CN113349745A - Patient is with supplementary guardianship device - Google Patents

Patient is with supplementary guardianship device Download PDF

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Publication number
CN113349745A
CN113349745A CN202110826173.9A CN202110826173A CN113349745A CN 113349745 A CN113349745 A CN 113349745A CN 202110826173 A CN202110826173 A CN 202110826173A CN 113349745 A CN113349745 A CN 113349745A
Authority
CN
China
Prior art keywords
patient
host server
unit
position information
processing unit
Prior art date
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Pending
Application number
CN202110826173.9A
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Chinese (zh)
Inventor
黄伟红
胡建中
钱招昕
王耀磊
李映兰
李丽
高武强
袁英
李靖
高悦
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Hezheng Medical Technology Co ltd
Xiangya Hospital of Central South University
Original Assignee
Beijing Hezheng Medical Technology Co ltd
Xiangya Hospital of Central South University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Beijing Hezheng Medical Technology Co ltd, Xiangya Hospital of Central South University filed Critical Beijing Hezheng Medical Technology Co ltd
Priority to CN202110826173.9A priority Critical patent/CN113349745A/en
Publication of CN113349745A publication Critical patent/CN113349745A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02438Detecting, measuring or recording pulse rate or heart rate with portable devices, e.g. worn by the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1113Local tracking of patients, e.g. in a hospital or private home
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14542Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/681Wristwatch-type devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/7455Details of notification to user or communication with user or patient ; user input means characterised by tactile indication, e.g. vibration or electrical stimulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms

Abstract

The invention discloses an auxiliary monitoring device for a patient, which comprises a host server, a mobile terminal and a detection device, wherein the host server, the detection device and the mobile terminal are in communication connection through a network; the detection device comprises a multi-parameter monitor, the multi-parameter monitor is used for collecting physical sign parameters of a patient and is connected with a parameter processing module, and the mobile terminal is wearable medical equipment and comprises a processing unit, and a communication unit, a processing unit, a positioning unit, a reminding unit and a detection unit which are in communication connection with the processing unit; the host server is used for reminding the associated user that the patient is in an adverse physiological condition when the crisis condition is received, informing the associated user to prepare medical resources and sending patient positioning information to the associated user. The invention has the advantages that the mobile terminal is used for carrying out the auxiliary monitoring of the patient and the response effect of the personal calling of the medical personnel, and the fatality omission caused by alarm fatigue is reduced.

Description

Patient is with supplementary guardianship device
Technical Field
The invention relates to the technical field of medical instruments, in particular to an auxiliary monitoring device for a patient.
Background
The wearable medical equipment is a general name of equipment which applies wearable technology to sign monitoring, motion data statistics and health condition improvement, and has three major functions of monitoring physiological indexes, data recording, dynamic observation and the like. Wearable electronic equipment is the hot spot of leading edge science and technology at present, and the medical industry is the core of the chinese reform in recent years. The government of China supports clear support attitude for mobile medical treatment, and wearable medical equipment has indispensable requirements for remote monitoring of chronic diseases and real-time monitoring of physical sign parameters such as blood pressure, electrocardiosignals, pulse and the like.
In addition, with the development of medical level, more and more hospitals are provided with ICU wards to provide isolation sites and treatment equipment for critical patients, and vital signs of the patients also need to be monitored in real time in the ICU wards. When the parameters are abnormal, the medical staff are buzzed to alarm, and when the sound in the ICU is noisy, the transmission efficiency of the crisis condition is low, the alarm fatigue is easy to occur, and the medical staff neglects the alarm condition. The buzzing sound further affects the decibel comfort level within the ICU, causing a vicious circle.
Disclosure of Invention
The technical problem to be solved by the invention is as follows: the wearable medical equipment-based portable calling response system overcomes the defects of the prior art, carries out auxiliary monitoring on patients and the portable calling response system of medical personnel by means of the wearable medical equipment, and reduces fatality omission caused by alarm fatigue.
The technical scheme adopted by the invention for solving the technical problems is as follows: an auxiliary monitoring device for a patient comprises a host server, a mobile terminal and a detection device, wherein the host server, the detection device and the mobile terminal are in communication connection through a network;
the detection device comprises a multi-parameter monitor, the multi-parameter monitor is used for collecting patient sign parameters and is connected with a parameter processing module, the parameter processing module receives the patient sign parameters from the multi-parameter monitor in real time or at regular time through a communication network and receives and processes the patient sign parameters according to a predetermined analysis rule, and the parameter processing module is connected with a host server;
the mobile terminal is wearable medical equipment and comprises a processing unit, and a communication unit, a processing unit, a positioning unit, a reminding unit and a detection unit which are in communication connection with the processing unit; the communication unit is connected with the host server through a communication network; the detection unit monitors the physical sign parameters of the patient, the physical sign parameters are processed by the processing unit and then transmitted to the host server, and the positioning unit acquires the position information of the patient and transmits the position information to the processing unit;
the host server is used for reminding the preset associated user that the patient is in an adverse physiological condition when the calling information is received, informing the associated user to prepare medical resources and sending patient positioning information to the associated user.
The host server comprises a database, a background system, a background backup and a display terminal, wherein the background system is used for pre-diagnosing and testing physical sign parameters of a patient, communicating with the background backup and transmitting data to the display terminal, and the database is communicated with the background system and the background backup.
The wearable medical equipment collects the position information of a patient in real time and sends the position information to a background system; and the background system receives the position information, compares the position information with a preset area, and generates an alarm signal to be sent to an associated user terminal when the position information exceeds the preset area.
The wearable medical equipment further comprises a calling key used for generating a calling instruction according to the calling operation of the patient and transmitting the calling instruction to the host server, and the host server receives the calling instruction, combines the received position information and sends the calling instruction to the associated user terminal.
The detection unit comprises a heart rate measuring device, a blood oxygen measuring device and a blood pressure measuring device which are respectively used for collecting heart rate, blood oxygen and blood pressure, and the processing unit comprises a heart rate analysis module, a blood oxygen heart rate analysis module and a blood pressure heart rate analysis module.
The reminding unit comprises a vibration motor, and the display is used for displaying the patient identity information and the notification information in a text format.
The associated users are medical care and patients with diagnosis and treatment relations, nurse stations with management relations and medical care personnel.
The communication unit is a wired communication unit, and the communication network is a traditional internet or a local area network; or the communication unit comprises a wireless communication subunit and a wired communication subunit, and the communication network is a mobile internet, a traditional internet or a local area network.
The invention has the beneficial effects that:
the statistics of the number of crisis call alarms in a week are collected in clinic of a certain disease area in the heart as follows: the total alarm times are as follows: 897 times, all alarms are middle and high level alarms;
the number of times of alarm is not found as follows: 142 times, accounting for 15.8%; the number of patient discoveries is 412, which accounts for 54.6%; the frequency of family discovery is 28 times, accounting for 3.7%; and the nurse did not answer: 582 times, accounting for 64.9%, and as can be seen from the above situations, a large proportion of alarm information cannot be found in time, or the first finder is not a medical worker, so the reaching rate of the crisis alarm information is not high, and the optimal treatment time is easily delayed.
After the auxiliary monitoring device is adopted, a calling system which is carried about at any time is provided, and fatal omission caused by alarm fatigue is reduced. By checking the position of the patient, the possibility of unauthorized leaving is reduced, and nurses can manage more wards; the noise pollution caused by calling of the original buzzer is avoided.
Drawings
Fig. 1 is a schematic flow chart of a monitoring device according to an embodiment of the present invention.
Detailed Description
The invention is further explained with reference to the drawings and the embodiments.
An auxiliary monitoring device for patients comprises a host server, a mobile terminal and a detection device, wherein the host server, the detection device and the mobile terminal are in communication connection through a network.
The detection device comprises a multi-parameter monitor, the multi-parameter monitor is used for collecting patient sign parameters and is connected with a parameter processing module, the parameter processing module receives the patient sign parameters from the multi-parameter monitor in real time or at regular time through a communication network and receives and processes the patient sign parameters according to a predetermined analysis rule, and the parameter processing module is connected with a host server.
The mobile terminal is wearable medical equipment, particularly, is thing networking wrist-watch. The watch of the Internet of things comprises a processing unit, and a communication unit, a processing unit, a positioning unit, a reminding unit and a detection unit which are in communication connection with the processing unit; the communication unit is connected with the host server through a communication network; the detection unit monitors the physical sign parameters of the patient, the physical sign parameters are processed by the processing unit and then transmitted to the host server, and the positioning unit acquires the position information of the patient and transmits the position information to the processing unit.
The host server is used for judging whether the information is effective or not when the crisis condition is received, if so, reminding the associated user that the patient is in an adverse physiological condition, informing the associated user to prepare medical resources and sending patient positioning information to the associated user. After receiving the information, the associated medical staff can search for the patient according to the information, and the procedure is finished after the patient is treated. The host server system will automatically record the following: the number of the patient with the crisis, the name of the patient, the content of the crisis, the time of the crisis, the medical staff who is associated with the crisis transmission, the response time of the medical staff and the time before the medical staff for treatment, so that a complete record can be formed. After all critical events occur, all processes can be automatically recorded, so that follow-up statistics or nursing records can be conveniently formed. The medical staff can be enabled to reduce the work of manual paper recording and increase the electronization of the structured data.
In addition, this thing networking wrist-watch when doctor and nurse wear, possesses the effect of the sign data of doctorsing and nurses like the record, when doctorsing and nurses and is in long-time operating condition or tired fatigue state of health, holds its parameter information transmission to branch of academic or vocational study room, reminds medical personnel to have a rest on time.
The host server comprises a database, a background system, a background backup and a display terminal, wherein the background system is used for pre-diagnosing and testing physical sign parameters of a patient, communicating with the background backup and transmitting data to the display terminal, and the database is communicated with the background system and the background backup.
The IOT watch collects position information of a patient in real time and sends the position information to a background system; and the background system receives the position information, compares the position information with a preset area, and generates an alarm signal to be sent to an associated user terminal when the position information exceeds the preset area.
The Internet of things watch further comprises a calling key used for generating a calling instruction according to the calling operation of the patient and transmitting the calling instruction to the host server, and the host server receives the calling instruction, combines the received position information and sends the calling instruction to the associated user terminal. In the environment that thing networking basic network covers, can send appointed message to associated user's terminal in 3s, the nurse can look over immediately after the information arrives, has avoided the condition of on duty at the nurse station, provides patient's real-time guardianship service.
The wrist watch is worn in the low wrist position of the medical patient through the Internet of things, the detection unit comprises a heart rate measurement device, a blood oxygen measurement device and a blood pressure measurement device which are respectively used for collecting heart rate, blood oxygen and blood pressure, and the processing unit comprises a heart rate analysis module, a blood oxygen heart rate analysis module and a blood pressure heart rate analysis module. When the situation that the wearer falls down, is in a coma and is in shock is detected, and the physical sign abnormity cannot automatically call, the watch automatically calls the associated user.
The reminding unit comprises a vibration motor and can prompt a wearer through vibration; the display is used for displaying the patient identity information and the notification information in a text format, and providing help for the diagnosis of medical staff.
The associated users are medical care and patients with diagnosis and treatment relations, nurse stations with management relations and medical care personnel, and the host server performs personnel relation association processing when the patients are admitted.
The communication unit is a wired communication unit, and the communication network is a traditional internet or a local area network; or the communication unit comprises a wireless communication subunit and a wired communication subunit, and the communication network is a mobile internet, a traditional internet or a local area network.
The present invention is not limited to the above embodiments, and various combinations and modifications of the above technical features may be provided for those skilled in the art, and modifications, variations, equivalents, or uses of the structure or method of the present invention in other fields without departing from the spirit and scope of the present invention are included in the protection scope of the present invention.

Claims (8)

1. An auxiliary monitoring device for a patient comprises a host server, a mobile terminal and a detection device, wherein the host server, the detection device and the mobile terminal are in communication connection through a network; the method is characterized in that:
the detection device comprises a multi-parameter monitor, the multi-parameter monitor is used for collecting patient sign parameters and is connected with a parameter processing module, the parameter processing module receives the patient sign parameters from the multi-parameter monitor in real time or at regular time through a communication network and receives and processes the patient sign parameters according to a predetermined analysis rule, and the parameter processing module is connected with a host server;
the mobile terminal is wearable medical equipment and comprises a processing unit, and a communication unit, a processing unit, a positioning unit, a reminding unit and a detection unit which are in communication connection with the processing unit; the communication unit is connected with the host server through a communication network; the detection unit monitors the physical sign parameters of the patient, the physical sign parameters are processed by the processing unit and then transmitted to the host server, and the positioning unit acquires the position information of the patient and transmits the position information to the processing unit;
the host server is used for reminding the associated user that the patient is in an adverse physiological condition when the call information is received, informing the associated user to prepare medical resources and sending patient positioning information to the associated user.
2. A patient assisted monitoring device as claimed in claim 1, wherein: the host server comprises a database, a background system, a background backup and a display terminal, wherein the background system is used for pre-diagnosing and testing physical sign parameters of a patient, communicating with the background backup and transmitting data to the display terminal, and the database is communicated with the background system and the background backup.
3. The patient auxiliary monitoring device according to claim 2, wherein the wearable medical device collects the position information of the patient in real time and sends the position information to the background system; and the background system receives the position information, compares the position information with a preset area, and generates an alarm signal to be sent to an associated user terminal when the position information exceeds the preset area.
4. A patient assisted monitoring device as claimed in claim 1, wherein: the wearable medical equipment further comprises a calling key used for generating a calling instruction according to the calling operation of the patient and transmitting the calling instruction to the host server, and the host server receives the calling instruction, combines the received position information and sends the calling instruction to the associated user terminal.
5. An assisted monitoring device for patients according to claim 4, characterized in that: the detection unit comprises a heart rate measuring device, a blood oxygen measuring device and a blood pressure measuring device which are respectively used for collecting heart rate, blood oxygen and blood pressure, and the processing unit comprises a heart rate analysis module, a blood oxygen heart rate analysis module and a blood pressure heart rate analysis module.
6. An assisted monitoring device for patients according to claim 5, characterized in that: the reminding unit comprises a vibration motor, and the display is used for displaying the patient identity information and the notification information in a text format.
7. A patient assisted monitoring device as claimed in claim 1, wherein: the associated users are medical care and patients with diagnosis and treatment relations, nurse stations with management relations and medical care personnel.
8. An auxiliary monitoring device for patients according to any of claims 1-7, characterized in that: the communication unit is a wired communication unit, and the communication network is a traditional internet or a local area network; or the communication unit comprises a wireless communication subunit and a wired communication subunit, and the communication network is a mobile internet, a traditional internet or a local area network.
CN202110826173.9A 2021-07-21 2021-07-21 Patient is with supplementary guardianship device Pending CN113349745A (en)

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115990001A (en) * 2023-03-21 2023-04-21 首都医科大学宣武医院 Wearable monitoring system, wearable device and storage medium

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115990001A (en) * 2023-03-21 2023-04-21 首都医科大学宣武医院 Wearable monitoring system, wearable device and storage medium
CN115990001B (en) * 2023-03-21 2024-04-05 首都医科大学宣武医院 Wearable monitoring system, wearable device and storage medium

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Application publication date: 20210907