CN111528817A - Physiological parameter monitoring method, monitoring center, system and wearable device - Google Patents
Physiological parameter monitoring method, monitoring center, system and wearable device Download PDFInfo
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Abstract
The application provides a physiological parameter monitoring method, a monitoring center, a system and wearable equipment, wherein the physiological parameter monitoring method comprises the steps of receiving a message containing an equipment identifier of the wearable equipment and a first physiological parameter; if the message is determined to be forwarded by the operating bedside monitor, determining that the user wearing the wearable device is in an intra-operative state; if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, it is judged that the user wearing the wearable device is in a post-operation state; and displaying the state of the user, the user identification corresponding to the equipment identification and the first physiological parameter.
Description
Technical Field
The application relates to the technical field of medical treatment, in particular to a physiological parameter monitoring method, a monitoring center, a system and wearable equipment.
Background
Currently, there are certain surgical scenarios: a fixed monitor is arranged beside a sickbed in an operating room, and can be called as an operating bedside monitor. After the medical staff connects various lead wires on the bedside operating monitor to the patient, the physiological parameters (including electrocardiogram, blood oxygen, pulse wave, non-invasive blood pressure, respiration and other information) of the patient are directly displayed on the display interface of the bedside operating monitor, and then the medical staff performs preoperative preparation, such as anesthesia, on the patient and then performs the operation. When the procedure is completed, the lead wires of the bedside monitors are typically removed from the patient and the patient is moved to a recovery area in the operating room or ward.
The inventor finds that the prior art has the following problems:
during the whole operation process, the effective intervention is needed to be carried out on the postoperative recovery condition of the patient by combining the preoperative and intraoperative physiological parameter conditions of the patient. Since the current monitoring devices usually use traditional stationary monitoring, i.e. the monitor is fixed at a specific position (e.g. beside the operating bed, beside the bed, etc.). However, since the monitors cannot identify the patient, when the physiological parameters of the same patient are displayed on different monitors (e.g., a bedside monitor and a bedside monitor), the monitors cannot associate the physiological parameters of the same patient. Medical personnel can not effectively combine the preoperative and intraoperative states of a patient, only can rely on memory, easily make mistakes, and can not provide a perioperative physiological parameter monitoring report sheet which has retrospective significance and covers preoperative, intraoperative and postoperative.
Disclosure of Invention
In order to solve the above problems, the present application provides a physiological parameter monitoring method, a monitoring center, a system and a wearable device.
In a first aspect, the present application provides a method for monitoring physiological parameters, which is applied to a monitoring center, wherein the monitoring center can be connected with a wearable device in a wireless manner, and can communicate with a monitor beside an operating bed, and the wearable device is used for acquiring physiological parameters; the method comprises the following steps:
receiving a message containing the equipment identifier of the wearable equipment and a first physiological parameter;
if the message is determined not to be forwarded by the bedside operating table monitor, determining that the user wearing the wearable device is in a preoperative state;
if the message is determined to be forwarded by the operating bedside monitor, determining that the user wearing the wearable device is in an intra-operative state;
if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, it is judged that the user wearing the wearable device is in a post-operation state;
displaying the state of the user, a user identifier corresponding to the equipment identifier and a first physiological parameter; wherein the user identifier is used to identify the user.
With reference to the first aspect, in a first implementation manner, if the message carries a device feature parameter of the bedside operating instrument, it is determined that the message is forwarded by the bedside operating instrument.
With reference to the first aspect, in a second implementation manner, the method further includes:
if the message is determined not to be forwarded by the bedside operating table monitor, determining that the user wearing the wearable device is in a preoperative state; or
And if the corresponding relation between the equipment identification and the user identification is determined to be established, judging that the user wearing the wearable equipment is in a preoperative state.
With reference to the first aspect or the first or second implementation manner of the first aspect, in a third implementation manner, if the message does not carry the device characteristic parameter of the bedside monitor, it is determined that the message is not forwarded by the bedside monitor.
With reference to the first aspect, in a fourth implementation manner, if a disconnection message sent by the bedside operating monitor is received, it is determined that the bedside operating monitor is disconnected from a wearable device.
With reference to the first aspect, in a fifth implementation manner, when it is determined that the message is not forwarded by the bedside operating monitor, if it is determined that the message is the first message sent by the wearable device, the corresponding relationship between the device identifier and the user identifier is established.
With reference to the first aspect, in a sixth implementation manner, if the display area of the monitoring center includes a preoperative display area, an intraoperative display area, and a postoperative display area, the displaying the state of the user, the user identifier corresponding to the device identifier, and the first physiological parameter includes:
when the user is judged to be in a preoperative state, displaying the user identification and a first physiological parameter in the preoperative display area;
when the user is judged to be in an intraoperative state, displaying the user identification and a first physiological parameter in the intraoperative display area;
and when the user is judged to be in the postoperative state, displaying the user identification and the first physiological parameter in the postoperative display area.
With reference to the first aspect, in a seventh implementation manner, the method further includes: and determining the physical condition of the user by combining the second physiological parameters of the user in other states.
In a second aspect, the present application provides a method for monitoring physiological parameters, which is applied to a wearable device for acquiring physiological parameters, wherein the wearable device can be connected with a monitoring center in a wireless manner, and the monitoring center can communicate with a monitoring instrument beside an operating bed; the method comprises the following steps:
if the monitoring center is not connected with the operating bedside monitor, sending a message to the monitoring center;
and if the connection with the operating bedside monitor is determined, sending a message to the operating bedside monitor so that the operating bedside monitor forwards the message to the monitoring center.
In a third aspect, the present application provides a method for monitoring physiological parameters, which is applied to a bedside operating monitor, the bedside operating monitor can communicate with a monitoring center, the monitoring center can be connected with a wearable device in a wireless manner, and the method includes:
if the connection with the wearable equipment is determined, receiving a message sent by the wearable equipment, and forwarding the message to the monitoring center, so that the monitoring center judges that a user wearing the wearable equipment is in an intra-operative state according to the message;
and if the wearable equipment is disconnected, sending a disconnection message to the monitoring center so that the monitoring center judges that the user wearing the wearable equipment is in a postoperative state according to the disconnection message.
In a fourth aspect, the present application provides a monitoring system, which includes a monitoring center, a wearable device, and a bedside operating monitor, wherein the monitoring center can be wirelessly connected to the wearable device and can communicate with the bedside operating monitor, and the wearable device is configured to acquire physiological parameters;
the wearable device is used for sending a message to the monitoring center if the wearable device is not connected with the operating bedside monitor; if the connection with the operating bedside monitor is determined, sending a message to the operating bedside monitor so that the operating bedside monitor forwards the message to the monitoring center; the message comprises the equipment identification and the first physiological parameter of the wearable equipment;
the operating bedside monitor is used for receiving a message sent by the wearable equipment and forwarding the message to the monitoring center if the operating bedside monitor is determined to be connected with the wearable equipment, so that the monitoring center judges that a user wearing the wearable equipment is in an intra-operative state according to the message; if the wearable device is disconnected, sending a disconnection message to the monitoring center so that the monitoring center judges that the user wearing the wearable device is in a postoperative state according to the disconnection message;
the monitoring center comprises:
a receiving unit, configured to receive a packet;
a determination unit for
If the message is determined to be forwarded by the operating bedside monitor, determining that the user wearing the wearable device is in an intra-operative state;
if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, it is judged that the user wearing the wearable device is in a post-operation state;
the display unit is used for displaying the state of the user, the user identifier corresponding to the equipment identifier and the first physiological parameter; wherein the user identifier is used to identify the user.
With reference to the fourth aspect, in a first implementation manner, the determining unit is specifically configured to:
and if the message carries the equipment characteristic parameters of the operating bedside monitor, determining that the message is forwarded by the operating bedside monitor.
With reference to the fourth aspect, in a second implementation manner, the determining unit is further specifically configured to:
if the message is determined not to be forwarded by the bedside operating table monitor, determining that the user wearing the wearable device is in a preoperative state; or
And if the corresponding relation between the equipment identification and the user identification is determined to be established, judging that the user wearing the wearable equipment is in a preoperative state.
With reference to the fourth aspect or the first or second implementation manner of the fourth aspect, in a third implementation manner, the determining unit is specifically configured to: and if the message does not carry the equipment characteristic parameters of the operating bedside monitor, determining that the message is not forwarded by the operating bedside monitor.
With reference to the fourth aspect, in a fourth implementation manner, the receiving unit is further configured to receive a disconnection message sent by the bedside operating monitor, and trigger the determining unit to determine that the bedside operating monitor is disconnected from the wearable device.
With reference to the fourth aspect, in a fifth implementation manner, the determining unit is further configured to, when it is determined that the message is not forwarded by the bedside operating instrument, establish a correspondence between the device identifier and the user identifier if it is determined that the message is a first message sent by the wearable device.
With reference to the fourth aspect, in a sixth implementation manner, if the display unit includes a preoperative display area, an intraoperative display area, and a postoperative display area:
when the determining unit determines that the user is in a preoperative state, the display unit is specifically configured to display the user identifier and a first physiological parameter in the preoperative display area;
when the determining unit determines that the user is in an intraoperative state, the display unit is specifically configured to display the user identifier and the first physiological parameter in the intraoperative display area;
when the determining unit determines that the user is in the post-operation state, the display unit is specifically configured to display the user identifier and the first physiological parameter in the post-operation display area.
In a fifth aspect, the present application provides a monitoring center, which is capable of wirelessly connecting with a wearable device and communicating with a bedside operating monitor, wherein the wearable device is configured to acquire physiological parameters;
a receiving unit, configured to receive a packet;
a determination unit for
If the message is determined to be forwarded by the operating bedside monitor, determining that the user wearing the wearable device is in an intra-operative state;
if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, it is judged that the user wearing the wearable device is in a post-operation state;
the display unit is used for displaying the state of the user, the user identifier corresponding to the equipment identifier and the first physiological parameter; wherein the user identifier is used to identify the user.
With reference to the fifth aspect, in a first implementation manner, the determining unit is specifically configured to:
and if the message carries the equipment characteristic parameters of the operating bedside monitor, determining that the message is forwarded by the operating bedside monitor.
With reference to the fifth aspect, in a second implementation manner, the determining unit is further specifically configured to:
if the message is determined not to be forwarded by the bedside operating table monitor, determining that the user wearing the wearable device is in a preoperative state; or
And if the corresponding relation between the equipment identification and the user identification is determined to be established, judging that the user wearing the wearable equipment is in a preoperative state.
With reference to the fifth aspect or the first or second implementation manner of the fifth aspect, in a third implementation manner, the determining unit is specifically configured to: and if the message does not carry the equipment characteristic parameters of the operating bedside monitor, determining that the message is not forwarded by the operating bedside monitor.
With reference to the fifth aspect, in a fourth implementation manner, the receiving unit is further configured to receive a disconnection message sent by the bedside operating monitor, and trigger the determining unit to determine that the bedside operating monitor is disconnected from the wearable device.
With reference to the fifth aspect, in a fifth implementation manner, the determining unit is further configured to, when it is determined that the message is not forwarded by the bedside operating instrument, establish a correspondence between the device identifier and the user identifier if it is determined that the message is a first message sent by the wearable device.
With reference to the fifth aspect, in a sixth implementation manner, if the display unit includes a preoperative display area, an intraoperative display area, and a postoperative display area:
when the determining unit determines that the user is in a preoperative state, the display unit is specifically configured to display the user identifier and a first physiological parameter in the preoperative display area;
when the determining unit determines that the user is in an intraoperative state, the display unit is specifically configured to display the user identifier and the first physiological parameter in the intraoperative display area;
when the determining unit determines that the user is in the post-operation state, the display unit is specifically configured to display the user identifier and the first physiological parameter in the post-operation display area.
In a sixth aspect, the present application provides a monitoring center comprising a processor CPU and a machine-readable storage medium storing machine-executable instructions executable by the CPU, the CPU being caused by the machine-executable instructions to: implementing the steps of the method of any one of the first aspect.
In a seventh aspect, the present application provides a wearable device comprising a processor CPU and a machine-readable storage medium storing machine-executable instructions executable by the CPU, the CPU being caused by the machine-executable instructions to: the steps of the method of the second aspect are implemented.
In an eighth aspect, the present application provides a monitor comprising a processor CPU and a machine-readable storage medium storing machine-executable instructions executable by the CPU, the CPU being caused by the machine-executable instructions to: implementing the steps of the method of the third aspect.
In a ninth aspect, the present application provides a computer readable storage medium having stored therein a computer program which, when executed by a processor, performs the steps of the method of any one of the first, second or third aspects.
Compared with the prior art, the wearable device is connected with the monitoring center and the monitoring bedside device in a wireless mode, and sends the message to the monitoring center or forwards the message to the monitoring center through the monitoring bedside device, wherein the message comprises the acquired physiological parameters, and the transmission of the physiological parameters of the preoperative state, the intraoperative state and the postoperative state to the monitoring center is realized. The monitoring center judges whether a user wearing the wearable device is in a preoperative state, an intraoperative state or a postoperative state through a transmission path of the message, and then identifies and displays the state, the user identification and the acquired physiological parameters of the user through the corresponding relation between the user identification and the device identification, so that the physiological parameters of the preoperative state, the intraoperative state and the postoperative state of the same user are monitored and associated, and a basis is provided for issuing a perioperative physiological parameter monitoring report form.
Drawings
Fig. 1 is a schematic diagram of a networking provided in an embodiment of the present application;
FIG. 2 is a schematic structural diagram of a bedside monitor according to an embodiment of the present application;
FIG. 3-1 is a schematic flow chart of a method for monitoring physiological parameters according to an embodiment of the present application;
FIG. 3-2 is a schematic flow chart illustrating a method for monitoring physiological parameters according to another embodiment of the present application;
FIG. 4-1 is a schematic diagram of a networking provided in another embodiment of the present application;
fig. 4-2 is a schematic flowchart of a physiological parameter monitoring method according to an embodiment of the present application based on the networking shown in fig. 4-1;
4-3 are schematic preoperative state displays provided in accordance with an embodiment of the present application;
4-4 are intraoperative state display diagrams provided by an embodiment of the present application;
4-5 are schematic views of postoperative status displays provided by an embodiment of the present application;
fig. 5 is a schematic view of a monitoring center module according to an embodiment of the present application.
DETAILED DESCRIPTION OF EMBODIMENT (S) OF INVENTION
Reference will now be made in detail to the exemplary embodiments, examples of which are illustrated in the accompanying drawings. When the following description refers to the accompanying drawings, like numbers in different drawings represent the same or similar elements unless otherwise indicated. The embodiments described in the following exemplary embodiments do not represent all embodiments consistent with the present application. Rather, they are merely examples of apparatus and methods consistent with certain aspects of the present application, as detailed in the appended claims.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the application. As used in this application and the appended claims, the singular forms "a", "an", and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It should also be understood that the term "and/or" as used herein refers to and encompasses any and all possible combinations of one or more of the associated listed items.
It is to be understood that although the terms first, second, third, etc. may be used herein to describe various information, such information should not be limited to these terms. These terms are only used to distinguish one type of information from another. For example, first information may also be referred to as second information, and similarly, second information may also be referred to as first information, without departing from the scope of the present application. The word "if" as used herein may be interpreted as "at … …" or "when … …" or "in response to a determination", depending on the context.
The embodiment of the application provides a physiological parameter monitoring method, wherein wearable equipment is connected with a monitoring center and an operating bedside monitor in a wireless mode, and sends a message to the monitoring center or forwards the message to the monitoring center through monitoring bedside equipment, wherein the message comprises acquired physiological parameters, and the transmission of the physiological parameters of a preoperative state, an intraoperative state and a postoperative state to the monitoring center is realized. The monitoring center judges whether a user wearing the wearable device is in a preoperative state, an intraoperative state or a postoperative state through a transmission path of the message, and then identifies and displays the state, the user identification and the acquired physiological parameters of the user through the corresponding relation between the user identification and the device identification, so that the physiological parameters of the preoperative state, the intraoperative state and the postoperative state of the same user are monitored and associated, and a basis is provided for issuing a perioperative physiological parameter monitoring report form.
Please refer to fig. 1, which is a schematic networking diagram of a monitoring system provided in an embodiment of the present application, the monitoring system includes a monitoring center, one or more bedside monitors, and one or more wearable devices, where the number of the wearable devices and the one or more bedside monitors is not limited in the embodiment of the present application. In the system shown in fig. 1, the monitoring center, the bedside monitor, and the wearable device all have wireless communication modules, and the three can communicate with each other in a wireless manner, and the bedside monitor can also communicate with the monitoring center in a wired manner.
The wearable device is used for acquiring physiological parameters, and is a terminal which can be worn on a user to acquire the physiological parameters of the user, the terminal is connected to the user through various lead wires, the type of the physiological parameters comprises at least one of blood oxygen signals, temperature signals, blood pressure signals and electrocardio signals, and the corresponding lead wires required by acquiring the physiological parameters are respectively a blood oxygen sensor, a thermometer/a temperature sensor, a blood pressure sensor/a sphygmomanometer, an electrocardio lead wire and the like. For example, blood oxygen signals are acquired by a blood oxygen sensor, temperature signals are acquired by a temperature probe, blood pressure signals are acquired by a blood pressure cuff, and electrocardiosignals are acquired by an electrocardio lead wire.
In addition, in some embodiments, the wearable device may further set a threshold corresponding to each physiological parameter, so as to determine whether each physiological parameter of the user is normal in the state, and issue an alarm when the physiological parameter is not normal.
The other monitor of operation table passes through the physiological parameter of the user that wearable equipment of wireless signal reception gathered to show on the display device of the other monitor of operation table according to the characteristic of physiological parameter, for example, the blood oxygen signal shows for the numerical value of blood oxygen, and blood pressure signal shows for the numerical value, and temperature signal then shows for the current temperature value of user, and the heart rhythm information of user is extracted according to heart rhythm waveform signal then real-time display user to the heart rhythm information of user, with its synchronous display on display device. In one embodiment, the bedside operating monitor generally provides an alarm function, and medical staff can set a threshold value of a physiological parameter on the bedside operating monitor, and when the processed data of the physiological parameter acquired by the wearable device exceeds the set threshold value, the bedside operating monitor gives an alarm indication in response, that is, the medical staff is prompted in an audible and visual alarm manner. In some embodiments, when the user wears the wearable device and approaches the bedside monitor to a certain extent (e.g., less than 0.5 meter or less than 0.3 meter), the bedside monitor can recognize the wearable device, automatically establish a connection with the wearable device, and start receiving monitoring data sent by the wearable device.
In the embodiment of the present application, the wearable device has an identifier that is unique to the wearable device, and is referred to as a device identifier. In another embodiment, the bedside monitor has parameters that can mark its own device type as monitor, which we refer to as device characterization parameters. The device characteristic parameter may be a device serial number, a manufacturer-defined parameter or number, or an identifier that identifies a unique identifier of the device. For example: the model of the operating table side monitor of the company X is WM05, the number of the self-defined device inside the company is WM05, after the device receives the message of the wearable device each time, a field filled with WM05 is added to the front section of the message, the monitoring center receives the filled message, after the message is analyzed, the monitoring center recognizes that the message carries WM05, and the message is considered to be forwarded through the WM05 device.
In one embodiment, the bedside monitor is shown in fig. 2, and comprises a wired monitor 1053 and a wireless receiving end 1051, wherein the wireless receiving end 1051 is connected with the wired monitor 1053 through a lead 1052. The wireless receiving middle terminal 1051 receives the physiological parameters collected by the wearable device in a wireless manner. It should be noted that, in the process of wireless communication, all transmitted data are digital signals, that is, all data received by the wireless receiving middle terminal 1051 are digitized processes in which the wearable device has completed analog-to-digital conversion, and therefore, the wireless receiving middle terminal 1051 needs to perform digital-to-analog conversion on the digitized physiological parameter data, and convert the digitized physiological parameter data into an analog signal that can be received and identified by the wired monitor, so that the wired monitor performs identification and display, and performs processing such as alarm according to needs. Meanwhile, because the traditional wired monitor has more manufacturers and models and a communication protocol cannot be unified, it is difficult to establish a unified monitoring center (sometimes also referred to as a central monitoring station). In order to construct a communication system which is easy to construct with a monitoring center, the data collected by the wearable device can be sent to the monitoring center through the wireless receiving middle terminal 1051, and then the monitoring center identifies, displays and processes the received data, so that the user wearing the wearable device is judged to be in an intraoperative state. Because the proportion of the existing traditional wired monitor of the hospital is high at present, under most scenes, the functions of the other monitor of the operating bed can be realized by the mode, so that the cost of replacing hardware is reduced.
Referring to fig. 3-1, a method for monitoring physiological parameters applied to a monitoring center according to an embodiment of the present application includes 301 and 303.
301. Receiving a message, wherein the message contains a device identifier of the wearable device and a first physiological parameter.
In one embodiment, a field may be added to the header of a conventional message, which field fills in the device identification. The device identifier can be obtained through the message header.
In other embodiments, a TLV field may be added to the message or the device identifier may be transmitted using the TLV field in the existing response message. Wherein the explanation of the TLV field is as follows.
T stands for TYPE, which represents the current action. For example, when TYPE is 1, it indicates the transmission device identification.
L represents LENGTH, and represents the LENGTH of the field.
V represents VALUE, representing content, and the device identification is filled in this field.
In this embodiment, if the T value is 1, the V value, i.e., the device identification, may be obtained at the V field.
3022. And if the message is determined to be forwarded by the operating bedside monitor, determining that the user wearing the wearable device is in the state in operation.
If the monitoring center determines that the message is forwarded by the operating bedside monitor, the transmission path of the message is considered as follows: wearable device → bedside monitor → monitoring center, at this time, it is determined that the user wearing the wearable device is in the state of operation. It should be understood that in some embodiments, a plurality of intermediate devices may be disposed between the bedside monitor and the monitoring center, and the intermediate devices are not specifically described since they are involved in relaying the messages.
And then displaying the user identification of the user, the state of the user as an intraoperative state and the physiological parameter of the user as a first physiological parameter on a display unit. Because the display unit already displays the physiological parameters of the user in the preoperative state, the monitoring center analyzes the physiological parameters in the intraoperative state according to the physiological parameters of the user in the preoperative state, and confirms whether the physical condition of the user in the operation is good or not.
3023. And if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, the user wearing the wearable device is judged to be in the postoperative state.
If the monitoring center determines that the operating bedside monitor is disconnected from the wearable device and the message is not forwarded by the operating bedside monitor, the transmission path of the message is considered as follows: wearable device → monitoring center, this moment judge that the user who wears this wearable device has already finished the operation, be in postoperative state.
And then displaying the user identification of the user on a display unit, wherein the state of the user is a post-operation state, and the physiological parameter of the user is a first physiological parameter. Because the display unit displays the physiological parameters of the user in the preoperative state and the intraoperative state, the monitoring center analyzes the physiological parameters of the user in the intraoperative state according to the physiological parameters of the user in the preoperative state and the intraoperative state, and determines whether the postoperative recovery condition of the user is good or not.
303. And displaying the state of the user, the user identification corresponding to the equipment identification and the first physiological parameter.
In the embodiment of the application, the monitoring center judges whether a user wearing the wearable device is in a preoperative state, an intraoperative state or a postoperative state through a transmission path of a message, and then identifies and displays the state, the user identification and the acquired physiological parameters of the user through the corresponding relation between the user identification and the device identification, so that the physiological parameters of the preoperative state, the intraoperative state and the postoperative state of the same user are monitored and associated, and a basis is provided for issuing a perioperative physiological parameter monitoring report form.
Furthermore, the inventors found that in the prior art: many recovery areas do not have monitoring conditions, for example, a monitor (which may be called as an postoperative monitor) is not provided, and if a patient is directly moved to a recovery area without monitoring conditions, and then natural recovery in a non-monitoring state is performed, the risk is very high, and the probability of occurrence of an accident is very high. The scheme provided by the embodiment of the application can still monitor the physiological parameters of the patient after the operation, and avoids the risk.
Furthermore, the inventors have found that the prior art has the following problems: some recovery are distinguished and are equipped with guardianship condition, and after the patient got into recovery district, the staff will restore the line of leading of the monitor in the district and be connected with the patient once more, then observe the patient in the operation by medical personnel on one side, observe the patient that resumes after the operation on the other side. As can be seen from the whole operation implementation process, in the operation implementation process, the time of approximately 2-3 minutes is the preparation time of lead connection required for monitoring physiological parameters such as electrocardiogram, blood oxygen and the like. In the whole process of moving from the operation area to the recovery area, the secondary lead wire connection is needed, so that the whole operation time is prolonged. Meanwhile, the time interval between two times of lead wire connection is not monitored by equipment, so that the monitoring system belongs to a non-monitoring state, the risk is very high, and the probability of accidents is very high. The scheme that this application embodiment provided, in the patient by the switching in-process to postoperative recovery district in the art, owing to wear be wearable equipment, consequently need not carry out the connection of second lead line, saved the process of dismantling lead line and installing lead line once more for the time of having reduced every operation has promoted efficiency.
Taking the painless endoscope operation as an example, the operation is small, the operation process is short, generally, the operation time of each painless endoscope is about 10 minutes, wherein the time of about 2-3 minutes is the preparation time of lead connection required by carrying out physiological parameters such as electrocardiogram, blood oxygen and the like. By applying the scheme provided by the embodiment of the application, the process of detaching the lead wire and installing the lead wire again can be omitted, the time of each operation is reduced to 5 minutes from the original 10 minutes, and the efficiency is improved by 50%.
The embodiment of the application can also judge that the user process wearing the wearable device is in a preoperative state.
In one embodiment, as shown in fig. 3-2, the method further includes 3021 determining that the user wearing the wearable device is in the preoperative state if it is determined that the message is not forwarded by the bedside operating monitor.
If the monitoring center determines that the message is not forwarded by the operating bedside monitor, the transmission path of the message is considered as follows: wearable device → monitoring center, this time to determine the user wearing the wearable device is in preoperative state. It should be understood that, in some embodiments, a plurality of intermediate devices may be disposed between the wearable device and the monitoring center, and the intermediate devices are not specifically described since they are involved in relaying the message.
And then displaying the user identification of the user, the state of the user is a preoperative state, and the physiological parameter of the user is a first physiological parameter on a display unit. The user identifier is used for identifying a user and has a corresponding relation with the equipment identifier. When the monitoring center receives a message including the device identifier, the first physiological parameter included in the message is determined as the physiological parameter of the user identifier according to the corresponding relationship.
In some other embodiments, if it is determined that the correspondence between the device identifier and the user identifier is established, the monitoring center determines that the user wearing the wearable device is in a preoperative state.
Referring to fig. 4-2 in conjunction with the scenario shown in fig. 4-1, an embodiment of the present application provides a method for monitoring physiological parameters. Fig. 4-1 includes a monitoring center, a wearable device 1, a wearable device 2, a wearable device 3, a bedside monitor 1, and a bedside monitor 2. The operating bedside monitor 1 is located in an operating room 1, and the operating bedside monitor 2 is located in an operating room 2. The operating rooms 1, 2 can be used for painless endoscopic surgery.
Specifically, the device identifier of the wearable device 1 is 01025678AA, the device identifier of the wearable device 2 is 01025678BB, the device identifier of the wearable device 3 is 01025678FF, the device characteristic parameter of the bedside monitor 1 is, for example, the device identifier 110E, and the device characteristic parameter of the bedside monitor 2 is, for example, the device identifier 120F.
The monitoring center comprises a display, wherein the display comprises a preoperative display area, an intraoperative display area and a postoperative display area, and the display is respectively used for displaying physiological parameters of a preoperative state, an intraoperative state and a postoperative state.
Assuming that the user of patient 1 is identified as 120789, wearing wearable device 1, surgery will be performed in operating room 1. The user of patient 2, identified as 120790, wearing the wearable device 2 will perform an operation in the operating room 2. The user of the patient 3, identified as 120791, wearing the wearable device 3 will perform an operation in the operating room 2.
In some embodiments, after the patient wears the wearable device, the staff member may manually add the correspondence between the user id and the device id in the monitoring center, that is, add the correspondence between the user id 120789 and the device id 01025678 AA.
In some other embodiments, after the patient wears the wearable device, the wearable device sends a first message to the monitoring center, where the message includes a device identifier, a user identifier, and a physiological parameter, and the monitoring center automatically establishes a correspondence between the user identifier of the patient and the device identifier. In one example, the user identification may be input to the wearable device by a staff member while the patient is wearing the wearable device. It should be understood that if the monitoring center recognizes that the message includes the device identifier and the user identifier, the message is considered as the first message.
The correspondence between the user identification and the device identification of the patients 1, 2, 3 can be added by the method described above. Taking the patient 1 as an example, with reference to fig. 4-2, a method for monitoring physiological parameters provided in the embodiment of the present application is as follows.
401. Wearable device 1 sends message 1. The message 1 includes the device identification 01025678AA of the wearable device 1 and the physiological parameter of the patient 1 (e.g., body temperature 36.5 ℃).
In one embodiment, the header of message 1 is populated with the device identification 01025678AA of wearable device 1, and the data field of message 1 is populated with the physiological parameters of patient 1.
402. The monitoring center receives and analyzes the message 1, obtains the device identifier 01025678AA of the wearable device 1, and determines that the message 1 does not carry the device characteristic parameters of the operating bedside monitor.
403. The monitoring center confirms that the transmission path of the message 1 is as follows: wearable device 1 → monitoring center, at which time it is determined that patient 1 is in a preoperative state.
The monitoring center displays physiological parameters in a preoperative display area on a display: 120789 body temperature 36.5 deg.C, as shown in figure 4-3.
The patient 1 enters the operating room 1 to perform an operation, and the wearable device 1 is monitored by the monitor 1 beside the operating bed and is automatically connected with the wearable device 1.
404. The wearable device sends a message 2. The message 2 includes the device identification 01025678AA of the wearable device 1 and the physiological parameter of the patient 1 (e.g., the body temperature 36.3 ℃).
405. The bedside monitor 1 receives the message 2, and sends the message 2 and its own device identifier 110E to the monitoring center.
In one embodiment, the bedside monitor 1 may add a message header field to the message 2, and the field is used to fill a device characteristic parameter, i.e. a device identifier of the bedside monitor.
406. The monitoring center receives and analyzes the message 2, acquires the device identifier 01025678AA of the wearable device 1, and determines that the message 1 carries the device identifier 110E of the operating bedside monitor.
407. The monitoring center confirms that the transmission path of the message 2 is as follows: wearable device 1 → bedside monitor 1 → monitoring center, at this time, it is determined that patient 2 is in the state of operation.
The monitoring center displays the physiological parameters in an intraoperative display area on a display: 120789 body temperature 36.3 deg.C, as shown in FIGS. 4-4.
In addition, the monitoring center can also determine the physical condition of the patient 1 during the operation by combining the physiological parameters of the patient 1 in the preoperative state.
The patient 1 completes the operation and leaves the operating room. The other monitor 1 of operation bed can not monitor wearable equipment, judges and 1 disconnection of wearable equipment.
In one embodiment, the bedside monitor 1 may determine whether to disconnect from the wearable device 1 by sending heartbeat packets to the wearable device 1. Specifically, the operating bedside monitor 1 may send a heartbeat packet to the wearable device 1, and if the wearable device 1 returns a heartbeat response packet within a preset time, the operating bedside monitor 1 considers that the operating bedside monitor 1 is not disconnected from the wearable device 1; otherwise, the bedside monitor 1 considers the wearable device 1 to be disconnected.
It should be understood that when the wearable device 1 is connected to the bedside monitor 1, the wearable device 1 does not directly send a message to the monitoring center, but forwards the message to the monitoring center through the bedside monitor 1. When the wearable device 1 is disconnected from the bedside operating monitor, the wearable device 1 directly sends a message to the monitoring center.
408. The operating bedside monitor 1 judges that the wearable device 1 is disconnected, and sends a disconnection message to the monitoring center.
409. The monitoring center receives the disconnection message.
410. The monitoring center receives message 3, and message 3 includes device identification 01025678AA of wearable device 1 and physiological parameters of patient 1 (e.g., body temperature 36.6 ℃).
411. If the monitoring center determines that the operating bedside monitor 1 is disconnected from the wearable device 1 and the message 3 is not forwarded by the operating bedside monitor, the transmission path of the message 3 is considered as follows: wearable device 1 → monitoring center, at this time, it is determined that the patient 1 has completed the operation, in the postoperative state.
The monitoring center displays physiological parameters in a postoperative display area on a display: 120789 body temperature 36.6 deg.C, as shown in FIGS. 4-5.
In addition, the monitoring center can also determine the recovery condition of the patient 1 by combining the physiological parameters of the patient 1 in the preoperative state and the intraoperative state.
Furthermore, the monitoring center can also set a threshold value corresponding to each physiological parameter in each state, so as to determine whether each physiological parameter of the user is normal in a certain state when the user is in the certain state, and send an alarm when the physiological parameter is abnormal.
Referring to fig. 5, an embodiment of the present application further provides a monitoring center, which includes a receiving unit 500, a determining unit 501, and a displaying unit 502. Wherein, the guardianship center can be connected with wearable equipment through wireless mode, and can communicate with the other monitor of operation bed, and wearable equipment is used for gathering physiological parameters. The units of the monitoring center are explained as follows.
A receiving unit 500, configured to receive a message.
A determination unit 501 for
If the message is determined to be forwarded by the bedside operating monitor, determining that the user wearing the wearable device is in an intra-operative state;
and if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, the user wearing the wearable device is judged to be in the postoperative state.
A display unit 502, configured to display a state of a user, a user identifier corresponding to the device identifier, and a first physiological parameter; wherein the user identification is used to identify the user.
Optionally, the determining unit 501 is specifically configured to:
and if the message carries the equipment characteristic parameters of the operating bedside monitor, determining that the message is forwarded by the operating bedside monitor.
Optionally, the determining unit 501 is further specifically configured to:
if the message is determined not to be forwarded by the bedside operating monitor, determining that the user wearing the wearable device is in a preoperative state; or
And if the corresponding relation between the equipment identifier and the user identifier is determined to be established, judging that the user wearing the wearable equipment is in a preoperative state.
Optionally, the determining unit 501 is specifically configured to: and if the message does not carry the equipment characteristic parameters of the operating bedside monitor, determining that the message is not forwarded by the operating bedside monitor.
Optionally, the receiving unit 500 is further configured to receive a disconnection message sent by the bedside operating monitor, and trigger the determining unit to determine that the bedside operating monitor is disconnected from the wearable device.
Optionally, the determining unit 501 is further configured to, when it is determined that the message is not forwarded by the bedside operating monitor, establish a correspondence between the device identifier and the user identifier if it is determined that the message is the first message sent by the wearable device.
Optionally, the display unit 502 includes a preoperative display area, an intraoperative display area, and a postoperative display area, then:
when the determining unit 501 determines that the user is in the preoperative state, the display unit is specifically configured to display the user identifier and the first physiological parameter in the preoperative display area;
when the determining unit 501 determines that the user is in the intraoperative state, the display unit is specifically configured to display the user identifier and the first physiological parameter in the intraoperative display area;
when the determining unit 501 determines that the user is in the post-operation state, the display unit is specifically configured to display the user identifier and the first physiological parameter in the post-operation display area.
The embodiment of the application also provides a physiological parameter monitoring method, which is applied to wearable equipment for acquiring physiological parameters, wherein the wearable equipment can be connected with a monitoring center in a wireless mode, and the monitoring center can communicate with a monitoring instrument beside an operating bed. The method comprises the following steps:
if the monitoring center is not connected with the operating bedside monitor, sending a message to the monitoring center;
and if the connection with the operating bedside monitor is determined, sending a message to the operating bedside monitor so that the operating bedside monitor forwards the message to the monitoring center.
The embodiment of the application also provides a physiological parameter monitoring method, which is applied to the operating table side monitor, the operating table side monitor can communicate with a monitoring center, the monitoring center can be connected with wearable equipment in a wireless mode, and the method comprises the following steps:
if the connection with the wearable equipment is determined, receiving a message sent by the wearable equipment, and forwarding the message to a monitoring center so that the monitoring center can judge that a user wearing the wearable equipment is in an intra-operative state according to the message;
and if the wearable equipment is disconnected, sending a disconnection message to the monitoring center so that the monitoring center judges that the user wearing the wearable equipment is in a postoperative state according to the disconnection message.
The embodiment of the application also provides a monitoring system, which comprises a monitoring center, wearable equipment and a bedside operating monitor, wherein the monitoring center can be connected with the wearable equipment in a wireless mode and can communicate with the bedside operating monitor, and the wearable equipment is used for acquiring physiological parameters;
the wearable device is used for sending a message to the monitoring center if the wearable device is not connected with the operating bedside monitor; if the operation bedside monitor is connected with the operation bedside monitor, sending a message to the operation bedside monitor so that the operation bedside monitor forwards the message to the monitoring center; the message comprises the equipment identification and the first physiological parameter of the wearable equipment;
the operating bedside monitor is used for receiving the message sent by the wearable equipment and forwarding the message to the monitoring center if the operation bedside monitor is determined to be connected with the wearable equipment, so that the monitoring center judges that the user wearing the wearable equipment is in an intra-operative state according to the message; if the wearable device is disconnected, sending a disconnection message to the monitoring center so that the monitoring center can judge that the user wearing the wearable device is in a postoperative state according to the disconnection message;
the monitoring center comprises:
a receiving unit, configured to receive a packet;
a determination unit for
If the message is determined to be forwarded by the bedside operating monitor, determining that the user wearing the wearable device is in an intra-operative state;
if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, it is judged that the user wearing the wearable device is in the postoperative state;
the display unit is used for displaying the state of the user, the user identification corresponding to the equipment identification and the first physiological parameter; wherein the user identification is used to identify the user.
Optionally, the determining unit is specifically configured to:
and if the message carries the equipment characteristic parameters of the operating bedside monitor, determining that the message is forwarded by the operating bedside monitor.
Optionally, the determining unit is further specifically configured to:
if the message is determined not to be forwarded by the bedside operating monitor, determining that the user wearing the wearable device is in a preoperative state; or
And if the corresponding relation between the equipment identifier and the user identifier is determined to be established, judging that the user wearing the wearable equipment is in a preoperative state.
Optionally, the determining unit is specifically configured to: and if the message does not carry the equipment characteristic parameters of the operating bedside monitor, determining that the message is not forwarded by the operating bedside monitor.
Optionally, the receiving unit is further configured to receive a disconnection message sent by the bedside operating monitor, and trigger the determining unit to determine that the bedside operating monitor is disconnected from the wearable device.
Optionally, the determining unit is further configured to, when it is determined that the message is not forwarded by the bedside monitor, establish a correspondence between the device identifier and the user identifier if it is determined that the message is the first message sent by the wearable device.
Optionally, the display unit includes a preoperative display area, an intraoperative display area, and a postoperative display area, then:
when the determining unit determines that the user is in the preoperative state, the display unit is specifically used for displaying the user identifier and the first physiological parameter in a preoperative display area;
when the determining unit determines that the user is in the intraoperative state, the display unit is specifically used for displaying the user identification and the first physiological parameter in the intraoperative display area;
when the determining unit determines that the user is in the postoperative state, the display unit is specifically configured to display the user identifier and the first physiological parameter in the postoperative display area.
The implementation process of the functions and actions of each unit in the module/device is specifically described in the implementation process of the corresponding step in the method, and is not described herein again.
An embodiment of the present application further provides a monitoring center, including a processor CPU and a machine-readable storage medium, where the machine-readable storage medium stores machine-executable instructions capable of being executed by the CPU, and the CPU is caused by the machine-executable instructions to: the implementation is based on the steps of any of the methods provided on the monitoring center side.
Embodiments of the present application also provide a wearable device, including a processor CPU and a machine-readable storage medium storing machine-executable instructions executable by the CPU, the CPU being caused by the machine-executable instructions to: the steps of the method provided based on the wearable device side are realized.
Embodiments of the present application further provide a monitor, including a processor CPU and a machine-readable storage medium, where the machine-readable storage medium stores machine-executable instructions executable by the CPU, and the CPU is caused by the machine-executable instructions to: the implementation is based on the steps of any of the methods provided on the monitor side.
An embodiment of the present application further provides a computer-readable storage medium, in which a computer program is stored, and the computer program, when executed by a processor, implements the steps of any one of the foregoing methods.
For the module/device embodiment, since it substantially corresponds to the method embodiment, reference may be made to the partial description of the method embodiment for relevant points. The above-described module/device embodiments are only illustrative, wherein the units described as separate parts may or may not be physically separate, and the parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the modules can be selected according to actual needs to achieve the purpose of the scheme of the application. One of ordinary skill in the art can understand and implement it without inventive effort.
The above description is only exemplary of the present application and should not be taken as limiting the present application, as any modification, equivalent replacement, or improvement made within the spirit and principle of the present application should be included in the scope of protection of the present application.
Claims (10)
1. A physiological parameter monitoring method is characterized in that the method is applied to a monitoring center, the monitoring center can be connected with wearable equipment in a wireless mode and can be communicated with a monitor beside an operating bed, and the wearable equipment is used for acquiring physiological parameters; the method comprises the following steps:
receiving a message containing the equipment identifier of the wearable equipment and a first physiological parameter;
if the message is determined to be forwarded by the operating bedside monitor, determining that the user wearing the wearable device is in an intra-operative state;
if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, it is judged that the user wearing the wearable device is in a post-operation state;
displaying the state of the user, a user identifier corresponding to the equipment identifier and a first physiological parameter; wherein the user identifier is used to identify the user.
2. The method of claim 1,
and if the message carries the equipment characteristic parameters of the operating bedside monitor, determining that the message is forwarded by the operating bedside monitor.
3. The method of claim 1, further comprising:
if the message is determined not to be forwarded by the bedside operating table monitor, determining that the user wearing the wearable device is in a preoperative state; or
And if the corresponding relation between the equipment identification and the user identification is determined to be established, judging that the user wearing the wearable equipment is in a preoperative state.
4. A physiological parameter monitoring method is characterized in that the method is applied to wearable equipment for acquiring physiological parameters, the wearable equipment can be connected with a monitoring center in a wireless mode, and the monitoring center can communicate with a monitoring instrument beside an operating bed; the method comprises the following steps:
if the monitoring center is not connected with the operating bedside monitor, sending a message to the monitoring center;
and if the connection with the operating bedside monitor is determined, sending a message to the operating bedside monitor so that the operating bedside monitor forwards the message to the monitoring center.
5. A physiological parameter monitoring method is applied to a bedside operating monitor, the bedside operating monitor can be communicated with a monitoring center, the monitoring center can be connected with a wearable device in a wireless mode, and the method comprises the following steps:
if the connection with the wearable equipment is determined, receiving a message sent by the wearable equipment, and forwarding the message to the monitoring center, so that the monitoring center judges that a user wearing the wearable equipment is in an intra-operative state according to the message;
and if the wearable equipment is disconnected, sending a disconnection message to the monitoring center so that the monitoring center judges that the user wearing the wearable equipment is in a postoperative state according to the disconnection message.
6. A monitoring system is characterized by comprising a monitoring center, wearable equipment and a bedside operating monitor, wherein the monitoring center can be connected with the wearable equipment in a wireless mode and can communicate with the bedside operating monitor, and the wearable equipment is used for acquiring physiological parameters;
the wearable device is used for sending a message to the monitoring center if the wearable device is not connected with the operating bedside monitor; if the connection with the operating bedside monitor is determined, sending a message to the operating bedside monitor so that the operating bedside monitor forwards the message to the monitoring center; the message comprises the equipment identification and the first physiological parameter of the wearable equipment;
the operating bedside monitor is used for receiving a message sent by the wearable equipment and forwarding the message to the monitoring center if the operating bedside monitor is determined to be connected with the wearable equipment, so that the monitoring center judges that a user wearing the wearable equipment is in an intra-operative state according to the message; if the wearable device is disconnected, sending a disconnection message to the monitoring center so that the monitoring center judges that the user wearing the wearable device is in a postoperative state according to the disconnection message;
the monitoring center comprises:
a receiving unit, configured to receive a packet;
a determination unit for
If the message is determined to be forwarded by the operating bedside monitor, determining that the user wearing the wearable device is in an intra-operative state;
if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, it is judged that the user wearing the wearable device is in a post-operation state;
the display unit is used for displaying the state of the user, the user identifier corresponding to the equipment identifier and the first physiological parameter; wherein the user identifier is used to identify the user.
7. A monitoring center is characterized in that the monitoring center can be connected with wearable equipment in a wireless mode and can be communicated with a monitor beside an operating bed, and the wearable equipment is used for acquiring physiological parameters;
a receiving unit, configured to receive a packet;
a determination unit for
If the message is determined to be forwarded by the operating bedside monitor, determining that the user wearing the wearable device is in an intra-operative state;
if the fact that the operation bedside monitor is disconnected from the wearable device and the message is not forwarded by the operation bedside monitor is determined, it is judged that the user wearing the wearable device is in a post-operation state;
the display unit is used for displaying the state of the user, the user identifier corresponding to the equipment identifier and the first physiological parameter; wherein the user identifier is used to identify the user.
8. A monitoring center comprising a processor CPU and a machine-readable storage medium storing machine-executable instructions executable by the CPU, the CPU being caused by the machine-executable instructions to: the steps of implementing the method of any one of claims 1 to 3.
9. A wearable device comprising a processor CPU and a machine-readable storage medium storing machine-executable instructions executable by the CPU, the CPU being caused by the machine-executable instructions to: the steps of implementing the method of claim 4.
10. A computer-readable storage medium, in which a computer program is stored which, when being executed by a processor, carries out the steps of the method according to any one of claims 1 to 5.
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WO2023036264A1 (en) * | 2021-09-08 | 2023-03-16 | 深圳迈瑞生物医疗电子股份有限公司 | Monitoring method and monitoring system |
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WO2023036264A1 (en) * | 2021-09-08 | 2023-03-16 | 深圳迈瑞生物医疗电子股份有限公司 | Monitoring method and monitoring system |
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