JP2003122855A - Home treatment patient relief system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a home treatment patient relief system that can provide appropriate treatment for a home treatment patient at the occurrence of a disaster. SOLUTION: This home treatment patient relief system has a monitor center connected to a medical apparatus used by the home treatment patient, through a communication means, and a database storing personal information on the home treatment patient. The monitor center detects the state of the medical apparatus used by the home treatment patient, every prescribed period, confirms the coincidence of a disaster occurrence position and the location of the medical apparatus whose abnormal state is detected by a detecting means at the occurrence of the disaster, retrieves the database upon confirming the coincidence, lists in the order of serious cases and carries out relief processing in regular sequence.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a home therapy patient rescue system, and more particularly to a home therapy patient rescue system that enables a home therapy patient to be continued in the event of a disaster or the like and rescues the home therapy patient.

[0002]

2. Description of the Related Art Patients who need long-term medical treatment are treated at home using medical equipment.
As one of them, a respiratory gas supply device for separating and concentrating oxygen in the air to obtain an oxygen-concentrated gas is used for oxygen therapy.

When medical equipment such as such a breathing gas supply device is used under the supervision of a doctor or a nurse, the operating state of the equipment can be easily grasped, and appropriate measures can be taken according to the state. You can take it.

On the other hand, when using medical equipment at home,
A machine base management system is introduced to monitor the signal constantly sent from a medical device used at home to a center to monitor the operating state of the medical device. Also, if the patient using the medical device is sick,
The patient himself / herself can send an alarm to the center by operating a predetermined switch and receive appropriate service assistance.

[0005]

In the case of the above-mentioned conventional machine management system, in response to the state of the medical device notified by the alarm function of the medical device itself or the patient's condition notified by the patient himself, Patient relief is provided.

However, in the event of a disaster such as an earthquake, fire, water damage, lightning strike, or other long-term power outage, the home medical device cannot be supplied with power, and the medical device cannot notify the state. In addition, it may be difficult for the patient to send the status notification to the center due to the disaster. In such a case, the condition of the medical device and the condition of the patient cannot be grasped.

[0007] For example, if a long-term power supply to the breathing gas supply device is stopped due to a disaster, oxygen cannot be supplied to a patient undergoing oxygen therapy. In such a case, the life of the patient is endangered. In the case of a patient's condition, especially in a serious patient, it is necessary to supply an oxygen cylinder device or the like in place of the breathing gas supply device.

[0008] Therefore, an object of the present invention is to provide a home therapy patient rescue system that enables appropriate treatment for home therapy patients in the event of a disaster.

[0009]

The home therapy patient rescue system of the present invention that achieves the above-mentioned object is a monitor center connected to a medical device used by a home therapy patient through communication means, and personal information of the home therapy patient. The monitoring center detects the state of the medical device used by the home therapy patient at predetermined intervals by the detection means, and when a disaster occurs, the disaster occurrence position and the detection means are in an abnormal state. When the coincidence of the location of the medical device that has detected is confirmed, and when the coincidence is confirmed, the database is searched, the patients are listed in the order of critically ill patients, and the relief process is sequentially performed by the related organizations.

Further, as a preferred embodiment of the home therapy patient rescue system of the present invention which achieves the above-mentioned object,
When detecting the state of the medical device for each predetermined period, it is determined that the medical device is in an abnormal state due to interruption of a notification signal sent from the medical device used by the home therapy patient.

As a preferred embodiment of the home care patient rescue system of the present invention for achieving the above object, the medical device is a respiratory gas supply device for oxygen therapy patients, and the list is in the order of the serious patients. Is created based on the operating time of the breathing gas supply device and the prescribed flow rate of oxygen.

Furthermore, as a preferred embodiment of the home-treatment patient-relief system of the present invention which achieves the above-mentioned object, the related institution is a supplier of the portable oxygen cylinder, and the oxygen judged to be in the abnormal state. It is characterized in that the portable oxygen cylinder can be supplied to the therapy patient in the order of the severe patient.

Further, as a preferred embodiment of the home therapy patient rescue system of the present invention for achieving the above-mentioned object,
The related institution is a medical institution, and it is possible to provide home-visit nursing care in the order of the seriously ill patients listed above.

The features of the present invention will become more apparent from the embodiments of the invention described below with reference to the drawings.

[0015]

1 is a block diagram of an embodiment of a home therapy patient rescue system of the present invention. A plurality of home therapy patients P1 to P5 and P6 to P7 are connected to a monitor center 2 through a communication means, for example, a public communication network 1. Further, the home therapy patients P6 to P7 are PHS (Personal Han
dy Phone) network (indicated that the mobile switching center 3 is connected to the PHS network).

The monitor center 2 has a database 5 and stores patient information. This patient information is data such as patient name, age, patient's medical condition, doctor in charge, medical equipment used for home therapy, and is stored for each patient. The patient information can be updated. For example, when the respiratory gas supply device is used as a medical device, the patient's medical condition is updated by grasping the severity of the patient from the oxygen prescription flow rate and the usage time.

The database 5 also contains medical equipment and a list of suppliers located at the shortest distance from the patient's home that supplies the medical equipment.

Further, in FIG. 1, the monitor center 1 receives disaster information each time a disaster occurs from a disaster center 4 such as a fire station.

FIG. 2 is a schematic diagram showing an example of an adsorption type breathing gas supply apparatus used by oxygen therapy patients P1 to P5 at home, and an adsorbent capable of selectively adsorbing nitrogen is used as an oxygen concentrating means. It was the device.

In FIG. 2, the air supplied by the pump 10 is supplied to the adsorbent 11 which is an oxygen concentrating means and can selectively adsorb nitrogen. Here, oxygen from which nitrogen has been absorbed and removed is guided to the humidifier 13 through the supply path 12. Oxygen-enriched air from humidifier 13 is supplied to the patient through nasal cannula 14. Further, in the adsorption-type breathing gas supply device shown in FIG. 2, the oxygen supply controller 1 according to the present invention is used.
5 and a main body control device 16 are provided.

FIG. 3 is a diagram for explaining an oxygen cylinder system used when the oxygen therapy patients P1 to P7 move out and so forth. In FIG. 3, the oxygen cylinder system is
It has an oxygen cylinder 20 and an oxygen supply controller 21. The oxygen cylinder 1 is a container that stores compressed oxygen and has an empty weight of approximately 0.6 to 1.8 kg, and has a gauge 24 that displays the remaining amount according to the pressure of the stored oxygen.

The oxygen supply adjusting device 21 has an oxygen supply adjusting function of setting the oxygen flow rate of the oxygen supplied through the pipe 23 to the nasal cannula 24 according to the condition of the oxygen therapy patient. Oxygen therapy patients, nasal cannula 2
Apply 4 to the nose and aspirate the oxygen supplied.

FIG. 4 shows a configuration example of the oxygen supply controller 15 and the main body control device 16 of the respiratory gas supply device shown in FIG.

The main body control device 16 is a microprocessor or CPU (hereinafter simply referred to as CPU) 200, RO
M201 and RAM202 are connected to the bus.

The input setting section 203 is operated by an oxygen therapy patient and inputs an oxygen flow rate value to be set. The set oxygen flow rate value is displayed on the display unit 205.

The CPU 200 calculates the valve opening corresponding to the input oxygen flow rate value by the program stored in the ROM 201. Further, under the control of the CPU 200, a control signal corresponding to the calculated valve opening is sent to the main body control device 16 of the oxygen supply controller 2 through the interface 204. The main body control device 16 has a valve (not shown), and sets the valve to the valve opening degree indicated by the control signal. As a result, oxygen is supplied to the oxygen therapy patient at the set oxygen flow rate.

Further, the RAM 2 in the main body control unit 16
02 records the set oxygen flow rate value at predetermined intervals.
The recorded oxygen flow rate value can be displayed on the display unit 205.

Further, the CPU 200 calculates the oxygen flow rate value recorded in the RAM 202 and the amount of oxygen supplied from the time when the valve is opened, and stores it in the RAM 202. Therefore, the remaining amount of liquid oxygen in the cylinder 20 can be known from the supplied oxygen amount.

The main body control unit 16 further has a communication function, that is, a modem function unit when connected to a public communication network, or
It has a PHS function unit 206 when connected to a PHS network. The PHS function unit 206 is a communication unit having a PHS (Personal Handy Phone System) function, which is connected to the exchange by a wired interface and is wirelessly connected to a base station arranged in a cell unit.

This modem function unit or PHS function unit 20
6, the oxygen remaining amount in the cylinder 1 calculated by the CPU 200, the usage time such as the amount of oxygen supplied per predetermined time, and the oxygen flow rate data information are periodically transmitted to the monitor center 2 described above. To be done.

Therefore, the monitor center 2 can measure and store the usage time and prescription flow rate of the medical device for each patient in the database 5.

In the above description, as a communication means, a public communication network or PHS (Personal Handy Phone System) is used.
Although the case of wired or wireless communication using the function m) has been described, the application of the present invention is not limited to such a case. It is also possible to regularly transmit the data information to the monitor center 2 through the satellite line.

FIG. 5 is a processing flow of patient rescue by the monitor center 2 as one embodiment of the present invention. The monitor center 2 is notified of the occurrence of a disaster by the disaster center 4 each time a disaster such as a fire or a long-term blackout occurs (processing step P1).

At this time, the monitor center 2 is
From 1 to P7, it is determined whether the signal transmission of the periodical data continues (processing step P2). When the signal transmission of the regular data continues, it can be determined that the notified disaster has not affected the patient's home (processing step P2.
Yes).

At this time, it is determined whether or not there is an abnormal value in the transmission data, that is, whether or not there is a signal for notifying a malfunction of the device or other device trouble (processing step P3). If the device is malfunctioning or other device trouble, the monitor center 2 normally processes it (processing step P4).

That is, regarding the processing for the malfunction of the device and other device troubles, the patient guidance management manual is prepared in advance regarding the use of the medical device by the patient at home. Therefore, the monitor center 2 issues an instruction to the relevant organization and performs a normal maintenance process. Such processing has been conventionally performed.

Returning to the processing step P2, when it is judged that the periodical signal transmission of data is not continued (processing step P
2, NO) searches the patient database 5 (processing step P5) and reads the patient's address or patient position.

In FIG. 1, when patients P6 and P7 are connected to the PHS network, the location registration register in the mobile switching center 3 indicates the base station area (cell) in which the patient is currently located. The PHS function unit 206 registers the position of the corresponding patient. Therefore, the position of the patient can be known by receiving the position information based on the contents of the position register from the mobile switching center 3.

The patient position thus read out is compared with the disaster position notified from the disaster center 4 when a disaster occurs (processing step P6). If there is a disagreement in this comparison, it is determined that the patient is not affected by the notified disaster occurrence.

Therefore, it is determined that the fact that the signal transmission of the data is not continued regularly is a trouble of the equipment and is not related to the occurrence of the disaster. In this case, the trouble management process is performed by the machine base management system that is normally adopted as described above (processing step P4).

On the other hand, in the process step P6, when the patient position coincides with the disaster position notified from the disaster center 4 when the disaster occurs, the power supply to the patient's house is stopped due to the occurrence of the disaster, or the device disappears, and the medical device is replaced. It cannot be used,
As a result, it is determined that the signal transmission is interrupted. In such cases, patient relief is required.

Therefore, the monitor center 2 gives relief priority in the order of the patient information retrieved from the patient database 5 and, in the case of oxygen therapy, the oxygen flow rate sent periodically and the oxygen use time, in order of the severity determined. A list of ranks is created (processing step P7).

Then, according to the listed priorities,
In order to supply the oxygen cylinders as shown in FIG. 3 in the order of the patients with the highest priority, the related institutions that can be supplied are searched.
That is, the supplier 6 who is the supplier of the oxygen cylinder capable of supplying the oxygen cylinder to the corresponding patient listed.
Are searched in order of priority (processing step P8). Here, the priority order when searching for the supplier 6 means, for example, the order closest to the patient location.

The monitor center 2 is further divided into the order of severity,
The number of oxygen cylinders is determined, and processing is performed so that the determined number of oxygen cylinders are delivered from the supplier 6 who is the oxygen cylinder supplier that has been searched for earlier (processing step P9).

At the same time, it is important to provide visiting nursing from a medical institution as a related institution.

In the patient rescue process of FIG. 5, it is necessary for the monitor center 2 to change the treatment contents after the process P8 depending on the contents notified from the disaster occurrence center 4 when a disaster occurs.

For example, in the case where the content of the disaster is a long-term power outage, or in the case of a medical device operated by the home power supply shown in FIG. 2, it is important to supply a private power generator. As a result, it is possible to continue the home therapy without any trouble.

(Supplementary Note 1) A monitor center connected to a medical device used by a home therapy patient through communication means,
The monitor center has a database for storing personal information of the home therapy patient, and the monitor center detects the state of the medical device used by the home therapy patient every predetermined period, and when a disaster occurs, the disaster occurrence position and the detection means. Confirms the coincidence of the location of the medical device that has detected the abnormal state, and when the coincidence is confirmed, searches the database, lists in the order of seriously ill patients, and sequentially performs relief processing from related institutions. Home care patient rescue system to be.

(Supplementary Note 2) In Supplementary Note 1, when the state of the medical device is detected for each predetermined period, the medical device is in an abnormal state due to the interruption of the notification signal sent from the medical device used by the home therapy patient. Home care patient rescue system characterized by judging that there is.

(Supplementary Note 3) In Supplementary Note 1, the medical device is a respiratory gas supply apparatus for oxygen therapy patients, and the list in the order of the seriously ill patients is the usage time of the respiratory gas supply apparatus and oxygen prescription. A home therapy patient rescue system characterized by being generated based on a flow rate.

(Supplementary Note 4) In Supplementary Note 3, the related organization is a supplier capable of supplying the portable oxygen cylinder, and supplies the portable oxygen cylinder to the oxygen therapy patient judged to be in the abnormal state in the order of the serious patient. A home care patient rescue system that makes it possible to perform.

(Supplementary Note 5) In Supplementary Note 1, the related institution is a medical institution, and the home care patient rescue system is characterized by enabling home-visit nursing care in the order of the listed seriously ill patients.

[0053]

As described above, according to the home therapy patient rescue system of the present invention, it is possible to appropriately deal with the home therapy patient in the event of a disaster.

[Brief description of drawings]

FIG. 1 is a block diagram of an embodiment of a home therapy patient rescue system of the present invention.

FIG. 2 is a schematic configuration diagram of an example of an adsorption type breathing gas supply device used by oxygen therapy patients P1 to P5 at home.

FIG. 3 is a diagram illustrating an oxygen cylinder system applied as an adsorption type breathing gas supply device when a patient undergoing oxygen therapy moves.

FIG. 4 is a diagram showing a configuration example of an oxygen supply controller and a main body control device of the respiratory gas supply device shown in FIGS. 2 and 3.

FIG. 5 is a monitor center 2 as an embodiment of the present invention.
Is a processing flow of.

[Explanation of symbols]

P1 to P7 home therapy patients 1 communication network 2 Monitor Center 4 disaster center 5 database 6 suppliers

Claims (2)

[Claims] 1. A monitor center connected to a medical device used by a home therapy patient through communication means, and a database for storing personal information of the home therapy patient, wherein the monitor center uses the detection means to detect the home therapy patient. The state of the medical device used by is detected every predetermined period, and at the time of occurrence of a disaster, the disaster occurrence position and the location of the medical device in which the detection unit has detected an abnormal state are checked for coincidence, and the coincidence is confirmed. When searching the database,
A home therapy patient rescue system characterized by listing in the order of critically ill patients and sequentially performing relief processing from related institutions. 2. The medical device according to claim 1, wherein the medical device is in an abnormal state due to interruption of a notification signal sent from the medical device used by the home therapy patient when detecting the condition of the medical device at each predetermined period. A home therapy patient rescue system characterized by determining that