CN113616927A - System and method for remote electrocardiographic monitoring and health information management - Google Patents
System and method for remote electrocardiographic monitoring and health information management Download PDFInfo
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- 238000012544 monitoring process Methods 0.000 title claims abstract description 33
- 238000000034 method Methods 0.000 title claims abstract description 26
- 230000036541 health Effects 0.000 title claims abstract description 23
- 238000004891 communication Methods 0.000 claims description 42
- 238000003745 diagnosis Methods 0.000 claims description 19
- 238000012545 processing Methods 0.000 claims description 18
- 230000008569 process Effects 0.000 claims description 15
- 238000001514 detection method Methods 0.000 claims description 14
- 230000033764 rhythmic process Effects 0.000 claims description 7
- 230000002159 abnormal effect Effects 0.000 abstract description 2
- 238000010586 diagram Methods 0.000 description 5
- 206010049418 Sudden Cardiac Death Diseases 0.000 description 4
- 206010014357 Electric shock Diseases 0.000 description 3
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- 230000000694 effects Effects 0.000 description 2
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- 238000002635 electroconvulsive therapy Methods 0.000 description 1
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- A61N1/00—Electrotherapy; Circuits therefor
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- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
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Abstract
The invention discloses a system and a method for remote electrocardiographic monitoring and health information management, wherein the system comprises a WCD device, a cloud server and a client; the WCD equipment is used for monitoring the self operation information of the equipment and the electrocardiogram data of the patient in real time and sending the operation information and the electrocardiogram data to the cloud server; the cloud server is used for receiving the self-operation information of the equipment and the patient electrocardiogram data sent by the WCD equipment, establishing a patient database, and creating, modifying and sending corresponding medical information, alarm information and the like to the client; the client is based on the mobile terminal and/or the PC terminal, and is matched with the cloud server to provide service for the user. The WCD device monitors wearing information of a patient in real time, monitors electrocardio information of the patient in real time, and can perform defibrillation treatment on the patient as soon as possible when the patient is abnormal or risky to strive for subsequent rescue time for the patient. Medical personnel can in time acquire patient's positional information to reach patient's place fast. And doctors can see the real-time electrocardiogram on line through the client, and professional rescue suggestions are provided for family members of patients.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a system and a method for remote electrocardiographic monitoring and health information management.
Background
Implantable Cardioverter Defibrillator (ICD) has been proven by a number of clinical studies as the first treatment of preventing Sudden Cardiac Death (SCD). Nevertheless, some patients who are clinically at high risk for SCD have contraindications for ICD implantation or implantation indications that do not comply with the current american heart association guidelines. Wearable Cardioverter Defibrillator (WCD) has advantages of wearing simply and conveniently, rechargeable reuse, defibrillation effect reliable, etc., and well solves the prevention problem of the patient SCD.
The WCD device is a wearable automatic external defibrillator, can automatically monitor the heart rhythm of a patient without intervention of bystanders after being worn, can give electric shock treatment in time when needed, and can also automatically cancel the treatment if the patient is conscious. And with the cross-border fusion of technologies and medical treatment in multiple fields such as internet of things, big data, cloud computing and the like, the advantages of mobile medical treatment are gradually highlighted, so that the traditional medical diagnosis mode taking a hospital as a center is gradually changed into a remote medical care mode which takes prevention as a main part and home medical treatment as a center and has non-intervention, long-term monitoring and diagnosis on a human body.
Disclosure of Invention
In order to solve the defects in the prior art, the invention aims to provide a system and a method for remote electrocardiographic monitoring and health information management.
In order to realize the purpose of the invention, the technical scheme adopted by the invention is as follows:
a system for remote electrocardiographic monitoring and health information management comprises a WCD device, a cloud server and a client;
the WCD equipment is used for monitoring the self operation information of the equipment and the electrocardiogram data of the patient in real time and sending the operation information and the electrocardiogram data to the cloud server;
the cloud server is used for receiving the self-operation information of the equipment and the patient electrocardiogram data sent by the WCD equipment, establishing a patient database, and creating, modifying and sending corresponding medical information, alarm information and the like to the client;
the client is based on the mobile terminal and/or the PC terminal, and is matched with the cloud server to provide service for the user.
Further, the WCD device comprises a wearable vest and a WCD host; the wearable vest keeps the electrodes in close contact with the human body through the pressure of the chest belt and the waistband.
Furthermore, the WCD host comprises a power supply module, a wearing detection module, an electrocardio detection module, a defibrillation module, a positioning module and a communication module;
the power supply module is used for supplying power to each module of the WCD host; the wearable vest wearing detection module is used for detecting the wearable vest wearing state; the electrocardio detection module is used for monitoring electrocardio signals in real time, and if the measured heart rhythm is a defibrillatable heart rhythm, the defibrillation module is started to defibrillate; the defibrillation module is used for releasing defibrillation electric shock through the defibrillation electrode; a positioning module for providing actual position information of the patient; and the communication module is used for carrying out data communication with the cloud server.
Further, the wearable vest comprises an electrocardio electrode and a defibrillation electrode; an electrocardio electrode is arranged in front of the vest and is directly contacted with the skin to acquire electrocardio signals; the two sides of the back midline of the vest are respectively provided with a defibrillation electrode which is connected with a defibrillation electrode of the left precordial region to form a defibrillation unit.
Further, the cloud server comprises a user management module, a patient medical record module, an equipment management module, an event processing module, an alarm module and a communication module;
the user management module is used for creating, modifying and deleting the user; the patient medical record module is used for adding, deleting, modifying and searching the patient medical data and storing the patient medical data by adopting a database; the device management module is used for realizing remote monitoring of the device state and tracking the position information of the patient; the event processing module is used for creating, modifying and sending medical data information; the alarm module is used for analyzing the current risk level of the patient according to the medical data information and sending an alarm message; and the communication module is used for carrying out data communication with the WCD equipment and the client.
Further, the client comprises a customer service client, a doctor client and a patient family client.
Furthermore, the customer service client comprises an event processing module, an alarm module and a communication module;
the event processing module is used for displaying the medical event, checking medical data information by an online customer service and carrying out primary processing on the medical data information;
the alarm module is used for displaying the patient alarm message and sending an alarm to remind the customer service to process;
and the communication module is used for communicating with the cloud server, receiving the medical event message and the patient alarm message sent by the cloud server and forwarding the medical event message and the patient alarm message to the doctor client.
Further, the doctor client comprises a diagnosis module, an alarm module and a communication module;
the diagnosis module is used for displaying and assisting in analyzing the electrocardio information and inputting a diagnosis report by a doctor;
the alarm module is used for displaying the patient alarm message and giving an alarm to remind a doctor of emergency treatment;
and the communication module is used for receiving the medical information forwarded by the customer service client and the patient medical data information on the cloud server, sending a diagnosis report to the cloud server, and meanwhile, communicating with the family client of the patient.
Further, the patient family client comprises a positioning module, an alarm module and a communication module;
the positioning module is used for acquiring the current position information of the family members of the patient;
the alarm module is used for displaying the patient alarm message and giving an alarm to remind the family members of the patient to process;
and the communication module is used for communicating with the cloud server, receiving the alarm message sent by the cloud server and simultaneously communicating with the doctor client.
A method for remote electrocardiographic monitoring and health information management, the method comprising the steps of:
(1) monitoring self-running information and patient electrocardiogram data of the equipment in real time through the WCD equipment and sending the running information and the patient electrocardiogram data to a cloud server;
(2) the cloud server receives the self-operation information of the equipment and the patient electrocardiogram data sent by the WCD equipment, and creates, modifies and sends corresponding medical information, alarm information and the like to the customer service client, the doctor client and the patient family client;
(3) the customer service client processes the received medical information and alarm message and forwards the medical information and alarm message to the doctor client and the patient family client;
the doctor client processes the received medical information and alarm information, sends a diagnosis report to the cloud server, and communicates with the family client of the patient;
and the family client of the patient processes the received alarm information in time and communicates with the customer service client and the doctor client.
Compared with the prior art, the method has the advantages that the WCD device monitors the wearing information of the patient in real time, and the wearing compliance of the patient is improved. The WCD device monitors the electrocardiogram information of the patient in real time, and can inform the family members of the patient in the first time when the patient is abnormal or at risk, and can carry out defibrillation treatment on the patient as soon as possible to strive for subsequent rescue time for the patient. The family members of the patients can realize on-line consultation through the client, and obtain professional rescue measures in modes of video, audio, characters and the like. The cloud server sends the patient data to the online customer service for preprocessing, preliminarily judges and classifies the medical events, and pertinently forwards the problems to the doctor client, so that the working efficiency is improved. Doctors can see the real-time electrocardiogram on line through the client, and professional rescue suggestions are provided for families of patients. Doctors can issue corresponding diagnosis reports and specific solutions according to the medical data of the patients stored in the cloud server, and the diagnosis reports are sent to the cloud server, so that the patients can know the health conditions of the patients in time. Medical personnel can in time acquire patient's positional information to reach patient's place fast. The WCD monitors and uploads the self equipment information in real time, realizes 24-hour uninterrupted supervision of the equipment, guarantees the emergency function of the equipment and guards the life health of the patient.
Drawings
FIG. 1 is a system overview block diagram of remote ECG monitoring and health information management according to the present invention;
FIG. 2 is a diagram of a WCD device architecture;
FIG. 3 is a diagram of a WCD host structure;
FIG. 4 is a diagram of a cloud server architecture;
fig. 5 is a diagram of a client structure.
Detailed Description
The technical solution of the present invention is further described below with reference to the accompanying drawings and examples. The following examples are only for illustrating the technical solutions of the present invention more clearly, and the protection scope of the present application is not limited thereby.
The patient uses the WCD equipment outside the hospital, and no professional medical personnel supervise it in real time, if the patient fails to insist on wearing the WCD equipment, can influence the treatment of equipment. Therefore, medical staff needs to communicate with the patient remotely at regular intervals, and the wearing compliance of the patient is enhanced.
If the patient suffers from sudden heart diseases, family members of the patient need to know the information at the first time and need to acquire emergency instructions on line to professional medical personnel, so that time is gained for the patient to subsequently acquire professional treatment; medical personnel need to obtain the position information of the patient in time so as to go to treatment in time. Therefore, the family members of the patients need to know the health information of the patients at any time and can obtain professional first aid guidance in time; medical personnel need to acquire the position information of the patient in time so as to reach the location of the patient quickly. The patient also needs to know the self health condition regularly, consult medical care personnel on line and obtain professional solutions.
As shown in fig. 1, the system for remote electrocardiographic monitoring and health information management according to the present invention includes a WCD device 10, a cloud server 20, and a client 30.
And the WCD device 10 is used for monitoring the self-operation information of the device and the electrocardio data of the patient in real time and sending the information to the cloud server 20.
The client 30 is operated in cooperation with the cloud server to provide content services for users, and depends on the mobile terminal and/or the PC terminal.
As shown in fig. 2, WCD device 10 is intended to be worn by a patient and is comprised of a wearable vest 11 and a WCD host 12.
The wearable vest 11 contains electrocardio electrodes and defibrillation electrodes. The vest is worn on the surface of a human body and is tightly attached to the skin, and the part of the vest surrounding the thorax is internally provided with the electrocardio-electrodes which are directly contacted with the skin to collect electrocardio-signals. The two sides of the back midline of the vest are respectively provided with a defibrillation electrode which is connected with a defibrillation electrode of the left precordial region to form a defibrillation unit. The wearable vest keeps the electrodes in close contact with the chest wall through the pressure of the chest strap and the waist belt.
As shown in fig. 3, the WCD host 12 is mainly composed of a power module 12-1, a wearable detection module 12-2, an electrocardiograph detection module 12-3, a defibrillation module 12-4, a positioning module 12-5, a communication module 12-6, and the like.
A power module 12-1 for powering the WCD host 12 and its various modules; the wearing detection module 12-2 is used for detecting the wearing state of the vest; the electrocardio detection module 12-3 is used for monitoring electrocardio information in real time, and starting the defibrillation module to defibrillate if the measured heart rhythm is defibrillatable; the defibrillation module 12-4 releases defibrillation electric shock through the defibrillation electrode; the positioning module 12-5 is used for providing actual position information of the patient; and the communication module 12-6 is used for carrying out data communication with the cloud server 20.
The wearing detection module 12-2 for detecting the wearing state of the vest specifically comprises: the wearing detection module analyzes and judges the current activity state of the patient through a gyroscope, monitors the wearing pressure on the human body through a pressure sensor and judges whether the vest is in close contact with the patient or not; and judging whether the vest is worn or not according to the buckle state of the vest. And if the pressure value measured by the pressure sensor is lower than the threshold value and/or the vest buckle is not normally contacted, an alarm prompt is given, and information is uploaded to the server.
As shown in fig. 4, the cloud server 20 is mainly composed of a user management module 21, a patient medical record module 22, a device management module 23, an event processing module 24, an alarm module 25, and a communication module 26.
The user management module 21 is used for creating, modifying and deleting users, wherein the types of the users include but are not limited to patients, family members of the patients, customer service and doctors; the patient medical record module 22 is used for the operations of adding, deleting, modifying, searching and the like of the patient medical data, and the patient medical data is stored by adopting a database; the device management module 23 is used for remotely monitoring the state of the device, storing and analyzing the received medical data information of the patient, performing pre-analysis, and tracking the position information of the patient; an event processing module 24 for creating, modifying and transmitting medical data information; the alarm module 25 is used for analyzing the current risk level of the patient according to the medical data information, finding out the heart emergency in advance and sending an alarm message; and a communication module 26 for data communication with WCD device 10, customer service client 31, doctor client 32, and patient family client 33, including video, audio, text information, etc.
As shown in fig. 5, the client 30 is mainly composed of a customer service client 31, a doctor client 32, and a patient family client 33.
The customer service client 31 mainly comprises an event processing module 31-1, an alarm module 31-2 and a communication module 31-3.
The event processing module 31-1 is used for displaying the medical event, and the online customer service can view detailed medical data information and perform primary processing on the detailed medical data information, wherein the primary processing includes but is not limited to type judgment, online communication, field processing and medical information forwarding of the medical event; the alarm module 31-2 is used for displaying the patient alarm information, giving an alarm and reminding the customer service to process; the communication module 31-3 is used for communicating with the cloud server, receiving the medical event message and the patient alarm message sent by the cloud server, forwarding the medical information to the doctor client 32, and transmitting video, audio, text information and the like.
The doctor client 32 mainly comprises a diagnosis module 32-1, an alarm module 32-2 and a communication module 32-3.
The diagnosis module 32-1 is used for displaying and assisting in analyzing the electrocardio information and inputting a diagnosis report by a doctor; the alarm module 32-2 is used for displaying the patient alarm information and sending an alarm to remind a doctor of emergency treatment; the communication module 32-3 is configured to receive the medical information forwarded by the customer service client 31 and the patient medical data information on the cloud server, send a diagnosis report to the cloud server 20, and simultaneously be used for video, audio, and text information communication between a doctor, a patient, and a family member of the patient.
The patient family client 33 mainly comprises a positioning module 33-1, an alarm module 33-2 and a communication module 33-3.
The positioning module 33-1 is used for acquiring the current position information of the family members of the patient; the alarm module 33-2 is used for displaying the patient alarm message and sending an alarm to remind the family members of the patient to process; and the communication module 33-3 is used for communicating with the cloud server, receiving the alarm message sent by the cloud server, and simultaneously communicating with the doctor through video, audio and text information.
The invention also provides a method for remote electrocardiographic monitoring and health information management, which comprises the following steps:
(1) monitoring self-running information of the WCD device and the electrocardiogram data of the patient in real time through the WCD device 10 and sending the information to the cloud server 20;
the self-operation information of the WCD device comprises: operation logs, rescue data, equipment self-checking information, software versions, ambient temperature, current location information, and the like. The device self-check information includes: battery self-checking information, electrode self-checking information, communication module self-checking information and the like.
The medical data of the patient includes: name, age, contact information, information of the treating doctor, past medical records, heart rate data, equipment wearing conditions and the like.
(2) Cloud server 20 manages the use of WCD device 10, creates, receives, modifies the medical data of the patient, and sends corresponding medical information and alarm message to customer service client 31, doctor client 32, and patient family client 33;
(3) the customer service client 31 processes the received medical information and alarm message, including but not limited to current event type judgment, online communication, on-site processing, forwarding of medical event to the doctor client 32 and the patient family client 33;
the doctor client 32 processes the received medical information and alarm information, including but not limited to downloading medical data of the patient stored in the cloud server and sending a diagnosis report to the cloud server, checking a heart rhythm signal of the patient in real time, and performing video, audio and text information communication with the patient family client 33;
the patient family client 33 processes the received alarm information in time, including but not limited to video, audio and text information communication to the customer service client 31 and the doctor client 32.
The present applicant has described and illustrated embodiments of the present invention in detail with reference to the accompanying drawings, but it should be understood by those skilled in the art that the above embodiments are merely preferred embodiments of the present invention, and the detailed description is only for the purpose of helping the reader to better understand the spirit of the present invention, and not for limiting the scope of the present invention, and on the contrary, any improvement or modification made based on the spirit of the present invention should fall within the scope of the present invention.
Claims (10)
1. A system for remote electrocardiographic monitoring and health information management is characterized by comprising a WCD device, a cloud server and a client;
the WCD equipment is used for monitoring the self operation information of the equipment and the electrocardiogram data of the patient in real time and sending the operation information and the electrocardiogram data to the cloud server;
the cloud server is used for receiving the self-operation information of the equipment and the patient electrocardiogram data sent by the WCD equipment, establishing a patient database, and creating, modifying and sending corresponding medical information, alarm information and the like to the client;
the client is based on the mobile terminal and/or the PC terminal, and is matched with the cloud server to provide service for the user.
2. The system for remote electrocardiographic monitoring and health information management according to claim 1, wherein said WCD device comprises a wearable vest and a WCD host; the wearable vest keeps the electrodes in close contact with the human body through the pressure of the chest belt and the waistband.
3. The system for remote electrocardiographic monitoring and health information management according to claim 2, wherein the WCD host comprises a power module, a wearable detection module, an electrocardiographic detection module, a defibrillation module, a positioning module, and a communication module;
the power supply module is used for supplying power to each module of the WCD host; the wearable vest wearing detection module is used for detecting the wearable vest wearing state; the electrocardio detection module is used for monitoring electrocardio signals in real time, and if the measured heart rhythm is a defibrillatable heart rhythm, the defibrillation module is started to defibrillate; the defibrillation module is used for releasing defibrillation electric shock through the defibrillation electrode; a positioning module for providing actual position information of the patient; and the communication module is used for carrying out data communication with the cloud server.
4. The system for remote electrocardiographic monitoring and health information management according to claim 2, wherein the wearable vest contains electrocardiographic electrodes and defibrillation electrodes; an electrocardio electrode is arranged in front of the vest and is directly contacted with the skin to acquire electrocardio signals; the two sides of the back midline of the vest are respectively provided with a defibrillation electrode which is connected with a defibrillation electrode of the left precordial region to form a defibrillation unit.
5. The system for remote electrocardiographic monitoring and health information management according to claim 1, wherein the cloud server comprises a user management module, a patient medical record module, an equipment management module, an event processing module, an alarm module, and a communication module;
the user management module is used for creating, modifying and deleting the user; the patient medical record module is used for adding, deleting, modifying and searching the patient medical data and storing the patient medical data by adopting a database; the device management module is used for realizing remote monitoring of the device state and tracking the position information of the patient; the event processing module is used for creating, modifying and sending medical data information; the alarm module is used for analyzing the current risk level of the patient according to the medical data information and sending an alarm message; and the communication module is used for carrying out data communication with the WCD equipment and the client.
6. The system for remote electrocardiographic monitoring and health information management according to claim 1, wherein the clients comprise a customer service client, a doctor client and a patient family client.
7. The system for remote electrocardiographic monitoring and health information management according to claim 6, wherein the customer service client comprises an event processing module, an alarm module, and a communication module;
the event processing module is used for displaying the medical event, checking medical data information by an online customer service and carrying out primary processing on the medical data information;
the alarm module is used for displaying the patient alarm message and sending an alarm to remind the customer service to process;
and the communication module is used for communicating with the cloud server, receiving the medical event message and the patient alarm message sent by the cloud server and forwarding the medical event message and the patient alarm message to the doctor client.
8. The system according to claim 6, wherein the doctor client comprises a diagnosis module, an alarm module, and a communication module;
the diagnosis module is used for displaying and assisting in analyzing the electrocardio information and inputting a diagnosis report by a doctor;
the alarm module is used for displaying the patient alarm message and giving an alarm to remind a doctor of emergency treatment;
and the communication module is used for receiving the medical information forwarded by the customer service client and the patient medical data information on the cloud server, sending a diagnosis report to the cloud server, and meanwhile, communicating with the family client of the patient.
9. The system according to claim 6, wherein the patient family client comprises a positioning module, an alarm module, and a communication module;
the positioning module is used for acquiring the current position information of the family members of the patient;
the alarm module is used for displaying the patient alarm message and giving an alarm to remind the family members of the patient to process;
and the communication module is used for communicating with the cloud server, receiving the alarm message sent by the cloud server and simultaneously communicating with the doctor client.
10. A method for remote electrocardiographic monitoring and health information management, which is based on the system for remote electrocardiographic monitoring and health information management as claimed in claims 1-9, and is characterized in that the method comprises the following steps:
(1) monitoring self-running information and patient electrocardiogram data of the equipment in real time through the WCD equipment and sending the running information and the patient electrocardiogram data to a cloud server;
(2) the cloud server receives the self-operation information of the equipment and the patient electrocardiogram data sent by the WCD equipment, and creates, modifies and sends corresponding medical information, alarm information and the like to the customer service client, the doctor client and the patient family client;
(3) the customer service client processes the received medical information and alarm message and forwards the medical information and alarm message to the doctor client and the patient family client;
the doctor client processes the received medical information and alarm information, sends a diagnosis report to the cloud server, and communicates with the family client of the patient;
and the family client of the patient processes the received alarm information in time and communicates with the customer service client and the doctor client.
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| CN111420285A (en) * | 2020-04-09 | 2020-07-17 | 苏州维伟思医疗科技有限公司 | Wearable cardioversion defibrillation system with user base station |
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2021
- 2021-08-11 CN CN202110919929.4A patent/CN113616927A/en active Pending
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108379741A (en) * | 2017-02-03 | 2018-08-10 | 西艾丰控股公司 | The software of wearable defibrillator system and method and the non-witness respondent of contact |
| CN110249287A (en) * | 2017-02-03 | 2019-09-17 | 高通股份有限公司 | System and method for carrying out heat management to wearable computing devices based on the degree of approach to user |
| CN110634562A (en) * | 2019-09-25 | 2019-12-31 | 苏州维伟思医疗科技有限公司 | Management system and method for improving wear compliance of wearable medical devices |
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