WO2015062347A1

WO2015062347A1 - Remote emergency system

Info

Publication number: WO2015062347A1
Application number: PCT/CN2014/084883
Authority: WO
Inventors: 王浩锴
Original assignee: 王浩锴
Priority date: 2013-11-01
Filing date: 2014-08-21
Publication date: 2015-05-07
Also published as: CN103593554B; CN103593554A

Abstract

Disclosed is a remote emergency system (100) capable of automatically performing treatment comprising a terminal device (1) and a remote medical centre (2), wherein the terminal device (1) is carried by a user and capable of communicating via wireless with the remote medical centre (2), and the remote emergency system (100) can work at a conventional mode or local mode. The terminal device (1) comprises a data collecting module (11), wireless communication modules (12, 13), a local analysis module (14), a treatment module (15), and also a alarming module (16). when at the conventional mode, the remote medical centre (2) receives the collected data and controls the terminal device (1), and under the local mode, the local analysis module (14) receives the collected data and controls the alarming module (16) and the treatment module (15).

Description

Remote emergency system

Technical field

The present invention relates to a remote emergency system, and more particularly to a remote emergency system capable of automatically treating a patient suffering from a sudden illness using a wireless communication network.

Background technique

At present, various sudden diseases such as cardiovascular and cerebrovascular diseases are serious threats to human health. The onset of such diseases is sudden and the disease develops rapidly. If it is not timely, it will cause very serious sequelae and even lead to death. For example, in the case of sudden heart disease, if the first aid is administered more than 4 minutes after the onset of the disease, the proportion of deaths is as high as 98%, and if the first aid can be performed within 4 minutes, the survival chance of the patient will be greatly increased. It can be seen that the severity of the consequences of sudden illness is directly related to the timeliness of the patient's assistance. It is directly related to the patient's life safety to be able to provide first aid to patients with these diseases in the shortest effective time.

Many emergency medicines and portable first aid devices for emergency rescue have been developed in the medical field, such as quick-acting angina pectoris, myocardial infarction, and nitroglycerin. When the patient is ill, the patient takes the drug or uses such first aid equipment by himself or with the help of others to achieve emergency treatment. However, in the actual situation, the patient is often unable to take care of himself after the onset of illness, and cannot take medication or use first aid equipment. Therefore, if the patient is ill in an environment of one person, even if the corresponding emergency medicine and first aid equipment are provided, timely application and treatment cannot be obtained. In addition, if the patient has lost the ability to chew and swallow due to a sudden illness, even if someone else helps, the drug cannot enter the patient's body and still cannot provide first aid. In addition, if the patient happens to be in a state of sleep when the disease occurs, the patient or others may not be aware of the disease at all, and it is even less likely to have an effective first aid.

In recent years, with the development of wireless communication technology, Internet technology, and Internet of Things technology, telemedicine diagnostic technology has become an important means to solve the above problems, and a remote monitoring device with automatic first aid function has appeared. For example, in China Patent ZL200610030198.3 (hereinafter referred to as Patent Document 1), a portable remote real-time monitor with first aid and positioning functions is disclosed. The monitor can be carried by high-risk patients with heart disease. Through the wireless communication system, the medical monitoring center conducts remote real-time monitoring of the patient, enabling remote real-time monitoring and positioning of the patient, as well as early diagnosis and automatic emergency treatment for the disease.

Summary of the invention

However, the existing remote first-aid equipment represented by the monitor disclosed in Patent Document 1 generally has the following problems: 1. It is impossible to prevent misdiagnosis and mistreatment caused by data collection and transmission or user wearing errors; 2. If the terminal worn by the user and the medical monitoring center cannot obtain communication or the medical monitoring center fails, diagnosis and first aid cannot be performed.

Accordingly, the present invention is directed to a remote emergency system capable of performing automatic treatment, even if the first aid system is unable to The medical monitoring center is still able to diagnose and first respond to users of sudden illnesses when it is in communication. The present invention is also directed to a remote emergency system capable of performing automatic treatment, which is capable of not only diagnosing and first responding to users of sudden illnesses, but also being unable to communicate with the medical monitoring center. Prevent misdiagnosis and mistreatment of the condition.

The present invention provides a remote first aid system capable of automatically performing treatment, the remote emergency system comprising a terminal device and a remote medical center, the terminal device being carried by the user and capable of wirelessly communicating with the telemedicine center. The remote emergency system operates in a normal mode when the wireless communication can be normally performed or manually set by the user; when the wireless communication cannot be performed normally or the user manually sets, The remote emergency system switches to work in local mode. The terminal device includes a data acquisition module, a wireless communication module, a local analysis module, and a treatment module. The data acquisition module collects physiological data of the human body of the user. The terminal device performs the wireless communication with the remote medical center through the wireless communication module, and the wireless communication module is connected to the data collection module. The human physiological data is transmitted to the remote medical center through the wireless communication module in the normal mode, and the remote medical center analyzes the human physiological data, and according to the analysis result, via the wireless communication module An instruction is issued to the terminal device. The local analysis module is connected to the data collection module, and the human physiological data is sent to the local analysis module in the local mode, and the local analysis module performs the human physiological data according to pre-stored data. Analyze and issue an alarm command based on the analysis result. The therapy module is coupled to the wireless communication module and the local analysis module, and the therapy module performs emergency treatment on the user based on an instruction issued by the remote medical center or the local analysis module.

Preferably, the remote emergency system further includes an alarm module, the module is connected to the wireless communication module and the local analysis module, and is capable of being executed according to an instruction issued by the remote medical center or an instruction issued by the local analysis module. An alarm can be cancelled by the alarm module. The telemedicine center or the local analysis module instructs the treatment module to perform emergency treatment for the user only if the alarm has not been cancelled for a predetermined period of time.

Advantageously, said local analysis module is further coupled to said wireless communication module, said local analysis module downloading and updating said pre-stored data from said remote medical center via said wireless communication module in said normal mode.

Preferably, the local analysis module is further capable of storing the received human physiological data, and the local analysis module uploads the stored human physiological data to the the via the wireless communication module in the normal mode. Telemedicine center.

The remote emergency system of the present invention can perform the following operations in the normal mode. The data collection module collects physiological data of the human body of the user, and sends the collected physiological data of the human body to the wireless communication module; the wireless communication module sends the physiological data of the human body to the remote medical treatment Center, the telemedicine center analyzes the human physiological data and draws a normal or abnormal conclusion according to the analysis result; in the case of obtaining an abnormal conclusion, the telemedicine center issues an alarm to the wireless communication module Instructing and starting timing, the wireless communication module sends the alarm command to the alarm module, and the alarm module immediately issues an alarm; the alarm is still not cancelled when the timing reaches a predetermined period of time, the telemedicine The center issues the treatment instruction to the wireless communication module, the wireless communication module transmits the treatment instruction to the treatment module; the treatment module provides first aid to the user based on the treatment instruction.

The remote emergency system of the present invention can perform the following operations in the local mode. The data collection module sends the collected human physiological data to the local analysis module; the local analysis module pairs according to the pre-stored data The human physiological data is analyzed and a normal or abnormal conclusion is obtained according to the analysis result; in the case that an abnormal conclusion is obtained, the local analysis module issues an alarm instruction to the alarm module and starts timing, the alarm The module then issues an alarm; if the alarm is still not cancelled when the timing reaches a predetermined length of time, the local analysis module issues the treatment instruction to the treatment module; the treatment module is based on the treatment instruction The user performs first aid.

The pre-stored data may be threshold data, and the local analysis module compares each of the human physiological data collected by the data collection module with the threshold data, if one or more of the human physiological data Above the upper limit of the threshold data or below the lower limit of the threshold data, the alarm instruction is issued to the alarm module.

The pre-stored data may be a predetermined relative change relationship of each of the human physiological data, and a real-time relative change relationship between the human physiological data collected by the data acquisition module and the predetermined relative change relationship When there is no match, the local analysis module issues the alarm instruction to the alarm module.

The wireless communication module may include a terminal data transmitting module and a terminal data receiving module, and the wireless communication module performs wireless communication with the remote medical center, for example, through a public wireless network or a dedicated wireless network.

The treatment device of the remote emergency system of the present invention may be a cardiac defibrillator or an automatic injection device. The automatic injection device may include a signal receiving unit, a firing unit, and an injection unit. The signal receiving unit receives the treatment instruction issued by the remote medical center or the local analysis module. The firing unit is coupled to the signal receiving unit and fired according to the treatment command received by the signal receiving unit to urge the injection unit to perform an injection. The injection unit is provided with a needle and a drug cartridge, and the injection unit is provided with one side of the needle in close contact with the skin of the user. After the firing unit is fired, the needle is inserted into the human body under the push of the firing unit, and then the pre-stored medical liquid in the medicine chamber is injected into the human body through the needle.

Since the remote emergency system of the embodiment of the present invention is provided with the local analysis module, it can operate in the normal mode and the local mode, so that the diagnosis and the first aid can be performed regardless of whether the wireless communication between the terminal device and the telemedicine center is normal. The remote emergency system according to another embodiment of the present invention is further provided with an alarm module, which can further prevent misdiagnosis and mistreatment of the condition.

DRAWINGS

Figure 1 is a block diagram showing the basic structure of a remote emergency system of the present invention;

2 is a flow chart of the first aid system of the present invention implementing first aid in a normal mode;

3 is a flow chart showing the implementation of first aid in the remote emergency system of the present invention in a local mode (a mode in which communication cannot be made with a medical monitoring center or a poor communication);

Figure 4 is a flow chart showing the first-aid treatment of the user of the treatment device of the remote emergency system of the present invention;

Figure 5 is a block diagram showing the basic structure of a treatment device of the remote emergency system of the present invention;

6 and 7 respectively show a schematic structure and a treatment process of an implementation form of another treatment device;

Figure 8 shows a schematic structure and a treatment process of another implementation of another automatic treatment device. Concrete 1⁄23⁄4"

Hereinafter, specific embodiments of the present invention will be described in detail with reference to the accompanying drawings.

1, remote emergency system 100 overview

As shown in Fig. 1, a remote emergency system 100 of an embodiment of the present invention includes a terminal device 1 and a telemedicine center 2. The terminal device 1 is worn on a part of the user's body such as a wrist, an arm, a chest or a waist, and includes a data acquisition module 11, a terminal data transmission module 12, a terminal data receiving module 13, a local analysis module 14, a treatment module 15, and an alarm module. 16. The terminal data sending module 12 and the terminal data receiving module 13 may also be collectively referred to as a wireless communication module. The telemedicine center 2 is located at a location far away from the terminal device 1 such as a hospital, and includes a system side data receiving module 21, a data analyzing module 22, and a system side data transmitting module 23. The remote emergency system 100 of the embodiment of the present invention has two working modes of a normal mode and a local mode. When the wireless communication between the terminal device 1 and the telehealth center 2 (indicated by a broken line, A' in FIG. 1) is normal, the remote emergency system 100 operates in the normal mode; between the terminal device 1 and the telehealth center 2 In a special case such as a wireless communication abnormality, the remote emergency system 100 operates in the local mode.

The data collection module 11 collects various physiological data of the human body such as blood pressure, heart rate, and body temperature of the user wearing the terminal device 1. The terminal data transmitting module 12 is connected to the data collecting module 11 and the alarm module 16. The terminal data receiving module 13 is connected to the alarm module 16 and the treatment module 15. In the normal mode, the terminal data transmitting module 12 converts the data collected by the data collecting module 11 into a wireless signal and transmits it to the system side data receiving module 21 of the remote medical center 2 through the wireless network. The terminal data receiving module 13 receives the wireless signal (including various instructions) transmitted by the remote medical center 2 via the system side data transmitting module 23 through the wireless network. Wherein, after receiving the "alarm" command, the command is sent to the alarm module 16; when the "treatment" command is received, the command is sent to the therapy module 15. The local analysis module 14 is connected to the data acquisition module 1 1, the alarm module 16 and the therapy module 15. In the local mode, the data collection module 11 sends the collected human physiological data to the local analysis module 14, and the local analysis module 14 analyzes the received human physiological data according to the data stored in advance, and reports the alarm according to the analysis result. Module 16 sends an "alarm" command. The alarm module 16 is connected to the terminal data transmitting module 12, the terminal data receiving module 13, and the local analyzing module 14. When the alarm module 16 receives the "alarm" command sent by the terminal data receiving module 13 or the local analyzing module 14, the alarm signal is immediately sent in the form of sound, light, vibration, and the like. The alarm module 16 is provided with a component for canceling the alarm, such as canceling the alarm switch. When the alarm module 16 alarms, the user wearing the terminal device 1 turns on the cancel alarm switch when the alarm needs to be cancelled due to a false alarm, misdiagnosis or other reasons. The alarm module 16 stops issuing an alarm signal while transmitting a "cancel alarm" signal to the local analysis module 14 or via the terminal data transmission module 12 to the telehealth center 2. The treatment module 15 is connected to the terminal data receiving module 13 and the local analysis module 14. After the alarm module 16 issues an alarm for a predetermined time, if the alarm has not been canceled, the teletherapy center 2 or the local analysis module 14 sends a "treatment" command to the treatment module 15, and the treatment module 15 wears the terminal device 1 according to the instruction. The user implements automatic first aid treatment. The treatment module 15 may be provided in the terminal device 1, or may be separately provided. The treatment module 15 can be an automatic injection device, a cardiac defibrillator, or other drug or device pre-implanted into the human body, depending on the needs of the different user.

The data analysis module 22 is connected to the system side data receiving module 21 and the system side data transmitting module 23. The data analysis module 22 analyzes various data sent by the system-side data receiving module 21 according to an analysis rule previously prepared by a medical staff or in real-time operation of a medical staff, and transmits various instructions to the system-side data transmitting module 23. The system side data transmitting module 23 converts various commands sent by the data analyzing module 22 into wireless signals, and the number of terminals transmitted to the terminal device 1 through the wireless network According to the receiving module 13.

In addition, as shown in FIG. 1, the terminal device 100 of the remote emergency system 100 of the embodiment of the present invention may not include the alarm module 16. The operation of the remote emergency system 100 under this configuration differs from the operation of the structure including the alarm module 16 described above only in that the telemedicine center 2 or the local analysis module 14 is based on the analysis of the collected human physiological data. The "treatment" command is issued directly to the treatment module 15 without the alarm process. For ease of explanation, the description below is only for the case where the alarm module 16 is included. On this basis, the relevant content without the alarm module 16 will be apparent to those skilled in the art.

Further, preferably, the terminal device 1 of the remote emergency system 100 of the embodiment of the present invention may further have a manual emergency trigger switch. When the switch is manually turned on, the terminal device 1 is neither controlled by the telemedicine center 2 nor controlled by the local analysis module 14, but immediately directly activates the therapy module 15 for emergency treatment.

2, the remote emergency system 100 normal mode

Next, the operational flow of the first-aid system 100 of the present invention in the normal mode and the first-aid operation of the remote emergency system 100 of the present invention in the local mode will be respectively described with reference to Figs. 2 and 3.

Figure 2 is a flow chart showing the first aid system 100 of the present invention implementing first aid in a conventional mode. It should be noted that step S01 in Fig. 2 is an initialization step of the remote emergency system 100 of the present invention. In step S01, the user using the remote emergency system 100 of the present invention needs to go to a specialized medical institution to perform a body test before using the system, and the medical institution selects the physical condition, the past medical history, and the susceptible disease of the individual. A suitable treatment module 15 is provided and the relevant medication is formulated. For example, in the case where an automatic injection device is selected as the treatment module 15, a nitroglycerin solution is prepared for a wearer with a history of angina pectoris, a glucose solution is prepared for a wearer with a hypoglycemic condition, and a salbutamol is prepared for a wearer with an asthma condition. . It should be noted here that since each person's physical condition, physiological data, past medical history, easy onset, etc. are different, the device is not a general device, but is individually customized according to each individual's specific situation or according to Customized in the case of a certain type of person, that is, the terminal device 1 worn by a certain user is not necessarily suitable for others. Subsequently, the remote emergency system 100 of the present invention performs initial setting according to the detected specific conditions of the user, including inputting the user's personal data (physical condition, physiological history data, past medical history, easy onset, etc.) to the telemedicine center 2 The data analysis module 22 and the local analysis module 14 of the terminal device 1 and the prepared drug solution are loaded into the drug magazine of the automatic injection device. So far, the initialization work of the remote emergency system 100 of the present invention has been completed.

In step S02, it is determined whether the communication with the remote medical center 2 is normal, for example, by detecting whether the wireless signal (such as a handshake signal) between the wireless communication module and the remote medical center 2 is normal. If the communication is normal, proceeding to step S03, for example, If the communication is not normal, proceed to step S21 in FIG. 3;

In step S03, the terminal device 1 collects various human physiological data of the wearer through the data acquisition module 11.

In step S04, the data collection module 11 transmits the collected data to the system-side data receiving module 21 of the remote medical center 2 via the wireless network through the terminal data transmitting module 12. The wireless network referred to in the present invention may be a public wireless communication network (2G, 2.5G, 3G, 4G, etc.) currently in common use, or may be a dedicated wireless network.

In step S05, the system side data receiving module 21 of the telehealth center 2 receives the wireless signal of the human body physiological data transmitted from the terminal device 1, and decodes the signal and transmits the signal to the data analyzing module 22. Data analysis module 22 for human physiological number According to the analysis, and to make "normal", "abnormal" judgment.

When the determination of "normal" is made in step S05, the telemedicine center 2 issues a "hold" command to the terminal device 1 through the system-side data transmitting module 23, or does not issue an instruction. At this time, the terminal device 1 operates normally, and the operation returns. Go to step S03. When the determination of "abnormal" is made in step S05, the telemedicine center 2 issues an "alarm" command to the terminal device 1 through the system side data transmitting module 23 and starts timing in step S06.

In step S07, the terminal device 1 receives the "alarm" command from the telehealth center 2 via the terminal data receiving module 13, and transmits the "alarm" command to the alarm module 16. After receiving the "alarm" command, the alarm module 16 starts to alarm in a preset manner. At the same time, the telemedicine center 2 or the alarm module 16 can also send an alarm notification to a preset telephone or mobile phone to notify the wearer's relatives or ambulance personnel.

When the alarm module 16 starts to alarm, there may be three types of actual situations: 1. The system generates a false alarm, that is, the false alarm is caused due to inaccurate data collection, incorrect data transmission, and the wearer not wearing the terminal device 1 correctly. At this time, the wearer does not need first aid; 2. The system does not report falsely, but the wearer has received timely treatment from nearby relatives or ambulance personnel when the alarm module 16 alarms, so there is no need to carry out first aid; 3. The system is not wrong. The newspaper, the wearer does need first aid. These three cases are determined in step S08. In the first two cases where the remote first aid system 100 of the present invention is not required for first aid, the wearer or a person nearby thereof manually turns on the cancel alarm switch of the alarm module 16. After the cancel alarm switch is turned on, the alarm module 16 transmits a "cancel alarm" signal to the remote medical center 2 through the terminal data transmitting module 12, and the remote medical center 2 cancels the alarm after receiving the signal, and the operation returns to step S03. In the third case, the wearer does not need to perform any action, and the operation proceeds to step S09.

In step S09, when the timing in step S06 reaches a preset duration (such as 1 minute, 3 minutes, etc., the duration is set according to the actual situation in step S02), the telemedicine center 2 has not received the terminal. The "cancel alarm" signal sent from the device 1 determines that the wearer needs emergency treatment by the remote emergency system 100 of the present invention, and the telemedicine center 2 issues a "treatment" command to the terminal device 1 via the system side data transmitting module 23.

In step S10, after receiving the "treatment" command from the telemedicine center 2, the terminal data receiving module 13 of the terminal device 1 transmits the command to the therapy module 15, and the therapy module 15 is activated.

In step S11, the treatment module 15 performs emergency treatment for the wearer with the drugs and/or devices pre-equipped in the step S01.

3, remote emergency system 100 local mode

Figure 3 illustrates a flow chart of the first aid system 100 of the present invention implementing first aid in a local mode. Here, the switching between the normal mode and the local mode is that the system automatically switches according to the wireless communication condition. For example, when the wireless communication cannot be performed due to the failure of the telemedicine center 2 or the need for maintenance, the telehealth center 2 actively issues an instruction to the terminal device 1 to activate the local mode, and the remote medical center 2 takes the initiative to activate the remote emergency system 100 locally. The mode switches back to normal mode. Alternatively, when the wireless communication signal of the terminal device 1 and the remote medical center 2 disappears or is unstable, the terminal device 1 cannot receive the handshake signal of the remote medical center 2 or the received signal has a high error rate, and the terminal device 1 automatically Switch from normal mode to local mode and automatically switch back to normal mode after wireless communication returns to normal.

In this case, steps S01 and S02 are the same as in the normal mode. When it is judged in step S02 that the communication signal is abnormal, the operation proceeds to step S21. In step S21, the terminal device 1 collects various types of human physiological data of the wearer through the data collection module 11, and transmits the data to the local analysis module 14.

In step S22, the local analysis module 14 analyzes the data transmitted by the data collection module 11 based on the data and analysis rules pre-defined and stored therein.

In step S23, the local analysis module 14 makes a "normal" or "abnormal" decision based on the analysis result. What is being made is

In the case of "normal" determination, the local analysis module 14 issues a "hold" command (or does not send an instruction), the operation returns to step S21; in the case of an "abnormal" determination, the local analysis module 14 proceeds to the alarm module. 16 Issue an "alarm" command and start timing.

In step S24, the alarm module 16 performs the same alarm operation as step S07 in Fig. 3.

When the alarm module 16 starts to alarm, there may be three types of actual situations: 1. The system generates a false alarm, that is, the false alarm is caused because the collected data is inaccurate, the wearer does not correctly wear the terminal device 1, etc. Actually, there is no need for first aid; 2. The system does not report false alarms, but the wearer has received timely treatment from nearby relatives or ambulance personnel when the alarm module 16 alarms, so no need for first aid; 3. The system has not misreported, the wearer It really needs first aid. These three cases are determined in step S25. In the first two cases where the remote emergency system 100 of the present invention is not required for first aid, the wearer or a person in the vicinity thereof manually opens the cancel alarm switch of the alarm module 16. After the cancel alarm switch is turned on, the alarm module 16 sends a "cancel alarm" signal to the local analysis module 14, and the local analysis module 14 cancels the alarm upon receiving the signal, and the operation returns to step S21. In the third case, the wearer does not need to perform any action, and the operation proceeds to step S26.

In step S26, when the timing in step S23 reaches a preset duration (such as 1 minute, 3 minutes, etc., the duration is set according to the actual situation in step S02), the local analysis module 14 has not received the alarm. The "cancel alarm" signal sent by the module 16 assumes that the wearer needs emergency treatment and the local analysis module 14 issues a "treatment" command to the therapy module 15 to activate the therapy module 15.

In step S27, the treatment module 15 performs emergency treatment on the wearer with the drugs and/or devices pre-equipped in the step S02.

In addition, the switching between the normal mode and the local mode can also be manually performed by the user setting the terminal device 1. For example, when the user is in an environment where all wireless communication devices must be turned off, such as by flying, attending a confidential meeting, etc., the user can manually set the terminal device 1 to the local mode; when the user travels abroad, the wireless communication will result in an expensive When the international roaming traffic charges, the user can manually set the terminal device 1 to the local mode. In this case, the terminal device 1 will skip the judgment process in step S02 and proceed directly from step S21.

As can be seen from the above description, in the local mode, the local analysis module 14 can analyze the collected human physiological data instead of the remote medical center 2, and issue corresponding instructions to the alarm module 16 and the treatment module 15. However, because local analysis modules are limited by computing power, storage capacity, and analytical capabilities, they typically use threshold comparison methods for data analysis. In the threshold comparison method, the collected real-time human physiological data is compared with the threshold data pre-stored in the local analysis module 14, if the value of the collected data is higher than the upper limit of the threshold data or lower than the threshold When the lower limit of the data is considered, the physiological state of the human body is abnormal, and the local analysis module 14 immediately issues an alarm command. The determination of abnormality of the human physiological state can be made when a certain data exceeds the threshold range or a certain number of data exceeds the threshold range at the same time. Similarly, the magnitude of change in one or more items in the collected human physiological data can also be used. The change threshold is exceeded as the basis for the decision. For example, the heart rate suddenly accelerates or suddenly slows down at a certain time, even if the absolute value of the heart rate does not exceed the threshold limit, but the magnitude of the change exceeds the change amount threshold pre-stored in the local analysis module 14, the local analysis module 14 It will also be judged as a physiological abnormality and an alarm command will be issued.

Alternatively, the mutual relationship relationship between the collected data of the human body physiological data may be used as a determination basis, and the real-time mutual relationship between the collected data of the human body physiological data is pre-stored in the local analysis module 14 When the predetermined mutual relationship does not match, the physiological state of the human body is considered abnormal. For example, in general, when a normal person is exercising, the heart rate is increased and the body temperature is raised. According to the relative change relationship between the heart rhythm and the body temperature, when the collected human physiological data shows that the heart rhythm is accelerated and the body temperature is lowered, the local analysis module 14 will also determine that the physiological state is abnormal and issue an alarm command.

The setting of the various thresholds described above may be determined based on physiological indicators common to medicine, or may be individually set according to individual circumstances. It is very simple to determine according to the general physiological parameters of the medicine, and it is only necessary to input the corresponding threshold and calculation method into the local analysis module 14 in advance. It is not covered here. Only the case where the settings are made according to the personal situation of the user will be described here. Since each person's age, gender, race, health status, past medical history, etc. are different, only the threshold data pre-stored in the local analysis module 14 can be separately set according to the specific situation of each person. The most accurate analysis of the physiological state of the human body, and the most accurate determination of whether the user needs emergency judgment. Therefore, preferably, the local analysis module 14 can also be connected to the terminal data transmitting module 12 and the terminal data receiving module 13 (not shown). Thus, the telehealth center 2 can periodically transmit various threshold data set to the user using the remote emergency system 100 to the local analysis module 14. For example, in the normal mode, the wireless communication between the terminal device 1 and the telehealth center 2 is normal, and the local analysis module 14 periodically (e.g., once a day) downloads the latest threshold data information from the telehealth center 2 for data update. Preferably, the local analysis module 14 is also capable of storing human physiological data acquired in the local mode. When the remote emergency system 100 returns to the normal mode, the local analysis module 14 uploads the stored human physiological data to the telehealth center 2 via the terminal data transmitting module 13. The advantage is that the continuity of the user's human physiological data is important for the monitoring and diagnosis of underlying disease, and the uploaded human physiological data maintains this continuity. As can be seen from the above, although the local analysis module 14 does not perform the analysis operation in the normal mode, the related data can be uploaded and downloaded via the terminal data receiving module 12 and the terminal data transmitting module 13 and the remote medical center 2.

In addition, in the case where the terminal device 1 of the remote emergency system 100 of the embodiment of the present invention is preferably provided with a manual emergency trigger switch, when the switch is manually turned on, regardless of whether the remote emergency system 100 is in the normal mode or the local mode, The terminal device 100 will be neither controlled by the telehealth center 2 nor controlled by the local analysis module 14, but will directly activate the therapy module 15 for first aid. The manual first aid trigger switch is set to deal with extreme extreme conditions. For example, when the telemedicine center 2 and the local analysis module 14 are unable to work for some reason, if the user is ill at this time, the remote emergency device 100 can be turned on for self-help by itself or by others. For another example, when the user's own body is normal, and someone next to him (the person does not use the device of the present invention) is ill and the condition is consistent with the condition of the user, the user can solve the problem that the terminal device 100 is worn on the body of the affected person. Turn on the manual emergency trigger switch to give it first aid.

4, the example of the treatment module

As mentioned above, the treatment module 15 can be, for example, a cardiac defibrillator. Figure 4 shows the flow of a cardiac defibrillator to the user for first aid treatment. As shown in FIG. 4, in step S31, the cardiac defibrillator defibrillates the user after receiving the "treatment" command. Here, the "treatment" command may include information such as defibrillation voltage, defibrillation time, and the like in addition to the signal for activating the cardiac defibrillator. In step S32, after the end of a cardiac defibrillation operation, the data acquisition module 11 of the terminal device 1 collects the human body of the wearer. Data. In step S33, the collected data is transmitted to the data analysis module 22 of the telehealth center 2 or the local analysis module 14 of the terminal device 1. In step S34, the data analysis module 22 or the local analysis module 14 analyzes the defibrillation effect based on the collected human physiological data, and evaluates whether defibrillation needs to be performed again. When it is not necessary to defibrillate again, the operation returns to step S32. When it is determined that defibrillation is required again, in step S35, a "treatment" command is issued again to the cardiac defibrillator. In step S36, the cardiac defibrillator defibrillates the wearer again, and then the operation returns to step S32.

As mentioned above, the treatment module 15 can be, for example, an automatic injection device. Figure 5 is a block diagram showing the basic structure of an automatic injection device 3 suitable for use in the remote emergency system 100 of the present invention. As shown in Fig. 5, the automatic injection device 3 includes a signal receiving unit 31, a firing unit 32, and an injection unit 33. The signal receiving unit 31 is configured to receive the above-mentioned "hold" command and "therapy" command or the like, which may be a wireless network data receiving unit, a radio frequency signal receiving unit or other wireless technology-based data receiving unit. The firing unit 32 is connected to the signal receiving unit 31. When the command received by the signal receiving unit 31 is "hold", the firing unit 32 does not perform an action; when the received command is "treatment", the firing unit 32 fires, thereby pushing The injection unit 33 performs an injection. The injection unit 33 is provided with a needle and a medicine cartridge, and the injection unit 33 is provided with one side of the needle to be in close contact with the human skin; after the firing unit 32 is fired, the injection unit 33 is pushed by the firing unit 32, the needle is ejected and enters the human body, and then the medicine chamber is The pre-stored liquid is injected into the body through the needle. The pharmacy can be either a single-storage or a multi-storage. When the drug warehouse is a multi-cassette, the drugs stored in each bin can be different drugs, so that different kinds of drugs can be injected according to different diseases; or the same drugs, so that different doses of drugs can be injected according to the severity of the disease. . The cartridge can be in fluid communication with the needle when it is not being injected, or it can be separate. In the latter case, the needle is in communication with the cartridge when the firing unit 32 fires the injection unit 33, so that multiple cartridges can share a single needle.

By way of example, Figures 6 and 7 show, respectively, a schematic configuration of an implementation of an automatic injection device 3 that is chemically fired, and a process map for automatic injection. The signal receiving unit 31 is omitted in Figs. 6 and 7.

In FIG. 6, the firing unit 32 includes: an electronic igniter 32-1 that performs electric ignition according to a "treatment" command received by the signal receiving unit 31; a combustible (eg, combustible gas) 32-2, which is It is in a steady state in normal state, and deflagrates after being ignited by the electronic fire extinguisher 32-1. The injection unit 33 includes: a medicine chamber 33-1, which is, for example, a cylinder (other columnar body), and has an opening at the bottom; an upper piston 33-2, which is in close contact with the inner wall of the medicine chamber 33-1, and The inner wall of the medicine chamber 33-1 is kept hermetically sealed; the lower piston 33-3 is in close contact with the inner wall of the medicine chamber 33-1 and is hermetically sealed with the inner wall of the medicine chamber 33-1; the injection needle 33-4, and the lower piston 33-3 is formed integrally; the drug solution 33-5 is located in the space between the upper piston 33-2 and the lower piston 33-3 in the drug cartridge 33-1.

A to D in Fig. 7 respectively show respective states during the automatic injection of the automatic injection device 3.

A in Fig. 7 shows the standby state. This state is the normal state of the automatic injection device 3. In this state, the injection needle 33-4 is located inside the drug cartridge 33-1, and the deflagrant 32-2 is in a stable state. The upper piston 33-2 and the lower piston 33-3 are not subjected to any pressure, and the internal pressure of the chemical liquid 33-5 is equal to the external pressure of the drug cartridge 33-1.

B in Fig. 7 shows the firing state. Upon receiving the "treatment" command, the electronic firearmer 32-1 fires to detonate the combustible material 32-2. The deflagration of the combustible material 32-2 causes the gas to rapidly expand instantaneously, generating an outward pressure. The pressure presses the upper piston 33-2, and the upper piston 33-2 is pressed and moved downward. The drug solution 33-5 is subjected to the pressure of the upper piston 32-3 to conduct the pressure to the lower piston 33-1. Under the action of pressure, the upper piston 33-2, the liquid medicine 33-5, and the lower piston 33-3 move downward in the medicine chamber 33-1, and the injection needle 33-4 penetrates into the human body through the opening at the bottom of the medicine chamber 33-1. . When the lower piston 33-3 moves downward to the bottom of the magazine 33-1, the lower piston 33-3 is moved to the magazine 33-1. The bottom block no longer moves down.

C in Fig. 7 shows the injection state. After the lower piston 33-3 is blocked by the bottom of the magazine 33-1, the upper piston 33-2 continues to move downward under pressure. The drug solution 33-5 is injected into the body through the injection needle 33-4 under the push of the upper piston 33-2.

D in Fig. 7 shows the injection completion state. When the upper piston 33-2 moves to the position of the lower piston 33-3, it cannot continue to move downward, and at this time, the liquid medicine 33-5 has been completely injected into the human body, and the injection process is completed.

As an example, A to C in Fig. 8 respectively show a schematic structure of an implementation form of the automatic injection device 3 which is electromagnetically fired, and a process of automatic injection. In Fig. 8, A shows the firing state, B shows the injection state, and C shows the injection completion state. The signal receiving unit 31 is omitted in FIG. The automatic injection device 3 injection unit of Fig. 8 is formed into a curved shape. Such a structure is advantageous for reducing the volume of the automatic injection device 3 and increasing the wearing flexibility, and is suitable for a wrist automatic injection device. Of course, the injection unit of the automatic injection device 3 shown in Fig. 7 can also be formed in a curved shape. The automatic injection device 3 which is shown by the electromagnetic method shown in Fig. 8 is different from the automatic injection device 3 which is chemically fired as shown in Figs. 6 and 7, in that the firing unit 32 includes a pair of electromagnets, wherein One electromagnet is fixedly disposed, and the other electromagnet is disposed on the upper piston 33-2 of the injection unit 33, and the two electromagnets face the same pole; in the normal state, the two electromagnets are close to each other and are not energized. When receiving the "treatment" command, the power supply energizes the two electromagnets through the wires to cause them to generate magnetic force. Due to the same sex, the upper piston 33-2 is pushed away from the fixed electromagnet by the magnetic force to This causes the injection unit 33 to perform an injection. It is to be noted that the power supply and the electric wires for supplying the electromagnet are omitted in B and C of Fig. 8.

In the present invention, the human physiological data may include other data in addition to the blood pressure, heart rate, and body temperature described above. In the present invention, the acquisition time and frequency of the human physiological data are determined according to actual conditions, and may be real-time or intermittent (for example, once every several minutes) or random.

In the present invention, in addition to the above-mentioned sound, light, and vibration, the alarm mode may be expressed in other manners, such as a friend, a doctor, a telephone of a medical institution, a mobile phone, etc., which may be preset to the wearer at the same time as an alarm. The communication tool issues an alarm notification.

In the present invention, the data analysis module 22 refers to a device and a person having a function of correctly analyzing human physiological data. For example, it may be an integrated circuit, one or more computers, a person with medical knowledge and experience (doctors, experts), or a combination thereof.

Claims

Claim

A remote emergency system capable of automatically performing treatment, the remote emergency system (100) comprising a terminal device (1) and a telemedicine center (2), the terminal device (1) being carried by a user and capable of being The telemedicine center (2) performs wireless communication, and is characterized by:

The remote emergency system when the wireless communication can be performed normally or manually set by the user

(100) operating in the normal mode; when the wireless communication is not able to be performed normally or the user manually sets, the remote emergency system (100) switches to the local mode, and

The terminal device (1) includes:

a data acquisition module (11), the data acquisition module (11) collects human physiological data of the user, a wireless communication module (12, 13), and the terminal device (1) passes the module (12, 13) with The remote medical center (2) performs the wireless communication, and the module (12, 13) is connected to the data collection module (11), and the human physiological data passes through the wireless communication module in the normal mode ( 12, 13) is sent to the telemedicine center (2), the telemedicine center (2) analyzes the human physiological data, and according to the analysis result, via the wireless communication module (12, 13) Said terminal device (1) issues an instruction,

a local analysis module (14), the module (14) being connected to the data acquisition module (11), the human physiological data being sent to the local analysis module (14) in the local mode, the module (14) And analyzing the human physiological data according to the pre-stored data and issuing an instruction according to the analysis result,

a treatment module (15), the module (15) being coupled to the wireless communication module (12, 13) and the local analysis module (14), the treatment module (15) being based on the telemedicine center (2) or The instructions issued by the local analysis module (14) provide emergency treatment to the user.

2. The remote emergency system of claim 1, the remote emergency system (100) further comprising an alarm module (16), the module (16) and the wireless communication module (12, 13) and the local analysis The module (14) is connected and is capable of alarming according to an instruction issued by the telemedicine center (2) or an instruction issued by the local analysis module (14), the alarm being cancelable by the alarm module (16) , among them,

The telemedicine center (2) or the local analysis module (14) instructs the treatment module (15) to perform emergency treatment on the user only if the alarm has not been cancelled after a predetermined time has elapsed. .

3. The remote emergency system according to claim 1 or 2, wherein

The local analysis module (14) is also coupled to the wireless communication module (12, 13), wherein the local analysis module (14) is in the normal mode via the wireless communication module (12, 13) from the The telehealth center (2) downloads and updates the pre-stored data.

4. The remote emergency system according to claim 3, wherein

The local analysis module (14) is further capable of storing the received human physiological data, and the local analysis module (14) will be via the wireless communication module (12, 13) in the normal mode The stored human physiological data is uploaded to the telemedicine center (2).

The remote emergency system according to claim 1 or 2, wherein, in the case where the remote emergency system (100) operates in the normal mode,

The data collection module (11) collects physiological data of the human body of the user, and sends the collected physiological data of the human body to the wireless communication module (12, 13).

The wireless communication module (12, 13) transmits the human physiological data to the remote medical center (2), and the remote medical center (2) analyzes the human physiological data and obtains normal according to the analysis result. Or unusual conclusions,

In the case where an abnormal conclusion is reached, the telemedicine center (2) issues the alarm command to the wireless communication module (12, 13) and starts timing, and the wireless communication module (12, 13) will The alarm command is sent to the alarm module (16), and the alarm module (16) then issues an alarm.

If the alarm is still not cancelled when the timing reaches a predetermined length of time, the telemedicine center (2) issues the treatment instruction to the wireless communication module (12, 13), the wireless communication module (12, 13) Transmitting the treatment instruction to the treatment module (15),

The treatment module (15) provides first aid to the user based on the treatment instruction.

6. The remote emergency system according to claim 1 or 2, wherein, in the case where the remote emergency system (100) operates in the local mode,

The data collection module (11) sends the collected human physiological data to the local analysis module (14),

The local analysis module (14) analyzes the human physiological data according to the pre-stored data and draws a normal or abnormal conclusion according to the analysis result.

In the case where an abnormal conclusion is reached, the local analysis module (14) issues the alarm command to the alarm module (16) and starts timing, and the alarm module (16) then issues an alarm.

If the alarm is still not cancelled when the timing reaches a predetermined length of time, the local analysis module (14) issues the treatment instruction to the treatment module (15),

The remote emergency system according to claim 6, wherein the pre-stored data is threshold data, and the local analysis module (14) collects the human body physiology collected by the data collection module (11) Data is compared with the threshold data, and if one or more of the human physiological data is higher than an upper limit of the threshold data or lower than a lower limit of the threshold data, the alarm module (16) is issued Alarm instruction.

The remote emergency system according to claim 6, wherein the pre-stored data is a predetermined relative change relationship of each human physiological data, and the items collected by the data acquisition module (11) The local analysis mode when the real-time relative change relationship of the human physiological data does not match the predetermined relative change relationship Block (14) issues the alarm command to the alarm module (16).

The remote emergency system according to claim 1 or 2, wherein the wireless communication module (12, 13) comprises a terminal data transmitting module (12) and a terminal data receiving module (13), and the wireless communication module (12, 13) Wireless communication with the telehealth center (2) over a public wireless network or a private wireless network.

10. The remote emergency system according to claim 1 or 2, wherein the alarm module (16) is provided with a cancel alarm switch, and when the cancel alarm switch is turned on, the alarm is cancelled.

The remote emergency system according to claim 1 or 2, wherein the remote medical center (2) takes the initiative when the remote medical center (2) fails or needs to be repaired, causing the wireless communication to fail to perform normally. Sending an instruction to the terminal device (1) to activate the local mode, and the remote medical center (2) returns to normal and then actively sends an instruction to the terminal device (1) to switch back from the local mode to the normal mode. .

The remote emergency system according to claim 1 or 2, wherein the wireless communication signal of the terminal device (1) and the remote medical center (2) disappears or is unstable, resulting in the wireless When the communication cannot be performed normally, the terminal device (1) automatically starts the local mode, and automatically switches back to the normal mode after the wireless communication returns to normal.

The remote emergency system according to claim 1 or 2, wherein the terminal device (1) is further provided with a manual emergency trigger switch, and when the switch is manually opened, the treatment module (15) is immediately First aid treatment.

The remote emergency system according to claim 1 or 2, wherein the treatment device is a cardiac defibrillator or an automatic injection device.

15. The remote emergency system according to claim 14, wherein

The automatic injection device includes a signal receiving unit (31), a firing unit (32) and an injection unit (33), and the signal receiving unit (31) receives the remote medical center (2) or the local analysis module (14) The treatment instruction issued,

The firing unit (32) is connected to the signal receiving unit (31), and is fired according to the treatment instruction received by the signal receiving unit (31) to push the injection unit (33) to perform an injection.

The injection unit (33) is provided with a needle and a medicine cartridge, and the injection unit (33) is provided with one side of the needle in close contact with the skin of the user; after the firing unit (32) is fired, The needle is inserted into the human body by the firing unit (32), and then the pre-stored medical liquid in the medicine chamber is injected into the human body through the needle.

16. The remote emergency system of claim 15, wherein the firing unit (32) of the automatic injection device comprises an electronic firearm (32-1) and a combustible material (32-2).

17. The remote emergency system according to claim 15, wherein

The firing unit (32) of the automatic injection device includes a pair of electromagnets disposed opposite to each other, one of which The electromagnet is fixedly disposed, another electromagnet is disposed at the injection unit (33), and the pair of electromagnets are close to each other when the firing unit (32) is not fired.

The remote emergency system according to claim 15, wherein the injection unit (33) is formed in a curved shape.