WO2020199113A1 - Procédé d'affichage de paramètre physiologique, dispositif médical et support de données - Google Patents

Procédé d'affichage de paramètre physiologique, dispositif médical et support de données Download PDF

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Publication number
WO2020199113A1
WO2020199113A1 PCT/CN2019/080935 CN2019080935W WO2020199113A1 WO 2020199113 A1 WO2020199113 A1 WO 2020199113A1 CN 2019080935 W CN2019080935 W CN 2019080935W WO 2020199113 A1 WO2020199113 A1 WO 2020199113A1
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Prior art keywords
parameter
target
physiological
parameter value
medical care
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PCT/CN2019/080935
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English (en)
Chinese (zh)
Inventor
邹小玲
袁微微
谈琳
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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/CN2019/080935 priority Critical patent/WO2020199113A1/fr
Priority to CN201980073768.2A priority patent/CN112955068A/zh
Publication of WO2020199113A1 publication Critical patent/WO2020199113A1/fr
Priority to US17/492,607 priority patent/US20220027018A1/en

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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

Definitions

  • the present invention relates to the technical field of medical equipment, and more specifically, to a physiological parameter display method, medical equipment and storage medium.
  • medical staff need to perform medical care operations for patients, and these operations may affect the changes in patients' vital signs.
  • medical staff need to understand the changes in the patient's vital signs after receiving medical operations.
  • Medical equipment can monitor the patient's physiological sign parameters.
  • medical staff understand the changes in the patient's vital signs by clinically observing the patient's real-time monitoring values of the physiological sign parameters over a period of time. For example, after medical staff administer a certain hypertension drug to the patient, they observe the real-time value of the patient's blood pressure and other physiological parameters at the bedside to determine the drug's effect.
  • the present invention provides a method for displaying physiological parameters, including:
  • the present invention provides a medical device, including:
  • a display configured to display information
  • a memory the memory storing executable program instructions
  • a processor which executes the executable program instructions to implement the steps of the physiological parameter display method.
  • the present invention provides a readable storage medium on which a computer program is stored, and when the computer program is executed by a processor, the steps of the physiological parameter display method are realized.
  • the physiological parameter display method can detect the medical operation of the monitored object, determine the occurrence time of the medical operation and the target physiological parameter associated with the medical operation, and record the target physiological of the monitored object from the occurrence time. Multiple parameter information of the parameter, and display multiple parameter information. In this way, the user does not need to clinically observe the real-time value of the physiological parameter, and can intuitively view the change of the parameter information of the physiological parameter of the monitored object after the implementation of the medical care operation, and the user experience is better.
  • Figure 1 is a schematic flow chart of a method for displaying physiological parameters
  • Figures 2A-2J are multiple example diagrams of the display interface
  • Figure 3 is a schematic diagram of a structure of the monitor.
  • the current monitoring method is that medical staff observe medical equipment at the bedside.
  • the medical equipment displays real-time monitoring values of patient physiological parameters.
  • Medical staff determine the effect of medical operations by observing the changes in real-time monitoring values.
  • This monitoring method is a waste of labor costs, and for medical staff, it is necessary to observe the clinic at all times, and the experience is not good.
  • the present invention provides a physiological parameter display method, which can record and display multiple physiological parameters after medical care operations, provide medical personnel with intuitive vital sign change information, and reduce the cost of manual clinical observation.
  • Physiological parameter display methods can be applied to various medical equipment, including but not limited to ventilators, anesthesia machines, defibrillators, electrocardiographs, telemetry equipment, central stations, and vital sign monitoring equipment such as monitors. See Figure 1.
  • the method can specifically include steps 1.1-1.4.
  • the medical equipment can detect the occurrence of this event after the medical staff performs the medical operation on the monitored object. After the medical equipment detects a medical operation performed on a monitored object, it first needs to determine when the medical operation occurred.
  • Medical operations can include medical operations and/or nursing operations.
  • medical operations can include multiple types: for example, nursing operations such as intubation and back flapping for the monitored object, and therapeutic operations such as mechanical ventilation for the monitored object ,
  • Another example is the implementation of medication-related operations for the monitored object and so on.
  • the operation related to the medication may be to use a medication for the monitored object, adjust the medication usage of the medication already used by the monitored object, such as adjusting the flow rate, adjusting the amount of the medication, adjusting the concentration, and so on.
  • the medical device may determine that the medical operation on the monitored object is detected in the following manner.
  • One way is that the user inputs the relevant information about the medical care operation to the medical device after performing the medical care operation; the other way is that the medical staff need to resort to other equipment (which can be called the execution device) to perform the medical care operation for the monitored object.
  • the device is connected to the execution device, so that whether there is a medical operation on the monitored object can be determined by monitoring whether the execution device has an event related to the medical operation.
  • medical staff can adjust the flow rate, drug volume, concentration, etc. of the drugs used on the infusion pump.
  • the infusion pump detects these operational events, they can send relevant information about the operational events to the medical
  • the medical device After receiving the relevant information of the operation event, the medical device can determine that the medical operation is performed on the monitored object.
  • the methods for medical equipment to determine when a medical operation occurs can also include the following two:
  • One is to receive the time when the user inputs for the medical care operation. Specifically, after the medical device detects the medical operation, the medical staff can input the time point of the medical operation to the medical device through the input interface or the input button for the medical operation.
  • the other is to determine the execution device of the medical operation, and obtain the occurrence time of the medical operation from the execution device.
  • the execution device that performs the medical care operation can automatically record the occurrence time of the medical care operation and send the occurrence time to the medical device connected to the execution device.
  • physiological parameters associated with medical care operations are also called target physiological parameters.
  • Physiological parameters associated with medical operations refer to physiological parameters that are affected by medical operations, or physiological parameters that can reflect the effects of medical operations.
  • the medical operation is to administer the drug "dopamine" to the patient.
  • the drug "dopamine” may affect the monitoring values of physiological parameters such as the patient's heart rate, respiratory rate, and blood pressure, so these physiological parameters are taken as target physiological parameters.
  • the methods for determining the target physiological parameter may include the following:
  • the preset corresponding relationship can be set on the medical device. After the medical device detects the medical operation, it will search for the physiological parameter corresponding to the medical operation according to the preset corresponding relationship, and the found physiological The parameters are used as target physiological parameters.
  • the physiological parameters corresponding to different medical care operations can be the same or different.
  • some candidate physiological parameters can be set in advance. After the medical operation is detected, the parameter information of these candidate physiological parameters within a preset period of time is recorded, and each preparation is obtained according to the recorded content. Select the change trend of the parameter information of the physiological parameter, and determine whether the change trend of the parameter information meets the preset condition. If the change trend of a certain parameter information meets the preset condition, then the candidate physiological parameter corresponding to the parameter information is determined as the target Physiological parameters.
  • the preset condition may indicate the effect of the medical operation, for example, the preset condition is that the variation range of the parameter information exceeds a certain range.
  • the medical device starts to record the parameter information of the target physiological parameter after determining the occurrence time of the medical operation and the target physiological parameter to be monitored.
  • the medical equipment records the parameter information of the target physiological parameter from the time of occurrence.
  • the parameter information can be specifically the parameter value, of course, it can also be other information that can reflect the condition of the target physiological parameter. It should be noted that there are multiple parameter information, and when there are multiple target physiological parameters, there are also multiple parameter information corresponding to each target physiological parameter.
  • One recording method may be continuous recording, that is, starting from the occurrence time, the parameter information of the target physiological parameter of the monitored object is continuously recorded until receiving the stop recording instruction. Specifically, after the medical device detects the medical operation, it starts to record the parameter information from the time when the medical operation occurs, until the user inputs a stop recording instruction to the medical device. It can be seen that this recording method is determined by the medical staff for the length of time to collect parameter information. It should be noted that in the case of multiple target physiological parameters, the stop recording instruction can be directed to one or a certain target physiological parameter. Multiple.
  • Another recording method can be to automatically stop recording according to a preset time length. That is, starting from the occurrence time, the parameter information of the target physiological parameter of the monitored object is continuously recorded within a preset time period.
  • the medical device presets the length of the time period corresponding to the target physiological parameter. Different target physiological parameters may reflect the effect of the same medical operation in different lengths of time. Therefore, the length of the time period corresponding to different target physiological parameters may be different.
  • the value of the preset time period can be any value set according to medical experience, and the present invention does not specifically limit it.
  • multiple recorded parameter information is displayed.
  • the interface for displaying parameter information may only include the multiple parameter information, or may also include other parameter information based on the multiple parameter information.
  • other parameter information may include real-time values of target physiological parameters, or real-time values of other physiological parameters, real-time waveforms of target physiological parameters, and so on.
  • a specific display manner of this step may be to list the multiple parameter information in the display interface in the order of recording time, so that the user can see the change of the parameter information over time.
  • Another specific display mode of this step may be: generating a trend graph and/or waveform graph corresponding to the medical care operation according to multiple parameter information; and displaying the trend graph and/or waveform graph corresponding to the medical care operation.
  • the parameter information may include parameter values.
  • the parameter values of the target physiological parameter are arranged in the order of the acquisition time point, thereby forming the target physiological parameter Trend graph and/or waveform graph.
  • the graph formed by certain target physiological parameter(s) is called a trend graph
  • the graph formed by certain target physiological parameter(s) is called a waveform graph.
  • the trend graph and/or waveform graph generated by the present invention may be referred to as a trend graph and/or waveform graph corresponding to a medical care operation.
  • the medical care operation is a medication operation
  • the trend graph and/or waveform graph may be referred to as the medication trend graph and/or waveform graph.
  • this display mode is to display the recorded multiple parameter information through graphics, which is more intuitive and convenient for users to view.
  • the medical device displays the trend graph and/or waveform graph corresponding to the medical care operation
  • other trend graphs and/or waveform graphs may be displayed on the display interface.
  • the currently displayed trend can be The graph/or waveform graph is switched to the trend graph and/or waveform graph corresponding to the medical care operation.
  • the currently displayed review trend graph and/or review waveform graph can be switched to the trend graph and/or waveform graph corresponding to the medical care operation.
  • the medical device currently displays is a retrospective trend graph and/or a waveform graph
  • the retrospective trend graph and/or a retrospective waveform graph records information about the physiological parameters of the monitored object over a period of history.
  • the length of the historical time period can be set by the user, for example, it can be the information of physiological parameters within one hour of history; in addition, the historical time period can be a previous historical time period calculated from the current time point, or it can be from A previous historical time period starting from a historical time point.
  • the review trend graph and/or the review waveform graph can be refreshed in real time.
  • the medical device If the medical device detects that a medical operation has occurred, it will record the parameter information of the target physiological parameter associated with the medical operation in real time, generate a trend graph and/or waveform graph from the parameter information, and use the currently displayed review trend graph and/or review waveform The graph switches to the generated trend graph and/or waveform graph.
  • the medical device continuously displays the retrospective trend graph of certain physiological parameters of the patient, and at a certain point in time the patient uses the drugs "dopamine”, “molyxine” and “norepinephrine”. It is understandable that these Drugs can affect the three physiological parameters of the patient's heart rate, respiratory rate, and blood pressure.
  • the medical device switches the current review trend graph to the trend graph corresponding to the medication operation.
  • the trend graph corresponding to the medication operation specifically includes the heart rate (HR) trend graph, the blood pressure (BP) trend graph, and the respiratory rate (Respiration Rate, RR) trend graph.
  • the three trend graphs are respectively It shows the change trend of heart rate, blood pressure, and respiratory rate over a period of time, such as 10 minutes, starting from the time of medication. It should be noted that the shaded part in FIG. 2A indicates that the display interface may contain other monitoring information, such as the above three physiological parameters or the real-time values of other physiological parameters.
  • the switching condition may be receiving a switching instruction or the display duration reaches a preset time length.
  • the display time length of the trend graph and/or waveform graph corresponding to the medical care operation can be set by the user.
  • the bottom setting area contains a time length setting button, and the time length set in the figure is 10 min. (Minutes), so the displayed time length of the three physiological parameter trend graphs is 10 minutes from 9:50 to 10:00.
  • the time length of the physiological parameter trend graph can be set in the setting button. For example, if the time length is set to 8h (hours), the displayed physiological parameter trend graph is shown in Figure 2B, and the starting point of the time length is 9:00. The end of the time length is 17:00 (the current time point).
  • the display interface replaces the review trend graph and/or waveform graph with the trend graph and/or waveform graph of the medical operation, which not only reduces the occupation of the display interface space, but also enables the medical staff to easily learn the medical operation The relevant situation to avoid interference from other information.
  • the trend graph and/or the waveform graph corresponding to the medical care operation may be displayed together. That is to say, in the display interface of the medical device, it includes both the review trend graph and/or the review waveform graph, as well as the trend graph and/or waveform graph corresponding to the medical operation.
  • the two types of icons can be displayed on the same display interface. Display in the area, and can also be displayed in different areas of the display interface.
  • the schemes displayed together can specifically include the following:
  • the first is to mark the trend graph and/or waveform graph corresponding to the medical care operation on the entire displayed review trend graph and/or review waveform graph.
  • the entire review trend graph and/or review waveform graph contains the trend graph and/or waveform graph corresponding to the medical care operation.
  • the trend graph and/or waveform graph corresponding to the medical care operation can be marked for prompting.
  • One way of marking can be to add a time mark line in the review trend graph and/or review waveform graph.
  • the time mark line indicates the time point of the medical operation, thereby indicating that the review trend graph and/or review waveform graph is from The time mark line starts, and the subsequent trend graph and/or waveform graph are the trend graph and/or waveform graph corresponding to the medical care operation; another way can be to change the display style of the trend graph and/or waveform graph corresponding to the medical care operation, Set to a style different from the display style of the review trend graph and/or the review waveform graph.
  • the display style may include: line color, line thickness, background color, and so on.
  • Figure 2C shows a schematic diagram of a display interface.
  • the three trend graphs can be considered as retrospective trend graphs.
  • the length of time to review the trend graph is from 9: 00 to 10:00, assuming that the most recently monitored medication operation occurred at 9:50, add a vertical time marker line at the corresponding position at this time point to remind the medical staff of the time of the most recent medication operation Click, the medical staff can understand that the trend graph after the vertical line is the trend graph corresponding to the medication operation.
  • the second type is to divide the trend graph area in the physiological parameter interface into a first subarea and a second subarea according to the preset area ratio; in the first subarea, display the review trend graph and/or review waveform graph; The second sub-area displays the trend graph and/or waveform graph corresponding to the medical care operation.
  • the physiological parameter interface of the medical device includes a trend graph area, and the trend graph area is an area used to display the physiological parameter trend graph. Since the review trend graph and/or review waveform graph need to be displayed together with the trend graph and/or waveform graph corresponding to the medical care operation, the area proportion can be preset, and the area proportion is used to indicate the two types of trend graphs and/ Or the area occupied by each waveform.
  • the trend graph area can be divided into two sub-areas according to the preset area ratio, and the two types of trend graphs and/or waveform graphs can be displayed in the two sub-areas respectively. It should be noted that the specific value of the proportion of the preset area is not specifically limited in the present invention.
  • the duration of the two trend graphs may be different.
  • the left half of the trend graph area displays the review trend graph, and the right half Shows the trend chart corresponding to the medication operation.
  • the time of occurrence of the most recent medication operation is 9:50.
  • the time length of the trend graph corresponding to the medication operation is 10 minutes.
  • the length of time to review the trend graph is 50 minutes from 9:00 to 9:50.
  • the preset area ratio can also be other values such as 2:1.
  • the third type is to use two overlapping layers in the trend graph area of the physiological parameter interface to respectively display the review trend graph and/or review waveform graph and the trend graph and/or waveform graph corresponding to the medical care operation.
  • two types of trend graphs and/or waveform graphs are overlapped and displayed.
  • the duration of the two types of trend graphs and/or waveform graphs can be different.
  • different display styles can be set, such as different colors, brightness, and so on.
  • each type of physiological parameter trend graph in the trend graph area includes a useful medicine trend graph (that is, a trend graph corresponding to a medication operation) and a review trend graph.
  • the upper time length (9:50-10:00) in this area is the time length corresponding to the medication trend graph
  • the lower time length (9:00-9:50) is the time length corresponding to the medication trend graph.
  • the fourth type the relative position of the trend graph area in the physiological parameter interface, such as the right, pops up the floating interface; the trend graph area is used to display the review trend graph and/or the review waveform graph; and in the floating interface, display the medical care Operate the corresponding trend graph and/or waveform graph.
  • the pop-up operation of the floating interface can be based on a user's trigger operation. For example, the user can click any position of the review trend graph to trigger the display of the floating interface; the position of the floating interface can be changed based on the user's drag operation to change the display position, or The display is cancelled based on the user's closing operation.
  • the present invention provides the above four solutions for displaying the review trend graph and/or review waveform graph together with the trend graph and/or waveform graph corresponding to the medical operation.
  • the manner also belongs to the protection scope of the present invention.
  • the physiological parameter display method can detect the medical operation of the monitored object, determine the occurrence time of the medical operation and determine the target physiological parameter associated with the medical operation, and record the monitored object from the occurrence time Multiple parameter information of the target physiological parameter, and display multiple parameter information.
  • the user does not need to clinically observe the real-time value of the physiological parameter, and can intuitively view the change of the parameter information of the physiological parameter of the monitored object after the implementation of the medical care operation, and the user experience is better.
  • the physiological parameter display method may also include: determining the alarm condition corresponding to the target physiological parameter; and determining the parameter information that satisfies the alarm condition among the displayed multiple parameter information, and responding to the The parameter information of the condition is prompted.
  • the alarm condition corresponding to the target physiological parameter indicates whether the change range of the target physiological parameter reaches the level of attention of the user.
  • the parameter information is specifically the parameter value.
  • One way of the alarm condition is whether the before and after change of the parameter value exceeds a certain threshold; or another way of the alarm condition is that the target physiological parameter has a preset target parameter value, and the target parameter The value is used to indicate the target situation that the parameter value of the target physiological parameter can be achieved after the medical operation is performed on the monitored object.
  • the alarm condition is that the difference between the parameter value of the target physiological parameter and the target parameter value occupies the ratio of the target parameter value Higher or lower than the preset ratio value.
  • the medical staff For example, to monitor the subject using a certain drug, medical staff expect that the heart rate value of the monitored subject can reach 78 bpm (target parameter value) after using the drug, and the medical staff pays more attention to the difference between the heart rate parameter value and 78 after the medication. Whether it is higher or lower than 20% of 78 (preset ratio value). Therefore, if the difference between the heart rate parameter value of the monitored subject and 78 is higher or lower than 20% of 78, a reminder is required.
  • target physiological parameters can correspond to different target parameter values and different preset ratio values.
  • the target parameter value corresponding to the heart rate is 78 and the preset ratio value is 20%
  • the target parameter value corresponding to the respiratory rate is 25 and the preset ratio value is 10%.
  • the numerical value here is only an example, and it can also be set to other numerical values according to requirements in practical applications.
  • the parameter values that meet the alarm conditions can also be marked in the trend graph and/or waveform graph corresponding to the medical care operation. Specifically, in the solution of displaying the trend graph and/or waveform graph corresponding to the medical care operation, the alarm condition corresponding to the target physiological parameter is determined; and in the trend graph and/or waveform graph corresponding to the medical care operation, the mark prompts that the alarm condition is satisfied Parameter value.
  • a specific marking method is to set the parameter values that meet the alarm conditions in the trend graph and/or the waveform graph to a different display style from other parameter values. For example, set the line colors of parameter values that meet the alarm condition to different colors.
  • Another specific marking method is: in the trend graph and/or waveform graph corresponding to the medical care operation, determine the parameter value that satisfies the alarm condition; and if the parameter value that satisfies the alarm condition is multiple, in the trend graph corresponding to the medical care operation And/or in the waveform graph, the mark indicates the highest value among multiple parameter values.
  • the maximum value among multiple parameter values can be the maximum value among multiple consecutive parameter values at the acquisition time point, that is, a certain continuous line in the trend graph and/or waveform graph satisfies For alarm conditions, find the highest value among the multiple parameter values indicated by the line of the paragraph and mark it. Of course, if there are multiple continuous lines in the trend graph and/or waveform graph that all meet the alarm conditions, the highest value is found in each line to mark.
  • Another specific marking method is to determine the alarm type of the parameter value that meets the alarm conditions; the alarm type includes a high alarm type and a low alarm type; the high alarm type is used to indicate that the parameter value of the target physiological parameter is greater than the target parameter value and The degree of greater than is higher than the preset ratio value, the low alarm type is used to indicate: the parameter value of the target physiological parameter is less than the target parameter value and the degree of less than is higher than the preset ratio value; determine the alarm prompt corresponding to the alarm type; and The associated position of the parameter value of the alarm condition displays the alarm prompt.
  • the alarm prompt can be in various forms such as text, symbols, graphics, and pictures.
  • the upward and downward arrows are used to mark the parameter values that meet the alarm conditions in the trend graph and/or waveform graph.
  • the upward arrow indicates that the difference between the target physiological parameter value and the target parameter value is higher than the preset ratio value of the target parameter value, and the difference between the target physiological parameter value and the target parameter value is lower than the target The preset scale value of the parameter value.
  • the arrow is only an example, and it can also be other symbols or other marking forms. It should be noted that, in addition to marking the parameter value corresponding to the most recent medical operation, the parameter value that satisfies the alarm condition in the review trend graph can also be marked.
  • this marking method may also include: displaying the preset ratio value at the associated position of the alarm prompt to remind the user that the reason for the alarm is related to the preset ratio value.
  • the associated location can be a location near the alarm prompt. It should be noted that if there are multiple parameter values that cause an alarm, the preset ratio value can be displayed only at the associated position of the alarm prompt closest to the current time point.
  • the preset ratio value of 20% is displayed near the nearest alarm prompt (up or down arrow) at the current time point, and the alarm prompt and the Surrounded by preset scale values.
  • the wireframe could be omitted or other forms.
  • the parameter value may also include: in response to a user triggering an operation on a certain parameter value of the marking, displaying preset detailed information associated with the parameter value. Specifically, the user can click on the parameter value marked in the trend graph and/or the waveform graph, and the medical device displays the detailed information of the parameter value.
  • the detailed information is preset, and may specifically include: the size of the parameter value, the collection time point, the specific situation of the corresponding medical care operation, and so on.
  • the parameter value may also include: in the trend graph and/or waveform graph corresponding to the medical care operation, prompting the target parameter value corresponding to the target physiological parameter, so that the user can intuitively understand each target physiological parameter.
  • the target parameter value corresponding to the parameter may be: displaying the target parameter value and/or the marking line corresponding to the target parameter value in the trend chart and/or the waveform chart corresponding to the medical care operation.
  • the marking line may also be called a value line.
  • the specific numerical value of the target parameter value may be displayed near the marking line, and the specific numerical value may be displayed in the marking symbol.
  • a horizontal line is added to the heart rate trend graph, and the value 80 is displayed at the right end of the horizontal line to indicate that the target parameter value of the target physiological parameter of heart rate is 80.
  • 80 can be included in marking symbols such as flags and bubbles.
  • the mark line corresponding to the target parameter value is displayed, in the trend graph and/or waveform graph corresponding to the medical care operation, determine the line that does not coincide with the mark line; and fill the background color in the area formed by the line and the mark line.
  • the solution is to mark all the values that are not the target parameter values in the trend graph and/or the waveform graph.
  • the marking method is to fill the area enclosed by this part of the line and the mark line with a background color. Of course, there can be other marking methods.
  • the real-time parameter value of the target physiological parameter can be compared with the target parameter value to prompt the user of the relationship between the real-time monitoring of the target physiological parameter and the target expectation.
  • the physiological parameter display method may further include: obtaining the real-time parameter value of the target physiological parameter of the monitored object, and obtaining the target parameter value corresponding to the target physiological parameter; Display real-time parameter values and target parameter values. Further, the real-time parameter value and the target parameter value can be compared to obtain the comparison result, and the comparison result is prompted, so that the user can intuitively understand the relationship between the real-time parameter value and the target parameter value.
  • One way of prompting the comparison result is to determine the prompt content symbol corresponding to the comparison result and display the prompt content symbol.
  • the comparison result of the real-time parameter value and the target parameter value can include greater than, less than or equal to, so the prompt content symbol corresponding to each situation is determined respectively.
  • the real-time parameter value of the heart rate is 108 and the target parameter value is 78. If the real-time parameter value is greater than the target parameter value, an upward arrow will be prompted; similarly, the blood pressure prompt can be known; the real-time parameter value of the respiratory rate is 15, The target parameter value is 25. If the real-time parameter value is less than the target parameter value, a downward arrow will be prompted. Of course, if you use the bubble plus value method to prompt the target parameter value in the figure, you can omit the target parameter value under the real-time parameter value.
  • the physiological parameter display method may further include:
  • the alarm type can refer to the above description of the high alarm type and the low alarm type.
  • a specific prompt method is to determine the prompt content symbol corresponding to the alarm type, and display the prompt content symbol.
  • different prompt content symbols can be determined according to different situations of greater than, less than or equal.
  • the prompt content symbol can be an arrow, a background color, and so on.
  • the real-time parameter value of the heart rate is 108
  • the target parameter value is 78
  • the preset ratio value is 20%. If (108-78)/78 is greater than 20%, it means that it is a high alarm type. Arrow; the same can be used to know the prompt of blood pressure; the real-time parameter value of the respiratory rate is 15, the target parameter value is 25, and the preset ratio value is 20%. If (25-15)/25 is greater than 20%, it is indicated as a low alarm type. It prompts a downward arrow. Of course, if you use the bubble plus value method to prompt the target parameter value in the figure, you can omit the target parameter value under the real-time parameter value. It should be noted that the preset ratio value may be filled with a background color, or of course, the background color may not be filled.
  • real-time parameter values can be displayed in a rectangular area. If the real-time parameter value meets the high alarm type, a triangle is displayed above the rectangular area, and the preset ratio value and the upward arrow corresponding to the high alarm type are displayed in the triangle; if the real-time parameter value meets the low alarm type, the A triangle is displayed below, and the preset ratio value and the down arrow corresponding to the low alarm type are displayed in the triangle.
  • the preset ratio value can be omitted in the triangle, or the arrow corresponding to the alarm type can be omitted.
  • the real-time parameter value of the heart rate is 108
  • the target parameter value is 78
  • the preset ratio value is 20%. If (108-78)/78 is greater than 20%, it is a high alarm type, so in the rectangular area
  • the inner display 108 and a triangle above the rectangular area, the triangle contains 20% and an upward arrow. In the same way, the relevant tips for blood pressure and respiratory rate can be known.
  • low-brightness triangles can be set above and below the rectangular area.
  • the upper triangle corresponds to the high alarm type, and the lower triangle corresponds to the low alarm type.
  • the physiological parameter display method may also include:
  • the related information includes: one or more of the time of the medication operation, the name of the medication, the total amount of the medication, the flow rate of the medication, and the amount of the used medication; and the related information of the medication operation is displayed.
  • the physiological parameter interface also includes information related to medication operation, and the two types of information can be displayed in different areas.
  • the medication-related operations may specifically include adjusting the flow rate of the medication used; a specific display method of the medication related information is: according to the adjustment of the flow rate of the medication used, a line graph including the flow rate before adjustment and the flow rate after adjustment is generated; And display the line drawing.
  • the line graph can be a horizontal line. If the drug flow rate is increased, the horizontal line will rise by one step, and if the drug flow rate is decreased, the horizontal line will drop by one step.
  • the drugs "dopamine", “Yulixi” and “norepinephrine” were adjusted twice. In order to prompt the specific situation of the flow rate, you can mark the flow rate value before and after the flow rate adjustment, and to prompt the flow rate adjustment time point, you can display the flow rate adjustment time point at the position of the line corresponding to each flow rate adjustment.
  • the amount of each drug used can be displayed; or, if there are multiple drugs corresponding to the medication operation, the total amount of all drugs used is displayed.
  • the value 890 corresponding to the fluid input volume represents the total amount of the drugs "dopamine”, “molyxine” and “norepinephrine” used.
  • the total amount of used drugs can also be counted in time units. For example, you can display the amount of medication used in each hour from the start of medication to the current time point. As shown in Figure 2A-2I, in the statistical histogram, the value above the histogram represents the total amount of drugs used per hour.
  • a display mode of the physiological parameter interface is shown in Fig. 2J, including a title bar, a trend graph area, a medication information area, a liquid volume analysis area, an event overview area, and a setting area.
  • the physiological parameter interface can be included in the entire display interface, such as the display interface shown in FIGS. 2A-2J.
  • the area outside the physiological parameter interface filled with diagonal lines can contain other information that needs to be monitored.
  • the information related to the medication operation can be displayed in the preset medication area, but the area may be small and cannot display all the related information, so it can be displayed on a split screen.
  • the preset medication area is determined; the number of drug-related information that can be displayed in the preset medication area is the preset number; if the medication-related information corresponding to the medication operation is greater than the preset number, The preset medication area displays information related to a preset number of medications; in response to a user's switching operation, the preset medication area displays a preset number of other undisplayed medication related information.
  • the switching operation can be a sliding operation, for example, sliding up, down, left, or right to view related information displayed in other split screens.
  • the displayed parameter information can also be displayed on separate screens.
  • determine the parameter information area the number of target physiological parameters that can be displayed in the parameter information area is the preset number; if the number of target physiological parameters is greater than the preset number, the preset number is displayed in the parameter information area
  • the parameter information of the target physiological parameter in response to the user's switching operation, a preset number of other parameter information of the target physiological parameter not displayed is displayed in the parameter information area.
  • the parameter information can be displayed through trend graphs and/or waveform graphs. If the number of target physiological parameters is large, the trend graph area can first display the trend graph and/or waveform graph of a part of the target physiological parameters, based on the user Switching operations such as sliding operations to display trend graphs and/or waveform graphs displayed in other split screens.
  • the present invention also provides a medical device, including: a display, a memory, and a processor. among them:
  • the display is configured to display information
  • Memory stores executable program instructions
  • the processor executes executable program instructions to implement the steps of any of the above physiological parameter display methods.
  • FIG. 3 provides a system framework diagram of a parameter processing module in a multi-parameter monitor.
  • the multi-parameter monitor has an independent housing.
  • the housing panel has a sensor interface area, which integrates multiple sensor interfaces for connecting to various external physiological parameter sensor accessories 311.
  • the housing panel also includes a small LCD display area, display 318 , Input interface circuit 320 and alarm circuit 319 (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 an external plug-in parameter module.
  • the plug-in monitor host can be formed by inserting the parameter module as a part of the monitor, or it can be connected to the host via a cable.
  • the plug-in parameter module is used as an external accessory of the monitor.
  • the multi-parameter monitor includes a memory 317 for storing computer programs and various data generated during related monitoring.
  • the internal circuit of the parameter processing module is placed in the housing, as shown in FIG. 3, including a signal acquisition circuit 312 corresponding to at least two physiological parameters, a front-end signal processing circuit 313 and a main processor 315.
  • the main processor 315 can implement the processing-related steps in each of the above-mentioned apnea event monitoring methods.
  • the signal acquisition circuit 312 can be selected from an electrocardiographic circuit, a breathing circuit, a body temperature circuit, a blood oxygen circuit, a non-invasive blood pressure circuit, an invasive blood pressure circuit, etc. These signal acquisition circuits 312 are respectively electrically connected to corresponding sensor interfaces for electrical Connected to the sensor attachment 311 corresponding to different physiological parameters, the output end of which 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-to-digital conversion of the output signal of the signal acquisition circuit, and outputs control signals to control the measurement process of physiological signals.
  • These parameters include but are not limited to : ECG, respiration, body temperature, blood oxygen, non-invasive blood pressure and invasive blood pressure parameters.
  • the front-end signal processor can be realized by a single-chip microcomputer or other semiconductor devices, and can also be realized by an ASIC or FPGA.
  • the front-end signal processor can be powered by an isolated power supply. The sampled data is simply processed and packaged, and then sent to the main processor through the isolated communication interface.
  • the front-end signal processor circuit can be coupled to the main processor 315 through the isolated power supply and communication interface 314 .
  • the reason why the front-end signal processor is powered by the 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 purpose is: 1. Isolate the patient, and use the isolation transformer to float the application part to make Patient leakage current is small enough; 2. Prevent voltage or energy during defibrillation or electrosurgical application from affecting the boards and devices of intermediate circuits such as the main control board (guaranteed by creepage distance and electrical 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, PC, central station, etc.) through the external communication and power interface.
  • the external communication and power interface 316 can be One or a combination of Ethernet, Token Ring, Token Bus, and the optical fiber distributed data interface (FDDI) as the backbone of these three networks It can 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 316 may also be one or a combination of the wireless data transmission interface and the wired data transmission interface.
  • the host can be any computer equipment such as the host of the monitor, an electrocardiograph, an ultrasonic diagnostic apparatus, a computer, etc., and a monitoring device can be formed by installing matching software.
  • the host can also be a communication device, such as a mobile phone, and the parameter processing module sends data to a mobile phone that supports Bluetooth communication via a Bluetooth interface to realize remote data transmission.
  • the present invention provides a readable storage medium on which a computer program is stored, and when the computer program is executed by a processor, the above physiological parameter display method is realized.

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Abstract

L'invention concerne un procédé d'affichage de paramètre physiologique, comprenant les étapes consistant à : lors de la détection d'une opération médicale effectuée sur un objet surveillé, déterminer le temps d'occurrence de l'opération médicale (1.1) ; déterminer des paramètres physiologiques cibles associés à l'opération médicale (1.2) ; enregistrer de multiples éléments d'informations de paramètres des paramètres physiologiques cibles, à partir du temps d'occurrence, de l'objet surveillé (1.3) ; et afficher les multiples éléments d'informations de paramètres (1.4). De cette manière, après la mise en œuvre d'une opération médicale, un utilisateur peut visualiser intuitivement, sans observer cliniquement des valeurs en temps réel de paramètres physiologiques, des changements d'informations de paramètre de paramètres physiologiques d'un objet surveillé, fournissant une bonne expérience d'utilisateur. L'invention concerne en outre un dispositif médical et un support de données étant utilisés pour l'application et la mise en œuvre dudit procédé en pratique.
PCT/CN2019/080935 2019-04-02 2019-04-02 Procédé d'affichage de paramètre physiologique, dispositif médical et support de données WO2020199113A1 (fr)

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PCT/CN2019/080935 WO2020199113A1 (fr) 2019-04-02 2019-04-02 Procédé d'affichage de paramètre physiologique, dispositif médical et support de données
CN201980073768.2A CN112955068A (zh) 2019-04-02 2019-04-02 生理参数显示方法、医疗设备及存储介质
US17/492,607 US20220027018A1 (en) 2019-04-02 2021-10-02 Monitor, and method for combined display of physiological sign parameters and medication information for same

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