JP2002291706A - Wearable computer, program for wearable computer, and medical diagnostic system utilizing wearable computer - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable a patient to whom the going to a hospital is large distress and burden to have an examination or a consultation of a nearly equal level to an examination or a consultation performed in the hospital, with the patient in his residence. SOLUTION: In this system, an examining person wearing a wearable computer 10 visits the patient's residence (B) and detects blood pressure, a pulse, body temperature or the like of the patient. The examining person transmits detection data to a computer 2 of the hospital (A) via a nearest base station 4, a cellphone network 5 and an ISDN telephone network 6 by use of a cellphone function of the wearable computer 10. In the hospital (A), a doctor performs the consultation on the basis of the detection data by the computer 2, gives advice on appropriate treatment to the examining person, and transmits prescription data. The prescription data are transmitted to a computer 3 of a prescription pharmacy (C), and medicine is delivered to the patient's residence (B) by a procedure of a druggist.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a wearable computer which can be worn and operated on a human body like clothes and used in the medical field.

[0002]

2. Description of the Related Art Conventionally, a sick or injured patient has been treated for sickness or injury by going to a hospital or a doctor visiting a patient's home for an inquiry.

[0003]

However, for the elderly, the physically handicapped, the severely ill patients, etc. who need nursing care, going to the hospital was accompanied by great pain and burden. In some cases, a doctor visits a patient's home and asks an inquiry. However, it has been difficult to secure the number of visits at a satisfactory level due to various restrictions such as distance and time.

Accordingly, the present invention has been made in view of the above-mentioned circumstances, and a patient who suffers a great deal of pain and burden from going to a hospital is required to perform an examination or consultation at the same level as an examination or consultation received at a hospital while staying at the patient's house. It is intended to be able to receive.

[0005]

SUMMARY OF THE INVENTION The invention according to claim 1 of the present invention is directed to a wearable computer which can be worn on a human body like clothes, operated and used, and the blood pressure of the human body,
A wearable computer including a detection unit capable of detecting at least one data of a pulse or a body temperature.

The invention according to claim 2 is the wearable computer according to claim 1, wherein the detecting means has a blood test function for collecting blood from a human body for testing.

According to a third aspect of the present invention, there is provided the wearable computer according to the first or second aspect, further comprising a communication unit capable of performing data communication with another computer. is there.

The invention according to claim 4 is the wearable computer according to claim 3, wherein the communication means can perform data communication by a data transmission function of a portable telephone.

According to a fifth aspect of the present invention, there is provided a program for a wearable computer, which is read by the wearable computer according to any one of the first to fourth aspects to cause the wearable computer to execute various processes. The display of the wearable computer displays at least one of a question about a patient's condition, information for guiding treatment of the patient, information on a prescription for the patient, or information on a consultation manual for the patient. A program for a wearable computer, which has a display function for causing the program to be executed.

[0010] Here, the "program" means an ordered sequence of instructions suitable for processing by a computer, such as a program installed on an HDD or a CD-RW of a computer, or a CD-ROM. , DVD,
Also included are those recorded on various recording media such as FDs and HDDs of computers.

According to a sixth aspect of the present invention, there is provided the wearable computer according to any one of the first to fourth aspects, and another computer communicable with the wearable computer using a communication network. This is a medical diagnostic system using a wearable computer, which is provided.

The invention according to claim 7 is the wearable computer according to claim 6, wherein a database for managing patient chart data is constructed on the hard disk of the other computer. This is a medical diagnostic system using

[0013]

FIG. 1 shows the overall configuration of a medical examination system 1 according to one embodiment of the present invention. This medical examination system 1 is installed in a hospital (A), a computer 2 for performing a remote examination, and an inspector who visits a patient (B) in a patient home (B) and examines the condition of the patient (B). (Hei) consists of a wearable computer 10 to be mounted. That is, the medical diagnosis system 1 is a medical diagnosis system using the wearable computer 10.

Further, the wearable computer 10 includes:
The mobile phone network 5 and ISDN (Integrated Service) are connected via the nearest base station (here, the base station 4).
ces Digital Network) and can be connected to the computer 2 of the hospital (A).

Further, by expanding the medical diagnosis system 1, a computer 3 installed in the dispensing pharmacy (B) can be included. The computer 3 can communicate with the computer 2 of the hospital (A) using the ISDN telephone network 6 and wearable computer using the ISDN telephone network 6, the mobile telephone network 5 and the base station 4. 10 can communicate with each other. still,
The computer 3 manages prescription data (sd) and the like, and is used by a pharmacist (cho).

FIG. 2 shows a main configuration of the computers 2 and 3. The computers 2 and 3 have a memory (main memory) 11 that forms an area for temporarily storing various data, a communication interface 12 that controls data transmission with the ISDN telephone network 6, and writes and reads various data. HDD (Hard Disk Drive)
e) 13, a monitor 14, an input unit 15, an output unit 16, and a CPU (C) for controlling the operations of the above units 11 to 16
The control unit 17 is composed of a central processing unit (entral processing unit). HDD1
On the HD 3 (hard disk), a patient chart DB (data base) 41 for recording and managing the chart data of each patient is constructed. Further, the H of the HDD 13
A program for executing processing (steps) described below is installed in D.

Here, the monitor 14 and the input unit 1 shown in FIG.
5 and the output unit 16 will be described in more detail with reference to a usage image diagram shown in FIG.

The monitor 14 is a CRT (Cathode-
ray Tube: CRT or LCD (Liquid)
d Crystal Display: liquid crystal display). The doctor (A) operates the computer 2 while wearing the headphones 31.

The headphone 31 is provided with a microphone 32 as the input unit 15 and a speaker 33 as the output unit 16. The input unit 15 also includes a keyboard 34 of the computer 2.

FIG. 4 shows a main configuration of the wearable computer 10. The wearable computer 10 includes an HMD (Hea) including a wearable presentation unit 21, a video information input unit 22, a sound information input unit 23, and a visual line input unit 24.
d Mount Display) 7, a recording unit 25,
A wearable computer main body (hereinafter, referred to as “main body”) including a reproducing unit 26, a transmitting / receiving unit 27, and an operation input unit 28
8 and a detection device 9. Each part 2
The operations of the units 1 to 28 are controlled by a control unit 29 including a CPU provided in a main body 82. Further, a program for executing a process (step) described later is installed in the recording unit 25. In addition, HMD7 is
It may also be called FMD (Face Mount Display).

Here, the HMD 7, the main body 8, the detection device 9 and the respective units 21 to 29 shown in FIG. 3 will be described in more detail with reference to a use image diagram shown in FIG.

The HMD 7 can be mounted on the head of the inspector (C) as shown in FIG. This HMD
7 is provided so as to block the field of view of the inspector (He) when the inspector (He) wears the HMD7, and includes a display 35 for displaying visual information such as characters, maps, and videos. , Not shown. The speaker is provided inside the HMD 7. When the examiner (Hei) wears the HMD 7, the speaker is located near the ear of the examiner (B).

The video information input section 22 of the HMD 7 shown in FIG. 4 is for inputting the facial expression of the patient (B) and video information of the outside world. As shown in FIG. 5, the video information input unit 22 includes a CCD provided in a frame 36 of the HMD 7.
And the like. The small camera 37 can capture a still image or a moving image. However, in the case of a moving image, a large-capacity frame memory is required to store a moving image to be inspected. However, having a large frame memory leads to an increase in power consumption. Therefore, in order to reduce power consumption, it is also possible to use a still image captured at a speed of one sheet per 10 seconds in addition to a moving image.

Further, the sound information input section 23 of the HMD 7 shown in FIG. 4 is for inputting the voices of the patient (B) and the examiner (C) and the sound information of the outside world. As shown in FIG. 5, the sound information input unit 23 includes a headset microphone 38.
It is.

Further, the line-of-sight input unit 24 of the HMD 7 shown in FIG. 4 detects the line of sight of the inspector (C) and performs input in a hands-free state. This gaze input unit 24
Is provided on the display 35 shown in FIG.
As disclosed in Japanese Patent Application Laid-Open No. 1-274736, a function of detecting the line of sight of the inspector (Hei) and automatically determining the input intention of the inspector (Hei) is provided.

Next, as shown in FIG. 4, the main body 8 can be mounted on the abdomen of the examiner (C). The recording unit 25 of the main body 8 shown in FIG. 4 stores a recording medium (for example, D or D) that stores visual information such as characters, maps, and videos presented by the wearable presentation unit 21 and auditory information such as music and voice.
This is for inserting a storage medium such as video or music such as a VD or a CD-ROM. Further, in the case where the inspector (C) is a doctor or a nurse, the recording unit 25 records and manages the data of a consultation manual for reference when examining the patient (B).
And a medicine DB 43 for recording and managing data of a plurality of types of medicines, and a medical history DB 44 for recording and managing data on the medical history of the patient (Otsu). Further, the recording unit 2
5, a dispensing pharmacy DB 45 for recording and managing data (address, telephone number, e-mail address, etc.) relating to the dispensing pharmacy (C) is constructed. Also, the reproducing unit 26 reads information (or data) from the recording medium set in the storage unit 25.
Is for playing.

Further, the transmitting / receiving section 27 of the main body 8 has the same function as a portable telephone capable of transmitting / receiving data.
It should be noted that a PH capable of transmitting and receiving data is not limited to a mobile phone.
S (Personal Handy-phone Sy
stem) It may have the same function as a telephone.

The operation input unit 28 of the main body 8 shown in FIG.
Is for the inspector (Hei) to operate and input by himself. The operation input unit 28 is provided at a lower part of the main body 8 as shown in FIG. 5, and is constituted by a plurality of operation buttons 39.

Next, the detecting device 9 shown in FIG. 4 is for detecting the blood pressure, pulse or body temperature of the patient (B), or for collecting and examining the blood. Therefore, the detection device 9
Comprises a blood pressure sensor for detecting blood pressure, a pulse sensor for detecting a pulse, a body temperature sensor for measuring a body temperature, and a blood test apparatus for collecting and testing blood. As shown in FIG. 4, the detecting device 9 detects blood pressure, pulse or body temperature, and collects blood by the examiner (Hei) holding the hand and making contact with a predetermined part of the patient (Otsu). And can be inspected. Also, the HMD 7 and the detection device 9
Are electrically connected to the main body 8 by connection cables 18 and 19, respectively, as shown in FIGS.

Next, the operation and processing of the medical examination system 1 according to the present embodiment will be described with reference to FIGS. FIG. 6 is a flowchart showing each operation or process in the system 1. FIG. 7 shows the hospital (A)
FIG. 5 is a diagram showing a screen displayed on a monitor 14 of the computer 2 of FIG. 8 to 10 are diagrams showing screens displayed on the display 35 of the HMD 7 shown in FIG.
In the following, a case where the inspector (C) is not a doctor or a nurse will be described.

First, the examiner (C) visits the patient's house (B) to capture an image of the patient (B) (step S1). The image of the patient (B) is an image taken by the examiner (C) with the small camera 34 of the HMD 7 shown in FIG. The examiner (Hei) performs various tests on the patient (Otsu) and acquires vital information (step S2). For example, vital information can be acquired by detecting the blood pressure, pulse, or body temperature of the patient (B) by the detection device 9 shown in FIG. When the detector (C) is a doctor or a nurse, blood can be collected and a blood test can be performed.

Next, in the wearable computer 10, the transmission / reception unit 27 sends the information to the computer 2 of the hospital (A).
The image of the patient (Otsu) obtained in step S1 and the vital information obtained in step S2 are transmitted (step S2).
3). This transmission method is the same as the data transmission method of the mobile phone. That is, as shown in FIG. 1, the hospital (A) uses the nearest base station 4, the mobile telephone network 5 and the ISDN telephone network 6 from the wearable computer 10 (transmitting / receiving unit 27).
Of the patient (A) and vital information to the computer 2.

Next, in the computer 2 of the hospital (A),
The control unit 17 analyzes the received vital information based on the patient chart data recorded in the patient chart DB 41 of the HDD 13 (step S4). The analysis result is displayed on the monitor 1 as a [patient condition, vital information] screen 50 as shown in FIG.
4 is displayed. The [patient's condition, vital information] screen 50 includes a patient name 51 at the top of the screen, a video 52 of the patient (B) at the left of the screen, vital information 54 at the top right of the screen, and a past medical history 54 at the bottom right of the screen. Is displayed. Therefore, the doctor (A) transmits and receives character data, voice data, and image data between the computer 2 and the wearable computer 10 while looking at the [patient's condition, vital information] screen 50, so that a real-time inquiry can be performed. Perform (Step S5). Specifically, as shown in FIG.
[Patient's condition, vital information] screen 5 displayed on monitor 14 by doctor (A) wearing headphones 31 on his / her head
By making a question or the like to the examiner (Hei) using the microphone 32 or the keyboard 34 while looking at 0, it is possible to make an inquiry in real time.

Here, the question to the inspector (Hei) is, as shown in FIG. 8, the HMD 7 worn by the inspector (Hei).
Is displayed by displaying a [concept question] screen 60 on the display 35 of FIG. On the [Concept Question] screen 60, a patient name 61 is displayed at the top of the screen, a video 62 which is the same as the video 52 of the patient (B) transmitted to the computer 2 at the left of the screen, and a plurality of questions 63 are displayed at the right of the screen. ing. Thus, the examiner (Hei) asks the patient (Otsu), ascertains the condition of the patient (Otsu) while referring to the question item 63, and uses the wearable computer 10 to make a doctor at the hospital (A). (A) is answered (step S6). Specifically, FIG.
The question items are answered by voice input by the microphone 38, operation input by the operation button 39, or line-of-sight input by the line-of-sight input unit 24 shown in FIG.

Next, in the hospital (A), the answer sent by the doctor (A), the vital information, and the patient (O)
A medical condition is determined based on the image of the condition (step S7). Then, the doctor (A) uses the computer 2 to instruct the inspector (C) on specific processing (step S8), creates a prescription, and prepares the prescription data (s).
d) is transmitted (step S9). Specifically, as shown in FIG. 3, the doctor (A) wears the headphones 31 on his / her head and examines using the microphone 32 or the keyboard 34 while referring to the answer from the examiner (He). To give treatment guidance to the person (Hei) and transmit the prescription data (sd). Thereby, the [treatment guidance, prescription] screen 70 shown in FIG. 9 is displayed on the display 35 of the HMD 7 worn by the inspector (C). This [treatment guidance, prescription] screen 7
0, the patient name 71 at the top of the screen, the same image 72 as the image 52 of the patient (B) transmitted to the computer 2 at the left part of the screen,
A treatment instruction 73 indicating a specific treatment is displayed in the upper right part of the screen, and prescription information 74 is displayed in the lower right part of the screen.

Next, the inspector (Hei) checks the display 35
In addition to performing the treatment based on the treatment instruction 73 displayed in the storage unit 25, the dispensing pharmacy (C) designated by the patient (Otsu) in advance is searched from the dispensing pharmacy DB of the recording unit 25, and the dispensing pharmacy (C) is retrieved from the wearable computer 2. ) Computer 3
The prescription data (sd) is transmitted to (step S1)
0). Specifically, the dispensing pharmacy (C) is input by a voice input by the microphone 38 shown in FIG. 5, an operation input by the operation button 39, or a gaze input by the gaze input unit 24 shown in FIG.
Is detected and the wearable computer 2 (transmitter / receiver 2
7), the prescription data (sd) is stored in the computer 3 using the base station 4, the mobile telephone network 5 and the ISDN telephone network 6.
Send to

Next, at the dispensing pharmacy (C), the examiner (C)
Is printed out (step S11). Then, dispensing or medicine is selected based on the prescription, and the medicine is delivered to the patient's home (B) (step S12). In addition, patient (Otsu) or inspector (Hei)
However, you may go to the dispensing pharmacy (C) to get the medicine.

As described above, according to the medical examination system 1 according to the present embodiment, the wearable computer 10 is provided with the detection device 9 capable of detecting data such as blood pressure, pulse, or body temperature of the human body. Even if the examiner (Hei) is not a doctor or a nurse, the same examination can be performed as a doctor or a nurse. In (A), it is possible to receive the same test as the test received by the doctor (A).

Also, the wearable computer 10 transmits the image of the patient (Otsu) and the examination data to the computer 2 of the hospital (A) using the mobile phone function, and the doctor (A).
By performing the treatment in accordance with the instructions of,
While at the patient's home (B), it is possible to receive the same level of consultation as a doctor (A) at the hospital (A).

In the above embodiment, the case where the inspector (C) is not a doctor or a nurse has been described, but may be a doctor or a nurse. In this case, in step S6 shown in FIG. 6, the inspector (He) performs a simple medical examination. Specifically, desired data is read out from each of the medical examination manual DB 42, the medicine DB 43, and the medical history DB 44 of the recording unit 25, and the [medical examination manual] screen 80 shown in FIG. On this [consultation manual] screen 80, a patient name 81 is displayed on the upper part of the screen, an index display field 82 is displayed on the lower left part of the screen, an examination method display field 83 is displayed on the lower part of the screen, and an administration medicine display field 84 is displayed on the lower right part of the screen. I have.

Therefore, the inspector (Hei) uses the index 82
Is moved and the name of the part to be examined and the name of the disease are selected, the diagnostic method is displayed in the diagnostic method display column 83, and a photograph 86 of the medical condition / illness used in the medical examination is displayed. As a result, the examiner (Hei) can change the patient (Otsu)
By comparing the actual affected area (part) with the photograph 86, an accurate medical examination can be performed. By selecting a site name and a disease name in the index display field 82, a specific administered drug is also displayed in the administered drug display field 84. In the administered drug display column 84, the efficacy, usage, dosage, side effects, and the like of the drug that are referred to when the examiner (C) prepares a prescription are displayed. The display of the [medical consultation manual] screen 80 is performed by the image display control of the control unit 29. The selection of the site name and the disease name in the index display column 82 is performed by voice input using the microphone 38 shown in FIG.
This is performed by an operation input by the operation button 39, a line-of-sight input by the line-of-sight input unit 24 shown in FIG.

As described above, by displaying the medical examination manual on the display 35, even if the examiner (Hei) is a doctor or a nurse, more accurate medical examination can be performed by giving information to assist the medical examination. Can be. This is particularly effective when the doctor or nurse who is the inspector (Hei) is a newcomer and unfamiliar.

In the above embodiment, the prescription data created in step S9 is transmitted to the wearable computer 10. However, the present invention is not limited to this, and the prescription data may be directly transmitted to the computer 3 of the dispensing pharmacy (C). It may be.

[0044]

As described above, according to the wearable computer of the first aspect, the provision of the detecting means capable of detecting at least one data of the blood pressure, the pulse, or the body temperature of the human body provides a great hospital visit. Patients who are in pain and burden can undergo tests comparable to those received at hospitals while staying at the patient's home.

In particular, according to the wearable computer according to the third aspect, the data detected by the detection means can be transmitted to another computer by the communication means, and the doctor or nurse remotely examines the patient. Therefore, a patient who goes to the hospital and suffers a great deal of pain and burden can receive a consultation at the same level as a consultation received at a hospital while staying at the patient's house.

[Brief description of the drawings]

FIG. 1 is a medical examination system 1 according to an embodiment of the present invention.
The figure which showed the whole structure of.

FIG. 2 is a diagram illustrating a main configuration of computers 2 and 3;

FIG. 3 is an illustration of a use image of the computer 2.

FIG. 4 is an exemplary view showing a configuration of a main part of the wearable computer 10;

FIG. 5 is a conceptual diagram of use of the wearable computer 10.

FIG. 6 is a flowchart showing each operation or process in the medical examination system 1.

FIG. 7 is a diagram showing a screen displayed on a monitor 14 of the computer 2 of the hospital (A).

FIG. 8 is a diagram showing a screen displayed on a display 35 of the HMD 7.

FIG. 9 is a diagram showing a screen displayed on a display 35 of the HMD 7.

FIG. 10 is a diagram showing a screen displayed on a display 35 of the HMD 7.

[Explanation of symbols]

 1 Medical Examination System 2 Computer 3 Computer 4 Base Station (Part of Communication Network) 5 Cellular Phone Network (Part of Communication Network) 6 ISDN Telephone Network (Part of Communication Network) 10 Wearable Computer

 ──────────────────────────────────────────────────続 き Continued on the front page F term (reference) 4C017 AA08 AA10 AA16 AB10 BD01 FF17

Claims (7)

[Claims] 1. A wearable computer that can be worn on a human body like clothes, operated, and used, wherein a detecting means capable of detecting at least one data of blood pressure, pulse, or body temperature of the human body is provided. Wearable computer. 2. The wearable computer according to claim 1, wherein said detection means has a blood test function for collecting and testing blood from a human body. 3. The wearable computer according to claim 1, further comprising a communication unit capable of performing data communication with another computer. 4. The wearable computer according to claim 3, wherein the communication means can perform data communication by a data transmission function of a mobile phone. 5. A program for a wearable computer, which is read by the wearable computer according to claim 1 to cause the wearable computer to execute various processes, the display of the wearable computer. At least one of a question about a patient's condition, information for instructing a treatment for the patient, information on a prescription for the patient, or information on a consultation manual for the patient.
A program for a wearable computer, having a display function for displaying one of them. 6. A wearable computer comprising: the wearable computer according to claim 1; and another computer communicable with the wearable computer using a communication network. Medical diagnostic system using a computer. 7. The medical diagnostic system using a wearable computer according to claim 6, wherein a database for managing patient chart data is constructed on a hard disk of the other computer.