WO2003011123A1 - Procede et dispositif de detection de parametres de sante - Google Patents

Procede et dispositif de detection de parametres de sante Download PDF

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Publication number
WO2003011123A1
WO2003011123A1 PCT/AT2002/000229 AT0200229W WO03011123A1 WO 2003011123 A1 WO2003011123 A1 WO 2003011123A1 AT 0200229 W AT0200229 W AT 0200229W WO 03011123 A1 WO03011123 A1 WO 03011123A1
Authority
WO
WIPO (PCT)
Prior art keywords
image
measured values
identification
patient
data
Prior art date
Application number
PCT/AT2002/000229
Other languages
German (de)
English (en)
Inventor
Günter SCHREIER
Peter Kastner
Wolfgang Marko
Original Assignee
Arc Seibersdorf Research 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
Application filed by Arc Seibersdorf Research Gmbh filed Critical Arc Seibersdorf Research Gmbh
Priority to DE10297061T priority Critical patent/DE10297061D2/de
Publication of WO2003011123A1 publication Critical patent/WO2003011123A1/fr

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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

Definitions

  • the invention relates to a method according to the preamble of patent claim 1 and an arrangement according to the preamble of patent claim 6.
  • the invention is intended to implement the acquisition, processing and administration of health parameters, in particular within the scope of an inventive arrangement designed as a comprehensive home monitoring system.
  • the treatment of chronic diseases requires close cooperation between the treating doctor and the patient. A clear cure is usually not possible with these diseases.
  • the goal is to maximize the quality of life and minimize the long-term damage.
  • the therapy process can be divided into the following recurring tasks:
  • Health parameters are understood in the context of the invention to mean symbols and / or alphanumeric values which are the result of a metrological determination of a parameter such as e.g. Blood pressure, blood sugar, tidal volume, body weight, body temperature, heart rate, etc. can be recorded using a medical measuring device.
  • a medical measuring device states that cannot be determined by measurement, e.g. the subjective well-being is captured by a literal description or by displaying additional information boards.
  • Medical measuring devices are used by various manufacturers to determine
  • Health parameters for patients for self-control in the home area are offered. Some of the manufacturers of these medical measuring devices also offer interfaces to computers and programs for the electronic management of measurement data. The user can note the health parameters recorded in point 3 above for monitoring the therapeutic effect by self-control, or save them when using certain devices and present them to the doctor at the next visit to adapt the therapy plan. Furthermore, services in the area of administration and processing of health parameters are offered, which either input the measurement data using the keyboard or directly couple the measurement values manufacturer-specific interfaces and manufacturer-specific transmission device require. The incompatibility of the systems from different manufacturers requires the parallel use of several comparable products on the part of the doctor in order to be able to include the different health parameters recorded by different patients with different medical measuring devices in the course of monitoring and therapy optimization in electronic form.
  • WO 0 038 393 describes a portable communication device or a method for expanding existing devices for wireless communication and transmission of medical data of a user or patient.
  • the hardware consists of a communication unit and a unit for recording and storing data, which are determined by means of sensors.
  • US 5,827,180 describes a system for bidirectional communication between the patient and a healthcare facility, which is based on predefined, patient-specific settings and current health parameters such as e.g. the tidal volume gives the patient advice on how to adjust the medication.
  • the patient is automatically asked at certain times to record his health parameters and enter them into the home monitoring system using a keyboard.
  • EP 0 770 349 describes a system that is connected to the body surface of a person and wirelessly transmits health parameters such as pulse, temperature, blood pressure, oxygen saturation, EKG, etc. to a specific remote site using an optical interface.
  • WO 01/08409 and WO 00/54483 describe variants of mobile video telephones with an image recording unit and a communication unit, which can be used for recording image information and the mobile transmission of image data.
  • a method of the type mentioned is characterized according to the invention by the features stated in the characterizing part of claim 1.
  • An arrangement according to the invention or the home monitoring system according to the invention is characterized by the features stated in the characterizing part of claim 6.
  • the method according to the invention comprises the specific use of modern telecommunications technology paired with an automatic one
  • Image data processing method Both of the above-mentioned problems, which are not satisfactorily solved with previous home monitoring systems or are caused by incompatibility of existing systems, can be solved using image acquisition, transmission and subsequent automatic processing with appropriate pattern and character recognition.
  • FIG. 1 shows a display of a medical measuring device with a
  • Identification possibility consisting of an identification label and a delimitation of the display area by e.g. four position marker labels.
  • 2 shows a block diagram of the imaging and transmission device consisting of a mobile radio device which, for the purpose of image acquisition, either has a digital imaging device integrated (integrated overall device) or has a digital interface to an external digital imaging device. The connection between the mobile device and the home monitoring center is implemented using digital data transmission.
  • 3 shows a block diagram of the home monitoring center. 4 shows a flow chart of a home monitoring session. 5 shows a flow diagram of the data extraction. 6 shows a symbolic representation of personal well-being in the form of additional information boards.
  • the display area 1 of the medical measuring device (MMG) 4 is delimited at its corner points with, for example, self-adhesive position marker labels or position markings 2 formed on the measuring device 4 itself and provided with at least one clear identification label 3, which preferably bears a barcode.
  • MMG medical measuring device
  • HMB home monitoring user
  • process elements 20-22 preferably any additional information about the subjective well-being before determining the health parameters
  • ZIT additional information boards
  • DAV digital imaging device
  • the home monitoring user can use an additional identification option by imaging his personal identification card using the digital imaging device 5.
  • the home monitoring user can record the name and dose of the medication prescribed by the doctor either using a barcode reader or also by means of imaging using a digital imaging device 5.
  • the process parameters 23-26 then determine the health parameter with the corresponding medical measuring device 4. With the aid of a 6a integrated in a mobile radio device (MFG) 6a or a separate digital imaging device 5, a close-up of the carried out in the display area 4, the image should contain at least the position marker labels 2. If provided, this process can be repeated for the determination of further health parameters with the same or other corresponding medical measuring device (s) 4.
  • MMG mobile radio device
  • the home monitoring user connects the two devices via a digital interface 5a in the case of a separate mobile radio device 6 and a separate digital imaging device 5 and starts the transmission 27 of his monitoring data after prior login with user name and password to the home monitoring center (HMZ) 8 based on digital data transmission (DDÜ) 7.
  • the home monitoring center HZ
  • DDÜ digital data transmission
  • the incoming data are checked for completeness and correctness and a corresponding message is transmitted to the home monitoring user.
  • the home monitoring user can be asked to repeat the transfer of the data (process element 32).
  • a successful transmission of the monitoring data is not possible, a corresponding notification can be sent to the Home monitoring user and / or the home monitoring supervisor (HMÜ) are sent out (process element 33) or the session is ended (process element 34).
  • the subprocesses shown in FIG. 3 run or units are used to enable automatic processing of the data.
  • the image data are sequentially subjected to a segmentation and pattern recognition method (process elements 10, 11) that can be created according to the prior art, and the alphanumeric values are extracted (FIG. 3).
  • process elements 35 to 44 are processed one after the other.
  • the segmentation is based on a division of the display area of the medical measuring device 4 standardized according to transformation by a priori knowledge.
  • the a priori knowledge of the properties of various medical measuring devices 4 regarding their display is provided to the segmentation algorithm in the form of a database 17a.
  • the medical measuring device 4 is identified by the identification label 3 contained in the figure.
  • Appropriately adapted extraction algorithms are used for the extraction of symbolic information from additional information tables.
  • the extracted alphanumeric values are subjected to a plausibility check (process element 46) in that they are preferably compared with previous values of the home monitoring user and subjected to basic plausibility criteria. If it is not possible to extract plausible values even after repeated attempts (n max ) (process element 47) and corresponding correction of the segmentation parameters (process element 45), the segmentation and extraction process is terminated (process element 48).
  • the extracted data is assigned to the corresponding home monitoring user in the database 17b based on the unique identification features (process element 12).
  • a history of the health parameters is created in the form of a time history diagram (process element 13), taking into account all data previously contained in the database by this home monitoring user. Furthermore, notifications are initiated (process element 15) based on the limit values defined by the attending physician (process element 14) in accordance with the specific setting specific to the home monitoring user.
  • the limit value check can be carried out in different ways: It is possible to carry out exceedance and undershoot queries, but also to include dynamic factors and combinations of various health parameters in the limit value monitoring.
  • the home monitoring supervisor can specify for a particular patient that he wants to be notified immediately via SMS if the home monitoring user exceeds X the limit value for diastolic blood pressure within Y consecutive days.
  • a notification in a form selectable by the home monitoring monitor is also provided when the intervals of the incoming data do not match the monitoring interval prescribed by the home monitoring monitor.
  • the home monitoring supervisor has the possibility at any time to query the data of his home monitoring user via password-protected access 16 to the server 18 in the home monitoring center 8 and to display or print out the progressions on a monitor. Via this password-protected access 16, it is possible to change configuration settings of the home monitoring user and to include new home monitoring users in the home monitoring system.
  • the home monitoring system also provides for an anonymous recording of home monitoring users who want to use the home monitoring system without direct contact with a home monitoring supervisor to use their health parameters for prevention purposes.
  • all subtasks to be carried out are distributed in parallel to the subprocess units in the sequence control 9 and these are processed by one or more computers.
  • administration and monitoring unit 19 administrative processes such as keeping an electronic log book for documenting the processes carried out, creating backups for backup and long-term storage etc. are carried out.
  • the image data extraction according to the process element 11 or according to FIG. 5 could also take place in the patient, the extracted data being transmitted to the control center 8.
  • a home monitoring system that is easy to use for the user is achieved by mapping display values from medical measuring devices 4 with alphanumeric displays 1 for the acquisition of health parameters, which are determined by means of medical measuring devices 4, the remote transmission of the image data including identification information using telecommunication technology methods into a home monitoring center 8 and the following Extraction of the display values from the image data for the manufacturer-independent display of series of measurement values as progress diagrams over any length of time at selectable intervals, which are made accessible to authorized home monitoring monitors by means of digital telecommunication methods, the display values advantageously being captured or imaged by a close-up with the digital imaging device 5 become.
  • At least one self-adhesive identification label 3 is provided, which carries at least one barcode and is attached in the immediate area outside the display 1.
  • the home monitoring center 8 it is thus easy to establish a clear reference to the home monitoring user and his medical measuring device 4 from the identification information. The successful procedure is facilitated if, using a priori knowledge of the structure and type of display 1 of the medical measuring device 4 used, the alphanumeric display values are automatically extracted.
  • Using digital telecommunication methods e.g. Consisting of a computer with access to the Internet and WEB browser, and home monitoring monitors authorized with appropriate authentication codes can transfer the determined data and also new home monitoring users can be included in the home monitoring system as well as person-specific configuration settings regarding the type of monitoring of the medical measuring device 4 used, the monitoring interval and the Notification mode can be taken.
  • a simple image recording device 5 can be formed by a portable video camera which has an interface for a telephone or a computer.
  • the captured image is transmitted to the control center and evaluated far from the location where the image was captured. It is important that the edges or the optically recognizable symbols displayed by the measuring device are digitized and that the transmission takes place in this form.
  • the recorded, optically recognizable symbols are identified using a
  • Font recognition system and / or image recognition system converted into digital measurement data comprises a character recognition unit or is formed by such a 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

La présente invention concerne un procédé et un dispositif destinés à la détection d'au moins un paramètre de santé relatif à au moins un utilisateur ou patient, dont la valeur de mesure est déterminée au moyen d'au moins un appareil de mesure (4) associé à l'utilisateur ou au patient, et transmise à une centrale (8) située à distance de l'utilisateur (système de télésurveillance). Selon l'invention, une/des valeur(s) de mesure affichées sous la forme de symboles reconnaissables par voie optique par l'appareil/les appareils de mesure respectif(s) (1), permettent la prise d'au moins une image par un appareil de prise de vue électronique, et ladite image est transmise à la centrale (8) où elle est évaluée pour permettre l'interprétation ou la détermination des valeurs de mesure, et/ou cette image est évaluée au niveau de l'utilisateur ou du patient pour permettre l'interprétation ou la détermination des valeurs de mesure et les résultats de l'interprétation ou les valeurs de mesure déterminées sont transmis à la centrale (8).
PCT/AT2002/000229 2001-08-01 2002-07-31 Procede et dispositif de detection de parametres de sante WO2003011123A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE10297061T DE10297061D2 (de) 2002-07-31 2002-07-31 Verfahren und Anordnung zur Erfassung von Gesundheitsparametern

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AT11992001A AT414210B (de) 2001-08-01 2001-08-01 Verfahren und anordnung zur erfassung von gesundheitsparametern
AT1199/2001 2001-08-01

Publications (1)

Publication Number Publication Date
WO2003011123A1 true WO2003011123A1 (fr) 2003-02-13

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PCT/AT2002/000229 WO2003011123A1 (fr) 2001-08-01 2002-07-31 Procede et dispositif de detection de parametres de sante

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AT (1) AT414210B (fr)
WO (1) WO2003011123A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10353628A1 (de) * 2003-11-15 2005-07-07 Compugroup Holding Ag Vorrichtung und Computersystem zur Ermittlung eines medizinischen Zustands einer Person
DE102014019594A1 (de) * 2014-12-30 2016-06-30 Seca Ag Verfahren und Vorrichtung zur eindeutigen Zuordnung von medizinischen Messeinrichtungen
DE102015000127A1 (de) * 2015-01-07 2016-07-07 Seca Ag Verfahren und Vorrichtung zur multifunktionalen Messwertaufnahme

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5013154A (en) * 1989-10-16 1991-05-07 K And M Electronics, Inc. System for remotely reading an analog meter
US5544649A (en) * 1992-03-25 1996-08-13 Cardiomedix, Inc. Ambulatory patient health monitoring techniques utilizing interactive visual communication
EP0770349A1 (fr) 1995-09-19 1997-05-02 Noboru Akasaka Appareil de surveillance des patients
US5827180A (en) 1994-11-07 1998-10-27 Lifemasters Supported Selfcare Method and apparatus for a personal health network
WO2000054483A1 (fr) 1999-03-10 2000-09-14 Siemens Aktiengesellschaft Videophone portable
WO2001008409A1 (fr) 1999-07-22 2001-02-01 Siemens Aktiengesellschaft Visiophone mobile

Family Cites Families (3)

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Publication number Priority date Publication date Assignee Title
DE2429990A1 (de) * 1974-06-22 1976-01-08 Kyborg Ges Tragbares datenerfassungsgeraet
EP1445910A3 (fr) * 1997-10-15 2005-03-02 Nokia Corporation Procédé de mise en disposition d'information dans un système de communication à l'aide d'un telephone portable
DE19850154B4 (de) * 1998-10-30 2016-05-25 Lemna Tec Gmbh Verfahren zur Durchführung von Labortests, insbesondere Biotests

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5013154A (en) * 1989-10-16 1991-05-07 K And M Electronics, Inc. System for remotely reading an analog meter
US5544649A (en) * 1992-03-25 1996-08-13 Cardiomedix, Inc. Ambulatory patient health monitoring techniques utilizing interactive visual communication
US5827180A (en) 1994-11-07 1998-10-27 Lifemasters Supported Selfcare Method and apparatus for a personal health network
EP0770349A1 (fr) 1995-09-19 1997-05-02 Noboru Akasaka Appareil de surveillance des patients
WO2000054483A1 (fr) 1999-03-10 2000-09-14 Siemens Aktiengesellschaft Videophone portable
WO2001008409A1 (fr) 1999-07-22 2001-02-01 Siemens Aktiengesellschaft Visiophone mobile

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
ROSSER J C JR ET AL: "Evaluation of the effectiveness of portable low-bandwidth telemedical applications for postoperative followup: initial results.", JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS. UNITED STATES AUG 2000, vol. 191, no. 2, August 2000 (2000-08-01), pages 196 - 203, XP002223257, ISSN: 1072-7515 *

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10353628A1 (de) * 2003-11-15 2005-07-07 Compugroup Holding Ag Vorrichtung und Computersystem zur Ermittlung eines medizinischen Zustands einer Person
DE102014019594A1 (de) * 2014-12-30 2016-06-30 Seca Ag Verfahren und Vorrichtung zur eindeutigen Zuordnung von medizinischen Messeinrichtungen
DE102015000127A1 (de) * 2015-01-07 2016-07-07 Seca Ag Verfahren und Vorrichtung zur multifunktionalen Messwertaufnahme

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Publication number Publication date
ATA11992001A (de) 2006-01-15
AT414210B (de) 2006-10-15

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