JP2008161641A - Fully automatic life-saving system for notifying clinical condition - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To achieve a system for saving a life in time in any situations including in a bath and a restroom when a user's physical condition rapidly deteriorates. <P>SOLUTION: User's electrocardiographic signals are taken out by an implantable or regular body-worn device 1, and the present position of the user is identified with the electrical wave from GPS satellite 3 by a GPS-enabled mobile phone or other GPS-connected wireless radios 2, and the data of the user's physical condition acquired by analysis of electrocardiographic signals and the present position are transmitted to an information center 4 in order to ask medical providers nearby the user's present location for help without the operation or answering of the user. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a system that can automatically report a user's pathological condition.

  As an electrocardiogram measuring device that can be attached to and detached from the human body, there are wristwatch type devices mainly for sports training, and among these, heart rate variability (abbreviated as HRV: Heart Rate Variability) which has recently been attracting attention as an indicator of serious stress conditions. Also included are those that can be measured with the same degree of accuracy as benchtop electrocardiographs. Usually, these devices transmit an electrocardiogram signal from a belt that can be attached and detached near the chest of a human body by short-range radio, and display and voice instructions by a wristwatch-type receiving unit.

  In addition to wristwatches, portable and mobile communication devices represented by mobile phones have been greatly developed as devices that are always worn by modern people. Some have GPS (Global Positioning System: a system that can grasp the position in meters anywhere in the world by receiving radio waves from three or more artificial satellites), and wirelessly communicate map information Some of them have the function of performing navigation with accuracy comparable to car navigation in combination with the functions obtained by Conventionally, in car navigation systems, it is difficult to receive radio waves from GPS satellites in a car surrounded by a metal body. A GPS receiving antenna is installed outside the car body, and the car driving status data and GPS data are stored. It was in a situation where navigation with high accuracy could be realized by integration. However, the performance of GPS receivers built into mobile phones since 2006, in particular, has been greatly improved, and navigation with a precision comparable to conventional car navigation systems can be achieved with only GPS reception in the car. Has reached. Mobile phone companies also advertise that they can be used as an alternative to car navigation while calling attention to the passenger in the front passenger seat to operate because the screen is smaller than car navigation. In addition, the Ministry of Internal Affairs and Communications announced a policy to install a function to measure the position using GPS and notify the police and fire department at the time of an emergency call, `` From April 2007, mobile phone operators will newly provide For third-generation mobile phone terminals, a notification that "in principle, it corresponds to the location information notification function by the GPS positioning method" has been issued.

  On the other hand, an electrocardiogram measuring apparatus in a medical institution such as a hospital is usually a bench top type, and has a transmission / reception function in a ward by radio over a medium distance (about 100 m), and pathologically from each bed to a nurse station. It is possible to report the status. This bench-top electrocardiograph is practically sufficient as long as there are hospital beds on the medical institution side and as long as there is an economic margin on the user side in the medical institution.

  However, Japan, which has a distorted pyramid population distribution with baby boomers due to its historical background, is entering a super-aging society with a momentum that no developed country has ever experienced. There is a problem that the number of beds on the medical institution side is constantly full, and careful follow-up cannot be performed after surgery, etc., and there is an economic problem that the user side also increases the amount of self-pay for medical expenses . Under these circumstances, it is very difficult to use a bench top type electrocardiogram measuring device appropriately in a general living environment, both technically and economically, even considering the follow-up at home. . In addition, as a problem when transmitting the electrocardiogram of the user to the medical provider, even if the electrocardiogram measuring device has a mechanism capable of connecting to the Internet, the user appropriately handles the device and connects the Internet and the device. There is no guarantee that the user can maintain it stably. Therefore, in the system based on such an existing device, it is impossible to rescue in the case of an emergency of the user.

In addition, discharged people are not the only people who potentially require follow-up. As represented by the generic name of metabolic syndrome, the new elderly generation, surrounded by Western diets and Japanese drinking habits, has complex factors such as potential heart disease, vascular disorders, and high blood pressure. There is a risk of sudden deterioration in physical condition without any trigger. As typical diseases, there are sudden ones such as cerebrovascular disorders such as stroke, while there are acute heart failure showing signs in advance such as chest pain. Furthermore, at present, deaths that are classified as sudden death, that is, if there is no time to confirm the course of death and the pathological anatomy is ambiguous, more than 10% of all deaths will be rescued. It will have died without being in time, and will eventually increase to a few percent due to the constant fullness phenomenon described above. Actually, the introduction of AED (Automated External Defibrillator) to public facilities such as schools and stations, and conventional emergency resuscitation (CPR) are primary life support (BLS) and secondary life support ( ACLS) has proved that such a situation has been promoted by the advanced movement of the system. In any case, the effect of AED and CPR can be increased if the pathological signs can be detected more quickly and notified to people around the site where the user is.
JP 2002-132957 A JP 2002-143097 A "Report on the study of how to use automatic external defibrillators (AEDs) by non-medical workers" Ministry of Health, Labor and Welfare July 1, 2004 "Ambulance Advancement Promotion Study Group Report" Ministry of Internal Affairs and Communications, Fire Department, August 2006 Draft report on “Technical conditions for caller location information notification function for emergency calls from mobile phones” Published by the Ministry of Internal Affairs and Communications Information and Communication Council on May 17, 2004 M. Kingsley, MJ Lewis, RE Marson, `` Comparison of Polar 810s and an Ambulatory ECG System for RR Interval Measurement During Progressive Exercise, '' Thieme Medical Publishers, International Journal of Sports Medicine, 2005; 26: 39-44 Takeshi Yamashita, Hirokazu Fujisaka, Tetsunori Sasakawa "Characteristics and Analysis of Heart Rate Variability of Shipped Users" The Physical Society of Japan 2005 Fall Meeting (Doshisha University, Kyotanabe Campus) Presentation number 21pYO-11 September 2005 (same author, same) The outline of the title announcement, which can be obtained from JST's paper search service JSTAGE (http://www.jstage.jst.go.jp/), published by the Japan Society for Science Council Mechanics and Structural Research Liaison Committee, 55th (Symposium on Applied Theoretical and Applied Mechanics Vol. 55 (2006), 94-95 pages)

  The problem to be solved is that the user's physical condition has deteriorated rapidly, which is so rapid that the user cannot call for help, and in all situations, including bathing and toilets, the user has knowledge about handling the device. Even if you don't have it, you can achieve a system in time for rescue.

  The present invention takes out a user's electrocardiogram signal with an embedded or always-on device, identifies the current position of the user from radio waves from a GPS satellite, using a GPS built-in mobile phone or other GPS-connected wireless communication device, By sending the user's physical condition data and current location obtained from analysis of electrocardiogram signals, etc. to the information center, the information center can provide medical services in the vicinity of the user's current location without any operation or response from the user The main feature is that it is a fully automatic remote monitoring system that seeks rescue from the elderly.

  As an effect for the user of the present invention, the physical condition deteriorates in any situation including bathing and toilet, and the person himself / herself handles the communication device, unless it is a situation where the user moves in the basement or a huge structure for a long time. There is an advantage that rescue can be automatically received even if the situation has occurred so rapidly that there is no time to spare, or even if the person does not have knowledge of handling the communication device.

  As an effect for the medical provider of the present invention and its management mother body, after the medical treatment is performed on the user, the influence of the medical treatment can be remotely observed in the user's own daily life activities. This is a possible point. Until now, after treatment, we knew that it would be better to follow up on admission, but we were able to return to the home without having to afford to give a bed to the user. can do.

  The configuration of the entire system considered to be the best is as follows. Sends electrocardiogram signals and body temperature from near-implant wireless communication to an "external unit" that adds a biological signal analysis function to a mobile phone with built-in GPS. . Similarly, a pulse wave at the wrist position is obtained by a wristwatch-type “pulse wave sensor unit”, and a pulse wave signal is transmitted to the “external unit” by short-range wireless communication. When the "external unit" determines that there is an abnormality in the physical condition, it performs data communication with the "Information Center" using the mobile phone communication network, and uses GPS location information and user ID personal information. The user's situation is grasped. The first operator of the “information center” or the automatic voice response device contacts the nearby medical provider at the current location of the user, and makes an emergency request for rescue. If there is no nearby health care provider, request an ambulance from the emergency lifesaving center or fire department. Meanwhile, the second operator of the “information center” or an automatic voice response device makes a voice call to keep the user as conscious as possible through the speakerphone function of the mobile phone. Calls are also made through embedding an “implant earphone unit” in advance, especially when the user is deaf. Regarding the answer from the user, a “neck microphone unit” is used so that the user can listen to the answer regardless of the posture. Next, request CPR to third parties around the user via the speakerphone, and if AED presence information is found near the user's location in the information center information, apply it. Ask a third party. Also, if there is a special description such as holding insulin injection due to diabetes in the user's personal information, a request is made accordingly. In this way, the user's emergency medical care can be realized fully automatically.

  FIG. 1 is an overall view of the best configuration of the apparatus of the present invention. 1 “implant unit” and 6 “earphone implant unit” to be implanted by the user, 5 “pulse wave sensor unit”, 7 “neck microphone unit”, and 2 “external unit” "Is indicated by a thunder mark indicating that short-range wireless communication is being performed. A line with a double-headed arrow indicates that the “external unit” and the “information center” of 4 are communicating via a long-distance communication network in which wireless communication and wired communication such as a cellular phone network are mixed. The fact that the “external unit” receives radio waves from the three GPS satellites indicated by 3 is indicated by a broken line.

  The "implant unit" extracts an electrocardiogram signal from the electrodes embedded in the subcutaneous part of the chest, about 1 to 5 mm, through the lead wire, processes the signal through an amplifier, a filter, and a short-range wireless communication device, and transmits it. It is an embedded device. In addition, body temperature is measured and transmitted. In order to avoid as much as possible the influence of the temperature rise of the implant during the hot bath, it is supported by a part that is closer to the center of the trunk than the center of the implant and supported by a thermally insulating part, and preferably measures the temperature of the body surface. By comparing with the measurement result of the second thermometer, the condition of the physical condition is determined more accurately. Since neither thermometer requires an indicator as compared with an external thermometer, it is an element having a size of several millimeters such as a thermocouple. The “implant unit” also includes a generator and a rechargeable battery as a power source. Since the device is embedded in the body, it basically has an airtight structure, and the portion that contacts the human body is made of a material having affinity for the human body. EMC (EMS, EMI), X-ray resistance, etc. are designed according to existing implantable medical devices such as pacemakers, ICDs (internal defibrillators), and SCSs (spinal cord electrical stimulation devices). As a temperature difference power generation system that uses a temperature difference of about 10 ° C between body temperature of about 37 ° C and air temperature of about 27 ° C, the generator generates power as long as the body temperature continues, and the rechargeable battery functions for about 20 minutes during the warm bath. Limit the conditions as much as possible to make the capacity small. If the external battery temperature is higher than the body temperature for 20 minutes or more during a warm bath and the rechargeable battery capacity is used up, the transmission from the “implant unit” will be interrupted, and the user will be immersed in hot water. In any case, it is necessary to confirm from the “Information Center” because there is a high possibility that it has been lifted. The amplifier, filter, and communication device are designed as low power consumption as possible as a single IC chip. The communicator is equipped with a receiver as well as a transmitter, thereby avoiding interference with radio waves from other “implant units”. In order to reduce the required radio frequency band, digital technology conforming to Bluetooth and its successor standards will be introduced as short-range wireless communication, taking into account the power consumption and radio wave output. Since the implantation site of the two electrodes overlaps to some extent with the electrode installation site required when applying AED, when applying AED, pulling the protruding part protruding only one place outside the body, each electrode and `` implant unit Can be disconnected. This protrusion is also effective to avoid the risk of receiving an MRI measurement by mistake. The protrusion also serves as a temperature difference power generation type extracorporeal heat conduction unit and a wired connection terminal for operation confirmation immediately after implantation. In order to conduct heat through the heat retaining layer (limit layer) formed by body hair on the skin, the protrusions must have a certain height. Depending on the needs of the user, a pendant dedicated to the shape can be kept away from the eyes of others while maintaining the perfusion of the air around the protrusion. The protrusions are mechanically secured to the sternum, ribs, or clavicle with a soft biocompatible material such as silicone so as not to cause misalignment and associated pain. The protrusion is the only part that the user feels uncomfortable when using the system, and is also the part that is likely to be scratched without feeling itching. Therefore, special considerations are necessary around the area where the protrusion touches the skin, such as using the user's own nails and hair, and it is made of materials and shapes that satisfy high hygiene, immune reaction, and high affinity with the skin. In order to prevent liquid from accumulating between the skin and bathing or sweating, the part that is completely out of the body and does not come into contact with the skin should be made of water-repellent / hydrophobic material. The shape is devised to flow down.

  The “implant unit” and its protrusion also function as an access point from outside the medical body required for each user. Protrusions equipped with an optional catheter for a vein as thick as possible in the vicinity of the implant in advance are used. In the future, this accessory will be referred to as the “venous access option” of the “implant unit”. Immediately after the user falls down, it can be used immediately as a route for central venous nutrition, or it can be always used for patients who originally need central venous nutrition. Even the most important countermeasures against infectious diseases can be easily managed by concentrating and managing them in one place. In order to prevent infection over a long period of time, it is effective to secure two routes, a forward route and a return route, and always circulate with a small flow rate. Further, for a user who has developed diabetes, venous blood is collected through a protrusion on a blood glucose level test paper or a blood glucose level measuring device outside the body. Depending on the severity of diabetes, blood glucose levels can be measured several times a day, and it may be better to monitor as much as possible. It is not possible to always monitor with this measuring instrument. On the other hand, when the protrusions of the “implant unit” are used, access to the veins can be ensured at all times, so that frequent and automatic measurement is possible. When blood glucose level measurement through the “implant unit” is automated in this way, the “blood glucose level measurement unit” also transmits data to the “external unit” in the same manner as the implant unit, and the normal range of blood glucose level If it is off, the “external unit” will warn the user by blinking the LED, LCD message, and voice instruction, and at the same time will be notified to the “Information Center”. In the case of an emergency, the insulin stored in the “blood glucose level measurement unit” in advance as an emergency is determined by the doctor who is resident in the “information center” or the physician in charge of the user who has received a report from the “information center”. Injected into. Thereafter, the “information center” requests a nearby medical provider at the user's location for accommodation and follow-up of the user. "Venous access option" can be applied to all other diseases that require blood component monitoring in addition to diabetic measures, and the access point from outside the body to the vein should be limited to one place and always accessible. Thus, frequent invasion of the user's body, such as blood collection by damaging the skin and intravenous injection with a needle, can be avoided, and the burden on the health care provider is reduced.

  “Thymus access option” is an optional function of the “implant unit” that is considered to be useful along with the “venous access point”. The site where the “implant unit” is implanted is necessarily close to the thymus because of the need for mechanical fixation to the sternum, ribs, and clavicle. Pollen, asthma, sick house syndrome, etc., which are said to be national diseases of modern Japanese people, are immune-related cells such as T cells that are spread over the whole body due to excessive or unbalanced acquired immune characteristics in the user's thymus However, it develops by hyperimmune reaction with chemicals such as pollen protein, asthma allergen, and formaldehyde. In general, intravenous or oral desensitization has proven effective for allergic reactions. However, if direct desensitization therapy for the thymus, the site that acquires immunity, becomes possible, it will be more effective, and it will automatically supply a certain amount of antigen over a long period of time, so it will be recognized as self. It also solves the problem of compliance with desensitization that takes time. In addition, autoimmune diseases occur when immune-related cells, such as T cells that have been given immune characteristics in the user's thymus and have spread throughout the body, attack themselves, and direct access to the thymus is not possible. If established, there will be more means available. Regarding the installation of “thymus access point”, it is necessary to reach a deeper and wider area than “venous access point”, which is complicated as a surgical procedure. However, once guidelines are established, it is very effective for immune diseases. It may be a fundamental therapy.

  The “drug delivery option” is an optional function of the “implant unit” that enables drug administration by a catheter to a site farther than the “thymus access option”. Providing the drug directly to the target site is an ideal drug delivery, but usually the daily activities are severely limited if a catheter for it is connected. In the market, medical devices that supply trace amounts of analgesics to the epidural space with implants that have a built-in programmable pump function embedded in the body are manufactured and sold. It is invasive and expensive. The part of the human body that is most easily protected by the user, that is, the area around the sternum that is sandwiched between both arms, is a part that is not problematic for daily activities even if it is equipped with an ampoule and pump with a total size of about 3 cm cubic. If there is any abnormality such as damage to the device, it is also a part where the user can notice the abnormality visually. In addition, users who are active in daily activities or have occupations usually have a need to avoid time-consuming visits to health care providers just to replace ampoules. This position where you can work is also ideal if the user changes ampoules himself. These positions coincide with the positions of the “implant unit” and its protrusions. Therefore, a general direct drug delivery can be realized by the catheter through the “implant unit” and its protrusion in the same manner as the “thymus access option”.

  The “extracorporeal unit” is a mobile phone with built-in GPS with a programmable biological signal analysis function. The biological signal can be arbitrarily selected from a plurality of types by the user or the medical provider, but the most important ones are an electrocardiographic signal and a body temperature transmitted by the “implant unit” through short-range radio. After being received by the receiver, it is processed separately for an electrocardiogram signal and body temperature. In the case of an electrocardiographic signal, after signal processing, it is input to a microcomputer and compared with a preprogrammed baseline. Here, the baseline is a condition for determining the body condition mainly including individual differences such as heart rate, heart rate variability, and arrhythmia, which is mainly determined from a test result using a bench-top type electrocardiogram measuring apparatus. For body temperature, different criteria from the ECG signal are used. Based on the normal heat input as the initial value in advance, if the initial daily fluctuation is within the range of about ± 1 ° C, the “Information Center” Will not be notified. When the normal temperature fluctuates beyond the initial value plus or minus 1 ° C due to drift, etc., the “Information Center” is notified. The “Information Center” computer accesses and determines body temperature data stored in the extracorporeal unit and measured every hour for up to 10 weeks. Within the data period, the central value of the body temperature change only changes, and if the reference fluctuation range of plus or minus 1 ° C. is not exceeded, the central value is updated. If there is a fluctuation that exceeds the reference fluctuation range, the computer opens a voice communication to the user and connects it to the operator. If the body temperature rises temporarily and exceeds the reference range, the user is confirmed with a physical condition through the automatic voice response device. If there are no common cause choices such as menstruation, menopause, cold, etc., the computer terminates the automatic voice response and connects voice communication to the user to the operator. The “external unit” is equipped with two voice interfaces. The first is the “neck microphone unit” and “earphone implant unit”, which will be detailed later, optimized for voice calls with fallen users. is there. The second is a speakerphone, which can make a voice call to a rescuer. Here, the voice call includes an automatic voice response by the “information center” or “external unit”, and the control of turning on the speakerphone, treating the two systems as the same system, or treating them as separate systems, This is done by a computer or operator of the “information center”.

  The “neck microphone unit” has a necklace shape, and the necklace is picked up by the microphones provided at two locations closest to the mouth and transmitted to the “external unit”. The “external unit” is usually Only the in-phase signal of the human voice band from the two microphones is amplified to remove environmental noise. If the user is in a normal posture, the human body itself becomes a sound barrier, and the in-phase noise entering the two microphones can be physically attenuated. When the user falls and the posture is collapsed, one of the two microphones placed on the neck is close to the mouth and the other is far from the mouth. In this case, by controlling the “external unit” on the “information center” side and weighting the amplification factors of the two microphones, it is possible to capture the user's utterance under the optimum conditions according to the user's posture. it can. As for the “neck microphone unit”, a wired connection type and a wireless connection type can be selected as desired by the user. This is because there is a clear individual difference between the method of carrying a mobile phone from the neck using a neck strap and the method of carrying it in a bag. In the case of wireless, a wireless communication system similar to the wireless communication system between other units and the “external unit” is used. Regardless of whether it is wired or wireless, it can also be used as a dedicated pendant to hide the above-mentioned "implant unit" protrusion. In the case of a wired connection, it can also be used as a neck strap for an “external unit” in the shape of a mobile phone.

  The “pulse wave sensor unit” is a wristwatch type and has a shape that does not resist when worn by the user. Compared to the “implant unit”, a pulse wave that is a supplementary biological signal is transmitted to the “external unit”. Although the conditions such as affinity with the human body are not as severe as those of the “implant unit”, bathing Daily waterproofing is necessary for the moment. The components from the amplifier to the communication device are almost the same as the “implant unit”. As with a general wristwatch, there are multiple candidates for power sources such as solar cells, button cells, vibration power generation, etc., and they can be used in combination. However, there are individual differences in body hair and limit layer regarding temperature difference power generation due to body temperature. It is disadvantageous because of certain things, and it is better not to adopt them. A wrist watch with a small display board for some women, while the inner side of the wrist is more advantageous for measuring the pulse wave, as is commonly done to measure the pulse rate With the exception of the above, a wristwatch having a display board having a size larger than usual is worn so that the display board is outside the wrist. Therefore, a sensor for measuring a pulse wave by infrared reflectance in contact with the skin usually needs to be located in a portion where there is a metal fitting connecting two bands of a wristwatch. Therefore, one band is lengthened, the other band is shortened or omitted, and a pulse wave sensor is installed at a position where the longer band is inside the wrist, and the display board is electrically connected via the band. Connecting. In order to obtain good sensitivity, the light emitting element and the light receiving element need to be close to the blood vessel, and it is effective to use a plurality of elements (multiple elements).

  As information obtained by the programmable biological signal analysis function of the "external unit" from the signal of the "pulse wave sensor unit", by measuring the time difference between the pulse wave on the wrist away from the heart and the electrocardiogram signal, Blood pressure can be measured based on the pulse wave velocity method. In the pulse wave velocity method, it is necessary to measure the correlation between the pulse wave propagation time of each user and the blood pressure measured by a normal blood pressure meter in advance, and input the calibration information to the “in vitro unit”. Since the pulse wave velocity is also an index of arteriosclerosis, it can show the tendency of arteriosclerosis during calibration, but even when using the blood pressure measurement function without calibration for a long time, the pulse wave velocity is It is an indicator that is sensitive not only to blood pressure but also to arteriosclerosis, so if it increases, it suggests a tendency to arteriosclerosis as well as hypertension, so it is more useful than normal blood pressure measurement in terms of detecting pathological signs. is there.

  The “earphone implant unit” is embedded in the outer ear etc., especially for users who have a tendency to deaf, and is intended to be called to keep the consciousness from the “information center”. The body temperature power generation method is used in the same manner as in FIG. It is basically developed by the same technology as the “implant unit”, and the difference is that it functions as a receiver. When implanting an “implant unit”, whether or not to introduce an implant depending on individual differences among users has been verified and introduction of a second implant is relatively easy. Rather, it can function as an implantable and maintenance-free hearing aid, so if you use a part of the speakerphone function of the “external unit” as a microphone, you do not need to add anything else and use it as a hearing aid. Is inevitable because it greatly contributes to users' QOL and daily life activities.

  An example of the prototype is shown in FIG. We do not develop new mobile phone parts, select optimal ones from existing mobile phones, and the functions of applications that can be implemented on mobile phones are technically limited in terms of hardware control. From implant development to approval It takes into account the time-consuming situation. The biological signal analysis function is implemented as an application in the mobile phone 2 with built-in GPS, but short-range wireless communication or a special hardware interface is not used. Instead, an electrical signal obtained by amplitude-modulating (AM) or frequency-modulating (FM) an electrocardiogram signal into a human voice band is input to an existing headset terminal through a “pseudo audio signal cable” 8. As a result, the mobile phone is dedicated to monitoring, and voice calls can only be unilaterally called from the “information center” 4. Users who are unfamiliar with the mobile phone can operate without any problems under these restrictions, and it is also economical to prepare two mobile phones and use them separately for calling and monitoring. This is the direction that makes it easier.

  Instead of the “implant unit”, a “belt unit” 9 of a type in which a belt is wound around the chest of the trunk is used. The “belt unit” is characterized in that the “implant unit” is an implantable type including an electrode and requires an implantation operation, whereas it can be easily detached without requiring an operation. The two electrodes of the “belt unit” are in close contact with two places on the skin of the chest. In order to prevent the belt from slipping, the belt is elastic and can be adjusted in length. Users of any physique can be secured with several “auxiliary belts” 10 as required by the user to ensure good electrode-skin contact even when worn throughout the day. Can be fixed to the trunk.

  By not using an implant, it stops functioning during daily life activities that are relatively prone to accidents, such as bathing and changing clothes. In this case, the user inputs in advance the time to remove the “belt unit” into the application on the mobile phone, and if the “belt unit” is not reattached within that time, the application will check the mobile phone for confirmation. Voice command to press the button. The voice instruction is repeated for a time (about 1 to 5 minutes) set in advance by the user or medical provider, and if the button is not pressed during that time, the information center is notified. In this way, the system can be operated even under the major restrictions of functional limitations of mobile phone applications and the long development and approval of implants.

  Since the necessity of follow-up after hospitalization after the medical provider performs medical treatment on the user can be reduced, the problem of the number of beds that the medical provider has can be solved. Even if it considers the cost by an implantation operation, since it can monitor over a lifetime of a user, it is advantageous also in terms of cost, so that it becomes an aging society with many elderly people living alone. Each part of the system is an extension of the existing technology, can be realized by combining them, and what is necessary for promoting industrial use is to operate them as a system. In addition, since the system is not connected to the “information center” at all times or regularly but is connected only to an emergency, the cost of operating the “information center” can be kept low.

It is explanatory drawing which showed the whole image of the best structure. It is explanatory drawing which showed the implementation method as a prototype of this invention apparatus. (Example 1)

Explanation of symbols

1 Implant Unit 2 External Unit 3 GPS Satellite 4 Information Center 5 Pulse Wave Sensor Unit 6 Earphone Implant Unit 7 Neck Microphone Unit 8 Pseudo Audio Cable 9 Belt Unit 10 Auxiliary Belt

Claims (18)

  It includes an electrocardiogram signal and body temperature transmitter that can be implanted in the human body or can be worn at all times, and is equipped with a GPS built-in mobile phone or other GPS-connected wireless communication device (hereinafter referred to as a mobile phone, etc.) Fully automatic pathological condition rescue system that reports the condition.   In addition to claim 1, as an application software to a mobile phone, etc., an electrocardiogram signal analysis function is added, and as a condition to report to the information center when the physical condition deteriorates, such as heart rate, heart rate variability, arrhythmia, etc. Fully automatic pathological condition rescue system that can be set.   In addition to claim 1, if the computer of the information center that received the report has no time for the operator, it asks a nearby medical provider for rescue to the user's location by an automatic response voice, and pushes the medical provider When rescue is refused by button operation, a fully automatic pathological condition report rescue system that continues the work of automatically requesting rescue from another medical provider.   In addition to claim 1, when the computer of the information center that received the report does not have enough time for the operator, it is rescued to a third party around the user via a speakerphone function of a mobile phone or the like by an automatic response voice A fully automatic pathological condition rescue system that provides voice instructions to the location of the nearest AED.   In addition to claim 1, when the computer of the information center that has received the report has no time for the operator, the speakerphone function of the mobile phone and the short-range wireless communication embedded in the user's ear by the automatic response voice A fully automatic pathological condition report and rescue system that calls on users to maintain their consciousness as much as possible through communication functions of the same standard such as mobile phones and mobile phones.   In addition to claim 1, the computer of the information center receiving the report uses a device having a necklace-like short-range wireless communication device with a built-in microphone wound around the user's neck. Fully automatic pathological condition rescue system that records user's responses and other sounds in the information center.   In addition to claim 5, the necklace-like device has two built-in microphones close to the mouth, and when the user is standing, the human body's neck is inevitably used as a soundproof wall between the two microphones. By pinching, the common mode sound can be distinguished from the environmental noise of the differential mode as the user's utterance sound, and when the user is in a tilted position, one of the two microphones is close to the mouth Because it is a position, by emphasizing the voice from the microphone that can hear the human voice band, even if the user is in a tilted posture, the voice of the response from the user is clearly recorded. State report rescue system.   In addition to claim 1, an electrocardiogram signal transmitter that can be implanted in the human body is fixed to the sternum, and at the same time, a protrusion from the skin is provided, and the protrusion is used as a power source for the electrocardiogram signal transmitter. Fully automatic morbidity report and rescue system used as a thermal conductor for differential power generation, a wired connection terminal for maintenance of an ECG signal transmitter, and a sign to prevent inadvertent MRI.   In addition to claim 7, since it is necessary to disconnect between the electrocardiogram signal transmitter and the electrode when receiving AED, it can be disconnected by pulling the protrusion in a specific direction. Status report rescue system.   A fully automatic pathological condition that can be used as a blood test such as blood glucose level and a minimally invasive intravenous injection means in addition to the catheter for venous access in addition to the closest vein and protrusion. Report rescue system.   In addition to claim 9, in the case of diabetes, a fully automatic pathological condition report and rescue system capable of monitoring a blood glucose level with a mobile phone or an information center by connecting a blood glucose level measuring device to the protrusion.   In addition to claim 10, when a blood glucose level measuring device connected to the protrusion detects an abnormally low blood glucose level, it has a device that automatically administers insulin through venous access. Fully automatic pathological condition rescue system that can set administration conditions by a health care provider.   A fully automatic morbidity report / rescue system having a catheter for securing access to the thymus in addition to claim 9.   In addition to claim 9, a fully automatic pathological condition rescue system that functions as an access point of a direct drug delivery system.   In addition to claim 12, a low-concentration desensitizing antigen is automatically supplied to the thymus over a long period in an amount set in advance by a user or a health care provider from thymic access, and is applied to efficient desensitization therapy. A fully automatic morbidity report and rescue system.   In addition to claim 1, a fully automatic pathological condition report / rescue system in which a connection between an electrocardiogram signal transmitter and a mobile phone or the like is performed by short-range digital radio having a mechanism for automatically avoiding interference.   In addition to claim 1, the connection between the electrocardiogram signal transmitter and the mobile phone or the like is made by wire, and the electrocardiogram signal is modulated into a human voice band and input to a microphone terminal of the mobile phone or the like Fully automatic pathological condition rescue system that does not require short-range digital wireless communication or other special equipment for mobile phones.   In addition to claim 2, the pulse wave at the wrist position is measured with a wristwatch-type device, and the connection between the device and a mobile phone or the like is performed by short-range digital radio having a mechanism for avoiding interference, Fully automatic pathological condition report that can analyze blood pressure and arteriosclerosis tendency by time difference between electric signal and pulse wave, especially blood pressure can be set as a condition to report to information center when physical condition deteriorates Rescue system.

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