JP5314165B2 - 携帯通信装置とライフクリティカルネットワークで用いる方法 - Google Patents
携帯通信装置とライフクリティカルネットワークで用いる方法 Download PDFInfo
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- G—PHYSICS
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- G08C—TRANSMISSION SYSTEMS FOR MEASURED VALUES, CONTROL OR SIMILAR SIGNALS
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- G08C17/02—Arrangements for transmitting signals characterised by the use of a wireless electrical link using a radio link
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L63/00—Network architectures or network communication protocols for network security
- H04L63/08—Network architectures or network communication protocols for network security for authentication of entities
- H04L63/0853—Network architectures or network communication protocols for network security for authentication of entities using an additional device, e.g. smartcard, SIM or a different communication terminal
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
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- A—HUMAN NECESSITIES
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- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
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- A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
Description
を用いることによって、多数の携帯患者コミュニケータと中央局との間のセキュア通信を提供する。方法実施形態は、通信装置によって実行される多数の異種通信プロトコルを用いることによって、ネットワーク接続を要求する複数の構成要素のうちの各々の存在を検出することと、各々の構成要素が携帯患者コミュニケータであるか否か判定することとを伴う。方法実施形態は、携帯患者コミュニケータであると判定された構成要素に対してのみ、通信装置によって実装される異種通信プロトコルを用いてセキュアではないネットワークを介する中央局との接続を確立することと、通信装置とセキュアではないネットワークを介して、中央局に対して携帯患者コミュニケータのみを認証することと、携帯患者コミュニケータ認証が成功すると、通信装置とセキュアではないネットワークを介して、携帯患者コミュニケータと中央局との間の携帯患者コミュニケータデータの通信を促進することとを伴う。携帯患者コミュニケータデータは、それらのそれぞれの携帯患者コミュニケータによって患者植込医療装置から獲得された少なくともいくつかの患者植込医療装置データを含む。
セキュアではないネットワークへの接続要求をネットワークアクセス設備に伝送させ、中央局に対して携帯患者コミュニケータを認証させ、さらに携帯患者コミュニケータ認証が成功すると、携帯患者コミュニケータと中央局との間のセキュア通信を促させるプログラム命令を含む医療ファームウエアおよびライフクリティカルネットワークソフトウエアを保存するように構成される。モジュール式携帯患者コミュニケータは、携帯患者コミュニケータの要素に電力を供給するように構成された電源を含む。
記載された特定の実施形態に本発明を限定するものではない。むしろ、本発明は、添付の特許請求の範囲によって定義されるような本発明の範囲内にある全ての改変、等価物、および代替物に及ぶよう意図されている。
ような用語「ハブ」は、数ある中でも特に、リピータ、スイッチ、およびルータを含む様々な通信装置を含むよう意図される。多くの実施形態の説明において、用語ハブは、そのような他の通信装置と互換的に用いられる。
ルインユーザサービス(RADIUS)ネットワークプロトコルを含む。認証は、ライフクリティカルネットワーク上にある中央局と接触することによって提供される。
者コミュニケータがセキュア中央局に通信することを許可する。
部生理学的センサと外部生理学的センサのうちの少なくとも一方、周囲センサと状況センサのうちの少なくとも一方、植込医療装置、および他の外部システムまたは装置のうちの少なくとも一方とのローカル有線通信または無線通信を達成するように(内部要素を介してか、好ましくは携帯患者コミュニケータの万能ポートに接続されたモジュールの要素によって)構成されることが好ましい。
々のファクタに基づく対称アルゴリズムを奨励して、非対称暗号化動作を最小限にすることが可能である。
報(たとえば日付、時間、信号強度、および電池状態)を提供し得る小型LCD806、およびLED808を含むように示される簡素なユーザインタフェース(U/I)を有する。LED808は、携帯患者コミュニケータ800のON状態または他の動作状態表示を示し得る。1実施形態において、LED808の照明(またはたとえば多色LED808の緑色の照明)は、携帯患者コミュニケータの電池が、少なくとも24時間(または他の持続期間)連続してサービスを提供するように十分充電されていることを示し得る。LED808は、患者に情報を通信する、互いに異なる色を含み得る点滅スキームを実行するように制御され得る。たとえば緑のON色は、ユーザとのやりとりが成功したという確認応答を示し得る(たとえば緑色の急閃光)。
ムされ得る。前記TTMスキームは、たとえばセル方式ネットワークサービスなどの他の通信モードが、利用できない場合、中央局に通信するバックアップ方法であり得る。
トコル226〜228を実装するように構成され得る。
意の従来型のルータ、スイッチまたはハブを示すことを目的としている。
トワークソフトウエア202を実行するとき、中央局850への携帯患者コミュニケータ800の要求を認証し、認証が成功すると、論理ローカルポート210と論理ネットワークポート204を介して、携帯患者コミュニケータ800と中央局850との間の通信を有効にする。
ライフクリティカルネットワーク/中央局にアクセスするソフトウエアと患者植込医療装置をインテロゲートするファームウエア(たとえば医療用ソフトウエアまたはファームウエア)を含む、様々なファームウエア、ソフトウエア、およびデータを保存するように構成されることが好ましい。
繁な監視を必要とする。モジュール950は、携帯患者コミュニケータと、たとえばセンサ952と954などの様々なセンサとの間の接続性を達成するブルートゥース通信設備を含む。図14において示される各々の患者シナリオに対して携帯患者コミュニケータ800によって獲得されたデータは、数あるファクタの中でも特に、臨界性、接続品質、および接続コストに基づきライフクリティカルネットワーク/中央局に通信される。
ことが可能である。
ンにさらに連結され得る。本明細書において記載される方法、構造、および技術のうちの少なくとも1つは、1あるいは複数の以下の特許文献12,13,14,15,16,17,18,19,20および21において記載される特徴を含めて、様々なAPMサーバシステムに関連する方法論を組み入れ得る。これらの特許文献は、参考文献によって本明細書において盛り込まれている。携帯患者コミュニケータによって患者植込医療装置から獲得され、APMサーバに保存されたデータは、たとえば特許文献22に開示されるものなど、電子医療記録システムに転送され得ると共にそのシステム内に組み入れられ得る。これらは、参考文献によって本明細書において盛り込まれてある。
Claims (12)
- 複数の携帯患者コミュニケータと中央局との間のセキュア通信を達成する通信装置であって、それぞれ前記携帯患者コミュニケータは患者植込医療装置との接続性をもたらすように構成され、前記通信装置は、
ハウジングと;
前記ハウジングに提供されると共に、前記通信装置と、前記セキュアではないネットワークとの間の通信を促進するように構成される論理ネットワークポートと;
前記ハウジングに提供されると共に、前記通信装置と、前記複数の携帯患者コミュニケータとの間の接続性を達成すべく複数の異種通信プロトコルを実装するように構成される複数の論理ローカルポートと;
前記ハウジングに提供されると共に、前記論理ネットワークポートと、前記複数の論理ローカルポートとに連結されるプロセッサと;
前記ハウジングに提供されると共に前記プロセッサに連結されるメモリであって、前記メモリは、前記プロセッサによって実行されるとき、前記プロセッサに、「前記通信装置を介して、ネットワーク接続を要求する構成要素が、携帯患者コミュニケータである」か否か判定させ、前記中央局に対して携帯患者コミュニケータのみを認証させ、携帯患者コミュニケータ認証が成功すると、前記論理ローカルポート、前記論理ネットワークポート、および前記セキュアではないネットワークを介して、前記携帯患者コミュニケータと前記中央局との間の通信を促進させ、さらに少なくとも一部の携帯患者コミュニケータデータが患者植込医療装置データを含むように、前記携帯患者コミュニケータデータを前記中央局に転送させるプログラム命令を含むライフクリティカルネットワークソフトウエアを保存することと
を含むことを特徴とする、通信装置。 - 前記ライフクリティカルネットワークソフトウエアのプログラム命令は、前記プロセッサによって実行されるとき、前記プロセッサによって「携帯患者コミュニケータである」と判定された構成要素に対してのみ、前記中央局への接続マッピングと認証とを提供する、
請求項1記載の通信装置。 - 前記メモリは、前記プロセッサによって実行されるとき、前記プロセッサに、前記論理ローカルポート、前記論理ネットワークポート、および前記セキュアではないネットワークを介して、非携帯患者コミュニケータ構成要素とインターネットとの間の通信を促進させるプログラム命令を含む総合インターネットアクセスソフトウエアを保存する、
請求項1または2記載の通信装置。 - 前記複数の論理ローカルポートは、複数の無線アクセスポートを含むことと;
前記複数の論理ローカルポートは、少なくとも1つの有線アクセスポートを含むこととのうちの少なくとも一方が成立する、
請求項1〜3何れか一項記載の通信装置。 - 前記ライフクリティカルネットワークソフトウエアのプログラム命令は、前記プロセッサによって実行されるとき、前記プロセッサに、前記通信装置に近接する携帯患者コミュニケータをインテロゲートさせ、さらに前記セキュアではないネットワークを介して、前記携帯患者コミュニケータと前記中央局との間のセキュア接続を確立すべく、前記中央局で前記携帯患者コミュニケータを認証させることと;
前記ライフクリティカルネットワークソフトウエアのプログラム命令は、前記プロセッサによって実行されるとき、前記プロセッサに、前記通信装置に近接する携帯患者コミュニケータをインテロゲートさせ、それぞれの患者植込医療装置をインテロゲートするように前記携帯患者コミュニケータに要求させ、前記中央局で前記携帯患者コミュニケータを認証させ、さらに少なくとも一部の携帯患者コミュニケータデータが、患者植込医療装置データを含む前記携帯患者コミュニケータデータを前記中央局に転送させることと
のうちの少なくとも一方が成立する、
請求項1〜4何れか一項記載の通信装置。 - 前記通信装置は、前記ライフクリティカルネットワークソフトウエアを受信し、前記ソフトウエアを前記メモリ内に保存すると、特殊用途通信装置として機能するように変換される汎用通信装置を定義する、
請求項1〜5何れか一項記載の通信装置。 - 前記通信装置は、ハブ、スイッチ、またはルータを定義する、
請求項1〜6何れか一項記載の通信装置。 - 前記通信装置は、患者植込医療装置プログラマを定義するか、前記プログラマに不可欠であることと;
前記携帯患者コミュニケータから前記プログラマの前記メモリに転送された前記データは、前記プログラマが前記携帯患者コミュニケータデータのうちの一部か全てを解読するのを阻止するように暗号化またはセキュア化されることと
のうちの少なくとも一方が成立する、
請求項1〜6何れか一項記載の通信装置。 - 複数の携帯患者コミュニケータと中央局との間のセキュア通信を、セキュアではないネットワークを介する通信装置を用いることによって達成する通信方法であって、それぞれ前記携帯患者コミュニケータは、患者植込医療装置との接続性をもたらすように構成され、前記通信方法は、
前記通信装置によって実装される複数の異種通信プロトコルを用いて、ネットワーク接続を要求する複数の構成要素のうちの各々の存在を検出することと;
「各々の前記構成要素が、携帯患者コミュニケータである」か否か判定することと;
「携帯患者コミュニケータである」と判定された前記構成要素に対してのみ、前記通信装置によって実装される前記異種通信プロトコルを用いて、前記セキュアではないネット
ワークを介する前記中央局への接続を確立することと;
前記通信装置と前記セキュアではないネットワークとを介して、前記中央局に対して前記携帯患者コミュニケータのみを認証することと;
携帯患者コミュニケータ認証が成功すると、前記通信装置と前記セキュアではないネットワークとを介して、前記携帯患者コミュニケータと前記中央局との間の携帯患者コミュニケータデータの通信を促進することであって、前記携帯患者コミュニケータデータは、それぞれの携帯患者コミュニケータによって患者植込医療装置から獲得された少なくともいくつかの患者植込医療装置データを含むことと
を含むことを特徴とする、通信方法。 - 前記通信方法は、携帯患者コミュニケータであると判定された少なくともいくつかの前記構成要素に対して、前記通信装置によって実装された異種無線通信プロトコルと前記セキュアではないネットワークとを用いて、前記中央局への無線接続を確立することを含む、
請求項9記載の通信方法。 - 前記通信方法はさらに、
前記通信装置に近接する携帯患者コミュニケータをインテロゲートすることと;
前記セキュアではないネットワークを介して、前記中央局で前記携帯患者コミュニケータを認証することと
を含み、
前記携帯患者コミュニケータのインテロゲーションは、それぞれの患者植込医療装置をインテロゲートするように各々の前記携帯患者コミュニケータに要求することを含む、
請求項9または10記載の通信方法。 - 複数の段階を、セキュアではないネットワークに連結され得る且つ通信装置に配置されるデータ処理装置に実行させるための命令を保存するコンピュータ可読媒体であって、前記複数の段階は、
前記通信装置によって実装される複数の異種通信プロトコルを用いて、ネットワーク接続を要求する複数の構成要素のうちの各々の存在を検出する段階と;
「各々の前記構成要素が、携帯患者コミュニケータである」か否か判定する段階であって、各々の前記携帯患者コミュニケータは、患者植込医療装置との接続性を達成するように構成されることと;
「携帯患者コミュニケータである」と判定された前記構成要素に対してのみ、前記通信装置によって実装可能な前記異種通信プロトコルを用いて、前記セキュアではないネットワークを介して、前記中央局への接続を確立する段階と;
前記通信装置と前記セキュアではないネットワークとを介して、前記中央局に対して前記携帯患者コミュニケータのみを認証する段階と;
携帯患者コミュニケータ認証が成功すると、前記通信装置と前記セキュアではないネットワークとを介して、前記携帯患者コミュニケータと前記中央局との間の携帯患者コミュニケータデータの通信を促進する段階であって、前記携帯患者コミュニケータデータは、それぞれの携帯患者コミュニケータによって患者植込医療装置から獲得された少なくともいくつかの患者植込医療装置データを含むことと
を含むことを特徴とする、コンピュータ可読媒体。
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WO2010102023A2 (en) | 2010-09-10 |
JP2012519456A (ja) | 2012-08-23 |
US8638221B2 (en) | 2014-01-28 |
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