CN116634931A - Monitoring device and display method for monitoring device - Google Patents

Monitoring device and display method for monitoring device Download PDF

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Publication number
CN116634931A
CN116634931A CN202180081842.2A CN202180081842A CN116634931A CN 116634931 A CN116634931 A CN 116634931A CN 202180081842 A CN202180081842 A CN 202180081842A CN 116634931 A CN116634931 A CN 116634931A
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CN
China
Prior art keywords
vital sign
real
time
parameter
monitoring
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Pending
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CN202180081842.2A
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Chinese (zh)
Inventor
谈琳
袁微微
杨崟冰
王澄
徐利
李漾菲
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Publication of CN116634931A publication Critical patent/CN116634931A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7275Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • 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
    • A61B5/74Details 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
    • A61B5/7425Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices

Abstract

A monitoring device (100) and a display method for a monitoring device (100), the monitoring device (100) comprising a display (110), and a processor (120) for: acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the real-time monitoring data comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury; controlling the display (110) to display monitoring assessment information on the display interface, comprising: an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter for representing a real-time anesthesia status of the target subject; the brain graph and the numerical value of the real-time monitoring data of the second vital sign parameter are displayed in the surrounding area; and, a parameter trend of at least a portion of the vital sign parameters of the first vital sign parameter and the second vital sign parameter. Monitoring and evaluating information of the anesthesia state and the brain injury state of the target object is provided in real time.

Description

Monitoring device and display method for monitoring device
Description
Technical Field
The application relates to the technical field of medical monitoring, in particular to monitoring equipment and a display method for the monitoring equipment.
Background
The monitoring device is capable of monitoring vital signs of a patient in real time, and thus can provide important patient information for medical clinical diagnosis. Medical staff can check real-time monitoring data of a patient through monitoring equipment, and can also check historical monitoring data of the patient through browsing data review, so that abnormal data can be located.
The existing monitoring device can present real-time monitoring of various vital sign parameters, has universality, but is lack of evaluation and monitoring of the brain and overall evaluation of anesthesia state in the operation process for special patients such as craniocerebral nerve disease patients and complicated cardiothoracic surgery patients.
Disclosure of Invention
In the summary, a series of concepts in a simplified form are introduced, which will be further described in detail in the detailed description. The summary of the application is not intended to define the key features and essential features of the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the claimed subject matter.
A first aspect of an embodiment of the present application provides a monitoring device, including:
a display;
a processor for:
acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
controlling the display to display monitoring and evaluating information on a display interface of the display, wherein the monitoring and evaluating information comprises:
an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object;
a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a surrounding area of the brain pattern; the method comprises the steps of,
and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
A second aspect of an embodiment of the present application provides a monitoring device, including:
a display;
a processor for:
acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
Controlling the display to display monitoring and evaluating information on a display interface of the display, wherein the monitoring and evaluating information comprises:
generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject;
the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; the method comprises the steps of,
and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
A third aspect of an embodiment of the present application provides a monitoring device, including:
a display;
a processor for:
acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
in response to a first preset operation on a first operation control, controlling the display to display a first monitoring evaluation window on a display interface of the display, wherein the first monitoring evaluation window is used for displaying first monitoring evaluation information, and the first monitoring evaluation information comprises:
An anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object; the method comprises the steps of,
a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a centralized manner in a surrounding area of the brain pattern; the method comprises the steps of,
a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter;
and in response to a second preset operation on a second operation control, controlling the display to display a second monitoring evaluation window on a display interface of the display, wherein the second monitoring evaluation window is used for displaying second monitoring evaluation information, and the second monitoring evaluation information comprises:
generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject;
the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; the method comprises the steps of,
and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
A fourth aspect of the embodiment of the present application provides a display method for a monitoring device, including:
acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
displaying monitoring evaluation information on a display interface, wherein the monitoring evaluation information comprises:
an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object;
a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a surrounding area of the brain pattern; the method comprises the steps of,
and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
A fifth aspect of the embodiments of the present application provides a display method for a monitoring device, including:
acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
Displaying monitoring evaluation information on a display interface, wherein the monitoring evaluation information comprises:
generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject;
the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; the method comprises the steps of,
and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
A sixth aspect of the embodiment of the present application provides a display method for a monitoring device, including:
acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
in response to a first preset operation on a first operation control, displaying a first monitoring evaluation window on a display interface, wherein the first monitoring evaluation window is used for displaying first monitoring evaluation information, and the first monitoring evaluation information comprises:
an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object; the method comprises the steps of,
A brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a centralized manner in a surrounding area of the brain pattern; the method comprises the steps of,
a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter;
in response to a second preset operation on the second operation control, displaying a second monitoring evaluation window on the display interface, wherein the second monitoring evaluation window is used for displaying second monitoring evaluation information, and the second monitoring evaluation information comprises:
generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject;
the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; the method comprises the steps of,
and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
According to the monitoring device and the display method for the monitoring device, provided by the embodiment of the application, the monitoring and evaluation information of the anesthesia state and the brain injury state of the target object can be provided in real time.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings that are needed in the description of the embodiments will be briefly described below, it being obvious that the drawings in the following description are only some embodiments of the present application, and that other drawings may be obtained according to these drawings without inventive effort to a person skilled in the art.
In the drawings:
FIG. 1 shows a schematic block diagram of a monitoring device according to an embodiment of the application;
FIG. 2 shows a schematic diagram of a display interface according to an embodiment of the application;
FIG. 3 shows a schematic flow chart of a display method for a monitoring device according to an embodiment of the application;
fig. 4 shows a schematic flow chart of a display method for a monitoring device according to another embodiment of the application;
fig. 5 shows a schematic flow chart of a display method for a monitoring device according to a further embodiment of the application.
Detailed Description
In order to make the objects, technical solutions and advantages of the present application more apparent, exemplary embodiments according to the present application will be described in detail with reference to the accompanying drawings. It should be apparent that the described embodiments are only some embodiments of the present application and not all embodiments of the present application, and it should be understood that the present application is not limited by the example embodiments described herein. Based on the embodiments of the application described in the present application, all other embodiments that a person skilled in the art would have without inventive effort shall fall within the scope of the application.
In the following description, numerous specific details are set forth in order to provide a more thorough understanding of the present application. It will be apparent, however, to one skilled in the art that the application may be practiced without one or more of these details. In other instances, well-known features have not been described in detail in order to avoid obscuring the application.
It should be understood that the present application may be embodied in various forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the application to those skilled in the art.
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 herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms "comprises" and/or "comprising," when used in this specification, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof. As used herein, the term "and/or" includes any and all combinations of the associated listed items. Furthermore, the present application can be embodied in many different forms and is not limited to the embodiments described in the present embodiment. The following specific examples are provided to facilitate a more thorough understanding of the present disclosure, in which terms indicating orientations of the components, up, down, left, right, etc., are merely for the locations of the illustrated structures in the corresponding drawings. The term "display interface" may be an interface of the monitoring device displaying a parameter waveform and/or parameter value; or the interface can be displayed after the monitoring equipment is started; or may be an interface with a relatively high frequency of use of the monitoring device.
In order to provide a thorough understanding of the present application, detailed structures will be presented in the following description in order to illustrate the technical solutions presented by the present application. Alternative embodiments of the application are described in detail below, however, the application may have other implementations in addition to these detailed descriptions.
A first aspect of an embodiment of the present application provides a monitoring device, referring to fig. 1, the monitoring device 100 includes a display 110 and a processor 120, the display 110 being configured to: acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury; controlling the display 110 to display monitoring and evaluating information on a display interface thereof, wherein the monitoring and evaluating information comprises: an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object; a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a surrounding area of the brain pattern; and, a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter.
The monitoring device 100 of the embodiment of the present application simultaneously displays, on the display interface, an anesthesia depth map for representing a real-time anesthesia state and a brain map for representing a brain injury related parameter, and the anesthesia depth map may be provided to an anesthesiologist to macroscopically control an anesthesia state of a patient in operation; brain patterns and vital sign parameters associated with brain damage may be provided to a surgeon to more fully evaluate brain-related feedback of an intraoperative patient, with outstanding overall evaluation advantages for patients in craniocerebral neurosurgery and complex cardiothoracic surgery.
The monitoring device 100 of the embodiment of the present application includes, but is not limited to, any one of a monitor, a local central station, a remote central station, a cloud service system, a mobile terminal, or a combination thereof. The monitoring device 100 may be a portable monitoring device, a transportable monitoring device, a mobile monitoring device, or the like.
In one embodiment, the monitoring device 100 may be a monitor for real-time monitoring of monitored parameters of a patient, which may include bedside monitors, wearable monitors, and the like. In some embodiments, the monitoring device 100 may include a ventilator monitor, an anesthesia monitor, a defibrillation monitor, an intracranial pressure monitor, an electrocardiographic monitor, and the like.
The monitoring device may also include a central station for receiving the monitoring data sent by the monitor and for performing centralized monitoring of the monitoring data. The central station may include a local central station or a remote central station, among others. The central station connects monitors in a department or a plurality of departments through a network so as to achieve the purposes of real-time centralized monitoring and mass data storage. For example, the central station stores monitoring data, basic information of a patient, medical history information, diagnostic information, and the like, but is not limited thereto.
In some embodiments, the monitor and the central station may form an interconnection platform through a BeneLink to enable data communication between the monitor and the central station, for example, the central station may access monitoring data monitored by the monitor. In other embodiments, the monitor and the central station may also establish a data connection through a communication module including, but not limited to, wifi, bluetooth, or 2G, 3G, 4G, 5G communication modules for mobile communications.
The processor 120 of the monitoring device 100 can be a central processing unit (Central Processing Unit, CPU), but can also be other general purpose processors, digital signal processors (Digital Signal Processor, DSPs), application specific integrated circuits (Application Specific Integrated Circuit, ASICs), field-programmable gate arrays (Field-Programmable Gate Array, FPGAs) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, or the like. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like. The processor 120 is a control center of the monitoring device 100 and connects various portions of the overall monitoring device 100 using various interfaces and lines.
The display 110 is used to provide visual display output to a user. In particular, the display 110 may be used to provide a visual display interface for a user, including but not limited to a monitoring interface, a monitoring parameter setting interface, an alarm parameter setting interface, and the like. The monitor interface displayed by the display 110 is used to display the monitored data monitored during the preset time period. The display 110 may be implemented as a touch display, or the display 110 may have an input panel, i.e., the display 110 may function as an input/output device, for example.
The monitoring device 100 also includes a memory. The memory stores program code, and the processor 120 is configured to call the program code in the memory to perform steps in the display method described below. The memory may be used to store patient monitoring data. The memory may mainly include a program storage area and a data storage area, wherein the program storage area may store an operating system, application programs required for a plurality of functions (such as a sound playing function, an image playing function, etc.), and the like; the data storage area may store data (such as audio data, phonebooks, etc.) created according to the use of the handset, etc. In addition, the memory may include high-speed random access memory, and may also include non-volatile memory, such as a hard disk, memory, plug-in hard disk, smart Media Card (SMC), secure Digital (SD) Card, flash Card (Flash Card), multiple disk storage devices, flash memory devices, or other volatile solid-state storage devices.
In some embodiments, the monitoring device 100 further comprises a sensor. The sensors and the processor 120 and the display 110 may be connected by a wired communication protocol or a wireless communication protocol, so that data interaction between the sensors and the processor 120 and the display 130 may be performed. Wireless communication techniques include, but are not limited to: various generations of mobile communication technologies (2G, 3G, 4G, and 5G), wireless networks, bluetooth (Bluetooth), zigBee, ultra wideband UWB, NFC, and the like.
In particular, the sensor is used to collect monitoring data of the patient. Wherein the monitoring data may include, but is not limited to, one or more vital sign parameters of electrocardiography, respiration, pulse oximetry, heart rate, blood oxygen, non-invasive blood pressure, and invasive blood pressure. In some embodiments, the sensor may be provided separately from the monitoring device 100 and detachably connected to the monitoring device 100.
The processor 120 is also used for data processing of the monitoring data signals from the sensors. The sensor includes, but is not limited to, an accessory for monitoring parameters such as electrocardio, respiration, blood oxygen, blood pressure, cerebral blood flow, cerebral blood oxygen, electroencephalogram, cerebrovascular regulation and the like. Wherein the monitoring device 100 is provided with several connection interfaces. The connection ports include, but are not limited to, an electrocardiographic/respiratory interface, a blood oxygen interface, an invasive blood pressure interface, a noninvasive blood pressure interface, a cerebral blood flow interface, a cerebral blood oxygen interface, an electroencephalogram interface, a cerebral vascular regulation interface, and the like. The monitoring parameter monitoring accessory is electrically connected to the monitoring device 100 through a connection interface. In other embodiments, the sensor may also be integrated on the monitoring device 100.
In other embodiments, the monitoring device 100 may not include a sensor, and the monitoring device 100 may receive monitoring data collected by an external monitoring accessory through a communication module.
The processor 120 may also be used to control the cooperation of the various functional devices within the monitoring device 100. Specifically, the processor 120 is configured to process vital sign parameters such as electrocardiograph, respiration, blood oxygen, blood pressure, cerebral blood flow, cerebral blood oxygen, electroencephalogram, and cerebrovascular regulation collected by the sensor, so as to obtain monitoring data, and control the display 110 to display the monitoring data. The monitoring data includes, but is not limited to, at least one of a parameter value and a parameter waveform.
In some embodiments, the monitoring device 100 further comprises an alarm module coupled to the processor 120. The alarm module is used for outputting alarm prompts so that medical staff can execute corresponding rescue measures and can know the condition of a patient and the working state of equipment in real time, thereby avoiding the phenomenon that the medical staff or the patient is negligent, and improving the safety of monitoring. The alarm module includes, but is not limited to, an alarm light, an alarm speaker, etc. The alarm module comprises, for example, a light emitting diode and/or a buzzer for generating an audible and visual alarm signal. When one or more monitoring parameter values exceed a preset threshold, for example, the heart rate is lower than the heart rate threshold, the blood pressure is higher than the preset threshold, the alarm module is triggered, so that an alarm is sent to medical staff, specific alarm information can be displayed on a display, or the alarm information can be played through an audio alarm loudspeaker, or the alarm information can be printed through printing equipment, and the like.
To enable user interface and data exchange, the monitoring device 100 may include input/output means in addition to the display 110, which are connected to the processor 120. The input/output device may be used for a user to input operation instructions and output visual display interfaces to the user. Input/output devices include, but are not limited to, input devices such as keyboards, mice, touch-sensitive displays, remote controls, etc., and output devices such as interfaces, ports, etc., including, but not limited to, printers, voice-playback devices, USB ports, ethernet connections, or any other devices for transmitting monitoring data to and from a connected computer or Hospital Local Area Network (HLAN). Specifically, in some embodiments, the input/output devices interface the monitoring apparatus 100 with a computer, and a user can input configuration parameters, etc., through the computer and the input/output devices. In other embodiments, the input/output device interfaces the monitoring apparatus 100 with the network of the HLAN and may receive additional time-stamped clinical information, such as blood gas data, laboratory results, etc., which the user may utilize as additional input configuration parameters, etc., through the HLAN and the input/output device. In some embodiments, as previously described, the display 110 may also function as an input/output device, such as a touch screen display.
The monitoring device 100 may also include a communication module coupled to the processor 120. In some embodiments, the monitoring device 100 may establish data communication with a third party device via a communication module. The processor 120 is further configured to control the communication module to send vital sign monitoring data collected by the sensor to the third party device. The communication module includes, but is not limited to, a mobile communication module such as WiFI, bluetooth, NFC, zigBee, ultra wideband UWB or 2G, 3G, 4G, 5G, etc. Therefore, the monitoring information such as the monitoring parameters and the alarm prompt information of the patient can be wirelessly transmitted to the third party device of the hospital for centralized monitoring through the communication module of the monitoring device 100. In other embodiments, the monitoring device 100 may also establish a connection with a third party device via a cable. Third party devices include, but are not limited to, central monitoring service station devices or bedside monitors. The third party device can also be a cloud service system or a mobile terminal such as a mobile phone, a tablet computer, a personal computer and the like.
Wherein the number of monitoring devices 100 may include one or more. The third party device establishes data communication with at least one monitoring device 100. The third party device includes a processor, a display, a memory, and an alarm module. The processor is the control center of the third party device and connects the various parts of the entire third party device using various interfaces and lines. In some embodiments, the functions of the processor, display, memory, and alarm module of the third party device may include the same as the processor 120, display 110, memory, and alarm module of the monitoring device 100. For example, the processor of the third party device may also be configured to process the monitoring data collected by the sensor and control the display to display the monitoring data. The processor, display and memory of the third party device may also include the processor 120 of the monitoring device 100, the display 110 and memory not having the functionality, for example, the processor of the third party device may receive and process monitoring data directly transmitted by different monitoring devices 100 through the communication module.
It should be understood that fig. 1 is merely an example of the components that the monitoring device 100 includes, and is not limiting of the monitoring device 100, and that the monitoring device 100 may include more or less components than those shown in fig. 1, or may combine certain components, or different components, e.g., the monitoring device 100 may also include a power module, a positioning navigation device, a printing device, etc.
The embodiment of the application has important significance for patients with craniocerebral nerve special surgery and complex cardio-thoracic surgery. In complex cardiothoracic surgery, the deficiency of blood supply to the heart, chest and brain easily causes hypoxia of the brain of a patient, causes tissue necrosis and causes irreversible brain injury; the craniotomy has a large blood change amount, tissue scraps are easy to appear, and if the tissue scraps fall down, the infarct is easy to be caused. The display interface of the embodiment of the application can display the anesthesia depth graphic for representing the real-time anesthesia state, the second vital sign parameter and brain graphic for representing the brain injury, and the parameter trend of the vital sign parameter related to the anesthesia depth and the brain injury on the same screen, and pay attention to the influence of anesthesia on the brain, thereby providing more specialized comprehensive evaluation of brain related monitoring parameters for the operation type of a special brain injury patient operation and a large-scale heart-chest operation, and enabling a user to judge the possible brain injury in time by combining the parameter trend with the visual anesthesia depth graphic and the visual brain graphic.
Referring to fig. 2, the monitoring evaluation information displayed on the display interface of the display 110 includes at least the anesthesia depth map displayed in the first display area 210, the brain map displayed in the second display area 220, and the parameter trend displayed in the third display area 230. In the display interface shown in fig. 2, the first display area 210, the second display area 220, and the third display area 230 are three display areas in the same window, the first display area 210 and the second display area 220 are located on the left side of the window, and the second display area 220 is located below the first display area 210; the third display area 230 is located to the right of the window. In other embodiments, the display interface may have other layouts, such as a brain graphic displayed above an anesthesia depth map, as the embodiments of the present application are not limited in this respect.
Wherein the anesthesia depth map is generated based on the real-time monitoring data of the first vital sign parameter, and graphically represents the real-time anesthesia status of the target object. In one embodiment, the real-time anesthetic state includes a real-time pain state, a real-time sedation state, and a real-time muscle relaxation state. The anesthesia depth map graphically represents the real-time pain state, the real-time sedation state, and the real-time muscle relaxation state of the target subject, which can be provided to an anesthesiologist for real-time monitoring of the intra-operative anesthesia state.
The processor 120 acquires the first vital sign parameters in real time during the surgical procedure and determines a real-time pain state, a real-time sedation state, and a real-time muscle relaxation state from the real-time monitoring data of the first vital sign parameters for graphical display thereof via the anesthesia depth map. The first vital sign parameter used to determine the real-time pain state may be Heart Rate (HR), blood Pressure (BP), or a combination of Heart Rate and Blood Pressure, among others. Alternatively, the first vital sign parameter used to determine the real-time pain state may be a nociceptive stimulation index (Aanalgesia Nociception Index, ANI). ANI is an index that measures autonomic nerve activity by analyzing high frequency components in heart rate variability on-line in real time, thereby reflecting the balance between analgesic and nociceptive stimuli, and is more sensitive to the responses of intraoperative nociceptive stimuli than to heart rate, blood pressure, and other indexes. The first vital sign parameters for determining the real-time sedation state include brain electrical double frequency index (BIS) which can reflect the excitation or inhibition state of cerebral cortex and the sedative hypnotic information, and can monitor the sedation component in the anesthesia depth well, thereby determining the sedation state. The first vital sign parameters for determining the real-time muscle relaxation state include TOF (Train-of-four serial stimuli).
With continued reference to fig. 2, the anesthesia depth map for displaying real-time anesthesia status may be implemented in the form of an "anesthesia balance triangle", specifically including three indicator bars arranged in a triangle line around the same center point, each indicator bar being used to represent a real-time anesthesia status in one dimension, the three indicator bars respectively representing a real-time pain status (Analgesia), a real-time Sedation status (session), and a real-time muscle relaxation status (analysis), and each indicator bar being labeled with a type of real-time anesthesia status corresponding to the indicator bar in the vicinity thereof. In the example of fig. 2, the background color of the indicator strip is gray, and the proportion of the indicator strip filled with the other color represents the corresponding anesthetic state. Other arrangements of the three indicators corresponding to the real-time pain state, the real-time sedation state, and the real-time muscle relaxation state, such as a parallel arrangement, may also be used; the shape of the indicator strip is not limited to a rectangle, and may be any shape other than a rectangle.
Further, the processor 120 is further configured to control the display 110 to display values of the real-time monitoring data for determining the first vital sign parameters of the real-time pain state, the real-time sedation state and the real-time muscle relaxation state of the target subject in the surrounding area of the anesthesia depth map. In some embodiments, a marker representing a threshold value for the corresponding first vital sign parameter is also displayed in each indicator strip to facilitate a user's determination of whether the first vital sign parameter corresponding to the indicator strip is within a normal threshold range.
With continued reference to fig. 2, a brain graphic and at least one second vital sign parameter for characterizing a brain injury are displayed in a second display area 220 of the display interface. Illustratively, the second vital sign parameter comprises at least one of the following: brain electrical related parameters, brain blood flow related parameters, brain oxygen related parameters, and brain vascular resistance related parameters.
The electroencephalogram related parameters at least include, but are not limited to, an electroencephalogram double index (BIS). The brain electrical double frequency index comprises brain electrical double frequency index (BIS-L) of left brain and brain electrical double frequency index (BIS-R) of right brain. BIS mainly reflects the excitation or inhibition state of cerebral cortex and sedative hypnotic information, can well monitor sedative components in the anesthesia depth, and the appropriate anesthesia depth is beneficial to the perioperative safety of patients and reduces postoperative complications.
The cerebral blood flow related parameters include at least intracranial pressure (Intracranial Pressure, ICP), cerebral perfusion pressure (Cerebral Perfusion Pressure, CPP), mean arterial pressure (mean arterial pressure, MAP), but are not limited thereto. The ICP is the pressure of the content of the cranial cavity on the wall of the cranial cavity, when the back flow of the intracranial vein is blocked or excessively poured, cerebral blood flow is increased, the intracranial blood volume is increased, the intracranial pressure is increased, and the ICP can be monitored to monitor craniocerebral injury, cerebral hemorrhage, hydrocephalus and the like. The brain has brain tissue, blood and cerebrospinal fluid, so that it has a certain intracranial pressure, and the arterial blood vessel must overcome the intracranial pressure to ensure that the blood enters brain cells, and the difference between the arterial pressure and the intracranial pressure is CPP, so that the CPP can be used for representing whether normal cerebral blood supply is maintained or not. MAP is a periodic average value of arterial blood pressure of heart in every cardiac cycle of heart, MAP can influence cerebral blood flow, when average arterial pressure is too low, blood pressure flowing through heart is reduced, blood pressure circulation speed is reduced, cerebral blood supply insufficiency is easily caused, and therefore MAP can indirectly reflect cerebral blood flow.
The brain oxygen related parameter at least comprises brain oxygen saturation (rSO) 2 ) But is not limited thereto. Brain tissue is especially sensitive to hypoxia, and the hypoxia in a short time can possibly cause unrecoverable damage to the central nervous system, and the brain oxygen saturation is monitored in real time and intervened in time, so that the probability of cerebral apoplexy of a patient in operation or after operation can be reduced.
The cerebrovascular resistance-related parameters include at least end-of-breath carbon dioxide concentration (EtCO 2 ) But is not limited thereto. CO in blood 2 Is an important factor for regulating the cerebrovascular blood flow state, and CO 2 Smooth muscle may relax. When CO 2 When the partial pressure is increased, vascular smooth muscle cells are relaxed, and the cerebral blood flow speed is increased; when CO 2 When the partial pressure is reduced, the brain resistance blood vessel contracts, and the blood flow speed is reduced. When cerebral angiogenesis lesions, these autoregulation functions are reduced or lost, and thus EtCO 2 Can effectively evaluate the cerebrovascular resistance.
In the display interface of fig. 2, the second vital sign parameters displayed around the brain graphic include the following: etCO 2 、rSO 2 -1、rSO 2 -2, BIS-R, BIS-L, MAP and CPP. Values of the real-time monitoring data of the second vital sign parameter are displayed in a surrounding area of the brain pattern. Illustratively, the values of the real-time monitoring data of the second vital sign parameter are displayed in the vicinity of the corresponding location of the brain pattern. For example, BIS-R is displayed near the right brain, BIS-L is displayed near the left brain, MAP and CPP are displayed near blood vessels, etc., to prompt the user for locations in brain tissue corresponding to the respective second vital sign parameters.
Illustratively, the brain graphic may also dynamically change as the real-time monitoring data of the second vital sign parameter changes, the form of the dynamic change including, but not limited to, a color change, a thickness change, highlighting, displaying an indicator icon, and the like. For example, if the MAP of the target object increases, the blood vessels in the brain pattern will thicken to alert the user to the increased pressure of the blood flow of the target object against the vessel wall. Conversely, when a blood vessel in the brain pattern becomes thin, it is indicated that the blood flow of the target subject is reduced in pressure against the vessel wall.
Further, the brain pattern is also used for outputting early warning information. Specifically, the processor 120 may determine whether the real-time monitoring data of the second vital sign parameter meets a preset early warning condition, and when determining that the real-time monitoring data of the second vital sign parameter meets the early warning condition, control the display 110 to output early warning information through the brain pattern, so as to prompt the user to perform the manual intervention in time.
Illustratively, the processor 120 determines that the real-time monitoring data of the second vital sign parameter satisfies the pre-warning condition when it is determined that at least one of the following conditions is satisfied: the real-time monitoring data of at least one second vital sign parameter is in a preset early warning range; and, a brain damage state occurs in the brain state of the target subject. Wherein the brain state is determined from real-time monitoring data of at least two second vital sign parameters. The alarm triggered according to the fact that the real-time monitoring data of the second vital sign parameters are in a preset early warning range can be called parameter alarm, and the alarm triggered according to the brain damage state of the brain state can be called state alarm. The state alarm can timely identify the brain damage state when the individual vital sign parameters do not enter the early warning range, so that the occurrence of missing alarm is avoided.
Further, if the processor 120 determines that the second target vital sign parameter within the preset pre-warning range exists in the real-time monitoring data of the second vital sign parameter, the display 110 can be controlled to highlight the target monitoring portion corresponding to the second target vital sign parameter in the brain graph, and by highlighting the target monitoring portion, the medical care can quickly and intuitively learn about the abnormal position in the brain graph so as to perform corresponding manual intervention, thereby improving the working efficiency of the medical care personnel. The processor 120 may further control the display 110 to highlight the value of the second target vital sign parameter on the display interface. The target monitoring site is illustratively determined from the location of a sensor that acquires a second target vital sign parameter. For example, when the brain electrical double frequency index (BIS-L) of the left brain is in a preset early warning range, a position corresponding to the left brain of the target object in the brain pattern may be highlighted.
Illustratively, the highlighting includes a combination of one or more of highlighting, blinking, changing color, adding a reminder, changing transparency, changing background color, changing font, enlarging the size of the target monitoring site or the value of the second vital sign parameter.
The brain graphic of the embodiment of the application can be specifically realized as a three-dimensional virtual brain graphic, and in some embodiments, a user can rotate the brain graphic so as to display the brain graphic in different angular orientations. For example, the brain graphic shown in fig. 2 presents an anterior brain portion that can be rotated to present a posterior brain portion when a user rotation command is received. The rotation instruction includes, but is not limited to, at least one of a single click, a long press, a double click, a slide, a toggle, a preset slide track, and a multi-touch.
The processor 120 is further configured to control the display 110 to display the parameter trend of at least some of the first vital sign parameter and the second vital sign parameter in the third display area 230 of the display interface. Parameter trend the specific vital sign parameter is a parameter trend within a preset time range from the historical moment to the current moment, for example, the parameter trend may be a parameter trend within 2 hours before the current moment. Illustratively, the parameter trends of the plurality of vital sign parameters share a same time axis and are displayed in alignment in a time dimension to represent the parameter trends of the plurality of vital sign parameters within the same time range. Illustratively, the parameter trend of the vital sign parameter includes a parameter trend curve formed based on the real-time monitoring data and the monitoring data over a period of time in the past, and a threshold baseline of a preset threshold corresponding to the real-time monitoring data, and the user can determine whether the vital sign parameter has been abnormal over the period of time in the past with reference to the threshold baseline. The processor 120 may also adjust the preset threshold and its corresponding threshold baseline in response to receiving an adjustment instruction to the preset threshold.
The parameter trends shown in fig. 2 include the parameter trends of the vital sign parameters: HR (heart rate)/PR (pulse rate), art (arterial pressure)/NIBP (non-invasive blood pressure), etCO 2 、rSO 2 BIS-L, DSA. Wherein HR, PR, art, NIBP is a first vital sign parameter for characterizing depth of anesthesia, etCO 2 、rSO 2 BIS-L, DSA is a second vital sign parameter used to characterize brain damage. Illustratively, the parameter trends displayed in the third display area 230 may include a parameter trend for characterizing all first vital sign parameters of the depth of anesthesia, and a parameter trend for characterizing all second vital sign parameters of the brain injury. The parameter trend displayed in the third display area 230 may also be a parameter trend of a portion of the vital sign parameters therein, e.g., the third display area 230 supports at most simultaneous display of parameter trends of six vital sign parameters, which may be selected by default by the monitoring device 100; or, a list of all vital sign parameters in the first vital sign parameter and the second vital sign parameter may be provided, and the vital sign parameter of which parameter trend needs to be displayed is determined according to the received selection instruction of the vital sign parameters in the list.
The parameter trends of the plurality of vital sign parameters may be ordered by default, for example, because the anesthesia depth graphic is displayed above the brain graphic in the display interface of fig. 2, the first vital sign parameter characterizing the anesthesia depth is displayed above the second vital sign parameter characterizing the brain injury by default to facilitate a user's control view. Alternatively, the ordering of the parameter trends for the plurality of vital sign parameters may be user-defined.
In addition, the vital sign parameters of the same kind displayed at different positions on the display interface may be displayed in the same style, specifically including at least one of the same color, font size, font style, font effect, font background color or transparency. For exampleFor rSO 2 For example, rSO is displayed around the brain pattern 2 Is displayed with rSO in the display area of parameter trend 2 Optionally, rSO is also displayed in other areas of the display interface 2 Is a real-time waveform of (a). rSO 2 The values of the real-time monitoring data, the curves of the parameter trend and the curves of the real-time waveform can be displayed in the same color, such as blue, so that a user can quickly obtain information on rSO in a display interface 2 Is a piece of information of the whole information.
In some embodiments, when a selection instruction of one of the numerical value, the parameter trend, and the real-time waveform of the real-time monitoring data of any vital sign parameter is received, other information may be highlighted to further help the user quickly browse the relevant information of the vital sign parameter. For example, when a selection instruction for the anesthesia depth indication or the value of the real-time monitoring data around the brain pattern is received, the parameter trend of the selected vital sign parameter may be highlighted, and vice versa.
In addition, when any vital sign parameter is abnormal, for example, when the parameter data of the first vital sign parameter or the second vital sign parameter is within a preset early warning range, the parameter trend of the vital sign parameter within the early warning range may be highlighted. If the statistical value of the vital sign parameter in a period of time is in a preset early warning range, a corresponding interval in the parameter trend can be highlighted to prompt a user of a period of time when the vital sign parameter is abnormal.
The processor 120 is also configured to control the display 110 to highlight, for example, a closed Area formed by the co-surrounding of the parameter trend Curve and the threshold baseline, and the Area of the closed Area may be referred to as Area Under the Curve (AUC). The size of the area of the enclosed area formed by the coarticulation between the parameter trend curve and the threshold value base line can reflect the abnormal degree of vital sign parameters. Illustratively, highlighting includes one or more of highlighting, blinking, changing color, adding a reminder, changing transparency, changing background color.
For example, the processor 120 may control the display 110 to display the area of the enclosed area defined by the parameter trend curve of the real-time monitoring data of the brain oxygen saturation within the preset time period and the corresponding threshold baseline. The processor 120 may also control the display to highlight a closed area formed by co-enclosing a parameter trend curve of the real-time monitoring data of brain oxygen saturation and a corresponding threshold baseline, for example, to perform red filling. Illustratively, the second parameter threshold for calculating AUC is different from the first parameter threshold for parameter alerting, e.g., the second threshold is 85% of the first parameter threshold, and when brain oxygen saturation is higher than the first parameter threshold, generating the pre-warning information; when the brain oxygen saturation is above the second parameter threshold, but does not reach the first parameter threshold, the AUC is calculated. The size of the closed region corresponding to the cerebral oxygen saturation can reflect the degree of blood flow blocking, and when the area exceeds the threshold value, even if the cerebral oxygen saturation does not reach the first parameter threshold value, early warning information can be generated.
In some embodiments, when the parameter trend of the vital sign parameter is embodied as a parameter trend line, the parameter trend line includes monitoring data (historical data) over a period of time and current real-time monitoring data. The processor 120 may control providing a time selection control on the parameter trend line, the processor 120 may receive an operation on the time selection space on the parameter trend line, determine a specific time selected, and control updating values of anesthesia depth indicators and/or vital sign parameters corresponding to the selected time point in the first display area and the second display area according to the selected time. Further, if the abnormal event occurs corresponding to the selected time point, the monitoring part corresponding to the abnormal vital sign at the selected time point can be displayed on the brain graph. The anesthesia depth indication of the first display area and the value of the vital sign parameter of the second display area are refreshed in real time when the time selection control is located in the real-time portion of the parameter trend graph, e.g., at the far right side of the graph.
In some embodiments, the processor 120 is further configured to control the display 110 to display an operational control icon representing monitoring assessment information on the monitoring interface. The processor 120 is further configured to control 110 the display to display monitoring assessment information in response to a preset operation for operating the control icon. That is, under a conventional monitoring interface, the user may select an icon of an operation control representing monitoring evaluation information to display monitoring evaluation information including anesthesia depth graphic, brain graphic, parameter trend, and the like as described above on the display interface.
The monitoring interface is used for displaying conventional vital sign parameters of the target object, and specifically, the information displayed by the monitoring interface at least comprises real-time numerical values of the vital sign parameters of the target object, real-time waveforms of the vital sign parameters of the target object, personal information of the target object and operation control icons. With continued reference to FIG. 2, the guardian interface includes a status bar 240, a menu bar 250, and a task bar 260 located between the status bar 240 and the menu bar 250. The status bar 240 is displayed on top of the monitoring interface, in which personal information of the target object is displayed, and may also display a network identification icon, a power identification icon, a monitoring type icon, and the like. Menu bar 250 is displayed at the bottom of the monitoring interface for displaying operation control icons that a user can operate to adjust the content displayed by the monitoring interface. The task bar 260 displays main monitoring information such as real-time numerical values of vital sign parameters of the target object, real-time waveforms of the vital sign parameters of the target object, and the like, and the task bar 260 is displayed in the middle of the monitoring interface, so that a user can observe and operate conveniently.
The monitoring evaluation information may be displayed in a BoA Dashboard (brain protection) window as shown in fig. 2, and when the BoA Dashboard window is popped up, information such as a real-time waveform of a target vital sign parameter in the monitoring interface is displayed in a reduced manner, so as to reserve a display space of the BoA Dashboard window, and avoid the BoA Dashboard window from shielding original information. The user may click on the close option at the top right of the BoA Dashboard window to close the BoA Dashboard window. In some embodiments, the monitoring evaluation information, for example, a BoA Dashboard, may also cover a portion of the information on the monitoring interface, and may be directly displayed in an overlaid manner on the monitoring interface.
In some embodiments, processor 120 is further configured to adjust portions of the monitoring assessment information other than the brain pattern in response to the received operational instructions. For example, the processor 120 may cancel the display of the anesthesia depth map, or cancel the display of the parameter trend of the vital sign parameters, etc.
In summary, the monitoring device 100 according to the embodiment of the present application simultaneously displays, on the display interface, an anesthesia depth map for representing a real-time anesthesia state and a brain map for representing parameters related to brain damage, wherein the anesthesia depth map can be provided to an anesthesiologist to macroscopically control the anesthesia state of the patient during operation; brain patterns and vital sign parameters associated with brain damage may be provided to a surgeon to more fully evaluate brain-related feedback of an intraoperative patient, with outstanding overall evaluation advantages for patients in craniocerebral neurosurgery and complex cardiothoracic surgery.
Next, a display method for a monitoring device according to an embodiment of the present application will be described with reference to fig. 3. Fig. 3 is a schematic flow chart of a display method 300 for a monitoring device according to an embodiment of the present application.
As shown in fig. 3, a display method 300 for a monitoring device according to an embodiment of the present application includes the following steps:
in step S310, real-time monitoring data of at least two vital sign parameters of the target subject are acquired, the at least two vital sign parameters including at least one first vital sign parameter for characterizing the depth of anesthesia and at least one second vital sign parameter for characterizing brain damage;
in step S310, monitoring evaluation information is displayed on a display interface, the monitoring evaluation information including: an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object; a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a surrounding area of the brain pattern; and, a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter.
The display method 300 for a monitoring device of the present embodiment may be implemented in the monitoring device 100 described above, and in particular, the steps of the display method 300 for a monitoring device may be performed by the processor 120 of the monitoring device 100. The specific details of the display method 300 for the monitoring device may refer to the related descriptions of the monitoring device 100 above, and are not described herein.
Another aspect of an embodiment of the present application provides a monitoring device comprising a display and a processor configured to: acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury; controlling the display to display monitoring and evaluating information on a display interface of the display, wherein the monitoring and evaluating information comprises: generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject; the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; and, a parameter trend of at least a portion of the first vital sign parameters and the second vital sign parameters.
The monitoring device of the present embodiment is similar to the monitoring device described above, and the difference between the two is mainly that, first, the anesthesia depth indication displayed by the monitoring device of the present embodiment is not limited to the form of an anesthesia depth map, for example, the anesthesia depth may also be displayed in the form of text after analyzing the first vital sign parameters to obtain the anesthesia status. Second, the monitoring device of the present embodiment is not limited to displaying brain patterns at the same time as displaying the anesthesia depth indication, for example, only at least one second vital sign parameter for characterizing brain damage may be displayed in a centralized manner to present the brain state of the target subject.
Illustratively, the real-time anesthetic state includes a real-time pain state, a real-time sedation state, and a real-time muscle relaxation state; the anesthesia depth indication is indicative of a real-time pain state, a real-time sedation state, and a real-time muscle relaxation state of the target subject, the representation including graphical or textual means. The processor is further configured to control the display to display values of the real-time monitoring data for determining the first vital sign parameters of the real-time pain state, the real-time sedation state, and the real-time muscle relaxation state of the target subject, concurrently with displaying the anesthesia depth indication. For example, the processor may determine the real-time pain state based on heart rate, blood pressure, a combination of heart rate and blood pressure, or a nociceptive stimulation index, and may display values of real-time monitoring data for the above parameters used to determine the real-time pain state, along with the real-time pain state.
Illustratively, the second vital sign parameter comprises at least one of the following: brain electrical related parameters, brain blood flow related parameters, brain oxygen related parameters, and brain vascular resistance related parameters. Wherein the electroencephalogram related parameters comprise an electroencephalogram double-frequency index; the cerebral blood flow related parameters include intracranial pressure, cerebral perfusion pressure, and mean arterial pressure; the brain oxygen related parameters include brain oxygen saturation; the cerebrovascular resistance-related parameters include end-tidal carbon dioxide concentration. The processor is further configured to determine, in the real-time monitoring data of the second vital sign parameter, the second target vital sign parameter within the preset pre-alarm range, and control the display to highlight the value of the second target vital sign parameter on the display interface.
The parameter trend of the vital sign parameter displayed by the display comprises a parameter trend curve and a threshold baseline of a preset threshold corresponding to the real-time monitoring data of the vital sign parameter. The processor is also used for controlling the display to highlight a closed area formed by surrounding the parameter trend curve and the threshold value base line together.
For more specific details on the monitoring device, reference is made to the above, and no further description is given here. The monitoring device of the embodiment simultaneously displays anesthesia depth indication for representing real-time anesthesia state and vital sign parameters related to brain injury on the display interface, wherein the anesthesia depth indication can macroscopically represent the anesthesia state of the patient in operation; vital sign parameters associated with brain damage may more fully provide brain-related feedback to the intraoperative patient.
Next, a display method for a monitoring device according to an embodiment of the present application will be described with reference to fig. 4. Fig. 4 is a schematic flow chart of a display method 400 for a monitoring device according to an embodiment of the present application.
As shown in fig. 4, a display method 400 for a monitoring device according to an embodiment of the present application includes the following steps:
in step S410, real-time monitoring data of at least two vital sign parameters of the target subject are acquired, the at least two vital sign parameters including at least one first vital sign parameter for characterizing the depth of anesthesia and at least one second vital sign parameter for characterizing brain damage;
in step S410, monitoring evaluation information is displayed on a display interface, the monitoring evaluation information including: generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject; the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; and, a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter.
The display method 400 for a monitoring device of the present embodiment may be implemented in the monitoring device described above, and in particular, the steps of the display method 400 for a monitoring device may be performed by a processor of the monitoring device. The specific details of the display method 400 for the monitoring device may refer to the related description of the monitoring device, which is not described herein.
Another aspect of an embodiment of the present application provides a monitoring device comprising a display and a processor configured to: acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury; in response to a first preset operation on a first operation control, controlling the display to display a first monitoring evaluation window on a display interface of the display, wherein the first monitoring evaluation window is used for displaying first monitoring evaluation information, and the first monitoring evaluation information comprises: an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object; and, a brain pattern, wherein the values of the real-time monitoring data of the second vital sign parameters are centrally displayed in a surrounding area of the brain pattern; and, a parameter trend of at least a portion of the vital sign parameters in the first vital sign parameter and the second vital sign parameter; and in response to a second preset operation on a second operation control, controlling the display to display a second monitoring evaluation window on a display interface of the display, wherein the second monitoring evaluation window is used for displaying second monitoring evaluation information, and the second monitoring evaluation information comprises: generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject; the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; and, the parametric trend of at least a portion of the first vital sign parameter and the second vital sign parameter.
The embodiment of the application provides two forms of monitoring and evaluating windows: the first monitoring evaluation information displayed by the first monitoring evaluation window at least comprises anesthesia depth graphic, brain graphic and parameter trend; the second monitoring evaluation information displayed by the second monitoring evaluation window at least comprises anesthesia depth indication, a numerical value of the real-time monitoring data of the second vital sign parameters which are displayed in a centralized mode and parameter trend. The second vital sign parameters corresponding to the second monitoring and evaluating window are at least partially different from the second vital sign parameters corresponding to the first monitoring and evaluating window. In one example, the second monitoring evaluation window corresponds to a further type of second vital sign parameter.
The user can switch between the two forms of monitoring evaluation windows as desired. For example, if the user needs to more intuitively display the brain state, the first operation control may be operated to display the first monitoring evaluation window; if the user needs to view more second vital sign parameters, the second operation control can be operated to display a second monitoring evaluation window.
The embodiment provides two types of monitoring and evaluating windows, different monitoring and evaluating windows represent the anesthesia state and the brain injury state in different modes, and a user can select a proper monitoring and evaluating window according to the needs, so that the real-time monitoring and evaluation of the brain state in the operation are realized. Specific details regarding the two different forms of monitoring evaluation window have been described above and are not described here.
Next, a display method for a monitoring device according to an embodiment of the present application will be described with reference to fig. 5. Fig. 5 is a schematic flow chart of a display method 500 for a monitoring device according to an embodiment of the present application.
As shown in fig. 5, a display method 500 for a monitoring device according to an embodiment of the present application includes the following steps:
in step S510, real-time monitoring data of at least two vital sign parameters of the target subject are acquired, the at least two vital sign parameters including at least one first vital sign parameter for characterizing the depth of anesthesia and at least one second vital sign parameter for characterizing brain damage;
in step S510, in response to a first preset operation on the first operation control, displaying a first monitoring evaluation window on the display interface, where the first monitoring evaluation window is used to display first monitoring evaluation information, and the first monitoring evaluation information includes: an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object; and, a brain pattern, wherein the values of the real-time monitoring data of the second vital sign parameters are centrally displayed in a surrounding area of the brain pattern; and, a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter;
In step S530, in response to a second preset operation on the second operation control, displaying a second monitoring evaluation window on the display interface, where the second monitoring evaluation window is used to display second monitoring evaluation information, and the second monitoring evaluation information includes: generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject; the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; and, a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter.
The display method 500 for a monitoring device of the present embodiment may be implemented in the monitoring device described above, and in particular, the steps of the display method 500 for a monitoring device may be performed by a processor of the monitoring device. The specific details of the display method 500 for the monitoring device may refer to the related description of the monitoring device, which is not described herein.
Although the illustrative embodiments have been described herein with reference to the accompanying drawings, it is to be understood that the above illustrative embodiments are merely illustrative and are not intended to limit the scope of the present application thereto. Various changes and modifications may be made therein by one of ordinary skill in the art without departing from the scope and spirit of the application. All such changes and modifications are intended to be included within the scope of the present application as set forth in the appended claims.
Those of ordinary skill in the art will appreciate that the various illustrative elements and algorithm steps described in connection with the embodiments disclosed herein may be implemented as electronic hardware, or combinations of computer software and electronic hardware. Whether such functionality is implemented as hardware or software depends upon the particular application and design constraints imposed on the solution. Skilled artisans may implement the described functionality in varying ways for each particular application, but such implementation decisions should not be interpreted as causing a departure from the scope of the present application.
In the several embodiments provided by the present application, it should be understood that the disclosed apparatus and method may be implemented in other ways. For example, the above-described device embodiments are merely illustrative, e.g., the division of the elements is merely a logical functional division, and there may be additional divisions when actually implemented, e.g., multiple elements or components may be combined or integrated into another device, or some features may be omitted or not performed.
In the description provided herein, numerous specific details are set forth. However, it is understood that embodiments of the application may be practiced without these specific details. In some instances, well-known methods, structures and techniques have not been shown in detail in order not to obscure an understanding of this description.
Similarly, it should be appreciated that in order to streamline the application and aid in understanding one or more of the various inventive aspects, various features of the application are sometimes grouped together in a single embodiment, figure, or description thereof in the description of exemplary embodiments of the application. However, the method of the present application should not be construed as reflecting the following intent: i.e., the claimed application requires more features than are expressly recited in each claim. Rather, as the following claims reflect, inventive aspects lie in less than all features of a single disclosed embodiment. Thus, the claims following the detailed description are hereby expressly incorporated into this detailed description, with each claim standing on its own as a separate embodiment of this application.
It will be understood by those skilled in the art that all of the features disclosed in this specification (including any accompanying claims, abstract and drawings), and all of the processes or units of any method or apparatus so disclosed, may be combined in any combination, except combinations where the features are mutually exclusive. Each feature disclosed in this specification (including any accompanying claims, abstract and drawings), may be replaced by alternative features serving the same, equivalent or similar purpose, unless expressly stated otherwise.
Furthermore, those skilled in the art will appreciate that while some embodiments described herein include some features but not others included in other embodiments, combinations of features of different embodiments are meant to be within the scope of the application and form different embodiments. For example, in the claims, any of the claimed embodiments may be used in any combination.
Various component embodiments of the application may be implemented in hardware, or in software modules running on one or more processors, or in a combination thereof. Those skilled in the art will appreciate that some or all of the functions of some of the modules according to embodiments of the present application may be implemented in practice using a microprocessor or Digital Signal Processor (DSP). The present application can also be implemented as an apparatus program (e.g., a computer program and a computer program product) for performing a portion or all of the methods described herein. Such a program embodying the present application may be stored on a computer readable medium, or may have the form of one or more signals. Such signals may be downloaded from an internet website, provided on a carrier signal, or provided in any other form.
It should be noted that the above-mentioned embodiments illustrate rather than limit the application, and that those skilled in the art will be able to design alternative embodiments without departing from the scope of the appended claims. In the claims, any reference signs placed between parentheses shall not be construed as limiting the claim. The application may be implemented by means of hardware comprising several distinct elements, and by means of a suitably programmed computer. In the unit claims enumerating several means, several of these means may be embodied by one and the same item of hardware. The use of the words first, second, third, etc. do not denote any order. These words may be interpreted as names.
The foregoing description is merely illustrative of specific embodiments of the present application and the scope of the present application is not limited thereto, and any person skilled in the art can easily think about variations or substitutions within the scope of the present application. The protection scope of the application is subject to the protection scope of the claims.

Claims (23)

  1. A monitoring device, comprising:
    A display;
    a processor for:
    acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
    controlling the display to display monitoring and evaluating information on a display interface of the display, wherein the monitoring and evaluating information comprises:
    an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object;
    a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a surrounding area of the brain pattern; the method comprises the steps of,
    and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
  2. A monitoring device, comprising:
    a display;
    a processor for:
    acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
    Controlling the display to display monitoring and evaluating information on a display interface of the display, wherein the monitoring and evaluating information comprises:
    generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject;
    the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; the method comprises the steps of,
    and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
  3. The monitoring device of claim 1, wherein the processor is further configured to:
    judging whether the real-time monitoring data of the second vital sign parameters meet preset early warning conditions or not;
    and when the real-time monitoring data of the second vital sign parameters meet the early warning conditions, controlling the display to output early warning information through the brain graph.
  4. The monitoring device of claim 3, wherein the processor determines that the real-time monitoring data of the second vital sign parameter satisfies the pre-alarm condition when at least one of the following conditions is determined to be satisfied:
    the real-time monitoring data of at least one second vital sign parameter is in a preset early warning range; the method comprises the steps of,
    A brain injury state occurs in a brain state of the target subject, the brain state being determined from real-time monitoring data of at least two of the second vital sign parameters.
  5. The monitoring device of claim 1, wherein the processor is further configured to:
    and determining a second target vital sign parameter in a preset early warning range in the real-time monitoring data of the second vital sign parameter, and controlling the brain graph to highlight a target monitoring part corresponding to the second target vital sign parameter.
  6. The monitoring device of claim 5, wherein the target monitoring site is determined based on a location of a sensor that collects the second target vital sign parameter.
  7. The monitoring device of any of claims 1-6, wherein the processor is further configured to:
    and determining a second target vital sign parameter in a preset early warning range in the real-time monitoring data of the second vital sign parameter, and controlling the display to highlight the value of the second target vital sign parameter on the display interface.
  8. The monitoring device of any of claims 1-7, wherein the second vital sign parameter comprises at least one of: brain electrical related parameters, brain blood flow related parameters, brain oxygen related parameters, and brain vascular resistance related parameters.
  9. The monitoring device of claim 8, wherein the electroencephalogram related parameter comprises an electroencephalogram double frequency index; the cerebral blood flow related parameters comprise intracranial pressure, cerebral perfusion pressure and mean arterial pressure; the brain oxygen related parameters include brain oxygen saturation; the cerebrovascular resistance-related parameter includes end-tidal carbon dioxide concentration.
  10. The monitoring device of claim 1, wherein the real-time anesthetic state comprises a real-time pain state, a real-time sedation state, and a real-time muscle relaxation state; the anesthesia depth map graphically represents a real-time pain state, a real-time sedation state, and a real-time muscle relaxation state of the target subject.
  11. The monitoring device of claim 10, wherein the processor is further configured to control the display to display values of real-time monitoring data of the first vital sign parameters for determining the real-time pain state, the real-time sedation state, and the real-time muscle relaxation state of the target subject in a surrounding area of the anesthesia depth map.
  12. The monitoring device of claim 10, wherein the processor is further configured to determine the real-time pain state based on real-time monitoring data of the first vital sign parameter;
    Wherein the first vital sign parameters for determining the real-time pain state are: heart rate, blood pressure, a combination of heart rate and blood pressure, or a nociceptive stimulation index.
  13. The monitoring device of claim 1 or 2, wherein the parameter trend of the vital sign parameter comprises a parameter trend curve of the vital sign parameter and a threshold baseline of a preset threshold corresponding to the real-time monitoring data.
  14. The monitoring device of claim 1 or 2, wherein the processor is further configured to adjust portions of the monitoring assessment information other than the brain pattern in response to received operational instructions.
  15. The monitoring device of claim 13, wherein the processor is further configured to control the display to highlight a closed region defined by the parameter trend curve and the threshold baseline.
  16. The monitoring device of claim 15, wherein the second vital sign parameter comprises brain oxygen saturation, the parameter trend curve comprising a parameter trend curve of real-time monitoring data of the brain oxygen saturation;
    the processor is also used for controlling the display to display the area of a closed area formed by the joint enclosing between the parameter trend curve of the real-time monitoring data of the brain oxygen saturation within the preset time length and the corresponding threshold value base line.
  17. The monitoring device of claim 16, wherein the processor is further configured to:
    and responding to the received adjusting instruction for the preset time length to adjust the preset time length.
  18. The monitoring device of any of claims 1-17, wherein the processor is further configured to control the display to display an operational control icon representing the monitoring assessment information on a monitoring interface;
    the information displayed on the monitoring interface at least comprises: the method comprises the steps of real-time numerical values of vital sign parameters of a target object, real-time waveforms of the vital sign parameters of the target object, personal information of the target object and operation control icons;
    the processor is further configured to: and responding to the preset operation aiming at the operation control icon, and controlling the display to display the monitoring evaluation information.
  19. A monitoring device, comprising:
    a display;
    a processor for:
    acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
    In response to a first preset operation on a first operation control, controlling the display to display a first monitoring evaluation window on a display interface of the display, wherein the first monitoring evaluation window is used for displaying first monitoring evaluation information, and the first monitoring evaluation information comprises:
    an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object; the method comprises the steps of,
    a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a centralized manner in a surrounding area of the brain pattern; the method comprises the steps of,
    a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter;
    and in response to a second preset operation on a second operation control, controlling the display to display a second monitoring evaluation window on a display interface of the display, wherein the second monitoring evaluation window is used for displaying second monitoring evaluation information, and the second monitoring evaluation information comprises:
    generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject;
    The numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; the method comprises the steps of,
    and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
  20. The monitoring device of claim 19, wherein the second vital sign parameter corresponding to the second monitoring evaluation window is at least partially different from the second vital sign parameter corresponding to the first monitoring evaluation window.
  21. A display method for a monitoring device, comprising:
    acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
    displaying monitoring evaluation information on a display interface, wherein the monitoring evaluation information comprises:
    an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object;
    a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a surrounding area of the brain pattern; the method comprises the steps of,
    And a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
  22. A display method for a monitoring device, comprising:
    acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
    displaying monitoring evaluation information on a display interface, wherein the monitoring evaluation information comprises:
    generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject;
    the numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; the method comprises the steps of,
    and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
  23. A display method for a monitoring device, comprising:
    acquiring real-time monitoring data of at least two vital sign parameters of a target object, wherein the at least two vital sign parameters comprise at least one first vital sign parameter used for representing anesthesia depth and at least one second vital sign parameter used for representing brain injury;
    In response to a first preset operation on a first operation control, displaying a first monitoring evaluation window on a display interface, wherein the first monitoring evaluation window is used for displaying first monitoring evaluation information, and the first monitoring evaluation information comprises:
    an anesthesia depth map generated based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth map graphically representing a real-time anesthesia state of the target object; the method comprises the steps of,
    a brain pattern, wherein the numerical value of the real-time monitoring data of the second vital sign parameter is displayed in a centralized manner in a surrounding area of the brain pattern; the method comprises the steps of,
    a parameter trend of at least a portion of the first vital sign parameter and the second vital sign parameter;
    in response to a second preset operation on the second operation control, displaying a second monitoring evaluation window on the display interface, wherein the second monitoring evaluation window is used for displaying second monitoring evaluation information, and the second monitoring evaluation information comprises:
    generating an anesthesia depth indication based on the real-time monitoring data of the first vital sign parameter, the anesthesia depth indication representing a real-time anesthesia status of the target subject;
    The numerical value of the real-time monitoring data of the second vital sign parameters is intensively displayed; the method comprises the steps of,
    and a parameter trend of at least part of the vital sign parameters in the first vital sign parameters and the second vital sign parameters.
CN202180081842.2A 2020-12-25 2021-12-24 Monitoring device and display method for monitoring device Pending CN116634931A (en)

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