CN111420285A - Wearable cardioversion defibrillation system with user base station - Google Patents

Wearable cardioversion defibrillation system with user base station Download PDF

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CN111420285A
CN111420285A CN202010274765.XA CN202010274765A CN111420285A CN 111420285 A CN111420285 A CN 111420285A CN 202010274765 A CN202010274765 A CN 202010274765A CN 111420285 A CN111420285 A CN 111420285A
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information
base station
module
patient
user base
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陈吴笋
汪培林
梁胜锦
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Suzhou Weisi Medical Technology Co ltd
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Suzhou Weisi Medical Technology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3904External heart defibrillators [EHD]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/395Heart defibrillators for treating atrial fibrillation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3993User interfaces for automatic external defibrillators
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04BTRANSMISSION
    • H04B5/00Near-field transmission systems, e.g. inductive or capacitive transmission systems
    • H04B5/70Near-field transmission systems, e.g. inductive or capacitive transmission systems specially adapted for specific purposes
    • H04B5/72Near-field transmission systems, e.g. inductive or capacitive transmission systems specially adapted for specific purposes for local intradevice communication
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/12Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Radiology & Medical Imaging (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Computer Networks & Wireless Communication (AREA)
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  • Human Computer Interaction (AREA)
  • Computing Systems (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Pathology (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The invention provides a wearable cardioversion defibrillation system with a user base station, which comprises a WCD host machine, wherein the WCD host machine is used for detecting electrocardio information and wearing information of a patient and carrying out discharge treatment on the patient according to the detected abnormal electrocardio information. The system also comprises a user base station which is used for receiving the electrocardio information and the wearing information sent by the WCD host, downloading the diagnosis report data and transmitting video, audio and character information. The system also comprises a data center cloud server which stores a patient medical record database, sends medical record data to the doctor client and receives a diagnosis report of the doctor. The system further comprises a doctor client side, wherein the doctor client side is used for receiving the patient medical record data information, sending the diagnosis report input by the doctor to the data center cloud server, and transmitting video, audio and text information. The WCD host structure is simplified, and stability is higher during the use, does not have unnecessary work module, and the volume reduces, and is more convenient during the use, and user base station has also avoided the smart mobile phone to bring the puzzlement for old patient.

Description

Wearable cardioversion defibrillation system with user base station
Technical Field
The invention relates to the technical field of medical equipment, in particular to a wearable cardioversion defibrillation system with a user base station.
Background
Wearable Cardioverter Defibrillator (WCD), a wearable extracorporeal automatic defibrillator, delivers electrical shock therapy by itself without bystander intervention after being worn, and a conscious patient can delay or terminate therapy by pressing a response button. WCD devices are used by patients outside the hospital for periods ranging from 3 days to 6 months. The electrocardio electrode is used for carrying out 24-hour electrocardio monitoring in the working state of the WCD host, and the WCD host switches to a defibrillation mode after detecting VF or VT (ventricular fibrillation or ventricular velocity) and confirming that a patient does not respond. The defibrillation electrode plate sprays conductive adhesive and contacts with the skin to begin defibrillation. After defibrillation occurs, a patient needs to be sent to the doctor as soon as possible, and the electrocardio monitoring and defibrillation functions are kept in an activated state. From the perspective of safety and effectiveness of medical equipment, the WCD host needs to be designed as small as possible, low in power consumption and simple in function. In the prior art, a patient uses the WCD outside a hospital, no medical staff supervises the WCD in real time, and if the patient compliance is not good, the treatment effect of the WCD can be influenced, so that the medical staff needs to communicate with the patient in a long-distance mode regularly to strengthen the patient compliance. The patient also needs to check the self health condition regularly, and communicate with the medical care personnel remotely when necessary to obtain professional diagnosis and treatment opinions. If health information and remote communication are checked on the WCD host, the WCD host needs to have functions of a large screen, remote video transmission, two-way communication and the like, and the problems of increased power consumption, increased volume, complex operation, reduced reliability and safety and the like caused by excessive functions can be caused. In addition, many patients of the WCD are old people, and the scheme of checking health information and performing remote communication through the smart phone APP is not universal. It is therefore desirable to further address the issue of both convenience, reliability, and security in use of a WCD.
Disclosure of Invention
The technical problem to be solved by the invention is as follows: the wearable cardioverter defibrillation system with the user base station is convenient and reliable.
In order to solve the technical problems, the invention adopts the technical scheme that: there is provided a wearable cardioverter-defibrillation system with a user base station, comprising:
the WCD host is used for detecting the electrocardio information and the wearing information of the patient, performing discharge treatment on the patient according to the detected ventricular velocity and ventricular fibrillation information, and sending the electrocardio information and the wearing information to the data center cloud server and the user base station;
the user base station is used for receiving the electrocardio information and the wearing information sent by the WCD host computer, sending the electrocardio information and the wearing information to the data center cloud server, downloading diagnosis report data from the data center cloud server, and transmitting video, audio and character information;
the data center cloud server is used for receiving the electrocardio information and the wearing information sent by the WCD host and the user base station, establishing a patient medical record database, sending medical record data to a doctor client, receiving a diagnosis report of a doctor, and transmitting video, audio and text information;
and the doctor client is used for receiving the patient medical record data information on the data center cloud server, sending the diagnosis report input by the doctor to the data center cloud server, and transmitting video, audio and text information.
Further, the WCD host comprises:
the battery module is used for supplying power to the WCD host;
the wearable vest module comprises an electrocardio information acquisition module and a defibrillation electrode plate; the electrocardio information acquisition module is used for acquiring the body surface electrocardio information of the patient and transmitting the body surface electrocardio information to the electrocardio detection module; the defibrillation electrode plate sprays gel to perform discharge treatment on a patient;
the wearing detection module is used for detecting the falling state of the vest at regular time;
the electrocardio detection module is used for receiving and detecting the electrocardio information in real time, generating a defibrillation instruction according to the ventricular speed and ventricular fibrillation information in the electrocardio information and sending the defibrillation instruction to the defibrillation module;
the defibrillation module is used for receiving the defibrillation instruction, sending a gel ejection signal to the defibrillation electrode plate and releasing a therapeutic electric signal;
the first network transmission module is used for sending the electrocardio information and the wearing information to the data center cloud server;
and the first Bluetooth communication module is used for sending the electrocardio information and the wearing information to the user base station and receiving the configuration information of the user base station.
Further, the user base station includes:
the power supply module is used for supplying power to the user base station;
the main control module is used for controlling the overall operation of the user base station;
the user interface module is used for displaying the running state of the user base station and medical record information of a patient and setting configuration information of the WCD host;
the first remote communication module is used for video, audio and text communication between a doctor and a patient;
the second network transmission module is used for downloading the doctor diagnosis report, transmitting video, audio and character information between a doctor and a patient, and sending user wearing information and electrocardiogram information to the data center cloud server;
the second Bluetooth communication module is used for receiving the electrocardio information and the wearing information transmitted by the first Bluetooth communication module and sending configuration information to the first Bluetooth communication module;
and the charging module is used for charging the battery module of the WCD host.
Further, the data center cloud server includes:
the user management module is used for creating, modifying and deleting the user;
the patient medical record module is used for increasing, deleting, modifying and checking the patient medical record data and storing the medical record data by adopting a database;
and the third network transmission module is used for receiving the electrocardio information and the wearing information from the WCD host, receiving the diagnosis report from the doctor client and simultaneously transmitting video, audio and text information between the doctor and the patient.
Further, the doctor client includes:
the diagnosis report module is used for assisting in analyzing the electrocardio information and inputting a diagnosis report by a doctor;
the second remote communication module is used for video, audio and text communication between the doctor and the patient;
and the fourth network transmission module is used for downloading the electrocardio information of the patient from the data center cloud server, sending a diagnosis report to the data center cloud server, and simultaneously transmitting video, audio and text information between the doctor and the patient.
Further, the first remote communication module and the second remote communication module both comprise a microphone, a camera and a touch display screen.
Further, the battery module comprises at least two rechargeable batteries.
Further, the users include patients, doctors, and administrators.
The invention has the beneficial effects that: the patient uses the WCD host outside the hospital, the WCD host detects real-time electrocardio information and wearing information of the patient and sends the real-time electrocardio information and wearing information to the data center cloud server, the data center cloud server stores the received electrocardio information and wearing information into medical record files of the patient, and the doctor client diagnoses according to the medical record information of the patient and sends a diagnosis report of a doctor to the data center cloud server. And the patient downloads the diagnosis report from the data center cloud server through the user base station, and then obtains the diagnosis report of the patient. When the WCD host detects abnormal electrocardio information, such as ventricular fibrillation, ventricular velocity and the like, the WCD host can release a therapeutic electric signal to treat a patient, thereby ensuring that the patient is treated when in crisis. The patient needs to communicate with medical staff in a long-distance mode regularly, can know the diagnosis report of the patient in time through the user base station, and can communicate with a doctor through videos, audios and characters through the user base station to further obtain professional treatment guidance. The WCD host computer shifts large screen, camera and two-way voice module to user's base station, and self structure is retrencied, and reliability and security are higher during the use. Meanwhile, the WCD host does not have redundant working modules, so that the size is reduced, and the use is more convenient. The user base station is simple to operate, and troubles of the smart phone for the old patients are avoided. Therefore, the wearable cardioversion defibrillation system with the user base station is more convenient, reliable and safe to use, and is higher in user friendliness. When a patient goes out in the daytime, the WCD host sends data of the electrocardio information and the wearing information to the data center cloud server, when the patient sleeps at night, the WCD host sends the electrocardio information and the wearing information to the user base station, and the user base station sends the electrocardio information and the wearing information to the data center cloud server, so that the power consumption of the WCD host can be effectively reduced, the requirement on the battery capacity is reduced, the endurance time is improved, and the volume of the WCD host is reduced.
Drawings
The specific structure of the invention is detailed below with reference to the accompanying drawings:
FIG. 1 is a network architecture diagram of the present invention;
FIG. 2 is a diagram of the WCD host architecture of the present invention;
FIG. 3 is a diagram of a subscriber base station architecture of the present invention;
FIG. 4 is a diagram of a data center cloud server architecture of the present invention;
FIG. 5 is a block diagram of a physician's client end of the present invention;
FIG. 6 is a circuit block diagram of a subscriber station of the present invention;
FIG. 7 is a circuit diagram of a CPU portion of the present invention;
FIG. 8 is an Ethernet circuit diagram of the present invention;
FIG. 9 is a 4G circuit diagram of the present invention;
FIG. 10 is a circuit diagram of the present invention;
FIG. 11 is a flow chart of the subscriber base station software of the present invention;
FIG. 12 is a flowchart of a first Bluetooth module software according to the present invention;
FIG. 13 is a flowchart of a second exemplary Bluetooth module software according to the present invention.
Detailed Description
In order to explain technical contents, structural features, and objects and effects of the present invention in detail, the following detailed description is given with reference to the accompanying drawings in conjunction with the embodiments.
Referring to fig. 1 to 5, the wearable cardioverter defibrillation system provided with a user base station includes a wcd (wcd) (10), a user base station 20, a data center cloud server 30, and a doctor client 40, which cooperate with each other to treat sudden cardiac diseases of a patient, such as ventricular fibrillation and ventricular velocity, and collect health conditions of the patient over a certain period of time, store the health conditions in a case history, and give a diagnosis report by a doctor. The WCD host 10 is configured to detect electrocardiographic information and wearing information of a patient, perform discharge therapy on the patient according to the detected ventricular rate and ventricular fibrillation information, and simultaneously send the electrocardiographic information and the wearing information to the data center cloud server 30 and the user base station 20. The user base station 20 is configured to receive the electrocardiographic information and the wearing information sent by the WCD host 10, and send the electrocardiographic information and the wearing information to the data center cloud server 30, and the user base station 20 is further configured to download the diagnosis report data and transmit video, audio, and text information from the data center cloud server 30. The data center cloud server 30 is configured to receive electrocardiographic information and wearing information sent by the WCD host 10 and the user base station 20 in different working environments and working periods, store the electrocardiographic information and the wearing information in a patient medical record database, send medical record data to a doctor client, receive a diagnosis report of a doctor, and transmit video, audio and text information. The doctor client 40 is configured to receive data information of patient medical records on the data center cloud server 30, send a diagnosis report input by a doctor to the receiving data center cloud server 30, and transmit video, audio, and text information.
The WCD host 10 detects the electrocardio information, sends the electrocardio information to the data center cloud server 30, and when abnormal electrocardio information such as ventricular fibrillation and ventricular velocity is detected, the treatment electric signal is released to treat the patient, so that the patient is guaranteed to be treated when in crisis. The patient needs to communicate with medical staff in a long-distance mode regularly, can know the diagnosis report of the patient in time through the user base station 20, and simultaneously can communicate with a doctor through videos, audios and characters through the user base station 20 to further obtain professional treatment guidance. The WCD host 10 transfers the large screen, the camera and the bidirectional voice module to the user base station 20, so that the structure is simplified and the stability is higher during use. Meanwhile, the WCD host 10 has no redundant working module, so the size is reduced, the use is more convenient, and the user base station 20 also avoids the trouble of the smartphone for the old patients. Therefore, the wearable cardioversion defibrillation system with the user base station is more reliable, convenient and fast to use and higher in user friendliness. The following detailed description of each mechanism is provided to enable the skilled person to understand its mechanism of operation:
referring to fig. 2, WCD host 10 includes a battery module 11, a wearable vest module 12, a wearable detection module 13, an electrocardiograph detection module 14, a defibrillation module 15, a first network transmission module 16, and a first bluetooth communication module 17. Wherein:
the battery module 11 is used for supplying power to the WCD host 10, and the battery module 11 adopts a rechargeable pluggable battery. WCD host 10 is always in working condition after plugging in the battery, and stops after unplugging the battery. A WCD host 10 is equipped with at least 2 rechargeable batteries, one is installed on the WCD host 10 for use, and the other is placed on the subscriber base station 20 for recharging. To ensure that WCD host 10 has sufficient power to initiate defibrillation, WCD host 10 issues a low battery alarm to alert the user to replace the battery in time before the battery power drops to the level required for defibrillation.
The wearable vest module 12 includes an electrocardiographic information acquisition module 121 and a defibrillation electrode plate 122, and of course, includes a vest wearable on the body of the patient. When the patient wears the wearable vest module 12, the vest is worn in the clothes and is tightly attached to the skin, the electrodes surrounding the thorax in the vest are directly contacted with the skin to form two bipolar lead electrocardio information acquisition modules 121 which are used for recording body surface electrocardio signals and detecting the autonomous rhythm of the patient and the arrhythmia. Each defibrillation electrode pad 122 is loaded with a "capsule" that automatically releases the defibrillation gel. The defibrillation electrode pads 122 are held in close contact with the chest wall by the pressure of the chest and waist straps. The electrocardiogram information acquisition module 121 is responsible for acquiring electrocardiogram information of the body surface of the patient and transmitting the electrocardiogram information to the electrocardiogram detection module 14.
The wearing detection module 13 is used for regularly checking the vest falling state, and if the vest falling state is detected, an alarm is given out to remind a patient to wear the vest, and the wearing detection module 13 regularly sends wearing data to the data center cloud server 30.
The electrocardiogram detection module 14 is configured to receive the electrocardiogram information transmitted by the electrocardiogram information acquisition module 121 and detect the electrocardiogram information in real time. If abnormal electrocardiograms are detected, the abnormal electrocardiogram information is sent to the data center cloud server 30, if abnormal electrocardiograms such as ventricular fibrillation and ventricular velocity information are detected, the patient is confirmed to have no response, at the moment, the electrocardio detection module 14 generates a defibrillation instruction, the defibrillation instruction is sent to the defibrillation module 15, and the defibrillation module 15 is called to defibrillate.
The defibrillation module 15 is configured to receive a defibrillation instruction, send a gel ejection signal to the defibrillation electrode plate 122 according to the defibrillation instruction fed back by the electrocardiograph detection module 14, and then the defibrillation module 15 releases the electrical therapy signal to treat the patient. After the treatment is finished, the defibrillation module 15 sends the electrocardiographic information of the whole treatment process to the data center cloud server 30.
The first network transmission module 16 is configured to send the electrocardiographic information and the wearing information to the data center cloud server 30.
The first bluetooth communication module 17 is configured to send the electrocardiographic information and the wearing information to the user base station, and receive WCD host configuration information sent by the user base station 20. The WCD host can determine which communication module is preferentially adopted to transmit the electrocardiogram information and the wearing information according to the time period, for example, 10 pm to 6 pm, and preferentially adopts the first bluetooth communication module 17, and if the bluetooth is not connected to the user base station 20, the first network transmission module 16 is used instead to transmit signals through the 4G network.
Referring to fig. 3, the user base station 20 includes a power module 21, a main control module 22, a user interface module 23, a first remote communication module 24, a second network transmission module 25, a second bluetooth communication module 26, and a charging module 27. Wherein:
the power module 21 is configured to provide power for the operation of the user base station 20, and the main control module 22 is configured to control the overall operation of the user base station 20.
The user interface module 23 is used to display the operation status of the user base station and the medical record information of the patient, and further includes the health information of the patient, a diagnosis report, the battery charging status, and the like. User base station 20 is connected to WCD host 10 after binding first bluetooth communication module 17 and second bluetooth communication module 26 one-to-one, and displays the operation status of WCD host 10, so as to modify the configuration information of WCD host 10.
The first remote communication module 24 is responsible for video, audio and text communication between the doctor and the patient. The first telematics module 24 displays video, audio, and text messages sent by the doctor client 40 on the user base station 20. In this embodiment, the first remote communication module 24 collects video data through a camera, audio data through a microphone, and text data through a button or a touch screen on the user base station 20, and sends the collected data to the doctor client 40.
The second network transmission module 25 is used for downloading doctor diagnosis reports and transmitting video, audio and text information between doctors and patients.
The second bluetooth communication module 26 is configured to receive the electrocardiographic information and the wearing information transmitted by the first bluetooth communication module 17, and send configuration information to the first bluetooth communication module 17.
The charging module 27 is used to charge the battery module 11 of the WCD host 10. One WCD host 10 is equipped with at least 2 rechargeable batteries, one is installed on the WCD host 10 for use, and the other is placed on the user base station 20 for recharging, ensuring that the WCD host 10 can always be in working state without interruption.
Referring to fig. 4, the data center cloud server 30 includes a user management module 31, a patient medical record module 32, and a third network transmission module 33. Wherein:
the user management module 31 is used for creation, modification, and deletion of users. In the system, the user types are divided into patients, doctors and administrators, and the authority of each user type is different.
The patient medical record module 32 is used for the add-delete and change-check of the patient medical record data, and the database is adopted to store the medical record data. When a patient starts treatment, a patient medical record is created, and a WCD host serial number and an attending doctor number are bound to the patient. When the patient finishes the treatment, the corresponding WCD host and the treating doctor are unbound, and the medical record of the patient is closed and can not be modified. When a patient wears the WCD, the wearing information and the electrocardio information are uploaded to a data center cloud server every day and stored in a database record of a medical record of the patient. The primary physician of the patient can view the medical record data to form a diagnosis report, and upload the diagnosis report to the data center cloud server 30, and the patient can also view the diagnosis report of the patient.
The third network transmission module 33 is used for receiving the electrocardiographic information and the wearing information from the WCD host, receiving the diagnosis report from the doctor client, and simultaneously transmitting the video, the audio and the text information between the doctor and the patient.
Referring to fig. 5, the doctor client 40 includes a diagnosis report module 41, a second remote communication module 42 and a fourth network transmission module 43. Wherein:
the diagnosis report module 41 is responsible for assisting in analyzing the electrocardiographic data, and a doctor can measure and label the electrocardiographic data, fill in a diagnosis result and print an electrocardiographic report. The doctor can also add a diagnostic report to the patient medical record.
The second remote communication module 42 is responsible for video, audio, and text communication between the doctor and the patient. The second remote communication module 42 is played at the doctor client and displays video, audio and text information sent by the user base station 20. The second remote communication module 42 collects video data at the doctor's client via a camera, audio data via a microphone, and text data via a button or a touch screen, and transmits the data to the user base station 20.
The fourth network transmission module 43 is used for downloading the electrocardiographic information of the patient from the data center cloud server 30, sending a diagnosis report to the data center cloud server 30, and simultaneously transmitting video, audio and text information between the doctor and the patient.
To facilitate communication between the doctor and the patient, the doctor client 40 may run on a smart phone, a tablet PC, a PC platform, and the like.
From the above description, the beneficial effects of the present invention are: the patient uses the WCD host outside the hospital, the WCD host detects real-time electrocardio information and wearing information of the patient and sends the real-time electrocardio information and wearing information to the data center cloud server, the data center cloud server establishes medical record files of the patient according to the received electrocardio information and wearing information, and the doctor client diagnoses according to the medical record information of the patient and sends a diagnosis report of a doctor to the data center cloud server. And the patient downloads a diagnosis report from the data center cloud server through the user base station, and then obtains the health report of the patient. When the WCD host detects abnormal electrocardio information, such as ventricular fibrillation, ventricular velocity and the like, the WCD host can release a therapeutic electric signal to treat a patient, thereby ensuring that the patient is treated when in crisis. The patient needs to communicate with medical staff in a long-distance mode regularly, can know the diagnosis report of the patient in time through the user base station, and can communicate with a doctor through videos, audios and characters through the user base station to further obtain professional treatment experience. The WCD host computer shifts large screen, camera and two-way voice module to user's base station, and self structure is retrencied, and reliability and security are higher during the use. Meanwhile, the WCD host does not have redundant working modules, so that the size is reduced, and the use is more convenient. The user base station is simple to operate, and troubles of the smart phone for the old patients are avoided. Therefore, the wearable cardioversion defibrillation system with the user base station is more convenient, reliable and safe to use, and is higher in user friendliness. When a patient goes out in the daytime, the WCD host sends data of the electrocardio information and the wearing information to the data center cloud server, when the patient sleeps at night, the WCD host sends the electrocardio information and the wearing information to the user base station, and the user base station sends the electrocardio information and the wearing information to the data center cloud server, so that the power consumption of the WCD host can be effectively reduced, the requirement on the battery capacity is reduced, the endurance time is improved, and the volume of the WCD host is reduced.
Example 1
In order to further illustrate the operation mechanism of the wearable cardioverter-defibrillation system with the user base station provided in the present invention, it is necessary to further explain the user base station 20. The circuit block diagram of the user base station 20 is shown in fig. 6, and includes a power module 21, a main control module 22 (central processing unit), a second bluetooth communication module 26 (bluetooth module), a second network transmission module 25 (ethernet and 4G module), a first remote communication module 24 (video and audio acquisition), a user interface module 23, and a charging module 27. As shown in fig. 7, which is a partial circuit diagram of the central processing unit, the main control chip is of type AM3354BZCZ100, and already includes important signal interfaces, such as a USB Wifi interface, a 4G module interface, a bluetooth module interface, a user interface module interface (a touch screen and a display screen), a video capture interface, and an audio capture interface. Fig. 8 shows an ethernet circuit diagram, fig. 9 shows a 4G circuit diagram, and fig. 10 shows a bluetooth circuit diagram.
Meanwhile, the present embodiment further provides a software flowchart of the user base station 20, a software flowchart of the first bluetooth communication module 17, and a software flowchart of the second bluetooth communication module 26, wherein:
fig. 11 is a software flowchart of the user base station 20, which includes the following steps:
at step 110, the user interface module opens a WebView view. WebView is a browser view that can load and display web content. And when the WebView is opened, the home page of the patient on the server is requested by default by using the equipment serial number of the user base station as a parameter. Step 120 is entered if the request is successful and step 170 is entered if the request fails.
Step 120, display the homepage. The content of the home page is a navigation link list which comprises a medical record page, an equipment information page and a wearing information page of the patient. After the home page is displayed, the process proceeds to step 130.
Step 130, wait for user selection. The patient selects the desired page based on the link to the home page. WebView begins requesting a medical record page from the server if the patient selects the medical record page, proceeds to step 140 if the request is successful, and proceeds to step 170 if the request fails. WebView begins requesting a device information page from the server if the patient selects the device information page, proceeds to step 150 if the request is successful, and proceeds to step 170 if the request fails. WebView begins requesting a wearing information page from the server if the patient selects the wearing information page, proceeds to step 160 if the request is successful, and proceeds to step 170 if the request fails.
Step 140, displaying a medical record page. The medical record pages mainly contain the following information: patient name, address, contact phone, hospital, attending physician, and wearing time period.
Step 150, display the device information page. The device information page mainly contains the following information: lead connection state, battery power, equipment serial number and the like.
Step 160, displaying the wearing information page. The wearing information page mainly comprises the following information: wear statistics including wear time per day.
Step 170, display error page. The error page mainly displays the reason information of the failure of the webpage request, including information of network connection failure, insufficient authority and the like.
Fig. 12 is a software flowchart of the first bluetooth communication module 17, which includes the following steps:
step 110, the first bluetooth communication module opens bluetooth. The bluetooth device is turned on in client mode. Step 120 is entered if the opening is successful and step 190 is entered if the opening is failed.
Step 120, scanning the user base station equipment. If the bound MAC in the scanning information is one of the MAC of the Bluetooth device and the MAC of the scanned Bluetooth device, the step 130 is entered, otherwise, the scanning is continued. And ensuring that only the bound user base stations are connected.
Step 130, connecting the user base station. If the connection with the user base station is successful, step 140 is entered, otherwise step 120 is entered.
Step 140, the data is sent. After connecting to the user base station, data transmission to the user base station is started, and the data content comprises ECG data, equipment information and the like. Step 150 is entered if the data transmission is successful, otherwise step 170 is entered.
Step 150, receiving the response. And receiving response information from the user base station. Step 160 is entered after receiving the response.
Step 160, response processing. Depending on the type of answer, the data is subjected to other processing, such as: delete already transmitted data, etc. The process proceeds to step 170 after the response is processed.
Step 170, connection status detection. It is detected whether the bluetooth connection between the WCD device and the user's base station is broken, and if not, step 180 is entered, and if not, step 140 is entered.
Step 180, close the connection. And closing the Bluetooth connection between the WCD equipment and the user base station. After closing the connection, step 120 is entered to continue connecting to other WCD devices.
Step 190, reporting an open failure. Reporting a failure to turn on bluetooth.
Fig. 13 is a software flowchart of the second bluetooth communication module 26, which includes the following steps:
and step 110, the second Bluetooth communication module opens Bluetooth. The bluetooth device is turned on in the server mode. Step 120 is entered if the opening is successful and step 190 is entered if the opening is failed.
Step 120, broadcasting the connection information. Connection information is broadcast to the outside, and the connection information content includes the bluetooth device name and the already bound WCD bluetooth MAC address. The WCD device determines whether a connection to the subscriber base station is required by the MAC address in the broadcast. After the broadcast is completed, the process proceeds to step 130.
Step 130, wait for the WCD to connect. If the connection of the WCD equipment is received, the judgment is carried out according to the MAC information of the connected WCD equipment, if the MAC of the connection is consistent with the MAC bound by the user base station, the step 140 is carried out, otherwise, the step 180 is carried out. Ensuring that the user's base station is in a one-to-one connection with the WCD device.
Step 140, receiving data. After the WCD device connects to the user base station, the user base station begins receiving data from the WCD device. Step 150 is entered if data is received and step 190 is entered if data is not received.
And step 150, analyzing the data. And carrying out packet analysis processing on the received data, and checking a packet header, CRC (cyclic redundancy check) and the like of the data packet to ensure the integrity and the effectiveness of the data. After the data analysis is completed, step 160 is entered.
And step 160, data processing. Different types of data packets are processed, such as device information packets requiring updating of device information of the user base station, ECG data requiring uploading processing, etc. After the data processing is completed, the process proceeds to step 170.
Step 170, connection status detection. It is detected whether the bluetooth connection between the user's base station and the WCD device is broken, and if not, step 180 is entered, and if not, step 140 is entered.
Step 180, close the connection. And closing the Bluetooth connection between the user base station and the WCD equipment. After closing the connection, step 120 is entered to continue waiting for other WCDs to connect.
Step 190, reporting an open failure. Reporting a failure to turn on bluetooth.
The first … … and the second … … are only used for name differentiation and do not represent how different the importance and position of the two are.
Here, the upper, lower, left, right, front, and rear merely represent relative positions thereof and do not represent absolute positions thereof
The above description is only an embodiment of the present invention, and not intended to limit the scope of the present invention, and all modifications of equivalent structures and equivalent processes performed by the present specification and drawings, or directly or indirectly applied to other related technical fields, are included in the scope of the present invention.

Claims (8)

1. A wearable cardioverter-defibrillation system with a user base station, comprising:
the WCD host is used for detecting the electrocardio information and the wearing information of the patient, performing discharge treatment on the patient according to the detected ventricular velocity and ventricular fibrillation information, and sending the electrocardio information and the wearing information to the data center cloud server and the user base station;
the user base station is used for receiving the electrocardio information and the wearing information sent by the WCD host computer, sending the electrocardio information and the wearing information to the data center cloud server, downloading a diagnosis report from the data center cloud server, and transmitting video, audio and character information;
the data center cloud server is used for receiving the electrocardio information and the wearing information sent by the WCD host and the user base station, establishing a patient medical record database, sending medical record data to a doctor client, receiving a diagnosis report of a doctor, and transmitting video, audio and text information;
and the doctor client is used for receiving the patient medical record data information on the data center cloud server, sending the diagnosis report input by the doctor to the data center cloud server, and transmitting video, audio and text information.
2. The wearable cardioverter defibrillation system of claim 1, wherein the WCD host comprises:
the battery module is used for supplying power to the WCD host;
the wearable vest module comprises an electrocardio information acquisition module and a defibrillation electrode plate; the electrocardio information acquisition module is used for acquiring the body surface electrocardio information of the patient and transmitting the body surface electrocardio information to the electrocardio detection module; the defibrillation electrode plate sprays gel to perform discharge treatment on a patient;
the wearing detection module is used for detecting the falling state of the vest at regular time;
the electrocardio detection module is used for receiving and detecting the electrocardio information in real time, generating a defibrillation instruction according to the ventricular speed and ventricular fibrillation information in the electrocardio information and sending the defibrillation instruction to the defibrillation module;
the defibrillation module is used for receiving the defibrillation instruction, sending a gel ejection signal to the defibrillation electrode plate and releasing a therapeutic electric signal;
the first network transmission module is used for sending the electrocardio information and the wearing information to the data center cloud server;
and the first Bluetooth communication module is used for sending the electrocardio information and the wearing information to the user base station and receiving the configuration information of the user base station.
3. The wearable cardioverter defibrillation system of claim 2 with a user base station, wherein the user base station comprises:
the power supply module is used for supplying power to the user base station;
the main control module is used for controlling the overall operation of the user base station;
the user interface module is used for displaying the running state of the user base station and medical record information of a patient and setting configuration information of the WCD host;
the first remote communication module is used for video, audio and text communication between a doctor and a patient;
the second network transmission module is used for downloading the doctor diagnosis report, transmitting video, audio and character information between a doctor and a patient, and sending user wearing information and electrocardiogram information to the data center cloud server;
the second Bluetooth communication module is used for receiving the electrocardio information and the wearing information transmitted by the first Bluetooth communication module and sending configuration information to the first Bluetooth communication module;
and the charging module is used for charging the battery module of the WCD host.
4. The wearable cardioverter defibrillation system with a user base station of claim 3, wherein the data center cloud server comprises:
the user management module is used for creating, modifying and deleting the user;
the patient medical record module is used for increasing, deleting, modifying and checking the patient medical record data and storing the medical record data by adopting a database;
and the third network transmission module is used for receiving the electrocardio information and the wearing information from the WCD host and the user base station, receiving a diagnosis report from the doctor client, and simultaneously transmitting video, audio and text information between a doctor and a patient.
5. The wearable cardioverter defibrillation system of claim 4 with a user base station, wherein the physician client comprises:
the diagnosis report module is used for assisting in analyzing the electrocardio information and inputting a diagnosis report by a doctor;
the second remote communication module is used for video, audio and text communication between the doctor and the patient;
and the fourth network transmission module is used for downloading the electrocardio information of the patient from the data center cloud server, sending a diagnosis report to the data center cloud server, and simultaneously transmitting video, audio and text information between the doctor and the patient.
6. The wearable cardioverter defibrillation system with a user base station of claim 5, wherein: the first remote communication module and the second remote communication module both comprise a microphone, a camera and a touch display screen.
7. The wearable cardioverter-defibrillation system of any one of claims 2-6 with a user base station, wherein: the battery module comprises at least two rechargeable batteries.
8. The wearable cardioverter-defibrillation system of any one of claims 4-6 with a user base station, wherein: the users include patients, doctors, and administrators.
CN202010274765.XA 2020-04-09 2020-04-09 Wearable cardioversion defibrillation system with user base station Pending CN111420285A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112022107A (en) * 2020-09-30 2020-12-04 苏州无双医疗设备有限公司 Combined device for external cardioversion and defibrillation
CN113616927A (en) * 2021-08-11 2021-11-09 久心医疗科技(苏州)有限公司 System and method for remote electrocardiographic monitoring and health information management

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112022107A (en) * 2020-09-30 2020-12-04 苏州无双医疗设备有限公司 Combined device for external cardioversion and defibrillation
CN113616927A (en) * 2021-08-11 2021-11-09 久心医疗科技(苏州)有限公司 System and method for remote electrocardiographic monitoring and health information management

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