlier and is stored in respectively in home personal computer and the hospital work station host, realizes calling and control automatically the various functions of supervisory network system.
Each part device in the native system all adopts the commercially available prod with higher reliability, and this patent is characterised in that and combines each functions of components, utilizes its performance dexterously, and provides more complete scheme for its monitoring.
Family's electrocardio/blood pressure information supervisory network system and monitoring method thereof that the present invention proposes, not only service behaviour is strong, be not afraid of interference, good reliability, electrocardiosignal long-time continuous ground warp circuit directly can be served telephone network, guard in real time by central hospital, and hospital's can accept multi-user time monitoring, also can return doctor's advice, make patient be given first aid to timely, dispose through phone.
Brief Description Of Drawings:
Fig. 1 is the overall construction drawing of supervisory network system of the present invention.
Fig. 2 is the domestic headend equipment structure chart of the embodiment of supervisory network system of the present invention.
Fig. 3 is a present embodiment domestic front-end collection plate circuit diagram.
Fig. 4 is a present embodiment domestic Front End FB(flow block).
Fig. 5 is a present embodiment central hospital work station mainframe program block diagram.
Fig. 6 is the work station medical record data stock of a present embodiment central hospital flow chart.
The present invention designs a kind of family electrocardio/voltage supervisory network system and method embodiment thereof, is described in detail as follows in conjunction with each accompanying drawing:
The supervisory network system of present embodiment comprises the setting of a plurality of domestic front end, telephone network and hospital's receiving equipment three parts, as shown in Figure 1.Whole system realizes the normal operation of system by Monitoring and Controlling software.
1, the domestic headend equipment comprises an electrocardiosignal transmitter receiver and a blood pressure detector, both all link to each other with personal computer by collection plate, information after machine is handled as calculated is connected in parallel on by a manipulator on the electric wire of telephone set, promptly directly is communicated with telephone network.As shown in Figure 2, as much platform headend equipment all is communicated with telephone network by oneself telephone set.The emission element formed by electrocardioelectrode, ECG preamplifier, twice fm modulation circuit and radiating circuit of electrocardiosignal transmitter/receiver and wherein by twice demodulator circuit, filtering, the receiving-member that shaping circuit is formed is formed.Blood pressure detector is made up of single-chip microcomputer air pump and control circuit thereof and blood pressure data telecommunication circuit three parts.Upward start sphygomanometer behind the cuff when patient wears, can measure patient's systolic pressure and diastolic pressure automatically, this blood pressure data inserts computer by serial form.
The acquisition circuit board of present embodiment as shown in Figure 3, it by slot link address decoding circuit A/D conversion input Acquisition Circuit, interrupt that control is mid-way, digital input-output interface circuit and D/A converting analogue output circuit etc. form.The slot joint is finished this plate and is connected with the Circuits System of personal computer, the address signal of main frame this collection plate in decoding is chosen is also distinguished the A/D converter interface circuit of gating input Acquisition Circuit, produce the passage switch-over control signal and to A/D conversion starting write operation, under the management of interrupt circuit, read transformation result, send by main frame and deposit or through D/A conversion output EGC waveform data.
Personal computer adopts the PC more than 386.Manipulator can adopt the Multi Tech Systems of MT224 type.
2, hospital's receiving equipment comprises a plurality of demodulators that are connected with telephone network, demodulator links to each other with working host by the central station interface, the central station interface is X1008A, work station main frame and corresponding peripheral hardware thereof are the Sun Microsystems product, a database terminal machine that links to each other with main frame, this terminating machine adopts 386 above system machines.The work station main frame adopts the multi-process working method, handles during the information of same that can transmit a plurality of families front end.
3, the system monitoring software of present embodiment comprises domestic front-end control program, work station control sequence and medical record data library three parts.
This three subprogram is stored in respectively in the memorizer of home personal computer, work station main frame and terminating machine.
(1) domestic front-end control program circuit as shown in Figure 4, it finishes following function: gather electrocardiogram (ECG) data; Keep in or send hard-disc storage, real-time continuous to show ecg wave form through internal memory; Electrocardiosignal analyzed just declare; If have unusually, but automatic or manual send telephone network through Modem; Accept doctor's advice and show from central station again through Modem with Chinese character.The process of its hardware and software work is:
When patient need monitor the state of an illness with the electrocardio transmitter receiver at home, connect after electrode installs the power supply of battery and receiver, can open personal computer, under the control of this monitoring analysis program, at first carry out the initialization of system works, set the interface, screen partition shows the submenu of main menu and operation, from the outfan of receiver, gathers electrocardiogram (ECG) data through collection plate then, on the one hand show ecg wave form, on the other hand and send memory stores in the curve district of screen; Under the monitoring of interface driver, to the operation of keyboard or mouse, as gathering the software inhouse incident of interrupt routine etc., and whether Modem communication event that doctor's advice sends here etc. or the like is arranged through telephone network, the various message of input rank detect, for the automatic or manual of back is provided by the condition that provides; When entering the monitoring state, carry out the cardiac monitoring analysis programme, electrocardiogram is carried out just declaring; If warning classification unusual and the genus regulation is arranged, then sets the sign of further handling, through driving the control that the relevant processing links of automatic feedback changes corresponding process over to; Respective handling or its process have data to deposit hard disk, perhaps go up telephone network from influencing meridian Modem and send work station to hospital; Under the operation of keyboard, can consult management document afterwards, the doctor's advice of the state of an illness is in earlier stage arranged not, and on screen, show the doctor's advice content; Return continuous periodic duty at last.In this process, the collection of electrocardiogram (ECG) data is to adopt the regularly mode of break in service, has the highest priority level, and each timing acquiring is carried out other functions after sending and depositing, thereby has guaranteed the integrity of data.
(2) central hospital's workstation software flow process as shown in Figure 5, it finishes following function:
Multi-user data passage on the control telephone network, and adopt respectively into work station storage and demonstration; Arrhythmia analysis is differentiated its classification, comprises the analyzing and diagnosing relevant with blood pressure; Analysis result and report send database filing for future reference.
Its work process is: the work station main frame is start-up system under the management of Unix operating system, and whether the multi-user that string of using through demodulator and central station and interface are being monitored on the telephone network at any time has data transmission requests.If have, discern its user's labelling again and create its channel number, distribute access road, its data of sending here are read in work station, deposit subdirectory in document form on the one hand, on the one hand display waveform and parameter in the regulation window, pending data transmits end or can enter the analysis and distinguishing subprogram with the work station keyboard, carry out than more detailed arrhythmia of domestic end and the analysis relevant with blood pressure, and the result sent deposit, the wait database software is filed for future reference.Under the intervention of keyboard, can look back and browse waveform and analysis result, return telephone network then and continue monitoring.
Peek to from telephone network and to return the process of phone network, to work station is to utilize the multi-user's of its Unix operating system multi-process dynamic management software to realize, therefore it satisfies the pooling of resources that many patients share work station, make system not only have stronger continuous real-time, and higher performance arranged, the networking user of family is many more, and this price is higher than more.
(3) program circuit of central hospital's work station database of case history as shown in Figure 6, it finishes following function:
The fast searching method explanation (help) of inbound patient and case history; 6 report display such as basic condition, medical history, outpatient service record, health check-up, electrocardio and doctor's advice or printing; And the automatic transmission of data and storage etc. between work station, its work process is: in the database terminal machine DOS is housed, Windows, under the support of software such as cstar and imgectar, base management system software enters Windows and carries out initialization, system starts automatically after icon occurring, and demonstration main menu etc. are to be used.Under the control of F10 key, the result enters the option submenu from work station main frame receiving and analyzing, under keyboard or mouse moving handover operation, finishes the function of each submenu respectively, the statistics filing of various forms, query display, printing and data etc.
Present embodiment is proof on probation in uniting and adjustment and family, can carry out day and night real-time monitoring to the cardiovascular disease that the cardiac disorder patient is arranged in the family, central station can be differentiated and reports to the police and return doctor's advice the arrhythmia that significant change is arranged, instant patient directions and family members' nursing thereof or go to hospital to do further treatment.
Native system has following characteristic:
1) real-time monitoring function preferably
2) cardiac monitoring software level is higher, the validity of abnormal alarm is better
3) diagnostic process (obtaining doctor's advice) is timely
4) the family expenses end is easy to operate, character reminding
5) except can guarding the electrocardio blood pressure, also has the expanded function of other parameters
6) the online user of monitoring is more many, and the ratio of performance to price is more high
Claims (5)
1, a kind of family electrocardio/blood pressure information supervisory network system, comprise a plurality of domestic headend equipments and hospital's receiving equipment, carrying out electrocardio/blood pressure signal through the telephone network connection between the two transmits at a distance, it is characterized in that said domestic headend equipment comprises an electrocardiosignal transmitter and receiver, to the collection plate that electrocardiosignal is gathered, A/D conversion and multichannel are switched, link to each other with collection plate, to the PC computer that signal carries out just declaring, storage and automatic/hand send; Said hospital receiving equipment comprises work station special purpose interface plate and connected work station main frame, data base's terminating machine that links to each other with the work station main frame and printer; The sending and receiving two ends of said telephone network are connected with frequency modulator and demodulator respectively.
2, the system as claimed in claim 1, it is characterized in that the ECG preamplifier that said electrocardio transmitter/receiver comprises the electrocardioelectrode of gathering electrocardiosignal, electrocardiosignal is amplified, signal after amplifying is carried out the synthetic modulation transmitter of twice frequency, signal is carried out the demodulated received demodulator circuit twice.
3, the system as claimed in claim 1, the collection plate that it is characterized in that said domestic headend equipment be by address decoding circuitry, A/D converter, interrupt control circuit, compositions such as I/O mouth and D/A change-over circuit.
4, system as claimed in claim 1 or 2, it is characterized in that said domestic headend equipment also comprises a blood pressure detector by being connected with personal computer with said collection plate, this device is made up of single-chip microcomputer, air pump and control circuit thereof and blood pressure data telecommunication circuit three parts.
5, a kind of family's physiologic information monitoring method of system according to claim 1 that is used for is characterized in that may further comprise the steps:
1) the physiological signal extraction unit is worn patient body corresponding site in needs monitoring, starting PC computer, promptly finish this domestic headend equipment by telephone network be in hospital work main frame and terminating machine that the user is monitored duty in real time always and be communicated with;
2) collection plate gives the switching of processing (amplification) multichannel by data acquisition program to physiological signal, sends into the PC computer after the A/D conversion;
3) PC is under the control of interface driver, by physiological signal monitoring analysis program, carry out the preliminary analysis of physiological signal, after send the display of PC to carry out waveform to show, when signal by analysis program differentiate when unusual, call the hard disk signal procedure and carry out data storage or call the manipulator setting program and signal procedure is sent into telephone network with signal through manipulator;
4) signal that transmits from telephone network enters the work station main frame through demodulator, word station interface by data transmission requests; Through discerning again and distributing and create its channel number; And from passage, read data and enter display subroutine shows this patient at host display waveform and parameter;
5) data transmit to finish or use the work station keyboard, enter the analysis sort program and carry out the waveform analysis of physiological signal, and the result sent deposit;
6) data terminal set that is communicated with the work station main frame is after the base management system initialization, enter the wait user mode of storehouse main menu, under the control of function key, receive the analysis result that deposits in from main frame, the function of each submenu of call options is finished the demonstration and the printing of various forms, inquiry again.
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CN 94117667 CN1106244A (en) | 1994-11-01 | 1994-11-01 | Domestic cardioelectric/blood pressure monitoring network system and method thereof |
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CN 94117667 CN1106244A (en) | 1994-11-01 | 1994-11-01 | Domestic cardioelectric/blood pressure monitoring network system and method thereof |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1977992B (en) * | 2005-12-09 | 2010-12-08 | 财团法人资讯工业策进会 | Respirator alarm monitoring system and its processing method |
CN101741940B (en) * | 2008-11-17 | 2012-05-30 | 深圳市永兴元科技有限公司 | Intelligent transmission terminal for human physiological information |
CN102799754A (en) * | 2011-07-11 | 2012-11-28 | 江苏达盈医疗科技股份有限公司 | Information management system for blood glucose monitor |
CN102090930B (en) * | 2009-12-10 | 2013-01-09 | 中兴保全股份有限公司 | Home healthcare service management device |
-
1994
- 1994-11-01 CN CN 94117667 patent/CN1106244A/en active Pending
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1977992B (en) * | 2005-12-09 | 2010-12-08 | 财团法人资讯工业策进会 | Respirator alarm monitoring system and its processing method |
CN101741940B (en) * | 2008-11-17 | 2012-05-30 | 深圳市永兴元科技有限公司 | Intelligent transmission terminal for human physiological information |
CN102090930B (en) * | 2009-12-10 | 2013-01-09 | 中兴保全股份有限公司 | Home healthcare service management device |
CN102799754A (en) * | 2011-07-11 | 2012-11-28 | 江苏达盈医疗科技股份有限公司 | Information management system for blood glucose monitor |
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