WO2018003485A1 - Sensor system - Google Patents

Sensor system Download PDF

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Publication number
WO2018003485A1
WO2018003485A1 PCT/JP2017/021761 JP2017021761W WO2018003485A1 WO 2018003485 A1 WO2018003485 A1 WO 2018003485A1 JP 2017021761 W JP2017021761 W JP 2017021761W WO 2018003485 A1 WO2018003485 A1 WO 2018003485A1
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WO
WIPO (PCT)
Prior art keywords
patient
sensor
identification information
information
wristband
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2017/021761
Other languages
French (fr)
Inventor
Norihito Konno
Hirohiko Ikeya
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nihon Kohden Corp
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Nihon Kohden Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nihon Kohden Corp filed Critical Nihon Kohden Corp
Priority to US16/098,247 priority Critical patent/US11364091B2/en
Publication of WO2018003485A1 publication Critical patent/WO2018003485A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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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
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/002—Monitoring the patient using a local or closed circuit, e.g. in a room or building
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006—ECG or EEG signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0008—Temperature signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0026—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the transmission medium
    • A61B5/0028—Body tissue as transmission medium, i.e. transmission systems where the medium is the human body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0031—Implanted circuitry
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802—Sensor mounted on worn items
    • A61B5/681—Wristwatch-type devices
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/08—Sensors provided with means for identification, e.g. barcodes or memory chips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/0816—Measuring devices for examining respiratory frequency
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases

Definitions

  • the present invention relates to a sensor system which acquires information by use of a sensor.
  • an object of the invention is to provide a sensor system in which vital information measured by a sensor and a patient can be associated with each other accurately.
  • the invention provides a sensor system including: an ID tag which has a storage unit storing patient identification information so that a patient can be identified by the patient identification information; and a sensor which can measure vital information of the patient; wherein: the ID tag can transmit the patient identification information to the sensor by human body communication through a surface of a body of the patient in a state in which the ID tag and the sensor are attached to the patient; and the sensor associates the patient identification information with the vital information and then transmits the vital information including the patient identification information to an external device.
  • the sensor can surely associate the patient identification information of the patient on which the sensor is attached, with vital information of the patient.
  • the vital information (a vital signal including the patient identification information) which has been linked with the patient identification information accurately can be received by the external device. Accordingly, the vital information (the vital signal including the patient identification information) can be displayed on a display screen etc. in a state in which the sensor measuring the vital information has been associated with the patient accurately.
  • the sensor system it is possible to associate the vital information measured by the sensor with the patient accurately.
  • a schematic view of a sensor system according to an embodiment of the invention A block diagram for explaining functions of a wristband and a sensor.
  • a sensor system 1 As shown in Fig. 1, a sensor system 1 according to the embodiment is provided with a wristband 2 (an example of an ID tag. ID: identification) which is attached on each patient, sensors 3 which are likewise attached on the patient, a bedside monitor 4 (an example of an external device) which can communicate with the sensors 3, and a nurse call system 5 which can communicate with the bedside monitor 4.
  • Fig. 1 shows a state of a portion of one floor in a hospital.
  • the bedside monitor 4 is placed in a hospital room 100
  • the nurse call system 5 is placed in a nurse station 200.
  • the wristband 2 can be attached on a part, such as a wrist or an ankle, of the body of the patient.
  • Patient identification information is described in a visually confirmable form on the wristband 2 so that the patient can be identified by the patient identification information.
  • the patient identification information is unique patient information which is given from the hospital to each patient.
  • the patient identification information may include a patient ID, a patient’s name, a patient’s registration card number, etc.
  • the sensors 3 are attached on parts of the body of the patient if necessary so that the sensors 3 can measure vital information of the patient.
  • the sensors 3 can include a sensor 3a for measuring an electrocardiogram, a sensor 3b for measuring body temperature or SpO 2 , a sensor 3c for measuring respiration, etc.
  • Each of the sensors 3 is a wireless sensor which has a short range wireless communication function and which is configured to be able to make wireless communicate (e.g. Bluetooth (registered trademark)) with the bedside monitor 4.
  • the bedside monitor 4 is placed for each bed used by a hospitalized patient.
  • the bedside monitor 4 has a display screen 41 so that vital information of the patient received from the sensors 3 by wireless communication can be displayed on the display screen 41.
  • the bedside monitor 4 is configured to be able to communicate with the nurse call system 5.
  • the bedside monitor 4 and the nurse call system 5 can be connected to each other, for example, through a wired cable or a wireless LAN (LAN: Local Area Network).
  • a patient information table in which information about all hospitalized patients has been recorded is held by the nurse call system 5.
  • pieces of information including a patient ID, a patient's name, a patient's room number, a bed number, an attending doctor, an attending nurse, etc. are stored respectively in association with each patient in the patient information table.
  • the nurse call system 5 can transmit the information of the patient information table to the bedside monitor 4 by wireless communication.
  • the nurse call system 5 has a display screen 51 so that the vital information of the patient received from the bedside monitor 4 can be displayed on the display screen 51.
  • the wristband 2 is provided with an electronic device portion constituted by a storage unit 21, a human body communication unit 22, a start switch 23, and a power supply unit 24.
  • the patient identification information is stored in the storage unit 21.
  • the stored patient identification information may be one kind of information or a plurality of kinds of information selected from the patient ID, the patient’s name, the patient’s registration card number, etc.
  • the patient identification information of the storage unit 21 can be rewritten.
  • the patient identification information can be rewritten into the electronic device portion so that the electronic device portion can be used repeatedly.
  • the human body communication unit 22 is a communication portion for performing human body communication with each of the sensors 3.
  • the human body communication unit 22 is constituted by an IC chip.
  • the human body communication is a communication method in which a human body (dielectric) is used as a communication medium without using any cable.
  • the human body communication is based on the international standard “IEEE 802.15.6”.
  • An electric field method is used in the human body communication. Communication in the electric field method is, for example, performed as follows. That is, a signal is given to an electrostatic layer on a body surface originally belonging to the human body serving as a dielectric. Incidentally, the surface of the human body is covered with the electrostatic layer several centimeters thick. Accordingly, the wristband 2 can communicate with the sensor 3 by the electric field method even in a state in which the human body communication unit 22 is not in direct contact with the human body but near the one.
  • the start switch 23 is a switch for activating the human body communication unit 22 to start human body communication.
  • a coil cell battery can be used as the power supply unit 24.
  • the sensor 3 is provided with a human body communication unit 31, a measurement unit 32, a transmission unit 33, and a power supply unit 34.
  • the human body communication unit 31 is a communication unit which has a similar function to the human body communication unit 22 of the aforementioned wristband 2.
  • the human body communication unit 31 performs human body communication with the human body communication unit 22 of the wristband 2 to receive the patient identification information held by the wristband 2.
  • the measurement unit 32 measures vital information of the patient on which the sensor 3 is attached.
  • the transmission unit 33 associates the patient identification information received from the wristband 2 with the vital information measured by the measurement unit 32, and transmits the vital information including the patient identification information to the bedside monitor 4.
  • a coin cell battery can be used as the power supply unit 34.
  • a patient information table for a patient (e.g. called patient A) whose hospitalization has been determined is generated on the nurse call system 5.
  • the name (Ms. A) of the patient A is inscribed on the wristband 2, and a patient ID of the patient A is written into the storage unit 21 embedded in the wristband 2.
  • the wristband 2 is delivered from a medical worker to the patient A, and the wristband 2 is attached on a wrist of the patient A.
  • the sensor 3a for measuring an electrocardiogram is attached on the patient A by the medical worker.
  • the patient A is, for example, lying on a bed 61 in the hospital room 100.
  • the start switch 23 for activating the human body communication unit 22 of the wristband 2 is pressed by the medical worker.
  • the medical worker visually confirms the patient’s name inscribed on the wristband 2, and confirms that the patient A is the patient herself.
  • the human body communication unit 22 of the wristband 2 starts human body communication so that the patient ID of the patient A stored in the storage unit 21 can be transmitted to the sensor 3a through the body surface of the patient A.
  • the patient ID is then automatically transmitted from the wristband 2 to the sensor 3a every fixed period.
  • the human body communication unit 31 of the sensor 3a acquires the patient ID transmitted from the wristband 2.
  • the sensor 3a acquires the patient ID from the wristband 2 before starting measuring an electrocardiogram. Therefore, for example, before the sensor 3a acquires the patient ID, the sensor 3a may be configured to stop measuring the electrocardiogram by the measurement unit 32.
  • the communication method between the wristband 2 and the sensor 3a may be bidirectional communication or unidirectional communication.
  • the sensor 3a may be configured to transmit a signal for requesting the patient ID to the wristband 2, and acquire the patient ID from the wristband 2.
  • the sensor 3a may be configured to have a storage unit so that the patient ID acquired from the wristband 2 can be stored in the storage unit.
  • the patient ID of the patient A is associated with the electrocardiogram of the patient A measured by the measurement unit 32, and the electrocardiogram including the patient ID is then transmitted from the transmission unit 33 to the bedside monitor 4 by wireless.
  • the sensor 3a writes the patient ID, for example, into a header area, and then transmits the patient ID-including electrocardiogram in which electrocardiogram data are written into a data region following the latter part of the header area.
  • the transmission unit 33 does not start transmitting the electrocardiogram when the measurement unit 32 starts measuring the electrocardiogram before the patient ID is acquired from the wristband 2. That is, the sensor 3a is set so that the electrocardiogram associated with no patient ID can be prevented from being transmitted from the transmission unit 33 to the bedside monitor 4.
  • the bedside monitor 4 Upon reception of the electrocardiogram including the patient ID, the bedside monitor 4 refers to the patient information table held by the nurse call system 5 of the nurse station 200 to specify the name (“Ms. A”) of the patient A associated with the patient ID. The bedside monitor 4 displays a message indicating “Ms. A’s electrocardiogram has been received”, as a pop-up screen 42 on the display screen 41, for example, as shown in Fig. 3.
  • the medical worker confirms display contents of the pop-up screen 42 and confirms that Ms. A is the patient herself. Then, medical worker touches the pop-up screen 42.
  • the pop-up screen 42 is cancelled, and the electrocardiogram waveform of the patient A, for example, together with the name (“Ms. A”) of the patient A, is displayed on the display screen 41, as shown in Fig. 4.
  • the sensor 3a for measuring an electrocardiogram has been described in the example, the sensor 3b for measuring body temperature or the sensor 3c for measuring respiration can also operate similarly so that each vital information can be displayed on the display screen 41.
  • Each vital information of the patient A displayed on the aforementioned bedside monitor 4 can be transmitted from the bedside monitor 4 to the nurse call system 5 by wireless by an operation on the nurse call system 5, and displayed on the display screen 51 of the nurse call system 5.
  • a background-art medical device for measuring patient information using wireless sensors for example, assume that sensors a to c (not shown) are attached on a patient A and sensors d to f (not shown) are attached on a patient B.
  • the medical device which has received information from the sensors cannot automatically associate information of the sensor a with information of the patient A.
  • device numbers belonging to the sensors and pieces of information about the patients can be associated with each other respectively.
  • a human error may occur in the association work.
  • a patient ID can be manually inputted in accordance with each sensor and associated therewith.
  • work for deleting the associated patient ID is necessary to thereby result in an increase in workload.
  • the unique patient ID given to the patent A by the medical worker is transmitted from the wristband 2 to the sensor 3a through the body surface of the patient A. Therefore, the sensor 3a can accurately associate the patient ID of the patient A on which the sensor 3a is attached, with the electrocardiogram measured by the sensor 3a.
  • a signal of the electrocardiogram including the patient ID can be received by the bedside monitor 4 in a state in which the measured electrocardiogram and the patient ID are associated with each other accurately. Accordingly, the signal of the electrocardiogram including the patient ID can be displayed on the display screen 41 of the bedside monitor 4 in the state in which the sensor 3a measuring the electrocardiogram and the patient A (“Ms. A”) are associated with each other accurately.
  • the wristband 2 is wearable on the wrist of the patient A.
  • the name of the patient A is inscribed on the wristband 2. Therefore, the patient ID of the patient A stored by the wristband 2 can be given to the sensor 3a surely through the body surface of the patient A.
  • the medical worker attaches the sensor 3a on the patient A, the medical worker can visually confirm that the name of the patient A on the wristband 2 and the patient herself are associated with each other accurately.
  • “inscribe” means that, for example, the wristband 2 may have a liquid crystal screen and also provide a mode in which the name of the patient can be displayed on the liquid crystal screen in accordance with a button operation etc.
  • the sensor 3a has a configuration to acquire the patient ID from the wristband 2 before starting measuring the electrocardiogram.
  • the sensor 3a has the following configuration. That is, when the sensor 3a starts measuring the electrocardiogram before acquiring the patient ID, the sensor 3a does not start transmitting the electrocardiogram to the bedside monitor 4. Therefore, the medical worker or the patient does not do any special work for associating the sensor with the patient but the patient ID of the patient A on which the sensor 3a is attached can be automatically associated with the electrocardiogram. In addition, it is possible to suppress occurrence of a situation in which the electrocardiogram measured by the sensor 3a and the patient A cannot be associated with each other accurately.
  • ⁇ Modification> Assume that measurement of an electrocardiogram is started by a measurement unit 32 of a sensor 3a before a patient ID is acquired by the sensor 3a from a wristband 2.
  • the sensor 3a may associate an identifier (e.g. a non-giving identifier) with the electrocardiogram and transmit the electrocardiogram including the non-giving identifier from a transmission unit 33 to a bedside monitor 4.
  • the non-giving identifier indicates that the patient ID has not been associated yet.
  • the bedside monitor 4 which has received the electrocardiogram including the non-giving identifier may display, for example, a message indicating that “the patient has not been specified yet” on a display screen 41.
  • the electrocardiogram of the patient A measured by the sensor 3a attached on the patient A can be displayed on the display screen 41 of the bedside monitor 4 etc.
  • the problem can be detected.
  • the invention is not limited to the aforementioned embodiment. Any modification, improvement, etc. can be made on the invention desirably and suitably. Besides, the materials, shapes, dimensions, numerical values, forms, numbers, arrangement places etc. of the respective constituent elements in the aforementioned embodiment are not limited but may be set desirably as long as the invention can be achieved.

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Abstract

A sensor system including: a wristband (2) which has a storage unit storing patient identification information so that a patient can be identified by the patient identification information; and a sensor (3) which can measure vital information of the patient; wherein: the wristband (2) can transmit the patient identification information to the sensor (3) by human body communication through a surface of a body of the patient in a state in which the wristband (2) and the sensor (3) are attached to the patient; and the sensor (3) associates the patient identification information with the vital information and then transmits the vital information including the patient identification information to a bedside monitor 4.

Description

SENSOR SYSTEM
The present invention relates to a sensor system which acquires information by use of a sensor.
Assume that a sensor which is attached to a patient is connected to a display device by a cable (wire). In such a configuration, movement of the patent may be restricted by the cable. To solve this problem, for example, there is a system having a configuration in which a sensor can communicate with a display device by wireless (see Patent Literature 1).
US Patent No. 8,558,933
However, in the system according to Patent Literature 1, when a plurality of patients are at a short distance from the display device, wireless communication between one sensor and the display device may be crossed with wireless communication between another sensor and the display device. Thus, in an anticipated situation, pieces of vital information measured by the sensors cannot be associated with the patients accurately respectively.
To solve the problem, an object of the invention is to provide a sensor system in which vital information measured by a sensor and a patient can be associated with each other accurately.
In order to achieve the foregoing object, the invention provides a sensor system including: an ID tag which has a storage unit storing patient identification information so that a patient can be identified by the patient identification information; and a sensor which can measure vital information of the patient; wherein: the ID tag can transmit the patient identification information to the sensor by human body communication through a surface of a body of the patient in a state in which the ID tag and the sensor are attached to the patient; and the sensor associates the patient identification information with the vital information and then transmits the vital information including the patient identification information to an external device.
According to the configuration, patient identification information given uniquely to each patient by a medical worker is transmitted to the sensor through a body surface of the patient. Therefore, the sensor can surely associate the patient identification information of the patient on which the sensor is attached, with vital information of the patient. The vital information (a vital signal including the patient identification information) which has been linked with the patient identification information accurately can be received by the external device. Accordingly, the vital information (the vital signal including the patient identification information) can be displayed on a display screen etc. in a state in which the sensor measuring the vital information has been associated with the patient accurately.
According to the sensor system according to the invention, it is possible to associate the vital information measured by the sensor with the patient accurately.
A schematic view of a sensor system according to an embodiment of the invention. A block diagram for explaining functions of a wristband and a sensor. A view showing an example of a message image displayed on a bedside monitor. A view showing an example of vital information displayed on the bedside monitor.
An embodiment of the invention will be described below by way of example with reference to the drawings. As shown in Fig. 1, a sensor system 1 according to the embodiment is provided with a wristband 2 (an example of an ID tag. ID: identification) which is attached on each patient, sensors 3 which are likewise attached on the patient, a bedside monitor 4 (an example of an external device) which can communicate with the sensors 3, and a nurse call system 5 which can communicate with the bedside monitor 4. Incidentally, Fig. 1 shows a state of a portion of one floor in a hospital. The bedside monitor 4 is placed in a hospital room 100, and the nurse call system 5 is placed in a nurse station 200.
The wristband 2 can be attached on a part, such as a wrist or an ankle, of the body of the patient. Patient identification information is described in a visually confirmable form on the wristband 2 so that the patient can be identified by the patient identification information. The patient identification information is unique patient information which is given from the hospital to each patient. For example, the patient identification information may include a patient ID, a patient’s name, a patient’s registration card number, etc.
The sensors 3 are attached on parts of the body of the patient if necessary so that the sensors 3 can measure vital information of the patient. For example, the sensors 3 can include a sensor 3a for measuring an electrocardiogram, a sensor 3b for measuring body temperature or SpO2, a sensor 3c for measuring respiration, etc. Each of the sensors 3 is a wireless sensor which has a short range wireless communication function and which is configured to be able to make wireless communicate (e.g. Bluetooth (registered trademark)) with the bedside monitor 4.
The bedside monitor 4 is placed for each bed used by a hospitalized patient. The bedside monitor 4 has a display screen 41 so that vital information of the patient received from the sensors 3 by wireless communication can be displayed on the display screen 41. In addition, the bedside monitor 4 is configured to be able to communicate with the nurse call system 5. The bedside monitor 4 and the nurse call system 5 can be connected to each other, for example, through a wired cable or a wireless LAN (LAN: Local Area Network).
A patient information table in which information about all hospitalized patients has been recorded is held by the nurse call system 5. For example, pieces of information including a patient ID, a patient's name, a patient's room number, a bed number, an attending doctor, an attending nurse, etc. are stored respectively in association with each patient in the patient information table. The nurse call system 5 can transmit the information of the patient information table to the bedside monitor 4 by wireless communication. In addition, the nurse call system 5 has a display screen 51 so that the vital information of the patient received from the bedside monitor 4 can be displayed on the display screen 51.
As shown in Fig. 2, the wristband 2 is provided with an electronic device portion constituted by a storage unit 21, a human body communication unit 22, a start switch 23, and a power supply unit 24. The patient identification information is stored in the storage unit 21. The stored patient identification information may be one kind of information or a plurality of kinds of information selected from the patient ID, the patient’s name, the patient’s registration card number, etc. The patient identification information of the storage unit 21 can be rewritten. The patient identification information can be rewritten into the electronic device portion so that the electronic device portion can be used repeatedly.
The human body communication unit 22 is a communication portion for performing human body communication with each of the sensors 3. For example, the human body communication unit 22 is constituted by an IC chip. The human body communication is a communication method in which a human body (dielectric) is used as a communication medium without using any cable. The human body communication is based on the international standard “IEEE 802.15.6”. An electric field method is used in the human body communication. Communication in the electric field method is, for example, performed as follows. That is, a signal is given to an electrostatic layer on a body surface originally belonging to the human body serving as a dielectric. Incidentally, the surface of the human body is covered with the electrostatic layer several centimeters thick. Accordingly, the wristband 2 can communicate with the sensor 3 by the electric field method even in a state in which the human body communication unit 22 is not in direct contact with the human body but near the one.
The start switch 23 is a switch for activating the human body communication unit 22 to start human body communication. For example, a coil cell battery can be used as the power supply unit 24.
As shown in Fig. 2, the sensor 3 is provided with a human body communication unit 31, a measurement unit 32, a transmission unit 33, and a power supply unit 34. The human body communication unit 31 is a communication unit which has a similar function to the human body communication unit 22 of the aforementioned wristband 2. The human body communication unit 31 performs human body communication with the human body communication unit 22 of the wristband 2 to receive the patient identification information held by the wristband 2.
The measurement unit 32 measures vital information of the patient on which the sensor 3 is attached. The transmission unit 33 associates the patient identification information received from the wristband 2 with the vital information measured by the measurement unit 32, and transmits the vital information including the patient identification information to the bedside monitor 4. For example, a coin cell battery can be used as the power supply unit 34.
Next, an operation example of the sensor system 1 will be described with reference to Figs. 1 to 4. First, as initial setting, a patient information table for a patient (e.g. called patient A) whose hospitalization has been determined is generated on the nurse call system 5. In addition, for example, the name (Ms. A) of the patient A is inscribed on the wristband 2, and a patient ID of the patient A is written into the storage unit 21 embedded in the wristband 2. The wristband 2 is delivered from a medical worker to the patient A, and the wristband 2 is attached on a wrist of the patient A.
For example, the sensor 3a for measuring an electrocardiogram is attached on the patient A by the medical worker. The patient A is, for example, lying on a bed 61 in the hospital room 100. The start switch 23 for activating the human body communication unit 22 of the wristband 2 is pressed by the medical worker. On this occasion, it is desirable that the medical worker visually confirms the patient’s name inscribed on the wristband 2, and confirms that the patient A is the patient herself.
The human body communication unit 22 of the wristband 2 starts human body communication so that the patient ID of the patient A stored in the storage unit 21 can be transmitted to the sensor 3a through the body surface of the patient A. The patient ID is then automatically transmitted from the wristband 2 to the sensor 3a every fixed period.
The human body communication unit 31 of the sensor 3a acquires the patient ID transmitted from the wristband 2. In this case, the sensor 3a acquires the patient ID from the wristband 2 before starting measuring an electrocardiogram. Therefore, for example, before the sensor 3a acquires the patient ID, the sensor 3a may be configured to stop measuring the electrocardiogram by the measurement unit 32.
Incidentally, the communication method between the wristband 2 and the sensor 3a may be bidirectional communication or unidirectional communication. For example, in the case of the bidirectional communication, the sensor 3a may be configured to transmit a signal for requesting the patient ID to the wristband 2, and acquire the patient ID from the wristband 2. In addition, although not shown, the sensor 3a may be configured to have a storage unit so that the patient ID acquired from the wristband 2 can be stored in the storage unit.
In the sensor 3a, the patient ID of the patient A is associated with the electrocardiogram of the patient A measured by the measurement unit 32, and the electrocardiogram including the patient ID is then transmitted from the transmission unit 33 to the bedside monitor 4 by wireless. The sensor 3a writes the patient ID, for example, into a header area, and then transmits the patient ID-including electrocardiogram in which electrocardiogram data are written into a data region following the latter part of the header area.
In the sensor 3a, the transmission unit 33 does not start transmitting the electrocardiogram when the measurement unit 32 starts measuring the electrocardiogram before the patient ID is acquired from the wristband 2. That is, the sensor 3a is set so that the electrocardiogram associated with no patient ID can be prevented from being transmitted from the transmission unit 33 to the bedside monitor 4.
Upon reception of the electrocardiogram including the patient ID, the bedside monitor 4 refers to the patient information table held by the nurse call system 5 of the nurse station 200 to specify the name (“Ms. A”) of the patient A associated with the patient ID. The bedside monitor 4 displays a message indicating “Ms. A’s electrocardiogram has been received”, as a pop-up screen 42 on the display screen 41, for example, as shown in Fig. 3.
The medical worker confirms display contents of the pop-up screen 42 and confirms that Ms. A is the patient herself. Then, medical worker touches the pop-up screen 42.
In the bedside monitor 4, the pop-up screen 42 is cancelled, and the electrocardiogram waveform of the patient A, for example, together with the name (“Ms. A”) of the patient A, is displayed on the display screen 41, as shown in Fig. 4. Incidentally, although the case of the sensor 3a for measuring an electrocardiogram has been described in the example, the sensor 3b for measuring body temperature or the sensor 3c for measuring respiration can also operate similarly so that each vital information can be displayed on the display screen 41.
Each vital information of the patient A displayed on the aforementioned bedside monitor 4 can be transmitted from the bedside monitor 4 to the nurse call system 5 by wireless by an operation on the nurse call system 5, and displayed on the display screen 51 of the nurse call system 5.
In a background-art medical device for measuring patient information using wireless sensors, for example, assume that sensors a to c (not shown) are attached on a patient A and sensors d to f (not shown) are attached on a patient B. In this case, the medical device which has received information from the sensors cannot automatically associate information of the sensor a with information of the patient A. In this case, for example, device numbers belonging to the sensors and pieces of information about the patients can be associated with each other respectively. There is however a possibility that a human error may occur in the association work. In addition, for example, it may be also considered that a patient ID can be manually inputted in accordance with each sensor and associated therewith. Similarly to the aforementioned case, there is however a possibility that a human error may occur. In addition, whenever the patient is replaced by another person, work for deleting the associated patient ID is necessary to thereby result in an increase in workload.
To solve the problems, according to the sensor system 1 according to the embodiment, the unique patient ID given to the patent A by the medical worker is transmitted from the wristband 2 to the sensor 3a through the body surface of the patient A. Therefore, the sensor 3a can accurately associate the patient ID of the patient A on which the sensor 3a is attached, with the electrocardiogram measured by the sensor 3a. A signal of the electrocardiogram including the patient ID can be received by the bedside monitor 4 in a state in which the measured electrocardiogram and the patient ID are associated with each other accurately. Accordingly, the signal of the electrocardiogram including the patient ID can be displayed on the display screen 41 of the bedside monitor 4 in the state in which the sensor 3a measuring the electrocardiogram and the patient A (“Ms. A”) are associated with each other accurately.
In addition, the wristband 2 is wearable on the wrist of the patient A. The name of the patient A is inscribed on the wristband 2. Therefore, the patient ID of the patient A stored by the wristband 2 can be given to the sensor 3a surely through the body surface of the patient A. In addition, when the medical worker attaches the sensor 3a on the patient A, the medical worker can visually confirm that the name of the patient A on the wristband 2 and the patient herself are associated with each other accurately. Incidentally, here, “inscribe” means that, for example, the wristband 2 may have a liquid crystal screen and also provide a mode in which the name of the patient can be displayed on the liquid crystal screen in accordance with a button operation etc.
In addition, the sensor 3a has a configuration to acquire the patient ID from the wristband 2 before starting measuring the electrocardiogram. In addition, the sensor 3a has the following configuration. That is, when the sensor 3a starts measuring the electrocardiogram before acquiring the patient ID, the sensor 3a does not start transmitting the electrocardiogram to the bedside monitor 4. Therefore, the medical worker or the patient does not do any special work for associating the sensor with the patient but the patient ID of the patient A on which the sensor 3a is attached can be automatically associated with the electrocardiogram. In addition, it is possible to suppress occurrence of a situation in which the electrocardiogram measured by the sensor 3a and the patient A cannot be associated with each other accurately.
<Modification>
Assume that measurement of an electrocardiogram is started by a measurement unit 32 of a sensor 3a before a patient ID is acquired by the sensor 3a from a wristband 2. In this case, the sensor 3a may associate an identifier (e.g. a non-giving identifier) with the electrocardiogram and transmit the electrocardiogram including the non-giving identifier from a transmission unit 33 to a bedside monitor 4. The non-giving identifier indicates that the patient ID has not been associated yet. In this case, the bedside monitor 4 which has received the electrocardiogram including the non-giving identifier may display, for example, a message indicating that “the patient has not been specified yet” on a display screen 41.
According to such a configuration, it is possible to suppress occurrence of a situation in which an electrocardiogram measured by the sensor 3a and a patient A cannot be associated with each other accurately. Similarly to the aforementioned embodiment, the electrocardiogram of the patient A measured by the sensor 3a attached on the patient A can be displayed on the display screen 41 of the bedside monitor 4 etc. In addition, when, for example, there arises a problem that a patient ID is not written into a storage unit 21 of a wristband 2 attached by the patient A, the problem can be detected.
Incidentally, the invention is not limited to the aforementioned embodiment. Any modification, improvement, etc. can be made on the invention desirably and suitably. Besides, the materials, shapes, dimensions, numerical values, forms, numbers, arrangement places etc. of the respective constituent elements in the aforementioned embodiment are not limited but may be set desirably as long as the invention can be achieved.
The present application is based on Japanese Patent Application No. 2016-127894 filed on June 28, 2016, the contents of which are hereby incorporated by reference.
1: sensor system, 2: wristband (example of ID tag), 3 (3a to 3c): sensor, 4: bedside monitor (example of external device), 5: nurse call system, 21: storage unit, 22, 31: human body communication unit, 23: start switch, 24, 34: power supply unit, 32: measurement unit, 33: transmission unit, 41, 51: display screen, 100: hospital room, 200: nurse station.

Claims (6)

  1. A sensor system comprising:
    an ID tag which has a storage unit storing patient identification information so that a patient can be identified by the patient identification information; and
    a sensor which can measure vital information of the patient; wherein:
    the ID tag can transmit the patient identification information to the sensor by human body communication through a surface of a body of the patient in a state in which the ID tag and the sensor are attached to the patient; and
    the sensor associates the patient identification information with the vital information and then transmits the vital information including the patient identification information to an external device.
  2. The sensor system according to Claim 1, wherein:
    the ID tag can be attached on a part of the body of the patient.
  3. The sensor system according to Claim 2, wherein:
    the ID tag is a wristband which is wearable on a wrist of the patient, and the patient identification information of the patient is described on the wristband.
  4. The sensor system according to any one of Claims 1 through 3, wherein:
    the sensor acquires the patient identification information from the ID tag before starting measuring the vital information.
  5. The sensor system according to any one of Claims 1 through 4, wherein:
    when the sensor starts measuring the vital information before acquiring the patient identification information, the sensor does not start transmitting the vital information to the external device.
  6. The sensor system according to any one of Claims 1 through 4, wherein:
    when the sensor has started measuring the vital information before acquiring the patient identification information, the sensor associates a non-giving identifier with the vital information and transmits the vital information including the non-giving identifier to the external device, the non-giving identifier indicating that specific patient identification information has not been associated yet.

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