WO2013105691A1

WO2013105691A1 - Centralized control/monitoring system and monitoring method using same

Info

Publication number: WO2013105691A1
Application number: PCT/KR2012/001244
Authority: WO
Inventors: 장기명; 김원기
Original assignee: 연세대학교 산학협력단
Priority date: 2012-01-12
Filing date: 2012-02-20
Publication date: 2013-07-18
Also published as: KR20130089913A

Abstract

A centralized control/monitoring system includes: an information collecting unit that collects general information on a patient, information from a respirator, information from a defibrillator, information from an intravenous injection monitor, and information from a nebulizer; a monitor unit that displays the collected information; an examining unit that examines whether the collected information has something meaningful; an alerting unit that issues an alert if the examining unit determines that a patient has a problem; and a recording unit that records the collected information. Thus, it is possible to monitor information from various kinds of medical apparatuses in a centralized manner.

Description

Centralized monitoring system and monitoring method using the same

The present invention relates to a centralized monitoring system and a monitoring method using the same, and more particularly to a centralized monitoring system for collecting information from various medical devices and a monitoring method using the same.

Intensive Care Units (ICUs) and Emergency Rooms (ERs) often use multiple medical devices simultaneously. The information provided by each device is displayed on the screen through the monitor installed for each device, and it is true that it is not easy for the user to check the monitor installed for each device.

In particular, the information provided by such a large number of independent monitors can be confusing to users in special situations, such as in emergency situations or when there are few people able to monitor patients. Even if a small problem occurs, it can be expanded to a bad result.

Therefore, the development of a device that can monitor all the changes in the patient's condition in one place for the purpose of maintaining the patient's life and improve the treatment effect and to gather and monitor all the medical equipment information used in order to immediately respond to the patient's problem have.

The technical problem of the present invention is conceived in this respect, the object of the present invention is to provide a central management monitoring system.

In addition, another object of the present invention is to provide a monitoring method using the centralized monitoring system.

The centralized monitoring system according to an embodiment for achieving the above object of the present invention is an information collecting unit for collecting patient general information, respirator information, defibrillator information, intravenous monitor information, nebulizer information, the collected information And a monitoring unit for displaying a monitor, a monitoring unit for examining whether the collected information has an abnormality, an alarm unit for alarming when the monitoring unit determines that there is an abnormality, and a recording unit for recording the collected information.

In one embodiment, the patient general information is electrocardiogram (ECG), end-tidal CO ₂ (EtCO ₂ ), heart rate / pulse rate (HR / PR), non-invasive blood pressure (Non-Invasive) Blood Pressure (NIBP), Saturation of Peripheral Oxyzen (SPO2), Temperature, Alarm, and Error.

In one embodiment, the ventilator information is tidal volume (VT), inspiration time (Tinsp), frequency (F), flow (Flow), inspiration pressure (Pinsp), spontaneous breathing assistance Pressure (PASB above peep), Positive End-Expiratory Pressure (PEEP), Oxygen fraction in inspired air (FIO ₂ ), Trigger, Minute volume (MV), Fractional breathing Leakage rate (MVleak), spontaneous breathing breakdown (MVspn), airway pressure (Paw), low airway pressure (Plow), airway pressure (Pmean), upper airway pressure (Pmax), patient lung Elasticity (Ppeak), flat inspiratory pressure (Pplat), resistance (R / Resistance), body temperature (Temperature), exhalation time (Te / Expiration time), no breathing supply (VTApnoea), patient exhalation capacity (VTe) , Patient feed volume (VTi), remaining lung volume (Vtrap), patient spontaneous breathing pressure (Pmin), patient spontaneous breathing rate (Fspn), feed minute per minute It can (fmand), can include the patient mode (Patient Mode), Alarm (Alarm), error (Error).

In one embodiment, the defibrillator information is output wave (Energy Wave), Electrocardiogram (ECG), Blood Saturation of Peripheral Oxyzen (SPO ₂ ), Synchronized Cardiac, Periodic Automatic Defibrillator It may include a Pacing Cardiac, a Battery Recharge, an Alarm, and an Error.

In one embodiment, the intravenous monitor information is delivered volume (Volume Delivered), Flow Rate (Flow Rate), Drop Rate (Drip Rate), Purge Rate, Battery Recharge, Bubble (Air) It may include Babble), Door Open, Complete Signal, Alarm, and Error.

In one embodiment, the nebulizer information may include a volume, a flow rate, a complete signal, an alarm, and an error.

The centralized monitoring method according to another embodiment for achieving the above object of the present invention collects patient general information, respirator information, defibrillator information, intravenous monitor information, nebulizer information, display the collected information And checking whether there is an abnormality in the collected information, alerting when the monitoring unit determines that there is an abnormality, and recording the collected information.

In one embodiment, the patient general information is electrocardiogram (ECG), end-tidal CO2 (EtCO2), heart rate / pulse rate (HR / PR), non-invasive blood pressure NIBP), Saturation of Peripheral Oxyzen (SPO2), Temperature, Alarm, and Error.

According to such a centralized monitoring system, it is possible to check a patient's condition more effectively by managing and monitoring various information from various medical devices in one centralized monitoring system, and in case of problems, each medical device The information provided from these can be combined to determine the patient's condition.

1 is a block diagram of a centralized management monitoring system according to an embodiment of the present invention.

2 is a block diagram showing information collection of the centralized management monitoring system according to an embodiment of the present invention.

3 is a block diagram showing a state in which the centralized monitoring system according to an embodiment of the present invention is provided with the patient general information.

4 is a block diagram illustrating a state in which the centralized monitoring system according to an embodiment of the present invention is provided with defibrillator information.

5 is a block diagram showing a state in which the centralized management monitoring system is provided with the nebulizer information according to an embodiment of the present invention.

Figure 6 is a block diagram showing a state in which the centralized monitoring monitoring system is provided with intravenous infusion monitor information according to an embodiment of the present invention.

FIG. 7 is a diagram illustrating a configuration in which the centralized monitoring system is provided with ventilator information according to an embodiment of the present invention.

100: semiconductor package

As the inventive concept allows for various changes and numerous embodiments, particular embodiments will be illustrated in the drawings and described in detail in the text. However, this is not intended to limit the present invention to a specific disclosed form, it should be understood to include all modifications, equivalents, and substitutes included in the spirit and scope of the present invention. In describing the drawings, similar reference numerals are used for similar elements. In the accompanying drawings, the dimensions of the structures are shown in an enlarged scale than actual for clarity of the invention.

Terms such as first and second may be used to describe various components, but the components should not be limited by the terms. The terms are used only for the purpose of distinguishing one component from another. For example, without departing from the scope of the present invention, the first component may be referred to as the second component, and similarly, the second component may also be referred to as the first component.

The terminology used herein is for the purpose of describing particular example embodiments only and is not intended to be limiting of the present invention. Singular expressions include plural expressions unless the context clearly indicates otherwise. In this application, the terms "comprise" or "have" are intended to indicate that there is a feature, number, step, action, component, part, or combination thereof described in the specification, and one or more other features. It is to be understood that the present invention does not exclude the possibility of the presence or the addition of numbers, steps, operations, components, parts, or combinations thereof.

Unless defined otherwise, all terms used herein, including technical or scientific terms, have the same meaning as commonly understood by one of ordinary skill in the art. Terms such as those defined in the commonly used dictionaries should be construed as having meanings consistent with the meanings in the context of the related art and shall not be construed in ideal or excessively formal meanings unless expressly defined in this application. Do not.

Hereinafter, with reference to the accompanying drawings will be described an embodiment of the present invention.

Referring to FIG. 1, the centralized monitoring system according to an embodiment of the present invention includes an information collecting unit and a monitor unit 100, a monitoring unit 110, an alarm unit 120, and a recording unit 130. The information collecting unit and the monitor unit 100 may be formed separately by manufacturing. The information collecting unit includes patient general information, respirator information, defibrillator information, intravenous monitor information, and nebulizer information.

The information collection unit centrally manages all medical equipment information used in the ICU and ER. The information collected by the information collecting unit is arranged and output through the monitor unit. Various graphic interfaces may be used to output various information in the limited space of the monitor unit.

If the medical equipment includes a communication means for communicating with the information collecting unit can be used to receive information to the information collecting unit using this. The communication means may be serial communication, TCP / IP communication, wireless LAN, Bluetooth, and the like.

In this case, a separate interface software is required to receive and process information from the medical devices. The information collecting unit receives information from the medical devices through the interface software.

When the medical device does not include a communication means for communicating with the information collecting unit, the information can be directly transmitted by using a separately manufactured hardware interface. The hardware interface may also use serial communication, TCP / IP communication, WLAN, Bluetooth, etc. as a communication means.

In this case, a separate interface software is also required to receive and process information from the medical devices. Through the interface software, the information collecting unit receives information through the hardware interface manufactured from the medical devices.

The various types of information are collected and monitored by the monitoring unit 110 for abnormalities in the collected information. An advantage of the centralized monitoring system of the present embodiment is that since various types of information are simultaneously input from multiple medical devices, it is possible to determine whether there is a comprehensive abnormality from information collected from other devices as well as an abnormality according to one numerical value. will be.

When it is determined that the patient is abnormal in the monitoring unit 110, the alarm unit 120 alerts. The alarm may be individually notified to each medical staff, or may be alarmed through a separate alarm device. Of course, this may be alerted on the monitor unit 100.

In addition, the recording unit 130 records and collects such various information itself. It can be useful for checking patient's condition change or progress of disease.

Referring to FIG. 2, the centralized monitoring system 1000 according to an embodiment of the present invention includes patient general information 210, defibrillator information 220, nebulizer information 230, intravenous monitor information 240, The ventilation information 250 is received through the information collecting unit and monitored by the monitor unit 100.

In order to receive the

information

210, 220, 230, 240, 250, a separate interface 300 is used. As described above, an interface installed in an existing device may be used, and a separate interface may be used. You can get information by making it.

Referring to FIG. 3, the information collecting unit and the monitoring unit 100 of the centralized monitoring system according to the present embodiment receive the general patient information 210 from the general patient monitor 310.

The patient general information 210 includes an electrocardiogram (ECG), end-tidal CO2 (EtCO2), heart rate / pulse rate (HR / PR), and non-invasive blood pressure (NIBP). , Blood saturation (Saturation of Peripheral Oxyzen: SPO ₂ ), temperature (Temperature), Alarm (Alarm), Error (Error).

The ECG, end-tidal carbon dioxide partial pressure, heart rate / pulse rate, non-vascular blood pressure, blood oxygen saturation, body temperature, and the like are information related to the patient, and the alarm and error are information related to the information itself.

4, the information collecting unit and the monitoring unit 100 of the centralized monitoring system according to the present embodiment receive the defibrillator information 220 from the defibrillator 320.

The defibrillator information 220 includes an output wave (Energy Wave), electrocardiogram (ECG), blood saturation of Peripheral Oxyzen (SPO ₂ ), synchronized cardiac, periodic cardiac defibrillator (Pacing Cardiac) ), The battery may include a battery charge, an alarm, and an error.

The output waveform, electrocardiogram, blood oxygen saturation, pacemaker adjustment, periodic defibrillator, charge value, and the like are information related to the patient and the defibrillator itself, and the alarm and error are information related to the information itself.

Referring to FIG. 5, the information collecting unit and the monitoring unit 100 of the centralized monitoring system according to the present embodiment receive the nebulizer information 230 from the nebulizer 330.

The nebulizer information 230 includes a volume, a flow rate, a complete signal, an alarm, and an error.

The dose, flow rate and the like are information related to the patient, and the signal transmission, alarm and error are information related to the information itself.

Referring to FIG. 6, the information collecting unit and the monitoring unit 100 of the centralized monitoring system according to the present embodiment receive the intravenous injection monitor information 240 from the intravenous injector 340.

The intravenous infusion monitor information 240 includes a volume delivered, a flow rate, a drop rate, a drop rate, a charge rate, a battery charge, an air bubble, It may include door open, complete signal, alarm, and error.

The delivery capacity, flow rate, drop speed, forced drop speed, filling device, bubble, door opening and closing are information related to the patient and equipment, and the signal transmission, alarm and error is information related to the information itself.

Referring to FIG. 7, the information collecting unit and the monitoring unit 100 of the centralized monitoring system according to the present embodiment receive the ventilator information 240 from the ventilator 340.

The ventilator information 240 includes a tidal volume (VT), an inspiration time (Tinsp), a frequency (F), a flow rate (Flow), an intake pressure (Pinsp), and a spontaneous breathing assistance pressure (PASB). above peep, Positive End-Expiratory Pressure (PEEP), Oxygen fraction in inspired air (FIO ₂ ), Trigger, Minute volume (MV), Breakthrough breathing volume (MVleak) ), Spontaneous respiratory tract breakdown (MVspn), airway pressure (Paw), airway pressure (Plow), airway pressure (Pmean), airway pressure (Pmax), patient lung elasticity ( Ppeak, flat inspiratory pressure (Pplat), resistance (R / Resistance), body temperature (Temperature), exhalation time (Te / Expiration time), no breathing volume (VTApnoea), patient exhalation volume (VTe), patient supply Volume (VTi), residual volume in the lung (Vtrap), patient's spontaneous breathing pressure (Pmin), patient's spontaneous breathing per minute (Fspn), feed minute per minute (fmand), patient population It may include a Fatty Mode, an Alarm, and an Error.

Accordingly, the functions of collecting and comprehensively monitoring and determining information of various medical devices, generating alarms when necessary, and collecting data may be simultaneously performed in one centralized monitoring system.

As described above, according to the present invention, by managing and monitoring various pieces of information from various medical devices in one centralized management monitoring system, it is possible to check the condition of the patient more effectively. The information provided from the devices can be combined to determine the patient's condition.

Although described above with reference to the embodiments, those skilled in the art can be variously modified and changed within the scope of the invention without departing from the spirit and scope of the invention described in the claims below. I can understand.

Claims

An information collection unit for collecting general patient information, respirator information, defibrillator information, intravenous monitor information, and nebulizer information;

A monitor unit displaying the collected information;

A monitoring unit for examining whether there is an abnormality in the collected information;

An alarm unit for alarming when it is determined that the patient has an abnormality by the monitoring unit; And

Centralized monitoring system including a recording unit for recording the collected information.
The method of claim 1,

The patient general information,

Electrocardiogram (ECG), End-Tidal CO2 (EtCO 2 ), Heart Rate / Pulse Rate (HR / PR), Non-Invasive Blood Pressure (NIBP), Blood Oxygen Saturation of Peripheral Oxyzen: SPO 2 ), Centralized monitoring system comprising a temperature (Temperature), Alarm (Alarm), Error (Error).
The method of claim 1,

The ventilator information,

Tidal Volume (VT), Inspiration Time (Tinsp), Frequency (F), Flow (Flow), Inspiratory Pressure (Pinsp), Spontaneous Breathing Pressure (PASB above peep), End-tidal Positive Pressure ( Positive End-Expiratory Pressure (PEEP), Oxygen fraction in inspired air (FIO 2 ), Trigger, Minute volume (MV), Segmented breath leakage (MVleak), Spontaneous breathing Segmented breath (MVspn) ), Airway Pressure (Paw), Low Airway Pressure (Plow), Airway Pressure (Pmean), Upper Airway Pressure (Pmax), Patient Lung Elasticity (Ppeak), Flat Inspiratory Pressure ( Pplat, Resistance / Resistance, Temperature, Te / Expiration time, VTApnoea during apnea, Patient exhalation volume (VTe), Patient supply volume (VTi), Remaining in lungs Dose (Vtrap), patient's spontaneous breathing pressure (Pmin), patient's spontaneous breathing per minute (Fspn), feed minute per minute (fmand), patient mode (Patient Mode), Alarm, false Concentration monitoring system comprising the (Error).
The method of claim 1,

The defibrillator information,

Energy Wave, Electrocardiogram (ECG), Saturation of Peripheral Oxyzen (SPO 2 ), Synchronized Cardiac, Pacing Cardiac, Battery Recharge Centralized monitoring system comprising an alarm, an error.
The method of claim 1,

The intravenous infusion monitor information,

Volume Delivered, Flow Rate, Drop Rate, Purge Rate, Battery Recharge, Air Babble, Door Open, Signal Transmission Centralized monitoring system comprising a (Complete Signal), Alarm (Alarm), Error (Error).
The method of claim 1,

The nebulizer information,

Centralized monitoring system, characterized in that it includes a volume (Volume), flow rate (Flow Rate), Complete Signal (Alarm), Alarm (Error).
Collecting patient general information, respirator information, defibrillator information, intravenous monitor information, nebulizer information;

Displaying the collected information;

Examining whether the collected information is abnormal;

Alerting if it is determined that the patient has an abnormality by the monitoring unit; And

Centralized monitoring method comprising the step of recording the collected information.
The method of claim 7, wherein

The patient general information,

Electrocardiogram (ECG), End-Tidal CO2 (EtCO 2 ), Heart Rate / Pulse Rate (HR / PR), Non-Invasive Blood Pressure (NIBP), Blood Oxygen Saturation of Peripheral Oxyzen: SPO 2 ), centralized monitoring method comprising a body (Temperature), Alarm (Alarm), Error (Error).
The method of claim 7, wherein

The ventilator information,

Tidal Volume (VT), Inspiration Time (Tinsp), Frequency (F), Flow (Flow), Inspiratory Pressure (Pinsp), Spontaneous Breathing Pressure (PASB above peep), End-tidal Positive Pressure ( Positive End-Expiratory Pressure (PEEP), Oxygen fraction in inspired air (FIO 2 ), Trigger, Minute volume (MV), Segmented breath leakage (MVleak), Spontaneous breathing Segmented breath (MVspn) ), Airway Pressure (Paw), Low Airway Pressure (Plow), Airway Pressure (Pmean), Upper Airway Pressure (Pmax), Patient Lung Elasticity (Ppeak), Flat Inspiratory Pressure ( Pplat, Resistance / Resistance, Temperature, Te / Expiration time, VTApnoea during apnea, Patient exhalation volume (VTe), Patient supply volume (VTi), Remaining in lungs Dose (Vtrap), patient's spontaneous breathing pressure (Pmin), patient's spontaneous breathing per minute (Fspn), feed minute per minute (fmand), patient mode (Patient Mode), Alarm, false Concentration monitoring method comprising the (Error).
The method of claim 7, wherein

The defibrillator information,

Energy Wave, Electrocardiogram (ECG), Saturation of Peripheral Oxyzen (SPO 2 ), Synchronized Cardiac, Pacing Cardiac, Battery Recharge The centralized monitoring method comprising an alarm, an error.
The method of claim 7, wherein

The intravenous infusion monitor information,

Volume Delivered, Flow Rate, Drop Rate, Purge Rate, Battery Recharge, Air Babble, Door Open, Signal Transmission The centralized monitoring method characterized in that it comprises a (Complete Signal), Alarm (Error), Error.
The method of claim 7, wherein

The nebulizer information,

A centralized monitoring method comprising a volume, a flow rate, a complete signal, an alarm, and an error.