EP1162912A2 - Systeme assiste par ordinateur pour surveiller un patient - Google Patents

Systeme assiste par ordinateur pour surveiller un patient

Info

Publication number
EP1162912A2
EP1162912A2 EP00916694A EP00916694A EP1162912A2 EP 1162912 A2 EP1162912 A2 EP 1162912A2 EP 00916694 A EP00916694 A EP 00916694A EP 00916694 A EP00916694 A EP 00916694A EP 1162912 A2 EP1162912 A2 EP 1162912A2
Authority
EP
European Patent Office
Prior art keywords
data
patient
alarm
computer device
unit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP00916694A
Other languages
German (de)
English (en)
Inventor
Walter O. Basta
Christian Bader
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
TMC Technology Medical Care AG
Original Assignee
TMC Technology Medical Care AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by TMC Technology Medical Care AG filed Critical TMC Technology Medical Care AG
Publication of EP1162912A2 publication Critical patent/EP1162912A2/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/60—ICT 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
    • G16H40/63—ICT 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 for local operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/60—ICT 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
    • G16H40/67—ICT 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 for remote operation

Definitions

  • the invention relates to a computer-assisted system for patient monitoring, with at least one data receiver assigned to the respective patient and at least one computer device.
  • a monitoring system is known from US Pat. No. 5,331,549 A in which patients are monitored for signs of life, data from patients being continuously transmitted to a central monitoring point with a screen, where it is indicated whether data is in a limit range.
  • An entire medical department can be monitored as well as a single patient "zooms in” and monitored individually.
  • US Pat. No. 5,262,943 A describes an information system which manages personal data and health data of patients and processes them in terms of presentation and therapy in order to enable the doctors to provide suitable help for the assessment with regard to the further treatment of patients.
  • a problem with patient monitoring is that with the large number of body functions up to monitoring the body's fluid balance, intensive monitoring hardly seems possible anymore, since numerous connecting lines on the patient in addition to the catheters, infusion lines and the like. would be attached.
  • the No. 4,249,538 A the attachment of electrodes to the body of a patient using various means, such as suction cups or adhesives, connecting leads from these electrodes to a computer device - in a multi-channel system and via a multiplexer and analog / digital converter. It records patient data in a largely conventional manner, such as electrocardiograms and the like.
  • the present patient monitoring system should in particular also make it possible to continuously monitor and log the fluid balance of problem patients in order to enable corrective intervention by the medical staff at any time.
  • the system for patient monitoring is characterized in that at least some of the data recorders designed for continuous data recording are each followed by a wireless data transmitter, which transmits the data online to a receiver assigned to the computer device, that several data recorders are provided for checking the patient's fluid balance are that record data relating to the supply and discharge of liquid to and from the patient, and that the computer device forms a data collection and data monitoring or comparison unit which triggers an alarm in the event of predetermined deviations from stored basic data.
  • the invention thus provides for wireless data transmission at least for some of the patient measurement data, so that measurement data from a urinometer, an infusion system or an injection pump as well as body moisture measurement data are continuously recorded and transmitted to the computer device can.
  • the computer device can be connected to a hospital information system in a network, and, for example, a chief physician can query measurement data of certain patients at any time in order to enable additional checks and, if necessary, to provide changes in medication, etc.
  • the computer device can also be connected to infusion devices, injection pumps and the like via control lines in order to be able to regulate the amount of the infusion or injection liquid supplied; Infusion pumps etc.
  • test unit is assigned to the respective transmission channel with data transmitter and receiver, which triggers an alarm in the event of a malfunction in the transmission channel.
  • the test unit can advantageously be formed by the computer device itself.
  • An acoustic and visual alarm unit is preferably provided for the alarm output. Depending on requirements, only the acoustic or only the optical alarm unit can be switched on, or both alarm options can be provided.
  • An alarm can of course also be provided in rooms different from the sick room of the monitored patient, such as doctors 'rooms or nurses' rooms. It is also preferably provided to activate the alarm unit wirelessly, via radio.
  • the alarm unit can here be a portable alarm device that is provided in addition to a stationary alarm unit.
  • the logging unit can be a printer, a plotter, but also a non-volatile memory in a computer, in which the data are stored securely against a power failure, and from which they can be called up at a given time and output via a printer, etc.
  • a data logger can be a urinometer, a further data logger can be an infusion meter, and in the case of wound drainage, a data logger can also be a secretion meter or a drainage meter.
  • the urinometer it is advantageous if the urinometer has a measuring chamber with electrodes arranged one above the other on walls for level measurement on the basis of changes in capacitance or conductivity. It is also cheap if in Check valves are arranged in the inlet and outlet of the measuring chamber.
  • sensors and / or input units are provided for the acquisition of data relating to the administration of medication, infusion and / or injection.
  • the sensors or input units can also be assigned bar code readers, so that information relating to the respective preparation is automatically read in and also the required administration by the computer device is recorded and controlled if necessary.
  • a body temperature meter, a body moisture meter and, since the patient data also depend on the room parameters, a room temperature meter and a room humidity meter are expediently provided as data recorders.
  • the patients can also be provided with components that enable automatic identification, such as bracelets with a bar code or chips that enable electronic reading, and accordingly the computer device is also expediently provided with a patient identification unit, preferably with a bar code reader or an inductance chip reader , assigned.
  • Fig.l schematically the architecture of the present patient monitoring system
  • FIG. 2 shows a somewhat more detailed diagram of this patient monitoring system, illustrating individual components of the same in a type of block diagram
  • FIG. 3 shows a block diagram of a transmission channel with data transmitter and receiver
  • 5 schematically shows the structure of such a computer device, the I / O interface also being illustrated schematically; 6 shows a diagram of a data flow in the present system;
  • FIG. 8 shows a flowchart for medication testing as an example of the monitoring and control activity.
  • Fig.l the integration of computer-aided systems for patient monitoring in a hospital network is illustrated in a general scheme.
  • 1.1, 1.2. ... each denotes a unit with a device assigned to a patient with data recorders and a computer device, these units being explained in more detail below with reference to FIGS. 2 to 5.
  • a computer work station 2.1, 2.2 ... is connected to these units 1.1, 1.2 .... each via a serial interface, which in turn is connected to a network, e.g. a LAN network, to which other devices such as a separate computer 3, a computer 5 managing a database 4 and the general computer and information system 6 of a hospital can also be connected.
  • a network e.g. a LAN network
  • the number of the individual units should of course not be limited, and in particular a plurality of computers (PC's) 3 and databases 4 including associated computers 5 can be provided, apart from the fact that the combined units 1.1, 1.2 etc. generally for each patient exist once. Accordingly, these units 1.1, 1.2 etc. are provided as mobile units, for example on mobile racks (not shown in more detail), and instead of being connected to one workstation computer 2.1, 2.2 ... they can also be connected to several such workstation computers or station PCs.
  • PC's computers
  • databases 4 including associated computers 5 can be provided, apart from the fact that the combined units 1.1, 1.2 etc. generally for each patient exist once. Accordingly, these units 1.1, 1.2 etc. are provided as mobile units, for example on mobile racks (not shown in more detail), and instead of being connected to one workstation computer 2.1, 2.2 ... they can also be connected to several such workstation computers or station PCs.
  • FIG. 2 shows in more detail how such a unit 1 is assigned to a patient 7.
  • various data recorders of various types connected to the patient in any suitable, conventional manner (as will be explained in more detail below), further data recorders, recorders or input units for entering other data, which are important for patient monitoring with regard to fluid balance, and on the other hand one as a data collector, data monitoring and data comparison unit and computer device 8 functioning as a controller is provided.
  • a body moisture sensor 9 (input A of the computer device 8), a body temperature sensor 10 (input B), a secretion or drainage measuring device 11 (input C), a urinometer 12 (input D) and a core temperature sensor 13 (input E) are provided .
  • a room humidity sensor 14 and a room temperature sensor 15 are also provided (inputs F and G of the computer device 8).
  • various data recorders or input units for recording medication administrations etc. such as in particular a very schematically indicated input unit for medication administration (input X), an infusion meter 17 (input Y) and an injection detection unit 18 (input Z).
  • the various data, insofar as they relate to the states of the monitored patient 7, are continuously recorded and wirelessly transmitted to the computer device 8, as is schematically illustrated in FIG. 2 for the top data transmission channel at 19 (transmitter) and 20 (receiver).
  • This transmission range is schematically illustrated in more detail in FIG. 3, whereby it can be seen that the respective data receiver or measuring device, e.g. 9, etc., an amplifier 21 and an analog / digital converter 22 are connected before the wireless transmission using the transmitter 19 occurs.
  • the data are received by the receiver 20 and fed to the computing device 8 after amplification in an amplifier 23.
  • the wireless transmission can be implemented with conventional devices that are to be made as small as possible, such as miniature HF or IR transmitters and receivers, it being possible to use commercially available devices, so that a further description of this is unnecessary.
  • the respective data recorders i.e. sensors, measuring devices etc., which also use conventional components, such as in particular electronic thermometers, electronic moisture meters or liquid flow meters (flow meters) for measuring secretion or drainage and for measuring urine output.
  • the same applies to the humidity sensors as well as for example with Infusion pumps cooperating sensors for infusion volume measurement. If injections and / or medications are administered by doctors or nurses at certain times, these administrations can be entered into the computer device 8 by an input unit, for example a keyboard or better a scanner unit.
  • PCs with screens and printers can also be used as input units in the respective hospital room or in the intensive care unit, wherever the patient 7 is located.
  • reading devices such as bar code readers 27 in particular, can also be used to detect the respective medicament or the respective injection and / or infusion according to their type (designation) and with regard to the amount, time, etc. of administration.
  • the drug administration, the infusion administration and the injection administration can be controlled by the computer device 8 in the case of devices permanently attached to the patient 7, such as infusion catheters, injection pumps etc.
  • the connection between the computer device 8 and the units 16, 17 and 18 can be provided not only for data acquisition by the computer device 8, but also for the delivery of control signals to the corresponding administration units on the patient 7.
  • FIG. 2 shows the respective inputs (or inputs / outputs) in the block indicating the computer device 8 at A-G and X, Y and Z, and at 28 the actual data collection and control part of the computer device 8 is illustrated schematically.
  • the alarm unit 29 is shown in the drawing only as a single device, but it can also contain several units, such as stationary units in a hospital room and in a nurse's room, as well as mobile units which can be activated by radio, in order to alarm certain persons at any time in this way can.
  • FIG. 2 the acquisition of patient data is shown schematically in FIG. 2, this being a bracelet with a can act inductively readable inductance chip. Instead, however, a bracelet with a bar code can also be provided, which is read in by means of a bar code reader.
  • the data for patient identification are transmitted to computers 3 and 24, 25 and via a patient identification unit 33
  • this verification unit 34 can also be used to verify the identity of, for example, the PC 3 to operators logging on from one of the PCs 24, 25, 26, e.g. Doctor, nurse or programmer; For example, a verification with identification cards can be provided for these people.
  • the general structure of the computer device 8 is illustrated in more detail in FIG. 4 for better illustration of its various interfaces. It can be seen here that the actual computer unit of the computer device 8 is connected via a serial interface 35 for connection to the devices, sensors or data recorders and input units, which are simply combined here in a block 36. These external devices 36 can be automatically identified and registered in the system.
  • the computer device 8 has three interfaces to the network 37, namely a LAN interface 38, a USB (Universal Standard Bus) interface 39 and a serial interface 40.
  • the serial interface enables direct connection to a local PC, e.g. 24, 25, 26 in Figure 2;
  • the LAN interface 38 enables direct, fast access to the network (see also FIG. 1) and
  • the USB interface 39 enables a cascade-like interconnection of several computer devices 8 with a view to increasing the number of serial inputs / outputs and so on it should be necessary to increase the connection or measuring capacity for a problem patient.
  • the USB interface 39 can also serve as a direct interface for other medical measurement and diagnostic systems.
  • FIG. 5 shows the structure of the computer device 8 with the I / O interface 35 or 38, 39, 40 in more detail in a diagram shown.
  • the interface module of the computer device 8 is shown, from where in particular the various devices 36, as explained above, for example with reference to FIG. 2, are supplied.
  • a test unit 42 for data status control and connection status control is followed by a test unit 42 for data status control and connection status control.
  • the connections to the connected devices (36 in FIG. 4) are continuously checked in this test unit 42, and the status of the transmitted data is also checked for plausibility.
  • This test unit 42 can be firmware with which a plausibility check can also be carried out depending on the connected medical measuring and diagnostic system (not shown). In the context of the plausibility check, for example, a checksum check can be carried out (CRC check sum control).
  • the test unit 42 is followed by a data converter 43 and an intermediate memory 44, the latter serving the test unit 42 as a buffer memory.
  • the data converter 43 is a firmware module in which the different external data formats that are received are converted into a uniform internal data format.
  • the data converter 43 works closely with the buffer 44, and after the data formats have been converted or the uniform data formats have been reached, the data are transferred to a main memory 45 for storing the data for further processing.
  • a min / max comparison unit 46 the current data are compared with the highest and lowest previous data values.
  • a subsequent limit value monitoring unit 47 the data values are monitored with regard to the exceeding or falling below predetermined threshold values.
  • the threshold values can of course be set for the respective case, and different events can be triggered when these threshold values are undershot or exceeded, such as the triggering of an alarm (acoustically or optically), cf. the alarm unit 29 in FIG. 2, to which an AIar management module 48 is assigned in the computer device 8.
  • the data 6 are stored permanently.
  • a processing and interpretation unit 50 the data is filtered and processed in such a way that the corresponding values can be linked to common physical units, such as flow rate data in cm 3 / h, mg / h, heart rate l / s etc.. This is essentially a measurement conversion depending on the type of measurement data, but not a computer diagnosis.
  • the units 46, 47, 49 and 50 are connected via the internal bus system to a multiplexer 51 which stores the data of the individual connected devices or sensors e.g. divided into associated time slots in a time-division multiplex system and then forwarded to an output circuit 52 via the alarm management module 48 which, if appropriate, causes an alarm, in order to enable data transmission to other computers and to the hospital information system, as explained above.
  • a multiplexer 51 which stores the data of the individual connected devices or sensors e.g. divided into associated time slots in a time-division multiplex system and then forwarded to an output circuit 52 via the alarm management module 48 which, if appropriate, causes an alarm, in order to enable data transmission to other computers and to the hospital information system, as explained above.
  • a typical example of a data flow is shown schematically in a diagram in FIG. 6, it being illustrated that data from the respective external device or sensor, e.g. from a syringe pump 18, from an injector 18 'or from the urinometer 12, etc., to the computer device 8 acting as a data concentrator.
  • This data is accepted in a message generator (a software module) 53 and, after being processed and interpreted there, is forwarded to a message server 54.
  • the message server 54 is formed in particular by the computer 5 illustrated in FIG which the database 4 is connected.
  • the message server 54 can operate further computers, so-called message clients, as shown in FIG. 6 at 55, which are provided at the interface between the message server 54 and a specific application, in particular a PC 56.
  • the system described above enables automated on-line monitoring of the liquid balance of a Patients 7, whereby the fact that wireless data transmission is provided means that simple installation is also possible in intensive care units, where there are already a large number of devices and lines.
  • the data are recorded, transmitted, recorded, stored and managed, and they are available for a wide variety of evaluations and diagnoses, as well as for storing medical histories, etc.
  • External logging such as with printers (for example with the PC printer 58 of the PC 3 in FIG. 2), is also conceivable.
  • alarm signals can be emitted automatically when recorded data exceed or fall below certain limit values (see alarm unit 29 in FIG. 2), in order to prompt doctors or nurses to intervene immediately. It is also possible to save such alarm cases (stating the time).
  • personal cards with a time protocol can be provided for the identification of the medical personnel (see checking unit 34 in FIG. 2), whereby in connection with instructed medications (for example control of infusion pumps, drip devices etc.) in this unit the authorization for this and the Plausibility or correctness of the measures ordered can be checked.
  • instructed medications for example control of infusion pumps, drip devices etc.
  • This can electronically prevent medication from being mixed up, incorrect quantities and treatment details, inappropriate administration times and patient swapping.
  • the system with the external devices and the computer device 8 can be accommodated on a mobile frame, which can also be fixed in place, and with standard receptacles for common devices, such as pumps, infusion and drip systems, for easy assembly and disassembly can be provided without tools.
  • FIG. 7 schematically shows an exemplary embodiment of a urinometer 12 (see FIG. 2), which is particularly suitable for the present monitoring system because of the exact detection of the urine output that is possible with a space-saving, compact design. It is also possible to easily attach this urine measuring device to the intensive care bed with appropriate wireless data transmission.
  • a urine collecting container 60 which is flexible, in particular bag-shaped, and which is attached to the intensive care bed in a conventional manner.
  • a measuring chamber 61 is arranged upstream of this collecting container 60, this measuring chamber 61 being present in the position attached to the intensive care bed above the collecting container 60 in order to allow urine to flow into the collecting container 60 due to the force of gravity.
  • a magnetic valve 62 is arranged between the measuring chamber 61 and the collecting container 60 and is controlled by a control and transmission device 63 called a measuring node.
  • this measuring node 63 controls a further solenoid valve 65 arranged in the urine supply line 64 or at the entrance to the measuring chamber 61, in order to use the switching on and off of the solenoid valves 62, 65 to establish a temporal reference to that recorded in the measuring chamber 61 To be able to produce a quantity of urine or to empty the measuring chamber 61 before a measurement.
  • the measuring chamber 61 and the collecting bag 60 are designed as replaceable consumables, whereas the electronic components, in particular the measuring node 63, remain on the intensive care bed.
  • electrodes 66 are only attached to the inside on opposite walls in a manner indicated only schematically in FIG. 7, in order to enable them to measure the fill level in the measuring chamber 61 on the basis of the capacitor or conductivity principle.
  • the cross section of the measuring chamber 61 at the level of the respective electrodes 66 is of course known for this.
  • the power supply for the electrodes 66 (not shown in more detail in FIG. 7) is accomplished via the measuring node 63.
  • Conventional sensors for measuring the temperature and the pH value of the urine taken up can also be provided in the measuring chamber 61; these temperature and pH sensors as well as, if necessary further sensors, for example sodium, calcium or potassium sensors, can also be attached to a small circuit board 67, which is arranged inside the measuring chamber 61 (only shown schematically).
  • This circuit board 67 can already contain simple logic in order to make the measured data available in a suitable manner to the measuring node 63, so that this measuring node 63 can record and assign the data in an orderly manner and can temporarily store it.
  • the circuit board 67 can also contain a data buffer memory.
  • a further temperature sensor (not shown in more detail) can be located in the measuring node 63 in order to record the ambient temperature in the vicinity of the urine collecting bag 60.
  • the monitoring system can evaluate the data of the two temperature sensors in relation to the temperature of the patient, it being possible to draw conclusions about fluid losses due to evaporation or sweating.
  • the data to be transmitted wirelessly by the measuring node 63 can be transmitted to the computer device 8 (see FIG. 2) together with an unambiguous identification and possibly time information. It is also possible to transmit the data from the measuring chamber 61 to the measuring node 63 wirelessly, e.g. to be transmitted inductively, via radio or infrared, in the latter case the material for the measuring chamber 61 consists of an infrared-transparent plastic.
  • the measuring chamber 61 as well as the collecting bag 60, that is to say the two consumable components, from plastic, in particular in the form of half shells connected to one another by HF welding, so that the internal circuit board circuit 67 is attached simple way is made possible.
  • the consumable components 60, 61 can be made available inexpensively.
  • the circuit board 67 in the measuring chamber 61 can be encased in a plastic sheath which only leaves the measuring points where contact with the urine in the measuring chamber 61 is required, thus providing additional protection during insertion and WO 00/56205.
  • the circuit board 67 can contain an analog-to-digital converter as well as a microprocessor including clock generator and memory as well as processing logic which is equipped with a communication interface for signal processing. As a result, the liquid level in the measuring chamber 61 and the liquid supply are continuously monitored and made available for evaluation.
  • the processing logic processes the data supplied by the sensors, saves it in the prepared form in the data memory and holds it there for delivery via the communication interface.
  • the solenoid valves 62, 65 are controlled by appropriate programming in the measuring node 63. Based on the data transfer from the circuit board 67 via the communication interface, it is possible to open the solenoid valve 62 in good time for the drainage of urine into the collection bag 60 in order to empty the measuring chamber 61. During this process, the solenoid valve 65 provided in the inlet is briefly closed, and the complete emptying of the measuring chamber 61 is checked via the test bench sensors (electrodes 66), and if the corresponding positive message is received, the solenoid valve 62 for the outlet is closed and the solenoid valve 65 open soon.
  • a miniature camera 68 is also schematically illustrated in FIG. 7, the optics of which are directed into the interior of the measuring chamber 61 (see arrow in FIG. 7) in order to record the color of the urine.
  • Corresponding image processing software which in particular includes a color resolution, can then be used to enable conclusions to be drawn about the quality of the urine, for example possible blood components in the urine or the urine color par excellence for the assessment of the clinical picture of the respective patient can.
  • Figure 8 is finally an example of the different
  • Test and control functions of the computer device 8 illustrate a flow during a medication check in a flow chart.
  • data relating to identification of the intended medication and the patient are taken from a database, for example, in a step 71.
  • step 72 it is then checked whether the intended medication is actually intended for the patient mentioned, i.e. whether patient and medication match according to the identification data. If no, an error log is made at 73 and an error is output at 74 at the location of the administration unit, e.g. the syringe pump, which serves as a medication unit. If, on the other hand, the patient and the medication match, it is queried in a step 75 whether the medication has already been administered, in order to avoid inadmissible double medication.
  • the administration unit e.g. the syringe pump
  • step 76 If the medication has already been administered, error logging (block 73) and error output (block 74) are carried out again. However, if the specified medication has not yet been administered, it is finally checked in step 76 whether the medicament is administered in a timely manner. If no, a warning is logged according to block 77; thereafter, as in the event that the administration of the medication would be timely, the medication is delivered to the patient using the syringe pump according to block 78, i.e. the computer device (8 in FIG. 2) now controls the syringe pump (18 in FIG. 2) in order to deliver the medication to the patient 7. This medication process is ended at 79.
  • test sequences can be provided for other medications.
  • the present patient monitoring system enables not only checks for the intended medications and also for data transmission, but also a check of the measurement data, for example for plausibility and extrapolation with regard to the determination of expected data such as this has already been indicated above; Furthermore, it is also possible to use the computer device to determine 8 body status data and medication suggestions to support diagnosis and therapy. More specifically, for example, in the course of the fluid balance monitoring in a patient, based on the ongoing determination of the total amount of fluid dispensed by the patient and the fluid supplied to him, preliminary calculations can be carried out, and the pre-calculated values can be compared with the actual values determined thereafter. It is also conceivable to refrain from triggering an alarm if there are only slight deviations between the pre-calculated values and the measured values, within predetermined tolerances, whereas the alarm unit 29 is expediently activated in the event of larger deviations.
  • Such a pre-calculation of patient status data and the ongoing determination of probable upper and lower limit values as well as subsequently determined measurement values in connection with the mode of action of administered medication in predetermined control time intervals enables an immediate detection or display of deviations from target states, so that in As a result, any countermeasures or corrections to medication can be provided extremely quickly by a doctor, etc. already in the phase of the emergence of any problem states; this can be of vital importance for the respective patient. In this way, a wide variety of instabilities, fluctuations and deviations from the norm can also be recorded and logged, possibly in connection with an alarm.
  • the present monitoring device can be used to implement a prompt and reliable early warning system, for which it is important that, despite the large number of sensors or data recorders 9 to 18 required, all functions and parameters important to the body, also via the actual fluid balance, Surveillance beyond, can be recorded and processed. It is also possible to determine the actual active ingredients administered in the course of any medication To examine the effects on the patient, for example, by means of the urine measuring device 12 described above, with the explained possibilities of obtaining detailed information regarding the nature of the urine, an immediate determination of whether medications were apparently completely or partly uselessly excreted.
  • the administered medication is identified, for example using the bar code as described, and the corresponding active substance data are read out for checking from a database with a corresponding collection of data on the active substances of these medicaments.
  • active substances not only can active substances be checked for useless excretion, but it is also conceivable, based on the complex data obtained, with the possibility of checking them for correlations, to examine the active substances in several administered medications, in order to determine the correlations between different medications recognizable with the same active ingredients; it is then possible, for example, to record a total of targeted active ingredients and to display them to the treating doctor.

Abstract

L'invention concerne un système assisté par ordinateur pour surveiller un patient, ledit système comprenant des capteurs de données (9, 10, 11, 12, 13, 14, 15, 16, 17, 18) affectés au patient, et au moins un ordinateur (8). Un émetteur de données sans fil, qui transmet les données en ligne à un récepteur (20) associé à l'ordinateur est affecté à au moins quelques uns des capteurs de données conçus pour l'acquisition des données en continu. Plusieurs capteurs de données (9, 11, 12, 17, 18) sont prévus pour contrôler le bilan hydrique du patient, lesdits capteurs procédant à l'acquisition des données relatives à l'apport hydrique au patient (7) et à l'excrétion hydrique de ce dernier, et l'ordinateur (8) forme une unité de collecte, surveillance et comparaison de données qui déclenche une alarme en cas d'écarts prédéterminés par rapport à des données de base mémorisées.
EP00916694A 1999-03-24 2000-03-24 Systeme assiste par ordinateur pour surveiller un patient Withdrawn EP1162912A2 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
AT0055199A AT500492B1 (de) 1999-03-24 1999-03-24 Rechnerunterstütztes system zur patientenüberwachung
AT55199 1999-03-24
PCT/AT2000/000071 WO2000056205A2 (fr) 1999-03-24 2000-03-24 Systeme assiste par ordinateur pour surveiller un patient

Publications (1)

Publication Number Publication Date
EP1162912A2 true EP1162912A2 (fr) 2001-12-19

Family

ID=3493615

Family Applications (1)

Application Number Title Priority Date Filing Date
EP00916694A Withdrawn EP1162912A2 (fr) 1999-03-24 2000-03-24 Systeme assiste par ordinateur pour surveiller un patient

Country Status (4)

Country Link
EP (1) EP1162912A2 (fr)
AT (1) AT500492B1 (fr)
AU (1) AU3796800A (fr)
WO (1) WO2000056205A2 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102004012042B4 (de) * 2004-03-10 2008-04-10 Smiths Medical Deutschland Gmbh Patientenüberwachungsvorrichtung

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3829782A (en) * 1971-12-14 1974-08-13 Hewlett Packard Co Electrocardiograph telemetry system having circuitry for indicating inoperative conditions
US4532936A (en) * 1981-08-21 1985-08-06 Leveen Eric G Automatic urine flow meter
DE3932718A1 (de) * 1989-09-30 1991-04-18 Preussner Paul Rolf Dipl Phys Vorrichtung zum messung der fuellung der menschlichen harnblase
JPH06501858A (ja) * 1990-08-31 1994-03-03 ザ ジェネラル ホスピタル コーポレーション ポータブル患者モニター装置のためのネットワーク（回路網）
WO1996014813A1 (fr) * 1993-05-28 1996-05-23 C & M Investment Nominees Pty. Ltd. Systeme de gestion de l'incontinence
DE4338687C1 (de) * 1993-11-12 1995-07-06 Fresenius Ag Urinmeßgerät und Verfahren zum Ermitteln der Dichte von Urin
US5781442A (en) * 1995-05-15 1998-07-14 Alaris Medical Systems, Inc. System and method for collecting data and managing patient care
JP3083465B2 (ja) * 1995-09-06 2000-09-04 フクダ電子株式会社 患者情報解析管理システム及び方法
JPH10234851A (ja) * 1997-02-26 1998-09-08 Nitto Kinzoku Kogyo Kk 患者監視用カメラを備えた点滴台

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO0056205A2 *

Also Published As

Publication number Publication date
AT500492B1 (de) 2007-02-15
WO2000056205A2 (fr) 2000-09-28
AT500492A1 (de) 2006-01-15
WO2000056205A3 (fr) 2000-12-28
AU3796800A (en) 2000-10-09

Similar Documents

Publication Publication Date Title
EP2207582B1 (fr) Systeme et procede pour controler et reguler des taux de glycemie
EP1486218B1 (fr) Système de commande à distance et de surveillance d'un dispositif d'administration de médicaments
EP2055348B1 (fr) Dispositif de détermination d'un suivi thérapeutique pour le suivi d'un appareil médical pouvant être implanté
EP0960627A2 (fr) Dispositif de contrÔle et/ou de surveillance pour pompes de perfusion
DE3812584A1 (de) Vorrichtung zur biofeedbackkontrolle von koerperfunktionen
DE112007002787T5 (de) Intelligentes Bettsystem
DE10252359A1 (de) Interaktive medizinische Diagnosevorrichtung
DE19544294C2 (de) Medikationsüberwachungssystem sowie Verfahren zum Betrieb eines solchen
WO1998050873B1 (fr) Suivi des maladies par telemedecine
EP1788503A2 (fr) Dispositif et procédé destinés à la transmission de données à partir d'appareils médicaux mobiles
EP4192555A1 (fr) Applicateur nasal
DE102008064107A1 (de) Verfahren zur Aufnahme und Auswertung von auf den Zustand eines Patienten bezogenen Messwerten zur Konfiguration eines zur Aufnahme der Messwerte betriebenen, portablen und patientenseitig genutzten Gerätes sowie zugehörige Vorrichtung
WO2013079644A1 (fr) Système de télémédecine pour patients diabétiques
WO2000056205A2 (fr) Systeme assiste par ordinateur pour surveiller un patient
WO2005009231A1 (fr) Dispositif de controle de patients, en particulier de patients souffrant de diabete sucre
DE102020121044A1 (de) Nasenapplikator
AT414210B (de) Verfahren und anordnung zur erfassung von gesundheitsparametern
WO2007056991A2 (fr) Agenda electronique mobile pour la prise de medicaments
DE10207057A1 (de) Anordnung zur Überwachung, insbesondere von Patienten mit Diabetes mellitus
WO2003092770A1 (fr) Systeme de dosage pour perfusion programmable a distance
EP4023276A1 (fr) Applicateur nasal
EP2667765A1 (fr) Dispositif de contrôle de données en particulier relatives au diabète
DE10152781B4 (de) Sonde zur physiologischen Druckmessung im menschlichen oder tierischen Körper
DE202019101804U1 (de) Pflegebett mit einer Kommunikationseinheit
EP1852068A2 (fr) Méthode et dispositif de contrôle du niveau de glucose

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

17P Request for examination filed

Effective date: 20010924

AK Designated contracting states

Kind code of ref document: A2

Designated state(s): AT BE CH CY DE DK ES FI FR GB GR IE IT LI LU MC NL PT SE

AX Request for extension of the european patent

Free format text: AL;LT;LV;MK;RO;SI

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN

18D Application deemed to be withdrawn

Effective date: 20031001