WO2017059846A1

WO2017059846A1 - Method for ensuring medical treatment for an individual as quickly as possible

Info

Publication number: WO2017059846A1
Application number: PCT/DE2016/100466
Authority: WO
Inventors: Reiner GRÜNTER; Konrad H. Jonas
Original assignee: Petrovic, Vladan
Priority date: 2015-10-07
Filing date: 2016-10-07
Publication date: 2017-04-13
Also published as: DE102015117053A1

Abstract

The invention relates to a method for medically treating an individual with acute health disorders. According to the method, - normal physiological values of the individual are stored in an analysis unit, - currently measured physiological measurement values of the individual are converted into readable data by means of a body contact module - and compared with the normal values in the analysis unit, - an emergency signal is transmitted to a central unit in the event of life-threatening deviations of the measurement values from the normal values, - the central unit stores data from medical competence centers for a wide variety of disease patterns - and transmits an emergency signal relating to the disease pattern and the location of the individual to a competency center, wherein prior to transmitting an emergency signal, the analysis unit - outputs a notification signal to the individual in the event of medically tolerable measurement values in order to prompt the individual to perform activities with the goal of returning the measurement values to the normal values, and - outputs an alarm signal to the individual together with recommendations stored in the analysis unit for independent activities in the event of current measurement values which lie outside of the tolerable, not yet life-threatening limits.

Description

Method of ensuring the fastest possible medical care of an individual

The invention relates to a method for ensuring the fastest possible, professional medical care of an individual in the event of unexpectedly announcing and / or sudden onset of health disorders, in which

personal, optimal physiological norm values of the individual are recorded and stored in an evaluation unit,

using a body contact module, the current physiological measurement values of the individual are measured by means of a sensor associated with the body contact module and converted into physical signals or readable data,

which are supplied to the evaluation unit and compared with the stored standard values, wherein

in the event of potentially life-threatening deviations of the measured values recorded by the sensor from the standard values, an emergency call signal with simultaneous indication of the respective deviations and the location of the individual are sent to a central unit,

in which the data of competence centers, such as hospitals, medical specialists, service providers (for example ambulance transport), telecommunications companies or the like have been fed in for the most diverse clinical pictures as a comprehensive service network,

- and transmit to at least one of the centers of competence that appear most appropriate to her, an emergency signal about the clinical picture and the location of the individual.

Such a method is described in WO 2012/083905.

For the general state of the art reference is made to US 2009/0243878, DE 600 38 044, DE 601 09 596 and DE 600 09 988 and WO 02/33620 A2.

The body contact module and the evaluation unit may be independent elements or combined to form a bifunctional element.

The values stored in the evaluation unit may preferably also include the respective current medication of the individual.

The invention has for its object to provide a graduated to the degree of an impending and a threatening health disorder monitoring process.

To solve this problem, the method is characterized in that the evaluation before sending an emergency signal to the central unit

in the case of current measured values which are within predefined tolerable limits of the stored personal norm values to which the individual gives an indication or warning signal of a health disorder possibly developing, to this individual to own activities for the purpose of returning the current measured values in the direction of the optimal norm values to induce, and

- in case of deviations of the current measured values, which are outside the tolerable limits but are not yet threatening, an alarm signal is sent to the individual simultaneous, stored in the evaluation unit, adapted to different health disorders recommendations for immediate independent activities, preferably until the initiation of assistance by third parties sends.

Notwithstanding the teaching of WO 2012/083905, three phases or stages of the physiological measured values detected by means of the sensor are taken into account by the personal, optimal standard values stored in the evaluation unit, namely:

1st phase I: delivery of a warning or warning signal. In the case of current measured values which are within predefined tolerable limits of the stored personal norm values, an indication or warning signal is sent to the individual about a possibly developing health disorder to this individual to own activities for the purpose of returning the respective current measured value in the direction of the optimal Standard value.

2nd phase II: delivery of an alarm signal. In the case of deviations from the stored standard values, which are still tolerable according to phase I, but not yet threatening, an alarm signal is issued to the individual with simultaneous recommendations for immediate, independent activities until the initiation of assistance measures by third parties in the event that the individual does not alone is able to follow the recommendations.

3rd phase III: delivery of an emergency call signal. In phase III, in potentially life-threatening deviations of the current measured values from the standard values stored in the evaluation device to the central unit, an emergency call signal about the clinical picture and the location of the individual is sent to the central unit.

For phase II, according to the invention, recommendations adapted to different health disorders are stored in the evaluation unit.

The current physiological measured values of the individual stored in the evaluation unit can preferably also include the respective current medication which can be stored by the individual or a medical specialist in the evaluation unit. Preferably, a body contact module is used, which is either worn or implanted close to, for example, like a wristwatch, and measures the current physiological biodata of the individual by means of integrated sensors. The current measured values obtained in this way are compared in the evaluation unit with the personal, optimal, physiological norm values previously stored in the evaluation unit, the procedure then being followed according to the above-described phases I to III.

Thus, according to the invention, there is a continuous, physiological early detection monitoring for the constitution and analysis of impending to life-threatening, personal health conditions and recommendation and, where appropriate, provision of relief measures in the case of still tolerable to life-threatening deviations of the respective current measured values in comparison to the physiological norm values of the individual stored in the evaluation unit.

Preferred embodiments of the invention are dealt with in subclaims.

Thus, according to a preferred embodiment, a bidirectional communication connection for the data and / or signal transmission, in particular a radio transmission to a mobile device using an app for location determination is provided.

In order to indicate to the individual that in phase III the evaluation unit forwards a message to the central unit, in this case preferably an acoustic and / or optical signal is emitted.

Even if an emergency call signal is transmitted from the central unit to a competence center, an acoustic and / or optical signal is preferably emitted in order to inform, for example, persons directly on site that a competence center has been informed of the threatening health status of the individual.

The sensors integrated into the body contact module are used to record vital signals, which are taken, for example, via the skin from the autonomic nervous system (ANS). The sensors should be able to measure at least the following vital signals:

Electrocardiogram or heart rate variability;

Photoplethysmogram or blood pressure variability;

Electrodermal conductivity of the skin;

Differential reflection spectral analysis of skin molecules;

ABI characteristics, cholesterol oximetry and reflection oxim. Cardiovascular signals, Respiratory parameters.

The actual measured values measured by the sensors are preferably transmitted to a microchip of the evaluation device and preferably evaluated by means of a software integrated there. In addition to the evaluation of the current measured values, the software also performs a comparison with the optimal standard values (basic medical parameters) and data of the individual (weight, age, height, gender, possibly personal data) stored in the evaluation units.

An upgrade of the standard values is carried out according to the invention at fixed intervals.

Preferably, a data transmission by means of various possibilities, e.g. Scanner, Bluetooth, Micro-USB etc. provided.

According to the invention, both optical and acoustic signal outputs are provided when the stored standard values are undershot or exceeded.

There is also an integrated storage medium and a USB interface.

An APP provided according to the invention also serves to record the acquired data or measured values and to forward them to the central unit and the respective competence centers.

The APP also serves to locate the carrier via satellite. The APP preferably includes a catalog of affiliated help facilities (cardiologist networks, hospitals, service providers, etc.) and service providers to provide immediate access to near-site assistance upon early warning.

The invention will be described below with reference to the drawing

According to Figure 1 are required:

a body-contact module 1 with an integrated sensor or transmitter, which is either to be worn close to the skin or implanted in the individual, in order to display measured values or readable data derived therefrom

to send an evaluation unit 2 transmitter associated with the evaluation unit; a central unit 3 into which data from competence centers 4a, 4b, 4c are fed.

The body contact module 1 and the evaluation unit 2 can preferably also be combined into one unit.

From the evaluation device perceptible warning or warning signals A or alarm signals B with recommendations for the individual for carrying out immediate independent activities or emergency call signals C are delivered directly to the central unit 3 in accordance with the phases I to II.

Person-related optimal physiological norm values and preferably also the current medication of the individual are stored in the evaluation unit 2, with the aim of comparing these stored standard values with the measured values of the individual acquired by the body contact module 1 and then according to one of the three phases I to III to react.

In the guide beam 5 shown in FIG. 2, which represents the phases I, II and III, the value zero corresponds to the person's optimal personal physiological norm value (s). This value is zero within phase I, which is limited by the values "+ x" and "-x". An approximation of the current measured value to the limit values "+ x" and "-x", indicates a possibly impending health disorder, eg momentary overloading, whereby the delivery of a Note or warning signal A is or can be effected to cause the individual to activities for the purpose of returning the respective current measured values in the direction of the optimal standard value zero.

As soon as the current measured values lie outside the tolerable limit values "+ x" and "-x" and enter the phase II and phase III, alarm signals B are emitted either in phase II or emergency signals C when phase III is reached to effect the measures mentioned above for these phases.

The functionality of the body contact module 1, the evaluation unit 2 and / or the central unit 3, including the energy store integrated in these modules, is preferably checked at regular intervals.

There is a bidirectional communication between the body contact module 1 and the evaluation unit 2, which can preferably be adjusted manually for the phases I and II, preferably intermittently and / or in particular by the individual, in order to ensure a constant delivery of warning or notification signals A and possibly also Alarm signals B to exclude.

The bidirectional communication with the central unit 3 can not be manipulated.

It is provided according to the invention to retrieve and / or print out the current measured values arbitrarily, preferably also in package form.

Claims

claims

1. A method for ensuring the fastest possible, professional medical care of an individual in the event of unexpectedly announcing and / or sudden onset of health disorders, in which person-related, optimal representing physiological norm values of the individual are recorded and stored in an evaluation unit (2),

- Using a body contact module (1) measured at least one current physiological measurement of the individual by means of at least one body contact module (1) associated sensor and converted into physical signals or readable data, the evaluation unit (2) and supplied are compared with the stored standard values, where

in the event of potentially life-threatening deviations of the measured values recorded by the sensor from the standard values, an emergency call signal (C) with simultaneous indication of the respective deviations and the location of the individual being sent to a central unit,

the data of competence centers, such as hospitals, medical specialists, service providers (for example ambulance transport) for the most diverse clinical pictures as a comprehensive service network,

Telecommunications companies or the like have been stored,

- and at least one of the centers of competence (4a, 4b, 4c) which appears to be most suitable, transmits an emergency signal (C) concerning the clinical picture and the location of the individual,

characterized in that the evaluation unit (2) before sending an emergency call signal (C) to the central unit (3)

in the case of current measured values, which are within predefined tolerable limits of the stored personal norm values, to which the individual gives an indication or warning signal (A) of a possibly developing health disorder, to this individual to own activities for the purpose of returning the current measured values in the direction to cause the optimal norm values, and - In the case of deviations from the current measured values, which are outside the tolerable limits, but are not yet threatening, give the individual an alarm signal (B) with simultaneous recommendations for immediate independent activities, stored in the evaluation unit (2) and adapted to different health disorders for intervening competence centers (4a, 4b, 4c) notified by the central unit (3).

2. The method according to claim 1, characterized in that the evaluation unit (2) bypassing the central unit (3) of the body contact module (1) transmitted, current measured values that differ from the stored personal reference values to life-threatening extent, including corresponding signals of the individual's location to at least one competence center (4a, 4b, 4c).

3. The method according to claim 1, characterized in that by the evaluation unit (2) with forwarding a message to the central unit (3) to the individual an acoustic and / or optical signal is delivered.

4. The method according to claim 1 or 2, characterized in that the body contact module (1) and / or the evaluation unit (2) an acoustic and / or optical signal is emitted when an emergency call signal (C) to a center of competence (4a , 4b, 4c) is forwarded.

5. The method according to any one of claims 1 to 4, characterized in that the personal, in the evaluation unit (2) and / or the central unit (3) stored standard values checked at predetermined intervals and possibly carried out an upgrade of the standard values.

6. The method according to any one of claims 1 to 5, characterized in that the data and / or signal transmission via a bidirectional communication connection, in particular a radio transmission to a mobile device, in particular using an APP for location determination takes place.

The method of claim 6, characterized in that the bidirectional communication link comprises at least one communication link selected from the group of communication links consisting of a telephone line, an intranet, an internet, a satellite, a laser waveform, and / or a global positioning system consists.

8. The method according to any one of claims 1 to 7, characterized in that in the body contact module (1) integrated sensors are selected from sensors for measuring vital signals such as:

- electrocardiogram or heart rate variability;

- Flotplethysmogram or blood pressure variability;

- Electrodermal conductivity of the skin;

- Differential reflection spectral analysis of skin molecules;

ABI characteristics, cholesterol oximetry and reflection oximetry;

cardiovascular signals, respiratory parameters.

9. The method according to any one of claims 1 to 8, characterized in that an evaluation unit (2) is used with integrated receiver and transmitter.

10. The method according to any one of claims 1 to 9, characterized in that the functionality of the body contact module (1), the evaluation unit (2) and / or the central unit (3) is checked at regular intervals.

11. The method according to any one of claims 1 to 9, characterized by an intermittent communication between the body contact module (1) and the evaluation unit (2).

12. The method according to claim 11, characterized in that the intermittent communication is manually adjustable.

13. The method according to any one of claims 1 to 12, characterized in that the current measured values are arbitrarily queried.

14. The method according to one or more of claims 1 to 13, characterized in that the measured values are retrievable and / or printable in compact packets.