EP1876943A2 - Dispositif et procede pour gerer, archiver et/ou evaluer des donnees de tension arterielle - Google Patents

Dispositif et procede pour gerer, archiver et/ou evaluer des donnees de tension arterielle

Info

Publication number
EP1876943A2
EP1876943A2 EP06723332A EP06723332A EP1876943A2 EP 1876943 A2 EP1876943 A2 EP 1876943A2 EP 06723332 A EP06723332 A EP 06723332A EP 06723332 A EP06723332 A EP 06723332A EP 1876943 A2 EP1876943 A2 EP 1876943A2
Authority
EP
European Patent Office
Prior art keywords
blood pressure
access
data
pressure data
patient
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Withdrawn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
EP06723332A
Other languages
German (de)
English (en)
Inventor
Fred Schnak
Gerrit Rönneberg
Stefan Hollinger
Brigitte Harttmann
Dirk Freund
Ulrich Heck
Dieter Wunder
Martin Giersiepen
Paul Wieneke
Frank Kressmann
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.)
Kaz Europe SA
Original Assignee
Kaz Europe SA
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 Kaz Europe SA filed Critical Kaz Europe SA
Publication of EP1876943A2 publication Critical patent/EP1876943A2/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, 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
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • the present invention relates to a device for managing, archiving and / or evaluating blood pressure data of a plurality of patients determined by blood pressure measuring devices, having a central data server in which the blood pressure data are stored in a patient-specific manner, wherein the data server has an individual storage space for the blood pressure data of each patient and a network connection, by means of which data from various network terminals can be entered into the respective storage space and read from the respective storage space, and also with an access control device for controlling the access to the storage spaces, wherein the access control device transmits an access code transmitted during an access attempt with one for the respective one Storage space individual access code compares.
  • the invention further relates to a method for the management, archiving and / or evaluation of blood pressure data of a plurality of patients, in which by means of various sphygmomanometers certain blood pressure data of different patients transmitted by remote data transmission from network terminals to a central data server and stored there in patient-specific memory locations, with a Access to the stored blood pressure data of a particular patient is queried by an access control device connected to the data server at the respective access attempt and an access code is compared with an individual access code for each storage location.
  • WO 01/93756 A2 shows a telemonitoring system in which corresponding patient data are recorded on the patient by means of an ECG device and are initially stored on a smart card in the EKG device. In due time, the data is read from the smart card by means of a card reader and transmitted by remote data transmission to a central monitoring station where it can be displayed, analyzed and managed for medical diagnosis.
  • DE 202 14 189 U1 describes a device for the mobile measurement and transmission of body function values, in which the corresponding measuring device has a wireless interface for transmitting the measured body function values to a mobile telephone, which in turn transmits these data via the mobile radio network to a central evaluation station.
  • Such systems which centrally manage patient data, can help eliminate duplication of effort by performing multiple exams on multiple diagnoses, as data from multiple exams can be aggregated and delivered multiple times.
  • high-quality analysis tools for data analysis and diagnostic support can be used which would be worthwhile and too expensive for individual users. Nevertheless, such systems can be further improved, in particular with regard to the access to the database and the functions offered by the central data server.
  • the present invention is therefore based on the object to provide an improved apparatus and an improved method of the type mentioned, avoided in the disadvantages of the prior art and the latter is further developed in an advantageous manner.
  • an improvement of the access to the data and the functions offered by the central data server functions should be achieved.
  • each sphygmomanometer carries a unique serial number, which is also maintained in the production archives and thus can be provided, for example, by connecting the production archives to the central data server.
  • Each patient can therefore address the central data server individually from any network terminal, identify himself with the serial number of his device and query, network or personalize his "memory area.”
  • a patient-specific password for the respective patient
  • such a patient-specific password can also be programmed via the individual device identifier. on code.
  • individual patient passwords can form subpasswords, so to speak, to which only partial areas of the respective memory location are assigned. In this way, it is easily possible to assign individual memory sub-stations to several users of a sphygmomanometer, for example within a family.
  • the patient-specific password can also be programmed instead of the individual device identification code. In this case, the individual device identification code merely constitutes the pre-set access control, which can be changed after the first call.
  • a particular advantage of the access control over the individual device identification code of the respective sphygmomanometer is that the respective memory location of the data server or the associated function blocks can already be pre-set correctly, in particular adapted to the data format of the respective sphygmomanometer.
  • the data server On the basis of the individual device identification code, the data server already knows which type of sphygmomanometer will come from the later recorded data and thus which data volume and which data format is transmitted by the respective patient. This considerably simplifies the setup of the data server, but also of the individual storage space.
  • the access code for the respective storage location in the central data server can contain a chip card identification code of the respective chip card with which the blood pressure measuring device of the respective patient can be equipped.
  • This smart card identification code may be the aforementioned individual device identification code.
  • the chip card identification code can be queried or kept available as a subcode in order to split the access to the respective storage location on a chip card-specific basis.
  • blood pressure monitors are used by several patients, for example within a household, with each patient using "his" chip in the device when using the measuring device, thereby making it possible to ensure easy access for the individual patient.
  • the central data server can basically serve different functions. Basically, archiving and administration of the respective blood pressure data can be provided on the central data server so that, if necessary, earlier measurement data can be queried at a considerably later point in time.
  • the data server can also perform an evaluation of the data with appropriate evaluation and analysis tools - A -
  • a charging device is provided which, depending on the accesses to the evaluation device and / or evaluations provided therefrom, reduces a charge memory allocated to the respective storage location.
  • the centrally available evaluation unit can be accessed singularly, whereby only a relatively small balance is charged for each access. Billing does not have to be limited to the evaluation unit or the evaluations provided by it. Possibly. can also be subjected to access to the archived blood pressure data even the billing.
  • the fee memory can be kept at various points in the system.
  • the fee storage is provided on a chip card, with which the blood pressure monitor for determining the blood pressure data of the respective patient can be equipped.
  • the charging device communicates via a chip card reading / writing device when accessing the central data server with the chip card and thereby lowers the fee memory accordingly.
  • an identification or assignment of the fee memory to the respective storage space on the data server is unnecessary.
  • the chip card serves as a prepaid card, so to speak, as long as the central data server can be accessed, as a credit is available. Of course, the credit on the fee storage may be charged.
  • the fee storage can also be kept ready at the central data server and / or at the charging device and / or an associated data storage.
  • the fee memory may be provided with an identification code containing a device identification code of the sphygmomanometer of the respective patient and / or a smart card code of a smart card with which the sphygmomanometer of each patient can be equipped.
  • the charging device identifies the respective charging memory on the basis of the device identification or smart card code sent upon access to the central data server.
  • the data transmission from the sphygmomanometer to the central data server can basically be done in different ways. In principle, it would be conceivable to enter the measured data by hand into the network terminal and to transfer it from this to the central data server. For example, the user can transmit the memory data read out on the sphygmomanometer and measurement times to the central data server.
  • the data acquired by the sphygmomanometer are read by a reading device from the sphygmomanometer, in particular the data stored on a chip card of the sphygmomanometer are read out by means of a chip card reader and then transmitted to the central data server.
  • the chip card reader is advantageously designed such that it automatically reads out a chip card identification code and / or makes it available on demand.
  • the reader can be connected to the network terminal and / or possibly communicate with it wirelessly via a suitable interface.
  • the blood pressure data sets thus transmitted to the central data server are archived there and can be read out at any time worldwide, in particular via an Internet terminal.
  • Various evaluations and analyzes can be carried out on the data server and corresponding evaluation and analysis data can be made available.
  • an evaluation of the stored blood pressure data in the memory locations of the central data server with respect to their time course.
  • trend analyzes can be carried out at specific measuring times and corresponding trend data can be provided in particular graphically. For example, a tracking of the morning measurements can be done over a month period.
  • the blood pressure data analysis on the central data server may comprise a determination of the mean values and standard deviations of all blood pressure data of a specific period from a specific memory location, ie a specific patient.
  • daily profiles of pressure values of a patient from the stored blood pressure data can be calculated with corresponding evaluation means.
  • the system may include a data locking device, with the help of which a user can lock certain data.
  • the blocking device can preferably be activated by code and / or password protection.
  • the access control device may include a master access by means of which data from different memory locations can be accessed.
  • this master access can be unlocked by a master code and / or a master password.
  • FIG. 1 shows a schematic representation of a device for the administration, archiving and evaluation of blood pressure data on a central data server according to a preferred embodiment of the invention.
  • the blood pressure is first measured over a relatively long period of time over a relatively long period of time by a respective patient 2 in a plurality of measuring cycles, the corresponding blood pressure data initially being stored in the memory of the sphygmomanometer 1.
  • the sphygmomanometer 1 advantageously comprises a chip card 3 in the form of a memory card or a smart card, which provides sufficient storage space and can be used as an extension into the sphygmomanometer 1.
  • Said chip card 3 can be taken from the sphygmomanometer 1 and read out by a smart card reader / writer 4.
  • a chip card-specific chip card identification code is also simultaneously read out with the aid of which the blood pressure data record is identified as it were.
  • the chip card reading / writing device 4 can communicate via a suitable interface with an Internet terminal 5 in the form of a PC, by means of which the data read out from the chip card 3 can be transferred to the central data server 6.
  • a corresponding storage space 7 is provided for the respective patient 2, which can be determined by means of the chip card identification code.
  • the access to the respective storage space controls the access control device 8 connected to the central data server 6, which compares the access code transmitted by the Internet terminal 5 with the access code stored for the respective storage space 7, in particular the chip card identification code.
  • the chip card identification code counter-read by the access control device 8 need not be stored in the central data server 6 itself, but may be stored, for example, in a manufacturer archive 9 connectable to the data server 6. In this can be associated with the respective chip card identification code further setup data and control parameters that are specific to the respective sphygmomanometer 1.
  • the blood pressure data recorded in the respective memory location 7 can be evaluated and analyzed by an evaluation unit 10. Corresponding evaluations and analysis data are then stored by the evaluation unit 10 in the respective memory location 7 or an associated evaluation data memory so that they can be queried by the Internet terminal 5 in a corresponding manner for identification via the access control device 8.
  • the query of the evaluations can be chargeable.
  • the access control device 8 may have a charging device 11 which, on each access to the evaluations, lowers a charge memory in a corresponding manner, which may be part of the memory location 7 or may be associated therewith.
  • the charge storage may be suitably rechargeable. For example, when purchasing a new sphygmomanometer, a corresponding starting credit can be stored thereon, which can be recharged by means of corresponding deposits with the operator of the central data server 6.
  • the electronic archiving, evaluation and visualization of blood pressure data is of considerable benefit to the patient. It can be achieved a significantly greater storage depth than with a hand-held blood pressure pass.
  • the data evaluation which is done centrally by the central data server 6, becomes a service that only generates costs when it is actually used. On expensive evaluation tools for the respective It can be dispensed with.
  • the data analysis is always up to date and can be maintained centrally. Despite the lack of its own evaluation software or installation on the respective Internet terminal 5 whose printing device can be used to print the evaluations by the patient 2 itself.
  • the possibility of communication with the respective doctor's practice or the caregivers is considerably facilitated.
  • no special hardware and software need to be kept available.
  • the blood pressure device also does not need to be brought to the doctor.
  • the accessibility for the physician on the central data server 6 provides the security of a continuous therapy monitoring, without the patient would have to appear continuously in the doctor's office.
  • the central evaluation unit 10 also allows the use of complex and therefore high-quality evaluation programs, whereby a better quality interpretation of the data and derivation of therapeutic measures is possible.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Storage Device Security (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)

Abstract

L'invention concerne un dispositif pour gérer, archiver et/ou évaluer des données de tension artérielle d'une pluralité de patients. Des données de tension artérielle de différents patients, déterminées par différents tensiomètres, peuvent être transmises par télétransmission de données de terminaux d'un réseau à un serveur de données central où elles sont mémorisées dans des emplacements de mémoire spécifiques à chaque patient. Lors d'une tentative d'accès au serveur de données, un code d'accès est demandé par un dispositif de commande d'accès et comparé à un code d'accès spécifique à chaque emplacement de mémoire. Un code d'identification du tensiomètre et/ou un code d'identification d'une carte à puce insérée dans ce dernier sont utilisés comme code d'accès. A chaque accès aux données mises à disposition, un dispositif de facturation permet de décrémenter automatiquement une mémoire de taxation prévue pour chaque emplacement de mémoire.
EP06723332A 2005-04-28 2006-03-10 Dispositif et procede pour gerer, archiver et/ou evaluer des donnees de tension arterielle Withdrawn EP1876943A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102005019750A DE102005019750A1 (de) 2005-04-28 2005-04-28 Vorrichtung und Verfahren zur Verwaltung, Archivierung und/oder Auswertung von Blutdruckdaten
PCT/EP2006/002202 WO2006114156A2 (fr) 2005-04-28 2006-03-10 Dispositif et procede pour gerer, archiver et/ou evaluer des donnees de tension arterielle

Publications (1)

Publication Number Publication Date
EP1876943A2 true EP1876943A2 (fr) 2008-01-16

Family

ID=36643431

Family Applications (1)

Application Number Title Priority Date Filing Date
EP06723332A Withdrawn EP1876943A2 (fr) 2005-04-28 2006-03-10 Dispositif et procede pour gerer, archiver et/ou evaluer des donnees de tension arterielle

Country Status (7)

Country Link
US (1) US20090143687A1 (fr)
EP (1) EP1876943A2 (fr)
JP (1) JP2008539481A (fr)
CN (1) CN101184432B (fr)
CA (1) CA2607735A1 (fr)
DE (1) DE102005019750A1 (fr)
WO (1) WO2006114156A2 (fr)

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Also Published As

Publication number Publication date
CA2607735A1 (fr) 2006-11-02
US20090143687A1 (en) 2009-06-04
JP2008539481A (ja) 2008-11-13
WO2006114156A2 (fr) 2006-11-02
DE102005019750A1 (de) 2006-11-09
WO2006114156A3 (fr) 2007-10-04
CN101184432A (zh) 2008-05-21
CN101184432B (zh) 2010-10-13

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Inventor name: KRESSMANN, FRANK

Inventor name: SCHNAK, FRED

Inventor name: ROENNEBERG, GERRIT

Inventor name: HOLLINGER, STEFAN

Inventor name: HARTTMANN, BRIGITTE

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Inventor name: WIENEKE, PAUL

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Inventor name: ROENNEBERG, GERRIT

Inventor name: HOLLINGER, STEFAN

Inventor name: HARTTMANN, BRIGITTE

Inventor name: FREUND, DIRK

Inventor name: HECK, ULRICH

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