WO2020037597A1 - Système de surveillance médicale, et procédé et dispositif d'examen d'événements respiratoires - Google Patents

Système de surveillance médicale, et procédé et dispositif d'examen d'événements respiratoires Download PDF

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Publication number
WO2020037597A1
WO2020037597A1 PCT/CN2018/101929 CN2018101929W WO2020037597A1 WO 2020037597 A1 WO2020037597 A1 WO 2020037597A1 CN 2018101929 W CN2018101929 W CN 2018101929W WO 2020037597 A1 WO2020037597 A1 WO 2020037597A1
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Prior art keywords
event
respiratory
breathing
parameter
interface
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PCT/CN2018/101929
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English (en)
Chinese (zh)
Inventor
谈琳
袁微微
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深圳迈瑞生物医疗电子股份有限公司
深圳迈瑞科技有限公司
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Application filed by 深圳迈瑞生物医疗电子股份有限公司, 深圳迈瑞科技有限公司 filed Critical 深圳迈瑞生物医疗电子股份有限公司
Priority to CN201880095786.6A priority Critical patent/CN112469330B/zh
Priority to PCT/CN2018/101929 priority patent/WO2020037597A1/fr
Publication of WO2020037597A1 publication Critical patent/WO2020037597A1/fr

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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition

Definitions

  • the present application relates to the technical field of medical equipment, and more particularly, to a medical monitoring system, a method and a device for reviewing and displaying respiratory events.
  • Respiratory events are abnormal conditions related to respiratory conditions that occur in clinical patients.
  • a common respiratory event is apnea.
  • Apnea manifested as the patient's spontaneous respiratory arrest, if not treated in time may cause more serious harm to the patient.
  • Apnea monitoring is common in the monitoring of newborns. Specifically, newborns, especially premature babies, often suffer from apnea due to insufficient development of various organs. The younger the child's gestational age, the higher the rate and frequency of apnea problems. Prolonged apnea can lead to insufficient oxygen supply to children's organs and tissues, directly threatening the life and health of children. Of course, breathing events can also include others.
  • the occurrence of respiratory events over a period of time can reflect the patient's respiratory oxygenation to a certain extent.
  • the present application provides a method for retrospectively displaying respiratory events, including:
  • Obtaining a breathing event of a target object within a preset time period the breathing event including at least an apnea event; the breathing event being identified from a signal of at least one physiological sign parameter collected by at least one physiological sign parameter sensor;
  • Determining an event type flag of the respiratory event where the event type flag indicates a type of a corresponding physiological sign parameter that triggers the respiratory event;
  • the respiratory event review interface including an event display area
  • a time axis determined based on the preset time period is displayed on the event display area, and the breathing event is displayed corresponding to the time axis based on the event type mark.
  • the present application provides a retrospective display device for respiratory events, including:
  • the respiratory event acquisition module acquires a respiratory event of a target object within a preset time period, the respiratory event including at least an apnea event; the respiratory event is obtained from at least one physiological sign parameter collected from at least one physiological sign parameter sensor Identified in the signal;
  • An event type mark determining module which determines an event type mark of the breathing event, and the event type mark represents a type of a corresponding physiological sign parameter that triggers the breathing event;
  • a display module that provides a respiratory event review interface in a main monitoring interface, wherein the respiratory event review interface includes an event display area;
  • the processing module outputs and displays a time axis determined based on the preset time period in the event display area, and displays the breathing event corresponding to the time axis based on the event type mark.
  • this application provides a medical monitoring system, including:
  • At least one physiological sign parameter sensor obtaining real-time data of at least one physiological sign parameter from a target object
  • a display providing a main monitoring interface, and providing a respiratory event review interface in the main monitoring interface, the respiratory event review interface including an event display area;
  • the breathing event includes at least an apnea event, and the breathing event starts from Identified by a signal of at least one physiological sign parameter collected by at least one physiological sign parameter sensor;
  • the event type mark indicates a type of a corresponding physiological sign parameter that triggers the breathing event;
  • Obtain a breathing event of a target object within a preset time period and output and display a time axis determined based on the preset time period in the event display area, and display the time axis corresponding to the time axis based on the event type mark. Respiratory event.
  • the present application provides a readable storage medium having stored thereon a computer program that implements the above-mentioned method of retrospectively displaying a respiratory event when executed by a processor.
  • FIG. 1 is a schematic flowchart of a retrospective display method of respiratory events
  • 2A-2J are a plurality of example diagrams of a review interface for respiratory events
  • 3A-3D are schematic diagrams of a marker interface for a respiratory event
  • 4A-4B are examples of single event display areas popped up by triggering detailed buttons in the respiratory event review interface
  • FIG. 5 is a filter interface popped up by triggering a filter button in a respiratory event review interface
  • FIG. 6 is a schematic structural diagram of a retrospective display device for respiratory events
  • FIG. 7 is a schematic diagram of a hardware structure of the monitor.
  • Clinical medical personnel in addition to monitoring patients for respiratory events, also pay more attention to the frequency of respiratory events. Because if the frequency of occurrence increases, even if the patient can recover spontaneously, it may indicate that the patient's respiratory oxygenation situation is deteriorating, and treatment is needed as soon as possible. If medical personnel record respiratory events by manual means, they may not be able to stay by the patient all the time, and miss some patients' spontaneous recovery of normal respiratory events, resulting in significantly fewer recorded respiratory events than the actual number of patients.
  • medical equipment can automatically monitor the occurrence of respiratory events and record them. Medical personnel can review the breathing events of patients during historical periods on medical devices to understand the breathing conditions of patients.
  • the medical monitoring system can be understood as a single medical device, such as a monitor, invasive ventilator, non-invasive ventilator, etc .; it can also be understood as a system composed of multiple medical devices, such as bedside equipment and a nurse station / central station. Composition of the system.
  • the following embodiments are mainly described by taking a monitor as an example.
  • the method includes steps 1.1-1.4.
  • Step 1.1 Obtain a breathing event of the target object within a preset period of time, the breathing event including at least an apnea event; the breathing event is in a signal of at least one physiological sign parameter collected from at least one physiological sign parameter sensor Recognized.
  • the execution of this step can be based on a trigger instruction.
  • a review entity button can be set on the medical device, and the user can operate the review entity button to generate a trigger instruction.
  • the main monitoring interface displayed by the medical device includes a review icon, and the user can touch The icon is reviewed to generate trigger instructions.
  • the breathing event of the monitored object within a preset time period is obtained from the device.
  • the monitored object may be referred to as a target object.
  • the target audience can be newborns or other types of patients.
  • the device for recording the respiratory event may be a medical device to which the respiratory event review display method is applied, or it may be another device.
  • the respiratory event indicates that the status of the signs related to breathing is abnormal.
  • the respiratory event may include specific events such as an apnea event and a respiratory oxygenation event.
  • the obtained breathing event includes at least an apnea event.
  • Apnea event and respiratory oxygenation event are two different types of respiratory events.
  • the apnea event is more serious.
  • the respiratory oxygenation event is less severe than the apnea event. .
  • the apnea event is more stringent than the respiratory oxygenation event, which can be reflected in more types of physiological signs parameters used to trigger the event, physiological signs parameters can better indicate the severity of breathing problems, or parameter thresholds in trigger conditions Stricter.
  • a respiratory event involves three physiological sign parameters, namely apnea duration, blood oxygen saturation, and heart rate.
  • Apnea (or simply A) can be used to indicate apnea
  • Desaturation (or simply D) can be used to indicate hypoxemia.
  • Degree, Bradycardia (or B for short) indicates bradycardia associated with heart rate.
  • the triggering condition of the apnea event may be: any of ABD, AB, AD, A, ABDn, ABn, ADn, An, where n represents the duration of the apnea.
  • A20 indicates that a single apnea lasted 20 seconds
  • AB15 indicates that the apnea lasted 15 seconds with a low heart rate.
  • the triggering condition of the respiratory oxygenation event can be any one of BD, B, and D.
  • physiological sign parameters are included in the trigger condition, which indicates which value of the physiological sign parameter has reached the corresponding parameter threshold; if the determination condition includes multiple physiological sign parameters, it indicates that the trigger is required for triggering a respiratory event.
  • the multiple physiological signs parameters simultaneously reach the corresponding parameter thresholds.
  • triggering conditions of respiratory oxygenation events are more relaxed than the apnea events. But both are events with abnormal breathing conditions, so they can be collectively referred to as breathing events. Respiratory events are related states of apnea.
  • the respiratory event is identified from the information of the physiological sign parameters. The following first explains how to identify whether a respiratory event has occurred in the target object based on the physiological sign parameters.
  • the physiological sign parameters should also include at least the physiological sign parameters related to the apnea state, such as heart rate, pulse rate, and blood oxygen related parameters , Respiratory rate / respiratory waveform, etc.
  • the duration of apnea can be determined based on the breathing rate / breathing waveform.
  • the obtained physiological sign parameters are basic data and are used to determine whether a respiratory event can be triggered. Of course, in other embodiments, it is not excluded that other physiological parameters are taken into consideration when determining the state of apnea.
  • the physiological sign parameters collected by the sensor can be sent to the storage module of the monitor for storage. These basic data can be used as analysis data to analyze various respiratory events such as apnea events and respiratory oxygenation events in apnea-related states. . That is to say, the physiological sign parameters may be that the sensor stores the physiological sign parameters in a storage module of the medical device, and this application obtains them from the storage module again. Of course, physiological parameters can also be obtained directly from the sensor.
  • the physiological sign parameters After obtaining the physical sign parameters, it is determined whether the physiological sign parameters meet a certain recognition standard according to each recognition standard (or triggering condition, judgment condition) of the respiratory event. If it meets a certain recognition standard, it means that a correspondence with the recognition standard has occurred Breathing event. Take the apnea event as an example.
  • apnea identification criteria are low, for example, mild breathing events such as periodic breathing are also recognized as apnea events, frequent alarms will occur, causing medical staff to frequently initiate emergency procedures and waste medical resources.
  • apnea apnea .
  • the duration of apnea is determined as one of the apnea events.
  • Main consideration parameters Studies have also found that in the process of apnea, it is often accompanied by symptoms of hypoxemia or bradycardia. Therefore, the blood oxygen saturation value and the heart rate (or pulse rate, because the pulse rate and the heart rate usually indicate the same physiological state, this embodiment is mainly described by the heart rate) are used as two other important parameters for apnea events.
  • severe apnea events usually last longer than 20 seconds, or the duration of apnea exceeds 10 seconds with an oxygen saturation value of less than 80%, or the duration of apnea exceeds 10 seconds and is accompanied by Have a heart rate below 100 bpm (Beat, Minute, beats per minute).
  • a threshold value of a physiological sign parameter of the apnea event is set.
  • the above values may also be other values set according to actual monitoring requirements, which are not specifically limited in this application.
  • the target physiological sign parameters related to the apnea event can include three parameters, namely the duration of apnea, the value of blood oxygen saturation, and the heart rate. These physiological sign parameters have their respective corresponding thresholds. When one of them or When multiple parameters meet the above-mentioned determination conditions, it indicates that an apnea event has occurred.
  • the above is just a specific identification standard. In practical applications, it can also be any of the above-mentioned determination conditions.
  • Step 1.2 Determine an event type flag of the respiratory event, where the event type flag indicates a type of a corresponding physiological sign parameter that triggers the respiratory event.
  • a manner of determining an event type marker of a breathing event includes: obtaining a breathing-related physiological sign parameter of a target object, and analyzing whether the physiological sign parameter can trigger a breathing event, wherein the breathing event includes an apnea event or breathing oxygen If yes, among the physiological sign parameters, determine a target physiological sign parameter for triggering a breathing event, and determine a type of the breathing event based on the target physiological sign parameter.
  • the target physiological sign parameter is a physiological sign parameter included in a satisfied trigger condition, and the target physiological sign parameter can determine an event type of a respiratory event.
  • the target physiological sign parameters of the target object are the two physiological sign parameters, and the event type of the respiratory event is determined as AB.
  • the target physiological sign parameters are the two physiological sign parameters, and the event type of the respiratory event is determined as AD.
  • the target physiological sign parameter is the physiological sign parameter, and the event type of the respiratory event is determined as D.
  • the types of respiratory events are distinguished based on different types of alarm events corresponding to different target physiological sign parameters.
  • a type A event indicates an alarm event about the duration of apnea, such as the duration of the apnea exceeds a corresponding threshold
  • a type B event indicates an alarm event about the heart rate and / or pulse rate, such as the heart rate and / or pulse rate is below the corresponding threshold
  • D-type events indicate alarm events related to blood oxygen saturation, for example, blood oxygen saturation is lower than the corresponding threshold
  • AB-type events indicate simultaneous occurrence of A-type events and B-type events
  • ABD events indicate simultaneous occurrence of A-type events, B Type event, type D event
  • AB event indicates that type A event and type B event occur simultaneously
  • AD event indicates that type A event and type D event occur simultaneously
  • BD event indicates that type D event and type B event occur simultaneously
  • etc. Wait is an alarm event about the duration of apnea, such as the duration of the apnea
  • the determined type of the respiratory event may be represented by an event type tag, so in this application, the event type tag has the same meaning as the event type, and the event type tag may be simply referred to as an event type.
  • Step 1.1 may obtain a breathing event occurring within a preset time period according to the occurrence time point.
  • the preset time period may be a historical period from the current time point, such as a breathing event in the past 24 hours.
  • Obtaining a breathing event may be one or more.
  • Step 1.3 A respiratory event review interface is provided in the main monitoring interface, and the respiratory event review interface includes an event display area.
  • the respiratory event review interface can be used as a fixed sub-area in the main monitoring interface, that is, the respiratory event review interface is embedded in the main monitoring interface, and is displayed following the display of the main monitoring interface and following the disappearance of the main monitoring interface. disappear.
  • the respiratory event review interface can be opened and closed. Specifically, in response to a trigger instruction input by the user, a breathing event review interface pops up in the main monitoring interface.
  • the pop-up respiratory event review interface can be suspended on the main monitoring interface.
  • This type of respiratory event review interface can cover the information in the main monitoring interface as the background; or the respiratory event review interface can be embedded in the main monitoring interface.
  • the respiratory event review interface is embedded in the main monitoring interface after pop-up. Other information in the main monitoring interface can disappear or it can be re-arranged. That is, the respiratory event review interface may be the entire display interface of the medical device display, or may be a display window embedded or floating on the entire display interface of the medical device display.
  • the respiratory event review interface includes an event display area.
  • the position, shape, display, and status attributes of the event display area can be adjusted.
  • the position attribute of the event display area refers to the display position of the event display area on the main respiratory event review interface;
  • the shape attributes of the event display area include the shape style, size, etc.
  • the shape can be various, such as rectangle, circle , Heart shape, etc .;
  • the display properties of the event display area refer to all or part of the display area's color, brightness, contrast and other property information;
  • the status properties of the event display area include visible or invisible attributes, embedded in the respiratory event review interface, or Hover over the respiratory event review interface and much more.
  • the event display area may be displayed following the display of the respiratory event review interface, and disappeared following the disappearance of the respiratory event review interface.
  • the event display area also has independent control buttons for opening and closing. When the open button is triggered, the state attributes of the event display area can be switched, so that the event display area is displayed on a respiratory event review interface. In this position, when the close button is triggered, the state attributes of the event display area can be switched, so that the event display area disappears from the breathing event review interface.
  • the event display area does not limit the position of the area in the respiratory event review interface is fixed, it can be movable, for example, the position attribute of the event display area can be adjusted according to the sliding track of the touch operation to make the event
  • the display of the display area can be moved with a touch operation.
  • Step 1.4 Output and display a time axis determined based on the preset time period in the event display area, and display the breathing event corresponding to the time axis based on the event type mark.
  • the respiratory events that occur during the obtained preset time period need to be displayed in a display manner for medical personnel to view.
  • a statistical graph with a time axis is generated in the event display area, and respiratory events are displayed within the statistical graph.
  • the time axis corresponds to a preset time period for obtaining a breathing event. For example, if the obtained breathing event occurred within the past 24 hours, the time axis includes a time length of 24 hours.
  • the time axis may be used as the abscissa of the statistical chart, and the breathing event is displayed at the ordinate corresponding to the abscissa. Displaying a respiratory event is specifically displaying an event type mark of the respiratory event at the ordinate.
  • the respiratory event can also have an occurrence time point attribute.
  • the occurrence time point of the respiratory event can be obtained together. Therefore, the process of displaying the breathing event based on the event type mark corresponding to the time axis specifically includes obtaining the occurrence time point of the breathing event and the event type mark of the breathing event; in a relationship diagram of time and event type mark, determine The abscissa corresponding to the occurrence time point, and at the ordinate position corresponding to the abscissa, the event type mark is prompted.
  • the event type mark is determined by the physiological sign parameters leading to the respiratory event. Therefore, while displaying the event type mark, the value of the physiological sign parameters leading to the respiratory event can also be displayed. For example, a block filled with a background color is displayed at the ordinate position. From which ordinates corresponding to the abscissa at a point in time contain blocks, it is possible to determine which physiological signs parameters are associated with a respiratory event, and then determine the event type mark of the respiratory event; at the same time, the corresponding The value of the physiological sign parameter that triggered the breathing event.
  • time axis mentioned in this application is not limited to the scheme of displaying a time axis on the display interface, and also includes other schemes capable of providing time information. For example, a scheme in which time information is provided through a time list; or a scheme in which a person of ordinary skill in the art can obtain time information through the displayed content even if the time information is not displayed in the display interface.
  • the event display area includes a relationship chart area 201, which contains a relationship chart of time and physiological signs parameters, where the abscissa is the time axis and the ordinate contains three physiological sign parameters, respectively, breathing Pause duration A, blood oxygen saturation D, and heart rate B.
  • the oblique line in FIG. 2A may be filled with other breathing-related information or may be empty.
  • the chart lists the five respiratory events that occurred in the past 24 hours. Before 18 hours, 15 hours, 12 hours, 8 hours, and 4 hours, the respiratory events that occurred were ABD, AD, BD, D, and AB, respectively.
  • the retrospective display method for respiratory events provided by the present application can obtain the respiratory events that occurred in the monitored object in the historical time period, and determine the event type markers of the respiratory events. Based on the event type markers, The event display area of the review interface displays the breathing events that occurred during the historical period. Medical personnel can look at the event display area to understand the frequency, frequency, severity and other related information of the respiratory events of the monitored subject, and then understand the respiratory status of the monitored subject.
  • the respiratory event may include an apnea event or a respiratory oxygenation event
  • the two types of events indicate that the severity of the breathing problem is different, so in order to clearly indicate which type of respiratory event the medical staff has occurred, you can Different types of breathing events are distinguished by different display styles.
  • the apnea event is displayed using a first display style
  • the respiratory oxygenation event is displayed using a second display style different from the first display style.
  • the display style may be specifically a block color of a breathing event.
  • the block background color of an apnea event is darker than the block background color of a respiratory oxygenation event.
  • the apnea events may include respiratory events ABD, AD, and AB
  • the respiratory oxygenation events may include respiratory events BD and D. Therefore, the block background color of the first three breathing events can be darker than the last two breathing events.
  • some respiratory events in respiratory oxygenation events may be marked as non-statistical respiratory events by medical personnel, and the respiratory events are not included in the statistics of respiratory events. Therefore, respiratory events can include apnea events, respiratory oxygenation events, and non-statistical respiratory events.
  • Three types of respiratory events are displayed using three different styles. As shown in FIG. 2A, the non-statistical respiratory event is respiratory event D, which is displayed in white.
  • the block for prompting a breathing event may not be limited to a square, but may also have other shapes. Further prompting methods are not limited to the block, and may also be in other forms such as icons and characters. In addition, the way to distinguish different types of respiratory events is not limited to the background color of the block. In the case of using characters to represent the physical sign parameters, it can also be the character thickness, whether it is italic, whether to underline, or whether to add a logo and many more.
  • the monitoring device may also record the attention data of the physiological sign parameters associated with the respiratory event when recording the respiratory event.
  • Attention data is the information related to respiratory events that medical personnel are more concerned about. To facilitate understanding, the attention data is first explained.
  • Attention data is used to indicate the severity of a respiratory event.
  • the reflection of the attention data on the severity of respiratory events is an objective reflection and meets people's objective cognitive standards. For example, in a respiratory event, if the target's heart rate is lower, objective recognition believes that the respiratory event is more serious, so the attention data may include the lowest value of the center rate of the event segment. For another example, in a respiratory event, if the target patient's blood oxygen saturation value is lower, it is also considered objectively that the respiratory event is more serious, so the data of interest may include the lowest value of blood oxygen saturation value in the event segment.
  • the attention data may include the maximum value of the apnea duration in the event segment.
  • the data of interest is the highest value of a physiological sign parameter associated with a respiratory event.
  • the value obtained within this limited time is limited. Only in the limited data can the maximum value of the physiological sign parameter be determined.
  • the length of the statistics duration can be preset, such as 4 minutes. It should be noted that a period of time including the statistical length of the apnea event occurrence time point may be referred to as a monitoring time interval or an event segment.
  • the respective apnea durations within the event segment are compared to determine the maximum value.
  • the minimum value of the oxygen saturation value, the minimum value of the heart rate, and the minimum value of the pulse rate are not limited to the above, and may also be other such as perfusion index.
  • the attention data is displayed at the relative position of the time axis where the respiratory event is located. Specifically, the abscissa position of the occurrence time point on the time axis is determined according to the occurrence time point of the respiratory event, and the attention data of the physiological sign parameter is prompted at the ordinate position of the physiological sign parameter corresponding to the abscissa.
  • the attention data of the physiological sign parameters can be displayed in association with the event type mark of the respiratory event.
  • the event type mark is represented by a block, and the attention data of the physiological sign parameter is filled in the block as a value.
  • the attention data of the respiratory event ABD are: the maximum duration of apnea duration is 23s (seconds), the minimum value of blood oxygen saturation is 60%, and the minimum value of heart rate is 78bpm (beat per minute, beats per minute) ), These attention data are respectively filled in the corresponding event type marks A, B and D blocks.
  • the attention data of the respiratory event AD are respectively the maximum duration of apnea duration 12s and the lowest value of blood oxygen saturation 68%. These attention data are respectively filled in the corresponding event type markers A and D blocks.
  • the attention data of the respiratory event BD are the lowest value of blood oxygen saturation 77% and the lowest value of heart rate 70 bpm. These attention data are respectively filled in the corresponding event type marks B and D.
  • the attention data of the respiratory event D is the lowest value of blood oxygen saturation 64%, and the attention data is filled in the corresponding event type mark D block.
  • the attention data of the respiratory event AB are the maximum duration of apnea duration of 23s and the minimum heart rate of 82bpm. These attention data are respectively filled in the corresponding event type marks A and B blocks.
  • the units of blood oxygen saturation and heart rate are not added, but it should be noted that the unit of blood oxygen saturation is% and the unit of heart rate is bpm.
  • the attention data of different types of respiratory events can be distinguished through display styles.
  • the display style may include, but is not limited to, font color, font thickness, whether it is italic, whether to underline, whether to add a marker symbol, and the like.
  • the attention data of the respiratory event sign state parameters can be displayed at the same time.
  • medical personnel can also understand the worst state of each physiological sign parameter when each respiratory event occurs, so as to understand the severity of the respiratory event .
  • the user After displaying the statistical results of respiratory events for the user, the user can select a respiratory event to view the detailed information of the respiratory event.
  • physiological parameter parameters associated with the selected respiratory event are obtained; at least a single event display area in the respiratory event review interface is displayed. Waveform and / or focus data of physiological signs parameters of selected respiratory events.
  • the selection operation may be specifically implemented in the event display area of the respiratory event review interface. For example, the user may select a respiratory event displayed in the event display area.
  • the related information of the physiological sign parameters associated with the respiratory event selected by the user can be displayed in the single event display area.
  • the related information may include one or more waveform diagrams of physiological sign parameters, such as a respiratory waveform diagram of a selected respiratory event, a blood oxygen saturation trend chart, a heart rate trend chart, and a pulse rate trend chart.
  • the related information may include attention data of physiological sign parameters, such as including one or more of the maximum duration of apnea duration, the lowest value of blood oxygen saturation, the lowest value of heart rate, and the lowest value of pulse rate in the selected breathing event.
  • the related information may include the above two contents.
  • the respiratory event review interface may include a single event display area 212 on the basis of a relationship chart area 211.
  • a medical staff needs to view the details of a respiratory event, he or she can select the respiratory event.
  • the medical staff selects a respiratory event that occurred before the 18th hour, as shown in FIG. 2B, and the selected respiratory event is selected by a solid line frame.
  • the respiratory waveform (Resp) of the respiratory event is displayed, Heart rate (btbHR) trend graph, and blood oxygen saturation (SpO2) trend graph, and display the maximum value of apnea duration, the lowest heart rate and the lowest value of blood oxygen saturation.
  • the dash line can also be used to indicate the alarm threshold of physiological signs parameters.
  • the alarm threshold of heart rate is 100
  • the alarm threshold of blood oxygen saturation is 80.
  • the lowest value of its central rate also corresponds to the lowest value of bradycardia events, and the lowest value of blood oxygen saturation corresponds to the limit value of hypoxia events.
  • the trend chart is a trend chart within 4 minutes.
  • the breathing waveform chart may be an impedance breathing compression waveform chart.
  • the related information of the respiratory event can also be displayed.
  • the related information may be information input by a medical staff through the following markup interface, and the related information is saved as an attribute of a respiratory event.
  • the related information is some external conditions of the target object when the respiratory event occurs. These conditions can help the medical staff understand the serious situation of the respiratory event that the target object occurs.
  • the related information may include skin color, irritation degree, and custom.
  • the skin color may be any one of: ruddy, off-white, purplish purple, spots, jaundice;
  • the irritation degree may be: strong, medium, weak, none Any one of them; custom can be any one of mechanical ventilation and feeding.
  • Medical personnel can perform clinical observations when respiratory events occur, and record related information based on clinical observations.
  • the recorded related information is displayed in a single event display area.
  • the displayed related information includes that the skin color is pink and the stimulation is mild.
  • the stimulus level indicates the stimulus action given by the medical staff to relieve the patient's apnea state.
  • the related information may also include some other physiological signs parameters related to the breathing state, as shown in FIG. 2B, and may also include a non-invasive blood pressure (NIBP) of 115/90 (101). Furthermore, the related information may also include a recording time point of the related information. As shown in FIG. 2B, the recording time point of the piece of related information is 09:32. Furthermore, the related information may also include the event type and occurrence time point of the selected breathing event, as shown in FIG. 2B, the event type of the selected breathing event is ABD, and the occurrence time point is 9:30.
  • NIBP non-invasive blood pressure
  • the single event display area 212 will be switched to the related information and related information of the physical sign parameters of other breathing events.
  • the positional relationship between the relationship chart area 211 and the single event display area 212 is not limited to the top and bottom, and may be left and right.
  • the present application also provides a manner of using short lines with marked points for representation.
  • the respiratory event review interface includes a relationship chart area 221, which contains a relationship chart between time and physiological signs parameters, where the abscissa is the time axis and the ordinate contains three physiological sign parameters, which are Heart rate (HR), blood oxygen saturation (SpO2), and apnea (Apnea).
  • HR Heart rate
  • SpO2 blood oxygen saturation
  • Apnea apnea
  • Each physiological sign parameter has a corresponding threshold, as shown in FIG. 2C, and the threshold can be represented by a dashed line.
  • heart rate 100bpm is a threshold scale. When the heart rate is lower than 100, a breathing event is triggered. 80bpm in the figure is only a part of the scale scale. In order to facilitate reading of the specific heart rate, 80% of SpO2 is the threshold scale. % Will trigger a breathing event, and 50% in the figure is only a part of the scale. In order to facilitate reading the specific SpO2 minimum value; 10s of apnea is a threshold scale. When the duration of apnea exceeds 10s, a breathing event is triggered.
  • a set of short lines at each time point constitutes a breathing event.
  • the breathing event includes a physiological sign parameter of heart rate
  • a short line extends downward from the top of the heart rate region, blood oxygen The same goes for the short-term corresponding to saturation and apnea.
  • the top of each short line contains a dot, and the ordinate value corresponding to the position of the dot is the attention data of the respiratory event.
  • the short lines with marked points can be replaced with only short lines or only marked points.
  • the marked points can also be in various shapes such as triangles and boxes.
  • the attention data may be directly displayed at a position near the dot.
  • the user may select a specific respiratory event, and display the attention data of the physiological sign parameters in the single event display area.
  • the respiratory event review interface includes a relationship chart area 231 and a single event display area 232.
  • the relationship chart area 231 contains seven breathing events represented by a short-line group. Assuming that the third breathing event is selected from left to right, in the single event display area 232, the attention data of the physiological sign parameters of the breathing event is displayed, that is, the minimum value of the heart rate (Bradycardia) is 60 and continues to be lower than the set threshold. 14s (seconds); the minimum value of blood oxygen saturation (Desaturation) is 78; the maximum value of apnea duration is 23 seconds.
  • the attention data of the physiological sign parameters may use a preset display style with a prominent effect.
  • the attention data may be displayed in a reverse color of the background color, and the distinguished color may be used for the distinguished display.
  • the single event display area 232 includes the related information on the upper side of the relationship icon area 231 and the most value area on the right side.
  • the occurrence time point 9:30 can also be displayed.
  • the physiological event parameters associated with the selected breathing event can be displayed in the single event display area of the breathing event review interface, such as a trend chart of the physiological sign parameters. And / or the maximum value of a physiological sign parameter. Further, the related information of the respiratory events entered by the medical staff can also be displayed.
  • the analysis of the respiratory event may further include counting the number of occurrences of the respiratory event within a preset time period according to the event type mark.
  • determining whether a respiratory event is within a preset time period it is also possible to determine whether there is a marker that is not included in the statistics of a respiratory event. If a respiratory event occurs within a preset time period, but the respiratory event With a marker not included in the statistics, the respiratory event may not be counted.
  • the reason for this statistics is that although some respiratory events are judged to be respiratory events by the device, medical personnel observe the situation of the target object and find that the occurrence of the respiratory event may be caused by reasons other than the health status of the target object, such as The breathing incident was caused by the feeding operation of the baby by the medical staff. Because the statistical results can be used as a basis for judging the breathing status of the target object by medical personnel, if the respiratory events caused by these unexpected causes are included in the statistics, the judgment results will be affected. Therefore, respiratory events can be labeled by medical personnel, and the labeled results can be stored as an attribute of the respiratory events. During the statistics, it is determined whether the respiratory event is included in the statistics according to this attribute.
  • the number of times statistics area is provided in the main monitoring interface, and the number of occurrences of respiratory events can be included in the number of times statistics area for display.
  • the display method of the frequency statistics area in the main monitoring interface refer to the respiratory event review interface, which is not repeated here.
  • the frequency statistics area can be used as an area in the main monitoring interface or as a area in the respiratory event review interface.
  • the respiratory event review interface may include a relationship chart area 241 and a single event display area 242, and may further include a frequency count area 243.
  • the count statistics area 243 shows that there are a total of 10 respiratory events in 24 hours. These respiratory events are divided into eight types, of which: respiratory event ABD occurs once, respiratory event AB occurs once, respiratory event AD occurs once, breathing Event A20 occurred once, respiratory event A10 occurred 3 times, respiratory event BD occurred 1 time, respiratory event B occurred 1 time, and respiratory event D occurred 1 time.
  • the respiratory event A20 indicates that the apnea duration alarm threshold is 20 seconds, and the occurrence of this respiratory event indicates that the target subject's apnea duration exceeds 20 seconds; the respiratory event A10 indicates that the apnea duration alarm threshold is 10 seconds, and the occurrence of this respiratory event indicates that The target's apnea is longer than 10 seconds.
  • the respiratory events can be classified and displayed according to the classification.
  • the frequency statistics area may not be displayed together with other areas, but may be separately displayed in the respiratory event review interface.
  • physiological sign parameters have certain guiding significance for analyzing the breathing status of the target object.
  • physiological sign parameters may be any of those mentioned herein. Therefore, the statistical results of the physiological sign parameters can be displayed in the main monitoring interface.
  • a historical value of at least one physiological sign parameter of the target object within the preset time length is obtained; distribution statistics are performed on the historical value based on at least one parameter partition, and a parameter corresponding to the parameter partition is determined. Distribution statistical results; the parameter partitions indicate numerical intervals of the physiological sign parameters; and a segmented statistical area is provided on the main monitoring interface, and the distribution statistical results are displayed in the segmented statistical area.
  • the statistical result of the distribution is that the historical values of the physiological sign parameters within a preset time length fall into the number of the parameter partitions or the number ratio, respectively.
  • the statistical results can be displayed in the form of text, or for the convenience of viewing, it is displayed in the form of statistical distribution chart. Therefore, based on the parameter partition and the distribution statistical result, a distribution statistical chart is generated in the main monitoring interface.
  • the distribution statistical chart is a histogram with the parameter partition and the distribution statistical result as two coordinate axes, respectively. For example, the parameter distribution is taken as the abscissa of the histogram, and the distribution statistical result is taken as the ordinate of the histogram.
  • any one or more of the number of physiological sign parameters displayed in the segmented statistical area, the type of the physiological sign parameters, and the preset time length corresponding to the historical value can be set by the user.
  • a selection window may be provided in the segmented statistical area, and the user may enter a selection instruction through the selection window, and the selection instruction indicates selection of a target physiological sign parameter of interest to the user and a preset time length corresponding to the historical value thereof.
  • the statistical results of the distribution of the historical values of the target physiological sign parameters selected by the user are displayed in the segmented statistical area.
  • the manner in which the user enters the selection instruction is not limited to the virtual selection window provided by the interface, and a physical button can also be provided in the monitor for the user to make selection settings.
  • the target physiological sign parameter selected by the user is blood oxygen saturation
  • the physiological sign parameter is taken as an example for description below.
  • each historical value of blood oxygen saturation of the target object within a preset time period; determine the blood oxygen saturation zone to which each historical value belongs; count the total number of historical values and the total value of historical values in each blood oxygen saturation zone Ratio and display the ratio.
  • one blood oxygen saturation partition is a partial interval between [0-100%], and a plurality of blood oxygen saturation partitions are combined into an entire interval [0-100%].
  • the respiratory event review interface may further include a segmented statistics area 254 on the basis of a relationship chart area 251, a single event display area 252, and a frequency statistics area 253.
  • the segmented statistical area 254 contains four blood oxygen saturation zones, which are [0-80%], [81%]-90%], [91%]-95%], [96%]-100% ].
  • SpO2Statistic of the target object in the past 24 hours The number of blood oxygen saturation values less than 80% accounts for 5% of the total, and the number of blood oxygen saturation values greater than 81% and less than 90% accounts for the total.
  • the amount of blood oxygen saturation value is greater than 91% and less than 95% accounts for 70% of the total amount, and the amount of blood oxygen saturation value greater than 96% and less than 100% accounts for 10% of the total amount.
  • the segmented statistical area may include multiple parameter partitions, and one or more parameter partitions have special significance compared to other parameter partitions.
  • the special meaning may specifically be that it can provide guidance meaning for the medical staff to judge the health status of the monitored object.
  • a parameter partition having such a special meaning may be referred to as a target parameter partition.
  • the target parameter partition may be a parameter partition corresponding to a normal situation, or may be a parameter partition corresponding to an abnormal situation, or may be a parameter partition desired after treatment by medical means.
  • the specific parameter partition or target parameter partitions can be preset by the system or selected by the user.
  • a display style different from other parameter partitions may be used to display the target parameter partition and / or the distribution statistical result corresponding to the target parameter partition.
  • the statistical interval corresponding to the normal situation is displayed separately. As shown in FIG. 2F, the statistical interval corresponding to the normal situation is [91%]-95%], and the statistical interval is filled with the background color.
  • the distinguishing display method is not limited to colors, and can also be distinguished by adding icon symbols and the like.
  • FIG. 2G and 2H illustrate yet another example of a respiratory event review interface. It should be noted that the two illustrations represent the same example, except that the English concept used in FIG. 2H is expressed in Chinese in FIG. 2G. The following mainly describes the layout of FIG. 2G, and the related description of FIG. 2H can be obtained by the same principle.
  • the breathing event review interface includes a relationship chart area 261, a single event display area 262, and a number of times statistics area 263, and further includes a function key area 264.
  • a relationship chart area 261, a single event display area 262, and a number of times statistics area 263, and further includes a function key area 264.
  • the function key area 264 includes a window selection sub-area.
  • a review period can be selected, and the review period is also a preset time period mentioned in this application.
  • the preset time period can be selected as 24 hours, and of course, other values such as 12 hours and 8 hours can also be selected.
  • the set time period can be used not only as the length of the preset time period in step 1.1, but also as the length of the time axis in the relationship chart, and as a time period for counting the number of occurrences of respiratory events. Preset time period in blood oxygen statistics and so on.
  • the function button area 264 also includes a mark button. When a certain breathing event is selected, the button can be clicked to pop up a mark interface.
  • the labeling interface contains the related information of the respiratory events, and the labeling interface can modify the related information of the respiratory events, such as modifying the skin color associated with the respiratory events.
  • FIGS. 3A-3D it is a schematic diagram of a marking interface.
  • the method for retrospectively displaying respiratory events further includes: providing a marker interface in response to an instruction input by the user; and storing associated information of the respiratory events input by the user through the marker interface.
  • the labeling interface includes a respiratory event display area 301 and a related information area 302 displaying respiratory event related information.
  • the retrospective display method of the respiratory event further includes: according to the respiratory event selected by the user in the respiratory event display area, The association information area of the interface displays association information corresponding to the selected breathing event; and saves the association information input by the user through the association information area of the marker interface.
  • the labeling interface includes a respiratory event display area and an associated information area displaying related information of the respiratory event, wherein the respiratory event display area includes information about at least one respiratory event, and the related information includes a time point of occurrence of the respiratory event and an event type mark.
  • the marker interface includes a respiratory event display area 301, which contains the occurrence event points and event type markers of the respiratory events that occurred in the past 24 hours. If all breathing events cannot be displayed in this area at the same time, you can view the breathing events that are not displayed by touching and swiping. In addition, the breathing events in this area can be shown in turn according to the sequence of occurrence of the events.
  • the medical staff needs to input relevant information for a breathing event, they can click on the breathing event in the breathing event display area, as shown in Figures 3A and 3B. Assume that the selected breathing event is the first, that is, 9:30. ABD breathing event.
  • Clicking on the breathing event display area can generate setting instructions for the target breathing event. Based on the setting instruction, an associated information area is displayed, where the associated information area contains optional parameter items of the associated information of the respiratory event, and the associated information is information used to assist in determining the severity of the respiratory event.
  • the tagging interface includes an associated information area 302, and the content contained in this area is as follows:
  • the optional parameters of skin color include: pink, dusky, cyanotic, mottled, and jaundice.
  • the optional parameters of stimulation include: strong (vigorous), medium (moderate), weak (mild), none (none);
  • Custom optional parameters include: mechanical ventilation (ventilation), feeding (feed).
  • FIG. 3B has the same meaning as the Chinese concept at the corresponding position in FIG. 3A.
  • the reason for selecting this information for recording is that the related information can reflect the severity of the respiratory event to a certain extent.
  • the selectable items of correlation information are used to reflect the situation of the target object when the target breathing event occurs. Medical personnel can choose corresponding options based on the information of clinical records at that time.
  • the related information area may also contain another related information and optional items.
  • Associated information also includes attributes that indicate whether a respiratory event is valid or invalid.
  • Apnea event monitoring methods also include: invalid breathing events are excluded from statistical results, for example, invalid breathing events are excluded from the time axis of the time display area, excluded from segmented statistics, excluded from frequency statistics, etc. . As shown in Figures 3A and 3B, that is: statistics of whether to enter ABD events (count into ABD total): Yes or No.
  • FIG. 3C and FIG. 3D show another form of the labeling interface, that is, the respiratory event display area includes only relevant information of the currently occurring respiratory event, and only the related information of the respiratory event is set.
  • the English concept in FIG. 3D has the same meaning as the Chinese concept at the corresponding position in FIG. 3C.
  • FIG. 3A For other contents in the two illustrations, reference may be made to the description in FIG. 3A described above, and details are not described herein.
  • FIGS. 3A-3D may further include cancel and save buttons to respectively: cancel the mark interface and save the associated information in the setting area.
  • the function key area 264 further includes a left cursor “ ⁇ ” and a right cursor “>”, and by touching these two cursors, a breathing event can be switched and selected in the relationship chart area.
  • FIG. 2I illustrates yet another example of a respiratory event review interface. It should be noted that the two illustrations represent the same example, except that the English concept used in FIG. 2J is expressed in Chinese in FIG. 2I. The following mainly describes the layout of FIG. 2I, and the related description of FIG. 2J can be obtained by the same principle.
  • the respiratory event review interface includes a relationship chart area 271, a single event display area 272, a frequency statistics area 273, and a segmented statistics area 274, and further includes a function key area 275.
  • the function key area 264 includes a window window selection sub-area, a mark button, a left cursor " ⁇ ” and a right cursor ">", and may further include: a screen button and a detail ) Button.
  • FIGS. 4A and 4B After clicking the detail button, a single event display area as shown in FIGS. 4A and 4B may appear. A description of this area can be found above and is not repeated here. It should be noted that the two illustrations represent the same example, except that the English concept used in FIG. 4B is expressed in Chinese in FIG. 4A.
  • the filtering interface shown in FIG. 5 may appear.
  • the filtering interface contains multiple types of respiratory events, and the user can select certain types of respiratory events.
  • the selected type can be filled with a background color.
  • the selected event type mark can be used as the event type mark of the respiratory event displayed in the relationship chart area, that is, the respiratory event displayed in the relationship chart area according to the selected event type mark.
  • a specific implementation manner of obtaining at least one breathing event of a target object within a preset time period is: obtaining a target event type mark input by a user; and selecting a target object according to the target event type mark A respiratory event corresponding to the target event type mark occurring within a preset time period. After analyzing the selected respiratory events, the analysis results are displayed in the respiratory event review interface.
  • FIG. 6 shows a structure of a respiratory event review display device provided by the present application.
  • the device may specifically include: a breathing event acquisition module 601, an event type flag determination module 602, a display module 603, and a processing module 604.
  • the respiratory event acquisition module 601 acquires a respiratory event of a target object within a preset time period, the respiratory event including at least an apnea event; and the respiratory event is at least one physiological sign parameter collected from at least one physiological sign parameter sensor. Can be identified in the signal;
  • the event type mark determining module 602 determines an event type mark of the respiratory event, where the event type mark indicates a type of a corresponding physiological sign parameter that triggers the respiratory event;
  • the display module 603 provides a respiratory event review interface in the main monitoring interface, and the respiratory event review interface includes an event display area;
  • the processing module 604 outputs and displays a time axis determined based on the preset time period in the event display area, and displays the breathing event corresponding to the time axis based on the event type mark.
  • the display module 603 responds to an instruction input by the user, and pops up the respiratory event review interface in the main monitoring interface.
  • the respiratory event further includes a respiratory oxygenation event.
  • the processing module 604 displays the apnea event in a first display style, and displays the respiratory oxygenation event in a second display style different from the first display style.
  • the respiratory event review display device further includes: a preset time period setting module.
  • the preset time period setting module determines a time length of the preset time period in response to an instruction input by a user.
  • the respiratory event review display device further includes: a focus data display module.
  • the attention data display module determines the attention data of the physiological sign parameters that trigger the breathing event; and displays the attention data of the breathing event corresponding to the time axis.
  • the attention data includes one or more of a maximum value of duration of apnea duration, a minimum value of blood oxygen saturation, a minimum value of heart rate, and a minimum value of pulse rate in the breathing event.
  • the respiratory event review display device further includes: a single event display module.
  • the single-event display module responds to a selected operation of a respiratory event displayed on the respiratory event review interface to obtain physiological parameter parameters associated with the selected respiratory event; and displays at least the single-event display area on the respiratory event review interface Waveform graphs and / or data of interest for the physical signs parameters of the selected respiratory event.
  • the attention data includes one or more of a maximum value of apnea duration, a minimum value of blood oxygen saturation, a minimum value of heart rate, and a minimum value of pulse rate in the selected breathing event;
  • the The waveform graph includes one or more of a respiratory waveform graph, a blood oxygen saturation trend graph, a heart rate trend graph, and a pulse rate trend graph of the selected respiratory event.
  • the respiratory event review display device further includes: a marking module.
  • the labeling module responds to an instruction input by the user, and provides a labeling interface; and stores related information of a breathing event input by the user through the labeling interface.
  • the marking interface includes a breathing event display area and a related information area for displaying breathing event related information
  • the breathing event review display device further includes a single event marking module.
  • the single event tagging module displays the associated information corresponding to the selected breathing event in the associated information area of the tagging interface according to the breathing event selected by the user in the breathing event display area; saves the user's associated information through the tagging interface Relevant information entered in the field.
  • the association information includes attributes indicating whether a respiratory event is valid or invalid, and the method further includes: excluding invalid respiratory events from a statistical result.
  • the respiratory event review display device further includes: a times statistics module.
  • the counting module counts the number of occurrences of respiratory events corresponding to various event types in the preset time period; provides a counting area in the main monitoring interface, and displays the various event types in the counting area Mark the number of occurrences of the corresponding respiratory event.
  • the respiratory event review display device further includes a segmented statistics module.
  • the segmentation statistics module obtains a historical value of at least one physiological sign parameter of the target object within the preset time length; performs distribution statistics on the historical value based on at least one parameter partition, and determines a partition corresponding to the parameter The statistical results of the distribution; the parameter partition indicates the numerical interval of the physiological sign parameter; a segmented statistical area is provided on the main monitoring interface, and the statistical result of the distribution is displayed in the segmented statistical area.
  • the statistical result of the distribution is that the historical value of the physiological sign parameter within a preset time length falls into the number of the parameter partitions or the number ratio, respectively.
  • the respiratory event review display device further includes: a distribution statistics chart generating module.
  • the distribution statistics chart generation module generates a distribution statistics chart based on the parameter partition and the distribution statistics results.
  • the distribution statistics chart is a histogram with the parameter partitions and the distribution statistics results as two coordinate axes, respectively.
  • the respiratory event review display device further includes a segmented statistics setting module.
  • the segmentation statistics setting module responds to the selection instruction input by the user, and displays the distribution statistical result of the historical value of the target physiological sign parameter selected by the user in the segmented statistical area; the selection instruction indicates the target physiological sign that the user is concerned about. Selection of parameters and preset time lengths corresponding to their historical values.
  • the respiratory event retrospective display device further includes a target parameter partition distinguishing display module.
  • the target parameter partition distinguishing display module determines the target parameter partition, and displays the target parameter partition and / or the distribution statistical result corresponding to the target parameter partition in a display style different from other parameter partitions.
  • each of the foregoing units or modules for performing each step may be stored in one or more of the foregoing memories, and in the above embodiments, each is used to implement a monitor or a monitoring system, where each function
  • the module includes each instruction set for performing the corresponding steps in the above method.
  • the above modules or programs ie, instruction sets
  • Each sub-block of these modules therefore, in some embodiments of the invention, the memory may store a subset of the modules or data structures described above.
  • the application also provides a medical monitoring system, including: at least one physiological sign parameter sensor, a processor, and a display.
  • the sensor obtains real-time data of at least one physiological sign parameter from the target object.
  • a display providing a main monitoring interface, and providing a respiratory event review interface in the main monitoring interface, the respiratory event review interface including an event display area;
  • the breathing event includes at least an apnea event, and the breathing event starts from Identified by a signal of at least one physiological sign parameter collected by at least one physiological sign parameter sensor;
  • the event type mark indicates a type of a corresponding physiological sign parameter that triggers the breathing event;
  • Obtain a breathing event of a target object within a preset time period and output and display a time axis determined based on the preset time period in the event display area, and display the time axis corresponding to the time axis based on the event type mark. Respiratory event.
  • the processor and the display can also implement various steps related to processing and display in each of the respiratory event review display methods described above.
  • the medical monitoring system may be a monitor, and a specific example of the monitor is shown in FIG. 7.
  • FIG. 7 provides a system frame diagram of a parameter processing module in a multi-parameter monitor.
  • the multi-parameter monitor has an independent housing. There is a sensor interface area on the housing panel, which integrates multiple sensor interfaces for connecting with various external physiological parameter sensor accessories 711.
  • the housing panel also includes a small LCD display area and a display 718. , Input interface circuit 720 and alarm circuit 719 (such as LED alarm area) and so on.
  • the parameter processing module is used for external communication and power interface for communicating with the host and taking power from the host.
  • the parameter processing module also supports extrapolated parameter modules.
  • the plug-in monitor host can be formed by inserting the parameter module as a part of the monitor or connected to the host through a cable.
  • the extrapolated parameter module is used as an external accessory of the monitor.
  • the multi-parameter monitor includes a memory 717 for storing computer programs and various data generated during related monitoring processes.
  • the internal circuit of the parameter processing module is placed in a housing, as shown in FIG. 7, and includes at least two signal acquisition circuits 712 corresponding to physiological parameters, a front-end signal processing circuit 713, and a main processor 715.
  • the main processor 715 may implement various steps related to processing in the foregoing respiratory event review display method.
  • the signal acquisition circuit 712 may be selected from an electrocardiogram circuit, a breathing circuit, a body temperature circuit, a blood oxygen circuit, a non-invasive blood pressure circuit, an invasive blood pressure circuit, and the like. These signal acquisition circuits 712 are electrically connected to corresponding sensor interfaces for electrical connection Connected to the sensor accessory 711 corresponding to different physiological parameters, its output end is coupled to the front-end signal processor, the communication port of the front-end signal processor is coupled to the main processor, and the main processor is electrically connected to the external communication and power interface.
  • the front-end signal processor completes the sampling and analog-digital conversion of the output signal of the signal acquisition circuit, and outputs the control signal to control the measurement process of the physiological signal.
  • These parameters include but are not limited : ECG, respiration, body temperature, blood oxygen, non-invasive blood pressure and invasive blood pressure parameters.
  • the front-end signal processor can be implemented by a single-chip microcomputer or other semiconductor devices.
  • the front-end signal processor can be powered by an isolated power supply.
  • the sampled data is simply processed and packaged and sent to the main processor through an isolated communication interface.
  • the front-end signal processor circuit can be coupled to the main processor 715 through an isolated power supply and the communication interface 714 .
  • the reason that the front-end signal processor is powered by an isolated power supply is that the DC / DC power supply isolated by the transformer plays a role in isolating the patient from the power supply equipment.
  • the main purposes are: 1. Isolate the patient, and use the isolation transformer to float the application part so that The leakage current of the patient is small enough; 2. Prevent the voltage or energy during defibrillation or electrosurgical application from affecting the cards and components of the intermediate circuit such as the main control board (guaranteed with creepage distance and clearance).
  • the main processor completes the calculation of physiological parameters, and sends the calculation results and waveforms of the parameters to the host (such as a host with a display, a PC, a central station, etc.) through an external communication and power interface.
  • the external communication and power interface 716 can be One or a combination of Ethernet, Token Ring, Token Bus, and the local area network interface formed by the three types of backbone optical fiber distributed data interfaces (FDDI). It is one or a combination of wireless interfaces such as infrared, Bluetooth, wifi, and WMTS communication, or one or a combination of wired data connection interfaces such as RS232 and USB.
  • the external communication and power interface 716 may also be one or a combination of a wireless data transmission interface and a wired data transmission interface.
  • the host computer can be any computer equipment such as the host computer of the monitor, the electrocardiograph, the ultrasound diagnostic instrument, and the computer. By installing the matched software, a medical device can be formed.
  • the host can also be a communication device, such as a mobile phone.
  • the parameter processing module sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface to achieve remote data transmission.
  • the present application provides a readable storage medium on which a computer program is stored, and the computer program, when executed by a processor, implements the above-mentioned method for reviewing various respiratory events.
  • any tangible, non-transitory computer-readable storage medium can be used, including magnetic storage devices (hard disks, floppy disks, etc.), optical storage devices (CD-ROM, DVD, Blu Ray, etc.), flash memory, and / or the like .
  • These computer program instructions can be loaded on a general-purpose computer, special-purpose computer, or other programmable data processing device to form a machine, so that these instructions executed on the computer or other programmable data processing device can generate a device that implements a specified function.
  • Computer program instructions can also be stored in a computer-readable memory, which can instruct a computer or other programmable data processing device to operate in a specific manner, so that the instructions stored in the computer-readable memory can form one piece Articles of manufacture, including implements that implement specified functions.
  • Computer program instructions can also be loaded onto a computer or other programmable data processing device, thereby performing a series of operating steps on the computer or other programmable device to produce a computer-implemented process, which makes the computer or other programmable device execute Instructions can provide steps for implementing specified functions.
  • the term “including” and any other variations thereof are non-exclusive inclusions, such that a process, method, article, or device that includes a list of elements includes not only those elements but also those that are not explicitly listed or are not part of the process , Method, system, article, or other element of equipment.
  • the term “coupled” and any other variations thereof as used herein refers to a physical connection, an electrical connection, a magnetic connection, an optical connection, a communication connection, a functional connection, and / or any other connection.

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Abstract

Procédé d'affichage d'examen d'événements respiratoires consistant à : acquérir des événements respiratoires subis par un sujet sous surveillance et qui se sont produits au cours d'une période historique (1.1), déterminer des indicateurs de type d'événement pour les événements respiratoires (1.2), utiliser une interface d'examen respiratoire (1.3), puis afficher, sur la base des indicateurs de type d'événement, sur une zone d'affichage d'événements de l'interface d'examen pour événements respiratoires, les événements respiratoires qui se sont produits pendant la période historique (1.4). Le personnel médical peut apprendre, en regardant la zone d'affichage d'événements, des informations pertinentes telles que la fréquence, le nombre de fois et le degré de gravité d'événements respiratoires subis par un sujet sous surveillance, ce qui permet d'en apprendre davantage sur la situation respiratoire du sujet sous surveillance. L'invention concerne en outre un dispositif d'affichage d'examen d'événements respiratoires, un système de surveillance médicale et un support de stockage lisible.
PCT/CN2018/101929 2018-08-23 2018-08-23 Système de surveillance médicale, et procédé et dispositif d'examen d'événements respiratoires WO2020037597A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201880095786.6A CN112469330B (zh) 2018-08-23 2018-08-23 医疗监护系统、呼吸事件的回顾装置
PCT/CN2018/101929 WO2020037597A1 (fr) 2018-08-23 2018-08-23 Système de surveillance médicale, et procédé et dispositif d'examen d'événements respiratoires

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