WO2003003912A1 - Systeme de telemedecine - Google Patents

Systeme de telemedecine Download PDF

Info

Publication number
WO2003003912A1
WO2003003912A1 PCT/EP2002/007192 EP0207192W WO03003912A1 WO 2003003912 A1 WO2003003912 A1 WO 2003003912A1 EP 0207192 W EP0207192 W EP 0207192W WO 03003912 A1 WO03003912 A1 WO 03003912A1
Authority
WO
WIPO (PCT)
Prior art keywords
module
telemedicine
data
telemedicine system
patient
Prior art date
Application number
PCT/EP2002/007192
Other languages
German (de)
English (en)
Inventor
Peter Hufnagl
Martin Schultz
Trong-Nghia Nguyen-Dobinsky
Original Assignee
Ghc Global Health Care Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from DE10131911A external-priority patent/DE10131911A1/de
Priority claimed from DE2001163095 external-priority patent/DE10163095B4/de
Application filed by Ghc Global Health Care Gmbh filed Critical Ghc Global Health Care Gmbh
Publication of WO2003003912A1 publication Critical patent/WO2003003912A1/fr

Links

Classifications

    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • 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
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3925—Monitoring; Protecting

Definitions

  • the invention relates to a telemedicine system with a doctor-side consultation center and at least one patient-side telemedicine device.
  • diagnostic devices can therefore be stationed at such medically underserved locations, for example in airplanes, with which individual diagnostic functions, for example blood pressure measurements, can be carried out. These devices must be designed so that they can be used by laypersons or trained personnel.
  • EP 1 051 945 A2 describes a mobile telemedicine device which combines various diagnostic functional elements and transmits the recorded data, as well as voice and image information, to a ground station over narrow frequency band ranges.
  • One disadvantage here is the coherent construction of the device, in which the individual diagnostic instruments are connected to a central computer by cables. This severely limits the flexibility of the device, since the use requires the entire device to be transported to the patient. Furthermore, only low data transfer rates are possible in the known device, so that real-time image transfers (video) or the transfer of extensive diagnostic data are not possible.
  • the object of the present invention is a telemedicine system and in particular a patient side To provide telemedicine device which overcomes the disadvantages of the prior art described.
  • the patient-side telemedicine device of the telemedicine system should be able to be used very flexibly and be able to transmit a large number of different data at the same time and with high transmission rates in order to ensure rapid and reliable remote diagnoses and to improve the overall medical care.
  • the telemedicine system has a doctor-side consultation center and at least one patient-side, modularly constructed telemedicine device.
  • the telemedicine device includes this
  • At least one function module for receiving and for wireless and / or wired transmission of data and / or for carrying out measures, at least one function module being a mobile module which can be separated from the telemedicine device and having a device for wireless data transmission,
  • the device can be implemented with a large number of functional modules for recording, transmitting and temporarily storing medical data, communication data and / or personal data and / or for carrying out diagnostic and / or therapeutic measures according to use and needs.
  • the fact that at least one of the function modules is designed as a mobile module by being arranged on the telemedicine device so as to be separable and having a device for wireless data transmission also makes handling of the telemedicine device significantly easier and opens up a larger range of possible uses.
  • such functional modules are preferably designed as mobile modules, the use of which requires direct contact with the patient, as is the case, for example, with diagnostic instruments (electrocardiographs, ultrasound probes, etc.). For example, if the patient's blood pressure is to be recorded using a mobile blood pressure monitor, the entire telemedicine device does not have to be brought up to the patient, but only the corresponding functional module.
  • the mobile or non-mobile function modules can, for example, diagnostic modules for accommodating medical ones
  • the rapiemodule for carrying out the therapeutic measures on the patient and / or service modules for recording personal data and / or for patient identification.
  • An electrocardiograph, a pulse oximeter, a spirometer, an electric stethoscope, a blood pressure monitor, a thermometer, a sonograph, a double sonograph, a cardiotocograph, a monitoring device (event recorder), a mini laboratory unit and / or the like are used as the diagnostic module of blood sugar levels, electrolytes, the small blood count or the like in question.
  • the term monitoring device is understood to mean a device that monitors certain vital functions automatically and permanently, particularly in the case of particularly vulnerable patients, in order, for example, to detect and report acute cardiac rhythm disorders.
  • a video conference module is in particular a microphone device for transmitting voice data and a camera for transmitting video data, preferably in real time.
  • the therapy module can typically be an automatic external defibrillator, which is applied to the patient by instructions from a doctor connected in the consultation center.
  • the service module is used, for example, for patient identification and can be a reading device which, for example by means of pattern recognition methods known per se, enables automatic identification by recognizing the fingerprint, the iris
  • the service module can also be a reading device for an identification card of the patient. In any case, a corresponding registration of the patient is of course necessary. Such registration is particularly conceivable for frequent flyers.
  • the service module can comprise a simple input device with which patient data, such as age, weight, gender or blood group, can be recorded using the keyboard or the like.
  • the at least one functional module in particular in the form of a mobile module, is able to exchange data with the base module and also with one another in a wireless or wired way, preferably in both ways.
  • the base module and the function module have a direct I / O connection (USB connection), which enables wired transmission when the function module is in a docked state.
  • USB connection USB connection
  • instantaneous wireless data transmission is preferably carried out via suitable transmitting and receiving devices, with infrared connections (Fast IrDA) and / or so-called BlueTooth connections and / or WLAN (wireless local area network) being preferred according to an advantageous embodiment. Connections are provided.
  • the BlueTooth technology enables a wireless transmission, especially of voice and image data, over short distances using transmitter and receiver units. Very high data transfer rates are achieved.
  • a separate voltage supply in particular a rechargeable battery of the module, is further provided according to a further advantageous embodiment of the invention. This means that the mobile modules can be used completely independently.
  • the rechargeable batteries are preferably recharged via charging stations which are arranged on the base module.
  • the telemedicine device has docking stations for the mobile modules, via which the rechargeable battery is charged and / or the wired data transmission takes place.
  • the docking stations of the function modules on the base station are designed in particular as uniform slots. This enables quick handling of the device and variable equipment of the system with different diagnostic or other modules.
  • the functional modules in particular the mobile modules, have their own storage devices for the temporary storage of the recorded data.
  • the function modules can have their own display device, in particular an LCD display, for displaying the data.
  • the data transmission between the patient-side telemedicine device and the doctor-side consultation center is preferably carried out - in some applications application traps (for example in airplanes) necessarily - wirelessly, broadband data transmission technologies being used particularly advantageously, in particular using Internet protocols (TCP / IP).
  • TCP / IP Internet protocols
  • all known data transmission systems can be used, in particular landline, mobile, preferably UMTS, mobile, satellite, local area network (LAN), wide area network (WAN) and / or WLAN transmissions , Several of these systems can also be used in combination.
  • the communication module has appropriate facilities and interfaces for this. In this way, the system according to the invention enables very large amounts of data to be transmitted in the shortest possible time.
  • video data can also be transmitted in real time (live mode), which transmits a direct visual impression of the patient to a doctor connected via the communication system, for example in a video conference circuit, and allows him to monitor, comment on and approve therapeutic measures conduct. All in all, this enables more secure remote diagnostics and improves medical care.
  • live mode transmits a direct visual impression of the patient to a doctor connected via the communication system, for example in a video conference circuit, and allows him to monitor, comment on and approve therapeutic measures conduct. All in all, this enables more secure remote diagnostics and improves medical care.
  • the core of the basic module is a specially designed data processing system, which has a system board with a processor, permanent memory, working memory and corresponding interfaces.
  • the basic module also contains suitable operating systems and programs that support diagnosis, for example (automatic or automatic emergency assistance).
  • the base module has a display device, in particular a digital display device and / or a display, for displaying the data transmitted by the function modules and by the consultation center.
  • a location system for determining a position of the telemedicine device is provided, which can be based, for example, on a satellite-based method.
  • the telemedicine device can have a GPS device (Global Positioning System) for this purpose. This enables a quick coordination of any necessary transports of the patient to a clinic or a doctor to the patient.
  • GPS device Global Positioning System
  • the invention further relates to a method for telemedical diagnosis and / or therapy, using the telemedicine system according to the invention, data being recorded on the patient side by means of at least one function module of the telemedicine device and being transmitted wirelessly and / or by wire to a base module of the telemedicine device, the base module processing the patient data , represents and / or stores and transmits it wirelessly and / or wired to a doctor-side stationary consultation center and the consultation center transmits instructions for carrying out therapeutic measures to the telemedicine device as a function of the transmitted data.
  • Further advantageous embodiments of the invention are the subject of the remaining subclaims.
  • Figure 1 schematically shows the structure of the telemedicine system according to the invention
  • FIG. 2 schematically shows the more precise structure of the telemedicine device from FIG. 1.
  • the telemedicine system designated as a whole by 10, essentially comprises a physician-side (stationary) consultation center 12, which is connected to at least one patient-side (mobile) telemedicine device 16 via a wired or wireless transmission link 14.
  • a physician-side (stationary) consultation center 12 which is connected to at least one patient-side (mobile) telemedicine device 16 via a wired or wireless transmission link 14.
  • the telemedicine device 16 has a modular structure.
  • the centerpiece is a base module 18 to which a plurality of function modules 20 can be coupled.
  • a part of the functional modules 20, preferably each of the modules 20, is designed as a so-called mobile module in such a way that it can be used separately from the base module 18 and completely independently.
  • the mobile function module 20 has its own power supply and a wireless data transmission system.
  • the function modules 20 serve for diagnostic purposes (diagnostic modules) and can be, for example, an electrocardiograph, a blood pressure measuring device, a sonograph, an electric stethoscope or the like.
  • a number of monitoring devices also referred to as “event recorders”, can be provided as further diagnostic modules, each of which is assigned to a potential patient and monitors certain vital functions of the patient (heart rhythm, blood pressure, etc.) in order to detect a possible medical emergency, for example a heart attack to detect and report.
  • the same monitoring devices are preferably connected to the base module 18 via a central wireless interface.
  • Further function modules 20 are designed as video conference modules, for example as a microphone or video camera, and thus enable the transmission of voice and video data (still image and real-time video).
  • Other functional modules 20 can be therapy modules that are used to carry out therapeutic measures on the patient.
  • So-called service modules can also be provided, via which the patient's personal data, for example name, address, blood group, age and the like, are entered by voice or keyboard or which automatically identify persons who have already registered. enable people. Reading devices that recognize an identification card of the patient or his fingerprint, his iris, his face or his voice are conceivable here.
  • a function module 20 is preferably a locating module for determining a current position of the telemedicine device 16.
  • a satellite-based system for example GPS (Global Positioning System), comes into consideration.
  • the telemedicine device 16 also has a communication module 22, via which the wireless and / or wired transmission link 14 with the consultation center 12 is set up.
  • the central component of the base module 18 is a specially designed PC (data processing system, computer) 24, which contains the usual components such as system board, processor, read-only memory, main memory and the like.
  • the PC 24 is connected to the usual peripheral devices, in particular a keyboard 26 and a screen 28, for example an LCD touchscreen.
  • the PC 24 is equipped with various interfaces, wired connections and at least one wireless transmitter and receiver device in order to establish communication with the consultation center 12 via remote data transmission and with other devices, in particular the function modules 20. possible.
  • a TCP / IP interface 30 is provided, for example, which allows wireless or wired, broadband remote data transmission to the consultation center 12 via the communication module 22. This enables the simultaneous transmission of video live images, voice data, digital patient data and the medical data provided by the diagnostic modules, for example complete electrocardiograms or ultrasound images.
  • Further interfaces 32, 36, 40 are used for communication with the function modules 20.
  • the PC 24 is assigned at least one serial I / O interface (USB interface) 32 through the I / O connection points 34 for wired data exchange with the functions - Modules 20 are addressed.
  • two interfaces are provided according to the present example to enable wireless data transfer with the functional modules 20.
  • a BlueTooth interface 36 addresses a corresponding BlueTooth transmission and reception unit 38 of the base module 18, while a WLAN (wireless local areas network) interface 40 establishes the connection with a WLAN transmission and reception unit 42.
  • a fast wireless data exchange can take place with the function modules 20, which in turn are equipped with corresponding interfaces and transmitting and receiving units, not shown here. Communication of several modules 20 with a central transmitting and receiving unit 38 or 42 is easily possible. In particular, a large number of the same "Event recorder" can be wirelessly connected to a central transmitting and receiving unit 38, 42.
  • the telemedicine device 16 or the base module 18 has a power supply 44, which can be connected to a power supply at a storage place of the telemedicine device 16. If the telemedicine device 16 is not in its storage space, the power supply is provided by an accumulator 46, which in turn can be charged via the power supply 44.
  • the telemedicine device 16 also has a number of docking stations 48, via which the functional modules 20 can be connected.
  • Each docking station 48 preferably has a wired I / O connection parts 34 (USB connection) and a power connection 50 (charging station) for charging an accumulator 52 of the docked function module 20.
  • the docking stations 48 are preferably designed as uniform slots.
  • the modular structure of the telemedicine device 16 ensures an extremely flexible configuration with different functional modules 20 as well as practical unlimited expansion options.
  • the exchange of individual modules 20 for maintenance or repair purposes is also possible without any problems.
  • the design of the functional modules 20 as mobile modules which can be used completely autonomously by the base module 18, they can be used easily, even under cramped conditions, such as those found in aircraft.
  • BlueTooth transmitter / receiver unit 38 BlueTooth transmitter / receiver unit 40 WLAN interface (Fast IrDA) 42 WLAN transmitter / receiver unit

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne un système de télémédecine (10), comprenant un centre de consultation (12) côté médecin et au moins un dispositif mobile de télémédecine (16) côté patient, ainsi qu'un procédé de diagnostic et/ou de thérapie en télémédecine. Ce dispositif de télémédecine (16) comprend, de préférence, une pluralité de modules de fonction (20) servant à l'enregistrement et à la transmission de données sans fil et/ou sur fil et/ou à l'exécution de mesures. Selon cette invention, au moins un module de fonction (20) est un module mobile, agencé de manière à pouvoir être séparé du dispositif de télémédecine (16), et présente un dispositif de transmission de données sans fil. Ce dispositif de télémédecine (16) comprend en outre un module de base (18), servant à la réception et au traitement et/ou à l'enregistrement et/ou à la représentation des données transmises par ledit module de fonction (20), et un module de communication (22) permettant la transmission de données sans fil et/ou sur fil entre le dispositif de télémédecine (16) et le centre de consultation (12).
PCT/EP2002/007192 2001-07-02 2002-06-28 Systeme de telemedecine WO2003003912A1 (fr)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
DE10131911A DE10131911A1 (de) 2001-07-02 2001-07-02 Portables telemedizinisches Multidiagnostikgerät
DE10131911.8 2001-07-02
DE10154908.3 2001-10-30
DE10154908A DE10154908A1 (de) 2001-07-02 2001-10-30 Telemedizinsystem
DE10163095.6 2001-12-20
DE2001163095 DE10163095B4 (de) 2001-12-20 2001-12-20 Telemedizinsystem, mit einem arztseitigen Konsultationszentrum und mindestens einer patientenseitigen, insbesondere mobilen Telemedizinvorrichtung

Publications (1)

Publication Number Publication Date
WO2003003912A1 true WO2003003912A1 (fr) 2003-01-16

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PCT/EP2002/007192 WO2003003912A1 (fr) 2001-07-02 2002-06-28 Systeme de telemedecine

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003053232A1 (fr) 2001-12-20 2003-07-03 Ghc Global Health Care Gmbh Système de télémédecine et application associée, et procédé pour suivre des patients par télémédecine
WO2005009536A1 (fr) * 2003-07-16 2005-02-03 Medtronic Physio-Control Corp. Systeme de premier secours
DE102006061766A1 (de) * 2006-12-28 2008-07-03 Aipermon Gmbh & Co. Kg Verfahren, Übertragungssystem und Computerprogrammprodukt zur sicheren Kommunikation zwischen zwei Teilnehmern
US8090439B2 (en) 2003-04-02 2012-01-03 Physio Control, Inc. Defibrillators customized for anticipated patients
CN111420285A (zh) * 2020-04-09 2020-07-17 苏州维伟思医疗科技有限公司 一种带有用户基站的可穿戴心律转复除颤系统

Citations (6)

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Publication number Priority date Publication date Assignee Title
US5687717A (en) * 1996-08-06 1997-11-18 Tremont Medical, Inc. Patient monitoring system with chassis mounted or remotely operable modules and portable computer
WO2000054170A2 (fr) * 1999-03-05 2000-09-14 Ac Properties B.V. Systeme, methode et article fabrique pour communication mobile et calcul evolues
EP1051945A2 (fr) 1999-05-11 2000-11-15 Diagnostic Technologies Limited Remote Système et appareil diagnostique
EP1070479A2 (fr) * 1999-07-19 2001-01-24 Altec Incorporated Système et procédé de surveillance de signaux biologiques
WO2001015056A1 (fr) * 1999-08-24 2001-03-01 Increa Oy Dispositif servant a faire appel a un service d'expert
WO2001045793A1 (fr) * 1999-12-21 2001-06-28 Medtronic, Inc. Systeme pour la connexion dynamique en reseau a distance avec des dispositifs medicaux implantables

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Publication number Priority date Publication date Assignee Title
US5687717A (en) * 1996-08-06 1997-11-18 Tremont Medical, Inc. Patient monitoring system with chassis mounted or remotely operable modules and portable computer
WO2000054170A2 (fr) * 1999-03-05 2000-09-14 Ac Properties B.V. Systeme, methode et article fabrique pour communication mobile et calcul evolues
EP1051945A2 (fr) 1999-05-11 2000-11-15 Diagnostic Technologies Limited Remote Système et appareil diagnostique
EP1070479A2 (fr) * 1999-07-19 2001-01-24 Altec Incorporated Système et procédé de surveillance de signaux biologiques
WO2001015056A1 (fr) * 1999-08-24 2001-03-01 Increa Oy Dispositif servant a faire appel a un service d'expert
WO2001045793A1 (fr) * 1999-12-21 2001-06-28 Medtronic, Inc. Systeme pour la connexion dynamique en reseau a distance avec des dispositifs medicaux implantables

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Title
ARI T. ADLER: "A cost-effective portable telemedicine kit for use in developing countries", May 2000, SUBMITTED TO THE DEPARTMENT OF MECHANICAL ENGINEERING ON MAY 19, 2000, IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE IN MECHANICAL ENGINEERING, MASSACHUSETTS INSTITUTE OF TECHNOLOGY, XP002222198 *
LEE R-G ET AL: "HOME TELECARE SYSTEM USING CABLE TELEVISION PLANTS-AN EXPERIMENTAL FIELD TRIAL", IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE, IEEE SERVICE CENTER, PISCATAWAY, NJ, US, vol. 4, no. 1, March 2000 (2000-03-01), pages 37 - 44, XP000908502, ISSN: 1089-7771 *

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003053232A1 (fr) 2001-12-20 2003-07-03 Ghc Global Health Care Gmbh Système de télémédecine et application associée, et procédé pour suivre des patients par télémédecine
US8090439B2 (en) 2003-04-02 2012-01-03 Physio Control, Inc. Defibrillators customized for anticipated patients
US8090441B2 (en) 2003-04-02 2012-01-03 Physio Control, Inc. Defibrillators customized for anticipated patients
US8090440B2 (en) 2003-04-02 2012-01-03 Physio Control, Inc. Defibrillators customized for anticipated patients
WO2005009536A1 (fr) * 2003-07-16 2005-02-03 Medtronic Physio-Control Corp. Systeme de premier secours
US7623915B2 (en) 2003-07-16 2009-11-24 Medtronic Physio-Control Corp. Interactive first aid information system
DE102006061766A1 (de) * 2006-12-28 2008-07-03 Aipermon Gmbh & Co. Kg Verfahren, Übertragungssystem und Computerprogrammprodukt zur sicheren Kommunikation zwischen zwei Teilnehmern
DE102006061766B4 (de) * 2006-12-28 2009-09-10 Aipermon Gmbh & Co. Kg Verfahren, Übertragungssystem und Computerprogrammprodukt zur sicheren Kommunikation zwischen zwei Teilnehmern
CN111420285A (zh) * 2020-04-09 2020-07-17 苏州维伟思医疗科技有限公司 一种带有用户基站的可穿戴心律转复除颤系统

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