JP5110270B2 - Biological information display system, biological information display monitor, and biological information display monitor program - Google Patents

Description

  The present invention collects information related to a measurement state in which biological information is obtained together with various types of biological information obtained from a plurality of patients in a hospital or the like, a biological information display system that enables monitoring, the biological information display monitor, and the biological information The present invention relates to a biological information display monitor program used for an information display monitor.

  Conventionally, for the purpose of monitoring the patient's condition, various electrodes and adapters are attached to a living body, and various biological information such as an electrocardiogram, heart rate and SpO2 (arterial blood oxygen saturation) are taken out by a sensor and used as a bedside. Visual data is displayed on the monitor.

  The bedside monitor is arranged for a patient, and a central monitor is connected to the bedside monitor via a network. The central monitor is arranged at a nurse station or the like, and displays biometric information obtained from a plurality of patients so as to be monitored in a lump.

  As a biological information display system using the bedside monitor or the central monitor as described above, a parameter that is a monitoring target item of biological information corresponding to a plurality of patients is simultaneously displayed, and alarm information is displayed in a parameter display frame. Is known (see Patent Document 1).

  It also collects biological information of multiple patients, stores alarm information obtained by detecting the abnormal state from the collected biological information, and sequentially stores the information in real time. There is also known a biological information display system configured to display in real time in a time series and prevent an alarm from being overlooked (see Patent Document 2).

According to the system disclosed in Patent Document 2, since an alarm history is displayed, there is an effect that an oversight can be prevented. However, alarms related to the suitability of measurement conditions, which are called technical alarms, are often caused by repeated minor faults, for example, the electrode is not completely detached, However, there are many cases where normal measurement and abnormal measurement are repeated, and it is not always sufficient to display the current state and countermeasures. If the alarm occurrence corresponding to the minor failure described above is repeated, a large number of the same history will be displayed continuously, and the monitor may feel that the display is simply annoying. There is.
JP 2002-263070 A JP 2006-180979 A

  The present invention has been made in view of the problems in the biological information display system as described above, and its purpose is to accurately collect and display technical alarms resulting from repeated occurrence of minor faults. It is another object of the present invention to provide a biological information display system capable of displaying an alarm that can be performed and is less annoying. It is another object of the present invention to provide a biological information display monitor used for the biological information display system and a biological information display monitor program used for the biological information display monitor.

The biological information display system according to the present invention is provided in a plurality of living organisms, corresponds to sensors for extracting biological information from each living organism, biological information obtained by the sensors, and monitoring target items in the biological information for each living organism. Vital alarm information output means for outputting vital alarm information based on the alarm generation condition information set in the above, and biological information waveform creation means for creating a biological information waveform based on the biological information obtained by each sensor for each living body And detection output means for detecting and outputting technical alarm information indicating abnormality of the measurement state based on biological information and sensor state obtained by the required sensor for each living body, and based on an output result by the vital alarm information output means, Vital alarm occurrence history information is converted into display data for each living body, and the detection Based on the detection result by the force means, history display data converting means for converting the generation history information of the technical alarm into display data separately for each living body, and for each living body based on at least the current detection result information by the detection output means Separately, monitor status information creating means for creating monitor status information showing the degree of occurrence of technical alarms by the required sensors in the current stage, display means having a screen for displaying various information, and a first of the screens The biometric information waveforms corresponding to a predetermined number of living bodies created by the biometric information waveform creating means are displayed in the area , and the history display data converting means is displayed in a second area of the screen different from the first area. Only vital alarms in which the generation history information of vital alarms separated for each predetermined number of living organisms is converted into display data Or the generation history information of the technical alarms separated for each predetermined number of living bodies created by the history display data converting means is only the technical alarm in which display data is converted into display data, or the vital alarm and display data converted into display data One of the mixed technical alarms is selectively displayed, and corresponds to a predetermined number of living bodies created by the monitor state information creating means in a third area of the screen different from the first and second areas And display control means for displaying monitor status information.

The biological information display monitor according to the present invention is provided on a plurality of living bodies, and receives various information from a receiving section that receives information transmission from a transmitting means that transmits biological information obtained by a sensor for taking out biological information from each living body. In relation to the biological information received by the receiving means and the display means having a screen for performing the determination of the occurrence of the vital alarm based on the alarm generation condition information set corresponding to the monitoring target item in the biological information for each living body Vital alarm information output means for outputting vital alarm information, biological information waveform creation means for creating a biological information waveform based on biological information obtained by each sensor for each living body, and required sensors for each living body. Based on the detected biological information and sensor status, it detects and outputs technical alarm information indicating abnormal measurement status. Based on the output results from the output means and the vital alarm information output means, the vital alarm occurrence history information is converted into display data for each living body, and is separated for each living body based on the detection results from the detection output means. A history display data converting means for converting the generation history information of the technical alarm into display data, and the degree of occurrence of the technical alarm by the required sensor at the present time separately for each living body based on at least the current detection result information by the detection output means. Monitor status information creating means for creating monitor status information showing step by step, and displaying biological information waveforms corresponding to a predetermined number of living bodies created by the biological information waveform creating means in the first area of the screen, in a second region of the screen different from the first area, created by the history display data means The vital alarm occurrence history information separated for each predetermined number of living organisms is only the vital alarm in which the display data is converted, or the technical alarm divided for each predetermined number of living organisms created by the history display data converting means The occurrence history information is selectively displayed either as a technical alarm converted into display data, or as a mixture of a vital alarm converted into display data and a technical alarm converted into display data, and the first and second Display control means for displaying monitor status information corresponding to a predetermined number of living bodies created by the monitor status information creation means in a third area of the screen different from the area is provided.

A biological information display monitor program according to the present invention is provided in a plurality of living bodies, a receiving unit that receives information transmission from a transmitting unit that transmits biological information obtained by a sensor for taking out biological information from each living body, and various information In the biological information display monitor including a display unit including a screen for displaying a computer and a computer that executes a program, the monitoring target item in the biological information for each living body is related to the biological information received by the receiving unit. Based on the alarm occurrence condition information set in correspondence with the vital alarm information output means for outputting the vital alarm information, and the biological information obtained by each sensor for each biological body, A biological information waveform creating means for creating an information waveform;
Based on the biological information obtained by the required sensor for each living body and the sensor state, detection output means for detecting and outputting technical alarm information indicating abnormality of the measurement state, and based on the output result by the vital alarm information output means, the living body A history display data converting means for converting vital alarm occurrence history information into display data separately for each living body based on a detection result by the detection output means, ,
Based on at least the current detection result information by the detection output means, monitor status information creating means for creating monitor status information stepwise indicating the degree of occurrence of a technical alarm by a required sensor at present in each living body; A biological information waveform corresponding to a predetermined number of living bodies created by the biological information waveform creating means is displayed in a first area of the screen, and the history display is displayed in a second area of the screen different from the first area. The vital alarm occurrence history information divided for each predetermined number of living bodies created by the data conversion means is only the vital alarm generated as display data, or for each predetermined number of living bodies generated by the history display data conversion means. The occurrence history information of the separated technical alarms is only the technical alarms converted into display data, or the display data is converted into display data. Vital alarm and selectively displays one of the mixing of display data of has been technical alarm, created by the monitor state information creating means in the third region of the screen different from the first and second regions It is characterized by functioning as display control means for displaying monitor status information corresponding to a predetermined number of living bodies.

  In the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, the display control means includes at least a vital alarm and a technical signal in response to an input from an operation unit for selecting contents to be displayed. It is characterized by switching display related to an alarm.

  In the biological information display system, biological information display monitor, and biological information display monitor program according to the present invention, a setting screen for setting alarm generation condition information corresponding to a plurality of monitoring target items in the biological information for each of a plurality of living organisms The display control means corresponds to a plurality of monitoring target items in the biological information for each of a plurality of living bodies based on the setting screen information in response to an input from the operation unit for selecting contents to be displayed. A setting screen for setting alarm generation condition information is displayed in the second area and the third area.

  In the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, the history display data converting means arranges alarm history information in time series to generate display data.

  In the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, the history display data converting means converts display data by arranging at least symbols indicating the time of occurrence of an alarm in time series. Features.

  In the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, the history display data converting means includes the vital alarm generation history information and the technical alarm generation history information for each single living body. Display data for displaying in the second area, the display control means by the history display data conversion means in response to an input from the operation unit for selecting the content to be displayed Vital alarm occurrence history information and technical alarm occurrence history information corresponding to the required one living body converted into data are displayed in the second area.

  According to the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, the biological information corresponding to the predetermined number of living bodies created by the biological information waveform creating means in the first area of the screen. A waveform is displayed, and a vital alarm and / or technical alarm corresponding to a predetermined number of living bodies created by the history display data generating means is displayed in a second area of the screen different from the first area, Since the monitor state information corresponding to a predetermined number of living bodies created by the monitor state information creating means is displayed in a third area of the screen different from the first and second areas, a vital alarm is generated separately for each living body. The history information is displayed and / or the occurrence history information of the technical alarm is displayed separately for each living body. To the display monitor state information indicating the appropriateness of the measurement state by a required sensor in current Separating, it is visible the appropriateness of the measurement state by a required sensor at a glance without hassle.

  According to the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, at least a display relating to a vital alarm and a technical alarm in response to an input from an operation unit for selecting contents to be displayed. Since switching is performed, it is possible to select and monitor desired contents of alarm information for monitoring.

  According to the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, for setting alarm generation condition information corresponding to a plurality of monitoring target items in the biological information for each of a plurality of living organisms. Setting screen information is provided, and an alarm corresponding to a plurality of items to be monitored in the biological information for each of a plurality of living bodies based on the setting screen information in response to an input from the operation unit for selecting contents to be displayed Since the setting screen for setting the generation condition information is displayed in the second area and the third area, it is possible to set the alarm generation condition information corresponding to the monitoring target item in the biological information for each living body. Therefore, it is possible to quickly set the setting values related to the alarms of a plurality of persons, and it is possible to collectively refer to the alarm generation conditions of a plurality of persons.

  According to the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, since the alarm history information is arranged in time series and converted into display data, it can be displayed. Alarm occurrence can be tracked in time series.

  According to the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, since the symbols indicating the alarm occurrence time are arranged in time series and converted into display data, the alarm occurrence time is determined. The symbols are displayed in time series, and the frequency of alarm occurrence can be intuitively grasped.

  According to the biological information display system, the biological information display monitor, and the biological information display monitor program according to the present invention, data is generated by the history display data converting means in response to an input from the operation unit for selecting contents to be displayed. Since the vital alarm occurrence history information and technical alarm occurrence history information corresponding to the required one living body are displayed in the second area, the vital alarm occurrence history information relating to one living body is displayed instead of displaying a large number of people. It is possible to display the history information of technical alarms and analyze them in detail.

  Embodiments of a biological information display system, a biological information display monitor, and a biological information display monitor program according to the present invention will be described below with reference to the accompanying drawings. In each figure, the same components are denoted by the same reference numerals, and redundant description is omitted. FIG. 1 shows a configuration diagram of a biological information display system according to the present invention. That is, in the biological information display system, a central monitor 2 and a plurality of bedside monitors 3-1 to 3-n are connected to a LAN (local area network) 1. The LAN 1 is wired or wireless. The central monitor 2 and the plurality of bedside monitors 3-1 to 3-n may exchange data with a telemeter.

  The central monitor 2 is configured, for example, as shown in FIG. That is, the central monitor 2 shown in FIG. 2 has a CPU 51 that performs overall control of the apparatus, and a main storage device 52 that stores information such as programs and data used by the CPU 51 is connected to the CPU 51. Further, a touch panel control unit 54, a display control unit 55, a printer control unit 56, a communication interface 57, a mouse control unit 58, and a memory control unit 59 are connected to the CPU 51 via a system bus 53. A touch panel input device 60 capable of inputting various information is connected to the touch panel control unit 54, an LCD display device 61 for displaying information is connected to the display control unit 55, and information is printed out to the printer control unit 56. Is connected to the communication interface 57, the communication processing unit 63 is connected to the communication interface 57 via the LAN 1, and the mouse control unit 58 is connected to the mouse 64, which is a pointing device. A memory device 65 that is an auxiliary storage device is connected to the unit 59.

  FIG. 3 shows a main part of the bedside monitor 3-1 representing the bedside monitors 3-1 to 3-n. The input port 68 is sent from various sensors 5-1 to 5-m. A vital signal arrives. As the various sensors 5-1 to 5-m, there are an electrocardiogram measurement electrode, a blood pressure measurement cuff, an oxygen saturation measurement probe, and the like, which are adopted as necessary for each patient. In the bedside monitor 3-1, information transmission is transmitted to the LAN 1 from the communication processing unit 63 and the communication interface 57 which are transmission means for transmitting the biological information obtained by the sensor.

  FIG. 4 shows a configuration and a functional block diagram of the main part of the central monitor 2. The central monitor 2 functions as a receiving unit that receives biometric information via the communication processing unit 63 and the communication interface 57. The biological information received by the communication processing unit 63 and the communication interface 57 is stored in the memory device 65 via the memory control unit 59 in association with the patient ID (identification information) by the CPU 51. The CPU 51 extracts, for example, a biological information display monitor program stored in the magnetic disk device 65 to the main storage device 52 and executes it, thereby executing the vital alarm information output means 21, biological information waveform creation means 22, and detection shown in FIG. It functions as output means 23, history display data converting means 24, monitor state information creating means 25, and display control means 26.

  Before describing the various means, a biological information alarm (vital alarm) and a technical alarm exemplified in this embodiment will be described. Here, as an example, an electrocardiogram and a pulse wave waveform are displayed on the LCD display device 61 as waveform diagrams. In addition, alarms related to biological information include HR (heart rate), PR (pulse rate), ART (arterial pressure), NIBP (non-invasive blood pressure), SpO2 (arterial oxygen saturation), CO2 (carbon dioxide partial pressure), TEMP (body temperature), CVP (central venous pressure), and APNEA (apnea) are treated as monitoring target items (parameters), and any of the upper and lower limit values is set for these monitoring target items. An alarm is generated when the value exceeds.

  In addition, alarms related to arrhythmia, which is biological information, include ASYSTOLE (cardiac arrest) V FIB (ventricular fibrillation), V TACHY (ventricular tachycardia), VPC RUN (ventricular premature contraction), BRADYCARDIA (bradycardia), COUPLET (double ventricular extrasystole) and BIGEMINE (ventricular bistage) are treated as items to be monitored. The occurrence of an alarm for the monitoring target item related to arrhythmia is detected by an arrhythmia processing program provided in the central monitor 2 analyzing an electrocardiogram waveform or the like.

  In addition, technical alarms include “electrode confirmation” alarms that are detected based on the fact that the potential difference between predetermined electrodes is not predetermined when the measurement electrodes of the electrocardiograph are improperly attached, "Noise" alarm detected based on detecting a waveform that cannot be handled by an electrocardiograph when noise is superimposed on the signal obtained by the meter, and a signal outside the required range in the signal obtained by the pulse wave meter “SpO2” alarm detected based on the current and voltage of the measurement system when it is obtained, etc., and when the LAN 1 is a wireless LAN, the radio wave exceeding the required strength based on the electric field strength at the communication processing unit 63 or at the telemeter receiving unit There is "out of radio wave" etc. that is generated when it is detected that cannot be received.

  The vital alarm information output means 21 shown in FIG. 4 outputs vital alarm information based on the alarm generation condition information set corresponding to the monitoring target item in the biological information for each living body (patient). The upper and lower limit values described above constitute alarm generation condition information, and the conditions when the arrhythmia processing program determines an arrhythmia by analyzing an electrocardiogram waveform and the like constitute alarm generation condition information.

  The biological information waveform creation means 22 creates a biological information waveform based on biological information obtained by each sensor for each living body. In this embodiment, the biological information waveform creation means 22 creates an electrocardiogram and a pulse wave waveform (display waveform information). . The detection output means 23 detects and outputs technical alarm information indicating an abnormality in the measurement state based on the biological information obtained by a required sensor for each living body and the sensor state. That is, the detection output means 23 detects and outputs technical alarm information by the process as described above.

  The history display data converting means 24 converts the vital alarm occurrence history information into display data separately for each living body based on the output result from the vital alarm information output means 21, and for each living body based on the detection result by the detection output means 23. In addition, technical alarm occurrence history information is converted into display data.

  The monitor state information creating unit 25 creates monitor state information indicating whether or not the current state of measurement by the required sensor is appropriate for each living body based on at least the current detection result information from the detection output unit 23.

  The display control means 26 gives display data to the display control section 55 so that the biological information is displayed on the screen. As shown in FIG. The first area 11, the second area 12, and the third area 13 are provided in the area, and function to display necessary information in these areas.

  Specifically, the display control means 26 displays the biological information waveforms corresponding to a predetermined number of living bodies created by the biological information waveform creating means 22 in the first area 11 of the screen. Vital alarms and / or technical alarms corresponding to a predetermined number of living bodies created by the history display data converting means 24 are displayed in different second areas 12 of the screen, and the first area 11 and the second area are displayed. 12, monitor state information corresponding to a predetermined number of living bodies created by the monitor state information creating means 25 is displayed in the third area 13 of the screen different from 12. The arrangement of the three areas on the screen is not limited to this.

  A display example displayed on the screen of the LCD display device 61 via the display control unit 55 by the display control means 26 is shown in FIG. The corresponding positions in FIG. 6 will be described with reference to FIG. As shown in FIG. 6, the first region 11 is divided into 4 × 4 16 frames, and a biological information waveform corresponding to one patient is displayed in each frame together with a patient name and a biological information numerical value. In the example of FIG. 6, an electrocardiogram and a heart rate are displayed together with the patient name in most frames.

  In the third frame from the top in the rightmost frame of the first region 11, the pulse wave and the pulse rate are displayed together with the patient name in FIG. 6. The upper frame of the third frame is a display example when the sensor is removed and the monitor is interrupted due to the temporary withdrawal of the patient, and the lower frame of this frame is a display example when the floor is empty. In addition, regarding a patient to which a sensor for collecting a plurality of types of biological information waveforms is attached, the biological information waveforms to be displayed in the first area are selected and set in advance on the setting screen, thereby performing display control. The means 26 makes a selection based on the setting information and displays the corresponding biological information waveform.

  As shown in FIG. 6, the second area 12 includes a total of eight frames on the left and right sides, and can display vital alarms and / or technical alarms corresponding to eight patients at a time. In FIG. 6, the alarm information when the set upper and lower limit values are exceeded is displayed, and the alarm history information is arranged in time series and converted into display data, so it is displayed in time series on the left and right. . The monitoring target items to be displayed are four items, but are not limited to four items depending on the size of the screen. In addition, minute vertical bars, which are symbols indicating the time of occurrence of an alarm, are arranged in chronological order as display data, and as shown in FIG. 6, minute vertical bars are crowded according to the frequency of occurrence. Is somewhat obvious. As the color of the symbol, colors determined in advance from four colors of red, orange, yellow and blue for each alarm priority order are used.

  A time bar area T is provided below the second area 12 as shown in FIG. 5, and the same time is displayed in the left and right time bar areas T by the display control means 26. On the rightmost side in the time bar area T, the current time is displayed. By comparing the time displayed in the time bar area T with the alarm information in the second area 12, it is possible to know when many alarms are generated or when there are few alarms.

  In the third area 13, corresponding to the frame of the second area 12, a total of eight frames are provided on the left side of the frame of the second area 12, and the monitor status information is displayed. In the present embodiment, the monitor status information creating means 25 creates monitor status information indicating “good” when the total number of occurrences of each technical alarm from the present to 1 hour before is 9 times. If it is between 10 times and 29 times, monitor status information indicating “OK” is created, and if it is 30 times or more, monitor status information indicating “bad” is created. The created monitor status information indicates that a green circle is displayed when “good”, a yellow circle is displayed when “possible”, and a “bad” case. Indicates that a red circle is displayed, and the display as shown in FIG. 6 is performed in the third area 13 of the LCD display device 61 by the display control means 26 via the display control unit 55. . As described above, the monitor state information is displayed in correspondence with the patient in the third region 13, so that it can be seen at a glance whether the monitor state is “good, acceptable, or bad” for each patient. It is possible to take necessary measures together with the alarm display. The monitor status information is not limited to three levels, and may be displayed in two levels or four or more levels.

  Further, as shown in FIG. 5, the tag area is displayed above the second area 12. In the display example of FIG. 6, tags tag <b> 1 to tag <b> 9 are displayed. In FIG. 6, a tag tag1 is a tag for causing the second region 12 to display corresponding to the patients whose patient numbers are 1 to 8, and the tag tag2 is a tag for the second region 12 The tag for causing the display corresponding to the patients whose patient numbers are 9 to 16 to be performed. Tags tag3 to tag7 are tags for displaying patients in groups.

  In order to perform a display corresponding to any one of the tag tag1 to tag tag9 being operated, for example, the memory device 65 has a patient name and an attribution flag for each tag name (A to E) for the patient ID. (1 indicates an attribution flag set and 0 indicates a reset) and is stored as shown in FIG. In the example of FIG. 7, by operating the tag tag3 on which “group A” is displayed, information corresponding to the six names for which the attribution flag is set can be displayed, and “group B” is displayed. The information corresponding to the six persons for whom the attribution flag is set can be displayed by the operation of the tag tag4 being made, and the attribution flag is set by the operation of the tag tag5 being labeled "Group C" The information corresponding to the two names can be displayed, and the information corresponding to the two names for which the attribution flag is set can be displayed by the operation of the tag tag6 displaying “Group D”. . In addition, since no attribution flag is set for “group E”, no information is displayed even if an operation is performed on the tag tag6 on which “group E” is displayed.

  The tag tag8 displays a screen for performing group setting, and the screen for performing group setting matches the stored content shown in FIG. On this screen, the group setting can be changed by setting / resetting the attribution flag. The tag tag9 displays a screen for registering a group name. In this screen, for example, input fields "group A" to "group E", character candidates, and an "OK" key are displayed and registered. It is configured to select an input field, select a character candidate, input a desired group name, and operate an “OK” key to complete the operation. As a result, the desired names of “group A” to “group E” are changed and stored for the stored contents of FIG.

  As shown in FIG. 5, the bottom column of the screen is the key area 15, and the rightmost column of the screen is also the key area 16. In the key area 15, as shown in FIG. 6, “system setting”, “overview”, “help”, “printing prohibition”, “review”, “screen”, “parameter”, “patient management”, “many” Keys of “number of people alarm event”, “print”, “waveform display”, “menu”, “return”, “all patients” are displayed and can be operated by the touch panel input device 60.

  As shown in FIG. 6, in the key area 16, “multi-person upper / lower limit setting” is displayed from the upper side, and “upper / lower limit”, “arrhythmia”, “technical”, “zoom-in”, and “zoom-out” keys are displayed. The touch panel input device 60 can be operated. In the display example shown in FIG. 6, the “upper / lower limit” key has been operated, and the display color of the “upper / lower limit” key has changed. The alarm display mode corresponding to the “upper / lower limit” to be generated is shown.

  When the display as shown in FIG. 6 is performed and the “arrhythmia” key is operated for the display type, the display control means 26 causes the second display on the screen of the LCD display device 61 via the display control unit 55. Alarm information related to arrhythmia is displayed in the area 12. A display example of alarm information related to arrhythmia displayed in the second region 12 on the screen of the LCD display device 61 by the display control means 26 via the display control unit 55 is shown in FIG.

  In this case, the display color of the “arrhythmia” key is changed for the display type, which indicates that the alarm display mode corresponds to “arrhythmia” in which an alarm is generated when an arrhythmia is detected. Since the display as shown in FIG. 8 is performed, it can be known at a glance at which time many arms are generated and at which time the arrhythmia does not occur for the monitoring target item related to arrhythmia. Moreover, the therapeutic effect by medication etc. can be understood at a glance by monitoring for a long time. Further, it can be considered together with the monitor state information in the third area 13, and it is possible to take measures such as examining the following technical alarm.

  When the “technical” key is operated for the display type while the display as shown in FIG. 6 or FIG. 8 is performed, the display control means 26 is displayed on the screen of the LCD display device 61 via the display control unit 55. Technical alarm information is displayed in the second area 12. A display example of the technical alarm information displayed in the second area 12 on the screen of the LCD display device 61 by the display control means 26 via the display control unit 55 is shown in FIG.

  In this case, the display color of the “technical” key for the display type has changed, indicating that the alarm display mode is compatible with “technical” that generates an alarm when an abnormality related to electrode confirmation or noise is detected. Has been. Since the display as shown in FIG. 9 is performed, it is possible to know how often and at what time the alarm has occurred for the monitoring target items such as electrode confirmation and noise. Not only the time of occurrence of the technical alarm but also the time from the occurrence time to the end time may be displayed. Further, it can be considered together with the monitor state information in the third area 13, and it is possible to take necessary measures. In addition, you may display a vital alarm and a technical alarm simultaneously.

  As described above, the display control means 26 switches the display relating to the two types of vital alarm screen and the technical alarm screen according to the input from the key in the operation unit for selecting the content to be displayed in the second area 12. I do. The number of vital alarm screens and technical alarm screens is not limited to this embodiment, and the display control means 26 performs display switching for at least vital alarms and technical alarms.

  In the key area 16, as shown in FIG. 10, “multi-person alarm event”, “multi-person upper / lower limit setting” from the upper side, and “upper / lower technical”, “arrhythmia technical”, “zoom-in” and “zoom-out” for display types. These keys are displayed and can be operated by the touch panel input device 60.

  In the display example shown in FIG. 10, when the “upper / lower limit technical” key is operated, the display color of the “upper / lower limit technical” key changes, and the set upper / lower limit value is exceeded. It is shown that the alarm display mode is a combination of both “technical” that generates an alarm when an abnormality related to electrode confirmation or noise is detected together with “upper and lower limits” that generate an alarm. Accordingly, on the leftmost side of the area where the alarm information is displayed, the monitoring target items displayed in the alarm display mode corresponding to “upper and lower limits” shown in FIG. 6 and the alarm corresponding to “technical” shown in FIG. The monitoring target items displayed in the display mode are displayed side by side in the vertical direction.

  The left and right time bar areas T shown in FIG. 5 are united in FIG. 10 and the time is displayed. As shown in FIG. 10, the left scroll key and the right scroll key are displayed on the left and right sides of one time bar area T, and the jump key to the left end and the jump key to the right end are respectively displayed on the outer sides. Is done. These keys can be operated by the touch panel input device 60. By operating these keys, the displayed alarm information can be scrolled or jumped to the leftmost or rightmost end.

  As shown in FIG. 10, a cursor extending in a straight line in the vertical direction is displayed at the center of the alarm information display area. The alarm information displayed using the scroll key or the like can be scrolled to change the time position indicated by the cursor. Symbol. Since the display is made in this way, the occurrence time and frequency of vital alarms and technical alarms for the upper and lower limit values corresponding to one patient can be clarified, the patient status can be grasped by the frequency of alarm occurrence, etc. It is convenient that you can know at the same time whether or not is in an appropriate state.

  In the display example of FIG. 10, tag tag1 to tag tag10 of FIG. 5 are displayed. In FIG. 10, tag tag1 is a trend review, tag tag2 is a text list review, tag tag3 is a hemodynamic list review, tag tag4 is an arrhythmia recall review, and tag tag5 is ST (electrocardiogram S -Tag interval review, tag tag6 for long-time waveform review, tag tag7 for ECG (electrocardiographic waveform) 12-lead analysis review, tag tag8 for alarm history review, and tag tag9 for alarm event review The tag tag10 is a tag for displaying a report review by characters, respectively (here, the display of FIG. 10). Here, the tag tag9 is in an operated state, and the display color of the tag tag9 is changed. Yes. When jumping to a review other than the tag tag9, the display control means 26 displays the review corresponding to the time position indicated by the cursor.

  When the “arrhythmic technical” key is operated for the display type while the display is displayed as shown in FIG. 10, the display control means 26 causes the second area 12 and the second area on the screen of the LCD display device 61 to be displayed via the display control unit 55. 3, alarm information and technical alarm information related to the arrhythmia corresponding to the patient are displayed. The “arrhythmic technical” alarm information corresponding to one patient displayed in the second region 12 and the third region 13 on the screen of the LCD display device 61 via the display control unit 55 by the display control means 26 described above. A display example is shown in FIG.

  In the display example shown in FIG. 11, the “arrhythmia technical” key has been operated, the display color of the “arrhythmia technical” key has changed, and an “arrhythmia” that generates an alarm when an arrhythmia is detected is displayed. ”Together with“ technical ”that generates an alarm when an abnormality relating to electrode confirmation or noise is detected is shown. Therefore, on the leftmost side of the area where the alarm information is displayed, the monitoring target item displayed in the alarm display mode corresponding to “arrhythmia” shown in FIG. 8 and the alarm display corresponding to “technical” shown in FIG. The monitoring target items displayed in the mode are displayed side by side in the vertical direction.

  Except for the above in FIG. 11, the display example is the same as that in FIG. Since the display is made in this way, the occurrence time and frequency of vital alarms and technical alarms related to arrhythmia corresponding to one patient can be clarified, the patient status can be grasped by the frequency of alarm occurrence, etc. It is convenient because it is possible to know at the same time whether or not it is in an appropriate state. In addition, since the vital alarm and the technical alarm are displayed at the same time, the correlation can be understood. In the above-described embodiment, only the time of occurrence of the vital alarm and the technical alarm is displayed, but it may be displayed as a bar graph from the time of occurrence to the time of completion.

  When the “multi-person upper / lower limit setting” key in the display examples shown in FIGS. 6, 8, 9, 10, and 11 is operated, the display controller 26 stores the central monitor 2 in the memory device 65. Based on the setting screen information, a setting screen for setting alarm generation condition information corresponding to the monitoring target item in the biological information for each living body is displayed in the second area 12 and the third area 13. A display example of the setting screen for setting the alarm occurrence condition information displayed in this way is shown in FIG.

  In the second area 12 and the third area 13 of FIG. 12, a total of 48 frames are displayed in a maximum of 8 in the horizontal direction and 6 in the vertical direction. In the example of FIG. 12, for example, since it is not a measurement object, the frames from the fifth column to the eighth column in the second row are not displayed. Each frame can be operated from the touch panel input device 60. The vertical direction corresponds to the monitoring target items, and up to six monitoring target items are displayed on one screen. In this example, condition information can be set for a total of twelve monitoring target items on two screens. Thus, it is possible to smoothly set the setting values by simultaneously setting the setting values of the plurality of monitoring target items for a plurality of patients. In order to display the second screen, the “parameter” key displayed in the bottom column of the screen is operated. Accordingly, the display control means 26 displays the second screen based on the setting screen information stored in the memory device 65 by the central monitor 2.

  As a display example of a total of 48 frames at the maximum, the leftmost frame in the first row in FIG. 12 is shown in FIG. In the large area 41 on the left side of the frame, the current measurement value of the monitoring target item is displayed, and in the upper area 42 of the large area 41, the monitoring target item (here, HR indicating heartbeat) is displayed. An upper limit value (initially a default value) is displayed in the upper right area 43U of the large area 41, and a lower limit value (initially a default value) is displayed in the lower right area 43D of the large area 41. Furthermore, the values obtained by changing the upper limit value and the lower limit value from the initial values are conspicuous in red, thereby having the effect of confirming the validity of the set value and reducing erroneous settings.

  In the display example of FIG. 12, since tag tag1 to tag tag9 are displayed and the same setting as in FIG. 6 is performed, the description regarding tag tag1 to tag tag9 is omitted. In the display example of FIG. 12, the tag tag1 has been operated, and each column of a maximum of 48 frames is associated with a patient name and a patient ID.

  As described above, the memory device 65 of the central monitor 2 is provided with setting screen information for setting alarm generation condition information corresponding to the monitoring target item in the biological information for each of a large number of persons. In order to set the alarm generation condition information corresponding to the monitoring target item in the biological information for each living body based on the setting screen information in response to an input from the operation unit for selecting the content to be displayed in the area 12 of FIG. Are displayed in the second area 12 and the third area 13, it is possible to simultaneously set corresponding alarm generation condition information while listing a large number of monitoring target items, and depending on the comparison target, It is possible to reduce the setting.

The preferred embodiment of the present invention has been described above, but the present invention is not limited to the above-described embodiment, and within the scope of the present invention, such as displaying a vital alarm and a technical alarm at the same time, Many design changes are possible.

1 is an overall configuration diagram of a biological information display system according to the present invention. The block diagram of the central monitor used for the biometric information display system which concerns on this invention. The principal part block diagram of the bedside monitor used for the biometric information display system which concerns on this invention. The principal part structure and functional block diagram of the central monitor used for the biometric information display system which concerns on this invention. The figure which shows the screen structure employ | adopted in the biometric information display system which concerns on this invention. The figure of the substitute photograph which shows the screen content displayed in the biometric information display system which concerns on this invention. The figure which shows the relationship between the tag memorize | stored in the biometric information display system which concerns on this invention, a patient name, etc. FIG. The figure of the substitute photograph which shows the screen content displayed in the biometric information display system which concerns on this invention. The figure of the substitute photograph which shows the screen content displayed in the biometric information display system which concerns on this invention. The figure of the substitute photograph which shows the screen content displayed in the biometric information display system which concerns on this invention. The figure of the substitute photograph which shows the screen content displayed in the biometric information display system which concerns on this invention. The figure of the substitute photograph which shows the screen content displayed in the biometric information display system which concerns on this invention. FIG. 13 is an enlarged view in a required display frame shown in FIG. 12.

Explanation of symbols

2 Central monitor 3-1 to 3-n Bedside monitor 5-1 to 5-m Sensor 21 Vital alarm information output unit 22 Biological information waveform generation unit 23 Detection output unit 24 History display data generation unit 25 Monitor state information generation unit 26 Display control means 51 CPU
52 Main Storage Device 53 System Bus 54 Touch Panel Control Unit 55 Display Control Unit 56 Printer Control Unit 57 Communication Interface 58 Mouse Control Unit 59 Memory Control Unit 60 Touch Panel Input Device 61 LCD Display Device 62 Printer Device 63 Communication Processing Unit 64 Mouse 65 Memory Device

Claims (18)

A sensor provided on a plurality of living bodies for extracting biological information from each living body;
Vital alarm information output means for outputting vital alarm information based on the biological information obtained by each sensor and the alarm generation condition information set corresponding to the monitoring target item in the biological information for each biological body,
Based on biological information obtained by each sensor for each biological body, biological information waveform creating means for creating a biological information waveform;
Detection output means for detecting and outputting technical alarm information indicating abnormality of the measurement state based on biological information and sensor state obtained by the required sensor for each biological body;
Based on the output result by the vital alarm information output means, the vital alarm occurrence history information is converted into display data for each living body, and based on the detection result by the detection output means, the technical alarm is generated separately for each living body. A history display data converting means for converting occurrence history information into display data;
Based on at least the current detection result information by the detection output means, monitor status information creating means for creating monitor status information stepwise indicating the degree of occurrence of a technical alarm by a required sensor at present in each living body;
Display means comprising a screen for displaying various information;
A biological information waveform corresponding to a predetermined number of living bodies created by the biological information waveform creating means is displayed in the first area of the screen, and the history is displayed in a second area of the screen different from the first area. The vital alarm occurrence history information separated for each predetermined number of living bodies created by the display data converting means is only the vital alarm generated as display data, or for each predetermined number of living bodies generated by the history display data converting means. Either the occurrence history information of the technical alarm separated into only the technical alarm converted into display data or the mixture of the vital alarm converted into display data and the technical alarm converted into display data is selectively displayed, It corresponds to a predetermined number of living bodies created by the monitor state information creating means in a third area of the screen different from the first and second areas. Biometric information display system characterized by comprising a display control means for displaying the monitor status information. 2. The biological information display system according to claim 1, wherein the display control unit performs display switching regarding at least a vital alarm and a technical alarm in accordance with an input from an operation unit for selecting contents to be displayed. . Setting screen information for setting alarm generation condition information corresponding to a plurality of monitoring target items in the biological information for each of a plurality of biological bodies,
The display control means is configured to generate an alarm generation condition corresponding to a plurality of monitoring target items in biological information for each of a plurality of living bodies based on the setting screen information in response to an input from an operation unit for selecting contents to be displayed. The biological information display system according to claim 1, wherein a setting screen for setting information is displayed in the second area and the third area. The biometric information display system according to any one of claims 1 to 3, wherein the history display data converting means converts alarm history information into display data by arranging them in time series. The biometric information display system according to any one of claims 1 to 4, wherein the history display data conversion means converts display data by arranging at least symbols indicating the alarm occurrence time points in time series. The history display data converting means converts display data for displaying vital alarm occurrence history information and technical alarm occurrence history information in the second area for each single living body,
In response to an input from the operation unit for selecting contents to be displayed, the display control means generates vital alarm occurrence history information and technical alarms corresponding to a desired living body converted into data by the history display data conversion means. The biometric information display system according to any one of claims 1 to 5, wherein occurrence history information is displayed in the second area. A receiving unit that is provided in a plurality of living bodies and receives information transmission from a transmitting unit that transmits biological information obtained by a sensor for taking out biological information from each living body;
Display means comprising a screen for displaying various information;
A vital alarm for determining vital alarm generation based on alarm generation condition information set in correspondence with the monitoring target item in the biological information for each living body and outputting vital alarm information with respect to the biological information received by the receiving means Information output means;
Based on biological information obtained by each sensor for each biological body, biological information waveform creating means for creating a biological information waveform;
Detection output means for detecting and outputting technical alarm information indicating abnormality of the measurement state based on biological information and sensor state obtained by the required sensor for each biological body;
Based on the output result by the vital alarm information output means, the vital alarm occurrence history information is converted into display data for each living body, and based on the detection result by the detection output means, the technical alarm is generated separately for each living body. A history display data converting means for converting occurrence history information into display data;
Based on at least the current detection result information by the detection output means, monitor status information creating means for creating monitor status information stepwise indicating the degree of occurrence of a technical alarm by a required sensor at present in each living body;
A biological information waveform corresponding to a predetermined number of living bodies created by the biological information waveform creating means is displayed in the first area of the screen, and the history is displayed in a second area of the screen different from the first area. The vital alarm occurrence history information separated for each predetermined number of living bodies created by the display data converting means is only the vital alarm generated as display data, or for each predetermined number of living bodies generated by the history display data converting means. Either the occurrence history information of the technical alarm separated into only the technical alarm converted into display data or the mixture of the vital alarm converted into display data and the technical alarm converted into display data is selectively displayed, It corresponds to a predetermined number of living bodies created by the monitor state information creating means in a third area of the screen different from the first and second areas. Biological data displaying monitor, characterized by comprising display control means for displaying the monitor status information. The biological information display monitor according to claim 7, wherein the display control unit performs display switching related to at least a vital alarm and a technical alarm in response to an input from an operation unit for selecting contents to be displayed. . Setting screen information for setting alarm generation condition information corresponding to a plurality of monitoring target items in the biological information for each of a plurality of biological bodies,
The display control means is configured to generate an alarm generation condition corresponding to a plurality of monitoring target items in biological information for each of a plurality of living bodies based on the setting screen information in response to an input from an operation unit for selecting contents to be displayed. The biological information display monitor according to claim 7 or 8, wherein a setting screen for setting information is displayed in the second area and the third area. The biological information display monitor according to any one of claims 7 to 9, wherein the history display data converting means converts at least alarm history information into display data in time series. 11. The biological information display monitor according to claim 7, wherein the history display data conversion means converts the symbols indicating the time of occurrence of the alarm into display data by arranging them in time series. The history display data converting means converts display data for displaying vital alarm occurrence history information and technical alarm occurrence history information in the second area for each single living body,
In response to an input from the operation unit for selecting contents to be displayed, the display control means generates vital alarm occurrence history information and technical alarms corresponding to a desired living body converted into data by the history display data conversion means. The biological information display monitor according to any one of claims 7 to 11, wherein occurrence history information is displayed in the second area. A receiving unit that is provided in a plurality of living bodies and receives information transmission from a transmitting unit that transmits biological information obtained by a sensor for taking out biological information from each living body; and a display unit that includes a screen for displaying various types of information; A computer in a biological information display monitor comprising a computer for executing a program;
A vital alarm for determining vital alarm generation based on alarm generation condition information set in correspondence with the monitoring target item in the biological information for each living body and outputting vital alarm information with respect to the biological information received by the receiving means Information output means;
Based on biological information obtained by each sensor for each biological body, biological information waveform creating means for creating a biological information waveform;
Detection output means for detecting and outputting technical alarm information indicating abnormality of the measurement state based on biological information and sensor state obtained by the required sensor for each biological body;
Based on the output result by the vital alarm information output means, the vital alarm occurrence history information is converted into display data for each living body, and based on the detection result by the detection output means, the technical alarm is generated separately for each living body. A history display data converting means for converting occurrence history information into display data;
Based on at least the current detection result information by the detection output means, monitor status information creating means for creating monitor status information stepwise indicating the degree of occurrence of a technical alarm by a required sensor at present in each living body;
A biological information waveform corresponding to a predetermined number of living bodies created by the biological information waveform creating means is displayed in the first area of the screen, and the history is displayed in a second area of the screen different from the first area. The vital alarm occurrence history information separated for each predetermined number of living bodies created by the display data converting means is only the vital alarm generated as display data, or for each predetermined number of living bodies generated by the history display data converting means. Either the occurrence history information of the technical alarm separated into only the technical alarm converted into display data or the mixture of the vital alarm converted into display data and the technical alarm converted into display data is selectively displayed, It corresponds to a predetermined number of living bodies created by the monitor state information creating means in a third area of the screen different from the first and second areas. Biological information display monitor program for causing to function as a display control means for displaying the monitor status information. The biological information display monitor according to claim 13, wherein the display control means performs display switching concerning at least a vital alarm and a technical alarm in response to an input from an operation unit for selecting contents to be displayed. Program. It has setting screen information for setting alarm generation condition information corresponding to a plurality of monitoring target items in the biological information for each of a plurality of biological bodies,
The display control means is configured to generate an alarm generation condition corresponding to a plurality of monitoring target items in biological information for each of a plurality of living bodies based on the setting screen information in response to an input from an operation unit for selecting contents to be displayed. The biometric information display monitor program according to claim 13 or 14, wherein a setting screen for setting information is displayed in the second area and the third area. The biological information display monitor program according to any one of claims 13 to 15, wherein the history display data conversion means converts at least alarm history information into display data in time series. The biometric information display monitor program according to any one of claims 13 to 16, wherein the history display data converting means converts the symbols indicating the time of occurrence of the alarm into display data by arranging them in time series. The history display data converting means converts display data for displaying vital alarm occurrence history information and technical alarm occurrence history information in the second area for each single living body,
In response to an input from the operation unit for selecting contents to be displayed, the display control means generates vital alarm occurrence history information and technical alarms corresponding to a desired living body converted into data by the history display data conversion means. The biological information display monitor program according to any one of claims 13 to 17, wherein the occurrence history information is displayed in the second area.