RU123195U1 - TELEMEDICAL SYSTEM OF REMOTE HUMAN STATE MONITORING - Google Patents

Abstract

Telemedical system for remote monitoring of a person's condition, including interconnected wired and / or wireless communication channels and having access to the Internet monitoring and data processing center, at least one automated workplace of the attending physician, at least one ambulance station, at least one personal interactive patient module, while the monitoring and data processing center contains a central server connected to the network, a central database, specialized medical software, a medical expert system, an electronic archive management system, at least one multifunction printer, at least one automated workstation connected to the network operator's seat, including a personal computer, and a multifunctional mobile phone with the function of automatic generation and sending of SMS-messages and / or messages in batch form; the automated workstation of the attending physician contains a personal computer connected to the network with a local database of patients, a printer and a multifunctional mobile phone with the function of automatically generating and sending SMS-messages and / or messages in batch form; the patient's personal interactive module contains a block of sensors located on the patient's body for measuring the physiological parameters of a person and a block of sensors for the vertical position of the patient and fall sensors, an interface unit, a primary processing and analysis unit, a control unit, a unit for generating and receiving and transmitting messages, a light and sound unit alarm, panic button, webcam, many�

Description

The utility model relates to a telemedicine diagnostic system that allows monitoring the health status of patients outside the hospital who have undergone surgery or serious injury, who suffer from serious illnesses and need constant monitoring by the medical personnel, and quickly transmit patient information to medical personnel for monitoring, issuing operational recommendations, providing emergency care.

A known complex for monitoring the state of the body, which is a device that allows in the "real time" to control the condition of a large number of patients in various rooms of the medical institution. The devices consist of sensors or other medical devices placed on the patient’s body, which have data output ports that are connected by wireless channels through a transceiver to a device for receiving and processing information and then a computer terminal, the latter being connected by communication channels to a visualization unit and sound and light indication unit. A device for receiving and primary processing of information may include a module that monitors the threshold of the incoming signal, which is connected by an additional communication channel to the sound and light indication unit. (Patent RU 59389, class АВВ 5/02).

The disadvantages of this decision include the ability to control the condition of only those patients who are in the medical institution.

A device for measuring, controlling and monitoring the physiological state of a person based on a cell mobile phone is known. The device is a cellular mobile phone containing a transceiver unit. The proposed telephone contains means for measuring blood pressure and heart rate of a person, which are connected to analog-to-digital converters in a cellular mobile phone through the port, and also provides means for monitoring and comparing the values of measured values with thresholds and issuing, if necessary, a command to send a message to a medical the center by means of an SMS message or in a batch form (Patent RU 82416, class A61B 5/021).

The disadvantages of this solution include the limited registration parameters, as well as the transfer of data to the medical center only when the specified threshold values are exceeded, which makes remote monitoring of the patient’s health almost impossible.

The closest in functionality to the proposed utility model is a telemetric complex for monitoring and diagnosing the functional state of a person, consisting of a transmitting part and a receiving part, where the transmitting part consists of two modules - a module for taking physiological parameters located on the human body, and a computing module located on a man’s hand. The modules are interconnected using a serial interface. The receiving part of the complex consists of an information network and a node for storing, processing and visualizing information. The transmitting and receiving parts of the complex are interconnected by wireless communication. The information network is an Internet structure and contains a data transmission medium and access points: on the transmitting side, a wireless access point made using GSM / GPRS technology, and on the side of the information storage, processing and visualization node, a standard Internet access point (Patent RU 75145, CL A61B 5/04).

The disadvantage of this complex is the limited set of registered physiological parameters limited by electrical biopotentials and electrical impedance, the implementation of the information storage, processing and visualization unit in the form of a stationary computer connected to the Internet, which requires the constant presence of medical personnel in front of this computer, as well as the lack of patient feedback for prompt transmission of recommendations.

The closest adopted for the prototype is the telemedicine complex for remote monitoring of human health (Patent RU No. 94832, class АВВ 5/00), containing a personal interactive user module, with a transmit-receive module over a cellular communication network, as well as a physiological measurement module parameters connected to a personal interactive user module via a radio channel, sound and vibration indicator, emergency call buttons for medical assistance, GPS receiver, GPS interface, radio interface port A communication box for communication with a personal interactive user module and a doctor’s smartphone, the personal interactive user module and a doctor’s smartphone connected via cellular mobile communication channels to a data receiving / transmitting server, which is connected by a data transmission network to a data storage server and a complex management server.

The disadvantage of this telemedicine complex is the strong dependence on the provision of surgical care directly from the doctor in charge.

The technical problem solved by the claimed utility model is:

- the creation of a telemedicine system for remote monitoring of the health status of a wide range of users and the prompt provision of consulting and emergency care to them;

- ensuring high speed of decision-making in case of detection of deterioration of the user's health;

- increasing the degree of accessibility to provide prompt, highly qualified medical care to patients in out-of-hospital settings.

The specified technical result is achieved due to the fact that the telemedicine system for remote monitoring of human condition, includes a center for monitoring and data processing, containing automated workstations of operators. The monitoring center is connected via wired and / or wireless channels with personal interactive patient modules, ambulance stations, and automated workstations of attending physicians. The monitoring and data processing center is equipped with a central server connected to the network, a multifunction printer, a central database, specialized medical software, and a medical expert system; contains an electronic archiving system. Automated workstations (AWP) of operators contain a personal computer, and a multifunctional mobile phone with the function of automatically generating and sending SMS messages and / or messages in batch form.

The doctor’s workstation contains a personal computer connected to the network with a local patient database, a printer and a multifunctional mobile phone with the function of automatically generating and sending SMS messages and / or messages in batch form.

The personal interactive patient module contains a sensor unit located on the patient’s body for measuring the physiological parameters of a person, an interface unit, a primary processing unit, a patient vertical position and fall sensor unit, a primary processing unit, a message generation and transmission unit, a light and sound unit, located on the patient’s body alarm, panic button, webcam, multifunctional mobile phone with positioning functions through the channels of navigation satellite systems, and automatic the formation and sending of SMS-messages and / or messages in batch form, personal computer

Figure 1 and figure 2 presents a structural block diagram of a telemedicine system for remote monitoring of human condition and a block diagram of a personal interactive patient module, where:

1 - center for monitoring and data processing;

2 - an automated workplace of the attending physician;

3 - ambulance station;

4 - personal interactive module of the patient;

5 - the central server of the center for monitoring and data processing;

6 - central database;

7 - multifunction printer;

8 - automated workplace of the operator of the center for monitoring and data processing;

9 - personal computer of the operator’s workstation;

10 - multi-functional mobile phone operator operator;

11 - personal computer AWP of the attending physician;

12 - printer of the workstation of the attending physician;

13 - multifunctional mobile phone AWP of the attending physician;

14 is a block of sensors of physiological parameters of the patient;

15 is a block of sensors of the vertical position of the patient and fall;

16 - interface unit;

17 - block primary processing and analysis;

18 - control unit;

19 - block forming and receiving / transmitting messages;

20 - block light and sound alarm;

21 - panic button;

22 - block selection of the diagnostic mode;

23 - webcam;

24 - multifunctional mobile phone with positioning function;

25 - personal computer.

The functioning of the telemedicine monitoring system is as follows.

The patient who uses the patient’s personal interactive module 4 is registered in the monitoring and data processing center 1. Information about him, including identification data, health status epicrisis data, is entered into the general database 6. The same information is sent to the local database of the patient a doctor stored on the computer 11, observing the patient. The attending physician from his workplace 2 or through a mobile phone 13 determines the set of measured parameters of the patient’s body, sets a plan and time for their measurement. For each parameter, the attending physician sets threshold values. These data are stored in a local database, entered into the personal interactive module of the patient 4 and transferred to the general database 6 of the monitoring and data processing center 1.

When the time comes to measure physiological parameters, they are measured by sensors included in the sensor unit for measuring physiological parameters 14. The measurement process may be accompanied by light and / or sound signaling from the light and sound signaling unit 20. Data from the sensors of the sensor unit for measuring physiological parameters 14 is sent to the unit pairing 16, and from it to the unit of primary processing and analysis 17.

In the block of primary processing and analysis 17, the data obtained is compared with threshold values. In the case of a critical difference between the obtained and threshold values of physiological parameters, the light and sound signaling unit 20 gives an audio and light signal. The results of the initial processing and analysis are displayed on the computer screen 25.

From the primary processing and analysis unit 20, the measurement and pre-processing results are sent to the control unit 18, and from it to the message generation and reception / transmission unit 19. In the message generation and reception and transmission unit 19, a message is generated containing the initial information from physiological measurement sensors parameters and results of primary processing and analysis. The message is received in a multifunctional mobile phone 24 and, at home, on a personal computer 25. Messages are transmitted via communication channels to the data monitoring and processing center 1, where a complete analysis of the data is carried out. Operators conduct analysis using specialized software and a medical expert system. Analysis data identified with a particular patient are entered into the central database 6, transmitted via communication channels to the computer 11 of the attending physician of this patient. The attending physician can consult the patient using the multifunctional mobile phone 13 and observing the patient using the webcam 23. In the event of a significant deviation of the received data from the normative data by an amount exceeding the permissible deviation limit for the patient, the attending physician plans appropriate preventive and / or therapeutic measures for of this patient (examination, reception, medication), makes changes to the plan for subsequent monitoring of the patient's condition and transfers it to personal interactivity ny patient module 4. In the case of the critical condition of the patient the operator and / or the physician on call communication channels ambulance patient.

The patient himself can call an ambulance by pressing the alarm button 21. In this case, the call information is sent to the ambulance station 3, the monitoring and data processing center 1 and the attending physician on mobile phones 10 and 13 in the form of SMS messages.

In the event of a patient’s fall and / or prolonged immobility in a horizontal position (except for the sleep period), the sensors 15 give an alarm signal that is sent to the monitoring and data processing center 1. The operator checks the patient’s condition and makes a decision that is appropriate for the circumstances. If the patient falls outside the home, information about the fall and the coordinates of the place of the fall are sent to the monitoring and data processing center 1 and to the attending physician, who transfer e1e to the ambulance station.

The patient can monitor his state of health as planned, according to the schedule set by the observing medical staff, and urgently, in case of emergency situations, for example, pain, deterioration of well-being, etc., using the diagnostic mode selection block 21.

The telemedicine system for remote monitoring of human condition uses mobile means of communication, as this is the communication environment that most people in many countries use. The use of mobile communication allows the provision of remote medical services regardless of where the patient, attending physician and monitoring and data processing center 1 are located geographically.

The telemedicine system for remote monitoring of a person’s state of health allows you to remotely monitor the health status of various categories of people. The use of diagnostic tools for the clinical and physiological parameters of the human body, their accumulation over a long period of time with the possibility of automated analysis, notification of medical personnel and the possibility of prompt transfer of recommendations to the patient allows providing objective operational monitoring of the state of the body of both healthy people and patients with various diseases, and the ability to configure complex for controlling various diseases provides flexible adjustment of the complex to control parameter body s specific for a particular patient. Using this complex system, a flexible mechanism for remote automated control of the health status of patients with various diseases or medical indications can be implemented.

Claims (1)

A telemedicine system for remote monitoring of a person’s condition, including wired and / or wireless communication channels connected to each other and having access to an Internet data center for monitoring and processing, at least one workstation for a physician, at least one ambulance station, and at least one personal interactive patient module, while the monitoring and data processing center contains a central server connected to the network, a central database, specialized medical program Ammo support, medical expert system, electronic archiving system, at least one multifunction printer, at least one operator’s workstation connected to the network, including a personal computer, and a multifunctional mobile phone with the function of automatically generating and sending SMS messages and / or messages in batch form; the workstation of the attending physician contains a personal computer connected to the network with a local patient database, a printer and a multifunctional mobile phone with the function of automatically generating and sending SMS messages and / or messages in batch form; The personal interactive patient module contains a sensor unit located on the patient’s body for measuring the physiological parameters of a person and a sensor unit for the patient’s vertical position and drop sensors, an interface unit, a primary processing and analysis unit, a control unit, a unit for generating and receiving and transmitting messages, a light and sound unit alarm, panic button, webcam, multi-functional mobile phone with functions of location and automatic generation and sending of SMS messages and / or messages in batch form, a personal computer, while the sensor unit for measuring physiological parameters is connected to the interface unit, the patient vertical sensors and drop sensors are connected to the interface unit, the interface unit is connected to the primary processing and analysis unit, the primary processing and analysis unit is connected with a control unit, the control unit is connected to a unit for generating and receiving and transmitting messages, a unit for selecting a diagnostic mode, a light and sound alarm unit, a sensor unit for measuring the physiological parameters of a person, a pairing unit, a block of sensors for the vertical position of the patient and drop sensors, a multifunctional mobile phone, a unit for generating and receiving and transmitting messages is connected to an alarm button, a multifunctional mobile phone, a personal computer and a web camera, a multifunctional telephone is connected to a personal computer and webcam.