CN113850980A - Breathing machine alarm information processing system based on hierarchical distribution computer network - Google Patents

Breathing machine alarm information processing system based on hierarchical distribution computer network Download PDF

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Publication number
CN113850980A
CN113850980A CN202111125183.6A CN202111125183A CN113850980A CN 113850980 A CN113850980 A CN 113850980A CN 202111125183 A CN202111125183 A CN 202111125183A CN 113850980 A CN113850980 A CN 113850980A
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ward
alarm
accident
breathing machine
respirator
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CN113850980B (en
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王华庆
刘锦涛
宋浏阳
刘伟
李天庆
段军
陈学斌
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Beijing University of Chemical Technology
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Beijing University of Chemical Technology
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    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18Status alarms
    • G08B21/185Electrical failure alarms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0051Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes with alarm devices
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B5/00Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied
    • G08B5/22Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied using electric transmission; using electromagnetic transmission
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B5/00Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied
    • G08B5/22Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied using electric transmission; using electromagnetic transmission
    • G08B5/36Visible signalling systems, e.g. personal calling systems, remote indication of seats occupied using electric transmission; using electromagnetic transmission using visible light sources

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  • Physics & Mathematics (AREA)
  • Health & Medical Sciences (AREA)
  • General Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Veterinary Medicine (AREA)
  • Business, Economics & Management (AREA)
  • Emergency Management (AREA)
  • Engineering & Computer Science (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)
  • Alarm Systems (AREA)

Abstract

A breathing machine alarm information processing system based on a hierarchical distribution computer network belongs to the technical field of breathing machine networking application and is characterized in that the system is a hardware platform for monitoring the networking quality of all breathing machines in a hospital, and is particularly suitable for eliminating non-disease factors caused by equipment defects during the operation of the breathing machines and giving an alarm. After the system sends out the safety alarm signal, the invention jointly ensures the authenticity of the accident alarm signal through the defect investigation of the breathing machine after off duty and the diagnosis of the doctors mainly in the ward.

Description

Breathing machine alarm information processing system based on hierarchical distribution computer network
Technical Field
A breathing machine alarm information processing system based on a hierarchical distribution computer network belongs to the technical field of breathing machine networking application.
Background
The respirator is a medical device of emergency treatment and life support type, and is generally used for patients with high disease risk such as respiratory failure, respiratory support treatment, emergency resuscitation and the like besides being used for anesthesia and respiratory management during major operations. At present, when used in a respiratory department of a hospital, the patient is in a decentralized use state and decentralized management state, and networking of use, management and maintenance is not realized, so that the following problems exist: 1, the respirator and a monitor used in combination with the respirator do not realize institutionalization and scientific management of maintenance and overhaul, alarm information is lack of authenticity due to equipment defects, false positive alarm is generated, medical personnel can be misled, once alarm occurs, the authenticity of the alarm is firstly identified, and the optimal treatment opportunity is lost; 2, networking is carried out unified allocation, unified use and unified maintenance on the breathing machine of the whole hospital, so that once an alarm event occurs, the breathing machine and the monitor in use are firstly cut off, manual oxygen supply is used for replacing automatic oxygen supply, and the breathing machine and the monitor which are in standby and have good states are immediately replaced, so that the influence of equipment defects on alarm authenticity is eliminated, the treatment of patients is not delayed, and the influence of possible equipment defects on alarm authenticity is greatly eliminated.
Therefore, the networking and scientific management of the medical respirator is an important measure for realizing the reliability of the alarm.
Disclosure of Invention
The invention aims to provide a possible system for eliminating false positive alarm caused by invalid alarm of a breathing machine due to interference factors such as equipment defects, human errors, accidental events and the like of the breathing machine, a monitor and the like under the condition of ensuring the safety treatment of a patient for realizing the authenticity of the alarm result of the breathing machine.
The invention is characterized in that the system is a respirator alarm information acquisition and processing system formed by connecting and overlapping three layers of distributed computers from bottom to top in series, which is called as the system for short, wherein:
the bottom is the breathing machine microprocessor layer that the microprocessor who places in each breathing machine in the ward constitutes by, each microprocessor comprises bottom CPU, bottom storage module and bottom display screen jointly, wherein:
bottom CPU, its one of input signal is the breathing machine safety alarm signal that all sensors in the breathing machine sent in real time, the sensor includes at least: the ventilator safety alarm signal is a safety alarm signal which is not diagnosed or detected by a master doctor in a ward and indicates that an accident with unknown source is occurring or about to occur, and the second input signal is a ventilator accident alarm signal and is characterized in that: the respirator accident alarm signal is a specific alarm signal which is diagnosed or detected by a ward attending physician and definitely judges the accident category, the specific name of the accident and the processing result after manual oxygen supply replaces the respirator oxygen supply, and the accident category at least comprises the following components: airway pressure alarm, exhalation flow alarm, ventilation frequency alarm, suffocation alarm, oxygen concentration alarm, air source pressure alarm, power supply voltage alarm and humidifier alarm,
the safety alarm signal of the respirator alarms by using a yellow light-emitting LED, the array of the accident alarm signals displayed on the display screen is displayed by red light,
the bottom layer storage module is used for storing the respirator safety alarm signals into the bottom layer storage module while displaying the respirator safety alarm signals on the bottom layer display screen in an array form, the array is expressed as (date, ward number, respirator number, sensor name and sensor number), the bottom layer CPU inputs accident alarm signals input by a ward attending physician through a keyboard into the bottom layer storage module by using the array (date, ward number, respirator number, sensor name, sensor number, accident category, accident concrete name, processing result and ward attending physician signature),
the bottom display screen is equipped with: breathing machine safety alarm signal display area and breathing machine accident alarm signal display area, wherein:
breathing machine safety alarm signal display area is equipped with: yellow LED lamps equal in number to the number of the sensors in one respirator are used for yellow light warning,
the respirator accident alarm signal display area is provided with: the red LED lamps with the same number as the alarm types of the breathing machine warn accidents with red light, and simultaneously display accident alarm information with red characters,
the middle layer is a ward controller layer for the dispatching, use and updating of the breathing machine in the ward by the main treating physicians in each ward, the ward controller comprises a ward CPU, a ward memory and a ward display screen, wherein:
a ward CPU provided with: the serial number of the ward controller, the serial number of each respirator, the ward number and the patient name, the respirator safety alarm signal and the accident alarm signal uploaded by the bottom CPU of each ward on the bottom layer are input into the corresponding ward memory in an array form, the array (the date, the serial number of the respirator, the accident category, the specific name of the accident, the processing result and the ward serial number) represented by the array and the signature of the attending physician are uploaded to the top CPU in a daily report form and are displayed on a ward display screen,
the top CPU is preset with: the serial numbers of the wards, the breathing machines, the bottom microprocessor, the ward controllers and the doctor list of the wards are stored in the top database and are downloaded and configured to the ward controllers and the bottom microprocessor, the accident alarm signals of the breathing machines are sent to the top database in an array form in a daily report form and are displayed on a top display screen,
therefore, under the control of a top CPU in the top layer main controller, a wireless communication control subsystem formed by the top layer main controller, the ward controller and a bottom microprocessor layer through respective wireless receiving/transmitting modules and a three-level display subsystem formed by a top layer database, a ward memory and a bottom storage module and a top layer display screen, a ward display screen and a breathing machine display screen are formed in the system in the longitudinal direction.
The invention has the advantages that the grid type management can be realized for the breathing machine groups which are arranged dispersedly, so that the breathing machines are always in the normal technical state in the whole waiting and using processes, and the authenticity of the safety alarm signals of the breathing machines is ensured.
Drawings
FIG. 1 is a system block diagram of the present invention.
The specific implementation mode is as follows:
one of the ideas of the present invention is to provide a distributed computer architecture for improving the authenticity of the alarm signal of the breathing machine.
The second idea of the invention is that a safety alarm information channel and an accident alarm information channel are respectively arranged in the system structure, the diagnosis and investigation results sequentially come from a sensor of a breathing machine and a doctor in a ward are input from a keyboard, so that the content and the authenticity of the safety alarm signal are supplemented and verified through an accident alarm signal, and the identification of false positive alarm is completed.
The third idea of the invention is that two different signals of sound alarm and light alarm are matched to prompt the content of sound alarm signal, and the safety alarm signal and the accident alarm signal are in different colors, so that different display areas are set on each level of display screen.
The fourth idea of the invention is that the invention is divided into three hierarchical levels by behavior bodies in the transverse direction: the main body of the department master and the administrative doctor, the ward attending doctor and the breathing machine is a system function in the longitudinal direction, and is divided into three subsystems of communication control, layered storage and layered display, two alarm signals which are sent by the breathing machine and the ward attending doctor at different time are classified under the control of a top-level main controller, and the authenticity of the accident alarm signal sent later is jointly ensured from two aspects of defect detection possibly existing in the off duty breathing machine and diagnosis of the ward attending doctor after the safety alarm signal.

Claims (1)

1. The breathing machine alarm information processing system based on the hierarchical distribution computer network is characterized in that the system is a breathing machine alarm information acquisition and processing system formed by connecting and stacking three layers of distributed computers from bottom to top in series, and is called as a system for short below, wherein:
the bottom is the breathing machine microprocessor layer that the microprocessor who places in each breathing machine in the ward constitutes by, each microprocessor comprises bottom CPU, bottom storage module and bottom display screen jointly, wherein:
bottom CPU, its one of input signal is the breathing machine safety alarm signal that all sensors in the breathing machine sent in real time, the sensor includes at least: the ventilator safety alarm signal is a safety alarm signal which is not diagnosed or detected by a master doctor in a ward and indicates that an accident with unknown source is occurring or about to occur, and the second input signal is a ventilator accident alarm signal and is characterized in that: the respirator accident alarm signal is a specific alarm signal which is diagnosed or detected by a ward attending physician and definitely judges the accident category, the specific name of the accident and the processing result after manual oxygen supply replaces the respirator oxygen supply, and the accident category at least comprises the following components: airway pressure alarm, exhalation flow alarm, ventilation frequency alarm, suffocation alarm, oxygen concentration alarm, air source pressure alarm, power supply voltage alarm and humidifier alarm,
the safety alarm signal of the respirator alarms by using a yellow light-emitting LED, the array of the accident alarm signals displayed on the display screen is displayed by red light,
the bottom layer storage module is used for storing the respirator safety alarm signals into the bottom layer storage module while displaying the respirator safety alarm signals on the bottom layer display screen in an array form, the array is expressed as (date, ward number, respirator number, sensor name and sensor number), the bottom layer CPU inputs accident alarm signals input by a ward attending physician through a keyboard into the bottom layer storage module by using the array (date, ward number, respirator number, sensor name, sensor number, accident category, accident concrete name, processing result and ward attending physician signature),
the bottom display screen is equipped with: breathing machine alarm signal display area and breathing machine accident alarm signal display area, wherein:
breathing machine safety alarm signal display area is equipped with: yellow LED lamps equal in number to the number of the sensors in one respirator are used for yellow light warning,
the respirator accident alarm signal display area is provided with: the red LED lamps with the same number as the alarm types of the breathing machine warn accidents with red light, and simultaneously display accident alarm information with red characters,
the middle layer is a ward controller layer for the dispatching, use and updating of the breathing machine in the ward by the main treating physicians in each ward, the ward controller comprises a ward CPU, a ward memory and a ward display screen, wherein:
a ward CPU provided with: the serial number of the ward controller, the serial number of each respirator, the ward number and the patient name, the respirator safety alarm signal and the accident alarm signal uploaded by the bottom CPU of each ward on the bottom layer are input into the corresponding ward memory in an array form, the array (the date, the serial number of the respirator, the accident category, the specific name of the accident, the processing result and the ward serial number) represented by the array and the signature of the attending physician are uploaded to the top CPU in a daily report form and are displayed on a ward display screen,
the top CPU is preset with: the serial numbers of the wards, the breathing machines, the bottom microprocessor, the ward controllers and the doctor list of the wards are stored in the top database and are downloaded and configured to the ward controllers and the bottom microprocessor, the accident alarm signals of the breathing machines are sent to the top database in an array form in a daily report form and are displayed on a top display screen,
therefore, under the control of a top CPU in the top layer main controller, a wireless communication control subsystem formed by the top layer main controller, the ward controller and a bottom microprocessor layer through respective wireless receiving/transmitting modules and a three-level display subsystem formed by a top layer database, a ward memory and a bottom storage module and a top layer display screen, a ward display screen and a breathing machine display screen are formed in the system in the longitudinal direction.
CN202111125183.6A 2021-09-26 2021-09-26 Breathing machine alarm information processing system based on step-type distributed computer network Active CN113850980B (en)

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