WO2020133425A1 - Dispositif de surveillance, procédé de surveillance et support d'enregistrement lisible par ordinateur - Google Patents

Dispositif de surveillance, procédé de surveillance et support d'enregistrement lisible par ordinateur Download PDF

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Publication number
WO2020133425A1
WO2020133425A1 PCT/CN2018/125661 CN2018125661W WO2020133425A1 WO 2020133425 A1 WO2020133425 A1 WO 2020133425A1 CN 2018125661 W CN2018125661 W CN 2018125661W WO 2020133425 A1 WO2020133425 A1 WO 2020133425A1
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WIPO (PCT)
Prior art keywords
parameter value
monitoring device
state recovery
parameter
information
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PCT/CN2018/125661
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English (en)
Chinese (zh)
Inventor
蒋霞
张健慧
陈钰
刘中华
曹建芳
岑建
Original Assignee
深圳迈瑞生物医疗电子股份有限公司
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Application filed by 深圳迈瑞生物医疗电子股份有限公司 filed Critical 深圳迈瑞生物医疗电子股份有限公司
Priority to PCT/CN2018/125661 priority Critical patent/WO2020133425A1/fr
Priority to CN201880099018.8A priority patent/CN112911997A/zh
Publication of WO2020133425A1 publication Critical patent/WO2020133425A1/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
    • 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

  • This application relates to the technical field of medical equipment, in particular to a monitoring device, a monitoring method, and a computer-readable storage medium.
  • Traditional in-hospital monitoring equipment usually includes bedside monitoring equipment set up next to the patient's bed to monitor the patient's condition, so that the doctor can understand the patient's physical recovery status, and prompt the patient's possible vital signs risk. Rehabilitation and accident prevention play an important role.
  • existing in-hospital monitoring equipment often can only monitor physiological parameters and other data and output the monitored data, which cannot meet the higher monitoring needs.
  • the invention provides a monitoring device and a monitoring method to solve the above problems.
  • An embodiment of the present application provides a monitoring device.
  • the monitoring device includes an acquiring unit and a processor.
  • the acquiring unit is used to acquire the patient state recovery parameter value;
  • the processor is used to generate corresponding prompt information according to the acquired patient state recovery parameter value and the preset target state recovery parameter value, and control to output the corresponding prompt information.
  • a monitoring method is applied to a monitoring device, wherein the monitoring method includes: acquiring a patient state recovery parameter value; generating corresponding prompt information according to the acquired patient state recovery parameter value and a preset target state recovery parameter value, and Control output corresponding prompt information.
  • An embodiment of the present application also provides a computer-readable storage medium, and the computer-readable storage medium stores program instructions, and the program instructions are used by a computer to execute a monitoring method after being called.
  • the monitoring method includes: acquiring Patient state recovery parameter value; and generate corresponding prompt information according to the acquired patient state recovery parameter value and the preset target state recovery parameter value, and control to output the corresponding prompt information.
  • the monitoring equipment and monitoring method disclosed in the present application can generate and output corresponding prompt information according to the acquired patient state recovery parameter value and the preset target state recovery parameter value, and give more comprehensive monitoring and guidance to the patient recovery process.
  • FIG. 1 is a schematic diagram of a monitoring system used in a hospital in an embodiment of the present application.
  • FIG. 2 is a functional architecture diagram of a monitoring device in an embodiment of this application.
  • FIG. 3 is a schematic diagram of prompt information displayed by a monitoring device in an embodiment of the present application.
  • FIG. 4 is a schematic diagram of a parameter interface displayed by a monitoring device in an embodiment of the application.
  • FIG. 5 is a structural block diagram of an acquisition unit of a monitoring device in an embodiment of this application.
  • FIG. 6 is a system framework diagram of a multi-parameter monitor or module component in an embodiment of the present application.
  • FIG. 7 is a flowchart of a monitoring method in an embodiment of the application.
  • FIG. 8 is a flowchart of a monitoring method in another embodiment of this application.
  • FIG. 1 is a schematic diagram of a monitoring system 100 used in a hospital.
  • the monitoring system 100 can save the data of the monitor as a whole, centrally manage patient information and nursing information, and store the two in association, which is convenient for historical data. Save and correlate alarms.
  • the monitoring device 200 may include a mobile monitoring device 201 and a bedside monitoring device 202.
  • a bedside monitoring device 202 may be provided for each bed, and the bedside monitoring device 202 may be a single-parameter monitor, a multi-parameter monitor, a plug-in monitor, and the like.
  • each bedside monitoring device 202 can also be paired with a mobile monitoring device 201.
  • the mobile monitoring device 201 provides a simple and portable multi-parameter monitor or module component that can be worn on the patient's body to move the patient. Monitoring, after wired or wireless communication with the bedside monitoring device 202 through the mobile monitoring device 201, the patient status data generated by the mobile monitoring can be transmitted to the bedside monitoring device 202 for display.
  • the monitoring system 100 further includes a department-level workstation device 300 and/or a hospital-level data center/hospital-level emergency center management device 400.
  • the mobile monitoring device 202 transmits the patient status data generated by the mobile monitoring to the department-level workstation device 300 for doctors or nurses to view, or through the bedside monitoring device 202 to the hospital-level data center/hospital-level emergency center management device 303 for storage and /Or display.
  • the mobile monitoring device 200 can also directly transmit the patient status data (ie, the patient status recovery parameter values described later in this application) generated by the mobile monitoring to the department-level workstation device 300 through the wireless network node N1 provided in the hospital for storage And display, or through the wireless network node N1 installed in the hospital, the patient status data generated by the mobile monitoring is transmitted to the hospital-level data center/hospital-level emergency center management device 400 for storage.
  • the data corresponding to the patient status parameters displayed on the bedside monitoring device 202 may be derived from sensor accessories directly connected to the bedside monitoring device, or from the mobile monitoring device 201, or from the department-level workstation device 300, hospital-level data Center/hospital-level emergency center management equipment 400.
  • each mobile monitoring device 201 can also store the patient status data collected by itself
  • the bedside monitoring device 202 can also store the patient status data collected by the sensor accessory connected to the bedside monitoring device, and store the mobile monitoring device 201 , Department-level workstation equipment 300, hospital-level data center / hospital-level emergency center management equipment 400 and other patient status data received.
  • the department-level workstation device 300 and the hospital-level data center/hospital-level emergency center management device 400 can store patient status data sent by any mobile monitoring device 201.
  • FIG. 2 is a functional architecture diagram of the monitoring device 200.
  • the monitoring device 200 includes an acquisition unit 21 and a processor 22.
  • the obtaining unit 21 is used to obtain the patient state recovery parameter value.
  • the processor 22 is connected to the acquisition unit 21. It is used to generate corresponding prompt information according to the acquired patient state recovery parameter value and the preset target state recovery parameter value, and control to output the corresponding prompt information.
  • the monitoring device 200 may generate and output corresponding prompt information according to the acquired patient state restoration parameter value and the preset target state restoration parameter value to remind the completion or restoration of the patient state restoration parameter value, and recover During the process, more comprehensive monitoring is given, and through the prompt information, the patient can also be guided and supervised to achieve the goal, which is more conducive to the recovery of the patient.
  • the patient state recovery parameter values include at least one of basic physiological sign parameter values and non-physiological sign parameter values; wherein, the basic physiological sign parameter values include ECG parameter values, respiratory parameter values, and blood oxygen parameters At least one of a value, a blood pressure parameter value, and a body temperature parameter value, and the non-physiological characteristic parameter value includes at least one of a sleep parameter value, an exercise parameter value, and a pain parameter value.
  • the monitoring device 200 further includes a display screen 23, and the processor 22 is used to control the display 23 to output corresponding prompt information on the display screen. That is, in some embodiments, the processor 22 controlling to output corresponding prompt information includes controlling the display 23 to display and output corresponding prompt information.
  • the patient state recovery parameter value acquired by the acquiring unit 21 includes the currently acquired patient state recovery parameter value.
  • the prompt information includes current completion status information, and the current completion status information includes comparison information between the currently acquired patient state recovery parameter value and the corresponding target state recovery parameter value.
  • the patient state recovery parameter values acquired by the acquiring unit 21 further include a plurality of patient state recovery parameter values that are periodically acquired within a preset time period. That is, the acquisition unit 21 periodically acquires the patient state recovery parameter values multiple times, and acquires multiple patient state recovery parameter values.
  • the prompt information further includes historical completion status information, and the historical completion status information includes comparison information between a plurality of patient state recovery parameter values and corresponding target state recovery parameter values that are periodically obtained within a preset period of time before.
  • the prompt information X1 includes comparison information X2, which is presented in the form of a histogram, and each acquired patient state recovery parameter value C1 and corresponding target state recovery parameter value C2 are presented with different pattern attributes On the same column Z1, each comparison information X2 may include information of the acquired patient state recovery parameter value C1 and the corresponding target state recovery parameter value C2.
  • each acquired patient state recovery parameter value C1 and corresponding target state recovery parameter value C2 may also be presented on two columns Z1 that are close to each other with the same or different pattern attributes.
  • the pattern attribute includes at least one of color and fill pattern.
  • the acquired patient state recovery parameter value C1 and the target state recovery parameter value C2 are displayed in different colors, for example, the acquired patient state recovery parameter value C1 is displayed in light color, and the corresponding target patient recovery parameter The value C2 is displayed in dark colors.
  • the patient state recovery parameter value C1 and the corresponding target patient recovery parameter value C2 obtained at different times are displayed on different columns Z1.
  • Each acquired patient state recovery parameter value C1 and the corresponding target state The recovery parameter value C2 is presented on the same column Z1 in different colors.
  • the above-mentioned different colors include different colors of blue, red, green, black, white, etc., not just the difference of the shades of the colors.
  • the prompt information may include the comparison information in the form of a histogram.
  • the processor generates corresponding comparison information in the form of a histogram according to the acquired patient state recovery parameter value and the corresponding target state recovery parameter value, and generates prompt information including the comparison information.
  • the processor 22 may generate a corresponding histogram according to the currently acquired patient state recovery parameter value and the corresponding target state recovery parameter value, and/or based on a plurality of patient state recovery parameters acquired periodically during a preset time period The value and the corresponding target state restoration parameter value generate a corresponding histogram, so that the comparison information between the acquired patient state restoration parameter value and the preset target state restoration parameter value is presented through the histogram.
  • the prompt information further includes a specific value of the target achievement rate.
  • the processor 22 is used to calculate the ratio between the acquired patient state recovery parameter value and the preset target state recovery parameter value to obtain the target achievement rate, and generate prompt information including the target achievement rate.
  • the prompt information generated by the processor 22 may further include a target achievement rate obtained according to a ratio of the acquired patient state recovery parameter value and a preset target state recovery parameter value, and the target achievement rate may be a percentage value, for example, 60% , 80%, etc., can also be a fractional value, such as 1/2, 4/5, etc., where the target achievement rate of each patient state recovery parameter value and the preset target state recovery parameter value are displayed on the corresponding column Z1 At this point, the user is prompted with more intuitive information.
  • the prompt information may also include only the target achievement rate.
  • the current completion information includes comparison information between the most recently acquired patient state recovery parameter value and the corresponding target state recovery parameter value; historical completion information includes The comparison information between the basic physiological sign parameter value and the corresponding target basic physiological sign parameter value obtained multiple times at predetermined intervals every time within a preset time.
  • the general blood pressure parameter value may be obtained once every hour or half hour, so that the historical completion information includes basic physiological signs obtained multiple times every hour or half hour during the eight hours Contrast information between the parameter value and the corresponding target basic physical sign parameter value.
  • the current completion status information includes comparison information between the patient state recovery parameter value acquired during the day and the corresponding target state recovery parameter value; the historical completion status information includes a preset The comparison information between the basic physiological sign parameter value obtained every day within the number of days and the corresponding target basic physiological sign parameter value.
  • the current completion information includes comparison information of the exercise time of the day with the corresponding target exercise time
  • the historical completion information includes Comparison information of daily exercise time and corresponding target exercise time within a preset number of days.
  • the current completion information includes the comparison information of the number of exercise steps in the day and the corresponding target exercise steps
  • the historical completion information includes the daily number of days in the preset number of days The comparison information of the number of exercise steps and the corresponding target exercise steps.
  • the current completion status information includes the comparison information of the sleep time of the day and the corresponding target sleep time
  • the historical completion status information includes the preset number of days Comparison information between the daily sleep time and the corresponding target sleep time.
  • the preset number of days may be within one week.
  • the prompt information also displays the generation time T1 of each comparison information, that is, when the comparison information is presented in a histogram, the corresponding time is also displayed at the bottom of each column Z1.
  • the prompt information In order to prompt the acquisition time of the acquired patient state recovery parameter value, so as to prompt the comparison information of the acquired patient state recovery parameter value and the target state recovery parameter value presented by the column Z1 as the comparison information of when.
  • FIG. 4 is a schematic diagram of a parameter interface displayed by the monitoring device 200 in an embodiment of the present application.
  • the processor 22 controls the display screen 23 to display a parameter interface J1, and controls to display the prompt information in a preset display area of the parameter interface J1.
  • the parameter interface J1 includes at least two display areas. As shown in FIG. 4, the parameter interface J1 includes a first display area A1 and a second display area A2. The first display area A1 is located in the left area of the parameter interface J1. The prompt information X1 is displayed in the first display area A1 of the parameter interface J1, for example, the prompt information X1 displayed in a histogram in the “Exercise” area shown in FIG. 4.
  • the processor 22 is used to display the parameter interface J1 after the monitoring device 202 and the mobile monitoring device 201 are successfully paired.
  • the processor 22 is configured to respond to the main interface displayed on the display screen 23 after the bedside monitoring device 202 is successfully paired with the mobile monitoring device 201 Operation of the target button to display the parameter interface J1.
  • the bedside monitoring device 202 has a mobile monitoring mode and a normal mode.
  • the display screen 32 displays the main interface in the normal mode.
  • the processor 22 also uses In response to the operation of the target button on the main interface of the bedside monitoring device 202 to control the bedside monitoring device 202 to switch to the mobile monitoring mode, the control display screen 23 displays the parameter interface J1 including relevant data of the received patient state recovery parameter values .
  • the processor 22 controls the display screen 21 to display the parameter interface J1 including the relevant data of the received patient state recovery parameter value in response to the operation of the target button on the main interface of the bedside monitoring device 202.
  • the bedside monitoring device 202 may simply receive real-time data and historical data of the patient state recovery parameter values monitored by the mobile monitoring device 201, and the display screen 23 may not display all
  • the parameter interface for restoring the parameter value of the patient state is described; when the doctor or nurse needs to check, the target screen can be controlled by operating the target button, and the display screen 23 starts to display the parameter interface J1.
  • the target button may be the ERAS control panel (ERAS dashboard; patient rehabilitation guide control panel) button K0 displayed at the bottom of the parameter interface J1 of FIG. 4.
  • ERAS control panel ERAS dashboard; patient rehabilitation guide control panel
  • the bottom of the parameter interface J1 of the parameter interface J1 displays a number of main control buttons K1 for controlling the bedside monitoring device 202 to enter the corresponding function mode and controlling the display screen 23 to display the corresponding function interface.
  • the above keys may be virtual keys. In other embodiments, the above keys may also be mechanical keys.
  • the processor 22 controls the bedside monitoring device 202 to automatically enter the mobile monitoring mode, and controls the display screen 23 to display the parameter interface J1.
  • the bedside monitoring device 202 After the bedside monitoring device 202 is successfully paired with the mobile monitoring device 201, it automatically enters the display of the parameter interface J1, which is convenient for viewing related data of pain level values through the bedside monitoring device 202.
  • the processor 22 is further configured to control the display screen 23 to display the relevant data including the pain parameter value when the mobile monitoring device 201 is in the unlocked state Parameter interface.
  • the processor 22 controls the mobile monitoring device 201 to enter the lock screen state and controls the display screen 23 to display the lock screen interface when the mobile monitoring device 201 has not received the user's operation for more than a preset duration. 22 In response to any sliding operation of the user on the display screen 23, the display parameter interface is restored.
  • the parameter interface J1 displayed on the mobile monitoring device 201 may not be displayed in sections, that is, the prompt information is displayed on the display screen of the mobile monitoring device 201 Most areas of 23.
  • the parameter interface J1 shown in FIG. 4 also displays ECG (electrocardiogram) parameter values (such as the heart rate value of “80” shown in FIG. 4 and the electrocardiogram waveform), and blood pressure parameter values (such as shown in FIG. 4
  • ECG electrocardiogram
  • blood pressure parameter values such as shown in FIG. 4
  • the basic physiological sign parameter values such as "120/80” shown in the figure, and also display non-physiological signs such as sleep parameter values (such as "3hr 30min” (3 hours 30 minutes) in the "sleep time” part shown in FIG. 4) Data about parameter values.
  • the relevant data of non-physiological sign parameter values such as pain level value, exercise parameter value and sleep parameter value are displayed in the first display area A1
  • the basic physiological sign parameter values such as ECG parameter value and blood pressure parameter value are displayed in the second display area A2.
  • the monitoring device 200 may be a bedside monitoring device 202 or a mobile monitoring device 201.
  • the monitoring device 202 further includes a communication unit 24, the processor 22 is connected to the communication unit 24, and is also used to establish a communication connection between the monitoring device 202 and the target device through the communication unit 24, It is also used to send prompt information to the target device through the communication unit 24, and output the prompt information through the target device.
  • the target device includes at least one of a bedside monitoring device 202, a department-level workstation device 300, and a hospital-level data center/hospital-level emergency center management device 400; when monitoring When the device 200 is a bedside monitoring device 202, the target device includes at least one of a department-level workstation device 300 and a hospital-level data center/hospital-level emergency center management device 400.
  • the communication unit 24 may include a WIFI module, and the communication unit 24 is used to establish a WIFI communication connection between the monitoring device 202 and the target device.
  • the communication unit 24 may further include at least one of a Bluetooth module, a WMTS communication module, and an NFC communication module.
  • the mobile monitoring device 201 can also establish a Bluetooth connection and a WMTS communication connection with the bedside monitoring device 202 through a Bluetooth module, a WMTS communication module, or an NFC communication module Or NFC communication connection, and the prompt information generated by the mobile monitoring device 200 is synchronized to the bedside monitoring device 202, and then the bedside monitoring device 202 synchronizes the relevant data of the pain level value to the department-level workstation device 300 and/or Or hospital-level data center/hospital-level emergency center management equipment 400.
  • FIG. 5 is a structural block diagram of the obtaining unit 21.
  • the acquisition unit 21 includes a first type sensor 211 and a second type sensor 212.
  • the first type of sensor 211 is used to obtain the above-mentioned basic physiological sign parameter values.
  • the second type of sensor 212 is used to obtain the aforementioned non-physiological sign parameter values.
  • the first type sensor 211 and the second type sensor 212 are used to be installed in the corresponding parts of the patient, and are connected to the processor 22 through a wired or wireless connection, and the processor 22 receives the first type sensor 211 through a wired or wireless manner.
  • the first type of sensor 211 includes at least one of an electrocardiogram sensor, a respiration sensor, a blood oxygen sensor, a blood pressure sensor, and a temperature sensor.
  • the first type of sensor 21 may include an electrocardiogram sensor, a respiration sensor, a blood oxygen sensor, a blood pressure sensor, and a temperature sensor, while simultaneously collecting and monitoring ECG parameter values, respiratory parameter values, blood oxygen parameter values, Blood pressure parameter value, body temperature parameter value.
  • the number of ECG sensors is multiple, which can be placed on the corresponding parts of the patient's body in the form of electrode sheets to realize the collection of ECG parameter values and obtain the corresponding ECG (electrocardiogram) data.
  • the breathing sensor is used to monitor breathing parameter values, such as respiration rate.
  • the blood oxygen sensor may include a blood oxygen probe, and the blood oxygen probe may be a clamping structure, which is used to be clamped on the patient's finger, and the blood oxygen parameter value is measured by the light intensity signal, for example, blood oxygen saturation (SPO2) .
  • SPO2 blood oxygen saturation
  • the blood pressure sensor may be provided in a strap-type structure, bound to the patient's arm by the strap-type structure, and the blood pressure sensor and the processor 22 are wired or wirelessly connected to send the monitored blood pressure parameter value to the processing ⁇ 22.
  • the temperature sensor can also be attached to the corresponding part of the patient's body in the form of an electrode sheet to realize the collection/monitoring of temperature parameter values.
  • the second type sensor 212 includes at least one of an acceleration sensor and a pain sensor.
  • the second type of sensor 212 includes an acceleration sensor and a pain sensor.
  • the acceleration sensor is used to collect the acceleration information of the patient reflecting the sleep parameter value and the motion parameter value, that is, the acceleration parameter value monitored by the acceleration sensor 212 can be used to obtain the patient's motion parameter value and sleep parameter value. For example, when the acceleration value is zero, the patient can be determined to be stationary. When the acceleration value changes, the patient is reflected in motion, and the frequency of the acceleration value reflects the patient's movement pace, speed, and other sports parameter values. By counting the time when the acceleration value is zero, the sleep time and other sleep parameter values can be reflected.
  • acceleration sensors which are respectively installed in different parts of the patient's body to improve the statistical accuracy of the patient's exercise time and sleep time.
  • the pain sensor may include at least one of a humidity sensor, a sound sensor and the like. Because the patient sweats when he is in pain, and the more he sweats, the more he sweats, so the humidity value detected by the humidity sensor can also reflect the pain parameter value, that is, the pain level. For another example, when a patient is in pain, he usually yells because it is unbearable. When the voice content of the user is detected as a pain moan by the sound sensor, the pain parameter value, that is, the level of pain can be reflected according to the volume of the volume.
  • the processor 22 obtains the patient's motion parameter value and sleep parameter value by receiving the acceleration value monitored by the acceleration sensor, and obtains by receiving the humidity value monitored by the humidity sensor and/or voice information of the sound sensor The patient's pain parameter value. Therefore, the non-physiological sign parameter values including/at least one of sleep parameter values, exercise parameter values, and pain parameter values monitored/collected by the second type sensor 212 refer to the indirect reflection of sleep monitored/collected by the second type sensor 212 The parameter value of at least one of the parameter value, the motion parameter value, and the pain parameter value.
  • the acquiring unit 21 when the monitoring device 200 is a bedside monitoring device 202, the acquiring unit 21 further includes the above-mentioned communication unit 24.
  • the acquiring unit 21 is used to establish a communication connection with the mobile monitoring device 201 and receive from the mobile monitoring device 201 The patient state recovery parameter value acquired by the mobile monitoring device 201.
  • the monitoring device 200 may obtain the patient state recovery parameter value through the sensor, and may also receive the patient state recovery parameter value acquired by the mobile monitoring device 201 through the sensor.
  • the monitoring device 200 further includes an input unit 25.
  • the input unit 25 is used to receive a target state restoration parameter value setting operation.
  • the processor 22 is further used to respond to the target state received by the input unit 25.
  • the setting operation of the restoration parameter value sets the restoration parameter value of the target state.
  • the target state restoration parameter value includes multiple target state restoration parameter values, for example, the target state restoration parameter value every day within a subsequent preset number of days (for example, within one week). Moreover, each target state recovery parameter value may be the same or different.
  • multiple target state recovery parameter values include target state recovery parameter values on different days, and the multiple target state recovery parameter values are not all the same.
  • the target state recovery parameter value on April 11 (4-11) is larger than the target state recovery parameter value on April 7 (4-7).
  • the plurality of target state recovery parameter values may be set to an increasing value.
  • the exercise time on the first day after setting may be half an hour
  • the exercise time on the second day may be 1 hour
  • the exercise time on the third day may be 1.2 hours
  • the exercise time on the fourth day The exercise time may be 1.5 hours and so on.
  • the input unit 25 may be a touch panel, which is integrated with the display screen 23 to form a touch display screen for the user to perform the setting operation of the target state restoration parameter value.
  • the input unit 25 may also be a mechanical button for the user to set the target state recovery parameter value.
  • the input unit 25 may also be a voice input unit such as a microphone, which is used to receive a user's setting operation in the form of voice.
  • the user can directly say the target state recovery parameter value to be set.
  • the setting operation of the target state recovery parameter value may be an operation input by a medical staff such as a doctor or a nurse, or an operation input by the patient himself.
  • the above monitoring device 200 may be a multi-parameter monitor.
  • the structure of the multi-parameter monitor please refer to the structure of the multi-parameter monitor or module component in FIG. 6 described below.
  • the multi-parameter monitor or module assembly includes at least a parameter measurement circuit 112.
  • the parameter measurement circuit 112 includes at least one parameter measurement circuit corresponding to physiological parameters.
  • the parameter measurement circuit includes at least an electrocardiographic signal parameter measurement circuit, a respiratory parameter measurement circuit, a body temperature parameter measurement circuit, a blood oxygen parameter measurement circuit, a non-invasive blood pressure parameter measurement circuit, and At least one parameter measurement circuit in the invasive blood pressure parameter measurement circuit and the like, and each parameter measurement circuit is respectively connected to the externally inserted sensor accessory 111 through a corresponding sensor interface.
  • the sensor accessory 111 includes a detection accessory corresponding to the detection of physiological parameters such as electrocardiographic respiration, blood oxygen, blood pressure, and body temperature.
  • the parameter measurement circuit 112 is mainly used to connect the sensor accessory 111 to obtain the collected physiological parameter signals, and may include at least two or more physiological parameter measurement circuits.
  • the parameter measurement circuit may be, but not limited to, a physiological parameter measurement circuit (module), a human body
  • the physiological parameter measurement circuit (module) or sensor collects human physiological parameters, etc.
  • the parameter measurement circuit obtains the external physiological parameter sensor accessory through the extended interface to obtain the physiological sampling signal of the patient, and after the processing, the physiological data is obtained for alarm and display.
  • the extended interface can also be used to output the control signal about how to collect physiological parameters output by the main control circuit to the external physiological parameter monitoring accessory through the corresponding interface to realize the monitoring and control of the patient's physiological parameters.
  • the sensor accessory 111 is an external sensor accessory that can be inserted through the sensor interface, such as the aforementioned first type sensor 211 and second type sensor 212.
  • the multi-parameter monitor or module component may further include a main control circuit 113, which needs to include at least one processor 1131 and at least one memory 1132.
  • the main control circuit may also include a power management module 1133, a power IP module and an interface At least one of conversion circuits and the like.
  • the power management module is used to control the power on/off of the whole machine, the power-on sequence of each power domain inside the board, and battery charging and discharging.
  • the power IP module refers to correlating the schematic diagram of the power circuit unit that is frequently called repeatedly and the PCB layout, and curing into a separate power module, that is, converting an input voltage into an output voltage through a predetermined circuit, wherein the input voltage and The output voltage is different.
  • the power IP module may be single-channel or multi-channel.
  • the power IP module can convert an input voltage to an output voltage.
  • the power IP module can convert one input voltage to multiple output voltages, and the voltage values of the multiple output voltages can be the same or different, so as to meet the needs of multiple electronic components at the same time. Voltage demand, and the module has few external interfaces, working in the system is a black box decoupled from the external hardware system, which improves the reliability of the entire power system.
  • the interface conversion circuit is used to convert the signal output by the main control minimum system module (that is, at least one processor and at least one memory in the main control circuit) into the input standard signal required by the actual external device, for example, supporting external VGA display
  • the function is to convert the RGB digital signal output from the main control CPU to a VGA analog signal, support external network functions, and convert the RMII signal to a standard network differential signal.
  • the multi-parameter monitor or module assembly may also include one or more of a local display 114, an alarm circuit 116, an input interface circuit 117, an external communication, and a power interface 115.
  • the main control circuit is used to coordinate and control each board, circuit and equipment in the multi-parameter monitor or module assembly.
  • the main control circuit is used to control the data interaction between the parameter measurement circuit 112 and the communication interface circuit, as well as the transmission of control signals, and send the physiological data to the display 114 for display, or it can be received from the touch screen or User control commands input by physical input interface circuits such as keyboards and keys can of course also output control signals on how to collect physiological parameters.
  • the alarm circuit 116 may be an audible and visual alarm circuit.
  • the main control circuit completes the calculation of physiological parameters, and can send the calculation results and waveforms of the parameters to the host (such as the host with a display, PC, central station, etc.) through external communication and power interface 115, external communication and power interface 115
  • the host such as the host with a display, PC, central station, etc.
  • external communication and power interface 115 It can be one or a combination of LAN interfaces composed of Ethernet (Token), Token Ring (Token Ring), Token Bus (Token Bus), and the Backbone Network Fiber Distributed Data Interface (FDDI) as the three networks.
  • FDDI Backbone Network Fiber Distributed Data Interface
  • It can also be 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 115 may also be one or a combination of two 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 apparatus, and the computer. By installing the matched software, a monitor device can be formed.
  • the host can also be a communication device, such as a mobile phone, a multi-parameter monitor, or a module component, which sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface, so as to realize remote transmission of data.
  • the local display 114 is the aforementioned display screen 23, the input interface circuit 117 is the input unit 25, and the external communication and power interface 115 may be the aforementioned communication unit 24.
  • the multi-parameter monitoring module component can be set outside the monitor casing.
  • an independent external parameter module it can be inserted into the monitor host (including the main control board) to form a plug-in monitor as part of the monitor, or It can be connected to the host of the monitor (including the main control board) through a cable, and the external parameter module is used as an external accessory of the monitor.
  • parameter processing can also be built into the housing, integrated with the main control module, or physically separated within the housing to form an integrated monitor.
  • the monitoring device 200 further includes a memory 26, and the memory 26 may be used to store the foregoing acquired patient state recovery parameter values, target state recovery parameter values, and prompt information.
  • the processor 22 may obtain the corresponding target state restoration parameter value from the memory 26 when the obtaining unit 21 obtains the patient state restoration parameter value, and generate a corresponding according to the obtained patient state restoration parameter value and the target state restoration parameter value Prompt information.
  • the memory 26 further stores program instructions, and the program instructions are used by the processor 22 of the monitoring device 200 to execute the aforementioned functions.
  • the memory 26 may include a high-speed random access memory, and may also include non-volatile memory, such as a hard disk, a memory, a plug-in hard disk, a smart memory card (Smart) Media, Card (SMC), and a secure digital (Secure Digital, SD) card, flash memory card (Flash), multiple disk storage devices, flash memory devices, or other volatile solid-state storage devices.
  • non-volatile memory such as a hard disk, a memory, a plug-in hard disk, a smart memory card (Smart) Media, Card (SMC), and a secure digital (Secure Digital, SD) card, flash memory card (Flash), multiple disk storage devices, flash memory devices, or other volatile solid-state storage devices.
  • the processor 22 may be a central processing unit (Central Processing Unit, CPU), or other general-purpose processors, digital signal processors (Digital Signal Processor, DSP), application specific integrated circuits (Application Specific Integrated Circuit, ASIC), Field-programmable gate array (Field-Programmable Gate Array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc.
  • the general-purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
  • FIG. 7 is a flowchart of a monitoring method in an embodiment of the present application.
  • the monitoring method is applied to a monitoring device.
  • the monitoring method includes the following steps.
  • S703 Generate corresponding prompt information according to the acquired patient state recovery parameter value and the preset target state recovery parameter value, and control to output the corresponding prompt information.
  • the patient state recovery parameter values include at least one of basic physiological sign parameter values and non-physiological sign parameter values; wherein, the basic physiological sign parameter values include ECG parameter values, respiratory parameter values, blood oxygen At least one of a parameter value, a blood pressure parameter value, and a body temperature parameter value, and the non-physiological characteristic parameter value includes at least one of a sleep parameter value, an exercise parameter value, and a pain parameter value.
  • the monitoring device further includes a display screen, and the control outputs corresponding prompt information, including: controlling to display and output corresponding prompt information on the display screen.
  • the prompt information includes current completion status information.
  • the current completion status information includes comparison information between the currently acquired patient state recovery parameter value and the corresponding target state recovery parameter value; the control displays and outputs a corresponding prompt on the display screen.
  • Information including: controlling to display and output prompt information including current completion information on the display screen.
  • the prompt information further includes historical completion information
  • the historical completion information includes comparison information between a plurality of patient state recovery parameter values and corresponding target state recovery parameter values that are periodically acquired within a preset time period
  • the control displays and outputs corresponding prompt information on the display screen, including: controlling to display and output prompt information including current completion status information and historical completion status information on the display screen.
  • the comparison information is displayed in the form of a histogram, and each acquired patient state recovery parameter value and corresponding target state recovery parameter value are displayed on the same column with different pattern attributes.
  • the pattern attribute includes at least one of color and fill pattern.
  • the current completion status information includes comparison information between the patient state recovery parameter value and the corresponding target state recovery parameter value acquired most recently; historical completion The situation information includes the comparison information between the basic physiological sign parameter value obtained multiple times every preset hour of the day and the corresponding target basic physiological sign parameter value.
  • the current completion status information includes comparison information between the patient state recovery parameter value acquired during the day and the corresponding target state recovery parameter value; historical completion The situation information includes the comparison information between the basic physiological sign parameter value acquired every day for multiple days and the corresponding target basic physiological sign parameter value.
  • the generating corresponding prompt information according to the acquired patient state recovery parameter value and the preset target state recovery parameter value may include: according to the acquired patient state recovery parameter value and the corresponding target state recovery parameter value Generate corresponding comparison information in the form of a histogram, and the prompt information includes the comparison information in the form of a histogram.
  • the generating corresponding prompt information according to the acquired patient state recovery parameter value and the preset target state recovery parameter value may further include: calculating the acquired patient state recovery parameter value and the preset target state recovery The ratio of the parameter values obtains the target achievement rate, and the prompt information further includes the target achievement rate.
  • control displays and outputs corresponding prompt information on the display screen, and further includes: controlling the display screen to display a parameter interface, and controlling to display the prompt information in a preset display area of the parameter interface.
  • controlling the display screen to display a parameter interface includes: controlling the display screen to display the parameter interface when the monitoring device is in an unlocked state.
  • the monitoring device is a bedside monitoring device
  • the control display screen displays a parameter interface, including: after the monitoring device is successfully paired with the mobile monitoring device, controlling the display screen to display the parameter interface.
  • controlling the display screen to display the parameter interface includes: after the monitoring device is successfully paired with the mobile monitoring device, responding to the main display on the display screen The operation of the target button on the interface controls the display screen to display the parameter interface.
  • the monitoring device further includes a communication unit for establishing a communication connection between the monitoring device and the target device, the control outputs corresponding prompt information, and further includes: sending the prompt information to the target device through the communication unit , And output the prompt information through the target device;
  • the monitoring device is a mobile monitoring device
  • the target device includes bedside monitoring device, department-level workstation device and hospital-level data center/hospital-level emergency center management equipment At least one; when the monitoring device is a bedside monitoring device, the target device includes at least one of a department-level workstation device and a hospital-level data center/hospital-level emergency center management device.
  • the monitoring device includes a first-type sensor and a second-type sensor
  • the acquiring the patient state recovery parameter value includes: acquiring the basic physiological sign parameter value through the first-type sensor
  • the acquiring the patient state recovery parameter value further includes: establishing a communication connection with the mobile monitoring device and receiving the patient acquired by the mobile monitoring device from the mobile monitoring device State recovery parameter value.
  • the monitoring device further includes an input unit.
  • the method further includes: setting the target state recovery parameter value in response to the setting operation of the target state recovery parameter value received by the input unit.
  • the method may further include the step of acquiring the corresponding target state recovery parameter value from the memory when the patient state recovery parameter value is acquired.
  • FIG. 8 is a flowchart of a monitoring method in another embodiment of the present application.
  • the monitoring method is applied to a monitoring device.
  • the monitoring device includes an input unit.
  • the monitoring method includes the following steps.
  • S803 Generate corresponding prompt information according to the acquired patient state recovery parameter value and the preset target state recovery parameter value.
  • S805 Send the prompt information to the target device through the communication unit, and output the corresponding prompt information through the target device; wherein, when the monitoring device is a mobile monitoring device, the target device includes a bedside monitoring device and a department-level workstation At least one of equipment and hospital-level data center/hospital emergency center management equipment; when the monitoring equipment is bedside monitoring equipment, the target equipment includes department-level workstation equipment and hospital-level data center/hospital-level emergency center management equipment At least one of them.
  • a step may be further included: establishing a communication connection between the monitoring device and the target device.
  • the communication connection may be a WIFI communication connection.
  • the monitoring device synchronizes to at least one of the department-level workstation device and the hospital-level data center/hospital-level emergency center management device through the relevant data of the prompt information, and also outputs the prompt information through the monitor screen of the monitoring device.
  • step S801 corresponds to step S701 in FIG. 7
  • step S803 corresponds roughly to S703 in FIG. 7.
  • step S801 corresponds to step S701 in FIG. 7
  • step S803 corresponds roughly to S703 in FIG. 7.
  • the above monitoring method may further include the method steps described in FIG. 7, for details, refer to the related description in FIG. 7.
  • the monitoring methods in the embodiments of the present application correspond to the foregoing monitoring system 100, and the related steps and the functional operations performed by the monitoring device 200 can be referred to each other, and for more specific introduction, please refer to the above description of the monitoring device 200 And will not be repeated here.
  • the present application also provides a computer-readable storage medium.
  • the foregoing computer-readable storage medium stores a plurality of program instructions for the processor 22 to call and execute.
  • the aforementioned computer-readable storage medium may be the aforementioned memory 26.
  • the pain level value of the present application can be input through the input unit of the monitoring device and recorded in the monitoring device, which facilitates the monitoring of the patient's pain.
  • 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 disks, etc.), flash memory, and/or the like .
  • These computer program instructions can be loaded onto a general purpose computer, special purpose computer, or other programmable data processing equipment to form a machine, so that these instructions executed on a 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 the 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 a piece Manufactured products, including implementation devices that implement specified functions.
  • Computer program instructions can also be loaded onto a computer or other programmable data processing device, so that a series of operating steps are performed on the computer or other programmable device to produce a computer-implemented process that allows the computer or other programmable device to execute Instructions can provide steps for implementing specified functions.

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Abstract

La présente invention concerne un dispositif de surveillance (200). Le dispositif de surveillance (200) comprend une unité d'acquisition (21) et un processeur (22), l'unité d'acquisition (21) étant utilisée pour acquérir une valeur de paramètre de récupération d'état de patient ; et le processeur (22) est utilisée pour générer des informations d'invite correspondantes en fonction de la valeur de paramètre de récupération d'état de patient acquise et d'une valeur de paramètre de récupération d'état cible prédéfinie, et pour commander la sortie des informations d'invite correspondantes. En conséquence, l'invention concerne en outre un procédé de surveillance. Des informations d'invite correspondantes peuvent être générées et délivrées en fonction d'une valeur de paramètre de récupération d'état de patient acquise et d'une valeur de paramètre de récupération d'état cible prédéfinie, fournissant ainsi une surveillance et un guidage plus complets pour un processus de récupération de patient.
PCT/CN2018/125661 2018-12-29 2018-12-29 Dispositif de surveillance, procédé de surveillance et support d'enregistrement lisible par ordinateur WO2020133425A1 (fr)

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CN201880099018.8A CN112911997A (zh) 2018-12-29 2018-12-29 监护设备、监护方法及计算机可读存储介质

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