JP4706040B2 - Life crisis emergency call system - Google Patents

Description

    The blood pressure, body temperature, pulse rate, and respiratory rate of the subject are constantly measured via a wristwatch-type life crisis reporting device attached to the arm. If you develop or have a risk of developing a seizure, etc., the patient's blood pressure, body temperature, pulse rate, respiratory rate, and other medical conditions and the location of the call are automatically sent online to the nearest emergency lifesaving center or fire department. A wristwatch-type life crisis report for dementia and bedridden persons who cannot make immediate notifications of emergency situations by making an emergency call and enabling early notification and emergency response of the elderly who are in an emergency. The present invention relates to a system and a disease state monitoring system.

Conventionally, as an emergency rescue system for a person to be measured, for example, there is a system disclosed in Japanese Patent Laid-Open No. 11-259783. This disclosed technique constantly monitors the health condition and position information of the person being measured, and transmits information indicating the abnormality and position information to the emergency center when the abnormality of the person being measured is detected. As a specific configuration, when the measurement subject's portable terminal device detects an abnormality of the measurement subject, the PHS communication device detects the identification information of the measurement subject, information indicating the abnormality state of the measurement subject, and When the sound information is output from the PHS communication device, the medical center system determines whether or not the subject needs to be rescued according to the information from the portable terminal device for the subject, and the PHS base station Existence of the person to be measured based on the PHS base station information communicated by the PHS communication device of the portable terminal device of the person to be measured whose position search center system having the installation location information is required to be rescued by a request from the medical center system It is a system that specifies the area to be rescued and rescues the subject who needs to be rescued. However, in this system, when the abnormality of the subject is reported from the PHS communication device to the medical center, it is difficult to immediately grasp the actual condition of the subject. At present, there are about 40,000 sudden deaths throughout the country, most of which are acute heart failure due to ventricular flutter. In the case of acute heart failure, it is said that it can be saved with a defibrillator within 5 minutes. In addition, the number of lonely deaths has reached 2,000 in Kyushu Prefecture alone, and there is an urgent need for early notification and emergency response of elderly people living alone in emergency situations.
JP-A-11-259783

However, in the above, since the PHS switch is a narrow receivable area of about 100 m, it needs to be connected to a plurality of PHS base stations through dedicated lines or the like. For this reason, it is difficult to install the measurement subject who resides in a home other than the medical facility due to high costs. In particular, when an elderly person living alone has a sudden illness, there are many unfortunate cases such as lonely death without being able to inform the emergency condition, and early notification and emergency response system for the elderly who are in an emergency situation. It is urgently required to establish

In addition, it takes a certain amount of time to identify the area where the person to be measured exists, and the actual state of the person to be measured cannot be grasped until the person arrives at the site where the person is to be measured.

In recent years, cellular phones have become widespread, but this system can transmit not only information but also video.

The cellular phone has a receivable area in the range of several tens of kilometers, and can manage a wide range of area information as compared with a PHS communication apparatus having only a narrow receivable area.

Thus, it is conceivable to use a mobile phone as the communication device of the emergency rescue system described above. However, when this is used as a single device, the following inconvenience occurs.

Assuming that the life crisis reporting device and the mobile phone function are integrated, an equivalent development of the mobile phone body is required. In addition, if a mobile phone and the life crisis reporting device are connected with a hard cable, the action of the person being measured is restricted or lacks in wearability and is not practical.

However, by controlling the connection between the life crisis reporting device and the mobile phone with a short-range wireless communication mechanism, the wearability can be improved and the size can be reduced. Further, the portable medical information terminal device for doctors and emergency personnel at the onset site, etc. Data communication to can be realized.

The invention according to claim 1 is a life crisis emergency notification system for reporting the onset of heart failure or respiratory failure of a measurement subject, and automatically monitors the measurement subject's blood oxygen saturation at regular intervals. And measuring the blood oxygen saturation, body temperature, pulse rate, blood pressure and respiratory rate of the subject when it is detected through the monitoring means that the blood oxygen saturation is below a predetermined threshold. When any one of these blood oxygen saturation levels, body temperature, pulse rate, blood pressure, and respiratory rate is not within a predetermined range, the subject has heart failure or respiratory failure Or a comparison calculation unit that performs an abnormality determination that determines that there is a risk of developing, and a geographical position information transmission mechanism that detects and transmits the geographical position where the measurement subject is located as the geographical position information, Said different When the determination is executed, the measured blood oxygen saturation, body temperature, pulse rate, blood pressure, respiration rate, and the geographical position information of the measured person are measured by the short-range wireless communication mechanism or the medical information terminal device or the mobile phone. notified, and summarized in that having the medical information terminal or outgoing control mechanism for automatically emergency call to the emergency contact nearest through mobile phones.
As a result, emergency calls are automatically made to the nearest family member, nurse's office, emergency lifesaving center, fire department, etc., and emergency response is made possible by early notification and early detection of the subject in the emergency situation. . The reporting device can cover a wide area because it uses a mobile phone.

According to a second aspect of the present invention, in the life crisis emergency notification system according to the first aspect, the transmission control mechanism includes a camera that detects video information of the measurement subject, and when the abnormality determination is performed. The gist is to start receiving the video information of the measurement subject detected by the camera and to automatically make an emergency notification of the video information to the nearest emergency contact.

It the invention according to claim 3, wherein the comparison operation part, the subject's blood pressure, blood oxygen saturation, body temperature, pulse rate, measurement of respiratory rate, blood pressure is less than or 200mmHg above 70mmHg it blood oxygen saturation is 80% or less, it body temperature is 35 ° C. or less young properly is 4 0 ° C. or more, the pulse rate is 30 / min or less or 140 / min or more, the respiratory rate 8 / min with that correspond to at least one or less, and be required to perform the abnormality determination.

According to a fourth aspect of the present invention, in the life crisis emergency notification system according to any one of the first to third aspects, when the abnormality determination is executed, the transmission control mechanism is provided for each person to be measured. The person to be measured is identified using the identified identification code for the person to be measured, and the medical record information stored in the database of the medical institution related to the specified person to be measured is reported to the nearest emergency contact The gist is to do.

The invention according to claim 5 is the life crisis emergency notification system according to any one of claims 1 to 4, wherein the measured blood oxygen saturation level, body temperature from when the abnormality determination is performed. Recording means for starting the recording of the pulse rate, blood pressure and respiratory rate, and the transmission control mechanism is configured to record the blood oxygen saturation, the body temperature, the pulse rate, the blood pressure and the respiratory rate recorded in the recording unit. The main point is to notify the emergency contact information.

Invention of Claim 6 is a life crisis emergency notification system as described in any one of Claims 1-5. When the said abnormality determination is performed, with respect to the third party who assists care in the onset site The gist is that the voice guide previously recorded by the subject is started.

The invention described in claim 7 is the life crisis emergency notification system according to any one of claims 1 to 6, further comprising sound information recording means for recording sound information around the life crisis emergency notification system, The gist of the present invention is to record voice information emitted by the person to be measured through the sound information recording means from when the abnormality determination is performed. Thus, when the person being measured is conscious, a message is recorded to a family member or friend when the communication device does not function.

The invention according to claim 8 is the life crisis emergency notification system according to any one of claims 1 to 7, wherein the transmission control mechanism is the nearest emergency contact when the abnormality determination is executed. The gist is that the mobile phone automatically responds to an incoming call. As a result, when the person being measured cannot operate the communication device, he / she automatically receives a voice call from a medical institution such as a family or hospital, and inquires and obtains information by voice until the medical staff arrives at the site. It is said.

The present invention provides a risk of developing or developing a pathological condition among the blood oxygen saturation, body temperature, pulse rate, blood pressure, respiratory rate of the subject via a wristwatch-type life crisis reporting device attached to the arm. In some cases, by using only small SPO2 (1a), which automatically changes its response most significantly and consumes less power, usually automatically at regular intervals, using a small storage battery The life crisis reporting device has been made lighter and smaller. In addition, the blood pressure, SPO ₂ , body temperature, pulse rate, respiratory rate, etc. of the person being measured are constantly measured, and these measured values are compared with the comparative set values built into the life crisis reporting device, and the measured values of elderly persons, etc. If a person develops or is at risk of developing a medical condition such as heart failure or respiratory failure, information such as blood pressure, SPO ₂ , body temperature, pulse rate, respiratory rate, etc. of the person being measured and the place of transmission are short-range wireless communication Use the mechanism to automatically make emergency calls to the nearest family member, nurse station, emergency lifesaving center, fire department, etc. through medical information terminal equipment or a mobile phone, and observe with an automatically operating condition monitoring device Therefore, emergency response is made possible by early notification and early detection of the subject in emergency. Since the notification device uses a mobile phone, it can cover a wide area, and the disease state monitoring device can directly confirm the disease state of the subject.

By the life crisis reporting device and the disease state monitoring device, the patient's disease state can be confirmed more quickly and relief can be performed in a short time.

Blood pressure is 70 mmHg or less, 200 mmHg or more, SPO ₂ is 80% or less, body temperature is 35 ° C or less or 40 ° C or more, pulse rate is 30 / min or less or 140 / min or more, and respiratory rate If the measured value of one or more of these measured subjects falls within the range of 8 / min or less, a medical information terminal device or a mobile phone is used by using a short-range wireless communication mechanism with these measured values and the place of transmission. To the nearest family member, nurse's station, emergency care center, fire department, etc.

Since the above life crisis criteria can be set as appropriate via the life crisis reporting device, it is possible to set an abnormality determination criterion for determining a life crisis without bothering the hands of a medical system example (such as a doctor in charge).

When the above-mentioned wristwatch-type life crisis reporting device for the person to be measured detects an abnormal state of the person to be measured, before and after the identification information for identifying the person to be measured and the information and abnormality detected from the person to be measured are detected. The detection information for a predetermined time is transmitted and the transmitted information is recorded.

In order to obtain emergency medical information by doctors and ambulance crews on site using the short-range wireless communication mechanism of the upper life crisis reporting system, the vital data of the measured person is obtained using an authorized access code. Since it can be transferred to a medical information terminal device, the leakage of personal information can be prevented.

According to the present invention, it is possible to construct an emergency lifesaving system that is inexpensive and has a wide application range by combining the life crisis reporting device, a commercially available mobile phone, and a general Internet network.

If criteria for indicating a life crisis such as blood pressure, SPO ₂ , body temperature, pulse rate, respiration rate, etc. used to detect an abnormal condition of the subject are set in advance in the life crisis reporting device, the subject may have heart failure. Even if there is no consciousness or awareness due to respiratory failure, it is possible to automatically report to the nearest family member, a nurse's station in a medical facility, an emergency lifesaving center, or a fire department.

Predetermined information before and after detecting the identification information for identifying the person to be measured when detecting the abnormal state of the person to be measured by the wristwatch type life crisis reporting device for the person to be measured, and information or abnormality detected from the person to be measured It is assumed that detection information corresponding to the time is output, and the pathological condition of the measurement subject can be appropriately determined instantaneously by observation with a pathological condition monitoring apparatus that automatically operates when abnormality information is received.

Medical record information is also automatically available online to the nearest emergency and lifesaving center and fire department, so that appropriate measures can be taken before emergency delivery of the subject, and the emergency center and emergency hospital can be Arrangements are now possible.

A specific embodiment according to the present invention will be described below with reference to FIGS. Therefore, the present invention is not limited by this embodiment.

  FIG. 1 is an explanatory diagram for making an emergency call to a nearest report destination via a medical information terminal device or a mobile phone (16) by a short-range wireless communication means or the like in the life crisis reporting device according to the present invention. The life crisis reporting device (10) switches the device on and off with a push button, and the display data on the liquid crystal monitor is switched with a button-type display lamp via the indicator light control unit (8) shown in FIG.

The wearer of the life crisis reporting device can record a message in advance through the built-in microphone, and can play back the recording with the built-in speaker in an emergency or receive an instruction from the medical information center 12 or the like. There are various measuring units such as an SPO2 sensor and a blood pressure measuring unit on the back side of the apparatus, and it is possible to select either normal mode automatic measurement or temporary measurement via a changeover switch.

FIG. 2 shows an example in which, in the life crisis reporting device (10), the biometric information acquisition unit automatically performs measurement of only SPO ₂ (1a) at a specified interval in order to reduce power consumption (normal mode). ing. The outline will be described below. In the normal mode, the value of SPO ₂ (1a) measured by the biological information acquisition unit 1 is compared with the limit reference value (2a) of SPO ₂ of the limit reference setting unit (2) by the comparison calculation unit (3). If the threshold value is exceeded, the process proceeds to the switch control unit (7) in the alert mode.

In the alert mode, automatic measurement of the body temperature (1b), the pulse rate (1c), and the blood pressure (1d) is automatically performed in addition to the SPO ₂ (1a) of the subject, and the measured values measured in the alert mode are In the comparison operation unit (3), various measured values (1a and 1b, 2a and 2b, 3a and 3b, 4a and 4b) are compared and determined.

  In the alarm mode, the indicator light control unit (8) starts blinking red orange and utters an alarm sound.

  Further, in the alarm mode, the geographical position information acquisition unit using the GPS radio wave is activated at the time of this mode transition, and the current position (4a: latitude / longitude) of the measurement subject is acquired.

Subsequently, SPO ₂ (1a), body temperature (1b), pulse rate (1c), blood pressure (1d), respiratory rate (1e) measured values and geographical position information (4a) observed in the alert mode Is transferred to the notification control unit (6).

The communication control unit (6) uses the short-range wireless communication mechanism, and through the nearby mobile phone (16), the measured person's SPO ₂ (1a), body temperature and the identification code for the person to be measured are sent to the set contact information. (1b), pulse rate (1c), blood pressure (1d), respiration rate (1e) measured value, geographical position information (4a), and chart information stored in chart information built-in part (5) (5a, 5b: code) , Specific information such as medical history and vitals).

In the alarm mode, measurements of SPO ₂ (1a), body temperature (1b), pulse rate (1c), blood pressure (1d), respiration rate (1e) and geographical position information (4a) are continuously performed. Save measurement results in time series.

  Data stored in time series in the alarm mode is transmitted to the nearest contact at regular intervals.

  In the alarm mode, by pressing the flashing emergency voice guide playback button of the voice recording / replaying unit (9), guidance for the action of a third party assisting emergency is played back.

  Further, in the alarm mode, a telephone call is automatically received from a medical staff member of the family (13) or hospital (12) who has received the report, and the current status of the measured person can be acquired as voice information.

  Further, as shown in FIG. 2, a medical facility such as a hospital that has received the report converts it into information on a map based on the position information (4a) and uses it in the emergency rescue system.

  FIG. 3 shows access to the geographical location information (4b) and medical record information (5b) built in the database of the related medical institution based on the transmitted identification code for the person to be measured, and medical information such as medical history, allergies, etc. It is explanatory drawing distributed to the medical institution which acquires and accommodates, or the doctor of the ambulance (14) dispatched to the spot.

  At the medical institution that accommodates the patient, a treatment plan is prepared based on the identification code for the person being measured and the medical record information (5a, 5b), and a drug list, a list of doctors and staff, and a list of medical devices are issued. An abnormality detection mail (16a) for emergency convocation to a person is distributed.

As shown in FIG. 4, in the onset site, in response to a command from a portable medical information terminal device (11) such as a doctor, in addition to the person-to-be-measured identification code (5 a), accumulated from the time of onset to the present Vitals such as SPO ₂ (1a), body temperature (1b), pulse rate (1c), blood pressure (1d), respiratory rate (1e) are transmitted wirelessly to the portable medical information terminal device (11).

  Furthermore, in the case shown in FIG. 4, when the person being measured is awake in the alarm mode and the communication device such as the mobile phone (16) is not functioning due to failure, the message can be recorded by the person being measured. It is.

Further, as the biological information acquisition unit in the above, the blood pressure, SPO _2, body temperature, pulse rate, the example of detecting the respiration, not limited thereto. For example, a device that detects a blood glucose level of 60 mg / dl or less that causes a hypoglycemic attack may be used.

  FIG. 5 is a schematic explanatory diagram of a disease state monitoring system. That is, it receives life emergency call information from the person to be measured via the life emergency call device (10), and passes through the communication control unit (18) of the camera control device (17) which is a receiving device in the emergency call system. The camera controller (21) controls the network camera (22) installed indoors, and is automatically rescued. A still image or a moving image is transmitted to the lifesaving center (15), the medical information center (12), or the like.

  In addition, when the illuminance is low at night or indoors, the illumination device (23) can be automatically controlled to turn on the illumination.

In addition, network cameras are emergency. It is possible to control the direction of the camera, the enlargement / reduction of the image, etc. from the outside such as the lifesaving center (15) and the medical information center (12), and the details of the facial expression of the person being measured and the indoor situation can be grasped.

  As described above, the wristwatch-type life crisis reporting system and the pathological condition monitoring system according to the present invention provide a blood pressure of the subject when the subject develops or is likely to develop a seizure such as heart failure or respiratory failure. Emergency reports are automatically made online to the nearest emergency medical center or fire department on-line, such as body temperature, pulse rate, respiratory rate, etc. It is ideal for the elderly with loneliness and bedridden people who cannot tell the condition immediately.

It is explanatory drawing which shows the product external appearance which concerns on this invention. It is explanatory drawing which shows the operating condition in the life crisis reporting apparatus which concerns on this invention. It is explanatory drawing which shows a mode that the life crisis reporting apparatus in the Example of this invention is carrying out emergency contact to the nearest report destination. It is explanatory drawing which shows a mode that the life crisis notification apparatus in the Example of invention is emergency-contacted via an access code. These are schematic explanatory drawings of a disease state monitoring system.

Explanation of symbols

1 ...... the person to be measured blood pressure, SPO _2, body temperature, pulse rate, respiratory rate of the biometric information acquiring unit 1a · · · · · measured person SPO ₂
1b: Body temperature of the subject 1c: Pulse rate of the subject 1d ... Blood pressure of the subject 1e ... Respiratory rate of the subject 2 ...・ ・ ・ Blood pressure, SPO ₂ , body temperature, pulse rate, respiratory rate limit reference setting part 2 a ...... SPO ₂ limit reference value ₂ b ...... body temperature limit reference value 2 c ...... pulse Limit reference value for numbers 2d ... Limit reference value for blood pressure 2e ... Limit reference value for respiratory rate 3 .... Comparison calculator between measured value and limit value 4 .... .. Geographical location information acquisition unit 4a ... Geographical location information (latitude and longitude)
4b: Geographical location information (specific location such as address)
5 .... Medical record information built-in part 5a ... Medical record information (code)
5b: Medical record information (specific information such as medical history, vitals, etc.)
6 .... Communication control unit for reporting measurement values and geographical location information 7 .... Switch control unit 8 .... Indicator control unit 9 .... Voice recording Regeneration unit 10 ··· Life crisis reporting device 11 ··· Portable medical information terminal device 12 ··· Medical information center 13 ··· Family 14 ··· ··· Ambulance 15 ······································································ Abnormality detection email (including latitude and longitude information)
17... Camera control unit 18... Communication control unit 19... Central processing unit 20. 22. Network camera 23 ... Lighting equipment

Claims (8)

A life crisis emergency notification system for reporting the onset of heart failure or respiratory failure of a subject,
Provided with a monitoring means for automatically monitoring the blood oxygen saturation of the measurement subject at a predetermined interval at all times, and the measurement is performed when it is detected through the monitoring means that the blood oxygen saturation is below a predetermined threshold value. Measurement of blood oxygen saturation, body temperature, pulse rate, blood pressure and respiratory rate of the person is started, and any one of these blood oxygen saturation, body temperature, pulse rate, blood pressure and respiratory rate is predetermined A comparison operation unit that performs an abnormality determination to determine that the subject has heart failure or respiratory failure or is likely to develop heart failure or respiratory failure,
A geographical position information transmission mechanism for detecting and transmitting the geographical position where the measurement subject is located as geographical position information;
When the abnormality determination is executed, the measured blood oxygen saturation, body temperature, pulse rate, blood pressure, respiratory rate, and the geographical position information of the measured subject are measured by the short-range wireless communication mechanism or the medical information terminal device or A life crisis emergency call system comprising a transmission control mechanism for notifying a mobile phone and automatically making an emergency call to the nearest emergency contact through the medical information terminal device or the mobile phone . In life crisis emergency call system according to 請 Motomeko 1,
The transmission control mechanism includes a camera that detects video information of the measurement subject,
When the abnormality determination is performed, reception of the video information of the measurement subject detected by the camera is started, and the video information is automatically notified to the nearest emergency contact address. Life crisis emergency call system. The comparison calculation unit has a measured value of blood pressure, blood oxygen saturation, body temperature, pulse rate, and respiration rate of the measurement subject , blood pressure is 70 mmHg or less or 200 mmHg or more , and blood oxygen saturation is 80%. or less, it body temperature is 35 ° C. or less young properly is 4 0 ° C. or more, the pulse rate is 30 / min or less or 140 / min or more, at least that respiration is 8 / min 1 One with that correspond to and perform the abnormality determination
The life crisis emergency notification system according to claim 1 or 2 . In the life crisis emergency notification system according to any one of claims 1 to 3,
The transmission control mechanism specifies the person to be measured using the identification code for the person to be measured distinguished for each person to be measured when the abnormality determination is performed, and relates to the specified person to be measured. Report medical record information stored in the database of the medical institution to the nearest emergency contact
Life crisis emergency call system characterized by that . In the life crisis emergency notification system according to any one of claims 1 to 4,
A recording means for starting recording of the measured blood oxygen saturation, body temperature, pulse rate, blood pressure and respiratory rate from when the abnormality determination is performed;
The transmission control mechanism reports the blood oxygen saturation, body temperature, pulse rate, blood pressure, and respiratory rate recorded in the recording means to the nearest emergency contact.
Life crisis emergency call system characterized by that . In the life crisis emergency notification system according to any one of claims 1 to 5,
When the abnormality determination is executed, a voice guide that is recorded in advance by the person to be measured is started for a third party who assists care at the onset site.
Life crisis emergency call system characterized by that . In the life crisis emergency notification system according to any one of claims 1 to 6,
Sound information recording means for recording sound information around the life crisis emergency notification system,
Record the sound information emitted by the person to be measured through the sound information recording means from when the abnormality determination is performed.
Life crisis emergency call system characterized by that . In the life crisis emergency notification system according to any one of claims 1 to 7,
The transmission control mechanism automatically causes the mobile phone to respond to an incoming call from the nearest emergency contact when the abnormality determination is executed.
Life crisis emergency call system characterized by that .

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