CN111489798A - Remote program control method and system for implantable medical equipment - Google Patents
Remote program control method and system for implantable medical equipment Download PDFInfo
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
Abstract
The invention discloses a remote program control method and a remote program control system for implantable medical equipment. Therefore, the patient terminal receives the first control instruction sent by the first doctor terminal through the first control connection and forwards the first control instruction to the controller of the implantable medical device through the patient terminal, and remote program control treatment of the implantable medical device is achieved. When the first doctor terminal can not finish treatment for the patient, an assistance request is initiated to the second doctor terminal, and then a second control instruction is issued to the patient terminal for treatment of the patient through the control connection between the second doctor terminal and the patient terminal, so that the remote program control of the implanted medical equipment is more convenient and effective.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to a remote program control method and system for implantable medical equipment.
Background
An Implantable Medical Device (IMD) is a device that is installed in a patient and performs corresponding therapy on the body of the patient by means of stimulation information, such as a set program and operating parameters, including battery voltage, operating time, power, etc. of the IMD. In the treatment process of the implantable medical device, a patient needs to visit a hospital regularly after an operation, and the condition of the patient is monitored regularly by a doctor according to the actual condition of the patient and IMD stimulation information acquired by the program controller; or directly adopts a program control mode to adjust the stimulation information through a program controller so as to lead the patient to obtain more effective treatment.
In the existing medical hierarchical diagnosis and treatment system, a patient can only make an appointment with a doctor in a subordinate branch center hospital and a doctor in a superior large center hospital at the same time, and then go to the subordinate branch center hospital for program-controlled treatment. That is, when a patient needs to seek treatment from a multi-stage doctor, the patient needs to make a reservation for the doctor and must go to a hospital to receive the treatment, which causes inconvenience and pain to the patient. Moreover, when doctors in the lower level central hospital cannot treat patients due to complicated conditions of patients or other reasons, the doctors cannot initiate treatment assisting requests to other doctors or doctors in the upper level central hospital, and thus the patients cannot receive effective treatment in time.
Disclosure of Invention
In view of the above, the present invention is directed to a method and a system for remotely programming an implantable medical device, so that a patient can receive timely and effective remote programming treatment without going to a hospital.
In a first aspect, an embodiment of the present invention provides a method for remotely programming an implantable medical device, where the method includes:
a patient terminal initiates a connection request to a first reserved doctor terminal;
the first doctor terminal responds to the connection request and establishes a first control connection and a first multimedia data connection with the patient terminal, and the first multimedia data connection is used for transmitting multimedia information between the patient terminal and the first doctor terminal;
the patient terminal receives a first control instruction sent by the first doctor terminal through the first control connection;
the patient terminal forwards the first control instruction to a controller of an implantable medical device;
the first doctor terminal sends an assistance request to a second doctor terminal;
the second doctor terminal responds to the assistance request and establishes a second multimedia data connection with the patient terminal and the first doctor terminal, and the second multimedia data connection is used for transmitting multimedia information among the patient terminal, the first doctor terminal and the second doctor terminal;
the second doctor terminal and the patient terminal establish a second control connection;
the patient terminal receives a second control instruction sent by the second doctor terminal through the second control connection;
the patient terminal forwards the second control instruction to a controller of an implantable medical device.
Further, before the patient terminal initiates a connection request to the reserved first doctor terminal, the method further comprises:
a patient terminal sends an appointment request, wherein the appointment request comprises an identifier of a first appointment doctor terminal;
the server carries out information matching on the identification of the first doctor terminal according to the reservation request;
and the server responds to the successful information matching and issues the authority for establishing the first control connection to the first doctor terminal.
Further, after the first doctor terminal sends an assistance request to a second doctor terminal that makes an appointment, the method further includes:
a first doctor terminal sends an authority transfer request;
the server responds to the permission transfer request, and disconnects the first control connection between the first doctor terminal and the patient terminal;
the server issues the authority for establishing the second control connection to the second doctor terminal; or
After the first doctor terminal sends an assistance request to a second doctor terminal that makes an appointment, the method further includes:
the second doctor terminal sends a second control connection request;
and the server responds to the second control connection request, disconnects the first control connection between the first doctor terminal and the patient terminal, and issues the authority for establishing the second control connection to the second doctor terminal.
Further, the method further comprises:
a patient terminal sends a medical record sharing instruction, wherein the medical record sharing instruction comprises medical record information of a patient;
the server responds to the medical record sharing instruction and records the medical record information in a block chain;
the server acquires an intelligent contract address used for accessing the medical record information and effective access time of the intelligent contract address, generates an effective access address and issues the effective access address to the first doctor terminal;
and the first doctor terminal acquires the medical record information according to the effective access address.
Further, when first doctor terminal and patient terminal set up first control connection, still establish long-range teaching with student's terminal and be connected, the teaching is connected and is included:
a first doctor terminal initiates a watching invitation request to a student terminal;
and the student terminal responds to the watching invitation request and enters remote teaching.
In a second aspect, an embodiment of the present invention provides a system for remotely programming an implantable medical device, the system including:
a patient terminal configured to send a connection request, receive a first control instruction and a second control instruction, and forward the first control instruction and the second control instruction to a controller of an implantable medical device;
a first doctor terminal, configured to respond to the connection request, establish a first control connection and a first multimedia data connection with the patient terminal, wherein the first control connection is used for sending the first control instruction, and the first multimedia data connection is used for transmitting multimedia information between the patient terminal and the first doctor terminal; wherein the first physician terminal is further configured to send a request for assistance;
a second doctor terminal, configured to respond to the assistance request, establish a second multimedia data connection with the patient terminal and the first doctor terminal, and establish a second control connection with the patient terminal, wherein the second multimedia data connection is used for transmitting multimedia information among the patient terminal, the first doctor terminal and the second doctor terminal, and the second control connection is used for sending the second control instruction; and
a server configured to forward information between the patient terminal, the first doctor terminal and the second doctor terminal.
Further, the patient terminal is further configured to transmit an appointment request, the appointment request including an identification of a first physician terminal to make an appointment;
the server is also configured to perform information matching on the identifier of the first doctor terminal according to the reservation request, and issue the authority for establishing the first control connection to the first doctor terminal in response to successful information matching.
Further, the first doctor terminal is also configured to send a permission transfer request to a server;
the server is also configured to respond to the permission transfer request, disconnect a first control connection between the first doctor terminal and a patient terminal, and issue the permission for establishing the second control connection to the second doctor terminal;
or
The second doctor terminal is further configured to send a second control connection request to a server;
the server is also configured to respond to the second control connection request, disconnect the first control connection between the first doctor terminal and the patient terminal, and issue the authority for establishing the second control connection to the second doctor terminal.
Further, the patient terminal is further configured to send a medical record sharing instruction, where the medical record sharing instruction includes medical record information of the patient;
the server is further configured to respond to the medical record sharing instruction, record the medical record information in a blockchain, acquire an intelligent contract address of a user for accessing the medical record information and effective access time of the intelligent contract address, generate an effective access address, and issue the effective access address to the first doctor terminal;
the first doctor terminal is further configured to acquire the medical record information according to the effective access address.
Further, the system also comprises a student terminal;
the first doctor terminal is further configured to establish a remote teaching connection with the student terminal;
the server is further configured to forward information between the first doctor terminal and a student terminal;
wherein the remote teaching connection comprises the first doctor terminal sending a viewing invitation request to a student terminal, and the student terminal responding to the viewing request and entering remote teaching.
According to the technical scheme of the embodiment of the invention, the first control connection and the multimedia data connection between the patient terminal and the first doctor terminal are established through the connection request of the patient terminal, so that the patient terminal receives the first control instruction sent by the first doctor terminal through the first control connection, and the patient terminal forwards the first control instruction to the controller of the implanted medical equipment, and the remote program control treatment of the implanted medical equipment is realized. And when the first doctor terminal can not finish treatment for the patient, initiating an assistance request to the second doctor terminal, and then issuing a second control instruction to the patient terminal for treatment for the patient through the control connection between the second doctor terminal and the patient terminal. Therefore, the IMD remote program control function can be realized, other doctors can treat the patient when the first doctor terminal cannot complete the treatment of the patient, the operation flow and the operation time of the patient for reserving other doctors again are reduced, and the patient can receive timely and effective remote program control treatment without going to a hospital.
Drawings
The above and other objects, features and advantages of the present invention will become more apparent from the following description of the embodiments of the present invention with reference to the accompanying drawings, in which:
FIG. 1 is a schematic diagram of a system architecture of an embodiment of the present invention;
FIG. 2 is a flow chart of a method for remotely programming an implantable medical device in accordance with an embodiment of the present invention;
FIG. 3 is a flowchart of a first doctor terminal obtaining a first control connection right according to an embodiment of the present invention;
FIG. 4 is a flow chart of medical record sharing according to an embodiment of the invention;
FIG. 5 is a flowchart of a first physician terminal sending an assistance request to a second physician terminal in accordance with an embodiment of the present invention;
FIG. 6 is a schematic diagram of a display interface of an embodiment of the present invention;
FIG. 7 is a flowchart of transferring control connection rights from a first doctor terminal to a second doctor terminal according to an embodiment of the present invention;
FIG. 8 is a flowchart of a second doctor terminal actively acquiring control connection rights according to an embodiment of the present invention;
FIG. 9 is a system diagram of a remote instruction system according to an embodiment of the present invention;
FIG. 10 is a schematic structural diagram of a system for remote instruction according to an embodiment of the present invention.
In the figure: 1. a patient terminal; 2. a server; 3. a first doctor terminal; 4. a second doctor terminal; 5. an implantable medical device; 6. displaying an interface; 7. a doctor terminal; 8. student's terminal.
Detailed Description
The present invention will be described below based on examples, but the present invention is not limited to only these examples. In the following detailed description of the present invention, certain specific details are set forth. It will be apparent to one skilled in the art that the present invention may be practiced without these specific details. Well-known methods, procedures, components and circuits have not been described in detail so as not to obscure the present invention.
Further, those of ordinary skill in the art will appreciate that the drawings provided herein are for illustrative purposes and are not necessarily drawn to scale.
Unless the context clearly requires otherwise, throughout the description, the words "comprise", "comprising", and the like are to be construed in an inclusive sense as opposed to an exclusive or exhaustive sense; that is, what is meant is "including, but not limited to".
In the description of the present invention, it is to be understood that the terms "first," "second," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance. In addition, in the description of the present invention, "a plurality" means two or more unless otherwise specified.
Fig. 1 is a schematic system structure according to an embodiment of the present invention. As shown in fig. 1, the remote programming system of the implantable medical device includes a patient terminal 1, a server 2, a first doctor terminal 3 and a second doctor terminal 4, wherein the patient terminal 1 is in communication connection with the first doctor terminal 3 and the second doctor terminal 4 through the server 2. The patient terminal 1 communicates with a controller wireless connection of an implantable medical device 5 (IMD). Preferably, the patient terminal 1 is connected to the controller via bluetooth. The patient terminal 1 may be a mobile phone, a PC or a tablet PC or other devices capable of interacting. The first doctor terminal 3 and the second doctor terminal 4 comprise a PC, a camera, a recorder and the like.
In the present embodiment, the patient terminal 1 is configured to send a connection request, receive first and second control instructions, and forward the first and second control instructions to the controller of the IMD.
The first doctor terminal 3 is configured to establish, in response to the connection request, a first control connection for sending said first control instruction and a first multimedia data connection for transmitting multimedia information between the patient terminal 1 and the first doctor terminal 3 with the patient terminal 1.
The first doctor terminal 3 is also configured to send an assistance request to the second doctor terminal 4.
The second doctor terminal 4 is configured to establish a second multimedia data connection with the patient terminal 1 and the first doctor terminal 3, for transmitting multimedia information among the patient terminal 1, the first doctor terminal 3, and the second doctor terminal 4, and a second control connection with the patient terminal 1, for transmitting a second control instruction, in response to the assistance request.
The server 2 comprises a reservation processing unit, a medical record sharing unit, a control unit, an authority transfer unit and an information forwarding unit. The information forwarding unit is used for forwarding information among the patient terminal 1, the first doctor terminal 3 and the second doctor terminal 4. The reservation processing unit is configured to process a reservation request of the patient terminal 1. The medical record sharing unit is used for enabling the first doctor terminal 3 and the second doctor terminal 4 to obtain medical record information of the patient. The control unit is used for establishing control connection and multimedia data connection among the patient terminal 1, the first doctor terminal 3 and the second doctor terminal 4, and issuing a first control instruction and a second control instruction to carry out remote program control on the IMD. The permission transfer unit is used for transferring the permission of establishing the control connection of the first doctor terminal 3 to the second doctor terminal 4 when the first doctor cannot complete the treatment of the patient, so that the second doctor terminal 4 can establish a second control connection with the patient terminal 1, and further perform remote program control on the IMD.
It is to be understood that the first doctor is an appointment doctor selected by the patient through the system, the second doctor is a doctor other than the appointment doctor in the system, and the second doctor terminal 4 may be provided in plurality. Therefore, when one doctor intervenes to reserve the remote program control of the doctor and still cannot finish the treatment, the doctor can continuously send an assistance request to other doctors in the system so as to ensure that the patient can be treated timely and effectively and further improve the system performance.
In this embodiment, the patient first makes an appointment with the first doctor through the patient terminal 1, and the first doctor terminal 3 sends a control instruction to the controller of the IMD through the patient terminal 1, so as to implement remote program control of the IMD, thereby achieving the purpose of treatment. When the first doctor can not finish treatment due to complex patient conditions or other reasons, the first doctor directly sends an assistance request to the second doctor without making a reservation again by the patient, the second doctor sends a control instruction to the patient terminal 1, and the patient terminal 1 forwards the control instruction to the controller of the IMD, so that the remote program control of the IMD is realized, and the patient can be treated in time. Therefore, the system adopts a mode of combining remote program control and remote assistance, and can reduce the operation flow and operation time of other doctors reserved by the patient again on the basis of realizing remote program control, so that the patient can receive timely and effective remote program control treatment without going to a hospital.
Fig. 2 is a flow chart of a method for remotely programming an implantable medical device in accordance with an embodiment of the present invention. As shown in fig. 2, in step S100, the patient terminal 1 initiates a connection request to the first doctor terminal 3 of the appointment.
In step S200, the first doctor terminal 3 establishes a first control connection and a first multimedia data connection with the patient terminal 1 in response to the connection request, the first multimedia data connection being used for transmitting multimedia information between the patient terminal 1 and the first doctor terminal 3. It should be appreciated that the first multimedia data connection may be a video or audio connection for interactive communication between the patient and the first physician, facilitating the first physician to understand the patient's condition.
In step S300, the patient terminal 1 receives the first control instruction transmitted by the first doctor terminal 3 through the first control connection. Specifically, the first control instruction includes an adjustment instruction of the IMD parameter, specifically: parameters of the stimulation pulse signal, such as the number of channels, amplitude, pulse width, frequency, etc. of the pulse signal.
At step S400, the patient terminal 1 forwards the first control instruction to the controller of the IMD.
In step S500, the first doctor terminal 3 transmits an assistance request to the second doctor terminal 4.
In step S600, the second doctor terminal 4 establishes a second multimedia data connection with the patient terminal 1 and the first doctor terminal 3 in response to the assistance request, the second multimedia data connection being used for transmitting multimedia information among the patient terminal 1, the first doctor terminal 3, and the second doctor terminal 4. It should be understood that the second multimedia data connection may be a video or audio connection for interactive communication among the patient terminal 1, the first doctor terminal 3 and the second doctor terminal 4, so as to realize multi-party consultation, facilitate understanding of patient's condition and early treatment, and improve IMD remote program control treatment efficiency.
In step S700, the second doctor terminal 4 establishes a second control connection with the patient terminal 1. Preferably, when the second control connection is established, the first control connection between the first doctor terminal 3 and the patient terminal 1 needs to be disconnected, and the first doctor transfers all the control authority to the second doctor.
In step S800, the patient terminal 1 receives the second control instruction transmitted from the second doctor terminal 4 through the second control connection. Specifically, the second control instruction includes an adjustment instruction of IMD parameters, specifically parameters of the stimulation pulse signal, such as the number of channels, amplitude, pulse width, frequency, and the like of the pulse signal. Meanwhile, in order to facilitate the first doctor to know the specific treatment process, the operation interface of the second doctor terminal 4 may be synchronously displayed on the display interface of the first doctor terminal 3 through the server 2.
At step S900, the patient terminal 1 forwards the second control instruction to the controller of the IMD.
In this embodiment, remote programming of the IMD is achieved by the first control connection and the first multimedia data connection between the patient terminal 1 and the first physician terminal 3 and by the patient terminal 1 forwarding the first control instruction to the controller of the IMD. When the first doctor can not complete program control treatment, the first doctor terminal 3 sends an assistance request to the second doctor terminal 4 and establishes a second control connection between the second doctor terminal 4 and the patient terminal 1, so that the patient can be treated in time, the operation flow and the operation time of the doctor repeatedly reserved by the patient are reduced, and the remote program control of the IMD is more convenient and effective.
Fig. 3 is a flowchart of acquiring a first control connection right by a first doctor terminal according to an embodiment of the present invention. As shown in fig. 3, in step S110, the patient terminal 1 transmits a reservation request including an identification of the first doctor terminal 3 to be reserved, reservation time information, recent patient condition information of the patient, and the like.
In step S111, the server 2 performs information matching on the identifier of the first doctor terminal 3 according to the reservation request. Specifically, the server 2 first acquires medical record information of the patient and identification information of the first doctor, which includes the field information, the family information, the service evaluation information, and the like of the doctor. The server 2 performs matching based on the medical record information of the patient, the recent medical condition information, and the identification information of the first doctor terminal 3. And when the matching degree meets a certain condition, the information matching is successful, and the first doctor is determined to have the control authority. If the information matching is unsuccessful, the server 2 sends a reservation failure message to the patient terminal 1, and the reservation flow is ended.
In step S112, the server 2 sends an offer request to the first doctor terminal 3 in response to the information matching being successful. Specifically, after the information matching is successful, the server 2 generates an offer request and transmits the offer request to the first doctor terminal 3. When the first doctor terminal 3 responds and accepts the invitation request, it indicates that the reservation was successful. When the first doctor does not accept the invitation request, the server 2 sends an appointment failure message to the patient terminal 1, and the appointment process is ended.
In step S113, the server 2 issues the authority of the first control connection to the first doctor terminal 3 in response to the success of the reservation.
In this embodiment, the first doctor terminal 3 obtains the right of the first control connection by means of initiating the appointment by the patient terminal 1 and responding the appointment by the first doctor terminal 3, and meanwhile, the treatment will of the patient side and the first doctor side is satisfied. Moreover, through carrying out the information matching to first doctor, for patient side's side screening is suitable reliable first doctor side's information, convenient treatment, and then has improved the practicality and the convenience of long-range programme-controlled system.
Fig. 4 is a flowchart of medical record sharing according to an embodiment of the present invention. As shown in fig. 4, in step S120, the first doctor terminal 3 sends a medical record sharing request to the patient terminal 1 through the server 2;
in step S121, the patient terminal 1 sends a medical record sharing instruction to the server 2 in response to the medical record sharing request, where the medical record sharing instruction includes medical record information of the patient.
In step S122, the server 2 records medical record information in the blockchain in response to the medical record sharing instruction.
In step S123, the server 2 obtains the intelligent contract address used for accessing the medical record information and the effective access time of the intelligent contract address, generates an effective access address, and issues the effective access address to the first doctor terminal 3.
In step S124, the first doctor terminal 3 acquires medical record information based on the valid access address.
It is easy to understand that after the first doctor terminal 3 acquires the first control connection authority, the first doctor terminal 3 needs to give a treatment plan by combining the medical record information of the patient and the recent illness information, and then the server 2 establishes the first control connection between the first doctor terminal 3 and the patient terminal 1. Specifically, the mode that the first doctor terminal 3 acquires the medical record information of the patient includes that the patient terminal 1 actively sends the medical record information to the first doctor terminal 3 through the server 2, or sends the medical record information to the first doctor terminal 3 through the server 2 after the first doctor terminal 3 sends a medical record sharing request. Therefore, the first doctor terminal 3 can comprehensively know the illness state information of the patient through the medical record information of the patient, the recent illness state information and the information acquired in the multimedia data connection, so that a more effective treatment method and a first control instruction are provided for the patient, and the remote program control performance of the IMD is further improved.
Fig. 5 is a flowchart of a first doctor terminal sending an assistance request to a second doctor terminal according to an embodiment of the present invention. As shown in fig. 5, the first doctor terminal 3 transmits an assistance request to the second doctor terminal 4 through the server 2 at step S510.
In step S511, the server 2 performs matching based on the medical record information of the patient, the recent medical condition information, and the service information of the second doctor. And if the information matching is successful, determining that the second doctor has consultation authority.
In step S512, the server 2 sends an offer request to the second doctor terminal 4 in response to the information matching being successful. Specifically, after the information matching is successful, the server 2 generates an offer request and transmits the offer request to the second doctor terminal 4. When the second doctor terminal 4 responds and accepts the invitation request, indicating that the invitation is successful, the server 2 sends a message of successful invitation to the patient terminal 1 and the first doctor terminal 3, and starts three-party consultation of the patient, the first doctor and the second doctor.
In step S513, the second doctor terminal 4 acquires medical record information of the patient, and establishes a second multimedia data connection with the patient terminal 1 and the first doctor terminal 3. Wherein the second multimedia data connection may be a video or audio connection for transmitting multimedia information between the patient terminal 1, the first doctor terminal 3 and the second doctor terminal 4. It should be understood that the manner of acquiring the medical record information of the patient by the second doctor terminal 4 is various, and the second doctor terminal 4 can automatically or actively send a medical record sharing request to the patient terminal 1 or the first doctor terminal 3, and then acquire the medical record information of the patient in the same manner as the first doctor terminal 3.
A plurality of second doctor terminals 4 are provided. Therefore, when the patient is complicated in state of illness and the first doctor and the first second doctor cannot complete timely and effective treatment on the patient, the first second doctor can send an assistance request to the second doctor and execute the steps, or the like, and finally treatment on the patient is achieved. It should be understood that the expression "first and second" does not refer to a physician but to distinguish a second physician who participates in the consultation according to the order of priority.
Specifically, during the remote program control of the second doctor terminal 4, the operations of the second doctor terminal 4 can be synchronously displayed on the display interfaces 6 of the first doctor terminal 3 and the second doctor terminal 4. The first doctor terminal 3 and the second doctor terminal 4 also generate corresponding medical record through the server 2 based on the diagnosis record and the control operation of the patient's condition, and store the medical record in the blockchain together with the medical record information of the patient. Therefore, the method of the embodiment facilitates the first doctor terminal 3 to obtain real-time treatment information and the first doctor terminal 3 to learn, and the information is stored through the block chain, so that the safety and reliability of system data storage are improved, the data can be safely called conveniently, and convenience is provided for subsequent follow-up treatment of patients.
FIG. 6 is a schematic diagram of a display interface according to an embodiment of the invention. As shown in fig. 6, it should be understood that the display interfaces 6 of the first doctor terminal 3 and the second doctor terminal 4 include a patient IMD parameter display and operation interface, a patient medical record information interface, and an information interaction interface.
The patient IMD parameter display and operation interface specifically includes: the stimulation device comprises a stimulation channel selection module, a stimulation pulse parameter setting module, an electrode selection module, a stimulation mode selection module, a waveform display module, a temperature display module, an impedance detection module, a regulation and control recording module, a program control display module, a patient pulse generator self-checking module, a patient terminal self-checking module and the like.
The patient medical record information interface specifically comprises: a medical record access (download) module, a patient information display module and a diagnosis record module. Wherein, the medical record access (download) module is used for acquiring and displaying the electronic medical record of the patient. The patient information display module is used for viewing appointment information of the patient. The diagnosis recording module is used for recording the diagnosis result of the patient.
The information interaction interface specifically comprises: the system comprises a remote video display module, a member adding module, a program control authority exchange module, a voice adjusting module, a character dialogue module, a file transmission module and the like.
It should be understood that before the second doctor terminal 4 establishes the second control connection with the patient terminal 1, the authority of the control connection needs to be transferred from the first doctor terminal 3 to the second doctor terminal 4, so that the second doctor terminal 4 directly issues the second control instruction to the patient terminal 1. Specifically, the transfer of the authority to control the connection may be directly transferred from the first doctor terminal 3 to the second doctor terminal 4, or the second doctor terminal 4 applies for obtaining the authority to control the connection.
Fig. 7 is a flowchart of transferring control connection authority from a first doctor terminal to a second doctor terminal according to an embodiment of the present invention. As shown in fig. 7, in step S520, the first doctor terminal 3 transmits a permission transfer request.
In step S521, the server 2 disconnects the first control connection of the first doctor terminal 3 and the patient terminal 1 in response to the authority transfer request.
In step S522, the server 2 issues the right to establish the second control connection to the second doctor terminal 4.
Therefore, the first doctor terminal 3 of the embodiment actively transfers the authority of establishing control connection with the patient end to the second doctor terminal 4, so that the second doctor terminal 4 can issue a control instruction to the patient terminal 1 for remote program control of the IMD.
Fig. 8 is a flowchart of actively acquiring control connection permission by the second doctor terminal according to the embodiment of the present invention. As shown in fig. 8, the second doctor terminal 4 transmits a second control connection request to the server 2 at step S530.
In step S531, the server 2 responds to the second control connection request, disconnects the first control connection between the first doctor terminal 3 and the patient terminal 1, and issues the right to establish the second control connection to the second doctor terminal 4. It will be appreciated that when the second doctor terminal sends the second control connection request, the first doctor terminal is configured to agree to the rights transfer by default.
Therefore, the second doctor terminal 4 of the embodiment can timely obtain the authority for establishing the second control connection with the patient terminal 1 by actively sending the authority transfer request, so that the second doctor terminal 4 can conveniently issue a control instruction to the patient terminal 1 for remote program control of the IMD, the timeliness of the system is improved, and the patient can be timely and effectively treated.
The system and method in the embodiment of the invention can also be applied to remote teaching scenes. Fig. 9 is a schematic system configuration diagram of a remote teaching system according to an embodiment of the present invention. As shown in fig. 9, the remote teaching system includes a doctor terminal 7, a server 2, and a student terminal 8. It should be understood that doctor terminal 7 in the remote teaching system refers to the first doctor terminal 3 or the second doctor terminal 4 performing IMD remote programming operation, and student terminal 8 may be a terminal device of a student or doctor who needs to learn IMD remote programming operation.
FIG. 10 is a schematic structural diagram of a system for remote instruction according to an embodiment of the present invention. As shown in fig. 10, in step S2010, the doctor terminal 7 establishes a control connection with the patient terminal 1.
At step S2020, the doctor terminal 7 issues a viewing invitation request to the student terminal 8.
In step S2030, the student terminal 8 responds to the viewing invitation request and enters the remote teaching.
It will be appreciated that a student terminal 8 with a particular learning identity may directly obtain access to the remote teaching mode. The student terminals 8 without the specific learning identifiers need to acquire access rights in advance to participate in the remote teaching mode. Specifically, the doctor terminal 7 edits the teaching group through the server 2 and adds students without specific learning labels to the teaching group, so that the students without specific learning labels acquire access rights in the distance teaching mode. In addition, in the remote teaching mode, the display interface of the student terminal 8 can synchronously display the control operation and other related information of the doctor terminal 7. Therefore, the remote teaching problem among doctors and students and the remote teaching resource sharing capability and the use value of the remote program control method and system of the implanted medical equipment are improved.
According to the technical scheme of the embodiment of the invention, the first control connection between the first doctor terminal and the patient terminal is established to send the first control instruction, and then the patient terminal forwards the first control instruction to the controller of the IMD, so that the remote program control treatment of the IMD is realized. When the first doctor terminal can not finish treatment, an assistance request is initiated to the second doctor terminal, a second control connection between the second doctor terminal and the patient terminal is established, and the second doctor terminal finishes remote program control of the IMD, so that the remote program control of the IMD is more convenient, timely and effective. In addition, in a remote teaching mode, the program control operation of the doctor terminal is shared with the student terminal in real time, so that the remote teaching problem between doctors and students can be solved, and the remote teaching resource sharing capability and the use value of the remote program control method and system of the implanted medical equipment are improved.
As will be appreciated by one skilled in the art, aspects of the present invention may be embodied as a system, method or computer program product. Accordingly, some aspects of the invention may take the form of: an entirely hardware embodiment, an entirely software embodiment (including firmware, resident software, micro-code, etc.) or an embodiment combining software and hardware. Further, aspects of the invention may take the form of: a computer program product embodied in one or more computer readable media having computer readable program code embodied thereon.
Any combination of one or more computer-readable media may be utilized. The computer readable medium may be a computer readable signal medium or a computer readable storage medium. A computer readable storage medium may be, for example, but not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device, or any suitable combination of the foregoing. More specific examples (a non-exhaustive list) of the computer readable storage medium would include the following: an electrical connection having one or more wires, a portable computer diskette, a hard disk, a Random Access Memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or flash memory), an optical fiber, a portable compact disc read-only memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the foregoing. In the context of this document, a computer readable storage medium may be any tangible medium that can contain, or store a program for use by or in connection with an instruction execution system, apparatus, or device.
A computer readable signal medium may include a propagated data signal with computer readable program code embodied therein, for example, in baseband or as part of a carrier wave. Such a propagated signal may take any of a variety of forms, including, but not limited to: electromagnetic, optical, or suitable combinations thereof. A computer readable signal medium may be any computer readable medium that can be used by or in connection with an instruction execution system, apparatus, or device and that can communicate, propagate, or transport a program for use by or in connection with the instruction execution system, apparatus, or device.
Program code embodied on a computer readable medium may be transmitted using any appropriate medium, including but not limited to wireless, wireline, optical fiber cable, RF, etc., or any suitable combination of the foregoing.
Computer program code for carrying out operations for aspects of the present invention may be written in any combination of one or more programming languages, including AN object oriented programming language such as Java, Smalltalk, C + + or the like and conventional procedural programming languages, such as the "C" programming language or similar programming languages.
The flowchart illustrations and/or block diagrams of methods, apparatus (systems) and computer program products according to embodiments of the invention describe various aspects of the invention. It will be understood that each block of the flowchart illustrations and/or block diagrams, and combinations of blocks in the flowchart illustrations and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions/acts specified in the flowchart and/or block diagram block or blocks.
These computer program instructions may also be stored in a computer readable medium that can direct a computer, other programmable data processing apparatus, or other devices to function in a particular manner, such that the instructions stored in the computer readable medium produce an article of manufacture including instructions which implement the function/act specified in the flowchart and/or block diagram block or blocks.
The computer program instructions may also be loaded onto a computer, other programmable data processing apparatus, or other devices to cause a series of operational steps to be performed on the computer, other programmable apparatus or other devices to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide processes for implementing the functions/acts specified in the flowchart and/or block diagram block or blocks.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (10)
1. A method of remotely programming an implantable medical device, the method comprising:
a patient terminal initiates a connection request to a first reserved doctor terminal;
the first doctor terminal responds to the connection request and establishes a first multimedia data connection and a first control connection with the patient terminal, and the first multimedia data connection is used for transmitting multimedia information between the patient terminal and the first doctor terminal;
the patient terminal receives a first control instruction sent by the first doctor terminal through the first control connection;
the patient terminal forwards the first control instruction to a controller of an implantable medical device;
the first doctor terminal sends an assistance request to a second doctor terminal;
the second doctor terminal responds to the assistance request and establishes a second multimedia data connection with the patient terminal and the first doctor terminal, and the second multimedia data connection is used for transmitting multimedia information among the patient terminal, the first doctor terminal and the second doctor terminal;
the second doctor terminal and the patient terminal establish a second control connection;
the patient terminal receives a second control instruction sent by the second doctor terminal through the second control connection;
the patient terminal forwards the second control instruction to a controller of an implantable medical device.
2. The method of claim 1, wherein prior to the patient terminal initiating a connection request to the first physician terminal for the appointment, the method further comprises:
a patient terminal sends an appointment request, wherein the appointment request comprises an identifier of a first appointment doctor terminal;
the server carries out information matching on the identification of the first doctor terminal according to the reservation request;
and the server responds to the successful information matching and issues the authority for establishing the first control connection to the first doctor terminal.
3. The method of claim 2, wherein after the first physician terminal sends a request for assistance to a second, subscribed physician terminal, the method further comprises:
a first doctor terminal sends an authority transfer request;
the server responds to the permission transfer request, and disconnects the first control connection between the first doctor terminal and the patient terminal;
the server issues the authority for establishing the second control connection to the second doctor terminal; or
After the first doctor terminal sends an assistance request to a second doctor terminal that makes an appointment, the method further includes:
the second doctor terminal sends a second control connection request;
and the server responds to the second control connection request, disconnects the first control connection between the first doctor terminal and the patient terminal, and issues the authority for establishing the second control connection to the second doctor terminal.
4. The method of claim 2, further comprising:
a patient terminal sends a medical record sharing instruction, wherein the medical record sharing instruction comprises medical record information of a patient;
the server responds to the medical record sharing instruction and records the medical record information in a block chain;
the server acquires an intelligent contract address used for accessing the medical record information and effective access time of the intelligent contract address, generates an effective access address and issues the effective access address to the first doctor terminal;
and the first doctor terminal acquires the medical record information according to the effective access address.
5. The method of claim 1, wherein when the first doctor terminal establishes the first control connection with the patient terminal, a remote teaching connection is also established with the student terminal, the teaching connection comprising:
a first doctor terminal initiates a watching invitation request to a student terminal;
and the student terminal responds to the watching invitation request and enters remote teaching.
6. A remotely programmed system for an implantable medical device, the system comprising:
a patient terminal configured to send a connection request, receive a first control instruction and a second control instruction, and forward the first control instruction and the second control instruction to a controller of an implantable medical device;
a first doctor terminal, configured to respond to the connection request, establish a first control connection and a first multimedia data connection with the patient terminal, the first control connection being used for sending the first control instruction, the first multimedia data connection being used for transmitting multimedia information between the patient terminal and the first doctor terminal, wherein the first doctor terminal is further configured to send an assistance request;
a second doctor terminal, configured to respond to the assistance request, establish a second multimedia data connection with the patient terminal and the first doctor terminal, and establish a second control connection with the patient terminal, wherein the second multimedia data connection is used for transmitting multimedia information among the patient terminal, the first doctor terminal and the second doctor terminal, and the second control connection is used for sending the second control instruction; and
a server configured to forward information between the patient terminal, the first doctor terminal, and the second doctor terminal.
7. The system of claim 6, wherein the patient terminal is further configured to transmit an appointment request, the appointment request including an identification of a first physician terminal to make an appointment;
the server is also configured to perform information matching on the identifier of the first doctor terminal according to the reservation request, and issue the authority for establishing the first control connection to the first doctor terminal in response to successful information matching.
8. The system of claim 7, wherein the first physician terminal is further configured to send a permission transfer request to a server;
the server is also configured to respond to the permission transfer request, disconnect a first control connection between the first doctor terminal and a patient terminal, and issue the permission for establishing the second control connection to the second doctor terminal;
or
The second doctor terminal is further configured to send a second control connection request to a server;
the server is also configured to respond to the second control connection request, disconnect the first control connection between the first doctor terminal and the patient terminal, and issue the authority for establishing the second control connection to the second doctor terminal.
9. The system of claim 7, wherein the patient terminal is further configured to send a medical record sharing instruction, wherein the medical record sharing instruction comprises medical record information of the patient;
the server is further configured to respond to the medical record sharing instruction, record the medical record information in a blockchain, acquire an intelligent contract address of a user for accessing the medical record information and effective access time of the intelligent contract address, generate an effective access address, and issue the effective access address to the first doctor terminal;
the first doctor terminal is further configured to acquire the medical record information according to the effective access address.
10. The system of claim 6, further comprising a student terminal;
the first doctor terminal is further configured to establish a remote teaching connection with the student terminal;
the server is further configured to forward information between the first doctor terminal and a student terminal;
wherein the remote teaching connection comprises the first doctor terminal sending a viewing invitation request to a student terminal, and the student terminal responding to the viewing request and entering remote teaching.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010270044.1A CN111489798A (en) | 2020-04-08 | 2020-04-08 | Remote program control method and system for implantable medical equipment |
| PCT/CN2020/141952 WO2021203758A1 (en) | 2020-04-08 | 2020-12-31 | Remote program control method and system for implantable medical device |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010270044.1A CN111489798A (en) | 2020-04-08 | 2020-04-08 | Remote program control method and system for implantable medical equipment |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2021203758A1 (en) * | 2020-04-08 | 2021-10-14 | 北京品驰医疗设备有限公司 | Remote program control method and system for implantable medical device |
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