WO2017099571A1 - Wireless modular physiological monitoring system with user interface - Google Patents
Wireless modular physiological monitoring system with user interface Download PDFInfo
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- WO2017099571A1 WO2017099571A1 PCT/MX2015/000168 MX2015000168W WO2017099571A1 WO 2017099571 A1 WO2017099571 A1 WO 2017099571A1 MX 2015000168 W MX2015000168 W MX 2015000168W WO 2017099571 A1 WO2017099571 A1 WO 2017099571A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
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- G—PHYSICS
- G08—SIGNALLING
- G08C—TRANSMISSION SYSTEMS FOR MEASURED VALUES, CONTROL OR SIMILAR SIGNALS
- G08C17/00—Arrangements for transmitting signals characterised by the use of a wireless electrical link
- G08C17/02—Arrangements for transmitting signals characterised by the use of a wireless electrical link using a radio link
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16Z—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
- G16Z99/00—Subject matter not provided for in other main groups of this subclass
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04B—TRANSMISSION
- H04B7/00—Radio transmission systems, i.e. using radiation field
- H04B7/24—Radio transmission systems, i.e. using radiation field for communication between two or more posts
- H04B7/26—Radio transmission systems, i.e. using radiation field for communication between two or more posts at least one of which is mobile
Definitions
- the present invention relates to a method for monitoring the health of people with different types of disease using electronic sensors interconnected to a wireless user interface via a hub.
- the invention described herein refers to the measurement of physiological signals and more particularly to physiological signal measuring devices that can measure said physiological signals more conveniently by distributing modules according to the functions.
- An important aspect for providing satisfactory care to patients is monitoring different biological indicators used to diagnose medical conditions. For example, careful monitoring of blood pressure, heart rate, and ECG can help determine the patient's current health and future chances of recovery. Traditionally, this monitoring has been achieved using the placement of sensors to a patient and then the connection of these sensors to control the units that show the sensor readings.
- a cable has been the simplest and most reliable means of connecting these sensors with a patient monitor nearby.
- these cables become easily entangled, limit the patient's distance from the monitor and can be damaged over time.
- wireless communication methods have been used between the sensor and the patient monitor, overcoming many of the disadvantages presented by traditional cable systems.
- Some typical examples of these wireless systems can be seen in US5748103, US5862803, US6441747, US6544174 and US6850788; whose contents are incorporated here by reference.
- medical wireless communications systems have included two popular types of system architectures: simple independent systems that transmit directly from sensor to a monitor, such as US5862803, and the most complex telemetry systems in the entire hospital that have networks of sensors throughout a hospital, such as US6544174.
- Simple wireless sensor systems often include sensors that transmit medical data from specialized monitors near the patient. However, these systems are designed for use with only a few sensors and therefore tend to use bandwidth inefficiently. In addition, the use of many of these units within a hospital can lead to interference between transmissions from nearby systems.
- the most complex medical telemetry systems often include wireless receivers throughout the hospital that connect to a central server, allowing sensors to transmit data at almost any location within the hospital.
- these wireless transmission systems are often designed to have more efficient use of the designated bandwidth so they are less likely to cause interference with nearby units.
- the size and complexity of these systems dramatically increases the expense for a hospital.
- such complexity tends to reduce the reliability of data transmissions, as well as the overall System Skill.
- Figure 1 Schematic of the layered architecture of the system's web platform.
- FIG. 2 Illustrates the technology components involved and their functional relationships.
- Figure 3 shows the general structure of the combination of software platform and hardware devices forming the complete system.
- the proposed system consists of a platform as a service (SaaS), based on database technologies and cloud servers.
- SaaS platform as a service
- the system uses SQL Azure as a database handler. It also uses node.js as the basis for the development of the Back ⁇ end and the corresponding REST services; for have the ability to develop servers in JavaScript with high performance and low resource usage, in addition to being compatible with a wide variety of server operating systems.
- the web user interface is in HTML5, CSS3, Bootstrap 3, Angular.js and JavaScript, as illustrated in Figure 2,
- the system works as an information manager not only for the doctor, but also for the patient who uses it.
- Information is entered into the system, it is processed, interpreted, stored and displayed for display on computers and mobile devices as illustrated in Figure 3.
- the information entered can be in the form of electronic text, image, sound documents , video, 3D representations of human body models with relevant information; among other types of files containing data on the patient's health status.
- digital signals that are the product of monitoring vital signs and other quantifiable variables of the patient's body are stored and interpreted in the system.
- specialized hardware elements come into action. Consisting, the latter, in a set of sensors capable of measuring the body's variables; same that are of great importance when monitoring the state and progress of the health of the patient user of the device.
- the variables that can be measured using said hardware, and that can be introduced into the system are: temperature, weight, blood pressure and oxygenation, heart rate, respiratory rate, glucose levels, triglycerides and co-cholesterol in the blood and forced exhalation respiratory volume (FEV6 and FEV1 / FEV6, useful for people with any respiratory disease).
- FEV6 and FEV1 / FEV6 useful for people with any respiratory disease.
- the system has the modularity and flexibility necessary to establish communication with more specialized devices, such as:
- the system upon detecting an imminent or possible emergency in the state of health of the monitored person, notifies via the web or through telephone networks, both the treating physician of the patient and relatives linked to the system, who can act quickly to avoid damage to the health of it. All through a system of alerts, based on real data obtained periodically by the continuous use of the system by the patient.
- the alerts will be displayed on computers, mobile devices such as tablets and smartphones, which are linked to the system, belonging to both the doctor and the patient and their families.
- the set of the proposed system, formed by the cloud platform and the specialized hardware devices linked to the system are combined.
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- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Computer Networks & Wireless Communication (AREA)
- Physics & Mathematics (AREA)
- Biomedical Technology (AREA)
- Surgery (AREA)
- Pathology (AREA)
- General Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Signal Processing (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
The invention relates to a system for remote monitoring of physiological parameters by means of cloud processing. The system comprises a user interface in the doctor-patient cloud, to which telemetric information concerning the condition of the patient is downloaded by means of a hub in wireless communication with third-party medical devices.
Description
SISTEMA DE MONITOREO FISOLÓGIGO MODULAR INALÁMBRICO CON INTERFAZ WIRELESS MODULAR PHYSOLOGICAL MONITORING SYSTEM WITH INTERFACE
DE USUARIO OF USER
CAMPO TÉCNICO DE LA INVENCIÓN TECHNICAL FIELD OF THE INVENTION
La presente invención se refiere a un método para monitorear la salud de personas con distintos tipos de padecimiento utilizando sensores electrónicos interconectados a una interfaz de usuario vía inalámbrica por medio de un concentrador. The present invention relates to a method for monitoring the health of people with different types of disease using electronic sensors interconnected to a wireless user interface via a hub.
ANTECEDENTES BACKGROUND
La invención descrita en este documento se refiere a la medición de señales fisiológicas y más particularmente a dispositivos de medición de señales fisiológicas que pueden medir dichas señales fisiológicas más convenientemente mediante la distribución de módulos de acuerdo a las funciones. The invention described herein refers to the measurement of physiological signals and more particularly to physiological signal measuring devices that can measure said physiological signals more conveniently by distributing modules according to the functions.
Como el interés en la salud aumenta, la sanidad es omnipresente, la tecnología médica y la tecnología de TI en conjunto, están atrayendo mucha atención. As the interest in health increases, healthcare is ubiquitous, medical technology and IT technology as a whole are attracting a lot of attention.
Un aspecto importante para ta prestación de atención satisfactoria a ios pacientes está monitoreando diferentes indicadores biológicos utilizados para el diagnóstico de las condiciones médicas. Por ejemplo, el monitoreo cuidadoso de la presión arterial, ritmo cardíaco, y ECG puede ayudar a determinar la salud actual del paciente y las posibilidades futuras de recuperación. Tradicionaimente, este seguimiento se ha logrado utilizando la colocación de sensores a un paciente y luego la conexión de estos sensores para controlar las unidades que muestran las lecturas del sensor. An important aspect for providing satisfactory care to patients is monitoring different biological indicators used to diagnose medical conditions. For example, careful monitoring of blood pressure, heart rate, and ECG can help determine the patient's current health and future chances of recovery. Traditionally, this monitoring has been achieved using the placement of sensors to a patient and then the connection of these sensors to control the units that show the sensor readings.
Un cable ha sido el medio más simple y más confiables para la conexión de estos sensores con un monitor de paciente cerca. Sin embargo, estos cables se enredan fácilmente, limitan la distancia del paciente desde el monitor y pueden dañarse con el tiempo. A cable has been the simplest and most reliable means of connecting these sensors with a patient monitor nearby. However, these cables become easily entangled, limit the patient's distance from the monitor and can be damaged over time.
Más recientemente, los métodos de comunicación inalámbrica se han utilizado entre el sensor y el monitor de paciente, superando muchas de las desventajas presentadas por sistemas de cable tradicionales. Algunos ejemplos típicos de estos sistemas inalámbricos se pueden ver en la patente US5748103, US5862803, US6441747, US6544174 y US6850788; cuyos contenidos se incorporan aquí por referencia.
En general, los sistemas de comunicaciones inalámbricos médicos han incluido dos tipos populares de arquitecturas de sistemas: sistemas independientes simples que transmiten directamente de sensor a un monitor, como la patente US5862803, y los sistemas de telemetría de todo el hospital más complejos que tienen redes de sensores a lo largo de un hospital, como por ejemplo la patente US6544174. Los sistemas de sensores inalámbricos simples a menudo incluyen sensores que transmiten los datos médicos de monitores especializados cerca del paciente. Sin embargo, estos sistemas están diseñados para su uso con sólo unos pocos sensores y por lo tanto tienden a utilizar de manera ineficiente del ancho de banda. Además, el uso de muchas de estas unidades dentro de un hospital puede conducir a la interferencia entre las transmisiones de sistemas cercanos. More recently, wireless communication methods have been used between the sensor and the patient monitor, overcoming many of the disadvantages presented by traditional cable systems. Some typical examples of these wireless systems can be seen in US5748103, US5862803, US6441747, US6544174 and US6850788; whose contents are incorporated here by reference. In general, medical wireless communications systems have included two popular types of system architectures: simple independent systems that transmit directly from sensor to a monitor, such as US5862803, and the most complex telemetry systems in the entire hospital that have networks of sensors throughout a hospital, such as US6544174. Simple wireless sensor systems often include sensors that transmit medical data from specialized monitors near the patient. However, these systems are designed for use with only a few sensors and therefore tend to use bandwidth inefficiently. In addition, the use of many of these units within a hospital can lead to interference between transmissions from nearby systems.
Los sistemas de telemetría médica más complejos a menudo incluyen receptores Inalámbricos en todo el hospital que se conecta a un servidor central, permitiendo a los sensores transmitir datos en casi cualquier ubicación dentro del hospital. Además, estos sistemas de transmisión inalámbricos son a menudo diseñados para tener un uso más eficiente del ancho de banda designada por lo que son menos propensos a causar interferencia con las unidades cercanas. Sin embargo, el tamaño y la complejidad de estos sistemas aumenta dramáticamente el gasto para un hospital. Además, tal complejidad tiende a reducir la fiabilidad de las transmisiones de datos, así como la Habilidad general del sistema. The most complex medical telemetry systems often include wireless receivers throughout the hospital that connect to a central server, allowing sensors to transmit data at almost any location within the hospital. In addition, these wireless transmission systems are often designed to have more efficient use of the designated bandwidth so they are less likely to cause interference with nearby units. However, the size and complexity of these systems dramatically increases the expense for a hospital. In addition, such complexity tends to reduce the reliability of data transmissions, as well as the overall System Skill.
Lo que se necesita es un sistema de sensores médicos de comunicación inalámbrica que combine la Habilidad de los sistemas de sensores de comunicación inalámbricos más simples con la eficiencia y la interferencia reducida que se encuentra en ios sistemas de telemetría más complejas.
What is needed is a wireless communication medical sensor system that combines the Skill of the simplest wireless communication sensor systems with the efficiency and reduced interference found in the most complex telemetry systems.
BREVE DESCRIPCIÓN DE FIGURAS BRIEF DESCRIPTION OF FIGURES
La figura 1 Esquema de la arquitectura en capas de la plataforma web del sistema. Figure 1 Schematic of the layered architecture of the system's web platform.
La figura 2 Ilustra los componentes de tecnología involucrados y sus relaciones funcionales. Figure 2 Illustrates the technology components involved and their functional relationships.
La figura 3 muestra la estructura general de combinación de plataforma de software y dispositivos de hardware formando el sistema completo. Figure 3 shows the general structure of the combination of software platform and hardware devices forming the complete system.
DESCRIPCIÓN DETALLADA DE LA INVENCIÓN DETAILED DESCRIPTION OF THE INVENTION
Sistemas de medición fisiológicas convencionales están limitados por la conexión de cable entre el sensor del paciente y monitor. Un paciente debe ser situado en la proximidad inmediata del monitor. Además, la reubícación del paciente requiere o bien la desconexión del equipo de vigilancia y una pérdida correspondiente de mediciones o un movimiento simultáneo incómodo de paciente, equipo y cables. Se han propuesto o aplicado varios dispositivos para proporcionar enlaces de comunicación inalámbrica entre sensores y monitores, liberando a los pacientes de la correa de sujeción del cable del paciente. Estos dispositivos, sin embargo, no son capaces de trabajar con la gran base instalada de monitores y sensores existentes, los cuidadores y las instituciones médicas requieren sufrir actualizaciones inalámbricas caras. Es deseable, por lo tanto, proporcionar un adaptador de comunicaciones que es sea compatible a la vez con sensores y monitores existentes y que implemente un enlace inalámbrico de reemplazo para el cable. Conventional physiological measurement systems are limited by the cable connection between the patient's sensor and monitor. A patient should be placed in the immediate vicinity of the monitor. In addition, patient relocation requires either the disconnection of surveillance equipment and a corresponding loss of measurements or an uncomfortable simultaneous movement of patient, equipment and cables. Several devices have been proposed or applied to provide wireless communication links between sensors and monitors, freeing patients from the patient cable tie strap. These devices, however, are not able to work with the large installed base of existing monitors and sensors, caregivers and medical institutions require expensive wireless updates. It is desirable, therefore, to provide a communications adapter that is compatible with existing sensors and monitors and that implements a replacement wireless link for the cable.
Estructura general: General structure:
El sistema propuesto consiste en una plataforma como servicio (SaaS), basado en tecnologías de bases de datos y servidores en la nube. The proposed system consists of a platform as a service (SaaS), based on database technologies and cloud servers.
Cuenta con una estructura de 3 capas como se muestra en la figura 1 , que permite desacoplar la interfaz de usuario con el resto de la lógica de funcionamiento, facilitando el desarrollo de clientes simples para dispositivos móviles, aplicaciones de escritorio, aplicaciones web y así mismo, permite la comunicación con dispositivos médicos de terceros. It has a 3-layer structure as shown in Figure 1, which allows you to decouple the user interface with the rest of the operating logic, facilitating the development of simple clients for mobile devices, desktop applications, web applications and likewise , allows communication with third-party medical devices.
El sistema utiliza SQL Azure como manejador de base de datos. También utiliza node.js como base para el desarrollo del Back~end y los servicios REST correspondientes; para
tener la capacidad de desarrollo de servidores en JavaScript de alto rendimiento y bajo uso de recursos, además de ser compatible con una amplia variedad de sistemas operativos para servidores. La interfaz de usuario en Web es en HTML5, CSS3, Bootstrap 3, Angular.js y JavaScript , tal como se ilustra en la figura 2, The system uses SQL Azure as a database handler. It also uses node.js as the basis for the development of the Back ~ end and the corresponding REST services; for have the ability to develop servers in JavaScript with high performance and low resource usage, in addition to being compatible with a wide variety of server operating systems. The web user interface is in HTML5, CSS3, Bootstrap 3, Angular.js and JavaScript, as illustrated in Figure 2,
Funcionamiento: Functioning:
El sistema funciona como un gestor de información no solamente para el médico, sino también para el paciente que lo utilice. En el sistema se introduce información, esta se procesa, interpreta, almacena y se despliega para su visualización en ordenadores y dispositivos móviles como se ilustra en la figura 3. La información introducida, puede ser en forma de documentos electrónicos de texto, imagen, sonido, vídeo, representaciones 3D de modelos del cuerpo humano con información pertinente; entre otros tipos de archivos conteniendo datos sobre el estado de salud del paciente. The system works as an information manager not only for the doctor, but also for the patient who uses it. Information is entered into the system, it is processed, interpreted, stored and displayed for display on computers and mobile devices as illustrated in Figure 3. The information entered can be in the form of electronic text, image, sound documents , video, 3D representations of human body models with relevant information; among other types of files containing data on the patient's health status.
Además, en el sistema se almacenan e interpretan señales digitales que son producto del monitoreo de los signos vitales y otras variables cuantifícables del cuerpo del paciente. En este proceso de recaudación de información directamente del cuerpo del paciente, entran en acción elementos de hardware especializado. Consistiendo, esto último, en un conjunto de sensores capaces de medir tas variables del cuerpo; mismas que resultan de gran importancia a la hora de monitorear el estado y progreso de la salud del paciente usuario del dispositivo. In addition, digital signals that are the product of monitoring vital signs and other quantifiable variables of the patient's body are stored and interpreted in the system. In this process of collecting information directly from the patient's body, specialized hardware elements come into action. Consisting, the latter, in a set of sensors capable of measuring the body's variables; same that are of great importance when monitoring the state and progress of the health of the patient user of the device.
Las variables medibles mediante dicho hardware, y que pueden introducirse al sistema son: temperatura, peso, presión y oxigenación sanguínea, pulso cardiaco, frecuencia respiratoria, niveles de glucosa, triglicéridos y coiesterol en la sangre y volumen respiratorio forzado en exhalación (FEV6 y FEV1/FEV6, útil para personas con algún padecimiento en las vías respiratorias). Pero además, el sistema cuenta con la modularidad y flexibilidad necesaria para establecer comunicación con dispositivos más especializados, talas como: The variables that can be measured using said hardware, and that can be introduced into the system are: temperature, weight, blood pressure and oxygenation, heart rate, respiratory rate, glucose levels, triglycerides and co-cholesterol in the blood and forced exhalation respiratory volume (FEV6 and FEV1 / FEV6, useful for people with any respiratory disease). But in addition, the system has the modularity and flexibility necessary to establish communication with more specialized devices, such as:
* Dispositivo para ultrasonido, para mujeres embarazadas que deseen monitorear la salud del bebé en su vientre. * Ultrasound device, for pregnant women who wish to monitor the health of the baby in their womb.
* Sensores para ECG (Electrocardiograma), para personas con alguna afección cardiaca. * Sensors for ECG (Electrocardiogram), for people with any heart condition.
* Sensores para EEG (Encefalograma), para monitorear a personas con enfermedades o desórdenes mentales. * Sensors for EEG (Encephalogram), to monitor people with mental illnesses or disorders.
El sistema, al detectar una inminente o posible emergencia en el estado de salud de la persona monitoreada, notifica via web o mediante redes de telefonía, tanto al médico tratante del paciente como a familiares vinculados al sistema, los cuales podrán actuar de manera rápida para evitar daños a la salud del mismo.
Todo mediante un sistema de alertas, basadas en datos reales obtenidos periódicamente por eü uso continuo del sistema por parte del paciente. Las alertas se mostrarán en ordenadores, dispositivos móviles como tablets y smartphones, que se encuentren ligados al sistema, pertenecientes tanto al médico como al paciente y sus familiares. El conjunto del sistema propuesto, formado por la plataforma en la nube y ios dispositivos de hardware especializado vinculados al sistema se combinan.
The system, upon detecting an imminent or possible emergency in the state of health of the monitored person, notifies via the web or through telephone networks, both the treating physician of the patient and relatives linked to the system, who can act quickly to avoid damage to the health of it. All through a system of alerts, based on real data obtained periodically by the continuous use of the system by the patient. The alerts will be displayed on computers, mobile devices such as tablets and smartphones, which are linked to the system, belonging to both the doctor and the patient and their families. The set of the proposed system, formed by the cloud platform and the specialized hardware devices linked to the system are combined.
Claims
1. Un sistema de monltoreo fisiológico modular consiste en una plataforma de software como servido SaaS, basado en tecnologías de bases de datos y servidores en la nube, caracterizado por: 1. A modular physiological monitoring system consists of a software platform as a SaaS server, based on database technologies and cloud servers, characterized by:
a. Una estructura de 3 capas que permite desacoplar la iníerfaz de usuario con el resto de la lógica de funcionamiento, facilitando el desarrollo de dientes simples para dispositivos móviles, aplicaciones de escritorio, aplicaciones web y así mismo, permite la comunicación con dispositivos médicos de terceros, to. A 3-layer structure that allows decoupling the user interface with the rest of the operating logic, facilitating the development of simple teeth for mobile devices, desktop applications, web applications and likewise, allows communication with third-party medical devices,
b. Las variables medibles y que pueden introducirse al sistema son: temperatura, peso, presión y oxigenación sanguínea, pulso cardiaco, frecuencia respiratoria, niveles de glucosa, triglicóridos y colesterol en la sangre, y volumen espiratorio forzado en exhalación (FEV6 y FEV1/FEV6). b. Measurable variables that can be introduced into the system are: temperature, weight, blood pressure and oxygenation, heart rate, respiratory rate, glucose levels, triglycerides and cholesterol in the blood, and forced expiratory volume on exhalation (FEV6 and FEV1 / FEV6) .
c. Cuenta con la medularidad y flexibilidad necesaria para establecer comunicación con dispositivos más especializados, tales como: Dispositivo para ultrasonido, sensores para electrocardiograma, sensores para encefatograma. C. It has the medularity and flexibility necessary to establish communication with more specialized devices, such as: Ultrasound device, electrocardiogram sensors, encephalogram sensors.
2. El sistema de la reivindicación 1 que utiliza SQL Azure como manejador de base de datos. 2. The system of claim 1 using SQL Azure as a database handler.
3. El sistema de la reivindicación 1 que utiliza node.js como base para el desarrollo del Back-end y los servicios REST correspondientes; para tener la capacidad de desarrollo de servidores en JavaScript de alto rendimiento y bajo uso de recursos. 3. The system of claim 1 using node.js as the basis for the development of the Back-end and the corresponding REST services; to have the capacity of development of servers in JavaScript of high performance and low use of resources.
4. El sistema de la reivindicación 1 que es compatible con una amplia variedad de sistemas operativos para servidores. 4. The system of claim 1 which is compatible with a wide variety of server operating systems.
5. El sistema de la reivindicación 1 que se caracteriza porque la interfaz de usuario en Web es en HTMLS, CSS3, Booístrap 3, Angular.js y JavaScript.
5. The system of claim 1 characterized in that the user interface on the Web is in HTMLS, CSS3, Booístrap 3, Angular.js and JavaScript.
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| PCT/MX2015/000168 WO2017099571A1 (en) | 2015-12-11 | 2015-12-11 | Wireless modular physiological monitoring system with user interface |
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| PCT/MX2015/000168 WO2017099571A1 (en) | 2015-12-11 | 2015-12-11 | Wireless modular physiological monitoring system with user interface |
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